Advanced Medical-Surgical Nursing Practice Questions
Course Introduction
Advanced Medical-Surgical Nursing is designed to deepen students' knowledge and clinical reasoning for the care of patients with complex and multi-system health conditions. This course emphasizes evidence-based interventions, holistic assessment, and management strategies in acute care settings. Students engage in critical analysis of patient cases, utilize advanced technologies, and apply current guidelines to support decision-making. The course also explores collaborative practice, leadership roles, and ethical considerations in caring for diverse adult populations, preparing nurses to function as expert clinicians and integral members of interdisciplinary healthcare teams.
Recommended Textbook
Medical Surgical Nursing in Canada 4th Edition by Lewis
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72 Chapters
1844 Verified Questions
1844 Flashcards
Source URL: https://quizplus.com/study-set/220
Page 2
Chapter 1: Introduction to Medical-Surgical Nursing
Practice in Canada
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3266
Sample Questions
Q1) Which of the following represents a nursing activity that is carried out during the evaluation phase of the nursing process?
A)Determining if interventions have been effective in meeting client outcomes.
B)Documenting the nursing care plan in the progress notes in the medical record.
C)Deciding whether the client's health problems have been completely resolved.
D)Asking the client to evaluate whether the nursing care provided was satisfactory.
Answer: A
Q2) Which of the following includes the components required for a complete nursing diagnosis statement?
A)A problem and the suggested client goals or outcomes.
B)A problem, its cause, and objective data that support the problem.
C)A problem with all its possible causes and the planned interventions.
D)A problem with its etiology and the signs and symptoms of the problem.
Answer: D
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3
Chapter 2: Cultural Competence and Health Equity in Nursing Care
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Which of the following question formats is the most appropriate for the nurse to ask when communicating with a client that has limited English proficiency?
A)Are you tired and in discomfort?
B)You have taken your pills right?
C)Are you alright?
D)Are you in pain?
Answer: D
Q2) Which of the following statements is true related to immigrants to Canada?
A)Decreased risk of social exclusion related to Canada's multicultural population.
B)New immigrants tend to be in overall better health than the resident population.
C)Health status of immigrants is not related to length of time in Canada.
D)Unemployment is not associated with poorer health outcomes for immigrants.
Answer: B
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4
Chapter 3: Health History and Physical Examination
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A client is seen in the emergency department with chest pain and hypotension. Which type of assessment should the nurse do at this time?
A)Focused
B)Subjective
C)Emergency
D)Comprehensive
Answer: C
Q2) When the nurse is planning for the physical examination of an alert older-adult client, which of the following adaptations to the examination technique should be considered?
A)Speaking slowly when directing the client.
B)Avoiding the use of touch as much as possible.
C)Using slightly more pressure for palpation of the liver.
D)Organizing the sequence to minimize position changes.
Answer: D
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Chapter 4: Patient and Caregiver Teaching
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Aclient admitted to the hospital with hyperglycemia and newly diagnosed diabetes mellitus is scheduled for discharge the second day after admission. When implementing client teaching, which is the best action for the nurse to take?
A)Instruct about the increased risk for cardiovascular disease.
B)Provide detailed information about dietary control of glucose.
C)Teach glucose self-monitoring and medication administration.
D)Give information about the effects of exercise on glucose control.
Q2) A client with poor circulation to the feet requires teaching about foot care. Which learning goal should the nurse include in the teaching plan?
A)The nurse will demonstrate the proper technique for trimming toenails.
B)The client will list three ways to protect the feet from injury by discharge.
C)The nurse will instruct the client on appropriate foot care before discharge.
D)The client will understand the rationale for proper foot care after instruction.
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Chapter 5: Chronic Illness
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which of the following statements is true related to nonmodifiable risk factors for chronic illness?
A)Cannot be changed
B)Requires intervention in order to change
C)Can be altered to benefit health outcomes
D)Can be changed with client perseverance
Q2) Which of the following client statements reflect an outcome expectancy statement?
A)"I am not able to exercise."
B)"Exercise helps people lose weight."
C)"Exercise is too hard on my arthritis."
D)"Dietary restrictions work better than exercise to lose weight."
Q3) The nurse is caring for a client with type 2 diabetes who has been hospitalized with severe hyperglycemia. Which of the following topics will be most important to include in discharge teaching?
A)Effect of endogenous insulin on transportation of glucose into cells
B)Function of the liver in formation of glycogen and gluconeogenesis
C)Impact of the client's family history on likelihood of developing diabetes
D)Symptoms indicating that the client should contact the health care provider
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Chapter 6: Community-Based Nursing and Home Care
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) Which of these clients should the nurse refer for home health care services?
A)A 71-year-old with dementia who needs 24-hour care to prevent injury
B)An 82-year-old whose family has asked for help to organize pills into a pill box
C)A 67-year-old who requires assistance with shopping, housework, and cooking
D)A 79-year-old with terminal cancer who needs hospice palliative
Q2) An older-adult client who lives alone was hospitalized for a fractured hip and has recovered from the surgery but needs to continue to work to improve mobility. Which of the following settings would the nurse anticipate that the client be transferred to?
A)Another acute care setting
B)A transitional care setting
C)A residential care facility
D)Their own home with home health nursing
Q3) Which of the following concepts is foundational to home health nursing?
A)Acute care management
B)Health promotion
C)Chronic disease management
D)Health restoration
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8
Chapter 7: Older Adults
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Which of the following actions would enable the nurse to obtain the most complete information when doing an assessment with an older-adult client?
A)Interview both the client and the primary client caregiver.
B)Use a geriatric assessment instrument to evaluate the client.
C)Review the client's chart for the history of medical problems.
D)Ask the client to write down medical problems and medications.
Q2) The nurse is caring for clients in a geriatric family practice clinic with a primary health care provider. Which of the following actions should the nurse do when caring for older adults who live in rural areas?
A)Assess the client for chronic diseases that are unique to rural areas.
B)Ensure transportation to appointments with the health care provider.
C)Schedule appointments for the client in an urban area for better health care.
D)Obtain adequate medications for the client to last for 4-6 months.
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Chapter 8: Stress and Stress Management
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) When choosing music to help relax a client who is having a painful dressing change, which action is best for the nurse to take?
A)Use music composed by Mozart.
B)Ask the client about music preferences.
C)Select music that has 60-80 beats/minute.
D)Encourage the client to use music without words.
Q2) The nurse is caring for a hospitalized client with diabetes who states to the nurse, "I don't understand why I can keep my blood sugar under control at home with diet alone, but when I get sick, my blood sugar goes up." Which response by the nurse is appropriate?
A)"It is probably just coincidental that your blood sugars are high when you are ill."
B)"Stressors such as illness cause the release of hormones that increase blood sugar."
C)"Increased blood sugar occurs because the kidneys are not able to metabolize glucose as well during stressful times."
D)"Your diet is different here in the hospital than at home and that is the most likely cause of the increased glucose level."
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10
Chapter 9: Sleep and Sleep Disorders
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) Which action by the nurse manager of an acute care unit will improve the alertness of nurses who work the night shift?
A)Arrange for older staff members to work most night shifts.
B)Provide a sleeping area for staff to use for napping at night.
C)Post reminders about the relationship of sleep and alertness.
D)Schedule nursing staff to rotate day and night shifts monthly.
Q2) Which information will the nurse plan to include when teaching a client with narcolepsy about management of the disorder?
A)Stimulant drugs should be used for only a short time because of the risk for abuse.
B)Driving an automobile may be possible with appropriate treatment of narcolepsy.
C)Changes in sleep hygiene are ineffective in improving sleep quality in narcolepsy.
D)Antidepressant drugs are prescribed to treat the depression caused by the disorder.
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Chapter 10: Pain
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse is admitting a client to hospital with a history of chronic cancer pain. When reviewing the client's home medications, which of the following medications should be of most concern?
