Canadian Nursing Practice Question Bank - 1844 Verified Questions

Page 1


Canadian Nursing Practice

Question Bank

Course Introduction

Canadian Nursing Practice explores the foundational principles, standards, and ethical frameworks guiding nursing professionals within the Canadian healthcare system. The course examines the regulatory environment, the roles and responsibilities of registered nurses, cultural competence, and client-centered care specific to Canada. Students analyze the impact of Canadian health policies, Indigenous health, evidence-informed practice, interprofessional collaboration, and legal aspects of care. Through case studies and practical examples, the course fosters critical thinking, leadership, and communication skills necessary to provide safe and effective nursing care across diverse Canadian populations and settings.

Recommended Textbook

Medical Surgical Nursing in Canada 4th Edition by Lewis

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72 Chapters

1844 Verified Questions

1844 Flashcards

Source URL: https://quizplus.com/study-set/220

Page 2

Chapter 1: Introduction to Medical-Surgical Nursing

Practice in Canada

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16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/3266

Sample Questions

Q1) Which of the following best explains the nurses' primary use of the nursing process when providing care to clients?

A)To explain nursing interventions to other health care professionals

B)As a problem-solving tool to identify and treat clients' health care needs

C)As a scientific-based process of diagnosing the client's health care problems

D)To establish nursing theory that incorporates the biopsychosocial nature of humans

Answer: B

Q2) Which of the following represents a nursing activity that is carried out during the evaluation phase of the nursing process?

A)Determining if interventions have been effective in meeting client outcomes.

B)Documenting the nursing care plan in the progress notes in the medical record.

C)Deciding whether the client's health problems have been completely resolved.

D)Asking the client to evaluate whether the nursing care provided was satisfactory.

Answer: A

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Chapter 2: Cultural Competence and Health Equity in Nursing Care

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17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/3267

Sample Questions

Q1) The nurse is caring for Indigenous clients in a community clinic setting. Which of the following would the nurse include when developing strategies to decrease health care disparities?

A)Improve public transportation.

B)Obtain low-cost medications.

C)Update equipment and supplies for the clinic.

D)Educate staff about Indigenous health beliefs.

Answer: D

Q2) Agraduate nurse is assessing a newly admitted non-English-speaking Chinese client who complains of severe headaches. Which of the following actions by the graduate nurse would cause the charge nurse to intervene during this assessment interview?

A)Sit down at the bedside.

B)Palpate the client's scalp.

C)Call for a medical interpreter.

D)Avoid eye contact with the client.

Answer: B

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Chapter 3: Health History and Physical Examination

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15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/3268

Sample Questions

Q1) A client is seen in the emergency department with chest pain and hypotension. Which type of assessment should the nurse do at this time?

A)Focused

B)Subjective

C)Emergency

D)Comprehensive

Answer: C

Q2) When the nurse is planning for the physical examination of an alert older-adult client, which of the following adaptations to the examination technique should be considered?

A)Speaking slowly when directing the client.

B)Avoiding the use of touch as much as possible.

C)Using slightly more pressure for palpation of the liver.

D)Organizing the sequence to minimize position changes.

Answer: D

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Chapter 4: Patient and Caregiver Teaching

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/3269

Sample Questions

Q1) A client with poor circulation to the feet requires teaching about foot care. Which learning goal should the nurse include in the teaching plan?

A)The nurse will demonstrate the proper technique for trimming toenails.

B)The client will list three ways to protect the feet from injury by discharge.

C)The nurse will instruct the client on appropriate foot care before discharge.

D)The client will understand the rationale for proper foot care after instruction.

Q2) When assessing the learning needs for a client who has coronary heart disease, the nurse finds that the client has recently made dietary changes to decrease fat intake and has stopped smoking. Which of the following is the most appropriate initial statementbythe nurse at this time?

A)"Although those are important, it is essential that you make other changes, too."

B)"Are you having any difficulty in maintaining the changes you have already made?"

C)"You have already accomplished some changes that are important in heart health."

D)"Which additional changes in your lifestyle would you like to implement at this time?"

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6

Chapter 5: Chronic Illness

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18 Verified Questions

18 Flashcards

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Sample Questions

Q1) Clients with chronic illness want the health care system to provide them with which of the following?

A)Less information

B)Less travel time

C)Ways to adjust to disease consequences

D)Limited information on ways to cope with their symptoms

Q2) What is the average life expectancy in Canada?

A)60 years

B)70 years

C)80 years

D)90 years

Q3) Which of the following models view disability as directly caused by disease or trauma?

A)Social

B)Nursing

C)Medical

D)Collaborative

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Page 7

Chapter 6: Community-Based Nursing and Home Care

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11 Verified Questions

11 Flashcards

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Sample Questions

Q1) An older-adult client who lives alone was hospitalized for a fractured hip and has recovered from the surgery but needs to continue to work to improve mobility. Which of the following settings would the nurse anticipate that the client be transferred to?

A)Another acute care setting

B)A transitional care setting

C)A residential care facility

D)Their own home with home health nursing

Q2) The nurse is conducting a home visit and notes that the caregiver may be experiencing caregiver burnout. Which of the following assessments would support this finding?

A)Anxiety

B)Sleeplessness

C)Weight gain

D)Increased use of respite care

Q3) Which of the following concepts is foundational to home health nursing?

A)Acute care management

B)Health promotion

C)Chronic disease management

D)Health restoration

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Page 8

Chapter 7: Older Adults

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/3272

Sample Questions

Q1) The nurse is visiting a homeless shelter for older adults to provide a health-promotion activity. Which of the following factors are associated with adult homelessness? (Select all that apply.)

A)Low income

B)Reduced cognitive capacity

C)Decreased health problems

D)Abundance of affordable housing

E)Living alone

Q2) The nurse is caring for clients in a geriatric family practice clinic with a primary health care provider. Which of the following actions should the nurse do when caring for older adults who live in rural areas?

A)Assess the client for chronic diseases that are unique to rural areas.

B)Ensure transportation to appointments with the health care provider.

C)Schedule appointments for the client in an urban area for better health care.

D)Obtain adequate medications for the client to last for 4-6 months.

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9

Chapter 8: Stress and Stress Management

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10 Verified Questions

10 Flashcards

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Sample Questions

Q1) The nurse is assisting with a breast biopsy for an alert client who has a lump in the right breast. Which relaxation technique will be best to use at this time?

A)Massage

B)Meditation

C)Guided imagery

D)Relaxation breathing

Q2) The nurse is caring for a hospitalized client with diabetes who states to the nurse, "I don't understand why I can keep my blood sugar under control at home with diet alone, but when I get sick, my blood sugar goes up." Which response by the nurse is appropriate?

A)"It is probably just coincidental that your blood sugars are high when you are ill."

B)"Stressors such as illness cause the release of hormones that increase blood sugar."

C)"Increased blood sugar occurs because the kidneys are not able to metabolize glucose as well during stressful times."

D)"Your diet is different here in the hospital than at home and that is the most likely cause of the increased glucose level."

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Chapter 9: Sleep and Sleep Disorders

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11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/3274

Sample Questions

Q1) Which action by the nurse manager of an acute care unit will improve the alertness of nurses who work the night shift?

A)Arrange for older staff members to work most night shifts.

B)Provide a sleeping area for staff to use for napping at night.

C)Post reminders about the relationship of sleep and alertness.

D)Schedule nursing staff to rotate day and night shifts monthly.

Q2) Aclient with sleep apnea who received a new prescription for a continuous positive airway pressure (CPAP) device a week ago returns to the clinic and says that severe daytime fatigue is still a problem. Which action should the nurse take first?

A)Teach about radiofrequency ablation.

B)Plan to schedule a nighttime PSG study.

C)Ask the client whether the CPAP is being used every night.

D)Discuss the possible surgical approaches used for sleep apnea.

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Chapter 10: Pain

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3275

Sample Questions

Q1) Aclient with chronic abdominal pain has learned to control the pain with the use of imagery and hypnosis. A family member asks the nurse how these techniques work. Which of the following reasons provide the basis for the nurse's response in relation totheeffectiveness of these strategies?

A)Impact the cognitive and affective components of pain.

