Advanced Medical-Surgical Nursing Exam Solutions
Course Introduction
Advanced Medical-Surgical Nursing is designed to equip students with comprehensive knowledge and clinical expertise in caring for adult patients with complex and multifaceted health conditions. The course emphasizes advanced assessment, critical thinking, and evidence-based interventions for managing acute and chronic illnesses across multiple body systems. Students will explore topics such as hemodynamic monitoring, pain management, organ transplantation, and the care of patients in critical and perioperative settings. Through case studies, simulations, and clinical experiences, students will refine their ability to prioritize care, coordinate interdisciplinary teams, and provide holistic, patient-centered nursing care in diverse healthcare environments.
Recommended Textbook
Medical Surgical Nursing 8th Edition by Ignatavicius
Available Study Resources on Quizplus
74 Chapters
1769 Verified Questions
1769 Flashcards
Source URL: https://quizplus.com/study-set/814 Page 2
Chapter 1: Introduction to Medical Surgical Nursing Practice
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/16109
Sample Questions
Q1) A nurse is interested in making interdisciplinary work a high priority.Which actions by the nurse best demonstrate this skill? (Select all that apply.)
A) Consults with other disciplines on client care
B) Coordinates discharge planning for home safety
C) Participates in comprehensive client rounding
D) Routinely asks other disciplines about client progress
E) Shows the nursing care plans to other disciplines
Answer: A,B,C,D
Q2) Which action by the nurse working with a client best demonstrates respect for autonomy?
A) Asks if the client has questions before signing a consent
B) Gives the client accurate information when questioned
C) Keeps the promises made to the client and family
D) Treats the client fairly compared to other clients
Answer: A
To view all questions and flashcards with answers, click on the resource link above. Page 3
Chapter 2: Common Health Problems of Older Adults
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/16110
Sample Questions
Q1) A hospitalized older adult has been assessed at high risk for skin breakdown.Which actions does the registered nurse (RN)delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
A) Assess skin redness when turning.
B) Document Braden Scale results.
C) Keep the client's skin dry.
D) Obtain a pressure-relieving mattress.
E) Turn the client every 2 hours.
Answer: C,D,E
Q2) A home health care nurse has conducted a home safety assessment for an older adult.There are five concrete steps leading out from the front door.Which intervention would be most helpful in keeping the older adult safe on the steps?
A) Have the client use a walker or cane on the steps.
B) Install contrasting color strips at the edge of each step.
C) Instruct the client to use the garage door instead.
D) Tell the client to use a two-footed gait on the steps.
Answer: B
To view all questions and flashcards with answers, click on the resource link above.
Page 4
Chapter 3: Assessment and Care of Patients with Pain
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/16111
Sample Questions
Q1) The nurse in the surgery clinic is discussing an upcoming surgical procedure with a client.What information provided by the nurse is most appropriate for the client's long-term outcome?
A) "At least you know that the pain after surgery will diminish quickly."
B) "Discuss acceptable pain control after your operation with the surgeon."
C) "Opioids often cause nausea but you won't have to take them for long."
D) "The nursing staff will give you pain medication when you ask them for it."
Answer: B
Q2) A nursing student is studying pain sources.Which statements accurately describe different types of pain? (Select all that apply.)
A) Neuropathic pain sometimes accompanies amputation.
B) Nociceptive pain originates from abnormal pain processing.
C) Deep somatic pain is pain arising from bone and connective tissues.
D) Somatic pain originates from skin and subcutaneous tissues.
E) Visceral pain is often diffuse and poorly localized.
Answer: A,C,D,E
To view all questions and flashcards with answers, click on the resource link above.
Chapter 4: Genetic and Genomic Concepts for Medical
Surgical Nursing
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/16112
Sample Questions
Q1) A nurse completes pedigree charts for clients at a community health center.Which diagnosis should the nurse refer for carrier genetic testing? (Select all that apply.)
A) Huntington disease
B) Breast cancer
C) Hemophilia
D) Colorectal cancer
E) Sickle cell disease
F) Cystic fibrosis
Q2) A client is typed and crossmatched for a unit of blood.Which statement by the nurse indicates a need for further genetic education?
A) "Blood type is formed from three gene alleles: A, B, and O."
B) "Each blood type allele is inherited from the mother or the father."
C) "If the client's blood type is AB, then the client is homozygous for that trait."
D) "If the client has a dominant and a recessive blood type allele, only the dominant will be expressed."
To view all questions and flashcards with answers, click on the resource link above.
6
Chapter 5: Evidence Based Practice in Medical Surgical
Nursing
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/16113
Sample Questions
Q1) A nurse assesses this PICOT question: "In the adult hospitalized client,does a COX-2 inhibitor decrease the risk of gastrointestinal bleeding compared with other NSAIDs?" What is the outcome component in this question?
A) Adult hospitalized client
B) Cyclooxygenase-2 (COX-2) inhibitor
C) Decreased risk of gastrointestinal bleeding
D) Other nonsteroidal anti-inflammatory drugs (NSAIDs)
Q2) A nurse who wants to incorporate evidence-based practices into client care on a medical unit is meeting resistance.Which barrier does the nurse identify as preventing nurses from engaging in evidence-based practices?
A) Difficulty accessing research materials
B) Lack of value for client preferences
C) Trouble understanding client needs
D) Inadequate nurse-client ratios
To view all questions and flashcards with answers, click on the resource link above.
Chapter 6: Rehabilitation Concepts for Chronic and Disabling Health Problems
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/16114
Sample Questions
Q1) A nurse is caring for a client who has a spinal cord injury at level T<sub>3</sub>.Which intervention should the nurse implement to assist with bladder dysfunction?
A) Insert an indwelling urinary catheter.
B) Stroke the medial aspect of the thigh.
C) Use the Credé maneuver every 3 hours.
D) Apply a Texas catheter with a leg bag.
Q2) A nurse is caring for clients as a member of the rehabilitation team.Which activities should the nurse complete as part of the nurse's role? (Select all that apply.)
A) Maintain the safety of adaptive devices by monitoring their function and making repairs.
B) Coordinate rehabilitation team activities to ensure implementation of the plan of care.
C) Assist clients to identify support services and resources for the coordination of services.
D) Counsel clients and family members on strategies to cope with disability.
E) Support the client's choices by acting as an advocate for the client and family.
To view all questions and flashcards with answers, click on the resource link above.
Page 8
Chapter 7: End of Life Care
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/16115
Sample Questions
Q1) A nurse is caring for a dying client.The client's spouse states,"I think he is choking to death." How should the nurse respond?
A) "Do not worry.The choking sound is normal during the dying process."
B) "I will administer more morphine to keep your husband comfortable."
C) "I can ask the respiratory therapist to suction secretions out through his nose."
D) "I will have another nurse assist me to turn your husband on his side."
Q2) A nurse is caring for a terminally ill client who has just died in a hospital setting with family members at the bedside.Which action should the nurse take first?
A) Call for emergency assistance so that resuscitation procedures can begin.
B) Ask family members if they would like to spend time alone with the client.
C) Ensure that a death certificate has been completed by the physician.
D) Request family members to prepare the client's body for the funeral home.
Q3) A nurse cares for a dying client.Which manifestation of dying should the nurse treat first?
A) Anorexia
B) Pain
C) Nausea
D) Hair loss
To view all questions and flashcards with answers, click on the resource link above.
9
Chapter 8: Concepts of Emergency and Trauma Nursing
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/16116
Sample Questions
Q1) The complex care provided during an emergency requires interdisciplinary collaboration.Which interdisciplinary team members are paired with the correct responsibilities? (Select all that apply.)
A) Psychiatric crisis nurse - Interacts with clients and families when sudden illness, serious injury, or death of a loved one may cause a crisis
B) Forensic nurse examiner - Performs rapid assessments to ensure clients with the highest acuity receive the quickest evaluation, treatment, and prioritization of resources
C) Triage nurse - Provides basic life support interventions such as oxygen, basic wound care, splinting, spinal immobilization, and monitoring of vital signs
D) Emergency medical technician - Obtains client histories, collects evidence, and offers counseling and follow-up care for victims of rape, child abuse, and domestic violence
E) Paramedic - Provides prehospital advanced life support, including cardiac monitoring, advanced airway management, and medication administration
To view all questions and flashcards with answers, click on the resource link above.
Chapter 9: Care of Patients with Common Environmental Emergencies
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/16117
Sample Questions
Q1) An emergency department nurse assesses a client admitted after a lightning strike.Which assessment should the nurse complete first?
A) Electrocardiogram (ECG)
B) Wound inspection
C) Creatinine kinase
D) Computed tomography of head
Q2) A client presents to the emergency department after prolonged exposure to the cold.The client is difficult to arouse and speech is incoherent.Which action should the nurse take first?
A) Reposition the client into a prone position.
B) Administer warmed intravenous fluids to the client.
C) Wrap the client's extremities in warm blankets.
D) Initiate extracorporeal rewarming via hemodialysis.
Q3) A nurse assesses a client admitted with a brown recluse spider bite.Which priority assessment should the nurse perform to identify complications of this bite?
A) Ask the client about pruritus at the bite site.
B) Inspect the bite site for a bluish purple vesicle.
