Advanced Medical-Surgical Nursing Practice Questions - 1742 Verified Questions

Advanced Medical-Surgical Nursing Practice Questions

Course Introduction

Advanced Medical-Surgical Nursing is a comprehensive course designed to deepen students knowledge and clinical expertise in the management of complex health conditions affecting adult patients. Emphasizing evidence-based practice, this course covers advanced assessment techniques, critical thinking, and decision-making skills in areas such as multi-system failure, acute and chronic illnesses, perioperative care, and the management of patients with complex comorbidities. Students engage in case studies, simulations, and clinical experiences to develop their ability to design, implement, and evaluate holistic, patient-centered care in acute and critical care settings, while also exploring leadership roles in interdisciplinary healthcare teams.

Recommended Textbook Medical Surgical Nursing in Canada 3rd Canadian Edition by Lewis

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72 Chapters

1742 Verified Questions

1742 Flashcards

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Page 2

Chapter 1: Introduction to Medical-Surgical Nursing

Practice in Canada

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14 Verified Questions

14 Flashcards

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Sample Questions

Q1) A woman with hypertension is concerned that if she sees the nurse practitioner (an advanced practice nurse),only her hypertension will be assessed,and she is worried that another health problem may not be diagnosed.What should the nurse tell the patient regarding nurse practitioners' scope of practice as it relates to diagnosis?

A) They diagnose and treat all major health problems.

B) They have the same role and scope of practice as physicians.

C) They write prescriptions for all classifications of medications.

D) They focus on primary care and health promotion,including diagnosis.

Answer: D

Q2) A patient with a stroke is paralyzed on the left side of the body and is not responsive enough to turn or move independently in bed.A pressure ulcer has developed on the patient's left hip.What is the most appropriate nursing diagnosis?

A) Impaired physical mobility related to paralysis

B) Impaired skin integrity related to altered circulation and pressure

C) Risk for impaired tissue integrity related to impaired physical mobility

D) Ineffective tissue perfusion related to inability to turn and move self in bed

Answer: B

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Page 3

Chapter 2: Cultural Competence and Health Equity in Nursing Care

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10 Verified Questions

10 Flashcards

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Sample Questions

Q1) Which of the following is a system factor that influences help-seeking behaviour for health care?

A) Lack of health insurance

B) Association by patients of hospitals with death

C) Lack of ethnic-specific health care programs

D) Possible patient distrust of the dominant population and institutions

Answer: C

Q2) Which statement accurately reflects a health inequity experienced in Canada today?

A) Aboriginal adults are less likely to smoke tobacco than other adults in Canada.

B) Overall suicide rate among First Nation communities is about twice the rate of the general population.

C) Individuals from lower income neighborhoods undergo preventative health screening more than their higher income counterparts.

D) Recent immigrants are more likely to have a primary care physician than Canadian-born respondents.

Answer: B

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Chapter 3: Health History and Physical Examination

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Sample Questions

Q1) While the nurse is taking a health history,the patient indicates that his father and grandfather both had heart attacks and were unable to be very active afterward.Which functional health pattern is reflected in this statement?

A) Health perception-health management

B) Coping-stress tolerance

C) Cognitive-perceptual

D) Activity-exercise

Answer: A

Q2) A patient is admitted to the orthopedic unit with a fractured right elbow following a skiing accident.During the initial nursing assessment,what information is related to the functional health pattern regarding the patient's fractured elbow and the treatment he has received?

A) Activity-exercise

B) Cognitive-perceptual

C) Self-perception-self-concept

D) Health perception-health management

Answer: D

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Page 5

Chapter 4: Patient and Caregiver Teaching

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Sample Questions

Q1) What should the nurse ask the patient,in order to assess readiness to learn before planning teaching activities?

A) What are the patient's living conditions and employment?

B) What type of environment or activities help the patient to learn best?

C) What information has been provided about the patient's health problem?

D) Does the patient have any beliefs that are inconsistent with the proposed treatment?

Q2) Which of the following is a technique to enhance patient learning?

A) Keep patient expression of needs at a minimum.

B) Focus on "nice to know" information initially.

C) Emphasize relevancy of information to patient's lifestyle.

D) Maintain a formal physical environment at all times.

Q3) When completing the educational component of a general nursing assessment to prepare a teaching plan,which question is the best one to ask,initially?

A) What is the patient's level of motivation?

B) What does the patient think is most important to learn first?

C) Is the patient ready to learn?

D) What does the patient already know?

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Chapter 5: Chronic Illness

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Sample Questions

Q1) Which illness trajectory phase has,as its goal of management,"Set in motion and continue the trajectory projection and scheme"?

A) Pretrajectory

B) Trajectory onset

C) Comeback

D) Downward

Q2) Which of the following is an example of an environment contextual factor according to the World Health Organizations' ICF Bio-Psycho-Social Model?

A) Social background

B) Behaviour pattern

C) Social attitudes

D) Coping style

Q3) Viewing disability as directly caused by disease or trauma reflects which model perspective?

A) Social

B) Nursing

C) Medical

D) Collaborative

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Chapter 6: Community-Based Nursing and Home Care

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Sample Questions

Q1) Home health care nurses deliver care to a variety of patients with acute and chronic illnesses as part of their nursing practice.These nurses would explain to their patients that they are practising which type of nursing?

A) Public health nursing

B) Long-term care nursing

C) Community-based nursing

D) Community health nursing

Q2) On average,what is the approximate national percentage of provincial/territorial budgets in Canada that are expended on health care costs?

A) 19%

B) 29%

C) 39%

D) 49%

Q3) Which of the following is considered a foundational concept of home health nursing?

A) Acute care management

B) Health promotion

C) Chronic disease management

D) Health restoration

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Page 8

Chapter 7: Older Adults

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Sample Questions

Q1) In planning care for older adult patients with chronic illnesses,what does the nurse recognize that management of chronic illness requires?

A) Institutionalization in long-term care facilities

B) Adjusting to changes in the course of the disease

C) Restricting social interactions outside of the home

D) Frequent hospitalizations for treatment of acute episodes of the illness

Q2) Which of the following is an element of a stochastic theory of aging?

A) Programmed

B) Transcription

C) Neuroendocrine

D) Immunological-autoimmunological

Q3) Which of the following functions declines during old age?

A) Fluid intelligence

B) Spatial perception

C) Mental performance speed

D) Short-term recall memory

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Chapter 8: Stress and Stress Management

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Sample Questions

Q1) A 40-year-old woman comes to the health clinic requesting sleeping medication and treatment for headaches.She tells the nurse that her husband has moved out to live with another woman.Her 16-year-old son,who has a drug problem,sold her jewellery and electronic equipment.What stress theory is the nurse using in concluding that the woman's life events are contributing to her insomnia and headaches?

A) Stress as a stimulus

B) Stress as a response

C) Stress as a perception

D) Stress as a transaction

Q2) Which of the following is an external factor that affects an individual's response to stress?

A) Sleep status

B) Coping skills

C) Income and social status

D) Personality

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10

Chapter 9: Sleep and Sleep Disorders

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Sample Questions

Q1) Which of the following should the nurse teach a patient to assist him or her with a sleep disturbance?

A) If you are not asleep within one hour of going to bed,get out of the bed.

B) Exercise an hour before going to bed.

C) Have a glass of wine or a beer just before bedtime.

D) Avoid caffeine and alcohol for at least four hours before bedtime.

Q2) Which information will the nurse plan to include when teaching a patient 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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19 Verified Questions

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Sample Questions

Q1) Amitriptyline,a tricyclic antidepressant,is being administered to a patient with chronic cancer pain.What does the nurse recognize as the expected outcome of administration of this drug?

A) Increased pain threshold by stimulating the release of endogenous enkephalins

B) Decreased perception of pain by blocking opiate receptors in the brain and descending inhibitory nerves

C) Decreased transmission of pain impulses by altering serotonin and norepinephrine activity at nerve synapses

D) Increased pain tolerance through relief of depression by increasing the amounts of norepinephrine in the brain

Q2) Which of the following is a possible musculoskeletal consequence of unrelieved pain?

