Advanced Medical-Surgical Nursing Exam Bank
Course Introduction
Advanced Medical-Surgical Nursing is designed to expand the clinical knowledge and decision-making skills of nursing students in caring for adults with complex and multisystem health conditions. The course emphasizes comprehensive assessment, advanced pathophysiology, and evidence-based interventions in acute and chronic diseases affecting various body systems. Students will also explore critical care concepts, advanced pharmacology, and the application of technology in patient management. Through case studies and clinical simulations, learners strengthen their ability to recognize complications, coordinate multidisciplinary care, and utilize communication and leadership skills to promote optimal patient outcomes in diverse healthcare environments.
Recommended Textbook
Evolve Resources for Medical Surgical Nursing 7th Edition by Sharon L. Lewis
Available Study Resources on Quizplus
69 Chapters
1786 Verified Questions
1786 Flashcards
Source URL: https://quizplus.com/study-set/1549 Page 2
Chapter 1: Nursing Practice Today
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/30591
Sample Questions
Q1) A nursing activity that is carried out during the evaluation phase of the nursing process is
A) documenting the nursing care plan in the progress notes.
B) asking whether the patient's health problems have been completely resolved.
C) determining the effectiveness of nursing interventions toward meeting patient outcomes.
D) asking the patient to evaluate whether the nursing care provided was satisfactory.
Answer: C
Q2) The nurse uses the nursing process in the care of patients primarily
A) as a scientific-based process of diagnosing the patient's health care problems.
B) to establish nursing theory that incorporates the biopsychosocial nature of humans.
C) to explain nursing interventions to other health care professionals.
D) as a problem-solving tool to identify and treat patients' health care needs.
Answer: D
To view all questions and flashcards with answers, click on the resource link above. Page 3
Chapter 2: Health Disparities
Available Study Resources on Quizplus for this Chatper
5 Verified Questions
5 Flashcards
Source URL: https://quizplus.com/quiz/30592
Sample Questions
Q1) When interviewing a patient about health history, the nurse obtains information about all these areas. When developing a plan to promote the patient's health, the nurse's primary focus will be the patient's
A) family history of diabetes.
B) refined carbohydrate intake.
C) Hispanic/Latino ethnicity.
D) age and gender.
Answer: B
Q2) When developing strategies to decrease health care disparities, the nurse working in a clinic located in a neighborhood with many Vietnamese individuals will include A) improving public transportation.
B) obtaining low-cost medications.
C) educating staff about Vietnamese health beliefs.
D) updating equipment and supplies for the clinic.
Answer: C
To view all questions and flashcards with answers, click on the resource link above. Page 4
Chapter 3: Culturally Competent Care
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/30593
Sample Questions
Q1) An 82-year-old Asian American patient tells the nurse that she has lived in the United States for 50 years. The patient speaks English but lives in a predominantly Asian neighborhood. The nurse will need to
A) include a folk healer when planning the patient's care.
B) ask the patient about any special cultural beliefs or practices.
C) involve the patient's oldest son in making health care decisions.
D) avoid making direct eye contact with the patient during care.
Answer: B
Q2) When performing a cultural assessment with a patient of a different culture, the nurse's first action should be to
A) tell the patient what the nurse already knows about the patient's culture.
B) wait until a cultural healer is available to help with the assessment.
C) obtain a list of any cultural remedies that the patient currently uses.
D) ask the patient about any affiliation with a particular cultural group.
Answer: D
To view all questions and flashcards with answers, click on the resource link above.
Chapter 4: Health History and Physical Examination
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/30594
Sample Questions
Q1) In performing a physical examination, it is most important for the nurse to use
A) the head-to-toe approach.
B) a consistent, systematic approach.
C) the body-systems model.
D) a model based on a nursing theory.
Q2) A patient is admitted to the orthopedic unit with a fractured right elbow following a skiing accident. During the initial nursing assessment, the subjective information the nurse obtains from the patient about how the injury occurred and what treatments have been implemented is related to the functional health pattern of
A) activity-exercise.
B) cognitive-perceptual
C) health perception-health maintenance.
D) self-perception-self-concept.
Q3) The nurse is preparing to perform a screening physical examination for a patient. The assessment technique that will require a stethoscope is
A) inspection.
B) percussion.
C) auscultation.
D) palpation.
To view all questions and flashcards with answers, click on the resource link above.
Page 6
Chapter 5: Patient and Family Teaching
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/30595
Sample Questions
Q1) A newly diagnosed diabetic patient who will need instruction about diet, exercise, and insulin use tells the nurse, "I think that the most important thing I need to control my blood sugar is how to give my own insulin." During implementation of the teaching plan, the nurse will initially focus on
A) demonstrating how to draw up and administer the prescribed insulin.
B) teaching the patient that changes in diet can help decrease insulin use.
C) describing how exercise can be used to decrease the need for insulin.
D) giving the patient written material with information about how insulin works.
Q2) A patient admitted to the hospital with hyperglycemia and diagnosed with diabetes mellitus is scheduled for discharge the second day after admission. In view of the patient's limited hospitalization, the nurse should plan to
A) include detailed information about diet and medication use in patient teaching.
B) use every interaction to teach the patient about the details of glucose control.
C) focus on teaching the family instead of the patient about diabetic management.
D) teach the patient about how to monitor glucose and self-administer insulin.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 6: Older Adults
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/30596
Sample Questions
Q1) To obtain the most complete information when doing an assessment for an 81-year-old patient, the nurse will
A) review the patient's chart for the history of medical problems.
B) interview both the patient and the primary patient caregiver.
C) use a geriatric assessment instrument to evaluate the patient.
D) ask the patient to write down medical problems and medications.
Q2) When admitting a 79-year-old patient who has urinary urgency and a possible urinary tract infection (UTI), the nurse should first
A) assess the patient's orientation.
B) inspect for abdominal distension.
C) question the patient about hematuria.
D) invite the patient to use the bathroom.
Q3) A 42-year-old who is providing home care for a parent tells the nurse, "I don't feel comfortable giving Mom her medications yet, but I think I will be able to do it with a little more practice." Which nursing diagnosis is most appropriate?
A) Caregiver role strain related to inability to safely give medications
B) Anxiety related to lack of confidence
C) Risk for situational low self-esteem
D) Readiness for enhanced therapeutic regimen management
To view all questions and flashcards with answers, click on the resource link above.
Page 8
Chapter 7: Community-Based Nursing and Home Care
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/30597
Sample Questions
Q1) A patient who belongs to an HMO is assigned a nurse as a case manager after being in an automobile accident. The actions of the nurse in this role are to
A) care for the patient during hospitalization for the injuries.
B) assist the patient with home care activities during recovery.
C) coordinate the services that the patient receives in the hospital and at home.
D) determine the types of medical care the patient needs for optimal rehabilitation.
Q2) When practicing as a home health care nurse, the RN (Select all that apply.)
A) plans for the health needs of community groups.
B) provides direct care for an individual patient.
C) participates in group screening for common health problems such as hypertension.
D) teaches patients' family members how to provide care such as giving medications.
E) administers chemotherapy and antibiotics through long-term intravenous catheters.
F) instructs groups about special health care needs such as contraception or baby care.
To view all questions and flashcards with answers, click on the resource link above.
9
Chapter 8: Complementary and Alternative Therapies
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/30598
Sample Questions
Q1) The nurse observes a patient who uses acupressure applying pressure to the right hand between the thumb and first finger. Which comment by the nurse is most appropriate?
A) "Do you think that the pressure will be helpful?"
B) "Does the pressure help you feel more relaxed?"
C) "Do you have a headache?"
D) "Should I call the doctor?"
Q2) To evaluate the effect of aromatherapy on a patient after surgery, the nurse will
A) check the patient's incision for signs of infection.
B) monitor the patient's intake and output.
C) assess the patient's blood pressure and pulse.
D) listen to the patient's breath sounds.
Q3) A patient with fibromyalgia has chronic pain and stiffness. The nurse suggests that a therapy that might be appropriate for this patient is A) acupuncture.
B) aromatherapy.
C) magnetic therapy.
D) Therapeutic Touch.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 9: Stress and Stress Management
Available Study Resources on Quizplus for this Chatper
9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/30599
Sample Questions
Q1) The nurse is teaching a hospitalized patient to use imagery as a technique for stress management. Which statement by the nurse is appropriate?
A) "Bring what you hear and sense in your present environment into your image of the scene."
B) "If your scene is stressful to you, continue visualizing until you can overcome the distress."
C) "Pay attention to what you hear, smell, and feel at this place."
D) "Place your stress in the image of a form you can destroy."
