Clinical Nursing Practice Question Bank - 1742 Verified Questions

Clinical Nursing Practice

Question Bank

Course Introduction

Clinical Nursing Practice is a foundational course designed to equip students with essential knowledge and hands-on skills needed for high-quality patient care in diverse healthcare settings. The course integrates theoretical concepts with practical experience, emphasizing patient assessment, nursing interventions, clinical decision-making, and effective communication within multidisciplinary teams. Students engage in supervised clinical placements where they apply evidence-based practices, develop critical thinking abilities, and learn to adapt to rapidly changing healthcare environments while upholding ethical standards and patient safety.

Recommended Textbook

Medical Surgical Nursing in Canada 3rd Canadian Edition by Lewis

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72 Chapters

1742 Verified Questions

1742 Flashcards

Source URL: https://quizplus.com/study-set/3946

Page 2

Chapter 1: Introduction to Medical-Surgical Nursing

Practice in Canada

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14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/78758

Sample Questions

Q1) A patient with a stroke is paralyzed on the left side of the body and is not responsive enough to turn or move independently in bed.A pressure ulcer has developed on the patient's left hip.What is the most appropriate nursing diagnosis?

A) Impaired physical mobility related to paralysis

B) Impaired skin integrity related to altered circulation and pressure

C) Risk for impaired tissue integrity related to impaired physical mobility

D) Ineffective tissue perfusion related to inability to turn and move self in bed

Answer: B

Q2) Which of the following refers to the use of communication and information technologies in order to support the delivery and integration of clinical care?

A) e-Health

B) Nursing informatics

C) Electronic health record

D) ICT (information and communication technology)

Answer: A

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Chapter 2: Cultural Competence and Health Equity in Nursing Care

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10 Verified Questions

10 Flashcards

Source URL: https://quizplus.com/quiz/78747

Sample Questions

Q1) If an interpreter is not available when a patient speaks a language different from the nurse's,which action is most appropriate?

A) Use specific medical terms in the Latin form.

B) Talk loudly and slowly so that each word is clearly heard.

C) Repeat important words so that the patient recognizes their importance.

D) Use pantomime to demonstrate what is to be communicated to the patient.

Answer: D

Q2) A recent RN graduate is assessing a newly admitted non-English-speaking Chinese patient.Which action would alert the preceptor to intervene and assist the nurse with culturally appropriate care?

A) Sitting down at the bedside

B) Calling for a medical interpreter

C) Beginning the physical assessment with palpation

D) Avoiding eye contact with the patient

Answer: C

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Chapter 3: Health History and Physical Examination

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14 Verified Questions

14 Flashcards

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Sample Questions

Q1) A patient is admitted to the orthopedic unit with a fractured right elbow following a skiing accident.During the initial nursing assessment,what information is related to the functional health pattern regarding the patient's fractured elbow and the treatment he has received?

A) Activity-exercise

B) Cognitive-perceptual

C) Self-perception-self-concept

D) Health perception-health management

Answer: D

Q2) A man is admitted to the hospital with difficulty breathing.What is the best approach to obtain a health history?

A) Obtain subjective data about the patient from his family members.

B) Delay any subjective data collection,and focus only on his physical examination.

C) Schedule several short sessions with the patient to gather necessary subjective data.

D) Use the physician's medical history as the primary source of subjective data.

Answer: C

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Chapter 4: Patient and Caregiver Teaching

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) When using the transtheoretical model of health behaviour change during patient teaching,the nurse listens to the patient state,"I told my wife that I was going to start exercising,and I think I will join a fitness club." Which stage of change is this patient in?

A) Action

B) Preparation

C) Termination

D) Maintenance

Q2) A patient admitted to the hospital with hyperglycemia and diagnosed with diabetes mellitus is scheduled for discharge the second day after admission.In view of the patient's limited hospitalization,what should the nurse's teaching plan emphasize first for the patient's education about diabetes?

A) Prioritize realistic goals that are essential to the patient's immediate learning needs.

B) Reflect a complete plan that can be implemented by home health care nurses.

C) Use all available time to teach the patient as much as possible about the condition.

D) Involve teaching the family instead of the patient about management of diabetes.

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Chapter 5: Chronic Illness

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) For which type of cancer does evidence exist to support a genetic predisposition to occurrence?

A) Lung

B) Breast

C) Cervical

D) Testicular

Q2) Which of the following is an example of an environment contextual factor according to the World Health Organizations' ICF Bio-Psycho-Social Model?

A) Social background

B) Behaviour pattern

C) Social attitudes

D) Coping style

Q3) Which statement by the patient reflects an outcome expectancy?

A) I am not able to exercise.

B) Exercise helps people lose weight.

C) Exercise is too hard on my arthritis.

D) Dietary restrictions work better than exercise to lose weight.

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Chapter 6: Community-Based Nursing and Home Care

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10 Verified Questions

10 Flashcards

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Sample Questions

Q1) Home health care nurses deliver care to a variety of patients with acute and chronic illnesses as part of their nursing practice.These nurses would explain to their patients that they are practising which type of nursing?

A) Public health nursing

B) Long-term care nursing

C) Community-based nursing

D) Community health nursing

Q2) On average,what is the approximate national percentage of provincial/territorial budgets in Canada that are expended on health care costs?

A) 19%

B) 29%

C) 39%

D) 49%

Q3) Which of the following is a key principle of primary health care?

A) Universal access to health care on an economic basis

B) Focus on acute illness and cure

C) Partnership with other professions and sectors for health

D) Individuals as passive recipients of health care

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8

Chapter 7: Older Adults

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) In planning care for an older adult,what does the nurse recognize as a major goal of health promotion and prevention of health problems in the elderly?

A) Adequate planning for post-hospital care

B) Preventing the physiological degeneration of aging

C) Teaching the older adult about alternative care options

D) Increasing personal participation and responsibility in health

Q2) In planning care for older adult patients with chronic illnesses,what does the nurse recognize that management of chronic illness requires?

A) Institutionalization in long-term care facilities

B) Adjusting to changes in the course of the disease

C) Restricting social interactions outside of the home

D) Frequent hospitalizations for treatment of acute episodes of the illness

Q3) In planning discharge teaching for an older,homeless adult,what is a common reason that older homeless adults often do not utilize shelter and meal-site services?

A) They are ashamed about being homeless.

B) They fear that they will be institutionalized.

C) They feel that they do not deserve community support.

D) They feel that use of such services means they cannot make it on their own.

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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) A woman is brought to the emergency department after she was assaulted in a shopping centre parking lot.Her purse was stolen,and she was thrown to the pavement,suffering minor abrasions and contusions.What finding related to the general adaptation syndrome would the nurse expect to find on assessment of the patient?

A) Uncontrolled sobbing

B) Repeatedly describing the attack

C) Hypoglycemia with tremors and hunger

D) Increased blood pressure,pulse,and respirations

Q2) A middle-aged man is recovering from a heart attack.He tells the nurse he is not surprised he had the attack because his work and home life are very stressful and he feels as if he is going to explode most of the time.What coping behaviours should the nurse suggest that would both increase the patient's resistance to stress and reduce the amount of stress he feels?

A) Changing his job and reorganizing his priorities at home

B) Learning all he can about heart disease and its effects on his body

C) Joining a community group of individuals with heart disease and their families

D) Performing healthy lifestyle behaviours related to diet,sleep,and exercise

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Chapter 9: Sleep and Sleep Disorders

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10 Verified Questions

10 Flashcards

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Sample Questions

Q1) Which of the following should the nurse teach a patient to assist him or her with a sleep disturbance?

A) If you are not asleep within one hour of going to bed,get out of the bed.

B) Exercise an hour before going to bed.

C) Have a glass of wine or a beer just before bedtime.

D) Avoid caffeine and alcohol for at least four hours before bedtime.

Q2) Which information will the nurse plan to include when teaching a patient with narcolepsy about management of the disorder?

A) Stimulant drugs should be used for only a short time because of the risk for abuse.

B) Driving an automobile may be possible with appropriate treatment of narcolepsy.

C) Changes in sleep hygiene are ineffective in improving sleep quality in narcolepsy.

