Adult Nursing Solved
Exam Questions
Course Introduction
Adult Nursing provides students with the foundational knowledge and practical skills necessary to deliver comprehensive and compassionate care to adults across various healthcare settings. The course covers the assessment and management of acute and long-term health conditions, principles of evidence-based practice, patient-centered care, and the promotion of health and well-being. Emphasis is placed on clinical reasoning, communication, ethical considerations, and multidisciplinary teamwork, preparing students to support the diverse needs of adult patients throughout their healthcare journeys.
Recommended Textbook
Medical Surgical Nursing 10th Edition by Lewis
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68 Chapters
1998 Verified Questions
1998 Flashcards
Source URL: https://quizplus.com/study-set/1279 Page 2
Chapter 1: Professional Nursing Practice
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/25336
Sample Questions
Q1) The nurse admits a patient to the hospital and develops a plan of care. What components should the nurse include in the nursing diagnosis statement?
A)The problem and the suggested patient goals or outcomes
B)The problem with possible causes and the planned interventions
C)The problem, its cause, and objective data that support the problem
D)The problem with an etiology and the signs and symptoms of the problem
Answer: D
Q2) A nurse is assigned as a case manager for a hospitalized patient with a spinal cord injury. The patient can expect the nurse functioning in this role to perform which activity?
A)Care for the patient during hospitalization for the injuries.
B)Assist the patient with home care activities during recovery.
C)Determine what medical care the patient needs for optimal rehabilitation.
D)Coordinate the services that the patient receives in the hospital and at home.
Answer: D
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3
Chapter 2: Health Disparities and Culturally Competent Care
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse is performing an admission assessment for a non-English-speaking patient who is from China. Which actions could the nurse take to enhance communication ?
A)Use an electronic translation application.
B)Use a telephone-based medical interpreter.
C)Wait until an agency interpreter is available.
D)Ask the patient's teenage daughter to interpret.
E)Use exaggerated gestures to convey information.
Answer: A,B,C
Q2) A female staff nurse is assessing a male patient of Arab descent who is admitted with complaints of severe headaches. It is most important for the charge nurse to intervene if the nurse takes which action?
A)The nurse explains the 0 to 10 intensity pain scale.
B)The nurse asks the patient when the headaches started.
C)The nurse sits down at the bedside and closes the privacy curtain.
D)The nurse calls for a male nurse to bring a hospital gown to the room.
Answer: C
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Chapter 3: Health History and Physical Examination
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The nurse records the following general survey of a patient: "The patient is a 50-yr-old Asian female attended by her husband and two daughters. Alert and oriented. Does not make eye contact with the nurse and responds slowly,but appropriately,to questions. No apparent disabilities or distinguishing features." What additional information should the nurse add to this general survey?
A)Nutritional status
B)Intake and output
C)Reasons for contact with the health care system
D)Comments of family members about his condition
Answer: A
Q2) A patient is seen in the emergency department with severe abdominal pain and hypotension. Which type of assessment should the nurse do at this time?
A)Focused assessment
B)Subjective assessment
C)Emergency assessment
D)Comprehensive assessment
Answer: C
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Chapter 4: Patient and Caregiver Teaching
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) An older Asian patient,who is seen at the health clinic,is diagnosed with protein malnutrition. What priority action should the nurse include in the teaching plan?
A)Suggest the use of liquid supplements as a way to increase protein intake.
B)Encourage the patient to increase the dietary intake of meat, cheese, and milk.
C)Ask the patient to record the intake of all foods and beverages for a 3-day period.
D)Focus on the use of combinations of beans and rice to improve daily protein intake.
Q2) The nurse considers a nursing diagnosis of ineffective health maintenance related to low motivation for a patient with diabetes. Which finding would the nurse most likely use to support this nursing diagnosis?
A)The patient does not perform capillary blood glucose tests as directed.
B)The patient occasionally forgets to take the daily prescribed medication.
C)The patient states that dietary changes have not made any difference at all.
D)The patient cannot identify signs or symptoms of high and low blood glucose.
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6
Chapter 5: Chronic Illness and Older Adults
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which nursing action will be most helpful in decreasing the risk for drug-drug interactions in an older adult?
A)Teach the patient to have all prescriptions filled at the same pharmacy.
B)Make a schedule for the patient as a reminder of when to take each medication.
C)Instruct the patient to avoid taking over-the-counter (OTC) medications or supplements.
D)Ask the patient to bring all medications, supplements, and herbs to each appointment.
Q2) An older adult being admitted is assessed at high risk for falls. Which action should the nurse take first?
A)Use a bed alarm system on the patient's bed.
B)Administer the prescribed PRN sedative medication.
C)Ask the health care provider to order a vest restraint.
D)Place the patient in a "geri-chair" near the nurse's station.
Q3) Which patient is most likely to need long-term nursing care management?
A)72-yr-old who had a hip replacement after a fall at home
B)64-yr-old who developed sepsis after a ruptured peptic ulcer
C)76-yr-old who had a cholecystectomy and bile duct drainage
D)63-yr-old with bilateral knee osteoarthritis who weighs 350 lb (159 kg)
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Page 7
Chapter 6: Stress and Stress Management
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) An obese female patient who had enjoyed active outdoor activities is stressed because osteoarthritis in her hips now limits her activity. Which action by the nurse will best assist the patient to cope with this situation?
A)Have the patient practice frequent relaxation breathing.
B)Ask the patient what outdoor activities she misses the most.
C)Teach the patient to use imagery for reducing pain and stress.
D)Encourage the patient to consider weight loss to improve symptoms.
Q2) A patient is extremely anxious about having a biopsy on a femoral lymph node. Which relaxation technique would be the best choice for the nurse to facilitate during the procedure?
A)Yoga stretching
B)Guided imagery
C)Relaxation breathing
D)Mindfulness meditation
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8
Chapter 7: Sleep and Sleep Disorders
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) What is the first action the nurse should take in addressing a patient's concerns about insomnia and daytime fatigue?
A)Question the patient about the use of over-the-counter sleep aids.
B)Suggest that the patient decrease intake of caffeinated beverages.
C)Advise the patient to get out of bed if unable to fall asleep in 10 to 20 minutes.
D)Recommend that the patient use any prescribed sleep aids for only 2 to 3 weeks.
Q2) Which information regarding a patient's sleep is most important for the nurse to communicate to the health care provider?
A)A 21-yr-old student who takes melatonin to assist in sleeping when traveling from the United States to Europe
B)A 64-yr-old nurse who works the night shift reports drinking hot chocolate before going to bed in the morning
C)A 41-yr-old librarian who has a body mass index (BMI) of 42 kg/m2 says that the spouse complains about snoring
D)A 32-yr-old accountant who is experiencing a stressful week uses diphenhydramine (Benadryl) for several nights
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Chapter 8: Pain
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who had abdominal surgery yesterday and is receiving morphine through patient-controlled analgesia (PCA). What action by the nurse is a priority?
A)Assessing for nausea
B)Auscultating bowel sounds
C)Checking the respiratory rate
D)Evaluating for sacral redness
Q2) A patient who has fibromyalgia reports pain at level 7 (0 to 10 scale). The patient tells the nurse,"I feel depressed because I ache too much to play golf." Which patient goal has the highest priority when the nurse is developing the treatment plan?
A)The patient will report pain at a level 2 of 10.
B)The patient will be able to play a round of golf.
C)The patient will exhibit fewer signs of depression.
D)The patient will say that the aching has decreased.
Q3) A patient with chronic pain who has been receiving morphine sulfate 20 mg IV over 24 hours is to be discharged home on oral sustained-release morphine (MS Contin)administered twice a day. What dosage of MS Contin will be needed for each dose to obtain an equianalgesic dose for the patient? (Morphine sulfate 10 mg IV is equianalgesic to morphine sulfate 30 mg orally.)
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Page 10
Chapter 9: Palliative Care at End of Life
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Which action is most important for the nurse to take to ensure culturally competent care for an alert,terminally ill Filipino patient?
A)Let the family decide how to tell the patient about the terminal diagnosis.
B)Ask the patient and family about their preferences for care during this time.
C)Obtain information from Filipino staff members about possible cultural needs.