C) Assess the extremity for redness and swelling.
D) Monitor the client's temperature every 4 hours.
Page 11
To view all questions and flashcards with answers, click on the resource link above.
Chapter 10: Concepts of Emergency and Disaster
Preparedness
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/16118
Sample Questions
Q1) A nurse is caring for a client whose wife died in a recent mass casualty accident.The client says,"I can't believe that my wife is gone and I am left to raise my children all by myself." How should the nurse respond?
A) "Please accept my sympathies for your loss."
B) "I can call the hospital chaplain if you wish."
C) "You sound anxious about being a single parent."
D) "At least your children still have you in their lives."
Q2) A family in the emergency department is overwhelmed at the loss of several family members due to a shooting incident in the community.Which intervention should the nurse complete first?
A) Provide a calm location for the family to cope and discuss needs.
B) Call the hospital chaplain to stay with the family and pray for the deceased.
C) Do not allow visiting of the victims until the bodies are prepared.
D) Provide privacy for law enforcement to interview the family.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 11: Assessment and Care of Patients with Fluid and Electrolyte Imbalances
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/16119
Sample Questions
Q1) A nurse is assessing a client who has an electrolyte imbalance related to renal failure.For which potential complications of this electrolyte imbalance should the nurse assess? (Select all that apply.)
A) Electrocardiogram changes
B) Slow, shallow respirations
C) Orthostatic hypotension
D) Paralytic ileus
E) Skeletal muscle weakness
Q2) A nurse is assessing clients on a medical-surgical unit.Which clients are at increased risk for hypophosphatemia? (Select all that apply.)
A) A 36-year-old who is malnourished
B) A 42-year-old with uncontrolled diabetes
C) A 50-year-old with hyperparathyroidism
D) A 58-year-old with chronic renal failure
E) A 76-year-old who is prescribed antacids
To view all questions and flashcards with answers, click on the resource link above.
13
Chapter 12: Assessment and Care of Patients with Acid-Base Imbalances
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/16120
Sample Questions
Q1) A nurse is assessing a client who has acute pancreatitis and is at risk for an acid-base imbalance.For which manifestation of this acid-base imbalance should the nurse assess?
A) Agitation
B) Kussmaul respirations
C) Seizures
D) Positive Chvostek's sign
Q2) A nurse assesses a client who is receiving total parenteral nutrition.For which adverse effects related to an acid-base imbalance should the nurse assess? (Select all that apply.)
A) Positive Chvostek's sign
B) Elevated blood pressure
C) Bradycardia
D) Increased muscle strength
E) Anxiety and irritability
To view all questions and flashcards with answers, click on the resource link above. Page 14
Chapter 13: Infusion Therapy
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/16121
Sample Questions
Q1) A nurse teaches a client who is prescribed a central vascular access device.Which statement should the nurse include in this client's teaching?
A) "You will need to wear a sling on your arm while the device is in place."
B) "There is no risk of infection because sterile technique will be used during insertion."
C) "Ask all providers to vigorously clean the connections prior to accessing the device."
D) "You will not be able to take a bath with this vascular access device."
Q2) While assessing a client's peripheral IV site,the nurse observes a streak of red along the vein path and palpates a 4-cm venous cord.How should the nurse document this finding?
A) "Grade 3 phlebitis at IV site"
B) "Infection at IV site"
C) "Thrombosed area at IV site"
D) "Infiltration at IV site"
Q3) A client is prescribed 1000 mL of normal saline to infuse over 24 hours.At what rate should the nurse set the pump (mL/hr)to deliver this infusion? (Record your answer using a whole number.)____ mL/hr
To view all questions and flashcards with answers, click on the resource link above.
Page 15
Chapter 14: Care of Preoperative Patients
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/16122
Sample Questions
Q1) A new perioperative nurse is receiving orientation to the surgical area and learns about the Surgical Care Improvement Project (SCIP)goals.What major areas do these measures focus on preventing? (Select all that apply.)
A) Hemorrhage
B) Infection
C) Serious cardiac events
D) Stroke
E) Thromboembolism
Q2) A nurse is caring for several clients prior to surgery.Which medications taken by the clients require the nurse to consult with the physician about their administration? (Select all that apply.)
A) Metformin (Glucophage)
B) Omega-3 fatty acids (Sea Omega 30)
C) Phenytoin (Dilantin)
D) Pilocarpine hydrochloride (Isopto Carpine)
E) Warfarin (Coumadin)
To view all questions and flashcards with answers, click on the resource link above.
Chapter 15: Care of Intraoperative Patients
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/16123
Sample Questions
Q1) A client is having shoulder surgery with regional anesthesia.What actions by the nurse are most important to enhance client safety related to this anesthesia? (Select all that apply.)
A) Assessing distal circulation to the operative arm after positioning
B) Keeping the client warm during the operative procedure
C) Padding the client's shoulder and arm on the operating table
D) Preparing to suction the client's airway if the client vomits
E) Speaking in a low, quiet voice as anesthesia is administered
Q2) A circulating nurse wishes to provide emotional support to a client who was just transferred to the operating room.What action by the nurse would be best?
A) Administer anxiolytics.
B) Give the client warm blankets.
C) Introduce the surgical staff.
D) Remain with the client.
Q3) A client has developed malignant hyperthermia.The client weighs 136 pounds.What is the safe dose range for one dose of dantrolene sodium (Dantrium)? (Enter your answer using whole numbers,separated by a hyphen with no spaces.)_____ mg
To view all questions and flashcards with answers, click on the resource link above.
Page 17
Chapter 16: Care of Postoperative Patients
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/16124
Sample Questions
Q1) A nurse is admitting an older client for surgery to the inpatient surgical unit.The client relates a prior history of acute confusion after a previous operation.What interventions does the nurse include on the client's plan of care to minimize the potential for this occurring? (Select all that apply.)
A) Allow family and friends to visit as the client desires.
B) Ask the client about coping techniques frequently used.
C) Instruct the nursing assistant to ensure the client is bathed.
D) Place the client in a room secluded at the end of the hall.
E) Provide the client with uninterrupted periods of sleep.
Q2) A nurse is caring for a postoperative client who reports discomfort,but denies serious pain and does not want medication.What action by the nurse is best to promote comfort?
A) Assess the client's pain on a 0-to-10 scale.
B) Assist the client into a position of comfort.
C) Have the client sit up in a recliner.
D) Tell the client when pain medication is due.
To view all questions and flashcards with answers, click on the resource link above.
18
Chapter 17: Inflammation and Immunity
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/16125
Sample Questions
Q1) The student nurse is learning about the functions of different antibodies.Which principles does the student learn? (Select all that apply.)
A) IgA is found in high concentrations in secretions from mucous membranes.
B) IgD is present in the highest concentrations in mucous membranes.
C) IgE is associated with antibody-mediated hypersensitivity reactions.
D) IgG comprises the majority of the circulating antibody population.
E) IgM is the first antibody formed by a newly sensitized B cell.
Q2) A student nurse is learning about the types of different cells involved in the inflammatory response.Which principles does the student learn? (Select all that apply.)
A) Basophils are only involved in the general inflammatory process.
B) Eosinophils increase during allergic reactions and parasitic invasion.
C) Macrophages can participate in many episodes of phagocytosis.
D) Monocytes turn into macrophages after they enter body tissues.
E) Neutrophils can only take part in one episode of phagocytosis.
Q3) The nurse understands that which type of immunity is the longest acting?
A) Artificial active
B) Inflammatory
C) Natural active
D) Natural passive
To view all questions and flashcards with answers, click on the resource link above.
Page 19
Chapter 18: Care of Patients with Arthritis and Other
Connective Tissue Diseases
Available Study Resources on Quizplus for this Chatper
49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/16126
Sample Questions
Q1) The nurse in the rheumatology clinic is assessing clients with rheumatoid arthritis (RA).Which client should the nurse see first?
A) Client taking celecoxib (Celebrex) and ranitidine (Zantac)
B) Client taking etanercept (Enbrel) with a red injection site
C) Client with a blood glucose of 190 mg/dL who is taking steroids
D) Client with a fever and cough who is taking tofacitinib (Xeljanz)
Q2) The nurse on an inpatient rheumatology unit receives a hand-off report on a client with an acute exacerbation of systemic lupus erythematosus (SLE).Which reported laboratory value requires the nurse to assess the client further?
A) Creatinine: 3.9 mg/dL
B) Platelet count: 210,000/mm<sup>3</sup>
C) Red blood cell count: 5.2/mm<sup>3</sup>
D) White blood cell count: 4400/mm<sup>3</sup>
Q3) A client has newly diagnosed systemic lupus erythematosus (SLE).What instruction by the nurse is most important?
A) "Be sure you get enough sleep at night."
B) "Eat plenty of high-protein, high-iron foods."
C) "Notify your provider at once if you get a fever."
D) "Weigh yourself every day on the same scale."
Page 20
To view all questions and flashcards with answers, click on the resource link above.
Chapter 19: Care of Patients with HIV Disease and Other Immune Deficiencies
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/16127
Sample Questions
Q1) A client with acquired immune deficiency syndrome (AIDS)is hospitalized with Pneumocystis jiroveci pneumonia and is started on the drug of choice for this infection.What laboratory values should the nurse report to the provider as a priority? (Select all that apply.)