D) Antidepressant drugs are prescribed to treat the depression caused by the disorder.

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Chapter 10: Pain

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) What is the mechanism of action of NSAIDs?

A) They block action potential initiation.

B) They block prostaglandin production.

C) They inhibit cyclo-oxygenase action.

D) They interfere with serotonin uptake.

Q2) Morphine 10 mg IV every four to six hours as needed is ordered for a patient with a pancreatic tumour who has a history of alcoholism.After three days of receiving the morphine every six hours,the patient tells the nurse that the medication is needed more frequently to control the pain.In responding to the patient's request,what does the nurse recognize?

A) A tolerance to the morphine is developing,and the patient should receive the drug more frequently.

B) Administering the morphine more frequently will increase the patient's physical dependence on the drug.

C) Physical dependence should be avoided at all costs,and the drug should continue to be administered every six hours.

D) The patient is becoming addicted to the morphine,and it should be administered less frequently than every six hours.

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Chapter 11: Substance Use

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) A young woman was brought to the hospital by friends when she developed visual and auditory hallucinations and extreme agitation after she smoked a large dose of "speed" (amphetamines).Her vital signs are blood pressure 162/98 mm Hg,heart rate is 142 beats per minute and irregular,and respiration is 32 breaths per minute.What is the most important nursing intervention at this time?

A) Monitor the patient's electrocardiogram and vital signs.

B) Orient the patient with consistent verbal contact.

C) Obtain a health history that includes prior drug use.

D) Promote continuous ambulation and physical activity.

Q2) A patient hospitalized for a stab wound is found to be addicted to opioids.Which of the following statements by the patient leads the nurse to believe that the patient is in the contemplation stage of change?

A) "I need to reform my friends."

B) "What kind of help is there for me?"

C) "I promise I will never use drugs again."

D) "Would sniffing drugs be better for me than shooting up?"

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Chapter 12: Complementary and Alternative Therapies

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14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/78755

Sample Questions

Q1) Which one of the following patients is most likely to use complementary and alternative therapies?

A) A patient who is a vegetarian

B) A patient who is of Asian heritage

C) A patient who is an older adults with a chronic condition

D) A patient who is pregnant

Q2) Which of the following patients does the nurse deduce is seeing an alternative medical practitioner?

A) A patient who prevents and treats migraine headaches with acupuncture

B) A patient who uses progressive relaxation to control the nausea of cancer chemotherapy

C) A patient who supplements chiropractic manipulation for low back pain with muscle relaxants

D) A patient who takes vitamin and mineral supplements as treatment for gastrointestinal malabsorption

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14

Chapter 13: Palliative Care at the End of Life

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13 Verified Questions

13 Flashcards

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Sample Questions

Q1) As the nurse admits a patient with acquired immune deficiency syndrome (AIDS)who has cryptococcal meningitis,the patient tells the nurse that she does not want to be resuscitated if she stops breathing.What should the nurse do with this information?

A) Document the patient's request in the patient's record.

B) Ask the patient if she has discussed this decision with her physician.

C) Inform the patient that unless she has a written,notarized advance directive,resuscitation must be performed.

D) Advise the patient to designate a person to make health care decisions on her behalf in the event that she cannot make her own decisions.

Q2) Which of the following refers to care that is provided in the last days or weeks of the patient's life?

A) Hospice care

B) Palliative care

C) Respite care

D) End-of-life care

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15

Chapter 14: Inflammation and Wound Healing

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18 Verified Questions

18 Flashcards

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Sample Questions

Q1) In evaluating a patient's inflammatory response,by what does the nurse understand that the activation of the classical complement pathway to mediate an inflammatory response is stimulated?

A) Lysis of bacterial cells

B) An antigen-antibody complex

C) Monocyte diapedesis to injured tissue

D) Release of histamine from injured cells

Q2) The charge nurse observes a new graduate performing a dressing change on a stage III sacral pressure ulcer.Which action by the new graduate indicates a need for further education about pressure ulcer care?

A) The new graduate uses a hydrocolloid dressing (DuoDerm)to cover the ulcer.

B) The new graduate inserts a sterile cotton-tipped applicator into the pressure ulcer.

C) The new graduate irrigates the pressure ulcer with a 30-mL syringe using sterile saline.

D) The new graduate cleans the ulcer with a sterile dressing soaked in half-strength peroxide.

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Chapter 15: Genetics

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7 Verified Questions

7 Flashcards

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Sample Questions

Q1) A young woman's mother has been diagnosed with BRCA gene-associated breast cancer,an autosomal dominant genetic disorder.She asks the nurse about the inheritance patterns of this disorder.On what knowledge will the nurse base the response to this young woman?

A) Most affected offspring of autosomal dominant disorders are males.

B) The young woman's mother had unaffected parents who were heterozygous for the gene.

C) The young woman has a 50% chance of having the mutated gene if her mother is heterozygous.

D) Daughters of women who are heterozygotic with an autosomal dominant disorder are usually carriers of the gene.

Q2) When counselling parents about hemophilia A,an X-linked recessive trait,which of the following would be the basis for the nurse's response related to offspring?

A) Daughters will not be affected with the trait or be carriers.

B) Sons will not be affected with the trait or be carriers.

C) Fifty percent of sons will be normal,and 50% will be affected with the trait.

D) Fifty percent of daughters will be normal,and 50% will be affected with the trait.

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Page 17

Chapter 16: Altered Immune Response and Transplantation

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) The nurse should explain to a patient undergoing plasmapheresis for treatment of an autoimmune disorder that this procedure involves which of the following?

A) Selective destruction of autoantibodies

B) Separation and removal of specific blood cells

C) Exchanging saline or albumin for blood plasma

D) Removal of white cells responsible for immune reactions

Q2) A patient is treated at a clinic with an injection of long-acting penicillin for a streptococcal throat infection.Her history reveals that she has received penicillin before with no allergic responses.When the penicillin injection is administered,what should the nurse inform the patient about?

A) She must wait in the clinic area for 20 minutes before she is discharged.

B) Given that she has taken penicillin before without problems,she can safely take it now.

C) She would have immediate symptoms if she had developed an allergy to penicillin.

D) She should monitor for fever and skin rash typical of type III immune-complex reactions.

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18

Chapter 17: Infection and Human Immunodeficiency Virus

Infection

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) During post-test counselling for a patient who has tested positive for HIV,the patient is very anxious and does not appear to hear what the nurse is saying.To promote the patient's adjustment to HIV infection,what is it important that the nurse do?

A) Inform the patient how to protect sexual and needle-sharing partners.

B) Teach the patient about the medications that are available for treatment.

C) Identify the need to test others who have had risky contact with the patient.

D) Discuss retesting to verify the results,which will ensure continuing contact with the health care system.

Q2) Drug therapy is being considered for an HIV-infected patient who has asymptomatic HIV infection with a CD4⁺ T-cell count of 400 per microlitre.Which nursing assessment is most important in determining whether therapy will be used?

A) The patient's social support system offered by significant others and family

B) The patient's socioeconomic status and availability of medical insurance

C) The patient's understanding of the multiple side effects that the drugs may cause D) The patient's willingness and ability to comply with stringent schedules and dietary prescriptions

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Chapter 18: Cancer

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30 Verified Questions

30 Flashcards

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Sample Questions

Q1) Which stage would a patient with Hodgkin's disease be experiencing when there is extensive local and regional spread of the cancer cells?

A) Stage I

B) Stage II

C) Stage III

D) Stage IV

Q2) Which one of the flowing malignancies has been linked to radiation?

A) Cervical cancer

B) Breast cancer

C) Thyroid cancer

D) Lung cancer

Q3) During a routine health examination,the patient tells the nurse that she has a family history of colon cancer.What should the nurse advise the patient to do?

A) Schedule a sigmoidoscopy every year after the age of 40.

B) Schedule a digital rectal examination every 6 months after the age of 45.

C) Have a sigmoidoscopy for baseline at the age of 50 and every 5 years afterward.

D) Discuss specific testing with her doctor because her risk for colon cancer is increased.

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Chapter 19: Fluid, electrolyte, and Acidbase Imbalances

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) What is the most reliable index of volume status when caring for a patient with a fluid imbalance?

