Clinical Nursing I Exam Bank
Course Introduction
Clinical Nursing I introduces foundational concepts and essential skills necessary for safe and effective patient care in various clinical settings. Emphasizing the nursing process, students learn to perform comprehensive assessments, implement basic nursing interventions, and apply critical thinking in real-world scenarios. The course explores principles of infection control, patient safety, communication, and documentation while fostering professional behaviors and ethical decision-making. Through supervised clinical experiences and simulated practice, students gain hands-on proficiency in bedside care, preparing them for more advanced clinical responsibilities in subsequent courses.
Recommended Textbook
Introduction to Medical Surgical Nursing 5th Edition by Linton
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56 Chapters
1705 Verified Questions
1705 Flashcards
Source URL: https://quizplus.com/study-set/497
Page 2
Chapter 1: The Health Care System
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/9178
Sample Questions
Q1) The Balanced Budget Act of 1997 was the cause of closures of many proprietary home health care agencies because the Act:
A) Specified that all care be given by registered nurses (RNs).
B) Listed specific diagnoses that could qualify a patient for home health care.
C) Limited the amount of money that could be spent on a patient.
D) Increased the criteria for patient eligibility for home care.
Answer: C
Q2) A 76-year-old man,who is hospitalized for treatment after a stroke,asks the nurse how long he can expect Medicare to cover his treatment.The nurse's most informative response is:
A) "Your Part B will cover your hospital care as long as is necessary."
B) "Your health care provider will determine how long your Medicare coverage will be in effect."
C) "You are allowed 50 days of inpatient care annually."
D) "You can receive skilled care for up to 100 days."
Answer: D
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3
Chapter 2: Patient Care Settings
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) When their grandmother was admitted to a long-term residential care facility,the family was assured by the admitting nurse that care,in keeping with the concepts of long-term care,would be based on:
A) Amount of activities the resident can do for herself
B) Maintenance care with an emphasis on incontinence
C) Successful adaptation to the regulations of the home
D) Maintenance of as much function as possible
Answer: D
Q2) The nurse explains that the law that provides for a partially paralyzed fork-lift operator to be retrained by vocational rehabilitation services for less demanding office work is the:
A) Vocational Rehabilitation Act of 1920
B) Social Security Act of 1935
C) Rehabilitation Act of 1973
D) Americans with Disabilities Act of 1990
Answer: C
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4
Chapter 3: Legal and Ethical Considerations
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/9180
Sample Questions
Q1) When the LPN/LVN assists an older woman to stand after a fall in a shopping mall parking lot,the woman twists and sprains her ankle.The LPN/LVN is protected from litigation or an unintentional tort by:
A) Hospital malpractice insurance
B) Good faith agreement
C) Good Samaritan law
D) Personal professional insurance
Answer: C
Q2) The LPN/LVN explains to a patient that the hospital has an Institutional Ethics Committee whose main function is to:
A) Preside over policy implementation
B) Revoke the license of someone who violates the law
C) Solve personnel disputes
D) Ensure that hiring adheres to ethnic equality
Answer: A
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Chapter 4: The Leadership Role of the Licensed Practical
Nurse
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/9181
Sample Questions
Q1) The licensed practical/vocational nurse (LPN/LVN),as a regular staff member,knows all the patients and anticipates many of their needs.Other staff members are comfortable asking for advice.The advice is given freely with a clear explanation or demonstration or both.This nurse can be said to be acting in the role of a(n):
A) Self-appointed teacher
B) Management-assigned instructor
C) Informal leader
D) Designated supervisor
Q2) To establish an effective team,the team leader must be able to: (Select all that apply.)
A) Establish a clear purpose, and clarify its significance.
B) Be firm to maintain focus on one idea, not sidetracked by the ideas of others.
C) Listen to all input in an active manner.
D) Demonstrate concern for stress of the team members.
E) Be honest concerning own opinions and attitudes.
Q3) Planning,organizing,directing,and controlling are major functions of
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Page 6
Chapter 5: The Nurse-Patient Relationship
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse explains that a pamphlet called the "Patient Care Partnership" was created by the:
A) Joint Commission for Accreditation of Hospitals
B) Medicare/Medicaid Act
C) Social Security Act
D) American Hospital Association
Q2) The nurse is preparing an anxious patient for major surgery and remarks,"Everyone feels some anxiety,but you will be asleep during the whole thing." This is an example of which communication style?
A) Empathy
B) Summarizing
C) False reassurance
D) Premature advice
Q3) When the dying patient says,"There is no God.There is no afterlife.When it's over,it's over." The most therapeutic response would be:
A) "You must feel very lonely."
B) "Of course there is a God, and He loves you very much."
C) "Why do you think there is no God?"
D) "You are absolutely right. I think that, too."
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Page 7
Chapter 6: Cultural Aspects of Nursing Care
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/9183
Sample Questions
Q1) The nurse explains that a Hindu refers to the record of his or her life and its accomplishments as ____________________.
Q2) Two licensed practical/vocational nurses (LPN/LVNs)are colleagues on the same medical-surgical floor.They went to the same LPN/LVN school.When on break time,they discuss the holistic entries of the nursing care plans they are helping create.This behavior is an example of:
A) Subculture
B) Democracy
C) Diversity
D) Ethnicity
Q3) When many cultures and subcultures exist within the same society,as they do in the large cities of the United States,these groups are referred to as:
A) Cultural diversity
B) Cultural ethnicity
C) Mixed society
D) Cultural immigration
Q4) The process in which children mature and take on the values of their families and their society is called ____________________.
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8
Chapter 7: The Nurse and the Family
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9184
Sample Questions
Q1) Culture and social class usually set a precedent for different roles and responsibilities of each family member.The healthiest family is one in which the:
A) Father assumes the role as breadwinner.
B) Mother assumes the role as homemaker.
C) Father or mother shares the roles of breadwinner and homemaker.
D) Roles of breadwinner or homemaker can be shifted as needed.