A) Aspartate transaminase, alanine transaminase: elevated
B) CD4+ cell count: 180/mm<sup>3</sup>
C) Creatinine: 1.0 mg/dL
D) Platelet count: 80,000/mm<sup>3</sup>
E) Serum sodium: 120 mEq/L
Q2) A client with acquired immune deficiency syndrome and esophagitis due to Candida fungus is scheduled for an endoscopy.What actions by the nurse are most appropriate? (Select all that apply.)
A) Assess the client's mouth and throat.
B) Determine if the client has a stiff neck.
C) Ensure that the consent form is on the chart.
D) Maintain NPO status as prescribed.
E) Percuss the client's abdomen.
To view all questions and flashcards with answers, click on the resource link above.
Page 21
Chapter
(Allergy)and Autoimmunity
Available Study Resources on Quizplus for this Chatper
13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/16128
Sample Questions
Q1) A client with Sjögren's syndrome reports dry skin,eyes,mouth,and vagina.What nonpharmacologic comfort measure does the nurse suggest?
A) Frequent eyedrops
B) Home humidifier
C) Strong moisturizer
D) Tear duct plugs
Q2) A client suffered an episode of anaphylaxis and has been stabilized in the intensive care unit.When assessing the client's lungs,the nurse hears the following sounds.What medication does the nurse prepare to administer?
(Click the media button to hear the audio clip.)
A) Albuterol (Proventil) via nebulizer
B) Diphenhydramine (Benadryl) IM
C) Epinephrine 1:10,000 5 mg IV push
D) Methylprednisolone (Solu-Medrol) IV push
To view all questions and flashcards with answers, click on the resource link above.
22
Chapter 21: Cancer Development
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/16129
Sample Questions
Q1) A nurse is assessing a client with glioblastoma.What assessment is most important?
A) Abdominal palpation
B) Abdominal percussion
C) Lung auscultation
D) Neurologic examination
Q2) The nursing instructor explains the difference between normal cells and benign tumor cells.What information does the instructor provide about these cells?
A) Benign tumors grow through invasion of other tissue.
B) Benign tumors have lost their cellular regulation from contact inhibition.
C) Growing in the wrong place or time is typical of benign tumors.
D) The loss of characteristics of the parent cells is called anaplasia.
Q3) Which statement about carcinogenesis is accurate?
A) An initiated cell will always become clinical cancer.
B) Cancer becomes a health problem once it is 1 cm in size.
C) Normal hormones and proteins do not promote cancer growth.
D) Tumor cells need to develop their own blood supply.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 22: Care of Patients with Cancer
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/16130
Sample Questions
Q1) The nurse working with oncology clients understands that which age-related change increases the older client's susceptibility to infection during chemotherapy?
A) Decreased immune function
B) Diminished nutritional stores
C) Existing cognitive deficits
D) Poor physical reserves
Q2) A nurse is preparing to administer IV chemotherapy.What supplies does this nurse need? (Select all that apply.)
A) "Chemo" gloves
B) Facemask
C) Isolation gown
D) N95 respirator
E) Shoe covers
Q3) A new nurse has been assigned a client who is in the hospital to receive iodine-131 treatment.Which action by the nurse is best?
A) Ensure the client is placed in protective isolation.
B) Hand off a pregnant client to another nurse.
C) No special action is necessary to care for this client.
D) Read the policy on handling radioactive excreta.
To view all questions and flashcards with answers, click on the resource link above. Page 24
Chapter 23: Care of Patients with Infection
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/16131
Sample Questions
Q1) The student nurse caring for clients understands that which factors must be present to transmit infection? (Select all that apply.)
A) Colonization
B) Host
C) Mode of transmission
D) Portal of entry
E) Reservoir
Q2) A client has been admitted to the hospital for a virulent infection and is started on antibiotics.The client has laboratory work pending to determine if the diagnosis is meningitis.After starting the antibiotics,what action by the nurse is best?
A) Assess the client frequently for worsening of his or her condition.
B) Delegate comfort measures to unlicensed assistive personnel.
C) Ensure the client is placed on Contact Precautions.
D) Restrict visitors to the immediate family only.
To view all questions and flashcards with answers, click on the resource link above.
25
Chapter 24: Assessment of the Skin, Hair, and Nails
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/16132
Sample Questions
Q1) A nurse assesses a client who has two skin lesions on his chest.Each lesion is the size of a nickel,flat,and darker in color than the client's skin.How should the nurse document these lesions?
A) Two 2-cm hyperpigmented patches
B) Two 1-inch erythematous plaques
C) Two 2-mm pigmented papules
D) Two 1-inch moles
Q2) A nurse assesses an older adult's skin.Which findings require immediate referral? (Select all that apply.)
A) Excessive moisture under axilla
B) Increased hair thinning
C) Increased presence of fungal toenails
D) Lesion with various colors
E) Spider veins on legs
F) Asymmetric 6-mm dark lesion on forehead
To view all questions and flashcards with answers, click on the resource link above.
Chapter 25: Care of Patients with Skin Problems
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/16133
Sample Questions
Q1) A nurse assesses a client who presents with an increase in psoriatic lesions.Which questions should the nurse ask to identify a possible trigger for worsening of this client's psoriatic lesions? (Select all that apply.)
A) "Have you eaten a large amount of chocolate lately?"
B) "Have you been under a lot of stress lately?"
C) "Have you recently used a public shower?"
D) "Have you been out of the country recently?"
E) "Have you recently had any other health problems?"
F) Have you changed any medications recently?
Q2) A nurse assesses a young female client who is prescribed isotretinoin (Accutane).Which question should the nurse ask prior to starting this therapy?
A) "Do you spend a great deal of time in the sun?"
B) "Have you or any family members ever had skin cancer?"
C) "Which method of contraception are you using?"
D) "Do you drink alcoholic beverages?"
To view all questions and flashcards with answers, click on the resource link above.
Chapter 26: Care of Patients with Burns
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/16134
Sample Questions
Q1) A nurse teaches a client being treated for a full-thickness burn.Which statement should the nurse include in this client's discharge teaching?
A) "You should change the batteries in your smoke detector once a year."
B) "Join a program that assists burn clients to reintegration into the community."
C) "I will demonstrate how to change your wound dressing for you and your family."
D) "Let me tell you about the many options available to you for reconstructive surgery."
Q2) A nurse cares for a client with a burn injury who presents with drooling and difficulty swallowing.Which action should the nurse take first?
A) Assess the level of consciousness and pupillary reactions.
B) Ascertain the time food or liquid was last consumed.
C) Auscultate breath sounds over the trachea and bronchi.
D) Measure abdominal girth and auscultate bowel sounds.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 27: Assessment of the Respiratory System
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/16135
Sample Questions
Q1) A nurse plans care for a client who is at high risk for a pulmonary infection.Which interventions should the nurse include in this client's plan of care? (Select all that apply.)
A) Encourage deep breathing and coughing.
B) Implement an air mattress overlay.
C) Ambulate the client three times each day.
D) Provide a diet high in protein and vitamins.
E) Administer acetaminophen (Tylenol) twice daily.
Q2) A nurse assesses a client's respiratory status.Which information is of highest priority for the nurse to obtain?
A) Average daily fluid intake
B) Neck circumference
C) Height and weight
D) Occupation and hobbies
Q3) A nurse assesses a 66-year-old client who is attempting to quit smoking.The client states,"I started smoking at age 16,and smoked one pack each day until 10 years ago.Then I decreased to a half of a pack per day." How many pack-years should the nurse document for this client? (Record your answer using a whole number.)___ pack-years
To view all questions and flashcards with answers, click on the resource link above. Page 29
Chapter 28: Care of Patients Requiring Oxygen Therapy or Tracheostomy
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/16136
Sample Questions
Q1) A client is receiving oxygen at 4 liters per nasal cannula.What comfort measure may the nurse delegate to unlicensed assistive personnel (UAP)?
A) Apply water-soluble ointment to nares and lips.
B) Periodically turn the oxygen down or off.
C) Remove the tubing from the client's nose.
D) Turn the client every 2 hours or as needed.
Q2) A client is being discharged home after having a tracheostomy placed.What suggestions does the nurse offer to help the client maintain self-esteem? (Select all that apply.)
A) Create a communication system.
B) Don't go out in public alone.
C) Find hobbies to enjoy at home.
D) Try loose-fitting shirts with collars.
E) Wear fashionable scarves.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 29: Care of Patients with Noninfectious Upper
Respiratory
Problems
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/16137
Sample Questions
Q1) A nurse is assessing clients on a rehabilitation unit.Which clients are at greatest risk for asphyxiation related to inspissated oral and nasopharyngeal secretions? (Select all that apply.)
A) A 24-year-old with a traumatic brain injury
B) A 36-year-old who fractured his left femur
C) A 58-year-old at risk for aspiration following radiation therapy
D) A 66-year-old who is a quadriplegic and has a sacral ulcer
E) An 80-year-old who is aphasic after a cerebral vascular accident
Q2) A nurse is caring for a client who has sleep apnea and is prescribed modafinil (Provigil).The client asks,"How will this medication help me?" How should the nurse respond?
