Clinical Nursing
Mock Exam
Course Introduction
Clinical Nursing is a comprehensive course designed to equip students with the foundational knowledge and practical skills required for effective patient care in clinical settings. Through a blend of theory, simulation, and hands-on experiences, students learn assessment techniques, evidence-based interventions, and critical thinking strategies essential for addressing the diverse needs of patients across the lifespan. Emphasis is placed on communication, documentation, ethical practice, patient safety, and collaboration within interdisciplinary healthcare teams, preparing students to deliver high-quality, compassionate nursing care in hospitals, clinics, and community environments.
Recommended Textbook
Evolve Resources for Medical Surgical Nursing 7th Edition by Sharon L. Lewis
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69 Chapters
1786 Verified Questions
1786 Flashcards
Source URL: https://quizplus.com/study-set/1549
Page 2
Chapter 1: Nursing Practice Today
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/30591
Sample Questions
Q1) During the assessment phase of the nursing process, the nurse
A) obtains data with which to diagnose patient problems.
B) teaches interventions to relieve patient health problems.
C) uses patient data to develop priority nursing diagnoses.
D) helps the patient identify realistic outcomes to health problems.
Answer: A
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. The best nursing diagnosis for this patient is
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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3
Chapter 2: Health Disparities
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5 Verified Questions
5 Flashcards
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Sample Questions
Q1) The nurse working in a clinic in a primarily African-American community notes a higher incidence of uncontrolled hypertension in clinic patients than the national average. To correct this health disparity, which action should the nurse take first?
A) Survey community members about their perceptions of care at the clinic.
B) Schedule teaching sessions about hypertension at community events.
C) Obtain low-cost antihypertensive drugs using funding from government grants.
D) Initiate a regular home-visit program by nurses working at the clinic.
Answer: A
Q2) Which of these strategies should be a priority when the nurse is planning care for a hypertensive patient who is uninsured?
A) Follow evidence-based national guidelines.
B) Obtain less expensive antihypertensive medications.
C) Assist with dietary changes as the first action.
D) Teach about the impact of exercise on hypertension.
Answer: A
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4
Chapter 3: Culturally Competent Care
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/30593
Sample Questions
Q1) When performing a cultural assessment with a patient of a different culture, the nurse's first action should be to
A) tell the patient what the nurse already knows about the patient's culture.
B) wait until a cultural healer is available to help with the assessment.
C) obtain a list of any cultural remedies that the patient currently uses.
D) ask the patient about any affiliation with a particular cultural group.
Answer: D
Q2) The best example of culturally appropriate nursing care when caring for a newly admitted patient is
A) asking permission before touching a patient during the physical assessment.
B) having family members provide most of the patient's personal care.
C) maintaining a personal space of at least 2 feet when assessing the patient.
D) considering the patient's ethnicity as the most important factor in planning care.
Answer: A
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5
Chapter 4: Health History and Physical Examination
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Following knee surgery, the patient has an elastic bandage applied to the surgical site. When assessing the circulation to the lower leg, the first action the nurse will take is to
A) visually inspect the color of the foot.
B) palpate the temperature of the foot.
C) use a stethoscope to auscultate ankle blood pressure.
D) check the patient's pedal pulses using the fingertips.
Q2) The nurse is admitting a patient who has just arrived on the medical-surgical unit with severe abdominal pain. The action by the nurse that will be most effective in obtaining complete and accurate data from the patient is
A) to complete only basic demographic data before addressing the patient's abdominal pain.
B) to inform the patient that the abdominal pain will be treated as soon as the health history is completed.
C) to take the initial vital signs and then deal with the abdominal pain prior to completing the health history.
D) to medicate the patient for the abdominal pain before attending to the health history and examination.
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6
Chapter 5: Patient and Family Teaching
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The nurse applies principles of adult education when teaching a new diabetic about the disease by
A) explaining that making lifestyle changes and taking medications correctly will help the patient start to feel better right away.
B) informing the patient that a home health nurse will be scheduled to visit and evaluate how well the patient is managing the disease.
C) telling the patient that learning about diabetes will be an opportunity for a completely new life experience.
D) advising the patient that this information is needed to manage the disease and maintain long-term health.
Q2) When the nurse is planning teaching for a patient who needs to improve skills in being more assertive, the most effective teaching strategy will be
A) lecture-discussion.
B) role playing.
C) peer teaching.
D) printed materials.
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Chapter 6: Older Adults
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) Appropriate approaches used by the long-term care nurse to provide teaching to a 73-year-old who has just been diagnosed with diabetes include which of the following? (Select all that apply.)
A) Schedule a visit by another resident who is diabetic.
B) Demonstrate food choices using food photographs.
C) Avoid discussion of the patient's favorite foods.
D) Remind the patient that a lot of damage has already occurred.
E) Encourage the patient's family to participate in teaching sessions.
F) Ask the patient about past experiences with lifestyle changes.
Q2) To obtain the most complete information when doing an assessment for an 81-year-old patient, the nurse will
A) review the patient's chart for the history of medical problems.
B) interview both the patient and the primary patient caregiver.
C) use a geriatric assessment instrument to evaluate the patient.
D) ask the patient to write down medical problems and medications.
Q3) Ageism is an important concept for the nurse to understand because it
A) provides statistical information regarding the older population.
B) promotes consideration of the diversity of the older population.
C) may lead to poorer health care for older individuals.
D) increases social awareness of the needs of older people.
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Chapter 7: Community-Based Nursing and Home Care
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) When practicing as a home health care nurse, the RN (Select all that apply.)
A) plans for the health needs of community groups.
B) provides direct care for an individual patient.
C) participates in group screening for common health problems such as hypertension.
D) teaches patients' family members how to provide care such as giving medications.
E) administers chemotherapy and antibiotics through long-term intravenous catheters.
F) instructs groups about special health care needs such as contraception or baby care.
Q2) The home health nurse visits a diabetic patient who has an infected heel wound to perform daily dressing changes and wound assessment. The nursing diagnosis of impaired tissue integrity is developed for the patient. To evaluate the patient outcome, the nurse will collect data about
A) the patient's daily capillary blood glucose level.
B) the presence or absence of complications of diabetes.
C) the wound appearance and patient temperature.
D) the patient's appraisal of the nursing services provided.
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Chapter 8: Complementary and Alternative Therapies
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A patient with rheumatoid arthritis asks the nurse about the use of fish oil supplements to help decrease symptoms. The best response by the nurse is that
A) there is some evidence that fish oil supplements are helpful in treating rheumatoid arthritis.
B) fish oil supplements are helpful for preventing cardiac disease, but not for rheumatoid arthritis.
C) because there is no clear evidence that fish oil supplements are helpful, the patient should not waste money on them.
D) the patient should discuss the use of fish oil supplements in rheumatoid arthritis with the hospital dietician.
Q2) A patient who has nausea associated with chemotherapy asks the nurse whether there are any complementary and alternative therapies that might be effective. The nurse should discuss the use of A) acupuncture.
B) magnet therapy.
C) saw palmetto.
D) green tea.
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10
Chapter 9: Stress and Stress Management
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/30599
Sample Questions
Q1) A 22-year-old patient is brought to the emergency department (ED) with multiple abrasions and bruises after being assaulted in a shopping center parking lot. The patient's initial blood pressure (BP) is 180/98. The nurse will plan to
A) treat the abrasions and discuss the risks associated with hypertension.
B) discuss the need for hospital admission to control blood pressure.
C) recheck the blood pressure prior to the patient's discharge from the ED.
D) start an intravenous (IV) line to administer antihypertensive medications.
Q2) A hospitalized patient is very anxious about missing work and is afraid of being fired because of this illness. An appropriate nursing diagnosis for the patient is
A) insomnia related to anxiety about work.
B) ineffective denial related to lack of effective coping resources.
C) risk for strain of the caregiver role related to lack of family support.
D) complicated grieving related to prolonged stressful situation.