Q2) According to the latest Census Bureau report,most families in the United States are:
A) Nontraditional
B) Blended
C) Multigenerational
D) Traditional
Q3) Children of racial minorities are more likely to live in a family that is:
A) Blended
B) Extended
C) Traditional
D) Nontraditional
Q4) The nurse includes the family in patient care to maintain the family's
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9
Chapter 8: Health and Illness
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The patient returning from surgery complains of incisional pain that is now rated 7 in intensity on the 1-to-10 pain scale.As a nurse,you know that pain is an example of:
A) General adaptation syndrome
B) Local adaptation syndrome
C) Counter-current response
D) Neuroendocrine response
Q2) During the initial gathering of data,the patient reveals a weight loss of 17 pounds since the death of his spouse 5 weeks earlier.He says that he is not sleeping and has no appetite.Using Maslow's "Hierarchy of Needs," the nurse assesses that the unmet needs are in the category of:
A) Physiologic
B) Safety and security
C) Love and belonging
D) Self-actualization
Q3) The nurse explains that the patient who is taking Valium for a nervous disorder but is also taking passion flower tablets to combat symptoms is using a combination of traditional and alternative therapy that is called ____________________.
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Chapter 9: Nutrition
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/9186
Sample Questions
Q1) Lipoproteins carry cholesterol in the bloodstream.For this reason,primary caregivers are interested in monitoring lipid-density profiles.Which one of the following is of primary interest to the primary caregiver in relationship to the patient's risk for cardiovascular disease?
A) Very low-density lipoproteins (VLDLs) and hematocrit (Hct)
B) VLDLs and high-density lipoproteins (HDLs)
C) Low-density lipoproteins (LDLs) and hemoglobin (Hgb)
D) LDLs and HDLs
Q2) Elements required for enzyme regulation and maintenance of osmotic pressure are:
A) Proteins
B) Minerals
C) Carbohydrates
D) Amino acids
Q3) The nurse counsels the patient to avoid saturated fats such as: (Select all that apply.)
A) Butter
B) Olive oil
C) Coconut oil
D) Canola oil
E) Palm oil
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Chapter 10: Developmental Processes
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9187
Sample Questions
Q1) Asking patients about loneliness is a particularly significant part of the nursing assessment of:
A) Young adults
B) Old young adults
C) Old middle-aged adults
D) Older adults
Q2) The nurse is aware that the gradual weight gain of a 25-year-old man is most likely related to: (Select all that apply.)
A) Consuming the same amount of calories as he did as an adolescent
B) Inadequate exercise
C) Consuming large amount of protein in the diet
D) Keeping late hours, resulting in inadequate rest
E) Eating junk food
Q3) A person's type of dress,language,and social relationships pertain to:
A) Psychologic age
B) Biologic age
C) Chronologic age
D) Social age
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Chapter 11: The Older Patient
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/9188
Sample Questions
Q1) A new 72-year-old resident of a long-term care facility naps frequently during the day,stating that he is tired.The nurse should:
A) Obtain an order from the primary caregiver for a sedative.
B) Ask the patient if he is sleeping well at night.
C) Plan activities to keep the patient awake during the day.
D) Tell the patient that he cannot take any more naps.
Q2) Prerequisites for the nurse working with the geriatric patient include an understanding that:
A) Specialized knowledge is needed.
B) The geriatric patient will be physically impaired.
C) Most geriatric patients will develop dementia.
D) The geriatric patient will need to be closely supervised.
Q3) To relieve the discomfort of pruritus related to dry skin,the nurse should focus on:
A) Encourage the patient to talk to the primary care physician about the problem.
B) Encourage the patient to take a tepid bath and use moisturizers.
C) Teach the patient that pruritus is an expected consequence of aging.
D) Establishing a medication regimen to control the discomfort.
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Chapter 12: The Nursing Process and Critical Thinking
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9189
Sample Questions
Q1) The nurse auscultating the patient's chest will: (Select all that apply.)
A) Use the diaphragm for assessing breath sounds.
B) Use the bell for assessing murmurs.
C) Apply earpieces pointing toward the ears.
D) Wet the chest hair with a cloth.
E) Press the diaphragm very firmly against the chest wall.
Q2) An example of a complete nursing diagnosis is:
A) Peripheral neurovascular dysfunction
B) Peripheral neurovascular dysfunction exhibited by patient complaint
C) Peripheral neurovascular dysfunction related to decreased sensation, exhibited by the statement, "My feet are tingling."
D) Peripheral neurovascular dysfunction exhibited by patient statement
Q3) Standardized care plans are:
A) Clinical pathways
B) Evaluation tools
C) Outcome criteria
D) Nursing intervention-based
Q4) The nurse who exhibits an open minded,professionally curious,mature and self confident approach to care would be considered a ________________
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Chapter 13: Inflammation, Infection, and Immunity
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9190
Sample Questions
Q1) The nurse assesses that the patient who has acquired a health care-associated infection is most likely the patient with:
A) Abdominal abscess after a ruptured appendix
B) Lice and nits that have come from the emergency department
C) Urinary infection after the insertion of a Foley catheter
D) Two-day, postoperative foot fungus after a hip replacement
Q2) The nurse explains that although some drugs reduce inflammation,they also hinder the body's immune response.Examples of such drugs are:
A) Antihistamines and salicylates
B) Bronchodilators and corticosteroids
C) Cardiotonic and anticholinergics
D) Diuretics and sedatives
Q3) After receiving an injection of penicillin,the patient undergoes an anaphylactic reaction.The nurse should immediately:
A) Administer oxygen.
B) Prepare fluids to combat shock.
C) Notify the charge nurse.
D) Cover with several blankets.
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Chapter 14: Fluids and Electrolytes
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9191
Sample Questions
Q1) Older adults are at risk for dehydration because of reduced thirst and aging kidneys.The nurse monitors for the early indicator of dehydration,which is:
A) Reduced skin turgor
B) Constipation
C) Concentrated urine
D) Disorientation
Q2) The nurse explains that fluids carrying nutrients and wastes on a random basis throughout the body are carried primarily by:
A) Filtrates
B) Extracellular fluid
C) Intracellular fluid
D) Osmolytes
Q3) The nurse assesses that the patient's urine has become much more concentrated,which results from the effect of:
A) Adrenaline
B) Aldosterone
C) Antidiuretic hormone (ADH)
D) Insulin
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16
Chapter 15: Pain Management
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9192
Sample Questions
Q1) When the patient with sciatica seats himself in a chair,he gasps and complains of a burning and shooting pain in his hip.The nurse assesses that this is _______________ pain.