D)Remind family members that dying patients prefer to have someone at the bedside.
Q2) The son of a dying patient tells the nurse,"Mother doesn't really respond any more when I visit. I don't think she knows that I am here." Which response by the nurse is appropriate?
A)"Cut back your visits for now to avoid overtiring your mother."
B)"Withdrawal can be a normal response in the process of dying."
C)"Most dying patients don't know what is going on around them."
D)"It is important to stimulate your mother so she can't retreat from you."
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11
Chapter 10: Substance Use Disorders
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A patient who has a history of ongoing opioid use is hospitalized for surgery. After a visit by a friend,the nurse finds that the patient is unresponsive with pinpoint pupils. Which prescribed medication will the nurse administer?
A)Naloxone
B)Diazepam (Valium)
C)Clonidine (Catapres)
D)Methadone (Dolophine)
Q2) A patient is admitted to the emergency department for treatment of a possible opioid overdose. Rank the nursing activities in the correct order from first activity to last activity. (Put a comma and a space between each answer choice [A,B,C,D,E]).
A)Initiate IV access.
B)Take a health history.
C)Administer naloxone
D)Obtain a toxicology screen
E)Provide respiratory support with a bag-valve mask.
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12
Chapter 11: Inflammation and Wound Healing
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) After the home health nurse teaches a patient's family member about how to care for a sacral pressure ulcer,which finding indicates that additional teaching is needed?
A)The family member uses a lift sheet to reposition the patient.
B)The family member uses clean tap water to clean the wound.
C)The family member dries the wound using a hair dryer on a low setting.
D)The family member places contaminated dressings in a plastic grocery bag.
Q2) A patient who has an infected abdominal wound develops a temperature of 104° F (40° C). All the following interventions are included in the patient's plan of care. In which order should the nurse perform the following actions? (Put a comma and a space between each answer choice [A,B,C,D]).
A)Administer IV antibiotics.
B)Sponge patient with cool water.
C)Perform wet-to-dry dressing change.
D)Administer acetaminophen (Tylenol).
Q3) The nurse should plan to use a wet-to-dry dressing for which patient?
A)A patient who has a pressure ulcer with pink granulation tissue
B)A patient who has a surgical incision with pink, approximated edges
C)A patient who has a full-thickness burn filled with dry, black material
D)A patient who has a wound with purulent drainage and dry brown areas
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Page 13
Chapter 12: Genetics and Genomics
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) A patient with a family history of cystic fibrosis (CF)asks for information about genetic testing. Which response by the nurse is most appropriate?
A)Refer the patient to a qualified genetic counselor.
B)Ask the patient why genetic testing seems necessary.
C)Remind the patient that genetic testing has many social implications.
D)Tell the patient that cystic fibrosis is an autosomal recessive disorder.
Q2) The nurse in the outpatient clinic has obtained health histories for these new patients. Which patient may need referral for genetic testing?
A)A 20-yr-old patient whose maternal grandparents died after strokes at ages 80 and 82
B)A 20-yr-old patient with a positive pregnancy test whose first child has cerebral palsy
C)A 30-yr-old patient who has a sibling with newly diagnosed polycystic kidney disease
D)A 30-yr-old patient with a history of cigarette smoking who is complaining of dyspnea
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14
Chapter 13: Altered Immune Responses and Transplantation
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Ten days after receiving a bone marrow transplant,a patient develops a skin rash. What would the nurse suspect is the cause of the rash?
A)The donor T cells are attacking the patient's skin cells.
B)The patient needs treatment to prevent hyperacute rejection.
C)The patient's antibodies are rejecting the donor bone marrow.
D)The patient is experiencing a delayed hypersensitivity reaction.
Q2) The nurse taking a health history learns that the patient,who has worked in rubber tire manufacturing,has allergic rhinitis and multiple food allergies. Which action by the nurse is correct?
A)Recommend that the patient use latex gloves in preventing blood-borne pathogen contact.
B)Document the patient's history and teach about clinical manifestations of a type I latex allergy.
C)Encourage the patient to carry an epinephrine kit in case a type IV allergic reaction to latex develops.
D)Advise the patient to use oil-based hand creams to decrease contact with natural proteins in latex gloves.
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Page 15
Chapter 14: Infection and Human Immunodeficiency Virus
Infection
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) According to the Center for Disease Control and Prevention (CDC)guidelines,which personal protective equipment will the nurse put on before assessing a patient who is on contact precautions for Clostridium difficile diarrhea ?
A)Mask
B)Gown
C)Gloves
D)Shoe covers
E)Eye protection
Q2) A patient who uses injectable illegal drugs asks the nurse about preventing acquired immunodeficiency syndrome (AIDS). Which response by the nurse is best?
A)"Clean drug injection equipment before each use."
B)"Ask those who share equipment to be tested for HIV."
C)"Consider participating in a needle-exchange program."
D)"Avoid sexual intercourse when using injectable drugs."
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16
Chapter 15: Cancer
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) The nurse at the clinic is interviewing a 64-yr-old woman who is 5 feet,3 inches tall and weighs 125 lb (57 kg). The patient has not seen a health care provider for 20 years. She walks 5 miles most days and has a glass of wine two or three times a week. Which topics will the nurse plan to include in patient teaching about cancer screening and decreasing cancer risk ?
A)Pap testing
B)Tobacco use
C)Sunscreen use
D)Mammography
E)Colorectal screening
Q2) The nurse is caring for a patient with colon cancer who is scheduled for external radiation therapy to the abdomen. Which information obtained by the nurse would indicate a need for patient teaching?
A)The patient has a history of dental caries.
B)The patient swims several days each week.
C)The patient snacks frequently during the day.
D)The patient showers each day with mild soap.
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) When caring for a patient with renal failure on a low phosphate diet,the nurse will inform unlicensed assistive personnel (UAP)to remove which food from the patient's food tray?
A)Skim milk
B)Grape juice
C)Mixed green salad
D)Fried chicken breast
Q2) Spironolactone (Aldactone),an aldosterone antagonist,is prescribed for a patient. Which statement by the patient indicates that the teaching about this medication has been effective?
A)"I will try to drink at least 8 glasses of water every day."
B)"I will use a salt substitute to decrease my sodium intake."
C)"I will increase my intake of potassium-containing foods."
D)"I will drink apple juice instead of orange juice for breakfast."
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18
Chapter 17: Preoperative Care
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21 Flashcards
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Sample Questions
Q1) When caring for a preoperative patient on the day of surgery,which actions included in the plan of care can the nurse delegate to unlicensed assistive personnel (UAP)?
A)Teach incentive spirometer use.
B)Explain routine preoperative care.
C)Obtain and document baseline vital signs.
D)Remove nail polish and apply pulse oximeter.
E)Transport the patient by stretcher to the operating room.
Q2) Which information in the preoperative patient's medication history is most important to communicate to the health care provider?
A)The patient takes garlic capsules every day.
B)The patient quit using cocaine 10 years ago.
C)The patient took a prescribed sedative the previous night.
D)The patient uses acetaminophen (Tylenol) for aches and pains.
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19
Chapter 18: Intraoperative Care
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A patient scheduled to undergo total knee replacement surgery under general anesthesia asks the nurse,"Will the doctor put me to sleep with a mask over my face?" Which response by the nurse is most appropriate?
A)"Only your surgeon can tell you what method of anesthesia will be used."
B)"I will check with the anesthesia care provider to find out what is planned."
C)"General anesthesia is now given by injecting drugs into your veins, so you will not need a mask over your face."
D)"Masks are no longer used for anesthesia.A tube will be inserted into your throat to deliver gas that will put you to sleep."
Q2) Which data identified during the preoperative assessment alerts the nurse that special protection techniques should be implemented during surgery?
A)Stated allergy to cats and dogs
B)History of spinal and hip arthritis
C)Verbalization of anxiety by the patient
D)Having a sip of water 3 hours previously
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Chapter 19: Postoperative Care
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A patient's T-tube is draining dark green fluid after gallbladder surgery. What action by the nurse is the most appropriate?
A)Notify the patient's surgeon.
B)Place the patient on bed rest.
C)Document the color and amount of drainage.
D)Irrigate the T-tube with sterile normal saline.