A) Decreased peristalsis

B) Hypermobility

C) Muscle spasm

D) Muscle protein catabolism

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Chapter 11: Substance Use

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) When explaining the effects of abused substances to a group of young adults,what should the nurse tell them about changes in the brain that are caused by prolonged use of these substances?

A) Causes increased sensitivity to environmental stimuli

B) Requires the continual use of the substances to feel normal

C) Promotes the hyperrelease and activity of neurotransmitters

D) Leads to destruction of brain cells in the cerebral cortex

Q2) A patient comes to the health clinic because of a chronic respiratory infection and sinus headache.During physical assessment of the patient,the nurse finds nasal sores and necrosis of the nasal septum.What drug use should the nurse ask the patient specifically about?

A) Heroin

B) Cocaine

C) Tobacco

D) Marijuana

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13

Chapter 12: Complementary and Alternative Therapies

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Sample Questions

Q1) Which of the following patients does the nurse deduce is seeing an alternative medical practitioner?

A) A patient who prevents and treats migraine headaches with acupuncture

B) A patient who uses progressive relaxation to control the nausea of cancer chemotherapy

C) A patient who supplements chiropractic manipulation for low back pain with muscle relaxants

D) A patient who takes vitamin and mineral supplements as treatment for gastrointestinal malabsorption

Q2) The nurse is using imagery as a technique for pain management with a patient who has rheumatoid arthritis.What should the nurse tell the patient to promote reinforcement of the image of a pleasant scene by the patient?

A) "Tell me what you hear,smell,or feel at this place."

B) "Place your pain in the image of a form you can destroy."

C) "Bring what you hear and sense in your present environment into your image of the scene."

D) "If your scene is distressing to you,continue its visualization until you can overcome the distress."

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14

Chapter 13: Palliative Care at the End of Life

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Sample Questions

Q1) One of the physical changes in the respiratory system that is commonly seen as death approaches is alternating periods of apnea and deep,rapid breathing.How should the nurse document this finding?

A) The death rattle

B) Agonal breathing

C) Apneustic breathing

D) Cheyne-Stokes respiration

Q2) A 48-year-old man has been diagnosed with metastatic malignant melanoma and has a poor prognosis.He plans an extensive trip around the country to visit family he has not seen or talked with in years.What psychosocial response does the nurse recognize that the patient is manifesting?

A) Restlessness

B) Saying goodbye

C) Unfinished business

D) Altered decision making

Q3) Which sense is usually the last one to disappear before death?

A) Touch

B) Sight

C) Smell

D) Hearing

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Chapter 14: Inflammation and Wound Healing

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18 Verified Questions

18 Flashcards

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Sample Questions

Q1) The nurse assesses a surgical patient the morning of the first postoperative day.Which of the following signs of a local inflammatory response would the nurse expect to find?

A) Redness and heat of the incision

B) Leukocytosis with elevated monocytes

C) Pain and purulent drainage of the incision

D) Fever and increased pulse and respiratory rate

Q2) The charge nurse observes a new graduate performing a dressing change on a stage III sacral pressure ulcer.Which action by the new graduate indicates a need for further education about pressure ulcer care?

A) The new graduate uses a hydrocolloid dressing (DuoDerm)to cover the ulcer.

B) The new graduate inserts a sterile cotton-tipped applicator into the pressure ulcer.

C) The new graduate irrigates the pressure ulcer with a 30-mL syringe using sterile saline.

D) The new graduate cleans the ulcer with a sterile dressing soaked in half-strength peroxide.

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16

Chapter 15: Genetics

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7 Verified Questions

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Sample Questions

Q1) When counselling parents about hemophilia A,an X-linked recessive trait,which of the following would be the basis for the nurse's response related to offspring?

A) Daughters will not be affected with the trait or be carriers.

B) Sons will not be affected with the trait or be carriers.

C) Fifty percent of sons will be normal,and 50% will be affected with the trait.

D) Fifty percent of daughters will be normal,and 50% will be affected with the trait.

Q2) A pregnant woman has asked the nurse when the best time is to undergo chorionic villus sampling.The nurse's best response is which of the following statements?

A) Any time before the tenth week of gestation

B) Between the eleventh and twelfth week of gestation

C) Between the twenty-fourth and twenty-sixth week of gestation

D) Any time during the second trimester of pregnancy

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Chapter 16: Altered Immune Response and Transplantation

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) The nurse encourages a new mother to breastfeed her infant,even for a short time,because colostrum will provide the infant with which type of immunity?

A) Indefinite active immunity to childhood illnesses

B) Passive immunity to all childhood illnesses for several months

C) Passive immunity to diseases to which the mother has immunity

D) Active immunity for several years to diseases to which the mother has immunity

Q2) A patient develops a severe angioedema involving her face,hands,and feet,with burning and stinging of the lesions.What significant risk factor for allergies should the nurse ask the patient about?

A) A family history of allergies

B) The use of over-the-counter medications

C) Recurrent respiratory infections

D) A history of a recent fungal infection

Q3) Which of the following is a side effect of corticosteroids?

A) Peptic ulcers

B) Nausea and vomiting

C) Pulmonary edema

D) Decreased appetite

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18

Chapter 17: Infection and Human Immunodeficiency Virus

Infection

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Sample Questions

Q1) A patient has recently tested positive for HIV and asks the nurse about drug therapy for HIV infection.What should the nurse tell the patient about drug therapy?

A) Drug therapy for HIV is indicated only when CD4⁺ T-cell counts are abnormal.

B) Drug therapy is delayed as long as possible to prevent development of viral resistance to the drugs.

C) When to start drug therapy is controversial,and treatment decisions are individualized for each patient.

D) AZT is administered initially to all patients who test positive for HIV to slow viral growth.

Q2) A patient who tested positive for HIV 3 years ago is admitted to the hospital with Pneumocystis pneumonia.Based on diagnostic criteria established by the World Health Organization,what is the patient diagnosed as having?

A) AIDS

B) HIV infection

C) Early chronic infection

D) Intermediate chronic infection

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Chapter 18: Cancer

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30 Verified Questions

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Sample Questions

Q1) After 3 weeks of radiation therapy,a patient has lost 4.5 kg and does not eat well because nothing tastes good.What is an appropriate nursing diagnosis for the patient?

A) Risk for infection related to poor nutrition

B) Ineffective therapeutic regimen management related to refusal to eat

C) Imbalanced nutrition: less than body requirements related to anorexia

D) Ineffective health maintenance related to lack of knowledge of nutritional requirements during radiation therapy

Q2) During a routine health examination,the patient tells the nurse that she has a family history of colon cancer.What should the nurse advise the patient to do?

A) Schedule a sigmoidoscopy every year after the age of 40.

B) Schedule a digital rectal examination every 6 months after the age of 45.

C) Have a sigmoidoscopy for baseline at the age of 50 and every 5 years afterward.

D) Discuss specific testing with her doctor because her risk for colon cancer is increased.

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Chapter 19: Fluid, electrolyte, and Acidbase Imbalances

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Sample Questions

Q1) To prevent laryngeal spasms and respiratory arrest in a patient who is at risk for hypocalcemia,the nurse should assess the patient for which early sign of hypocalcemia?

A) Tetany

B) Confusion

C) Constipation

D) Numbness and tingling around the lips or in the fingers

Q2) A patient in acid-base imbalance has altered potassium levels.What knowledge does the nurse use to recognize that the potassium levels are altered in acid-base imbalances?

A) Potassium is returned to extracellular fluid on correction of metabolic acidosis.

B) Hyperkalemia causes an alkalosis that results in potassium being shifted into the cell.

C) In acidosis,hydrogen ions in the blood are exchanged for potassium from the cell.

D) In alkalosis,potassium is shifted into extracellular fluid to bind excessive bicarbonate.

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Chapter 20: Nursing Management: Preoperative Care

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Sample Questions

Q1) A 36-year-old woman has been admitted to the hospital for knee surgery.Which of the following information that was obtained by the nurse during the preoperative assessment should be reported to the surgeon before surgery is performed?

