Canadian Nursing Practice Review Questions - 1844 Verified Questions

Canadian Nursing Practice Review

Questions

Course Introduction

Canadian Nursing Practice explores the foundational principles, values, and standards that guide nursing professionals in Canada. The course examines the roles and responsibilities of nurses within the Canadian healthcare system, emphasizing culturally competent, ethical care and collaboration within multidisciplinary teams. Students will gain insight into the Canadian scope of practice, health legislation, and regulatory requirements while developing essential clinical skills. Through case studies and practical applications, learners are introduced to patient-centered care models, critical thinking, and evidence-based decision-making within the diverse context of Canadian society.

Recommended Textbook

Medical Surgical Nursing in Canada 4th Edition by Lewis

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72 Chapters

1844 Verified Questions

1844 Flashcards

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Page 2

Chapter 1: Introduction to Medical-Surgical Nursing

Practice in Canada

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16 Verified Questions

16 Flashcards

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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) The nurse is caring for a critically ill client in the intensive care unit and plans an A)Dependent

B)Cooperative

C)Independent

D)Collaborative

Answer: D

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Chapter 2: Cultural Competence and Health Equity in Nursing Care

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17 Verified Questions

17 Flashcards

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Sample Questions

Q1) Which of the following terms refer to characteristics of a group whose members share a common social, cultural, linguistic, or religious heritage?

A)Diversity

B)Ethnicity

C)Ethnocentrism

D)Cultural imposition

Answer: B

Q2) Which of the following statements is true related to immigrants to Canada?

A)Decreased risk of social exclusion related to Canada's multicultural population.

B)New immigrants tend to be in overall better health than the resident population.

C)Health status of immigrants is not related to length of time in Canada.

D)Unemployment is not associated with poorer health outcomes for immigrants.

Answer: B

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4

Chapter 3: Health History and Physical Examination

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Sample Questions

Q1) As the nurse assesses the client's neck, the client says, "My neck is so stiff I can hardly move it." This client statement indicates the nurse should perform which of the following assessments?

A)Focused

B)Screening

C)Emergency

D)Comprehensive

Answer: A

Q2) 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

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Chapter 4: Patient and Caregiver Teaching

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19 Verified Questions

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Sample Questions

Q1) The nurse is preparing written handouts to be used as part of the standardized teaching plan for clients who have been recently diagnosed with diabetes and requires an awareness of literacy levels. Which of the following literacy levels is generally reflective of students who graduate from high school?

A)1

B)2

C)3

D)4

Q2) The nurse is caring for a client with diabetes and develops a nursing diagnosis of ineffective health management related to insufficient knowledge of therapeutic regimen (resulting in low motivation). Which of the following client actions is the basis for thisnursing diagnosis?

A)Does not perform capillary blood glucose tests as directed.

B)Occasionally forgets to take the daily prescribed medication.

C)Says that dietary intake does not seem to impact fatigue level.

D)Cannot identify signs or symptoms of high and low blood glucose.

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Chapter 5: Chronic Illness

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Sample Questions

Q1) Which of the following diseases has the highest proportion of chronic illness deaths in Canada?

A)Cancer

B)Diabetes

C)Cardiovascular disease

D)Chronic respiratory disease

Q2) Which of these clients assigned to the nurse is most likely to need planning for long-term nursing management?

A)22-year-old with appendicitis who has had an emergency appendectomy

B)56-year-old with bilateral knee osteoarthritis who weighs 159 kg

C)34-year-old with cholecystitis who has had a laparoscopic cholecystectomy

D)62-year-old with acute sinusitis who will require antibiotic therapy for 5 days

Q3) The nurse is caring for a client with type 2 diabetes who has been hospitalized with severe hyperglycemia. Which of the following topics will be most important to include in discharge teaching?

A)Effect of endogenous insulin on transportation of glucose into cells

B)Function of the liver in formation of glycogen and gluconeogenesis

C)Impact of the client's family history on likelihood of developing diabetes

D)Symptoms indicating that the client should contact the health care provider

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Page 7

Chapter 6: Community-Based Nursing and Home Care

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Sample Questions

Q1) Which of the following statements is true in relation to nursing-sensitive outcomes?

A)Only used to evaluate client care.

B)Are outside of the nurses' scope of practice.

C)Have no influence on health care budgets.

D)Require empirical evidence.

Q2) Which of the following nursing activities is appropriate for the home care nurse who is caring for a client newly diagnosed with diabetes to delegate to a home support worker?

A)Assist the client to choose an appropriate diet.

B)Check the client's feet for signs of breakdown.

C)Help the client with a daily bath and oral care.

D)Teach the client how to monitor blood glucose.

Q3) Which of these clients should the nurse refer for home health care services?

A)A 71-year-old with dementia who needs 24-hour care to prevent injury

B)An 82-year-old whose family has asked for help to organize pills into a pill box

C)A 67-year-old who requires assistance with shopping, housework, and cooking

D)A 79-year-old with terminal cancer who needs hospice palliative

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Chapter 7: Older Adults

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Sample Questions

Q1) The nurse suspects that elder abuse may be occurring when a frail older-adult client with a broken arm is brought to the emergency department by a family member. Which of these actions should the nurse take first?

A)Notify an elder protective services agency about the possible abuse.

B)Make a referral for a home assessment visit by the home health nurse.

C)Have the family member stay in the waiting area while the client is assessed.

D)Ask the client how the injury occurred and observe the family member's reaction.

Q2) The nurse is admitting an older-adult client who is hospitalized with an acute illness. Which of the following interventions should the nurse do first?

A)Orientate the client to their room.

B)Administer the prescribed PRN sedative medication.

C)Ask the health care provider to order a vest restraint.

D)Place the client in a "geri chair" near the nurse's station for observation.

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Chapter 8: Stress and Stress Management

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Sample Questions

Q1) An overweight client who enjoys active outdoor activities develops arthritis in the knees. Which action by the nurse is most appropriate to assist the client in coping with the diagnosis?

A)Ask the client to discuss feelings about the diagnosis.

B)Have the client practise frequent relaxation breathing.

C)Educate the client on the use of imagery to decrease pain and decrease stress.

D)Encourage the client to think about how weight loss might improve symptoms.

Q2) 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

Q3) When choosing music to help relax a client who is having a painful dressing change, which action is best for the nurse to take?

A)Use music composed by Mozart.

B)Ask the client about music preferences.

C)Select music that has 60-80 beats/minute.

D)Encourage the client to use music without words.

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Page 10

Chapter 9: Sleep and Sleep Disorders

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Sample Questions

Q1) The nurse takes the health history for four clients in the clinic. Which information regarding the clients' sleep is most important to communicate to the health care provider?

A)A 21-year-old student takes melatonin to assist in sleeping when travelling from Canada to Europe.

B)A 32-year-old who is experiencing a stressful week uses diphenhydramine for several nights.

C)A 41-year-old with a body mass index (BMI) of 42 kg/m2 says that the spouse complains about the client's snoring.

D)A 64-year-old nurse who works the night shift reports drinking hot chocolate before going to bed in the morning.

Q2) Which of these actions should the nurse take first for a client in the clinic who is complaining of insomnia and daytime fatigue?