A) Referred
B) Neuropathic
C) Visceral
D) Acute
Q2) In performing a pain assessment,the LPN/LVN would follow which steps?
A) Assess vital signs, status of pain, and aggravating factors.
B) Assess location, quality, and intensity on an identified scale.
C) Assess the intensity on an identified scale and record findings.
D) Assess vital signs and location, and report to the RN.
Q3) The nurse instructs a patient who has had a rhizotomy for leg pain that:
A) Relief may not be permanent.
B) The leg will tingle and burn occasionally.
C) The foot may discolor and twitch at times.
D) Snug shoes should be worn at all times.
E) Caution should be taken to prevent injury to the leg.
Q4) The nurse explains that afferent pathways are activated by pain receptors called ____________________.
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Chapter 16: First Aid, Emergency Care, and Disaster Management
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9193
Sample Questions
Q1) The nurse who is assisting victims of an automobile collision has already placed a towel secured with a belt on a bleeding leg wound.When the towel becomes saturated the nurse should:
A) Do nothing.
B) Remove the towel and use the belt as a tourniquet.
C) Remove the towel and place the victim's jacket over wound and secure.
D) Reinforce the towel with the victim's jacket.
Q2) While at the local pool on an extremely hot day,the nurse is called on to care for a woman who has evidently suffered heat exhaustion.The initial nursing care for this person is to:
A) Obtain vital signs.
B) Move the patient into an air-conditioned or shaded area.
C) Give her several glasses of ice water.
D) Cover her with a wet towel.
Q3) A mother brings in her 2-year-old who has ingested gasoline 1 hour earlier.After initial assessment,the nurse will:
A) Prepare to administer syrup of ipecac.
B) Turn the patient on his or her stomach to induce vomiting.
C) Prepare to administer Milk of Magnesia.
Page 18
D) Prepare to administer bowel lavage and cathartics.
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Chapter 17: Surgical Care
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9194
Sample Questions
Q1) A nurse is assisting in the transfer of a postoperative patient from the postanesthesia care unit to the surgical nursing unit.To ensure the safety of the patient,the nurse would:
A) Put the side rails up after moving the patient from the stretcher to the bed.
B) Ask the patient to move from the stretcher to the bed.
C) Move the patient rapidly from the stretcher to the bed.
D) Uncover the patient before transferring from the stretcher to the bed.
Q2) The postanesthesia care nurse is evaluating the patient for possible transfer to the surgical unit.The following assessment would prevent the patient's transfer:
A) Blood pressure: 126/78 mm Hg
B) Pulse rate: 82 beats per minute
C) Pulse oximeter reading: 85%
D) Respirations: 22 breaths per minute
Q3) The nurse understands that palliative surgery is intended to:
A) Remove and study tissue to make a diagnosis.
B) Relieve symptoms or improve function without correcting the basic problem.
C) Remove diseased tissue or correct defects.
D) Correct serious defects that only affect appearance.
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Chapter 18: Intravenous Therapy
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9195
Sample Questions
Q1) When discontinuing an IV,the nurse will:
A) Remove the dressing, remove the catheter, dispose of the used equipment in the sharps container, and chart observations and actions.
B) Observe the site for redness, swelling, and pain, and put on sterile gloves. Remove the dressing catheter and chart the findings and action.
C) Observe the site for redness, swelling, and pain, and put on clean gloves. Remove the dressing and catheter, place a 2 ´ 2 dressing over the site, and chart the findings and action.
D) Observe the site for redness, swelling, and pain, and put on clean gloves. Remove the dressing and catheter; chart the findings and action.
Q2) When the nurse assesses an infiltration at a peripheral IV site,the nurse should: (Place these options in the correct sequence.)
A) Elevate the arm.
B) Apply warm compresses to the area.
C) Restart the infusion.
D) Stop the infusion.
E) Notify the charge nurse.
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Chapter 19: Shock
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9196
Sample Questions
Q1) When speaking to the family of a 65-year-old Hispanic woman,the nurse will address most conversation to the:
A) 66-year-old husband
B) Entire family, in general
C) 42-year-old daughter (oldest child)
D) 40-year-old son (only son)
Q2) The nurse assessing a patient in the progressive stage of shock would expect to find:
A) Bounding pulse, decreased respirations, and decreased blood pressure
B) Bounding pulse, shallow respirations, and significantly increased blood pressure
C) Thready pulse and deep respirations with decreased blood pressure
D) Thready pulse and irregular respirations with increased blood pressure
Q3) Although several life-supporting systems of the body are involved in the pathophysiologic characteristics of shock,shock itself results from failure of which system?
A) Circulatory
B) Endocrine
C) Neurologic
D) Respiratory
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Chapter 20: Falls
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse is teaching the patient methods for getting up after a fall.The nurse instructs the patient to pull up to a sitting position on the floor,shuffle the buttocks to a nearby piece of furniture,pull up on the knees in front of the furniture,and then:
A) Stand up.
B) Place hands on the floor for leverage.
C) Pivot so that the furniture is behind the body.
D) Sit back down.
Q2) In reviewing a patient's medication administration record,the nurse is aware that some medications are considered to be chemical restraints.Of the following medications,the nurse recognizes the chemical restraint to be:
A) Warfarin (Coumadin)
B) Alprazolam (Xanax)
C) Isosorbide (Isordil)
D) Ibuprofen (Motrin)
Q3) The nurse helps the physical therapist teach residents in a long-term care facility how to diminish the risk of injury from a fall by teaching them rotation maneuvers to help them avoid falling ____________________.
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Chapter 21: Immobility
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse instructing a patient on performing isometric exercises should instruct the patient to:
A) Contract the muscle for several seconds, then relax the muscle for a few seconds, and contract it again.
B) Perform full range-of-motion exercises of each joint.
C) Have a family member perform full range-of-motion exercises on each of the patient's joints.
D) Stand in front of a wall and push with the arms without bending the elbow.
Q2) The nurse instructs a patient in a wheelchair that the risk for pressure ulcers can be diminished if the patient will:
A) Use a ring pillow on the seat of the chair.
B) Lift the weight of the body using the arms of the wheelchair every 15 minutes.
C) Scoot forward and back in the seat to stimulate circulation.
D) Wear underwear that holds moisture close to skin.