A) Lack of knowledge about postoperative pain control

B) Knowledge of the possibility of an early,unplanned pregnancy

C) History of a postoperative infection following a prior cholecystectomy

D) Concern that she will be physically limited in caring for her children for a period postoperatively

Q2) Why is it especially important for the nurse to determine the patient's current use of medications during the preoperative assessment?

A) These medications may alter the patient's perceptions about surgery.

B) Anaesthetics alter renal and hepatic function,causing toxicity by other drugs.

C) Other medications may cause interactions with anaesthetics,altering the potency and effect of the drugs.

D) Routine medications are usually withheld the day of surgery,requiring dosage and schedule adjustments.

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Chapter 21: Nursing Management: Intraoperative Care

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Sample Questions

Q1) What is one of the most important goals of the registered nurse first assistant?

A) Safety of the patient

B) Monitoring of the activities of others

C) Documentation of the intraoperative care

D) Admission of the patient to the OR

Q2) Which of the following is part of the minimum requirements for the health record in ambulatory surgery facilities?

A) Postoperative checklist

B) Consult request

C) Documentation of consent

D) Detailed surgical procedure report

Q3) A surgical patient received a volatile liquid as an inhalation anaesthetic during surgery.What would the nurse expect the patient to experience postoperatively?

A) Early onset of pain

B) Nausea and vomiting

C) Respiratory depression

D) Significant cardiac depression

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23

Chapter 22: Nursing Management: Postoperative Care

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Sample Questions

Q1) A patient's blood pressure in the PACU has dropped from an admission blood pressure of 138/84 to 110/78 mm Hg,with a pulse change of 68 to 84 beats/min.What is the first nursing action to be performed?

A) Administer oxygen.

B) Assess for a full bladder.

C) Auscultate the patient's lungs.

D) Check the patient's temperature.

Q2) When a postoperative patient in the PACU complains of pain at the incision site,what should the nurse do?

A) Administer analgesics as written in the patient's postoperative orders.

B) Administer half of the postoperative dose of analgesic ordered for the patient.

C) Tell the patient that pain medication cannot be given until transfer to the postoperative clinical unit.

D) Consult with the anaesthesiologist to determine an effective,reduced dose of an analgesic for the patient.

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Chapter 23: Nursing Assessment: Visual and Auditory Systems

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Sample Questions

Q1) At the eye clinic,the nurse advises all patients to protect the eyes from ultraviolet (UV)light with the use of good sunglasses because UV light exposure is associated with the development of which of the following conditions?

A) Glaucoma

B) Exophthalmos

C) Floaters and anisocoria

D) Cataracts

Q2) A 44-year-old patient tells the nurse that she recently bought some reading glasses at the drugstore because they help her see at close range much better.When she asks the nurse what is happening to her eyes,the nurse explains that this often occurs in middle age and is a result of which of the following aging processes?

A) Thinning of the retina

B) Loss of lens elasticity

C) Degeneration of the cornea

D) Unevenness of the cornea

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Chapter 24: Nursing Management: Visual and Auditory

Problems

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Sample Questions

Q1) A 28-year-old woman with otosclerosis elects to have a stapedectomy for treatment of her hearing loss.Two days after the surgery,she tells the nurse she does not hear as well as she did immediately after the surgery.Which of the following is the best response to the patient?

A) "You may have a sensorineural hearing loss that is not related to the otosclerosis."

B) "The cotton ball dressing in your ear canal most likely is impairing your hearing in that ear."

C) "Postoperative accumulation of fluid and blood in your middle ear will temporarily decrease your hearing."

D) "I will let the physician know about this because you could have a fistula or other complication of the surgery."

Q2) A patient is hospitalized with acute angle-closure glaucoma.What immediate collaborative care would the nurse anticipate?

A) Administration of analgesics

B) Administration of cycloplegics

C) Administration of cholinergic agents

D) Preparation for a surgical iridectomy

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Page 26

Chapter 25: Nursing Assessment: Integumentary System

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Sample Questions

Q1) How would the nurse document a papule?

A) Firm,edematous,irregularly shaped area

B) Elevated,solid lesion smaller than 1 cm in diameter

C) Circumscribed,flat area with a change in skin colour,less than 1 cm in diameter

D) Circumscribed,elevated solid lesion,larger than 1 cm in diameter

Q2) What is the primary function of the skin?

A) Sensory perception

B) Mirroring of emotions

C) Protecting underlying tissues of the body

D) Displaying the individual identity of the person

Q3) A patient with pruritus has a large area of superficial excavation of the skin on the right forearm.How should the nurse record this finding?

A) Erythema

B) Excoriation

C) Carotenosis

D) Lichenification

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Chapter 26: Nursing Management: Integumentary

Problems

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Sample Questions

Q1) An older adult patient is admitted to the hospital with a possible head injury following a fall at home.While examining the patient's scalp,the nurse suspects the presence of pediculosis on finding which of the following?

A) Ringlike rashes with red,scaly borders over the entire scalp

B) Papular,wheal-like lesions with white deposits on the hair shaft

C) Patchy areas of alopecia with small vesicles and excoriated areas

D) Red,hivelike papules and plaques with sharply circumscribed borders

Q2) A patient with an enlarging,irregular mole is scheduled for diagnosis and treatment.Which of the following procedures should the nurse anticipate will be performed?

A) Curettage

B) Cryosurgery

C) Mohs' micrographic surgery

D) Electrodesiccation and electrocoagulation

Q3) Which of the following would the nurse recommend to the patient who has vitiligo?

A) Chemical peels

B) Use of warm compresses to decrease pain

C) Rehabilitative cosmetics to camouflage the lesion

D) Injection of botulinum toxins (Botox)

Page 28

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Chapter 27: Nursing Management: Burns

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Sample Questions

Q1) A patient is admitted to the emergency department after suffering an electrical burn from exposure to a high-voltage current.In addition to the burn injuries,the nurse should initially assess for the presence of what?

A) Renal failure

B) Cerebral edema

C) Spinal fractures

D) Metabolic alkalosis

Q2) The nurse determines that fluid replacement for a patient with major electrical burns is adequate based on which of the following findings?

A) A stable weight

B) A blood pressure of 90/58 mm Hg

C) A urinary output of 80 mL/hour

D) An intake equal to urinary output

Q3) When does the nurse recognize that the patient with a burn injury moves from the emergent phase to the acute phase?

A) When inflammatory symptoms subside

B) When the burn area is completely covered

C) When granulation tissue forms in the wounds

D) When diuresis occurs with low urine specific gravity

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Chapter 28: Nursing Assessment: Respiratory System

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Sample Questions

Q1) A patient with chronic obstructive pulmonary disease (COPD)has a barrel chest.What would the nurse expect the results of a chest X-ray to reveal?

A) Fluid in the alveoli

B) Air in the pleural space

C) Overinflation of the alveoli with air

D) Consolidation of lung tissue with mucus and exudates

Q2) A patient with a chronic cough with blood-tinged sputum undergoes a bronchoscopy.Following the bronchoscopy,what should the nurse do?

A) Keep the patient on bed rest for 8 hours.

B) Keep the patient on nothing by mouth (NPO)status until the gag reflex returns.

C) Check vital signs every 15 minutes for 2 hours.

D) Encourage fluid intake to promote elimination of the contrast media.

Q3) Which of the following is an age-related change in the respiratory system?

A) Increased elastic recoil of the lungs

B) Increase in chest wall compliance

C) Increase in anteroposterior diameter

D) Increase in functional alveoli

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Page 30

Chapter 29: Nursing Management: Upper Respiratory

Problems

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Sample Questions

Q1) When the nurse is deflating the cuff of a tracheostomy tube to evaluate the patient's ability to swallow,what is it most important to do?

A) Deflate the cuff during the patient's inhalation.

B) Clean the inner cannula of the tracheostomy tube.

C) Suction the mouth and trachea before deflation of the tube.