A)Question the client about the use of over-the-counter (OTC) sleep aids.

B)Suggest that the client decrease intake of caffeine-containing beverages.

C)Advise the client to get out of bed if unable to fall asleep in 10-20 minutes.

D)Recommend that the client use any prescribed sleep aids for only 2-3 weeks.

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11

Chapter 10: Pain

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Sample Questions

Q1) The nurse assesses a postoperative client who is receiving morphine through

A)The client complains of nausea after eating.

B)The client's respiratory rate is 10 breaths/minute.

C)The client has not had a bowel movement for 3 days.

D)The client has a distended bladder and has not voided.

Q2) Apostoperative client asks the nurse how the prescribed ibuprofen will control the incisional pain. The nurse will teach the client that ibuprofen interferes with the pain process by decreasing which of the following physiological responses?

A)Modulating effect of descending nerves

B)Sensitivity of the brain to painful stimuli

C)Production of pain-sensitizing chemicals

D)Spinal cord transmission of pain impulses

Q3) 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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Page 12

Chapter 11: Substance Use

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22 Flashcards

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Sample Questions

Q1) A young adult client arrives at the emergency department with severe chest pain and agitation. Which of the following actions should the nurse take first?

A)Give the PRN naloxone IV.

B)Ask about any use of stimulant drugs.

C)Assess orientation to person, place, and time.

D)Check blood pressure, pulse, and respirations.

Q2) The nurse is caring for a young adult client who has inhaled cocaine and has been admitted to the emergency department with palpitations and shortness of breath. Which of the following actions ordered by the health care provider will the nurse implementfirst?

A)Obtain a 12-lead ECG.

B)Start O2 at 4 L/minute.

C)Draw blood for drug screening.

D)Infuse normal saline at 100 mL/hour.

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

A)Alcohol

B)Inhalants

C)Opioids

D)Hallucinogens

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Page 13

Chapter 12: Complementary and Alternative Therapies

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11 Verified Questions

11 Flashcards

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Sample Questions

Q1) Which of the following data obtained by the nurse during the preoperative assessment of a client requires further assessment?

A)The client uses several herbal remedies routinely.

B)The client recently visited a chiropractor for back pain.

C)The client has used acupressure to relieve postoperative nausea in the past.

D)The client expresses a wish to use acupuncture for postoperative pain control.

Q2) Aclient who uses multiple herbal products is scheduled to undergo knee replacement surgery. The nurse informs the client that herbs that should be discontinued at least 2-3 weeks before surgery include which of the following? (Select all that apply.)

A)Garlic

B)Ginger

C)Feverfew

D)Echinacea

E)Ginkgo biloba

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Chapter 13: Palliative Care at the End of Life

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) The family member of a client who is dying tells the nurse, "Mother doesn't really respond any more when I visit. I don't think she knows that I am here." Which of the following responses by the nurse is most appropriate?

A)"You may need to cut back your visits for now to avoid overtiring your mother."

B)"Withdrawal may sometimes be a normal response when preparing to leave life."

C)"It will be important for you to stimulate your mother as she gets closer to dying."

D)"Many clients don't really know what is going on around them at the end of life."

Q2) The nurse is providing hospice care to a client who is manifesting a decrease in all body system functions except for a heart rate of 124 and a respiratory rate of 28. Which of the following is the basis for the nurses' response about these symptoms?

A)They will continue to increase until death finally occurs.

B)They are a normal response before these functions decrease.

C)They indicate a reflex response to the slowing of other body systems.

D)They may be associated with an improvement in the client's condition.

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Chapter 14: Inflammation and Wound Healing

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21 Verified Questions

21 Flashcards

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Sample Questions

Q1) Aclient is admitted to the hospital with a pressure injury on the left buttock. The nurse notes that the base of the wound is yellow and involves subcutaneous tissue. Which of the following pressure injury wound stages should the nurse document?

A)1

B)2

C)3

D)4

Q2) The nurse is caring for a client with diabetes who has been admitted for a laparotomy and possible release of adhesions. When planning interventions to promote wound healing, which of the following actions is priority?

A)Maintaining the client's blood glucose within a normal range

B)Ensuring that the client has an adequate dietary protein intake

C)Giving antipyretics to keep the temperature less than 38.9°C (102°F)

D)Redressing the surgical incision with a dry, sterile dressing twice daily

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Chapter 15: Genetics

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11 Verified Questions

11 Flashcards

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Sample Questions

Q1) Which of the following terms describe the process by which the codon sequence is converted to amino acids?

A)Transcription

B)Mutation

C)Translation

D)Processing

Q2) The parents of a child with brachydactyly ask if their next child will also be affected. Which of the following is the basis for the nurses' response related to autosomal dominant disorders?

A)There is a 25% chance that the child will be affected.

B)All male off-spring are affected.

C)There is a 50% chance that the child will be affected.

D)All female off-spring will be affected.

Q3) Anewly pregnant woman asks the nurse what the best time is for a prenatal diagnostic amniocentesis? Which of the following time frames is the basis for the nurses' response?

A)7-10 weeks

B)11-13 weeks

C)15-17 weeks

D)20-24 weeks

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Chapter 16: Altered Immune Response and Transplantation

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27 Verified Questions

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Sample Questions

Q1) The nurse is conducting an annual health examination on an older adult client who states, "I don't understand why I need to have so many cancer screening tests now. I feel just fine!" Based upon this statement, which of the following topics will the nurse include in the clients' teaching plan?

A)Consequences of aging on cell-mediated immunity

B)Decrease in antibody production associated with aging

C)Impact of poor nutrition on immune function in older people

D)Incidence of cancer-stimulating infections in older individuals

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.

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18

Chapter 17: Infection and Human Immunodeficiency Virus

Infection

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22 Flashcards

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Sample Questions

Q1) Which of the following clients will the nurse working in an HIV testing and treatment clinic anticipate teaching about antiretroviral therapy (ART)?

A)A client who is currently HIV negative but has unprotected sex with multiple partners

B)A client who was infected with HIV 15 years ago and now has a CD4+ count of 840/µL

C)An HIV-positive client with a CD4+ count of 120/µL who drinks a fifth of whiskey daily

D)A client who tested positive for HIV 2 years ago and has cytomegalovirus (CMV) disease

Q2) Aclient who has vague symptoms of fatigue and headaches is found to have a positive enzyme immunoassay (EIA) for human immunodeficiency virus (HIV) antibodies. In discussing the test results with the client, which of the following information should thenurseinclude?

A)The EIA test will need to be repeated to verify the results.

B)A viral culture will be done to determine the progress of the disease.

C)It will probably be 10 or more years before the client develops acquired immunodeficiency syndrome (AIDS).

D)The Western blot test will be done to determine whether AIDS has developed.

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Page 19

Chapter 18: Cancer

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Sample Questions

Q1) When caring for a client with a temporary radioactive cervical implant, which action by the student nurse indicates that the unit nurse should intervene?

A)The student flushes the toilet once after emptying the client's bedpan.

B)The student stands by the client's bed for 30 minutes talking with the client.

C)The student places the client's bedding in the laundry container in the hallway.