Q2) An overweight patient who enjoys active outdoor activities develops arthritis in the knees. To help the patient cope with the diagnosis, the most helpful intervention by the nurse is to
A) ask the patient to discuss feelings about the diagnosis.
B) encourage the patient to think about how weight loss might improve symptoms.
C) teach the patient how to use imagery to decrease pain and decrease stress.
D) have the patient practice frequent relaxation breathing.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 10: Pain
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/30600
Sample Questions
Q1) A patient with a history of chronic cancer pain is admitted to the hospital. When reviewing the patient's home medications, which of these will be of most concern to the admitting nurse?
A) Oxycodone (OxyContin) 80 mg twice daily
B) Ibuprofen (Advil) 800 mg three times daily
C) Amitriptyline (Elavil) 50 mg at bedtime
D) Meperidine (Demerol) 25 mg every 4 hours
Q2) The hospice RN obtains the following information about a 72-year-old terminally ill patient with cancer of the colon. The patient takes oxycodone (OxyContin) 100 mg twice daily for level 6 abdomen pain on a 10-point scale. The pain has made it difficult to continue with favorite activities such as playing cards with friends twice a week. The patient's children are supportive of the patient's wish to stop chemotherapy but express sadness that the patient does not have long to live. Based on this information, which nursing diagnosis has priority in planning the patient's care?
A) Impaired social interaction related to disabling pain
B) Anxiety related to poor patient coping skills
C) Disabled family coping related to patient-family conflict
D) Risk for aspiration related to opioid use
To view all questions and flashcards with answers, click on the resource link above. Page 12
Chapter 11: End Of Life and Palliative Care
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/30601
Sample Questions
Q1) The nurse is caring for a patient who has 20-second periods of apnea followed by periods of deep and rapid breathing. The nurse documents this finding as
A) death-rattle respirations.
B) agonal breathing.
C) apneustic breathing.
D) Cheyne-Stokes respiration.
Q2) As the nurse admits a patient with AIDS who has cryptococcal meningitis, the patient tells the nurse, "If my heart or breathing stop, I do not want to be resuscitated." The nurse should
A) document the request in the patient's record and place a DNR notation in the care plan.
B) ask the patient if these wishes have been discussed with the admitting health care provider.
C) inform the patient that a notarized advance directive must be included in the record or resuscitation must be performed.
D) advise the patient to designate a person to make health care decisions when the patient is not able to make them independently.
To view all questions and flashcards with answers, click on the resource link above.
Page 13
Chapter 12: Addictive Behaviors
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/30602
Sample Questions
Q1) A patient with a history of heavy alcohol use is seen at the clinic with acute gastritis. Which statement by the patient indicates that the patient is in the contemplation stage of change?
A) "Alcohol has never bothered my stomach. I think it's likely that I have the flu."
B) "I am older and wiser now, and I know I can change my drinking behavior."
C) "I think my drinking is affecting my stomach, but maybe some drugs will help."
D) "People say that I drink too much, but I really feel pretty good most of the time."
Q2) A 20-year-old patient who has inhaled cocaine is admitted to the emergency department with palpitations and shortness of breath. All the following orders are received. Which one will the nurse accomplish first?
A) Obtain 12-lead ECG.
B) Start O<sub>2</sub> at 4 L/min.
C) Draw blood for drug screening.
D) Infuse normal saline at 100 ml/hr.
To view all questions and flashcards with answers, click on the resource link above. Page 14
Chapter 13: Inflammation and Wound Healing
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/30603
Sample Questions
Q1) The nurse is admitting a diabetic patient who is scheduled for a laparotomy and possible release of adhesions. When planning interventions to promote wound healing, the nurse will be most concerned about
A) maintaining the patient's blood glucose in a normal range.
B) ensuring that the patient obtains an adequate amount of dietary carbohydrates.
C) administration of antipyretics to keep the temperature less than 103° F.
D) applying a dry, sterile dressing to the surgical incision daily.
Q2) A patient with an open abdominal wound has a complete blood cell (CBC) count and white blood cell (WBC) differential, which indicates a shift to the left. The nurse will anticipate that the next collaborative intervention will be to A) redress the wound with wet-to-dry dressings.
B) obtain wound cultures.
C) start antibiotic therapy.
D) continue to monitor the wound for purulent drainage.
To view all questions and flashcards with answers, click on the resource link above.
15
Chapter 14: Genetics, Altered Immune Responses, and Transplantation
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/30604
Sample Questions
Q1) A man with mild hemophilia, a sex-linked recessive disorder, asks the nurse, "Will my children be hemophiliacs?" Which response by the nurse is appropriate?
A) "Only your male children are at risk for hemophilia."
B) "Your female children will be carriers for hemophilia."
C) "All of your children will be at risk for hemophilia."
D) "Hemophilia is a multifactorial inherited condition."
Q2) A patient diagnosed with systemic lupus erythematosus (SLE) is scheduled for plasmapheresis. The nurse plans to teach the patient that plasmapheresis will
A) decrease the damage to organs caused by attacking T-lymphocytes.
B) remove antibody-antigen complexes from circulation.
C) prevent foreign antibodies from damaging various body tissues.
D) eliminate eosinophils and basophils from blood.
Q3) To prevent anaphylaxis after a patient has received allergen testing using the cutaneous scratch method, the nurse should initially monitor the patient's
A) blood pressure and pulse.
B) pupil size and reaction to light.
C) arm at the site of the skin testing.
D) bilateral lung sounds.
To view all questions and flashcards with answers, click on the resource link above. Page 16
Chapter 15: Infection and Human Immunodeficiency Virus
Infection
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/30605
Sample Questions
Q1) The occupational health nurse will teach the nursing staff that the highest risk of acquiring HIV from an HIV-infected patient is
A) a needlestick with a suture needle during a surgical procedure.
B) contamination of open skin lesions with vaginal secretions.
C) a needlestick with a needle and syringe used to draw blood.
D) splashing the eyes when emptying a bedpan containing stool.
Q2) A pregnant woman with a history of asymptomatic HIV infection is seen at the clinic.
Which information will the nurse include when teaching the patient?
A) Although infants of HIV-infected mothers always test positive for HIV antibodies, most infants are not infected with the virus.
B) Because she has not developed AIDS, the infant will not contract HIV during intrauterine life.
C) The infant will be started on zidovudine (AZT) after delivery to prevent HIV infection.
D) It is likely that her newborn will develop HIV infection unless she takes antiretroviral drugs during the pregnancy.
To view all questions and flashcards with answers, click on the resource link above.
Page 17
Chapter 16: Cancer
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/30606
Sample Questions
Q1) When the nurse is administering a vesicant chemotherapeutic agent intravenously, an important consideration is to
A) stop the infusion if swelling is observed at the site.
B) infuse the medication over a short period.
C) administer the chemotherapy through small-bore catheter.
D) hold the medication unless a central venous line is available.
Q2) After the nurse has explained the purpose of and schedule for chemotherapy to a 23-year-old patient who recently received a diagnosis of acute leukemia, the patient asks the nurse to repeat the information. Based on this assessment, which nursing diagnosis is most likely for the patient?
A) Acute confusion related to infiltration of leukemia cells into the central nervous system
B) Knowledge deficit: chemotherapy related to a lack of interest in learning about treatment
C) Risk for ineffective health maintenance related to anxiety about new leukemia diagnosis
D) Risk for ineffective adherence to treatment related to denial of need for chemotherapy
To view all questions and flashcards with answers, click on the resource link above. Page 18
Chapter 17: Fluid, Electrolyte, and Acid-Base Imbalances
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/30607
Sample Questions
Q1) The nurse working in the emergency department (ED) admits a patient with renal failure and a serum potassium level of 8.0 mEq/L. All these orders are received from the health care provider. Which order will the nurse implement first?
A) Place the patient on a cardiac monitor.
B) Insert a retention catheter.
C) Administer Kayexalate 15 g orally.
D) Give IV furosemide (Lasix) 40 mg.
Q2) The nurse assesses a pregnant patient with eclampsia who is receiving IV magnesium sulfate and obtains all the following information. Which of these assessment data is most important to report to the health care provider immediately?
A) The patient reports feeling "sick to my stomach."
B) The patellar and triceps reflexes are absent.
C) The patient has been sleeping most of the day.
D) The bibasilar breath sounds are decreased.
To view all questions and flashcards with answers, click on the resource link above.
19
Chapter 18: Nursing Management: Preoperative Care
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/30608
Sample Questions
Q1) As the nurse prepares a patient the morning of surgery, the patient refuses to remove a wedding ring, saying, "I have never taken it off since the day I was married." The nurse should
A) tape the wedding ring securely to the patient's finger.
B) have the patient sign a release and leave the ring on.
