Clinical Nursing Practice Exam
Practice Tests
Course Introduction
Clinical Nursing Practice is designed to provide students with hands-on experience in applying nursing theories, concepts, and skills in real healthcare settings. The course emphasizes evidence-based practice, patient safety, ethical decision-making, and collaborative care as students rotate through various clinical environments such as hospitals, community health centers, and specialty clinics. Through supervised clinical placements, students develop competencies in patient assessment, care planning, implementation of nursing interventions, and evaluation of patient outcomes. By integrating classroom learning with practical experience, the course prepares students to deliver holistic and effective nursing care to diverse patient populations.
Recommended Textbook
Medical Surgical Nursing in Canada 4th Edition by Lewis
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72 Chapters
1844 Verified Questions
1844 Flashcards
Source URL: https://quizplus.com/study-set/220 Page 2
Chapter 1: Introduction to Medical-Surgical Nursing
Practice in Canada
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3266
Sample Questions
Q1) Which of the following is an example of a correctly written nursing diagnosis statement?
A)Altered tissue perfusion related to heart failure.
B)Risk for impaired tissue integrity related to sacral redness.
C)Ineffective coping related to insufficient sense of control.
D)Altered urinary elimination related to urinary tract infection.
Answer: C
Q2) Which of the following would the nurse perform during the assessment phase of the nursing process?
A)Obtains data with which to diagnose client problems.
B)Uses client data to develop priority nursing diagnoses.
C)Teaches interventions to relieve client health problems.
D)Assists the client to identify realistic outcomes to health problems.
Answer: A
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3
Chapter 2: Cultural Competence and Health Equity in Nursing Care
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/3267
Sample Questions
Q1) Which of the following statements represents a health inequity currently experienced in Canada?
A)Indigenous adults are less likely to smoke tobacco than other adults in Canada.
B)Overall suicide rate among First Nation communities is about twice the rate of the general population.
C)Individuals from lower income neighbourhoods undergo preventive health screening more that their higher income counterparts.
D)Recent immigrants are more likely to have a primary care physician than Canadian-born individuals.
Answer: B
Q2) The nurse is caring for Indigenous clients in a community clinic setting. Which of the following would the nurse include when developing strategies to decrease health care disparities?
A)Improve public transportation.
B)Obtain low-cost medications.
C)Update equipment and supplies for the clinic.
D)Educate staff about Indigenous health beliefs.
Answer: D
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Chapter 3: Health History and Physical Examination
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) When admitting a client who has just arrived on the medical unit with severe abdominal pain, what should the nurse do first?
A)Complete only basic demographic data before addressing the client's abdominal pain.
B)Medicate the client for the abdominal pain before attending to the health history and examination.
C)Inform the client that the abdominal pain will be treated as soon as the health history is completed.
D)Take the initial vital signs and then deal with the abdominal pain before completing the health history.
Answer: D
Q2) As the nurse assesses the client's neck, the client says, "My neck is so stiff I can hardly move it." This client statement indicates the nurse should perform which of the following assessments?
A)Focused
B)Screening
C)Emergency
D)Comprehensive
Answer: A
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Chapter 4: Patient and Caregiver Teaching
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) An older-adult client is seen at the health clinic and diagnosed with protein malnutrition. Which of the following actions is priority to be included in the teaching plan?
A)Suggest the use of liquid supplements as a way to increase protein intake.
B)Encourage the client to increase the dietary intake of meat, cheese, and milk.
C)Ask the client to record the intake of all foods and beverages for a 3-day period.
D)Focus on the use of combinations of beans and rice to improve daily protein intake.
Q2) Aclient admitted to the hospital with hyperglycemia and newly diagnosed diabetes mellitus is scheduled for discharge the second day after admission. When implementing client teaching, which is the best action for the nurse to take?
A)Instruct about the increased risk for cardiovascular disease.
B)Provide detailed information about dietary control of glucose.
C)Teach glucose self-monitoring and medication administration.
D)Give information about the effects of exercise on glucose control.
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6
Chapter 5: Chronic Illness
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) What is the most influential source of self-efficacy?
A)Mastery
B)Affective states
C)Verbal persuasion
D)Vicarious experience
Q2) Which of these clients assigned to the nurse is most likely to need planning for long-term nursing management?
A)22-year-old with appendicitis who has had an emergency appendectomy
B)56-year-old with bilateral knee osteoarthritis who weighs 159 kg
C)34-year-old with cholecystitis who has had a laparoscopic cholecystectomy
D)62-year-old with acute sinusitis who will require antibiotic therapy for 5 days
Q3) Clients with chronic illness want the health care system to provide them with which of the following?
A)Less information
B)Less travel time
C)Ways to adjust to disease consequences
D)Limited information on ways to cope with their symptoms
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Chapter 6: Community-Based Nursing and Home Care
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) Which of the following statements is true in relation to nursing-sensitive outcomes?
A)Only used to evaluate client care.
B)Are outside of the nurses' scope of practice.
C)Have no influence on health care budgets.
D)Require empirical evidence.
Q2) An older-adult client who lives alone was hospitalized for a fractured hip and has recovered from the surgery but needs to continue to work to improve mobility. Which of the following settings would the nurse anticipate that the client be transferred to?
A)Another acute care setting
B)A transitional care setting
C)A residential care facility
D)Their own home with home health nursing
Q3) Which of the following concepts is foundational to home health nursing?
A)Acute care management
B)Health promotion
C)Chronic disease management
D)Health restoration
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8
Chapter 7: Older Adults
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/3272
Sample Questions
Q1) Findings from a health history indicate that the client takes daily supplements of the antioxidants beta carotene, vitamin C, and vitamin E. This health practice reflects which of the following theories of biological aging?
A)Free radicals
B)Crosslinking
C)Somatic mutation
D)Telomere-telomerase depletion
Q2) The nurse is admitting an older-adult client who is hospitalized with an acute illness. Which of the following interventions should the nurse do first?
A)Orientate the client to their room.
B)Administer the prescribed PRN sedative medication.
C)Ask the health care provider to order a vest restraint.
D)Place the client in a "geri chair" near the nurse's station for observation.
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Chapter 8: Stress and Stress Management
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) The nurse is caring for a client who has been hospitalized following a heart attack and tells the nurse, "I didn't sleep last night because I worried about missing work and losing my insurance coverage." Which nursing diagnosis is appropriate to includeintheplan of care?
A)Anxiety
B)Defensive coping
C)Ineffective denial
D)Risk prone-health behaviour
Q2) When choosing music to help relax a client who is having a painful dressing change, which action is best for the nurse to take?
A)Use music composed by Mozart.
B)Ask the client about music preferences.
C)Select music that has 60-80 beats/minute.
D)Encourage the client to use music without words.
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10
Chapter 9: Sleep and Sleep Disorders
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) The nurse is providing a health-promotion session to young adults who have difficulty sleeping at night and has instructed them to limit their caffeine intake. Which of the following beverages have 50 mg or more of caffeine? (Select all that apply.)
A)Green tea (237 mL)
B)Dr. Pepper soda (237 mL)
C)Chocolate cake (5 cm square)
D)Brewed coffee (237 mL)
E)Black tea (237 mL)
Q2) The nurse is caring for a client in the ambulatory care setting who has chronic insomnia. Which of the following interventions should the nurse do initially?
A)Schedule a polysomnography (PSG) study.
B)Arrange for the client to have a sleep study.
C)Ask the client to keep a 2-week sleep diary.
D)Teach the client about the use of an actigraph.
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Chapter 10: Pain
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse is caring for a client who is taking an opioid for postoperative pain. Which of the following interventions should the nurse include in the clients plan of care to manage possible adverse effects of opioids?
A)Ensure the medication is given PRN only.
B)Administer the prescribed stool softener OD.