Q2) A patient who is just waking up after having hip replacement surgery is agitated and confused. Which action should the nurse take first?
A)Administer the prescribed opioid.
B)Check the oxygen (O2) saturation.
C)Take the blood pressure and pulse.
D)Apply wrist restraints to secure IV lines.
Q3) A patient is transferred from the postanesthesia care unit (PACU)to the clinical unit. Which action by the nurse on the clinical unit should be performed first?
A)Assess the patient's pain.
B)Orient the patient to the unit.
C)Take the patient's vital signs.
D)Read the postoperative orders.
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Chapter 20: Assessment of Visual and Auditory Systems
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse working in the vision and hearing clinic receives telephone calls from several patients who want appointments in the clinic as soon as possible. Which patient should be seen first?
A)71-yr-old who has noticed increasing loss of peripheral vision
B)74-yr-old who has difficulty seeing well enough to drive at night
C)60-yr-old who has difficulty hearing clearly in a noisy environment
D)64-yr-old who has decreased hearing and ear "stuffiness" without pain
Q2) The nurse should report which assessment finding immediately to the health care provider?
A)Cone of light is visible.
B)Tympanum is blue-tinged.
C)Skin in the ear canal is dry and scaly.
D)Cerumen is present in the auditory canal.
Q3) Which information will the nurse provide to the patient scheduled for refractometry?
A)"You should not take any of your eye medicines before the examination."
B)"You will need to wear sunglasses for a few hours after the examination."
C)"The doctor will shine a bright light into your eye during the examination."
D)"The surface of your eye will be numb while the doctor does the examination."
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Chapter 21: Visual and Auditory Problems
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47 Verified Questions
47 Flashcards
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Sample Questions
Q1) Which action could the registered nurse (RN)who is working in the eye and ear clinic delegate to a licensed practical/vocational nurse (LPN/LVN)?
A)Evaluate a patient's ability to administer eye drops.
B)Check a patient's visual acuity using a Snellen chart.
C)Inspect a patient's external ear for signs of irritation caused by a hearing aid.
D)Teach a patient with otosclerosis about use of sodium fluoride and vitamin D.
Q2) A nurse should instruct a patient with recurrent staphylococcal and seborrheic blepharitis to
A)irrigate the eyes with saline solution.
B)schedule an appointment for eye surgery.
C)use a gentle baby shampoo to clean the eyelids.
D)apply cool compresses to the eyes three times daily.
Q3) To determine whether treatment is effective for a patient with primary open-angle glaucoma (POAG),the nurse can evaluate the patient for improvement by
A)questioning the patient about blurred vision.
B)noting any changes in the patient's visual field.
C)asking the patient to rate the pain using a 0 to 10 scale.
D)assessing the patient's depth perception when climbing stairs.
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23
Chapter 22: Assessment of Integumentary System
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14 Flashcards
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Sample Questions
Q1) During assessment of the patient's skin,the nurse observes a similar pattern of discrete,small,raised lesions on the left and right upper back areas. Which term should the nurse use to document the distribution of these lesions?
A)Confluent
B)Symmetric
C)Zosteriform
D)Generalized
Q2) Which abnormality on the skin of an older patient is the priority to discuss immediately with the health care provider?
A)Dry, scaly patches on the face
B)Numerous varicosities on both legs
C)Petechiae on the chest and abdomen
D)Small dilated blood vessels on the face
Q3) Which integumentary assessment data from an older patient admitted with bacterial pneumonia is of concern to the nurse?
A)Brown macules on extremities
B)Reports a history of allergic rashes
C)Skin wrinkled with tenting on both hands
D)Longitudinal nail ridges and sparse scalp hair
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Page 24
Chapter 23: Integumentary Problems
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25 Flashcards
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Sample Questions
Q1) A patient with atopic dermatitis has a new prescription for pimecrolimus (Elidel). After teaching the patient about the medication,which statement by the patient indicates that further teaching is needed?
A)"After I apply the medication, I can get dressed as usual."
B)"If the medication burns when I apply it, I will wipe it off."
C)"I need to minimize time in the sun while using the Elidel."
D)"I will rub the medication in gently every morning and night."
Q2) A patient in the dermatology clinic has a thin,scaly erythematous plaque on the right cheek. Which action should the nurse take?
A)Prepare the patient for a skin biopsy.
B)Teach the use of corticosteroid cream.
C)Explain how to apply tretinoin (Retin-A) to the face.
D)Discuss the need for topical application of antibiotics.
Q3) The nurse is interviewing a patient with contact dermatitis. Which finding indicates a need for patient teaching?
A)The patient applies corticosteroid cream to pruritic areas.
B)The patient adds oilated oatmeal to the bath water every day.
C)The patient uses bacitracin-neomycin-polymyxin on minor abrasions.
D)The patient takes diphenhydramine at night if persistent itching occurs.
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Page 25
Chapter 24: Burns
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31 Flashcards
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Sample Questions
Q1) A nurse is caring for a patient who has burns of the ears,head,neck,and right arm and hand. The nurse should place the patient in which position?
A)Place the right arm and hand flexed in a position of comfort.
B)Elevate the right arm and hand on pillows and extend the fingers.
C)Assist the patient to a supine position with a small pillow under the head.
D)Position the patient in a side-lying position with rolled towel under the neck.
Q2) A patient who was found unconscious in a burning house is brought to the emergency department by ambulance. The nurse notes that the patient's skin color is bright red. Which action should the nurse take first?
A)Insert two large-bore IV lines.
B)Check the patient's orientation.
C)Assess for singed nasal hair and dark oral mucous membranes.
D)Place the patient on 100% O<sub>2</sub> using a nonrebreather mask.
Q3) An 80-kg patient with burns over 30% of total body surface area (TBSA)is admitted to the burn unit. Using the Parkland formula of 4 mL/kg/%TBSA,what is the IV infusion rate (mL/hour)for lactated Ringer's solution that the nurse will give during the first 8 hours?
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Chapter 25: Assessment of Respiratory System
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A patient with a chronic cough is scheduled to have a bronchoscopy with biopsy. Which intervention will the nurse implement directly after the procedure?
A)Encourage the patient to drink clear liquids.
B)Place the patient on bed rest for at least 4 hours.
C)Keep the patient NPO until the gag reflex returns.
D)Maintain the head of the bed elevated 90 degrees.
Q2) The nurse observes that a patient with respiratory disease experiences a decrease in SpO<sub>2</sub> from 93% to 88% while the patient is ambulating. What is the priority action of the nurse?
A)Notify the health care provider.
B)Administer PRN supplemental O<sub>2</sub>.
C)Document the response to exercise.
D)Encourage the patient to pace activity.
Q3) After the nurse has received change-of-shift report,which patient should the nurse assess first?
A)A patient with pneumonia who has crackles in the right lung base
B)A patient with chronic bronchitis who has a low forced vital capacity
C)A patient with possible lung cancer who has just returned after bronchoscopy
D)A patient with hemoptysis and a 16-mm induration after tuberculin skin testing
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Page 27
Chapter 26: Upper Respiratory Problems
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25 Flashcards
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Sample Questions
Q1) The nurse is reviewing the medical records for five patients who are scheduled for their yearly physical examinations in September. Which patients should receive the inactivated influenza vaccination ?
A)A 76-yr-old nursing home resident
B)A 36-yr-old female patient who is pregnant
C)A 42-yr-old patient who has a 15 pack-year smoking history
D)A 30-yr-old patient who takes corticosteroids for rheumatoid arthritis
E)A 24-yr-old patient who has allergies to penicillin and cephalosporins
Q2) Which patient in the ear,nose,and throat (ENT)clinic should the nurse assess first?
A)A patient who is complaining of a sore throat and has a muffled voice
B)A patient who has a "scratchy throat" and a positive rapid strep antigen test
C)A patient who is receiving radiation for throat cancer and has severe fatigue
D)A patient with a history of a total laryngectomy whose stoma is red and inflamed
Q3) Which action should the nurse take first when a patient develops epistaxis?
A)Pack the affected nare tightly with an epistaxis balloon.
B)Apply squeezing pressure to the nostrils for 10 minutes.