C) suggest that the patient give the ring to a family member to keep.
D) tell the patient that the hospital is not liable for loss of the ring.
Q2) When the nurse interviews a 53-year-old patient who is to have abdominal surgery using a general anesthetic, which information is most important to communicate to the surgeon and anesthesiologist before surgery?
A) The patient drank a glass of apple juice 3 hours before coming to the hospital.
B) The patient usually takes a baby aspirin daily and stopped taking aspirin 10 days ago.
C) The patient drinks 1 to 2 cups of coffee every morning before going to work.
D) The patient's father died after receiving general anesthesia for abdominal surgery.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 19: Nursing Management: Intraoperative Care
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/30609
Sample Questions
Q1) The perioperative nurse encourages a family member or a friend to remain with a patient in the preoperative holding area until the patient is taken into the operating room primarily to
A) ensure the proper identification of the patient prior to surgery.
B) help relieve the stress of separation for the patient and significant others.
C) assist the perioperative nurse to obtain a complete patient history.
D) protect the patient from cross-contamination with other patients.
Q2) When maintaining aseptic technique in the operating room, the perioperative nurse who is in the scrubbing role will
A) use waterproof shoe covers to keep the shoes sterile.
B) wear personal protective equipment such as gloves and face shields.
C) ensure that all staff in the OR have performed a surgical scrub.
D) change gloves after touching the upper arm of the surgeon's gown.
Q3) When evaluating the effectiveness of the OR physical environment and flow of traffic and supplies, the most important information for the nurse to obtain is
A) infection rates of patients.
B) average length of time for surgical procedures.
C) amount of OR staff turnover.
D) patient satisfaction with the surgical experience.
To view all questions and flashcards with answers, click on the resource link above.
Page 21
Chapter 20: Nursing Management: Postoperative Care
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/30610
Sample Questions
Q1) The nurse evaluates that the interventions for the nursing diagnosis of ineffective airway clearance in a postoperative patient have been successful when the
A) patient uses the spirometer 10 times every hour.
B) patient's temperature is less than 100.4° F orally.
C) patient drinks 2 to 3 L of fluid in 24 hours.
D) patient's breath sounds are clear to auscultation.
Q2) While caring for a postoperative patient on the second postoperative day, which information about the patient is most important to communicate to the health care provider?
A) The 24-hour intake is 600 ml greater than the output.
B) The right calf is swollen, warm, and painful.
C) The patient's temperature is 100.3° F.
D) The patient complains of 6 on a 10-point pain scale when walking.
Q3) After a new nurse has been oriented to the PACU, the charge nurse will evaluate that the orientation has been successful when the new nurse
A) assists a patient to the prone position when the patient is nauseated.
B) turns a patient to the side when the patient arrives in the PACU.
C) places a patient in the Trendelenburg position when the BP drops.
D) positions a newly admitted patient supine with the head elevated.
To view all questions and flashcards with answers, click on the resource link above.
Page 22
Chapter 21: Nursing Assessment: Visual and Auditory Systems
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/30611
Sample Questions
Q1) When the nurse is taking a health history of a new patient at the ear clinic, the patient states, "I always sleep with the radio on." Which response by the nurse is most appropriate?
A) "Are you ever dizzy when you are lying down?"
B) "Do you grind your teeth at night?"
C) "Have you noticed any ringing in your ears?"
D) "What time do you usually fall asleep?"
Q2) A patient arrives in the emergency department complaining of eye itching and pain caused by sleeping with contact lenses in place. To facilitate further examination of the eye, the nurse will anticipate the need for
A) a refractometer.
B) fluorescein dye.
C) a tonometer.
D) Lidocaine ointment.
Q3) Which action will the nurse take in order to assess the patient's visual field?
A) Check extraocular movements
B) Assess the six cardinal positions of gaze
C) Look for consensual pupillary response
D) Perform the confrontation test
Page 23
To view all questions and flashcards with answers, click on the resource link above.
Chapter 22: Nursing Management: Visual and Auditory
Problems
Available Study Resources on Quizplus for this Chatper
42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/30612
Sample Questions
Q1) When watching a patient self-administer eardrops, the home heath nurse observes all the following actions by the patient. Which patient action indicates a need for more teaching?
A) The patient gets the eardrops out of the refrigerator just before administering the drops.
B) The patient lies down before and for 2 minutes after administering the drops.
C) The patient holds the tip of the dropper 1 cm above the ear while administering the drops.
D) The patient leaves the ear wick in place while administering the drops.
Q2) A patient is seen in the ophthalmology clinic and diagnosed with recurrent staphylococcal and seborrheic blepharitis. The nurse will plan to teach the patient about A) the use of warm compresses to soften the crusts.
B) surgical removal of the lesion.
C) saline irrigation of the eyes.
D) using baby shampoo to clean the lids.
To view all questions and flashcards with answers, click on the resource link above. Page 24
Chapter 23: Nursing Assessment: Integumentary System
Available Study Resources on Quizplus for this Chatper
13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/30613
Sample Questions
Q1) A patient has a circular, flat, reddened lesion about 5 cm in diameter on his ankle. To determine whether the lesion is related to blood vessel dilation, the nurse will
A) palpate the dorsalis pedis and posterior tibial pulses.
B) check the temperature of the skin around the lesion.
C) elevate the patient's leg.
D) press firmly on the lesion.
Q2) When taking the health history for a patient, the nurse discovers that the patient works as a roofer. The nurse will plan to teach the patient about how to self-assess for clinical manifestations of (Select all that apply.)
A) alopecia.
B) intertrigo.
C) wrinkling.
D) melanoma.
E) telangiectasia.
F) actinic keratosis.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 24: Nursing Management: Integumentary
Problems
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/30614
Sample Questions
Q1) The health care provider prescribes topical 5-FU for a patient with actinic keratosis on the nose. Which information will the nurse include in the patient teaching plan?
A) You will need to avoid crowds because of the risk for infection caused by chemotherapy.
B) The nose will develop painful, eroded areas that will take weeks before completely healing.
C) You may develop nausea and anorexia, but good nutrition is important during treatment.
D) 5-FU is needed to shrink the lesion so that less scarring will occur once the lesion is excised.
Q2) A patient is undergoing psoralen plus UVA light (PUVA) therapy for treatment of psoriasis. To minimize complications from this procedure, the nurse plans to A) shield any unaffected areas with lead-lined drapes.
B) cleanse the skin carefully with an antiseptic soap.
C) have the patient use protective eyewear during treatment.
D) apply petroleum jelly to the areas surrounding the lesions.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 25: Nursing Management: Burns
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/30615
Sample Questions
Q1) Ranitidine (Zantac) is prescribed for a patient who had extensive burn injuries 5 days ago. Which information will the nurse collect to evaluate the effectiveness of the medication?
A) Bowel sounds
B) Stool frequency
C) Stools for occult blood
D) Percent of meals eaten
Q2) Which action should the nurse take first when caring for a patient who has just arrived in the emergency department with facial and chest burns caused by a house fire?
A) Ringer's solution
B) Lung sounds
C) Size and depth
D) Ordered opioid
Q3) The nurse determines that fluid replacement for a patient with major burns is adequate, based on the finding of
A) daily weight unchanged from admission.
B) BP of 90/58.
C) urinary output of 40 ml/hr.
D) total fluid intake equal to urinary output.
To view all questions and flashcards with answers, click on the resource link above. Page 27
Chapter 26: Nursing Assessment: Respiratory System
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/30616
Sample Questions
Q1) A patient who is restricted to bed rest asks the nurse the purpose of the deep breathing exercises. Which reply by the nurse is correct?
A) Deep breathing enhances ciliary activity and promotes bronchial clearance.
B) Deep breathing stretches the alveoli and stimulates the production of surfactant.
C) Deep breathing increases the diaphragmatic strength improving respiratory effort.
D) Deep breathing stimulates the Hering-Breuer reflex to increase respiratory rate.
Q2) A patient with COPD has a "barrel chest." The nurse would expect the chest x-ray report to indicate that there is
A) overinflation of the alveoli.
B) consolidation of lung tissue.
C) fluid in the alveoli.
D) air in the pleural space.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 27: Nursing Management: Upper Respiratory
Problems
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/30617
Sample Questions
Q1) A patient returns from surgery with a tracheostomy tube after a total laryngectomy and radical neck dissection. In caring for the patient during the first 24 hours after surgery, the priority nursing action is to
A) avoid changing the tracheostomy ties.
B) clean the inner cannula every 8 hours.
C) monitor for bleeding around the stoma.
D) assess the airway and breath sounds.