D)The student gives the client an alcohol-containing mouthwash to use for oral care.

Q2) Aclient with a large stomach tumour that is attached to the liver is scheduled to have a debulking procedure. When teaching the client, which of the following is the expected outcome of this surgery?

A)Relief of pain by cutting sensory nerves in the stomach

B)Control of the tumour growth by removal of malignant tissue

C)Decrease in tumour size to improve the effects of other therapy

D)Promotion of better nutrition by relieving the pressure in the stomach

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Chapter 19: Fluid

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Sample Questions

Q1) Which assessment finding about a client who has a serum calcium level of 1.58 mmol/L is most important for the nurse to immediately report to the health care provider?

A)The client is experiencing laryngeal stridor.

B)The client complains of generalized fatigue.

C)The client's bowels have not moved for 4 days.

D)The client has numbness and tingling of the lips.

Q2) The nurse is caring for a client in the outpatient clinic who has a decreased serum magnesium level. Which of the following assessment areas should the nurse include in the health history?

A)Daily alcohol intake

B)Intake of dietary protein

C)Multivitamin/mineral use

D)Use of over-the-counter (OTC) laxatives

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Chapter 20: Nursing Management Preoperative Care

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Sample Questions

Q1) Aclient arrives at the ambulatory surgery centre for a scheduled outpatient surgery. Which of the following information is of most concern to the nurse?

A)The client has not had outpatient surgery before.

B)The client is planning to drive home after surgery.

C)The client's insurance does not cover the scheduled procedure.

D)The client had a glass of water a few hours before arriving.

Q2) The nurse is preparing to administer atropine to a client before surgery. Which of the following symptoms should the nurse teach the client to expect?

A)Dizziness

B)Weakness

C)Dry mouth

D)Forgetfulness

Q3) According to the ASA Physical Status Classification System, which of the following assessments is consistent with a rating of ASA III?

A)Chronic asthma, controlled with an inhaler and corticosteroids

B)Poorly controlled asthma and is wheezing

C)Is in status asthmaticus and on a ventilator

D)Has no significant health problems

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Chapter 21: Nursing Management Intraoperative Care

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Sample Questions

Q1) Which of the following actions should the scrub nurse use to maintain aseptic technique during surgery?

A)Use waterproof shoe covers.

B)Wear personal protective equipment.

C)Insist that all operating room (OR) staff perform a surgical scrub.

D)Change gloves after touching the thigh of a surgeon's sterile gown.

Q2) The perioperative nurse is encouraging a family member to remain with a client in the preoperative holding area until the client is taken into the operating room. Which of the following reasons is the primary reason for this encouragement?

A)Ensure proper identification of the client before surgery.

B)Protect client from cross-contamination with other clients.

C)Assist perioperative nurse to obtain a complete client history.

D)Help relieve the stress of surgery for the client and family member.

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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Sample Questions

Q1) After a new nurse has been oriented to the postanaesthesia care unit (PACU), the charge nurse will evaluate that the orientation has been successful when the new nurse does which of the following actions?

A)Places a client in the Trendelenburg position when the blood pressure (BP) drops.

B)Assists a client to the prone position when the client is nauseated.

C)Turns an unconscious client to the side when the client arrives in the PACU.

D)Positions a newly admitted unconscious client supine with the head elevated.

Q2) The nurse is caring for a client who is recovering from anaesthesia in the postanaesthesia care unit (PACU). On admission to the PACU, the blood pressure (BP) is 124/70. Thirty minutes after admission, the blood pressure is 112/60, with a pulse of 72 andwarm,dry skin. Which of the following actions is the most appropriate for the nurse to implement at this time?

A)Increase the rate of the IV fluid replacement.

B)Continue to take vital signs every 15 minutes.

C)Administer oxygen therapy at 100% per mask.

D)Notify the anaesthesia care provider (ACP) immediately.

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Chapter 23: Nursing Assessment Visual and Auditory Systems

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Sample Questions

Q1) Which of the following actions should the nurse include in the plan of care for a client who has vestibular disease?

A)Check Rinne's and Weber's tests.

B)Face the client when speaking.

C)Enunciate clearly when speaking.

D)Monitor the client's ability to ambulate safely.

Q2) The nurse is assessing an older-adult client for the presence of presbyopia. Which of the following equipment will the nurse need to obtain before the examination?

A)Penlight

B)Tono-pen

C)Jaeger chart

D)Snellen chart

Q3) The nurse is admitting a client to the hospital preoperatively. Which of the following findings may indicate that the client is at risk for falls while hospitalized?

A)Lateralization with Weber's test

B)Positive result for Rinne's testing

C)Inability to hear a low-pitched whisper

D)Nystagmus when head is turned rapidly

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Chapter 24: Nursing Management Visual and Auditory

Problems

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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) The nurse is caring for a client with neural presbycusis. Which of the following hearing changes should the nurse expect with this type of presbycusis?

A)Loss of high-pitched sounds

B)Loss of speech discrimination

C)Uniform loss for all frequencies

D)Range of hearing loss with low frequencies

Q3) Which of the following information should the nurse include when teaching a client with keratitis caused by herpes simplex type 1?

A)Application of corticosteroid ophthalmic ointment to the eyes

B)Application of povidone-iodine gel around the eye

C)Avoidance of nonsteroidal anti-inflammatory drugs (NSAIDs)

D)Importance of taking all of the ordered oral acyclovir

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Chapter 25: Nursing Assessment Integumentary System

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Sample Questions

Q1) The nurse is caring for a client who has a circular, flat, reddened lesion about 5 cm in diameter on his ankle. Which of the following actions would the nurse implement to determine whether the lesion is related to blood vessel dilation?

A)Elevate the client's leg

B)Press firmly on the lesion

C)Check the temperature of the skin around the lesion

D)Palpate the dorsalis pedis and posterior tibial pulses

Q2) The nurse is preparing for a teaching session with older-adult clients. Which of the following changes is an age-related change in the hair?

A)Increased melanocytes

B)Decreased oils

C)Increased density

D)Increased estrogen

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Chapter 26: Nursing Management Integumentary

Problems

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Sample Questions

Q1) The nurse is caring for a client who has basal cell carcinoma (BCC) of the face. Which of the following information should the nurse include when teaching this client?

A)Treatment plans include watchful waiting.

B)Screening for metastasis will be important.

C)Low-dose systemic chemotherapy is used to treat BCC.

D)Minimizing sun exposure will reduce risk for future BCC.

Q2) The health care provider prescribes topical 5-fluorouracil (5-FU) for a client with actinic keratosis on the nose. Which of the following information would the nurse include in the client teaching plan?

A)You may develop nausea and anorexia, but good nutrition is important during treatment.

B)You will need to avoid crowds because of the risk for infection caused by chemotherapy.

C)The nose will develop painful, eroded areas that will take weeks before completely healing.

D)5-FU is needed to shrink the lesion so that less scarring occurs once the lesion is excised.

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Page 28

Chapter 27: Nursing Management Burns

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Sample Questions

Q1) Which of the following laboratory results requires the most rapid action by the nurse who is caring for a client who suffered a large burn 48 hours ago?