Q3) When a bacteria is localized at the site of a Stage III pressure ulcer,it is said to be_____________.
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Chapter 22: Confusion
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9199
Sample Questions
Q1) Reality orientation is helpful for some patients with confusion.The nurse should use this technique on a patient diagnosed with:
A) Organic brain syndrome
B) Senile dementia
C) Senility
D) Acute confusional state
Q2) The family of a patient with Alzheimer disease asks the nurse,"When will my mother quit being so confused?" The nurse's response should be based on the fact that dementia is a:
A) Short-term confusional state that is typically reversible
B) State of confusion caused primarily by medications
C) State of confusion that usually begins abruptly and lasts a short period
D) Syndrome that is chronic and irreversible
Q3) When a normally oriented 87-year-old resident in a long-term care facility exhibits acute confusion,the nurse should first assess for a(n)____________________.
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24
Chapter 23: Incontinence
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34 Flashcards
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Sample Questions
Q1) The nurse is asked to instruct the patient on performing Kegel exercises.The patient should be instructed to contract the muscles he or she would use to stop the flow of urine.The proper technique is to:
A) Contract for 3 to 4 seconds and relax for 10 seconds
B) Contract for 10 seconds and relax for 10 seconds
C) Contract for 10 seconds and relax for 3 to 4 seconds
D) Contract for 3 to 4 seconds and relax for 3 to 4 seconds
Q2) The nurse has just received a patient who had a cystoscopy from the postanesthesia recovery unit.The nurse notices that the patient's urine is pink-tinged.The nurse's first action should be to:
A) Call the physician.
B) Record the assessment in the patient's record.
C) Encourage the patient to drink plenty of fluids.
D) Prepare the patient for a return to surgery.
Q3) The method by which a nurse manually expresses urine from the bladder by pressing gently on the lower abdomen is the___________ method.
Q4) The nurse explains that the normal bladder will empty when it reaches the capacity of ____________________ to ____________________ ml.
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Page 25
Chapter 24: Loss,Death,and End-of-Life Care
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9201
Sample Questions
Q1) The patient who has been diagnosed with a terminal illness is crying when the nurse enters the room.The patient states,"I promised God that I would be a better person if He will just let me get over this disease." The nurse recognizes this as Kübler-Ross's dying stage of:
A) Denial
B) Anger
C) Bargaining
D) Depression
Q2) After the death of a patient,the nurse should position the body:
A) Prone
B) Supine
C) On the side
D) In Fowler position
Q3) When planning the care of a patient who is terminally ill,the nurse must include the prevention of pain and relief from discomfort.When administering pain medication,the nurse must keep in mind that:
A) Narcotics have the potential for addiction.
B) Pain medication must be given before the pain becomes unbearable.
C) Pain medication should be given no more often than every 6 hours.
D) Narcotics must be given as needed (PRN) only.
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Chapter 25: The Patient with Cancer
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9202
Sample Questions
Q1) A patient is scheduled for a chemotherapy treatment in approximately 30 minutes.Breakfast trays have arrived and are being served on the unit.The nurse's best intervention would be to:
A) Encourage the patient to eat all his breakfast to keep up his strength to fight the cancer. Remind the patient that breakfast is about one third of his daily intake.
B) Listen attentively to any concerns that the patient expresses regarding the treatment. Offer to hold his tray until after the treatment.
C) Offer to call the family to come and be present after the treatment. Encourage the patient to drink at least all of the orange juice and coffee.
D) Suggest that the patient request a dose of strong analgesic instead of eating, because this treatment is very painful.
Q2) The nurse closely monitors for hypercalcemia,an oncologic emergency that is manifested by:
A) Hypertension and bradycardia
B) Fatigue, confusion, and weakness
C) Laboratory test results of potassium 3.5 mEq/L, sodium 143 mEq/L
D) Urine output less than 30 ml/hr.
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Chapter 26: The Patient with an Ostomy
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) The nurse counsels that complications of the continent pouches (Kock and Indiana)may be: (Select all that apply.)
A) Incontinence
B) Difficult catheterization
C) Pyelonephritis
D) Rupture of the pouch
E) Peritonitis
Q2) The patient comes to the industrial nurse and is frantic because the stoma to the colostomy has prolapsed 1 year after surgery.The nurse's best counsel would be:
A) "If there are still feces coming from the stoma, then it is not blocked. Contact your surgeon for an evaluation."
B) "You must come in immediately, because the stoma may completely retract into your abdomen."
C) "This is an emergency situation, because it has stenosed."
D) "Don't worry about that. Coughing or sneezing might have caused the prolapse. It will come back out in a few hours."
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Chapter 27: Neurologic Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9204
Sample Questions
Q1) The nursing assessment that would indicate a need for suctioning a patient with Guillain-Barré who is experiencing impaired breathing patterns because of neuromuscular failure is:
A) Decreased pulse rate, respiration of 20 breaths per minute
B) Increased pulse rate, adventitious breath sounds
C) Increased pulse rate, respiration of 16 breaths per minute
D) Decreased pulse, abdominal breathing
Q2) A patient with generalized convulsive disorder has a nursing diagnosis of "Deficient knowledge,related to lack of information about the side effects of phenytoin (Dilantin)."
Which goal and outcome criteria would be most appropriate?
A) Absence of gastrointestinal (GI) complaint; takes medication with food
B) Stimulation of gingiva; brushes teeth vigorously to encourage gingival growth
C) Maintenance of normal pattern of elimination; limits fluids and eats foods that reduce diarrhea
D) Maintenance of normal sleep pattern; reduces stimuli and takes warm baths to induce drowsiness
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Chapter 28: Cerebrovascular Accident
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/9205
Sample Questions
Q1) The nurse assesses patients with CVAs who are candidates for treatment with tPA.They include a: (Select all that apply.)
A) 62-year-old construction worker who had a subdural hematoma 6 months earlier
B) 58-year-old executive with a bleeding ulcer
C) 44-year-old individual who had a seizure at the onset of a stroke
D) 40-year-old individual who is taking warfarin (Coumadin) and has an INR of 2.5
E) 19-year-old young adult with leukemia with a platelet count of 200,000
Q2) The nurse explains that a patient who has been determined to have had a complete stroke as a result of a ruptured vessel in the left hemisphere would be classified as:
A) Ischemic, embolic
B) Hemorrhagic, subarachnoid
C) Hemorrhagic, intracerebral
D) Ischemic, thrombotic
Q3) The nurse recognizes that the acute phase of a CVA has ended when:
A) 48 hours has passed from its onset.