A) "This medication will treat your sleep apnea."
B) "This sedative will help you to sleep at night."
C) "This medication will promote daytime wakefulness."
D) "This analgesic will increase comfort while you sleep."
To view all questions and flashcards with answers, click on the resource link above.
Page 31
Chapter 30: Care of Patients with Noninfectious Lower
Respiratory
Problems
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/16138
Sample Questions
Q1) A pulmonary nurse cares for clients who have chronic obstructive pulmonary disease (COPD).Which client should the nurse assess first?
A) A 46-year-old with a 30-pack-year history of smoking
B) A 52-year-old in a tripod position using accessory muscles to breathe
C) A 68-year-old who has dependent edema and clubbed fingers
D) A 74-year-old with a chronic cough and thick, tenacious secretions
Q2) The nurse is teaching a client with chronic obstructive pulmonary disease who has been prescribed continuous oxygen therapy at home.Which statement indicates the client correctly understands the teaching?
A) "I plan to wear my oxygen when I exercise and feel short of breath."
B) "I will use my portable oxygen when grilling burgers in the backyard."
C) "I plan to use cotton balls to cushion the oxygen tubing on my ears."
D) "I will only smoke while I am wearing my oxygen via nasal cannula."
Q3) A nurse cares for a client who has a chest tube.When would this client be at highest risk for developing a pneumothorax?
A) When the insertion site becomes red and warm to the touch
B) When the tube drainage decreases and becomes sanguineous
C) When the client experiences pain at the insertion site
D) When the tube becomes disconnected from the drainage system
Page 32
To view all questions and flashcards with answers, click on the resource link above.
Chapter 31: Care of Patients with Infectious Respiratory Problems
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/16139
Sample Questions
Q1) A nurse working in a geriatric clinic sees clients with "cold" symptoms and rhinitis.Which drug would be appropriate to teach these clients to take for their symptoms?
A) Chlorpheniramine (Chlor-Trimeton)
B) Diphenhydramine (Benadryl)
C) Fexofenadine (Allegra)
D) Hydroxyzine (Vistaril)
Q2) A nurse is providing pneumonia vaccinations in a community setting.Due to limited finances,the event organizers must limit giving the vaccination to priority groups.What clients would be considered a priority when administering the pneumonia vaccination? (Select all that apply.)
A) 22-year-old client with asthma
B) Client who had a cholecystectomy last year
C) Client with well-controlled diabetes
D) Healthy 72-year-old client
E) Client who is taking medication for hypertension
To view all questions and flashcards with answers, click on the resource link above. Page 33
Chapter 32: Care of Critically Ill Patients with Respiratory Problems
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/16140
Sample Questions
Q1) When working with women who are taking hormonal birth control,what health promotion measures should the nurse teach to prevent possible pulmonary embolism (PE)? (Select all that apply.)
A) Avoid drinking alcohol.
B) Eat more omega-3 fatty acids.
C) Exercise on a regular basis.
D) Maintain a healthy weight.
E) Stop smoking cigarettes.
Q2) A client is on mechanical ventilation and the client's spouse wonders why ranitidine (Zantac)is needed since the client "only has lung problems." What response by the nurse is best?
A) "It will increase the motility of the gastrointestinal tract."
B) "It will keep the gastrointestinal tract functioning normally."
C) "It will prepare the gastrointestinal tract for enteral feedings."
D) "It will prevent ulcers from the stress of mechanical ventilation."
Q3) A 242-pound client is being mechanically ventilated.To prevent lung injury,what setting should the nurse anticipate for tidal volume? (Record your answer using a whole number.)___ mL
To view all questions and flashcards with answers, click on the resource link above. Page 34
Chapter 33: Assessment of the Cardiovascular System
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/16141
Sample Questions
Q1) An emergency room nurse obtains the health history of a client.Which statement by the client should alert the nurse to the occurrence of heart failure?
A) "I get short of breath when I climb stairs."
B) "I see halos floating around my head."
C) "I have trouble remembering things."
D) "I have lost weight over the past month."
Q2) A nurse is caring for a client with a history of renal insufficiency who is scheduled for a cardiac catheterization.Which actions should the nurse take prior to the catheterization? (Select all that apply.)
A) Assess for allergies to iodine.
B) Administer intravenous fluids.
C) Assess blood urea nitrogen (BUN) and creatinine results.
D) Insert a Foley catheter.
E) Administer a prophylactic antibiotic.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 34: Care of Patients with Dysrhythmias
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/16142
Sample Questions
Q1) A nurse assesses a client's electrocardiograph tracing and observes that not all QRS complexes are preceded by a P wave.How should the nurse interpret this observation?
A) The client has hyperkalemia causing irregular QRS complexes.
B) Ventricular tachycardia is overriding the normal atrial rhythm.
C) The client's chest leads are not making sufficient contact with the skin.
D) Ventricular and atrial depolarizations are initiated from different sites.
Q2) After teaching a client who has an implantable cardioverter-defibrillator (ICD),a nurse assesses the client's understanding.Which statement by the client indicates a correct understanding of the teaching?
A) "I should wear a snug-fitting shirt over the ICD."
B) "I will avoid sources of strong electromagnetic fields."
C) "I should participate in a strenuous exercise program."
D) "Now I can discontinue my antidysrhythmic medication."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 35: Care of Patients with Cardiac Problems
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/16143
Sample Questions
Q1) A nurse teaches a client recovering from a heart transplant who is prescribed cyclosporine (Sandimmune).Which statement should the nurse include in this client's discharge teaching?
A) "Use a soft-bristled toothbrush and avoid flossing."
B) "Avoid large crowds and people who are sick."
C) "Change positions slowly to avoid hypotension."
D) "Check your heart rate before taking the medication."
Q2) A nurse cares for an older adult client with heart failure.The client states,"I don't know what to do.I don't want to be a burden to my daughter,but I can't do it alone.Maybe I should die." How should the nurse respond?
A) "Would you like to talk more about this?"
B) "You are lucky to have such a devoted daughter."
C) "It is normal to feel as though you are a burden."
D) "Would you like to meet with the chaplain?"
To view all questions and flashcards with answers, click on the resource link above.
Chapter 36: Care of Patients with Vascular Problems
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/16144
Sample Questions
Q1) A nurse is teaching a larger female client about alcohol intake and how it affects hypertension.The client asks if drinking two beers a night is an acceptable intake.What answer by the nurse is best?
A) "No, women should only have one beer a day as a general rule."
B) "No, you should not drink any alcohol with hypertension."
C) "Yes, since you are larger, you can have more alcohol."
D) "Yes, two beers per day is an acceptable amount of alcohol."
Q2) A client has been diagnosed with hypertension but does not take the antihypertensive medications because of a lack of symptoms.What response by the nurse is best?
A) "Do you have trouble affording your medications?"
B) "Most people with hypertension do not have symptoms."
C) "You are lucky; most people get severe morning headaches."
D) "You need to take your medicine or you will get kidney failure."
Q3) A nurse is caring for a client with a nonhealing arterial lower leg ulcer.What action by the nurse is best?
A) Consult with the Wound Ostomy Care Nurse.
B) Give pain medication prior to dressing changes.
C) Maintain sterile technique for dressing changes.
D) Prepare the client for eventual amputation.
To view all questions and flashcards with answers, click on the resource link above. Page 38
Chapter 37: Care of Patients with Shock
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/16145
Sample Questions
Q1) A client arrives in the emergency department after being in a car crash with fatalities.The client has a nearly amputated leg that is bleeding profusely.What action by the nurse takes priority?
A) Apply direct pressure to the bleeding.
B) Ensure the client has a patent airway.
C) Obtain consent for emergency surgery.
D) Start two large-bore IV catheters.
Q2) A client has been brought to the emergency department after being shot multiple times.What action should the nurse perform first?
A) Apply personal protective equipment.
B) Notify local law enforcement officials.
C) Obtain "universal" donor blood.
D) Prepare the client for emergency surgery.
Q3) A client is receiving norepinephrine (Levophed)for shock.What assessment finding best indicates a therapeutic effect from this drug?
A) Alert and oriented, answering questions
B) Client denial of chest pain or chest pressure
C) IV site without redness or swelling
D) Urine output of 30 mL/hr for 2 hours
To view all questions and flashcards with answers, click on the resource link above.
Page 39
Chapter 38: Care of Patients with Acute Coronary Syndromes
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/16146
Sample Questions
Q1) A client in the cardiac stepdown unit reports severe,crushing chest pain accompanied by nausea and vomiting.What action by the nurse takes priority?
A) Administer an aspirin.
B) Call for an electrocardiogram (ECG).
C) Maintain airway patency.
D) Notify the provider.
Q2) A client is receiving an infusion of tissue plasminogen activator (t-PA).The nurse assesses the client to be disoriented to person,place,and time.What action by the nurse is best?
A) Assess the client's pupillary responses.
B) Request a neurologic consultation.
C) Stop the infusion and call the provider.
D) Take and document a full set of vital signs.
Q3) A nurse is caring for four clients.Which client should the nurse assess first?
