

Advanced Medical Surgical Nursing
Pre-Test Questions

Course Introduction
Advanced Medical Surgical Nursing builds upon foundational nursing knowledge to prepare students for the care of patients with complex, multisystem health problems. This course emphasizes advanced assessment strategies, critical thinking, and the integration of evidence-based interventions for acutely ill adult patients. Students will explore topics such as pathophysiology, pharmacological management, advanced diagnostics, and specialized technologies used in surgical and medical settings. The curriculum also highlights multidisciplinary collaboration, ethical decision-making, and the development of leadership skills necessary to provide holistic, patient-centered care in high-acuity environments.
Recommended Textbook
Introduction to Medical Surgical Nursing 5th Edition by Linton
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56 Chapters
1705 Verified Questions
1705 Flashcards
Source URL: https://quizplus.com/study-set/497 Page 2

Chapter 1: The Health Care System
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/9178
Sample Questions
Q1) The nurse outlines the benefits of using a home health aide for the ability to assist a home-bound patient with: (Select all that apply.)
A) Bathing
B) Doing laundry
C) Shopping for groceries
D) Administering medications
E) Ambulating
Answer: A,E
Q2) In discussing the discharge to a transitional subacute facility with a 72-year-old patient with diabetes who has had both legs amputated,the nurse informs the patient that his stay in the new facility will be limited to:
A) 25 days
B) 50 days
C) 75 days
D) Is totally unlimited
Answer: D
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Chapter 2: Patient Care Settings
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) To teach a family member the skill of injecting insulin effectively,the home health nurse will do which of these? (Prioritize these nursing interventions for this situation.)
A) Offer instruction at an appropriate pace.
B) Write down the steps of the procedure.
C) Assess the level of knowledge of the family member.
D) Inquire about the preferred learning style.
E) Evaluate the family member's performance.
Answer: C,B,D,A,E
Q2) The nurse assures a 58-year-old with diabetes who is recuperating from a broken hip that funds for his rehabilitation are available from the:
A) Vocational Rehabilitation Act of 1920
B) Rehabilitation Act of 1973
C) Disabled American Veterans Act of 1990
D) Title V, Health of Crippled Americans 1935
Answer: B
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4

Chapter 3: Legal and Ethical Considerations
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Prioritize the steps in solving an ethical dilemma.
A) Evaluate the outcome.
B) Plan an approach.
C) Visualize the consequences.
D) Take action.
E) Identify the problem.
Answer: E,B,C,D,A
Q2) The nurse is aware that values clarification supports nursing practice by: (Select all that apply.)
A) Guiding decision making
B) Giving insight to patients
C) Enhancing peer relationships
D) Helping understand him or herself
E) Gaining the confidence of supervisors
Answer: A,B,D
Q3) The values that direct human behavior and are concerned with defining right from wrong are known as ____________________.
Answer: Ethics
An individual's ability to define right from wrong is based on a value system called ethics.
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Page 5

Chapter 4: The Leadership Role of the Licensed Practical
Nurse
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) An LPN/LVN took the responsibility of working with the equipment company representative to learn about some new equipment coming to the facility.The LPN/LVN then developed and presented in-service teaching to the rest of the staff.This LPN/LVN is managing under management theory ____________________.
Q2) The director of nursing in a nursing home appoints an LPN/LVN to be project head to coordinate a review of end-of-shift reporting times and to develop a new,more timely format for the entire agency to use.This LPN/LVN's role would be as a(n):
A) Goal-setting organizer
B) Organizing leader
C) Assigned manager
D) Manager-leader
Q3) To establish an effective team,the team leader must be able to: (Select all that apply.)
A) Establish a clear purpose, and clarify its significance.
B) Be firm to maintain focus on one idea, not sidetracked by the ideas of others.
C) Listen to all input in an active manner.
D) Demonstrate concern for stress of the team members.
E) Be honest concerning own opinions and attitudes.
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Chapter 5: The Nurse-Patient Relationship
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The newly admitted resident to a long-term care facility tells the nurse that he misses his dog.The most therapeutic response by the nurse would be:
A) "You need to get a stuffed dog to keep you company."
B) "Have you made friends with Buddy, our facility's mascot?"
C) "Yes, dogs are a great deal of company."
D) "What do you miss about your dog?"
Q2) The nurse explains that a pamphlet called the "Patient Care Partnership" was created by the:
A) Joint Commission for Accreditation of Hospitals
B) Medicare/Medicaid Act
C) Social Security Act
D) American Hospital Association
Q3) A 6-year-old who is brought to the Public Health Clinic Building to receive immunizations for the beginning of school would be properly classified for service as a:
A) Patient
B) Child
C) Customer
D) Client
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Chapter 6: Cultural Aspects of Nursing Care
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/9183
Sample Questions
Q1) After a Jewish woman has given birth and returns to her room,the husband arrives with a camera.The culturally sensitive nurse would say:
A) "Here is a chair near the door so you can be comfortable while you visit."
B) "I'll give you all some privacy because I know you want to give your wife a big hug."
C) "Let me get some instructions for you to follow in her home care after she is discharged this afternoon."
D) "Sit on the bed and put your arm around your wife, and I will take your photograph."
Q2) The nurse explains that a Hindu refers to the record of his or her life and its accomplishments as ____________________.
Q3) The process in which children mature and take on the values of their families and their society is called ____________________.
Q4) The Asian theory of hot and cold as a source of illness is based on the imbalance of the four ____________________.
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Chapter 7: The Nurse and the Family
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) Children of racial minorities are more likely to live in a family that is:
A) Blended
B) Extended
C) Traditional
D) Nontraditional
Q2) When assessing the coping measures of families under stress,the first priority of the nurse should be to:
A) Determine the type of coping mechanisms used by the family in the past.
B) Consider the relationship of the family members.
C) Relieve the anxiety and fear of the family members.
D) Determine what stressors the family is currently experiencing.
Q3) The patient who is recovering from a mastectomy relates that she no longer feels like a woman.The best response by the nurse would be:
A) "I am sure you will feel differently once you have your prosthetic bra."
B) "Have you told your husband how you feel?"
C) "I will bring you a catalog that carries built-in prosthetic bras."
D) "Would you like me to arrange a visit from 'Reach for Recovery?'"
Q4) The nurse includes the family in patient care to maintain the family's
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Chapter 8: Health and Illness
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9185
Sample Questions
Q1) In explaining the concept of chronic illness,the nurse uses the example of a patient who has:
A) Acne
B) Appendicitis
C) Heart attack
D) Asthma
Q2) The nurse explains that according to Maslow,the abilities to solve problems,to maintain self-confidence,and be willing to accept criticism are incorporated in:
A) Safety and security
B) Self-esteem
C) Self-actualization
D) Love and belonging
Q3) The alarm reaction stage,resistance stage,and exhaustion stage are the three stages of the:
A) Local adaptation syndrome
B) General adaptation syndrome
C) Total adaptation syndrome
D) Absolute adaptation syndrome
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10