B) Patient begins to respond verbally.
C) BP drops.
D) Vital signs and neurologic signs stabilize.
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Chapter 29: Spinal Cord Injury
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/9206
Sample Questions
Q1) The nurse refers to the ___________ __________ to assess the extent of sensory loss and specific nerve root enervation.
Q2) Before taking a magnetic resonance image (MRI),the patient asks why metal objects and the MRI machine are such concerns.The nurse's best explanation is that the MRI machine will: (Select all that apply.)
A) Cause metal objects to spark, similar to a microwave
B) Deactivate the battery in a pacemaker
C) Cause metal to heat up and burn the patient
D) Not transmit clear data if metal is present
E) Attract any metal into the MRI chamber
Q3) During a neurologic assessment,the nurse asks the patient to dorsiflex the foot against the resistance of the nurse's hand.The inability to perform this action confirms that cord damage has occurred at:
A) C4-C5
B) L2-L4
C) L5
D) S1
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Chapter 30: Acute Respiratory Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9207
Sample Questions
Q1) Assessment of 24-year-old driver after an automobile accident,who is complaining of right-sided chest pain and is dyspneic,reveals the following:
Respirations: 26 breaths/min
Significant pain on inspiration
Hand is pressed to the rib area; large bruise is forming on the right chest
Blood pressure: 182/98 mm Hg
Based on these assessments,the nurse suspects ____________________.
Q2) When the nurse observes the paradoxical movement in a patient with a flail chest who has significant dyspnea,the nurse should prepare for a(n):
A) Thoracotomy
B) Intubation
C) Thoracentesis
D) Body cast
Q3) After a thoracentesis has been performed,the nurse will position the patient:
A) On the unaffected side to help drain the affected side
B) In high Fowler position to help with dyspnea
C) Supine to decrease fluid accumulation
D) On the affected side to compress the puncture site
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32
Chapter 31: Chronic Respiratory Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9208
Sample Questions
Q1) A newly diagnosed patient with non small cell lung carcinoma (NSCLC)is anxious about having to take chemotherapy.The intervention by the nurse that would be helpful is to:
A) Support the patient in preparation for surgery.
B) Educate the patient regarding the high survival rate with this type of carcinoma.
C) Assure the patient that chemotherapy and radiation can be used in this sort of cancer.
D) Refer the patient to the American Cancer Society for postdischarge follow-up.
Q2) When a young patient with acquired immunodeficiency syndrome (AIDS)complains of debilitating night sweats,the home health nurse suggests that he visit the clinic for a: A) Prescription for antibiotics
B) Tuberculosis (TB) screen
C) Complete blood count (CBC)
D) Treatment with an aerosol inhalant
Q3) The nurse cautions a group of individuals with COPD that using O<sub>2</sub> at levels greater than 1 to 3 L/min can cause the loss of their
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Chapter 32: Hematologic Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9209
Sample Questions
Q1) The nurse caring for a patient receiving a transfusion assesses that the patient is wheezing and is complaining of back pain.After the nurse stops the transfusion,the nurse should:
A) Discontinue the intravenous (IV) transfusion.
B) Notify the charge nurse.
C) Administer heparin.
D) Raise the patient's head.
Q2) At 10:00 AM,the nurse receives 2 units of blood for a patient to be transfused.The nurse should:
A) Set up 1 unit for the infusion to start at 10:30 AM, and send the other unit back until the first one has run.
B) Set up both units to run at the same time for an infusion at 11:00 AM.
C) Set up one unit for infusion, and place the other in the refrigerator for the later infusion.
D) Send both units back and ask for a reissue of 1 unit only.
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Chapter 33: Immunologic Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/9210
Sample Questions
Q1) An 11-year-old girl is diagnosed with idiopathic thrombocytopenic purpura (ITP).The parental statement that helps the nurse evaluate the teaching as successful is:
A) "Our daughter can still be involved in gymnastics."
B) "When our daughter's hemoglobin falls below 3.5, she'll need blood."
C) "Our daughter will need genetic counseling before she marries."
D) "Our daughter should avoid drugs containing sulfonamides."
Q2) The symptom that the nurse would recognize as being pertinent to a possible diagnosis of systemic lupus erythematosus (SLE)is:
A) Butterfly rash of the face
B) Protruding abdomen
C) Thinning hair
D) Bloody diarrhea
Q3) The observation by the nurse that would indicate a patient's acceptance of the diagnosis of acute leukemia is that the patient:
A) Plans a 14-day cruise in 2 weeks.
B) States that he will be fine in a few months
C) Asks for educational material about acute leukemia.
D) Rests after a chemotherapy session.
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Chapter 34: Human Immunodeficiency Virus and Acquired
Immunodeficiency Syndrome
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9211
Sample Questions
Q1) The young man at the HIV clinic tells the nurse how relieved he is that he does not have HIV,because he now has no symptoms at all when just a few weeks ago he felt awful.The nurse's most helpful response would be:
A) "Flulike symptoms frequently are misdiagnosed as HIV."
B) "In the latent stage the physical symptoms are reduced, but the HIV is still present in the lymph nodes."
C) "A high antibody count can overwhelm HIV infection in the early stage."
D) "Antiretroviral drugs are very effective in the first stage in reducing symptoms."
Q2) In designing a teaching plan for a patient with AIDS,relative to food preparation precautions,the nurse would include the need to: (Select all that apply.)
A) Check expiration dates on frozen foods.
B) Leave produce unwashed to preserve protective spray.
C) Drink a small glass of red wine before each meal to stimulate the appetite.
D) Eat three large, well-balanced meals daily.
E) Avoid leftovers.
Q3) The nurse explains that HIV is introduced to the systemic circulation by the ____________________,which is found in the mucous membranes.
