Advanced Medical-Surgical Nursing Exam Preparation Guide
Course Introduction
Advanced Medical-Surgical Nursing focuses on the comprehensive care of adult patients experiencing complex, acute, and chronic health conditions requiring advanced nursing interventions. The course explores pathophysiology, assessment, diagnosis, clinical decision-making, and evidence-based management of patients in a variety of acute care settings. Emphasis is placed on critical thinking, interprofessional collaboration, use of technology, and application of standards of care to optimize patient outcomes. Students will develop skills in prioritizing care, managing multiple health problems, and employing strategies to address complications, patient safety, and ethical issues commonly encountered in advanced medical-surgical nursing practice.
Recommended Textbook
Medical Surgical Nursing 10th Edition by Lewis
Available Study Resources on Quizplus
68 Chapters
1998 Verified Questions
1998 Flashcards
Source URL: https://quizplus.com/study-set/1279 Page 2
Chapter 1: Professional Nursing Practice
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/25336
Sample Questions
Q1) Which nursing diagnosis statement is written correctly?
A)Altered tissue perfusion related to heart failure
B)Risk for impaired tissue integrity related to sacral redness
C)Ineffective coping related to response to biopsy test results
D)Altered urinary elimination related to urinary tract infection
Answer: C
Q2) A patient has been admitted to the hospital for surgery and tells the nurse,"I do not feel comfortable leaving my children with my parents." Which action should the nurse take next?
A)Reassure the patient that these feelings are common for parents.
B)Have the patient call the children to ensure that they are doing well.
C)Gather more data about the patient's feelings about the child-care arrangements.
D)Call the patient's parents to determine whether adequate child care is being provided. Answer: C
To view all questions and flashcards with answers, click on the resource link above.
3
Chapter 2: Health Disparities and Culturally Competent Care
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/25337
Sample Questions
Q1) The nurse is caring for a newly admitted patient. Which intervention is the best example of a culturally appropriate nursing intervention?
A)Insist family members provide most of the patient's personal care.
B)Maintain a personal space of at least 2 feet when assessing the patient.
C)Ask permission before touching a patient during the physical assessment.
D)Consider the patient's ethnicity as the most important factor in planning care.
Answer: C
Q2) The nurse is caring for an Asian patient who is being admitted to the hospital. Which action would be most appropriate for the nurse to take when interviewing this patient?
A)Avoid eye contact with the patient.
B)Observe the patient's use of eye contact.
C)Look directly at the patient when interacting.
D)Ask a family member about the patient's cultural beliefs.
Answer: B
To view all questions and flashcards with answers, click on the resource link above.
4
Chapter 3: Health History and Physical Examination
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/25338
Sample Questions
Q1) During the health history interview,a patient tells the nurse about periodic fainting spells. Which question by the nurse will best elicit any associated clinical manifestations?
A)"How frequently do you have the fainting spells?"
B)"Where are you when you have the fainting spells?"
C)"Do the spells tend to occur at any special time of day?"
D)"Do you have any other symptoms along with the spells?"
Answer: D
Q2) In what order will the nurse perform these actions when doing a physical assessment for a patient admitted with abdominal pain? (Put a comma and a space between each answer choice [A,B,C,D].)
A)Percuss the abdomen to locate any areas of dullness.
B)Palpate the abdomen to check for tenderness or masses.
C)Inspect the abdomen for distention or other abnormalities.
D)Auscultate the abdomen for the presence of bowel sounds.
Answer: C,D,A,B
To view all questions and flashcards with answers, click on the resource link above. Page 5
Chapter 4: Patient and Caregiver Teaching
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/25339
Sample Questions
Q1) The nurse prepares written handouts to be used as part of the standardized teaching plan for patients who have been recently diagnosed with diabetes. What statement would be most appropriate to include in the handouts?
A)Eating the right foods can help in keeping blood glucose at a near-normal level.
B)Polyphagia, polydipsia, and polyuria are common symptoms of diabetes mellitus.
C)Some patients with diabetes control blood glucose with oral medications, injections, or dietary interventions.
D)Diabetes mellitus is characterized by chronic hyperglycemia and the associated symptoms than can lead to long-term complications.
Q2) A family caregiver tells the home health nurse,"I feel like I can never get away to do anything for myself." Which action is best for the nurse to take?
A)Assist the caregiver in finding respite services.
B)Assure the caregiver that the work is appreciated.
C)Encourage the caregiver to discuss feelings openly with the nurse.
D)Tell the caregiver that family members provide excellent patient care.
To view all questions and flashcards with answers, click on the resource link above. Page 6
Chapter 5: Chronic Illness and Older Adults
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/25340
Sample Questions
Q1) The nurse cares for an alert,homeless older adult patient who was admitted to the hospital with a chronic foot infection. Which intervention is the most appropriate for the nurse to include in the discharge plan for this patient?
A)Teach the patient how to assess and care for the foot infection.
B)Refer the patient to social services for assessment of resources.
C)Schedule the patient to return to outpatient services for foot care.
D)Give the patient written information about shelters and meal sites.
Q2) Which intervention should the nurse implement to provide optimal care for an older patient who is hospitalized with pneumonia?
A)Plan for transfer to a long-term care facility.
B)Minimize activity level during hospitalization.
C)Consider the preadmission functional abilities.
D)Use an approved standardized geriatric nursing care plan.
Q3) The nurse is admitting an acutely ill,older patient to the hospital. Which action should the nurse take?
A)Speak slowly and loudly while facing the patient.
B)Obtain a detailed medical history from the patient.
C)Perform the physical assessment before interviewing the patient.
D)Ask a family member to go home and retrieve the patient's cane.
To view all questions and flashcards with answers, click on the resource link above.
Page 7
Chapter 6: Stress and Stress Management
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/25341
Sample Questions
Q1) A patient who has frequent migraines tells the nurse,"My life feels chaotic and out of my control. I could not manage if anything else happens." Which response should the nurse make initially?
A)"Regular exercise may get your mind off the pain."
B)"Guided imagery can be helpful in regaining control."
C)"Tell me more about how your life has been recently."
D)"Your previous coping resources can be helpful to you now."
Q2) A middle-aged male patient with usually well-controlled hypertension and diabetes visits the clinic. Today he has a blood pressure of 174/94 mm Hg and a blood glucose level of 190 mg/dL. What patient information may indicate that additional intervention by the nurse is needed?
A)The patient states that he takes his prescribed antihypertensive medications daily.
B)The patient states that both of his parents have high blood pressure and diabetes.
C)The patient indicates that he does blood glucose monitoring several times each day.
D)The patient reports that he and his wife are disputing custody of their 8-yr-old son.
To view all questions and flashcards with answers, click on the resource link above. Page 8
Chapter 7: Sleep and Sleep Disorders
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/25342
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) What teaching should be included in the plan of care for a patient with narcolepsy?
A)Driving an automobile may be possible with appropriate treatment of narcolepsy.
B)Changes in sleep hygiene are ineffective in improving sleep quality in narcolepsy.
C)Antidepressant drugs are prescribed to treat the depression caused by the disorder.
D)Stimulant drugs should be used for less than a month because of the risk for abuse.
To view all questions and flashcards with answers, click on the resource link above.
9
Chapter 8: Pain
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/25343
Sample Questions
Q1) The nurse teaches a student nurse about the action of ibuprofen. Which statement,if made by the student,indicates that teaching was effective?
A)"The drug decreases pain impulses in the spinal cord."
B)"The drug decreases sensitivity of the brain to painful stimuli."
C)"The drug decreases production of pain-sensitizing chemicals."
D)"The drug decreases the modulating effect of descending nerves."
Q2) A patient who uses a fentanyl (Duragesic)patch for chronic abdominal pain caused by ovarian cancer asks the nurse to administer the prescribed hydrocodone tablets,but the patient is asleep when the nurse returns with the medication. Which action is best for the nurse to take?
A)Wake the patient and administer the hydrocodone.
B)Wait until the patient wakes up and reassess the pain.
C)Suggest the use of nondrug therapies for pain relief instead of additional opioids.
D)Consult with the health care provider about changing the fentanyl (Duragesic) dose.
