Adult Health Nursing Test Bank

Course Introduction

Adult Health Nursing explores the foundational principles and practices involved in caring for adult patients with a variety of acute and chronic health conditions. The course emphasizes holistic, patient-centered care, integrating clinical decision-making, evidence-based practice, and interdisciplinary collaboration. Students will develop the skills necessary to assess, plan, implement, and evaluate nursing interventions, while also considering the psychosocial, cultural, and ethical dimensions of adult health. The curriculum includes both theoretical knowledge and hands-on clinical experience to prepare students for effective practice in diverse healthcare settings.

Recommended Textbook

Medical Surgical Nursing 7th Edition by

Donna D. Ignatavicius

Available Study Resources on Quizplus

76 Chapters

2258 Verified Questions

2258 Flashcards

Source URL: https://quizplus.com/study-set/1943

Page 2

Chapter 1: Introduction to Medical-Surgical Nursing

Available Study Resources on Quizplus for this Chatper

20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/38686

Sample Questions

Q1) A client has metastatic lung cancer and is hospitalized for chemotherapy.Which intervention does the nurse delegate to the unlicensed assistive personnel?

A) Assist the client with repositioning.

B) Teach the client to use the incentive spirometer.

C) Take vital signs every 4 hours.

D) Record intake and output measurements.

E) Promote the expression of grief and loss.

Answer: A,C,D

Q2) The physician prescribes warfarin (Coumadin)15 mg daily.The nurse notes that this is three times the normal dose for this client based on the client's medication profile and laboratory work.What does the nurse do first?

A) Give the dose and document the concern.

B) Call the pharmacy for a consultation.

C) Call the physician to question the order.

D) Hold the medication for that day.

Answer: C

To view all questions and flashcards with answers, click on the resource link above.

Chapter 2: Introduction to Complementary and Alternative Therapies

Available Study Resources on Quizplus for this Chatper

21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/38687

Sample Questions

Q1) A client tells the nurse that he or she is considering using herbal supplements.What is the nurse's best response?

A) "Herbs are not classified as drugs in the United States, so there is no contraindication to using them."

B) "Herbs have pharmacologic effects on the body and can interact with some prescription medications."

C) "It is never permissible to use herbal supplements with prescription medications."

D) "I will refer you to an herbalist, who can help you decide which medications you can take."

Answer: B

Q2) A client who has been using which therapy requires the most immediate intervention by the nurse?

A) Aromatherapy to treat depression

B) Herbal preparations to treat hypertension

C) Therapeutic touch to decrease level of pain

D) Tai Chi to improve joint flexibility

Answer: B

To view all questions and flashcards with answers, click on the resource link above.

Chapter 3: Common Health Problems of Older Adults

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/38688

Sample Questions

Q1) A nurse is assessing a client's understanding of medication therapy.Which statement indicates that the client needs further instruction?

A) "My husband is on the same medication, so we always take our medications together in the morning."

B) "I prepare all my medication for the week and place the pills in a container labeled for each day."

C) "When I don't sleep well at night, I take two thyroid pills the next day instead of just one."

D) "I take my Coumadin every day when the noon news comes on the television."

Answer: C

Q2) An older adult client presents with signs and symptoms related to digoxin toxicity.Which age-related change may have contributed to this problem?

A) Increased total body water

B) Decreased renal blood flow

C) Increased gastrointestinal motility

D) Decreased ratio of adipose tissue to lean body mass

Answer: B

To view all questions and flashcards with answers, click on the resource link above.

Chapter 4: Cultural Aspects of Health and Illness

Available Study Resources on Quizplus for this Chatper

13 Verified Questions

13 Flashcards

Source URL: https://quizplus.com/quiz/38689

Sample Questions

Q1) The client states,"I cannot receive blood transfusions,because it is against my beliefs.I am concerned about having this surgery." What is the nurse's best response?

A) "You should allow your health care team to do whatever is needed."

B) "The blood supply in this country is the safest in the world."

C) "There really is nothing unacceptable about blood transfusion."

D) "There are good alternatives to transfusions that we can discuss."

Q2) The nurse is caring for a client from another culture.Which action would demonstrate the first step of developing cultural competence?

A) Avoiding assuming that members of the same culture all share the same beliefs and values

B) Developing an understanding of his or her own cultural heritage, feelings, and experiences

C) Becoming bilingual to communicate effectively with the population of clients served

D) Developing an understanding of the religious beliefs of clients served by the nurse

To view all questions and flashcards with answers, click on the resource link above.

Chapter 5: Pain: The Fifth Vital Sign

Available Study Resources on Quizplus for this Chatper

38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/38690

Sample Questions

Q1) When is the nurse correct in decreasing the dose of pain medication in a client with end-stage cancer?

A) The spouse is worried that the client may become addicted.

B) The client wants to remain alert during the visit of a long-time friend.

C) The client has lost considerable weight and does not want to eat.

D) The client is becoming combative at night.

Q2) Why does the nurse always ask the client his or her pain level after taking routine vital signs?

A) To determine whether pain is influencing blood pressure and heart rate

B) To determine the need for more frequent vital sign measurement

C) To ensure that pain assessment occurs on a regular basis

D) To follow McCaffery's guidelines on pain management

Q3) During preoperative assessment,the client tells the nurse about taking NSAIDs for years.What question is most important for the nurse to ask?

A) "Did you ever have a problem with bleeding?"

B) "Do you bruise easily?"

C) "How many tablets do you take every day?"

D) "When was the last time you took your NSAID?

To view all questions and flashcards with answers, click on the resource link above. Page 7

Chapter 6: Genetic Concepts for Medical-Surgical Nursing

Available Study Resources on Quizplus for this Chatper

24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/38691

Sample Questions

Q1) Which statement regarding genotype and phenotype is accurate?

A) For autosomal recessive traits, the phenotype is the same as the genotype.

B) The only trait in which phenotype always follows genotype is physiologic gender.

C) When a phenotype is fully penetrant, the trait is expressed in the heterozygous person.

D) Genotype changes as a person ages, whereas phenotype is not affected by the aging process.

Q2) The client exhibits a trait that has appeared in every generation of his or her family.This is an example of which type of inheritance?

A) Autosomal recessive

B) Sex-linked recessive

C) Autosomal dominant

D) Sex-linked dominant

Q3) Which disorder qualifies a client for presymptomatic diagnostic genetic testing?

A) Colorectal cancer

B) Huntington disease

C) Hemophilia

D) Tay Sachs disease

To view all questions and flashcards with answers, click on the resource link above.

Chapter 7: Evidence-Based Practice in Medical-Surgical Nursing

Available Study Resources on Quizplus for this Chatper

12 Verified Questions

12 Flashcards

Source URL: https://quizplus.com/quiz/38692

Sample Questions

Q1) The cardiac nurse wants to know about the best practices to prevent pneumonia after open-heart surgery.What does the nurse do first?

A) Critically appraise relevant evidence.

B) Implement acceptable recommendations.

C) Ask clinical experts for their opinions.

D) Search for evidence to answer the question.

Q2) The nurse is looking for the best interventions for postoperative pain control.When are the facility's policies and procedures an appropriate source of evidence?

A) When policies are based on high-quality clinical practice guidelines

B) When evidence is derived from a valid and reliable quantitative research study

C) When procedures originated from opinions of the facility's chief surgeon

D) When evidence is founded on recommendations from experienced nurses

Q3) The nurse researcher is evaluating clinical questions.Which is a qualitative question?

A) What factors affect clients' responses to postoperative pain?

B) Do wound vacuum systems improve surgical wound healing time?

C) What are the effects of hourly rounding on client fall rates?

D) Do chlorhexidine swabs decrease central line site infections?

To view all questions and flashcards with answers, click on the resource link above.

Page 9

Chapter 8: Rehabilitation Concepts for Chronic and Disabling Health Problems

Available Study Resources on Quizplus for this Chatper

28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/38693

Sample Questions

Q1) The nurse is planning care for a client who is newly wheelchair bound owing to a spinal cord injury.What priority intervention should the nurse include in the plan of care to assist the client in transferring from the bed to the wheelchair?

A) A diet high in protein and low in calories

B) An occupational therapy consult

C) Bowel and bladder retraining

D) Upper arm strengthening exercises

Q2) The nurse is providing education for a client at risk for urinary tract infection.Which beverage should the nurse encourage the client to drink?

A) Carbonated beverages

B) Citric juices

C) Milk

D) Tomato juice

To view all questions and flashcards with answers, click on the resource link above. Page 10

Chapter 9: End-Of-Life Care

Available Study Resources on Quizplus for this Chatper

24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/38694

Sample Questions

Q1) A terminally ill client has just died in a hospital setting with family members at the bedside.The health care provider is also present.What should be the nurse's priority intervention as postmortem care begins?

A) Call for emergency assistance so that resuscitation procedures can begin.

B) Ask the family members if they would like to spend time alone with the client.

C) Ensure that a death certificate has been completed by the physician.

D) Request family members to prepare the client's body for the funeral home.

Q2) The nurse is discussing advance directives with a client.Which statement by the client indicates good understanding of the purpose of an advance directive?

A) "An advance directive will keep my children from selling my home when I'm old."

B) "An advance directive will be completed as soon as I'm incapacitated and can't think for myself."

C) "An advance directive will specify what I want done when I can no longer make decisions about health care."

D) "An advance directive will allow me to keep my money out of the reach of my family."

To view all questions and flashcards with answers, click on the resource link above.

Chapter 10: Concepts of Emergency and Trauma Nursing

Available Study Resources on Quizplus for this Chatper

25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/38695

Sample Questions

Q1) The emergency medical technicians (EMTs)arrive at the emergency department with an unresponsive client with an oxygen mask in place.What will the nurse do first?

A) Assess that the client is breathing adequately

B) Insert a large-bore intravenous line

C) Place the client on a cardiac monitor

D) Assess for best neurologic response

Q2) An unresponsive client with poor ventilator effort and a pulse rate of 120 beats/min arrives at the emergency department.What should the nurse do first?

A) Place the client on a non-rebreather mask.