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Page 36
Chapter 35: Cardiac Disorders
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/9212
Sample Questions
Q1) The nurse records a "1" for the pulse quality of the pedal pulse.This means that the pulse is:
A) Absent
B) Normal
C) Thready
D) Forceful
Q2) A 49-year-old patient has multiple risk factors for coronary artery disease.A modifiable risk factor that the patient can focus on is:
A) Family history
B) Age
C) Smoking
D) Male gender
Q3) The nurse records the finding of a normal sinus rhythm (NSR)when the P,Q,R,S,and T are all present in the electrocardiographic complex,as well as a(n):
A) Rate of 82
B) PR interval of 0.36 second
C) QRS complex of 0.16 second
D) Inverted T
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Chapter 36: Vascular Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/9213
Sample Questions
Q1) The nurse cautions the patient with PVD that his continued smoking causes detrimental vasoconstriction for up to ____ after only one cigarette.
A) 10 minutes
B) 20 minutes
C) 30 minutes
D) 1 hour
Q2) The nurse explains that the major advantage of low-molecular-weight heparin (LMWH)is that LMWH can be given:
A) Orally
B) In a fixed doses
C) Only after partial thromboplastin time (PTT) laboratory work
D) For an immediate effect
Q3) The nurse notes ulcerations on the surfaces of the patient's toes and assesses this as an indication of:
A) Skin breakdown from pressure
B) Nutritional deficit
C) Venous stasis
D) Arterial stasis
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Chapter 37: Hypertension
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9214
Sample Questions
Q1) A patient is prescribed an angiotensin-converting enzyme (ACE)inhibitor,enalapril (Vasotec).The nurse instructs the patient to:
A) Monitor potassium intake.
B) Report asthma symptoms.
C) Return for follow-up visits.
D) Assess blood sugar closely.
Q2) The nurse encourages the patient with essential hypertension that a first-line therapeutic approach to lowering blood pressure is: (Select all that apply.)
A) Smoking cessation
B) Beta blockers
C) Exercise programs
D) Weight loss
E) Decreased sodium intake
Q3) The nurse explains that treatment of secondary hypertension focuses on a:
A) Smoking cessation program
B) Strenuous exercise program
C) Weight-loss program designed to reduce weight rapidly
D) Specific etiologic disease
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Chapter 38: Digestive Tract Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9215
Sample Questions
Q1) During an admission assessment,the nurse assesses a risk factor that increases the chances of developing oral cancer; it is:
A) Alcohol consumption
B) Chewing gum
C) Environmental pollution
D) Consumption of a high-fat diet
Q2) The nurse caring for a patient with esophageal surgery who has had stents placed in the esophagus instructs the patient how best to avoid regurgitation.The instruction should include:
A) Keep the bed flat.
B) Eat only small meals.
C) Lie on the right side after meals.
D) Drink three glasses of fluid with each meal.
Q3) A need for further teaching is indicated when a patient with an ileostomy as a remedy for ulcerative colitis says:
A) "I will avoid milk products."
B) "I should select food with less dietary fiber."
C) "I'll miss my martini before dinner."
D) "I will be glad when the surgeon closes this ileostomy."
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Page 40
Chapter 39: Disorders of the Liver, Gallbladder, and Pancreas
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9216
Sample Questions
Q1) The nurse explains that with the continued rise in ammonia levels in the patient with cirrhosis,the diet will be modified to restrict:
A) Protein
B) Carbohydrates
C) Fats
D) Water-soluble vitamins
Q2) The nurse would assess the progress of ascites on a daily basis by:
A) Daily weights and abdominal girth measurements.
B) Intake-output and electrolyte levels.
C) Blood pressure and pulse.
D) Daily temperatures and oxygen levels.
Q3) Patients with pancreatic disease often have a history of:
A) Liver disorders
B) Drug abuse
C) Alcohol abuse
D) Excessive sugar intake
Q4) The nurse reminds the patient with liver disease that the level of ____________________ in the blood is an indicator of the how well the liver is functioning.
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Chapter 40: Urologic Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9217
Sample Questions
Q1) The nurse caring for a patient after urinary diversion surgery will add the postoperative assessments of:
A) Level of fluid intake
B) Position on the left side
C) Keep the bed flat
D) Bowel sounds
Q2) The nurse explains to a 10-year-old boy who wants to give his kidney to his grandfather that kidney donors must be at least how many years old?
A) 14
B) 16
C) 18
D) 21
Q3) When the nurse caring for a patient with an atrioventricular (AV)fistula in the forearm assesses that a trill is absent when palpating the venous side of the fistula,the nurse should:
A) Inject the ordered amount of heparin into the fistula.
B) Apply warm compresses, and lower the arm below the heart level.
C) Send the patient to dialysis for remedy.
D) Report to the charge nurse that the fistula is occluded.
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Page 42
Chapter 41: Connective Tissue Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9218
Sample Questions
Q1) The nurse explains to a patient with rheumatoid arthritis that the drug,leflunomide (Arava)is a disease-modifying antirheumatic drug (DMARD),which will:
A) Retard the progress of the disease.
B) Builds new bone.
C) Decreases inflammation.
D) Increases flexibility.
Q2) The nurse explains that connective tissue function:
A) Helps provide a source of storage for calcium.
B) Stores hormones in the pores of bone tissue.
C) Controls the distribution of minerals.
D) Provides protection to body parts.
Q3) Imbalanced nutrition: Less than body requirements is the nursing diagnosis applicable to the patient with progressive systemic sclerosis (PSS).The nurse selects the most important point to teach,which is:
A) Eat three large meals spaced throughout the day.
B) Schedule rest periods to prevent overtiring.
C) Severe stress can trigger vasospasm.
D) Eat smaller, more frequent meals.
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43
Chapter 42: Fractures
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9219
Sample Questions
Q1) Delayed union of a fracture can be attributed to: (Select all that apply.)
A) Inadequate immobilization
B) Hormone replacement therapy
C) Long-term use of corticosteroids
D) Infection
E) Poor nutrition
Q2) The older adult patient is at risk for constipation after sustaining a pelvic fracture.The nutritional suggestion that the nurse would make is:
A) Select food with high-sodium content.
B) Avoid foods high in dietary fiber.
C) While immobilized, drink at least 2 to 3 L of fluids daily.
D) Include milk products at every meal.
Q3) The properly fitted crutch will be: (Select all that apply.)
A) Adjusted so that axilla piece is 3 to 4 fingerbreadths below the axilla.