To view all questions and flashcards with answers, click on the resource link above. Page 10
Chapter 9: Palliative Care at End of Life
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/25344
Sample Questions
Q1) A patient with terminal cancer is being admitted to a family-centered inpatient hospice. The patient's spouse visits daily and cheerfully talks with the patient about wedding anniversary plans for the next year. When the nurse asks about any concerns,the spouse says,"I'm busy at work,but otherwise things are fine." Which provisional nursing diagnosis is appropriate for the patient's spouse?
A)Ineffective coping related to lack of grieving
B)Anxiety related to complicated grieving process
C)Hopelessness related to knowledge deficit about cancer
D)Caregiver role strain related to spouse's complex care needs
Q2) A young adult patient with metastatic cancer,who is very close to death,appears restless. The patient keeps repeating,"I am not ready to die." Which action is best for the nurse to take?
A)Remind the patient that no one feels ready for death.
B)Sit at the bedside and ask if there is anything the patient needs.
C)Insist that family members remain at the bedside with the patient.
D)Tell the patient that everything possible is being done to delay death.
To view all questions and flashcards with answers, click on the resource link above.
11
Chapter 10: Substance Use Disorders
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/25345
Sample Questions
Q1) The nurse plans postoperative care for a patient who smokes two packs of cigarettes daily. Which goal should the nurse include in the plan of care for this patient?
A)Improve sleep
B)Enhance appetite
C)Decrease diarrhea
D)Prevent sore throat
Q2) A patient admitted with shortness of breath and chest pain who is a pack-a-day smoker tells the nurse,"I am just not ready to quit smoking yet." Which response by the nurse is appropriate for the patient's stage of change?
A)"This would be a really good time to quit."
B)"Your smoking is the cause of your chest pain."
C)"Are you familiar with nicotine replacement products?"
D)"What health problems do you think smoking has caused?"
Q3) Which assessment finding would alert the nurse to ask the patient about alcohol use?
A)Low blood pressure
B)Decreased heart rate
C)Elevated temperature
D)Abdominal tenderness
To view all questions and flashcards with answers, click on the resource link above.
Page 12
Chapter 11: Inflammation and Wound Healing
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/25346
Sample Questions
Q1) A patient with rheumatoid arthritis has been taking oral corticosteroids for 2 years. Which nursing action is most likely to detect early signs of infection in this patient?
A)Monitor white blood cell counts.
B)Check the skin for areas of redness.
C)Measure the temperature every 2 hours.
D)Ask about feelings of fatigue or malaise.
Q2) A patient who has diabetes is admitted for an exploratory laparotomy for abdominal pain. When planning interventions to promote wound healing,what is the nurse's highest priority?
A)Maintaining the patient's blood glucose within a normal range
B)Ensuring that the patient has an adequate dietary protein intake
C)Giving antipyretics to keep the temperature less than 102° F (38.9° C)
D)Redressing the surgical incision with a dry, sterile dressing twice daily
Q3) After receiving a change-of-shift report,which patient should the nurse assess first?
A)The patient who has multiple leg wounds with eschar to be debrided
B)The patient receiving chemotherapy who has a temperature of 102° F
C)The patient who requires analgesics before a scheduled dressing change
D)The newly admitted patient with a stage IV pressure ulcer on the coccyx
To view all questions and flashcards with answers, click on the resource link above.
13
Chapter 12: Genetics and Genomics
Available Study Resources on Quizplus for this Chatper
7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/25347
Sample Questions
Q1) When counseling a couple in which the man has an autosomal recessive disorder and the woman has no gene for the disorder,the nurse uses Punnett squares to show the couple the probability of their having a child with the disorder. Which statement by the nurse is accurate?
A)"Each child would be a carrier of the disorder."
B)"Each child would have 50% chance of having the disorder."
C)"Your male children would display characteristics of the disorder."
D)"Your female children would display characteristics of the disorder."
Q2) A patient tells the nurse,"I would like to use a home genetic test to see if I will develop breast cancer." Which is the nurse's best initial response?
A)"Home genetic testing is very expensive."
B)"Are you prepared to cope with a positive result?"
C)"Are you concerned about developing breast cancer?"
D)"Genetic testing only determines if you are at higher risk for breast cancer."
To view all questions and flashcards with answers, click on the resource link above.
14
Chapter 13: Altered Immune Responses and Transplantation
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/25348
Sample Questions
Q1) The nurse should assess the patient undergoing plasmapheresis for which clinical manifestation?
A)Shortness of breath
B)High blood pressure
C)Transfusion reaction
D)Extremity numbness
Q2) A clinic patient is experiencing an allergic reaction to an unknown allergen. Which action is appropriate for the registered nurse (RN)to delegate to a licensed practical/vocational nurse (LPN/LVN)?
A)Perform a focused physical assessment.
B)Obtain the health history from the patient.
C)Teach the patient about the various diagnostic studies.
D)Administer a skin test by the cutaneous scratch method.
Q3) What instructions about plasmapheresis should the nurse include in the teaching plan for a patient diagnosed with systemic lupus erythematosus (SLE)?
A)Plasmapheresis eliminates eosinophils and basophils from blood.
B)Plasmapheresis decreases the damage to organs from T lymphocytes.
C)Plasmapheresis removes antibody-antigen complexes from circulation.
D)Plasmapheresis prevents foreign antibodies from damaging various body tissues.
Page 15
To view all questions and flashcards with answers, click on the resource link above.
Chapter 14: Infection and Human Immunodeficiency Virus
Infection
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/25349
Sample Questions
Q1) The nurse is caring for a patient who is human immunodeficiency virus (HIV)positive and taking antiretroviral therapy (ART). Which information is most important for the nurse to address when planning care?
A)The patient complains of feeling "constantly tired."
B)The patient can't explain the effects of indinavir (Crixivan).
C)The patient reports missing some doses of zidovudine (AZT).
D)The patient reports having no side effects from the medications.
Q2) The nurse palpates enlarged cervical lymph nodes on a patient diagnosed with acute human immunodeficiency virus (HIV)infection. Which action would be appropriate for the nurse to take?
A)Instruct the patient to apply ice to the neck.
B)Explain to the patient that this is an expected finding.
C)Request that an antibiotic be prescribed for the patient.
D)Advise the patient that this indicates influenza infection.
To view all questions and flashcards with answers, click on the resource link above. Page 16
Chapter 15: Cancer
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/25350
Sample Questions
Q1) A widowed mother of four school-age children is hospitalized with metastatic ovarian cancer. The patient is crying and tells the nurse that she does not know what will happen to her children when she dies. Which response by the nurse is most appropriate?
A)"Don't you have any friends that will raise the children for you?"
B)"Would you like to talk about options for the care of your children?"
C)"For now you need to concentrate on getting well and not worrying about your children."
D)"Many patients with cancer live for a long time, so there is time to plan for your children."
Q2) The nurse is caring for a patient with left-sided lung cancer. Which finding would be most important for the nurse to report to the health care provider?
A)Hematocrit of 32%
B)Pain with deep inspiration
C)Serum sodium of 126 mEq/L
D)Decreased breath sounds on left side
To view all questions and flashcards with answers, click on the resource link above. Page 17
Available Study Resources on Quizplus for this Chatper
37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/25351
Sample Questions
Q1) After receiving change-of-shift report,which patient should the nurse assess first?
A)Patient with serum potassium level of 5.0 mEq/L who is complaining of abdominal cramping
B)Patient with serum sodium level of 145 mEq/L who has a dry mouth and is asking for a glass of water
C)Patient with serum magnesium level of 1.1 mEq/L who has tremors and hyperactive deep tendon reflexes
D)Patient with serum phosphorus level of 4.5 mg/dL who has multiple soft tissue calcium-phosphate precipitates
Q2) A patient with new-onset confusion and hyponatremia is being admitted. When making room assignments,the charge nurse should take which action?
A)Assign the patient to a semi-private room.
B)Assign the patient to a room near the nurse's station.
C)Place the patient in a room nearest to the water fountain.
D)Place the patient on telemetry to monitor for peaked T waves..
To view all questions and flashcards with answers, click on the resource link above. Page 18
Chapter 17: Preoperative Care
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/25352
Sample Questions
Q1) A patient who has not had any prior surgeries tells the nurse doing the preoperative assessment about allergies to avocados and bananas. Which action is most important for the nurse to take?
