Clinical Nursing Skills Exam Preparation Guide - 1925 Verified Questions

Clinical Nursing Skills Exam

Preparation Guide

Course Introduction

Clinical Nursing Skills is a foundational course designed to equip nursing students with essential hands-on competencies required for effective patient care in various healthcare settings. Through a combination of classroom instruction, laboratory practice, and supervised clinical experiences, students learn fundamental skills such as vital signs assessment, medication administration, wound care, infection control, patient mobility, and basic life support. The course emphasizes the importance of safety, accuracy, communication, and ethical decision-making in clinical practice, preparing students to deliver high-quality, evidence-based care and to function as integral members of the healthcare team.

Recommended Textbook

Clinical Nursing Skills and Techniques 6th Edition by Anne Griffin Perry

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63 Chapters

1925 Verified Questions

1925 Flashcards

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Chapter 1: The Importance of Nursing

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/33804

Sample Questions

Q1) Which information will the nurse consider when deciding what nursing actions to delegate to a licensed practical/vocational nurse (LPN/LVN)who is working on a medical-surgical unit (select all that apply)?

A) Institutional policies

B) Stability of the patient

C) State nurse practice act

D) LPN/LVN teaching abilities

E) Experience of the LPN/LVN

Answer: A,B,C,E

Q2) A nurse is caring for a patient with heart failure.Which task is appropriate for the nurse to delegate to experienced unlicensed assistive personnel (UAP)?

A) Monitor for shortness of breath or fatigue after ambulation.

B) Instruct the patient about the need to alternate activity and rest.

C) Obtain the patient's blood pressure and pulse rate after ambulation.

D) Determine whether the patient is ready to increase the activity level.

Answer: C

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Chapter 3: Health Disparities and Cultural Care

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18 Verified Questions

18 Flashcards

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Sample Questions

Q1) The nurse plans care for a hospitalized patient who uses culturally based treatments.Which action by the nurse is best?

A) Encourage the use of diagnostic procedures.

B) Coordinate the use of folk treatments with ordered medical therapies.

C) Ask the patient to discontinue the cultural treatments during hospitalization.

D) Teach the patient that folk remedies will interfere with orders by the health care provider.

Answer: B

Q2) The nurse is caring for a newly admitted patient.Which intervention is the best example of a culturally appropriate nursing intervention?

A) Insist family members provide most of the patient's personal care.

B) Maintain a personal space of at least 2 feet when assessing the patient.

C) Ask permission before touching a patient during the physical assessment.

D) Consider the patient's ethnicity as the most important factor in planning care.

Answer: C

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4

Chapter 4: Pain Management

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25 Verified Questions

25 Flashcards

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Sample Questions

Q1) The following medications are prescribed by the health care provider for a middle-aged patient who uses long-acting morphine (MS Contin)for chronic back pain,but still has ongoing pain.Which medication should the nurse question?

A) Morphine (Roxanol)

B) Pentazocine (Talwin)

C) Celecoxib (Celebrex)

D) Dexamethasone (Decadron)

Q2) A patient who is using a fentanyl (Duragesic)patch and immediate-release morphine for chronic cancer pain develops new-onset confusion,dizziness,and a decrease in respiratory rate.Which action should the nurse take first?

A) Obtain vital signs.

B) Remove the fentanyl patch.

C) Notify the health care provider.

D) Administer the prescribed PRN naloxone (Narcan).

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5

Chapter 5: Palliative Care

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16 Verified Questions

16 Flashcards

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Sample Questions

Q1) A hospice nurse who has become close to a terminally ill patient is present in the home when the patient dies and feels saddened and tearful as the family members begin to cry.Which action should the nurse take at this time?

A) Contact a grief counselor as soon as possible.

B) Cry along with the patient's family members.

C) Leave the home as soon as possible to allow the family to grieve privately.

D) Consider whether working in hospice is desirable because patient losses are common.

Q2) The nurse cares for an adolescent patient who is dying.The patient's parents are interested in organ donation and ask the nurse how the decision about brain death is made.Which response by the nurse is most appropriate?

A) "Brain death occurs if a person is flaccid and unresponsive."

B) "If CPR is ineffective in restoring a heartbeat, the brain cannot function."