B)Increase the modulating effect of the efferent pathways.

C)Prevent transmission of nociceptive stimuli to the cortex.

D)Slow the release of transmitter chemicals in the dorsal horn.

Q2) These medications are ordered for an older-adult client with arthritis in both hips who is complaining of level 3 (0-10 scale) hip pain while ambulating. Which medication should the nurse use as initial therapy?

A)Acetylsalicylic acid 650 mg orally

B)Naproxen 200 mg orally

C)Oxycodone 5 mg orally

D)Acetaminophen 650 mg orally

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Chapter 11: Substance Use

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/3276

Sample Questions

Q1) The nurse is caring for a client who has a history of ongoing opioid use and has been hospitalized for surgery. After a visit by a friend, the nurse assesses that the client is unresponsive with pinpoint pupils. Which of these prescribed medications will thenurse administer immediately?

A)Naloxone

B)Diazepam

C)Clonidine

D)Methadone

Q2) All the following medications are ordered for a client admitted with a blood alcohol concentration of 0.18 mg%. Which of the following should the nurse administer first?

A)Thiamine 100 mg daily

B)Lorazepam 1 mg as needed

C)Folic acid 0.4 mg daily

D)Dextrose 5% in 0.45 saline over 8 hours

Q3) Suicide is an overdose effect of which of the following substances?

A)Alcohol

B)Inhalants

C)Opioids

D)Hallucinogens

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Chapter 12: Complementary and Alternative Therapies

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11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/3277

Sample Questions

Q1) Aclient who has nausea associated with chemotherapy asks the nurse whether there are any complementary and alternative therapies that might be effective. Which of the following should the nurse discuss with this client?

A)Green tea

B)Acupuncture

C)Black cohosh

D)Chiropractic therapy

Q2) The nurse is caring for a client who is experiencing extreme postoperative nausea. Which of the following therapies should the nurse recommend for this client?

A)Acupuncture

B)Aromatherapy

C)St. John's wort

D)Magnetic therapy

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14

Chapter 13: Palliative Care at the End of Life

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15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/3278

Sample Questions

Q1) As the nurse admits a client with severe heart failure to the hospital, the client tells the nurse, "If my heart or breathing stop, I do not want to be resuscitated." Which of the following actions should the nurse take?

A)Ask if these wishes have been discussed with the health care provider.

B)Place a "Do-Not-Resuscitate" (DNR) notation in the client's care plan.

C)Inform the client that a notarized advance directive must be included in the record or resuscitation must be performed.

D)Advise the client to designate a person to make health care decisions when the client is not able to make them independently.

Q2) The nurse is caring for a young adult who is dying after an automobile accident. The family members want to donate the client's organs and ask the nurse how the decision when death has occurred is made. Which of the following is the basis for the nurses'response to the family in this situation?

A)The client is flaccid and unresponsive.

B)The client is experiencing respiratory acidosis and is on a ventilator.

C)The client is unconscious with no brain stem activity.

D)Respiratory efforts cease and no apical pulse is audible.

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Chapter 14: Inflammation and Wound Healing

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/3279

Sample Questions

Q1) Which nursing action will be included when the nurse is doing a wet-to-dry dressing change for a client who has a stage III sacral pressure injury?

A)Administer the ordered PRN oral opioid 30 minutes before the dressing change.

B)Soak the old dressings with sterile saline a few minutes before removing them.

C)Pour sterile saline onto the new dry dressings after the wound has been packed.

D)Apply antimicrobial ointment before repacking the wound with moist dressings.

Q2) The charge nurse observes a new graduate performing a dressing change on a client with a stage 2 left heel pressure injury. Which of the following actions by the new graduate indicates a need for further education about pressure injury care?

A)Uses a hydrocolloid dressing (DuoDerm) to cover the injury.

B)Inserts a sterile cotton-tipped applicator into the pressure injury.

C)Irrigates the pressure injury with a 30-mL syringe using sterile saline.

D)Cleans the injury with a sterile dressing soaked in half-strength hydrogen peroxide.

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16

Chapter 15: Genetics

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11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/3280

Sample Questions

Q1) The nurse is counselling a couple in which the man has an autosomal recessive disorder, and the woman has no gene for the disorder. The nurse uses Punnett squares to show the couple that the probability of their having a child with the disorder is whichofthefollowing percentages?

A)0%

B) 25%

C)50%

D) 75%

Q2) Anewly pregnant woman asks the nurse what the best time is for chorionic villus sampling? Which of the following time frames is the basis for the nurse's response?

A)8-10 weeks

B)11-12 weeks

C)15-16 weeks

D)19-20 weeks

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Chapter 16: Altered Immune Response and Transplantation

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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/3281

Sample Questions

Q1) The nurse is caring for a client in the outpatient clinic who has an immune deficiency involving the T-lymphocytes. Which of the following areas should the nurse teach the client about the need for more frequent screening?

A)Allergies

B)Malignancy

C)Antibody deficiency

D)Autoimmune disorders

Q2) Immediately after the nurse administers an intradermal injection of an allergen on the forearm, a client complains of itching at the site and of weakness and dizziness. Which of the following actions is priority for the nurse to implement?

A)Remind the client to remain calm.

B)Administer subcutaneous epinephrine.

C)Apply a tourniquet above the injection site.

D)Rub a local anti-inflammatory cream on the site.

Q3) Chickenpox is an example of which of the following types of immunities?

A)Innate

B)Natural active

C)Artificial

D)Cell-mediated

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Page 18

Chapter 17: Infection and Human Immunodeficiency Virus

Infection

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/3282

Sample Questions

Q1) A client who has been treated for HIV infection for 7 years has developed fat redistribution to the trunk, with wasting of the arms, legs, and face. Which of the following topics should the nurse include in the client teaching plan?

A)The benefits of daily exercise

B)Foods that are higher in protein

C)Treatment with antifungal agents

D)A change in antiretroviral therapy

Q2) Aclient who has diagnosed with AIDS tells the nurse, "I have lots of thoughts about dying. Do you think I am just being morbid?" Which of the following responses by the nurse is most appropriate?

A)"Thinking about dying will not improve the course of AIDS."

B)"It is important to focus on the good things about your life now."

C)"Do you think that taking an antidepressant might be helpful to you?"

D)"Can you tell me more about the kind of thoughts that you are having?"

Q3) Which of the following tests is used to evaluate the effectiveness of ART?

A)Viral load testing

B)Enzyme immunoassay

C)Rapid HIV antibody testing

D)Immuno-fluorescence assay

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Chapter 18: Cancer

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36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/3283

Sample Questions

Q1) The nurse is caring for a client who is undergoing bone marrow transplantation. Which of the following information should the nurse include in the client's teaching plan?

A)Transplant of the donated cells is painful because of the nerves in the tissue lining the bone.

B)Donor bone marrow cells are transplanted through an incision into the sternum or hip bone.

C)The transplant procedure takes place in a sterile operating room to minimize the risk for infection.

D)Hospitalization will be required 2-4 weeks after transplantation.

Q2) After the nurse has finished teaching a client who is scheduled to receive external beam radiation for abdominal cancer about appropriate diet, which dietary selection by the client indicates that the teaching has been effective?

A)Fresh fruit salad

B)Roasted chicken

C)Whole wheat toast

D)Cream of potato soup

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Chapter 19: Fluid

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33 Verified Questions

33 Flashcards

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Sample Questions

Q1) The nurse is caring for a client who has been hospitalized for 2 days and is receiving normal saline IV at 100 mL/hour, has a nasogastric tube to low suction, and is NPO. Which of the following assessment findings by the nurse is the priority to reporttothehealth care provider?

A)Serum sodium level of 138 mmol/L

B)Gradually decreasing level of consciousness (LOC)

C)Oral temperature of 37.8°C (100°F) with bibasilar lung crackles

D)Weight gain of 1 kg above the admission weight

Q2) The nurse is caring for a client who is receiving iso-osmolar continuous tube feedings who has developed nausea, vomiting, and tachycardia. Which of the following laboratory results is most important for the nurse to report to the health care provider?