C)Ensure the administration route maximizes drug concentration at the site of the adverse effect.
D)Request a prescription for a different classification of medication.
Q2) The nurse is caring for a client who has just started taking sustained-release morphine sulphate for chronic pain and is nausea with abdominal fullness. Which of the following interventions is the most appropriate for the nurse to implement?
A)Administer the ordered antiemetic medication.
B)Tell the client that the nausea will subside in about a week.
C)Order the client a clear liquid diet until the nausea decreases.
D)Consult with the health care provider about using a different opioid.
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Chapter 11: Substance Use
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3276
Sample Questions
Q1) The nurse is preparing to conduct an annual physical examination with a young adult client who arrives in the clinic smelling of cigarette smoke and carrying a pack of cigarettes. Which action will the nurse plan to take?
A)Urge the client to quit smoking as soon as possible.
B)Avoid confronting the client about smoking at this time.
C)Wait for the client to start the discussion about quitting smoking.
D)Explain that the "cold turkey" method is most effective in stopping smoking.
Q2) During physical assessment of a client who has sinus headaches, the nurse finds nasal sores and necrosis of the nasal septum. Client use of which of the following substances should the nurse include in the assessment?
A)Heroin
B)Cocaine
C)Tobacco
D)Marijuana
Q3) Suicide is an overdose effect of which of the following substances?
A)Alcohol
B)Inhalants
C)Opioids
D)Hallucinogens
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Page 13
Chapter 12: Complementary and Alternative Therapies
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3277
Sample Questions
Q1) Aclient who has nausea associated with chemotherapy asks the nurse whether there are any complementary and alternative therapies that might be effective. Which of the following should the nurse discuss with this client?
A)Green tea
B)Acupuncture
C)Black cohosh
D)Chiropractic therapy
Q2) Aclient who uses multiple herbal products is scheduled to undergo knee replacement surgery. The nurse informs the client that herbs that should be discontinued at least 2-3 weeks before surgery include which of the following? (Select all that apply.)
A)Garlic
B)Ginger
C)Feverfew
D)Echinacea
E)Ginkgo biloba
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14
Chapter 13: Palliative Care at the End of Life
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/3278
Sample Questions
Q1) As the nurse admits a client with severe heart failure to the hospital, the client tells the nurse, "If my heart or breathing stop, I do not want to be resuscitated." Which of the following actions should the nurse take?
A)Ask if these wishes have been discussed with the health care provider.
B)Place a "Do-Not-Resuscitate" (DNR) notation in the client's care plan.
C)Inform the client that a notarized advance directive must be included in the record or resuscitation must be performed.
D)Advise the client to designate a person to make health care decisions when the client is not able to make them independently.
Q2) The nurse is caring for a client in a hospice palliative care program who is experiencing continuous, increasing amounts of pain. Which of the following time schedules should the nurse implement for the administration of opioid pain medications?
A)Around-the-clock routine administration of analgesics.
B)PRN doses of medication whenever the client requests.
C)Enough pain medication to keep the client sedated and unaware of stimuli.
D)Analgesic doses that provide pain control without decreasing respiratory rate.
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Chapter 14: Inflammation and Wound Healing
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/3279
Sample Questions
Q1) The nurse is planning care for a client and is preparing to complete a wet-to-dry dressing. Which of the following wound descriptions is appropriate for using this type of dressing?
A)Pressure injury with pink granulation tissue
B)Surgical incision with pink, approximated edges
C)Full-thickness burn filled with dry, black material
D)Wound with purulent drainage and dry brown areas
Q2) During wound healing, a wound is resistant to infection during which of the following phases?
A)Initial phase
B)Granulation phase
C)Maturation phase
D)Reoccurrence phase
Q3) A client arrives in the emergency department with a swollen ankle after an injury incurred while playing soccer. Which of the following actions by the nurse is most appropriate?
A)Elevate the ankle above heart level.
B)Remove the client's shoe and sock.
C)Apply a warm moist pack to the ankle.
D)Assess the ankle's range of motion (ROM).
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Chapter 15: Genetics
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3280
Sample Questions
Q1) When taking a family history in the genetic clinic, the nurse will ask information about how many generations in the past?
A)2
B)3
C)4
D)5
Q2) Anewly pregnant woman asks the nurse what the best time is for a prenatal diagnostic amniocentesis? Which of the following time frames is the basis for the nurses' response?
A)7-10 weeks
B)11-13 weeks
C)15-17 weeks
D)20-24 weeks
Q3) Which of the following terms describe the process by which the codon sequence is converted to amino acids?
A)Transcription
B)Mutation
C)Translation
D)Processing
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Chapter 16: Altered Immune Response and Transplantation
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/3281
Sample Questions
Q1) Chickenpox is an example of which of the following types of immunities?
A)Innate
B)Natural active
C)Artificial
D)Cell-mediated
Q2) Which of the following adverse effects is related to cyclosporine administration?
A)Nephrotoxicity
B)Aseptic necrosis
C)Peptic ulcer
D)Leukopenia
Q3) The nurse is caring for a client in the outpatient clinic who has an immune deficiency involving the T-lymphocytes. Which of the following areas should the nurse teach the client about the need for more frequent screening?
A)Allergies
B)Malignancy
C)Antibody deficiency
D)Autoimmune disorders
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18
Chapter 17: Infection and Human Immunodeficiency Virus
Infection
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3282
Sample Questions
Q1) Aclient who has diagnosed with AIDS tells the nurse, "I have lots of thoughts about dying. Do you think I am just being morbid?" Which of the following responses by the nurse is most appropriate?
A)"Thinking about dying will not improve the course of AIDS."
B)"It is important to focus on the good things about your life now."
C)"Do you think that taking an antidepressant might be helpful to you?"
D)"Can you tell me more about the kind of thoughts that you are having?"
Q2) The nurse is caring for a client with HIV who has a CD4+ cell count of 400/µL. Which of the following factors is most important to consider when determining whether antiretroviral therapy (ART) will be initiated for this client?
A)Client social support system
B)HIV genotype and phenotype
C)Potential medication adverse effects
D)Client ability to comply with ART schedule
Q3) Which of the following tests is used to evaluate the effectiveness of ART?
A)Viral load testing
B)Enzyme immunoassay
C)Rapid HIV antibody testing
D)Immuno-fluorescence assay
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Chapter 18: Cancer
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/3283
Sample Questions
Q1) When caring for a client with a temporary radioactive cervical implant, which action by the student nurse indicates that the unit nurse should intervene?
A)The student flushes the toilet once after emptying the client's bedpan.
B)The student stands by the client's bed for 30 minutes talking with the client.
C)The student places the client's bedding in the laundry container in the hallway.
D)The student gives the client an alcohol-containing mouthwash to use for oral care.
Q2) The nurse teaches a client with cancer of the liver about high-protein, high-calorie diet choices. Which of the following snack choices by the client indicates that the teaching has been effective?
A)Orange sherbet
B)Fresh fruit salad
C)Strawberry yogourt
D)Cream cheese bagel
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Chapter 19: Fluid
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The home health nurse is visiting an older-adult client who has a low serum protein level. Which of the following assessment areas should the nurse assess?
A)Pallor
B)Edema
C)Confusion
D)Restlessness
Q2) The nurse is caring for a client postoperative after a thyroidectomy and the client states "I have a tingling feeling around my mouth." Which of the following data is priority for the nurse to assess?
A)An elevated serum potassium level
B)The presence of Chvostek's sign
C)A decreased thyroid hormone level
D)Bleeding on the client's dressing
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21
Chapter 20: Nursing Management Preoperative Care
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Before the administration of preoperative medications, the nurse is preparing to witness the client signing the operative consent form when the client says, "I do not really understand what the doctor said." Which of the following actions is best for thenurseto take?
A)Provide an explanation of the planned surgical procedure.