Chapter 9: Nutrition
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) The stomach is normally emptied in 1 to 4 hours,depending on the amount and kind of food eaten.Which of the following foods,when eaten separately,leave the stomach most rapidly?
A) Carbohydrates
B) Fats
C) Lipids
D) Proteins
Q2) The nurse counsels the patient to avoid saturated fats such as: (Select all that apply.)
A) Butter
B) Olive oil
C) Coconut oil
D) Canola oil
E) Palm oil
Q3) The nurse monitors a patient on total parenteral nutrition (TPN)for the complication of:
A) Respiratory congestion
B) Hypoglycemia
C) Vomiting
D) Hypotension
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Chapter 10: Developmental Processes
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9187
Sample Questions
Q1) The nurse is aware that ethnic- and gender-related difference in life expectancies exist,such as:
A) Black men live longer than white men.
B) White women live longer than black women.
C) Black men live longer than black women.
D) White men live longer than white women.
Q2) Which intervention is directed toward reducing the most common cause of death among young adults?
A) Teaching early warning signs of cancer
B) Encouraging cardiovascular fitness
C) Teaching principles of safe sex
D) Promotion of safe driving practices
Q3) Many young adults today have extended their adolescence and are living with their parents because of: (Select all that apply.)
A) Postgraduate educational goals.
B) Military obligations.
C) Job losses.
D) Chronic illnesses.
E) Divorces.
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Page 12

Chapter 11: The Older Patient
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The term old age or aged can best be defined as:
A) Person's state of mind
B) Person older than 65 years of age
C) Process of growing older
D) Person of advanced age
Q2) The nurse assesses a major sign of renal changes related to age,which is:
A) Hematuria
B) Nocturia
C) Urgency incontinence
D) Renal calculi
Q3) Prerequisites for the nurse working with the geriatric patient include an understanding that:
A) Specialized knowledge is needed.
B) The geriatric patient will be physically impaired.
C) Most geriatric patients will develop dementia.
D) The geriatric patient will need to be closely supervised.
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Chapter 12: The Nursing Process and Critical Thinking
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9189
Sample Questions
Q1) Nursing outcome classification (NOC)is a method of classifying a nursing:
A) Process
B) Care plan
C) Goal
D) Intervention outcome
Q2) When percussing the patient's abdomen,the nurse anticipates a note that is:
A) Flat
B) Dull
C) Tympanic
D) Resonant
Q3) The nurse auscultating the patient's chest will: (Select all that apply.)
A) Use the diaphragm for assessing breath sounds.
B) Use the bell for assessing murmurs.
C) Apply earpieces pointing toward the ears.
D) Wet the chest hair with a cloth.
E) Press the diaphragm very firmly against the chest wall.
Q4) Examine this goal statement: Patient will walk in the hall unassisted.The two missing components for a correctly stated goal in this example are the descriptors for ____________________ and ____________________.
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Chapter 13: Inflammation, Infection, and Immunity
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9190
Sample Questions
Q1) The patient in early labor says to the nurse,"I will pass on protection from diseases,and the baby will not ever need any shots." The best response by the nurse should be:
A) "Babies are born with innate (natural) immunity at birth."
B) "Babies are born with immunoglobulin E (IgE), an antibody that crosses the placenta, but it only briefly protects the baby."
C) "Yes, immediate antibody immunity from the mother is the first line of defense against disease for babies."
D) "Yes, the mother passes on cell-mediated immunity."
Q2) When a mosquito or a fly carries an organism that infects another living organism,this mode of transmission is infection via:
A) Common vehicle
B) Direct excretion
C) Ingestion
D) Vector
Q3) The nurse assesses a high eosinophil count in a pediatric patient.The nurse recognizes that this elevation is an indicator of ____________________.
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Chapter 14: Fluids and Electrolytes
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9191
Sample Questions
Q1) The K? laboratory report shows a level of 5.2 mEq/L.The nurse will assess the patient closely for:
A) Excessive thirst
B) Irregular heartbeat
C) Swelling of ankles
D) Frightening hallucinations
Q2) The nurse explains that fluids carrying nutrients and wastes on a random basis throughout the body are carried primarily by:
A) Filtrates
B) Extracellular fluid
C) Intracellular fluid
D) Osmolytes
Q3) Because the patient with metabolic acidosis is hyperventilating,the nurse should closely monitor for the compensatory condition of:
A) Metabolic alkalosis
B) Respiratory acidosis
C) Respiratory alkalosis
D) Thyroid imbalances
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Chapter 15: Pain Management
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9192
Sample Questions
Q1) The nurse notices that the patient seems calm and peaceful despite an assessment that the patient's injuries might be causing severe pain.The patient tells the nurse that using yoga,meditation,and __________________ lessens the perceptions of pain to tolerable levels.
A) Indulging in a favorite food
B) Music by a favorite artist
C) Reading exciting science fiction
D) Self-administration of drugs
Q2) The nurse attempts to evaluate the presence of pain in a patient who is cognitively impaired by assessing for:
A) Amount of time spent sleeping during the day
B) Consistent stoic facial expression
C) Increased social interaction
D) Increasing confusion
Q3) In performing a pain assessment,the LPN/LVN would follow which steps?
A) Assess vital signs, status of pain, and aggravating factors.
B) Assess location, quality, and intensity on an identified scale.
C) Assess the intensity on an identified scale and record findings.
D) Assess vital signs and location, and report to the RN.
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Page 17