A)K+ 3.4 mmol/L

B)Ca+² 1.95 mmol/L

C)Na+ 128 mmol/L

D)PO<sub>4</sub>-³ 1.55 mmol/L

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Chapter 20: Nursing Management Preoperative Care

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/3285

Sample Questions

Q1) The nurse is preparing a client for surgery. Which of the following information about medication use is most important for the nurse to communicate to the health care provider?

A)The client uses acetaminophen occasionally for aches and pains.

B)The client takes garlic capsules daily but did not take any on the surgical day.

C)The client has a history of cocaine use but quit using the drug over 10 years ago.

D)The client took a sedative medication the previous night to assist in falling asleep.

Q2) The nurse is analyzing a client's preoperative blood studies. Which of the following blood studies should the nurse review to assess for anemia and infection in a client with no known health problems? (Select all that apply.)

A)Red blood cell count

B)White blood cell count

C)Serum potassium

D)Hematocrit

E)Prothrombin (INR) time

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Chapter 21: Nursing Management Intraoperative Care

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) The nurse from the general surgical unit is asked to bring the client's hearing aid to the surgical suite. The nurse will take the hearing aid to which one of the following areas?

A)Clean core

B)Scrub sink area

C)Nursing station or communication centre

D)Corridors of the operating room area

Q2) Asurgical client received a volatile liquid as an inhalation anaesthetic during surgery. Which of the following symptoms should the nurse monitor for in the immediate postoperative period?

A)Tachypnea

B)Myoclonia

C)Hypertension

D)Incisional pain

Q3) Which of the following actions by a member of the surgical team requires rapid intervention by the charge nurse?

A)Wearing street clothes into the nursing station

B)Wearing a surgical mask into the holding room

C)Walking into the hallway outside an operating room without the hair covered

D)Putting on a surgical mask, cap, and scrubs before entering the operating room

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Page 23

Chapter 22: Nursing Management Postoperative Care

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/3287

Sample Questions

Q1) The nurse is caring for an older-adult client who had a surgical repair of a hip fracture 2 days previously and has restrictions on ambulation. Based on this information, which of the following collaborative problems is priority for the client?

A)Potential complication: hypovolemic shock

B)Potential complication: venous thrombo-embolism

C)Potential complication: fluid and electrolyte imbalance

D)Potential complication: impaired surgical wound healing

Q2) The nurse is caring for a postoperative client who has not voided for 7 hours after return to the postsurgical unit. Which of the following actions should the nurse take first?

A)Notify the surgeon.

B)Assess for bladder distension.

C)Assist the client to ambulate to the bathroom.

D)Insert a straight catheter as indicated on the PRN order.

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Chapter 23: Nursing Assessment Visual and Auditory Systems

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23 Verified Questions

23 Flashcards

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Sample Questions

Q1) The nurse is observing a student who is preparing to perform an ear examination of an adult client. Which of the following actions by the student should cause the nurse to intervene in the assessment?

A)Chooses a speculum smaller than the ear canal

B)Pulls the auricle of the ear down and backward

C)Stabilizes the hand holding the otoscope on the client's head

D)Stops inserting the otoscope after observing impacted cerumen

Q2) The nurse is caring for a client in the emergency department with symptoms of eye itching and pain caused by sleeping with contact lenses in place. Which of the following equipment should the nurse anticipate preparing to facilitate further examinationoftheclient's eye?

A)Tonometer

B)Eye patch

C)Refractometer

D)Fluorescein dye

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Chapter 24: Nursing Management Visual and Auditory

Problems

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41 Verified Questions

41 Flashcards

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Sample Questions

Q1) To decrease the risk for future hearing loss, which of the following actions should the nurse working with college students at the on-campus health clinic implement?

A)Arrange to include otoscopic examinations for all clients.

B)Administer rubella immunizations to all students at the clinic.

C)Discuss the importance of limiting exposure to very high amplified music.

D)Teach clients to regularly irrigate the ear to decrease cerumen impaction.

Q2) A client with external otitis has an ear wick placed and a new prescription for antibiotic otic drops. After the nurse provides client teaching, which of the following client statements indicates that more instruction is needed?

A)"I may use aspirin or acetaminophen for pain relief."

B)"I should apply the eardrops to the cotton wick in my ear canal."

C)"I should clean my ear canal daily with a cotton-tipped applicator."

D)"I may use warm compresses to the outside of my ear for comfort."

Q3) Which of the following actions is an example of an approach magnification?

A)Using a telescopic lens

B)Sitting closer to a television while watching it

C)Using a black-tipped felt marker when writing

D)Reading books with large-type print

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Chapter 25: Nursing Assessment Integumentary System

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12 Verified Questions

12 Flashcards

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Sample Questions

Q1) The nurse is admitted an older-adult client to an assisted-living facility and notes abnormalities on the skin. Which of the following abnormalities is the priority to discuss immediately with the health care provider?

A)Several dry, scaly patches on the face

B)Numerous varicosities noted on both legs

C)Dilation of small blood vessels on the face

D)Petechiae present on the chest and abdomen

Q2) Which assessment information documented in a client's chart indicates that the nurse may need to continue to monitor the skin condition of an 82-year-old client admitted with bacterial pneumonia?

A)"Scattered macular brown areas on extremities"

B)"Skin brown and wrinkled, skin tenting on forearm"

C)"Longitudinal nail bed ridges noted, sparse scalp hair"

D)"Skin moist and intact, states history of allergic rashes"

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Chapter 26: Nursing Management Integumentary

Problems

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) Which of the following actions would the nurse take when applying a wet dressing to an inflamed and pruritic area of skin on a client's ankle?

A)Use a cool solution to wet the dressing.

B)Change the dressing using sterile gloves.

C)Soak the dressing in sterile normal saline.

D)Apply the dressing from the knee to the foot.

Q2) The nurse is teaching a client with contact dermatitis of the arms and lower legs about ways to decrease pruritus. Which of the following information would the nurse include in the teaching plan? (Select all that apply.)

A)Cool, wet cloths or dressings can be used to reduce itching.

B)Take cool or tepid baths several times daily to decrease itching.

C)Add oil to your bath water to aid in moisturizing the affected skin.

D)Rub yourself dry with a towel after bathing to prevent skin maceration.

E)Use of an over-the-counter (OTC) antihistamine with sedative effects can reduce scratching.

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Chapter 27: Nursing Management Burns

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/3292

Sample Questions

Q1) The nurse is admitting a client with extensive electrical burn injuries. Which of the following prescribed interventions should the nurse implement first?

A)Start two large bore IVs.

B)Place on cardiac monitor.

C)Apply dressings to burned areas.

D)Assess for pain at contact points.

Q2) In which order should the nurse take these actions when doing a dressing change for a partial-thickness burn wound on a client's back?

A)Apply sterile gauze dressing.

B)Document wound appearance.

C)Apply silver sulphadiazine cream.

D)Administer IV fentanyl.

E)Clean wound with saline-soaked gauze.

Q3) The nurse is estimating the extent of a burn using the rule of nines for a client who has been admitted with deep partial-thickness burns of the posterior trunk and right arm. What percentage of the client's total body surface area (TBSA) has been injured?

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Chapter 28: Nursing Assessment Respiratory System

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/3293

Sample Questions

Q1) The nurse is analyzing the results of a client's arterial blood gases (ABGs). Which of the following findings require the most immediate action?

A)The arterial oxygen saturation (SaO<sub>2</sub>) is 92%.

B)The partial pressure of oxygen in arterial blood (PaO<sub>2</sub>) is 59 mm Hg.

C)The partial pressure of CO<sub>2</sub> in arterial blood (PaCO<sub>2</sub>) is 31 mm Hg.

D)The bicarbonate level (HCO<sub>3</sub>-) is 29 mmol/L.

Q2) After the nurse has received change-of-shift report, which of the following clients should be assessed first?

A)A client with pneumonia who has crackles in the right lung base

B)A client with chronic obstructive pulmonary disease (COPD) and pulmonary function testing (PFT) that indicates low forced vital capacity

C)A client with possible lung cancer who has just returned after bronchoscopy

D)A client with hemoptysis and a 16-mm induration with tuberculin skin testing

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Chapter 29: Nursing Management Upper Respiratory

Problems

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3294

Sample Questions

Q1) The nurse enters the room of a client who has just returned from surgery for a total laryngectomy and radical neck dissection and notes the following problems. In which order should the nurse address the problems?