C) "Brain death has occurred if there is no breathing and certain reflexes are absent."

D) "If respiratory efforts cease and no apical pulse is audible, brain death is present."

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Chapter 6: Substance Use and Dependency

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25 Verified Questions

25 Flashcards

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Sample Questions

Q1) During physical assessment of a patient who has frequent nosebleeds,the nurse finds nasal sores and necrosis of the nasal septum.The nurse should ask the patient specifically about the use of which drug?

A) Heroin

B) Cocaine

C) Tobacco

D) Marijuana

Q2) A disoriented and agitated patient comes to the emergency department and admits using methamphetamine.Vital signs are blood pressure 162/98,heart rate 142 and irregular,and respirations 32.Which action by the nurse is most important?

A) Reorient the patient at frequent intervals.

B) Monitor the patient's electrocardiogram (ECG) and vital signs.

C) Keep the patient in a quiet and darkened room.

D) Obtain a health history including prior drug use.

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Chapter 8: Nursing Management: Inflammation and Wound Healing

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) When admitting a patient with stage III pressure ulcers on both heels,which information obtained by the nurse will have the most impact on wound healing?

A) The patient takes insulin daily.

B) The patient states that the ulcers are very painful.

C) The patient has had the heel ulcers for the last 6 months.

D) The patient has several old incisions that have formed keloids.

Q2) A patient with rheumatoid arthritis has been taking corticosteroids for 11 months.Which nursing action is most likely to detect early signs of infection in this patient?

A) Monitor white blood cell count.

B) Check the skin for areas of redness.

C) Check the temperature every 2 hours.

D) Ask about fatigue or feelings of malaise.

Q3) The nurse should plan to use a wet-to-dry dressing for which patient?

A) A patient who has a pressure ulcer with pink granulation tissue

B) A patient who has a surgical incision with pink, approximated edges

C) A patient who has a full-thickness burn filled with dry, black material

D) A patient who has a wound with purulent drainage and dry brown areas

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Chapter 9: Genetics and Genomics

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7 Verified Questions

7 Flashcards

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Sample Questions

Q1) The sister of a patient diagnosed with BRCA gene-related breast cancer asks the nurse,"Do you think I should be tested for the gene?" Which response by the nurse is most appropriate?

A) "In most cases, breast cancer is not caused by the BRCA gene."

B) "It depends on how you will feel if the test is positive for the BRCA gene."

C) "There are many things to consider before deciding to have genetic testing."

D) "You should decide first whether you are willing to have a bilateral mastectomy."

Q2) When counseling a couple in which the man has an autosomal recessive disorder and the woman has no gene for the disorder,the nurse uses Punnett squares to show the couple the probability of their having a child with the disorder.Which statement by the nurse is most appropriate?

A) "You should consider adoption."

B) "Your children will be carriers of the disorder."

C) "Your female children will display characteristics of the disorder."

D) "Your first-born child will likely display characteristics of the disorder."

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Chapter 10: Altered Immune Responses and Transplantation

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26 Verified Questions

26 Flashcards

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Sample Questions

Q1) Which statement by a patient would alert the nurse to a possible immunodeficiency disorder?

A) "I take one baby aspirin every day to prevent stroke."

B) "I usually eat eggs or meat for at least 2 meals a day."

C) "I had my spleen removed many years ago after a car accident."

D) "I had a chest x-ray 6 months ago when I had walking pneumonia."

Q2) Which teaching should the nurse provide about intradermal skin testing to a patient with possible allergies?

A) "Do not eat anything for about 6 hours before the testing."

B) "Take an oral antihistamine about an hour before the testing."

C) "Plan to wait in the clinic for 20 to 30 minutes after the testing."

D) "Reaction to the testing will take about 48 to 72 hours to occur."

Q3) A patient who collects honey to earn supplemental income has developed a hypersensitivity to bee stings.Which statement,if made by the patient,would indicate a need for additional teaching?

A) "I need to find another way to earn extra money."

B) "I will get a prescription for epinephrine and learn to self-inject it."

C) "I will plan to take oral antihistamines daily before going to work."

D) "I should wear a Medic-Alert bracelet indicating my allergy to bee stings."