Chapter 16: First Aid, Emergency Care, and Disaster Management
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9193
Sample Questions
Q1) While at the local pool on an extremely hot day,the nurse is called on to care for a woman who has evidently suffered heat exhaustion.The initial nursing care for this person is to:
A) Obtain vital signs.
B) Move the patient into an air-conditioned or shaded area.
C) Give her several glasses of ice water.
D) Cover her with a wet towel.
Q2) When the accident victim comes to the emergency department with an open chest wound,the nurse should apply to the wound:
A) Occlusive dressing taped on four sides
B) Tight Ace bandage wrap
C) No dressing of any sort
D) Vented dressing, taped on three sides
Q3) On the initial assessment of a patient with carbon monoxide poisoning,the emergency department nurse would anticipate that:
A) BP will be low.
B) Oxygen saturation will be low.
C) Mucous membranes will be blue.
D) Respirations will be less than 10 per minute.
Page 18
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Chapter 17: Surgical Care
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A patient has just returned to the surgical unit after varicose vein stripping and ligation.To evaluate pain relief,the best technique for the nurse is to:
A) Check the patient's record for the last dose of pain medication administered.
B) Ask the patient to rate the severity of the pain on a scale of 1 to 10.
C) Ask the family if they think that the patient is having pain.
D) Tell the patient to ask for pain medicine when it is needed.
Q2) To prevent the effects of postoperative immobility on the gastrointestinal system,the nurse suggests that the patient:
A) Avoid taking antibiotics.
B) Increase her fluid intake.
C) Avoid high-fiber foods.
D) Limit her activity for the first 3 to 4 days.
Q3) During the preoperative assessment,the nurse must ask the patient for information about:
A) Current address and telephone number
B) Food preferences
C) Allergies, medications, and past medical conditions
D) Bathing and sleep patterns
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19

Chapter 18: Intravenous Therapy
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The patient has suffered an air embolus.The quick-thinking nurse immediately:
A) Turns the patient to the left side and lowers the head of the bed.
B) Calls the "Code Team."
C) Gives oxygen at 100% in a nonrebreathing mask.
D) Notifies the charge nurse.
Q2) An IV administration of doxycyclin (Vibramycin)has extravagated.After stopping the IV,the nurse should:
A) Notify the physician, and restart the IV in another site.
B) Restart the IV at another site, and document the extravasation.
C) Flush NS through cannula at the insertion site.
D) Discard the IV tubing and the IV bag.
Q3) In making out the assignment for the evening shift,the licensed practical nurse (LPN)is careful to assign IV rounds to be performed:
A) Every 15 minutes
B) Every 30 minutes
C) Every 60 minutes
D) Twice per shift
Q4) The nurse explains to the patient that the peripheral IV tubing administration set and dressing should be changed every __________ hours.
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Chapter 19: Shock
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9196
Sample Questions
Q1) The nurse caring for a patient who has a cervical spine injury immediately documents and reports the assessment of progressive hypotension as a sign of probable:
A) Anaphylaxis
B) Respiratory alkalosis
C) Multiple organ dysfunction syndrome (MODS)
D) Neurogenic shock
Q2) When a family member asks why her father,who is being treated for cardiogenic shock,needs parenteral feeding since he is capable of eating small amounts,the nurse replies that the parenteral feedings:
A) Reduce the risk of constipation.
B) Meet the patient's hypermetabolic needs.
C) Are more convenient and less time consuming .
D) Decrease the hazard of infection.
Q3) The nurse is aware that immobility and insertion of urinary catheters,although therapeutic,also places the patient at risk for _________________________.
Q4) The nurse explains that the minimal acceptable hourly urine output for the patient in shock who weighs 220 pounds is ____________________.
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Page 21

Chapter 20: Falls
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) In reviewing a patient's medication administration record,the nurse is aware that some medications are considered to be chemical restraints.Of the following medications,the nurse recognizes the chemical restraint to be:
A) Warfarin (Coumadin)
B) Alprazolam (Xanax)
C) Isosorbide (Isordil)
D) Ibuprofen (Motrin)
Q2) The home health nurse cautions the family of a frail 82-year-old woman about the intrinsic factors that may be a potential cause of injury.These are: (Select all that apply.)
A) Diminished vision
B) Pet cats
C) Cluttered bedroom
D) Wearing loose house slippers
E) Generalized weakness
Q3) The nurse is aware that of all the reported falls in the United States,only 1% to 5% result in a ____________________.
Q4) The nurse suggests that a resident who is at risk for falling come to the ________ ________ class to improve balance.
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Page 22
Chapter 21: Immobility
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse is providing discharge instructions to the family of an older adult patient who is unable to get out of bed.The nurse should instruct the family that the most effective way to prevent urinary incontinence associated with immobility is to:
A) Use absorbent under pads.
B) Set up a toileting program.
C) Restrict fluid intake to 500 ml per 24 hours.
D) Restrict fluids after dinner and throughout the night.
Q2) The nurse takes into consideration that such emotions as worry,anxiety and depression can contribute to the common nutritional problem of ______.
Q3) A patient in traction with a fractured hip is diagnosed with a stage I pressure ulcer.She asks the nurse how a pressure ulcer could occur after only 2 days of immobility.The nurse's response is based on her knowledge that:
A) "Erythema can occur in 1 to 2 hours, even in a person with healthy skin and adequate circulation."
B) "It takes several days for a pressure ulcer to form."
C) "The pressure ulcer probably occurred when you fell."
D) "The cause of pressure ulcers isn't really known."
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Page 23