A)The nasogastric (NG) tube is disconnected from suction and clamped off.

B)The client is in a side-lying position with the head of the bed flat.

C)The Hemovac in the neck incision contains 200 mL of bloody drainage.

D)The client is coughing blood-tinged secretions from the tracheostomy.

Q2) Which of the following causes is the most common cause of acute pharyngitis?

A)Fungal

B)Viral

C)Acute follicular

D)Peritonsillar

Q3) The nurse is caring for a client with a tracheostomy tube and is inflating the cuff to the appropriate level. Which of the following actions is best for the nurse to implement?

A)Check the pilot balloon after inflation to ensure that it is firm.

B)Use a manometer to ensure cuff pressure is at an appropriate level.

C)Check the amount of cuff pressure ordered by the health care provider.

D)Fill the balloon until minimal air leakage around the cuff is auscultated.

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Chapter 30: Nursing Management Lower Respiratory

Problems

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43 Verified Questions

43 Flashcards

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Sample Questions

Q1) The nurse has completed discharge teaching for a client who has had a lung transplant. Which of the following client statements indicate that the teaching was effective?

A)"I will make an appointment to see the doctor every year."

B)"I will not turn the home oxygen up higher than 2 L/minute."

C)"I will not worry if I feel a little short of breath with exercise."

D)"I will call the health care provider right away if I develop a fever."

Q2) The nurse is caring for a client with stage I non-small cell lung cancer who is scheduled for a lobectomy. The client tells the nurse, "I would rather have radiation than surgery." Which of the following responses by the nurse is best?

A)"Are you afraid that the surgery will be very painful?"

B)"Did you have bad experiences with previous surgeries?"

C)"Surgery is the treatment of choice for stage I lung cancer."

D)"Tell me what you know about the various treatments available."

Q3) Which of the following information about a client who has a recent history of

A)Chest x-ray shows no upper lobe infiltrates.

B)TB medications have been taken for 6 months.

C)Mantoux testing shows an induration of 10 mm.

D)Three sputum smears for acid-fast bacilli are negative.

Page 32

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Chapter 31: Nursing Management Obstructive Pulmonary Diseases

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42 Verified Questions

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Sample Questions

Q1) The nurse is caring for a client in the emergency department who is experiencing an acute asthma attack. After listening to the client's breath sounds, which of the following actions should the nurse take next?

A)Start an intravenous with Ringer's Lactate.

B)Ask about inhaled corticosteroid use.

C)Determine when the dyspnea started.

D)Obtain the forced expiratory volume (FEV) flow rate.

Q2) The nurse is preparing a client with possible asthma for pulmonary function testing. Which of the following instructions should the nurse include in the teaching plan?

A)Avoid eating or drinking for several hours before the testing.

B)Use rescue medications immediately before the tests are done.

C)Take oral corticosteroids at least 2 hours before the examination.

D)Withhold bronchodilators for 6-12 hours before the examination.

Q3) Which of the following actions should be included in the plan of care for a client with

A)Schedule a sweat chloride test.

B)Arrange for a hospice nurse visit.

C)Place the client on a low-sodium diet.

D)Perform chest physiotherapy every 4 hours.

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Chapter 32: Nursing Assessment Hematological System

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16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/3297

Sample Questions

Q1) The nurse is reviewing laboratory data for an older-adult client. Which of the following results should be of most concern?

A)White blood cell (WBC) count of 3.5 * 10<sup>9</sup>/L

B)Hematocrit of 37%

C)Platelet count of 400 * 10<sup>9</sup>/L

D)Hemoglobin of 118 g/L

Q2) The nurse is caring for a client who is receiving heparin. Which of the following laboratory tests should the nurse monitor?

A)Prothrombin time (PT)

B)Fibrin degradation products (FDP)

C)International normalized ratio (INR)

D)Activated partial thromboplastin time (aPTT)

Q3) The nurse is evaluating the red cell indices result of a client's laboratory report. Which of the following interpretations is correct related to a low mean corpuscular volume (MCV)?

A)Hypochromic red blood cells (RBCs)

B)Inadequate numbers of RBCs

C)Low hemoglobin in the RBCs

D)Small size of the RBCs

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Chapter 33: Nursing Management Hematological Problems

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39 Flashcards

Source URL: https://quizplus.com/quiz/3298

Sample Questions

Q1) The hemophilia clinic nurse receives a call from a client with hemophilia to discuss all of these problems. Which of the following problems is most important to communicate to the health care provider?

A)Skin abrasions

B)Bleeding gums

C)Multiple bruises

D)Dark tarry stools

Q2) Fifteen minutes after a transfusion of packed red blood cells is started, a client has symptoms of back pain and dyspnea and a pulse rate of 124 beats/minute. Which of the following actions should the nurse implement initially?

A)Administer oxygen therapy at a high flow rate.

B)Obtain a urine specimen to send to the laboratory.

C)Notify the health care provider about the symptoms.

D)Disconnect the transfusion and infuse normal saline.

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Chapter 34: Nursing Assessment Cardiovascular System

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Sample Questions

Q1) The nurse is caring for a client who is being treated for heart failure. Which of the following laboratory results should the nurse assess to determine the effects of therapy?

A)Myoglobin

B)Homocysteine (Hcy)

C)Low-density lipoprotein (LDL)

D)B-type natriuretic peptide (BNP)

Q2) Which of the following actions should the nurse implement for a client who arrives for a calcium-scoring CT scan?

A)Administer oral sedative medications.

B)Teach the client about the procedure.

C)Ask whether the client has eaten today.

D)Insert a large gauge intravenous catheter.

Q3) The nurse hears a murmur between the S1 and S2 heart sounds at the client's left 5th intercostal space and midclavicular line. How should the nurse record this information?

A)"Systolic murmur heard at mitral area."

B)"Diastolic murmur heard at aortic area."

C)"Systolic murmur heard at Erb's point."

D)"Diastolic murmur heard at tricuspid area."

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36

Chapter 35: Nursing Management Hypertension

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Sample Questions

Q1) Which of the following BP findings by the nurse indicate that no changes in therapy are needed for a client with stage 1 hypertension who has a history of heart failure?

A)108/64 mm Hg

B)128/76 mm Hg

C)140/90 mm Hg

D)136/82 mm Hg

Q2) The nurse is caring for a client who has just diagnosed with hypertension and has a new prescription for captopril. Which of the following information is important to include when teaching the client?

A)Check BP daily before taking the medication.

B)Increase fluid intake if dryness of the mouth is a problem.

C)Include high-potassium foods such as bananas in the diet.

D)Change position slowly to help prevent dizziness and falls.

Q3) The nurse obtains a blood pressure of 180/75 mm Hg for a client. What is the client's mean arterial pressure (MAP)?

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Chapter 36: Nursing Management Coronary Artery Disease

and Acute Coronary Syndrome

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37 Verified Questions

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Sample Questions

Q1) A client with ST segment elevation in several electrocardiographic (ECG) leads is admitted to the emergency department (ED) and diagnosed as havingan ST-segment-elevation myocardial infarction (STEMI). Which of the following questions should the nurse ask to determine whether the client is a candidate for fibrinolytic therapy?

A)"Do you take Aspirin on a daily basis?"

B)"What time did your chest pain begin?"

C)"Is there any family history of heart disease?"

D)"Can you describe the quality of your chest pain?"

Q2) The nurse is caring for a client who has had an acute myocardial infarction and the client asks the nurse about when sexual intercourse can be resumed. Which of the following responses by the nurse is best?

A)"Most clients are able to enjoy intercourse without any complications."

B)"Sexual activity uses about as much energy as climbing two flights of stairs."

C)"The doctor will discuss sexual intercourse when your heart is strong enough."

D)"Holding and cuddling are good ways to maintain intimacy after a heart attack."

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38

Chapter 37: Nursing Management Heart Failure

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Sample Questions

Q1) The nurse working in the heart failure clinic will know that teaching for a client with newly diagnosed heart failure has been effective when the client does which of the following actions?