A) Client with an acute myocardial infarction, pulse 102 beats/min
B) Client who is 1 hour post angioplasty, has tongue swelling and anxiety
C) Client who is post coronary artery bypass, chest tube drained 100 mL/hr
D) Client who is post coronary artery bypass, potassium 4.2 mEq/L
To view all questions and flashcards with answers, click on the resource link above. Page 40
Chapter 39: Assessment of the Hematologic System
Available Study Resources on Quizplus for this Chatper
13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/16147
Sample Questions
Q1) A client is having a bone marrow biopsy today.What action by the nurse takes priority?
A) Administer pain medication first.
B) Ensure valid consent is on the chart.
C) Have the client shower in the morning.
D) Premedicate the client with sedatives.
Q2) A client is having a bone marrow biopsy and is extremely anxious.What action by the nurse is best?
A) Assess client fears and coping mechanisms.
B) Reassure the client this is a common test.
C) Sedate the client prior to the procedure.
D) Tell the client he or she will be asleep.
Q3) A client is receiving rivaroxaban (Xarelto)and asks the nurse to explain how it works.What response by the nurse is best?
A) "It inhibits thrombin."
B) "It inhibits fibrinogen."
C) "It thins your blood."
D) "It works against vitamin K."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 40: Care of Patients with Hematologic Problems
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/16148
Sample Questions
Q1) A client with chronic anemia has had many blood transfusions.What medications does the nurse anticipate teaching the client about adding to the regimen? (Select all that apply.)
A) Azacitidine (Vidaza)
B) Darbepoetin alfa (Aranesp)
C) Decitabine (Dacogen)
D) Epoetin alfa (Epogen)
E) Methylprednisolone (Solu-Medrol)
Q2) A student studying leukemias learns the risk factors for developing this disorder.Which risk factors does this include? (Select all that apply.)
A) Chemical exposure
B) Genetically modified foods
C) Ionizing radiation exposure
D) Vaccinations
E) Viral infections
To view all questions and flashcards with answers, click on the resource link above.
Chapter 41: Assessment of the Nervous System
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/16149
Sample Questions
Q1) A nurse obtains a focused health history for a client who is scheduled for magnetic resonance imaging (MRI).Which condition should alert the nurse to contact the provider and cancel the procedure?
A) Creatine phosphokinase (CPK) of 100 IU/L
B) Atrioventricular graft
C) Blood urea nitrogen (BUN) of 50 mg/dL
D) Internal insulin pump
Q2) A nurse is caring for a client who is prescribed a computed tomography (CT)scan with iodine-based contrast.Which actions should the nurse take to prepare the client for this procedure? (Select all that apply.)
A) Ensure that an informed consent is present.
B) Ask the client about any allergies.
C) Evaluate the client's renal function.
D) Auscultate bilateral breath sounds.
E) Assess hematocrit and hemoglobin levels.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 42: Care of Patients with Problems of the Central
Nervous System: The Brain
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/16150
Sample Questions
Q1) A nurse is teaching a client who has chronic headaches.Which statements about headache triggers should the nurse include in this client's plan of care? (Select all that apply.)
A) "Increase your intake of caffeinated beverages."
B) "Incorporate physical exercise into your daily routine."
C) "Avoid all alcoholic beverages."
D) "Participate in a smoking cessation program."
E) "Increase your intake of fruits and vegetables."
Q2) A nurse cares for a client who is experiencing status epilepticus.Which prescribed medication should the nurse prepare to administer?
A) Atenolol (Tenormin)
B) Lorazepam (Ativan)
C) Phenytoin (Dilantin)
D) Lisinopril (Prinivil)
To view all questions and flashcards with answers, click on the resource link above.
Chapter 43: Care of Patients with Problems of the Central
Nervous System: The Spinal Cord
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/16151
Sample Questions
Q1) A nurse assesses a client with multiple sclerosis after administering prescribed fingolimod (Gilenya).For which adverse effect should the nurse monitor?
A) Peripheral edema
B) Black tarry stools
C) Bradycardia
D) Nausea and vomiting
Q2) A nurse cares for a client who presents with an acute exacerbation of multiple sclerosis (MS).Which prescribed medication should the nurse prepare to administer?
A) Baclofen (Lioresal)
B) Interferon beta-1b (Betaseron)
C) Dantrolene sodium (Dantrium)
D) Methylprednisolone (Medrol)
Q3) A nurse promotes the prevention of lower back pain by teaching clients at a community center.Which instruction should the nurse include in this education?
A) "Participate in an exercise program to strengthen muscles."
B) "Purchase a mattress that allows you to adjust the firmness."
C) "Wear flat instead of high-heeled shoes to work each day."
D) "Keep your weight within 20% of your ideal body weight."
To view all questions and flashcards with answers, click on the resource link above. Page 45
Chapter 44: Care of Patients with Problems of the
Peripheral Nervous System
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/16152
Sample Questions
Q1) The nurse is preparing a client for a Tensilon (edrophonium chloride)test.What action by the nurse is most important?
A) Administering anxiolytics
B) Having a ventilator nearby
C) Obtaining atropine sulfate
D) Sedating the client
Q2) A client with myasthenia gravis is prescribed pyridostigmine (Mestinon).What teaching should the nurse plan regarding this medication? (Select all that apply.)
A) "Do not eat a full meal for 45 minutes after taking the drug."
B) "Seek immediate care if you develop trouble swallowing."
C) "Take this drug on an empty stomach for best absorption."
D) "The dose may change frequently depending on symptoms."
E) "Your urine may turn a reddish-orange color while on this drug."
Q3) A client is taking long-term corticosteroids for myasthenia gravis.What teaching is most important?
A) Avoid large crowds and people who are ill.
B) Check blood sugars four times a day.
C) Use two forms of contraception.
D) Wear properly fitting socks and shoes.
To view all questions and flashcards with answers, click on the resource link above. Page 46
Chapter 45: Care of Critically Ill Patients with Neurologic Problems
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/16153
Sample Questions
Q1) A client is in the emergency department reporting a brief episode during which he was dizzy,unable to speak,and felt like his legs were very heavy.Currently the client's neurologic examination is normal.About what drug should the nurse plan to teach the client?
A) Alteplase (Activase)
B) Clopidogrel (Plavix)
C) Heparin sodium
D) Mannitol (Osmitrol)
Q2) A client in the emergency department is having a stroke.The client weighs 225 pounds.After the initial bolus of t-Pa,at what rate should the nurse set the IV pump? (Record your answer using a decimal rounded to the nearest tenth.)____ mL/hr
Q3) A client's mean arterial pressure is 60 mm Hg and intracranial pressure is 20 mm Hg.Based on the client's cerebral perfusion pressure,what should the nurse anticipate for this client?
A) Impending brain herniation
B) Poor prognosis and cognitive function
C) Probable complete recovery
D) Unable to tell from this information
To view all questions and flashcards with answers, click on the resource link above. Page 47
Chapter 46: Assessment of the Eye and Vision
Available Study Resources on Quizplus for this Chatper
10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/16154
Sample Questions
Q1) The nursing student studying the eye learns that which cranial nerves control its functions? (Select all that apply.)
A) II
B) III
C) VI
D) XII
E) X
Q2) The nurse reads on a client's chart that the client has exophthalmos.What assessment finding is consistent with this diagnosis?
A) Bulging eyes
B) Drooping eyelids
C) Sunken-in eyes
D) Yellow sclera
Q3) A client's chart indicates anisocoria.For what should the nurse assess?
A) Difference in pupil size
B) Draining infection
C) Recent eye trauma
D) Tumor of the eyelid
To view all questions and flashcards with answers, click on the resource link above.
48
Chapter 47: Care of Patients with Eye and Vision Problems
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/16155
Sample Questions
Q1) A client has a foreign body in the eye.What action by the nurse takes priority?
A) Administering ordered antibiotics
B) Assessing the client's visual acuity
C) Obtaining consent for enucleation
D) Removing the object immediately
Q2) The nurse working in the ophthalmology clinic sees clients with eyelid and eye problems.What information should the nurse understand about these disorders? (Select all that apply.)
A) A chalazion is an inflammation of an eyelid sebaceous gland.
B) An ectropion is the eyelid turning inward.
C) An entropion is the eyelid turning outward.
D) A hordeolum is an infection of the eyelid sweat gland.
E) Keratoconjunctivitis sicca is caused by drugs or diseases.
Q3) A client had cataract surgery.What instructions should the nurse provide? (Select all that apply.)
A) Call the doctor for increased pain.
B) Do not bend over from the waist.
C) Do not lift more than 10 pounds.
D) Sexual intercourse is allowed.
E) Use stool softeners to avoid constipation.
To view all questions and flashcards with answers, click on the resource link above. Page 49
Chapter 48: Assessment and Care of Patients with Ear and Hearing Problems
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/16156
Sample Questions
Q1) A client is scheduled for a tympanoplasty.What actions by the nurse are most appropriate? (Select all that apply.)
A) Administer preoperative antibiotics.
B) Assess for allergies to local anesthetics.
C) Ensure that informed consent is on the chart.
D) Give ordered antivertigo medications.
E) Teach that hearing improves immediately.
Q2) A client had a myringotomy.The nurse provides which discharge teaching?
A) Buy dry shampoo to use for a week.