Chapter 22: Confusion
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A patient's presentation included confusion,which began very suddenly and lasted less than a week.The nurse should be able to identify this as:
A) Dementia
B) Acute confusion
C) Symptoms of Huntington disease
D) Senile dementia
Q2) The nurse will focus nursing care support for a patient with mild cognitive impairment (MCI)on:
A) Reorienting the patient to the physical environment.
B) Developing strategies to improve memory.
C) Assisting with dressing and eating.
D) Establishing toileting schedules.
Q3) Reality orientation is helpful for some patients with confusion.The nurse should use this technique on a patient diagnosed with:
A) Organic brain syndrome
B) Senile dementia
C) Senility
D) Acute confusional state
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Chapter 23: Incontinence
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34 Flashcards
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Sample Questions
Q1) The patient who has been diagnosed with stress incontinence should be instructed by the nurse to:
A) "Restrict fluid intake to less than 1000 ml/day."
B) "Avoid fluids such as tea, coffee, and cola."
C) "Delay voiding until you feel the urge to void."
D) "Void no more often than every 4 hours."
Q2) The nurse would evaluate the need for no further instructions if the patient says,after undergoing a cytometry,that he understands that he should: (Select all that apply.)
A) "Drink no fluids for 6 hours after the test."
B) "Report a change in my abdominal girth."
C) "Notify the doctor if I have difficulty voiding."
D) "Sleep on my stomach."
E) "Notify my doctor if I experience burning on urination."
Q3) The patient complains,"My allergies make me sneeze and pee in my pants.I take my allergy drug and I pee in my pants even more." The nurse assesses that the drug the patient is referring to is a(n)____________________.
Q4) The nurse explains that the normal bladder will empty when it reaches the capacity of ____________________ to ____________________ ml.
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Page 25

Chapter 24: Loss,Death,and End-of-Life Care
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) When caring for the patient who is experiencing dysfunctional grieving,the nurse's primary goal should be for:
A) Enhancement of self-esteem
B) Resolution of grief
C) Provision of safety measures
D) Prevention of complications
Q2) Nurses who have been caring for patients who are terminally ill frequently begin to feel helpless and frustrated.The best action by the nurse would be to:
A) Find another job.
B) Express her feelings to a friend or co-worker.
C) Ignore these feelings, because they will soon be gone.
D) Ask to care for different patients.
Q3) During the death process,the nurse explains that it is believed that the last sense to remain intact is:
A) Touch
B) Sight
C) Smell
D) Hearing
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Chapter 25: The Patient with Cancer
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33 Flashcards
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Sample Questions
Q1) The nurse evaluates the precolonoscopy instruction as effective when the patient says:
A) "I know that the lighted tube he will use will help the doctor look at my tumor and he might take a small piece of tissue to look at in the lab."
B) "I know that the light on the tube will help cure my cancer."
C) "I know the colonoscopy is very painful and embarrassing, and I hope no one sees me in that position."
D) "My daughter is coming in to see me today. I am glad to be looking forward to something pleasant."
Q2) The nurse cautions that the most common site of cancer in adult men is the: A) Colon
B) Lung
C) Pancreas
D) Prostate
Q3) Radiation is now measured in GRAY rather than RADS.One GRAY is equal to ________ RADS.
Q4) The nurse clarifies that cells that change from their tissues of origin and have multiple nuclei are categorized as ____________________.
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Page 27

Chapter 26: The Patient with an Ostomy
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Sample Questions
Q1) The nurse explains to a preoperative patient that a J-pouch anal anastomosis procedure has the primary advantage of:
A) No odor
B) Easier to irrigate
C) Near-normal bowel elimination
D) Less problem with diarrhea
Q2) The nurse cautions that some adhesive pouch material used to hold the appliance in place may cause:
A) Melting of the pouch
B) Excoriation of the stoma
C) Allergic reaction
D) Unpleasant odor
Q3) The nurse who is caring for a patient with an ileostomy is aware that the continual loss of liquid stool may result in:
A) Acidosis
B) Alkalosis
C) Erosion of stoma
D) Colitis
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28

Chapter 27: Neurologic Disorders
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32 Flashcards
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Sample Questions
Q1) The nurse explains that the neural synapse refers to the:
A) Length of time it takes for afferent neurons to carry impulses to the central nervous system (CNS)
B) Length of time it takes for efferent neurons to carry impulses to the motor neurons
C) Space between the axons and the dendrites of a neuron
D) Space between the axons of one neuron and the dendrites of the next
Q2) The neurologic finding that would be considered abnormal in an 88-year-old patient would be:
A) Slow papillary response to light
B) Jerky eye movements
C) Dizziness and problems with balance
D) Absence of the Achilles tendon jerk
Q3) A patient who has a pacemaker might be ineligible for:
A) Computed tomography (CT)
B) Electromyography (EMG)
C) Magnetic resonance imaging (MRI)
D) Electroencephalography (EEG)
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Chapter 28: Cerebrovascular Accident
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Source URL: https://quizplus.com/quiz/9205
Sample Questions
Q1) A patient experienced a period of momentary confusion,dizziness,and slurred speech but recovered in 2 hours.The most helpful assessment in the diagnosis of this episode would be:
A) Patient's complaint of nausea
B) Blood pressure (BP) of 140/90 mm Hg
C) Patient's complaint of headache
D) Auscultation of a bruit over the carotid artery
Q2) The nurse checks the oxygen in the circulating volume for adequate concentration to support the brain's need of ________% of the oxygen supply of the body.
Q3) The patient who experienced a TIA is prescribed warfarin (Coumadin)and has laboratory reports reflecting a therapeutic range for that drug that are:
A) Prothrombin time (PT), 35 seconds; control (normal), 20 seconds; international normalized ratio (INR),
B) Partial thromboplastin time (PTT), 30 seconds; control (normal), 30 seconds
C) PT, 45 seconds; control (normal), 20 seconds; INR, d
D) PTT, 52 seconds; control (normal), 30 seconds.
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Page 30