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Chapter 10: Pain
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/30600
Sample Questions
Q1) The hospice RN obtains the following information about a 72-year-old terminally ill patient with cancer of the colon. The patient takes oxycodone (OxyContin) 100 mg twice daily for level 6 abdomen pain on a 10-point scale. The pain has made it difficult to continue with favorite activities such as playing cards with friends twice a week. The patient's children are supportive of the patient's wish to stop chemotherapy but express sadness that the patient does not have long to live. Based on this information, which nursing diagnosis has priority in planning the patient's care?
A) Impaired social interaction related to disabling pain
B) Anxiety related to poor patient coping skills
C) Disabled family coping related to patient-family conflict
D) Risk for aspiration related to opioid use
Q2) A patient with a history of chronic cancer pain is admitted to the hospital. When reviewing the patient's home medications, which of these will be of most concern to the admitting nurse?
A) Oxycodone (OxyContin) 80 mg twice daily
B) Ibuprofen (Advil) 800 mg three times daily
C) Amitriptyline (Elavil) 50 mg at bedtime
D) Meperidine (Demerol) 25 mg every 4 hours
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Chapter 11: End Of Life and Palliative Care
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/30601
Sample Questions
Q1) As the nurse admits a patient with AIDS who has cryptococcal meningitis, the patient tells the nurse, "If my heart or breathing stop, I do not want to be resuscitated." The nurse should
A) document the request in the patient's record and place a DNR notation in the care plan.
B) ask the patient if these wishes have been discussed with the admitting health care provider.
C) inform the patient that a notarized advance directive must be included in the record or resuscitation must be performed.
D) advise the patient to designate a person to make health care decisions when the patient is not able to make them independently.
Q2) A patient who is very close to death is very restless and repeats, "I am not ready to die." The most appropriate intervention by the nurse is to
A) call the hospital chaplain to come and visit or pray with the patient.
B) sit at the bedside and ask if there is anything the patient needs.
C) inform the patient that everything possible is being done to delay death.
D) ask the patient what can be done to assist with the acceptance of death.
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Page 13
Chapter 12: Addictive Behaviors
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/30602
Sample Questions
Q1) A patient who is alcohol-intoxicated must undergo emergency surgery for abdominal trauma. The nurse recognizes that during the perioperative period the patient
A) will require an increased dose of the general anesthetic medication.
B) is likely to develop withdrawal symptoms within a few hours after surgery.
C) needs frequent monitoring for bleeding and respiratory complications.
D) should be stimulated every hour to prevent prolonged postoperative sedation.
Q2) A patient admitted with chest pain who is a pack-a-day smoker tells the nurse, "I am just not ready to quit smoking yet." The most appropriate response by the nurse is
A) "This would be a really good time to quit."
B) "Are you familiar with the nicotine patch?"
C) "Your smoking is the cause of your chest pain."
D) "What do you think keeps you from quitting?"
Q3) All the following medications are ordered for a patient admitted with a blood alcohol concentration of 0.22 mg%. Which one will the nurse give first?
A) Thiamine (vitamin B1) 100 mg
B) Lorazepam (Ativan) 1 mg
C) Folic acid (Vitamin B9) 0.4 mg
D) Dextrose 5% in 0.45 saline
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Page 14
Chapter 13: Inflammation and Wound Healing
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/30603
Sample Questions
Q1) The nurse is preparing to perform a wet-to-dry dressing change for a patient with infected leg burns. Which action is appropriate for this type of dressing change?
A) Administer the ordered prn oral opioid 30 minutes before the dressing change.
B) Pour sterile saline onto the new dry dressings after the wound has been packed.
C) Soak the old dressings with sterile saline a few minutes before removing them.
D) Spread SilverDerm ointment into the wound before repacking with moist dressings.
Q2) A patient with an open abdominal wound has a complete blood cell (CBC) count and white blood cell (WBC) differential, which indicates a shift to the left. The nurse will anticipate that the next collaborative intervention will be to
A) redress the wound with wet-to-dry dressings.
B) obtain wound cultures.
C) start antibiotic therapy.
D) continue to monitor the wound for purulent drainage.
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15
Chapter 14: Genetics, Altered Immune Responses, and Transplantation
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/30604
Sample Questions
Q1) When the nurse is admitting a patient who has acute rejection of an organ transplant, which of these already-admitted patients will be the most appropriate roommate?
A) A patient who has viral pneumonia
B) A patient with graft-versus-host disease after a recent bone marrow transplant
C) A patient who is recovering from an anaphylactic reaction to a bee sting
D) A patient with second degree burns
Q2) A patient seen in the outpatient clinic has an immune deficiency involving the T-lymphocytes. The nurse should teach the patient about the need for more frequent screening for A) malignancy.
B) allergies.
C) autoimmune disorders.
D) antibody deficiency.
Q3) The nurse will monitor a patient who is undergoing plasmapheresis for A) numbness and tingling.
B) high blood pressure.
C) shortness of breath.
D) transfusion reactions.
Page 16
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Chapter 15: Infection and Human Immunodeficiency Virus
Infection
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/30605
Sample Questions
Q1) A patient who seeks health care for vague symptoms of fatigue and headaches has HIV testing and is found to have a positive enzyme immunoassay (EIA) for HIV antibodies. In discussing the test results with the patient, the nurse informs the patient that
A) the enzyme immunoassay test will need to be repeated to verify the results.
B) a viral culture will be done to determine the progress of the disease.
C) it will probably be 10 or more years before the patient develops AIDS.
D) the Western blot test will need to be done to determine whether AIDS has developed.
Q2) The nurse is preparing to give the following medications to an HIV-positive patient who is hospitalized with PCP. Which is most important to administer at the right time?
A) Nystatin (Mycostatin) tablet for vaginal candidiasis
B) Aerosolized pentamadine (NebuPent) for PCP infection
C) Oral acyclovir ((Zovirax to treat systemic herpes simplex
D) Oral saquinavir (Inverase) to suppress HIV infection
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Chapter 16: Cancer
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/30606
Sample Questions
Q1) In teaching about cancer prevention to a community group, the nurse stresses promotion of exercise, normal body weight, and low-fat diet because
A) most people are willing to make these changes to avoid cancer.
B) dietary fat and obesity promote growth of many types of cancer.
C) people who exercise and eat healthy will make other lifestyle changes.
D) obesity and lack of exercise cause cancer in susceptible people.
Q2) While being prepared for a biopsy of a lump in the right breast, the patient asks the nurse what the difference is between a benign tumor and a malignant tumor. The nurse explains that a benign tumor differs from a malignant tumor in that benign tumors
A) do not cause damage to adjacent tissue.
B) do not spread to other tissues and organs.
C) are simply an overgrowth of normal cells.
D) frequently recur in the same site.
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18
Chapter 17: Fluid, Electrolyte, and Acid-Base Imbalances
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/30607
Sample Questions
Q1) A patient with hypercalcemia is being cared for on the medical unit. Nursing actions included on the care plan will include
A) maintaining the patient on bedrest to prevent pathologic fractures.
B) monitoring for Trousseau's and Chvostek's signs.
C) encouraging fluid intake up to 4000 ml every day.
D) auscultate breath sounds every 4 hours.
Q2) A patient is receiving 3% NaCl solution for correction of hyponatremia. During administration of the solution, the most important assessment for the nurse to monitor is
A) peripheral pulses.
B) lung sounds.
C) peripheral edema.
D) urinary output.
Q3) When assessing a patient with increased extracellular fluid (ECF) osmolality, the priority assessment for the nurse to obtain is A) mental status.
B) skin turgor.
C) capillary refill.
D) heart sounds.
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19
Chapter 18: Nursing Management: Preoperative Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/30608
Sample Questions
Q1) The nurse is reviewing the complete blood cell count (CBC) results for a patient who is scheduled for surgery in a few days. The results include red blood cell count (RBC), 4.6 * 10<sup>6</sup>/µl ; white blood cell count (WBC), 10.2 * 10³/µl; hemoglobin, 15 g/dl; hematocrit, 45%; platelets, 150 * 10³/µl. Which action should the nurse take?
A) Call the surgeon and anesthesiologist immediately.
B) Discuss the possibility of blood transfusion with the patient.