A)Notify the dietitian about the specific food allergies.
B)Alert the surgery center about a possible latex allergy.
C)Reassure the patient that all allergies are noted on the health record.
D)Ask whether the patient uses antihistamines to reduce allergic reactions.
Q2) A patient arrives at the outpatient surgical center for a scheduled laparoscopy under general anesthesia. Which information requires the nurse's preoperative intervention to maintain patient safety?
A)The patient has never had general anesthesia.
B)The patient is planning to drive home after surgery.
C)The patient had a sip of water 4 hours before arriving.
D)The patient's insurance does not cover outpatient surgery.
To view all questions and flashcards with answers, click on the resource link above.
19
Chapter 18: Intraoperative Care
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/25353
Sample Questions
Q1) Which action best describes the role of the certified registered nurse anesthetist (CRNA)on the surgical care team?
A)Performs the same responsibilities as the anesthesiologist.
B)Gives intraoperative anesthetics ordered by the anesthesiologist.
C)Releases or discharges patients from the postanesthesia care area.
D)Manages a patient's airway under the direct supervision of the anesthesiologist.
Q2) The nurse facilitates student clinical experiences in the surgical suite. Which action,if performed by a student,would require the nurse to intervene?
A)The student wears a mask in the semirestricted area.
B)The student wears street clothes in the semirestricted area.
C)The student wears surgical scrubs in the semirestricted area.
D)The student covers head and facial hair in the semirestricted area.
Q3) Which action describes how the scrub nurse protects the patient with aseptic technique during surgery?
A)Uses waterproof shoe covers
B)Wears personal protective equipment
C)Changes gloves after touching the upper arm of the surgeon's gown
D)Requires that all operating room (OR) staff perform a surgical scrub
To view all questions and flashcards with answers, click on the resource link above.
20
Chapter 19: Postoperative Care
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/25354
Sample Questions
Q1) The nurse assesses a patient who had a total abdominal hysterectomy 2 days ago. Which information about the patient is most important to communicate to the health care provider?
A)The patient's temperature is 100.3° F (37.9° C).
B)The patient's calf is swollen, warm, and painful.
C)The 24-hour oral intake is 600 mL greater than the total output.
D)The patient reports abdominal pain at level 6 (0 to 10 scale) when ambulating.
Q2) After receiving change-of-shift report about these postoperative patients,which patient should the nurse assess first?
A)Obese patient who had abdominal surgery 3 days ago and whose wound edges are separating
B)Patient who has 30 mL of sanguineous drainage in the wound drain 10 hours after hip replacement surgery
C)Patient who has bibasilar crackles and a temperature of 100° F (37.8 °C) on the first postoperative day after chest surgery
D)Patient who continues to have incisional pain 15 minutes after hydrocodone and acetaminophen (Vicodin) was given
To view all questions and flashcards with answers, click on the resource link above.
Page 21
Chapter 20: Assessment of Visual and Auditory Systems
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/25355
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) When assessing a patient's consensual pupil response,the nurse should
A)have the patient cover one eye while facing the nurse.
B)observe for a light reflection in the center of both pupils.
C)shine a light into one eye and observe responses of both pupils.
D)instruct the patient to follow a moving object using only the eyes.
Q3) A 65-yr-old patient is being evaluated for glaucoma. Which information given by the patient has implications for the patient's treatment plan?
A)"I take metoprolol (Lopressor) for angina."
B)"I take aspirin when I have a sinus headache."
C)"I have had frequent episodes of conjunctivitis."
D)"I have not had an eye examination for 10 years."
To view all questions and flashcards with answers, click on the resource link above.
22
Chapter 21: Visual and Auditory Problems
Available Study Resources on Quizplus for this Chatper
47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/25356
Sample Questions
Q1) A patient with a right retinal detachment had a pneumatic retinopexy procedure. Which information will be included in the discharge teaching plan?
A)The use of eye patches to reduce movement of the operative eye
B)The need to wear dark glasses to protect the eyes from bright light
C)The purpose of maintaining the head resting in a prescribed position
D)The procedure for dressing changes when the eye dressing is saturated
Q2) The nurse learns that a newly admitted patient has functional blindness and that the spouse has cared for the patient for many years. During the initial assessment of the patient,it is most important for the nurse to
A)obtain more information about the cause of the patient's vision loss.
B)obtain information from the spouse about the patient's special needs.
C)make eye contact with the patient and ask about any need for assistance.
D)perform an evaluation of the patient's visual acuity using a Snellen chart.
Q3) Which teaching point should the nurse plan to include when caring for a patient whose vision is corrected to 20/200?
A)How to access audio books
B)How to use a white cane safely
C)Where Braille instruction is available
D)Where to obtain hand-held magnifiers
To view all questions and flashcards with answers, click on the resource link above.
Page 23
Chapter 22: Assessment of Integumentary System
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/25357
Sample Questions
Q1) When examining an older patient in the home,the home health nurse notices irregular patterns of bruising at different stages of healing on the patient's body. Which action should the nurse take first?
A)Ensure the patient wears shoes with nonslip soles.
B)Discourage using throw rugs throughout the house.
C)Talk with the patient alone and ask about the bruising.
D)Notify the health care provider so that radiographs can be ordered.
Q2) 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
Q3) When performing a skin assessment,the nurse notes angiomas on the chest of an older patient. Which action should the nurse take next?
A)Suggest an appointment with a dermatologist.
B)Assess the patient for evidence of liver disease.
C)Teach the patient about skin changes with aging.
D)Discuss the use of sunscreen to prevent skin cancers.
To view all questions and flashcards with answers, click on the resource link above.
Page 24
Chapter 23: Integumentary Problems
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/25358
Sample Questions
Q1) There is one opening in the schedule at the dermatology clinic,and four patients are seeking appointments today. Which patient will the nurse schedule for the available opening?
A)50-yr-old with skin redness after having a chemical peel 3 days ago
B)38-year old with a 7-mm nevus on the face that has recently become darker
C)62-yr-old with multiple small, soft, pedunculated papules in both axillary areas
D)42-yr-old with complaints of itching after using topical fluorouracil on the nose
Q2) A patient who has severe refractory psoriasis on the face,neck,and extremities is socially withdrawn because of the appearance of the lesions. Which action should the nurse take first?
A)Discuss the possibility of participating in an online support group.
B)Encourage the patient to volunteer to work on community projects.
C)Suggest that the patient use cosmetics to cover the psoriatic lesions.
D)Ask the patient to describe the impact of psoriasis on quality of life.
To view all questions and flashcards with answers, click on the resource link above.
25
Chapter 24: Burns
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/25359
Sample Questions
Q1) A patient has just arrived in the emergency department after an electrical burn from exposure to a high-voltage current. What is the priority nursing assessment?
A)Oral temperature
B)Peripheral pulses
C)Extremity movement
D)Pupil reaction to light
Q2) In which order will the nurse take these actions when doing a dressing change for a partial-thickness burn wound on a patient's chest? (Put a comma and a space between each answer choice [A,B,C,D,E].)
A)Apply sterile gauze dressing.
B)Document wound appearance.
C)Apply silver sulfadiazine cream.
D)Give IV fentanyl (Sublimaze).
E)Clean wound with saline-soaked gauze.
Q3) The nurse estimates the extent of a burn using the rule of nines for a patient who has been admitted with deep partial-thickness burns of the anterior trunk and the entire left arm. What percentage of the patient's total body surface area (TBSA)has been injured?
To view all questions and flashcards with answers, click on the resource link above. Page 26
Chapter 25: Assessment of Respiratory System
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/25360
Sample Questions
Q1) The nurse completes a shift assessment on a patient admitted in the early phase of heart failure. When auscultating the patient's lungs,which finding would the nurse most likely hear?
A)Continuous rumbling, snoring, or rattling sounds mainly on expiration
B)Continuous high-pitched musical sounds on inspiration and expiration
C)Discontinuous, high-pitched sounds of short duration during inspiration
D)A series of long-duration, discontinuous, low-pitched sounds during inspiration
Q2) 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
Q3) Which action is appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)?
A)Listen to a patient's lung sounds for wheezes or crackles.