C)Obtain silver nitrate that may be needed for cauterization.
D)Instill a vasoconstrictor medication into the affected nare.
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Chapter 27: Lower Respiratory Problems
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/25362
Sample Questions
Q1) The nurse teaches a patient about the transmission of pulmonary tuberculosis (TB). Which statement,if made by the patient,indicates that teaching was effective?
A)"I will take the bus instead of driving."
B)"I will stay indoors whenever possible."
C)"My spouse will sleep in another room."
D)"I will keep the windows closed at home."
Q2) The nurse administers prescribed therapies for a patient with cor pulmonale and right-sided heart failure. Which assessment could be used to evaluate the effectiveness of the therapies?
A)Observe for distended neck veins.
B)Auscultate for crackles in the lungs.
C)Palpate for heaves or thrills over the heart.
D)Monitor for elevated white blood cell count.
Q3) A patient is admitted to the emergency department with an open stab wound to the left chest. What action should the nurse take?
A)Keep the head of the patient's bed positioned flat.
B)Cover the wound tightly with an occlusive dressing.
C)Position the patient so that the left chest is dependent.
D)Tape a nonporous dressing on three sides over the wound.
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Page 29
Chapter 28: Obstructive Pulmonary Diseases
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/25363
Sample Questions
Q1) The nurse in the emergency department receives arterial blood gas results for four recently admitted patients with obstructive pulmonary disease. The results for which patient will require the most rapid action by the nurse?
A)pH 7.28, PaCO<sub>2</sub> 50 mm Hg, and PaO<sub>2</sub> 58 mm Hg
B)pH 7.48, PaCO<sub>2</sub> 30 mm Hg, and PaO<sub>2</sub> 65 mm Hg
C)pH 7.34, PaCO<sub>2</sub> 33 mm Hg, and PaO<sub>2</sub> 80 mm Hg
D)pH 7.31, PaCO<sub>2</sub> 58 mm Hg, and PaO<sub>2</sub> 64 mm Hg
Q2) The nurse is caring for a patient with cor pulmonale. The nurse should monitor the patient for which expected finding?
A)Chest pain
B)Finger clubbing
C)Peripheral edema
D)Elevated temperature
Q3) A patient newly diagnosed with asthma is being discharged. The nurse anticipates including which topic in the discharge teaching?
A)Use of long-acting b-adrenergic medications
B)Side effects of sustained-release theophylline
C)Self-administration of inhaled corticosteroids
D)Complications associated with O2 therapy
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Page 30
Chapter 29: Assessment of Hematologic System
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The nurse notes pallor of the skin and nail beds in a newly admitted patient. The nurse should ensure that which laboratory test has been ordered?
A)Platelet count
B)Neutrophil count
C)Hemoglobin level
D)White blood cell count
Q2) A patient who had a total hip replacement had an intraoperative hemorrhage 14 hours ago. Which laboratory test result would the nurse expect?
A)Hematocrit of 46%
B)Hemoglobin of 13.8 g/dL
C)Elevated reticulocyte count
D)Decreased white blood cell (WBC) count
Q3) The health care provider orders a liver and spleen scan for a patient who has been in a motor vehicle crash. Which action should the nurse take before this procedure?
A)Check for any iodine allergy.
B)Insert a large-bore IV catheter.
C)Administer prescribed sedatives.
D)Assist the patient to a flat position.
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Chapter 30: Hematologic Problems
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) A patient who has a history of a transfusion-related acute lung injury (TRALI)is to receive a transfusion of packed red blood cells (PRBCs). Which action by the nurse will decrease the risk for TRALI for this patient?
A)Infuse the PRBCs slowly over 4 hours.
B)Transfuse only leukocyte-reduced PRBCs.
C)Administer the scheduled diuretic before the transfusion.
D)Give the PRN dose of antihistamine before the transfusion.
Q2) An appropriate nursing intervention for a patient with non-Hodgkin's lymphoma whose platelet count drops to 18,000/µL during chemotherapy is to
A)check all stools for occult blood.
B)encourage fluids to 3000 mL/day.
C)provide oral hygiene every 2 hours.
D)check the temperature every 4 hours.
Q3) Which patient statement to the nurse indicates a need for additional instruction about taking oral ferrous sulfate?
A)"I will call my health care provider if my stools turn black."
B)"I will take a stool softener if I feel constipated occasionally."
C)"I should take the iron with orange juice about an hour before eating."
D)"I should increase my fluid and fiber intake while I am taking iron tablets."
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Page 32
Chapter 31: Assessment of Cardiovascular System
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse notes that a patient who was admitted with heart failure has jugular venous distention (JVD)when lying flat in bed. Which follow-up action should the nurse take next?
A)Obtain vital signs, including oxygen saturation.
B)Have the patient perform the Valsalva maneuver.
C)Document this JVD finding in the patient's record.
D)Observe for JVD with the patient elevated 45 degrees.
Q2) Which action will the nurse implement for a patient who arrives for a calcium-scoring CT scan?
A)Insert an IV catheter.
B)Administer oral sedative medications.
C)Teach the patient about the procedure.
D)Confirm that the patient has been fasting.
Q3) The nurse teaches the patient being evaluated for rhythm disturbances with a Holter monitor to
A)connect the recorder to a computer once daily.
B)exercise more than usual while the monitor is in place.
C)remove the electrodes when taking a shower or tub bath.
D)keep a diary of daily activities while the monitor is worn.
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Page 33
Chapter 32: Hypertension
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which information is most important for the nurse to include when teaching a patient with newly diagnosed hypertension?
A)Most people are able to control BP through dietary changes.
B)Annual BP checks are needed to monitor treatment effectiveness.
C)Hypertension is usually asymptomatic until target organ damage occurs.
D)Increasing physical activity alone controls blood pressure (BP) for most people.
Q2) A patient with hypertension who has just started taking atenolol (Tenormin)returns to the health clinic after 2 weeks for a follow-up visit. The blood pressure (BP)is unchanged from the previous visit. Which action should the nurse take first?
A)Tell the patient why a change in drug dosage is needed.
B)Ask the patient if the medication is being taken as prescribed.
C)Inform the patient that multiple drugs are often needed to treat hypertension.
D)Question the patient regarding any lifestyle changes made to help control BP.
Q3) The nurse obtains a blood pressure of 176/82 mm Hg for a patient. What is the patient's mean arterial pressure (MAP)?
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Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) Three days after experiencing a myocardial infarction (MI),a patient who is scheduled for discharge asks for assistance with hygiene activities,saying,"I am too nervous about my heart to be alone while I get washed up." Based on this information,which nursing diagnosis is appropriate?
A)Activity intolerance related to weakness
B)Anxiety related to change in health status
C)Denial related to lack of acceptance of the MI
D)Altered body image related to cardiac disease
Q2) In preparation for discharge,the nurse teaches a patient with chronic stable angina how to use the prescribed short-acting and long-acting nitrates. Which patient statement indicates that the teaching has been effective?
A)"I will check my pulse rate before I take any nitroglycerin tablets."
B)"I will put the nitroglycerin patch on as soon as I get any chest pain."
C)"I will stop what I am doing and sit down before I put the nitroglycerin under my tongue."
D)"I will be sure to remove the nitroglycerin patch before taking any sublingual nitroglycerin."
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Page 35
Chapter 34: Heart Failure
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Sample Questions
Q1) A patient who has chronic heart failure tells the nurse,"I was fine when I went to bed,but I woke up in the middle of the night feeling like I was suffocating!" The nurse will document this assessment finding as A)orthopnea.
B)pulsus alternans.
C)paroxysmal nocturnal dyspnea.
D)acute bilateral pleural effusion.
Q2) When teaching the patient with newly diagnosed heart failure about a 2000-mg sodium diet,the nurse explains that foods to be restricted include
A)canned and frozen fruits.
B)yogurt and milk products.
C)fresh or frozen vegetables.
D)eggs and other high-protein foods.
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36
Chapter 35: Dysrhythmias
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) When preparing to defibrillate a patient,in which order will the nurse perform the following steps? (Put a comma and a space between each answer choice [A,B,C,D,E].)
A)Turn the defibrillator on.
B)Deliver the electrical charge.
