Canadian Nursing Practice
Solved Exam Questions
Course Introduction
Canadian Nursing Practice explores the foundational principles, standards, and competencies necessary for nursing in the Canadian healthcare system. This course examines the roles and responsibilities of nurses, ethical and legal considerations, evidence-informed practice, and the importance of cultural competence within diverse Canadian communities. Emphasis is placed on the structure of healthcare provision in Canada, the regulatory bodies governing nursing practice, and effective communication and collaboration with clients, families, and interprofessional teams. Through case studies and practical scenarios, students gain insights into the challenges and opportunities of nursing in Canadian settings, preparing them for professional practice and national licensure.
Recommended Textbook
Medical Surgical Nursing in Canada 3rd Canadian Edition by Lewis
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72 Chapters
1742 Verified Questions
1742 Flashcards
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Page 2
Chapter 1: Introduction to Medical-Surgical Nursing
Practice in Canada
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) How does the nurse primarily use the nursing process in the care of patients?
A) As a science-based process of diagnosing the patient's health care problems
B) To establish nursing theory that incorporates the bio-psycho-social nature of humans
C) To promote the management of patient care in collaboration with other health care providers
D) As a tool to organize the nurse's thinking and clinical decision making about the patient's health care needs
Answer: D
Q2) A patient with a stroke is paralyzed on the left side of the body and is not responsive enough to turn or move independently in bed.A pressure ulcer has developed on the patient's left hip.What is the most appropriate nursing diagnosis?
A) Impaired physical mobility related to paralysis
B) Impaired skin integrity related to altered circulation and pressure
C) Risk for impaired tissue integrity related to impaired physical mobility
D) Ineffective tissue perfusion related to inability to turn and move self in bed
Answer: B
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Chapter 2: Cultural Competence and Health Equity in Nursing Care
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) Which of the following is a system factor that influences help-seeking behaviour for health care?
A) Lack of health insurance
B) Association by patients of hospitals with death
C) Lack of ethnic-specific health care programs
D) Possible patient distrust of the dominant population and institutions
Answer: C
Q2) Which following term refers 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
Q3) Which best describes culturally appropriate nursing care?
A) Asking permission to touch a patient
B) Avoiding questions about male-female relationships
C) Explaining how Western medical care differs from cultural folk remedies
D) Applying knowledge of a culture to patients of the same cultural group
Answer: A
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Chapter 3: Health History and Physical Examination
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) A patient reports that she has periodic fainting spells.In gathering more specific information,the nurse asks where these episodes most commonly occur.In what area is the nurse pursuing symptom investigation?
A) Setting
B) Frequency
C) Chronology
D) Associated manifestations
Answer: A
Q2) As the nurse assesses the patient's neck,the patient tells the nurse that it is so stiff she can hardly move it.The nurse should next perform a(n)_____ examination.
A) emergency
B) screening
C) focused
D) extensive
Answer: C
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5
Chapter 4: Patient and Caregiver Teaching
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15 Verified Questions
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Sample Questions
Q1) A patient admitted to the hospital with hyperglycemia and diagnosed with diabetes mellitus is scheduled for discharge the second day after admission.In view of the patient's limited hospitalization,what should the nurse's teaching plan emphasize first for the patient's education about diabetes?
A) Prioritize realistic goals that are essential to the patient's immediate learning needs.
B) Reflect a complete plan that can be implemented by home health care nurses.
C) Use all available time to teach the patient as much as possible about the condition.
D) Involve teaching the family instead of the patient about management of diabetes.
Q2) Which of the following teaching strategies is most appropriate to promote use of coping skills by an adult patient?
A) Lecture
B) Role play
C) Group teaching
D) Printed materials
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6
Chapter 5: Chronic Illness
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Sample Questions
Q1) Which of the following has been identified by patients with chronic illness as something they want from the health care system?
A) Less information
B) Less travel and wait times
C) Ways to adjust to disease consequences
D) Limited information on ways to cope with symptoms
Q2) Which of the following is an example of an environment contextual factor according to the World Health Organizations' ICF Bio-Psycho-Social Model?
A) Social background
B) Behaviour pattern
C) Social attitudes
D) Coping style
Q3) Which factor has a major impact on the development of chronic illness?
A) Poverty
B) Social stability
C) Urban dwelling
D) High school diploma
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Page 7
Chapter 6: Community-Based Nursing and Home Care
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) A 78-year-old woman hospitalized for surgical repair of a fractured hip has recovered from the surgery but continues to have a nursing diagnosis of impaired physical mobility related to decreased muscle strength.In planning continued care for the patient,in which setting would the nurse consider that the patient's needs would best be met?
A) A public health unit
B) A community health centre
C) The patient's home
D) An occupational health facility
Q2) Which of the following is a current trend in home health nursing?
A) Increased numbers of registered nurses (RNs)are being employed as home health nurses.
B) Decreased numbers of licensed practical nurses (LPNs)are being employed as home health nurses.
C) There are more employment opportunities for newly graduated nurses.
D) A minimum of two years of acute care experience is required before employment as a home health nurse.
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8
Chapter 7: Older Adults
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Why is ageism an important concept to understand when caring for the elderly?
A) May damage the self-esteem of older adults
B) Increases social awareness of the needs of older adults
C) Provides statistical information regarding the older adult population
D) Promotes consideration of the diversity of the older adult population
Q2) Which of the following is a normal physiological age-related change of the cardiovascular system?
A) Elastin and smooth muscle increases.
B) Vessel rigidity decreases.
C) Heart muscle decreases.
D) Mitral valve constriction increases.
Q3) Which of the following functions declines during old age?
A) Fluid intelligence
B) Spatial perception
C) Mental performance speed
D) Short-term recall memory
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Chapter 8: Stress and Stress Management
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Sample Questions
Q1) A hospitalized patient is very anxious about missing work and is afraid he will be fired because of his illness.What effect of stress on the nervous system does the nurse recognize that the patient is experiencing?
A) Sleep disturbances
B) Orthostatic hypotension
C) Increased sensitivity to pain
D) Fluid and electrolyte imbalances
Q2) Which complementary and alternative therapy is an ancient strategy that is used to relax and promote mindfulness?
A) Imagery
B) Meditation
C) Acupuncture
D) Music for relaxation
Q3) Which of the following is an external factor that affects an individual's response to stress?
A) Sleep status
B) Coping skills
C) Income and social status
D) Personality
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Page 10
Chapter 9: Sleep and Sleep Disorders
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Sample Questions
Q1) Which information will the nurse plan to include when teaching a patient with narcolepsy about management of the disorder?
A) Stimulant drugs should be used for only a short time because of the risk for abuse.
B) Driving an automobile may be possible with appropriate treatment of narcolepsy.
C) Changes in sleep hygiene are ineffective in improving sleep quality in narcolepsy.
D) Antidepressant drugs are prescribed to treat the depression caused by the disorder.
Q2) Healthy adults spend what percentage of sleep time in non-rapid eye movement (NREM)sleep?
A) 20% to 25%
B) 45% to 50%
C) 75% to 80%
D) 85% to 90%
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11
Chapter 10: Pain
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19 Verified Questions
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Sample Questions
Q1) The physician tells a patient to use ibuprofen (Motrin,Advil)to relieve the pain after treating a laceration on the patient's forearm from a dog bite.The patient tells the nurse that he does not think ibuprofen will control his pain.The nurse's response is based on the knowledge that ibuprofen interferes with the pain by decreasing what process?
A) Perception
B) Modulation
C) Transduction
D) Transmission
Q2) Which of the following is a possible musculoskeletal consequence of unrelieved pain?
A) Decreased peristalsis
B) Hypermobility
C) Muscle spasm
D) Muscle protein catabolism
Q3) Which type of pain is caused by damage to somatic tissue?
A) Visceral
B) Nociceptive
C) Neuropathic
D) Sensory-discriminative
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Page 12
Chapter 11: Substance Use
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A 60-year-old man has been a heavy drinker for 30 years,drinking daily with his business associates.When he is seen at the clinic for acute gastritis,which of the following responses by the patient will help the nurse determine that the patient is in the contemplation stage of change?