B) Drink liquids through a straw.
C) Flying is not allowed for 1 month.
D) Hot water showers will help the pain.
Q3) A client has severe tinnitus that cannot be treated adequately.What action by the nurse is best?
A) Advise the client to take antianxiety medication.
B) Educate the client on nerve cutting procedures.
C) Refer the client to online or local support groups.
D) Teach the client side effects of furosemide (Lasix).
To view all questions and flashcards with answers, click on the resource link above. Page 50
Chapter 49: Assessment of the Musculoskeletal System
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/16157
Sample Questions
Q1) A client is distressed at body changes related to kyphosis.What response by the nurse is best?
A) Ask the client to explain more about these feelings.
B) Explain that these changes are irreversible.
C) Offer to help select clothes to hide the deformity.
D) Tell the client safety is more important than looks.
Q2) An older client's serum calcium level is 8.7 mg/dL.What possible etiologies does the nurse consider for this result? (Select all that apply.)
A) Good dietary intake of calcium and vitamin D
B) Normal age-related decrease in serum calcium
C) Possible occurrence of osteoporosis or osteomalacia
D) Potential for metastatic cancer or Paget's disease
E) Recent bone fracture in a healing stage
Q3) A client is undergoing computed tomography (CT)of a joint.What action by the nurse is most important before the test?
A) Administer sedation as prescribed.
B) Assess for seafood or iodine allergy.
C) Ensure that the client has no metal on the body.
D) Provide preprocedure pain medication.
To view all questions and flashcards with answers, click on the resource link above.
Page 51
Chapter 50: Care of Patients with Musculoskeletal Problems
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/16158
Sample Questions
Q1) A nurse sees clients in an osteoporosis clinic.Which client should the nurse see first?
A) Client taking calcium with vitamin D (Os-Cal) who reports flank pain 2 weeks ago
B) Client taking ibandronate (Boniva) who cannot remember when the last dose was
C) Client taking raloxifene (Evista) who reports unilateral calf swelling
D) Client taking risedronate (Actonel) who reports occasional dyspepsia
Q2) A client with bone cancer is hospitalized for a limb salvage procedure.How can the nurse best address the client's psychosocial needs?
A) Assess the client's coping skills and support systems.
B) Explain that the surgery leads to a longer life expectancy.
C) Refer the client to the social worker or hospital chaplain.
D) Reinforce physical therapy to aid with ambulating normally.
Q3) What information does the nurse teach a women's group about osteoporosis?
A) "For 5 years after menopause you lose 2% of bone mass yearly."
B) "Men actually have higher rates of the disease but are underdiagnosed."
C) "There is no way to prevent or slow osteoporosis after menopause."
D) "Women and men have an equal chance of getting osteoporosis."
To view all questions and flashcards with answers, click on the resource link above. Page 52
Chapter 51: Care of Patients with Musculoskeletal Trauma
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/16159
Sample Questions
Q1) An emergency nurse assesses a client who is admitted with a pelvic fracture.Which assessments should the nurse monitor to prevent a complication of this injury? (Select all that apply.)
A) Temperature
B) Urinary output
C) Blood pressure
D) Pupil reaction
E) Skin color
Q2) A nurse teaches a client who is at risk for carpal tunnel syndrome.Which health promotion activities should the nurse include in this client's teaching? (Select all that apply.)
A) Frequently assess the ergonomics of the equipment being used.
B) Take breaks to stretch fingers and wrists during working hours.
C) Do not participate in activities that require repetitive actions.
D) Take ibuprofen (Motrin) to decrease pain and swelling in wrists.
E) Adjust chair height to allow for good posture.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 52: Assessment of the Gastrointestinal System
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/16160
Sample Questions
Q1) The nurse working with clients who have gastrointestinal problems knows that which laboratory values are related to what organ dysfunctions? (Select all that apply.)
A) Alanine aminotransferase: biliary system
B) Ammonia: liver
C) Amylase: liver
D) Lipase: pancreas
E) Urine urobilinogen: stomach
Q2) A client is recovering from an esophagogastroduodenoscopy (EGD)and requests something to drink.What action by the nurse is best?
A) Allow the client cool liquids only.
B) Assess the client's gag reflex.
C) Remind the client to remain NPO.
D) Tell the client to wait 4 hours.
Q3) The student nurse studying the gastrointestinal system understands that chyme refers to what?
A) Hormones that reduce gastric acidity
B) Liquefied food ready for digestion
C) Nutrients after being absorbed
D) Secretions that help digest food
To view all questions and flashcards with answers, click on the resource link above.
Page 54
Chapter 53: Care of Patients with Oral Cavity Problems
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/16161
Sample Questions
Q1) A female client hospitalized for an unrelated problem has a large pearly-white lesion on her lip,to which she continues to apply lipstick that she will not remove for inspection.The client refuses to discuss the lesion with the nurse or health care provider.What action by the nurse is best?
A) Ask the client why her appearance is so important.
B) Ignore the lesion since the client will not discuss it.
C) Inform the client that early-stage cancer is curable.
D) Work with the client to establish a trusting relationship.
Q2) A student nurse is providing care to an older client with stomatitis and dysphagia.What action by the student nurse requires the registered nurse to intervene?
A) Assisting the client to perform oral care every 2 hours
B) Preparing to administer a viscous lidocaine gargle
C) Reminding the client not to swallow nystatin (Mycostatin)
D) Teaching the client to use a soft-bristled toothbrush
Q3) A client has a large oral tumor.What assessment by the nurse takes priority?
A) Airway
B) Breathing
C) Circulation
D) Nutrition
To view all questions and flashcards with answers, click on the resource link above.
Page 55
Chapter 54: Care of Patients with Esophageal Problems
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/16162
Sample Questions
Q1) The nurse is aware that which factors are related to the development of gastroesophageal reflux disease (GERD)? (Select all that apply.)
A) Delayed gastric emptying
B) Eating large meals
C) Hiatal hernia
D) Obesity
E) Viral infections
Q2) A client with an esophageal tumor is having extreme difficulty swallowing.For what procedure does the nurse prepare this client?
A) Enteral tube feeding
B) Esophageal dilation
C) Nissen fundoplication
D) Photodynamic therapy
Q3) A client has a nasogastric (NG)tube.What action by the nursing student requires the registered nurse to intervene?
A) Checking tube placement every 4 to 8 hours
B) Monitoring and documenting drainage from the NG tube
C) Pinning the tube to the gown so the client cannot turn the head
D) Providing oral care every 4 to 8 hours
To view all questions and flashcards with answers, click on the resource link above.
Page 56
Chapter 55: Care of Patients with Stomach Disorders
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/16163
Sample Questions
Q1) A nurse answers a client's call light and finds the client in the bathroom,vomiting large amounts of bright red blood.Which action should the nurse take first?
A) Assist the client back to bed.
B) Notify the provider immediately.
C) Put on a pair of gloves.
D) Take a set of vital signs.
Q2) A client is scheduled for a total gastrectomy for gastric cancer.What preoperative laboratory result should the nurse report to the surgeon immediately?
A) Albumin: 2.1 g/dL
B) Hematocrit: 28%
C) Hemoglobin: 8.1 mg/dL
D) International normalized ratio (INR): 4.2
Q3) A client with a bleeding gastric ulcer is having a nuclear medicine scan.What action by the nurse is most appropriate?
A) Assess the client for iodine or shellfish allergies.
B) Educate the client on the side effects of sedation.
C) Inform the client a second scan may be needed.
D) Teach the client about bowel preparation for the scan.
To view all questions and flashcards with answers, click on the resource link above. Page 57
Chapter 56: Care of Patients with Noninflammatory
Intestinal Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/16164
Sample Questions
Q1) A nurse assesses a client who is recovering from a hemorrhoidectomy that was done the day before.The nurse notes that the client has lower abdominal distention accompanied by dullness to percussion over the distended area.Which action should the nurse take?
A) Assess the client's heart rate and blood pressure.
B) Determine when the client last voided.
C) Ask if the client is experiencing flatus.
D) Auscultate all quadrants of the client's abdomen.
Q2) A nurse cares for a client newly diagnosed with colon cancer who has become withdrawn from family members.Which action should the nurse take?
A) Contact the provider and recommend a psychiatric consult for the client.
B) Encourage the client to verbalize feelings about the diagnosis.
C) Provide education about new treatment options with successful outcomes.
D) Ask family and friends to visit the client and provide emotional support.
Q3) A nurse prepares to administer 12 mg/kg of 5-fluorouracil chemotherapy intravenously to a client who has colon cancer.The client weights 132 lb.How many milligrams should the nurse administer? (Record your answer using a whole number.)_____ mg
To view all questions and flashcards with answers, click on the resource link above. Page 58
Chapter 57: Care of Patients with Inflammatory Intestinal Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/16165
Sample Questions
Q1) After teaching a client with a parasitic gastrointestinal infection,a nurse assesses the client's understanding.Which statements made by the client indicate that the client correctly understands the teaching? (Select all that apply.)
A) "I'll have my housekeeper keep my toilet clean."
B) "I must take a shower or bathe every day."
C) "I should have my well water tested."
D) "I will ask my sexual partner to have a stool test."