D) Measure the amount of air removed from the cuff during deflation.

Q2) A patient returns from surgery with a cuffed,single-cannula tracheostomy tube after a total laryngectomy and radical neck dissection.In planning tracheostomy care for the patient during the first 24 hours after surgery,what is the priority nursing intervention?

A) The tracheostomy ties should not be changed.

B) The tracheostomy dressings should not be changed.

C) The patient should be encouraged to assist in the procedure.

D) Assess the airway and breath sounds.

Q3) Which of the following is the most commonly used voice prosthesis?

A) Electrolarynx

B) Blom-Singer

C) Cooper-Rand

D) Artificial larynx

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Chapter 30: Nursing Management: Lower Respiratory Problems

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47 Verified Questions

47 Flashcards

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Sample Questions

Q1) The nurse is preparing a patient for discharge after treatment for a pulmonary embolism.The patient asks the nurse how long he will have to be on anticoagulant therapy.The nurse's response is based on knowledge that the patient will be on this therapy for which period of time?

A) 10 days post discharge

B) 2 to 4 weeks

C) 3 to 6 months

D) 6 to 8 months

Q2) A patient who was admitted the previous day with pneumonia complains of a sharp pain whenever he takes a deep breath.Which action will the nurse take next?

A) Listen to the patient's lungs.

B) Check the patient's O₂ saturation.

C) Have the patient cough forcefully.

D) Notify the patient's health care provider.

Q3) What should the nurse teach patients at risk for pneumonia to obtain?

A) Staphylococcal vaccine

B) Measles,mumps,rubella (MMR)vaccine

C) Pneumococcal vaccine

D) Bacille Calmette-Guérin (BCG)vaccine

Page 32

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Chapter 31: Nursing Management: Obstructive Pulmonary Diseases

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42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/78734

Sample Questions

Q1) Which information given by an asthmatic patient during the admission assessment will be of most concern to the nurse?

A) The patient says that the asthma symptoms are worse every spring.

B) The patient's only asthma medications are albuterol (Ventolin)and salmeterol.

C) The patient uses hydrocortisone (Solu-Cortef)before any aerobic exercise.

D) The patient's heart rate increases after using the albuterol (Ventolin)inhaler.

Q2) A 70-year-old patient is recovering from an acute episode of COPD.In planning with the patient to increase his activity tolerance at home,which of the following activities does the nurse understand is an appropriate exercise goal for the patient?

A) Increase his activity any amount over his current level.

B) Walk for 20 minutes a day with his pulse rate less than 150 beats/min.

C) Limit his exercise to activities of daily living to conserve his energy.

D) Swim for 10 minutes a day,gradually increasing to 30 minutes a day.

Q3) What is the best nursing action when a patient with COPD is receiving oxygen?

A) Avoid administration of oxygen at a rate of more than 2 L/min.

B) Minimize oxygen use to avoid oxygen dependency.

C) Administer oxygen according to the patient's level of dyspnea.

D) Maintain the pulse oximetry level at 90% or greater.

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Chapter 32: Nursing Assessment: Hematological System

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Sample Questions

Q1) A patient is found to have leukopenia,anemia,neutropenia,and thrombocytopenia.Which drug classification is known to exhibit these hematological alterations?

A) Isoniazid

B) Aminoglycosides

C) H₂-receptor blockers

D) Trimethoprim-sulfamethoxazole (Septra)

Q2) While obtaining a health history from a patient with numerous petechiae on the skin,the nurse asks the patient specifically about the patient's use of which of the following drugs?

A) Antiseizure medications

B) Oral contraceptives

C) Aspirin compounds

D) Antihypertensive agents

Q3) Which one of the following cells is a WBC?

A) Myeloblast

B) Band cell

C) Basophil

D) Megakaryocyte

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Chapter 33: Nursing Management: Hematological Problems

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38 Verified Questions

38 Flashcards

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Sample Questions

Q1) A patient with type A hemophilia has been admitted to the hospital with severe pain and swelling in his right knee.To prevent joint deformity during the initial care of the patient,what should the nurse do?

A) Immobilize the knee.

B) Elevate the right lower limb on pillows.

C) Perform passive range of motion to the knee.

D) Have the patient perform isometric exercises of the affected leg against a footboard.

Q2) Fifteen minutes after a transfusion of packed RBCs is started,a patient develops tachycardia and tachypnea,and complains of back pain and feeling warm.What is the nurse's priority action?

A) Discontinue transfusion,and infuse normal saline.

B) Administer oxygen therapy at a high flow rate.

C) Slow the transfusion rate,and reassess the patient in 15 minutes.

D) Stop the blood,and discard the used bag and tubing in a biohazard container.

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35

Chapter 34: Nursing Assessment: Cardiovascular System

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Sample Questions

Q1) While monitoring a patient's cardiac activity,the nurse recognizes that stimulation of which of the following is a normal physiological mechanism responsible for an increase in heart rate (HR)and force of cardiac contractions?

A) The vagus nerve

B) Baroreceptors in the aortic arch and carotid sinus

C) (?)-Adrenergic receptors in the vascular system

D) Chemoreceptors in the aortic arch and carotid body

Q2) During physical examination of a 56-year-old man,the nurse palpates the point of maximal impulse (PMI)in the sixth intercostal space lateral to the midclavicular line.What is the most appropriate interpretation of this finding?

A) The PMI is in the normal location.

B) The patient may have left ventricular hypertrophy.

C) The patient has age-related downward displacement of the heart.

D) The patient should be observed for signs of left atrial enlargement.

Q3) Which of the following is a normal age-related change in the heart?

A) Increased elastin

B) Decreased collagen

C) Decreased cardiac output

D) Increased stroke volume

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Page 36

Chapter 35: Nursing Management: Hypertension

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Sample Questions

Q1) A 69-year-old woman is diagnosed with hypertension and placed on acebutolol (Sectral).After reviewing the patient's history,the nurse consults with the physician about the use of this medication upon finding which of the following conditions?

A) Asthma

B) Peptic ulcer disease

C) Alcohol dependency

D) Myocardial infarction

Q2) When teaching a patient about nutritional therapy related to hypertension,the nurse tells the patient to consume how many servings per day of whole grains?

A) Two to three

B) Four to five

C) Six to eight

D) Avoid intake of whole grains.

Q3) Which of the following is a correct mechanism action of aldosterone?

A) Increased sodium reabsorption

B) Decreased water reabsorption

C) Decreased blood volume

D) Increased potassium excretion

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Chapter 36: Nursing Management: Coronary Artery Disease

and Acute Coronary Syndrome

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39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/78729

Sample Questions

Q1) Three weeks after his hospitalization for an AMI,a patient returns to the cardiac centre for follow-up.When the nurse asks about his sleep patterns,the patient tells the nurse that he sleeps fine but that his wife moved into the spare bedroom to sleep when he returned home.He states,"I guess we will never have sex again after this." What is the best response to the patient?

A) "Sexual intercourse will be too strenuous on your heart,but closeness and intimacy can be maintained with holding and cuddling."

B) "You should discuss your questions about your sexual activity with your doctor because the activity it requires is a medical concern."

C) "Sexual activity can be resumed whenever you and your wife feel like it.Most sexual response is emotional rather than physical."

D) "Sexual activity can be gradually resumed like other forms of activity.A good comparison of energy expenditure is climbing two flights of stairs."

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Chapter 37: Nursing Management: Heart Failure

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Sample Questions

Q1) The nurse monitors a patient receiving intravenous (IV)furosemide (Lasix)and enalapril (Vasotec)5 mg orally twice daily for an acute exacerbation of chronic heart failure.Which of the following findings indicates to the nurse that the treatment is effective?

A) A weight loss of 0.9 kg

B) An increase in urinary output

C) A decrease in systolic BP

D) Fewer crackles on lung auscultation

Q2) The nurse identifies the collaborative problem of "potential complication: pulmonary edema for a patient in chronic heart failure." Which assessment will the nurse be most concerned about?