B) Fitted closely to the axilla for secure support.
C) Measured and adjusted when the patient is in the tripod position.
D) Adjusted for the handgrips to allow for a 45-degree flexion of the elbow.
E) Padded so patient can bear weight on the axilla piece when ambulating.
Q4) A fracture that occurs because of osteoporosis is classified as a _____________ fracture.
Page 44
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Chapter 43: Amputations
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9220
Sample Questions
Q1) The nurse explains that for an elbow disarticulation,the limb will be severed:
A) Just above the elbow joint
B) Just below the elbow joint
C) Between the shoulder and elbow
D) Through the elbow joint
Q2) The home health care nurse suspects a neuroma in a patient who had an above-the-knee amputation 1 month earlier when the patient complains of:
A) Area of swelling and bruising on distal portion of residual limb
B) Prickling sensation over residual limb
C) Sharp severe pain in the residual limb
D) Area of numbness on distal portion of residual limb
Q3) Late signs of hemorrhage in the postoperative period after an amputation include:
A) Restlessness and increased respirations
B) Cyanosis and hypotension
C) Confusion and seizures
D) Headache and hypertension
Q4) The nurse clarifies that the precise term for the patient's amputation,which will be through the knee joint,is called ____________________.
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Page 45
Chapter 44: Pituitary and Adrenal Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9221
Sample Questions
Q1) The hallmark findings expected when assessing a patient with Cushing syndrome are:
A) Edema of the trunk, extremities, and face
B) Wasting of the abdomen with thick, calloused skin
C) Excess adipose tissue in the trunk, slender extremities, and moon face
D) High levels of potassium and low levels of sodium, weakness, and wasting
Q2) The nurse takes into consideration that an addisonian crisis can be brought on by:
A) Sudden atmospheric temperature change
B) Hyperglycemia
C) Infection
D) Change of altitude
Q3) The nurse assessing a patient with Simmonds cachexia anticipates that the patient will exhibit:
A) High body temperature
B) Ruddy complexion
C) Silky body hair
D) Muscle wasting
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Chapter 45: Thyroid and Parathyroid Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/9222
Sample Questions
Q1) Significant instructions to a patient scheduled for a thyroid scan (¹²³I)should include the need for:
A) Providing of a special container to collect urine for the next 24 hours.
B) Wearing a protective apron to shield him or her from radiation for the next 24 hours.
C) Requesting that visitors keep a distance of at least 6 feet away for the next 24 hours.
D) Washing their hands with soap and water after every voiding for the next 24 hours.
Q2) When the patient starts taking a saturated solution of potassium iodide (SSKI),the nurse should instruct the patient to:
A) Sip medication through a straw to prevent tooth staining.
B) Double the dose if a dose is missed.
C) Expect excessive salivation.
D) Take before meals.
Q3) Congenital hypothyroidism,if left untreated,will result in _________________.
Q4) To meet the nutritional needs of a patient with Graves disease,the nurse recommends a diet of ____________________ to ____________________ calories.
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Chapter 46: Diabetes Mellitus and Hypoglycemia
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9223
Sample Questions
Q1) The teaching plan for a 22-year-old woman taking rosiglitazone (Avandia)would include a caution relative to:
A) Decreased effectiveness of her birth control pills
B) Excessive exposure to the sun
C) Sudden drop in blood pressure with dizziness
D) Possible severe diarrhea
Q2) When the patient with type 2 diabetes says,"Why in the world are they looking at my hemoglobin? I thought my problem was with my blood sugar." The nurse responds that the level of hemoglobin A1c:
A) Shows how a high level of glucose can cause a significant drop in the hemoglobin level.
B) Shows what the glucose level has done during the last 3 months.
C) Indicates a true picture of the patient's nutritional state.
D) Reflects the effect of a high level of glucose on the ability to produce red blood cells (RBCs).
Q3) The nurse reminds the patient with type I diabetes to rotate the insulin injection sites to prevent ___________________________.
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Chapter 47: Female Reproductive Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9224
Sample Questions
Q1) The nurse is caring for a patient after a modified radical mastectomy for a breast tumor that has been determined to be positive for estrogen receptors (ER+)and has been placed on a protocol of tamoxifen.The patient then asks the nurse,"Do you think I should take this medication?" Which of the following statements is the most appropriate?
A) "Tamoxifen will probably not be effective because your tumor was ER+."
B) "If I were you, I would do what the physician recommends."
C) "I think that you should take tamoxifen, because the tumor was ER+."
D) "Tamoxifen is an option to consider, because your tumor was ER+."
Q2) The nurse is aware that a tumor determined to be ER+ indicates that the tumor needs ____________________ for growth.
Q3) The nurse is aware that the medication used to stimulate or mimic actions of natural pituitary gonadotropins in the treatment of infertility is:
A) Estrogen only (diethylstilbestrol)
B) Danazol (Danocrine)
C) Clomiphene citrate (Clomid)
D) Raloxifene (Evista)
Q4) Because small nonnodal metastases may be present,______________ is recommended after a lumpectomy.
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Chapter 48: Male Reproductive Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9225
Sample Questions
Q1) When completing a health history with a patient,the nurse should encourage the patient to describe the symptoms in objective terms.Which of the following is a good example of the description of pain?
A) "This spot seems to hurt more right here."
B) "This pain is the worst pain in the world."
C) "My pain reminds me of when I hurt my foot last year."
D) "I would say my pain is a 5 on a scale from 1 to 10."
Q2) After an accident at a track meet,a young male runner is brought to the emergency department complaining of intense pain in his scrotum and nausea and vomiting.Based on these initial findings,the nurse suspects:
A) Cryptorchidism
B) Testicular torsion
C) Varicocele
D) Epididymitis
Q3) When a significant elevation in the human chorionic gonadotropin (hCG)level is noted on the laboratory report,the nurse is aware that this is a marker for ____________________ cancer.
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Page 50
Chapter 49: Sexually Transmitted Infections
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/9226
Sample Questions
Q1) The nurse in the outpatient clinic notes that the patient has been treated for syphilis three separate times in the last 2 years.The nurse explains that the antibiotic treatment this time will consist of one injection of:
A) Penicillin G
B) Penicillin G today and a follow-up with another injection in 1 month
C) Penicillin G today and 3 months of oral tetracycline antibiotic medications
D) Penicillin G today and a 2-month protocol of oral antiviral agents
Q2) The patient who is using imiquimod (Aldara)for genital warts asks the outpatient clinic nurse how long she must use the medication.The nurse replies that she must apply the medication for _____________ weeks.