A) Skin turgor

B) Presence of edema

C) Hourly urinary output

D) Daily weight patterns

Q2) A patient has a small-cell carcinoma of the lung,which is causing the syndrome of inappropriate antidiuretic hormone (SIADH).Which of the following would the nurse expect the patient to manifest?

A) Weight loss

B) Increased urinary output

C) Decreased serum sodium level

D) Peripheral and pulmonary edema

Q3) A patient is taking hydrochlorothiazide,a potassium-wasting diuretic,for treatment of hypertension.What symptoms should the nurse teach the patient to report?

A) Fatigue and muscle weakness

B) Anxiety and muscle twitching

C) Abdominal cramping and diarrhea

D) Confusion and personality changes

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Chapter 20: Nursing Management: Preoperative Care

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17 Verified Questions

17 Flashcards

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Sample Questions

Q1) A patient with diabetes that is well controlled with insulin injections has been on nothing by mouth (NPO)status since midnight before having a mastectomy.The nurse notes that there are no preoperative orders regarding the patient's daily insulin dose.What is the most appropriate nursing action?

A) Withhold any insulin dose because none is ordered and the patient is on NPO status.

B) Call the physician to clarify whether insulin should be given and at what dosage.

C) Give the patient half of her usual daily insulin dose because she will not be eating in the morning.

D) Give the patient her usual daily insulin dose because the stress of surgery will increase her blood glucose level.

Q2) A 74-year-old man is to have a left inguinal hernia repair at the outpatient surgical clinic.Preoperatively,what is it most important for the nurse to determine?

A) The patient has had outpatient surgery in the past.

B) The patient's medical plan covers outpatient surgery.

C) The patient plans to stay overnight at the surgical centre.

D) A family member or friend is available for transportation and care at home.

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Chapter 21: Nursing Management: Intraoperative Care

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16 Verified Questions

16 Flashcards

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Sample Questions

Q1) A patient in surgery receives a neuromuscular blocking agent as an adjunct to general anaesthesia.At the completion of the surgery,it is most important that the nurse monitor the patient for which one of the following?

A) Nausea and vomiting

B) Agitation and seizures

C) Laryngospasm or bronchospasm

D) Adequacy of respiratory muscle movement

Q2) The nurse from the general surgical unit brings the patient's hearing aid to the surgical suite because the patient left the unit without it and it is needed to communicate with the patient.At the surgical suite,what areas can the general surgical unit nurse enter?

A) Clean core

B) Scrub sink areas

C) Information or nursing station

D) Corridors of the ORs

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Chapter 22: Nursing Management: Postoperative Care

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20 Verified Questions

20 Flashcards

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Sample Questions

Q1) During planning to promote ambulation,coughing,deep breathing,and turning in a postoperative patient,which of the following does the nurse know will help ensure that the desired outcomes will most readily be met?

A) The patient understands the rationale for these activities.

B) The patient receives praise when the activities are completed.

C) The patient receives enough analgesics to promote relative freedom from pain.

D) The patient is warned about complications that can occur without the activities.

Q2) On admission of a patient to the postanaesthesia care unit (PACU)from surgery,the nurse should place the highest priority on assessing which of the following?

A) The condition of the surgical site

B) The patient's level of consciousness

C) The adequacy of respiratory function

D) The status of fluid and electrolyte balance

Q3) Which of the following is an ambulatory surgery discharge criterion?

A) Voided at least three times

B) No IV narcotics for last 30 minutes

C) Had at least one bowel movement

D) Oxygen saturation 88%

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24

Chapter 23: Nursing Assessment: Visual and Auditory Systems

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20 Verified Questions

20 Flashcards

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Sample Questions

Q1) For which reason would a patient be having the diagnostic test keratometry?

A) To determine field of vision

B) To determine papillary response

C) To measure the corneal curvature

D) To provide a magnified view of the optic nerve head

Q2) A 44-year-old patient tells the nurse that she recently bought some reading glasses at the drugstore because they help her see at close range much better.When she asks the nurse what is happening to her eyes,the nurse explains that this often occurs in middle age and is a result of which of the following aging processes?

A) Thinning of the retina

B) Loss of lens elasticity

C) Degeneration of the cornea

D) Unevenness of the cornea

Q3) While observing a patient undergoing a caloric test,the nurse recognizes that which of the following is a normal finding?

A) Vertigo

B) Ear pain

C) Hearing loss

D) Little or no nystagmus

Page 25

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Chapter 24: Nursing Management: Visual and Auditory

Problems

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35 Verified Questions

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Sample Questions

Q1) A patient with acute otitis media of the left ear,which has been unresponsive to antibiotics,undergoes a myringotomy with placement of a ventilating tube,performed in an ambulatory surgical centre.Before she leaves the centre after the procedure,what is it most important for the nurse to instruct the patient to do?

A) Avoid coughing or sneezing.

B) Avoid getting water in her ear.

C) Use aspirin or acetaminophen for pain.

D) Restrict fluid intake for 24 hours to prevent nausea.

Q2) A patient is hospitalized with acute angle-closure glaucoma.What immediate collaborative care would the nurse anticipate?

A) Administration of analgesics

B) Administration of cycloplegics

C) Administration of cholinergic agents

D) Preparation for a surgical iridectomy

Q3) Which following central vision acuity finding would indicate legal blindness?

A) 20/50

B) 20/100

C) 20/150

D) 20/200

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Chapter 25: Nursing Assessment: Integumentary System

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13 Verified Questions

13 Flashcards

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Sample Questions

Q1) Which of the following is an age-related change in the integumentary system?

A) Increased proliferative capacity in the skin

B) Decreased keratin in the nails

C) Decreased melanin in the hair

D) Increased extracellular water in the skin

Q2) When obtaining a self-care integument history,the nurse will ask the patient about which of the following?

A) Pain associated with skin conditions

B) The brands of moisturizers and cosmetics used

C) Lifestyle changes associated with skin conditions

D) Changes in the condition of the skin,hair,and nails

Q3) How would the nurse document a papule?

A) Firm,edematous,irregularly shaped area

B) Elevated,solid lesion smaller than 1 cm in diameter

C) Circumscribed,flat area with a change in skin colour,less than 1 cm in diameter

D) Circumscribed,elevated solid lesion,larger than 1 cm in diameter

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Chapter 26: Nursing Management: Integumentary

Problems

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) Which of the following would the nurse recommend to the patient who has vitiligo?

A) Chemical peels

B) Use of warm compresses to decrease pain

C) Rehabilitative cosmetics to camouflage the lesion

D) Injection of botulinum toxins (Botox)

Q2) A young woman who is planning a vacation to the beach asks the nurse about precautions she should take to protect her skin while enjoying the sun and water.What is the best response?

A) "You should wear clothing that covers your arms and legs and use a wide-brimmed hat to shade your face."

B) "Apply a waterproof sunscreen with a sun protection factor of 15 to the exposed areas of your skin,reapplying it as the directions indicate."

C) "Gradually increase the time of sun exposure each day,starting with 30 minutes a day and adding 30 minutes each following day."

D) "Sunscreens with a sun protection factor of 40 to 50 are the best protection against both ultraviolet A and ultraviolet B rays and should be applied during all sun exposure."

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Chapter 27: Nursing Management: Burns

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23 Verified Questions

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Sample Questions

Q1) Which of the following is considered the most accurate guide for determining the total body surface area affected by a burn?

A) Rule-of-nines chart

B) Lund-Browder chart

C) Sage burn diagram

D) Burn injury depth classification

Q2) The nurse determines that fluid replacement for a patient with major electrical burns is adequate based on which of the following findings?

A) A stable weight

B) A blood pressure of 90/58 mm Hg

C) A urinary output of 80 mL/hour

D) An intake equal to urinary output

Q3) Which of the following injuries is most often chemically produced?

A) Carbon monoxide poisoning

B) Inhalation injury below the glottis

C) Alkali burn

D) Circumferential chest burn

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Chapter 28: Nursing Assessment: Respiratory System

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) A hypothermic patient is admitted to the emergency department,and pulse oximetry (SpO₂)indicates that the O₂ saturation is 95%.Which action should the nurse take next?