B)Label specimens obtained during percutaneous lung biopsy.
C)Instruct a patient about how to use home spirometry testing.
D)Measure induration at the site of a patient's intradermal skin test.
To view all questions and flashcards with answers, click on the resource link above.
Page 27
Chapter 26: Upper Respiratory Problems
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/25361
Sample Questions
Q1) A patient with a tracheostomy has a new order for a fenestrated tracheostomy tube. Which action should the nurse include in the plan of care in collaboration with the speech therapist?
A)Leave the tracheostomy inner cannula inserted at all times.
B)Place the decannulation cap in the tube before cuff deflation.
C)Assess the ability to swallow before using the fenestrated tube.
D)Inflate the tracheostomy cuff during use of the fenestrated tube.
Q2) 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.
Q3) The nurse assumes care of a patient who just returned from surgery for a total laryngectomy and radical neck dissection and notes the following problems. In which order should the nurse address the problems? (Put a comma and a space between each answer choice [A,B,C,D].)
A)The patient is in a side-lying position with the head of the bed flat.
B)The patient is coughing blood-tinged secretions from the tracheostomy.
C)The nasogastric (NG) tube is disconnected from suction and clamped off.
D)The wound drain in the neck incision contains 200 mL of bloody drainage.
To view all questions and flashcards with answers, click on the resource link above. Page 28
Chapter 27: Lower Respiratory Problems
Available Study Resources on Quizplus for this Chatper
51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/25362
Sample Questions
Q1) The nurse is performing tuberculosis (TB)skin tests in a clinic that has many patients who have immigrated to the United States. Which question is most important for the nurse to ask before the skin test?
A)"Do you take any over-the-counter (OTC) medications?"
B)"Do you have any family members with a history of TB?"
C)"How long has it been since you moved to the United States?"
D)"Did you receive the bacille Calmette-Guérin (BCG) vaccine for TB?"
Q2) 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."
Q3) Which action should the nurse plan to prevent aspiration in a high-risk patient?
A)Turn and reposition an immobile patient at least every 2 hours.
B)Place a patient with altered consciousness in a side-lying position.
C)Insert a nasogastric tube for feeding a patient with high calorie needs.
D)Monitor respiratory symptoms in a patient who is immunosuppressed.
To view all questions and flashcards with answers, click on the resource link above.
29
Chapter 28: Obstructive Pulmonary Diseases
Available Study Resources on Quizplus for this Chatper
44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/25363
Sample Questions
Q1) The nurse teaches a patient how to administer formoterol (Perforomist)through a nebulizer. Which action by the patient indicates good understanding of the teaching?
A)The patient attaches a spacer before using the inhaler.
B)The patient coughs vigorously after using the inhaler.
C)The patient removes the facial mask when misting stops.
D)The patient activates the inhaler at the onset of expiration.
Q2) A patient hospitalized with chronic obstructive pulmonary disease (COPD)is being discharged home on O<sub>2</sub> therapy. Which instruction should the nurse include in the discharge teaching?
A)Travel is not possible with the use of O<sub>2</sub> devices.
B)O<sub>2</sub> flow should be increased if the patient has more dyspnea.
C)O<sub>2</sub> use can improve the patient's prognosis and quality of life.
D)Storage of O<sub>2</sub> requires large metals tanks that each last 4 to 6 hours.
Q3) A patient with asthma has a personal best peak expiratory flow rate (PEFR)of 400 L/min. When explaining the asthma action plan,the nurse will teach the patient that a change in therapy is needed when the PEFR is less than ___ L/minute
To view all questions and flashcards with answers, click on the resource link above. Page 30
Chapter 29: Assessment of Hematologic System
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/25364
Sample Questions
Q1) A patient with pancytopenia of unknown origin is scheduled for the following diagnostic tests. The nurse will provide a consent form to sign for which test?
A)Bone marrow biopsy
B)Abdominal ultrasound
C)Complete blood count (CBC)
D)Activated partial thromboplastin time (aPTT)
Q2) The health care provider's progress note for a patient states that the complete blood count (CBC)shows a "shift to the left." Which assessment finding will the nurse expect?
A)Cool extremities
B)Pallor and weakness
C)Elevated temperature
D)Low oxygen saturation
Q3) 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
To view all questions and flashcards with answers, click on the resource link above.
Chapter 30: Hematologic Problems
Available Study Resources on Quizplus for this Chatper
48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/25365
Sample Questions
Q1) A postoperative patient receiving a transfusion of packed red blood cells develops chills,fever,headache,and anxiety 35 minutes after the transfusion is started. After stopping the transfusion,what action should the nurse take?
A)Give the PRN diphenhydramine .
B)Send a urine specimen to the laboratory.
C)Administer PRN acetaminophen (Tylenol).
D)Draw blood for a new type and crossmatch.
Q2) Which menu choice indicates that the patient understands the nurse's teaching about recommended dietary choices for iron-deficiency anemia?
A)Omelet and whole wheat toast
B)Cantaloupe and cottage cheese
C)Strawberry and banana fruit plate
D)Cornmeal muffin and orange juice
Q3) A patient is to receive an infusion of 250 mL of platelets over 2 hours through tubing that is labeled: 1 mL equals 10 drops. How many drops per minute will the nurse infuse?
To view all questions and flashcards with answers, click on the resource link above.
Chapter 31: Assessment of Cardiovascular System
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/25366
Sample Questions
Q1) To determine the effects of therapy for a patient who is being treated for heart failure,which laboratory test result will the nurse plan to review?
A)Troponin
B)Homocysteine (Hcy)
C)Low-density lipoprotein (LDL)
D)B-type natriuretic peptide (BNP)
Q2) The nurse has received the laboratory results for a patient who developed chest pain 4 hours ago and may be having a myocardial infarction. The laboratory test result most helpful in indicating myocardial damage will be
A)myoglobin.
B)troponins T and I.
C)homocysteine (Hcy)
D)creatine kinase-MB (CK-MB).
Q3) 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.
To view all questions and flashcards with answers, click on the resource link above.
Page 33
Chapter 32: Hypertension
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/25367
Sample Questions
Q1) A patient has just been diagnosed with hypertension and has been started on captopril . Which information is most important to include when teaching the patient about this drug?
A)Include high-potassium foods such as bananas in the diet.
B)Increase fluid intake if dryness of the mouth is a problem.
C)Change position slowly to help prevent dizziness and falls.
D)Check blood pressure (BP) in both arms before taking the drug.
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)?
To view all questions and flashcards with answers, click on the resource link above.
34
Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/25368
Sample Questions
Q1) A patient with diabetes mellitus and chronic stable angina has a new order for captopril . The nurse should teach the patient that the primary purpose of captopril is to A)decrease the heart rate.
B)control blood glucose levels.
C)prevent changes in heart muscle.
D)reduce the frequency of chest pain.
Q2) After the nurse has finished teaching a patient about the use of sublingual nitroglycerin (Nitrostat),which patient statement indicates that the teaching has been effective?
A)"I can expect nausea as a side effect of nitroglycerin."
B)"I should only take nitroglycerin when I have chest pain."
C)"Nitroglycerin helps prevent a clot from forming and blocking blood flow to my heart."
D)"I will call an ambulance if I still have pain after taking three nitroglycerin 5 minutes apart."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 34: Heart Failure
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/25369
Sample Questions
Q1) While admitting an 82-yr-old patient with acute decompensated heart failure to the hospital,the nurse learns that the patient lives alone and sometimes confuses the "water pill" with the "heart pill." When planning for the patient's discharge the nurse will facilitate a
A)plan for around-the-clock care.
B)consultation with a psychologist.
C)transfer to a long-term care facility.
D)referral to a home health care agency.
Q2) A patient with a history of chronic heart failure is admitted to the emergency department with severe dyspnea and a dry,hacking cough. Which action should the nurse do first?
A)Auscultate the abdomen.
B)Check the capillary refill.
C)Auscultate the breath sounds.
D)Ask about the patient's allergies.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 35: Dysrhythmias
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/25370
Sample Questions
Q1) A patient has ST segment changes that suggest an acute inferior wall myocardial infarction. Which lead would be best for monitoring the patient?