B) Begin bag-valve-mask ventilation.

C) Initiate cardiopulmonary resuscitation.

D) Prepare for chest tube insertion.

Q3) A nurse is triaging clients in the emergency department.Which client complaint would the triage nurse classify as nonurgent?

A) Chest pain and diaphoresis

B) Decreased breath sounds due to chest trauma

C) Left arm fracture with palpable radial pulses

D) Sore throat and a temperature of 104° F

To view all questions and flashcards with answers, click on the resource link above. Page 12

Chapter 11: Care of Patients With Common Environmental Emergencies

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/38696

Sample Questions

Q1) The nurse is planning care for a client admitted with a snakebite to the right leg.With whom should the nurse collaborate?

A) The facility's neurologist

B) The regional poison control center

C) The physical therapy department

D) A herpetologist (snake specialist)

Q2) The nurse is working at a first aid booth for a spring training game on a hot day.A spectator comes in,reporting that he is not feeling well.Vital signs are temperature 104.1° F (40.1° C),pulse 132 beats/min,respirations 26 breaths/min,and blood pressure 106/66 mm Hg.He trips over his feet as the nurse leads him to a cot.What is the priority action of the nurse?

A) Encourage drinking of cool water or sports drinks.

B) Sponge the victim with cool water and remove his shirt.

C) Administer Tylenol (acetaminophen), 650 mg orally.

D) Encourage rest, and reassess in 15 minutes.

To view all questions and flashcards with answers, click on the resource link above.

Page 13

Chapter 12: Concepts of Emergency and Disaster

Preparedness

Available Study Resources on Quizplus for this Chatper

31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/38697

Sample Questions

Q1) A hospital has "stood down" from a mass casualty disaster.The staff have rested and eaten.Which action by the nursing supervisor takes priority?

A) Restocking the emergency department (ED)

B) Making rounds on each unit to check staffing

C) Determining which staff can go home

D) Planning a critical incident stress debriefing

Q2) A young man comes into the foyer of the hospital and says that he has a container of anthrax,which he opens and pours on the floor.Which is the priority action for the nurse who first comes upon the scene?

A) Don a protective gown, mask, and goggles.

B) Escort the man to the decontamination room.

C) Begin to evacuate the immediate area.

D) Notify the local health department of a biohazard situation.

Q3) A nurse is working at the scene of a catastrophic natural event.Which person does the nurse attend to first?

A) Distraught mother looking for her children

B) Person walking about with a bleeding head wound

C) Supine person with pale, cool, clammy skin

D) Child with a deformed lower leg crying in pain

Page 14

To view all questions and flashcards with answers, click on the resource link above.

Chapter 13: Assessment and Care of Patients With Fluid and Electrolyte Imbalances

Available Study Resources on Quizplus for this Chatper

44 Verified Questions

44 Flashcards

Source URL: https://quizplus.com/quiz/38698

Sample Questions

Q1) Which client is at greatest risk for developing hypercalcemia?

A) Client taking furosemide (Lasix) for heart failure

B) Client with long-standing osteoarthritis

C) Woman who is pregnant with twins

D) Client with hyperparathyroidism

Q2) The nurse observes that the handgrip of the client with hypophosphatemia has diminished in strength since the last assessment 2 hours ago.What is the nurse's primary intervention?

A) Document the finding and continue to assess.

B) Assess respiratory status immediately.

C) Request an order for a serum calcium level.

D) Administer a rapid bolus of intravenous phosphorus.

Q3) The nurse is providing discharge teaching for a client who is at risk for mild hypernatremia.What action is most important for the nurse to teach the client?

A) "Weigh yourself every morning and every night."

B) "Check your radial pulse twice a day."

C) "Read food labels to determine sodium content."

D) "Bake or grill the meat rather than frying it."

To view all questions and flashcards with answers, click on the resource link above. Page 15

Chapter 14: Assessment and Care of Patients With

Acid-Base Imbalances

Available Study Resources on Quizplus for this Chatper

44 Verified Questions

44 Flashcards

Source URL: https://quizplus.com/quiz/38699

Sample Questions

Q1) The nurse monitors for which acid-base problem in a client who is taking furosemide (Lasix)for hypertension?

A) Acid excess secondary to respiratory acidosis

B) Acid deficit secondary to respiratory alkalosis

C) Acid excess secondary to metabolic acidosis

D) Acid deficit secondary to metabolic alkalosis

Q2) A client has the following arterial blood gases (ABGs): pH 7.30,HCO3- 22 mEq/L,PCO2 55 mm Hg,PO2 86 mm Hg.Which intervention by the nurse takes priority?

A) Assessing the airway

B) Administering bronchodilators

C) Administering mucolytics

D) Providing oxygen

Q3) The nurse assesses the client with which condition most carefully for the risk of developing acute respiratory acidosis?

A) Allergic rhinitis and sinusitis on sulfa antibiotics

B) Type 1 diabetes and urinary tract infection

C) Emphysema and undergoing nasogastric (NG) tube suctioning

D) On patient-controlled analgesia after abdominal surgery

Page 16

To view all questions and flashcards with answers, click on the resource link above.

Chapter 15: Infusion Therapy

Available Study Resources on Quizplus for this Chatper

49 Verified Questions

49 Flashcards

Source URL: https://quizplus.com/quiz/38700

Sample Questions

Q1) Which IV order does the nurse question?

A) Flush Groshong catheter with 10 mL normal saline every 8 hours.

B) Infuse 20 mEq potassium chloride in 1000 mL D5W at 50 mL/hr.

C) Infuse 500 mL normal saline over 1 hour.

D) Infuse 0.9% normal saline at keep vein open (KVO) rate.

Q2) When assessing the client's peripheral IV site,the nurse observes a streak of red along the vein path and palpates a 4-cm venous cord.What is the most accurate documentation of this finding?

A) Grade 3 phlebitis at IV site

B) Infection at IV site

C) Thrombosed area at IV site

D) Infiltration at IV site

Q3) A client is admitted to the hospital for excessive nausea and vomiting,and a blood pressure of 90/50 mm Hg.A catheter of which gauge is most appropriate for the nurse to choose for this client's peripheral IV?

A) 24

B) 22

C) 20

D) 18

To view all questions and flashcards with answers, click on the resource link above.

Page 17

Chapter 16: Care of Preoperative Patients

Available Study Resources on Quizplus for this Chatper

27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/38701

Sample Questions

Q1) The nurse is conducting preoperative assessments.Which client does the nurse teach about the possibility of developing a venous thromboembolism (VTE)?

A) Client with a latex allergy

B) Client with body mass index (BMI) of 19

C) Client with an international normalized ratio (INR) of 2.2

D) Client undergoing hip replacement surgery

Q2) Four clients are scheduled for surgery.Which client does the nurse determine is at highest risk for postsurgical complications?

A) 89-year-old scheduled for a knee replacement

B) 40-year-old requiring gallbladder surgery

C) 19-year-old requiring a laparoscopy

D) 10-year-old admitted for a tonsillectomy

Q3) When examining an adult client's preoperative laboratory results,the nurse notes that the potassium level is 2.9 mEq/mL.What is the nurse's priority action?

A) Document the finding.

B) Alter the client's diet to include fruit.

C) Increase the IV flow rate.

D) Notify the surgeon.

To view all questions and flashcards with answers, click on the resource link above. Page 18

Chapter 17: Care of Intraoperative Patients

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/38702

Sample Questions

Q1) A client is having epidural anesthesia for knee replacement surgery.Which action by the nurse is the priority during this surgery?

A) Provide emotional support for the client.

B) Position the client comfortably and safely.

C) Stay with the client until sedation is effective.

D) Teach the client cough and deep-breathing exercises.

Q2) An anesthetized client must be repositioned from the supine to the prone position midway through a surgical procedure.What is the priority action of the nurse?

A) Log roll the client to prevent dislocation of the shoulder.

B) Keep the client covered to maintain dignity and minimize heat loss.

C) Ensure that the client's endotracheal tube does not become dislodged or kinked.

D) Make sure that the client's indwelling catheter is kept lower than the bladder.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 18: Care of Postoperative Patients

Available Study Resources on Quizplus for this Chatper

46 Verified Questions

46 Flashcards

Source URL: https://quizplus.com/quiz/38703

Sample Questions

Q1) The nurse is performing a hand-off report in the PACU.What is the best action for the nurse to perform during the hand-off report?

A) Write all information on a chart and hand it to the nurse who will assume care of the client.

B) Follow the nurse assigned to the new client and give a verbal report that does not interrupt care.

C) Focus on the report and sit with the nurse receiving the client to give a detailed report.

D) Finish the report quickly so the nurse can assume care of the client.

Q2) The nurse is caring for a client who has just been brought to the postanesthesia care unit (PACU)after surgery.The client's oxygen saturation is 92% and his hemoglobin is 14 g/dL.What is the nurse's first action?

A) Assess the client's pain response.

B) Determine whether the client is alert and oriented.

C) Increase oxygen and auscultate lung sounds.

D) Assess vital signs and temperature.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 19: Inflammation and the Immune Response

Available Study Resources on Quizplus for this Chatper

30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/38704

Sample Questions

Q1) A client's white blood cell (WBC)count value is 10,000 cells/mm3.The nurse reviews the differential.Which counts or percentages is the nurse sure to report to the provider?

A) Eosinophils, 200/mm3

B) A left shift in the white count

C) Segmented neutrophils, 6000/mm3

D) Basophils 100/mm3

Q2) The nurse is caring for a client who has undergone a kidney transplant.The client asks the nurse what will happen when his body realizes that the kidney is not "his." What is the nurse's best response?

A) "The immune system will try to destroy the kidney if we don't suppress it."

B) "As long as the kidney is a 'match' to your blood type, there will be no problem."

C) "You will develop a fever or other complications from the transplant."

D) "Within a week, your body will 'adjust' to the new organ."

Q3) Which client is at highest risk of compromised immunity?

A) Client who has just had surgery

B) Client with extreme anxiety

C) Client who is awaiting surgery

D) Client who just delivered a baby

To view all questions and flashcards with answers, click on the resource link above.