A) Complete a head-to-toe assessment.

B) Place the patient on high-flow oxygen.

C) Start rewarming the patient.

D) Obtain arterial blood gases.

Q2) A patient with a chronic cough with blood-tinged sputum undergoes a bronchoscopy.Following the bronchoscopy,what should the nurse do?

A) Keep the patient on bed rest for 8 hours.

B) Keep the patient on nothing by mouth (NPO)status until the gag reflex returns.

C) Check vital signs every 15 minutes for 2 hours.

D) Encourage fluid intake to promote elimination of the contrast media.

Q3) Which of the following is an early symptom of inadequate oxygenation?

A) Dyspnea at rest

B) Hypotension

C) Tachypnea

D) Cyanosis

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Chapter 29: Nursing Management: Upper Respiratory

Problems

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/78737

Sample Questions

Q1) When doing nutrition-related teaching with a patient who has acute pharyngitis,what should the nurse tell the patient to avoid ingesting?

A) Orange Jell-o

B) Vanilla ice cream

C) Grape popsicles

D) Orange juice

Q2) A patient with a tracheostomy is to use a fenestrated tracheostomy tube to provide for speech.What is it important that the nurse do?

A) Place the decannulation cap in the tube before cuff deflation.

B) Assess the patient's ability to swallow without risk of aspiration.

C) Remove the inner cannula of the tracheostomy tube after deflating the cuff.

D) Connect oxygen at 4 to 6 L/min to the second pigtail tubing of the tracheostomy tube.

Q3) Which of the following is the most commonly used voice prosthesis?

A) Electrolarynx

B) Blom-Singer

C) Cooper-Rand

D) Artificial larynx

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Page 31

Chapter 30: Nursing Management: Lower Respiratory

Problems

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47 Verified Questions

47 Flashcards

Source URL: https://quizplus.com/quiz/78735

Sample Questions

Q1) A patient is scheduled for a thoracentesis to obtain pleural fluid for diagnosis of a large pleural effusion.Before the procedure,the nurse will anticipate which of the following?

A) Position the patient sitting upright on the edge of the bed and leaning forward.

B) Instruct the patient about the importance of incentive spirometer use after the procedure.

C) Start a peripheral IV line to administer the necessary sedative drugs.

D) Remove the water pitcher and remind the patient not to eat or drink anything for 8 hours.

Q2) During intravenous (IV)administration of amphotericin B ordered for treatment of coccidioidomycosis,how can the nurse increase the patient's tolerance of the drug?

A) Cooling the solution to 26.7°C before administration

B) Keeping the patient flat in bed for 1 hour after the infusion is completed

C) Diluting the amphotericin B in 500 mL of distilled water before administering

D) Administering diphenhydramine (Benadryl)1 hour before the infusion

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Chapter 31: Nursing Management: Obstructive Pulmonary Diseases

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42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/78734

Sample Questions

Q1) A 70-year-old patient is recovering from an acute episode of COPD.In planning with the patient to increase his activity tolerance at home,which of the following activities does the nurse understand is an appropriate exercise goal for the patient?

A) Increase his activity any amount over his current level.

B) Walk for 20 minutes a day with his pulse rate less than 150 beats/min.

C) Limit his exercise to activities of daily living to conserve his energy.

D) Swim for 10 minutes a day,gradually increasing to 30 minutes a day.

Q2) The nurse has completed teaching a patient about MDI use.Which statement by the patient indicates to the nurse that further patient teaching is needed?

A) "I will shake the MDI to check for fullness each time before using."

B) "I will take a slow,deep breath in after pushing down on the MDI."

C) "I will check the MDI counter."

D) "I will attach a spacer to the MDI to make it easier for me to use."

Q3) What is the best nursing action when a patient with COPD is receiving oxygen?

A) Avoid administration of oxygen at a rate of more than 2 L/min.

B) Minimize oxygen use to avoid oxygen dependency.

C) Administer oxygen according to the patient's level of dyspnea.

D) Maintain the pulse oximetry level at 90% or greater.

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Chapter 32: Nursing Assessment: Hematological System

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14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/78733

Sample Questions

Q1) The nurse reviews the results of coagulation testing for a patient with a bleeding disorder.Which of the following diagnostic tests is most valuable in evaluating the intrinsic coagulation process?

A) Bleeding time

B) Prothrombin time

C) Fibrin split products

D) Activated partial thromboplastin time (aPTT)

Q2) Which one of the following hematological findings would the nurse question in a 78-year-old patient?

A) White blood cell (WBC)count 3500 cells/microlitre

B) Hematocrit 37%

C) Platelets 450,000 cells/microlitre

D) Hemoglobin 7.3 mmol/L (11.8 g/dL)

Q3) Approximately what percentage of the composition of blood is plasma?

A) 30%

B) 45%

C) 55%

D) 75%

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Chapter 33: Nursing Management: Hematological Problems

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38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/78732

Sample Questions

Q1) A patient's family member asks the nurse what caused the patient to develop disseminated intravascular coagulation (DIC).What does the nurse tell the family member about DIC?

A) It is caused by an abnormal activation of clotting.

B) It occurs when the immune system attacks platelets.

C) It is a complication of cancer chemotherapy.

D) It is caused when hemolytic processes destroy erythrocytes.

Q2) A patient with non-Hodgkin's lymphoma develops a platelet count of 10,000 cells/microlitre during chemotherapy.Based on this finding,what is an appropriate nursing intervention for the patient?

A) Provide oral hygiene every 2 hours.

B) Check the temperature every 4 hours.

C) Check all stools for occult blood.

D) Encourage fluids to 3000 mL/day.

Q3) During care of the patient with multiple myeloma,what is an important nursing intervention?

A) Limiting activity to prevent pathological fractures

B) Maintaining a fluid intake of 3 to 4 L/day to dilute calcium load

C) Assessing for changes in size and characteristics of lymph nodes

D) Administering narcotic analgesics continuously to control bone pain

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Chapter 34: Nursing Assessment: Cardiovascular System

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/78731

Sample Questions

Q1) Which of the following is a normal age-related change in the heart?

A) Increased elastin

B) Decreased collagen

C) Decreased cardiac output

D) Increased stroke volume

Q2) A transesophageal echocardiogram (TEE)is ordered for a patient with possible endocarditis.Which of these actions included in the standard TEE orders will the nurse need to accomplish first?

A) Make the patient nothing by mouth (NPO)status.

B) Start a large-gauge IV line.

C) Administer O₂ per mask.

D) Give lorazepam (Ativan)1 mg IV.

Q3) During physical examination of a 72-year-old patient,the nurse observes pulsation of the abdominal aorta in the epigastric area just below the xiphoid process.How will the nurse interpret this finding?

A) Normal assessment data in a thin person

B) Sclerosis and inelasticity of the aorta

C) A possible abdominal aortic aneurysm

D) Evidence of elevated systemic arterial pressure

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Page 36

Chapter 35: Nursing Management: Hypertension

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/78730

Sample Questions

Q1) Which diuretic would the nurse anticipate that the patient with renal insufficiency would be prescribed?

A) Metolazone (Zaroxolyn)

B) Indapamide (Lozide)

C) Bumetanide (Burinex)

D) Chlorthalidone hydrochlorothiazide

Q2) A 69-year-old woman is diagnosed with hypertension and placed on acebutolol (Sectral).After reviewing the patient's history,the nurse consults with the physician about the use of this medication upon finding which of the following conditions?

A) Asthma

B) Peptic ulcer disease

C) Alcohol dependency

D) Myocardial infarction

Q3) Which of the following is a correct mechanism action of aldosterone?

A) Increased sodium reabsorption

B) Decreased water reabsorption

C) Decreased blood volume

D) Increased potassium excretion

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Chapter 36: Nursing Management: Coronary Artery Disease

and Acute Coronary Syndrome

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39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/78729

Sample Questions

Q1) Three weeks after his hospitalization for an AMI,a patient returns to the cardiac centre for follow-up.When the nurse asks about his sleep patterns,the patient tells the nurse that he sleeps fine but that his wife moved into the spare bedroom to sleep when he returned home.He states,"I guess we will never have sex again after this." What is the best response to the patient?