A)Hct 52%

B)BUN 13.8 mmol/L

C)Serum sodium 146 mmol/L

D)Serum potassium 6.2 mmol/L

Q2) Which of the following assessment parameters is the priority nursing assessment when caring for a client who has just arrived in the emergency department after suffering an electrical burn from exposure to a high-voltage current?

A)Oral temperature

B)Peripheral pulses

C)Extremity movement

D)Pupil reaction to light

Q3) The nurse is admitting a client with burns over 30% of total body surface area (TBSA) and who weighs 70 kg. Using the Parkland formula, calculate the volume of lactated Ringer's solution that the nursing staff will administer during the first 24 hours.

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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) Which of the following actions should the nurse plan to take for a client who is scheduled for pulmonary function testing (PFT)?

A)Explain reasons for NPO status.

B)Administer sedative drug before PFT.

C)Assess pulse and BP after the procedure.

D)Teach deep inhalation and forceful exhalation.

Q2) The nurse is observing a student who is listening to a client's lungs. Which of the following actions by the student indicates a need to review respiratory assessment skills?

A)The student compares breath sounds from side to side.

B)The student listens only over the posterior part of the chest.

C)The student places the stethoscope over the scapulae and then auscultates.

D)The student starts at the base of the posterior lung and moves to the apices.

Q3) The nurse is admitting a client who is hypothermic with a O2 saturation of 96%. Which of the following actions should the nurse take next?

A)Initiate rewarming of the client.

B)Complete a head-to-toe assessment.

C)Obtain arterial blood gases (ABGs).

D)Place the client on high-flow oxygen.

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Page 30

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

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

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

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

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

Q2) The nurse is providing teaching to a client who has acute viral rhinitis about management of upper respiratory infections (URI). Which of the following client statements indicate that additional teaching is needed?

A)"I can take acetaminophen to treat discomfort."

B)"I will drink lots of juices and other fluids to stay hydrated."

C)"I can use my nasal decongestant spray until the congestion is all gone."

D)"I will watch for changes in nasal secretions or the sputum that I cough up."

Q3) Which of the following causes is the most common cause of acute pharyngitis?

A)Fungal

B)Viral

C)Acute follicular

D)Peritonsillar

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Chapter 30: Nursing Management Lower Respiratory

Problems

Available Study Resources on Quizplus for this Chatper

43 Verified Questions

43 Flashcards

Source URL: https://quizplus.com/quiz/3295

Sample Questions

Q1) Following assessment of a client with pneumonia, the nurse identifies a nursing diagnosis of ineffective airway clearance. Which of the following information best supports this diagnosis?

A)Weak, nonproductive cough effort

B)Large amounts of greenish sputum

C)Respiratory rate of 28 breaths/minute

D)Resting pulse oximetry (SpO2) of 85%

Q2) The health care provider writes a prescription for bacteriological testing for a client who has a positive tuberculosis skin test. Which of the following actions should the nurse take?

A)Repeat the tuberculin skin testing.

B)Teach about the reason for the blood tests.

C)Obtain consecutive sputum specimens from the client for 3 days.

D)Instruct the client to expectorate three specimens as soon as possible.

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

42 Flashcards

Source URL: https://quizplus.com/quiz/3296

Sample Questions

Q1) Which of the following topics should the nurse include in medication teaching for a client with newly diagnosed persistent asthma?

A)Use of long-acting ?-adrenergic medications

B)Adverse effects of sustained-release theophylline

C)Self-administration of inhaled corticosteroids

D)Complications associated with oxygen therapy

Q2) The nurse is caring for a client who is hospitalized with cystic fibrosis (CF) and is coughing up large quantities of thick green mucus. Which of the following treatments should the nurse include in the teaching plan?

A)Antibiotic resistance

B)Inhaled bronchodilators

C)Oral corticosteroid therapy

D)Aerosolized amoxicillin

Q3) Which of the following information should the nurse teach a client with COPD?

A)To exercise immediately before a meal.

B)To eat a high-calorie, low-protein diet.

C)To have 5 or 6 small meals a day.

D)Avoid foods that are cooked in a microwave.

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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 caring for a client who had an intraoperative hemorrhage 12 hours ago. Which of the following laboratory results should the nurse anticipate?

A)Hematocrit of 45%

B)Hemoglobin of 132 g/L

C)Decreased white blood cell (WBC) count

D)Elevated reticulocyte count

Q2) 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

Q3) 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)

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Page 34

Chapter 33: Nursing Management Hematological Problems

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39 Verified Questions

39 Flashcards

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

Sample Questions

Q1) The nurse is admitting a client with type A hemophilia who has severe pain and swelling in the right knee. Which of the following actions should the nurse implement initially?

A)Immobilize the knee

B)Apply heat to the joint

C)Assist the client with light weight bearing

D)Perform passive range of motion to the knee

Q2) The nurse is caring for a client with immune thrombo-cytopenic purpura (ITP) who has a prescription for a platelet transfusion. Which of the following client information indicates that the nurse should consult with the health care provider before administering platelets?

A)The platelet count is 42 * 109/L.

B)Blood pressure is 94/56 mm Hg.

C)Blood is oozing from the venipuncture site.

D)Petechiae are present on the chest and back.

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Chapter 34: Nursing Assessment Cardiovascular System

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/3299

Sample Questions

Q1) The standard policy on the cardiac unit states, "Notify the health care provider for mean arterial pressure (MAP) less than 70 mm Hg." Which of the following clients should the nurse report to the health care provider?

A)Postoperative client with a BP of 116/42

B)Newly admitted client with a BP of 122/60

C)Client with left ventricular failure who has a BP of 110/70

D)Client with a myocardial infarction who has a BP of 114/50

Q2) 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)

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Chapter 35: Nursing Management Hypertension

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3300

Sample Questions

Q1) The nurse is caring for a client with hypertension and has a prescription for nadolol. Which of the following assessment findings should the nurse report to the health care provider before administering this medication?

A)Asthma

B)Peptic ulcer disease

C)Alcohol dependency

D)Myocardial infarction

Q2) The nurse is caring for a 52-year-old client who has no previous history of hypertension or other health problems and has suddenly developed a BP of 188/106 mm Hg. After reconfirming the BP, which of the following information is best for the nurse to tell theclient?

A)A BP recheck should be scheduled in a few weeks.

B)The dietary sodium and fat content should be decreased.

C)There is an immediate danger of a stroke and hospitalization will be required.

D)More diagnostic testing may be needed to determine the cause of the hypertension.

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

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Chapter 36: Nursing Management Coronary Artery Disease

and Acute Coronary Syndrome

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37 Verified Questions

37 Flashcards

Source URL: https://quizplus.com/quiz/3301

Sample Questions

Q1) Which of the following information given by a client admitted with chronic stable angina will help the nurse confirm this diagnosis?

A)The client rates the pain at a level 3-5 (0-10 scale).

B)The client states that the pain "wakes me up at night."

C)The client says that the frequency of the pain has increased over the last few weeks.

D)The client states that the pain is resolved after taking one sublingual nitroglycerin tablet.

Q2) Which of the following electrocardiographic (ECG) change is most important for the nurse to communicate to the health care provider when caring for a client with chest pain?