A) "Alcohol has never bothered my stomach.I may just have the flu."
B) "I know that I have to stop drinking,but it is the only way I can relax."
C) "I think my drinking is affecting my stomach,but maybe some drugs will help calm it down."
D) "My wife keeps telling me that I am killing myself with alcohol,but I really feel pretty good,except for my stomach."
Q2) During which stage of alcohol withdrawal would the nurse expect to see a patient experience delirium tremens?
A) Early
B) Minor
C) Intermediate
D) Major
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Chapter 12: Complementary and Alternative Therapies
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) Which of the following is true regarding healing touch?
A) It has strong ties to religious beliefs.
B) It is a physician-based program.
C) It assists the patient to self-heal.
D) The nurse determines its effectiveness.
Q2) A patient tells the nurse that she has been taking melatonin every day.The nurse would ask questions about which of the following during assessment,to evaluate the effectiveness of this herb for its intended use?
A) Glucose levels
B) Sleep habits
C) Bruising or bleeding tendencies
D) Bowel habits
Q3) A patient always seems to develop an upper respiratory tract infection in the spring,and he asks if any herbal preparation is available that would help him.Which one of the following recommended herbs should the nurse suggest?
A) Comfrey
B) Echinacea
C) Ginkgo biloba
D) St.John's wort
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Chapter 13: Palliative Care at the End of Life
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) A patient who is very close to death is very restless and repeats,"I am not ready to die." What is the most appropriate nursing intervention at this time?
A) Call the hospital chaplain to visit the patient.
B) Sit with the patient,and ask him if he wants to talk.
C) Inform the patient that everything possible is being done for him.
D) Ask the patient what he needs to do to come to acceptance of his death.
Q2) Which sense is usually the last one to disappear before death?
A) Touch
B) Sight
C) Smell
D) Hearing
Q3) Which of the following is a lay term used to describe instructions about future medical care?
A) DNR orders
B) Living will
C) Advance directive
D) Power of attorney for personal care
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Chapter 14: Inflammation and Wound Healing
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which local manifestation of inflammation causes a change in pH?
A) Heat
B) Pain
C) Redness
D) Swelling
Q2) A patient with massive trauma to the leg has extensive skeletal muscle damage and wide,irregular wound edges.Which of the following responses to the patient's questions best describes healing of the injury?
A) "All of the damaged tissue will regenerate if infection does not occur."
B) "Most of the skin and skeletal muscle will be replaced by connective tissue."
C) "The skin will regenerate to cover the injury,but the muscle will not be replaced."
D) "Regeneration of skin and skeletal muscle tissue is usually possible but may take months or years to occur."
Q3) Which one of the following types of macrophages would be found in bone tissue?
A) Type A cells
B) Microglial cells
C) Osteoclasts
D) Histiocytes
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16
Chapter 15: Genetics
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) The nurse is participating in a clinical trial involving in vitro gene therapy in the treatment of a patient with adenosine deaminase (ADA)deficiency.What should the nurse explain to the patient is involved in this method of gene therapy?
A) Direct instillation of modified viruses carrying the desired genes into the patient
B) Direct microinjection of DNA into cells that have been removed from the body and reinfused
C) Removal of lung cells from the body,which are altered genetically and reinfused into the patient's blood
D) Removal of cells from the body,which are exposed to modified viruses containing desired genes and reinfusion of the cells back into the body
Q2) When completing a pedigree,the nurse knows to use the symbol g (blue square)to denote which of the following?
A) Unknown sex,normal
B) Normal male
C) Female heterozygote
D) Affected male
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Chapter 16: Altered Immune Response and Transplantation
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A patient develops a severe angioedema involving her face,hands,and feet,with burning and stinging of the lesions.What significant risk factor for allergies should the nurse ask the patient about?
A) A family history of allergies
B) The use of over-the-counter medications
C) Recurrent respiratory infections
D) A history of a recent fungal infection
Q2) The nurse should explain to a patient undergoing plasmapheresis for treatment of an autoimmune disorder that this procedure involves which of the following?
A) Selective destruction of autoantibodies
B) Separation and removal of specific blood cells
C) Exchanging saline or albumin for blood plasma
D) Removal of white cells responsible for immune reactions
Q3) Which of the following is a side effect of corticosteroids?
A) Peptic ulcers
B) Nausea and vomiting
C) Pulmonary edema
D) Decreased appetite
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18
Chapter 17: Infection and Human Immunodeficiency Virus
Infection
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Sample Questions
Q1) The nurse should promote interventions such as nutrition,exercise,and stress reduction in patients who have HIV infection primarily because these interventions will do which of the following?
A) Improve immune function.
B) Prevent transmission of the virus to others.
C) Promote a feeling of well-being in the patient.
D) Increase the patient's strength and ability to care for himself or herself.
Q2) During post-test counselling for a patient who has tested positive for HIV,the patient is very anxious and does not appear to hear what the nurse is saying.To promote the patient's adjustment to HIV infection,what is it important that the nurse do?
A) Inform the patient how to protect sexual and needle-sharing partners.
B) Teach the patient about the medications that are available for treatment.
C) Identify the need to test others who have had risky contact with the patient.
D) Discuss retesting to verify the results,which will ensure continuing contact with the health care system.
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Chapter 18: Cancer
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Sample Questions
Q1) External beam radiation is planned for a patient with cancer of the colon.Because the treatment area is in the lower abdomen and pelvic area,which of the following measures should the nurse teach the patient is important to prevent complications from the effects of the radiation?
A) Maintain a high-residue,high-fat diet.
B) Test all stools for the presence of blood.
C) Inspect the mouth and throat daily for the appearance of thrush.
D) Perform perianal care with sitz baths and meticulous cleaning.
Q2) Which of the following is a characteristic of a malignant neoplasm?
A) Usually encapsulated
B) Normally differentiated
C) Moderate to marked vascularity
D) Cells similar to parent cells
Q3) When administering vesicant chemotherapeutic agents intravenously,what is an important consideration?
A) Stop the infusion if swelling is observed at the site.
B) Administer the drug by intravenous (IV)push.
C) Administer the chemotherapy through a small-bore catheter.
D) Administer the drug only through a central vascular access device.
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Page 20
Chapter 19: Fluid, electrolyte, and Acidbase Imbalances
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) What is the most reliable index of volume status when caring for a patient with a fluid imbalance?
A) Skin turgor
B) Presence of edema
C) Hourly urinary output
D) Daily weight patterns
Q2) What is the normal approximate fluid balance in the adult?
A) 1000 mL
B) 1500 mL
C) 2000 mL
D) 2500 mL
Q3) Following bowel surgery,a patient has been receiving normal saline intravenous (IV)fluids at 100 mL per hour;has a nasogastric tube attached to low,intermittent suction;and is on nothing by mouth (NPO)status.Which of the following assessment findings would alert the nurse to a major fluid and electrolyte problem?
A) Weight gain
B) Flushed,moist skin
C) A decreasing level of consciousness (LOC)
D) A serum sodium level of 138 mmol/L
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Chapter 20: Nursing Management: Preoperative Care
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Which of the following should be the nurse's preoperative consideration when the patient states that she takes a garlic pill every day?
A) Garlic may cause inflammation of the liver.
B) Garlic may inhibit platelet activity.
C) Garlic may increase bleeding.
D) Garlic may increase pulse rate.
Q2) Sarah,46 years old,is in the preoperative assessment area awaiting surgery.She is wringing her hands and perspiring,and she has a worried affect.The nurse's communication with Sarah is based on the knowledge that the most prevalent fear of patients awaiting surgery is which of the following?
A) Pain
B) Altered body image
C) Potential for death
D) Results of the procedure
Q3) Which of the following is the meaning of the suffix -ostomy?