A) "Sexual intercourse will be too strenuous on your heart,but closeness and intimacy can be maintained with holding and cuddling."

B) "You should discuss your questions about your sexual activity with your doctor because the activity it requires is a medical concern."

C) "Sexual activity can be resumed whenever you and your wife feel like it.Most sexual response is emotional rather than physical."

D) "Sexual activity can be gradually resumed like other forms of activity.A good comparison of energy expenditure is climbing two flights of stairs."

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Chapter 37: Nursing Management: Heart Failure

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/78728

Sample Questions

Q1) Following an acute myocardial infarction,a 67-year-old man develops heart failure.What does the nurse anticipate will be the first-line therapy for the patient?

A) Digitalis preparation,such as digoxin

B) Diuretic,such as hydrochlorothiazide (HydroDIURIL)

C) (?)-Adrenergic agonist,such as dobutamine

D) Angiotensin-converting enzyme (ACE)inhibitor,such as captopril (Capoten)

Q2) Which of the following determinants of health is true in relation to heart failure?

A) Men compose more new cases of heart failure than women.

B) Women tend to be diagnosed with heart failure at an older age as compared to men.

C) Men are more likely to be diabetic as compared to women.

D) Women are less likely to have high BP than men.

Q3) Which IV medication will the nurse expect to administer to a patient who has ADHF,to increase stroke volume?

A) Milrinone (Primacor)

B) Nesiritide (Natrecor)

C) Dobutamine (Dobutrex)

D) Nitroprusside (Nipride)

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Chapter 38: Nursing Management: Dysrhythmias

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/78727

Sample Questions

Q1) The nurse is doing discharge teaching with a patient who is going home with an implantable cardioverter-defibrillator (ICD).Which of the following instructions should the nurse give the patient?

A) Keep the incision dry for at least 2 weeks after ICD insertion.

B) The ICD will not set off a metal detector in an airport,so it is all right to travel.

C) You should have a routine ICD check every 2 to 3 months.

D) It is all right to drive as soon as you are discharged.

Q2) The nurse determines that a patient has ventricular bigeminy when the rhythm strip indicates which of the following changes?

A) Conduction is originating in the AV node.

B) Every other QRS complex is wide and starts prematurely.

C) The ventricular rate is between 150 and 250 beats/min.

D) The rhythm of the SA node is coupled with long pauses between every two beats.

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Chapter 39: Nursing Management: Inflammatory and Structural

Heart Disorders

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/78726

Sample Questions

Q1) Which of the following is the hallmark finding in a patient with acute pericarditis?

A) Severe sharp chest pain.

B) Pericardial friction rub.

C) Referred pain to the trapezius muscle.

D) Dyspnea

Q2) During assessment of a patient with mitral valve stenosis,which findings would the nurse recognize are characteristic of the pressure gradient differences occurring with mitral valve stenosis?

A) Angina and syncope

B) Dyspnea and hemoptysis

C) JVD and peripheral edema

D) Hypotension and paroxysmal nocturnal dyspnea

Q3) A patient is admitted to hospital with a diagnosis of myocarditis.The nurse knows that early cardiac manifestations will appear approximately how long after viral infection?

A) 24 to 48 hours

B) 3 to 5 days

C) 7 to 10 days

D) 2 to 3 weeks

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Chapter 40: Nursing Management: Vascular Disorders

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/78724

Sample Questions

Q1) Several hours following an endovascular aneurysm repair,the patient develops left flank pain,and his urinary output has been 20 mL/hour for the past 2 hours.The nurse recognizes that these findings may indicate which of the following complications?

A) Infection

B) Hypovolemia

C) Intestinal ischemia

D) Renal artery occlusion

Q2) In planning care for a patient with a venous stasis ulcer on the right lower leg,what does the nurse understand is the most important intervention in promoting healing of the ulcer?

A) Adequate dietary intake of proteins and vitamins

B) Prevention of infection with prophylactic antibiotics

C) Application of external compression to the lower leg

D) Keeping the ulcer moist with hydrocolloid dressings

Q3) Which of the following is a characteristic of a venous ulcer?

A) Capillary refill 5 seconds

B) Smooth,uniform ulcer margin.

C) Skin warm to touch

D) No dermatitis

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Page 42

Chapter 41: Nursing Assessment: Gastrointestinal System

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17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/78723

Sample Questions

Q1) How should the nurse palpate the liver?

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

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

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

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

Q2) The nurse documents the absence of bowel sounds in all quadrants of a patient's abdomen.How long should the nurse have auscultated the patient's abdomen?

A) 8 minutes

B) 10 minutes

C) 16 minutes

D) 20 minutes

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Chapter 42: Nursing Management: Nutritional Problems

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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/78722

Sample Questions

Q1) To determine the underlying factors relating to the undernourishment of an older adult patient,what is the most appropriate question the nurse can ask?

A) "Do you have a history of any malabsorption diseases?"

B) "Do you have a way to get to a grocery store to buy your food?"

C) "Are you taking any medications that alter your taste or tolerance of foods?"

D) "Can you give me an example of what you normally eat throughout the day?"

Q2) A patient with difficulty swallowing is started on continuous tube feedings of a full-strength commercial formula at 100 mL/hour.The patient has six diarrhea stools the first day.What is the action that is most appropriate for the nurse to take first?

A) Slow the feeding flow rate.

B) Discontinue any water intake.

C) Notify the physician for a change in formula.

D) Check the amount of residual feeding in the stomach.

Q3) What is the daily recommended intake of fibre for a 38-year-old healthy female?

A) 21 g

B) 25 g

C) 30 g

D) 38 g

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Chapter 43: Nursing Management: Obesity

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/78721

Sample Questions

Q1) A patient with obesity asks the nurse about using orlistat for weight reduction.What does the nurse tell the patient?

A) This drug can cause serious depletion of fat-soluble vitamins and should be used only for a few weeks.

B) Weight-reduction drugs of any type are used only for those who do not have the will power to reduce their intake of food.

C) Drugs may be helpful in weight loss,but weight gain is likely to recur unless changes in diet and exercise are maintained.

D) The long-term effect of orlistat is not known,and the drug may cause serious side effects,such as heart valve problems.

Q2) The obese patient is at risk for which of the following types of cancer?

A) Lung

B) Pancreas

C) Colorectal

D) Liver

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Chapter 44: Nursing Management: Upper Gastrointestinal

Problems

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43 Verified Questions

43 Flashcards

Source URL: https://quizplus.com/quiz/78720

Sample Questions

Q1) The family member of a patient who has suffered massive abdominal trauma in an automobile accident asks the nurse why the patient is receiving famotidine.The nurse will explain that the medication will do which of the following?

A) Decrease the risk for nausea and vomiting.

B) Prevent aspiration of gastric contents.

C) Inhibit the development of stress ulcers.

D) Lower the chance for H.pylori infection.

Q2) A 68-year-old patient has had intermittent epigastric distress,anorexia,and weight loss over a period of 6 months.She is hospitalized with anemia and ascites,and an endoscopic examination reveals cancer located in the fundus of the stomach.The nurse plans care for the patient with the knowledge that these findings indicate which of the following?

A) The patient has a poor prognosis with any therapy.

B) Surgical intervention is not indicated for the patient.

C) Radiation therapy is the treatment of choice for the patient.

D) The patient has a good prognosis with the use of combination chemotherapy.

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Page 46

Chapter 45: Nursing Management: Lower Gastrointestinal

Problems

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45 Verified Questions

45 Flashcards

Source URL: https://quizplus.com/quiz/78719

Sample Questions

Q1) A 20-year-old university student is admitted to the emergency department for evaluation of abdominal pain with nausea and vomiting.She has a white blood cell count of 14,000 cells/microlitre with a shift to the left.Which one of the following actions is appropriate for the nurse to take?

A) Encourage the patient to take sips of clear liquids.

B) Apply an ice pack to the right lower quadrant.

C) Check for rebound tenderness every 30 minutes.

D) Teach the patient how to cough and breathe deeply.

Q2) A patient is being evaluated in the emergency department for acute lower abdominal pain with diarrhea and vomiting.During the nursing history,what is the most helpful question to obtain information regarding the patient's condition?