E) "I must only eat raw vegetables from my own garden."
Q2) A nurse reviews the chart of a client who has Crohn's disease and a draining fistula.Which documentation should alert the nurse to urgently contact the provider for additional prescriptions?
A) Serum potassium of 2.6 mEq/L
B) Client ate 20% of breakfast meal
C) White blood cell count of 8200/mm<sup>3</sup>
D) Client's weight decreased by 3 pounds
Q3) A nurse cares for a client who is prescribed 5 mg/kg of infliximab (Remicade)intravenously.The client weighs 110 lbs and the pharmacy supplies infliximab 100 mg/10 mL solution.How many milliliters should the nurse administer to this client? (Record your answer using a whole number.)____ mL
Page 59
To view all questions and flashcards with answers, click on the resource link above.
Chapter 58: Care of Patients with Liver Problems
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/16166
Sample Questions
Q1) A nurse cares for a client with hepatic portal-systemic encephalopathy (PSE).The client is thin and cachectic in appearance,and the family expresses distress that the client is receiving little dietary protein.How should the nurse respond?
A) "A low-protein diet will help the liver rest and will restore liver function."
B) "Less protein in the diet will help prevent confusion associated with liver failure."
C) "Increasing dietary protein will help the client gain weight and muscle mass."
D) "Low dietary protein is needed to prevent fluid from leaking into the abdomen."
Q2) A nurse obtains a client's health history at a community health clinic.Which statement alerts the nurse to provide health teaching to this client?
A) "I drink two glasses of red wine each week."
B) "I take a lot of Tylenol for my arthritis pain."
C) "I have a cousin who died of liver cancer."
D) "I got a hepatitis vaccine before traveling."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 59: Care of Patients with Problems of the Biliary
System and Pancreas
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/16167
Sample Questions
Q1) A nurse cares for a client with pancreatic cancer who is prescribed implanted radioactive iodine seeds.Which actions should the nurse take when caring for this client? (Select all that apply.)
A) Dispose of dirty linen in a red "biohazard" bag.
B) Place the client in a private room.
C) Wear a lead apron when providing client care.
D) Bundle care to minimize exposure to the client.
E) Initiate Transmission-Based Precautions.
Q2) A nurse cares for a client who presents with tachycardia and prostration related to biliary colic.Which actions should the nurse take? (Select all that apply.)
A) Contact the provider immediately.
B) Lower the head of the bed.
C) Decrease intravenous fluids.
D) Ask the client to bear down.
E) Administer prescribed opioids.
Q3) A nurse cares for a client with acute pancreatitis who is prescribed gentamicin (Garamycin)3 mg/kg/day in 3 divided doses.The client weighs 264 lb.How many milligrams should the nurse administer for each dose? (Record your answer using a whole number.)____ mg/dose
Page 61
To view all questions and flashcards with answers, click on the resource link above.
Chapter 60: Care of Patients with Malnutrition:
Undernutrition and Obesity
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/16168
Sample Questions
Q1) A nurse is caring for four clients receiving enteral tube feedings.Which client should the nurse see first?
A) Client with a blood glucose level of 138 mg/dL
B) Client with foul-smelling diarrhea
C) Client with a potassium level of 2.6 mEq/L
D) Client with a sodium level of 138 mEq/L
Q2) The nurse understands that malnutrition can occur in hospitalized clients for several reasons.Which are possible reasons for this to occur? (Select all that apply.)
A) Cultural food preferences
B) Family bringing snacks
C) Increased need for nutrition
D) Need for NPO status
E) Staff shortages
Q3) A client having a tube feeding begins vomiting.What action by the nurse is most appropriate?
A) Administer an antiemetic.
B) Check the client's gastric residual.
C) Hold the feeding until the nausea subsides.
D) Reduce the rate of the tube feeding by half.
Page 62
To view all questions and flashcards with answers, click on the resource link above.
Chapter 61: Assessment of the Endocrine System
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/16169
Sample Questions
Q1) A nurse plans care for an older adult who is admitted to the hospital for pneumonia.The client has no known drug allergies and no significant health history.Which action should the nurse include in this client's plan of care?
A) Initiate Airborne Precautions.
B) Offer fluids every hour or two.
C) Place an indwelling urinary catheter.
D) Palpate the client's thyroid gland.
Q2) A nurse cares for a client with excessive production of thyrocalcitonin (calcitonin).For which electrolyte imbalance should the nurse assess?
A) Potassium
B) Sodium
C) Calcium
D) Magnesium
To view all questions and flashcards with answers, click on the resource link above.
63
Chapter 62: Care of Patients with Pituitary and Adrenal
Gland Problems
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/16170
Sample Questions
Q1) A nurse is caring for a client who was prescribed high-dose corticosteroid therapy for 1 month to treat a severe inflammatory condition.The client's symptoms have now resolved and the client asks,"When can I stop taking these medications?" How should the nurse respond?
A) "It is possible for the inflammation to recur if you stop the medication."
B) "Once you start corticosteroids, you have to be weaned off them."
C) "You must decrease the dose slowly so your hormones will work again."
D) "The drug suppresses your immune system, which must be built back up."
Q2) A nurse cares for a client with chronic hypercortisolism.Which action should the nurse take?
A) Wash hands when entering the room.
B) Keep the client in airborne isolation.
C) Observe the client for signs of infection.
D) Assess the client's daily chest x-ray.
Q3) A nurse cares for a client who is recovering from a hypophysectomy.Which action should the nurse take first?
A) Keep the head of the bed flat and the client supine.
B) Instruct the client to cough, turn, and deep breathe.
C) Report clear or light yellow drainage from the nose.
D) Apply petroleum jelly to lips to avoid dryness.
Page 64
To view all questions and flashcards with answers, click on the resource link above.
Chapter 63: Care of Patients with Problems of the Thyroid and Parathyroid Glands
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/16171
Sample Questions
Q1) A nurse assesses a client with hyperthyroidism who is prescribed lithium carbonate.Which assessment finding should alert the nurse to a side effect of this therapy?
A) Blurred and double vision
B) Increased thirst and urination
C) Profuse nausea and diarrhea
D) Decreased attention and insomnia
Q2) A nurse assesses clients for potential endocrine disorders.Which client is at greatest risk for hyperparathyroidism?
A) A 29-year-old female with pregnancy-induced hypertension
B) A 41-year-old male receiving dialysis for end-stage kidney disease
C) A 66-year-old female with moderate heart failure
D) A 72-year-old male who is prescribed home oxygen therapy
Q3) A nurse cares for a client who presents with bradycardia secondary to hypothyroidism.Which medication should the nurse anticipate being prescribed to the client?
A) Atropine sulfate
B) Levothyroxine sodium (Synthroid)
C) Propranolol (Inderal)
D) Epinephrine (Adrenalin)
To view all questions and flashcards with answers, click on the resource link above. Page 65
Chapter 64: Care of Patients with Diabetes Mellitus
Available Study Resources on Quizplus for this Chatper
50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/16172
Sample Questions
Q1) When teaching a client recently diagnosed with type 1 diabetes mellitus,the client states,"I will never be able to stick myself with a needle." How should the nurse respond?
A) "I can give your injections to you while you are here in the hospital."
B) "Everyone gets used to giving themselves injections.It really does not hurt."
C) "Your disease will not be managed properly if you refuse to administer the shots."
D) "Tell me what it is about the injections that are concerning you."
Q2) A nurse reviews the laboratory results of a client who is receiving intravenous insulin.Which should alert the nurse to intervene immediately?
A) Serum chloride level of 98 mmol/L
B) Serum calcium level of 8.8 mg/dL
C) Serum sodium level of 132 mmol/L
D) Serum potassium level of 2.5 mmol/L
To view all questions and flashcards with answers, click on the resource link above.
Chapter 65: Assessment of the Renal/Urinary System
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/16173
Sample Questions
Q1) A nurse reviews the health history of a client with an oversecretion of renin.Which disorder should the nurse correlate with this assessment finding?
A) Alzheimer's disease
B) Hypertension
C) Diabetes mellitus
D) Viral hepatitis
Q2) A nurse reviews the urinalysis results of a client and notes a urine osmolality of 1200 mOsm/L.Which action should the nurse take?
A) Contact the provider and recommend a low-sodium diet.
B) Prepare to administer an intravenous diuretic.
C) Obtain a suction device and implement seizure precautions.
D) Encourage the client to drink more fluids.
Q3) A nurse cares for a client with an increased blood urea nitrogen (BUN)/creatinine ratio.Which action should the nurse take first?
A) Assess the client's dietary habits.
B) Inquire about the use of nonsteroidal anti-inflammatory drugs (NSAIDs).
C) Hold the client's metformin (Glucophage).
D) Contact the health care provider immediately.
To view all questions and flashcards with answers, click on the resource link above. Page 67
Chapter 66: Care of Patients with Urinary Problems
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/16174
Sample Questions
Q1) A nurse assesses a client who has had two episodes of bacterial cystitis in the last 6 months.Which questions should the nurse ask? (Select all that apply.)
A) "How much water do you drink every day?"
B) "Do you take estrogen replacement therapy?"
C) "Does anyone in your family have a history of cystitis?"
D) "Are you on steroids or other immune-suppressing drugs?"