A) Apical pulse 106 beats/min

B) Weight gain of 1 kg over 24 hours

C) Oxygen saturation of 88% on room air

D) Decreased hourly urinary output

Q3) What is the most common form of initial heart failure?

A) Left-sided

B) Right-sided

C) Biventricular

D) All types occur equally;there is no one common form of heart failure.

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Chapter 38: Nursing Management: Dysrhythmias

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26 Flashcards

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Sample Questions

Q1) A patient with diabetes mellitus is admitted unresponsive to the emergency department (ED).Initial laboratory findings are serum potassium 2.8 mmol/L,serum sodium 138 mmol/L,serum chloride 90 mmol/L,and blood glucose 34.9 mmol/L (628 mg/dL).Cardiac monitoring shows multifocal premature ventricular contractions (PVCs).What does the nurse understand that the patient's PVCs are most likely caused by?

A) Hypoxemia

B) Dehydration

C) Hypokalemia

D) Hyperglycemia

Q2) When analyzing the waveforms of a patient's ECG,which finding will the nurse need to investigate further?

A) PR interval of 0.18 second

B) QRS interval of 0.14 second

C) T wave of 0.16 second

D) QT interval of 0.34 second

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Chapter 39: Nursing Management: Inflammatory and Structural

Heart Disorders

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28 Verified Questions

28 Flashcards

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Sample Questions

Q1) During postoperative teaching with a patient who has had a mitral valve replacement with a mechanical valve,what should the nurse instruct the patient about?

A) The need to avoid high-voltage electrical fields

B) The need for anticoagulation therapy for the duration of the valve

C) The probability that the valve will need to be replaced in 7 to 10 years

D) The need to check the pulse daily to determine the functioning of the valve

Q2) A 22-year-old patient with rheumatic fever has subcutaneous nodules,erythema marginatum,and polyarthritis of multiple joints.What would the nurse document as an appropriate nursing diagnosis based on these findings?

A) Activity intolerance related to fatigue and arthralgia

B) Risk for infection related to open skin lesions

C) Risk for impaired skin integrity related to pruritus and scratching

D) Risk for impaired physical mobility related to permanent joint fixation

Q3) Which of the following is the hallmark finding in a patient with acute pericarditis?

A) Severe sharp chest pain.

B) Pericardial friction rub.

C) Referred pain to the trapezius muscle.

D) Dyspnea

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Chapter 40: Nursing Management: Vascular Disorders

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31 Flashcards

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Sample Questions

Q1) How frequently should the nurse check the operative extremity in the immediate postoperative period for a patient who has had surgical intervention for peripheral artery disease?

A) Every 10 minutes

B) Every 15 minutes

C) Every 30 minutes

D) Every 60 minutes

Q2) A 65-year-old patient has a 5-cm thoracic aortic aneurysm that was discovered during a routine chest X-ray examination.When obtaining a nursing history from the patient,what would the nurse specifically ask the patient about?

A) Abdominal pain

B) Dysphagia

C) Intermittent back pain

D) Weakness and palpitations

Q3) Which one of the following therapies is not recommended to treat claudication?

A) Green tea

B) Diet low in fruits and vegetables

C) Vitamin E supplementation

D) Treadmill exercise training

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Page 42

Chapter 41: Nursing Assessment: Gastrointestinal System

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Sample Questions

Q1) Which one of the following is an age-related change in the GI system?

A) Increased sense of smell

B) Increased sensitivity of taste buds

C) Atrophy of gingival tissue

D) Increased motility of small intestine

Q2) The nurse documents the absence of bowel sounds in all quadrants of a patient's abdomen.How long should the nurse have auscultated the patient's abdomen?

A) 8 minutes

B) 10 minutes

C) 16 minutes

D) 20 minutes

Q3) A healthy adult produces approximately how much saliva on a daily basis?

A) 500 mL

B) 1000 mL

C) 1500 mL

D) 2000 mL

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43

Chapter 42: Nursing Management: Nutritional Problems

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Sample Questions

Q1) In evaluating a patient outcome of "identifies high-protein foods," the nurse knows that the outcome has been met when for lunch,the patient selects which of the following foods from the hospital menu?

A) Bacon and tomato sandwich,bean soup,and coffee

B) Peanut butter and jelly sandwich,French fries,and whole milk

C) Chicken noodle soup,grilled cheese sandwich,and apple juice

D) Barbecued chicken breast sandwich,fruit yogurt,and skim milk

Q2) The nurse notes that the peripheral PN bag is almost empty,and a new PN bag has not yet arrived from the pharmacy.Which following action is appropriate?

A) Decreasing the rate of the current PN infusion to 10 mL/hour until the new bag arrives

B) Infusing 5% dextrose in water until the new PN bag is delivered from the pharmacy

C) Flushing the peripheral line with saline and waiting until the new PN bag is available

D) Monitoring the patient's capillary blood glucose until a new PN bag is hung

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44

Chapter 43: Nursing Management: Obesity

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Sample Questions

Q1) The nurse has completed initial instruction with a patient regarding a weight-loss program.The nurse determines that the teaching has been effective when the patient makes which following statement?

A) "I will keep a diary of daily weights to illustrate my weight loss."

B) "I plan to lose 1.8 kg a week until I have lost the 27-kg goal."

C) "I should not exercise more than what is required because increased activity increases the appetite."

D) "I plan to join a behaviour modification group to help establish long-term behaviour changes necessary for weight control."

Q2) The nurse provides discharge instructions to a patient following gastric bypass surgery for treatment of obesity.What does the nurse teach the patient?

A) Avoid foods high in carbohydrates,and do not drink fluids with meals.

B) Maintain a liquid diet for about 6 weeks until gastric healing is complete.

C) Eat a high-carbohydrate,high-roughage diet to promote bowel function when solid foods are allowed.

D) Use exercise and massage to prevent the development of flabby skin resulting from massive weight loss.

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Page 45

Chapter 44: Nursing Management: Upper Gastrointestinal

Problems

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43 Verified Questions

43 Flashcards

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Sample Questions

Q1) A patient with a bleeding duodenal ulcer has an NG tube in place,and the physician orders 30 mL of aluminum hydroxide-magnesium hydroxide (Maalox)to be instilled through the tube every hour.How can the nurse evaluate the effectiveness of this treatment?

A) Monitor arterial blood gas values.

B) Check each stool for the presence of occult blood.

C) Periodically aspirate and test stomach contents for pH.

D) Measure the amount of residual stomach contents hourly.

Q2) A patient who uses an NSAID for management of severe osteoarthritis has recently developed melena.Which of the following changes in the treatment plan would the nurse expect to be made by the physician?

A) Administration of ranitidine

B) Substitution of corticosteroids for the NSAID

C) Substitution of acetaminophen for the NSAID

D) Administration of misoprostol (Cytotec)with the NSAID

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Chapter 45: Nursing Management: Lower Gastrointestinal

Problems

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45 Verified Questions

45 Flashcards

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Sample Questions

Q1) Which of the following is a clinical manifestation of an obstruction in the small intestine as opposed to the large intestine?

A) Gradual onset

B) Immediate and frequent vomiting

C) Low-grade cramping abdominal pain

D) Complete constipation

Q2) An 81-year-old patient has a large bowel obstruction that occurred as a result of a fecal impaction.During nursing assessment of the patient,which of the following findings is consistent with a large bowel obstruction?

A) Metabolic alkalosis

B) Referred pain to the back

C) Bile-coloured vomiting

D) Abdominal distension

Q3) Which stool consistency would the nurse expect to see in a patient with a sigmoid colostomy?

A) Semiliquid

B) Semiformed

C) Formed

D) Pasty

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Chapter 46: Nursing Management: Liver,pancreas,and Biliary Tract Problems

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40 Verified Questions

40 Flashcards

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Sample Questions

Q1) Management of ascites is focused on which one of the following actions?

A) Limiting intake

B) Sodium restriction

C) Administering antibiotics

D) Ensuring adequate rest

Q2) When the nurse is caring for a patient with acute pancreatitis,which of these assessment data should be of most concern?