C)Select the appropriate energy level.
D)Place the hands-free, multifunction defibrillator pads on the patient's chest.
E)Check the location of other staff and call out "all clear."
Q2) Which laboratory result for a patient with multifocal premature ventricular contractions (PVCs)is most important for the nurse to communicate to the health care provider?
A)Blood glucose of 243 mg/dL
B)Serum chloride of 92 mEq/L
C)Serum sodium of 134 mEq/L
D)Serum potassium of 2.9 mEq/L
Q3) When analyzing an electrocardiographic (ECG)rhythm strip of a patient with a regular heart rhythm,the nurse counts 30 small blocks from one R wave to the next. The nurse calculates the patient's heart rate as ____.
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Chapter 36: Inflammatory and Structural Heart Disorders
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) After receiving change-of-shift report on four patients,which patient should the nurse assess first?
A)Patient with rheumatic fever who has sharp chest pain with a deep breath
B)Patient with acute aortic regurgitation whose blood pressure is 86/54 mm Hg
C)Patient with infective endocarditis who has a murmur and splinter hemorrhages
D)Patient with dilated cardiomyopathy who has bilateral crackles at the lung bases
Q2) When caring for a patient with mitral valve stenosis,it is most important that the nurse assess for
A)diastolic murmur.
B)peripheral edema.
C)shortness of breath on exertion.
D)right upper quadrant tenderness.
Q3) During discharge teaching with an older patient who had a mitral valve replacement with a mechanical valve,the nurse must instruct the patient on the A)use of daily aspirin for anticoagulation.
B)correct method for taking the radial pulse.
C)need for frequent laboratory blood testing.
D)need to avoid any physical activity for 1 month.
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Chapter 37: Vascular Disorders
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient with critical limb ischemia who has just arrived on the nursing unit after having percutaneous transluminal balloon angioplasty. Which action should the nurse perform first?
A)Obtain vital signs.
B)Teach wound care.
C)Assess pedal pulses.
D)Check the wound site.
Q2) Which nursing intervention for a patient who had an open repair of an abdominal aortic aneurysm 2 days previously is appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)?
A)Monitor the quality and presence of the pedal pulses.
B)Teach the patient the signs of possible wound infection.
C)Check the lower extremities for strength and movement.
D)Help the patient to use a pillow to splint while coughing.
Q3) When assessing a patient with possible peripheral artery disease (PAD),the nurse obtains a brachial blood pressure (BP)of 147/82 mm Hg and an ankle pressure of 112/74 mm Hg. The nurse calculates the patient's ankle-brachial index (ABI)as ________ (round up to the nearest hundredth).
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Chapter 38: Assessment of Gastrointestinal System
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The nurse will plan to monitor a patient with an obstructed common bile duct for A)melena.
B)steatorrhea.
C)decreased serum cholesterol level.
D)increased serum indirect bilirubin level.
Q2) A 58-yr-old patient has just returned to the nursing unit after an esophagogastroduodenoscopy (EGD). Which action by unlicensed assistive personnel (UAP)requires that the registered nurse (RN)intervene?
A)Offering the patient a pitcher of water
B)Positioning the patient on the right side
C)Checking the vital signs every 30 minutes
D)Swabbing the patient's mouth with a wet cloth
Q3) An older patient reports chronic constipation. To promote bowel evacuation,the nurse will suggest that the patient attempt defecation
A)in the mid-afternoon.
B)after eating breakfast.
C)right after getting up in the morning.
D)immediately before the first daily meal.
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Chapter 39: Nutritional Problems
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24 Flashcards
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Sample Questions
Q1) A 20-yr-old woman is being admitted with electrolyte disorders of unknown etiology. Which assessment finding is most important to report to the health care provider?
A)The patient uses laxatives daily.
B)The patient's knuckles are macerated.
C)The patient has a history of extreme fluctuations.
D)The patient's serum potassium level is 2.9 mEq/L.
Q2) A patient's peripheral parenteral nutrition (PN)bag is nearly empty,and a new PN bag has not arrived yet from the pharmacy. Which intervention by the nurse is appropriate?
A)Monitor the patient's capillary blood glucose every 6 hours.
B)Infuse 5% dextrose in water until a new PN bag is delivered.
C)Decrease the PN infusion rate to 10 mL/hr until a new bag arrives.
D)Flush the peripheral line with saline until a new PN bag is available.
Q3) Which finding for a young adult who follows a vegan diet may indicate the need for cobalamin supplementation?
A)Paresthesias
B)Ecchymoses
C)Dry, scaly skin
D)Gingival swelling
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Chapter 40: Obesity
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Sample Questions
Q1) What information will the nurse include for an overweight 35-yr-old woman who is starting a weight-loss plan?
A)Weigh yourself at the same time every morning and evening.
B)Stick to a 600- to 800-calorie diet for the most rapid weight loss.
C)Low carbohydrate diets lead to rapid weight loss but are difficult to maintain.
D)Weighing all foods on a scale is necessary to choose appropriate portion sizes.
Q2) After sleeve gastrectomy,a 42-yr-old male patient returns to the surgical nursing unit with a nasogastric tube to low,intermittent suction and a patient-controlled analgesia (PCA)machine for pain control. Which nursing action should be included in the postoperative plan of care?
A)Offer sips of fruit juices at frequent intervals.
B)Irrigate the nasogastric (NG) tube frequently.
C)Remind the patient that PCA use may slow the return of bowel function.
D)Support the surgical incision during patient coughing and turning in bed.
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42
Chapter 41: Upper Gastrointestinal Problems
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47 Verified Questions
47 Flashcards
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Sample Questions
Q1) Which information about dietary management should the nurse include when teaching a patient with peptic ulcer disease (PUD)?
A)"You will need to remain on a bland diet."
B)"Avoid foods that cause pain after you eat them."
C)"High-protein foods are least likely to cause you pain."
D)"You should avoid eating any raw fruits and vegetables."
Q2) Which patient statement indicates that the nurse's postoperative teaching after a gastroduodenostomy has been effective?
A)"I will drink more liquids with my meals."
B)"I should choose high carbohydrate foods."
C)"Vitamin supplements may prevent anemia."
D)"Persistent heartburn is common after surgery."
Q3) A 73-yr-old patient is diagnosed with stomach cancer after an unintended 20-lb weight loss. Which nursing action will be included in the plan of care?
A)Refer the patient for hospice services.
B)Infuse IV fluids through a central line.
C)Teach the patient about antiemetic therapy.
D)Offer supplemental feedings between meals.
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Chapter 42: Lower Gastrointestinal Problems
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55 Verified Questions
55 Flashcards
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Sample Questions
Q1) A 19-yr-old woman is brought to the emergency department with a knife handle protruding from her abdomen. During the initial assessment of the patient,the nurse should
A)remove the knife and assess the wound.
B)determine the presence of Rovsing sign.
C)check for circulation and tissue perfusion.
D)insert a urinary catheter and assess for hematuria.
Q2) Which information obtained by the nurse interviewing a 30-yr-old male patient is most important to communicate to the health care provider?
A)The patient has a history of constipation.
B)The patient has noticed blood in the stools.
C)The patient had an appendectomy at age 27.
D)The patient smokes a pack/day of cigarettes.
Q3) A patient is awaiting surgery for acute peritonitis. Which action will the nurse include in the plan of care?
A)Position patient with the knees flexed.
B)Avoid use of opioids or sedative drugs.
C)Offer frequent small sips of clear liquids.
D)Assist patient to breathe deeply and cough.
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Page 44
Chapter 43: Liver, pancreas, and Biliary Tract Problems
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Sample Questions
Q1) For a patient with cirrhosis,which nursing action can the registered nurse (RN)delegate to unlicensed assistive personnel (UAP)?
A)Assessing the patient for jaundice
B)Providing oral hygiene after a meal
C)Palpating the abdomen for distention
D)Teaching the patient the prescribed diet
Q2) Which action should the nurse take to evaluate treatment effectiveness for a patient who has hepatic encephalopathy?
A)Request that the patient stand on one foot.
B)Ask the patient to extend both arms forward.
C)Request that the patient walk with eyes closed.
D)Ask the patient to perform the Valsalva maneuver.