B)Notify the surgeon that the informed-consent process is not complete.
C)Administer the prescribed preoperative antibiotics and withhold any ordered sedative medications.
D)Notify the operating room staff that the surgeon needs to give a more complete explanation of the procedure.
Q2) The nurse is preparing to administer atropine to a client before surgery. Which of the following symptoms should the nurse teach the client to expect?
A)Dizziness
B)Weakness
C)Dry mouth
D)Forgetfulness
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Chapter 21: Nursing Management Intraoperative Care
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse is caring for a client before surgery who has a question about the preoperative medication. Which of the following people will the nurse communicate this information to?
A)Scrub nurse
B)Anaesthesiologist
C)Circulating nurse
D)Registered nurse first assistant (RNFA)
Q2) Which of the following descriptions best define the role of the nurse anaesthetist as a member of the surgical team?
A)Is able to administer anaesthetics
B)Has the same credentials and responsibilities as an anaesthesiologist
C)Is responsible for intraoperative administration of anaesthetics ordered by the anaesthesiologist
D)Does not require supervision by the anaesthesiologist while administering anaesthesia to a client
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23
Chapter 22: Nursing Management Postoperative Care
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The nurse is caring for a postoperative client who has not voided for 7 hours after return to the postsurgical unit. Which of the following actions should the nurse take first?
A)Notify the surgeon.
B)Assess for bladder distension.
C)Assist the client to ambulate to the bathroom.
D)Insert a straight catheter as indicated on the PRN order.
Q2) The nurse is caring for a client and during the second postoperative day after abdominal surgery, the nurse obtains an oral temperature of 38.2°C (100.8°F). Which of the following actions should the nurse take first?
A)Have the client use the incentive spirometer.
B)Assess the surgical incision for redness and swelling.
C)Administer the ordered PRN acetaminophen.
D)Notify the client's health care provider about the fever.
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Chapter 23: Nursing Assessment Visual and Auditory Systems
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse is teaching a client about routine glaucoma testing. Which of the following information should the nurse include in the teaching plan?
A)The test involves reading a Snellen chart at a distance of 6 m.
B)Application of a Tono-pen to the surface of the eye will be needed.
C)The examination includes checking the pupil's reaction to a bright light.
D)Medications to dilate the pupil will be used before testing for glaucoma.
Q2) Which assessment information obtained by the nurse when performing an eye examination for an older-adult client indicates that more extensive examination of the eyes is needed?
A)The client's sclerae are light yellow in colour.
B)The client complains of persistent photophobia.
C)The pupil recovers slowly after being stimulated by a penlight.
D)There is a whitish gray ring encircling the periphery of the iris.
Q3) The nurse is assessing a client's auditory canal and tympanic membrane. Which of the following findings is a priority to report to the health care provider?
A)There is a cone of light visible.
B)The tympanum is bluish-tinged.
C)Cerumen is present in the auditory canal.
D)The skin in the ear canal is dry and scaly.
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Chapter 24: Nursing Management Visual and Auditory
Problems
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) Which of the following actions should the nurse take when assisting a totally blind client to walk to the bathroom?
A)Take the client by the arm and lead the client slowly to the bathroom.
B)Have the client place a hand on the nurse's shoulder and guide the client.
C)Stay beside the client and describe any obstacles on the path to the bathroom.
D)Walk slightly ahead of the client and allow the client to hold the nurse's elbow.
Q2) The nurse is admitting a client to the outpatient surgery unit who is scheduled for cataract extraction and implantation of an intraocular lens. Which of the following information has the most immediate implications for the client's care?
A)The client has not eaten anything for 8 hours.
B)The client takes three antihypertensive medications.
C)The client gets nauseated with general anaesthesia.
D)The client has had blurred vision for several years.
Q3) Which of the following actions is an example of an approach magnification?
A)Using a telescopic lens
B)Sitting closer to a television while watching it
C)Using a black-tipped felt marker when writing
D)Reading books with large-type print
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Chapter 25: Nursing Assessment Integumentary System
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12 Flashcards
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Sample Questions
Q1) Aclient asks the nurse why a potassium hydroxide test needs to be done. The nurse's response is based upon the knowledge that which of the following is the purpose of this test?
A)Examine a lesion via a biopsy.
B)Obtain fluids from vesicles for assessment.
C)Assess for fungal infection.
D)Scrap exudate from a lesion for microscopic examination.
Q2) The nurse is caring for a client who has a circular, flat, reddened lesion about 5 cm in diameter on his ankle. Which of the following actions would the nurse implement to determine whether the lesion is related to blood vessel dilation?
A)Elevate the client's leg
B)Press firmly on the lesion
C)Check the temperature of the skin around the lesion
D)Palpate the dorsalis pedis and posterior tibial pulses
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Chapter 26: Nursing Management Integumentary
Problems
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which of the following actions would the nurse take when applying a wet dressing to an inflamed and pruritic area of skin on a client's ankle?
A)Use a cool solution to wet the dressing.
B)Change the dressing using sterile gloves.
C)Soak the dressing in sterile normal saline.
D)Apply the dressing from the knee to the foot.
Q2) The nurse is caring for a client in the dermatology clinic who has a small, slow-growing papule with ulceration and a depression in the centre of the lesion on the right cheek. Which of the following nursing interventions will the nurse anticipate performing for this client?
A)Prepare the client for a biopsy.
B)Teach about the use of corticosteroid creams.
C)Educate the client about use of tretinoin (Retin-A).
D)Discuss the need for topical application of antibiotics.
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Chapter 27: Nursing Management Burns
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The occupational health nurse is assessing an employee who has just spilled industrial acids on the arms and legs. Which of the following actions is priority for the nurse to implement?
A)Apply an alkaline solution to the affected area.
B)Place cool compresses on the area of exposure.
C)Cover the affected area with dry, sterile dressings.
D)Flush the burned area with large amounts of water.
Q2) The nurse is admitting a client to the burn unit who has burns to the upper body and head after a garage fire. Initially, wheezes are heard, but an hour later, the lung sounds are decreased and no wheezes are audible. Which of the following actions should thenurse implement first?
A)Encourage the client to cough and auscultate the lungs again.
B)Notify the health care provider and prepare for endotracheal intubation.
C)Document the results and continue to monitor the client's respiratory rate.
D)Reposition the client in high-Fowler's position and reassess breath sounds.
Q3) The nurse is admitting a client with burns over 30% of total body surface area (TBSA) and who weighs 70 kg. Using the Parkland formula, calculate the volume of lactated Ringer's solution that the nursing staff will administer during the first 24 hours.
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29
Chapter 28: Nursing Assessment Respiratory System
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3293
Sample Questions
Q1) Which of the following lung structures has the most generations?
A)Segmental bronchi
B)Subsegmental bronchi
C)Bronchioles
D)Alveoli
Q2) The nurse is caring for a client with a chronic cough who has had a bronchoscopy. Which of the following actions should the nurse include in the nursing care plan after the procedure?
A)Elevate the head of the bed to 80-90 degrees.
B)Keep the client NPO until the gag reflex returns.
C)Place on bed rest for at least 4 hours postbronchoscopy.
D)Notify the health care provider about blood-tinged mucus.
Q3) The nurse is auscultating a client's chest while the client takes a deep breath and hears loud, high-pitched, "blowing" sounds at both lung bases. Which of the following information should the nurse document?
A)Normal sounds
B)Vesicular sounds
C)Abnormal sounds
D)Adventitious sounds
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Page 30
Chapter 29: Nursing Management Upper Respiratory
Problems
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3294
Sample Questions
Q1) The nurse is deflating the cuff of a tracheostomy tube to evaluate the client's ability to swallow. Which of the following actions should the nurse implement?
A)Clean the inner cannula of the tracheostomy tube before deflation.