A)Frequent premature atrial contractions (PACs)

B)Inverted P wave

C)Sinus tachycardia

D)ST segment elevation

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Chapter 37: Nursing Management Heart Failure

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3302

Sample Questions

Q1) Which of the following diagnostic tests will be most useful to the nurse in determining whether a client admitted with acute shortness of breath has heart failure?

A)Serum creatine kinase (CK)

B)Arterial blood gases (ABGs)

C)B-type natriuretic peptide (BNP)

D)12-lead electrocardiogram (ECG)

Q2) A client with heart failure has a new order for captopril 12.5 mg PO. After administering the first dose and teaching the client about captopril, which statement by the client indicates that teaching has been effective?

A)"I will call for help when I need to get up to use the bathroom."

B)"I will be sure to take the medication after eating something."

C)"I will need to include more high-potassium foods in my diet."

D)"I will expect to feel more short of breath for the next few days."

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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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/3303

Sample Questions

Q1) The nurse needs to estimate quickly the heart rate for a client with a regular heart rhythm. Which of the following methods is best to use?

A)Print a 1-minute electrocardiogram (ECG) strip and count the number of QRS complexes.

B)Count the number of large squares in the R-R interval and divide by 300.

C)Use the 3-second markers to count the number of QRS complexes in 6 seconds and multiply by 10.

D)Calculate the number of small squares between one QRS complex and the next and divide into 1 500.

Q2) The nurse is caring for a client whose cardiac monitor shows sinus tachycardia, rate 102, and is apneic with no pulses are palpable by the nurse. Which of the following actions should the nurse do first?

A)Start CPR.

B)Defibrillate.

C)Administer atropine per hospital protocol.

D)Give 100% oxygen per nonrebreather mask.

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Chapter 39: Nursing Management Inflammatory and Structural

Heart Disorders

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28 Verified Questions

28 Flashcards

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

Sample Questions

Q1) The nurse is admitting a client with possible acute pericarditis. Which of the following diagnostic assessments should the nurse plan to teach the client about?

A)Electrolyte levels

B)Echocardiography

C)Daily blood cultures

D)Cardiac catheterization

Q2) Which of the following actions should the community health nurse include when planning ways to decrease the incidence of rheumatic fever?

A)Immunize susceptible groups in the community with streptococcal vaccine.

B)Teach community members to seek treatment for streptococcal pharyngitis.

C)Educate about the importance of monitoring temperature when infections occur.

D)Provide prophylactic antibiotics to people with a family history of rheumatic fever.

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Chapter 40: Nursing Management Vascular Disorders

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/3305

Sample Questions

Q1) Aclient in the outpatient clinic has a new diagnosis of peripheral artery disease (PAD). Which of the following medication categories should the nurse plan to include when providing client teaching about PAD management?

A)Statins

B)Vitamins

C)Thrombolytics

D)Anticoagulants

Q2) A client tells the health care provider about experiencing cold, numb fingers when running during the winter and is diagnosed with Raynaud's phenomenon. Based upon this diagnosis, the client should be investigated for which of the following conditions?

A)Hypertension

B)Hyperlipidemia

C)Autoimmune disorders

D)Coronary artery disease

Q3) The nurse is assessing a client with possible peripheral artery disease (PAD) and obtains a brachial BP of 140/80 and an ankle pressure of 110/70. The nurse calculates the client's ankle-brachial index (ABI) as .

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Chapter 41: Nursing Assessment Gastro-intestinal System

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16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/3306

Sample Questions

Q1) The nurse is preparing to assess a client's liver. When palpating the liver, which of the following techniques should the nurse implement?

A)Place one hand on the client's back and press upward and inward with the other hand below the client's right costal margin.

B)Place one hand on top of the other and use the upper fingers to apply pressure and the bottom fingers to feel for the liver edge.

C)Press slowly and firmly over the right costal margin with one hand and withdraw the fingers quickly after the liver edge is felt.

D)Place one hand under the client's lower ribs and press the left lower rib cage forward, palpating below the costal margin with the other hand.

Q2) The nurse is to promote bowel evacuation in a client with chronic complaints of constipation? Which of the following times should the nurse suggest that the client should attempt defecation?

A)In the mid-afternoon

B)After eating breakfast

C)Right after getting up in the morning

D)Immediately before the first daily meal

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Chapter 42: Nursing Management Nutritional Problems

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3307

Sample Questions

Q1) The nurse is caring for a client who has a wound infection after major surgery and has only been taking in about 50% to 75% of the ordered meals. The client states, "Nothing on the menu really appeals to me." Which of the following actions by the nursewill be most effective in improving the client's oral intake?

A)Make a referral to the dietitian.

B)Order at least six small meals daily.

C)Teach the client about high-calorie, high-protein foods.

D)Have family members bring in favourite foods from home.

Q2) The nurse is caring for a client with protein calorie malnutrition who has had abdominal surgery and is receiving parenteral nutrition (PN). Which of the following findings is the best indicator that the client is receiving adequate nutrition?

A)Blood glucose is 6.1 mmol/L.

B)Serum albumin level is 35 g/L.

C)Fluid intake and output are balanced.

D)Surgical incision is healing normally.

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44

Chapter 43: Nursing Management Obesity

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/3308

Sample Questions

Q1) The nurse is collaborating with an obese client who is enrolled in a behaviour modification program. Which of the following nursing actions is best?

A)Having the client write down the caloric intake of each meal

B)Asking the client about situations that tend to increase appetite

C)Encouraging the client to eat small amounts throughout the day rather than having scheduled meals

D)Suggesting that the client have a reward, such as a piece of sugarless candy, after achieving a weight-loss goal

Q2) The nurse obtains these assessment data for a client who has been taking orlistat for several months as part of a weight loss program. Which of the following findings is most important to report to the health care provider?

A)The client frequently has liquid stools.

B)The client is pale and has many bruises.

C)The client is experiencing a plateau in weight loss.

D)The client complains of abdominal bloating after meals.

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Chapter 44: Nursing Management Upper Gastro-intestinal

Problems

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42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/3309

Sample Questions

Q1) The nurse is assessing a client who recently has been experiencing frequent heartburn in the clinic. Which of the following information should the nurse include in the teaching plan?

A)Barium swallow

B)Radionuclide tests

C)Endoscopy procedures

D)Proton pump inhibitors

Q2) The nurse is caring for a client with acute gastrointestinal (GI) bleeding who is receiving normal saline IV at a rate of 500 mL/hour. Which of the following findings obtained by the nurse is most important to communicate immediately to the health careprovider?

A)The client's blood pressure (BP) has increased to 142/94 mm Hg.

B)The nasogastric (NG) suction is returning coffee-ground material.

C)The client's lungs have crackles audible to the midline.

D)The bowel sounds are very hyperactive in all four quadrants.

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Chapter 45: Nursing Management Lower Gastro-intestinal

Problems

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46 Verified Questions

46 Flashcards

Source URL: https://quizplus.com/quiz/3310

Sample Questions

Q1) The nurse is caring for a critically ill client who develops incontinence of watery stools. What of the following actions is best for the nurse to take to prevent complications associated with ongoing incontinence?

A)Insert a rectal tube.