A) Excision or removal
B) Creation of opening into
C) Incision or cutting into
D) Repair and reconstruction
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Page 22
Chapter 21: Nursing Management: Intraoperative Care
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Sample Questions
Q1) Which of the following data obtained during the perioperative nurse's assessment of an older patient in the preoperative holding area would indicate a need for special protection techniques during surgery?
A) A history of spinal and hip arthritis
B) Verbalization of anxiety by the patient
C) The patient asking about the details of the surgical procedure
D) An 8-mm Hg increase in systolic blood pressure from the time of hospital admission
Q2) What is one of the most important goals of the registered nurse first assistant?
A) Safety of the patient
B) Monitoring of the activities of others
C) Documentation of the intraoperative care
D) Admission of the patient to the OR
Q3) What are the physical environment and traffic control measures of the OR primarily designed to do?
A) Protect the patient's privacy.
B) Prevent transmission of infection.
C) Ensure the proper function of electrical equipment.
D) Promote the development of teamwork among the OR staff.
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Chapter 22: Nursing Management: Postoperative Care
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Sample Questions
Q1) A patient is one day postoperative for abdominal surgery and has an indwelling catheter.Which of the following amounts represents the normal daily range of urine volume?
A) 200 to 400 mL
B) 500 to 700 mL
C) 800 to 1000 mL
D) 1500 to 2000 mL
Q2) Which of the following is an ambulatory surgery discharge criterion?
A) Voided at least three times
B) No IV narcotics for last 30 minutes
C) Had at least one bowel movement
D) Oxygen saturation 88%
Q3) A patient's blood pressure in the PACU has dropped from an admission blood pressure of 138/84 to 110/78 mm Hg,with a pulse change of 68 to 84 beats/min.What is the first nursing action to be performed?
A) Administer oxygen.
B) Assess for a full bladder.
C) Auscultate the patient's lungs.
D) Check the patient's temperature.
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Page 24
Chapter 23: Nursing Assessment: Visual and Auditory Systems
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20 Flashcards
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Sample Questions
Q1) When examining a patient's eyes,the nurse suspects a weakness or imbalance of the extraocular nerves on finding which of the following data?
A) A limited field of vision
B) A sluggish papillary reflex
C) An irregular corneal light reflex
D) Conjugate movement of the eyes through the cardinal fields of gaze
Q2) At a clinic visit,a patient's wife tells the nurse that her husband is losing his hearing.The patient protests,saying that his wife mumbles.During the visit,the nurse identifies a hearing loss in the patient based on which of the following findings?
A) He speaks softly but slurs constantly during conversation.
B) He cannot repeat a word whispered at 25 cm from one ear.
C) He asks for frequent repetition and has a flat facial expression.
D) He leans forward to hear the nurse and complains of buzzing in the ears.
Q3) Which of the following is a possible cause of diplopia?
A) Superficial corneal erosion
B) Anterior uveitis
C) Abnormalities of extraocular muscle action
D) Liquefaction of the vitreous humor
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Chapter 24: Nursing Management: Visual and Auditory
Problems
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Sample Questions
Q1) A young woman asks the nurse at a local health fair for information about LASIK as a method of refractive correction.The young woman has very thick,concave lenses in her glasses.What is the best response to the young woman?
A) "This procedure probably would not be appropriate for you since you appear to be hyperopic rather than myopic."
B) "The LASIK procedure is a highly successful surgery for treating refractive errors of vision with virtually no risks or complications."
C) "Various types of surgery effectively treat refractive errors,and you should consult an ophthalmologist about what is best for you."
D) "Surgical correction of refractive errors is a highly controversial procedure among ophthalmic specialists,and it cannot be recommended at this time."
Q2) What is a major role of the nurse who works in a women's health clinic in promoting the preservation of hearing?
A) Monitoring the noise level at the clinic
B) Discouraging excessive television watching
C) Promoting rubella immunizations for women
D) Including otoscopic examinations for all patients who attend the clinic
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Page 26
Chapter 25: Nursing Assessment: Integumentary System
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Sample Questions
Q1) Which of the following is the best example of nursing documentation of a normal assessment of the skin?
A) "Skin warm and dry;turgor good;nails flat and pink;old surgical scars noted on abdomen."
B) "History of allergic rashes;skin very fair with numerous freckles,warm and intact;no lesions noted."
C) "Skin brown,slightly moist,and warm;turgor immediate return;no lesions noted.States no problems with skin."
D) "No history of skin problems;skin intact,pink;temperature consistent over body;no lesions except numerous brown moles."
Q2) When examining a patient,the nurse notes a musky body odour and relates this finding to activity of which of the following glands?
A) Melanocyte glands
B) Ductless glands
C) Apocrine glands
D) Sebaceous glands
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Chapter 26: Nursing Management: Integumentary
Problems
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22 Verified Questions
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Sample Questions
Q1) During application of a wet dressing to the skin of a patient with impetigo,what is it most important for the nurse to do?
A) Use cool solutions to debride the lesions.
B) Use clean gloves to prevent the spread of the infection to others.
C) Use sterile gloves and dressings to prevent infection of the lesions.
D) Apply a prescribed topical antibiotic ointment before the application of the dressings.
Q2) An older adult patient is admitted to the hospital with a possible head injury following a fall at home.While examining the patient's scalp,the nurse suspects the presence of pediculosis on finding which of the following?
A) Ringlike rashes with red,scaly borders over the entire scalp
B) Papular,wheal-like lesions with white deposits on the hair shaft
C) Patchy areas of alopecia with small vesicles and excoriated areas
D) Red,hivelike papules and plaques with sharply circumscribed borders
Q3) What is the most common reason that people undergo a cosmetic procedure?
A) To increase longevity
B) To obtain different employment
C) To improve their body image
D) To improve function of the area that is involved
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Chapter 27: Nursing Management: Burns
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Sample Questions
Q1) A young woman spilled hot oil from a deep-fat fryer on her right lower leg and foot.Her leg and foot are red and swollen and covered with large blisters.She states that they are very painful.According to burn classification systems,how should the nurse document the burn?
A) Full-thickness skin destruction
B) Deep,partial-thickness skin destruction
C) Superficial,partial-thickness skin destruction
D) Third degree,with partial-thickness skin destruction
Q2) A patient is admitted to the burn unit with burns on his head and neck,chest and back,and left arm and hand following an explosion and fire in his garage.On his admission to the unit,the nurse auscultates wheezes in the patient's lungs.One hour later,the wheezes cannot be heard,and lung sounds are decreased.What is the most appropriate nursing action at this time?
A) Place the patient in the high-Fowler's position.
B) Encourage the patient to cough,and auscultate the lungs again.
C) Document the results,and continue to monitor the patient's progress.
D) Anticipate the need for endotracheal intubation,and notify the physician.
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Chapter 28: Nursing Assessment: Respiratory System
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Source URL: https://quizplus.com/quiz/78738
Sample Questions
Q1) While caring for a patient who has a 30-pack-year history of smoking,the nurse recognizes that the patient most likely has decreased respiratory defences due to which of the following conditions?
A) Impaired cough reflex
B) Impaired mucociliary clearance
C) Impaired reflex bronchoconstriction
D) Impaired ability to filter particles from the air
Q2) The nurse is observing a student who is auscultating a patient's lungs.Which action by the student indicates that the nurse should intervene?
A) The student compares breath sounds from side to side.
B) The student starts at the base of the posterior lung and moves to the apices.
C) The student places the stethoscope over the scapulae and then auscultates.
D) The student listens only over the posterior part of the chest.
Q3) While assessing a patient with respiratory problems,what should the nurse specifically ask about?
A) Smoking habits
B) Alterations in sexual activity
C) The course of the patient's illness
D) Occupational exposure to heavy lifting
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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/78737
Sample Questions
Q1) When the nurse is deflating the cuff of a tracheostomy tube to evaluate the patient's ability to swallow,what is it most important to do?
A) Deflate the cuff during the patient's inhalation.
B) Clean the inner cannula of the tracheostomy tube.
C) Suction the mouth and trachea before deflation of the tube.
D) Measure the amount of air removed from the cuff during deflation.