A)Uses an additional pillow to sleep when feeling short of breath at night.

B)Tells the home care nurse that furosemide is taken daily at bedtime.

C)Calls the clinic when the weight increases from 56 to 59 kg in 2 days.

D)Says that the nitroglycerin patch will be used for any chest pain that develops.

Q2) Which assessment finding in a client admitted with chronic heart failure requires the most rapid action by the nurse?

A)Oxygen saturation of 88%

B)Weight gain of 1 kg

C)Apical pulse rate of 106 beats/minute

D)Urine output of 50 mL over 2 hours

Q3) Which of the following clients is less likely to enroll in a cardiac rehabilitation program?

A)A 64-year-old male who has diabetes

B)A 51-year-old male who has a same-sex partner

C)A 52-year-old single female

D)A 39-year-old male with two children

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Page 39

Chapter 38: Nursing Management Dysrhythmias

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Sample Questions

Q1) The nurse is caring for a client who was admitted with a myocardial infarction and experiences a 50-second episode of ventricular tachycardia, then converts to sinus rhythm with a heart rate of 98 beats/minute. Which of the following actions should the nurse take next?

A)Notify the health care provider.

B)Perform synchronized cardioversion.

C)Administer the PRN IV lidocaine.

D)Document the rhythm and monitor the client.

Q2) The nurse is caring for a client with dilated cardiomyopathy who has an atrial fibrillation that has been unresponsive to drug therapy for several days. Which of the following actions should the nurse anticipate?

A)Electrical cardioversion

B)IV adenosine

C)Anticoagulant therapy with warfarin

D)Insertion of an implantable cardioverter-defibrillator

Q3) The nurse is analyzing an electrocardiographic rhythm strip of a client with a regular cardiac rhythm and finds there are 25 small blocks from one R wave to the next. The nurse calculates the client's heart rate as beats per minute.

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Chapter 39: Nursing Management Inflammatory and Structural

Heart Disorders

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/3304

Sample Questions

Q1) Which of the following assessment data obtained by the nurse when assessing a client with acute pericarditis should be reported immediately to the health care provider?

A)Pulsus paradoxus 8 mm Hg

B)Blood pressure (BP) of 166/96

C)Jugular vein distension (JVD) to the level of the jaw

D)Level 6 (0-10 scale) chest pain with deep inspiration

Q2) The nurse is conducting postoperative teaching with a client who had a mitral valve replacement with a mechanical valve. Which of the following information should the nurse include in the teaching plan?

A)Use of daily Aspirin for anticoagulation

B)Correct method for taking the radial pulse

C)Need for frequent laboratory blood testing

D)Possibility of valve replacement in 7-10 years

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Chapter 40: Nursing Management Vascular Disorders

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31 Flashcards

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Sample Questions

Q1) The nurse notes bruising and discoloration of the right leg of a client that has just arrived in the recovery unit from having vein ligation surgery. Which of the following interventions is priority?

A)Place the client in the Trendelenburg position.

B)Contact the health care provider.

C)Elevate the bed at the knee and put pillows under the feet.

D)Elevate the legs 15 degrees to limit edema.

Q2) The nurse is providing teaching to a client with critical limb ischemia. Which of the following client statements indicate further teaching is required?

A)"I will have to buy some loose clothing that does not bind across my legs or waist."

B)"I will use a heating pad on my feet at night to increase the circulation and warmth in my feet."

C)"I will walk to the point of pain, rest, and walk again until I develop pain for a half hour daily."

D)"I will change my position every hour and avoid long periods of sitting with my legs down."

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Chapter 41: Nursing Assessment Gastro-intestinal System

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16 Flashcards

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Sample Questions

Q1) The nurse is caring for a client following a needle biopsy of the liver at the bedside. Which of the following actions should the nurse implement?

A)Put pressure on the biopsy site using a sandbag.

B)Elevate the head of the bed to facilitate breathing.

C)Place the client on the right side with the bed flat.

D)Check the client's postbiopsy coagulation studies.

Q2) Which of the following information obtained by the nurse when admitting a client who is scheduled for an ultrasound of the gallbladder indicates that the ultrasound may need to be rescheduled?

A)The client has a permanent gastrostomy tube.

B)The client took a laxative the previous evening.

C)The client ate a low-fat bagel an hour previously.

D)The client had a high-fat meal the previous evening.

Q3) The nurse is performing a nutritional assessment on a client. Which of the following information obtained by the nurse is of most concern?

A)Decreased appetite

B)Difficulty chewing food

C)Unintentional weight loss

D)Complaints of indigestion

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Page 43

Chapter 42: Nursing Management Nutritional Problems

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23 Flashcards

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Sample Questions

Q1) The nurse is caring for a client with a body mass index (BMI) of 31 kg/m2, anormal

C-reactive protein level, and low transferrin and albumin levels. The nurse will plan client teaching to increase the client's intake of foods that are high in which of the following?

A)Iron

B)Protein

C)Calories

D)Carbohydrate

Q2) How many grams of protein will the nurse recommend to meet the minimum daily requirement for a client who weighs 66 kg?

A)36

B)53

C)75

D)98

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Chapter 43: Nursing Management Obesity

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Sample Questions

Q1) The nurse is providing nutritional teaching to a client who is to start on a very-low-calorie diet. Which of the following calorie amounts should the nurse tell the client that daily calories are not to exceed?

A)500

B) 800

C)1 100

D) 1 400

Q2) On the first postoperative day the nurse is caring for a client who has had a Roux-en-Y gastric bypass procedure. Which of the following assessment findings should be reported immediately to the surgeon?

A)Use of patient-controlled analgesia (PCA) several times an hour for pain

B)Irritation and skin breakdown in skin folds

C)Bilateral crackles audible at both lung bases

D)Emesis of bile-coloured fluid past the nasogastric (NG) tube

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Chapter 44: Nursing Management Upper Gastro-intestinal

Problems

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42 Verified Questions

42 Flashcards

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Sample Questions

Q1) The nurse is caring for a client who is nauseated, vomiting up blood-streaked fluid and has acute gastritis. Which of the following assessments should the nurse ask the client about to determine possible risk factors for gastritis?

A)The amount of fat in the diet

B)History of recent weight gain or loss

C)Any family history of gastric problems

D)Use of nonsteroidal anti-inflammatory drugs (NSAIDs)

Q2) Which of the following assessment findings in a client who had a total gastrectomy 12 hours previously is most important to report to the health care provider?

A)Absent bowel sounds

B)Scant nasogastric (NG) tube drainage

C)Complaints of incisional pain

D)Temperature 38.9°C (102°F)

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46

Chapter 45: Nursing Management Lower Gastro-intestinal

Problems

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46 Verified Questions

46 Flashcards

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Sample Questions

Q1) The nurse is teaching a client with ulcerative colitis about sulphasalazine. Which of the following client statements indicates that the teaching has been effective?

A)"I will need to take this medication for at least one year."

B)"I will need to avoid contact with people who are sick."

C)"The medication will need to be tapered if I need surgery."

D)"The medication will prevent infections that cause the diarrhea."

Q2) Which of the following nursing actions is most important to include in the plan of care for a client who had an abdominal-perineal resection the previous day?

A)Teach about a low-residue diet.

B)Monitor output from the stoma.

C)Assess the perineal drainage and incision.

D)Encourage acceptance of the colostomy stoma.

Q3) When assessing the colour of a new stoma in the postoperative period, which of the following findings should cause the nurse to suspect anemia?

A)Light red to rose

B)Pale pink

C)Blanching, dark red to purple

D)Dark red

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Chapter 46: Nursing Management Liver

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40 Flashcards

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Sample Questions

Q1) The nurse is educating a client with chronic pancreatitis about the prescribed pancrelipase? At which of the following times should the nurse teach the client to take the medication?

A)Bedtime

B)With every meal

C)Upon arising in the morning

D)As soon as abdominal pain starts

Q2) Which of the following laboratory test results is most important for the nurse to monitor when evaluating the effects of therapy for a client who has acute pancreatitis?