A) "What do you usually eat?"

B) "Can you tell me about your pain?"

C) "What is your usual elimination pattern?"

D) "When did the diarrhea and vomiting start?"

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Tract Problems

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40 Verified Questions

40 Flashcards

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Sample Questions

Q1) A patient hospitalized with possible acute pancreatitis has severe abdominal pain and nausea and vomiting.Which of the following elevated serum levels would the nurse expect the diagnosis to be confirmed by?

A) Calcium

B) Bilirubin

C) Potassium

D) Amylase

Q2) A 68-year-old patient has an abrupt onset of anorexia,nausea and vomiting,hepatomegaly,and abnormal liver function studies.Serological testing is negative for viral causes of hepatitis.During assessment of the patient,what is it most important for the nurse to ask the patient about?

A) Any prior exposure to people with jaundice

B) The use of all prescription and over-the-counter medications

C) Treatment of chronic diseases with corticosteroids

D) Exposure to children recently immunized for hepatitis B

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Chapter 47: Nursing Assessment: Urinary System

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/78717

Sample Questions

Q1) A creatinine clearance test is ordered for a hospitalized patient with possible renal insufficiency.Which equipment will the nurse need to obtain?

A) Foley catheter and drainage bag

B) Towelettes for perineal cleaning

C) Basin of ice

D) Sterile specimen cup

Q2) When admitting a patient who has a history of paraplegia as a result of a spinal cord injury,the nurse will plan to do which of the following?

A) Check the patient for urinary incontinence every 2 hours to maintain skin integrity.

B) Assist the patient to the toilet on a scheduled basis to help ensure bladder emptying.

C) Use intermittent catheterization on a regular schedule to avoid the risk of infection.

D) Ask the patient about the usual urinary pattern and measures used for bladder control.

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Chapter 48: Nursing Management: Renal and Urological Problems

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34 Verified Questions

34 Flashcards

Source URL: https://quizplus.com/quiz/78716

Sample Questions

Q1) To relieve the symptoms of a lower UTI for which the patient is taking prescribed antibiotics,the nurse suggests that the patient use the over-the-counter urinary analgesic of phenazopyridine (Pyridium),but should give the patient which of the following cautions?

A) This preparation contains methylene blue,which turns the urine blue or green.

B) This preparation must be taken with food to prevent gastrointestinal irritation.

C) This preparation causes the urine to turn reddish orange and can stain underclothing.

D) This preparation frequently causes allergic reactions and should be stopped if a rash occurs.

Q2) When assessing a patient who complains of a feeling of incomplete bladder emptying and a split,spraying urine stream,what history should the nurse ask about more specifically?

A) Renal calculi

B) Kidney trauma

C) Bladder infection

D) Gonococcal urethritis

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

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35 Verified Questions

35 Flashcards

Source URL: https://quizplus.com/quiz/78715

Sample Questions

Q1) The nurse has instructed a patient who is receiving hemodialysis about dietary management.Which diet choice by the patient indicates that the teaching has been successful?

A) Scrambled eggs,English muffin,and apple juice

B) Cheese sandwich,tomato soup,and cranberry juice

C) Split-pea soup,whole-wheat toast,and nonfat milk

D) Oatmeal with cream,half a banana,and herbal tea

Q2) A patient with ARF has an arterial blood pH of 7.30.Which of the following will the nurse assess for?

A) Tachycardia

B) Rapid respirations

C) Poor skin turgor

D) Vasodilation

Q3) The nurse is assessing a patient who is receiving peritoneal dialysis with 2-L inflows.Which information should be reported immediately to the physician?

A) The patient is complaining of feeling bloated after the inflow.

B) The patient's peritoneal effluent appears cloudy.

C) The patient has abdominal pain during the inflow phase.

D) The patient has an outflow volume of 1600 mL.

Page 51

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Chapter 50: Nursing Assessment: Endocrine System

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/78713

Sample Questions

Q1) A patient is scheduled for a 24-hour urine collection for 17-ketosteroids.The nurse will plan to do which of the following?

A) Insert a retention catheter.

B) Keep the specimen on ice.

C) Have the patient void and save that specimen to start the collection.

D) Encourage the patient to drink 2 to 3 L of fluid during the 24 hours.

Q2) Which hormone is an example of positive feedback in the regulation of hormonal secretion?

A) Insulin

B) Oxytocin

C) Thyroid-stimulating hormone (TSH)

D) Thyroid-releasing hormone

Q3) When working with a patient who has diabetes mellitus,the nurse uses the results of testing for glycosylated hemoglobin to evaluate which of the following?

A) Glucose levels 2 hours after a meal

B) Glucose control over the past 3 months

C) Circulating,nonfasting glucose levels

D) Episodes of hypoglycemia in the past 2 months

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Chapter 51: Nursing Management: Endocrine Problems

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39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/78712

Sample Questions

Q1) Which one of the following effects on the integumentary system would a patient with a hyperfunction of the parathyroid gland most likely exhibit?

A) Lack of tooth enamel

B) Hair loss on scalp and body

C) Brittle nails

D) Moist skin

Q2) 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) Has a urinary output of 800 mL/hour

B) Has a urine specific gravity of 1.003

C) Had a recent head injury

D) Is confused and lethargic

Q3) When teaching a patient newly diagnosed with Graves' disease about the disorder,the nurse explains which of the following?

A) Restriction of iodine intake is needed to reduce thyroid activity.

B) Exercise is contraindicated to avoid increasing the metabolic rate.

C) Surgery will eventually be required to remove the thyroid gland.

D) Antithyroid medications may take several weeks to have an effect.

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53

Chapter 52: Nursing Management: Diabetes Mellitus

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38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/78711

Sample Questions

Q1) During a clinic visit 3 months following a diagnosis of type 2 diabetes,the patient reports that she has been following her reduced-calorie diet,but she has not lost any weight,and she has neglected to bring her record of glucose monitoring results.What does the nurse recognize as the best indicator of the patient's control of her diabetes since her initial diagnosis and instruction?

A) A fasting glucose level

B) Analysis for microalbuminuria

C) A glycosylated hemoglobin (HbA_1C)level

D) The patient's verbal report of her symptoms

Q2) A patient with diabetes is admitted with ketoacidosis,and the physician writes all of the following orders.Which order should the nurse implement first?

A) Start an infusion of regular insulin at 50 units/hour.

B) Give sodium bicarbonate 50 mmol/L IV push.

C) Infuse 1 L of normal saline per hour.

D) Administer regular IV insulin 30 units.

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54

Chapter 53: Nursing Assessment: Reproductive System

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/78710

Sample Questions

Q1) When the nurse obtains a health history from a patient,the patient reports that she had cryosurgery 1 year ago.What does the nurse anticipate that the patient most likely has a history of?

A) Obstructed fallopian tubes

B) Abnormal menstrual cycles

C) Abnormal cells detected by a Pap smear

D) A protrusion of the urinary bladder through the vaginal wall

Q2) A young man is suspected of having syphilis.Which of the following tests does the nurse recognize as the one most commonly used for initial screening for syphilis as it yields information in the fastest way possible?

A) Venereal Disease Research Laboratory (VDRL)testing for antibodies

B) A blood culture of the microorganism

C) A dark-field microscopy direct examination culture of a specimen of drainage from an active chancre

D) Fluorescent treponemal antibody absorption (FTA-Abs)testing for antibodies to treponema

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Chapter 54: Nursing Management: Breast Disorders

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/78709

Sample Questions

Q1) A woman asks the nurse which area of the breast most commonly develops breast cancer.The nurse's response is based upon knowledge that about 50% of all breast cancers occur in which quadrant of the breast?

A) Upper inner quadrant

B) Upper outer quadrant

C) Lower inner quadrant

D) Lower outer quadrant

Q2) Which stage of breast cancer is depicted by the TNM designation of T2 N0 M0?

A) Stage I

B) Stage IIA

C) Stage IIB

D) Stage IIIA

Q3) Which one of the following statements is true regarding nipple-areolar reconstruction?

A) All breast reconstructive surgery requires nipple-areolar reconstruction.

B) The function of lactation is maintained.

C) It is not possible to have the nipples project away from the breast.