Page 21

Chapter 20: Care of Patients With Arthritis and Other

Connective Tissue Diseases

Available Study Resources on Quizplus for this Chatper

47 Verified Questions

47 Flashcards

Source URL: https://quizplus.com/quiz/38705

Sample Questions

Q1) A client returns to the medical-surgical unit after a total hip replacement with a large wedge-shaped pillow between his legs.The client's daughter asks the nurse why the pillow is in place.What is the nurse's best response?

A) "It will help prevent bedsores from developing."

B) "It will help prevent nerve damage and foot drop."

C) "It will keep the new hip from becoming dislocated."

D) "It will prevent climbing out of bed if he becomes confused."

Q2) A client is suspected to have rheumatoid arthritis.Which manifestations does the nurse assess this client carefully for?

A) Crepitus when the client moves the shoulders

B) Numbness and tingling in the client's fingers

C) Client has cool feet, with weak pedal pulses

D) Low-grade fever, fatigue, anorexia with weight loss

Q3) Which statement by a client indicates that additional teaching is needed in the management of fibromyalgia?

A) "I will switch to decaffeinated coffee in the mornings."

B) "Water aerobics classes will be a good form of exercise."

C) "Limiting my physical activity will reduce my fatigue."

D) "I will take my sertraline (Zoloft) right before I go to bed."

Page 22

To view all questions and flashcards with answers, click on the resource link above.

Chapter 21: Care of Clients With Hiv Disease and Other Immune Deficiencies

Available Study Resources on Quizplus for this Chatper

32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/38706

Sample Questions

Q1) The nursing supervisor is working with an HIV-positive nurse who has open weeping blisters on her arms after being exposed to poison ivy.Which instructions should the nursing supervisor provide to the nurse before she starts her shift?

A) "You should reassure your clients that you are not contagious."

B) "You should work phone triage at the desk today rather than taking clients."

C) "You should wear a long-sleeved scrub jacket today while working with clients."

D) "You should not care for clients who are immune compromised or in isolation."

Q2) Which action by the nurse is most effective to prevent becoming exposed to the human immune deficiency virus (HIV)?

A) Always use Standard Precautions with all clients in the workplace.

B) Place clients who are HIV positive in Contact Precautions.

C) Wash hands before and after contact with clients who are HIV positive.

D) Convert parenteral medications to an oral form for clients who are HIV positive.

Q3) The nurse is to give a client ganciclovir (Cytovene)for cytomegalovirus (CMV)retinitis.The dosage is 5 mg/kg IV every 12 hours.The client weighs 185 pounds.How many milligrams of ganciclovir does the client receive per dose? mg/dose

To view all questions and flashcards with answers, click on the resource link above.

Page 23

Hypersensitivity Allergyand Autoimmunity

Available Study Resources on Quizplus for this Chatper

22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/38707

Sample Questions

Q1) A client is admitted for a cardiac catheterization.It is essential for the nurse to ask the client about which allergies?

A) Penicillin

B) Latex

C) Iodine

D) Shellfish

E) Keflex

F) Dilantin

G) Bananas

Q2) What intervention does the nurse implement to provide for client safety during intradermal allergy testing?

A) Stay with the client and ensure that emergency equipment is in the room.

B) Pretreat the skin area to be tested with a cortisone-based cream.

C) Apply oxygen by mask or nasal cannula before injecting the test agent.

D) Cover the examination table and pillow with plastic or an ultrafine mesh.

Q3) Which characteristic is common to all types of hypersensitivity reactions?

A) Decreased inflammatory responses

B) Presence of tissue-damaging reactions

C) Enhanced natural killer cell activity

D) Inability to recognize extraneous cells

Page 24

To view all questions and flashcards with answers, click on the resource link above.

Chapter 23: Cancer Development

Available Study Resources on Quizplus for this Chatper

28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/38708

Sample Questions

Q1) In reviewing the pathophysiology of a particular type of cancer,the nurse correlates the generation time for cancer development with which description?

A) The rate at which cancer cells are able to migrate and metastasize to different sites

B) How long it takes for a malignant tumor to double in size by mitotic cell divisions

C) The period of time needed for one cell to divide into two cells by mitosis

D) The period of time between cell damage and expression of a malignancy

Q2) Malignant cell growth is uncontrolled because of which action?

A) Cancer cells always divide more rapidly than normal cells.

B) Mitosis of malignant cells usually produces more than two daughter cells.

C) Malignant cells bypass one or more phases of the cell cycle during cell division.

D) Malignant cells enter the cell cycle frequently, making cell division continuous.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 24: Care of Patients With Cancer

Available Study Resources on Quizplus for this Chatper

33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/38709

Sample Questions

Q1) A client has bone cancer.What intervention does the nurse implement as a priority for this client?

A) Using a lift sheet when repositioning the client

B) Positioning the client's heels to keep them from touching the mattress

C) Providing small, frequent meals rich in calcium and phosphorus

D) Applying pressure for 5 minutes after intramuscular injections

Q2) In planning a teaching session for a client undergoing photodynamic therapy for lung cancer,the nurse includes which statements?

A) "This is a palliative treatment that should decrease your pain."

B) "Avoid exposure to the sun for 1 to 3 months after the treatment."

C) "Do not eat or drink anything before your treatments."

D) "Do not remove skin markings between treatments."

E) "You need to wear sunglasses to protect your eyes after treatments."

F) "Make sure you keep your curtains closed at home afterward."

Q3) What statement indicates that the client understands teaching about neutropenia?

A) "I need to use a soft toothbrush."

B) "I have to wear a mask at all times."

C) "My grandchildren may get an infection from me."

D) "I will call my doctor if I have an increase in temperature."

To view all questions and flashcards with answers, click on the resource link above.

Page 26

Chapter 25: Care of Patients With Infection

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/38710

Sample Questions

Q1) A client is being treated at home for vancomycin-resistant Enterococcus (VRE).The client and the family are worried about spreading the infection.Which action by the nurse is best?

A) Instruct the client to use a separate bathroom.

B) Encourage the family to stay 3 feet away from the client.

C) Tell the client to cough into tissues and dispose of them immediately.

D) Teach the family ways to increase their immune system functioning.

Q2) A client has been admitted with suspected Clostridium difficile infection.Which medication does the nurse plan to administer as a priority?

A) Metronidazole (Flagyl)

B) Acetaminophen (Tylenol)

C) Tetracycline (Sumycin)

D) Doxycycline (Vibramycin)

Q3) A client is being treated with acetaminophen (Tylenol).Which assessment finding is most likely to occur after a dose of the medication?

A) A febrile seizure

B) Nausea and vomiting

C) Episodes of sweating

D) Syncope

To view all questions and flashcards with answers, click on the resource link above.

Page 27

Chapter 26: Assessment of the Skin,hair,and Nails

Available Study Resources on Quizplus for this Chatper

18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/38711

Sample Questions

Q1) A client is seen in the clinic for a persistent hand rash.When taking the client's history,the nurse places priority on obtaining information related to which topic?

A) Age

B) Gender

C) Occupation and hobbies

D) Socioeconomic status

Q2) The nurse is planning care for an older client who has very thin skin on the backs of the hands and arms.What is the client's priority problem?

A) Risk for injury

B) Infection

C) Poor self-image

D) Discomfort

Q3) A client had an excisional biopsy on a neck lesion.Which information does the nurse include in the discharge instructions?

A) "Stay in bed today to prevent excessive bleeding from the incision."

B) "Do not drive until you have recovered from the anesthesia."

C) "You will need to change the dressing daily for a week."

D) "Keep the dressing on until tomorrow, then you may remove it."

To view all questions and flashcards with answers, click on the resource link above.

Chapter 27: Care of Patients With Skin Problems

Available Study Resources on Quizplus for this Chatper

53 Verified Questions

53 Flashcards

Source URL: https://quizplus.com/quiz/38712

Sample Questions

Q1) A client who has had a rhinoplasty is swallowing frequently and belching.Which action does the nurse take?

A) Notify the surgeon.

B) Raise the head of the bed.

C) Assist the client with liquids.

D) Continue to assess.

Q2) A client has a furuncle in the axilla.Which statement by the client indicates a good understanding of how to care for this condition?

A) "I'll apply cortisone cream to reduce the inflammation."

B) "I will squeeze the lesion until all pus is removed."

C) "I'll keep my arm down at my side to prevent spread."

D) "I will cleanse the area and apply warm compresses and antibiotic cream."

Q3) A client at a community skin screening has numerous skin lesions.Which one does the nurse evaluate first?

A) Beige freckles on the backs of both hands

B) Irregular blue mole with white specks on the lower leg

C) Large cluster of pustules in the right axilla

D) Raised, tubular, white areas on the inner aspects of the wrists

To view all questions and flashcards with answers, click on the resource link above.

Chapter 28: Care of Patients With Burns

Available Study Resources on Quizplus for this Chatper

38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/38713

Sample Questions

Q1) A client who weighs 90 kg and had a 50% burn injury at 10 AM arrives at the hospital at noon.Using the Parkland formula,calculate the rate that the nurse should use to deliver fluid when the IV is started at noon.

Q2) A client has severe burns around the right hip.Which position does the nurse instruct the nursing assistant to use to maintain maximum function of this joint?

A) Hip maintained in 30-degree flexion

B) Hip at zero flexion with leg flat

C) Knee flexed at 30-degree angle

D) Leg abducted with foam wedge

Q3) The nurse provides wound care for a client 48 hours after a burn injury.To achieve the desired outcome of the procedure,which action does the nurse perform first?

A) Apply silver sulfadiazine (Silvadene) ointment.

B) Cover the area with an elastic wrap.

C) Place a synthetic dressing over the area.

D) Remove loose nonviable tissue.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 29: Assessment of the Respiratory System

Available Study Resources on Quizplus for this Chatper

20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/38714

Sample Questions

Q1) When assessing a client's respiratory status,which information is of highest priority for the nurse to obtain?

A) Average daily fluid intake

B) Neck circumference

C) Height and weight

D) Occupation and hobbies

Q2) A client is scheduled to undergo a thoracentesis.What is the nurse's priority intervention?