Q3) After an unimmunized individual is exposed to hepatitis B through a needle-stick injury,which actions will the nurse plan to take ?
A)Administer hepatitis B vaccine.
B)Test for antibodies to hepatitis B.
C)Teach about a-interferon therapy.
D)Give hepatitis B immune globulin.
E)Teach about choices for oral antiviral therapy.
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Page 45
Chapter 44: Assessment of Urinary System
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23 Flashcards
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Sample Questions
Q1) When working in the urology/nephrology clinic,which patient could the nurse delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?
A)Patient who is scheduled for a renal biopsy after a recent kidney transplant
B)Patient who will need monitoring for several hours after a renal arteriogram
C)Patient who requires teaching about possible post-cystoscopy complications
D)Patient who will have catheterization to check for residual urine after voiding
Q2) Which statement by a patient who had a cystoscopy the previous day should be reported immediately to the health care provider?
A)"My urine looks pink."
B)"My IV site is bruised."
C)"My sleep was restless."
D)"My temperature is 101."
Q3) A male patient in the clinic provides a urine sample that is red-orange in color. Which action should the nurse take?
A)Notify the patient's health care provider.
B)Teach correct midstream urine collection.
C)Ask the patient about current medications.
D)Question the patient about urinary tract infection (UTI) risk factors.
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Chapter 45: Renal and Urologic Problems
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) A patient admitted to the hospital with pneumonia has a history of functional urinary incontinence. Which nursing action will be included in the plan of care?
A)Demonstrate the use of the Credé maneuver.
B)Teach exercises to strengthen the pelvic floor.
C)Place a bedside commode close to the patient's bed.
D)Use an ultrasound scanner to check postvoiding residuals.
Q2) When planning teaching for a patient with benign nephrosclerosis,the nurse should include instructions regarding
A)preventing bleeding with anticoagulants.
B)monitoring and recording blood pressure.
C)obtaining and documenting daily weights.
D)measuring daily intake and output volumes.
Q3) A 76-yr-old with benign prostatic hyperplasia (BPH)is agitated and confused,with a markedly distended bladder. Which intervention prescribed by the health care provider should the nurse implement first?
A)Insert a urinary retention catheter.
B)Draw blood for a serum creatinine level.
C)Schedule an intravenous pyelogram (IVP).
D)Administer lorazepam (Ativan) 0.5 mg PO.
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Page 47
Chapter 46: Acute Kidney Injury and Chronic Kidney Disease
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38 Flashcards
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Sample Questions
Q1) During routine hemodialysis,a patient complains of nausea and dizziness. Which action should the nurse take first?
A)Slow down the rate of dialysis.
B)Check the blood pressure (BP).
C)Review the hematocrit (Hct) level.
D)Give prescribed PRN antiemetic drugs.
Q2) After receiving change-of-shift report,which patient should the nurse assess first?
A)Patient who is scheduled for the drain phase of a peritoneal dialysis exchange
B)Patient with stage 4 chronic kidney disease who has an elevated phosphate level
C)Patient with stage 5 chronic kidney disease who has a potassium level of 3.4 mEq/L
D)Patient who has just returned from having hemodialysis and has a heart rate of 124/min
Q3) A patient in the oliguric phase after an acute kidney injury has had a 250-mL urine output and an emesis of 100 mL in the past 24 hours. What is the patient's fluid restriction for the next 24 hours?
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Page 48
Chapter 47: Assessment of Endocrine System
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22 Flashcards
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Sample Questions
Q1) A young adult patient is being seen in the clinic with increased secretion of the anterior pituitary hormones. The nurse would expect the laboratory test results to show A)increased urinary cortisol.
B)decreased serum thyroxine.
C)elevated serum aldosterone levels.
D)low urinary catecholamines excretion.
Q2) A 61-yr-old female patient admitted with pneumonia has a total serum calcium level of 13.3 mg/dL (3.3 mmol/L). The nurse will anticipate the need to teach the patient about testing for _____ levels.
A)calcitonin
B)catecholamine
C)thyroid hormone
D)parathyroid hormone
Q3) A patient is admitted with tetany. Which laboratory value should the nurse plan to monitor?
A)Total protein
B)Blood glucose
C)Ionized calcium
D)Serum phosphate
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Chapter 48: Diabetes Mellitus
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) Which question during the assessment of a patient who has diabetes will help the nurse identify autonomic neuropathy?
A)"Do you feel bloated after eating?"
B)"Have you seen any skin changes?"
C)"Do you need to increase your insulin dosage when you are stressed?"
D)"Have you noticed any painful new ulcerations or sores on your feet?"
Q2) A patient with diabetes is starting on intensive insulin therapy. Which type of insulin will the nurse discuss using for mealtime coverage?
A)Lispro (Humalog)
B)Glargine (Lantus)
C)Detemir (Levemir)
D)NPH (Humulin N)
Q3) The nurse has administered 4 oz of orange juice to an alert patient whose blood glucose was 62 mg/dL. Fifteen minutes later,the blood glucose is 67 mg/dL. Which action should the nurse take next?
A)Give the patient 4 to 6 oz more orange juice.
B)Administer the PRN glucagon (Glucagon) 1 mg IM.
C)Have the patient eat some peanut butter with crackers.
D)Notify the health care provider about the hypoglycemia.
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Page 50
Chapter 49: Endocrine Problems
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) The nurse is planning postoperative care for a patient who is being admitted to the surgical unit from the recovery room after transsphenoidal resection of a pituitary tumor. Which nursing action should be included?
A)Palpate extremities for edema.
B)Measure urine volume every hour.
C)Check hematocrit every 2 hours for 8 hours.
D)Monitor continuous pulse oximetry for 24 hours.
Q2) Which finding by the nurse when assessing a patient with Hashimoto's thyroiditis and a goiter will require the most immediate action?
A)New-onset changes in the patient's voice
B)Elevation in the patient's T3 and T4 levels
C)Resting apical pulse rate 112 beats/minute
D)Bruit audible bilaterally over the thyroid gland
Q3) Which finding indicates to the nurse that the current therapies are effective for a patient with acute adrenal insufficiency?
A)Increasing serum sodium levels
B)Decreasing blood glucose levels
C)Decreasing serum chloride levels
D)Increasing serum potassium levels
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Page 51
Chapter 50: Assessment of Reproductive System
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19 Flashcards
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Sample Questions
Q1) The nurse explains to a patient being prepared for colposcopy with a cervical biopsy that the procedure
A)involves dilation of the cervix and biopsy of the tissue lining the uterus.
B)will take place in a same-day surgery center so that local anesthesia can be used.
C)requires that the patient have nothing to eat or drink for 6 hours before the procedure.
D)is similar to a speculum examination of the cervix and should result in little discomfort.
Q2) The nurse is providing teaching by telephone to a patient who is scheduled for a pelvic examination and Pap test next week. The nurse instructs the patient that she should
A)not have sexual intercourse the day before the Pap test.
B)shower, but not take a tub bath, before the examination.
C)avoid douching for at least 24 hours before the examination.
D)schedule to have the Pap test just after her menstrual period.
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Chapter 51: Breast Disorders
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Sample Questions
Q1) Which nursing action should be included in the plan of care for a patient returning to the surgical unit after a left modified radical mastectomy with dissection of axillary lymph nodes?
A)Obtain a permanent breast prosthesis before the patient is discharged from the hospital.
B)Teach the patient to use the ordered patient-controlled analgesia (PCA) every 10 minutes.
C)Post a sign at the bedside warning against venipunctures or blood pressures in the left arm.
D)Insist that the patient examine the surgical incision when the initial dressings are removed.
Q2) The nurse notes bilateral enlargement of the breasts during examination of a 62-yr-old male patient. Which action should the nurse take first?
A)Refer the patient for mammography.
B)Question the patient about current medications.
C)Explain that this is temporary due to hormonal changes.
D)Teach the patient how to palpate the breast tissue for lumps.
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Chapter 52: Sexually Transmitted Infections
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/25387
Sample Questions
Q1) After the nurse has taught a patient with a newly diagnosed sexually transmitted infection (STI)about expedited partner therapy,which patient statement indicates that the teaching has been effective?