B)Deflate the cuff during the inhalation phase of the respiratory cycle.
C)Suction the client's mouth and trachea before deflation of the cuff.
D)Insert exactly the same volume of air into the cuff during reinflation.
Q2) The nurse is caring for a client with an uncuffed tracheostomy tube who coughs violently during suctioning and dislodges the tracheostomy tube. Which of the following actions should the nurse take first?
A)Insert the obturator and attempt to reinsert the tracheostomy tube.
B)Position the client in an upright position with the neck extended.
C)Assess the client's oxygen saturation and notify the health care provider.
D)Ventilate the client with a manual bag until the health care provider arrives.
Q3) Which of the following actions should the nurse take first when a client develops a nosebleed?
A)Pack both nares tightly with 1 cm ribbon gauze.
B)Pinch the lower portion of the nose for 10 minutes.
C)Prepare supplies that will be needed for cauterization.
D)Apply ice compresses over the client's nose and cheeks.
Page 31
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Chapter 30: Nursing Management Lower Respiratory
Problems
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/3295
Sample Questions
Q1) The nurse is caring for a client with stage I non-small cell lung cancer who is scheduled for a lobectomy. The client tells the nurse, "I would rather have radiation than surgery." Which of the following responses by the nurse is best?
A)"Are you afraid that the surgery will be very painful?"
B)"Did you have bad experiences with previous surgeries?"
C)"Surgery is the treatment of choice for stage I lung cancer."
D)"Tell me what you know about the various treatments available."
Q2) After 2 months of tuberculosis (TB) treatment with a standard four-drug regimen, a client continues to have positive sputum smears for acid-fast bacilli (AFB). Which of the following actions should the nurse take next?
A)Ask the client whether medications have been taken as directed.
B)Discuss the need to use some different medications to treat the TB.
C)Schedule the client for directly observed therapy three times weekly.
D)Educate about using a 2-drug regimen for the last 4 months of treatment.
Q3) Which of the following information about a client who has a recent history of
A)Chest x-ray shows no upper lobe infiltrates.
B)TB medications have been taken for 6 months.
C)Mantoux testing shows an induration of 10 mm.
D)Three sputum smears for acid-fast bacilli are negative.
Page 32
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Chapter 31: Nursing Management Obstructive Pulmonary Diseases
Available Study Resources on Quizplus for this Chatper
42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3296
Sample Questions
Q1) The following medications are prescribed by the health care provider for a client having an acute asthma attack. Which medication should the nurse administer first?
A)Salmeterol 50 mcg per dry-powder inhaler (DPI)
B)Salbutamol 2.5 mg per nebulizer
C)Triamcinolone 2 puffs per metered-dose inhaler (MDI)
D)Methylprednisolone 60 mg IV
Q2) The nurse is evaluating the effectiveness of therapy for a client with cor pulmonale.
Which of the following findings should the nurse assess for in the client?
A)Elevated temperature
B)Clubbing of the fingers
C)Jugular vein distension
D)Complaints of chest pain
Q3) Which of the following topics should the nurse include in medication teaching for a client with newly diagnosed persistent asthma?
A)Use of long-acting ?-adrenergic medications
B)Adverse effects of sustained-release theophylline
C)Self-administration of inhaled corticosteroids
D)Complications associated with oxygen therapy
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Chapter 32: Nursing Assessment Hematological System
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3297
Sample Questions
Q1) The nurse is reviewing laboratory data for an older-adult client. Which of the following results should be of most concern?
A)White blood cell (WBC) count of 3.5 * 10<sup>9</sup>/L
B)Hematocrit of 37%
C)Platelet count of 400 * 10<sup>9</sup>/L
D)Hemoglobin of 118 g/L
Q2) The nurse is caring for a client who is receiving heparin. Which of the following laboratory tests should the nurse monitor?
A)Prothrombin time (PT)
B)Fibrin degradation products (FDP)
C)International normalized ratio (INR)
D)Activated partial thromboplastin time (aPTT)
Q3) The nurse is reviewing the complete blood count (CBC) for a client admitted with abdominal pain. Which of the following information will be most important for the nurse to communicate to the health care provider?
A) Monocytes 4%
B) Hemoglobin 116 g/L
C) Platelet count 145 * 10<sup>9</sup>/L
D) White blood cells 13.5 * 10<sup>9</sup>/L
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Page 34
Chapter 33: Nursing Management Hematological Problems
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/3298
Sample Questions
Q1) The nurse is planning discharge teaching for a client who was admitted with neutropenia. Which of the following instructions should the nurse include?
A)Limit fluids to 2-3 litres a day.
B)Include eggs and fish in the diet.
C)Avoid exposure to crowds as much as possible.
D)Drink only one or two caffeinated beverages daily.
Q2) The nurse is caring for a client with septicemia who develops prolonged bleeding from venipuncture sites and blood in the stools. Which of the following actions is most important for the nurse to take?
A)Notify the client's health care provider.
B)Avoid unnecessary venipunctures.
C)Apply sterile dressings to the sites.
D)Give prescribed proton-pump inhibitors.
Q3) Which of the following nursing actions should the nurse include in the plan of care for a client admitted with multiple myeloma?
A)Monitor fluid intake and output.
B)Administer calcium supplements.
C)Assess lymph nodes for enlargement.
D)Limit weight bearing and ambulation.
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Page 35
Chapter 34: Nursing Assessment Cardiovascular System
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/3299
Sample Questions
Q1) The nurse is admitting a client for a coronary arteriogram and angiogram. Which of the following information about the client is most important for the nurse to communicate to the health care provider?
A)The client's pedal pulses are +1.
B)The client is allergic to iodine.
C)The client has not eaten anything today.
D)The client had an arteriogram a year ago.
Q2) The nurse is assessing a client who has just arrived in the emergency department and notes a pulse deficit. Which of the following actions should the nurse anticipate for the client?
A)A 2-D echocardiogram
B)A cardiac catheterization
C)Hourly blood pressure checks
D)Electrocardiographic monitoring
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Chapter 35: Nursing Management Hypertension
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3300
Sample Questions
Q1) Which of the following actions should the nurse in the hypertension clinic take in order to obtain an accurate baseline blood pressure (BP) for a new client?
A)Obtain a BP reading in each arm and average the results.
B)Deflate the BP cuff at a rate of 5-10 mm Hg/second.
C)Have the client sit in a chair.
D)Assist the client to the supine position for BP measurements.
Q2) The nurse is caring for a client who has just diagnosed with hypertension and has a new prescription for captopril. Which of the following information is important to include when teaching the client?
A)Check BP daily before taking the medication.
B)Increase fluid intake if dryness of the mouth is a problem.
C)Include high-potassium foods such as bananas in the diet.
D)Change position slowly to help prevent dizziness and falls.
Q3) The nurse obtains a blood pressure of 180/75 mm Hg for a client. What is the client's mean arterial pressure (MAP)?
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Chapter 36: Nursing Management Coronary Artery Disease
and Acute Coronary Syndrome
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/3301
Sample Questions
Q1) The nurse is caring for a client with acute coronary syndrome who has returned to the coronary care unit after having percutaneous coronary intervention and the nurse obtains these assessment data. Which of the following data indicate the need for immediate intervention by the nurse?
A)Pedal pulses 1+
B)Heart rate 100 beats/minute
C)Blood pressure 104/56 mm Hg
D)Chest pain level 8 on a 10-point scale
Q2) Three days after a myocardial infarction (MI), the client develops chest pain that increases when taking a deep breath and is relieved by leaning forward. Which of the following actions should the nurse take next?
A)Palpate the radial pulses bilaterally.
B)Assess the feet for peripheral edema.
C)Auscultate for a pericardial friction rub.
D)Check the cardiac monitor for dysrhythmias.