Q2) A patient who has sleep apnea and has been using CPAP for 2 weeks returns to the sleep clinic and tells the nurse, "My sleep has not improved at all." Which response by the nurse is most appropriate?
A) "CPAP takes more than a few weeks to achieve the maximum effect."
B) "Have you been using the CPAP every night?"
C) "Do you want to talk to the doctor about surgery?"
D) "Perhaps the CPAP pressure should be increased to a higher level."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 28: Nursing Management: Lower Respiratory Problems
Available Study Resources on Quizplus for this Chatper
47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/30618
Sample Questions
Q1) A patient with newly diagnosed lung cancer tells the nurse, "I think I am going to die pretty soon, maybe this week." The best response by the nurse is
A) "Are you afraid that the treatment for your cancer will not be effective?"
B) "Can you tell me what it is that makes you think you will die so soon?"
C) "Would you like to talk to the hospital chaplain about your feelings?"
D) "Do you think that taking an antidepressant medication would be helpful?"
Q2) A lobectomy is scheduled for a patient with stage I non-small cell lung cancer. The patient tells the nurse, "I would rather have radiation than surgery." Which response by the nurse is most appropriate?
A) "Are you afraid that the surgery will be very painful?"
B) "Tell me what you know about the various treatments available."
C) "Surgery is the treatment of choice for stage I lung cancer."
D) "Did you have bad experiences with previous surgeries?"
Q3) The nurse will anticipate discharge today for which of these patients with community-acquired-pneumonia?
A) 24-year-old patient who has had temperatures ranging from 100.6° to 101° F
B) 35-year-old patient who has had 600 ml of oral fluids in the last 24 hours
C) 50-year-old patient who has an oxygen saturation of 91% on room air
D) 72-year-old patient with a pulse of 102 and a blood pressure (BP) of 90/56
Page 30
To view all questions and flashcards with answers, click on the resource link above.
Chapter 29: Nursing Management: Obstructive Pulmonary Diseases
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/30619
Sample Questions
Q1) After teaching the patient with asthma about home care, the nurse will evaluate that the teaching has been successful if the patient states,
A) "I will use my corticosteroid inhaler as soon as I start to get short of breath."
B) "I will only turn the home oxygen level up after checking with the doctor first."
C) "My medications are working if I wake up short of breath only once during the night."
D) "No changes in my medications are needed if my peak flow is at 80% of normal."
Q2) During assessment of a patient with a history of asthma, the nurse notes wheezing and dyspnea. The nurse will anticipate giving medications to reduce A) laryngospasm.
B) pulmonary edema.
C) airway narrowing.
D) alveolar distention.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 30: Nursing Assessment: Hematologic System
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/30620
Sample Questions
Q1) Following a motor-vehicle accident, a patient is scheduled for an ultrasound of the spleen. Which patient education will be included in the teaching plan?
A) "You will need to avoid eating or drinking anything for 6 hours before the exam."
B) "An intravenous line will be started to administer fluids and medications during the exam."
C) "A lubricated probe will be moved across your abdomen to check for any spleen injuries."
D) "Iodine-based solution will be injected to help visualize the borders of your spleen."
Q2) A confused patient with pancytopenia of unknown origin is scheduled for the following diagnostic tests. The nurse should contact the patient's family member to sign a consent form before the
A) complete blood count (CBC).
B) abdominal ultrasound.
C) ABO blood typing.
D) bone marrow biopsy.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 31: Nursing Management: Hematologic Problems
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/30621
Sample Questions
Q1) After teaching the patient about taking oral iron preparations for a moderate iron-deficiency anemia, the nurse determines that additional instruction is needed when the patient says,
A) "I will call the doctor if my stools start to turn black."
B) "I will take a stool softener if I feel constipated occasionally."
C) "I will increase my fluid and fiber intake while I am taking the iron tablets."
D) "I should take the iron with orange juice about an hour before eating."
Q2) During care of the patient with multiple myeloma, an important nursing intervention is
A) limiting weight-bearing and ambulation.
B) maintaining a fluid intake of 3 to 4 L/day.
C) assessing lymph nodes for enlargement.
D) administration of calcium supplements.
Q3) During treatment of the patient with an acute exacerbation of polycythemia vera, a critical action by the nurse is to
A) check oxygen saturation q4hr.
B) monitor fluid intake and output.
C) place the patient on bed rest.
D) administer iron supplements.
To view all questions and flashcards with answers, click on the resource link above.
Page 33
Chapter 32: Nursing Assessment: Cardiovascular System
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/30622
Sample Questions
Q1) When assessing a 76-year-old woman, the nurse finds the following results: BP 146/102, resting HR 104, slightly irregular S<sub>4</sub> heart sound, and a grade I/VI aortic systolic murmur. The nurse recognizes that common effects of aging may be responsible for the (Select all that apply.)
A) HR.
B) irregular pulse.
C) S<sub>4</sub> heart sound.
D) systolic BP.
E) diastolic BP.
F) grade I/VI aortic systolic murmur.
Q2) A transesophageal echocardiogram (TEE) is ordered for a patient with possible endocarditis. Which of these actions included in the standard TEE orders will the nurse need to accomplish first?
A) Make the patient NPO.
B) Start a large-gauge IV line.
C) Administer O<sub>2</sub> per mask.
D) Give lorazepam (Ativan) 1 mg IV.
To view all questions and flashcards with answers, click on the resource link above.
Page 34
Chapter 33: Nursing Management: Hypertension
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/30623
Sample Questions
Q1) A patient with hypertension asks the nurse why lifestyle changes are needed when the patient has no symptoms from the high BP. The response by the nurse that is most likely to improve patient compliance with therapy is that hypertension
A) damages the blood vessels leading to risk for heart attack, stroke, and kidney failure.
B) increases blood flow to the kidneys leading to increased workload for the renal system.
C) may not cause any problems for some people but does cause symptoms in many others.
D) is probably causing symptoms but the patient does not recognize that they are occurring.
Q2) During change-of-shift report, the nurse obtains all of this information about a hypertensive patient who received the first dose of nadolol (Corgard) during the previous shift. The information that will be of most concern to the nurse is that
A) the patient's heart rate has dropped from 64 to 58 beats/min.
B) the patient has developed wheezes throughout the lung fields.
C) the patient complains that the fingers and toes feel quite cold.
D) the patient's most recent BP is 156/94 mm Hg.
To view all questions and flashcards with answers, click on the resource link above.
Page 35
Chapter 34: Nursing Management: Coronary Artery Disease and
Acute Coronary Syndrome
Available Study Resources on Quizplus for this Chatper
37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/30624
Sample Questions
Q1) Three days after an MI, the patient develops chest pain that radiates to the back and left arm and is relieved by sitting in a forward position. On auscultation of the patient's chest, the nurse would expect to hear a
A) splitting of the S<sub>1</sub> heart sound.
B) S<sub>3</sub> or S<sub>4</sub> gallop rhythm.
C) pericardial friction rub.
D) holosystolic apical murmur.
Q2) When evaluating the outcomes of preoperative teaching with a patient scheduled for a coronary artery bypass graft (CABG) using the internal mammary artery, the nurse determines that additional teaching is needed when the patient says,
A) "I will need to take an aspirin a day after the surgery to keep the graft open."
B) "I will have incisions in my leg where they will remove the vein."
C) "They will stop my heart and circulate my blood with a machine during the surgery."
D) "They will use an artery near my heart to bypass the area that is obstructed."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 35: Nursing Management: Heart Failure
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/30625
Sample Questions
Q1) A patient with a history of chronic heart failure is admitted to the emergency department with severe dyspnea and a dry, hacking cough. The patient has pitting edema in both ankles, blood pressure (BP) of 170/100, an apical pulse rate of 92, and respirations 28. The most important assessment for the nurse to accomplish next is to A) auscultate the lung sounds.
B) assess the orientation.
C) check the capillary refill.
D) palpate the abdomen.
Q2) An outpatient who has developed heart failure after having an acute myocardial infarction has a new prescription for carvedilol (Coreg). After 2 weeks, the patient returns to the clinic. The assessment finding that will be of most concern to the nurse is that the patient
A) has BP of 88/42.
B) has an apical pulse rate of 56.
C) complains of feeling tired.
D) has 2+ pedal edema.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 36: Nursing Management: Dysrhythmias
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/30626
Sample Questions
Q1) A 21-year-old college student arrives at the student health center at the end of the quarter complaining, "My heart is skipping beats." The nurse obtains an ECG and notes the presence of occasional PVCs. What action should the nurse take first?
A) Ask the patient about any history of coronary artery disease.
B) Question the patient about current stress level and coffee use.
C) Have the patient transported to the hospital ED.