A)Calcium

B)Bilirubin

C)Amylase

D)Potassium

Q3) Which of the following data obtained by the nurse during the assessment of a client with cirrhosis is of most concern?

A)The client's hands flap back and forth when the arms are extended.

B)The client has ascites and a 2-kg weight gain from the previous day.

C)The client's skin has multiple spider-shaped blood vessels on the abdomen.

D)The client complains of right upper-quadrant pain with abdominal palpation.

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Page 48

Chapter 47: Nursing Assessment Urinary System

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Sample Questions

Q1) Acreatinine clearance test is ordered for a hospitalized client with possible renal insufficiency. Which of the following equipment will the nurse need to obtain?

A)Sterile specimen cup

B)Large container for urine

C)Foley catheter and drainage bag

D)Towelettes for perineal cleaning

Q2) For which of the following purposes does the nurse use auscultation during assessment of the urinary system?

A)Check for ureteral peristalsis.

B)Assess for bladder distension.

C)Identify renal artery or aortic bruits.

D)Determine the position of the kidneys.

Q3) Aclient's urine dipstick indicates a small amount of protein in the urine. Which of the following actions should the nurse take next?

A)Check which medications the client is currently taking.

B)Obtain a clean-catch urine specimen for culture and sensitivity testing.

C)Ask the client about any family history of chronic renal failure.

D)Send a urine specimen to the laboratory to test for ketones and glucose.

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Chapter 48: Nursing Management Renal and Urologic

Problems

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39 Verified Questions

39 Flashcards

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Sample Questions

Q1) The nurse is caring for a young adult female client who is diagnosed with polycystic kidney disease. Which of the following information should the nurse include in teaching at this time?

A)Importance of genetic counselling

B)Complications of renal transplantation

C)Methods for treating chronic and severe pain

D)Differences between hemodialysis and peritoneal dialysis

Q2) Which of the following information noted by the nurse when caring for a client with a bladder infection is most important to report to the health care provider?

A)Dysuria

B)Hematuria

C)Left-sided flank pain

D)Temperature 37.8°C (100°F)

Q3) Which of the following actions should the nurse teach to a client to help prevent the recurrence of renal calculi?

A)Use a filter to strain all urine.

B)Avoid dietary sources of calcium.

C)Drink diuretic fluids such as coffee.

D)Have 2 000-3 000 mL of fluid a day.

Page 50

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

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36 Verified Questions

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Sample Questions

Q1) The nurse is caring for a client with acute kidney injury (AKI) who has an arterial blood pH of 7.30. Which of the following assessment findings should the nurse anticipate?

A)Vasodilation

B)Poor skin turgor

C)Bounding pulses

D)Rapid respirations

Q2) The RN observes a nursing student carrying out all of these actions while caring for a client with stage 2 chronic kidney disease. Which of the following actions require the RN to intervene?

A)The student administers erythropoietin subcutaneously.

B)The student assists the client to ambulate in the hallway.

C)The student gives the iron supplement and phosphate binder with lunch.

D)The student carries a tray containing low-protein foods into the client's room.

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Chapter 50: Nursing Assessment Endocrine System

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Sample Questions

Q1) The nurse is caring for a client who is undergoing a water deprivation test. Which of the following findings is most important for the nurse to communicate to the health care provider?

A)Intense thirst

B)2.3 kg weight loss

C)Orthostatic hypotension

D)No change in urine osmolality

Q2) Aclient who has diabetes mellitus asks the nurse what the glycosylated hemoglobin (HbA1C) test measures. Which of the following explanations should be the basis of the nurse's response?

A)Glucose levels 2 hours after a meal

B)Circulating, non-fasting glucose levels

C)Glucose control over the past 3 months

D)Hypoglycemic episodes in the past 90 days

Q3) The regulation of oxytocin during childbirth is an example of which of the following mechanisms?

A)Physiological rhythm

B)Secondary input

C)Loop regulation

D)Positive feedback

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Chapter 51: Nursing Management Endocrine Problems

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Sample Questions

Q1) The nurse is admitting a client with possible syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following information obtained by the nurse is most important to communicate rapidly to the health care provider?

A)The client complains of dyspnea with activity.

B)The client has a urine specific gravity of 1.025.

C)The client has a recent weight gain of 3.6 kg.

D)The client has a serum sodium level of 119 mmol/L.

Q2) A few hours after returning to the surgical nursing unit, a client who has undergone a subtotal thyroidectomy develops laryngeal stridor and a cramp in the right hand. Which of the following actions should the nurse anticipate implementing first?

A)Infuse IV calcium gluconate.

B)Suction the client's airway.

C)Prepare for endotracheal intubation.

D)Assist with emergency tracheostomy.

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Chapter 52: Nursing Management Diabetes Mellitus

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Sample Questions

Q1) The nurse has completed teaching a client with type 2 diabetes about taking gliclazide. Which of the following client statements indicate a need for additional teaching?

A)"Other medications besides the gliclazide may affect my blood sugar."

B)"If I overeat at a meal, I will still take just the usual dose of medication."

C)"When I become ill, I may have to take insulin to control my blood sugar."

D)"My diabetes is not as likely to cause complications as if I needed to take insulin."

Q2) The health care provider suspects the Somogyi effect in a client whose 7:00 A.M. blood glucose is 12.2 mmol/L. Which action should the nurse plan to take?

A)Check the client's blood glucose at 3:00 A.M.

B)Administer a larger dose of long-acting insulin.

C)Educate about the need to increase the rapid-acting insulin dose.

D)Remind the client about the need to avoid snacking at bedtime.

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Chapter 53: Nursing Assessment Reproductive System

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Sample Questions

Q1) Which information about a female client who wants to start using oral contraceptives is most important to report to the health care provider?

A)The client quit smoking 6 months previously.

B)The client's blood pressure is 164/90 mm Hg.

C)The client has not been vaccinated for rubella.

D)The client has chronic iron-deficiency anemia.

Q2) The following clients call the outpatient clinic. Which phone call should the nurse return first?

A)A client who has severe breast tenderness following a breast biopsy

B)A client who has bloody discharge after a hysteroscopy earlier today

C)A client who is complaining of dyspnea after a pelvic computed tomography (CT) with contrast

D)A client who is experiencing shoulder pain after a laparoscopy yesterday

Q3) Which of the following questions should the nurse ask when assessing a client who has a history of benign prostatic hyperplasia (BPH)?

A)"Have you noticed any unusual discharge from your penis?"

B)"Has there been any change in your sex life in the last year?"

C)"Do you find it hard to initiate your urinary stream?"

D)"Have you been experiencing any difficulty in achieving an erection?"

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Page 55

Chapter 54: Nursing Management Breast Disorders

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25 Flashcards

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Sample Questions

Q1) A client has a saline breast implant inserted in the outpatient surgery area. Which of the following instructions should the nurse include in the discharge teaching?

A)Take Aspirin every 4 hours to reduce inflammation.

B)Check wound drains for excessive blood or any foul odour.

C)Wear a loose-fitting bra to decrease irritation of the sutures.

D)Resume normal activities 2 to 3 days after the mammoplasty.

Q2) The nurse is caring for a client following breast augmentation surgery. Which of the following information should the nurse include in client teaching?

A)A drain will be in place for 24 hours after the surgery and then removed.

B)Temperature will be monitored every 4 hours postoperatively.

C)A compression dressing will be in place for 5-7 days

D)Most women can resume normal activities 1 week postoperative.

Q3) The nurse is assessing a male client and notes bilateral enlargement of the breasts. Which of the following actions should the nurse take first?

A)Question the client about any medications being currently used.

B)Teach the client about how to palpate the breast tissue for lumps.

C)Refer the client for mammography and biopsy of the breast tissue.

D)Explain that this is a temporary condition due to hormonal changes.

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56

Chapter 55: Nursing Management Sexually Transmitted

Infections

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16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/3320

Sample Questions

Q1) The nurse is assessing a client at the community clinic who has a long history of IV drug use and reports difficulty walking because "I don't know where my feet are." Diagnostic screening reveals positive Venereal Disease Research Laboratory (VDRL) and fluorescent treponemal antibody absorption (FAT-ABS) tests. Which of the following assessments should the nurse implement based on the client history? (Select all that apply.)