Chapter 29: Spinal Cord Injury
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/9206
Sample Questions
Q1) The nurse refers to the ___________ __________ to assess the extent of sensory loss and specific nerve root enervation.
Q2) The nurse considering interventions for the outcome of prevention of contractures in a patient with a SCI will include which one of the following in the nursing care plan?
A) Apply cold wraps to the limbs twice a day.
B) Perform full ROM exercises every 2 hours.
C) Use significant tactile stimuli each shift.
D) Apply splints to the limbs.
Q3) Before taking a magnetic resonance image (MRI),the patient asks why metal objects and the MRI machine are such concerns.The nurse's best explanation is that the MRI machine will: (Select all that apply.)
A) Cause metal objects to spark, similar to a microwave
B) Deactivate the battery in a pacemaker
C) Cause metal to heat up and burn the patient
D) Not transmit clear data if metal is present
E) Attract any metal into the MRI chamber
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Chapter 30: Acute Respiratory Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9207
Sample Questions
Q1) If the nurse can hear coarse crackles in the lower right lobe,then the nurse would assess that the bronchus is:
A) Partially filled with fluid
B) Narrowed by spasm
C) Partially filled with thick mucus
D) Completely obstructed
Q2) The nurse who is instructing a patient in deep breathing and coughing techniques directs the patient to: (Place the options in the appropriate sequence.)
A) Place the hand on the abdomen to check the rise and fall.
B) Inhale through the nose, pause 1 to 3 seconds, and then exhale.
C) Assume a high Fowler position.
D) Take 4 to 6 deep breaths.
E) Cough deeply.
Q3) The nurse would advise which one of the following groups to have a vaccination with conjugated pneumococcal?
A) Adults with diabetes
B) Persons 65 years and older
C) Children younger than 24 months
D) Persons with cardiovascular disorders
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Page 32

Chapter 31: Chronic Respiratory Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9208
Sample Questions
Q1) As part of a progressive walking program,the obese patient with COPD is horrified when the nurse recommends walking for:
A) 10 to 15 minutes a day.
B) 20 to 30 minutes a day.
C) 45 to 60 minutes a day.
D) Up to 2 hours a day.
Q2) The nurse assessing the CBC of a patient with chronic bronchitis identifies a typical feature of this disease,which is:
A) Decreased platelets
B) Decreased white blood cells (WBCs)
C) Increased eosinophils
D) Increased red blood cells (RBCs)
Q3) In assessing for major sources of infection in a patient with COPD,the nurse focuses on:
A) Stasis of respiratory secretions
B) Low body weight
C) Episodes of postural hypotension
D) Delayed antigen-antibody response
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33

Chapter 32: Hematologic Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9209
Sample Questions
Q1) At 10:00 AM,the nurse receives 2 units of blood for a patient to be transfused.The nurse should:
A) Set up 1 unit for the infusion to start at 10:30 AM, and send the other unit back until the first one has run.
B) Set up both units to run at the same time for an infusion at 11:00 AM.
C) Set up one unit for infusion, and place the other in the refrigerator for the later infusion.
D) Send both units back and ask for a reissue of 1 unit only.
Q2) Based on the nursing assessment,an appropriate nursing diagnosis for a patient with hemophilia would be:
A) Acute pain, related to bleeding in closed spaces.
B) Impaired gas exchange, related to decreased oxygen to the cells.
C) Excess fluid volume, related to increased fluid within the cells.
D) Hypothermia, related to inability to produce heat.
Q3) When assessing the patient with thrombocytopenia,the nurse observes for:
A) Distended neck veins and skin discoloration
B) Discoloration of the nails and sclera
C) Petechiae on the skin and bleeding gums
D) Enlarged thyroid gland and excitability
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Page 34

Chapter 33: Immunologic Disorders
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/9210
Sample Questions
Q1) After a bone marrow transplant,the patient is placed on a protocol of chemotherapy and radiation and the nursing diagnosis of risk for injury is added.The nurse will add the intervention of assessing for:
A) Increased urine output
B) Decreasing bilirubin levels
C) Increasing blood pressure
D) Increasing abdominal girth
Q2) The nursing staff decides on a nursing diagnosis of "Imbalanced nutrition: less than body requirements for a patient with leukemia." The goal that would be realistic for this patient is:
A) To gain 5 pounds, eat foods high in calories at each meal.
B) To avoid nausea, eat slowly and eat small meals.
C) To consume all food at every meal, offer three large meals.
D) To maintain a stable weight, eat small meals and avoid vomiting.
Q3) In the preparation to perform skin testing,the nurse should:
A) Select an 18-gauge needle.
B) Inject 1 mL intradermally.
C) Check the site in 2 to 3 days for swelling.
D) Wrap the site with a pressure dressing.
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Page 35

Chapter 34: Human Immunodeficiency Virus and Acquired
Immunodeficiency Syndrome
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9211
Sample Questions
Q1) The patient with HIV complains to the home health nurse that he has been having watery diarrhea for the last 10 days.Because the nurse suspects toxoplasmosis,a significant question for the nurse to ask would be:
A) "Have you stopped taking your antiviral medication?"
B) "Have you been drinking alcohol?"
C) "Have you been eating aged cheese or organ meats?"
D) "Do you have a cat?"
Q2) The nursing diagnosis that would take priority in the care of an outpatient with AIDS would be:
A) Ineffective therapeutic regimen management
B) Impaired physical mobility
C) Impaired skin integrity
D) Social isolation
Q3) The nurse explains that the painful shingles experienced by the patient with HIV is related to his childhood exposure to:
A) Measles
B) Mumps
C) Impetigo
D) Chickenpox
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Chapter 35: Cardiac Disorders
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/9212
Sample Questions
Q1) The nurse explains that factors that affect stroke volume are: (Select all that apply.)
A) Contractility
B) Climate
C) Age
D) Preload
E) Afterload
Q2) When a patient returns from a cardiac catheterization,the nurse would expect to:
A) Ambulate the patient in the hall.
B) Check the puncture site.
C) Monitor the gag reflex.
D) Remove the gel from all sites on the skin.
Q3) The nurse would anticipate that a patient taking Vasotec,an angiotensin-converting enzyme (ACE)inhibitor,would have which one of the following positive outcomes to this drug?
A) Increased fluid retention
B) Decreased blood pressure
C) Decreased urine output
D) Increased appetite
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Chapter 36: Vascular Disorders
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/9213
Sample Questions
Q1) The nurse notes ulcerations on the surfaces of the patient's toes and assesses this as an indication of:
A) Skin breakdown from pressure
B) Nutritional deficit
C) Venous stasis
D) Arterial stasis
Q2) The nurse who suspects a circulatory disorder in one leg should compare it with the other for the assessment of: (Select all that apply.)
A) Color
B) Warmth
C) Muscle strength
D) Pulse quality
E) Hair loss on extremity
Q3) The nurse cautions a patient that one of the characteristics of a venous stasis ulcer is:
A) Painlessness
B) Poikilothermy
C) Pale color
D) Location near the groin
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Page 38