A)"I will tell my partner that it is important to be examined at the clinic."
B)"I will have my partner take the antibiotics if any STI symptoms occur."
C)"I will make sure that my partner takes all of the prescribed medication."
D)"I will have my partner use a condom until I have finished the antibiotics."
Q2) A 39-yr-old patient with a history of IV drug use is seen at a community clinic. The patient reports difficulty walking,stating,"I don't know where my feet are." Diagnostic screening reveals positive Venereal Disease Research Laboratory (VDRL)and fluorescent treponemal antibody absorption (FTA-Abs)test results. Based on the patient history,what will the nurse assess ?
A)Heart sounds
B)Genitalia for lesions
C)Joints for swelling and inflammation
D)Mental state for judgment and orientation
E)Skin and mucous membranes for gummas
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Page 54
Chapter 53: Female Reproductive and Genital Problems
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/25388
Sample Questions
Q1) Which patient in the women's health clinic will the nurse expect to teach about an endometrial biopsy?
A)A 55-yr-old patient who has 3 to 4 alcoholic drinks each day
B)A 35-yr-old patient who has used oral contraceptives for 15 years
C)A 25-yr-old patient who has a family history of hereditary nonpolyposis colorectal cancer
D)A 45-yr-old patient who has had six previous full-term pregnancies and two spontaneous abortions
Q2) The nurse in the women's health clinic has four patients who are waiting to be seen. Which patient should the nurse see first?
A)A 22-yr-old patient with persistent red-brown vaginal drainage 3 days after having balloon thermotherapy
B)A 42-yr-old patient with secondary amenorrhea who says that her last menstrual cycle was 3 months ago
C)A 35-yr-old patient with heavy spotting after having a progestin-containing IUD (Mirena) inserted a month ago
D)A 19-yr-old patient with menorrhagia who has been using superabsorbent tampons and has fever with weakness
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Chapter 54: Male Reproductive and Genital Problems
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/25389
Sample Questions
Q1) Which action by the unlicensed assistive personnel (UAP)who are assisting with the care of male patients with reproductive problems indicates that the nurse should provide more teaching?
A)The UAP apply a cold pack to the scrotum for a patient with mumps orchitis.
B)The UAP help a patient who has had a prostatectomy to put on antiembolism hose.
C)The UAP leave the foreskin pulled back after cleaning the glans of a patient who has a retention catheter.
D)The UAP encourage a high oral fluid intake for patient who had transurethral resection of the prostate yesterday.
Q2) The nurse taking a focused health history for a patient with possible testicular cancer will ask the patient about a history of
A)testicular torsion.
B)testicular trauma.
C)undescended testicles.
D)sexually transmitted infection (STI).
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Chapter 55: Assessment of Nervous System
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/25390
Sample Questions
Q1) Which equipment will the nurse obtain to assess vibration sense in a patient with diabetes who has peripheral nerve dysfunction?
A)Sharp pin
B)Tuning fork
C)Reflex hammer
D)Calibrated compass
Q2) To assess the functions of the trigeminal and facial nerves (CNs V and VII),the nurse should
A)check for unilateral eyelid droop.
B)shine a light into the patient's pupil.
C)touch a cotton wisp strand to the cornea.
D)have the patient read a magazine or book.
Q3) Which action will the nurse include in the plan of care for a patient with impaired functioning of the left glossopharyngeal nerve (CN IX)and vagus nerve (CN X)?
A)Assist to stand and ambulate.
B)Withhold oral fluids and food.
C)Insert an oropharyngeal airway.
D)Apply artificial tears every hour.
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Chapter 56: Acute Intracranial Problems
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/25391
Sample Questions
Q1) The nurse admitting a patient who has a right frontal lobe tumor would expect the patient may have
A)expressive aphasia.
B)impaired judgment.
C)right-sided weakness.
D)difficulty swallowing.
Q2) Which action will the public health nurse take to reduce the incidence of epidemic encephalitis in a community?
A)Teach about prophylactic antibiotics after exposure to encephalitis.
B)Encourage the use of effective insect repellent during mosquito season.
C)Remind patients that most cases of viral encephalitis can be cared for at home.
D)Arrange to screen school-age children for West Nile virus during the school year.
Q3) An unconscious patient with a traumatic head injury has a blood pressure of 130/76 mm Hg and an intracranial pressure (ICP)of 20 mm Hg. The nurse will calculate the cerebral perfusion pressure (CPP)as ____ mm Hg.
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58
Chapter 57: Stroke
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/25392
Sample Questions
Q1) Several weeks after a stroke,a 50-yr-old male patient has impaired awareness of bladder fullness,resulting in urinary incontinence. Which nursing intervention should be planned to begin an effective bladder training program?
A)Limit fluid intake to 1200 mL daily to reduce urine volume.
B)Assist the patient onto the bedside commode every 2 hours.
C)Perform intermittent catheterization after each voiding to check for residual urine.
D)Use an external "condom" catheter to protect the skin and prevent embarrassment.
Q2) For a patient who had a right hemisphere stroke,the nurse anticipates planning interventions to manage
A)impaired physical mobility related to right-sided hemiplegia.
B)risk for injury related to denial of deficits and impulsiveness.
C)impaired verbal communication related to speech-language deficits.
D)ineffective coping related to depression and distress about disability.
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Chapter 58: Chronic Neurologic Problems
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/25393
Sample Questions
Q1) A patient who has been treated for status epilepticus in the emergency department will be transferred to the medical nursing unit. Which equipment should the nurse have available in the patient's assigned room ?
A)Side-rail pads
B)Tongue blade
C)Oxygen mask
D)Suction tubing
E)Urinary catheter
F)Nasogastric tube
Q2) A 62-yr-old patient who has Parkinson's disease is taking bromocriptine (Parlodel). Which information obtained by the nurse may indicate a need for a decrease in the dosage?
A)The patient has a chronic dry cough.
B)The patient has four loose stools in a day.
C)The patient develops a deep vein thrombosis.
D)The patient's blood pressure is 92/52 mm Hg.
Q3) A patient who is having an acute exacerbation of multiple sclerosis has a prescription for methylprednisolone (Solu-Medrol)150 mg IV. The label on the vial reads: methylprednisolone 125 mg in 2 mL. How many mL will the nurse administer?
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Page 60
Chapter 59: Dementia and Delirium
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/25394
Sample Questions
Q1) A 72-yr-old patient is brought to the clinic by the patient's spouse,who reports that the patient is unable to solve common problems around the house. To obtain information about the patient's current mental status,which question should the nurse ask the patient?
A)"Are you sad right now?"
B)"How is your self-image?"
C)"What did you eat for lunch?"
D)"Where were you were born?"
Q2) Which actions could the nurse delegate to a licensed practical/vocational nurse (LPN/LVN)who is part of the team caring for a patient with Alzheimer's disease ?
A)Develop a plan to minimize difficult behavior.
B)Administer the prescribed memantine (Namenda).
C)Remove potential safety hazards from the patient's environment.
D)Refer the patient and caregivers to appropriate community resources.
E)Help the patient and caregivers choose memory enhancement methods.
F)Evaluate the effectiveness of the prescribed enteral feedings on patient nutrition.
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Chapter 60: Spinal Cord and Peripheral Nerve Problems
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33 Flashcards
Source URL: https://quizplus.com/quiz/25395
Sample Questions
Q1) A patient has an incomplete left spinal cord lesion at the level of T7,resulting in Brown-Séquard syndrome. Which nursing action should be included in the plan of care?
A)Assessment of the patient for right arm weakness
B)Assessment of the patient for increased right leg pain
C)Positioning the patient's left leg when turning the patient
D)Teaching the patient to look at the right leg to verify its position
Q2) Which assessment data for a patient who has Guillain-Barré syndrome will require the nurse's most immediate action?
A)The patient's sacral area skin is reddened.
B)The patient is continuously drooling saliva.
C)The patient complains of severe pain in the feet.
D)The patient's blood pressure (BP) is 150/82 mm Hg.
Q3) A patient hospitalized with a new diagnosis of Guillain-Barré syndrome has numbness and weakness of both feet. The nurse will anticipate teaching the patient about
A)infusion of immunoglobulin
B)intubation and mechanical ventilation.