A) Measure oxygen saturation before and after a 12-minute walk.

B) Verify that the client understands all possible complications.

C) Explain the procedure in detail to the client and the family.

D) Verify that informed consent has been given by the client.

Q3) The nurse is caring for an older adult client with a pulmonary infection.Which nursing action is a priority with this client?

A) Encouraging the client to increase fluid intake

B) Assessing the client's level of consciousness

C) Raising the head of the bed to at least 45 degrees

D) Providing the client with humidified oxygen

To view all questions and flashcards with answers, click on the resource link above.

Chapter 30: Care of Patients Requiring Oxygen Therapy or Tracheostomy

Available Study Resources on Quizplus for this Chatper

27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/38715

Sample Questions

Q1) The nursing student is performing tracheostomy care on a client.Which action by the student leads the supervising nurse to intervene?

A) Using folded gauze dressings on both sides of the stoma

B) Cutting a slit in a gauze 4 * 4 pad to fit around the stoma

C) Applying new tracheostomy ties before removing old ones

D) Tying the twill tape in a square knot on the side of the neck

Q2) A client is becoming frustrated because of an inability to communicate with a tracheostomy.Which intervention by the nurse most effectively enhances communication?

A) Explain to the client that speech will be clear and distinct with a fenestrated tube.

B) Reassure the client that in time he or she will get used to the speech difficulties.

C) Place a sign above the client's bed indicating that the client cannot speak.

D) Provide the client with a communication board and call light within easy reach.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 31: Care of Patients With Noninfectious Upper

Respiratory

Problems

Available Study Resources on Quizplus for this Chatper

22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/38716

Sample Questions

Q1) What is the highest priority for the nurse to teach the client who is being discharged after a fixed centric occlusion for a mandibular fracture?

A) How to use wire cutters

B) Eating six soft or liquid meals each day

C) How to irrigate the mouth every 2 hours

D) Sleeping in semi-Fowler's position postoperatively

Q2) The nurse is assessing a client who is 6 hours post surgery for a nasal fracture.The client has facial pain (5 out of 10)and nasal packing in place.What actions by the nurse are most appropriate at this time?

A) Observe for clear drainage.

B) Observe for bleeding.

C) Observe the client for frequent swallowing.

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

E) Administer a nasal steroid to decrease edema.

F) Change the nasal packing.

G) Administer pain medication.

H) Place the client in Trendelenburg position.

To view all questions and flashcards with answers, click on the resource link above. Page 33

Chapter 32: Care of Patients With Noninfectious Lower

Respiratory

Problems

Available Study Resources on Quizplus for this Chatper

50 Verified Questions

50 Flashcards

Source URL: https://quizplus.com/quiz/38717

Sample Questions

Q1) A client was diagnosed with lung cancer and appears distressed.The client states,"I am so afraid." What is the best action for the nurse to take?

A) Provide comfort by holding the client's hand.

B) Offer to give the client a back rub for relaxation.

C) Offer the client a PRN antianxiety medication.

D) Ask the client what is causing the most fear right now.

Q2) A client with lung cancer refuses pain medications because he or she is "afraid of addiction." What is the nurse's best response?

A) "I can ask the physician to change your medication to a drug that is less potent."

B) "I can use other measures such as music therapy to distract you."

C) "It is unlikely you will become addicted from taking medicine for pain."

D) "I can just give you aspirin or acetaminophen (Tylenol) if you like."

Q3) The nurse is teaching a client with asthma about self-management.Which statement by the nurse is best?

A) "Keep a daily symptom and intervention diary."

B) "Measure your anterior/posterior diameter weekly."

C) "Note your symptoms when you don't take your medications."

D) "Exercise before and after taking inhalers and compare tolerance."

To view all questions and flashcards with answers, click on the resource link above. Page 34

Chapter 33: Care of Patients With Infectious Respiratory Problems

Available Study Resources on Quizplus for this Chatper

36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/38718

Sample Questions

Q1) Which is the nurse's best response to an older adult client who is hesitant to take the pneumococcal vaccination and influenza vaccine in the same year?

A) "You need both injections. A risk factor for getting pneumonia is infection with influenza."

B) "Take both injections. They will protect you against respiratory problems for this year."

C) "The flu shot may protect you against influenza but not against bacteria that cause pneumonia."

D) "You should get the pneumococcal vaccination so you won't infect other people."

Q2) What is the best way for the nurse to decrease the risk of ventilator-associated pneumonia (VAP)in a ventilator-dependent client?

A) Provide prophylactic antibiotics.

B) Provide frequent oral care.

C) Keep the head of the bed elevated.

D) Maintain good hand hygiene.

E) Perform chest percussion frequently.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 34: Care of Critically Ill Patients With Respiratory Problems

Available Study Resources on Quizplus for this Chatper

38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/38719

Sample Questions

Q1) The nurse assesses a client admitted for chest trauma who reports dyspnea.The nurse finds tracheal deviation and a pulse oximetry reading of 86%.What is the nurse's priority intervention?

A) Notify the health care provider and document the symptoms.

B) Intubate the client and prepare for mechanical ventilation.

C) Administer oxygen and prepare for chest tube insertion.

D) Administer an intermittent positive-pressure breathing treatment.

Q2) The nurse is caring for a client with a ventilation/perfusion mismatch who is receiving mechanical ventilation.Which intervention is a priority for this client?

A) Administering antibiotics every 6 hours

B) Positioning the client with the "good lung dependent"

C) Making sure that the pilot balloon line on the endotracheal tube is deflated

D) Ensuring that the client is able to speak clearly

Q3) Which assessment finding of a client requires the nurse's immediate action?

A) Being intubated for 4 days

B) Uneven breath sounds

C) Wheezing on auscultation

D) Having the endotracheal (ET) tube taped to the lower jaw

To view all questions and flashcards with answers, click on the resource link above. Page 36

Chapter 35: Assessment of the Cardiovascular System

Available Study Resources on Quizplus for this Chatper

32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/38720

Sample Questions

Q1) The nurse is caring for a client with an 80% blockage of the right coronary artery (RCA).While waiting for bypass surgery,what is essential for the nurse to have available?

A) Furosemide (Lasix)

B) External pacemaker

C) Lidocaine

D) Central venous access

Q2) A client with a history of renal insufficiency is scheduled for a cardiac catheterization.What does the nurse expect to do for this client before the catheterization?

A) Insert a Foley catheter.

B) Administer IV fluids.

C) Assess for allergies to iodine.

D) Assess laboratory results.

E) Assess and mark pulses.

F) Insert a central venous catheter.

G) Have the client sign the consent.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 36: Care of Patients With Dysrhythmias

Available Study Resources on Quizplus for this Chatper

37 Verified Questions

37 Flashcards

Source URL: https://quizplus.com/quiz/38721

Sample Questions

Q1) A client is experiencing sinus bradycardia with hypotension and dizziness.What medication does the nurse administer?

A) Atropine (Atropine)

B) Digoxin (Lanoxin)

C) Lidocaine (Xylocaine)

D) Metoprolol (Lopressor)

Q2) A nurse notes that the PR interval on a client's electrocardiograph (ECG)tracing is 0.14 second.What action does the nurse take?

A) Assess serum cardiac enzymes.

B) Administer 1 mg epinephrine IV.

C) Administer oxygen via nasal cannula.

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

Q3) The nurse is caring for a client with atrial fibrillation.What manifestation most alerts the nurse to the possibility of a serious complication from this condition?

A) Sinus tachycardia

B) Speech alterations

C) Fatigue

D) Dyspnea with activity

To view all questions and flashcards with answers, click on the resource link above.

Chapter 37: Care of Patients With Cardiac Problems

Available Study Resources on Quizplus for this Chatper

41 Verified Questions

41 Flashcards

Source URL: https://quizplus.com/quiz/38722

Sample Questions

Q1) The nurse is concerned that an older adult client with heart failure is developing pulmonary edema.What manifestation alerts the nurse to further assess the client for this complication?

A) Confusion

B) Dysphagia

C) Sacral edema

D) Irregular heart rate

Q2) The nurse is assessing a client with left-sided heart failure.What conditions does the nurse assess for?

A) Pulmonary crackles

B) Confusion, restlessness

C) Pulmonary hypertension

D) Dependent edema

E) S3/S4 summation gallop

F) Cough worsens at night

To view all questions and flashcards with answers, click on the resource link above.

Chapter 38: Care of Patients With Vascular Problems

Available Study Resources on Quizplus for this Chatper

42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/38723

Sample Questions

Q1) The nurse is assessing a client's understanding of his hypertension therapy.What client statement indicates a need for further teaching?

A) "If I lose weight, I might be able to reduce my blood pressure medication."

B) "If my blood pressure stays under control, I will reduce my risk for a heart attack."

C) "When my blood pressure is normal, I will no longer need to take medication."

D) "When getting out of bed in the morning, I will sit for a few moments then stand."

Q2) After reviewing the client's chart upon admission to the unit,the nurse consults the health care provider about a new order for lovastatin (Mevacor).What triggered the nurse's action?

A) Blood glucose of 182 mg/dL

B) History of peptic ulcers

C) History of high cholesterol

D) Elevated liver enzymes

To view all questions and flashcards with answers, click on the resource link above.

Chapter 39: Care of Patients With Shock

Available Study Resources on Quizplus for this Chatper

27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/38724

Sample Questions

Q1) A client who has septic shock is admitted to the hospital.What priority intervention does the nurse implement first?

A) Obtain two sets of blood cultures.

B) Administer the prescribed IV vancomycin (Vancocin).

C) Obtain central venous pressure (CVP) measurements.

D) Administer the prescribed IV norepinephrine (Levophed).

Q2) The nurse is assessing a client who is in early stages of hypovolemic shock.Which manifestations does the nurse expect?

A) Elevated heart rate

B) Elevated diastolic blood pressure

C) Decreased body temperature

D) Elevated respiratory rate

E) Decreased pulse rate

Q3) A client recovering from septic shock is preparing for discharge home.What priority information does the nurse include in the teaching plan for this client?