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Chapter 37: Nursing Management Heart Failure
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3302
Sample Questions
Q1) Which topic will the nurse plan to include in discharge teaching for a client with systolic heart failure and an ejection fraction of 38%?
A)Need to participate in an aerobic exercise program several times weekly
B)Use of salt substitutes to replace table salt when cooking and at the table
C)Importance of making a yearly appointment with the primary care provider
D)Benefits and adverse effects of angiotensin-converting enzyme (ACE) inhibitors
Q2) The nurse working in the heart failure clinic will know that teaching for a client with newly diagnosed heart failure has been effective when the client does which of the following actions?
A)Uses an additional pillow to sleep when feeling short of breath at night.
B)Tells the home care nurse that furosemide is taken daily at bedtime.
C)Calls the clinic when the weight increases from 56 to 59 kg in 2 days.
D)Says that the nitroglycerin patch will be used for any chest pain that develops.
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Chapter 38: Nursing Management Dysrhythmias
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/3303
Sample Questions
Q1) The nurse is providing instruction to a client on the management of a new implantable cardioverter-defibrillator (ICD). Which of the following client statements indicate that the teaching has been effective?
A)"It will be 6 weeks before I can take a bath or return to my usual activities."
B)"I will notify the airlines when I make a reservation that I have a pacemaker."
C)"I won't lift the arm on the pacemaker side up very high until I see the doctor."
D)"I must avoid cooking with a microwave oven or being near a microwave in use."
Q2) Which of the following actions should the nurse take when preparing for cardioversion of a client with supraventricular tachycardia who is alert and has a blood pressure of 110/66 mm Hg?
A)Turn the synchronizer switch to the "off" position.
B)Perform cardiopulmonary resuscitation (CPR) until the paddles are in correct position.
C)Set the defibrillator/cardioverter energy to 300 J.
D)Administer a sedative before cardioversion is implemented.
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Chapter 39: Nursing Management Inflammatory and Structural
Heart Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/3304
Sample Questions
Q1) The nurse is caring for a client with infective endocarditis of the tricuspid valve. Which of the following findings should the nurse plan to monitor for the presence of endocarditis in the client?
A)Dyspnea
B)Flank pain
C)Hemiparesis
D)Splenomegaly
Q2) The nurse is providing discharge teaching for a client with mitral valve prolapse (MVP) without valvular regurgitation. Which of the following client statements indicate that teaching has been effective?
A)Plan to take antibiotics before any dental appointments
B)Limit physical activity to avoid stressing the heart valves.
C)Take one Aspirin a day to prevent embolization from the valve.
D)Avoid use of over-the-counter (OTC) medications that contain stimulant drugs.
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Chapter 40: Nursing Management Vascular Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/3305
Sample Questions
Q1) The nurse is developing a teaching plan for a client newly diagnosed with peripheral artery disease (PAD). Which of the following information should the nurse include?
A)"Exercise only if you do not experience any pain."
B)"It is very important that you stop smoking cigarettes."
C)"Try to keep your legs elevated whenever you are sitting."
D)"Put on support hose early in the day before swelling occurs."
Q2) Which of the following actions by a nurse who is administering fondaparinux to a client with venous thrombo-embolism (VTE) indicates that more education about the medication is needed?
A)The nurse avoids rubbing the injection site after giving the medication.
B)The nurse injects the medication into the abdominal subcutaneous tissue.
C)The nurse fails to assess the partial thromboplastin time (PTT) before administration of the medication.
D)The nurse ejects the air bubble in the syringe before administering the medication.
Q3) The nurse is assessing a client with possible peripheral artery disease (PAD) and obtains a brachial BP of 140/80 and an ankle pressure of 110/70. The nurse calculates the client's ankle-brachial index (ABI) as .
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Chapter 41: Nursing Assessment Gastro-intestinal System
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3306
Sample Questions
Q1) Which of the following actions by a nursing student when caring for a client who has just returned to the nursing unit after an esophagogastroduodenoscopy (EGD) requires that the RN intervene?
A)Offering the client a glass of water
B)Positioning the client on the right side
C)Checking the vital signs every 30 minutes
D)Swabbing the client's mouth with cold water
Q2) The nurse is obtaining a history from a client who is admitted with jaundice. Which of the following statements is most indicative of a need for client teaching?
A)"I used cough syrup several times a day last week."
B)"I take a baby Aspirin every day to prevent strokes."
C)"I need to take an antacid for indigestion several times a week"
D)"I use acetaminophen every 4 hours for chronic pain."
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Chapter 42: Nursing Management Nutritional Problems
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3307
Sample Questions
Q1) Which of the following actions should the nurse implement when using a soft, silicone nasogastric tube for enteral feedings?
A)Avoid giving medications through the feeding tube.
B)Flush the tubing after checking for residual volumes.
C)Administer continuous feedings using an infusion pump.
D)Replace the tube every 3-5 days to avoid mucosal damage.
Q2) The nurse is caring for a client who has a wound infection after major surgery and has only been taking in about 50% to 75% of the ordered meals. The client states, "Nothing on the menu really appeals to me." Which of the following actions by the nursewill be most effective in improving the client's oral intake?
A)Make a referral to the dietitian.
B)Order at least six small meals daily.
C)Teach the client about high-calorie, high-protein foods.
D)Have family members bring in favourite foods from home.
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44
Chapter 43: Nursing Management Obesity
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/3308
Sample Questions
Q1) Which of the following topics is of most importance for the nurse to include when teaching a client about testing for possible metabolic syndrome?
A)Blood glucose test
B)Cardiac enzyme tests
C)Postural blood pressures
D)Resting electrocardiogram
Q2) The nurse is developing a weight loss plan for a young adult client who is morbidly obese. Which of the following statements by the nurse is most likely to help the client in losing weight on the planned 1 000-calorie diet?
A)"It will be necessary to change lifestyle habits permanently to maintain weight loss."
B)"You will decrease your risk for future health problems such as diabetes by losing weight now."
C)"Most of the weight that you lose during the first weeks of dieting is water weight rather than fat."
D)"You are likely to start to notice changes in how you feel with just a few weeks of diet and exercise."
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Chapter 44: Nursing Management Upper Gastro-intestinal
Problems
Available Study Resources on Quizplus for this Chatper
42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3309
Sample Questions
Q1) The nurse is teaching a client with gastro-esophageal reflux disease (GERD) about recommended dietary modifications. Which of the following diet choices for a snack 2 hours before bedtime indicates that the teaching has been effective?
A)Chocolate pudding
B)Glass of low-fat milk
C)Peanut butter sandwich
D)Cherry gelatin and fruit
Q2) The family member of a client who has suffered massive abdominal trauma in an automobile accident asks the nurse why the client is receiving famotidine. Which of the following information should the nurse provide to the family about the medication for thisclient?
A)It prevents aspiration of gastric contents.
B)It inhibits the development of stress ulcers.
C)It lowers the chance for H. pylori infection.
D)It decreases the risk for nausea and vomiting.
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Chapter 45: Nursing Management Lower Gastro-intestinal
Problems
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/3310
Sample Questions
Q1) The nurse is teaching a client with ulcerative colitis about sulphasalazine. Which of the following client statements indicates that the teaching has been effective?
A)"I will need to take this medication for at least one year."
B)"I will need to avoid contact with people who are sick."
C)"The medication will need to be tapered if I need surgery."
D)"The medication will prevent infections that cause the diarrhea."
Q2) When assessing the colour of a new stoma in the postoperative period, which of the following findings should cause the nurse to suspect anemia?
A)Light red to rose
B)Pale pink
C)Blanching, dark red to purple
D)Dark red
Q3) The nurse is caring for a client who has been taking antibiotics for several days and develops watery diarrhea. Which of the following actions should the nurse take first?
A)Notify the health care provider.
B)Obtain a stool specimen for analysis.
C)Provide education about handwashing.