E) "Do you drink grapefruit juice or orange juice daily?"
Q2) A nurse assesses a client with a fungal urinary tract infection (UTI).Which assessments should the nurse complete? (Select all that apply.)
A) Palpate the kidneys and bladder.
B) Assess the medical history and current medical problems.
C) Perform a bladder scan to assess post-void residual.
D) Inquire about recent travel to foreign countries.
E) Obtain a current list of medications.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 67: Care of Patients with Kidney Disorders
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/16175
Sample Questions
Q1) After teaching a client with hypertension secondary to renal disease,the nurse assesses the client's understanding.Which statement made by the client indicates a need for additional teaching?
A) "I can prevent more damage to my kidneys by managing my blood pressure."
B) "If I have increased urination at night, I need to drink less fluid during the day."
C) "I need to see the registered dietitian to discuss limiting my protein intake."
D) "It is important that I take my antihypertensive medications as directed."
Q2) A nurse cares for a client who has pyelonephritis.The client states,"I am embarrassed to talk about my symptoms." How should the nurse respond?
A) "I am a professional.Your symptoms will be kept in confidence."
B) "I understand.Elimination is a private topic and shouldn't be discussed."
C) "Take your time.It is okay to use words that are familiar to you."
D) "You seem anxious.Would you like a nurse of the same gender to care for you?"
Q3) An emergency department nurse cares for a client who is severely dehydrated and is prescribed 3 L of intravenous fluid over 6 hours.At what rate (mL/hr)should the nurse set the intravenous pump to infuse the fluids? (Record your answer using a whole number.)____ mL/hr
To view all questions and flashcards with answers, click on the resource link above. Page 69
Chapter 68: Care of Patients with Acute Kidney Injury and Chronic Kidney Disease
Available Study Resources on Quizplus for this Chatper
36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/16176
Sample Questions
Q1) The nurse is teaching a client with diabetes mellitus how to prevent or delay chronic kidney disease (CKD).Which client statements indicate a lack of understanding of the teaching? (Select all that apply.)
A) "I need to decrease sodium, cholesterol, and protein in my diet."
B) "My weight should be maintained at a body mass index of 30."
C) "Smoking should be stopped as soon as I possibly can."
D) "I can continue to take an aspirin every 4 to 8 hours for my pain."
E) "I really only need to drink a couple of glasses of water each day."
Q2) A client in the intensive care unit is started on continuous venovenous hemofiltration (CVVH).Which finding is the cause of immediate action by the nurse?
A) Blood pressure of 76/58 mm Hg
B) Sodium level of 138 mEq/L
C) Potassium level of 5.5 mEq/L
D) Pulse rate of 90 beats/min
Q3) A client in the intensive care unit with acute kidney injury (AKI)must maintain a mean arterial pressure (MAP)of 65 mm Hg to promote kidney perfusion.What is the client's MAP if the blood pressure is 98/50 mm Hg? (Record your answer using a whole number.)_____ mm Hg
To view all questions and flashcards with answers, click on the resource link above. Page 70
Chapter 69: Assessment of the Reproductive System
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/16177
Sample Questions
Q1) The nurse is assessing the reproductive history of a 68-year-old postmenopausal woman.Which finding is cause for immediate action by the nurse?
A) Vaginal dryness
B) Need for a Papanicolaou test if none for 3 years
C) Bleeding from the vagina
D) Leakage of urine
Q2) A client is concerned about her irregular menstrual periods since she has increased her daily workouts at the gym to 2 hours each day.What is the nurses' best response?
A) "Do you want to talk about the need for that much exercise?"
B) "Exercise is healthy but can decrease body fat and cause irregular periods."
C) "Bingeing and purging can cause electrolyte problems in your body."
D) "Anorexic behavior can result in decreased estrogen levels."
Q3) The nurse is developing a teaching plan for a client who is scheduled for her first Papanicolaou test.What instruction by the nurse is the most accurate?
A) "The timing of the Pap smear does not matter."
B) "Sexual intercourse will not interfere with the results."
C) "Results can be interpreted immediately in the office."
D) "Results are best if you do not douche 24 hours before the test."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 70: Care of Patients with Breast Disorders
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/16178
Sample Questions
Q1) A client is diagnosed with a fibrocystic breast condition while in the hospital and is experiencing breast discomfort.What comfort measure would the nurse delegate to the unlicensed assistive personnel (UAP)?
A) Aid in the draining of the cysts by needle aspiration.
B) Teach the client to wear a supportive bra to bed.
C) Administer diuretics to decrease breast swelling.
D) Obtain a cold pack to temporarily relieve the pain.
Q2) With a history of breast cancer in the family,a 48-year-old female client is interested in learning about the modifiable risk factors for breast cancer.After the nurse explains this information,which statement made by the client indicates that more teaching is needed?
A) "I am fortunate that I breast-fed each of my three children for 12 months."
B) "It looks as though I need to start working out at the gym more often."
C) "I am glad that we can still have wine with every evening meal."
D) "When I have menopausal symptoms, I must avoid hormone replacement therapy."
Q3) A client states that she rates her pain as a "5" on a 0-to-10 scale post-mastectomy.The provider has ordered morphine 4 mg for moderate pain every 4 hours.The morphine is supplied in a solution of 8 mg/mL.How many mL will the nurse administer? ____ mL
To view all questions and flashcards with answers, click on the resource link above.
Page 72
Chapter 71: Care of Patients with Gynecologic Problems
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/16179
Sample Questions
Q1) A postmenopausal client is experiencing low back and pelvic pain,fatigue,and bloody vaginal discharge.What laboratory tests would the nurse expect to see ordered for this client if endometrial cancer is suspected? (Select all that apply.)
A) Cancer antigen-125 (CA-125)
B) White blood cell (WBC) count
C) Hemoglobin and hematocrit (H&H)
D) International normalized ratio (INR)
E) Prothrombin time (PT)
Q2) A 20-year-old client is interested in protection from the human papilloma virus (HPV)since she may become sexually active.Which response from the nurse is the most accurate?
A) "You are too old to receive an HPV vaccine."
B) "Either Gardasil or Cervarix can provide protection."
C) "You will need to have three injections over a span of 1 year."
D) "The most common side effect of the vaccine is itching at the injection site."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 72: Care of Patients with Male Reproductive
Problems
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/16180
Sample Questions
Q1) A client is interested in learning about the risk factors for prostate cancer.Which factors does the nurse include in the teaching? (Select all that apply.)
A) Family history of prostate cancer
B) Smoking
C) Obesity
D) Advanced age
E) Eating too much red meat
F) Race
Q2) A 34-year-old client comes to the clinic with concerns about an enlarged left testicle and heaviness in his lower abdomen.Which diagnostic test would the nurse expect to be ordered to confirm testicular cancer?
A) Alpha-fetoprotein (AFP)
B) Prostate-specific antigen (PSA)
C) Prostate acid phosphatase (PAP)
D) C-reactive protein (CRP)
To view all questions and flashcards with answers, click on the resource link above.
Chapter 73: Care of Transgender Patients
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/16181
Sample Questions
Q1) A client is preparing for gender reassignment surgery and will transition from male to female.The client is worried about the voice not sounding feminine enough.What action by the nurse is best?
A) Ask if the client has considered vocal cord surgery to change the voice.
B) Refer the client for vocal therapy with speech-language pathology.
C) Teach the client that there will be no effect on the client's voice.
D) Tell the client that the use of hormones will eventually change the voice.
Q2) A transgender client is taking transdermal estrogen (Climara).What assessment finding does the nurse report immediately to the provider?
A) Breast tenderness
B) Headaches
C) Red, swollen calf
D) Swollen ankles
Q3) A client has returned from the postanesthesia care unit after a vaginoplasty.What comfort measure does the nurse provide for this client?
A) Apply ice to the perineum.
B) Elevate the legs on pillows.
C) Position the client on the left side.
D) Raise the head of the bed.
To view all questions and flashcards with answers, click on the resource link above.
Page 75
Chapter 74: Care of Patients with Sexually Transmitted Diseases
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/16182
Sample Questions
Q1) A 19-year-old female is asking the nurse about the vaccine for human papilloma virus (HPV).Which statement by the nurse is accurate?
A) "Gardasil protects against all HPV strains."
B) "You are too young to receive the vaccine."
C) "Only females can receive the vaccine."
D) "This will lower your risk for cervical cancer."
Q2) A 23-year-old female has been diagnosed with genital warts.Which action by the nurse is best?
A) Encourage the client to have an annual Papanicolaou (Pap) test.
B) Recommend an over-the-counter wart treatment for genital tissue.
C) Report the case to the Centers for Disease Control and Prevention (CDC).
D) Discuss popular options for contraception.
Q3) Before marriage,a female client has a blood test drawn for syphilis.The test reveals a positive Venereal Disease Research Laboratory (VDRL)serum test.What is the advice that the nurse should give the client?
A) "Check with your future husband about his sexual activity."
B) "You must determine if you are pregnant at this time."
C) "Submit to a more specific treponemal test to confirm the infection."
D) "Agree to a benzathine penicillin G injection in multiple doses."
Page 76
To view all questions and flashcards with answers, click on the resource link above.