Page 10

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Chapter 11: Nursing Management: Infection and Human

Immunodeficiency Virus Infection

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26 Verified Questions

26 Flashcards

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Sample Questions

Q1) The nurse cares for a patient infected with human immunodeficiency virus (HIV)who has just been diagnosed with asymptomatic chronic HIV infection.Which prophylactic measures will the nurse include in the plan of care (select all that apply)?

A) Hepatitis B vaccine

B) Pneumococcal vaccine

C) Influenza virus vaccine

D) Trimethoprim-sulfamethoxazole

E) Varicella zoster immune globulin

Q2) According to the Center for Disease Control (CDC)guidelines,which personal protective equipment will the nurse put on when assessing a patient who is on contact precautions for diarrhea caused by Clostridium difficile (select all that apply)?

A) Mask

B) Gown

C) Gloves

D) Shoe covers

E) Eye protection

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11

Chapter 12: Cancer

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43 Verified Questions

43 Flashcards

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Sample Questions

Q1) A patient with leukemia is considering whether to have hematopoietic stem cell transplantation (HSCT).The nurse will include which information in the patient's teaching plan?

A) Transplant of the donated cells is painful because of the nerves in the tissue lining the bone.

B) Donor bone marrow cells are transplanted through an incision into the sternum or hip bone.

C) The transplant procedure takes place in a sterile operating room to minimize the risk for infection.

D) Hospitalization will be required for several weeks after the stem cell transplant procedure is performed.

Q2) The home health nurse cares for a patient who has been receiving interferon therapy for treatment of cancer.Which statement by the patient indicates a need for further assessment?

A) "I have frequent muscle aches and pains."

B) "I rarely have the energy to get out of bed."

C) "I experience chills after I inject the interferon."

D) "I take acetaminophen (Tylenol) every 4 hours."

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Chapter 13: Nursing Management: Fluid,electrolyte and Acidbase Imbalances

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37 Verified Questions

37 Flashcards

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Sample Questions

Q1) A patient receives 3% NaCl solution for correction of hyponatremia.Which assessment is most important for the nurse to monitor for while the patient is receiving this infusion?

A) Lung sounds

B) Urinary output

C) Peripheral pulses

D) Peripheral edema

Q2) The long-term care nurse is evaluating the effectiveness of protein supplements for an older resident who has a low serum total protein level.Which assessment finding indicates that the patient's condition has improved?

A) Hematocrit 28%

B) Absence of skin tenting

C) Decreased peripheral edema

D) Blood pressure 110/72 mm Hg

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13

Chapter 14: Nursing Management: Preoperative Care

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21 Verified Questions

21 Flashcards

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Sample Questions

Q1) The surgical unit nurse has just received a patient with a history of smoking from the postanesthesia care unit.Which action is most important at this time?

A) Auscultate for adventitious breath sounds.

B) Obtain the patient's blood pressure and temperature.

C) Remind the patient about harmful effects of smoking.

D) Ask the health care provider about prescribing a nicotine patch.

Q2) A patient has received atropine before surgery and complains of dry mouth.Which action by the nurse is best?

A) Check for skin tenting.

B) Notify the health care provider.

C) Ask the patient about any dizziness.

D) Tell the patient dry mouth is an expected side effect.

Q3) A patient who is scheduled for a therapeutic abortion tells the nurse,"Having an abortion is not right." Which functional health pattern should the nurse further assess?

A) Value-belief

B) Cognitive-perceptual

C) Sexuality-reproductive

D) Coping-stress tolerance

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14

Chapter 15: Nursing Management: Intraoperative Care

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18 Verified Questions

18 Flashcards

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Sample Questions

Q1) When caring for a patient who has received a general anesthetic,the circulating nurse notes red,raised wheals on the patient's arms.Which action should the nurse take immediately?

A) Apply lotion to the affected areas.

B) Cover the arms with sterile drapes.

C) Recheck the patient's arms in 30 minutes.

D) Notify the anesthesia care practitioner (ACP) immediately.

Q2) Monitored anesthesia care (MAC)is going to be used for a closed,manual reduction of a dislocated shoulder.What action does the nurse anticipate?