D) Administer O<sub>2</sub> to the patient at 2 to 3 L/min using nasal prongs.
Q2) The nurse hears the cardiac monitor alarm and notes that the patient has a cardiac pattern of undulations of varying contours and amplitude with no measurable ECG pattern. The patient is unconscious with no pulse or respirations. After calling for assistance, the nurse should
A) start basic cardiopulmonary resuscitation (CPR).
B) administer an IV bolus dose of epinephrine.
C) prepare the patient for endotracheal intubation.
D) wait for the defibrillator to arrive.
Q3) When analyzing an ECG rhythm strip of a patient with a regular cardiac rhythm, the nurse finds there are 25 small blocks from one R wave to the next. The nurse calculates the patient's heart rate as ______.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 37: Nursing Management: Inflammatory and Structural
Heart Disorders
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/30627
Sample Questions
Q1) A patient is admitted to the hospital with possible acute pericarditis. The nurse will plan to teach the patient about the purpose of
A) multiple ECGs.
B) daily blood cultures.
C) cardiac catheterization.
D) pericardiocentesis.
Q2) The nurse establishes the nursing diagnosis of ineffective therapeutic regimen management related to lack of knowledge concerning long-term management of rheumatic fever when a patient recovering from rheumatic fever says,
A) "I will need to have monthly antibiotic injections for at 5 years or longer."
B) "I will call the doctor if I develop excessive fatigue or difficulty breathing."
C) "I will need to let my dentist know that I have had this rheumatic fever."
D) "I will be immune to further episodes of rheumatic fever after this infection."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 38: Nursing Management: Vascular Disorders
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/30628
Sample Questions
Q1) A patient is admitted to the hospital with a diagnosis of chronic venous insufficiency. Which of these statements by the patient is most consistent with the diagnosis?
A) "I have burning leg pains after I walk three blocks."
B) "I wake up during the night because my legs hurt."
C) "I can't get my shoes on at the end of the day."
D) "I can never seem to get my feet warm enough."
Q2) The health care provider orders a continuous IV heparin infusion for a patient with swelling and pain of the upper leg caused by a DVT. While the patient is receiving the heparin infusion, the nurse should
A) avoid any IM medications to prevent localized bleeding.
B) notify the health care provider if the partial thromboplastin time (PTT) value is greater than 50 seconds.
C) have vitamin K available in case reversal of the heparin is needed.
D) monitor posterior tibial and dorsalis pedis pulses with the Doppler.
Q3) When assessing a patient with possible PAD, the nurse obtains a brachial BP of 140/80 and an ankle pressure of 110/70. The nurse calculates the patient's ankle-brachial index (ABI) as ______.
To view all questions and flashcards with answers, click on the resource link above. Page 40
Chapter 39: Nursing Assessment: Gastrointestinal System
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/30629
Sample Questions
Q1) While the nurse is obtaining a nursing history from a patient who is admitted with jaundice, the nurse will be most concerned about which patient statement?
A) "I take a baby aspirin every day to prevent strokes."
B) "I need to take an antacid for indigestion several times a week"
C) "I use acetaminophen (Tylenol) every 4 hours for chronic pain."
D) "I used cough syrup several times a day last week."
Q2) A patient is hospitalized for evaluation after vomiting bright red blood. During a physical assessment of the patient, the nurse will be most concerned about
A) the liver edge 3 cm below the costal margin.
B) tympany on percussion of the abdomen.
C) aortic pulsations visible in the epigastric area.
D) bowel sounds of 30/minute in each quadrant.
Q3) When documenting the absence of bowel tones in all quadrants of a patient's abdomen, the nurse has auscultated the patient's abdomen for _____ minutes.
A) 8
B) 10
C) 16
D) 20
To view all questions and flashcards with answers, click on the resource link above.
Chapter 40: Nursing Management: Nutritional Problems
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/30630
Sample Questions
Q1) In evaluating a patient outcome of "chooses high-protein foods," the nurse knows the outcome has been met when for lunch the patient selects from the hospital menu
A) bacon and tomato sandwich, bean soup, and coffee with cream.
B) peanut butter and jelly sandwich, French fries, and whole milk.
C) barbequed chicken breast sandwich, fruit yogurt, and skim milk.
D) chicken noodle soup, grilled cheese sandwich, and apple juice.
Q2) A patient with bulimia is admitted to the hospital with electrolyte disorders. Which patient behavior observed by the nurse is of most concern?
A) The patient only eats about 20% of breakfast.
B) The patient ambulates continuously in the hallway.
C) The patient goes into the bathroom after each meal.
D) The patient asks for laxatives to treat constipation.
Q3) All these nursing actions are included in the plan of care for a patient who is malnourished. Which action is appropriate for the nurse to delegate to a nursing assistant?
A) Offer the patient the ordered nutritional supplement between meals.
B) Assess the patient's strength while ambulating the patient in the room.
C) Monitor the patient for skin breakdown over the bony prominences.
D) Assist the patient to choose high-nutrition items from the menu.
To view all questions and flashcards with answers, click on the resource link above.
Page 42
Chapter 41: Nursing Management: Obesity
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/30631
Sample Questions
Q1) A moderately obese patient has been on a 1000-calorie diet with a daily exercise routine and a prescription for sibutramine (Meridia) for 10 weeks. Which information obtained by the nurse is important to report to the health care provider?
A) The patient has not lost any weight for the last 2 weeks.
B) The patient complains about having chronic constipation.
C) The patient tells the nurse about occasional palpitations.
D) The patient reports walking only 3 days during the last week.
Q2) The nurse is assessing patients at the outpatient clinic. Which of these patients is at risk for health complications related to weight?
A) A 24-year-old with a waist measurement of 30 in (75 cm) and a hip measurement of 34 in (85 cm)
B) A 33-year-old who has a body mass index (BMI) of 24 kg/m2
C) A 56-year-old who is 6 ft (180 cm) tall and weighs 150 lb (68 kg)
D) A 71-year-old who is 5 ft 4 in (160 cm), weighs 120 lb (55 kg), and carries most of the weight in the thighs
To view all questions and flashcards with answers, click on the resource link above.
43
Chapter 42: Nursing Management: Upper Gastrointestinal
Problems
Available Study Resources on Quizplus for this Chatper
44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/30632
Sample Questions
Q1) The family member of a patient who has suffered massive abdominal trauma in an automobile accident asks the nurse why the patient is receiving famotidine (Pepcid).
The nurse will explain that the medication will
A) decrease the risk for nausea and vomiting.
B) prevent aspiration of gastric contents.
C) inhibit the development of stress ulcers.
D) lower the chance for H. pylori infection.
Q2) A patient who has been NPO during treatment for nausea and vomiting caused by gastric irritation is to start oral intake. Which of these should the nurse offer to the patient?
A) A glass of orange juice
B) A bowl of hot chicken broth
C) A dish of lemon gelatin
D) A cup of coffee with cream
Q3) Which information will the nurse include when teaching a patient with newly diagnosed GERD?
A) "Peppermint tea may be helpful in reducing your symptoms."
B) "You will need to keep the head of your bed elevated on blocks."
C) "You should avoid eating between meals to reduce acid secretion."
Page 44
D) "Vigorous physical activities may increase the incidence of reflux."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 43: Nursing Management: Lower Gastrointestinal
Problems
Available Study Resources on Quizplus for this Chatper
46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/30633
Sample Questions
Q1) When performing an admission assessment for a patient with abdominal pain, the nurse palpates the left lower quadrant and the patient complains of right lower quadrant pain. The nurse will document this as
A) McBurney's point.
B) rebound pain.
C) Rovsing's sign.
D) Cullen's sign.
Q2) After being treated for a respiratory tract infection with a 10-day course of antibiotics, a 69-year-old patient calls the clinic and tells the nurse about developing frequent, watery diarrhea. The nurse anticipates that the patient will need to
A) prepare for colonoscopy by taking laxatives.
B) have blood drawn for blood cultures.
C) bring a stool specimen in to be tested for C. difficile.
D) schedule a barium enema to check for inflammation.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 44: Nursing Management: Liver, Pancreas, and Biliary Tract Problems
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/30634
Sample Questions
Q1) When teaching a patient recovering from hepatitis B about management of the illness, the nurse determines that additional teaching is needed when the patient says
A) "I should not drink alcohol for at least the next year."
B) "My family members should be tested for hepatitis B."
C) "When the jaundice is gone, I have recovered from my illness and the infection is cured."
D) "Until my tests for the virus are negative, I should use a condom for sexual intercourse."
Q2) A patient is admitted with an abrupt onset of jaundice, nausea and vomiting, hepatomegaly, and abnormal liver function studies. Serologic testing is negative for viral causes of hepatitis. Which question by the nurse is most appropriate?