Q2) A woman calls the clinic and tells the nurse that her mother,an older adult,has had a cold for the past week.The woman is worried that pneumonia will develop.After the nurse discusses care of upper respiratory infections and prevention of secondary infections,which of the following responses by the woman alerts the nurse that additional teaching is needed?
A) "I should encourage my mother to drink a lot of juices and other fluids."
B) "I should watch for changes in nasal secretions or the sputum she coughs up."
C) "I can give my mother aspirin or acetaminophen to make her more comfortable."
D) "I can encourage my mother to continue to use nasal decongestant spray until the congestion is gone."
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Chapter 30: Nursing Management: Lower Respiratory
Problems
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/78735
Sample Questions
Q1) The nurse is preparing a patient with a diagnosis of bronchiectasis for chest physiotherapy with postural drainage.Which one of the following will the nurse implement?
A) Position the patient supine.
B) Elevate the head of the bed by 20 cm.
C) Elevate the foot of the bed by 10 to 15 cm.
D) Ensure the patient is in the left lateral position for the first part of the chest physiotherapy.
Q2) When providing preoperative instruction for a patient scheduled for a left pneumonectomy for cancer of the lung,the nurse informs the patient that postoperatively he can expect which of the following interventions?
A) To be positioned on the unaffected side
B) Chest tubes to water-seal chest drainage
C) Endotracheal intubation with mechanical ventilation
D) Frequent use of an incentive spirometer
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Chapter 31: Nursing Management: Obstructive Pulmonary Diseases
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/78734
Sample Questions
Q1) The nurse identifies the nursing diagnosis of activity intolerance for a patient with asthma.Which common etiological factor would the nurse document for this nursing diagnosis in patients with asthma?
A) Work of breathing
B) Fear of suffocation
C) Anxiety and restlessness
D) Side effects of medications
Q2) A patient who is experiencing an acute asthma attack is admitted to the emergency department.What is the priority nursing action?
A) Determine when the dyspnea started.
B) Obtain the forced expiratory flow rate.
C) Listen to the patient's breath sounds.
D) Ask about inhaled corticosteroid use.
Q3) What is the best nursing action when a patient with COPD is receiving oxygen?
A) Avoid administration of oxygen at a rate of more than 2 L/min.
B) Minimize oxygen use to avoid oxygen dependency.
C) Administer oxygen according to the patient's level of dyspnea.
D) Maintain the pulse oximetry level at 90% or greater.
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Chapter 32: Nursing Assessment: Hematological System
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78733
Sample Questions
Q1) A patient is found to have leukopenia,anemia,neutropenia,and thrombocytopenia.Which drug classification is known to exhibit these hematological alterations?
A) Isoniazid
B) Aminoglycosides
C) H<sub>2</sub>-receptor blockers
D) Trimethoprim-sulfamethoxazole (Septra)
Q2) While obtaining a health history from a patient with numerous petechiae on the skin,the nurse asks the patient specifically about the patient's use of which of the following drugs?
A) Antiseizure medications
B) Oral contraceptives
C) Aspirin compounds
D) Antihypertensive agents
Q3) Which of the following cells function to provide protection from parasitic infections?
A) Monocytes
B) Basophils
C) Eosinophils
D) Neutrophils
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Page 34
Chapter 33: Nursing Management: Hematological Problems
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/78732
Sample Questions
Q1) During discharge teaching for the patient with neutropenia,which of the following issues should the nurse include?
A) Caffeine and alcohol intake
B) Excessive dietary iron intake
C) Limiting fluids to 2 L per day
D) Exposure to crowds
Q2) A patient with myelodysplastic syndrome has laboratory values that indicate total bone marrow suppression.The nurse identifies a nursing diagnosis of risk for infection based on which of the following findings?
A) Basophils 120 cells/mL
B) Monocytes 360 cells/mL
C) Neutrophils 4000 cells/mL
D) White blood cell (WBC)count 2.8 \(\times\) 10<sup>9 </sup>cells/L (2800 cells/microlitre)
Q3) Which nutrient plays a role in helping mature RBCs in erythropoiesis?
A) Iron
B) Folic acid
C) Pyridoxine
D) Ascorbic acid
Page 35
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Chapter 34: Nursing Assessment: Cardiovascular System
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78731
Sample Questions
Q1) While monitoring a patient's cardiac activity,the nurse recognizes that stimulation of which of the following is a normal physiological mechanism responsible for an increase in heart rate (HR)and force of cardiac contractions?
A) The vagus nerve
B) Baroreceptors in the aortic arch and carotid sinus
C) (?)-Adrenergic receptors in the vascular system
D) Chemoreceptors in the aortic arch and carotid body
Q2) The standard orders on the cardiac unit state,"Notify the physician for MAP less than 70 mm Hg." For which patient would the nurse call the physician?
A) The patient with left ventricular failure who has a BP of 110/70 mm Hg
B) The patient with a myocardial infarction who has a BP of 114/50 mm Hg
C) The postoperative patient with a BP of 116/42 mm Hg
D) The newly admitted patient with a BP of 122/60 mm Hg
Q3) Which of the following is a normal age-related change in the heart?
A) Increased elastin
B) Decreased collagen
C) Decreased cardiac output
D) Increased stroke volume
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Chapter 35: Nursing Management: Hypertension
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/78730
Sample Questions
Q1) A patient with hypertension asks the nurse why lifestyle changes are needed when the patient has no symptoms from the high BP.Which response is most likely to improve patient's compliance with therapy?
A) "High BP damages the blood vessels,leading to risk for heart attack,stroke,and kidney failure."
B) "High BP increases blood flow to the kidneys,leading to increased workload for the renal system."
C) "High BP may not cause any problems for some people but does cause symptoms in many others."
D) High BP is probably causing the damage,but the patient does not recognize that they are occurring.
Q2) The nurse measures the BP of a 78-year-old patient and finds it to be 168/86 mm Hg in both arms.What will the nurse include in the teaching plan for this patient?
A) Increased BP is a normal finding in older adults.
B) Prehypertension indicates the need for lifestyle changes.
C) It is important to address the increased BP.
D) A high probability of kidney and heart disease exists.
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Chapter 36: Nursing Management: Coronary Artery Disease and
Acute Coronary Syndrome
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/78729
Sample Questions
Q1) A diagnosis of acute coronary syndrome (ACS)is the admission diagnosis for a patient transferred to the CCU.The nurse knows that this diagnosis indicates that the patient has experienced which of the following?
A) Unstable angina (UA)or an MI
B) Resuscitation following sudden cardiac death
C) Onset of any severe cardiac-related chest pain
D) MI accompanied by ST-segment elevation
Q2) Which of the following is an absolute contraindication for the use of fibrinolytic therapy?
A) Diabetes
B) Pregnancy
C) Intercranial neoplasm
D) Laser eye surgery
Q3) Which of the following is the earliest lesion of atherosclerosis and is characterized by lipid-filled smooth muscle cells?
A) Fatty streak
B) Fibrous plaque
C) C-reactive lesion
D) Complication lesion
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Chapter 37: Nursing Management: Heart Failure
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/78728
Sample Questions
Q1) The nurse identifies the collaborative problem of "potential complication: pulmonary edema for a patient in chronic heart failure." Which assessment will the nurse be most concerned about?
A) Apical pulse 106 beats/min
B) Weight gain of 1 kg over 24 hours
C) Oxygen saturation of 88% on room air
D) Decreased hourly urinary output
Q2) Following an acute myocardial infarction,a 67-year-old man develops heart failure.What does the nurse anticipate will be the first-line therapy for the patient?
A) Digitalis preparation,such as digoxin
B) Diuretic,such as hydrochlorothiazide (HydroDIURIL)
C) (?)-Adrenergic agonist,such as dobutamine
D) Angiotensin-converting enzyme (ACE)inhibitor,such as captopril (Capoten)
Q3) Which IV medication will the nurse expect to administer to a patient who has ADHF,to increase stroke volume?