Chapter 37: Hypertension
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9214
Sample Questions
Q1) The patient who is being evaluated every week for possible hypertension is classified as prehypertensive when the blood pressure readings are over:
A) 120/80 mm Hg for two consecutive visits
B) 130/85 mm Hg for over 2 months
C) 140/95 mm Hg for 2 months
D) 144/100 mm Hg at one visit
Q2) The nurse is aware that patients who have chronic obstructive pulmonary disease (COPD)and asthma are not candidates for treatment with the antihypertensive drug:
A) Propranolol ( Inderal): beta-adrenergic receptor blocker
B) Hydrochlorothiazide (HydroDIURIL): diuretic
C) Diltiazem (Cardizem): calcium antagonist
D) Captopril (Capoten): ACE inhibitor
Q3) The nurse understands that when a patient who is taking antihypertensive therapy complains of fatigue and has a pulse of 54 bpm,this side effect is most likely caused by:
A) Diltiazem (Cardizem)
B) Furosemide (Lasix)
C) Hydrochlorothiazide (HydroDIURIL)
D) Methyldopa (Aldomet)
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Chapter 38: Digestive Tract Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9215
Sample Questions
Q1) On assessment at an intake examination,the nurse notes a characteristic of an inguinal hernia that should be reported immediately,which is:
A) Hernia of 25 years' duration that can be easily reduced to the abdomen.
B) Hernia of 5 months' duration that can be reduced by an abdominal truss.
C) Hernia of 2 weeks' duration with no bowel movement in 2 days.
D) Hernia of 2 days' duration that cannot be reduced.
Q2) The nurse explains that the newest endoscopic procedure for examining the small intestine is the:
A) Capsule camera
B) Fiber-optic light probe
C) Rigid lighted tubes
D) Flat plate
Q3) The nurse is caring for a patient hemorrhaging from a peptic ulcer when the patient complains of a sharp sudden pain,with a rapidly deteriorating condition.Initially,the nurse should:
A) Roll the patient flat, and assess the vital signs.
B) Notify the charge nurse.
C) Suction the mouth.
D) Prepare for intravenous (IV) infusions.
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Page 40

Chapter 39: Disorders of the Liver, Gallbladder, and Pancreas
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9216
Sample Questions
Q1) The complication for which the nurse would monitor after a liver biopsy is:
A) Headache
B) Muscle cramps
C) Bleeding
D) Respiratory distress
Q2) In assessing a dark-skinned patient for jaundice,the nurse would assess the ____________________ for a yellow color.
Q3) In assessing the patient with jaundice,who has been diagnosed for impaired skin integrity,the nurse should:
A) Sedate the patient.
B) Apply mittens or socks to the hands.
C) Restrain the hands.
D) Distract the patient with conversation.
Q4) The nurse would assess the progress of ascites on a daily basis by:
A) Daily weights and abdominal girth measurements.
B) Intake-output and electrolyte levels.
C) Blood pressure and pulse.
D) Daily temperatures and oxygen levels.
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Chapter 40: Urologic Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9217
Sample Questions
Q1) The nurse who is performing frequent catheterizations for residual urine has a concern related to the potential for:
A) Introduction of pathogens into the bladder
B) Frequent genital exposure of the patient
C) Presence of the indwelling catheter
D) Causing urethral erosion
Q2) The nurse caring for a patient with a Foley catheter will include implementations for the nursing diagnosis risk for infection,such as: (Select all that apply.)
A) Keep the bag below the level of the bed.
B) Provide perineal care twice a day.
C) Coil tubing on the bed.
D) Using standard precautions when handling urine and tubing.
E) Keep the drainage system closed.
F) None of above
Q3) The nurse is aware that if a ureter is blocked by a kidney stone,the urine backs up into the kidney causing _________________.
Q4) The major risk of peritoneal dialysis is _____________.
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Chapter 41: Connective Tissue Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9218
Sample Questions
Q1) The nurse clarifies that a connective tissue disease is one that affects:
A) Bones, ligaments, cartilage, and tendons
B) Bones, ligaments, and tendons
C) Spurs, ligaments, cartilage, and tendons
D) Tendons, cartilage, and tophi
Q2) Imbalanced nutrition: Less than body requirements is the nursing diagnosis applicable to the patient with progressive systemic sclerosis (PSS).The nurse selects the most important point to teach,which is:
A) Eat three large meals spaced throughout the day.
B) Schedule rest periods to prevent overtiring.
C) Severe stress can trigger vasospasm.
D) Eat smaller, more frequent meals.
Q3) The nurse explains to a 51-year-old professional tennis instructor who is diagnosed with osteoarthritis that the disease is best understood as the:
A) Presence of antibodies in the synovial fluid
B) Dislocation of the patella over the tibia
C) Degeneration of articular cartilage
D) Body's autoimmune response
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43