A) "Clean your toothbrush with laundry bleach daily."

B) "Bathe every other day with antimicrobial soap."

C) "Wash your hands after changing pet litter boxes."

D) "Use an electric razor when you shave your face."

To view all questions and flashcards with answers, click on the resource link above.

Page 41

Chapter 40: Care of Patients With Acute Coronary Syndromes

Available Study Resources on Quizplus for this Chatper

29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/38725

Sample Questions

Q1) The nurse evaluates diagnostic results for a client who has chest pain.Which laboratory test is most specific for acute coronary syndromes?

A) Troponin markers

B) Serum lactate dehydrogenase (LDH)

C) Serum myoglobin

D) Creatine kinase (CK)-MB isoenzyme

Q2) The nurse is providing care for a client admitted to the hospital with reports of chest pain.After receiving a total of three nitroglycerin sublingual tablets,the client states,"The pain has not gotten any better." What does the nurse do next?

A) Place the client in a semi-Fowler's position.

B) Administer intravenous nitroglycerin.

C) Begin supplemental oxygen at 2 L/min.

D) Notify the health care provider.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 41: Assessment of the Hematologic System

Available Study Resources on Quizplus for this Chatper

26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/38726

Sample Questions

Q1) The nurse helps to ambulate a client who has anemia.Which clinical manifestation indicates that the client is not tolerating the activity?

A) Blood pressure of 120/90 mm Hg

B) Heart rate of 110 beats/min

C) Pulse oximetry reading of 95%

D) Respiratory rate of 20 breaths/min

Q2) The nurse is caring for a client who is receiving heparin therapy.How does the nurse evaluate the therapeutic effect of the therapy?

A) Evaluate platelets.

B) Monitor the partial thromboplastin time (PTT).

C) Assess bleeding time.

D) Monitor fibrin degradation products.

Q3) The nurse is planning care for a client who has a platelet count of 30,000/mm3.Which intervention does the nurse include in this client's plan of care?

A) Oxygen by nasal cannula

B) Bleeding Precautions

C) Isolation Precautions

D) Vital signs every 4 hours

To view all questions and flashcards with answers, click on the resource link above.

Page 43

Chapter 42: Care of Patients With Hematologic Problems

Available Study Resources on Quizplus for this Chatper

30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/38727

Sample Questions

Q1) The nurse is preparing a client for surgery.The client states,"I am concerned I might be given blood products during surgery and this would be against my religious beliefs." How does the nurse respond?

A) "We can use other means to replace blood loss besides blood products."

B) "Your chance of needing a blood transfusion is small."

C) "The operating team will do what is necessary to save your life."

D) "You could have family members donate blood for you."

Q2) The nurse is planning care for a client who has leukemia.Which intervention does the nurse include in the plan of care to prevent fatigue?

A) Arrange for a family member to stay with the client.

B) Plan care for times when the client has the most energy.

C) Schedule for daily physicals and occupational therapy.

D) Plan all activities to occur in the morning to allow for afternoon naps.

Q3) The nurse is preparing a client with leukemia for a peripheral stem cell transfusion.Which information does the nurse provide the client?

A) "Nausea and vomiting are common after the transfusion."

B) "The transfusion will take about 6 hours."

C) "You may have numbness in your fingers and toes."

D) "Your urine may be red for a short time."

To view all questions and flashcards with answers, click on the resource link above.

Page 44

Chapter 43: Assessment of the Nervous System

Available Study Resources on Quizplus for this Chatper

28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/38728

Sample Questions

Q1) A client admitted the previous day for a suspected neurologic disorder becomes increasingly lethargic.Which is the best nursing action?

A) Promote a quiet atmosphere for sleep and rest to treat the client's sleep deprivation.

B) Explain to the family that this is a normal age-related decline in mental processing.

C) Consult a psychiatrist to treat the client's hospital-acquired depression.

D) Complete a full neurologic assessment and notify the neurologist.

Q2) The nurse is evaluating a client's physical assessment with the medical history and treatment plan.The nurse notes that the client's right pupil appears dilated,with a sluggish pupillary response to light.Which disorder and related treatment does this physical finding correlate with?

A) Coronary artery disease and beta blockers

B) Diabetes mellitus and oral glycemic reducing agents

C) Glaucoma and intraocular pressure-reducing eyedrops

D) Myopia and corrective laser surgery

To view all questions and flashcards with answers, click on the resource link above.

Chapter 44: Care of Patients With Problems of the Central

Nervous System: the Brain

Available Study Resources on Quizplus for this Chatper

28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/38729

Sample Questions

Q1) The nurse is caring for a client with Parkinson's disease.Which intervention does the nurse implement to prevent respiratory complications in the client?

A) Keep an oral airway at the bedside.

B) Ensure fluid intake of at least 3 L/day.

C) Teach the client pursed-lip breathing techniques.

D) Maintain the head of the bed at 30 degrees or greater.

Q2) The nurse is planning care for a client with epilepsy.Which precautions does the nurse implement to ensure the safety of the client while in the hospital?

A) Have suction equipment at the bedside.

B) Place a padded tongue at the bedside.

C) Permit only clear oral fluids.

D) Keep bed rails up at all times.

E) Maintain the client on strict bedrest.

F) Ensure that the client has IV access.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 45: Care of Patients With Problems of the Central Nervous

System: the Spinal Cord

Available Study Resources on Quizplus for this Chatper

30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/38730

Sample Questions

Q1) The nurse is planning care for a client who has a spinal cord injury.Which interdisciplinary team member does the nurse consult with to assist the client with activities of daily living?

A) Social worker

B) Physical therapist

C) Occupational therapist

D) Case manager

Q2) Which neurologic test or procedure requires the nurse to determine whether an informed consent has been obtained from the client before the test or procedure?

A) Measurement of sensation using the pinprick method

B) Computed tomography of the cranial vault

C) Lumbar puncture for cerebrospinal fluid (CSF) sampling

D) Venipuncture for autoantibody analysis

Q3) The nurse is assessing a client who had a discectomy 6 hours ago.Which client complaint requires priority action by the nurse?

A) "I am feeling tired."

B) "My mouth is so dry."

C) "I can't seem to relax and rest."

D) "I am unable to urinate."

To view all questions and flashcards with answers, click on the resource link above. Page 47

Chapter 46: Care of Patients With Problems of the

Peripheral Nervous

System

Available Study Resources on Quizplus for this Chatper

28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/38731

Sample Questions

Q1) The nurse is preparing to send a cerebrospinal fluid sample to the laboratory.Which actions does the nurse implement during this procedure?

A) Use Standard Precautions.

B) Wear sterile gloves when handling the specimen.

C) Place the specimen on ice.

D) Send the specimen in a sealed bag displaying a biohazard symbol.

E) Confirm the specimen label with the client's identification band.

Q2) The nurse is assessing laboratory results for a client with myasthenia gravis (MG).Which results does the nurse correlate with this disease process?

A) Elevated serum calcium level

B) Decreased thyroid hormone level

C) Decreased complete blood count

D) Elevated acetylcholine receptor antibody levels

Q3) The nurse recognizes which pathophysiologic feature as a hallmark of Guillain-Barré syndrome?

A) Nerve impulses are not transmitted to skeletal muscle.

B) The immune system destroys the myelin sheath.

C) The distal nerves degenerate and retract.

D) Antibodies to acetylcholine receptor sites develop.

Page 48

To view all questions and flashcards with answers, click on the resource link above.

Chapter 47: Care of Critically Ill Patients With Neurologic Problems

Available Study Resources on Quizplus for this Chatper

27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/38732

Sample Questions

Q1) The nurse is caring for a client who has a moderate head injury.The client's sister asks,"Will my brother return to his normal functioning level when his brain heals?" How does the nurse respond?

A) "You should expect a full recovery in all ways by the time of discharge."

B) "Usually, someone with this type of injury returns to baseline within 6 months."

C) "Your brother may experience many changes in personality and cognitive abilities."

D) "Learning complex new skills may be more difficult, but you can expect other functions to return to normal."

Q2) A client who had a stroke combs her hair only on the right side of her head and washes only the right side of her face.How does the nurse interpret these actions?

A) Poor left-sided motor control

B) Paralysis or contractures on the right side

C) Limited visual perception of the left fields

D) Unawareness of the existence of her left side

To view all questions and flashcards with answers, click on the resource link above.

Chapter 48: Assessment of the Eye and Vision

Available Study Resources on Quizplus for this Chatper

25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/38733

Sample Questions

Q1) A client is told that he has 20/10 vision when tested on the Snellen chart.How does the nurse explain this finding to the client?

A) "You can read at 10 feet what others can read at 20 feet."

B) "You can read at 20 feet what others can read at 10 feet."

C) "This demonstrates normal vision."

D) "You are considered legally blind."

Q2) The nurse is assessing the blink reflex in a client who is blind.Which is the best technique to use?

A) Ask the client to blink first with one eye and then with the other.

B) Expel a syringe of air toward the client's eyes.

C) Shine a bright light at the client's pupils one at a time.

D) Suddenly bring a finger toward the client's face.

Q3) Why is the optic disc considered to be a blind spot?

A) This area does not contain photoreceptors.

B) Light rays are unable to focus on this location.

C) Blood vessels form a meshwork and interfere with vision.

D) This area is heavily pigmented and light rays are absorbed.

To view all questions and flashcards with answers, click on the resource link above. Page 50

Chapter 49: Care of Patients With Eye and Vision Problems

Available Study Resources on Quizplus for this Chatper

27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/38734

Sample Questions

Q1) The nurse is teaching a client about home care after cataract surgery.Which statement indicates that the client requires further teaching?

A) "I am glad that I don't need an eye patch after the surgery."

B) "I will try a cool compress to decrease the swelling around the operated eye."

C) "Dark sunglasses will be necessary when I am in the sun."

D) "Pain, nausea, and vomiting are normal after this surgery."

Q2) The nurse is teaching a postoperative client who had a keratoplasty.Which responses by the client require further teaching about safety in the home?