B)Use incontinence briefs.

C)Apply a perianal pouch.

D)Assist the client to a bedside commode at frequent intervals.

Q2) After receiving change-of-shift report, which of the following clients should the nurse assess first?

A)A client whose new ileostomy has drained 800 mL over the previous 8 hours

B)A client with familial adenomatous polyposis who has occult blood in the stool

C)A client with ulcerative colitis who has had six liquid stools in the previous 4 hours

D)A client who has abdominal distension and an apical heart rate of 136 beats/minute

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Chapter 46: Nursing Management Liver

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40 Verified Questions

40 Flashcards

Source URL: https://quizplus.com/quiz/3311

Sample Questions

Q1) Which of the following nursing actions should be included in the plan of care for a client with cirrhosis who has ascites and 4+ edema of the feet and legs?

A)Weekly weight of client

B)Reposition the client every 4 hours

C)Restrict sodium intake.

D)Perform passive range-of-motion QID.

Q2) The nurse is admitting a client who is homeless and has viral hepatitis with symptoms of severe anorexia and fatigue. Which of the following client goals should have the highest priority when the nurse is developing the plan of care?

A)Increase activity level.

B)Maintain adequate nutrition.

C)Establish a stable home environment.

D)Identify the source of exposure to hepatitis.

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Chapter 47: Nursing Assessment Urinary System

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/3312

Sample Questions

Q1) The health care provider orders a clean-catch urine specimen for culture and sensitivity testing for a client with a suspected urinary tract infection (UTI). Which of the following actions should the nurse implement to obtain the specimen?

A)Teach the client to clean the urethral area, void a small amount into the toilet, and then void into a sterile specimen cup.

B)Have the client empty the bladder completely, and then obtain the next urine specimen that the client is able to void.

C)Insert a short, small "mini" catheter attached to a collecting container into the urethra and bladder to obtain the specimen.

D)Clean the area around the meatus with a povidone-iodine swab, and then have the client void into a sterile container.

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.

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Chapter 48: Nursing Management Renal and Urologic

Problems

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39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/3313

Sample Questions

Q1) The nurse is providing teaching to a client with impaired urinary elimination related to an UTI who weighs 70 kg. Which of the following daily fluid intake amounts should the nurse include in the teaching plan?

A)650 mL

B)1 250 mL

C)1 850 mL

D)2 450 mL

Q2) The nurse is caring for a client who has bladder cancer and had a cystectomy with creation of an Indiana pouch. Which of the following topics should the nurse include in client teaching?

A)Application of ostomy appliances

B)Catheterization technique and schedule

C)Analgesic use before emptying the pouch

D)Use of barrier products for skin protection

Q3) Which of the following nursing actions is most helpful in decreasing the risk for A)Avoid unnecessary catheterizations.

B)Encourage adequate oral fluid intake.

C)Test urine with a dipstick daily for nitrites.

D)Provide thorough perineal hygiene to clients.

Page 50

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

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36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/3314

Sample Questions

Q1) The nurse is preparing to administer calcium carbonate to a client with chronic kidney disease (CKD). Which of the following laboratory results should the nurse check prior to administration?

A)Creatinine

B)Potassium

C)Total cholesterol

D)Serum phosphate

Q2) The nurse is caring for a client who has been admitted with a severe crushing injury after an industrial accident. Which of the following laboratory results is most important to report to the health care provider?

A)Serum creatinine level 190 mcmol/L

B)Serum potassium level 6.5 mmol/L

C)White blood cell count 11.5 * 10⁹/L

D)Blood urea nitrogen (BUN) 18 mmol/L

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Chapter 50: Nursing Assessment Endocrine System

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/3315

Sample Questions

Q1) The nurse is caring for a client who is 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) The nurse is caring for a client in the outpatient clinic who has a prescription for blood cortisol testing. Which of the following instructions should the nurse provide for the client?

A)"Avoid adding any salt to your foods for 24 hours before the test."

B)"You will need to lie down for 30 minutes before the blood is drawn."

C)"Come to the laboratory to have the blood drawn early in the morning."

D)"Do not have anything to eat or drink before the blood test is obtained."

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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39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/3316

Sample Questions

Q1) The nurse is caring for a client following a parathyroidectomy who develops tingling of the lips and a positive Trousseau's sign. Which of the following actions should the nurse take first?

A)Administer the ordered muscle relaxant.

B)Give the ordered oral calcium supplement.

C)Start the PRN oxygen at 2 L/minute per cannula.

D)Have the client rebreathe using a paper bag.

Q2) The nurse is caring for a client with hypothyroidism who is receiving a hypertonic saline IV solution to counteract hyponatremia. The nurse will expect the saline solution to be administered until the client's serum sodium reaches which of the followinglevels?

A)112 mmol/L

B)120 mmol/L

C)132 mmol/L

D)168 mmol/L

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Chapter 52: Nursing Management Diabetes Mellitus

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39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/3317

Sample Questions

Q1) The nurse is assessing a client who is experiencing the onset of symptoms of type 1 diabetes. Which of the following questions is best for the nurse to ask?

A)"Have you lost any weight lately?"

B)"How long have you felt anorexic?"

C)"Is your urine unusually dark coloured?"

D)"Do you crave fluids containing sugar?"

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.

Q3) Aclient who has type 1 diabetes plans to take a swimming class daily at 1:00 P.M.

Which of the following instructions should the nurse teach to the client?

A)Check glucose level before, during, and after swimming.

B)Delay eating the noon meal until after the swimming class.

C)Increase the morning dose of neutral protamine Hagedorn (NPH) insulin.

D)Time the morning insulin injection so that the peak occurs while swimming.

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Chapter 53: Nursing Assessment Reproductive System

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18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/3318

Sample Questions

Q1) Acouple who has not been able to conceive is scheduled for a Huhner test for infertility. Which of the following information should the nurse provide to the couple in preparation for the test?

A)Possible shoulder pain after the procedure

B)Sedative medications used during the procedure

C)Ways to determine the estimated time of ovulation

D)How long to refrain from intercourse before the test

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

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

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

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

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

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55

Chapter 54: Nursing Management Breast Disorders

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/3319

Sample Questions

Q1) The nurse has completed teaching a client who has breast cancer about the newly prescribed tamoxifen. Which of the following client statements indicate that the teaching has been effective?

A)"I will expect to have leg cramps with this drug."

B)"I will call the clinic if I develop any hot flashes."

C)"I will be taking the medication for at least a year."

D)"I will call immediately if I experience cloudy and blurred vision."

Q2) The nurse is teaching a client about breast self-examination (BSE) who has had a right-sided mastectomy. Which of the following information should the nurse include in the teaching plan?

A)Only the remaining breast requires a mammogram screening annually.

B)BSE should be done daily while taking a bath or shower.

C)Mammograms should be scheduled every two years.

D)Performing BSE monthly

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Chapter 55: Nursing Management Sexually Transmitted

Infections

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16 Verified Questions

16 Flashcards

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

Sample Questions

Q1) A client in the sexually transmitted infection (STI) clinic expresses concern about possible exposure to gonorrhea by her partner. Which of the following actions should the nurse take to determine if the client has gonorrhea?