A)I
B)II
C)V2
D)V6
Q2) Which action by a new registered nurse (RN)who is orienting to the telemetry unit indicates a good understanding of the treatment of heart dysrhythmias?
A)Prepares defibrillator settings at 360 joules for a patient whose monitor shows asystole.
B)Injects IV adenosine (Adenocard) over 2 seconds to a patient with supraventricular tachycardia
C)Turns the synchronizer switch to the "on" position before defibrillating a patient with ventricular fibrillation
D)Gives the prescribed dose of diltiazem (Cardizem) to a patient with new-onset type II second degree AV block
To view all questions and flashcards with answers, click on the resource link above.
Chapter 36: Inflammatory and Structural Heart Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/25371
Sample Questions
Q1) The nurse suspects cardiac tamponade in a patient who has acute pericarditis. To assess for the presence of pulsus paradoxus,the nurse should
A)subtract the diastolic blood pressure from the systolic blood pressure.
B)note when Korotkoff sounds are auscultated during both inspiration and expiration.
C)check the electrocardiogram (ECG) for variations in rate during the respiratory cycle.
D)listen for a pericardial friction rub that persists when the patient is instructed to stop breathing.
Q2) The nurse will plan discharge teaching about prophylactic antibiotics before dental procedures for which patient?
A)Patient admitted with a large acute myocardial infarction
B)Patient being discharged after an exacerbation of heart failure
C)Patient who had a mitral valve replacement with a mechanical valve
D)Patient being treated for rheumatic fever after a streptococcal infection
To view all questions and flashcards with answers, click on the resource link above.
Chapter 37: Vascular Disorders
Available Study Resources on Quizplus for this Chatper
36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/25372
Sample Questions
Q1) A patient is being evaluated for postthrombotic syndrome. Which assessment will the nurse perform?
A)Ask about leg pain with exercise.
B)Determine the ankle-brachial index.
C)Assess capillary refill in the patient's toes.
D)Inspect for presence of lipodermatosclerosis.
Q2) The nurse is caring for a patient immediately after repair of an abdominal aortic aneurysm. On assessment,the patient has absent popliteal,posterior tibial,and dorsalis pedis pulses. The legs are cool and mottled. Which action should the nurse take first?
A)Notify the surgeon and anesthesiologist.
B)Wrap both the legs in a warming blanket.
C)Document the findings and recheck in 15 minutes.
D)Compare findings to the preoperative assessment of the pulses.
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).
To view all questions and flashcards with answers, click on the resource link above. Page 39
Chapter 38: Assessment of Gastrointestinal System
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/25373
Sample Questions
Q1) 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.
Q2) Which finding by the nurse during abdominal auscultation indicates a need for a focused abdominal assessment?
A)Loud gurgles
B)High-pitched gurgles
C)Absent bowel sounds
D)Frequent clicking sounds
Q3) A 42-yr-old patient is admitted to the outpatient testing area for an ultrasound of the gallbladder. Which information obtained by the nurse indicates that the ultrasound may need to be rescheduled?
A)The patient took a laxative the previous evening.
B)The patient had a high-fat meal the previous evening.
C)The patient has a permanent gastrostomy tube in place.
D)The patient ate a low-fat bagel 4 hours ago for breakfast.
To view all questions and flashcards with answers, click on the resource link above.
Page 40
Chapter 39: Nutritional Problems
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/25374
Sample Questions
Q1) A patient is receiving continuous enteral nutrition through a small-bore silicone feeding tube. What should the nurse plan for when this patient has a computed tomography (CT)scan ordered?
A)Ask the health care provider to reschedule the scan.
B)Shut the feeding off 30 to 60 minutes before the scan.
C)Connect the feeding tube to continuous suction before and during the scan.
D)Send a suction catheter with the patient in case of aspiration during the scan.
Q2) A patient's capillary blood glucose level is 120 mg/dL 6 hours after the nurse initiated a parenteral nutrition (PN)infusion. The appropriate action by the nurse is to
A)obtain a venous blood glucose specimen.
B)slow the infusion rate of the PN infusion.
C)recheck the capillary blood glucose level in 4 to 6 hours.
D)contact the health care provider for infusion rate changes.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 40: Obesity
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/25375
Sample Questions
Q1) A patient is being admitted for bariatric surgery. Which nursing action can the nurse delegate to unlicensed assistive personnel (UAP)?
A)Demonstrate use of the incentive spirometer.
B)Plan methods for turning the patient after surgery.
C)Assist with IV insertion by holding adipose tissue out of the way.
D)Develop strategies to provide privacy and decrease embarrassment.
Q2) After successfully losing 1 lb weekly for several months,a patient at the clinic has not lost any weight for the past month. The nurse should first
A)review the diet and exercise guidelines with the patient.
B)instruct the patient to weigh and record weights weekly.
C)ask the patient whether there have been any changes in exercise or diet patterns.
D)discuss the possibility that the patient has reached a temporary weight loss plateau.
Q3) Which adult will the nurse plan to teach about risks associated with obesity?
A)Man who has a BMI of 18 kg/m2
B)Man with a 42 in waist and 44 in hips
C)Woman who has a body mass index (BMI) of 24 kg/m2
D)Woman with a waist circumference of 34 inches (86 cm)
To view all questions and flashcards with answers, click on the resource link above.
Page 42
Chapter 41: Upper Gastrointestinal Problems
Available Study Resources on Quizplus for this Chatper
47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/25376
Sample Questions
Q1) When a patient is diagnosed with achalasia,the nurse will teach the patient that
A)lying down after meals is recommended.
B)a liquid or blenderized diet will be necessary.
C)drinking fluids with meals should be avoided.
D)treatment may include endoscopic procedures.
Q2) A patient returned from a laparoscopic Nissen fundoplication for hiatal hernia 4 hours ago. Which assessment finding is most important for the nurse to address immediately?
A)The patient is experiencing intermittent waves of nausea.
B)The patient has no breath sounds in the left anterior chest.
C)The patient complains of 7/10 (0 to 10 scale) abdominal pain.
D)The patient has hypoactive bowel sounds in all four quadrants.
Q3) The nurse is caring for a patient who develops watery diarrhea and a fever after prolonged omeprazole (Prilosec)therapy. In which order will the nurse take actions? (Put a comma and a space between each answer choice [A,B,C,D].)
A)Contact the health care provider.
B)Assess blood pressure and heart rate.
C)Give the PRN acetaminophen (Tylenol).
D)Place the patient on contact precautions.
To view all questions and flashcards with answers, click on the resource link above.
Page 43
Chapter 42: Lower Gastrointestinal Problems
Available Study Resources on Quizplus for this Chatper
55 Verified Questions
55 Flashcards
Source URL: https://quizplus.com/quiz/25377
Sample Questions
Q1) After several days of antibiotic therapy,an older hospitalized patient develops watery diarrhea. Which action should the nurse take first?
A)Notify the health care provider.
B)Obtain a stool specimen for analysis.
C)Teach the patient about handwashing.
D)Place the patient on contact precautions.
Q2) A patient complains of gas pains and abdominal distention 2 days after a small bowel resection. Which nursing action should the nurse take?
A)Encourage the patient to ambulate.
B)Instill a mineral oil retention enema.
C)Administer the prescribed IV morphine sulfate.
D)Offer the prescribed promethazine (Phenergan).
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.
To view all questions and flashcards with answers, click on the resource link above.
44
Chapter 43: Liver, pancreas, and Biliary Tract Problems
Available Study Resources on Quizplus for this Chatper
46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/25378
Sample Questions
Q1) A patient had an incisional cholecystectomy 6 hours ago. The nurse will place the highest priority on assisting the patient to
A)perform leg exercises hourly while awake.
B)ambulate the evening of the operative day.
C)turn, cough, and deep breathe every 2 hours.
D)choose preferred low-fat foods from the menu.
Q2) Which response by the nurse best explains the purpose of ranitidine (Zantac)for a patient admitted with bleeding esophageal varices?
A)The medication will reduce the risk for aspiration.
B)The medication will inhibit development of gastric ulcers.
C)The medication will prevent irritation of the enlarged veins.
D)The medication will decrease nausea and improve the appetite.
Q3) The nurse is caring for a patient who has cirrhosis. Which data obtained by the nurse during the assessment will be of most concern?