A)Amitriptyline 50 mg at bedtime
B)Oxycodone 80 mg twice daily
C)Ibuprofen 800 mg three times daily
D)Meperidine 25 mg every 4 hours
Q2) These medications are prescribed by the health care provider for a client who uses long-acting morphine for chronic back pain, but still has ongoing pain. Which of the following medications should the nurse question?
A)Morphine
B)Pentazocine
C)Celecoxib
D)Dexamethasone
Q3) The nurse assesses a postoperative client who is receiving morphine through
A)The client complains of nausea after eating.
B)The client's respiratory rate is 10 breaths/minute.
C)The client has not had a bowel movement for 3 days.
D)The client has a distended bladder and has not voided.
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Page 12
Chapter 11: Substance Use
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3276
Sample Questions
Q1) The nurse is caring for a client who smokes a pack of cigarettes daily and has been admitted to the hospital for surgery. In anticipation of nicotine withdrawal, which of the following goals should the nurse include when planning postoperative care?
A)Improve sleep.
B)Enhance appetite.
C)Decrease diarrhea.
D)Prevent sore throat.
Q2) The nurse is caring for a young adult client who has inhaled cocaine and has been admitted to the emergency department with palpitations and shortness of breath.
Which of the following actions ordered by the health care provider will the nurse implementfirst?
A)Obtain a 12-lead ECG.
B)Start O2 at 4 L/minute.
C)Draw blood for drug screening.
D)Infuse normal saline at 100 mL/hour.
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13
Chapter 12: Complementary and Alternative Therapies
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3277
Sample Questions
Q1) Aclient who develops frequent upper respiratory infections (URIs) asks the nurse whether any herbal therapies might help. Which of the following should the nurse discuss with this client?
A)Ginger
B)Echinacea
C)Ginkgo biloba
D)St. John's wort
Q2) Which of the following terms is used to describe the study of health as related to a connection between a deity and the human body?
A)Distant healing
B)Petitionary prayer
C)Theosomatic medicine
D)Spiritual healing
Q3) The nurse is caring for a client who is experiencing extreme postoperative nausea. Which of the following therapies should the nurse recommend for this client?
A)Acupuncture
B)Aromatherapy
C)St. John's wort
D)Magnetic therapy
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Page 14
Chapter 13: Palliative Care at the End of Life
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The family member of a client who is dying tells the nurse, "Mother doesn't really respond any more when I visit. I don't think she knows that I am here." Which of the following responses by the nurse is most appropriate?
A)"You may need to cut back your visits for now to avoid overtiring your mother."
B)"Withdrawal may sometimes be a normal response when preparing to leave life."
C)"It will be important for you to stimulate your mother as she gets closer to dying."
D)"Many clients don't really know what is going on around them at the end of life."
Q2) The nurse has been caring for a terminally ill client for the past 10 months. The nurse and the family are present when the client dies and feels saddened and tearful as the family members begin to cry. Which of the following actions should the nurse takeatthis time?
A)Contact a grief counsellor as soon as possible.
B)Cry along with the client's family members.
C)Leave the home as quickly as possible to allow the family to grieve privately.
D)Consider whether working in hospice is desirable since client losses are common.
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15
Chapter 14: Inflammation and Wound Healing
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/3279
Sample Questions
Q1) Aclient's 6 * 3 cm leg wound has a 2 mm black area surrounded by yellow-green semiliquid material. Which of the following dressings should the nurse use for wound care?
A)Dry gauze dressing (Kerlix)
B)Nonadherent dressing (Xeroform)
C)Hydrocolloid dressing (DuoDerm)
D)Transparent film dressing (Tegaderm)
Q2) Aclient who has an infected abdominal wound develops a temperature of 40°C (104°F). All the following interventions are included in the client's plan of care. In which order should the nurse perform the following actions?
A)Sponge client with cool water.
B)Administer intravenous antibiotics.
C)Perform wet-to-dry dressing change.
D)Administer acetaminophen.
Q3) A client's temperature has been 38.8°C (101.8°F) for several days. The client's normal caloric intake to meet nutritional needs is 2 000 calories per day. Knowing that the metabolic rate increases 13% for every 1°C (33.8°F) increase in temperature above 37.8°C (100°F) in body temperature, calculate the total calories the client should receive each day.
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Page 16
Chapter 15: Genetics
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3280
Sample Questions
Q1) The nurse is counselling 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 that the probability of their having a child with the disorder is whichofthefollowing percentages?
A)0%
B) 25%
C)50%
D) 75%
Q2) Aclient whose mother has diagnosed with BRCA gene-related breast cancer asks the nurse, "Do you think I should be tested for the gene?" Which of the following responses by the nurse is most appropriate?
A)"In most cases, breast cancer is not caused by the BRCA gene."
B)"It depends on how you will feel if the test is positive for the BRCA gene."
C)"There are many things to consider before deciding to have genetic testing."
D)"You should decide first whether you are willing to have a double mastectomy."
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Chapter 16: Altered Immune Response and Transplantation
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/3281
Sample Questions
Q1) The nurse is admitting a client to the hospital with a diagnosis of an acute rejection of a kidney transplant. Which of the following actions should the nurse anticipate implementing?
A)Administration of immunosuppressant medications
B)Insertion of an arteriovenous graft for hemodialysis
C)Placement of the client on the transplant waiting list
D)Drawing blood for human leukocyte antigen (HLA) and ABO compatibility matching
Q2) The nurse is caring for a client who receives weekly immunotherapy and has missed the previous appointment. Which of the following actions should the nurse implement when the client comes for the next injection?
A)Schedule an additional dose that week.
B)Administer the usual dosage of the allergen.
C)Consult with the health care provider about giving a lower allergen dose.
D)Re-evaluate the client's sensitivity to the allergen with a repeat skin test.
Q3) Which of the following adverse effects is related to cyclosporine administration?
A)Nephrotoxicity
B)Aseptic necrosis
C)Peptic ulcer
D)Leukopenia
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Page 18
Chapter 17: Infection and Human Immunodeficiency Virus
Infection
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3282
Sample Questions
Q1) Which of the following clients will the nurse working in an HIV testing and treatment clinic anticipate teaching about antiretroviral therapy (ART)?
A)A client who is currently HIV negative but has unprotected sex with multiple partners
B)A client who was infected with HIV 15 years ago and now has a CD4+ count of 840/µL
C)An HIV-positive client with a CD4+ count of 120/µL who drinks a fifth of whiskey daily
D)A client who tested positive for HIV 2 years ago and has cytomegalovirus (CMV) disease
Q2) Aclient who has diagnosed with AIDS tells the nurse, "I have lots of thoughts about dying. Do you think I am just being morbid?" Which of the following responses by the nurse is most appropriate?
A)"Thinking about dying will not improve the course of AIDS."
B)"It is important to focus on the good things about your life now."
C)"Do you think that taking an antidepressant might be helpful to you?"
D)"Can you tell me more about the kind of thoughts that you are having?"
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Page 19
Chapter 18: Cancer
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) Which of the following nursing actions will be most effective in improving oral intake for a client with the nursing diagnosis of imbalanced nutrition: less than body requirements related to painful oral ulcers?
A)Offer the client frequent small snacks between meals.
B)Assist the client to choose favourite foods from the menu.
C)Provide education about the importance of nutritional intake.
D)Apply the ordered anaesthetic gel to oral lesions before meals.
Q2) The nurse is caring for a client undergoing external radiation and has developed a dry desquamation of the skin in the treatment area. Which of the following client statements indicates that the nurse's teaching about management of the skin reaction hasbeeneffective?
A)"I can buy some aloe gel to use on the area."
B)"I will expose the treatment area to a sun lamp daily."
C)"I can use ice packs to relieve itching in the treatment area."
D)"I will scrub the area with warm water to remove the scales."