A) "Have you been around anyone with jaundice?"
B) "Do you use any prescription or over-the-counter (OTC) drugs?"
C) "Are you taking corticosteroids for any reason?"
D) "Is there any history of IV drug use?"
To view all questions and flashcards with answers, click on the resource link above.
Chapter 45: Nursing Assessment: Urinary System
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/30635
Sample Questions
Q1) A patient with a possible renal cell tumor who is scheduled for an intravenous pyelogram (IVP) and computed tomography (CT) scanning of the abdomen gives the nurse all the following data. Which information has the most immediate implications for the patient's care?
A) The patient has not had anything to eat or drink for 8 hours.
B) The patient used a bisacodyl (Dulcolax) tablet the previous night.
C) The patient describes allergies to shellfish and penicillin.
D) The patient complains of costovertebral angle (CVA) tenderness.
Q2) A hospitalized patient with renal insufficiency is scheduled to have an IVP. Which nursing action will be needed during this procedure?
A) Assist with monitoring for conscious sedation.
B) Insert a large size urinary catheter prior to the IVP.
C) Monitor the urine output after the procedure.
D) Give oral contrast solution before the procedure.
Q3) The nurse uses auscultation during assessment of the urinary system to A) determine the position of the kidneys.
B) assess for bladder distension.
C) check for ureteral peristalsis.
D) identify renal artery or aortic bruits.
To view all questions and flashcards with answers, click on the resource link above.
Page 47
Chapter 46: Nursing Management: Renal and Urologic Problems
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/30636
Sample Questions
Q1) Which information noted by the nurse when caring for a patient with a bladder infection is most important to report to the health care provider?
A) Dysuria
B) Temperature 100.1° F
C) Left-sided flank pain
D) Hematuria
Q2) After the home health nurse teaches a patient with a neurogenic bladder how to use intermittent catheterization for bladder emptying, which patient statement indicates that the teaching has been effective?
A) "I will need to buy seven new catheters weekly and use a new one every day."
B) "I will use a sterile catheter and gloves for each time I self-catheterize."
C) "I will need to take prophylactic antibiotics to prevent any urinary tract infections."
D) "I will wash the catheter with soap and water before and after each catheterization."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 47: Nursing Management: Acute Renal Failure and Chronic Kidney Disease
Available Study Resources on Quizplus for this Chatper
36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/30637
Sample Questions
Q1) A patient with severe heart failure develops elevated BUN and creatinine levels. The nurse plans care for the patient based on the knowledge that collaborative care of the patient will be directed toward the goal of
A) preventing hypertension.
B) replacing fluid volume.
C) diluting nephrotoxic substances.
D) maintaining cardiac output.
Q2) A patient with renal insufficiency is scheduled for an intravenous pyelogram (IVP). Which of the following orders for the patient will the nurse question?
A) Ibuprofen (Advil) 400 mg PO PRN for pain
B) Dulcolax suppository 4 hours before IVP procedure
C) Normal saline 500 ml IV before procedure
D) NPO for 6 hours before IVP procedure
Q3) A patient complains of leg cramps during hemodialysis. The nurse should
A) give acetaminophen (Tylenol).
B) infuse a bolus of normal saline.
C) massage the patient's legs.
D) reposition the patient.
To view all questions and flashcards with answers, click on the resource link above. Page 49
Chapter 48: Nursing Assessment: Endocrine System
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/30638
Sample Questions
Q1) A patient has clinical manifestations of hypothyroidism. To determine whether the low thyroid level is caused by a problem with the anterior pituitary gland or with the thyroid gland, which value will the nurse check in the patient's chart?
A) Thyroxine (T<sub>4</sub>) level
B) Triiodothyronine (T<sub>3</sub>) level
C) Thyrotropin-releasing hormone (TRH) level
D) TSH level
Q2) The nurse will plan patient care that will decrease the patient's physical and emotional stress when the patient is undergoing
A) a water deprivation test.
B) testing for serum T3 and T4 levels.
C) a 24-hour urine test for free cortisol.
D) a radioactive iodine (I-131) uptake test.
Q3) A patient is scheduled for a 24-hour urine collection for 17-ketosteroids. The nurse will plan to
A) insert a retention catheter.
B) keep the specimen on ice.
C) have the patient void and save that specimen to start the collection.
D) encourage the patient to drink 2 to 3 L of fluid during the 24 hours.
To view all questions and flashcards with answers, click on the resource link above.
Page 50
Chapter 49: Nursing Management: Diabetes Mellitus
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/30639
Sample Questions
Q1) A patient with type 1 diabetes has been using self-monitoring of blood glucose (SMBG) as part of diabetes management. During evaluation of the patient's technique of SMBG, the nurse identifies a need for additional teaching when the patient
A) chooses a puncture site in the center of the finger pad.
B) washes the puncture site using soap and water.
C) says the result of 130 mg indicates good blood sugar control.
D) hangs the arm down for a minute before puncturing the site.
Q2) A type 1 diabetic patient who was admitted with severe hypoglycemia and treated tells the nurse, "I did not have any of the usual symptoms of hypoglycemia." Which question by the nurse will help identify a possible reason for the patient's hypoglycemic unawareness?
A) "Do you use any calcium-channel blocking drugs for blood pressure?"
B) "Have you observed any recent skin changes?"
C) "Do you notice any bloating feeling after eating?"
D) "Have you noticed any painful new ulcerations or sores on your feet?"
To view all questions and flashcards with answers, click on the resource link above. Page 51
Chapter 50: Nursing Management: Endocrine Problems
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/30640
Sample Questions
Q1) During preoperative teaching for a patient scheduled for transsphenoidal hypophysectomy for treatment of a pituitary adenoma, the nurse instructs the patient about the need to
A) remain on bed rest for the first 48 hours after the surgery.
B) avoid brushing the teeth for at least 10 days after the surgery.
C) cough and deep-breathe every 2 hours postoperatively.
D) be positioned flat with sandbags at the head postoperatively.
Q2) A patient with an antidiuretic hormone (ADH)-secreting small-cell cancer of the lung is treated with demeclocycline (Declomycin) to control the symptoms of syndrome of inappropriate secretion of antidiuretic hormone (SIADH). The nurse determines that the demeclocycline is effective upon finding that the
A) patient's daily weight is stable.
B) urine specific gravity is increased.
C) patient's urinary output is increased.
D) peripheral edema is decreased.
To view all questions and flashcards with answers, click on the resource link above.
52
Chapter 51: Nursing Assessment: Reproductive System
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/30641
Sample Questions
Q1) All these data are obtained by the nurse while performing a physical assessment of a male patient's reproductive system. Which one should be reported to the health care provider?
A) The foreskin is absent.
B) Clear penile discharge is present.
C) One testes hangs lower than the other.
D) Inguinal lymph nodes are nonpalpable.
Q2) A 34-year-old patient is hospitalized with acute back pain. He is married and has a 3-year-old son. When the nurse is performing an assessment of the patient's sexuality-reproductive functional health pattern, an appropriate question to initiate a sexual history is,
A) "Do you consider your sex life satisfactory?"
B) "Was your back pain precipitated by sexual activity?"
C) "Have you ever had any problems with your genitourinary system?"
D) "Are you worried that your back pain will affect your sexual activity?"
To view all questions and flashcards with answers, click on the resource link above.
Chapter 52: Nursing Management: Breast Disorders
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/30642
Sample Questions
Q1) When assessing a patient for breast cancer risk, the nurse considers that the patient has a significant family history of breast cancer if she has a
A) cousin who was diagnosed with breast cancer at age 38.
B) mother who was diagnosed with breast cancer at age 42.
C) sister who died from ovarian cancer at age 56.
D) grandmother who died from breast cancer at age 72.
Q2) A woman with a positive biopsy for breast cancer is considering whether to have a modified radical mastectomy or breast conservation surgery (lumpectomy) with radiation therapy. Which information should the nurse provide?
A) The postoperative survival rate for each is about the same, but there is a decreased rate of cancer recurrence after mastectomy.
B) The lumpectomy and radiation will preserve the breast, but this method can cause changes in breast sensitivity.
C) The hair loss associated with post-lumpectomy chemotherapy is not acceptable to some patients.
D) The treatment period for the mastectomy is shorter, and breast reconstruction can provide a normal-appearing breast.
To view all questions and flashcards with answers, click on the resource link above. Page 54
Chapter 53: Nursing Management: Sexually Transmitted Diseases
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/30643
Sample Questions
Q1) A patient is treated for chlamydia that was detected during a routine pelvic examination. The nurse knows that teaching regarding the management of the condition has been effective when the patient says,
A) "Go ahead and give me the antibiotic injection so I will be cured."