C)administration of corticosteroid drugs.
D)insertion of a nasogastric (NG) feeding tube.
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Page 62
Chapter 61: Assessment of Musculoskeletal System
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/25396
Sample Questions
Q1) A patient has a new order for magnetic resonance imaging (MRI)to evaluate possible left femur osteomyelitis after hip arthroplasty surgery. Which information indicates the nurse should consult with the health care provider before scheduling the MRI?
A)The patient has a pacemaker.
B)The patient is claustrophobic.
C)The patient wears a hearing aid.
D)The patient is allergic to shellfish.
Q2) The nurse finds that a patient can flex the arms when no resistance is applied but is unable to flex when the nurse applies light resistance. The nurse should document the patient's muscle strength as level
A)0.
B)1.
C)2.
D)3.
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63
Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery
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47 Flashcards
Source URL: https://quizplus.com/quiz/25397
Sample Questions
Q1) A patient undergoes left above-the-knee amputation with an immediate prosthetic fitting. When the patient arrives on the orthopedic unit after surgery,the nurse should
A)assess the surgical site for hemorrhage.
B)remove the prosthesis and wrap the site.
C)place the patient in a side-lying position.
D)keep the residual limb elevated on a pillow.
Q2) A pedestrian who was hit by a car is admitted to the emergency department with possible right lower leg fractures. The initial action by the nurse should be to
A)elevate the right leg.
B)splint the lower leg.
C)assess the pedal pulses.
D)verify tetanus immunization.
Q3) Which nursing intervention will be included in the plan of care after a patient with a right femur fracture has a hip spica cast applied?
A)Avoid placing the patient in prone position.
B)Ask the patient about abdominal discomfort.
C)Discuss remaining on bed rest for several weeks.
D)Use the cast support bar to reposition the patient.
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Chapter 63: Musculoskeletal Problems
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/25398
Sample Questions
Q1) In which order will the nurse implement these interprofessional interventions prescribed for a patient admitted with acute osteomyelitis with a temperature of 101.2° F?
(Put a comma and a space between each answer choice [A,B,C,D].)
A)Obtain blood cultures from two sites.
B)Administer dose of gentamicin 60 mg IV.
C)Send to radiology for computed tomography (CT) scan of right leg.
D)Administer acetaminophen (Tylenol) now and every 4 hours PRN for fever.
Q2) A patient whose employment requires frequent lifting has a history of chronic back pain. After the nurse has taught the patient about correct body mechanics,which patient statement indicates the teaching has been effective?
A)"I will keep my back straight when I lift above than my waist."
B)"I will begin doing exercises to strengthen and support my back."
C)"I will tell my boss I need a job where I can stay seated at a desk."
D)"I can sleep with my hips and knees extended to prevent back strain."
Q3) A patient with osteomyelitis is to receive vancomycin (Vancocin)500 mg IV every 6 hours. The vancomycin is diluted in 100 mL of normal saline and needs to be administered over 1 hour. The nurse will set the IV pump for how many milliliters per minute? (Round to the nearest hundredth.)
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Chapter 64: Arthritis and Connective Tissue Diseases
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47 Flashcards
Source URL: https://quizplus.com/quiz/25399
Sample Questions
Q1) The nurse notices a circular lesion with a red border and clear center on the arm of a summer camp counselor who is in the clinic complaining of chills and muscle aches. Which action should the nurse take to follow up on that finding?
A)Palpate the abdomen.
B)Auscultate the heart sounds.
C)Ask the patient about recent outdoor activities.
D)Question the patient about immunization history.
Q2) A patient being seen in the clinic has rheumatoid nodules on the elbows. Which action will the nurse take?
A)Draw blood for rheumatoid factor analysis.
B)Teach the patient about injections for the nodules.
C)Assess the nodules for skin breakdown or infection.
D)Discuss the need for surgical removal of the nodules.
Q3) The nurse suggests that a patient recently diagnosed with rheumatoid arthritis (RA)plan to start each day with
A)a brief routine of isometric exercises.
B)a warm bath followed by a short rest.
C)active range-of-motion (ROM) exercises.
D)stretching exercises to relieve joint stiffness.
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Page 66
Chapter 65: Critical Care
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/25400
Sample Questions
Q1) The nurse is caring for a patient who has an arterial catheter in the left radial artery for arterial pressure-based cardiac output (APCO)monitoring. Which information obtained by the nurse requires a report to the health care provider?
A)The patient has a positive Allen test result.
B)There is redness at the catheter insertion site.
C)The mean arterial pressure (MAP) is 86 mm Hg.
D)The dicrotic notch is visible in the arterial waveform.
Q2) When assisting with oral intubation of a patient who is having respiratory distress,in which order will the nurse take these actions? (Put a comma and a space between each answer choice [A,B,C,D,E].)
A)Obtain a portable chest-x-ray.
B)Position the patient in the supine position.
C)Inflate the cuff of the endotracheal tube after insertion.
D)Attach an end-tidal CO? detector to the endotracheal tube.
E)Oxygenate the patient with a bag-valve-mask device for several minutes.
Q3) A patient's vital signs are pulse 90,respirations 24,and BP 128/64 mm Hg,and cardiac output is 4.7 L/min. The patient's stroke volume is _____ mL. (Round to the nearest whole number.)
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Chapter 66: Shock, sepsis, and Multiple Organ Dysfunction Syndrome
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/25401
Sample Questions
Q1) A patient who has been involved in a motor vehicle crash arrives in the emergency department (ED)with cool,clammy skin; tachycardia; and hypotension. Which intervention ordered by the health care provider should the nurse implement first?
A)Insert two large-bore IV catheters.
B)Provide O2 at 100% per non-rebreather mask.
C)Draw blood to type and crossmatch for transfusions.
D)Initiate continuous electrocardiogram (ECG) monitoring.
Q2) During change-of-shift report,the nurse is told that a patient has been admitted with dehydration and hypotension after having vomiting and diarrhea for 4 days. Which finding is most important for the nurse to report to the health care provider?
A)New onset of confusion
B)Decreased bowel sounds
C)Heart rate 112 beats/min
D)Pale, cool, and dry extremities
Q3) A 198-lb patient is to receive a dobutamine infusion at 5 mcg/kg/min. The label on the infusion bag states: dobutamine 250 mg in 250 mL of normal saline. When setting the infusion pump,the nurse will set the infusion rate at how many milliliters per hour?
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Page 68
Chapter 67: Acute Respiratory Failure and Acute
Respiratory Distress Syndrome
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/25402
Sample Questions
Q1) A nurse is caring for a patient who is orally intubated and receiving mechanical ventilation. To decrease the risk for ventilator-associated pneumonia,which action will the nurse include in the plan of care?
A)Elevate head of bed to 30 to 45 degrees.
B)Give enteral feedings at no more than 10 mL/hr.
C)Suction the endotracheal tube every 2 to 4 hours.
D)Limit the use of positive end-expiratory pressure.
Q2) While caring for a patient who has been admitted with a pulmonary embolism,the nurse notes a change in the patient's oxygen saturation (SpO?)from 94% to 88%. Which action should the nurse take?
A)Suction the patient's oropharynx.
B)Increase the prescribed O<sub>2</sub> flow rate.
C)Instruct the patient to cough and deep breathe.
D)Help the patient to sit in a more upright position.
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69
Chapter 68: Emergency and Disaster Nursing
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/25403
Sample Questions
Q1) A patient who has experienced blunt abdominal trauma during a motor vehicle collision is complaining of increasing abdominal pain. The nurse will plan to teach the patient about the purpose of A)peritoneal lavage.
B)abdominal ultrasonography.
C)nasogastric (NG) tube placement.
D)magnetic resonance imaging (MRI).
Q2) A patient with hypotension and an elevated temperature after working outside on a hot day is treated in the emergency department (ED). The nurse determines that discharge teaching has been effective when the patient makes which statement?
A)"I'll take salt tablets when I work outdoors in the summer."
B)"I should take acetaminophen (Tylenol) if I start to feel too warm."
C)"I need to drink extra fluids when working outside in hot weather."
D)"I'll move to a cool environment if I notice that I'm feeling confused"
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