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Chapter 19: Fluid
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/3284
Sample Questions
Q1) The nurse is caring for a client who is taking a potassium-wasting diuretic for treatment of hypertension. Which of the following assessment data would the nurse include in the teaching plan?
A)Personality changes
B)Frequent loose stools
C)Facial muscle spasms
D)Lower extremity weakness
Q2) The nurse is caring for a postoperative client who is receiving nasogastric suction and is anxious with incisional pain. The client's respiratory rate is 32 breaths/minute and the arterial blood gases (ABGs) indicate respiratory alkalosis. Which of thefollowing actions should the nurse take first?
A)Discontinue the nasogastric suctions for a few hours.
B)Notify the health care provider about the ABG results.
C)Teach the client about the need to take slow, deep breaths.
D)Give the client the PRN morphine sulphate 4 mg intravenously.
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Chapter 20: Nursing Management Preoperative Care
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3285
Sample Questions
Q1) The nurse is preparing to administer atropine to a client before surgery. Which of the following symptoms should the nurse teach the client to expect?
A)Dizziness
B)Weakness
C)Dry mouth
D)Forgetfulness
Q2) The nurse is admitting a female client for an outpatient surgery procedure. Which of the following information is most important to report to the anaesthesiologist before surgery?
A)The client's lack of knowledge about postoperative pain control measures
B)The client's statement that her last menstrual period was 8 weeks previously
C)The client's history of a postoperative infection following a prior cholecystectomy
D)The client's concern that she will be unable to care for her children postoperatively
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22
Chapter 21: Nursing Management Intraoperative Care
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse is preparing a client with a dislocated shoulder for a closed, manual reduction of the dislocation with procedural sedation. Which of the following medications should the nurse anticipate administering for this procedure?
A)IV midazolam
B)Inhaled desflurane
C)Epidural lidocaine
D)Eutectic mixture of local anaesthetics (EMLA)
Q2) The nurse is positioning a client in the operating room for a transurethral resection of the prostate. Which of the following client positions should the nurse place this client in?
A)Prone
B)Supine
C)Trendelenburg
D)Lithotomy
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23
Chapter 22: Nursing Management Postoperative Care
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) In intervening to promote ambulation, coughing, deep breathing, and turning by a postoperative client on the first postoperative day, which of the following actions by the nurse is most helpful?
A)Discuss the complications of immobility and poor cough effort.
B)Teach the client the purpose of respiratory care and ambulation.
C)Administer ordered analgesic medications before these activities.
D)Give the client positive reinforcement for accomplishing these activities.
Q2) The nurse is caring for a client following gallbladder surgery, and the client's T-tube is draining dark green fluid. Which of the following actions should the nurse take?
A)Place the client on bed rest.
B)Notify the client's surgeon.
C)Document the colour and amount of drainage.
D)Irrigate the T-tube with sterile normal saline.
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Chapter 23: Nursing Assessment Visual and Auditory Systems
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse is preparing a client in the eye clinic for refractometry. Which of the following information should the nurse include in client teaching?
A)"You will need to wear sunglasses for a few hours after the exam."
B)"The surface of your eye will be numb while the doctor does the exam."
C)"You should not take any of your eye medicines before the examination."
D)"The doctor will shine a bright light into your eye during the examination."
Q2) The nurse is conducting a health history with a new client in the outpatient clinic.
Which of the following medications in the health history may indicate the need to perform a focused hearing assessment?
A)Salbutamol for acute asthma
B)Atenolol to prevent angina
C)Acetaminophen frequently for headaches
D)Ibuprofen for 20 years to treat arthritis
Q3) Which of the following actions should the nurse include in the plan of care for a client who has vestibular disease?
A)Check Rinne's and Weber's tests.
B)Face the client when speaking.
C)Enunciate clearly when speaking.
D)Monitor the client's ability to ambulate safely.
Page 25
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Chapter 24: Nursing Management Visual and Auditory
Problems
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/3289
Sample Questions
Q1) The nurse is caring for a client with a left retinal detachment who had a pneumatic retinopexy procedure. Which of the following information should be included in the discharge teaching plan?
A)The use of bilateral eye patches to reduce movement of the operative eye
B)The need to wear dark or tinted glasses to protect the eyes from bright light
C)The procedure for sterile dressing changes when the eye dressing is saturated
D)The purpose of maintaining the head in a prescribed position for several weeks
Q2) Which of the following nursing diagnoses is priority when caring for a client who is experiencing an acute attack of Ménière's disease?
A)Risk for falls as evidenced by impaired balance
B)Impaired verbal communication related to vulnerability (tinnitus)
C)Bathing self-care deficit related to weakness (vertigo)
D)Imbalanced nutrition: less than body requirements related to insufficient dietary intake (nausea)
Q3) Which of the following actions is an example of an approach magnification?
A)Using a telescopic lens
B)Sitting closer to a television while watching it
C)Using a black-tipped felt marker when writing
D)Reading books with large-type print
Page 26
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Chapter 25: Nursing Assessment Integumentary System
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) The nurse is caring for a client who is dark-skinned and has been admitted to the hospital in severe respiratory distress. Which of the following actions should the nurse implement to determine whether the client is cyanotic?
A)Assess the skin colour of the earlobes.
B)Apply pressure to the palms of the hands.
C)Check the lips and oral mucous membranes.
D)Examine capillary refill time of the nail beds.
Q2) The nurse is conducting an assessment of the client's skin and observes a ring of small, raised, discrete lesions filled with serous fluid on the client's right temple. Which of the following descriptions would the nurse use when documenting the lesions?
A)Grouped
B)Confluent
C)Zosteriform
D)Generalized
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Chapter 26: Nursing Management Integumentary
Problems
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse is caring for a client who has basal cell carcinoma (BCC) of the face. Which of the following information should the nurse include when teaching this client?
A)Treatment plans include watchful waiting.
B)Screening for metastasis will be important.
C)Low-dose systemic chemotherapy is used to treat BCC.
D)Minimizing sun exposure will reduce risk for future BCC.
Q2) The nurse is assessing a client who has just arrived in the postanaesthesia recovery area (PACU) after a blepharoplasty. Which of the following assessment data is a priority?
A)The client complains of incisional pain.
B)The client's heart rate is 110 beats/minute.
C)The client is unable to detect when the eyelids are touched.
D)The skin around the incision is pale and cold when palpated.
Q3) To decrease the risk for sun damage to the skin, which information should the nurse include when teaching clients?
A)Waterproof sunscreens will provide good protection when swimming.
B)Use a sunscreen with an SPF of at least 8-10 for adequate protection.
C)Try to stay out of the sun between the hours of 1 000 and 1 600.
D)Increase sun exposure by no more than 10 minutes a day to avoid skin damage.
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Chapter 27: Nursing Management Burns
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/3292
Sample Questions
Q1) The nurse is caring for a client who has just been admitted with a 40% total body surface area (TBSA) burn injury. Which of the following interventions should the nurse include in the plan of care to maintain adequate nutrition?
A)Insert a feeding tube and initiate enteral feedings.
B)Infuse total parenteral nutrition via a central catheter.
C)Encourage an oral intake of at least 5 000 kcal/day.
D)Administer multiple vitamins and minerals in the IV solution.
Q2) Which of the following actions should be included in the plan of care for a client who has burns of the ears, head, neck, and right arm and hand?
A)Place the right arm and hand flexed in a position of comfort.
B)Elevate the right arm and hand on pillows and extend the fingers.
C)Assist the client to a supine position with a small pillow under the head.
D)Position the client in a side-lying position with rolled towel under the neck.
Q3) The nurse is estimating the extent of a burn using the rule of nines for a client who has been admitted with deep partial-thickness burns of the posterior trunk and right arm. What percentage of the client's total body surface area (TBSA) has been injured?