Chapter 42: Fractures
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9219
Sample Questions
Q1) When the patient with a fractured pelvis says that she will not ambulate because of pain,the nurse cautions that early ambulation will prevent:
A) Back injury
B) DVT
C) Callus formation
D) Disuse syndrome
Q2) The patient who has osteomyelitis after multiple fractures inquires what the physician meant when he said that surgery would follow the antibiotic therapy.The nurse's most helpful reply is to explain that surgery will be performed to:
A) Remove dead bone.
B) Close the open draining wound.
C) Close the area with casting material.
D) Amputate.
Q3) Because the patient has a compound fracture,the nurse should:
A) Limit narcotics for 8 hours after surgery.
B) Monitor the patient's respirations every hour.
C) Assess for pulses distal to the injury.
D) Verify that the patient is not allergic to sulfa.
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Chapter 43: Amputations
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9220
Sample Questions
Q1) The nurse clarifies that the precise term for the patient's amputation,which will be through the knee joint,is called ____________________.
Q2) To prevent the loss of calcium and protein,the nurse reminds the patient with a recent below-the-knee amputation that he should:
A) Drink 1 to 2 L of fluid daily.
B) Ingest at least four milk products each day.
C) Ambulate 30 minutes a day.
D) Take vitamin supplements daily.
Q3) The nurse discriminates between an open and a closed amputation by saying that a closed amputation is designed to: (Select all that apply.)
A) Prepare a weight-bearing limb.
B) Cover the stump with tissue and muscle.
C) Place sutures immediately over the bone.
D) Be staged to closure.
E) Be immediately ready for a prosthesis.
Q4) An amputation of a gangrenous limb that is left open for 10 days before closure is classified as a ________________ amputation.
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Chapter 44: Pituitary and Adrenal Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9221
Sample Questions
Q1) The nurse evaluates no need for further instruction for self-care for the patient with Cushing syndrome who states:
A) "I know I should add salt to everything I eat."
B) "I make a point to avoid excessive exposure to sun."
C) "I avoid being exposed to anyone with an infection."
D) "I am careful to wear well-fitting shoes."
Q2) Discharge planning for the patient who underwent a hypophysectomy would be focused on:
A) Finding a support group
B) Nutritional maintenance
C) Education on self-care
D) Self-image improvement
Q3) The care of a patient who underwent a hypophysectomy,during which the entire pituitary was removed,would include:
A) Maintaining strict intake and output fluids.
B) Keeping the patient flat in bed for the first 24 hours.
C) Withholding analgesics to assess the level of consciousness.
D) Providing mouth care with thorough cleansing of the oral cavity.
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Chapter 45: Thyroid and Parathyroid Disorders
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/9222
Sample Questions
Q1) When the patient starts taking a saturated solution of potassium iodide (SSKI),the nurse should instruct the patient to:
A) Sip medication through a straw to prevent tooth staining.
B) Double the dose if a dose is missed.
C) Expect excessive salivation.
D) Take before meals.
Q2) An older patient with hypothyroidism asks why her daily dose of thyroid hormone,which she has taken for 15 years,has been reduced.The nurse's best response would be that the decreased dose is related to:
A) Improved efficacy of the thyroid preparation
B) Age-related reduction in metabolic rate
C) Drug-related hypertrophy of the thyroid
D) Changes in your diet and activity level
Q3) The patient being treated for hyperparathyroidism is to receive calcitonin (Calcimar).Before administering this drug,the patient should be:
A) Assessed for hydration status
B) Evaluated for cardiac dysrhythmia
C) Tested for sensitivity
D) X-rayed for the presence of urinary calculi
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Page 47

Chapter 46: Diabetes Mellitus and Hypoglycemia
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9223
Sample Questions
Q1) When the patient with type 2 diabetes says,"Why in the world are they looking at my hemoglobin? I thought my problem was with my blood sugar." The nurse responds that the level of hemoglobin A1c:
A) Shows how a high level of glucose can cause a significant drop in the hemoglobin level.
B) Shows what the glucose level has done during the last 3 months.
C) Indicates a true picture of the patient's nutritional state.
D) Reflects the effect of a high level of glucose on the ability to produce red blood cells (RBCs).
Q2) The nurse instructs a patient about how insulin affects blood glucose.(Arrange the events in sequence.)
A) Beta cells are stimulated to release insulin.
B) Glucose enters the bloodstream.
C) Glycogen is converted to glucose by alpha cells (glycogenesis).
D) Glycogen is stored in the liver.
E) Insulin transports glucose to muscle cells.
Q3) The nurse reminds the patient with type I diabetes to rotate the insulin injection sites to prevent ___________________________.
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Page 48

Chapter 47: Female Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9224
Sample Questions
Q1) The nurse cautions the patient who is taking danazol (Danocrine),an androgenic steroid for the treatment of menorrhagia,to be prepared for the side effect of:
A) Heavy menses
B) Masculinizing
C) Acnelike skin eruptions
D) Anemia
Q2) After a culdoscopy,the nurse should instruct the patient to:
A) Clean the incision site daily with hydrogen peroxide.
B) Avoid vaginal intercourse.
C) Return to the clinic for suture removal in 7 days.
D) Use tampons.
Q3) The nurse,collecting data on the reproductive system from a female patient,is told that the patient has a vaginal discharge that is cottage cheese-like in appearance.The nurse recognizes this as a common sign of:
A) Pelvic inflammatory disease (PID)
B) Trichomonas vaginalis infection
C) Atrophic vaginitis
D) Candida albicans infection
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Chapter 48: Male Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9225
Sample Questions
Q1) The patient who had a prostatectomy 1 year earlier now has elevations in serum alkaline phosphatase and calcium levels.The nurse is aware that these are indicators of:
A) Reduction of cancer risk
B) Orchiditis
C) Testicular cancer
D) Metastasis
Q2) The nurse instructs the patient who is to have a semen analysis to: (Select all that apply.)
A) Collect specimen in a rubber condom.
B) Keep the specimen at room temperature until given to the laboratory.
C) Keep the specimen container in warm tap water.
D) Bring the specimen to the laboratory within 4 hours.
E) Abstain from sexual activity 3 to 5 days before the test.
Q3) The nurse explains to a young man being treated for infertility that the semen analysis will:
A) Determine the history of sexually transmitted infections.
B) Evaluate the potential for genetic problems.
C) Determine whether any urethral obstructions are present.
D) Microscopically assess the sperm for number and motility.
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Page 50

Chapter 49: Sexually Transmitted Infections
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/9226
Sample Questions
Q1) The nurse in the outpatient clinic notes that the patient has been treated for syphilis three separate times in the last 2 years.The nurse explains that the antibiotic treatment this time will consist of one injection of:
A) Penicillin G
B) Penicillin G today and a follow-up with another injection in 1 month
C) Penicillin G today and 3 months of oral tetracycline antibiotic medications
D) Penicillin G today and a 2-month protocol of oral antiviral agents
Q2) The woman diagnosed with gonorrhea is astounded and states that she had no idea that she had an STI.The nurse explains that gonorrhea:
A) Produces no symptoms in one half of those in the early stages of the infection.
B) Always produces a foul vaginal discharge.
C) Causes a vaginal chancre that is not easily detected.
D) May appear to be an upper respiratory infection in the early stages of the infection.
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Chapter 50: Skin Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9227
Sample Questions
Q1) The implementation that the nurse may perform for a patient with pruritus without a physician's order is to:
A) Apply topical corticosteroids to affected areas.
B) Administer an antihistamine.
C) Apply lubricant to unbroken skin.
D) Bathe the patient in an oatmeal bath.
Q2) The nurse collecting tissue for a Tzanck smear will: (Select the appropriate interventions and place the steps in sequence.)
A) Open the lesion with a hypodermic needle.
B) Place the specimen in a culture tube, and take to the laboratory.
C) Saturate the sterile swab with exudates.
D) Wash the lesion.
E) Place a pressure dressing on the lesion.
Q3) An appropriate implementation for a patient with severe psoriasis who has a nursing diagnosis of "Disturbed body image,related to skin lesions" would be:
A) Touching the patient often
B) Reassuring the patient of a quick remission
C) Reminding the patient to bathe often
D) Prompt administration of medications as needed
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Page 52