D) It is usually completed a few months after breast reconstructive surgery.

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Chapter 55: Nursing Management: Sexually Transmitted

Infections

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15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/78708

Sample Questions

Q1) A patient with gonorrhea is treated with a single intramuscular dose of ceftriaxone (Rocephin)and is given a prescription for doxycycline (Vibramycin)100 mg twice daily for 7 days.What should the nurse explain to the patient about this combination of antibiotics?

A) They are prescribed to treat any coexisting chlamydial infection.

B) They will eradicate resistant strains of Neisseria gonorrhoeae.

C) They prevent the development of resistant organisms.

D) They prevent reinfection in addition to treating the original infection.

Q2) The incidence of syphilis has steadily increased in Canada since 1999.Which of the following groups would be at highest risk of contracting syphilis?

A) Men having sex with men

B) Married men having casual affairs

C) Women having sex with women

D) University students

Q3) Cervarix,an HPV vaccine,is recommended for which of the following populations?

A) Females before sexual intercourse

B) Males and females between the ages of 9 and 26

C) Females between the ages of 13 and 20

D) Any sexually active female

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Chapter 56: Nursing Management: Female Reproductive Problems

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40 Verified Questions

40 Flashcards

Source URL: https://quizplus.com/quiz/78707

Sample Questions

Q1) A 56-year-old woman tells the nurse that she is postmenopausal but has occasional spotting.Which response is most appropriate?

A) "Breakthrough bleeding is normal in women your age."

B) "Are you using prescription hormone replacement therapy?"

C) "How long has it been since your last menstrual period?"

D) "A frequent cause of spotting is endometrial cancer."

Q2) Which of the following is a clinical manifestation of perimenopause?

A) Cessation of menses

B) Breast tenderness

C) Osteoporosis

D) Insomnia

Q3) A 56-year-old mother of nine children undergoes an anterior and posterior colporrhaphy for repair of a cystocele and a rectocele.When assessing the patient on her return from the postanaesthesia care unit,what would the nurse expect to find?

A) A rectal tube

B) Perineal dressings

C) Gauze vaginal packing

D) An in-dwelling catheter

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Chapter 57: Nursing Management: Male Reproductive Problems

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/78706

Sample Questions

Q1) A patient scheduled for a transurethral resection of the prostate (TURP)for BPH tells the nurse that he has delayed having surgery because he is afraid it will affect his sexual function.When responding to his concern,what should the nurse explain?

A) Many methods of sexual expression can be used as alternatives to sexual intercourse. B) Sperm production is not affected by this surgery,so he should not worry about sterility.

C) With this type of surgery,erectile problems are rare,but retrograde ejaculation may occur.

D) Information about penile implants used for erectile dysfunction is available if he is interested.

Q2) The doctor is considering whether to prescribe testosterone replacement therapy for a 62-year-old man who is concerned about a gradual decrease in sexual performance.Which information obtained from the patient is most important to communicate to the doctor?

A) States that he has noticed a decrease in energy level for a few years

B) Has had a gradual decrease in the force of his urinary stream

C) Has been using sildenafil several times every week

D) Says that symptoms have increased steadily over the last few years

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Page 59

Chapter 58: Nursing Assessment: Nervous System

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/78705

Sample Questions

Q1) Which neurotransmitter is involved in emotions,moods,and regulating motor control?

A) Serotonin

B) Epinephrine

C) Dopamine

D) Substance P

Q2) What is the path of intervention with cranial nerve VI (abducens nerve)that is connected to the brain via the pons?

A) Motor path

B) Sensory path

C) Sympathetic path

D) Parasympathetic path

Q3) When obtaining a health history from a patient with a neurological problem,the nurse is likely to elicit the most valid response from the patient by asking the patient which of the following questions?

A) "Do you ever have any nausea or dizziness?"

B) "Does the pain radiate from your back into your legs?"

C) "Do you have any sensations of pins and needles in your feet?"

D) "Can you describe the sensations you are having in your chest?"

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Chapter 59: Nursing Management: Acute Intracranial Problems

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34 Verified Questions

34 Flashcards

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Sample Questions

Q1) Rabies manifests as which of the following?

A) Bacterial meningitis

B) Viral encephalitis

C) Viral meningitis

D) Bacterial encephalitis

Q2) A patient is brought to the emergency department by ambulance after she was found unconscious on the bathroom floor by her husband.In admitting the patient,what is it most important for the nurse to assess first?

A) Health history

B) Airway patency

C) Neurological status

D) Status of bodily functions

Q3) Which one of the following can be caused by bacteria,fungi,a parasite,or a virus?

A) Meningitis

B) Brain abscess

C) Encephalitis

D) Brain hemorrhage

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Page 61

Chapter 60: Nursing Management: Stroke

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28 Flashcards

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Sample Questions

Q1) Obesity is a modifiable risk factor for the prevention of stroke.What is the prevalence of obesity in Canada among those aged 18 years and older?

A) 30%

B) 50%

C) 60%

D) 75%

Q2) A 68-year-old man has had several TIAs with temporary hemiparesis and dysarthria that have lasted up to an hour.The nurse encourages the patient to seek immediate medical assistance for any symptoms that last longer than an hour,explaining that permanent disability from a stroke may be reduced if therapy is initiated within 3 hours with the use of which of the following treatments?

A) IV heparin

B) Transluminal angioplasty

C) A surgical endarterectomy

D) tPA

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Chapter 61: Nursing Management: Chronic Neurological Problems

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33 Flashcards

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Sample Questions

Q1) A patient is seen in the health clinic with symptoms of a stooped posture,shuffling gait,and pill rolling-type tremor.The nurse will anticipate teaching the patient about which of the following?

A) Preparation for an MRI scan

B) The purpose of electroencephalographic testing

C) Antiparkinsonian drugs

D) Oral corticosteroids

Q2) When teaching a patient with MG about management of the disease,the nurse advises the patient to do which of the following?

A) Anticipate the need for weekly plasmapheresis treatments.

B) Protect the extremities from injury due to poor sensory perception.

C) Do frequent weight-bearing exercise to prevent muscle atrophy.

D) Perform necessary physically demanding activities in the morning.

Q3) A patient with MS has a nursing diagnosis of urinary retention related to sensorimotor deficits.What is an appropriate nursing intervention for this problem?

A) Decrease fluid intake in the evening.

B) Teach the patient how to use the Credé manoeuvre.

C) Suggest the use of incontinence briefs for nighttime use only.

D) Assist the patient to the commode every 2 hours during the day.

Page 63

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Chapter

Disease,and Other Dementias

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Sample Questions

Q1) A 72-year-old woman hospitalized with pneumonia becomes 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.

Q2) A 70-year-old woman visits her 72-year-old husband who has advanced Alzheimer's disease and is hospitalized with pneumonia.She tells the nurse that it is a relief to have someone besides herself care for her husband because she is physically and mentally exhausted from caring for him at home.She says she has no family to help her and that they cannot afford institutional care for her husband.What is an appropriate nursing diagnosis for the patient's wife?

A) Anxiety related to financial insecurity

B) Ineffective health maintenance related to chronic stress

C) Caregiver role strain related to limited resources for caregiving

D) Social isolation related to unrelieved caregiving responsibilities

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Chapter 63: Nursing Management: Peripheral Nerve and Spinal Cord Problems

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29 Verified Questions

29 Flashcards

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Sample Questions

Q1) When teaching patients who are at risk for Bell's palsy because of previous herpes simplex infection,which information should the nurse include?

A) "You should call the doctor if pain or herpes lesions occur near the ear."

B) "Treatment of herpes with antiviral agents will prevent development of Bell's palsy."

C) "Medications to treat Bell's palsy work only if started before paralysis onset."

D) "You may be able to prevent Bell's palsy by doing facial exercises regularly."

Q2) When caring for a patient who has Guillain-Barré syndrome,which assessment data obtained by the nurse will require the most immediate action?

A) The patient complains of severe tingling pain in the feet.

B) The patient has continuous drooling of saliva.

C) The patient's blood pressure is 106/50 mm Hg.

D) The patient's quadriceps and triceps reflexes are absent.