A) "We use throw rugs in the bathroom."

B) "Our neighbors will be bringing food for a week."

C) "We may have two extension cords in the living room."

D) "Most of the furniture is placed against the wall, except for one rocking chair."

E) "Every room has at least one window."

F) "The hallway has low lighting."

To view all questions and flashcards with answers, click on the resource link above.

Chapter 50: Assessment of the Ear and Hearing

Available Study Resources on Quizplus for this Chatper

17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/38735

Sample Questions

Q1) A client asks the nurse why there is "waxy yellow stuff" on the cotton swab when he cleans his ears.Which is the nurse's best response?

A) "The yellow ear wax helps transmit sound to your middle ear."

B) "The yellow ear wax indicates that you have an infection in your ears."

C) "The yellow ear wax helps protect and lubricate the inside of your ear canal."

D) "The yellow ear wax builds up when you don't clean your ears often enough."

Q2) The nurse notes reddened areas behind both ears.What does the nurse ask the client?

A) "Do you wear eyeglasses?"

B) "Do you have any allergies?"

C) "Do you use dandruff shampoo?"

D) "Have you been around anyone with lice?

Q3) Several clients come to the emergency department following an accident.Which client does the nurse assess first?

A) Client with clear watery drainage from the ear canals

B) Client who reports tinnitus and pain in the right ear

C) Client with a deep, 1-inch laceration to the pinna

D) Client who has had severe difficulty hearing since the accident

To view all questions and flashcards with answers, click on the resource link above.

Chapter 51: Care of Patients With Ear and Hearing Problems

Available Study Resources on Quizplus for this Chatper

25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/38736

Sample Questions

Q1) The nurse is providing discharge instructions for a client who will be going home following tympanoplasty surgery.Which statement by the client indicates that additional teaching is needed?

A) "I will wear earplugs whenever I am in noisy areas."

B) "I will occlude only one nostril when I blow my nose."

C) "I will wait 3 weeks before I resume my aerobics workouts."

D) "I will use a cotton swab to clean drainage from inside my ear."

Q2) Which of the nurse's assessment findings will require collaboration with the client's primary health care provider?

A) Purulent drainage from the ear canal

B) Hearing loss with nausea and vertigo

C) Ringing in the ears after attending a loud rock concert

D) Presence of cerumen blocking 50% of the ear canal

E) Increasing hearing loss since starting furosemide (Lasix)

F) Temperature of 101.7° F following a stapedectomy 3 days ago

Q3) The nurse is caring for a 132-lb client with an ear infection who is to receive amoxicillin,40 mg/kg/day in divided doses every 8 hours.The nurse will administer ____ mg/dose of amoxicillin to the client.

To view all questions and flashcards with answers, click on the resource link above. Page 53

Chapter 52: Assessment of the Musculoskeletal System

Available Study Resources on Quizplus for this Chatper

12 Verified Questions

12 Flashcards

Source URL: https://quizplus.com/quiz/38737

Sample Questions

Q1) Which instruction does the nurse give to the client before he or she has electromyography (EMG)?

A) "Make sure that you have someone to drive you home after the test."

B) "Do not eat or drink anything for at least 6 hours before the test."

C) "You will have to avoid heavy lifting for 24 hours following the test."

D) "Do not take your cyclobenzaprine (Flexeril) on the 2 days before the test."

Q2) The nurse is caring for a client who presents with achy jaw pain.Which assessment technique does the nurse use to determine whether the client has inflammation of the temporomandibular joint (TMJ)?

A) Checking for decayed, fractured, loose, or missing teeth

B) Observing the jaw joint as the client chews a piece of food

C) Palpating the joint during movement for tenderness or crepitus

D) Observing for asymmetric joint protrusion when the client's mouth is closed

Q3) A client has cancer and a pacemaker,and suffers from claustrophobia.Which diagnostic test is the best indicator of the client's bone metastasis?

A) Magnetic resonance imaging (MRI)

B) Arthrogram

C) Ultrasound

D) Thallium bone scan

To view all questions and flashcards with answers, click on the resource link above.

Page 54

Chapter 53: Care of Patients With Musculoskeletal

Problems

Available Study Resources on Quizplus for this Chatper

29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/38738

Sample Questions

Q1) The RN has assigned a client with severe osteoporosis to an LPN.Which information about the care of the client is most important for the RN to provide the LPN?

A) Provide passive range of motion (ROM) to all weight-bearing joints.

B) Position the client upright to promote lung expansion.

C) Place a pillow between the client's knees when in the side-lying position.

D) Use a lift sheet to reposition the client.

Q2) Which client does the nurse assess more carefully for risk of developing primary osteoporosis?

A) African-American client

B) Resident of a nursing home

C) Client who eats meat with every meal

D) Client who drinks 6 cups of coffee daily

Q3) A client newly diagnosed with Ewing's sarcoma is most likely to exhibit which laboratory finding?

A) Elevated red blood cells (RBCs)

B) Elevated alkaline phosphatase (ALP)

C) Decreased erythrocyte sedimentation rate (ESR)

D) Decreased serum lactate dehydrogenase (LDH)

To view all questions and flashcards with answers, click on the resource link above. Page 55

Chapter 54: Care of Patients With Musculoskeletal Trauma

Available Study Resources on Quizplus for this Chatper

34 Verified Questions

34 Flashcards

Source URL: https://quizplus.com/quiz/38739

Sample Questions

Q1) A client has left-sided weakness.Which action by the client indicates that additional teaching about proper cane use is needed?

A) Holding the cane in the right hand

B) Advancing the cane while the right leg moves forward

C) Stepping forward first with the right leg when ambulating

D) Flexing the elbow 15 to 20 degrees when holding the cane

Q2) A client who had a plaster cast applied to the right arm 3 weeks ago presents to the clinic with an erythrocyte sedimentation rate (ESR)that has increased from 15 to 25 mm/hr.Which is the nurse's best action?

A) Repeat this laboratory assessment in 4 hours.

B) Have the cast reapplied.

C) Evaluate temperature and vital signs.

D) Obtain blood for a platelet count.

Q3) The nurse is caring for an older adult client with multiple fractures.How does the nurse manage pain in this client?

A) Meperidine (Demerol) injections every 4 hours rather than PRN

B) Patient-controlled analgesia (PCA) pump with morphine

C) Ibuprofen (Motrin) 600 mg every 4 hours

D) IV morphine PRN

To view all questions and flashcards with answers, click on the resource link above.

Page 56

Chapter 55: Assessment of the Gastrointestinal System

Available Study Resources on Quizplus for this Chatper

21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/38740

Sample Questions

Q1) Which question best assists the nurse in assessing a client with acute diarrhea?

A) "Have you traveled outside the country recently?"

B) "Have you had a colonoscopy lately?"

C) "Do you have any trouble swallowing?"

D) "Do you have any allergies?"

Q2) The nurse performs percussion of a client's abdomen.Which findings may the nurse determine with this assessment technique?

A) Hepatomegaly

B) Kidney stones

C) Ascites

D) Large mass below the liver

E) Biliary colic

F) Ileus

Q3) The nurse is preparing to perform an abdominal assessment on a client with suspected cholecystitis.In what sequence does the nurse palpate the client's abdomen?

A) Palpate the lower quadrants only.

B) Palpate the upper quadrants last.

C) Palpate the upper quadrants only.

D) Defer palpation and use percussion only.

To view all questions and flashcards with answers, click on the resource link above.

Page 57

Chapter 56: Care of Patients With Oral Cavity Problems

Available Study Resources on Quizplus for this Chatper

21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/38741

Sample Questions

Q1) The nurse is caring for a client who just had a radical jaw and neck resection.The nurse is developing a teaching plan for the client and spouse about care after discharge from the hospital.Which is an effective teaching objective for this client and spouse?

A) The client's spouse will be able to change the client's tracheostomy ties correctly after three teaching sessions.

B) The client and spouse will verbalize the signs of readiness for oral feedings following placement of the tracheostomy.

C) The client's spouse will correctly administer the client's tube feedings twice daily.

D) The client and spouse will understand incision care and the importance of infection prevention.

Q2) The nurse is caring for a client with stomatitis.Which statement does the nurse include in teaching about oral care for this client?

A) "Rinse your mouth out twice a day with mouthwash."

B) "Clean your mouth frequently during the day with a gentle foam sponge."

C) "Use lemon-glycerin swabs to clean your mouth after meals and at bedtime."

D) "Suck on ice cubes to minimize the discomfort."

To view all questions and flashcards with answers, click on the resource link above.

Chapter 57: Care of Patients With Esophageal Problems

Available Study Resources on Quizplus for this Chatper

35 Verified Questions

35 Flashcards

Source URL: https://quizplus.com/quiz/38742

Sample Questions

Q1) A client is admitted with a chemical injury to the esophagus after ingestion of an alkaline substance.The client states,"I am having trouble breathing because of these air bubbles in my neck." Which action by the nurse is most appropriate?

A) Continue assessing the client while another nurse calls the health care provider.

B) Ask the client to rate the pain and prepare to administer pain medication.

C) Have the client cough and deep breathe, then assess his or her lung sounds.

D) Give the client small sips of water to see whether he or she has dysphagia.

Q2) The nurse notes frank red blood in the drainage container from the nasogastric (NG)tube of a client who is 2 days post-esophagogastrostomy.Which is the nurse's priority intervention?

A) Irrigate the NG tube with cold saline.

B) Document the drainage in the chart.

C) Reposition the tube in the opposite nostril.

D) Assess the client's vital signs and abdomen.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 58: Care of Patients With Stomach Disorders

Available Study Resources on Quizplus for this Chatper

29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/38743

Sample Questions

Q1) The home care nurse is caring for a client who has recently undergone a subtotal gastrectomy.The nurse notes that the client's tongue is shiny and beefy red.Which assessment question does the nurse ask the client regarding this finding?

A) "Have you been taking your multivitamin every day?"

B) "How much weight have you lost since your surgery?"

C) "Have you been experiencing heartburn or nausea after eating?"

D) "What kind of mouthwash do you use after you brush your teeth?"