B) "I will use condoms during sex until I finish taking all the antibiotics."
C) "My immune system will eventually be able to fight off the infection."
D) "My sexual partner will need to take antibiotics at the same time I do."
Q2) A 23-year-old diabetic patient has large masses of genital warts around her external genitalia and perianal area. She tells the nurse she just tries to ignore them but knows the reason her boyfriend left her was because they are so disgusting. Based on the patient's remarks, the nurse identifies the nursing diagnosis of
A) ineffective coping related to denial of increased risk for infection.
B) anxiety related to impact of condition on interpersonal relationships.
C) risk for infection related to lack of knowledge about mode of transmission.
D) disturbed body image related to genital warts secondary to human papilloma virus (HPV) infection.
To view all questions and flashcards with answers, click on the resource link above. Page 55
Chapter 54: Nursing Management: Female Reproductive Problems
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/30644
Sample Questions
Q1) During a routine health examination, a 35-year-old woman who uses oral contraceptives tells the nurse, "I want to have children, but I want to wait a few more years." Which response by the nurse is appropriate?
A) "Because of your age, you may need to stop taking oral contraceptives several years before you want to become pregnant."
B) "You still have many years of fertility left, so there is no rush to have children."
C) "You may have more difficulty becoming pregnant after about age 35."
D) "If you do not have children within the next few years, it will be very difficult for you to become pregnant."
Q2) Stage III ovarian cancer is diagnosed in a 63-year-old woman. A nursing diagnosis that is likely to be appropriate is
A) sexual dysfunction related to loss of vaginal sensation.
B) risk for infection related to impaired immune function.
C) anxiety related to cancer diagnosis and need to make treatment decisions.
D) situational low self-esteem related to guilt about delaying medical care.
To view all questions and flashcards with answers, click on the resource link above.
Page 56
Chapter 55: Nursing Management: Male Reproductive Problems
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/30645
Sample Questions
Q1) The health care provider prescribes finasteride (Proscar) for a 56-year-old male patient who has a BPH symptom score of 12 on the AUA Symptom Index. When teaching the patient about the drug, the nurse informs him that A) his interest in sexual activity may decrease while he is taking the medication. B) he should change position from lying to standing slowly to avoid dizziness. C) improvement in the obstructive symptoms should occur within about 2 weeks. D) he will need to monitor his blood pressure frequently to assess for hypertension.
Q2) A 22-year-old man tells the nurse at the health clinic that he has recently become unable to achieve an erection. When assessing for possible etiologic factors, which question should the nurse ask first?
A) "Have you been experiencing an unusual amount of stress?"
B) "Do you have any history of an erection that lasted for 6 hours or more?"
C) "Are you using any recreational drugs or drinking a lot of alcohol?"
D) "Do you have any chronic diseases, such as diabetes mellitus?"
To view all questions and flashcards with answers, click on the resource link above. Page 57
Chapter 56: Nursing Assessment: Nervous System
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/30646
Sample Questions
Q1) The charge nurse is observing a new staff nurse who is assessing a patient with a possible spinal cord lesion for sensation. Which action indicates a need for further teaching about neurologic assessment?
A) The new nurse tests for light touch before testing for pain.
B) The new nurse has the patient close the eyes during testing.
C) The new nurse tells the patient, "You may feel a pinprick now."
D) The new nurse uses an irregular pattern to test for intact touch.
Q2) When performing a focused assessment on a patient with a lesion of the left posterior temporal lobe, the nurse will assess for
A) reasoning and problem-solving abilities.
B) sensation on the left side of the body.
C) understanding of written and oral language.
D) voluntary movement on the right side.
Q3) A patient has a lesion that affects lower motor neurons. During assessment of the patient's lower extremities, the nurse expects to find
A) spasticity.
B) flaccidity.
C) hyperactive reflexes.
D) loss of sensation.
To view all questions and flashcards with answers, click on the resource link above.
Page 58
Chapter 57: Nursing Management: Acute Intracranial Problems
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/30647
Sample Questions
Q1) A patient is brought to the emergency department (ED) after being hit in the head with a baseball during a company picnic. On admission, the patient has a headache and cannot remember being hit but has no other signs of neurologic deficit. The nurse will plan to
A) send the patient for diagnostic testing with MRI.
B) admit the patient for observation for 24 hours.
C) discharge the patient with monitoring instructions.
D) observe the patient in the ED for several hours.
Q2) The health care provider prescribes IV mannitol (Osmitrol) for an unconscious patient. The nurse will determine that the medication is effective if A) seizure behavior is reduced.
B) intracranial pressure (ICP) is lower.
C) abnormal electroencephalographic (EEG) activity decreases.
D) Glasgow Coma score (GCS) is lower.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 58: Nursing Management: Stroke
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/30648
Sample Questions
Q1) Aspirin is ordered for a patient who is admitted with a possible stroke. Which information obtained during the admission assessment indicates that the nurse should consult with the health care provider before giving the aspirin?
A) The patient has atrial fibrillation.
B) The patient has dysphasia.
C) The patient states, "I suddenly developed a terrible headache."
D) The patient has a history of brief episodes of right hemiplegia.
Q2) A patient who has had a subarachnoid hemorrhage is being cared for in the intensive care unit. Which information about the patient is most important to communicate to the health care provider?
A) The patient complains of an ongoing severe headache.
B) The patient's blood pressure is 90/50 mm Hg.
C) The cerebrospinal fluid (CFS) report shows red blood cells (RBCs).
D) The patient complains about having a stiff neck.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 59: Nursing Management: Chronic Neurologic Problems
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/30649
Sample Questions
Q1) A patient found in a tonic-clonic seizure reports afterward that the seizure was preceded by numbness and tingling of the arm. The nurse knows that this finding indicates a(n) _____ seizure.
A) absence
B) simple partial
C) complex partial
D) generalized myoclonic
Q2) When planning care for a patient with MS who has a nursing diagnosis of risk for activity intolerance related to extremity weakness secondary to stress, the most appropriate patient goal is
A) "The patient will express minimal stress level."
B) "Strength in arms and legs will be maintained."
C) "The patient will complete ADLs without fatigue."
D) "Intake of high-nutrition foods will be adequate."
Q3) When a patient is being evaluated for new onset cluster-type headaches, the nurse will anticipate
A) scheduling a magnetic resonance imaging (MRI) of the brain.
B) teaching the patient about electromyelography (EMG).
C) obtaining a detailed patient history.
D) arranging for a cerebral angiogram.
Page 61
To view all questions and flashcards with answers, click on the resource link above.
Chapter 60: Nursing Management: Alzheimers Disease and Dementia
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/30650
Sample Questions
Q1) A long-term care patient with moderate dementia develops increased restlessness and agitation. The nurse's initial action should be to
A) administer the PRN dose of lorazepam (Ativan).
B) reorient the patient to time and place.
C) assess the patient for anything that might be causing discomfort.
D) have a nursing assistant stay with the patient to ensure safety.
Q2) Coexisting dementia and depression are identified in a patient with Parkinson's disease. The nurse anticipates that the greatest improvement in the patient's condition will occur with administration of
A) antipsychotic drugs.
B) anticholinergic agents.
C) dopaminergic agents and antidepressant drugs.
D) selective serotonin reuptake inhibitor (SSRI) agents.
Q3) When developing a plan of care for a hospitalized patient with moderate dementia, which intervention will the nurse include?
A) Reminding the patient frequently about being in the hospital
B) Placing suction at the bedside to decrease the risk for aspiration
C) Providing complete personal hygiene care for the patient
D) Repositioning the patient frequently to avoid skin breakdown
Page 62
To view all questions and flashcards with answers, click on the resource link above.
Chapter 61: Nursing Management: Peripheral Nerve and Spinal Cord Problems
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/30651
Sample Questions
Q1) Which of these nursing actions for a patient with Guillain-Barré syndrome is most appropriate for the nurse to delegate to an experienced nursing assistant?
A) Nasogastric tube feeding q4hr
B) Artificial tear administration q2hr
C) Assessment for bladder distension q2hr
D) Passive range of motion to extremities q8hr
Q2) The nurse discusses long-range goals with a patient with a C6 spinal cord injury. An appropriate patient outcome is
A) transfers independently to a wheelchair.
B) drives a car with powered hand controls.
C) turns and repositions self independently when in bed.
D) pushes a manual wheelchair on flat, smooth surfaces.
Q3) When the nurse is planning care for a hospitalized patient who is experiencing an acute episode of trigeminal neuralgia, an appropriate action to include is
A) teach facial and jaw relaxation techniques.
B) assess intake and output and dietary intake.