A)The patient complains of right upper-quadrant pain with palpation.
B)The patient's hands flap back and forth when the arms are extended.
C)The patient has ascites and a 2-kg weight gain from the previous day.
D)The patient's abdominal skin has multiple spider-shaped blood vessels.
To view all questions and flashcards with answers, click on the resource link above.
45
Chapter 44: Assessment of Urinary System
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/25379
Sample Questions
Q1) A 79-yr-old patient has been admitted with benign prostatic hyperplasia. What is most appropriate to include in the nursing plan of care?
A)Limit fluid intake to no more than 1000 mL/day.
B)Leave a light on in the bathroom during the night.
C)Ask the patient to use a urinal so that urine can be measured.
D)Pad the patient's bed to accommodate overflow incontinence.
Q2) What glomerular filtration rate (GFR)would the nurse estimate for a 30-yr-old patient with a creatinine clearance result of 60 mL/min?
A)60 mL/min
B)90 mL/min
C)120 mL/min
D)180 mL/min
Q3) A hospitalized patient with possible renal insufficiency after coronary artery bypass surgery is scheduled for a creatinine clearance test. Which item will the nurse need to obtain?
A)Urinary catheter
B)Sterile specimen cup
C)Cleansing towelettes
D)Large urine container
To view all questions and flashcards with answers, click on the resource link above.
Page 46
Chapter 45: Renal and Urologic Problems
Available Study Resources on Quizplus for this Chatper
45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/25380
Sample Questions
Q1) The nurse will anticipate teaching a patient with nephrotic syndrome who develops flank pain about treatment with A)antibiotics.
B)antifungals.
C)anticoagulants.
D)antihypertensives.
Q2) A 68-yr-old male patient who has bladder cancer had a cystectomy with creation of an Indiana pouch. Which topic will be included in patient teaching?
A)Application of ostomy appliances
B)Barrier products for skin protection
C)Catheterization technique and schedule
D)Analgesic use before emptying the pouch
Q3) Which action will the nurse anticipate taking for an otherwise healthy 50-yr-old who has just been diagnosed with stage 1 renal cell carcinoma?
A)Prepare patient for a renal biopsy.
B)Provide preoperative teaching about nephrectomy.
C)Teach the patient about chemotherapy medications.
D)Schedule for a follow-up appointment in 3 months.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 46: Acute Kidney Injury and Chronic Kidney Disease
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/25381
Sample Questions
Q1) Which information will be included when the nurse is teaching self-management to a patient who is receiving peritoneal dialysis ?
A)Avoid commercial salt substitutes.
B)Restrict fluid intake to 1000 mL daily.
C)Take phosphate binders with each meal.
D)Choose high-protein foods for most meals.
E)Have several servings of dairy products daily.
Q2) A 38-yr-old patient who had a kidney transplant 8 years ago is receiving the immunosuppressants tacrolimus (Prograf),cyclosporine (Sandimmune),and prednisone . Which assessment data will be of most concern to the nurse?
A)Skin is thin and fragile.
B)Blood pressure is 150/92.
C)A nontender axillary lump.
D)Blood glucose is 144 mg/dL.
Q3) A patient complains of leg cramps during hemodialysis. The nurse should
A)massage the patient's legs.
B)reposition the patient supine.
C)give acetaminophen (Tylenol).
D)infuse a bolus of normal saline.
Page 48
To view all questions and flashcards with answers, click on the resource link above.
Chapter 47: Assessment of Endocrine System
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/25382
Sample Questions
Q1) Which statements will the nurse include when teaching a patient who is scheduled for oral glucose tolerance testing in the outpatient clinic ?
A)"You will need to avoid smoking before the test."
B)"Exercise should be avoided until the testing is complete."
C)"Several blood samples will be obtained during the testing."
D)"You should follow a low-calorie diet the day before the test."
E)"The test requires that you fast for at least 8 hours before testing."
Q2) A registered nurse (RN)is caring for a patient with a goiter and possible hyperthyroidism. Which action by the RN indicates that the charge nurse needs to provide the RN with additional teaching?
A)The RN checks the blood pressure in both arms.
B)The RN palpates the neck to assess thyroid size.
C)The RN orders saline eye drops to lubricate the patient's bulging eyes.
D)The RN lowers the thermostat to decrease the temperature in the room.
Q3) The nurse reviews a patient's glycosylated hemoglobin (A1C)results to evaluate
A)fasting preprandial glucose levels.
B)glucose levels 2 hours after a meal.
C)glucose control over the past 90 days.
D)hypoglycemic episodes in the past 3 months.
To view all questions and flashcards with answers, click on the resource link above.
Page 49
Chapter 48: Diabetes Mellitus
Available Study Resources on Quizplus for this Chatper
49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/25383
Sample Questions
Q1) A 26-yr-old female with type 1 diabetes develops a sore throat and runny nose after caring for her sick toddler. The patient calls the clinic for advice about her symptoms and a blood glucose level of 210 mg/dL despite taking her usual glargine (Lantus)and lispro (Humalog)insulin. The nurse advises the patient to
A)use only the lispro insulin until the symptoms are resolved.
B)limit intake of calories until the glucose is less than 120 mg/dL.
C)monitor blood glucose every 4 hours and notify the clinic if it continues to rise.
D)decrease intake of carbohydrates until glycosylated hemoglobin is less than 7%.
Q2) A patient receives aspart (NovoLog)insulin at 8:00 AM. At which time would the nurse anticipate the highest risk for hypoglycemia?
A)10:00 AM
B)12:00 AM
C)2:00 PM
D)4:0 PM
To view all questions and flashcards with answers, click on the resource link above.
Chapter 49: Endocrine Problems
Available Study Resources on Quizplus for this Chatper
46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/25384
Sample Questions
Q1) Which question will the nurse in the endocrine clinic ask to help determine a patient's risk factors for goiter?
A)"How much milk do you drink?"
B)"What medications are you taking?"
C)"Are your immunizations up to date?"
D)"Have you had any recent neck injuries?"
Q2) Which information will the nurse include when teaching a 50-yr-old male patient about somatropin (Genotropin)?
A)The medication will be needed for 3 to 6 months.
B)Inject the medication subcutaneously every day.
C)Blood glucose levels may decrease when taking the medication.
D)Stop taking the medication if swelling of the hands or feet occurs.
Q3) A patient who had radical neck surgery to remove a malignant tumor developed hypoparathyroidism. The nurse should plan to teach the patient about
A)bisphosphonates to reduce bone demineralization.
B)calcium supplements to normalize serum calcium levels.
C)increasing fluid intake to decrease risk for nephrolithiasis.
D)including whole grains in the diet to prevent constipation.
To view all questions and flashcards with answers, click on the resource link above. Page 51
Chapter 50: Assessment of Reproductive System
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/25385
Sample Questions
Q1) The following patients call the outpatient clinic. Which phone call should the nurse return first?
A)A 44-yr-old patient who has bloody discharge after a hysteroscopy earlier today
B)A 64-yr-old patient who is experiencing shoulder pain after a laparoscopy yesterday
C)A 34-yr-old patient who is short of breath after having a pelvic CT with contrast dye
D)A 54-yr-old patient who has severe breast tenderness following a needle aspiration breast biopsy
Q2) A couple is scheduled to have a Huhner test for infertility. In preparation for the test,the nurse will instruct the couple about
A)being sedated during the procedure.
B)determining the estimated time of ovulation.
C)experiencing shoulder pain after the procedure.
D)refraining from intercourse before the appointment.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 51: Breast Disorders
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/25386
Sample Questions
Q1) The nurse is admitting a patient scheduled this morning for lumpectomy and axillary lymph node dissection. Which action should the nurse take first?
A)Teach the patient how to deep breathe and cough.
B)Discuss options for postoperative pain management.
C)Explain the postdischarge care of the axillary drains.
D)Ask the patient to describe what she knows about the surgery.
Q2) A 51-yr-old patient with a small immobile breast lump is considering having a fine-needle aspiration (FNA)biopsy. The nurse explains that an advantage to this procedure is that
A)FNA is done in the outpatient clinic, and results are available in 1 to 2 days.
B)only a small incision is needed, resulting in minimal breast pain and scarring.