Chapter 51: Eye and Vision Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9228
Sample Questions
Q1) A patient in the emergency department complains of severe pain in his eye and is seeing halos around lights and feeling nauseous.The nurse recognizes these symptoms as probable:
A) Open-angle glaucoma
B) Angle-closure glaucoma
C) Cataracts
D) Retinal detachment
Q2) The nurse assesses an 80-year-old patient for age-related changes to the eye,which are: (Select all that apply.)
A) Decreased tear production
B) Eyeball sunk deep in orbit
C) Hyperopia
D) Eye lashes diminished
E) Arcus senilis
Q3) The nurse considers in planning care for a patient with glaucoma that this disorder is caused by:
A) Cloudiness in the lens
B) Increase in intraocular pressure.
C) Failed eye surgery
D) Retinal tears
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Chapter 52: Ear and Hearing Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9229
Sample Questions
Q1) The patient complains that his hearing aid is not working.The nurse should assess the device by: (Select all that apply.)
A) Checking to see if the device is turned on.
B) Cleaning the earpiece, and removing cerumen clogged in the vent.
C) Opening the earpiece to see if the microphone wire is connected.
D) Examining the interior of the earpiece for water.
E) Validating that the battery is correctly placed.
Q2) When the nurse reads in the patient's history that the patient has experienced otalgia,the nurse knows that the patient has:
A) Difficulty hearing
B) Buildup of cerumen
C) Ear pain
D) Ringing in ears
Q3) The patient undergoing a Weber test says that the sound is louder in her left ear.This means that the patient has:
A) Normal hearing
B) Nerve damage from listening to loud music
C) Blocked ear canal in the right ear
D) Conductive hearing loss in the left ear
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Page 54

Chapter 53: Nose, Sinus, and Throat Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9230
Sample Questions
Q1) A patient who has cancer of the larynx has been told that he needs a total laryngectomy.To help the patient cope with the loss of his voice,the nurse would consider:
A) Offering to have a volunteer from a local laryngectomy organization visit the patient.
B) Explaining in detail the available vocalization aids and techniques.
C) Explaining to the patient what will happen directly after the surgery.
D) Notifying the hospital chaplain of the patient's needs.
Q2) The nurse explains to the parents of a toddler that the function of the tonsils and adenoids in small children is to:
A) Help promote antibody formation.
B) Assist in some digestive processes.
C) Protect against bacterial infections of the throat.
D) Support blood cell production.
Q3) The nursing concern that takes priority in the care of a patient after a laryngectomy is:
A) Encouraging nutrition.
B) Avoiding infection.
C) Establishing a communication system.
D) Ensuring adequate fluid intake.
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Page 55

Chapter 54: Psychologic Responses to Illness
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/9231
Sample Questions
Q1) The student nurse who was terrified of giving an injection now gives many injections every shift.The change in the nurse is the result of ____________________.
Q2) The star quarterback on the high school football team is injured in a motorcycle accident.He will be unable to play football again.In planning his care,an appropriate nursing diagnosis for coping is:
A) Impaired physical mobility
B) Situational low self-esteem
C) Impaired social interaction
D) Impaired comfort
Q3) The patient with low back pain confesses that he drinks heavily each night to help him sleep and control pain.This behavior would be an example of:
A) Alternate pain control methods.
B) Coping with a chronic condition.
C) Using a social coping mechanism.
D) Using a maladaptive coping method.
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Chapter 55: Psychiatric Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9232
Sample Questions
Q1) The nurse speaking to a patient who is depressed says,"So what you are saying is that you are feeling very sad today." This would be an example of:
A) Listening
B) Sharing observations
C) Clarifying
D) Being available
Q2) To listen therapeutically to the patient,the nurse should try to:
A) Concentrate on the patient and not think of responses to the patient while he or she is speaking.
B) Determine the cause of the patient's problem while the patient is speaking.
C) Ask the patient why he thinks he feels the way he does.
D) Tell the patient that you have had similar experiences.
Q3) For a patient who is hyperactive with mania and has a nursing diagnosis of "Nutrition,altered,less than body requirements,related to hyperactivity," the nurse would add to the implementations:
A) Offer nutritious finger foods and high-protein milk shakes to eat on the go.
B) Spoon feed the patient while he or she is seated at the table.
C) Arrange for one large meal at noon to be eaten in the company of others.
D) Limit fluid intake to make the patient hungry at mealtime.
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Page 57

Chapter 56: Substance-Related Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9233
Sample Questions
Q1) The nurse explains that according to the intrapersonal theory,addiction is caused by early childhood rejection.These substance abusers are thought to have common characteristics that include:
A) Open-boundary approach to life that likes to party frequently
B) Attention seeking, need for control, and self-centeredness
C) Shyness and anxiety
D) Stress and eagerness to be a part of the in-group
Q2) The nurse explains that because the drug disulfiram (Antabuse)is deemed inappropriate,the patient has been put on the most reliable substitute,____________________,which causes similar but less severe side effects in the alcoholic who continues to drink.
Q3) When an alcoholic,who was brought in 12 hours earlier in an intoxicated state,begins to exhibit tremors,has increased blood pressure,and is agitated,the nurse assesses that the patient is in:
A) Major withdrawal
B) Early withdrawal
C) Delirium tremens
D) Minor withdrawal
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