A)Heart sounds

B)Genitalia for lesions

C)Joints for swelling and inflammation

D)Mental state for judgement and orientation

E)Skin and mucous membranes for gummas

Q2) Aclient with positive Venereal Disease Research Laboratory (VDRL) and fluorescent treponemal antibody absorption (FAT-ABS) tests has a rash on the palms and the soles of the feet and moist papules in the anal and vulvar area. Which of the following actionsshould the nurse include in the plan of care?

A)Assess for arterial aneurysms.

B)Place the client in a private room.

C)Wear gloves when touching the client.

D)Apply antibiotic ointments to the perineum.

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Chapter 56: Nursing Management Female Reproductive Problems

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42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/3321

Sample Questions

Q1) The nurse is caring for a client who has an induced abortion with suction curettage at an ambulatory surgical centre. Which of the following instructions should the nurse include when discharging the client?

A)"Heavy vaginal bleeding is expected for about 2 weeks."

B)"You should abstain from sexual intercourse for 2 weeks."

C)"Irregular menstrual periods are expected for the next few months."

D)"Use of contraceptives should be avoided until your reexamination."

Q2) A client who is 58-years-old calls the health clinic and tells the nurse that she has a moderate amount of vaginal bleeding after 6 years of menopause. Which of the following procedures should the nurse will anticipate teaching the client about?

A)Endometrial biopsy

B)Uterine balloon therapy

C)Laser endometrial ablation

D)Dilation and curettage (D&C)

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Chapter 57: Nursing Management Male Reproductive Problems

Available Study Resources on Quizplus for this Chatper

27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/3322

Sample Questions

Q1) The nurse is admitting a client with benign prostatic hyperplasia (BPH) who has urinary retention and new onset elevations in blood urea nitrogen (BUN) and creatinine. Which of the following prescribed therapies should the nurse implement first?

A)Schedule an abdominal computed tomography (CT) scan.

B)Insert a urinary retention catheter.

C)Draw blood for a complete blood count.

D)Infuse normal saline at 50 mL/hour.

Q2) The nurse is conducting discharge teaching with a client who has undergone a vasectomy in the health care provider's office. Which of the following information should the nurse include in the discharge instructions?

A)May have temporary erectile dysfunction (ED) because of postoperative swelling.

B)Should continue to use other methods of birth control for 6 weeks.

C)Should not have sexual intercourse until his 6-week follow-up visit.

D)Will notice a decrease in the appearance and volume of his ejaculate.

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Chapter 58: Nursing Assessment Nervous System

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/3323

Sample Questions

Q1) Which of the following information about an older-adult client is most important for the admitting nurse to report to the client's health care provider?

A)Triceps reflex response graded at 1/5

B)Recent unintended weight loss of 9.1 kg

C)Client complaint of chronic difficulty in falling asleep

D)Orthostatic drop in systolic blood pressure of 10 mm Hg

Q2) After reviewing a client's cerebro-spinal fluid analysis, which of the following results is most important for the nurse to communicate to the health care provider?

A)Specific gravity 1.007

B)Protein 6.5 g/L

C)White blood cell (WBC) count 5 * 10<sup>9</sup>/L

D)Glucose 2.5 mmol/L

Q3) The nurse is developing a plan of care for a client with dysfunction of the cerebellum. Which of the following goals of care should the nurse include?

A)Prevent falls.

B)Stabilize mood.

C)Enhance swallowing ability.

D)Improve short-term memory.

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Page 60

Chapter 59: Nursing Management Acute Intracranial

Problems

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36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/3324

Sample Questions

Q1) The nurse is caring for a client who has had a head injury. Which of the following assessment information requires the most rapid action by the nurse?

A)The client is more difficult to arouse.

B)The client's pulse is slightly irregular.

C)The client's blood pressure increases from 120/54 to 136/62 mm Hg.

D)The client indicates a headache at pain level 5 of a 10-point scale.

Q2) The nurse is caring for a client who has increased intracranial pressure and is disoriented and anxious. Which of the following nursing actions should be included in the plan of care?

A)Encourage family members to remain at the bedside.

B)Apply soft restraints to protect the client from injury.

C)Keep the room well lighted to improve client orientation.

D)Minimize contact with the client to decrease sensory input.

Q3) The nurse is caring for a client with a head injury who has clear nasal drainage. Which of the following actions should the nurse take?

A)Have the client blow the nose.

B)Check the nasal drainage for glucose.

C)Assure the client that rhinorrhea is normal after a head injury.

D)Obtain a specimen of the fluid to send for culture and sensitivity.

Page 61

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Chapter 60: Nursing Management Stroke

Available Study Resources on Quizplus for this Chatper

29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/3325

Sample Questions

Q1) Aclient with a history of several transient ischemic attacks (TIAs) arrives in the emergency department with hemiparesis and dysarthria that started 2 hours previously. Which of the following procedures should the nurse anticipate?

A)Surgical endarterectomy

B)Transluminal angioplasty

C)Intravenous heparin administration

D)Tissue plasminogen activator (tPA) infusion

Q2) A client is admitted to the hospital with dysphasia and right-sided weakness that resolves in a few hours. The nurse will anticipate teaching the client about

A)Alteplase (tPA).

B)Aspirin.

C)Warfarin.

D)Nimodipine.

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Chapter 61: Nursing Management Chronic Neurological Problems

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33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/3326

Sample Questions

Q1) The health care provider is considering the use of sumatriptan for a client with migraine headaches. Which of the following information obtained by the nurse is most important to report to the health care provider?

A)The client has at least 1-2 cups of coffee daily.

B)The client has had migraine headaches for 30 years.

C)The client has a history of a recent acute myocardial infarction.

D)The client has been taking topiramate for 2 months.

Q2) The nurse is caring for a client with a history of cluster headache who awakens during the night with a severe stabbing headache. Which of the following actions should the nurse take first?

A)Start the prescribed PRN oxygen at 8 L/minute.

B)Put a moist hot pack on the client's neck.

C)Give the prescribed PRN acetaminophen.

D)Notify the client's health care provider immediately.

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Chapter 62: Nursing Management Delirium

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16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/3327

Sample Questions

Q1) The nurse is caring for a client who is hospitalized with pneumonia and is disoriented and confused 2 days after admission. Which of the following information obtained by the nurse about the client indicates that the client is experiencing delirium rather thandementia?

A)The client was oriented and alert when admitted.

B)The client's speech is fragmented and incoherent.

C)The client is disoriented to place and time but oriented to person.

D)The client has a history of increasing confusion over several years.

Q2) Which of the following interventions should the nurse include in the plan of care for a client who has late-stage Alzheimer's disease (AD)?

A)Encourage the client to discuss events from the past.

B)Maintain a consistent staff member for the client's care.

C)Reorient the client to the date and time every 2-3 hours.

D)Provide the client with current newspapers and magazines.

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Chapter 63: Nursing Management Peripheral Nerve and Spinal Cord Problems

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/3328

Sample Questions

Q1) The nurse is teaching a client who is at risk for Bell's palsy because of previous herpes simplex infection. Which of the following information should the nurse include?

A)"Call the doctor if pain or herpes lesions occur near the ear."

B)"Treatment of herpes with antiviral agents prevents Bell's palsy."

C)"You may be able to prevent Bell's palsy by doing facial exercises regularly."

D)"Medications to treat Bell's palsy work only if started before paralysis onset."

Q2) After a young adult client has returned home following rehabilitation for a spinal cord injury, the home care nurse notes that the partner is performing many of the activities that the client had been managing during rehabilitation. Which of the followingactions by the nurse is most appropriate at this time?

A)Tell the partner that the client can perform activities independently.

B)Remind the client about the importance of independence in daily activities.

C)Develop a plan to increase the client's independence in consultation with the client and the partner.

D)Recognize that it is important for the partner to be involved in the client's care and support the partner's participation.

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65

Chapter 64: Nursing Assessment Musculo-skeletal System

Available Study Resources on Quizplus for this Chatper

16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/3329

Sample Questions

Q1) The nurse is caring for a client with kyphosis who is scheduled for dual-energy x-ray absorptiometry (DEXA) testing. Which of the following actions should the nurse plan to implement?