A) Milrinone (Primacor)
B) Nesiritide (Natrecor)
C) Dobutamine (Dobutrex)
D) Nitroprusside (Nipride)
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Page 39
Chapter 38: Nursing Management: Dysrhythmias
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/78727
Sample Questions
Q1) What is the most accurate way to calculate the heart rate from an ECG?
A) Count the number of R-R intervals in 6 seconds,and multiply by 10.
B) Count the number of small squares between the R-R interval,and divide by 1500.
C) Count the number of QRS complexes in 1 minute.
D) Count the large squares between one R-R interval,and divide by 300.
Q2) A patient has a sinus arrest with a junctional escape rhythm.What would the nurse expect the patient's pulse rate to be?
A) 15 to 20 beats/min
B) 20 to 40 beats/min
C) 40 to 60 beats/min
D) 60 to 100 beats/min
Q3) A patient's sinus rhythm rate is 62 beats/min.The PR interval is 0.18 seconds at 0100 hours,0.20 seconds at 1230 hours,and 0.23 seconds at 1600 hours.Which action should the nurse take?
A) Document the patient's rhythm,and continue to monitor.
B) Prepare for possible pacemaker insertion.
C) Hold the ordered metoprolol (Lopressor),and call the physician.
D) Give the as-needed dose of lidocaine (Xylocaine).
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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/78726
Sample Questions
Q1) Cardiac tamponade is suspected in a patient who has acute pericarditis.To assess for the presence of pulsus paradoxus,what should the nurse do?
A) Subtract one third of the diastolic BP from the systolic BP.
B) Auscultate for a pericardial friction rub that increases in volume during inspiration.
C) Evaluate the rhythm of the pulse in relation to the patient's inspiration and expiration.
D) Note the first Korotkoff sound occurring during both inspiration and expiration while deflating the blood pressure cuff.
Q2) While caring for a patient with mitral valve prolapse with mild valvular regurgitation,the nurse determines that discharge teaching has been effective when the patient tells the nurse that she will do which of the following?
A) Take one aspirin a day to prevent embolization.
B) Limit her physical activity to avoid stressing her heart valves.
C) Schedule an appointment with her doctor every 6 months.
D) Discuss the diagnosis of mitral valve prolapse with the dentist.
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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/78724
Sample Questions
Q1) While working in the outpatient clinic,the nurse notes that the chart states that a patient has intermittent claudication.Which of these statements by the patient would be consistent with this information?
A) "My fingers hurt when I go outside in cold weather."
B) "Sometimes I get tired when I climb a lot of stairs."
C) "When I stand too long,my feet start to swell up."
D) "My legs cramp whenever I walk more than a block."
Q2) When performing an assessment with a patient who has chronic PAD,what should the nurse expect to find?
A) Edema around the ankles and feet
B) Ulceration around the medial malleoli
C) Draining ulcer on the heel
D) Prolonged capillary refill
Q3) Which of the following results of a D-dimer test would suggest that the patient has venous thromboembolism?
A) 100 mcg/L
B) 175 mcg/L
C) 225 mcg/L
D) 300 mcg/L
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Page 42
Chapter 41: Nursing Assessment: Gastrointestinal System
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78723
Sample Questions
Q1) Following an episode of vomiting bright red blood,a patient is hospitalized for evaluation.During physical assessment of the patient,which of the following findings does the nurse identify as abnormal?
A) Tympany on percussion of the abdomen
B) The liver edge 3 cm below the costal margin
C) Aortic pulsations visible in the epigastric area
D) Bowel sounds of 30 per minute in each quadrant
Q2) A patient with an obstructed common bile duct has a T-tube placed in the common bile duct to drain bile produced by the liver.How much would the nurse expect the daily bile drainage to be?
A) 50 mL
B) 400 mL
C) 1000 mL
D) 2500 mL
Q3) Which one of the following is an age-related change in the GI system?
A) Increased sense of smell
B) Increased sensitivity of taste buds
C) Atrophy of gingival tissue
D) Increased motility of small intestine
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Page 43
Chapter 42: Nursing Management: Nutritional Problems
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78722
Sample Questions
Q1) How often would the nurse flush a feeding tube for the patient who is on continuous enteral nutrition (EN)?
A) Every 2 hours
B) Every 4 hours
C) Every 6 hours
D) Every 12 hours
Q2) While caring for an older adult patient hospitalized with dehydration and moderate protein-calorie malnutrition,the nurse identifies a nursing diagnosis of risk for infection based on what knowledge?
A) Lymphocyte activity and phagocytosis are decreased.
B) Anemia of malnutrition contributes to susceptibility to infection.
C) Weakness of muscles leads to impaired ability to clear the lungs.
D) Wound healing is delayed if protein is not available for tissue building.
Q3) To determine the underlying factors relating to the undernourishment of an older adult patient,what is the most appropriate question the nurse can ask?
A) "Do you have a history of any malabsorption diseases?"
B) "Do you have a way to get to a grocery store to buy your food?"
C) "Are you taking any medications that alter your taste or tolerance of foods?"
D) "Can you give me an example of what you normally eat throughout the day?"
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Page 44
Chapter 43: Nursing Management: Obesity
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/78721
Sample Questions
Q1) A patient is being evaluated at the clinic for possible metabolic syndrome.The nurse will explain the purpose of which test to the patient?
A) Resting electrocardiogram
B) Fasting blood glucose test
C) Postural blood pressures
D) Cardiac enzyme tests
Q2) In the clinic,the nurse is assessing a new patient who has abdominal obesity and hypertension.What further assessment should the nurse do to assess for possible metabolic syndrome?
A) Take the patient's apical pulse.
B) Ask the patient about dietary intake.
C) Measure the patient's waist size.
D) Determine the patient's ethnic origin.
Q3) The nurse teaches the patient that medical monitoring will be required for how long after bariatric surgery?
A) 6 months
B) 1 year
C) 5 years
D) Lifelong
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Page 45
Chapter 44: Nursing Management: Upper Gastrointestinal
Problems
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/78720
Sample Questions
Q1) A 68-year-old patient has had intermittent epigastric distress,anorexia,and weight loss over a period of 6 months.She is hospitalized with anemia and ascites,and an endoscopic examination reveals cancer located in the fundus of the stomach.The nurse plans care for the patient with the knowledge that these findings indicate which of the following?
A) The patient has a poor prognosis with any therapy.
B) Surgical intervention is not indicated for the patient.
C) Radiation therapy is the treatment of choice for the patient.
D) The patient has a good prognosis with the use of combination chemotherapy.
Q2) A patient undergoes an esophagectomy with a synthetic graft replacement for treatment of esophageal cancer.Following his return to the surgical unit,why should the nurse place the patient in a semi-Fowler's position?
A) To facilitate respiratory function
B) To prevent reflux of gastric secretions
C) To promote drainage from the NG tube
D) To promote movement of fluids through the GI tract
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Chapter 45: Nursing Management: Lower Gastrointestinal
Problems
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/78719
Sample Questions
Q1) While obtaining a nursing history from a patient with IBD,which of the following data leads the nurse to suspect that the patient most likely has ulcerative colitis rather than Crohn's disease?
A) Weight loss
B) Bloody diarrhea
C) Abdominal pain and cramping
D) Onset of the disease at age 20
Q2) A 20-year-old university student is admitted to the emergency department for evaluation of abdominal pain with nausea and vomiting.She has a white blood cell count of 14,000 cells/microlitre with a shift to the left.Which one of the following actions is appropriate for the nurse to take?
A) Encourage the patient to take sips of clear liquids.
B) Apply an ice pack to the right lower quadrant.
C) Check for rebound tenderness every 30 minutes.
D) Teach the patient how to cough and breathe deeply.
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Tract Problems
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/78718
Sample Questions
Q1) When teaching a patient recovering from hepatitis B about management of the illness,the nurse determines that additional teaching is needed when the patient makes which of the following statements?
A) "I should not drink alcohol for at least a year."
B) "When I have recovered from this infection,I should have lifelong immunity to the virus."
C) "When the jaundice is gone,I have recovered from my illness and the infection is cured."