A) Securing an airtight fit for the inhalation mask

B) Starting a 20-gauge IV in the patient's unaffected arm

C) Obtaining a nonocclusive dressing to place over the administration site

D) Teaching the patient about epidural patient-controlled anesthesia (PCA) use

Q3) Which action should the perioperative nurse take to best protect the patient from burn injury during surgery?

A) Ensure correct placement of the grounding pad.

B) Check all emergency sprinklers in the operating room.

C) Verify that a fire extinguisher is available during surgery.

D) Confirm that all electrosurgical equipment has been properly serviced.

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Page 15

Chapter 16: Nursing Management: Postoperative Care

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25 Verified Questions

25 Flashcards

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Sample Questions

Q1) The nurse assesses a patient who had a total abdominal hysterectomy 2 days ago.Which information about the patient is most important to communicate to the health care provider?

A) The right calf is swollen, warm, and painful.

B) The patient's temperature is 100.3° F (37.9° C).

C) The 24-hour oral intake is 600 mL greater than the total output.

D) The patient complains of abdominal pain at level 6 (0 to 10 scale) when ambulating.

Q2) Which action could the postanesthesia care unit (PACU)nurse delegate to unlicensed assistive personnel (UAP)who help with the transfer of a patient to the clinical unit?

A) Clarify the postoperative orders with the surgeon.

B) Help with the transfer of the patient onto a stretcher.

C) Document the appearance of the patient's incision in the chart.

D) Provide hand off communication to the surgical unit charge nurse.

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Chapter 17: Nursing Assessment: Visual and Auditory Systems

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/33818

Sample Questions

Q1) When assessing a patient's consensual pupil response,the nurse should

A) have the patient cover one eye while facing the nurse.

B) observe for a light reflection in the center of both corneas.

C) instruct the patient to follow a moving object using only the eyes.

D) shine a light into one pupil and observe the response of both pupils.

Q2) Which equipment will the nurse obtain to perform a Rinne test?

A) Otoscope

B) Tuning fork

C) Audiometer

D) Ticking watch

Q3) When the patient turns his head quickly during the admission assessment,the nurse observes nystagmus.What is the indicated nursing action?

A) Assess the patient with a Rinne test.

B) Place a fall-risk bracelet on the patient.

C) Ask the patient to watch the mouths of staff when they are speaking.

D) Remind unlicensed assistive personnel to speak loudly to the patient.

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Chapter 18: Nursing Management: Visual and Auditory

Problems

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47 Verified Questions

47 Flashcards

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Sample Questions

Q1) A patient diagnosed with external otitis is being discharged from the emergency department with an ear wick in place.Which statement by the patient indicates a need for further teaching?

A) "I will apply the eardrops to the cotton wick in the ear canal."

B) "I can use aspirin or acetaminophen (Tylenol) for pain relief."

C) "I will clean the ear canal daily with a cotton-tipped applicator."

D) "I can use warm compresses to the outside of the ear for comfort."

Q2) Which prescribed medication should the nurse give first to a patient who has just been admitted to a hospital with acute angle-closure glaucoma?

A) Morphine sulfate 4 mg IV

B) Mannitol (Osmitrol) 100 mg IV

C) Betaxolol (Betoptic) 1 drop in each eye

D) Acetazolamide (Diamox) 250 mg orally

Q3) Which information will the nurse include for a patient contemplating a cochlear implant?

A) Cochlear implants require training in order to receive the full benefit.

B) Cochlear implants are not useful for patients with congenital deafness.

C) Cochlear implants are most helpful as an early intervention for presbycusis.

D) Cochlear implants improve hearing in patients with conductive hearing loss.

Page 18

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Chapter 19: Nursing Assessment: Integumentary System

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13 Verified Questions

13 Flashcards

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Sample Questions

Q1) When examining an older patient in the home,the home health nurse notices irregular patterns of bruising at different stages of healing on the patient's body.Which action should the nurse take first?

A) Discourage the use of throw rugs throughout the house.

B) Ensure the patient has a pair of shoes with non-slip soles.

C) Talk with the patient alone and ask about what caused the bruising.

D) Notify the health care provider so that x-rays can be ordered as soon as possible.