A) 2
B) 4
C) 8
D) 16
Q3) The nurse cautions the patient taking Flagyl for Trichomonas that she should:
A) Double the dose if any doses are missed.
B) Report dark urine.
C) Take the drug on an empty stomach.
D) Abstain from alcohol while taking the drug.
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Page 51
Chapter 50: Skin Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9227
Sample Questions
Q1) The nurse instructs a patient with vitiligo who is receiving phototherapy to:
A) Expose himself to the sun for several hours before treatment to acclimate the skin surface.
B) Wear protective clothing.
C) Wear loose clothing such as sleeveless T-shirts and shorts after the treatment.
D) Leave off sunglasses after treatment so that the eyes can more quickly accommodate.
Q2) The nurse explains that the major characteristic that differentiates cutaneous T-cell lymphoma from squamous cell and basal cell carcinomas is that cutaneous T-cell lymphoma:
A) Does not metastasize.
B) Has a cause unrelated to sun exposure.
C) Can be treated with radiation.
D) Can be treated topically.
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Chapter 51: Eye and Vision Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9228
Sample Questions
Q1) When providing patient education about protecting vision,the nurse should tell the patient that:
A) After 40 years of age, eye examinations should be performed every 2 years.
B) Crusted lids on awakening are caused by decreased tear production.
C) Floaters are a sign of eye infection.
D) Blurred vision without pain is temporary eye strain.
Q2) The nurse is aware that the refractive media of the eye is made up of the: (Select all that apply.)
A) Aqueous humor
B) Retina
C) Vitreous humor
D) Cornea
E) Lens
Q3) The nurse explains that the correct term to use for a patient with a vision disorder is:
A) Blind
B) Handicapped
C) Partially blind
D) Visually impaired
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Chapter 52: Ear and Hearing Disorders
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30 Flashcards
Source URL: https://quizplus.com/quiz/9229
Sample Questions
Q1) The nurse uses a diagram to show the physiologic sequence of hearing.After entering the external ear,the sound is then conducted through the: (Arrange the options in sequence.)
A) Tympanic membrane
B) Sensory receptors
C) Oval window
D) Acoustic nerve to the brain
E) Malleus, incus, and stapes
Q2) Because the 85-year-old patient has had age-related changes in the cochlea,the nurse will:
A) Speak slowly.
B) Provide assistance with ambulation.
C) Speak in a lower tone.
D) Communicate with the patient in writing.
Q3) The patient undergoing a Weber test says that the sound is louder in her left ear.This means that the patient has:
A) Normal hearing
B) Nerve damage from listening to loud music
C) Blocked ear canal in the right ear
D) Conductive hearing loss in the left ear
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Chapter 53: Nose, Sinus, and Throat Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9230
Sample Questions
Q1) When providing tracheostomy care,the nurse should:
A) Wash and rinse the inner cannula in tap water and then dry it.
B) Use a sterile solution of peroxide and sterile water to wash the inner cannula and then rinse with sterile water.
C) Clean the area around the stoma with tap water and a gentle soap.
D) Remove the inner cannula, wash both hands with a bactericidal soap, and then don sterile gloves to clean the inner cannula.
Q2) The nurse reminds the patient,who is to have a partial laryngectomy,that the temporary tracheostomy that he will have after the original surgery will be closed within _______ days.
Q3) The nurse includes implementations in the care plan to assist the patient with a total laryngectomy to maintain airway clearance,which are: (Select all that apply.)
A) Turning, coughing, and deep breathing.
B) Placing the patient in a semi-Fowler position.
C) Maintaining hydration.
D) Attaching a tracheostomy collar.
E) Providing a method to communicate.
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Chapter 54: Psychologic Responses to Illness
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/9231
Sample Questions
Q1) The stage in which introspection is a major characteristic is:
A) Middle-aged adult
B) Middle childhood
C) Early adulthood
D) Older-age adult
Q2) The patient with low back pain confesses that he drinks heavily each night to help him sleep and control pain.This behavior would be an example of:
A) Alternate pain control methods.
B) Coping with a chronic condition.
C) Using a social coping mechanism.
D) Using a maladaptive coping method.
Q3) The nurse assesses that the 42-year-old patient who still lives with her parents and is dependent on them for decisions about her life is lacking in the mental health characteristic of:
A) Reality orientation
B) Autonomous behavior
C) Spontaneity
D) Ethical decision making
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56
Chapter 55: Psychiatric Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9232
Sample Questions
Q1) A patient who takes lithium for manic episodes has been walking daily.Now that the weather is hot,it is important to instruct the patient to:
A) Stay in the shade when walking.
B) Stop walking.
C) Maintain hydration.
D) Wear sunscreen.
Q2) The nurse explains that the probable causes of mood disorders include all of the following except:
A) Loss of significant others
B) Learned helplessness
C) Neurotransmitter dysregulation
D) Traumatic event in childhood
Q3) A patient with bipolar disorder is being treated with tricyclic medications.As part of the patient teaching information concerning its side effects,the nurse tells the patient to expect:
A) Orthostatic hypotension
B) Hypercholesterolemia
C) Fatigue
D) Blurred vision
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Chapter 56: Substance-Related Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9233
Sample Questions
Q1) The treatment plans for abusers of alcohol and drugs are similar-90 meetings in 90 days and 12-step programs.The major difference in the success of the two types of abusers is that:
A) One program uses a 12-step approach, and the other program has a religious base.
B) Heroin addicts have a higher success rate.
C) Alcohol abusers have an easier time staying with the program.
D) Relapse rates for patients using drugs other than alcohol alone are much higher.
Q2) A patient with an alcohol addiction says,"My drinking is all my wife's fault.She makes me so crazy I just have to have a drink." This is an example of:
A) Rationalization
B) Denial
C) Intellectualization
D) Projection
Q3) The nurse explains that because the drug disulfiram (Antabuse)is deemed inappropriate,the patient has been put on the most reliable substitute,____________________,which causes similar but less severe side effects in the alcoholic who continues to drink.
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