D) "I should use a condom during sexual intercourse until my tests for the virus are negative."
Q2) A 68-year-old patient has an abrupt onset of anorexia,nausea and vomiting,hepatomegaly,and abnormal liver function studies.Serological testing is negative for viral causes of hepatitis.During assessment of the patient,what is it most important for the nurse to ask the patient about?
A) Any prior exposure to people with jaundice
B) The use of all prescription and over-the-counter medications
C) Treatment of chronic diseases with corticosteroids
D) Exposure to children recently immunized for hepatitis B
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Chapter 47: Nursing Assessment: Urinary System
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78717
Sample Questions
Q1) How will the nurse assess the flank area for tenderness?
A) Percuss the area between the iliac crest and ribs along the midaxillary line.
B) Palpate along both sides of the lumbar vertebral column.
C) Place one hand flat at the costovertebral angle (CVA),and strike it with the other fist.
D) Push gently into the two lowest intercostal spaces.
Q2) Which one of the following tests identifies changes in cellular structures that are indicative of malignancy?
A) Concentration test
B) Residual urine
C) Quantitative test
D) Urine cytology
Q3) The nurse should tell the patient undergoing cystoscopy that which of the following will occur following the procedure?
A) He will receive narcotics as necessary for pain.
B) He will be on nothing by mouth (NPO)status for 8 hours to prevent nausea and vomiting.
C) He may experience blood-tinged urine and urinary frequency.
D) He will be on bed rest for 12 to 24 hours following the procedure.
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Chapter 48: Nursing Management: Renal and Urological Problems
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78716
Sample Questions
Q1) The nurse determines that instruction regarding prevention of future UTIs for a patient with cystitis has been effective when the patient gives which of the following responses?
A) "I will limit my fluid intake to 1000 mL/day to prevent symptoms of frequency and urgency."
B) "I will increase my fluid intake and empty my bladder every 2 to 4 hours during waking hours."
C) "I should use an antiseptic vaginal deodorant spray twice a day to reduce the bacterial growth in the perineal area."
D) "I will wash my perineal area with soap and water after each bowel movement and before and after sexual intercourse."
Q2) A 78-year-old woman is admitted to the hospital with dehydration and electrolyte imbalance.She is confused and incontinent of urine on admission.In developing a plan of care for the patient,what is an appropriate nursing intervention for the patient's incontinence?
A) Insert an in-dwelling catheter.
B) Apply absorbent incontinence pads.
C) Restrict fluids after the evening meal.
D) Assist the patient to the bathroom every 2 hours.
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Chapter 49: Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78715
Sample Questions
Q1) A patient with CKD is started on hemodialysis,and after the first treatment,the patient complains of nausea and a headache.The nurse notes mild jerking and twitching of the patient's extremities.The nurse will anticipate the need to do which of the following?
A) Increase the time for the next dialysis to remove wastes more completely.
B) Switch to continuous renal replacement therapy to improve dialysis efficiency.
C) Administer medications to control these symptoms before the next dialysis.
D) Slow the rate for the next dialysis to decrease the speed of solute removal.
Q2) When administering treatment for a patient who has hyperkalemia,the nurse will anticipate administration of which of the following to cause the potassium to move into the cells?
A) Calcium gluconate
B) Sodium bicarbonate
C) Furosemide
D) Insulin
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Chapter 50: Nursing Assessment: Endocrine System
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78713
Sample Questions
Q1) Which of the following is a common characteristic of most hormones?
A) Secretion at unpredictable rates
B) Circulation through the blood
C) Binding to receptors only on the cell membrane
D) Binding only to receptors within the cell
Q2) Use of nursing interventions to decrease the patient's physical and emotional stress is most important when the patient is undergoing which of the following tests?
A) A water deprivation test
B) Testing for serum T<sub>3</sub> and T<sub>4</sub> levels
C) A 24-hour urine test for free cortisol
D) A radioactive iodine uptake test
Q3) When working with a patient who has diabetes mellitus,the nurse uses the results of testing for glycosylated hemoglobin to evaluate which of the following?
A) Glucose levels 2 hours after a meal
B) Glucose control over the past 3 months
C) Circulating,nonfasting glucose levels
D) Episodes of hypoglycemia in the past 2 months
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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/78712
Sample Questions
Q1) Which of the following effects on the cardiovascular system would a patient with a hypofunction of the parathyroid gland most likely exhibit?
A) Hypertension
B) Increased cardiac output
C) Decreased contractility of heart muscle
D) Dysrhythmias
Q2) A patient is hospitalized with acute adrenal insufficiency.Which of the following findings assists the nurse to determine that the patient is responding favourably to treatment?
A) Decreasing blood glucose
B) Increasing urinary output
C) Decreasing serum sodium
D) Decreasing serum potassium
Q3) A patient is admitted with possible SIADH.Which information obtained by the nurse is most important to communicate rapidly to the physician?
A) Complains of a severe headache
B) Complains of severe thirst
C) Has a urine specific gravity of 1.025
D) Has a serum sodium level of 119 mmol/L
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Page 53
Chapter 52: Nursing Management: Diabetes Mellitus
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38 Flashcards
Source URL: https://quizplus.com/quiz/78711
Sample Questions
Q1) Amitriptyline (Elavil)is prescribed for a patient with diabetes with peripheral neuropathy who has burning foot pain occurring mostly at night.Which information should the nurse include when teaching the patient about the new medication?
A) Amitriptyline will help prevent the transmission of pain impulses to the brain.
B) Amitriptyline will improve sleep and make you less aware of nighttime pain.
C) Amitriptyline will decrease the depression caused by the pain.
D) Amitriptyline will correct some of the blood vessel changes that cause pain.
Q2) A patient screened for diabetes at a clinic has a fasting plasma glucose of 6.7 mmol/L (120 mg/dL).What will the nurse plan to teach the patient about?
A) Use of low doses of regular insulin
B) Self-monitoring of blood glucose
C) Oral hypoglycemic medications
D) Maintenance of a healthy weight
Q3) Which of the following is an example of a short-acting insulin?
A) Lispro (Humalog)
B) Glulisine (Apidra)
C) Regular (Novolin)
D) Detemir (Levemir)
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54
Chapter 53: Nursing Assessment: Reproductive System
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78710
Sample Questions
Q1) A couple who has not been able to conceive is scheduled for a Huhner test for infertility.In preparation for the test,what should the nurse inform the couple to do?
A) Refrain from sexual intercourse for 1 week before the test to allow sperm counts to increase.
B) Have intercourse at the estimated time of ovulation and come to the health clinic 2 to 8 hours after intercourse.
C) Expect to have sexual intercourse at the clinic so that sperm evaluation can be made immediately following intercourse.
D) Bring the man's semen specimen no older than 2 hours to be implanted into the woman's cervix at the clinic.
Q2) A woman calls the clinic because she is having an unusually heavy menstrual flow.She tells the nurse that she has saturated two pads in the past 2 hours.At which of the following approximate amounts does the nurse estimate the amount of blood loss?
A) 10 to 20 mL
B) 20 to 30 mL
C) 30 to 40 mL
D) 40 to 60 mL
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Chapter 54: Nursing Management: Breast Disorders
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/78709
Sample Questions
Q1) During examination of a 33-year-old patient's breasts,the nurse feels several movable,tender nodules.The patient tells the nurse that she has fibrocystic breasts,but reducing her sodium and caffeine intake,and other measures,have not made a difference in her breast pain and lumps.What is an appropriate patient outcome for the nurse to establish with the patient?
A) Performs daily breast self-examination
B) Arranges for immediate examination and biopsy of any new lesion
C) Monitors changes in the size and tenderness of all lumps in relation to her menstrual cycle
D) Consults with her physician about having a bilateral simple mastectomy to prevent the cysts from becoming malignant
Q2) A 64-year-old woman has undergone a modified radical mastectomy for a breast tumour.The pathology report identified the tumour as a stage II,estrogen receptor-positive adenocarcinoma.What would the nurse expect the first choice of treatment for the patient following the mastectomy to be?