C) Ask the patient about any symptoms of a recent infection.
D) Send the CBC results to the surgery facility.
Q2) The nurse is obtaining the health history for a patient who is scheduled for outpatient knee surgery. Which statement by the patient is most important to report to the health care provider?
A) "I had rheumatic fever when I was 6 years old."
B) "I had bacterial pneumonia 2 years ago."
C) "I have knee pain whenever I walk or jog."
D) "I have a strong family history of breast cancer."
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Chapter 19: Nursing Management: Intraoperative Care
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/30609
Sample Questions
Q1) A preoperative patient in the holding area asks the nurse, "Will the doctor put me to sleep with a mask over my face?" The most appropriate response by the nurse is,
A) "A drug will be injected through your IV line, which will cause you to go to sleep almost immediately."
B) "Only your surgeon can tell you for sure what method of anesthesia will be used. Should I ask your surgeon?"
C) "Masks are not used anymore for anesthesia. A tube will be inserted into your throat to deliver a gas that will put you to sleep."
D) "General anesthesia is now given by injecting medication into your veins, so you will not need a mask over your face.
Q2) A patient in surgery receives a neuromuscular blocking agent as an adjunct to general anesthesia. At completion of the surgery, it is most important that the nurse monitor the patient for A) nausea.
B) confusion.
C) laryngospasm or bronchospasm.
D) weak chest-wall movement.
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Chapter 20: Nursing Management: Postoperative Care
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/30610
Sample Questions
Q1) After a new nurse has been oriented to the PACU, the charge nurse will evaluate that the orientation has been successful when the new nurse
A) assists a patient to the prone position when the patient is nauseated.
B) turns a patient to the side when the patient arrives in the PACU.
C) places a patient in the Trendelenburg position when the BP drops.
D) positions a newly admitted patient supine with the head elevated.
Q2) While caring for a postoperative patient on the second postoperative day, which information about the patient is most important to communicate to the health care provider?
A) The 24-hour intake is 600 ml greater than the output.
B) The right calf is swollen, warm, and painful.
C) The patient's temperature is 100.3° F.
D) The patient complains of 6 on a 10-point pain scale when walking.
Q3) When a patient is transferred from the PACU to the clinical surgical unit, the first action by the nurse on the surgical unit should be to
A) assess the patient's pain.
B) take the patient's vital signs.
C) check the rate of the IV infusion.
D) read the postoperative orders.
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Page 22
Chapter 21: Nursing Assessment: Visual and Auditory Systems
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/30611
Sample Questions
Q1) Which assessment information obtained by the nurse when performing an eye examination for a 68-year-old patient indicates that more extensive examination of the eyes is needed?
A) The patient has persistent photophobia.
B) The sclerae are light yellow.
C) The pupil recovers slowly after being stimulated by a penlight.
D) There is a whitish gray ring encircling the periphery of the iris.
Q2) The nurse working in the outpatient clinic receives a new order to check the visual acuity for a patient. The nurse will need to obtain a (an)
A) Snellen chart.
B) ophthalmoscope.
C) penlight.
D) Amsler grid.
Q3) A patient in the eye clinic is scheduled for refractometry. Which information will be included in patient teaching?
A) "You should not take any of your eye medicines before the examination."
B) "The surface of your eye will be numb while the doctor does the exam."
C) "The doctor will shine a bright light into your eye during the examination."
D) "You will need to wear sunglasses for a few hours after the exam."
Page 23
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Chapter 22: Nursing Management: Visual and Auditory
Problems
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/30612
Sample Questions
Q1) The nurse is assessing a patient who has recently been treated with amoxicillin (Amoxil) for acute otitis media of the right ear. Which assessment data obtained by the nurse is of most concern?
A) The patient complains of "popping" in the ear.
B) The patient has a temperature of 100.6° F.
C) The patient frequently asks the nurse to repeat information.
D) The patient states that the right ear has a feeling of fullness.
Q2) A patient who was struck in the right eye with a handball has swelling around the orbit and states, "It's like a curtain blocking part of my eye." When assessing the patient, the nurse suspects the presence of a retinal detachment upon the patient's report of
A) severe right eye pain.
B) abnormal color perception.
C) glare and halos around lights.
D) light flashes in the right eye.
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Chapter 23: Nursing Assessment: Integumentary System
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/30613
Sample Questions
Q1) A dark-skinned patient has been admitted to the hospital in severe respiratory distress. To determine whether the patient is cyanotic, the nurse will
A) assess for a bluish tinge in the sclera.
B) apply pressure to the palms of the hands.
C) check the lips and oral mucous membranes.
D) examine the nailbeds for capillary refill.
Q2) A patient in the dermatology clinic is scheduled for removal of a 10-mm, multicolored, irregular mole from the upper back. The nurse will plan to teach the patient about a (an)
A) shave biopsy.
B) punch biopsy.
C) incisional biopsy.
D) excisional biopsy.
Q3) When obtaining a health history related to the skin, which question will assess the patient's health perception-health maintenance pattern?
A) Do you have any pain that you associate with skin problems?
B) What kinds of skin moisturizers and cosmetics do you use?
C) Has the appearance of your skin led to any changes in your social activities?
D) Have you noticed any recent skin changes such as dryness or slow healing?
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Page 25
Chapter 24: Nursing Management: Integumentary
Problems
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/30614
Sample Questions
Q1) A 46-year-old tells the nurse, "I'm thinking about having treatment with botulinum toxin (Botox) to get rid of my wrinkles." The most appropriate initial response by the nurse is
A) "Botox is an expensive therapy for someone your age."
B) "Botox injections are an excellent way to decrease your wrinkles."
C) "You should be aware of the side effects of Botox."
D) "Tell me what you know about how Botox works."
Q2) The health care provider diagnoses impetigo and prescribes penicillin for a patient who has crusty vesicopustular lesions over the lower face and skin creases in the neck. Which information will be included in the teaching plan for this patient?
A) Appropriate use of alcohol-based lotions to decrease skin bacteria
B) How to clean the infected areas with soap and water
C) Daily use of a multiple vitamin with a high dose of vitamin A to improve skin integrity
D) Use of petroleum jelly (Vaseline) to soften crusty areas
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Chapter 25: Nursing Management: Burns
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/30615
Sample Questions
Q1) The RN observes all of these actions being taken by a staff nurse who has floated to the unit. Which action requires that the RN intervene?
A) The float nurse obtains burn cultures when the patient has a temperature of 95.2° F.
B) The float nurse calls the health care provider for an insulin order when a nondiabetic patient has an elevated serum glucose.
C) The float nurse administers as-needed fentanyl (Sublimaze) IV to a patient 5 minutes before a dressing change.
D) The float nurse lowers room temperature to 76° F during the dressing change of a patient with large burns.
Q2) Which of these laboratory results requires the most rapid action by the nurse who is caring for a patient who suffered a large burn 48 hours ago?
A) Serum sodium, 146 mEq/L
B) BUN 36 mg/dl
C) Serum potassium 6.2 mEq/dl
D) Hct 52%
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Chapter 26: Nursing Assessment: Respiratory System
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/30616
Sample Questions
Q1) A patient is admitted with a metabolic acidosis of unknown origin. Based on this diagnosis, the nurse would expect the patient to have
A) Kussmaul's respirations.
B) slow, shallow respirations.
C) a low oxygen saturation (SpO<sub>2</sub>).
D) a decrease in PVO<sub>2</sub>.
Q2) A patient with chronic hypoxemia (SaO<sub>2</sub> levels of 89%-90%) caused by COPD has just been admitted with increasing shortness of breath. In planning for discharge, which of these actions by the nurse will be most effective in improving compliance with discharge teaching?
A) Have the patient repeat the instructions immediately after the teaching.
B) Arrange for the patient's spouse to be present during the teaching.
C) Accomplish the patient teaching just before the scheduled discharge.
D) Start giving the patient discharge teaching on the day of admission.
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Chapter 27: Nursing Management: Upper Respiratory Problems
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/30617
Sample Questions
Q1) The nurse enters the room of a patient who has just returned from surgery for a total laryngectomy and radical neck dissection and notes the following problems. In which order should the nurse address the problems?