A)Interview the client about symptoms of gonorrhea

B)Take a sample of cervical discharge for Gram staining

C)Draw a blood specimen or rapid plasma reagin (RPR) testing

D)Obtain vaginal secretions for a nucleic acid amplification test (NAAT)

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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Page 57

Chapter 56: Nursing Management Female Reproductive Problems

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42 Verified Questions

42 Flashcards

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

Sample Questions

Q1) A33-year-old female client who uses oral contraceptives tells the nurse, "I want to have children in a few years." Which of the following responses by the nurse is best?

A)"You may have more difficulty becoming pregnant after about age 35."

B)"You have many years of fertility left, so there is no rush to have children."

C)"You should plan to stop taking oral contraceptives several years before you want to become pregnant."

D)"If you do not have children within the next few years, it will be very difficult for you to become pregnant."

Q2) The nurse is caring for an older-adult client who is recently diagnosed with stage III ovarian cancer. Which of the following nursing diagnoses is best for this client?

A)Sexual dysfunction related to insufficient knowledge about sexual function (loss of vaginal sensation)

B)Risk for infection as evidenced by immunosuppression

C)Situational low self-esteem related to unrealistic self-expectations

D)Anxiety related to threat to current status (cancer diagnosis and need to make treatment decisions)

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Chapter 57: Nursing Management Male Reproductive Problems

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27 Verified Questions

27 Flashcards

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

Sample Questions

Q1) The nurse has completed discharge teaching for a client who had a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH). Which of the following client statements indicate that additional instruction is required?

A)"I will avoid driving until I get approval from my doctor."

B)"I should call the doctor if I have any incontinence at home."

C)"I will increase fibre and fluids in my diet to prevent constipation."

D)"I should continue to schedule yearly appointments for prostate exams."

Q2) The nurse is teaching a client who is scheduled for a transurethral resection of the prostate (TURP) about continuous bladder irrigation. Which of the following information should the nurse include?

A)Bladder irrigation decreases the risk of postoperative bleeding.

B)Hydration and urine output are maintained by bladder irrigation.

C)Bladder irrigation prevents obstruction of the catheter after surgery.

D)Antibiotics are infused on a continuous basis with bladder irrigation.

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Chapter 58: Nursing Assessment Nervous System

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Sample Questions

Q1) The nurse is admitting a client with a head injury who is acutely confused. Which of the following actions should the nurse take?

A)Ask family members about the client's health history.

B)Ask leading questions to assist in obtaining health data.

C)Wait until the client is better oriented to ask questions.

D)Obtain only the physiologic neurological assessment data.

Q2) 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

Q3) Which of the following equipment should the nurse obtain to assess vibration sense in a client who has peripheral nerve dysfunction?

A)Sharp pin

B)Tuning fork

C)Reflex hammer

D)Calibrated compass

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Chapter 59: Nursing Management Acute Intracranial

Problems

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36 Flashcards

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Sample Questions

Q1) A client is brought to the emergency department (ED) by ambulance after being found unconscious on the bathroom floor by the partner. Which of the following actions should the nurse take first?

A)Obtain oxygen saturation.

B)Check pupil reaction to light.

C)Palpate the head for hematoma.

D)Assess Glasgow Coma Scale (GCS).

Q2) The nurse is admitting a client with a basal skull fracture and notes clear drainage from the client's nose. Which of these admission orders should the nurse's question?

A)Insert nasogastric tube.

B)Turn client every 2 hours.

C)Keep the head of bed elevated.

D)Apply cold packs for facial bruising.

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Chapter 60: Nursing Management Stroke

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

Sample Questions

Q1) The nurse is assessing a client with a possible stroke and finds that the client's aphasia started 3.5 hours previously and the blood pressure is 170/92 mm Hg. Which of these prescriptions by the health care provider should the nurse question?

A)Infuse normal saline at 75 mL/hour.

B)Keep head of bed elevated at least 30 degrees.

C)Administer tissue plasminogen activator (tPA) per protocol.

D)Titrate labetalol drip to keep BP less than 140/90 mm Hg.

Q2) The nurse is caring for a client who has recently had a stroke. When reviewing the clients' laboratory report, which of the following results should the nurse report the health care provider?

A)PaCO₂ 51 mm Hg

B)pH 7.41

C)PaO₂ 96 mm Hg

D) WBC 9.2 * 10⁹/L

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Chapter 61: Nursing Management Chronic Neurological Problems

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Sample Questions

Q1) The nurse is caring for a client with epilepsy. Which of the following laboratory results should the nurse expect?

A)Increased blood glucose

B)Decreased BUN

C)Increased creatinine

D)Decreased liver function tests

Q2) Which of the following prescribed interventions will the nurse implement first for a hospitalized client who is experiencing continuous tonic-clonic seizures?

A)Give phenytoin 100 mg IV.

B)Monitor level of consciousness.

C)Obtain computed tomography scan.

D)Administer lorazepam 4 mg IV.

Q3) A client has a new prescription for bromocriptine mesylate to control symptoms of Parkinson's disease. Which of the following information obtained by the nurse may indicate a need for a decrease in the dose?

A)The client has a chronic dry cough.

B)The client has four loose stools in a day.

C)The client develops a deep vein thrombosis.

D)The client's blood pressure is 90/46 mm Hg.

Page 63

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Chapter 62: Nursing Management Delirium

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

Sample Questions

Q1) The nurse is caring for a client with Alzheimer's disease. A family member asks the nurse which of the client's medication is to treat the decreased memory and cognition. Which of the following medications is used to treat this problem associated with Alzheimer's disease?

A)Sertraline

B)Citalopram

C)Rivastigmine

D)Risperidone

Q2) The partner of a client with early stage Alzheimer's disease (AD) tells the nurse, "I am just exhausted from the constant worry. I don't know what to do." Which of the following actions is best for the nurse to take next. (Select all that apply.)

A)Suggest that a long-term care facility be considered.

B)Offer ideas for ways to distract or redirect the client.

C)Suggest that the partner consult with the physician for antianxiety drugs.

D)Educate the partner about the availability of adult day care as a respite.

E)Ask the partner what has been considered about dementia care options.

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64

Chapter 63: Nursing Management Peripheral Nerve and Spinal Cord Problems

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Sample Questions

Q1) The health care provider prescribes these interventions for a client with possible botulism poisoning. Which of the following prescriptions should the nurse question?

A)Maintain NPO status.

B)Obtain lumbar puncture tray.

C)Give magnesium citrate 240 mL stat.

D)Administer 1 500 mL tap water enema.

Q2) The nurse is caring for a client with trigeminal neuralgia who has had a glycerol rhizotomy. Which of the following interventions should the nurse implement?

A)Ask whether the client is using an eye shield at night.

B)Determine whether the client is doing daily facial exercises.

C)Question the client about social activities with family and friends.

D)Remind the client to chew food on the unaffected side of the mouth.

Q3) The nurse is assessing a client with newly diagnosed trigeminal neuralgia. Which of the following parameters should the nurse assess?