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29
Chapter 28: Nursing Assessment Respiratory System
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3293
Sample Questions
Q1) The nurse is assessing a client with chronic obstructive pulmonary disease (COPD) with increasing dyspnea over the last 3 days. Which of the following findings is most important to report to the health care provider?
A)Respirations are 36 breaths/minute.
B)Anterior-posterior chest ratio is 1:1.
C)Lung expansion is decreased bilaterally.
D)Hyperresonance to percussion is present.
Q2) After the nurse has received change-of-shift report, which of the following clients should be assessed first?
A)A client with pneumonia who has crackles in the right lung base
B)A client with chronic obstructive pulmonary disease (COPD) and pulmonary function testing (PFT) that indicates low forced vital capacity
C)A client with possible lung cancer who has just returned after bronchoscopy
D)A client with hemoptysis and a 16-mm induration with tuberculin skin testing
Q3) Which of the following lung structures has the most generations?
A)Segmental bronchi
B)Subsegmental bronchi
C)Bronchioles
D)Alveoli
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Page 30
Chapter 29: Nursing Management Upper Respiratory
Problems
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3294
Sample Questions
Q1) The nurse is caring for a client with a tracheostomy tube and is inflating the cuff to the appropriate level. Which of the following actions is best for the nurse to implement?
A)Check the pilot balloon after inflation to ensure that it is firm.
B)Use a manometer to ensure cuff pressure is at an appropriate level.
C)Check the amount of cuff pressure ordered by the health care provider.
D)Fill the balloon until minimal air leakage around the cuff is auscultated.
Q2) The nurse is deflating the cuff of a tracheostomy tube to evaluate the client's ability to swallow. Which of the following actions should the nurse implement?
A)Clean the inner cannula of the tracheostomy tube before deflation.
B)Deflate the cuff during the inhalation phase of the respiratory cycle.
C)Suction the client's mouth and trachea before deflation of the cuff.
D)Insert exactly the same volume of air into the cuff during reinflation.
Q3) Which of the following actions should the nurse take first when a client develops a nosebleed?
A)Pack both nares tightly with 1 cm ribbon gauze.
B)Pinch the lower portion of the nose for 10 minutes.
C)Prepare supplies that will be needed for cauterization.
D)Apply ice compresses over the client's nose and cheeks.
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Chapter 30: Nursing Management Lower Respiratory
Problems
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/3295
Sample Questions
Q1) The nurse is caring for clients with active tuberculosis (TB) who misuse alcohol and/or are homeless. Which of the following interventions by the nurse will be most effective in ensuring adherence with the treatment regimen?
A)Educating the client about the long-term impact of TB on health
B)Giving the client written instructions about how to take the medications
C)Teaching the client about the high risk for infecting others unless treatment is followed
D)Arranging for a daily noontime meal at a community centre and giving the medication then
Q2) To determine the effectiveness of prescribed therapies for a client with cor pulmonale and right-sided heart failure, which of the following assessments should the nurse make?
A)Lung sounds
B)Heart sounds
C)Blood pressure
D)Peripheral edema
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Chapter 31: Nursing Management Obstructive Pulmonary Diseases
Available Study Resources on Quizplus for this Chatper
42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3296
Sample Questions
Q1) Which of the following information given by a client with asthma while the nurse is doing the admission assessment is most indicative of a need for a change in therapy?
A)The client uses terbutaline before any aerobic exercise.
B)The client says that the asthma symptoms are worse every spring.
C)The client's heart rate increases after using the salbutamol inhaler.
D)The client's only medications are formoterol and salmeterol.
Q2) The nurse is caring for a client with asthma who has a baseline peak flow reading of 600 mL and calls the nurse, stating that the current peak flow is 420 mL. Which of the following actions should the nurse take first?
A)Tell the client to go to the hospital emergency department.
B)Instruct the client to use the prescribed albuterol.
C)Ask about recent exposure to any new allergens or asthma triggers.
D)Question the client about use of the prescribed inhaled corticosteroids.
Q3) Which of the following actions should be included in the plan of care for a client with
A)Schedule a sweat chloride test.
B)Arrange for a hospice nurse visit.
C)Place the client on a low-sodium diet.
D)Perform chest physiotherapy every 4 hours.
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Chapter 32: Nursing Assessment Hematological System
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3297
Sample Questions
Q1) The nurse is evaluating the red cell indices result of a client's laboratory report. Which of the following interpretations is correct related to a low mean corpuscular volume (MCV)?
A)Hypochromic red blood cells (RBCs)
B)Inadequate numbers of RBCs
C)Low hemoglobin in the RBCs
D)Small size of the RBCs
Q2) The nurse is reviewing the complete blood count (CBC) for a client admitted with abdominal pain. Which of the following information will be most important for the nurse to communicate to the health care provider?
A) Monocytes 4%
B) Hemoglobin 116 g/L
C) Platelet count 145 * 10<sup>9</sup>/L
D) White blood cells 13.5 * 10<sup>9</sup>/L
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Chapter 33: Nursing Management Hematological Problems
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/3298
Sample Questions
Q1) The nurse is teaching a client with a new diagnosis of pernicious anemia about the disorder. Which of the following client statements indicates that the teaching has been effective?
A)"I need to start eating more red meat or liver."
B)"I will stop having a glass of wine with dinner."
C)"I will need to take a proton pump inhibitor like omeprazole."
D)"I would rather use the nasal spray than have to get injections of vitamin B12."
Q2) All of these clients are waiting to be admitted by the emergency department nurse. Which one of the following requires the most rapid assessment and care by the nurse?
A)The client with hemochromatosis who has symptoms of abdominal pain
B)The client with thrombo-cytopenia who has blood oozing after having a tooth extracted
C)The client with chemotherapy-induced neutropenia who has a temperature of 38.2°C (100.8°F)
D)The client with a history of sickle cell anemia who has had nausea and diarrhea for 24 hours
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Chapter 34: Nursing Assessment Cardiovascular System
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/3299
Sample Questions
Q1) The nurse is assessing a client who was admitted with heart failure and notes that the client has jugular venous distension (JVD) when lying flat in bed. Which of the following actions should the nurse take next?
A)Use a ruler to measure the level of the JVD.
B)Document this finding in the client's record.
C)Observe for JVD with the head at 45 degrees.
D)Have the client perform the Valsalva manoeuvre.
Q2) The nurse is providing teaching to a client being evaluated for rhythm disturbances with a Holter monitor. Which of the following information should the nurse include in the teaching plan?
A)Exercise more than usual while the monitor is in place.
B)Remove the electrodes when taking a shower or tub bath.
C)Keep a diary of daily activities while the monitor is worn.
D)Connect the recorder to a telephone transmitter once daily.
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Chapter 35: Nursing Management Hypertension
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3300
Sample Questions
Q1) During change-of-shift report, the nurse obtains this information about a client who is hypertensive and received the first dose of propranolol during the previous shift. Which of the following information indicates that the client needs immediate intervention?
A)The client's most recent BP reading is 156/94 mm Hg.
B)The client's pulse has dropped from 64 to 58 beats/minute.
C)The client has developed wheezes throughout the lung fields.
D)The client complains that the fingers and toes feel quite cold.
Q2) Which of the following BP findings by the nurse indicate that no changes in therapy are needed for a client with stage 1 hypertension who has a history of heart failure?
A)108/64 mm Hg
B)128/76 mm Hg
C)140/90 mm Hg
D)136/82 mm Hg
Q3) The nurse obtains a blood pressure of 180/75 mm Hg for a client. What is the client's mean arterial pressure (MAP)?
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Chapter 36: Nursing Management Coronary Artery Disease
and Acute Coronary Syndrome
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/3301
Sample Questions
Q1) The nurse is providing teaching to a client who has a prescription for transdermal nitroglycerin drug administration via reservoir. The client asks the nurse how often each day will the drug be administered. Which of the following information is the basisforthe nurse's response?