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65

Chapter 64: Nursing Assessment: Musculoskeletal System

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14 Flashcards

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Sample Questions

Q1) While testing the patient's muscle strength,the nurse finds that although the patient can move his limbs,he cannot apply muscle resistance to force.How should the nurse grade the muscle strength?

A) 1

B) 2

C) 3

D) 4

Q2) A patient suffers an injury to the shoulder while playing football.To identify abnormalities of cartilage and soft tissue surrounding the joint,what would the nurse expect the patient to be evaluated with?

A) A bone scan

B) An arthrogram

C) Standard X-ray films

D) Magnetic resonance imaging (MRI)

Q3) When assessing the musculoskeletal system,what is the nurse's initial action?

A) Have the patient move the extremities against resistance.

B) Feel for the presence of crepitus during joint movement.

C) Observe the patient's body build and muscle configuration.

D) Check active and passive range of motion for the extremities.

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Page 66

Chapter 65: Nursing Management: Musculoskeletal

Trauma and Orthopedic Surgery

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38 Verified Questions

38 Flashcards

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Sample Questions

Q1) A patient with an intracapsular fracture of the left femur is placed in Buck's traction before surgery for a hip replacement.The patient asks why traction is necessary when surgery is planned.The nurse's response to the patient is based on what knowledge about traction?

A) Will help prevent flexion contractures of the affected hip

B) Is necessary to prevent displacement of the fracture

C) Will decrease the incidence of painful muscle spasms

D) Is used to maintain the leg in the external rotation position

Q2) A woman is seen at the urgent care centre after falling on her right arm and shoulder.What is an assessment finding noted by the nurse that would indicate the patient has a dislocated shoulder?

A) Bruising at the shoulder area

B) The right arm being shorter than the left arm

C) Decreased range of motion of the right shoulder

D) Increased pain caused by flexing and extending the elbow

Q3) Which one of the following workers would be most at risk for an RSI?

A) Butcher

B) Car sales person

C) Long-haul truck driver

D) Nurse

Page 67

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Chapter 66: Nursing Management: Musculoskeletal

Problems

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17 Verified Questions

17 Flashcards

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Sample Questions

Q1) Which of the following is a major risk factor for osteoporosis?

A) Age under 65 years

B) Fragility fracture experienced in adulthood

C) Hypergonadism

D) Hyperparathyroidism

Q2) A patient complains that he has a sore foot.Upon assessment,the nurse notes a localized thickening area of skin where the patient indicates that the pain is located.Based upon this assessment,which of the following is the most likely cause of the patient's pain?

A) Corn

B) Soft corn

C) Callus

D) Plantar wart

Q3) A patient is hospitalized for initiation of regional antibiotic perfusion for chronic osteomyelitis of the right femur.Which intervention will be included in the plan of care?

A) Frequent weight-bearing exercise

B) Immobilization of the right leg

C) Avoiding administration of nonsteroidal anti-inflammatory drugs

D) Supporting the right leg in a flexed position

Page 68

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Chapter 67: Nursing Management: Arthritis and Connective

Tissue Diseases

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41 Verified Questions

41 Flashcards

Source URL: https://quizplus.com/quiz/78695

Sample Questions

Q1) A young man hospitalized with severe pain in the knees and hips,a fever,and shaking chills is suspected of having septic arthritis.Which of the following information obtained from the patient during the nursing history indicates a risk factor for septic arthritis?

A) His father has Reiter syndrome.

B) He recently returned from a trip to South America.

C) He has a history of intermittently treated gonorrhea.

D) He had a number of sports-related knee and hip injuries as a teenager.

Q2) During assessment of patients,the nurse recognizes that which of the following patients is at the greatest risk for OA?

A) A 56-year-old man who is a member of a construction crew

B) A 42-year-old woman who works on an automotive assembly line

C) A 24-year-old man who participates in his employer's softball team

D) A 36-year-old woman who is newly diagnosed with diabetes mellitus

Q3) Which anatomical stage of RA is the patient in when the patient has bony ankylosis?

A) Stage I

B) Stage II

C) Stage III

D) Stage IV

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Chapter 68: Nursing Management: Critical Care Environment

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38 Verified Questions

38 Flashcards

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Sample Questions

Q1) A patient is admitted to the emergency department comatose with suspected head and neck injuries after falling from a roof.Which of the following devices does the nurse anticipate will maintain the airway patency in the patient?

A) A tracheostomy tube

B) An oropharyngeal airway

C) A nasal endotracheal (ET)tube

D) An oral ET tube

Q2) A patient with hemodynamic monitoring has a blood pressure of 94/68 mm Hg,HR of 130 beats/min,CO₂ of 4.8 L/min,and mixed venous oxygen saturation (SvO₂)of 64%.In analyzing the patient's hemodynamic measurements,the nurse calculates his SV at which of the following findings?

A) 23 mL/beat

B) 37 mL/beat

C) 42 mL/beat

D) 59 mL/beat

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Inflammatory Response Syndrome,and Multiple-Organ

Dysfunction Syndrome

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24 Verified Questions

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Sample Questions

Q1) While evaluating the effects of treatment in a patient in shock,the nurse finds that the patient has orthostatic hypotension.This finding indicates a need for which of the following treatments?

A) Additional fluid replacement

B) Administration of antibiotics

C) Administration of an inotropic drug

D) Administration of supplemental oxygen

Q2) A patient with hypovolemic shock has a urinary output of 15 mL/hour.What does the nurse understand is the compensatory physiological mechanism that leads to altered urinary output?

A) Release of aldosterone,which increases serum osmolarity,causing release of antidiuretic hormone (ADH)

B) Movement of interstitial fluid to the intravascular space,increasing renal blood flow

C) Activation of the sympathetic nervous system,causing vasodilation of the renal arteries

D) -Adrenergic receptor stimulation that causes increased CO₂ as a result of increased HR and myocardial contractility

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Chapter 70: Nursing Management: Respiratory Failure and

Acute Respiratory Distress Syndrome

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) Which assessment finding would the nurse expect in a patient with hypoxemia?

A) Apnea

B) Decreased respiratory rate

C) Increased SpO₂

D) Prolonged expiration

Q2) When caring for a patient who developed ARDS as a result of a gram-negative urinary infection that became systemic,the nurse is asked by the patient's family how a urinary tract infection could cause lung damage.What is the best response to the family members?

A) The lungs have become massively infected by the spread of infection from the urinary tract to the lungs.

B) Failure of the kidneys causes toxins to accumulate in the blood,which are damaging to other tissues,such as the lungs.

C) Serious infections may cause stimulation of the body's inflammatory and immune systems,which,in turn,react abnormally with lung tissue.

D) The lungs become damaged when infections are carried in the blood and microorganisms clump together,blocking the blood supply to vital organs.

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Page 72

Chapter 71: Nursing Management: Emergency Care Situations

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) A migrant field worker is brought to the emergency department after he caught his right hand in a produce conveyer belt.His hand has multiple lacerations,and he has tissue avulsion of the right palm.On questioning,he does not know about his tetanus prophylaxis status.Which of the following drug regimens does the nurse anticipate administering?

A) Tetanus immunoglobulin

B) Tetanus and diphtheria toxoid

C) Tetanus-diphtheria toxoid and tetanus immune globulin

D) Tetanus immune globulin and two doses of tetanus and diphtheria toxoid

Q2) According to the Canadian Emergency Department Triage and Acuity Scale,what is the time to physician assessment for a patient assessed at level III?

A) Immediate

B) 15 minutes

C) 30 minutes

D) 60 minutes

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73

Chapter 72: Emergency Preparedness and Disaster Management

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Sample Questions

Q1) The Canadian Red Cross advises individuals to be self-sufficient in case of an emergency.This advice is related to being able to provide for one's needs for how many hours?

A) 12

B) 24

C) 48

D) 72

Q2) When planning the response to the potential use of smallpox as a biological weapon,the emergency department nurse manager will ensure that sufficient quantities of which of the following are available?

A) Blood

B) Vaccine

C) Antitoxin

D) Antibiotics

Q3) A mass casualty incident is an example of which type of disaster?

A) Internal

B) External

C) Peripheral

D) Combined internal and external

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