A) The NG tube is disconnected from suction and clamped off.
B) The patient is coughing blood-tinged secretions from the tracheostomy.
C) The patient is lying in a lateral position with the head of the bed flat.
D) The Hemovac in the neck incision contains 200 ml of bloody drainage.
Q2) A patient returns from surgery with a tracheostomy tube after a total laryngectomy and radical neck dissection. In caring for the patient during the first 24 hours after surgery, the priority nursing action is to
A) avoid changing the tracheostomy ties.
B) clean the inner cannula every 8 hours.
C) monitor for bleeding around the stoma.
D) assess the airway and breath sounds.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 28: Nursing Management: Lower Respiratory
Problems
Available Study Resources on Quizplus for this Chatper
47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/30618
Sample Questions
Q1) After a patient with right lower-lobe pneumonia has been treated with intravenous (IV) antibiotics for 2 days, which assessment data obtained by the nurse indicates that the treatment has been effective?
A) Bronchial breath sounds are heard at the right base.
B) Increased vocal fremitus is palpable over the right chest.
C) The patient coughs up small amounts of green mucous.
D) The patient's white blood cell (WBC) count is 9000/µl.
Q2) The health carre provider inserts two chest tubes connected with a Y-connecter in a patient with a hemopneumothorax. When monitoring the patient after the chest tube placement, the nurse will be most concerned about
A) a large air leak in the water-seal chamber.
B) 400 ml of blood in the collection chamber.
C) severe pain with each deep patient inspiration.
D) subcutaneous emphysema at the insertion site.
To view all questions and flashcards with answers, click on the resource link above. Page 30
Chapter 29: Nursing Management: Obstructive Pulmonary Diseases
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/30619
Sample Questions
Q1) When reading the chart for a patient with COPD, the nurse notes that the patient has cor pulmonale. To assess for cor pulmonale, the nurse will monitor the patient for A) elevated temperature.
B) complaints of chest pain.
C) jugular vein distension.
D) clubbing of the fingers.
Q2) A 23-year-old with cystic fibrosis (CF) is admitted to the hospital. Which intervention will be included in the plan of care?
A) Schedule sweat chloride test to evaluate the effectiveness of therapy.
B) Arrange for a hospice nurse to visit with the patient regarding home care.
C) Place the patient on a low-sodium diet to prevent cor pulmonale.
D) Perform chest physiotherapy every 4 hours to mobilize secretions.
Q3) When teaching the patient with COPD about exercise, which information should the nurse include?
A) "Stop exercising if you start to feel short of breath."
B) "Use the bronchodilator before you start to exercise."
C) "Breathe in and out through the mouth while you exercise."
D) "Upper body exercise should be avoided to prevent dyspnea."
To view all questions and flashcards with answers, click on the resource link above. Page 31
Chapter 30: Nursing Assessment: Hematologic System
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/30620
Sample Questions
Q1) When reviewing the CBC for a patient admitted with an elevated temperature and flank pain, which information will be most important for the nurse to communicate to the health care provider?
A) Neutrophils 85%
B) Hemoglobin 11.6 g/dl
C) Monocytes 4%
D) Platelets 145,000/ml
Q2) While examining the lymph nodes during physical assessment, the nurse would be most concerned about
A) firm inguinal nodes in a patient with an infected foot.
B) inability to palpate any superficial lymph nodes.
C) 1-cm mobile and nontender axillary node.
D) 2-cm nonpainful supraclavicular node.
Q3) The nurse who is reviewing laboratory data for an 86-year-old patient will be most concerned about
A) WBC 3500/ml.
B) hemoglobin 11.8 g/dl.
C) platelets 400,000/ml.
D) hematocrit 37%.
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Page 32
Chapter 31: Nursing Management: Hematologic Problems
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/30621
Sample Questions
Q1) A 64-year-old patient with newly diagnosed acute myelogenous leukemia (AML) who is undergoing induction therapy with chemotherapeutic agents tells the nurse, "I feel so sick that I don't know if the treatment is worth completing." The nurse's best response to the patient is
A) "I know you feel really ill right now, but after this therapy your disease will go into a remission and you will feel normal again."
B) "Induction therapy is very aggressive and causes the most side effects, so when this phase is completed you won't feel so ill."
C) "Your type of leukemia has an 80% survival rate if aggressive therapy is started, so the effects of treatment will be worth it to you."
D) "The chemotherapy is difficult, but it is necessary to put the disease into remission and give you time to make choices about your life."
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Chapter 32: Nursing Assessment: Cardiovascular System
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/30622
Sample Questions
Q1) To auscultate for S<sub>3</sub> or S<sub>4</sub> gallops in the mitral area, the nurse listens with the
A) diaphragm of the stethoscope with the patient in a reclining position.
B) diaphragm of the stethoscope with the patient lying flat on the left side.
C) bell of the stethoscope with the patient in the left lateral position.
D) bell of the stethoscope with the patient sitting and leaning forward.
Q2) The nurse is obtaining a health history for a new patient with possible coronary artery disease. Which question would the nurse use when obtaining subjective data related to the patient's health perception-health management functional health pattern?
A) "Do you every have any discomfort or indigestion resulting from exercise or activity?"
B) "Have you had any recent episodes of sore throat, fever, or streptococcal infections?"
C) "How frequently do you have your cholesterol level and blood pressure checked?"
D) "Are there any symptoms that seem to occur when you are feeling very stressed?"
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Chapter 33: Nursing Management: Hypertension
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/30623
Sample Questions
Q1) The nurse obtains the following information about hypertension risk factors from a patient with prehypertension. The risk factor that will be most important to address with the patient is that the patient
A) gets no regular aerobic exercise.
B) is 5 pounds over the ideal weight.
C) has a low dietary fiber intake.
D) drinks wine with dinner once a week.
Q2) The nurse measures the BP of a 78-year-old patient and finds it to be 168/86 mm Hg in both arms. The nurse will plan to teach the patient that
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) there is a high probability of kidney and heart disease.
Q3) During assessment of a patient who has stage 2 hypertension, the nurse recognizes that it is common for the patient to experience
A) frequent nose bleeds.
B) blurred vision.
C) dyspnea on exertion.
D) no symptoms.
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Page 35
Chapter 34: Nursing Management: Coronary Artery Disease
and Acute Coronary Syndrome
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/30624
Sample Questions
Q1) A patient with chronic stable angina is being treated with metoprolol (Lopressor). The nurse will suspect that the patient is experiencing a side effect of the metoprolol if
A) the patient is restless and agitated.
B) the BP is 190/110 mm Hg.
C) the cardiac monitor shows a heart rate of 45.
D) the patient complains about feeling anxious.
Q2) The nurse is admitting a patient who is complaining of chest pain to the emergency department (ED). Which information collected by the nurse suggests that the pain is caused by an acute myocardial infarction (AMI)?
A) The pain worsens when the patient raises the arms.
B) The pain increases with deep breathing.
C) The pain is relieved after the patient takes nitroglycerin.
D) The pain has persisted longer than 30 minutes.
Q3) While admitting a patient with an AMI, which action should the nurse carry out first?
A) Assess peripheral pulses.
B) Check the oxygen saturation.
C) Attach the cardiac monitor.
D) Obtain the BP.
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Chapter 35: Nursing Management: Heart Failure
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/30625
Sample Questions
Q1) During a visit to an elderly patient with chronic heart failure, the home care nurse finds that the patient has severe dependent edema and that the legs appear to be weeping serous fluid. Based on these data, the best nursing diagnosis for the patient is
A) activity intolerance related to venous congestion.
B) disturbed body image related to massive leg swelling.
C) impaired skin integrity related to peripheral edema.
D) impaired gas exchange related to chronic heart failure.
Q2) An outpatient who has developed heart failure after having an acute myocardial infarction has a new prescription for carvedilol (Coreg). After 2 weeks, the patient returns to the clinic. The assessment finding that will be of most concern to the nurse is that the patient
A) has BP of 88/42.
B) has an apical pulse rate of 56.