D)Place the client on contact precautions.
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Chapter 46: Nursing Management Liver
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/3311
Sample Questions
Q1) Which of the following assessment findings in a client with acute pancreatitis should the nurse report most quickly to the health care provider?
A)Nausea and vomiting
B)Hypotonic bowel sounds
C)Abdominal tenderness and guarding
D)Muscle twitching and finger numbness
Q2) The nurse is caring for a client with chronic hepatitis C who is prescribed combination therapy of ?-interferon and ribavirin. Which of the following findings should the nurse monitor for the presence of hepatitis C in the client?
A)Leukopenia
B)Hypokalemia
C)Polycythemia
D)Hypoglycemia
Q3) Which of the following clients should alert the nurse that screening for hepatitis C should be done?
A)The client eats frequent meals in fast-food restaurants.
B)The client recently travelled to an undeveloped country.
C)The client had a blood transfusion after surgery in 1998.
D)The client reports a one-time use of IV drugs 20 years ago.
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Page 48
Chapter 47: Nursing Assessment Urinary System
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3312
Sample Questions
Q1) The nurse is teaching a client scheduled for a cystoscopy about the procedure. Which of the following statements should the nurse include in the teaching plan?
A)"Your health care provider will insert a lighted tube into the bladder, and little catheters will be inserted through the tube into your kidney."
B)"Your health care provider will place a catheter into an artery in your groin and inject a dye that will visualize the blood supply to the kidneys."
C)"Your health care provider will inject a radioactive solution into a vein in your arm and the distribution of the isotope in your kidneys and bladder will be checked."
D)"Your health care provider will insert a lighted tube into the bladder through your urethra, inspect the bladder, and instill a dye that will outline your bladder on x-ray."
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Chapter 48: Nursing Management Renal and Urologic
Problems
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/3313
Sample Questions
Q1) The nurse is caring for a client whose renal calculus is analyzed as being very high in uric acid. To prevent recurrence of stones, which of the following foods should the nurse teach the client to avoid eating?
A)Milk and dairy products
B)Legumes and dried fruits
C)Organ meats and sardines
D)Spinach, chocolate, and tea
Q2) The home health nurse is teaching a client with a neurogenic bladder how to use intermittent catheterization for bladder emptying. Which of the following client statements indicates that the teaching has been effective?
A)"I will use a sterile catheter and gloves for each time I self-catheterize."
B)"I will clean the catheter carefully before and after each catheterization."
C)"I will need to buy seven new catheters weekly and use a new one every day."
D)"I will need to take prophylactic antibiotics to prevent any urinary tract infections."
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Chapter 49: Nursing Management Acute Kidney Injury and Chronic Kidney Disease
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/3314
Sample Questions
Q1) The nurse is teaching a client with stage 5 chronic kidney disease (CKD) about management of CKD. Which of the following client statements indicate that the teaching was effective?
A)"I need to try to get more protein from dairy products."
B)"I will try to increase my intake of fruits and vegetables."
C)"I will measure my urinary output each day to help calculate the amount I can drink."
D)"I need to take the erythropoietin to boost my immune system and help prevent infection."
Q2) Which of the following assessments should the nurse complete before administering sodium polystyrene sulphonate to a client with hyperkalemia?
A)Blood urea nitrogen (BUN) and creatinine
B)Blood glucose level
C)Client's bowel sounds
D)Level of consciousness (LOC)
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Chapter 50: Nursing Assessment Endocrine System
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/3315
Sample Questions
Q1) A client is scheduled for a growth hormone stimulation test. Which of the following items should the nurse obtain in preparation for the test?
A)Basin of ice
B)Cardiac monitor
C)Vial of glargine insulin
D)Intravenous dextrose solution
Q2) When reviewing the laboratory results for a client's total calcium level, which of the following information should the nurse consider?
A)The blood glucose is elevated.
B)The phosphate level is normal.
C)The serum albumin level is low.
D)The magnesium level is normal.
Q3) The student nurse is caring for a client with goitre and possible hyperthyroidism. Which of the following actions by the student nurse should cause the nursing instructor to intervene?
A)Palpates the neck to check thyroid size.
B)Checks the blood pressure on both arms.
C)Administers nonmedicated eye drops to the client's eyes.
D)Lowers the thermostat to decrease the temperature in the room.
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Page 52
Chapter 51: Nursing Management Endocrine Problems
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/3316
Sample Questions
Q1) A few hours after returning to the surgical nursing unit, a client who has undergone a subtotal thyroidectomy develops laryngeal stridor and a cramp in the right hand. Which of the following actions should the nurse anticipate implementing first?
A)Infuse IV calcium gluconate.
B)Suction the client's airway.
C)Prepare for endotracheal intubation.
D)Assist with emergency tracheostomy.
Q2) The nurse is caring for a client with hypertension who is diagnosed with a pheochromocytoma. Which of the following findings should the nurse monitor in the client?
A)Flushing
B)Headache
C)Bradycardia
D)Hypoglycemia
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Chapter 52: Nursing Management Diabetes Mellitus
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/3317
Sample Questions
Q1) Which of the following actions by a client with type 1 diabetes indicates that the nurse should implement teaching about exercise and glucose control?
A)The client always carries hard candies when engaging in exercise.
B)The client goes for a vigorous walk when the glucose is 11.1 mmol/L.
C)The client has a peanut butter sandwich before going for a bicycle ride.
D)The client increases daily exercise when ketones are present in the urine.
Q2) The nurse is admitting a client with diabetic ketoacidosis (DKA) who has a serum potassium level of 2.9 mmol/L. Which of the following actions prescribed by the health care provider should the nurse take first?
A)Infuse regular insulin at 20 units/hour.
B)Place the client on a cardiac monitor.
C)Administer IV potassium supplements.
D)Obtain urine glucose and ketone levels.
Q3) Which of the following questions by the nurse will help identify autonomic neuropathy in a client with diabetes?
A)"Have you observed any recent skin changes?"
B)"Do you notice any bloating feeling after eating?"
C)"Do you need to increase your insulin dosage when you are stressed?"
D)"Have you noticed any painful new ulcerations or sores on your feet?"
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Page 54
Chapter 53: Nursing Assessment Reproductive System
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/3318
Sample Questions
Q1) The nurse is providing teaching a client who has been treated for pelvic inflammatory disease. Which of the following information should the nurse teach the client about?
A)Irregularities in the menstrual cycle
B)Changes in secondary sex characteristics
C)Possible difficulty with becoming pregnant
D)Use of hormone replacement therapy (HRT)
Q2) The nurse is assessing an older-adult male client and the client says that he does not respond to sexual stimulation the way he did when he was younger. Which of the following responses to the client's comment is best?
A)"Many men need more sexual stimulation with aging."
B)"Interest in sex frequently decreases as men get older."
C)"Erectile dysfunction is a common problem with older men."
D)"Tell me more about how your sexual response has changed."
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Chapter 54: Nursing Management Breast Disorders
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/3319
Sample Questions
Q1) The nurse is caring for a client who is scheduled for stereotactic core biopsy of the breast. Which of the following information should the nurse include in client education?
A)A local anaesthetic will be given before the biopsy specimen is obtained.
B)You will need to lie flat on your back and lie very still during the biopsy.
C)A thin needle will be inserted into the lump and aspirated to remove tissue.
D)You should not have anything to eat or drink for 6 hours before the procedure.
Q2) The nurse is caring for a client who returns to the surgical unit following a right modified radical mastectomy with dissection of axillary lymph nodes. Which of the following nursing actions should be included in the plan of care?
A)Insist that the client examine the surgical incision when the dressings are removed.
B)Teach the client to use the ordered patient-controlled analgesia (PCA) every 10 minutes.
C)Post a sign at the bedside warning against blood pressures or venipunctures in the right arm.