Q2) The nurse is caring for a client with suspected upper GI bleeding.The nurse inserts a nasogastric (NG)tube for gastric lavage and checks placement of the tube in the stomach.When fluid is aspirated from the tube,the pH is found to be 6.Which is the priority action of the nurse?

A) Obtain an order for a stat chest x-ray.

B) Auscultate over the lung fields bilaterally.

C) Assess whether the tube is coiled in the client's throat.

D) Auscultate over the epigastric area while instilling air.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 59: Care of Patients With Noninflammatory

Intestinal Disorders

Available Study Resources on Quizplus for this Chatper

29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/38744

Sample Questions

Q1) The nurse is screening clients at a community health fair.Which client is at highest risk for development of colorectal cancer?

A) Young adult who drinks eight cups of coffee every day

B) Middle-aged client with a history of irritable bowel syndrome

C) Older client with a BMI of 19.2 who works 65 hours per week

D) Older client who travels extensively and eats fast food frequently

Q2) The nurse is caring for a client who has undergone removal of a benign colonic polyp.The client asks the nurse why a follow-up colonoscopy is necessary.Which is the nurse's best response?

A) "You are at risk for developing more polyps in the future."

B) "You may have other cancerous lesions that could not be seen right now."

C) "The doctor can remove only a few of the polyps during each colonoscopy."

D) "This test will ensure that you have healed where the polyp was removed."

Q3) A client has irritable bowel syndrome.Which menu selections by this client indicate good understanding of dietary teaching?

A) Tuna salad on white bread, cup of applesauce, glass of diet cola

B) Broiled chicken with brown rice, steamed green beans, glass of apple juice

C) Grilled cheese sandwich, small ripe banana, cup of hot tea with lemon

D) Grilled steak, green beans, dinner roll with butter, cup of coffee with cream

Page 61

To view all questions and flashcards with answers, click on the resource link above.

Chapter 60: Care of Patients With Inflammatory Intestinal Disorders

Available Study Resources on Quizplus for this Chatper

36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/38745

Sample Questions

Q1) The nurse is caring for a client who is taking mesalamine (5-aminosalicylic acid)(Asacol,Rowasa)for ulcerative colitis.The client has trouble swallowing the pill.Which action by the nurse is most appropriate?

A) Crush the pill carefully and administer it to the client in applesauce or pudding.

B) Empty the contents of the capsule into applesauce or pudding for administration.

C) Contact the client's health care provider to request an order for Asacol suspension.

D) Contact the client's health care provider to request an order for Rowasa enemas instead.

Q2) The nurse conducts a physical assessment for a client with abdominal pain.Which finding leads the nurse to suspect appendicitis?

A) Severe, steady right lower quadrant (RLQ) pain

B) Abdominal pain that started a day after vomiting began

C) Abdominal pain that increases with knee flexion

D) Marked peristalsis and hyperactive bowel sounds

To view all questions and flashcards with answers, click on the resource link above.

Chapter 61: Care of Patients With Liver Problems

Available Study Resources on Quizplus for this Chatper

45 Verified Questions

45 Flashcards

Source URL: https://quizplus.com/quiz/38746

Sample Questions

Q1) The nurse recognizes that fetor hepaticus is consistent with which assessment finding?

A) Purpuric lesions on the extremities

B) A fruity or musty breath odor

C) Warm and bright red palms

D) Jaundice of the sclera

Q2) The nurse is meeting a client post-liver transplantation for the first time and notices a tremor as they shake hands.The client states this has not happened before.Which action by the nurse is most appropriate?

A) Conduct a thorough assessment, then notify the surgeon of the findings.

B) Review today's laboratory work, including liver function studies.

C) Assess the client's vital signs, and offer acetaminophen if the client is febrile.

D) Perform an assessment of the client's gross and fine motor skills.

Q3) Which laboratory data does the nurse correlate with advanced disease in a client with cirrhosis?

A) Elevated serum protein level

B) Elevated serum ammonia level

C) Decreased serum ammonia level

D) Decreased lactate dehydrogenase level

To view all questions and flashcards with answers, click on the resource link above.

Page 63

Chapter 62: Care of Patients With Problems of the Biliary

System and Pancreas

Available Study Resources on Quizplus for this Chatper

25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/38747

Sample Questions

Q1) The nurse is caring for a client with acute pancreatitis.The client's health care provider has ordered gentamicin (Garamycin)3 mg/kg/day in three divided doses.The client weighs 264 lb.The client will receive _______ milligrams/dose of Garamycin.

Q2) The nurse is caring for a client with cholecystitis.Which assessment finding indicates to the nurse that the condition is chronic rather than acute?

A) Abdomen that is hyperresonant to percussion

B) Hyperactive bowel sounds and diarrhea

C) Clay-colored stools and dark amber urine

D) Rebound tenderness in the right upper quadrant

Q3) The nurse is caring for a client with end-stage pancreatic cancer.The client asks the nurse,"Why is this happening to me?" Which is the nurse's best response?

A) "I don't know. I wish I had an answer for you, but I don't."

B) "It's important to keep a positive attitude for your family right now."

C) "Scientists have not determined why cancer develops in certain people."

D) "I think that this is a trial so you can become a better person because of it."

To view all questions and flashcards with answers, click on the resource link above. Page 64

Chapter 63: Care of Patients With Malnutrition and Obesity

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/38748

Sample Questions

Q1) The nurse is caring for a client who is a vegan and has developed B12 deficiency.Which foods does the nurse encourage the client to include in the diet?

A) Fortified cereals and tofu

B) Pumpkin seeds and blackstrap molasses

C) Kale, spinach, and whole grain bread

D) Strawberries and sweet red peppers

Q2) The new nursing supervisor at a long-term care facility is concerned about the number of residents who appear malnourished.Which action by the nurse is best?

A) Institute daily weighing for at-risk or underweight residents.

B) Provide a supply of easy to access high-calorie snacks.

C) Ask dining room personnel about residents coughing at meals.

D) Assess the residents' opinions on the quality of food served.

Q3) A facility is beginning to perform bariatric surgery on obese clients.Which action by the nursing manager is most important?

A) Obtain appropriately sized equipment for these clients.

B) Select a dedicated group of staff members for these clients.

C) Send personnel to sensitivity training as part of orientation.

D) Establish multidisciplinary rounding for clients in this program.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 64: Assessment of the Endocrine System

Available Study Resources on Quizplus for this Chatper

20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/38749

Sample Questions

Q1) How does a tropic hormone differ from other hormones?

A) Tropic hormones are given to clients who have a hormone deficiency.

B) Tropic hormones are exclusively involved in the production of sex hormones.

C) Tropic hormones stimulate other endocrine glands to secrete hormones.

D) Tropic hormones are not under negative feedback control.

Q2) A female client with an endocrine problem has hirsutism.Which question or statement by the nurse is most appropriate?

A) "Do you have the money to pay for treatment?"

B) "I'm interested in knowing how you feel about yourself."

C) "Many treatment options are available for this problem."

D) "What can you do to prevent this from happening?"

Q3) Which pulse rate finding in a client taking a drug that stimulates beta1 receptors requires immediate action by the nurse?

A) 50 beats/min

B) 95 beats/min

C) 85 beats/min

D) 100 beats/min

To view all questions and flashcards with answers, click on the resource link above.

Chapter 65: Care of Patients With Pituitary and Adrenal

Gland Problems

Available Study Resources on Quizplus for this Chatper

29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/38750

Sample Questions

Q1) A client with hypercortisolism has an irregular pulse.Which is the nurse's priority intervention?

A) Documenting the finding and reassessing in 1 hour

B) Assessing blood pressure in both arms

C) Administering atropine sulfate

D) Assessing the telemetry reading

Q2) The new nurse is assessing a client with suspected pheochromocytoma.Which action by the nurse requires the precepting nurse to intervene?

A) Auscultating, palpating, and percussing the client's abdomen

B) Taking the client's blood pressure for reports of chest pain

C) Assessing the client's diet for red wine and aged cheeses

D) Limiting visitors while the client is sleeping

Q3) An adult client has been diagnosed with a deficiency of gonadotropin and growth hormone.Which fact reported in the client's history could have contributed to this problem?

A) Mother with adult-onset diabetes mellitus

B) Experienced head trauma 5 years ago

C) Severe allergy to shellfish and iodine

D) Has used oral contraceptives for 5 years

Page 67

To view all questions and flashcards with answers, click on the resource link above.

Chapter 66: Care of Patients With Problems of the Thyroid and Parathyroid Glands

Available Study Resources on Quizplus for this Chatper

21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/38751

Sample Questions

Q1) A client with hypothyroidism as a result of Hashimoto's thyroiditis asks the nurse how long she will have to take thyroid medication.Which is the nurse's best response?

A) "You will need to take the thyroid medication until the goiter is completely gone."

B) "Thyroiditis is cured with antibiotics. Then you won't need thyroid medication."

C) "You'll need thyroid pills for life because your thyroid won't start working again."

D) "When blood tests indicate normal thyroid function, you can stop the medication."

Q2) A client has hypothyroidism and has been started on levothyroxine (Synthroid).Which assessment finding leads the nurse to conclude that the treatment is effective?

A) Thirst is recognized and the client drinks fluids appropriately.

B) Weight has been the same for 3 weeks.

C) Total white blood cell count is 6000 cells/mm3.

D) Heart rate is 70 beats/min and regular.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 67: Care of Patients With Diabetes Mellitus

Available Study Resources on Quizplus for this Chatper

61 Verified Questions

61 Flashcards

Source URL: https://quizplus.com/quiz/38752

Sample Questions

Q1) A client who has used insulin for diabetes control for 20 years has a spongy swelling at the site used most frequently for insulin injection.Which is the nurse's best action?

A) Apply ice to this area for 20 minutes.

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

C) Assess the client for other signs of cellulitis.

D) Instruct the client to use a different site for injection.

Q2) A client who has type 2 diabetes is prescribed glipizide (Glucotrol).Which precautions does the nurse include in the teaching plan related to this medication?

A) "Change positions slowly when you get up."