C)if the biopsy results are negative, no further diagnostic testing will be needed.
D)FNA is guided by a mammogram, ensuring that cells are taken from the lesion.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 52: Sexually Transmitted Infections
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/25387
Sample Questions
Q1) A 19-yr-old patient has genital warts around her external genitalia and perianal area. She tells the nurse that she has not sought treatment until now because "the warts are so disgusting." Which nursing diagnosis is consistent with these data?
A)Disturbed body image related to feelings about the genital warts
B)Ineffective coping related to denial of increased risk for infection
C)Risk for infection related to lack of knowledge about transmission
D)Anxiety related to impact of condition on interpersonal relationships
Q2) A patient admitted with chest pain is also found to have positive Venereal Disease Research Laboratory (VDRL)and fluorescent treponemal antibody absorption (FAT-Abs)tests,rashes on the palms and the soles of the feet,and moist papules in the anal and vulvar area. Which action will the nurse include in the plan of care?
A)Assess for arterial aneurysms.
B)Wear gloves for patient contact.
C)Place the patient in a private room.
D)Apply antibiotic ointment to the perineum.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 53: Female Reproductive and Genital Problems
Available Study Resources on Quizplus for this Chatper
49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/25388
Sample Questions
Q1) The nurse will plan to teach a 34-yr-old patient diagnosed with stage 0 cervical cancer about
A)radiation.
B)conization.
C)chemotherapy.
D)radical hysterectomy.
Q2) A patient who is scheduled for a routine gynecologic examination tells the nurse that she has had intercourse during the past year with several men. The nurse will plan to teach about the reason for
A)contraceptive use.
B)antibiotic therapy.
C)Chlamydia testing.
D)pregnancy testing.
Q3) A patient is on the surgical unit after a radical abdominal hysterectomy. Which finding requires a report to the health care provider?
A)Urine output of 125 mL in the first 8 hours after surgery
B)Decreased bowel sounds in all four abdominal quadrants
C)One-inch area of bloody drainage on the abdominal dressing
D)Complaints of abdominal pain at the incision site with coughing
To view all questions and flashcards with answers, click on the resource link above.
Page 55
Chapter 54: Male Reproductive and Genital Problems
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/25389
Sample Questions
Q1) 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).
Q2) When performing discharge teaching for a patient after a vasectomy,the nurse instructs the patient that he
A)should continue to use other methods of birth control for 6 weeks.
B)should not have sexual intercourse until his 6-week follow-up visit.
C)may have temporary erectile dysfunction (ED) because of swelling.
D)will notice a decrease in the appearance and volume of his ejaculate.
Q3) The plan of care for a patient immediately after a perineal radical prostatectomy will include decreasing the risk for infection related to A)urinary incontinence.
B)prolonged urinary stasis.
C)fecal wound contamination.
D)suprapubic catheter placement.
To view all questions and flashcards with answers, click on the resource link above.
56
Chapter 55: Assessment of Nervous System
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/25390
Sample Questions
Q1) Which information about a 76-yr-old patient should the nurse report as uncharacteristic of normal aging?
A)Triceps reflex response graded at 1/5
B)Unintended weight loss of 15 pounds
C)10 mm Hg orthostatic drop in systolic blood pressure
D)Patient complaint of chronic difficulty in falling asleep
Q2) Which cerebrospinal fluid analysis result should the nurse recognize as abnormal and communicate to the health care provider?
A)Specific gravity of 1.007
B)Protein of 65 mg/dL (0.65 g/L)
C)Glucose of 45 mg/dL (1.7 mmol/L)
D)White blood cell (WBC) count of 4 cells/mL
Q3) Which assessments will the nurse make to monitor a patient's cerebellar function ?
A)Test for graphesthesia.
B)Observe arm swing with gait.
C)Perform the finger-to-nose test.
D)Assess heat and cold sensation.
E)Measure strength against resistance.
To view all questions and flashcards with answers, click on the resource link above. Page 57
Chapter 56: Acute Intracranial Problems
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/25391
Sample Questions
Q1) 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.
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) 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.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 57: Stroke
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/25392
Sample Questions
Q1) A patient with a left-brain stroke suddenly bursts into tears when family members visit. The nurse should
A)use a calm voice to ask the patient to stop the crying behavior.
B)explain to the family that depression is normal following a stroke.
C)have the family members leave the patient alone for a few minutes.
D)teach the family that emotional outbursts are common after strokes.
Q2) A 70-yr-old female patient with left-sided hemiparesis arrives by ambulance to the emergency department. Which action should the nurse take first?
A)Take the patient's blood pressure.
B)Check the respiratory rate and effort.
C)Assess the Glasgow Coma Scale score.
D)Send the patient for a computed tomography (CT) scan.
Q3) 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.
To view all questions and flashcards with answers, click on the resource link above.
59
Chapter 58: Chronic Neurologic Problems
Available Study Resources on Quizplus for this Chatper
36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/25393
Sample Questions
Q1) A patient who has amyotrophic lateral sclerosis (ALS)is hospitalized with pneumonia. Which nursing action will be included in the plan of care?
A)Observe for agitation and paranoia.
B)Assist with active range of motion (ROM).
C)Give muscle relaxants as needed to reduce spasms.
D)Use simple words and phrases to explain procedures.
Q2) A hospitalized patient complains of a bilateral headache (4/10 on the pain scale)that radiates from the base of the skull. Which prescribed PRN medications should the nurse administer initially?
A)Lorazepam (Ativan)
B)Acetaminophen (Tylenol)
C)Morphine sulfate (MS Contin)
D)Butalbital and aspirin (Fiorinal)
Q3) The nurse determines that teaching about management of migraine headaches has been effective when the patient says which of the following?
A)"I can take the (Topamax) as soon as a headache starts."
B)"A glass of wine might help me relax and prevent a headache."
C)"I will lie down someplace dark and quiet when the headaches begin."
D)"I should avoid taking aspirin and sumatriptan (Imitrex) at the same time."
To view all questions and flashcards with answers, click on the resource link above.
Page 60
Chapter 59: Dementia and Delirium
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/25394
Sample Questions
Q1) After change-of-shift report on the Alzheimer's disease/dementia unit,which patient will the nurse assess first?
A)Patient who has not had a bowel movement for 5 days
B)Patient who has a stage II pressure ulcer on the coccyx
C)Patient who is refusing to take the prescribed medications
D)Patient who developed a new cough after eating breakfast
Q2) A patient with Alzheimer's disease (AD)who is being admitted to a long-term care facility has had several episodes of wandering away from home. Which action will the nurse include in the plan of care?
A)Reorient the patient several times daily.
B)Have the family bring in familiar items.
C)Place the patient in a room close to the nurses' station.
D)Ask the patient why the wandering episodes have occurred.
Q3) The nurse's initial action for a patient with moderate dementia who develops increased restlessness and agitation should be to
A)reorient the patient to time, place, and person.
B)administer a PRN dose of lorazepam (Ativan).
C)assess for factors that might be causing discomfort.
D)assign unlicensed assistive personnel (UAP) to stay in the patient's room.
To view all questions and flashcards with answers, click on the resource link above.
Page 61
Chapter 60: Spinal Cord and Peripheral Nerve Problems
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/25395
Sample Questions
Q1) Which nursing action has the highest priority for a patient who was admitted 16 hours earlier with a C5 spinal cord injury?
A)Cardiac monitoring for bradycardia
B)Assessment of respiratory rate and effort
C)Administration of low-molecular-weight heparin
D)Application of pneumatic compression devices to legs
Q2) A patient admitted with dermal ulcers who has a history of a T3 spinal cord injury tells the nurse,"I have a pounding headache and I feel sick to my stomach." Which action should the nurse take first?
A)Check for a fecal impaction.
B)Give the prescribed antiemetic.
C)Assess the blood pressure (BP).
D)Notify the health care provider.
Q3) Before administering botulinum antitoxin to a patient in the emergency department,it is most important for the nurse to
A)obtain the patient's temperature.
B)administer an intradermal test dose.
C)document the neurologic symptoms.
D)ask the patient about an allergy to eggs.
To view all questions and flashcards with answers, click on the resource link above.