C) apply ice packs for no more than 20 minutes.
D) spend time at the bedside talking with the patient.
To view all questions and flashcards with answers, click on the resource link above. Page 63
Chapter 62: Nursing Assessment: Musculoskeletal System
Available Study Resources on Quizplus for this Chatper
13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/30652
Sample Questions
Q1) When the health care provider tells a patient that the pain in the patient's knee is caused by bursitis, the patient asks the nurse to explain just what bursitis is. The nurse's best response would be to tell the patient bursitis is an inflammation of A) the fibrocartilage that acts as a shock absorber in the knee joint.
B) a small, fluid-filled sac found at many joints.
C) any connective tissue that is found supporting the joints of the body.
D) the synovial membrane that lines the area between two bones of a joint.
Q2) During assessment of the musculoskeletal system of a 74-year-old woman, the nurse notes that the patient has lost 1 inch in height since the previous visit two years ago. The nurse will plan to teach the patient about A) diskography studies.
B) magnetic resonance imaging (MRI).
C) dual-energy x-ray absorptiometry (DEXA).
D) myelographic testing.
To view all questions and flashcards with answers, click on the resource link above.
64
Chapter 63: Nursing Management: Musculoskeletal
Trauma and Orthopedic Surgery
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/30653
Sample Questions
Q1) The nurse provides discharge instructions to a patient with an above-the-knee amputation who will be fitted with a prosthesis when healing is complete and the residual limb is well molded. The nurse determines that teaching has been effective when the patient says,
A) "I should change the limb sock when it becomes soiled or stretched out."
B) "I should use lotion on the stump to prevent drying and cracking of the skin."
C) "I should elevate my residual limb on a pillow 2 or 3 times a day."
D) "I should lay on my abdomen for 30 minutes 3 or 4 times a day."
Q2) A 20-year-old baseball pitcher has an arthroscopic repair of a rotator cuff injury performed in same-day surgery. When the nurse plans postoperative teaching for the patient, which information will be included?
A) "You have an appointment with a physical therapist for tomorrow."
B) "Leave the shoulder immobilizer on for the first few days to minimize pain."
C) "The doctor will use the drop-arm test to determine the success of the procedure."
D) "You should try to find a different position to play on the baseball team."
To view all questions and flashcards with answers, click on the resource link above. Page 65
Chapter 64: Nursing Management: Musculoskeletal
Problems
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/30654
Sample Questions
Q1) Which of these nursing actions included in the care of a patient after laminectomy can the nurse delegate to an experienced nursing assistant?
A) Evaluation of the effectiveness of the PCA
B) Monitoring plantar and dorsiflexion of the feet
C) Logrolling the patient from side to side every 2 hours
D) Determining the patient's readiness to ambulate
Q2) Which statement by a patient who is scheduled for an above-the-knee amputation for treatment of an osteogenic sarcoma of the right tibia indicates that patient teaching is needed?
A) "I wish that I did not have to have chemotherapy after this surgery."
B) "I do not mind the surgery because it will finally cure the cancer."
C) "I know that I will need lots of physical therapy after surgery."
D) "I will use the patient-controlled analgesia to help control my pain level after surgery."
Q3) When administering alendronate (Fosamax) to a patient, the nurse will first
A) administer the ordered calcium carbonate.
B) be sure the patient has recently eaten.
C) assist the patient to sit up at the bedside.
D) ask about any leg cramps or hot flashes.
To view all questions and flashcards with answers, click on the resource link above. Page 66
Chapter 65: Nursing Management: Arthritis and Connective
Tissue Diseases
Available Study Resources on Quizplus for this Chatper
42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/30655
Sample Questions
Q1) A concerned parent who lives in an area endemic for Lyme disease asks the nurse what precautions should be taken for the disease. The nurse will teach the parent that A) early treatment of the infection with antiviral agents can prevent the development of cardiac and neurologic manifestations.
B) if Lyme disease is transmitted by a tick, symptoms of nausea, vomiting, and diarrhea occur before the onset of joint pain.
C) transmission of the disease can be prevented by covering ticks attached to the skin with oil to suffocate them.
D) an early sign of Lyme disease is a lesion at the bite site that increases in size and has a red border and clear center.
Q2) When the nurse is reviewing laboratory data for a patient who is taking methotrexate (Rheumatrex), which information is most important to communicate to the health care provider?
A) The platelet count is 130,000/ml.
B) The white blood cell count (WBC) is 1500/ml.
C) The blood glucose is 130 mg/dl.
D) The potassium is 5.2 mEq/L.
To view all questions and flashcards with answers, click on the resource link above.
Page 67
Chapter 66: Nursing Management: Critical Care
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/30656
Sample Questions
Q1) The nurse develops the diagnosis of ineffective airway clearance related to thick respiratory secretions for a patient with respiratory failure who is receiving mechanical ventilation. Which intervention will be most effective in resolving this problem?
A) Increase the amount of water in the patient's enteral feedings.
B) Suction the patient more frequently.
C) Instill 5 ml of sterile saline into the ET before suctioning.
D) Turn the patient every 2 hours.
Q2) A patient in heart failure following an acute myocardial infarction has a pulmonary artery catheter inserted. To determine whether the administration of drugs to decrease preload and afterload has been effective, the nurse should monitor the
A) systemic vascular resistance (SVR).
B) central venous pressure (CVP).
C) pulmonary vascular resistance (PVR).
D) pulmonary artery wedge pressure (PAWP).
To view all questions and flashcards with answers, click on the resource link above.
Chapter 67: Nursing Management: Shock, Systemic
Inflammatory Response Syndrome, and Multiple Organ
Dysfunction Syndrome
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/30657
Sample Questions
Q1) The nurse evaluates that fluid resuscitation for a 70 kg patient in shock is effective on finding that the patient's
A) urine output is 40 ml over the last hour.
B) hemoglobin is within normal limits.
C) CVP has decreased.
D) mean arterial pressure (MAP) is 65 mm Hg.
Q2) The nurse is caring for a patient admitted with a urinary tract infection and sepsis. Which information obtained in the assessment indicates a need for a change in therapy?
A) The patient is restless and anxious.
B) The patient has a heart rate of 134.
C) The patient has hypotonic bowel sounds.
D) The patient has a temperature of 94.1° F.
Q3) Norepinephrine (Levophed) has been ordered for the patient in hypovolemic shock. Before administering the drug, the nurse ensures that the A) patient's heart rate is less than 100.
B) patient has received adequate fluid replacement.
C) patient's urine output is within normal range.
D) patient is not receiving other sympathomimetic drugs.
To view all questions and flashcards with answers, click on the resource link above. Page 69
Chapter 68: Nursing Management: Respiratory Failure and
Acute Respiratory Distress Syndrome
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/30658
Sample Questions
Q1) When caring for a patient who developed acute respiratory distress syndrome (ARDS) as a result of a urinary tract infection (UTI), the nurse is asked by the patient's family how a urinary tract infection could cause lung damage. Which response by the nurse is appropriate?
A) "The infection spread through the circulation from the urinary tract to the lungs."
B) "The urinary tract infection produced toxins that damaged the lungs."
C) "The infection caused generalized inflammation that damaged the lungs."
D) "The fever associated with the infection led to scar tissue formation in the lungs."
Q2) To evaluate both oxygenation and ventilation in a patient with acute respiratory failure, the nurse uses the findings revealed with
A) arterial blood gas (ABG) analysis.
B) hemodynamic monitoring.
C) chest x-rays.
D) pulse oximetry.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 69: Nursing Management: Emergency and Disaster Nursing
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/30659
Sample Questions
Q1) An unresponsive 78-year-old patient is admitted to the emergency department in a coma during a summer heat wave. The patient's core temperature is 106.2° F (41.2° C), blood pressure (BP) 86/52, and pulse 102. The nurse will plan to
A) apply wet sheets and a fan to the patient.
B) administer an acetaminophen (Tylenol) suppository.
C) start O<sub>2</sub> at 6 L/min with a nasal cannula.
D) infuse lactated Ringer's solution at 1000 ml/hr.
Q2) A patient has been brought to the emergency department with a gunshot wound to the abdomen. In obtaining a history of the incident to determine possible injuries, the nurse asks
A) "Where did the incident occur?"
B) "What direction did the bullet enter the body?"
C) "How long ago did the incident happen?"
D) "What emergency care was started at the scene?"
Q3) When preparing to rewarm a patient with hypothermia, the nurse will plan to A) attach a cardiac monitor.
B) insert a urinary catheter.
C) assist with endotracheal intubation.
D) keep inotropic drugs available.
To view all questions and flashcards with answers, click on the resource link above. Page 71