A) Absent bowel sounds

B) Abdominal tenderness

C) Left upper quadrant pain

D) Palpable abdominal mass

Q3) The nurse identifies the collaborative problem of "potential complication: electrolyte imbalance" for a patient with severe acute pancreatitis.What assessment findings would alert the nurse to electrolyte imbalances associated with acute pancreatitis?

A) Hypotension

B) Hyperglycemia

C) Muscle cramps and tetany

D) Paralytic ileus and abdominal distension

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Chapter 47: Nursing Assessment: Urinary System

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/78717

Sample Questions

Q1) Which one of the following tests identifies changes in cellular structures that are indicative of malignancy?

A) Concentration test

B) Residual urine

C) Quantitative test

D) Urine cytology

Q2) Which of the following is an age-related change in the urinary system?

A) Increased amount of renal tissue

B) Increased number of nephrons

C) Decreased function of the loop of Henle

D) Decreased prevalence of unstable bladder contractions

Q3) How will the nurse assess the flank area for tenderness?

A) Percuss the area between the iliac crest and ribs along the midaxillary line.

B) Palpate along both sides of the lumbar vertebral column.

C) Place one hand flat at the costovertebral angle (CVA),and strike it with the other fist.

D) Push gently into the two lowest intercostal spaces.

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Chapter 48: Nursing Management: Renal and Urological Problems

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34 Flashcards

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Sample Questions

Q1) After her bath,a 62-year-old woman asks the nurse for a perineal pad,saying that she uses them because sometimes she leaks urine when she laughs or coughs.Which of the following interventions is most appropriate to include in a teaching plan to assist the patient with this problem?

A) Performance of Kegel exercises

B) Performance of Credé manoeuvre

C) Use of bladder neck support devices

D) Establishment of a pattern of urinating every 3 hours

Q2) A patient with a history of renal calculi is hospitalized with gross hematuria and severe colicky left flank pain that radiates to his left testicle.In planning care for the patient,the nurse gives the highest priority to which of the following nursing diagnoses?

A) Acute pain related to irritation of stone

B) Deficient fluid volume related to inadequate intake

C) Risk for infection related to urinary system damage

D) Altered health maintenance related to lack of knowledge about prevention of stones

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Chapter 49: Nursing Management: Acute Kidney Injury and Chronic Kidney Disease

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Source URL: https://quizplus.com/quiz/78715

Sample Questions

Q1) A 54-year-old patient with diabetes and CKD is considering using continuous ambulatory peritoneal dialysis (CAPD)as her renal failure becomes worse.In discussing this treatment option with the patient,what should the nurse tell the patient?

A) Patients with diabetes respond better to CAPD than to hemodialysis.

B) Home CAPD requires more extensive equipment than does home hemodialysis.

C) CAPD is contraindicated for patients who may eventually want a kidney transplant.

D) Patients receiving CAPD have more dietary restrictions than are required with hemodialysis.

Q2) A patient with hypertension and stage 2 CKD is receiving captopril (Capoten).Before administration of the medication,the nurse will check the level of which of the following?

A) Creatinine

B) Glucose

C) Phosphate

D) Potassium

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Chapter 50: Nursing Assessment: Endocrine System

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/78713

Sample Questions

Q1) Which of the following is an age-related change affecting the endocrine system?

A) Increase in TSH secretion

B) Decreased parathyroid secretion

C) Increased glucose intolerance

D) Decreased secretion of norepinephrine

Q2) Which hormone is an example of positive feedback in the regulation of hormonal secretion?

A) Insulin

B) Oxytocin

C) Thyroid-stimulating hormone (TSH)

D) Thyroid-releasing hormone

Q3) Which of the following factors stimulates the secretion of insulin?

A) Decreased glucose levels

B) Increased somatostatin levels

C) Decreased amino acid levels

D) Increased vagal stimulation

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52

Chapter 51: Nursing Management: Endocrine Problems

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39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/78712

Sample Questions

Q1) After a patient with a pituitary adenoma has had a hypophysectomy,the nurse will plan to do discharge teaching about the need for which of the following?

A) Insulin use to maintain blood glucose at normal levels

B) Sodium restriction to prevent fluid retention and hypertension

C) Oral corticosteroids to replace endogenous cortisol

D) Chemotherapy to prevent recurrence of the tumour

Q2) A patient with hypoparathyroidism receives instructions from the nurse regarding symptoms of hypo- and hypercalcemia.The nurse teaches the patient that if mild symptoms of hypocalcemia occur,the patient should do which of the following?

A) Increase the daily fluid intake to twice the usual amount.

B) Self-administer intramuscular calcium before calling the doctor.

C) Call an ambulance because the symptoms will progress to seizures.

D) Breathe in and out of a paper bag to temporarily relieve the symptoms,and then seek medical assistance.

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Chapter 52: Nursing Management: Diabetes Mellitus

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38 Flashcards

Source URL: https://quizplus.com/quiz/78711

Sample Questions

Q1) A 20-year-old university student who has type 1 diabetes normally walks each evening as part of her exercise regimen.She now plans to enroll in a swimming class to meet her physical education requirement.What should the nurse teach the patient that adjustments to her treatment plan should include?

A) Delaying the normal meal before the swimming class until the session is over B) Adding 10 units of regular insulin to her usual morning dose on the days she plans to swim

C) Timing her morning insulin injection so that the peak action will occur during her swimming class

D) Monitoring her glucose level before,during,and after swimming to determine the need for alterations in food or insulin

Q2) A patient with diabetes is admitted with ketoacidosis,and the physician writes all of the following orders.Which order should the nurse implement first?

A) Start an infusion of regular insulin at 50 units/hour.

B) Give sodium bicarbonate 50 mmol/L IV push.

C) Infuse 1 L of normal saline per hour.

D) Administer regular IV insulin 30 units.

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Chapter 53: Nursing Assessment: Reproductive System

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/78710

Sample Questions

Q1) Which of the following is an age-related change in male sexual functioning?

A) Increased force of ejaculation

B) Increased rigidity of erection

C) Increased interest in sex

D) Decreased libido

Q2) When scheduling a patient for a pelvic examination and Pap smear,what should the nurse instruct the patient to do?

A) The patient should not douche for 24 hours before the examination.

B) The patient should not have sexual intercourse for 2 days before the examination.

C) The patient should schedule the examination for the first day of her menstrual period.

D) The patient should shower before the examination but avoid tub baths the day before the examination.

Q3) When is menopause usually considered to be complete?

A) Cessation of menses for a period of 1 year

B) Once a woman turns 55 years of age

C) When estrogen levels drop 10% below normal

D) Once ovulation has ceased for a period of 2 years

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Chapter 54: Nursing Management: Breast Disorders

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/78709

Sample Questions

Q1) After the nurse completes discharge teaching for a patient who has had a left modified radical mastectomy and lymph node dissection,which statement by the patient indicates that no further teaching is needed?

A) "I will avoid reaching over the stove with my left hand."

B) "I will need to do breast self-examination on my right breast monthly."

C) "I will keep my left arm elevated until I go to bed."

D) "I will remember to use my right arm and to rest the left one."

Q2) Which stage of breast cancer is depicted by the TNM designation of T2 N0 M0?

A) Stage I

B) Stage IIA

C) Stage IIB

D) Stage IIIA

Q3) Which statement by a 32-year-old patient newly diagnosed with stage I breast cancer indicates to the nurse that the goals of therapy are being met?

A) "I am not sure how my husband will react when I tell him about this cancer."

B) "I am ready to die if that is God's plan for me."

C) "I need to know all the options before making a decision about treatment."

D) "I will do whatever the doctor thinks is best."

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Chapter 55: Nursing Management: Sexually Transmitted

Infections

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15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/78708

Sample Questions

Q1) Cervarix,an HPV vaccine,is recommended for which of the following populations?