D)Obtain a permanent breast prosthesis for the client before she is discharged from the hospital.
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Chapter 55: Nursing Management Sexually Transmitted
Infections
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3320
Sample Questions
Q1) Aclient with positive Venereal Disease Research Laboratory (VDRL) and fluorescent treponemal antibody absorption (FAT-ABS) tests has a rash on the palms and the soles of the feet and moist papules in the anal and vulvar area. Which of the following actionsshould the nurse include in the plan of care?
A)Assess for arterial aneurysms.
B)Place the client in a private room.
C)Wear gloves when touching the client.
D)Apply antibiotic ointments to the perineum.
Q2) When a client returns to the clinic for follow-up after treatment for gonococcal urethritis, a purulent urethral discharge is still present. When trying to determine the reason for the recurrent infection, which of the following questions is best for the nurse to ask the client?
A)"Did you take the prescribed antibiotic for a week?"
B)"Did you drink at least 2 quarts of fluids every day?"
C)"Were your sexual partners treated with antibiotics?"
D)"Do you wash your hands after using the bathroom?"
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Chapter 56: Nursing Management Female Reproductive Problems
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3321
Sample Questions
Q1) The nurse is caring for a client who is diagnosed with stage 0 cervical cancer using a punch biopsy. Which of the following treatments should the nurse include in the teaching plan?
A)Radiation
B)Conization
C)Chemotherapy
D)Radial hysterectomy
Q2) The nurse is assessing a client who is on the surgical unit after a radical abdominal hysterectomy. Which of the following findings is most important to report to the health care provider?
A)Decreased bowel sounds in all four abdominal quadrants
B)Urine output of 100 mL in the first 8 hours after surgery
C)One inch area of bloody drainage on the abdominal dressing
D)Symptom of pain at the incision site with coughing
Q3) A 32-year-old client has minor changes on her Pap test. Which of the following actions should the nurse take?
A)Teach the client about colposcopy.
B)Teach the client about punch biopsy.
C)Schedule another Pap test in 4 months.
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D)Administer the human papilloma virus (HPV) vaccine.
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Chapter 57: Nursing Management Male Reproductive
Problems
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/3322
Sample Questions
Q1) The nurse is caring for a client who has benign prostatic hyperplasia (BPH) with mild obstruction and tells the nurse, "My symptoms have gotten a lot worse this week." Which of the following responses by the nurse is best?
A)"I will talk to the health care provider about ordering a prostate specific antigen (PSA) test."
B)"Have you been taking any over-the-counter (OTC) medications recently?"
C)"Have you talked to the doctor about surgical procedures such as transurethral resection of the prostate (TURP)?"
D)"The prostate gland changes slightly in size from day to day, and this may be making your symptoms worse."
Q2) The nurse is providing education for a client who has been diagnosed with orchitis. Which of the following information should the nurse include in the teaching plan?
A)Pain management
B)Emergency surgical repair
C)Aspiration of fluid from the scrotal sac
D)Application of warm packs to the scrotum
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Chapter 58: Nursing Assessment Nervous System
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Sample Questions
Q1) Propranolol, a ?-adrenergic blocker that inhibits sympathetic nervous system activity, is prescribed for a client. Which of the following assessments should the nurse monitor?
A)Dry mouth
B)Constipation
C)Slowed pulse
D)Urinary retention
Q2) When caring for a client who has had cerebral angiography, which of the following nursing actions should be included in the plan of care?
A)Ask about headache and photophobia.
B)Keep client NPO until gag reflex returns.
C)Check pulse and blood pressure frequently.
D)Assess orientation to person, place, and time.
Q3) The nurse is completing a neurological assessment with a client. Which of the following assessments is the most sensitive indicator of a change in neurological status?
A)Level of consciousness
B)Cognition and thought content
C)Mood and affect
D)General appearance and behaviour
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Chapter 59: Nursing Management Acute Intracranial
Problems
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Q1) The nurse is caring for a client admitted with bacterial meningitis who has atemperature of 38.9C (102F) and has prescriptions for all of the following collaborative interventions. Which action should the nurse take first?
A)Administer ceftizoxime 1 g IV.
B)Use a cooling blanket to lower temperature.
C)Swab the nasopharyngeal mucosa for cultures.
D)Give acetaminophen 650 mg PO.
Q2) The nurse is caring for a client who has a systemic BP of 108/51 mm Hg and an intracranial pressure (ICP) of 14 mm Hg. Which of the following actions should the nurse take first?
A)Elevate the head of the client's bed to 60 degrees.
B)Document the BP and ICP in the client's record.
C)Report the BP and ICP to the health care provider.
D)Continue to monitor the client's vital signs and ICP.
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Chapter 60: Nursing Management Stroke
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Sample Questions
Q1) The nurse is caring for a client who has recently had a stroke. When reviewing the clients' laboratory report, which of the following results should the nurse report the health care provider?
A)PaCO<sub>2</sub> 51 mm Hg
B)pH 7.41
C)PaO<sub>2</sub> 96 mm Hg
D) WBC 9.2 * 10<sup>9</sup>/L
Q2) The nurse identifies the nursing diagnosis of imbalanced nutrition: less than body requirements related to insufficient dietary intake (secondary to impaired self-feeding ability) for a client with right-sided hemiplegia. Which of the following interventionsshould be included in the plan of care?
A)Provide a wide variety of food choices.
B)Provide oral care before and after meals.
C)Assist the client to eat with the left hand.
D)Teach the client the "chin-tuck" technique.
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Chapter 61: Nursing Management Chronic Neurological Problems
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Sample Questions
Q1) The nurse is obtaining a health history and physical assessment from a client withpossible multiple sclerosis (MS). Which of the following assessments should the nurse include?
A)Assess for the presence of chest pain.
B)Inquire about any urinary tract problems.
C)Inspect the skin for rashes or discoloration.
D)Question the client about any increase in libido.
Q2) The partner of a client with Parkinson's disease (PD) is upset and asks the nurse why he is no longer able to read the affectionate notes that the client writes for him. Which of the following information is the basis for the nurse's response?
A)Characteristic slow speech makes it difficult for the client with PD to put his or her thoughts on paper.
B)Cogwheel rigidity makes it hard for the client to hold a pen.
C)Micrographia is common in clients with PD.
D)Depression often seen in PD leads to denying affectionate feelings.
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Chapter 62: Nursing Management Delirium
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Q1) The nurse is assessing a client with Alzheimer's disease (AD) who is being admitted to a long-term care facility and the nurse learns that the client has had several episodes of wandering away from home. Which of the following nursing actions should thenurseinclude in the plan of care?
A)Place the client in a room close to the nurses' station.
B)Ask the client why the wandering episodes have occurred.
C)Have the family bring in familiar items from the client's home.
D)Reorient the client to the new living situation several times daily.
Q2) The nurse is caring for a client with Alzheimer's disease. A family member asks the nurse which of the client's medication is to treat the decreased memory and cognition. Which of the following medications is used to treat this problem associated with Alzheimer's disease?
A)Sertraline
B)Citalopram
C)Rivastigmine
D)Risperidone
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Chapter 63: Nursing Management Peripheral Nerve and Spinal Cord Problems
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Sample Questions
Q1) Which of the following actions should the nurse take when assessing a client with trigeminal neuralgia?
A)Examine the mouth and teeth thoroughly.
B)Have the client clench and relax the jaw and eyes.
C)Identify trigger zones by lightly touching the affected side.
D)Gently palpate the face to compare skin temperature bilaterally.
Q2) In which order will the nurse perform the following actions when caring for a client with possible C<sub>6</sub> spinal cord trauma who is admitted to the emergency department?
A)Infuse normal saline at 150 mL/hour.
B)Monitor cardiac rhythm and blood pressure.
C)Administer O<sub>2</sub> using a non-rebreather mask.