Q2) A 38-year-old female patient states that she is using topical fluorouracil to treat actinic keratoses on her face.Which additional assessment information will be most important for the nurse to obtain?

A) History of sun exposure by the patient

B) Method of birth control used by the patient

C) Length of time the patient has used fluorouracil

D) Appearance of the treated areas on the patient's face

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19

Chapter 20: Nursing Management: Integumentary

Problems

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26 Verified Questions

26 Flashcards

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Sample Questions

Q1) A nurse develops a teaching plan for a patient diagnosed with basal cell carcinoma (BCC).Which information should the nurse include in the teaching plan?

A) Treatment plans include watchful waiting.

B) Screening for metastasis will be important.

C) Low dose systemic chemotherapy is used to treat BCC.

D) Minimizing sun exposure will reduce risk for future BCC.

Q2) The nurse notes the presence of white lesions that resemble milk curds in the back of a patient's throat.Which question by the nurse is appropriate at this time?

A) "Do you have a productive cough?"

B) "How often do you brush your teeth?"

C) "Are you taking any medications at present?"

D) "Have you ever had an oral herpes infection?"

Q3) What is the best method to prevent the spread of infection when the nurse is changing the dressing over a wound infected with Staphylococcus aureus?

A) Change the dressing using sterile gloves.

B) Soak the dressing in sterile normal saline.

C) Apply antibiotic ointment over the wound.

D) Wash hands and properly dispose of soiled dressings.

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Chapter 21: Nursing Management: Burns

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31 Verified Questions

31 Flashcards

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Sample Questions

Q1) Which action will the nurse include in the plan of care for a patient in the rehabilitation phase after a burn injury to the right arm and chest?

A) Keep the right arm in a position of comfort.

B) Avoid the use of sustained-release narcotics.

C) Teach about the purpose of tetanus immunization.

D) Apply water-based cream to burned areas frequently.

Q2) A patient has just arrived in the emergency department after an electrical burn from exposure to a high-voltage current.What is the priority nursing assessment?

A) Oral temperature

B) Peripheral pulses

C) Extremity movement

D) Pupil reaction to light

Q3) An 80-kg patient with burns over 30% of total body surface area (TBSA)is admitted to the burn unit.Using the Parkland formula of 4 mL/kg/%TBSA,what is the IV infusion rate (mL/hour)for lactated Ringer's solution that the nurse will administer during the first 8 hours?

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Chapter 22: Nursing Assessment: Respiratory System

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) While caring for a patient with respiratory disease,the nurse observes that the patient's SpO₂ drops from 93% to 88% while the patient is ambulating in the hallway.What is the priority action of the nurse?

A) Notify the health care provider.

B) Document the response to exercise.

C) Administer the PRN supplemental O₂.

D) Encourage the patient to pace activity.

Q2) The nurse completes a shift assessment on a patient admitted in the early phase of heart failure.When auscultating the patient's lungs,which finding would the nurse most likely hear?

A) Continuous rumbling, snoring, or rattling sounds mainly on expiration

B) Continuous high-pitched musical sounds on inspiration and expiration

C) Discontinuous, high-pitched sounds of short duration heard on inspiration

D) A series of long-duration, discontinuous, low-pitched sounds during inspiration

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22

Chapter 23: Nursing Management: Upper Respiratory

Problems

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/33824

Sample Questions

Q1) The nurse plans to teach a patient how to manage allergic rhinitis.Which information should the nurse include in the teaching plan?

A) Hand washing is the primary way to prevent spreading the condition to others.

B) Use of oral antihistamines for 2 weeks before the allergy season may prevent reactions.

C) Corticosteroid nasal sprays will reduce inflammation, but systemic effects limit their use.

D) Identification and avoidance of environmental triggers are the best way to avoid symptoms.

Q2) A nurse who is caring for patient with a tracheostomy tube in place has just auscultated rhonchi bilaterally.If the patient is unsuccessful in coughing up secretions,what action should the nurse take?

A) Encourage increased incentive spirometer use.

B) Encourage the patient to increase oral fluid intake.

C) Put on sterile gloves and use a sterile catheter to suction.

D) Preoxygenate the patient for 3 minutes before suctioning.