B) "Avoid taking nonsteroidal anti-inflammatory drugs."

C) "If you miss a dose of this drug, you can double the next dose."

D) "Discontinue the medication if you develop an infection."

Q3) A client was admitted with diabetic ketoacidosis (DKA).Which manifestations does the nurse monitor the client most closely for?

A) Shallow slow respirations and respiratory alkalosis

B) Decreased urine output and hyperkalemia

C) Tachycardia and orthostatic hypotension

D) Peripheral edema and dependent pulmonary crackles

To view all questions and flashcards with answers, click on the resource link above. Page 69

Chapter 68: Assessment of the Renalurinary System

Available Study Resources on Quizplus for this Chatper

22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/38753

Sample Questions

Q1) A client has an increased BUN/creatinine ratio.Which action by the nurse is most appropriate?

A) Assess the client's dietary habits.

B) Inquire about the use of NSAIDs.

C) Hold the client's metformin (Glucophage).

D) Notify the health care provider immediately.

Q2) To obtain a sterile urine specimen from a client with a Foley catheter,the nurse begins by applying a clamp to the drainage tubing distal to the injection port.What does the nurse do next?

A) Clamp another section of the tube to create a fixed sample section for retrieval.

B) Insert a syringe into the injection port and aspirate the quantity of urine required.

C) Clean the injection port cap of the drainage tubing with povidone-iodine solution.

D) Withdraw 10 mL of urine and discard it; then withdraw 10 mL more for the sample.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 69: Care of Patients With Urinary Problems

Available Study Resources on Quizplus for this Chatper

36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/38754

Sample Questions

Q1) A client has a fungal urinary tract infection.Which assessment by the nurse is most helpful?

A) Palpating and percussing the kidneys and bladder

B) Assessing medical history and current medical problems

C) Performing a bladder scan to assess post-void residual

D) Inquiring about recent travel to foreign countries

Q2) A client is being admitted with a suspected diagnosis of bladder cancer.Which question assists the nurse in determining risk factors?

A) "Do you smoke cigarettes?"

B) "Do you use alcohol?"

C) "Do you use recreational drugs?"

D) "Do you take any prescription drugs?"

Q3) A client has functional urinary incontinence.Which instruction by the nurse to the client and family helps meet an expected outcome for this condition?

A) "You must clean around your catheter daily with soap and water."

B) "Wash the vaginal weights with a 10% bleach solution after each use."

C) "Operations to repair your bladder are available, and you can consider these."

D) "Buy slacks with elastic waistbands that are easy to pull down."

To view all questions and flashcards with answers, click on the resource link above.

Chapter 70: Care of Patients With Renal Disorders

Available Study Resources on Quizplus for this Chatper

25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/38755

Sample Questions

Q1) Which statement by a client with hypertension secondary to renal disease indicates the need for further teaching?

A) "I can prevent more damage to my kidneys by managing my blood pressure."

B) "If I have increased urination at night, I need to drink less fluid during the day."

C) "I need to see the dietitian to discuss limiting my protein intake."

D) "It is important that I take my antihypertensive medications as directed."

Q2) The nurse completes which assessment in a client with acute glomerulonephritis and periorbital edema?

A) Auscultating breath sounds

B) Checking blood glucose levels

C) Measuring deep tendon reflexes

D) Testing urine for protein

Q3) On assessment of a client with polycystic kidney disease (PKD),which finding is of greatest concern to the nurse?

A) Flank pain

B) Periorbital edema

C) Bloody and cloudy urine

D) Enlarged abdomen

To view all questions and flashcards with answers, click on the resource link above.

Chapter 71: Care of Patients With Acute Kidney Injury and Chronic Kidney Disease

Available Study Resources on Quizplus for this Chatper

44 Verified Questions

44 Flashcards

Source URL: https://quizplus.com/quiz/38756

Sample Questions

Q1) A client with chronic kidney disease states that he will be going to the dentist for a planned tooth extraction.Which is the nurse's best response?

A) "Rinse your mouth with an antiseptic solution after the procedure."

B) "Kidney disease is probably what caused your dental decay."

C) "You should receive prophylactic antibiotics before any dental procedure."

D) "You may take any medication for pain that the dentist prescribes."

Q2) Which staff member does the charge nurse assign to care for a client newly diagnosed with chronic kidney disease?

A) Licensed practical nurse who usually works on the unit

B) Registered nurse floated from the hemodialysis unit

C) Registered nurse who has taken care of this client before

D) Registered nurse with the most years of experience

Q3) A client's temperature after dialysis is 99° F (37.2° C)and was normal before dialysis.Which is the nurse's best action?

A) Continue to monitor the temperature.

B) Encourage the client to drink fluids.

C) Obtain a white blood cell count.

D) Prepare to culture the fistula site.

To view all questions and flashcards with answers, click on the resource link above. Page 73

Chapter 72: Assessment of the Reproductive System

Available Study Resources on Quizplus for this Chatper

21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/38757

Sample Questions

Q1) A client is scheduled for an ultrasound to evaluate for possible uterine fibroids.Which instruction by the nurse is most appropriate?

A) "Do not eat or drink anything after midnight."

B) "Take these laxatives the morning of the test."

C) "Do not urinate an hour before the test; a full bladder will give best results."

D) "Have a designated driver because you will be sleepy from the anesthesia."

Q2) A client tells the nurse she is happy that she never had children because she has less risk of developing cancer.Which response by the nurse is best?

A) "Actually, your risk of breast cancer is slightly higher."

B) "You're right; your risk of all reproductive cancer is quite low."

C) "In reality, smoking is the leading risk factor for all types of cancer."

D) "Your risk of uterine cancer is higher because you had no children."

Q3) An African-American client has a prostate-specific antigen (PSA)of 12 ng/mL.Which action by the nurse is best?

A) Remind the client to repeat the test in 1 year.

B) Prepare the client for further diagnostic testing.

C) Ask if the client ejaculated within 48 hours of the test.

D) Assess the client for alcohol and tobacco use.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 73: Care of Patients With Breast Disorders

Available Study Resources on Quizplus for this Chatper

25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/38758

Sample Questions

Q1) A client recently had a mammogram.Which statement by the client indicates a need for clarification regarding the importance or purpose of this procedure?

A) "Now that I have had a mammogram, my risk for getting breast cancer is reduced."

B) "I will still do a breast self-examination monthly even after the mammogram."

C) "Yearly mammograms can reduce my risk of dying from breast cancer."

D) "The amount of radiation exposure from a mammogram is very low."

Q2) A client receiving tamoxifen (Tamofen)asks how this therapy helps fight breast cancer.Which is the nurse's best response?

A) "This agent decreases estrogen levels. so the cancer stops growing."

B) "The drug causes you to secrete testosterone, which limits cancer growth."

C) "Tamoxifen kills estrogen-secreting cells and growth of blood vessels to cancer cells."

D) "It blocks estrogen receptors, and this limits cancer cell growth."

Q3) A client has large breasts.Which health problem is she most likely to develop?

A) Breast tenderness

B) Breast cancer

C) Chest pain

D) Back pain

To view all questions and flashcards with answers, click on the resource link above.

Page 75

Chapter 74: Care of Patients With Gynecologic Problems

Available Study Resources on Quizplus for this Chatper

29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/38759

Sample Questions

Q1) A woman reports cyclical abdominal pain,and her pelvic examination reveals tender nodules in the posterior vagina.The nurse plans to educate the woman about which treatment?

A) Medroxyprogesterone (Depo-Provera)

B) Radiation therapy

C) Doxycycline (Vibramycin)

D) Endometrial ablation

Q2) A client has recently undergone an anterior colporrhaphy.Which is the most important discharge instruction that the nurse can provide?

A) "Avoid sexual intercourse for 2 weeks."

B) "Call us for fever and pain that does not improve."

C) "Sutures will need to be removed in 2 weeks."

D) "An ice pack on your incision will help the pain."

Q3) Which symptom experienced by a woman in her 20s alerts the nurse to the possibility of endometriosis?

A) Bleeding between periods

B) Cessation of menstruation

C) Premenstrual tension headache

D) Pain before the onset of menstrual flow

To view all questions and flashcards with answers, click on the resource link above.

Page 76

Chapter 75: Care of Male Patients With Reproductive

Problems

Available Study Resources on Quizplus for this Chatper

31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/38760

Sample Questions

Q1) A client's prostate-specific antigen (PSA)level is 2.0 ng/mL.Which action by the nurse is most appropriate?

A) Inform the client that the results are normal and no cancer has been detected.

B) Inform the client that results are normal and schedule a digital rectal examination.

C) Let the client know that the results are elevated and he is at risk for prostate cancer.

D) Tell the client that cancer is indicated and that the health care provider recommends watchful waiting.

Q2) The nurse is assisting a client with limited mobility into position for examination of his prostate gland.How does the nurse best assist the client?

A) Assist the client to bend over the examination table.

B) Hold the client up as he bends over the bedside table.

C) Help the client lie down in a side-lying fetal position.

D) Assist the client to lie in a prone position.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 76: Care of Patients With Sexually Transmitted Disease

Available Study Resources on Quizplus for this Chatper

24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/38761

Sample Questions

Q1) A client weighing 110 lb is admitted with acute pelvic inflammatory disease.The client is ordered to receive an initial dose of gentamicin (Garamycin),2 mg/kg.The client will receive an initial dose of gentamicin of ____ milligrams.

Q2) A female client admitted for cardiac problems also has condyloma acuminatum.Which type of precautions does the nursing staff implement with this client?

A) Standard

B) Airborne

C) Contact

D) Droplet

Q3) Which statement by a middle-aged woman indicates that further instruction is needed for her and her partner regarding prevention of sexually transmitted diseases (STDs)?

A) "I'm glad we don't have to use condoms anymore because I can't get pregnant."

B) "Changes in my vagina may make me more likely to be at risk for an STD."

C) "I told my partner that we need to switch to condoms instead of the pill now."

D) "I should report any evidence of infection, even if symptoms are minor."

To view all questions and flashcards with answers, click on the resource link above.

Page 78