C) complains of feeling tired.
D) has 2+ pedal edema.
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Chapter 36: Nursing Management: Dysrhythmias
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/30626
Sample Questions
Q1) The nurse determines that a patient has ventricular bigeminy when the rhythm strip indicates that
A) there are pairs of wide and distorted QRS complexes.
B) every other QRS complex is wide and starts prematurely.
C) all QRS complexes are wide and the rate is 150 to 250 beats/min.
D) there are premature QRS complexes with two different shapes.
Q2) A 19-year-old student has a mandatory ECG before participating on a college swim team and is found to have sinus bradycardia, rate 52. BP is 114/54, and the student denies any health problems. What action by the nurse is appropriate?
A) Refer the student to a cardiologist for further assessment.
B) Allow the student to participate on the swim team.
C) Obtain more detailed information about the student's health history.
D) Tell the student to stop swimming immediately if any dyspnea occurs.
Q3) A patient has a normal cardiac rhythm strip except that the PR interval is 0.34 seconds. The appropriate intervention by the nurse is to
A) prepare the patient for temporary pacemaker insertion.
B) document the finding and continue to monitor the patient.
C) notify the health care provider immediately.
D) administer atropine per protocol.
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Page 38
Chapter 37: Nursing Management: Inflammatory and Structural
Heart Disorders
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/30627
Sample Questions
Q1) A patient who has developed acute pulmonary edema is hospitalized and diagnosed with dilated cardiomyopathy. Which information will the nurse plan to include when teaching the patient about management of this disorder?
A) Careful compliance with diet and medications will control the patient's symptoms.
B) Notify the doctor about any symptoms of heart failure such as shortness of breath.
C) No more than one or two alcoholic drinks daily are permitted.
D) Elevating the legs above the heart will help relieve angina.
Q2) The health care provider writes the following admitting orders for a patient with suspected IE who has fever and chills: ceftriaxone (Rocephin) 1.0 g intravenous piggyback (IVPB) q12hr, acetylsalicylic acid (ASA) for temperature above 102° F (38.9° C), and blood cultures * 2, complete blood cell count (CBC), and electrocardiogram (ECG).
When admitting the patient, the nurse gives the highest priority to A) obtaining the blood cultures.
B) initiating the IV antibiotic.
C) scheduling the ECG.
D) administering the ASA.
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Chapter 38: Nursing Management: Vascular Disorders
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/30628
Sample Questions
Q1) Which of these nursing actions in the care plan for a patient who had a repair of an abdominal aortic aneurysm 5 days previously is most appropriate for the nurse to delegate to an experienced nursing assistant?
A) Teach the patient the signs of possible wound infection.
B) Monitor the quality and presence of the pedal pulses.
C) Assist the patient in using a pillow to splint while coughing.
D) Check the lower extremity strength and movement.
Q2) After teaching a patient with newly diagnosed Raynaud's phenomenon about how to manage the condition, which behavior by the patient indicates that the teaching has been effective?
A) The patient places the hands in hot water when they turn pale.
B) The patient exercises indoors during the winter months.
C) The patient takes pseudoephedrine (Sudafed) for cold symptoms.
D) The patient avoids the use of aspirin and the NSAIDs.
Q3) When assessing a patient with possible PAD, the nurse obtains a brachial BP of 140/80 and an ankle pressure of 110/70. The nurse calculates the patient's ankle-brachial index (ABI) as ______.
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Chapter 39: Nursing Assessment: Gastrointestinal System
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/30629
Sample Questions
Q1) The nurse is performing an assessment of an 80-year-old patient. Information related to the patient's nutritional-metabolic functional health pattern that the nurse recognizes as abnormal in a patient of this age is
A) loss of appetite and anorexia.
B) difficulty chewing and swallowing food.
C) complaints of indigestion and fullness.
D) unintentional weight loss.
Q2) Which information collected by the nurse when caring for a patient who has just arrived in the recovery area after an upper endoscopy is most important to communicate to the health care provider?
A) The patient has no gag reflex.
B) The oral temperature is 100.6° F.
C) The patient complains of a sore throat.
D) The apical pulse is 104 beats/min.
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Chapter 40: Nursing Management: Nutritional Problems
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/30630
Sample Questions
Q1) Which of these nursing actions included in the plan of care for a patient who is receiving intermittent tube feedings through a PEG tube may be delegated to an LPN/LVN?
A) Teaching the patient and family how to administer tube feedings
B) Assessing the patient's nutritional status at least weekly
C) Determining the need for the addition of water to the feedings
D) Providing skin care to the area around the tube site
Q2) An 82-year-old Latino patient with mild protein-calorie malnutrition shares a home with his spouse and adult daughter. When developing a teaching plan to improve the patient's nutrition, it will be most important for the nurse to obtain information about
A) food preferences of the spouse and adult child.
B) who shops for groceries and cooks.
C) the number of meals per day the patient eats.
D) foods that are culturally significant for the patient.
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Chapter 41: Nursing Management: Obesity
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/30631
Sample Questions
Q1) The nurse is developing a weight loss plan for a 21-year-old obese patient. Which statement by the nurse is most likely to help the patient in losing weight on the planned 800-calorie diet?
A) "You will decrease your risk for future health problems such as diabetes by losing weight now."
B) "You are likely to start to notice changes in how you feel with just a few weeks of diet and exercise."
C) "Most of the weight that you lose during the first weeks of dieting is water weight rather than fat."
D) "It will be necessary to change lifestyle habits permanently to maintain weight loss."
Q2) A patient has been taking orlistat (Xenical) for several months as part of a weight loss program which also includes a low-fat diet. Which of these data obtained by the nurse indicate that a change in therapy may be needed?
A) The patient complains of abdominal bloating after meals.
B) The patient has lost 31 lb (14 kg) of the original 65 lb (30 kg) goal.
C) The patient frequently has liquid stools.
D) The patient is pale and has many bruises.
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Page 43
Chapter 42: Nursing Management: Upper Gastrointestinal
Problems
Available Study Resources on Quizplus for this Chatper
44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/30632
Sample Questions
Q1) Which of these assessment findings in a patient with a hiatal hernia who returned from a laparoscopic Nissen fundoplication 4 hours ago is most important for the nurse to address immediately?
A) The patient has absent breath sounds throughout the left lung.
B) The patient complains of 6/10 (of a 0-10 scale) abdominal pain.
C) The patient has decreased bowel sounds in all four quadrants.
D) The patient is experiencing intermittent waves of nausea.
Q2) All the following orders are received for a patient who has been admitted with dehydration after 3 days of nausea and vomiting. Which order will the nurse act on first?
A) Provide oral care with moistened swabs.
B) Infuse normal saline at 250 ml/hr.
C) Insert a 16-gauge nasogastric (NG) tube.
D) Administer IV ondansetron (Zofran).
Q3) Which information will the nurse include when teaching a patient with newly diagnosed GERD?
A) "Peppermint tea may be helpful in reducing your symptoms."
B) "You will need to keep the head of your bed elevated on blocks."
C) "You should avoid eating between meals to reduce acid secretion."
D) "Vigorous physical activities may increase the incidence of reflux."
Page 44
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Chapter 43: Nursing Management: Lower Gastrointestinal
Problems
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/30633
Sample Questions
Q1) A 42-year-old patient recently developed abdominal distention, weight loss, steatorrhea, and flatulence. A diagnosis of adult celiac disease is made, and treatment is initiated. The nurse determines that teaching about the treatment of the disease has been effective when the patient says,
A) "I must take folic acid for the rest of my life."
B) "I will avoid dietary wheat, rye, barley, and oats."
C) "I will be sure to take all of the ordered antibiotics."
D) "I should eat only very low-fat or fat-free foods."
Q2) While obtaining a nursing history from a 55-year-old patient scheduled for a colonoscopy, the nurse will be most concerned about
A) lifelong constipation.
B) nausea and vomiting.
C) history of an appendectomy.
D) recent blood in the stools.
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Chapter 44: Nursing Management: Liver, Pancreas, and Biliary Tract Problems
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/30634
Sample Questions
Q1) In planning care for a patient with acute pancreatitis, the nurse assigns the highest priority to the patient outcome of
A) developing no acute complications.