A)Every 4 hours while awake
B)Every 6 hours around the clock
C)Every 12 hours
D)Once every 24 hours
Q2) Which of the following causes is the most common cause for sudden cardiac death?
A)Ventricular tachycardia
B)Aortic stenosis
C)Hypertrophic cardiomyopathy
D)Angina
Q3) The nurse is administering IV nitroglycerin to a client with a myocardial infarction (MI). Which of the following actions should the nurse take to evaluate the effectiveness of the medication?
A)Check blood pressure.
B)Monitor apical pulse rate.
C)Monitor for dysrhythmias.
D)Ask about chest discomfort.
Page 38
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Chapter 37: Nursing Management Heart Failure
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3302
Sample Questions
Q1) The nurse is caring for a client with chronic heart failure. Which of the following conditions is a cause of chronic heart disease?
A)Dysrhythmias
B)Pulmonary embolus
C)Myocarditis
D)Congenital heart disease
Q2) The nurse working in the heart failure clinic will know that teaching for a client with newly diagnosed heart failure has been effective when the client does which of the following actions?
A)Uses an additional pillow to sleep when feeling short of breath at night.
B)Tells the home care nurse that furosemide is taken daily at bedtime.
C)Calls the clinic when the weight increases from 56 to 59 kg in 2 days.
D)Says that the nitroglycerin patch will be used for any chest pain that develops.
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Chapter 38: Nursing Management Dysrhythmias
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/3303
Sample Questions
Q1) Aclient has a junctional escape rhythm on the monitor. The nurse will expect the client to have a heart rate of how many beats/minute?
A)20-30
B) 40-60
C)70-80
D) 90-100
Q2) The nurse is caring for a client who has a ST segment change that indicates an acute inferior wall myocardial infarction. Which of the following leads is best for monitoring the client?
A)I
B)II
C)V6
D)MCL1
Q3) When analyzing the waveforms of a client's electrocardiogram (ECG), the nurse will need to investigate further upon assessing which of the following findings?
A)T wave of 0.16 second
B)P-R interval of 0.18 second
C)Q-T interval of 0.34 second
D)QRS interval of 0.14 second
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Chapter 39: Nursing Management Inflammatory and Structural
Heart
Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/3304
Sample Questions
Q1) The nurse is caring for a client who had an acute myocardial infarction (MI) 3 days prior and has symptoms of stabbing chest pain that increases with deep breathing. Which of the following actions should the nurse take first?
A)Auscultate the heart sounds.
B)Check the client's oral temperature.
C)Notify the client's health care provider.
D)Give the ordered acetaminophen.
Q2) The nurse establishes the nursing diagnosis of ineffective health maintenance related to lack of knowledge concerning long-term management of rheumatic fever when a client who is recovering from rheumatic fever says which of the following statements?
A)"I will need to have monthly antibiotic injections for 10 years or longer."
B)"I will need to take Aspirin or ibuprofen to relieve my joint pain."
C)"I will call the doctor if I develop excessive fatigue or difficulty breathing."
D)"I will be immune to further episodes of rheumatic fever after this infection."
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Chapter 40: Nursing Management Vascular Disorders
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/3305
Sample Questions
Q1) Which of the following nursing actions should be included in the plan of care for a client who has had endovascular repair of an abdominal aortic aneurysm?
A)Record hourly chest tube drainage.
B)Monitor fluid intake and urine output.
C)Check the abdominal wound for redness or swelling.
D)Teach the reason for a prolonged rehabilitation process.
Q2) A client asks the nurse if there are any natural products that would decrease anticoagulant effects. The nurse tells the client that which of the following natural products causes a decrease in anticoagulant effects?
A)Horse chestnut
B)Licorice root
C)Turmeric
D)Green tea
Q3) The nurse is assessing a client with possible peripheral artery disease (PAD) and obtains a brachial BP of 140/80 and an ankle pressure of 110/70. The nurse calculates the client's ankle-brachial index (ABI) as .
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Chapter 41: Nursing Assessment Gastro-intestinal System
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3306
Sample Questions
Q1) The nurse is caring for a client who has a history of a total gastrectomy. Which of the following clinical manifestations should the nurse monitor in the client?
A)Constipation
B)Dehydration
C)Elevated total cholesterol
D)Cobalamin deficiency
Q2) The nurse is caring for a client who has just had a colonoscopy. Which of the following symptoms should alert the nurse that a perforation has occurred? (Select all that apply.)
A)Malaise
B)Abdominal distension
C)Hypertension
D)Bradycardia
E)Tenesmus
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Chapter 42: Nursing Management Nutritional Problems
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3307
Sample Questions
Q1) The nurse is caring for a client who is malnourished and is receiving parenteral nutrition (PN) containing amino acids and dextrose for the past 24 hours. The nurse observes that about 50 mL remain in the PN container. Which of the following actions is bestfor the nurse to take?
A)Ask the health care provider to clarify the written PN order.
B)Add a new container of PN using the current tubing and filter.
C)Hang a new container of PN and change the IV tubing and filter.
D)Infuse the remaining 50 mL and then hang a new container of PN.
Q2) The nurse is caring for a client who is receiving continuous enteral nutrition through a small-bore silicone feeding tube, has a computed tomography (CT) scan ordered, and will have to be placed in a flat position for the scan. Which of the following actionsby the nurse is best?
A)Shut the feeding off 30-60 minutes before the scan.
B)Ask the health care provider to reschedule the CT scan.
C)Connect the feeding tube to continuous suction during the scan.
D)Send the client to CT scan with oral suction in case of aspiration.
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Chapter 43: Nursing Management Obesity
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/3308
Sample Questions
Q1) The nurse is providing nutritional teaching to a client who is to start on a very-low-calorie diet. Which of the following calorie amounts should the nurse tell the client that daily calories are not to exceed?
A)500
B) 800
C)1 100
D) 1 400
Q2) Which of the following surgeries places the client at greatest risk of developing dumping syndrome postoperatively?
A)Vertical banded gastroplasty
B)Adjustable gastric banding
C)Vertical sleeve gastrectomy
D)Lap-Band
Q3) Which of the following information should the nurse plan to include in discharge teaching for a client after gastric bypass surgery?
A)Avoid drinking fluids with meals.
B)Choose high-fat foods for at least 30% of intake.
C)Choose foods that are high in fibre to promote bowel function.
D)Development of flabby skin can be prevented by daily exercise.
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45
Chapter 44: Nursing Management Upper Gastro-intestinal
Problems
Available Study Resources on Quizplus for this Chatper
42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3309
Sample Questions
Q1) The nurse is counselling a client with a family history of stomach cancer about risk factors. Which of the following is a risk factor for the development of stomach cancer?
A)Type A blood
B)Chronic abdominal distension
C)Long-term use of H2 blocking medications
D)Exposure to emotionally or physically stressful situations
Q2) The nurse is caring for a client with a bleeding duodenal ulcer who has a nasogastric (NG) tube in place and a prescription for 30 mL of aluminum hydroxide/magnesium hydroxide to be instilled through the tube every hour. Which of the following assessmentsshould the nurse do to evaluate the effectiveness of this treatment?
A)Periodically aspirate and test gastric pH.
B)Monitor arterial blood gas values on a daily basis.
C)Check each stool for the presence of occult blood.
D)Measure the amount of residual stomach contents hourly.
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Chapter 45: Nursing Management Lower Gastro-intestinal
Problems
Available Study Resources on Quizplus for this Chatper
46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/3310
Sample Questions
Q1) The nurse is admitting a client with an exacerbation of inflammatory bowel disease (IBD). Which of the following nursing actions should the nurse include in the plan of care?
A)Restrict oral fluid intake.
B)Monitor stools for blood.
C)Increase dietary fibre intake.
D)Ambulate four times daily.