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Chapter 24: Nursing Management: Lower Respiratory Problems

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51 Verified Questions

51 Flashcards

Source URL: https://quizplus.com/quiz/33825

Sample Questions

Q1) Following assessment of a patient with pneumonia,the nurse identifies a nursing diagnosis of ineffective airway clearance.Which assessment data best supports this diagnosis?

A) Weak, nonproductive cough effort

B) Large amounts of greenish sputum

C) Respiratory rate of 28 breaths/minute

D) Resting pulse oximetry (SpO₂) of 85%

Q2) Employee health test results reveal a tuberculosis (TB)skin test of 16-mm induration and a negative chest x-ray for a staff nurse working on the pulmonary unit.The nurse has no symptoms of TB.Which information should the occupational health nurse plan to teach the staff nurse?

A) Standard four-drug therapy for TB

B) Need for annual repeat TB skin testing

C) Use and side effects of isoniazid (INH)

D) Bacille Calmette-Guérin (BCG) vaccine

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Chapter 25: Nursing Management: Obstructive Pulmonary Diseases

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44 Verified Questions

44 Flashcards

Source URL: https://quizplus.com/quiz/33826

Sample Questions

Q1) Which nursing action for a patient with chronic obstructive pulmonary disease (COPD)could the nurse delegate to experienced unlicensed assistive personnel (UAP)?

A) Obtain oxygen saturation using pulse oximetry.

B) Monitor for increased oxygen need with exercise.

C) Teach the patient about safe use of oxygen at home.

D) Adjust oxygen to keep saturation in prescribed parameters.

Q2) Which instruction should the nurse include in an exercise teaching plan for a patient with chronic obstructive pulmonary disease (COPD)?

A) "Stop exercising if you start to feel short of breath."

B) "Use the bronchodilator before you start to exercise."

C) "Breathe in and out through the mouth while you exercise."

D) "Upper body exercise should be avoided to prevent dyspnea."

Q3) A patient in the clinic with cystic fibrosis (CF)reports increased sweating and weakness during the summer months.Which action by the nurse would be most appropriate?

A) Have the patient add dietary salt to meals.

B) Teach the patient about the signs of hypoglycemia.

C) Suggest decreasing intake of dietary fat and calories.

D) Instruct the patient about pancreatic enzyme replacements.

Page 25

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Chapter 26: Nursing Assessment: Haematological System

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16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/33827

Sample Questions

Q1) The nurse assesses a patient with pernicious anemia.Which assessment finding would the nurse expect?

A) Yellow-tinged sclerae

B) Shiny, smooth tongue

C) Numbness of the extremities

D) Gum bleeding and tenderness

Q2) The complete blood count (CBC)indicates that a patient is thrombocytopenic.Which action should the nurse include in the plan of care?

A) Avoid intramuscular injections.

B) Encourage increased oral fluids.

C) Check temperature every 4 hours.

D) Increase intake of iron-rich foods.

Q3) The health care provider orders a liver/spleen scan for a patient who has been in a motor vehicle accident.Which action should the nurse take before this procedure?

A) Check for any iodine allergy.

B) Insert a large-bore IV catheter.

C) Place the patient on NPO status.

D) Assist the patient to a flat position.

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26

Chapter 27: Nursing Management: Haematological

Problems

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48 Verified Questions

48 Flashcards

Source URL: https://quizplus.com/quiz/33828

Sample Questions

Q1) A 52-year-old patient has a new diagnosis of pernicious anemia.The nurse determines that the patient understands the teaching about the disorder when the patient states,"I

A) need to start eating more red meat and liver."

B) will stop having a glass of wine with dinner."

C) could choose nasal spray rather than injections of vitamin B₁₂."

D) will need to take a proton pump inhibitor like omeprazole (Prilosec)."

Q2) Which patient statement to the nurse indicates a need for additional instruction about taking oral ferrous sulfate?

A) "I will call my health care provider if my stools turn black."

B) "I will take a stool softener if I feel constipated occasionally."

C) "I should take the iron with orange juice about an hour before eating."

D) "I should increase my fluid and fiber intake while I am taking iron tablets."

Q3) Which intervention will be included in the nursing care plan for a patient with immune thrombocytopenic purpura (ITP)?

A) Assign the patient to a private room.