Page 62
Chapter 61: Assessment of Musculoskeletal System
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/25396
Sample Questions
Q1) Which finding from analysis of fluid from a patient's right knee arthrocentesis will be of concern to the nurse?
A)Cloudy fluid
B)Scant thin fluid
C)Pale yellow fluid
D)Straw-colored fluid
Q2) Which nursing action is correct when performing the straight-leg raising test for an ambulatory patient with back pain?
A)Lift the patient's leg to a 60-degree angle from the bed.
B)Place the patient in the prone position on the exam table.
C)Ask the patient to dangle both legs over the edge of the exam table.
D)Instruct the patient to elevate the legs and tense the abdominal muscles.
Q3) Which finding for a 77-yr-old patient seen in the outpatient clinic requires further nursing assessment and intervention?
A)Symmetric joint swelling of fingers
B)Decreased right knee range of motion
C)Report of left hip aching when jogging
D)History of recent loss of balance and fall
To view all questions and flashcards with answers, click on the resource link above.
63
Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery
Available Study Resources on Quizplus for this Chatper
47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/25397
Sample Questions
Q1) Which discharge instruction will the emergency department nurse include for a patient with a sprained ankle?
A)Keep the ankle loosely wrapped with gauze.
B)Apply a heating pad to reduce muscle spasms.
C)Use pillows to elevate the ankle above the heart.
D)Gently move the ankle through the range of motion.
Q2) Which information will the nurse teach seniors at a community recreation center about ways to prevent fractures?
A)Tack down scatter rugs in the home.
B)Expect most falls to happen outside the home.
C)Buy shoes that provide good support and are comfortable to wear.
D)Get instruction in range-of-motion exercises from a physical therapist.
Q3) A high school teacher with ulnar drift caused by rheumatoid arthritis (RA)is scheduled for arthroplasty of several joints in the left hand. Which patient statement to the nurse indicates a realistic expectation for the surgery?
A)"This procedure will correct the deformities in my fingers."
B)"I will not have to do as many hand exercises after the surgery."
C)"I will be able to use my fingers with more flexibility to grasp things."
D)"My fingers will appear more normal in size and shape after this surgery."
Page 64
To view all questions and flashcards with answers, click on the resource link above.
Chapter 63: Musculoskeletal Problems
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/25398
Sample Questions
Q1) Which information will the nurse include when teaching a patient with acute low back pain ?
A)Sleep in a prone position with the legs extended.
B)Keep the knees straight when leaning forward to pick something up.
C)Expect symptoms of acute low back pain to improve in a few weeks.
D)Avoid activities that require twisting of the back or prolonged sitting.
E)Use ibuprofen (Motrin, Advil) or acetaminophen (Tylenol) to relieve pain.
Q2) Which nursing action included in the care of a patient after laminectomy can the nurse delegate to experienced unlicensed assistive personnel (UAP)?
A)Check ability to plantar and dorsiflex the foot.
B)Determine the patient's readiness to ambulate.
C)Log roll the patient from side to side every 2 hours.
D)Ask about pain management with the patient-controlled analgesia (PCA).
Q3) When administering alendronate (Fosamax)to a patient with osteoporosis,the nurse will
A)ask about any leg cramps or hot flashes.
B)assist the patient to sit up at the bedside.
C)be sure that the patient has recently eaten.
D)administer the ordered calcium carbonate.
To view all questions and flashcards with answers, click on the resource link above.
Page 65
Chapter 64: Arthritis and Connective Tissue Diseases
Available Study Resources on Quizplus for this Chatper
47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/25399
Sample Questions
Q1) A new clinic patient with joint swelling and pain is being tested for systemic lupus erythematosus. Which test will provide the most specific findings for the nurse to review?
A)Rheumatoid factor (RF)
B)Antinuclear antibody (ANA)
C)Anti-Smith antibody (Anti-Sm)
D)Lupus erythematosus (LE) cell prep
Q2) After the nurse has taught a 28-yr-old with fibromyalgia,which statement by the patient indicates a good understanding of effective self-management?
A)"I will need to stop drinking so much coffee and soda."
B)"I am going to join a soccer team to get more exercise."
C)"I will call the doctor every time my symptoms get worse."
D)"I should avoid using over-the-counter medications for pain."
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.
To view all questions and flashcards with answers, click on the resource link above. Page 66
Chapter 65: Critical Care
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/25400
Sample Questions
Q1) While close family members are visiting,a patient has a respiratory arrest,and resuscitation is started. Which action by the nurse is best?
A)Tell the family members that watching the resuscitation will be very stressful.
B)Ask family members if they wish to remain in the room during the resuscitation.
C)Take the family members quickly out of the patient room and remain with them.
D)Assign a staff member to wait with family members just outside the patient room.
Q2) The nurse is caring for a patient who has an intraaortic balloon pump (IABP)after a massive heart attack. When assessing the patient,the nurse notices blood backing up into the IABP catheter. In which order should the nurse take the following actions? (Put a comma and a space between each answer choice [A,B,C,D].)
A)Confirm that the IABP console has turned off.
B)Assess the patient's vital signs and orientation.
C)Obtain supplies for insertion of a new IABP catheter.
D)Notify the health care provider of the IABP malfunction.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 66: Shock, sepsis, and Multiple Organ Dysfunction Syndrome
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/25401
Sample Questions
Q1) 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?
Q2) A 78-kg patient with septic shock has a pulse rate of 120 beats/min with low central venous pressure and pulmonary artery wedge pressure. Urine output has been 30 mL/hr for the past 3 hours. Which order by the health care provider should the nurse question?
A)Administer furosemide (Lasix) 40 mg IV.
B)Increase normal saline infusion to 250 mL/hr.
C)Give hydrocortisone (Solu-Cortef) 100 mg IV.
D)Titrate norepinephrine to keep systolic blood pressure (BP) above 90 mm Hg.
Q3) A nurse is assessing a patient who is receiving a nitroprusside infusion to treat cardiogenic shock. Which finding indicates that the drug is effective?
A)No new heart murmurs
B)Decreased troponin level
C)Warm, pink, and dry skin
D)Blood pressure of 92/40 mm Hg
To view all questions and flashcards with answers, click on the resource link above. Page 68
Chapter 67: Acute Respiratory Failure and Acute
Respiratory Distress Syndrome
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/25402
Sample Questions
Q1) When prone positioning is used for a patient with acute respiratory distress syndrome (ARDS),which information obtained by the nurse indicates that the positioning is effective?
A)The patient's PaO<sub>2</sub> is 89 mm Hg, and the SaO<sub>2</sub> is 91%.
B)Endotracheal suctioning results in clear mucous return.
C)Sputum and blood cultures show no growth after 48 hours.
D)The skin on the patient's back is intact and without redness.
Q2) A patient with chronic obstructive pulmonary disease (COPD)arrives in the emergency department complaining of shortness of breath and dyspnea on minimal exertion. Which assessment finding by the nurse is most important to report to the health care provider?
A)The patient has bibasilar lung crackles.
B)The patient is sitting in the tripod position.
C)The patient's pulse oximetry indicates a 91% O<sub>2</sub> saturation.
D)The patient's respirations have dropped to 10 breaths/minute.
To view all questions and flashcards with answers, click on the resource link above.
Page 69
Chapter 68: Emergency and Disaster Nursing
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/25403
Sample Questions
Q1) A patient arrives in the emergency department (ED)after topical exposure to powdered lime at work. Which action should the nurse take first?
A)Obtain the patient's vital signs.
B)Obtain a baseline complete blood count.
C)Decontaminate the patient by showering with water.
D)Brush off any visible powder on the skin and clothing.
Q2) During the primary assessment of a victim of a motor vehicle collision,the nurse determines that the patient has an unobstructed airway. Which action should the nurse take next?
A)Palpate extremities for bilateral pulses.
B)Observe the patient's respiratory effort.
C)Check the patient's level of consciousness.
D)Examine the patient for any external bleeding.
Q3) An unresponsive patient is admitted to the emergency department (ED)after falling through the ice while ice skating. Which assessment will the nurse obtain first?
A)Pulse
B)Heart rhythm
C)Breath sounds
D)Body temperature
To view all questions and flashcards with answers, click on the resource link above.
Page 70