A) Chemotherapy
B) Biological therapy
C) Radiation therapy
D) Hormone therapy with tamoxifen
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Page 56
Chapter 55: Nursing Management: Sexually Transmitted
Infections
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78708
Sample Questions
Q1) The nurse should inform women who have a history of STIs that the risk of infertility or ectopic pregnancies is highest following infection by which of the following STIs?
A) Treponema pallidum
B) N.gonorrhoeae
C) Condylomata acuminata
D) Herpes simplex virus type 2 (HSV-2)
Q2) A young man seeks care at the health clinic because he has developed a profuse,purulent urethral discharge with painful urination.During assessment of the patient,what is it most important that the nurse gather information about?
A) Recent sexual contacts
B) A history of previous similar symptoms
C) All of his sexual contacts within the past year
D) A history of bladder infections or mumps affecting the testicles
Q3) Cervarix,an HPV vaccine,is recommended for which of the following populations?
A) Females before sexual intercourse
B) Males and females between the ages of 9 and 26
C) Females between the ages of 13 and 20
D) Any sexually active female
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Chapter 56: Nursing Management: Female Reproductive Problems
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/78707
Sample Questions
Q1) A perimenopausal woman does not want to use hormone therapy but is interested in complementary and alternative therapies.Which of the following herbal or supplemental preparations should the nurse suggest is the safest to control menopausal symptoms?
A) Valerian
B) Dong quai
C) Black cohosh
D) Dietary soy products
Q2) When advising a patient with persistent menorrhagia,the nurse recognizes that all patients with this condition should be evaluated for which of the following?
A) Anemia
B) Pregnancy
C) Anovulation
D) Endometrial cancer
Q3) Which age group has the highest rate of induced abortion?
A) 13- to 16-year-olds
B) 16- to 18-year-olds
C) 20- to 24-year-olds
D) 35- to 40-year-olds
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Chapter 57: Nursing Management: Male Reproductive Problems
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/78706
Sample Questions
Q1) Following a radical retropubic prostatectomy for prostate cancer,the patient is incontinent of urine.What is an appropriate nursing intervention to teach this patient?
A) Pelvic floor muscle training
B) The use of herbal saw palmetto
C) How to perform intermittent self-catheterization
D) To avoid heavy lifting,which increases the incidence of incontinence
Q2) When obtaining a nursing history from a patient with benign prostatic hyperplasia (BPH),which of the following data would the nurse expect the patient to report?
A) Grossly bloody urine
B) Difficulty maintaining an erection
C) A weak urinary stream and dribbling at the end of urination
D) Lower back pain that radiates to the hips during urination
Q3) What of the following does the nurse tell a patient who asks what the best treatment option is for treating BPH?
A) Transurethral incision of the prostate
B) TURP
C) Transurethral microwave thermotherapy
D) Transurethral needle ablation
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Chapter 58: Nursing Assessment: Nervous System
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78705
Sample Questions
Q1) Which area of the cerebrum would the nurses suspect is injured when the patient is unable to understand spoken words?
A) Broca's area
B) Precentral gyrus
C) Wernicke's area
D) Postcentral gyrus
Q2) When obtaining a health history from a patient with a neurological problem,the nurse is likely to elicit the most valid response from the patient by asking the patient which of the following questions?
A) "Do you ever have any nausea or dizziness?"
B) "Does the pain radiate from your back into your legs?"
C) "Do you have any sensations of pins and needles in your feet?"
D) "Can you describe the sensations you are having in your chest?"
Q3) When interviewing an acutely confused patient who has a head injury,which question will provide the most useful information?
A) "Have you ever been hospitalized for a neurological problem?"
B) "Do you have any pain at the present time?"
C) "What have you had to eat in the last 24 hours?"
D) "Can you describe your usual pattern for coping with injury?"
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Page 60
Chapter 59: Nursing Management: Acute Intracranial Problems
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78704
Sample Questions
Q1) The nurse notes clear drainage from the nose of a patient with a frontal skull fracture and recognizes that which of the following interventions is absolutely contraindicated for this patient?
A) Lying flat
B) Eating solid food
C) Inserting a nasogastric tube
D) Cold packs for facial bruising
Q2) The physician prescribes intravenous (IV)mannitol (Osmitrol)for an unconscious patient.What would the nurse expect the therapeutic effect of this drug to result in?
A) Decreased seizure activity
B) Decreased cerebral edema
C) Decreased cerebral metabolism
D) Decreased cerebral inflammation
Q3) During the assessment of a patient who has a tumour of the left frontal lobe,what would the nurse expect to find?
A) Speech disturbances
B) Ataxic gait and vertigo
C) Personality and judgement changes
D) Papilledema and vision disturbances
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Chapter 60: Nursing Management: Stroke
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/78702
Sample Questions
Q1) A patient is admitted to the hospital with dysphasia and right-sided weakness that resolves in a few hours.The nurse will anticipate teaching the patient about which of the following medications?
A) Alteplase (tPA)
B) Aspirin (Aggrenox)
C) Warfarin (Coumadin)
D) Nimodipine (Nimotop)
Q2) A patient with a stroke caused by thrombosis of the middle cerebral artery experiences left-sided paralysis of the upper and lower extremities and facial drooping on the left side.When obtaining admission assessment data about the patient's clinical manifestations,it is most important for the nurse to assess which of the following?
A) The patient's ability to follow commands
B) The patient's visual fields
C) The patient's left-sided reflexes
D) The patient's emotional state
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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/78701
Sample Questions
Q1) A patient with Parkinson's disease tells the nurse that she is having increasing problems with constipation.The nurse explains that constipation occurring with Parkinson's disease is most often a result of which of the following factors?
A) Advanced age
B) Decreased physical activity
C) Side effects of dopaminergic agents
D) Diminished nerve conduction to the bowel
Q2) A patient with MG has a nursing diagnosis of altered nutrition: less than body requirements related to impaired swallowing.To promote nutrition,the nurse suggests that before meals,the patient should avoid which of the following actions?
A) Writing letters
B) Talking on the telephone
C) Typing on the computer
D) Taking pyridostigmine (Mestinon)
Q3) What is the most important nursing tool in diagnosing a cluster headache?
A) Magnetic resonance imaging (MRI)of the brain
B) Electromyography
C) The patient history
D) Computed tomography (CT)imaging of the brain
Page 63
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Chapter 62: Nursing Management: Delirium,alzheimers
Disease,and Other Dementias
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78700
Sample Questions
Q1) A home care patient with Alzheimer's disease and mild dementia has a new prescription for donepezil.Which nursing action will be most effective in ensuring compliance with the medication?
A) Setting the medications up weekly in a medication box
B) Calling the patient daily with a reminder to take the medication
C) Having the patient's spouse administer the medication
D) Posting reminders to take the medications in the patient's house
Q2) In which of the following conditions does the patient have fluctuations in consciousness throughout the course of the disease?
A) Delirium
B) Depression
C) Psychosis
D) Dementia
Q3) Which of the following is a rare and fatal infectious brain disorder that progresses rapidly to death within 1 year?
A) Vascular dementia
B) Dementia with Lewy bodies
C) Creutzfeldt-Jakob disease
D) Neurofibrillary tangle disease
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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/78699
Sample Questions
Q1) A patient with Guillain-Barré syndrome asks the nurse what has caused the disease.In responding to the patient,what should the nurse explain about Guillain-Barré syndrome?
A) Results from an acute infection and inflammation of the peripheral nerves
B) Is due to an immune reaction that attacks the covering of the peripheral nerves
C) Is caused by destruction of the peripheral nerves after exposure to a viral infection
D) Results from degeneration of the peripheral nerve caused by viral attacks
Q2) A patient admitted to the emergency department is diagnosed with botulism poisoning,and botulinum antitoxin is to be administered.Before administration of the antitoxin,what should the nurse do?
A) Obtain baseline vital signs.
B) Administer an intradermal test dose.
C) Ask the patient about a history of allergies.