A)Triggers that lead to facial pain

B)Visual problems caused by ptosis

C)Poor appetite caused by a loss of taste

D)Weakness on the affected side of the face

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Chapter 64: Nursing Assessment Musculo-skeletal System

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Sample Questions

Q1) The nurse is assessing a new client in the clinic. Which of the following information about the client's medications should be of most concern?

A)The client takes a daily multivitamin and calcium supplement.

B)The client has migraine headaches that are treated with nonsteroidal anti-inflammatory drugs (NSAIDs).

C)The client has severe asthma and requires frequent therapy with oral steroids.

D)The client takes hormone replacement therapy (HRT) to prevent "hot flashes."

Q2) The nurse is caring for a client who has a new prescription for magnetic resonance imaging (MRI) to evaluate for right femur osteomyelitis. Which of the following client information indicates that the nurse should consult with the health care provider beforescheduling the MRI?

A)The client has a pacemaker.

B)The client is claustrophobic.

C)The client wears a hearing aid.

D)The client is allergic to shellfish.

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Chapter 65: Nursing Management Musculo-skeletal

Trauma and Orthopedic Surgery

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Sample Questions

Q1) Which of the following information obtained by the emergency department nurse when admitting a client with a left femur fracture is most important to report to the health care provider?

A)Bruising of the left thigh

B)Complaints of left thigh pain

C)Outward pointing toes on the left foot

D)Prolonged capillary refill of the left foot

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.

Q3) Before assisting a client with ambulation on the day after a total hip replacement, which of the following actions is most important for the nurse to implement?

A)Administer the ordered oral opioid pain medication.

B)Instruct the client about the benefits of ambulation.

C)Ensure that the incisional drain has been discontinued.

D)Change the hip dressing and document the wound appearance.

Page 67

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Chapter 66: Nursing Management Musculo-skeletal

Problems

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19 Flashcards

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

Sample Questions

Q1) The nurse is caring for a client who has acute osteomyelitis and is receiving tobramycin 80 mg IV twice daily. Which of the following actions should the nurse take before administering the gentamicin?

A)Ask the client about any nausea.

B)Obtain the client's oral temperature.

C)Change the prescribed wet-to-dry dressing.

D)Review the client's blood urea nitrogen (BUN) and creatinine levels.

Q2) 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."

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68

Chapter 67: Nursing Management Arthritis and Connective

Tissue Diseases

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Sample Questions

Q1) The nurse is caring for a client who has rheumatoid arthritis (RA) and is prescribed anakinra. Which of the following information should the nurse include when teaching the client about this drug?

A)Self-administration of subcutaneous injections

B)Take the medication with at least 240 mL of fluid.

C)Avoid concurrently taking Aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs).

D)Symptoms of gastrointestinal (GI) irritation or bleeding

Q2) The nurse is caring for a young adult client hospitalized with a fever and red, hot, painful knees and is suspected of having septic arthritis. Which of the following information obtained during the nursing history indicates a risk factor for septic arthritis?

A)Has a parent who has reactive arthritis.

B)Is sexually active and has multiple partners.

C)Recently returned from a trip to South America.

D)Had several sports-related knee injuries as a teenager.

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Chapter 68: Nursing Management Critical Care

Environment

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Sample Questions

Q1) The nurse is preparing to assist with the insertion of a pulmonary artery catheter in a client. Which of the following actions will the nurse implement?

A)Check cardiac enzymes before insertion.

B)Auscultate heart sounds during insertion.

C)Place the client on NPO status before the procedure.

D)Attach cardiac monitoring leads before the procedure.

Q2) The nurse is caring for a client with pulmonary hypertension. Which of the following parameters should the nurse monitor as an index of right ventricular afterload?

A)Mean arterial pressure (MAP)

B)Central venous pressure (CVP)

C)Pulmonary vascular resistance (PVR)

D)Pulmonary artery wedge pressure (PAWP)

Q3) The nurse is caring for a client who has an intra-aortic balloon pump in place. Which of the following actions should be included in the plan of care?

A)Avoid the use of anticoagulant medications.

B)Keep the head of the bed elevated 45 degrees.

C)Measure the client's urinary output every hour.

D)Provide passive range of motion for all extremities.

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Chapter 69: Nursing Management Shock

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

Sample Questions

Q1) Which of the following assessments should the nurse make to evaluate the effectiveness of omeprazole administration to a client with systemic inflammatory response syndrome (SIRS)?

A)Auscultate bowel sounds.

B)Ask the client about nausea.

C)Monitor stools for occult blood.

D)Check for abdominal distention.

Q2) Which of the following information obtained by the nurse when caring for a client who has cardiogenic shock indicates that the client may be developing multiple organ dysfunction syndrome (MODS)?

A)The client's serum creatinine level is elevated.

B)The client complains of intermittent chest pressure.

C)The client has crackles throughout both lung fields.

D)The client's extremities are cool and pulses are weak.

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Chapter 70: Nursing Management Respiratory Failure and

Acute Respiratory Distress Syndrome

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

Sample Questions

Q1) The nurse is caring for a client who develops increasing dyspnea and hypoxemia 2 days after having cardiac surgery. To determine whether the client has acute respiratory distress syndrome (ARDS) or pulmonary edema caused by left ventricular failure, thenursewill anticipate assisting with which of the following actions?

A)Inserting a pulmonary artery catheter

B)Obtaining a ventilation-perfusion scan

C)Drawing blood for arterial blood gases

D)Positioning the client for a chest radiograph

Q2) The nurse is caring for a client with hypoxemia and a PaO₂/FiO₂ ratio of 170 while being administered oxygen 8 L/minute via mask. Which of the following information is accurate in relation to the client's situation?

A)Is at risk for ARDS

B)Also has an increased PaCO₂ level

C)Should be prepared for mechanical ventilation

D)Requires packed red cells as soon as possible

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Chapter 71: Nursing Management Emergency Care Situations

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

Sample Questions

Q1) The nurse is conducting a primary survey of a client with multiple traumatic injuries and observes that the client's right pedal pulses are absent and the leg is swollen. Which of the following actions will the nurse take next?

A)Assess further for a cause of the decreased circulation.

B)Send blood to the lab for a complete blood count (CBC).

C)Finish the airway, breathing, circulation, disability survey.

D)Initiate isotonic fluid infusion through two large-bore IV lines.

Q2) The nurse is rewarming a client who arrived in the emergency department (ED) with a temperature of 29°C (84.2°F) and no audible pulse. Which of the following temperatures should the nurse rewarm the client to, prior to a pronouncement of death?

A)30C (86F)

B) 32°C (89.6°F)

C)34C (93.2F)

D) 36C (96.8F)

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Chapter 72: Emergency Management and Disaster Planning

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

Sample Questions

Q1) When using the START triage system, the nurse will assess a client who has massive head trauma with which of the following colours?

A)Green

B)Yellow

C)Red

D)Black

Q2) A client arrives in the emergency department after exposure to radioactive dust.

Which of the following actions should the nurse take first?

A)Place the client in a shower.

B)Obtain the client's vital signs.

C)Determine the type of radioactive agent.

D)Obtain a baseline complete blood count.

Q3) Which of the following terms is used to describe a communicable disease that occurs among a cluster of individuals?

A)Epidemic

B)Outbreak

C)Pandemic

D)Mitigation

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