A)Give an oral sedative.

B)Start an intravenous line.

C)Teach the client about DEXA.

D)Screen the client for shellfish allergies.

Q2) The nurse is caring for a client with kyphosis. Which of the following findings should the nurse expect to assess?

A)Shortened stride

B)Exaggerated thoracic curvature

C)Grating sound when preforming passive ROM

D)Uncoordinated, swaying gait

Q3) The nurse is preparing to assess a client's musculo-skeletal system. Which of the following actions should the nurse do first?

A)Feel for the presence of crepitus during joint movement.

B)Have the client move the extremities against resistance.

C)Observe the client's body build and muscle configuration.

D)Check active and passive range of motion for the extremities.

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Page 66

Chapter 65: Nursing Management Musculo-skeletal

Trauma and Orthopedic Surgery

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40 Verified Questions

40 Flashcards

Source URL: https://quizplus.com/quiz/3330

Sample Questions

Q1) The nurse is evaluating the crutch-walking technique of a client who is to have no weight bearing on the right leg. Which of the following observations indicates that the client can safely ambulate independently?

A)The client keeps the padded area of the crutch firmly in the axillary area when ambulating.

B)The client advances the right leg and both crutches together and then advances the left leg.

C)The client moves the left crutch with the left leg and then the right crutch with the right leg.

D)The client uses the bedside chair to assist in balance as needed when ambulating in the room.

Q2) The nurse is counselling a client about ways to prevent fractures. Which of the following information should the nurse include?

A)Tack down throw rugs in the home.

B)Most falls happen outside the home.

C)Buy shoes that provide good support and are comfortable to wear.

D)Range-of-motion exercises should be taught by a physical therapist.

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Page 67

Chapter 66: Nursing Management Musculo-skeletal

Problems

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/3331

Sample Questions

Q1) The nurse is teaching a client whose work involves lifting and has a history of chronic back pain about proper body mechanics. Which of the following client statements indicates that the teaching has been effective?

A)"I plan to start doing exercises to strengthen the muscles of my back."

B)"I will try to sleep with my hips and knees extended to prevent back strain."

C)"I can tell my boss that I need to change to a job where I can work at a desk."

D)"I will keep my back straight when I need to lift anything higher than my waist."

Q2) The nurse is caring for a client following a laminectomy with a spinal fusion who reports numbness and tingling of the right lower leg. Which of the following actions should the nurse do first?

A)Report the client's symptoms to the surgeon.

B)Check the vital signs for indications of hemorrhage.

C)Turn the client to the side to relieve pressure on the right leg.

D)Document the findings and reassess the client in two hours.

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68

Chapter 67: Nursing Management Arthritis and Connective

Tissue Diseases

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42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/3332

Sample Questions

Q1) The nurse is caring for a client who has systemic sclerosis manifested by CREST (calcinosis, Raynaud's phenomenon, esophageal dysfunction, sclerodactyly, telangiectasia) syndrome. Which of the following actions should the nurse include in the plan of care?

A)Avoid use of capsaicin cream on hands.

B)Keep client's room warm and draft free.

C)Obtain capillary blood glucose before meals.

D)Assist to bathroom every 2 hours while awake.

Q2) The nurse is caring for a client with polymyositis and has joint pain, an erythematosus facial rash with eyelid edema, and a weak, hoarse voice. Which of the following nursing diagnoses is priority?

A)Acute pain related to biological injury agent (inflammation)

B)Risk for aspiration as evidenced by barrier to elevating upper body

C)Risk for impaired skin integrity as evidenced by excretions

D)Risk for dry eye as evidenced by insufficient knowledge of modifiable factors (eyelid swelling)

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69

Chapter 68: Nursing Management Critical Care

Environment

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37 Verified Questions

37 Flashcards

Source URL: https://quizplus.com/quiz/3333

Sample Questions

Q1) The nurse is monitoring for the effectiveness of treatment for a client with left ventricular failure. Which of the following assessments is most important for the nurse to evaluate?

A)Mean arterial pressure (MAP)

B)Systemic vascular resistance (SVR)

C)Pulmonary vascular resistance (PVR)

D)Pulmonary artery occlusive pressure (PAOP)

Q2) Four hours after mechanical ventilation is initiated for a client with chronic obstructive pulmonary disease (COPD), the client's arterial blood gas (ABG) results include a pH of 7.50, PaO<sub>2</sub> of 80 mm Hg, PaCO<sub>2</sub> of 29 mm Hg, and HCO³- of 23 mmol/L. The nursewill anticipate the need to do which of the following actions based upon these findings?

A)Increase the FIO<sub>2</sub>.

B)Decrease the respiratory rate.

C)Increase the tidal volume (VT).

D)Leave the ventilator at the current settings.

Q3) A client's vital signs are pulse 80, respirations 24, BP of 124/60 mm Hg, and cardiac output is 4.8 L/minute. What is the client's stroke volume?

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Chapter 69: Nursing Management Shock

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/3334

Sample Questions

Q1) The charge nurse is evaluating the skills of a new RN caring for a client in shock. Which of the following actions by the new RN indicates a need for more education in the care of clients with shock?

A)Placing the pulse oximeter on the ear for a client with septic shock

B)Keeping the head of the bed flat for a client with hypovolemic shock

C)Decreasing the room temperature to 20°C (68°F) for a client with neurogenic shock

D)Increasing the nitroprusside infusion rate for a client with a high SVR

Q2) Which of the following assessments is most important for the nurse to make in order to evaluate whether treatment of a client with anaphylactic shock has been effective?

A)Pulse rate

B)Orientation

C)Blood pressure

D)Oxygen saturation

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Chapter 70: Nursing Management Respiratory Failure and

Acute Respiratory Distress Syndrome

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3335

Sample Questions

Q1) The pulse oximetry for a client with right lower lobe pneumonia indicates an oxygen saturation of 90%. The client has rhonchi, a weak cough effort, and complains of fatigue. Which of the following actions is best for the nurse to take?

A)Position the client on the right side.

B)Place a humidifier in the client's room.

C)Assist the client with staged coughing.

D)Schedule a 2-hour rest period for the client.

Q2) To decrease the risk for ventilator-associated pneumonia, which of the following actions should the nurse include in the plan of care for a client who requires intubation and mechanical ventilation?

A)Avoid use of positive end-expiratory pressure (PEEP).

B)Suction every 2 hours.

C)Elevate head of bed to 45 degrees.

D)Give enteral feedings at no more than 10 mL/hour.

Q3) Chest physiotherapy is indicated for which of the following clients?

A)Takes a bronchodilator

B)Produces 40 mL of sputum per 24 hours

C)Has an increased PCO<sub>2</sub> level

D)Is taking vancomycin

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Chapter 71: Nursing Management Emergency Care Situations

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24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/3336

Sample Questions

Q1) The nurse is caring for a client with hypotension and temperature elevation after doing yard work on a hot day and is being treated in the emergency department. After the nurse has completed discharge teaching, which of the following client statements indicates that the teaching has been effective?

A)"I will take salt tablets when I work outdoors in the summer."

B)"I should take acetaminophen if I start to feel too warm."

C)"I should have sports drinks when exercising outside in hot weather."

D)"I will get into a cool environment if I notice that I am feeling confused."

Q2) The nurse is caring for a client that has sustained a black widow spider bite. Which of the following times should the nurse be aware of that the symptoms usually peak?

A)30 minutes

B)2-3 hours

C)5-6 hours

D)9-10 hours

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Chapter 72: Emergency Management and Disaster Planning

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24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/3337

Sample Questions

Q1) The nurse is developing guidelines for emergency management. Which of the following steps is the critical first step in emergency management?

A)Response

B)Recovery

C)Mitigation

D)Preparedness

Q2) The nurse is triaging a client who arrives in the emergency department experiencing shock. Using the START system, which of the following colours should the nurse assign to this client?

A)Red

B)Black

C)Green

D)Yellow

Q3) Which of the following routes is the least lethal route for the spread of anthrax (Bacillus anthracis)?

A)Inhalation

B)Ingestion

C)Cutaneous

D)Injection

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