D) Document the presence of neurological symptoms.
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65
Chapter 64: Nursing Assessment: Musculoskeletal System
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78698
Sample Questions
Q1) A patient suffers an injury to the shoulder while playing football.To identify abnormalities of cartilage and soft tissue surrounding the joint,what would the nurse expect the patient to be evaluated with?
A) A bone scan
B) An arthrogram
C) Standard X-ray films
D) Magnetic resonance imaging (MRI)
Q2) While testing the patient's muscle strength,the nurse finds that although the patient can move his limbs,he cannot apply muscle resistance to force.How should the nurse grade the muscle strength?
A) 1
B) 2
C) 3
D) 4
Q3) The wrist joint is an example of which one of the following joint types?
A) Hinge joint
B) Pivot joint
C) Condyloid joint
D) Gliding joint
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Page 66
Chapter 65: Nursing Management: Musculoskeletal
Trauma and Orthopedic Surgery
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/78697
Sample Questions
Q1) While working in an urgent care centre,the nurse sees many patients with sports-related injuries.In teaching these patients about health promotion during physical activity,what should the nurse emphasize?
A) Stretching and warm-up exercises are an important part of the exercise routine.
B) All joints at risk for injury should be wrapped with adhesive tape before exercising.
C) Low-impact activities should be substituted for strenuous,physically stressful exercise. D) All strenuous exercise should be followed with a period of complete physical relaxation.
Q2) A woman is seen at the urgent care centre after falling on her right arm and shoulder.What is an assessment finding noted by the nurse that would indicate the patient has a dislocated shoulder?
A) Bruising at the shoulder area
B) The right arm being shorter than the left arm
C) Decreased range of motion of the right shoulder
D) Increased pain caused by flexing and extending the elbow
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Chapter 66: Nursing Management: Musculoskeletal
Problems
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78696
Sample Questions
Q1) A 43-year-old truck driver who is responsible for loading and unloading the business machines he transports has a history of chronic back pain.Following teaching regarding care of his back,the nurse determines that the patient understands management of his condition when he makes which of the following responses?
A) "I plan to start doing sit-ups and leg lifts 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) Following a laminectomy with a spinal fusion,a patient reports numbness and tingling of the right lower leg.What is the first nursing action?
A) Report the patient's complaint to the surgeon.
B) Check the vital signs for indications of hemorrhage.
C) Turn the patient to the side to relieve pressure on the operative area.
D) Compare these findings with preoperative assessments of neuromuscular symptoms.
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Chapter 67: Nursing Management: Arthritis and Connective
Tissue Diseases
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/78695
Sample Questions
Q1) The home health care nurse is doing a follow-up visit to a patient with recently diagnosed RA.Which nursing assessment indicates that more patient teaching is needed?
A) The patient sleeps with two pillows under the head.
B) The patient has been taking 16 aspirins daily.
C) The patient requires a 2-hour midday nap.
D) The patient sits on a stool when preparing meals.
Q2) A 62-year-old patient is hospitalized for onset of diffuse erythema of his upper body with periorbital edema.The physician suspects dermatomyositis.In planning care for the patient,what should the nurse anticipate that the collaborative care of the patient will involve?
A) Instillation of artificial tears
B) Local steroid injections of skin lesions
C) Administration of high-dose corticosteroids
D) Electroencephalogram evaluation for central nervous system inflammation
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Chapter 68: Nursing Management: Critical Care Environment
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/78694
Sample Questions
Q1) A patient with hemodynamic monitoring has a blood pressure of 94/68 mm Hg,HR of 130 beats/min,CO<sub>2</sub> of 4.8 L/min,and mixed venous oxygen saturation (SvO<sub>2</sub>)of 64%.In analyzing the patient's hemodynamic measurements,the nurse calculates his SV at which of the following findings?
A) 23 mL/beat
B) 37 mL/beat
C) 42 mL/beat
D) 59 mL/beat
Q2) A patient with an oral endotracheal tube has a nursing diagnosis of risk for aspiration related to presence of artificial airway.What is an appropriate nursing intervention for the patient?
A) Perform oral suctioning frequently and before cuff deflation.
B) Remove the bite block and perform oral hygiene every 2 hours.
C) Maintain cuff pressure at minimal occluding volume to prevent gastric secretions from entering the trachea.
D) Use chest physiotherapy to move secretions to large airways,where they can be suctioned.
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Page 70
Chapter 69: Nursing Management: Shock,systemic
Inflammatory Response Syndrome,and Multiple-Organ
Dysfunction Syndrome
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/78693
Sample Questions
Q1) When caring for a patient in shock,the nurse notifies the physician of the patient's deteriorating status when the patient's arterial blood gas results include which of the following findings?
A) pH 7.48,partial pressure of arterial carbon dioxide (PaCO<sub>2</sub>)33 mm Hg
B) pH 7.33,PaCO<sub>2</sub> 30 mm Hg
C) pH 7.50,PaCO<sub>2</sub> 50 mm Hg
D) pH 7.38,PaCO<sub>2</sub> 45 mm Hg
Q2) While caring for a seriously ill patient,the nurse determines that the patient may be in the compensatory stage of shock on observing which of the following findings?
A) Cold,mottled extremities
B) Restlessness and apprehension
C) An HR of 120 beats/min and cool,clammy skin
D) A systolic BP less than 90 mm Hg and a widening pulse pressure
Q3) Which of the following nursing interventions prevents the development of shock?
A) Routine checking of stools for occult blood
B) Keeping patients warm to prevent chilling or shivering
C) Identifying situations in which patients are at risk for shock
D) Frequent monitoring of patient status to detect compensatory changes
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Chapter 70: Nursing Management: Respiratory Failure and
Acute Respiratory Distress Syndrome
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/78691
Sample Questions
Q1) Which of the following findings indicates to the nurse that a patient with acute respiratory distress who has no history of chronic lung disease is in acute respiratory failure?
A) pH of 7.34
B) Arterial partial pressure of oxygen (PaO<sub>2</sub>)of 45 mm Hg
C) Arterial partial pressure of carbon dioxide (PaCO<sub>2</sub>)of 50 mm Hg
D) Evidence of respiratory muscle fatigue
Q2) To evaluate both oxygenation and ventilation in a patient with acute respiratory failure,the nurse uses the findings revealed with which of the following monitoring methods?
A) Chest X-ray films
B) Pulse oximetry
C) Arterial blood gas (ABG)analysis
D) Hemodynamic monitoring
Q3) Which assessment finding would the nurse expect in a patient with hypoxemia?
A) Apnea
B) Decreased respiratory rate
C) Increased SpO<sub>2</sub>
D) Prolonged expiration
Page 72
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Chapter 71: Nursing Management: Emergency Care Situations
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78690
Sample Questions
Q1) A young woman is admitted to the emergency department after experiencing submersion at a local lake.She received rescue breathing at the site and now has spontaneous respirations.The nurse tells the patient that she will need to be observed for some time,primarily because she may yet experience which of the following complications?
A) Hypernatremia
B) Pulmonary edema
C) Respiratory acidosis
D) Signs of head injury
Q2) To prevent ventricular fibrillation during treatment of a patient with hypothermia,the nurse plans to carry out which of the following actions?
A) Monitor cardiac activity.
B) Have defibrillation equipment readily available.
C) Avoid moving and stimulating the patient as much as possible.
D) Encourage oral fluids to decrease the hematocrit and sludging of the blood.
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Chapter 72: Emergency Preparedness and Disaster Management
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78689
Sample Questions
Q1) A mass casualty incident is an example of which type of disaster?
A) Internal
B) External
C) Peripheral
D) Combined internal and external
Q2) Anthrax (Bacillus anthracis)can be spread in several forms.Which one is the least lethal?
A) Inhalation
B) Ingestion
C) Cutaneous
D) Injection
Q3) Which of the following is true of a disaster?
A) It negatively affects society.
B) It requires a rapid and skilled response to action.
C) It is managed by a community's existing resources.
D) It requires urgent intervention to avoid worsening of the situation.
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