Q2) A client is admitted to the emergency department with severe abdominal pain with rebound tenderness. The vital signs include temperature 38.3°C (100.9°F), pulse 130, respirations 34, and blood pressure (BP) 84/50. Which of the following interventions should the nurse implement first?
A)Administer IV ketorolac 5 mg.
B)Draw blood for a complete blood count (CBC).
C)Obtain a computed tomography (CT) scan of the abdomen.
D)Infuse 1 000 mL of lactated Ringer's solution over 30 minutes.
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Chapter 46: Nursing Management Liver
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/3311
Sample Questions
Q1) The nurse is admitting a client with acute bleeding from esophageal varices who asks the nurse the purpose for the ordered pantoprazole. Which of the following responses by the nurse is best?
A)The medication will reduce the risk for aspiration.
B)The medication will decrease nausea and anorexia.
C)The medication will inhibit the development of gastric ulcers.
D)The medication will prevent irritation to the esophageal varices.
Q2) The nurse is admitting a client to the emergency department with pancreatitis who has been vomiting blood. Which of the following actions should the nurse take first?
A)Insert a large-gauge IV catheter.
B)Draw blood for coagulation studies.
C)Check BP, heart rate, and respirations.
D)Place the client in the supine position.
Q3) Which of the following clients should alert the nurse that screening for hepatitis C should be done?
A)The client eats frequent meals in fast-food restaurants.
B)The client recently travelled to an undeveloped country.
C)The client had a blood transfusion after surgery in 1998.
D)The client reports a one-time use of IV drugs 20 years ago.
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Page 48
Chapter 47: Nursing Assessment Urinary System
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3312
Sample Questions
Q1) Which of the following techniques should the nurse use to assess the flank area of a client with pyelonephritis for tenderness?
A)Push gently into the two lowest intercostal spaces.
B)Palpate along both sides of the lumbar vertebral column.
C)Position one hand flat at the costovertebral angle (CVA) and strike it with the other fist.
D)Use two fingers to percuss the area between the iliac crest and ribs along the midaxillary line.
Q2) The nurse is preparing a client for an intravenous pyelogram (IVP) and obtains the nurse the following information. Which information has the most immediate implications for the client's care?
A)The client describes allergies to shellfish and penicillin.
B)The client has not had anything to eat or drink for 8 hours.
C)The client complains of costovertebral angle (CVA) tenderness.
D)The client used a bisacodyl tablet the previous night.
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Chapter 48: Nursing Management Renal and Urologic
Problems
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/3313
Sample Questions
Q1) Which of the following findings for a client who has had a cystectomy with an ileal conduit the previous day is most important for the nurse to communicate to the health care provider?
A)Cloudy appearing urine
B)Hypotonic bowel sounds
C)Heart rate 102 beats/minute
D)Continuous drainage from stoma
Q2) Aclient returns to the clinic with recurrent dysuria after being treated with trimethoprim-sulfamethoxazole for 3 days. Which of the following actions should the nurse plan to take?
A)Remind the client about the need to drink 1 000 mL of fluids daily.
B)Obtain a midstream urine specimen for culture and sensitivity testing.
C)Teach the client to take the prescribed trimethoprim-sulfamethoxazole for at least 3 more days.
D)Suggest that the client use acetaminophen to treat the symptoms.
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Chapter 49: Nursing Management Acute Kidney Injury and Chronic Kidney Disease
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/3314
Sample Questions
Q1) The nurse is assessing a client who is receiving peritoneal dialysis with 2 L inflows. Which of the following information should be reported immediately to the health care provider?
A)The client has an outflow volume of 1 800 mL.
B)The client's peritoneal effluent appears cloudy.
C)The client has abdominal pain during the inflow phase.
D)The client complains of feeling bloated after the inflow.
Q2) The nurse is caring for a client with end-stage renal disease (ESRD). Which of the following findings indicate that the nurse should consult with the health care provider before giving the prescribed erythropoiesis-stimulating agent (ESA)?
A)Creatinine 99 mcmol/L
B)Oxygen saturation 89%
C)Hemoglobin level 130 g/L
D)Blood pressure 98/56 mm Hg
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Chapter 50: Nursing Assessment Endocrine System
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/3315
Sample Questions
Q1) The nurse is caring for a client who is scheduled for a 24-hour urine collection for 17-ketosteroids. Which of the following actions should the nurse implement?
A)Keep the specimen on ice
B)Insert a retention catheter
C)Have the client void and save that specimen to start the collection
D)Encourage the client to drink 2-3 L of fluid during the 24 hours
Q2) The nurse is teaching a client how to prepare for an oral glucose tolerance test (OGTT). Which of the following client response indicates that the teaching has been effective?
A)Fast 12 hours before the procedure
B)Clear fluid diet 12 hours prior to the test
C)Drink only full fluids 6 hours before the test
D)No fluid or food restrictions prior to the test
Q3) The regulation of oxytocin during childbirth is an example of which of the following mechanisms?
A)Physiological rhythm
B)Secondary input
C)Loop regulation
D)Positive feedback
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Page 52
Chapter 51: Nursing Management Endocrine Problems
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/3316
Sample Questions
Q1) Which of the following information should the nurse include when teaching a client who has been newly diagnosed with Graves' disease?
A)Exercise is contraindicated to avoid increasing metabolic rate.
B)Restriction of iodine intake is needed to reduce thyroid activity.
C)Surgery will eventually be required to remove the thyroid gland.
D)Antithyroid medications may take several weeks to have an effect.
Q2) A client with systemic lupus erythematosus has a prescription for 2 weeks of high-dose prednisone therapy. When teaching the client about the prednisone, which of the following information is most important for the nurse to include?
A)Call the doctor if you experience any mood alterations with the prednisone.
B)Do not stop taking the prednisone suddenly; it should be decreased gradually.
C)A weight-bearing exercise program will help minimize the risk for osteoporosis.
D)Weigh yourself daily to monitor for weight gain caused by water or increased fat.
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Chapter 52: Nursing Management Diabetes Mellitus
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/3317
Sample Questions
Q1) The nurse is assessing a client's technique of self-monitoring of blood glucose (SMBG) as part of diabetes management. Which of the following actions indicate a need for further teaching?
A)Washes the puncture site using soap and warm water.
B)Chooses a puncture site in the centre of the finger pad.
C)Hangs the arm down for a minute before puncturing the site.
D)Says the result of 6.1 mmol/L indicates good blood sugar control.
Q2) The nurse is teaching a client with diabetes who rides a bicycle to work every day about morning administration of insulin. Which of the following sites should the nurse tell the client to use to administer the morning insulin?
A)Arm
B)Thigh
C)Buttock
D)Abdomen
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Chapter 53: Nursing Assessment Reproductive System
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/3318
Sample Questions
Q1) A client calls the clinic because of an unusually heavy menstrual flow. She tells the nurse that she has saturated two tampons in the past 2 hours. Which of the following amounts of blood loss should the nurse estimate from the clients information?
A)10-20 mL.
B)20-30 mL.
C)30-40 mL.
D)40-60 mL.
Q2) The following clients call the outpatient clinic. Which phone call should the nurse return first?
A)A client who has severe breast tenderness following a breast biopsy
B)A client who has bloody discharge after a hysteroscopy earlier today
C)A client who is complaining of dyspnea after a pelvic computed tomography (CT) with contrast
D)A client who is experiencing shoulder pain after a laparoscopy yesterday
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Chapter 54: Nursing Management Breast Disorders
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/3319
Sample Questions
Q1) The nurse is caring for a client who has had a right mastectomy and the client asks the nurse how long the biannual mammography will have to continue. Which of the following time frames should the nurse inform the client is recommended for mammography postmastectomy?
A)Every 6 months for a year
B)Every 6 months for 2 years
C)Every 6 months for 5 years
D)Every 6 months for life
Q2) The nurse is assessing a client with Paget's disease. Which of the following findings should the nurse anticipate that the client may experience? (Select all that apply.)