A) Females before sexual intercourse

B) Males and females between the ages of 9 and 26

C) Females between the ages of 13 and 20

D) Any sexually active female

Q2) A young man seeks care at the health clinic because he has developed a profuse,purulent urethral discharge with painful urination.During assessment of the patient,what is it most important that the nurse gather information about?

A) Recent sexual contacts

B) A history of previous similar symptoms

C) All of his sexual contacts within the past year

D) A history of bladder infections or mumps affecting the testicles

Q3) A patient returns to the clinic for follow-up after treatment for nongonococcal urethritis.Direct fluorescent antibody tests are positive for chlamydia.What should the nurse recognize is the most likely cause of the continued infection?

A) The microorganisms developed resistance to the antibiotic.

B) The patient did not take the full course of antibiotics as directed.

C) The patient did not advise his sexual partners of the need for treatment.

D) The patient failed to wash his hands and perform basic hygiene measures.

Page 57

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Chapter 56: Nursing Management: Female Reproductive Problems

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40 Verified Questions

40 Flashcards

Source URL: https://quizplus.com/quiz/78707

Sample Questions

Q1) A 58-year-old woman calls the health clinic when she has a moderate amount of vaginal bleeding after 6 years of menopause.The nurse makes an appointment for the patient and tells her to expect which of the following treatments?

A) A biopsy of uterine tissue

B) A pelvic examination with a Pap test

C) A prescription for estrogen replacement therapy

D) Admission to the hospital for a total hysterectomy

Q2) Which of the following is a symptom of estrogen deficiency?

A) Increased rapid-eye-movement sleep

B) Decreased fracture rate in upper femur

C) Increased high-density lipoproteins

D) Incontinence

Q3) When assessing a patient on the patient's return to the surgical unit following a total abdominal hysterectomy,what would the nurse expect to find?

A) Complaints of abdominal pain and burning at the incision site

B) Urinary output of 20 mL in 1 hour related to temporary bladder atony

C) A perineal pad with a moderate amount of serosanguineous drainage

D) A moderate amount of sanguineous drainage on the abdominal dressing

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Chapter 57: Nursing Management: Male Reproductive Problems

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26 Verified Questions

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Sample Questions

Q1) When obtaining a nursing history from a patient with benign prostatic hyperplasia (BPH),which of the following data would the nurse expect the patient to report?

A) Grossly bloody urine

B) Difficulty maintaining an erection

C) A weak urinary stream and dribbling at the end of urination

D) Lower back pain that radiates to the hips during urination

Q2) When performing discharge teaching for a patient who has undergone a vasectomy in the physician's office,what should the nurse instruct the patient about?

A) He will not be able to maintain an erection for about 2 months.

B) He should not have sexual intercourse until his 6-week follow-up visit.

C) He should continue the use of other methods of birth control for 6 weeks.

D) His ejaculate will be about half the previous volume.

Q3) Which of the following will the nurse teach to a patient with chronic bacterial prostatitis?

A) PSA elevation indicates that he has concurrent prostate cancer.

B) Nonsteroidal anti-inflammatory drugs usually provide adequate pain control.

C) Sexual intercourse and masturbation will relieve symptoms.

D) Antibiotics should be taken for 7 to 10 days.

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Chapter 58: Nursing Assessment: Nervous System

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21 Flashcards

Source URL: https://quizplus.com/quiz/78705

Sample Questions

Q1) A patient has a lesion that affects lower motor neurons.During assessment of the patient's lower extremities,what does the nurse expect to find?

A) Spasticity

B) Flaccidity

C) Hyperreflexia

D) Loss of sensation

Q2) When interviewing an acutely confused patient who has a head injury,which question will provide the most useful information?

A) "Have you ever been hospitalized for a neurological problem?"

B) "Do you have any pain at the present time?"

C) "What have you had to eat in the last 24 hours?"

D) "Can you describe your usual pattern for coping with injury?"

Q3) Which internal structure arises from the basilar and two internal carotid arteries?

A) Reticular formation

B) Blood-brain barrier

C) Circle of Willis

D) Anterior communicating centre

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Chapter 59: Nursing Management: Acute Intracranial Problems

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Sample Questions

Q1) During the assessment of a patient who has a tumour of the left frontal lobe,what would the nurse expect to find?

A) Speech disturbances

B) Ataxic gait and vertigo

C) Personality and judgement changes

D) Papilledema and vision disturbances

Q2) When a patient's ICP is being monitored with an intraventricular catheter,what is a priority nursing intervention?

A) Maintaining strict aseptic technique to prevent infection

B) Maintaining the patient's head in a fixed position

C) Continuous monitoring of the ICP waveform

D) Removing CSF to keep pressure at normal levels

Q3) ICP monitoring is instituted for a patient with a head injury.The patient's arterial blood pressure is 92/50 mm Hg,and her ICP is 18 mm Hg.Which nursing action is most appropriate?

A) Document and continue to monitor the parameters.

B) Elevate the head of the patient's bed.

C) Notify the physician about the assessments.

D) Check the patient's pupillary response to light.

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Chapter 60: Nursing Management: Stroke

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Sample Questions

Q1) A 32-year-old patient has a stroke resulting from a ruptured aneurysm and subarachnoid hemorrhage.Which intervention will be included in the care plan?

A) Encouraging the patient to cough and breathe deeply every 4 hours

B) Inserting an oropharyngeal airway to prevent airway obstruction

C) Assisting the patient to dangle on the edge of the bed and assessing for dizziness

D) Applying intermittent pneumatic compression stockings

Q2) The nurse identifies the nursing diagnosis of imbalanced nutrition: less than body requirements related to inability to feed self for a patient with right-sided hemiplegia.What is an appropriate nursing intervention to help improve the patient's nutrition?

A) Assist the patient to eat with her left hand.

B) Provide a puréed diet that is easy for the patient to swallow.

C) Stroke the patient's throat while feeding her to stimulate swallowing of food.

D) Provide a wide variety of food choices on the meal tray to stimulate her appetite.

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Chapter 61: Nursing Management: Chronic Neurological Problems

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Sample Questions

Q1) Which of the following is a clinical manifestation of myasthenia gravis (MG)?

A) Bulging eyes

B) Scotoma

C) Unstable gait

D) Hypertension

Q2) A patient found in a tonic-clonic seizure reports,after gaining consciousness,that the seizure was preceded by numbness and tingling of the arm.What does the nurse know that this finding indicates?

A) An absence seizure

B) A simple partial seizure

C) A complex partial seizure

D) A generalized myoclonic seizure

Q3) What is the most important nursing tool in diagnosing a cluster headache?

A) Magnetic resonance imaging (MRI)of the brain

B) Electromyography

C) The patient history

D) Computed tomography (CT)imaging of the brain

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Page 63

Disease,and Other Dementias

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Sample Questions

Q1) A long-term care patient with moderate dementia develops increased restlessness and agitation.What is the nurse's initial action?

A) Administer the as-needed dose of lorazepam (Ativan).

B) Reorient the patient to time and place.

C) Assess the patient for anything that might be causing discomfort.

D) Have a nursing assistant stay with the patient to ensure safety.

Q2) Which of the following is a modifiable risk factor for reducing the risk for getting Alzheimer's disease?

A) Type 1 diabetes

B) Hypotension

C) Inadequate intellectual stimulation

D) Inadequate nutrition

Q3) What does the nurse document when assessment findings indicate that a patient with dementia has lost her ability to initiate purposeful movement?

A) Amnesia

B) Agnosia

C) Apraxia

D) Anosognosia

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Chapter 63: Nursing Management: Peripheral Nerve and Spinal Cord Problems

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Sample Questions

Q1) The nurse is aware that which one of the following is the most common cause of premature death in a patient with tetraplegia?

A) Diabetes

B) Acute renal failure

C) Pneumonia

D) Hypertension

Q2) A young married woman has returned home following extensive rehabilitation for a C8 spinal cord injury.The home health care nurse visits and notices that the patient's mother and husband are performing many of the activities of daily living that the patient was managing during rehabilitation.What is the most appropriate nursing action at this time?

A) Encourage the patient to perform her own care as she has been taught.