B) maintenance of normal respiratory function.
C) expressing satisfaction with pain control.
D) having adequate fluid and electrolyte balance.
Q2) When teaching a patient recovering from hepatitis B about management of the illness, the nurse determines that additional teaching is needed when the patient says A) "I should not drink alcohol for at least the next year."
B) "My family members should be tested for hepatitis B."
C) "When the jaundice is gone, I have recovered from my illness and the infection is cured."
D) "Until my tests for the virus are negative, I should use a condom for sexual intercourse."
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Chapter 45: Nursing Assessment: Urinary System
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/30635
Sample Questions
Q1) A patient with a possible renal cell tumor who is scheduled for an intravenous pyelogram (IVP) and computed tomography (CT) scanning of the abdomen gives the nurse all the following data. Which information has the most immediate implications for the patient's care?
A) The patient has not had anything to eat or drink for 8 hours.
B) The patient used a bisacodyl (Dulcolax) tablet the previous night.
C) The patient describes allergies to shellfish and penicillin.
D) The patient complains of costovertebral angle (CVA) tenderness.
Q2) A patient with diabetic nephropathy is admitted for a right renal biopsy. Immediately after the biopsy, which of these is an essential nursing action?
A) Check blood glucose to assess for hyperglycemia or hypoglycemia.
B) Obtain a urine specimen to check for hematuria.
C) Monitor the BUN and creatinine to assess renal function.
D) Place the patient on the right side to put pressure on the site.
Q3) The nurse uses auscultation during assessment of the urinary system to
A) determine the position of the kidneys.
B) assess for bladder distension.
C) check for ureteral peristalsis.
D) identify renal artery or aortic bruits.
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Page 47
Chapter 46: Nursing Management: Renal and Urologic Problems
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/30636
Sample Questions
Q1) A patient with bladder cancer is scheduled for intravesical chemotherapy. In preparation for the treatment the nurse will teach the patient about
A) the need to empty the bladder prior to treatment.
B) premedicating to prevent nausea.
C) the importance of oral care during treatment.
D) where to obtain wigs and scarves.
Q2) To relieve the symptoms of a lower UTI for which the patient is taking prescribed antibiotics, the nurse suggests that the patient use the OTC urinary analgesic phenazopyridine (Pyridium) but cautions the patient that this preparation
A) contains methylene blue, which turns the urine blue or green.
B) should be taken on an empty stomach for maximum effect.
C) causes the urine to turn reddish orange and can stain underclothing.
D) frequently causes allergic reactions and should be stopped if a rash occurs.
Q3) When admitting a patient with acute glomerulonephritis, the nurse will ask the patient about
A) history of high blood pressure.
B) frequency of UTIs.
C) recent sore throat and fever.
D) family history of kidney disease.
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Chapter 47: Nursing Management: Acute Renal Failure and Chronic Kidney Disease
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/30637
Sample Questions
Q1) A patient needing vascular access for hemodialysis asks the nurse what the differences are between an arteriovenous (AV) fistula and a graft. The nurse explains that one advantage of the fistula is that it
A) can accommodate larger needles.
B) increases patient mobility.
C) is much less likely to clot.
D) can be used sooner after surgery.
Q2) In the immediate postoperative period, the nurse caring for a patient who is a recipient of a kidney transplant would expect that fluid therapy would involve administration of IV fluids
A) to be determined hourly, based on every milliliter of urine output.
B) at a minimum rate of 100 ml/hr to perfuse the kidney.
C) titrated to keep blood pressure within a normal range.
D) at a rate to keep urine clear and without blood clots.
Q3) A patient complains of leg cramps during hemodialysis. The nurse should
A) give acetaminophen (Tylenol).
B) infuse a bolus of normal saline.
C) massage the patient's legs.
D) reposition the patient.
Page 49
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Chapter 48: Nursing Assessment: Endocrine System
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/30638
Sample Questions
Q1) A patient has clinical manifestations of hypothyroidism. To determine whether the low thyroid level is caused by a problem with the anterior pituitary gland or with the thyroid gland, which value will the nurse check in the patient's chart?
A) Thyroxine (T<sub>4</sub>) level
B) Triiodothyronine (T<sub>3</sub>) level
C) Thyrotropin-releasing hormone (TRH) level
D) TSH level
Q2) When caring for a patient who has just had a parathyroidectomy, the nurse will plan to monitor the patient for
A) low serum calcium level.
B) low magnesium level.
C) increased levels of active vitamin D.
D) increased levels of calcitonin.
Q3) The nurse will plan patient care that will decrease the patient's physical and emotional stress when the patient is undergoing
A) a water deprivation test.
B) testing for serum T3 and T4 levels.
C) a 24-hour urine test for free cortisol.
D) a radioactive iodine (I-131) uptake test.
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Page 50
Chapter 49: Nursing Management: Diabetes Mellitus
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/30639
Sample Questions
Q1) A diabetic patient is started on intensive insulin therapy. The nurse will plan to teach the patient about mealtime coverage using _____ insulin.
A) NPH
B) lispro
C) detemir
D) glargine
Q2) A patient receives a daily injection of 70/30 NPH/regular insulin premix at 7:00 AM. The nurse expects that a hypoglycemic reaction is most likely to occur between
A) 8:00 and 10:00 AM.
B) 4:00 and 6:00 PM.
C) 7:00 and 9:00 PM.
D) 10:00 PM and 12:00 AM.
Q3) A patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dl (6.7 mmol/L). The nurse will 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.
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Chapter 50: Nursing Management: Endocrine Problems
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/30640
Sample Questions
Q1) A patient with symptoms of DI is admitted to the hospital for evaluation and treatment of the condition. An appropriate nursing diagnosis for the patient is
A) insomnia related to waking at night to void.
B) risk for impaired skin integrity related to generalized edema.
C) excess fluid volume related to intake greater than output.
D) activity intolerance related to muscle cramps and weakness.
Q2) A patient is suspected of having a pituitary tumor causing panhypopituitarism. During assessment of the patient, the nurse would expect to find A) elevated blood glucose.
B) changes in secondary sex characteristics.
C) high blood pressure.
D) tachycardia and cardiac palpitations.
Q3) Which information obtained when caring for a patient who has just been admitted for evaluation of diabetes insipidus will be of greatest concern to the nurse?
A) The patient has a urine output of 800 ml/hr.
B) The patient's urine specific gravity is 1.003.
C) The patient had a recent head injury.
D) The patient is confused and lethargic.
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Chapter 51: Nursing Assessment: Reproductive System
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/30641
Sample Questions
Q1) A 42-year-old man who is taking all of the following medications tells the nurse that he has not been able to function sexually for about a year. The nurse will anticipate teaching the patient about a change in which medication?
A) Propranolol (Inderal) for high blood pressure
B) Atorvastatin (Lipitor) for hyperlipidemia
C) Metformin (Glucophage) for type 2 diabetes
D) Ranitidine (Zantac) for gastroesophageal reflux
Q2) A patient in the STD clinic tells the nurse about a recent exposure to syphilis through sexual intercourse. The nurse teaches the patient that the fastest information about syphilis infection will be obtained from
A) Venereal Disease Research Laboratory (VDRL) testing.
B) rapid plasma reagent (RPR) agglutination.
C) examination of a specimen obtained from an active chancre.
D) fluorescent treponemal antibody absorption (FTA-Abs) testing.
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Chapter 52: Nursing Management: Breast Disorders
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/30642
Sample Questions
Q1) A woman with a positive biopsy for breast cancer is considering whether to have a modified radical mastectomy or breast conservation surgery (lumpectomy) with radiation therapy. Which information should the nurse provide?
A) The postoperative survival rate for each is about the same, but there is a decreased rate of cancer recurrence after mastectomy.
B) The lumpectomy and radiation will preserve the breast, but this method can cause changes in breast sensitivity.
C) The hair loss associated with post-lumpectomy chemotherapy is not acceptable to some patients.