A)Greenish coloured nipple discharge
B)Itchiness of the breast
C)Increased temperature
D)Nipple ulceration
E)A burning sensation in the breast
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Chapter 55: Nursing Management Sexually Transmitted
Infections
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3320
Sample Questions
Q1) A client has genital warts around her external genitalia and perianal area. She tells the nurse that she has not had treatment until now because "the warts are so disgusting." Which of the following nursing diagnoses is best?
A)Disturbed body image related to alteration in self-perception (feelings about the genital warts)
B)Ineffective coping related to inadequate confidence in ability to deal with a situation
C)Risk for infection as evidenced by insufficient knowledge to avoid exposure to pathogens
D)Anxiety related to threat to current status (impact of condition on interpersonal relationships)
Q2) The nurse is teaching a client who has primary genital herpes about management of the disease. Which of the following client statements indicate that the teaching has been effective?
A)"I will use the acyclovir ointment on the area to relieve the pain."
B)"I will use condoms for intercourse until the medication is all gone."
C)"I will take the acyclovir every 8 hours for the next week."
D)"I will need to take all of the medication to be sure the infection is cured."
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Page 57
Chapter 56: Nursing Management Female Reproductive Problems
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3321
Sample Questions
Q1) The nurse is caring for an older-adult client who is recently diagnosed with stage III ovarian cancer. Which of the following nursing diagnoses is best for this client?
A)Sexual dysfunction related to insufficient knowledge about sexual function (loss of vaginal sensation)
B)Risk for infection as evidenced by immunosuppression
C)Situational low self-esteem related to unrealistic self-expectations
D)Anxiety related to threat to current status (cancer diagnosis and need to make treatment decisions)
Q2) Which of the following information about a client indicates that the nurse will need to teach the client about endometrial biopsy?
A)The client has had 6 full-term pregnancies.
B)The client has 3-4 alcoholic drinks daily.
C)The client has used various oral contraceptives since she was 20 years old.
D)The client has a family history of hereditary nonpolyposis colorectal cancer.
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Chapter 57: Nursing Management Male Reproductive
Problems
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/3322
Sample Questions
Q1) The nurse is preparing a teaching plan for a client who has an enlarged prostate detected by digital rectal examination (DRE) and an elevated prostate specific antigen (PSA) level. Which of the following procedures should the nurse include in the teaching plan?
A)Cystourethroscopy
B)Uroflowmetry studies
C)Magnetic resonance imaging (MRI)
D)Transrectal ultrasonography (TRUS)
Q2) The nurse is conducting a focused health history for a client with possible testicular cancer. Which of the following topics should the nurse include in the assessment?
A)Sexually transmitted infections (STIs)
B)Testicular trauma
C)Testicular torsion
D)Undescended testicles
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Chapter 58: Nursing Assessment Nervous System
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/3323
Sample Questions
Q1) The nurse is completing a neurological assessment with a client. Which of the following assessments is the most sensitive indicator of a change in neurological status?
A)Level of consciousness
B)Cognition and thought content
C)Mood and affect
D)General appearance and behaviour
Q2) The following prescriptions are received for an unconscious client who has just arrived in the emergency department after a head injury caused by an automobile accident. Which of the following prescriptions should the nurse question?
A)Obtain radiographs of the skull and spine.
B)Prepare the client for lumbar puncture.
C)Send for computed tomography (CT) scan.
D)Perform neurologic checks every 15 minutes.
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Chapter 59: Nursing Management Acute Intracranial
Problems
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/3324
Sample Questions
Q1) The nurse is caring for a client who has had a head injury. Which of the following assessment information requires the most rapid action by the nurse?
A)The client is more difficult to arouse.
B)The client's pulse is slightly irregular.
C)The client's blood pressure increases from 120/54 to 136/62 mm Hg.
D)The client indicates a headache at pain level 5 of a 10-point scale.
Q2) The nurse is admitting a client who has a tumour of the right frontal lobe. Which of the following findings should the nurse expect to observe?
A)Judgement changes
B)Expressive aphasia
C)Right-sided weakness
D)Difficulty swallowing
Q3) The nurse is caring for a client who has a systemic BP of 108/51 mm Hg and an intracranial pressure (ICP) of 14 mm Hg. Which of the following actions should the nurse take first?
A)Elevate the head of the client's bed to 60 degrees.
B)Document the BP and ICP in the client's record.
C)Report the BP and ICP to the health care provider.
D)Continue to monitor the client's vital signs and ICP.
Page 61
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Chapter 60: Nursing Management Stroke
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/3325
Sample Questions
Q1) The nurse is caring for a client who has recently had a stroke. When reviewing the clients' laboratory report, which of the following results should the nurse report the health care provider?
A)PaCO<sub>2</sub> 51 mm Hg
B)pH 7.41
C)PaO<sub>2</sub> 96 mm Hg
D) WBC 9.2 * 10<sup>9</sup>/L
Q2) The nurse receives a verbal report that a client has an occlusion of the left posterior cerebral artery. Which of the following findings should the nurse anticipate?
A)Dysphasia
B)Confusion
C)Visual deficits
D)Poor judgement
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Chapter 61: Nursing Management Chronic Neurological Problems
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/3326
Sample Questions
Q1) The nurse is teaching a client about management of migraine headaches. Which of the following client statements indicates that the teaching has been effective?
A)"I will take the topiramate as soon as any headaches start."
B)"I should avoid taking Aspirin and sumatriptan at the same time."
C)"I will try to lie down someplace dark and quiet when the headaches begin."
D)"A glass of wine might help me relax and prevent headaches from developing."
Q2) The nurse is caring for a client who is diagnosed with early Huntington's disease (HD). Which of the following information should the nurse include in the teaching plan for the client, partner, and children?
A)Use of levodopa-carbidopa to help reduce HD symptoms.
B)Need to take prophylactic antibiotics to decrease the risk for pneumonia.
C)Lifestyle changes such as increased exercise that delay disease progression.
D)Availability of genetic testing to determine the HD risk for the client's children.
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63
Chapter 62: Nursing Management Delirium
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3327
Sample Questions
Q1) The nurse is administering a mental status examination to a client. Which of the following client responses should lead the nurse to suspect possible depression?
A)"I don't know."
B)"Is that the right answer?"
C)"Wait, let me think about that."
D)"Who are those people over there?"
Q2) Which of the following actions should the nurse in the outpatient clinic include in the plan of care for a client with mild cognitive impairment (MCI)?
A)Suggest a move into an assisted-living facility.
B)Schedule the client for annual appointments.
C)Ask family members to supervise the client's daily activities.
D)Discuss the preventive use of acetylcholinesterase medications.
Q3) The nurse is caring for a client with dementia with lewy bodies (DLB). Which of the following complications is the client most at risk for developing related to DLB?
A)Stroke
B)Pneumonia
C)Myocardial infarction
D)Urinary tract infection
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64
Chapter 63: Nursing Management Peripheral Nerve and Spinal Cord Problems
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/3328
Sample Questions
Q1) The nurse is caring for a client who has onset Guillain-Barré syndrome. During this phase of the client's illness, which of the following parameters is the most important for the nurse to assess?
A)Monitor the cardiac rhythm.
B)Determine level of consciousness.
C)Check strength of the extremities.
D)Observe respiratory rate and effort.
Q2) The nurse is caring for a client who was admitted 24 hours previously with a C5 spinal cord injury. Which of the following nursing actions has the highest priority?
A)Assessment of respiratory rate and depth
B)Continuous cardiac monitoring for bradycardia
C)Application of pneumatic compression devices to both legs
D)Administration of methylprednisolone infusion
Q3) Which of the following actions should the nurse take when assessing a client with trigeminal neuralgia?
A)Examine the mouth and teeth thoroughly.
B)Have the client clench and relax the jaw and eyes.