B) Tell the mother and the husband to stop performing care that the patient can do herself.

C) Recognize that it is important for the patient's family to be involved in her care and support their activities.

D) Include the husband and the mother in developing a plan of care to increase the patient's independence.

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Chapter 64: Nursing Assessment: Musculoskeletal System

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Sample Questions

Q1) During assessment of the musculoskeletal system,the nurse notes that the patient's gait is disturbed.To further assess this problem,what should the nurse do?

A) Measure the length of both legs.

B) Perform muscle strength testing of the legs.

C) Ask the patient to demonstrate active range of motion of the legs.

D) Perform deep palpation on the hip joints to identify the presence of pain.

Q2) The sacrum is classified as which type of bone?

A) Long bone

B) Short bone

C) Flat bone

D) Irregular bone

Q3) Skeletal muscle accounts for approximately what percentage of a person's body weight?

A) 25%

B) 33%

C) 50%

D) 66%

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Chapter 65: Nursing Management: Musculoskeletal

Trauma and Orthopedic Surgery

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38 Verified Questions

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Source URL: https://quizplus.com/quiz/78697

Sample Questions

Q1) Following a motor vehicle accident,a patient arrives in the emergency department with massive right lower leg swelling.Which action will the nurse take first?

A) Elevate the leg on pillows.

B) Apply a compression bandage.

C) Place ice packs on the lower leg.

D) Check leg pulses and sensation.

Q2) A patient is admitted with facial injuries after a bicycle accident and has a repair of a fractured mandible.When doing postoperative teaching,the nurse will include information about which of the following?

A) The use of sterile technique for dressing changes

B) The importance of including high-fibre foods in the diet

C) When the patient may have to cut the immobilizing wires

D) Self-administration of nasogastric tube feedings

Q3) Which one of the following workers would be most at risk for an RSI?

A) Butcher

B) Car sales person

C) Long-haul truck driver

D) Nurse

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Chapter 66: Nursing Management: Musculoskeletal

Problems

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Sample Questions

Q1) Which reflex is affected in a patient with a disc herniation at the level of L3?

A) None

B) Patellar

C) Achilles

D) Deep-tendon reflex

Q2) A 58-year-old woman who has been menopausal for 5 years is diagnosed with osteoporosis following densitometry testing.The woman has been concerned about her risk for osteoporosis because her mother has the condition.In teaching the woman about her osteoporosis,what should the nurse explain?

A) With a family history of osteoporosis,bone resorption cannot be prevented or slowed.

B) Estrogen replacement therapy must be started to prevent rapid progression of her osteoporosis.

C) Continuous,low-dose corticosteroid treatment is effective in stopping the course of osteoporosis.

D) Even with a family history of osteoporosis,the calcium loss from bones can be slowed by increased calcium intake and exercise.

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68

Chapter 67: Nursing Management: Arthritis and Connective

Tissue Diseases

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41 Flashcards

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Sample Questions

Q1) A patient with an acute exacerbation of RA has localized pain and inflammation of the fingers,wrists,and feet,with swelling,redness,and limited movement of the joints.In developing a plan with the patient to promote the management of the disease,what does the nurse recognize is an appropriate outcome for the patient at this time?

A) Maintain a positive self-image.

B) Perform activities of daily living independently.

C) Achieve satisfactory control of pain and fatigue.

D) Make a successful adjustment to the disease progression.

Q2) A patient with polyarthralgia with joint swelling and pain is being evaluated for SLE.The nurse knows that which of the following serum test results is the most specific for SLE?

A) The presence of rheumatoid factor

B) The presence of antinuclear antibody

C) The presence of anti-Smith antibody

D) The presence of lupus erythematosus cells

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Chapter 68: Nursing Management: Critical Care Environment

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Sample Questions

Q1) A young man was admitted 2 days ago to the critical care unit (CCU)in critical condition with multiple traumas following an automobile accident.His wife and his parents have been at the hospital constantly since his admission,rotating short visits with the patient.While in the waiting room,they jump up each time the CCU door is opened.To assist the patient's family members to cope with their anxiety,what should the nurse do?

A) Allow one member of the family most important to the patient to stay with the patient continuously.

B) Provide frequent information about the patient's condition and the management of his care.

C) Invite the family members to participate in a multidisciplinary care conference for the patient.

D) Refer the family to social services for financial planning to manage the expenses of the patient's care.

Q2) Which finding represents a normal SV when monitoring hemodynamic parameters?

A) 25 mL/beat

B) 50 mL/beat

C) 100 mL/beat

D) 200 mL/beat

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Inflammatory Response Syndrome,and Multiple-Organ

Dysfunction Syndrome

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Sample Questions

Q1) Which type of shock does the nurse suspect with a patient who is short of breath and has wheezes,rhinitis,and stridor?

A) Cardiogenic shock

B) Neurogenic shock

C) Anaphylactic shock

D) Septic shock

Q2) Which hemodynamic results would the nurse anticipate in a patient who is in cardiogenic shock?

A) Increased heart rate (HR),blood pressure (BP),and cardiac output (CO₂)

B) Increased HR,decreased BP and CO₂

C) Decreased HR,BP,and CO₂

D) Decreased HR,increased BP and CO₂

Q3) Norepinephrine has been ordered for the patient in hypovolemic shock.Before administering the medication,the nurse ensures that which of the following has occurred?

A) The patient's HR is less than 100 beats/min.

B) The patient's urinary output is within the normal range.

C) The patient has received adequate fluid replacement.

D) The patient is not receiving additional sympathomimetic drugs.

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Chapter 70: Nursing Management: Respiratory Failure and

Acute Respiratory Distress Syndrome

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Sample Questions

Q1) Which assessment finding would the nurse expect in a patient with hypoxemia?

A) Apnea

B) Decreased respiratory rate

C) Increased SpO₂

D) Prolonged expiration

Q2) A patient with severe chronic lung disease is hospitalized in respiratory distress.When monitoring the patient,which nursing assessment will be of most concern?

A) Bibasilar lung crackles

B) Sitting in the tripod position

C) Oxygen saturation of 91%

D) Decrease in respiratory rate from 30 breaths/min to 10 breaths/min

Q3) While performing an admission assessment of a patient in hypercapnic respiratory failure due to COPD,what symptoms would the nurse expect the patient to report?

A) Confusion

B) Cyanosis

C) Anxiety and restlessness

D) A morning headache and dyspnea

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Page 72

Chapter 71: Nursing Management: Emergency Care Situations

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Sample Questions

Q1) According to the Canadian Emergency Department Triage and Acuity Scale,what is the time to physician assessment for a patient assessed at level III?

A) Immediate

B) 15 minutes

C) 30 minutes

D) 60 minutes

Q2) Which assessment finding would the nurse anticipate with a patient who is hypothermic?

A) Hyperventilation

B) Hypertension

C) Tachycardia

D) Fixed,dilated pupils

Q3) A patient has experienced blunt abdominal trauma from a motor vehicle accident.Which of the following diagnostic tests does the nurse know is a noninvasive method of determining the presence of intra-abdominal bleeding?

A) Magnetic resonance imaging

B) Ultrasonography

C) Peritoneal lavage

D) Auscultation of bowel sounds in the chest

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Chapter 72: Emergency Preparedness and Disaster Management

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Sample Questions

Q1) During a mass casualty incident,disaster triage in the hospital is completed in what time frame?

A) 15 seconds

B) 30 seconds

C) 1 minute

D) 2 minutes

Q2) The Simple Triage and Rapid Treatment (START)system is based on all of the clinical indicators except which one of the following?

A) Mental status

B) Perfusion or blood circulation

C) Person's ability to respond verbally,ambulate,and breathe

D) Provision of the minimal 72-hour self-sufficient supplies

Q3) Assessment of a patient in the emergency department reveals the following: hemoptysis,cough,temperature of 41°C,headache and lymph node enlargement.Based upon these findings,what does the nurse suspect as a diagnosis?

A) Botulism

B) Plague

C) Tularemia

D) Severe acute respiratory syndrome

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