D) The treatment period for the mastectomy is shorter, and breast reconstruction can provide a normal-appearing breast.
Q2) While the nurse is obtaining a nursing history from a 52-year-old patient who has found a small lump in her breast, which question is most pertinent?
A) "Do you currently smoke cigarettes?"
B) "Have you ever had any breast injuries?"
C) "Is there any family history of fibrocystic breast changes?"
D) "At what age did you start having menstrual periods?"
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Page 54
Chapter 53: Nursing Management: Sexually Transmitted Diseases
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/30643
Sample Questions
Q1) A Gram stain smear of a patient's urethral discharge reveals the presence of Neisseria gonorrhoeae. The patient tells the nurse about recent sexual contact with a woman but says she did not appear to have any disease. In responding to the patient, the nurse explains that
A) many women are not aware they have gonorrhea because they often do not have symptoms of infection.
B) when gonorrhea infections occur in women, the disease affects only the ovaries and not the genital organs.
C) women develop subclinical cases of gonorrhea that do not cause tissue damage or clinical manifestations.
D) women do not develop gonorrhea infections but can serve as carriers to spread the disease to males.
Q2) A woman in the STD clinic tells the nurse that she is concerned she may have been exposed to gonorrhea by her partner. To determine whether the patient has gonorrhea, the nurse will plan to
A) interview the patient about symptoms of gonorrhea.
B) take a sample of vaginal discharge for Gram staining.
C) draw a blood specimen or rapid plasma regain (RPR) testing.
D) obtain a cervical specimen for an enzyme immunoassay (EIA).
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Chapter 54: Nursing Management: Female Reproductive Problems
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) A 46-year-old woman tells the nurse that she has not had a menstrual period for 3 months and asks whether she is going into menopause. The best response by the nurse is,
A) "Are you experiencing any other signs of low estrogen levels?"
B) "What was your menstrual pattern before your periods stopped?"
C) "The doctor can prescribe hormone replacement therapy to minimize menopausal symptoms."
D) "Menopause is unlikely at age 46, so your amenorrhea needs further investigation."
Q2) Stage III ovarian cancer is diagnosed in a 63-year-old woman. A nursing diagnosis that is likely to be appropriate is
A) sexual dysfunction related to loss of vaginal sensation.
B) risk for infection related to impaired immune function.
C) anxiety related to cancer diagnosis and need to make treatment decisions.
D) situational low self-esteem related to guilt about delaying medical care.
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Chapter 55: Nursing Management: Male Reproductive Problems
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/30645
Sample Questions
Q1) In teaching a male patient to perform testicular self-examination, the nurse includes the information that
A) the only structure normally felt in the scrotal sac is the testis.
B) the examination should be done when the scrotum is warm.
C) an appointment with the health care provider is needed if one testis is larger than the other.
D) an examination should be performed whenever the patient showers or bathes.
Q2) When performing discharge teaching for a patient who has undergone a vasectomy in the health care provider's office, the nurse instructs the patient that
A) he may have temporary erectile dysfunction (ED) because of postoperative swelling.
B) he should not have sexual intercourse until his 6-week follow-up visit.
C) he should continue the use of other methods of birth control for 6 weeks.
D) he will notice a decrease in the appearance and volume of his ejaculate.
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Chapter 56: Nursing Assessment: Nervous System
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) In a patient who has a corticospinal tract lesion, the nurse should assess for A) extremity movement and strength.
B) cranial nerve function.
C) peripheral sensitivity to pain.
D) level of consciousness (LOC).
Q2) When performing a focused assessment on a patient with a lesion of the left posterior temporal lobe, the nurse will assess for
A) reasoning and problem-solving abilities.
B) sensation on the left side of the body.
C) understanding of written and oral language.
D) voluntary movement on the right side.
Q3) A patient is scheduled for a myelogram to confirm the presence of a herniated intervertebral disk. Which information obtained when admitting the patient is most important for the nurse to communicate to the health care provider before the procedure?
A) The patient has an allergy to shellfish.
B) The patient has back pain when lying flat for long periods.
C) The patient had 4 ounces of apple juice 4 hours earlier.
D) The patient is anxious about the test.
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Page 58
Chapter 57: Nursing Management: Acute Intracranial Problems
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) When assessing a patient with bacterial meningitis, the nurse obtains all of the following information. Which should be reported immediately to the health care provider?
A) The patient complains of having a stiff neck.
B) The patient has a positive Kernig's sign.
C) The patient's blood pressure is 86/42 mm Hg.
D) The patient's temperature is 102° F.
Q2) A patient admitted with bacterial meningitis and a temperature of 102° F has orders for all of these collaborative interventions. Which one should the nurse accomplish first?
A) IV ceftizoxime (Cefizox) 1 g now and every 6 hours
B) IV dexamethasone (Decadron) 4 mg now
C) Hypothermia blanket to keep temperature less than 101.6° F
D) Nasopharyngeal swab for culture and sensitivity
Q3) When caring for a patient who has had a head injury, which assessment information is of most concern to the nurse?
A) The blood pressure increases from 120/54 to 136/62.
B) The patient is more difficult to arouse.
C) The patient complains of a headache at pain level 5 of a 10-point scale.
D) The patient's apical pulse is slightly irregular.
Page 59
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Chapter 58: Nursing Management: Stroke
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A patient with a stroke has progressive development of neurologic deficits with increasing weakness and decreased level of consciousness (LOC). The priority nursing diagnosis for the patient is
A) risk for impaired skin integrity related to immobility.
B) disturbed sensory perception related to brain injury.
C) risk for aspiration related to inability to protect airway.
D) impaired physical mobility related to weakness.
Q2) A patient with a left-sided brain stroke suddenly bursts into tears when family members visit. The nurse should
A) explain to the family that depression is normal following a stroke.
B) have the family members leave the patient alone for a few minutes.
C) teach the family that emotional outbursts are common after strokes.
D) use a calm voice to ask the patient to stop the crying behavior.
Q3) The nurse expects that management of the patient who experiences a brief episode of tinnitus, diplopia, and dysarthria with no residual effects will include
A) heparin via continuous intravenous infusion.
B) prophylactic clipping of cerebral aneurysms.
C) therapy with tissue plasminogen activator (tPA).
D) oral administration of ticlopidine (Ticlid).
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Page 60
Chapter 59: Nursing Management: Chronic Neurologic Problems
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A 42-year-old patient who was adopted at birth is diagnosed with early Huntington's disease (HD). When teaching the patient, spouse, and children about this disorder, the nurse will provide information about the
A) use of levodopa-carbidopa (Sinemet) to help reduce HD symptoms.
B) need to take prophylactic antibiotics to decrease the risk for pneumonia.
C) lifestyle changes, such as increased exercise, that delay disease progression.
D) availability of genetic testing to determine the HD risk for the patient's children.
Q2) When preparing to admit a patient who has been treated for status epilepticus in the emergency department, which equipment should the nurse have available in the room? (Select all that apply.)
A) Suction tubing
B) Oxygen mask
C) Nasogastric tube
D) Siderail pads
E) Tongue blade
F) Oral airway
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Chapter 60: Nursing Management: Alzheimers Disease and Dementia
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Coexisting dementia and depression are identified in a patient with Parkinson's disease. The nurse anticipates that the greatest improvement in the patient's condition will occur with administration of
A) antipsychotic drugs.
B) anticholinergic agents.
C) dopaminergic agents and antidepressant drugs.
D) selective serotonin reuptake inhibitor (SSRI) agents.
Q2) A 72-year-old patient hospitalized with pneumonia is disoriented and confused 2 days after admission. Which assessment information obtained by the nurse about the patient indicates that the patient is experiencing delirium rather than dementia?
A) The patient is disoriented to place and time but oriented to person.
B) The patient has a history of increasing confusion over several years.
C) The patient's speech is fragmented and incoherent.
D) The patient was oriented and alert when admitted.
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Chapter 61: Nursing Management: Peripheral Nerve and Spinal Cord Problems
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) A patient with Guillain-Barré syndrome asks the nurse what has caused the disease. In responding to the patient, the nurse explains that 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) Which of these nursing actions for a patient with Guillain-Barré syndrome is most appropriate for the nurse to delegate to an experienced nursing assistant?