C)Identify trigger zones by lightly touching the affected side.
D)Gently palpate the face to compare skin temperature bilaterally.
Page 65
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Chapter 64: Nursing Assessment Musculo-skeletal System
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3329
Sample Questions
Q1) The nurse obtains this information when assessing an older-adult client in the outpatient clinic. Which of the following findings is of highest priority when the nurse is planning care for the client?
A)Symmetrical joint swelling of fingers
B)Decreased right knee range of motion
C)History of recent loss of balance and fall
D)Complaint of left hip aching when jogging
Q2) The nurse is conducting a musculo-skeletal assessment on an older-adult client. Which of the following are age-related changes in this body system? (Select all that apply.)
A)Decreased bone density
B)Decreased risk for cartilage disruption
C)Increased glycogen stores
D)Decreased elasticity in cartilage
E)Increased muscle cell diameter
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Chapter 65: Nursing Management Musculo-skeletal
Trauma and Orthopedic Surgery
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/3330
Sample Questions
Q1) The nurse is caring for a client with ulnar drift caused by rheumatoid arthritis (RA) who is scheduled for an arthroplasty of the hand. Which of the following client statements indicates realistic expectation for the surgery?
A)"I will be able to use my fingers to grasp objects better."
B)"I will not have to do as many hand exercises after the surgery."
C)"This procedure will prevent further deformity in my hands and fingers."
D)"My fingers will appear more normal in size and shape after this surgery."
Q2) The nurse is admitting a client who has a proximal humerus fracture that is immobilized with a left-sided long-arm cast and has a sling. Which of the following nursing interventions will be included in the plan of care?
A)Use surgical net dressing to hang the arm from an IV pole.
B)Immobilize the fingers on the left hand with gauze dressings.
C)Assess the left axilla and change absorbent dressings as needed.
D)Assist the client in passive range of motion (ROM) for the right arm.
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Chapter 66: Nursing Management Musculo-skeletal
Problems
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/3331
Sample Questions
Q1) The nurse is caring for a client who has had a surgical reduction of an open fracture of the left tibia. Which of the following assessment findings is most important to report to the health care provider?
A)Left leg muscle spasms
B)Serous wound drainage
C)Left leg pain with movement
D)Temperature 38.6C (101.5F)
Q2) The nurse is caring for a client who is hospitalized for initiation of regional antibiotic irrigation for acute osteomyelitis of the right femur. Which of the following interventions should be included in the plan of care?
A)Immobilization of the right leg
B)Frequent weight-bearing exercise
C)Avoiding administration of nonsteroidal anti-inflammatory drugs (NSAIDs)
D)Support of the right leg in a flexed position
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Chapter 67: Nursing Management Arthritis and Connective
Tissue Diseases
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3332
Sample Questions
Q1) The nurse is caring for a young adult client with urethritis and knee pain who has been diagnosed with reactive arthritis. Which of the following medications should the nurse include in the teaching plan?
A)Anakinra
B)Etanercept
C)Doxycycline
D)Methotrexate
Q2) The nurse is caring for a client who has three school-age children and recently diagnosed with rheumatoid arthritis (RA). The client tells the nurse that the inability to be involved in many family activities is causing stress at home. Which of the followingresponses by the nurse is most appropriate?
A)"You may need to see a family therapist for some help."
B)"Tell me more about the situations that are causing stress."
C)"Perhaps it would be helpful for you and your family to get involved in a support group."
D)"Your family may need some help to understand the impact of your rheumatoid arthritis."
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Chapter 68: Nursing Management Critical Care
Environment
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/3333
Sample Questions
Q1) The nursing supervisor is evaluating the performance of a new RN who is caring for a client receiving mechanical ventilation with 10 cm of positive end-expiratory pressure (PEEP). Which of the following actions indicates that the new RN is practising safely?
A)The RN plans to suction the client every 2 hours.
B)The RN uses a closed-suction technique to suction the client.
C)The RN tapes connection between the ventilator tubing and the ET.
D)The RN changes the ventilator circuit tubing routinely every 24 hours.
Q2) When the ventilator alarm sounds, the nurse finds the client lying in bed holdingthe endotracheal tube (ET). Which of the following actions should the nurse take first?
A)Offer reassurance to the client.
B)Activate the hospital's rapid response team.
C)Call the health care provider to reinsert the tube.
D)Manually ventilate the client with 100% oxygen.
Q3) A client's vital signs are pulse 80, respirations 24, BP of 124/60 mm Hg, and cardiac output is 4.8 L/minute. What is the client's stroke volume?
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Page 70
Chapter 69: Nursing Management Shock
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/3334
Sample Questions
Q1) The health care provider prescribes the following actions for a client who has possible septic shock with a BP of 70/42 mm Hg and oxygen saturation of 90%. In which order will the nurse implement the actions?
A)Obtain blood and urine cultures.
B)Give vancomycin 1 g IV.
C)Infuse vasopressin 0.01 units/minute.
D)Administer normal saline 1 000 mL over 30 minutes.
E)Titrate oxygen administration to keep O<sub>2</sub> saturation >95%.
Q2) After receiving 1 000 mL of normal saline, the central venous pressure for a client who has septic shock is 10 mm Hg, but the blood pressure is still 82/40 mm Hg. Which of the following prescribed medications should the nurse administer?
A)Nitroglycerin
B)Drotrecogin-?
C)Norepinephrine
D)Sodium nitroprusside
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Chapter 70: Nursing Management Respiratory Failure and
Acute Respiratory Distress Syndrome
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3335
Sample Questions
Q1) The nurse is caring for a client who has been admitted with a pulmonary embolism and notes a change in the client's oxygen saturation (SpO<sub>2</sub>) from 94% to 88%. Which of the following actions should the nurse implement?
A)Increase the oxygen flow rate.
B)Suction the client's oropharynx.
C)Assist the client to cough and deep breathe.
D)Help the client to sit in a more upright position.
Q2) The nurse is assessing a client with chronic lung disease and finds a sudden onset of agitation and confusion. Which of the following actions should the nurse take first?
A)Check pupil reaction to light.
B)Notify the health care provider.
C)Attempt to calm and reassure the client.
D)Assess oxygenation using pulse oximetry.
Q3) Chest physiotherapy is indicated for which of the following clients?
A)Takes a bronchodilator
B)Produces 40 mL of sputum per 24 hours
C)Has an increased PCO<sub>2</sub> level
D)Is taking vancomycin
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Chapter 71: Nursing Management Emergency Care Situations
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/3336
Sample Questions
Q1) Aclient arrives at the emergency department with complaints of being bitten by a cat. Which of the following parameters should the nurse assess? (Select all that apply.)
A)Septic arthritis
B)Hypotension
C)Osteomyelitis
D)Tensoynovitis
E)Cyanosis
Q2) The nurse is assessing a client admitted to the emergency department (ED) with a broken arm and facial bruises and notes multiple additional bruises in various stages of healing. Which of the following responses by the nurse is most appropriate?
A)"Is someone at home hurting you?"
B)"You should not return to your home."
C)"Would you like to see a social worker?"
D)"I have to report this abuse to the police."
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73
Chapter 72: Emergency Management and Disaster Planning
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/3337
Sample Questions
Q1) Following an earthquake, clients are triaged by emergency medical personnel and are transported to the hospital. Which of the following clients should the nurse assess first?
A)A client with a red tag
B)A client with a blue tag
C)A client with a yellow tag
D)A client with a green tag
Q2) Which of the following government agencies is responsible for providing safe drinking water and supportive medical services during a national disaster?
A)Health Canada
B)Public Safety Canada
C)Department of National Defence
D)Canadian Red Cross
Q3) Which of the following routes is the least lethal route for the spread of anthrax (Bacillus anthracis)?
A)Inhalation
B)Ingestion
C)Cutaneous
D)Injection
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