D)Transfer the client to radiology for spinal computed tomography (CT).
E)Immobilize the client's head, neck, and spine.
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Chapter 64: Nursing Assessment Musculo-skeletal System
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Sample Questions
Q1) The nurse is caring for a client with kyphosis. Which of the following findings should the nurse expect to assess?
A)Shortened stride
B)Exaggerated thoracic curvature
C)Grating sound when preforming passive ROM
D)Uncoordinated, swaying gait
Q2) The nurse is conducting a musculo-skeletal assessment on an older-adult client. Which of the following are age-related changes in this body system? (Select all that apply.)
A)Decreased bone density
B)Decreased risk for cartilage disruption
C)Increased glycogen stores
D)Decreased elasticity in cartilage
E)Increased muscle cell diameter
Q3) Which of the following assessments of synovial fluid indicates that the findings are normal?
A)Transparent and colourless
B)Reddish pink fluid
C)Grey, thin fluid
D)Whitish yellow fluid
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Chapter 65: Nursing Management Musculo-skeletal
Trauma and Orthopedic Surgery
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Sample Questions
Q1) The nurse is caring for a client in the emergency department who is employed as a checkout clerk in a grocery store and has a repetitive strain injury in the left elbow. Which of the following treatment options should the nurse include in the teaching plan?
A)Surgical options
B)Elbow injections
C)Utilization of a left wrist splint
D)Modifications in arm movement
Q2) The nurse is caring for a client who has a cast in place after fracturing the radius and the client asks when the cast can be removed. Which of the following information related to the length of time that the cast will need to remain in place should thenursetell the client?
A)Several months
B)At least 3 weeks
C)Until swelling of the wrist has resolved
D)Until x-rays show complete bony union
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Chapter 66: Nursing Management Musculo-skeletal
Problems
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Q1) The nurse is preparing a client for discharge after 2 weeks of IV antibiotic therapy for acute osteomyelitis in the left leg. Which of the following information should be included in the discharge teaching?
A)How to apply warm packs safely to the leg to reduce pain?
B)How to monitor and care for the long-term IV catheter site?
C)The need for daily aerobic exercise to help maintain muscle strength
D)The reason for taking oral antibiotics for 7-10 days after discharge
Q2) The nurse is assessing a client in the foot clinic who has severe heel pain. Which of the following foot disorders should the nurse assess for the presence of in the client?
A)Hallux rigidus
B)Morton's neuroma
C)Pes cavus
D)Plantar fasciitis
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Chapter 67: Nursing Management Arthritis and Connective
Tissue Diseases
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Sample Questions
Q1) The home health nurse is visiting a client who has rheumatoid arthritis (RA) and tells the nurse about having chronically dry eyes. Which of the following actions by the nurse is most appropriate?
A)Reassure the client that dry eyes are a common problem with RA.
B)Teach the client more about adverse effects of the RA medications.
C)Suggest that the client start using over-the-counter (OTC) artificial tears.
D)Ask the health care provider about lowering the methotrexate dose.
Q2) The nurse is reviewing laboratory data for a client who is taking methotrexate to treat rheumatoid arthritis. Which of the following information is most important to communicate to the health care provider?
A)The blood glucose is 4.2 mmol/L.
B)The rheumatoid factor is positive.
C)The white blood cell (WBC) count is 1.5 * 10<sup>9</sup>/L.
D)The erythrocyte sedimentation rate is elevated.
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Page 69
Chapter 68: Nursing Management Critical Care
Environment
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Q1) The nurse is caring for a client who has an intra-aortic balloon pump in place. Which of the following actions should be included in the plan of care?
A)Avoid the use of anticoagulant medications.
B)Keep the head of the bed elevated 45 degrees.
C)Measure the client's urinary output every hour.
D)Provide passive range of motion for all extremities.
Q2) The intensive care unit nurse educator is teaching a new staff nurse about hemodynamic monitoring. Which of the following actions indicates that the teaching has been effective?
A)Positions the zero-reference stopcock line level with the phlebostatic axis
B)Balances and calibrates the hemodynamic monitoring equipment every hour
C)Rechecks the location of the phlebostatic axis when changing the client's position
D)Ensures that the client is lying supine with the head of the bed flat for all readings
Q3) A client's vital signs are pulse 80, respirations 24, BP of 124/60 mm Hg, and cardiac output is 4.8 L/minute. What is the client's stroke volume?
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Page 70
Chapter 69: Nursing Management Shock
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Sample Questions
Q1) During change-of-shift report, the nurse learns that a client has been admitted with dehydration and hypotension after having vomiting and diarrhea for 3 days. Which of the following findings is most important for the nurse to report to the health careprovider?
A)Decreased bowel sounds
B)Apical pulse 110 beats/minute
C)Pale, cool, and dry extremities
D)New onset of confusion and agitation
Q2) The nurse is assessing a client who is receiving a nitroprusside infusion to treat cardiogenic shock. Which of the following findings indicates that the medication is effective?
A)No heart murmur is audible.
B)Skin is warm and dry.
C)Troponin level is decreased.
D)Blood pressure is 90/40 mm Hg.
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Chapter 70: Nursing Management Respiratory Failure and
Acute Respiratory Distress Syndrome
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Source URL: https://quizplus.com/quiz/3335
Sample Questions
Q1) The nurse is caring for a client who was hospitalized 2 days earlier with aspiration pneumonia. Which of the following assessment information is most important to communicate to the health care provider?
A)Cough that is productive of blood-tinged sputum
B)Scattered crackles throughout the posterior lung bases
C)Temperature of 38.6°C (101.5°C) after 2 days of IV antibiotic therapy
D)Oxygen saturation (SpO<sub>2</sub>) has dropped to 90% with administration of 100% O? by non-rebreather mask
Q2) After receiving change-of-shift report, which of the following clients should the nurse assess first?
A)A client with cystic fibrosis who has thick, green-coloured sputum
B)A client with pneumonia who has coarse crackles in both lung bases
C)A client with emphysema who has an oxygen saturation of 91% to 92%
D)A client with septicemia who has intercostal and suprasternal retractions
Q3) Chest physiotherapy is indicated for which of the following clients?
A)Takes a bronchodilator
B)Produces 40 mL of sputum per 24 hours
C)Has an increased PCO<sub>2</sub> level
D)Is taking vancomycin
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Chapter 71: Nursing Management Emergency Care Situations
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Sample Questions
Q1) The nurse is conducting a primary assessment of a trauma victim and determines that the client is breathing and has an unobstructed airway. Which of the following actions should the nurse take next?
A)Observe the client's respiratory effort.
B)Check the client's level of consciousness.
C)Palpate extremities for capillary refill time.
D)Examine the client for any external bleeding.
Q2) The following actions are part of the routine emergency department (ED) protocol for a client who has been admitted with multiple bee stings to the hands. Which action should the nurse take first?
A)Remove the client's rings.
B)Place ice packs on both hands.
C)Apply calamine lotion to any itching areas.
D)Give diphenhydramine 100 mg PO.
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Chapter 72: Emergency Management and Disaster Planning
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Q1) A health care team is testing its acute care centre emergency plan. This test occurs during which of the following phases of emergency management?
A)Response
B)Recovery
C)Mitigation
D)Preparedness
Q2) The nurse in the emergency department is involved in triaging clients during a mass casualty incident. During this situation, which of the following is the triage time frame?
A)15 seconds
B)30 seconds
C)1 minute
D)2 minutes
Q3) These four clients arrive in the emergency department after a motor vehicle crash. In which order should they be assessed?
A)A 72-year-old with palpitations and chest pain
B)A 45-year-old complaining of 6/10 abdominal pain
C)A 22-year-old with multiple fractures of the face and jaw
D)A 30-year-old with a misaligned right leg with intact pulses
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