A) Nasogastric tube feeding q4hr
B) Artificial tear administration q2hr
C) Assessment for bladder distension q2hr
D) Passive range of motion to extremities q8hr
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Chapter 62: Nursing Assessment: Musculoskeletal System
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Sample Questions
Q1) While testing the patient's muscle strength, the nurse finds that the patient can flex the arms when no resistance is applied but is unable to flex when the nurse applies light resistance. The nurse should documents the patient's muscle strength as level
A) 1.
B) 2.
C) 3.
D) 4.
Q2) Which information obtained during the nurse's assessment of the patient's nutritional-metabolic pattern may indicate the risk for musculoskeletal problems?
A) The patient is 5 ft 2 in and weighs 180 lb.
B) The patient prefers whole milk to nonfat milk.
C) The patient dislikes fruits and vegetables.
D) The patient takes a multivitamin daily.
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64
Chapter 63: Nursing Management: Musculoskeletal
Trauma and Orthopedic Surgery
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/30653
Sample Questions
Q1) A patient who has severe peripheral arterial disease and ischemic foot ulcers is upset with the health care provider's recommendation to have an above-the-knee amputation. The patient tells the nurse, "If they want to cut off my leg, they should just shoot me instead." The most appropriate response to the patient's statement is,
A) "Let's talk about how you feel this surgery will affect you."
B) "If you do not want the surgery, you do not have to have it."
C) "I understand why you are upset, but there really is no choice because your leg is so badly diseased."
D) "Many people are able to function normally with a prosthesis after amputation, and you can too."
Q2) A patient with severe ulnar drift caused by rheumatoid arthritis (RA) is scheduled for an arthroplasty of the right hand and fingers. The nurse determines that the patient has realistic expectations of the outcome of surgery when the patient says,
A) "I will be able to use my fingers to grasp objects better."
B) "My fingers will appear normal in size and shape after this surgery."
C) "This procedure will prevent further deformity in my hands and fingers."
D) "I will not have to do as many hand exercises after the surgery."
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Page 65
Chapter 64: Nursing Management: Musculoskeletal Problems
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) An assessment finding that alerts the nurse to the presence of osteoporosis in a middle-aged patient is
A) the presence of bowed legs.
B) measurable loss of height.
C) an aversion to dairy products.
D) statements about frequent falls.
Q2) After teaching a patient with a bunion about how to prevent further problems, the nurse will determine that more teaching is needed if the patient says,
A) "I will wear soft slippers whenever possible."
B) "I will throw away my high heel shoes."
C) "I will use the bunion pad to relieve the pain."
D) "I will take ibuprofen (Motrin) when I need it."
Q3) A patient is being discharged after 2 weeks of IV antibiotic therapy for acute osteomyelitis in the left leg. Which information will be included in the discharge teaching?
A) The reason for taking oral antibiotics for 7 to 10 days after discharge
B) The need for daily aerobic exercise to help maintain muscle strength
C) How to monitor and care for the long-term IV catheter site
D) How to apply warm packs safely to the leg to reduce pain
Page 66
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Chapter 65: Nursing Management: Arthritis and Connective
Tissue Diseases
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/30655
Sample Questions
Q1) When teaching a patient who has rheumatoid arthritis (RA) about how to manage activities of daily living, the nurse instructs the patient to A) stand rather than sit when performing household chores.
B) avoid activities that require continuous use of the same muscles.
C) strengthen small hand muscles by wringing sponges or washcloths.
D) protect the knee joints by sleeping with a small pillow under the knees.
Q2) A 60-year-old patient has osteoarthritis (OA) of the left knee. A finding that the nurse would expect to be present on examination of the patient's knee is
A) Heberden's nodules.
B) redness and swelling of the knee joint.
C) pain upon joint movement.
D) stiffness that increases with movement.
Q3) When the nurse is reviewing laboratory data for a patient who is taking methotrexate (Rheumatrex), which information is most important to communicate to the health care provider?
A) The platelet count is 130,000/ml.
B) The white blood cell count (WBC) is 1500/ml.
C) The blood glucose is 130 mg/dl.
D) The potassium is 5.2 mEq/L.
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Chapter 66: Nursing Management: Critical Care
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) Several family members of a patient who has just been admitted to the intensive care unit (ICU) with multiple traumatic injuries have just arrived in the ICU waiting room. Which action should the nurse take first?
A) Take the family member members to the patient's room.
B) Describe the patient's injuries and the care that is being provided.
C) Discuss ICU visitation policies and encourage family visits.
D) Invite the family to participate in a multidisciplinary care conference.
Q2) To verify the correct placement of an endotracheal tube (ET) after insertion, the best initial action for the nurse to take is
A) use an end-tidal CO<sub>2</sub> monitor to check for placement in the trachea.
B) auscultate for the presence of bilateral breath sounds.
C) obtain a portable chest radiograph to check tube placement.
D) observe the chest for symmetrical movement with ventilation.
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Chapter 67: Nursing Management: Shock, Systemic
Inflammatory Response Syndrome, and Multiple Organ
Dysfunction Syndrome
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) A patient with hypovolemic shock has a urinary output of 15 ml/hr. The nurse understands that the compensatory physiologic mechanism that leads to altered urinary output is
A) activation of the sympathetic nervous system (SNS), causing vasodilation of the renal arteries.
B) stimulation of cardiac b-adrenergic receptors, leading to increased cardiac output.
C) release of aldosterone and antidiuretic hormone (ADH), which cause sodium and water retention.
D) movement of interstitial fluid to the intravascular space, increasing renal blood flow.
Q2) A patient who has just been admitted with septic shock has a BP of 70/46, pulse 136, respirations 32, temperature 104.0° F, and blood glucose 246 mg/dl. Which order will the nurse accomplish first?
A) Start insulin drip to maintain blood glucose at 110 to 150 mg/dl.
B) Give normal saline IV at 500 ml/hr.
C) Titrate norepinephrine (Levophed) to keep MAP at 65 to 70 mm Hg.
D) Infuse drotrecogin-a (Xigris) 24 mcg/kg.
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Chapter 68: Nursing Management: Respiratory Failure and
Acute Respiratory Distress Syndrome
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24 Verified Questions
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Sample Questions
Q1) A patient is diagnosed with a large pulmonary embolism. When explaining to the patient what has happened to cause respiratory failure, which information will the nurse include?
A) "Oxygen transfer into your blood is slow because of thick membranes between the small air sacs and the lung circulation."
B) "Thick secretions in your small airways are blocking air from moving into the small air sacs in your lungs."
C) "Large areas of your lungs are getting good blood flow but are not receiving enough air to fill the small air sacs."
D) "Blood flow though some areas of your lungs is decreased even though you are taking adequate breaths."
Q2) The nurse will monitor for clinical manifestations of hypercapnia when a patient in the emergency department has
A) chest trauma and multiple rib fractures.
B) carbon monoxide poisoning after a house fire.
C) left-sided ventricular failure and acute pulmonary edema.
D) tachypnea and acute respiratory distress syndrome (ARDS).
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Page 70
Chapter 69: Nursing Management: Emergency and Disaster Nursing
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25 Verified Questions
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Sample Questions
Q1) When a patient is admitted to the emergency department after a submersion injury, which assessment will the nurse obtain first?
A) Lung sounds
B) Oxygen saturation
C) Body temperature
D) Apical pulse
Q2) An unconscious patient is admitted to the emergency department 45 minutes after ingesting approximately 30 diazepam (Valium) tablets. The health care provider prescribes gastric lavage. The first action the nurse will plan when implementing the order is to
A) position the patient on his or her side.
B) insert a large-bore nasogastric tube.
C) assist the health care provider to intubate the patient.
D) prepare a 60-ml syringe with saline.
Q3) When preparing to rewarm a patient with hypothermia, the nurse will plan to
A) attach a cardiac monitor.
B) insert a urinary catheter.
C) assist with endotracheal intubation.
D) keep inotropic drugs available.
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