B) Avoid intramuscular (IM) injections.

C) Use rinses rather than a soft toothbrush for oral care.

D) Restrict activity to passive and active range of motion.

Page 27

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Chapter 28: Nursing Assessment: Cardiovascular System

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24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/33829

Sample Questions

Q1) Which action will the nurse implement for a patient who arrives for a calcium-scoring CT scan?

A) Insert an IV catheter.

B) Administer oral sedative medications.

C) Teach the patient about the procedure.

D) Confirm that the patient has been fasting.

Q2) The nurse teaches the patient being evaluated for rhythm disturbances with a Holter monitor to

A) connect the recorder to a computer once daily.

B) exercise more than usual while the monitor is in place.

C) remove the electrodes when taking a shower or tub bath.

D) keep a diary of daily activities while the monitor is worn.

Q3) While doing the admission assessment for a thin 76-year-old patient,the nurse observes pulsation of the abdominal aorta in the epigastric area.Which action should the nurse take?

A) Teach the patient about aneurysms.

B) Notify the hospital rapid response team.

C) Instruct the patient to remain on bed rest.

D) Document the finding in the patient chart.

To view all questions and flashcards with answers, click on the resource link above.

Page 28

Chapter 29: Nursing Management: Hypertension

Available Study Resources on Quizplus for this Chatper

24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/33830

Sample Questions

Q1) Which information should the nurse include when teaching a patient with newly diagnosed hypertension?

A) Increasing physical activity will control blood pressure (BP) for most patients.

B) Most patients are able to control BP through dietary changes.

C) Annual BP checks are needed to monitor treatment effectiveness.

D) Hypertension is usually asymptomatic until target organ damage occurs.

Q2) Which action will be included in the plan of care when the nurse is caring for a patient who is receiving nicardipine (Cardene)to treat a hypertensive emergency?

A) Keep the patient NPO to prevent aspiration caused by nausea and possible vomiting.

B) Organize nursing activities so that the patient has undisturbed sleep for 6 to 8 hours at night.

C) Assist the patient up in the chair for meals to avoid complications associated with immobility.

D) Use an automated noninvasive blood pressure machine to obtain frequent blood pressure (BP) measurements.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 30: Nursing Management: Coronary Artery Disease

and Acute Coronary Syndrome

Available Study Resources on Quizplus for this Chatper

43 Verified Questions

43 Flashcards

Source URL: https://quizplus.com/quiz/33831

Sample Questions

Q1) Which nursing intervention will be most effective when assisting the patient with coronary artery disease (CAD)to make appropriate dietary changes?

A) Give the patient a list of low-sodium, low-cholesterol foods that should be included in the diet.

B) Emphasize the increased risk for heart problems unless the patient makes the dietary changes.

C) Help the patient modify favorite high-fat recipes by using monosaturated oils when possible.

D) Inform the patient that a diet containing no saturated fat and minimal salt will be necessary.

Q2) Which patient at the cardiovascular clinic requires the most immediate action by the nurse?

A) Patient with type 2 diabetes whose current blood glucose level is 145 mg/dL

B) Patient with stable angina whose chest pain has recently increased in frequency

C) Patient with familial hypercholesterolemia and a total cholesterol of 465 mg/dL

D) Patient with chronic hypertension whose blood pressure today is 172/98 mm Hg

To view all questions and flashcards with answers, click on the resource link above.

Chapter 31: Nursing Management: Heart Failure

Available Study Resources on Quizplus for this Chatper

26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/33832

Sample Questions

Q1) Which assessment finding in a patient admitted with acute decompensated heart failure (ADHF)requires the most immediate action by the nurse?

A) Oxygen saturation of 88%

B) Weight gain of 1 kg (2.2 lb)

C) Heart rate of 106 beats/minute

D) Urine output of 50 mL over 2 hours

Q2) Following an acute myocardial infarction,a previously healthy 63-year-old develops clinical manifestations of heart failure.The nurse anticipates discharge teaching will include information about

A) digitalis preparations.

B) â-adrenergic blockers.

C) calcium channel blockers.

D) angiotensin-converting enzyme (ACE) inhibitors.

Q3) Which topic will the nurse plan to include in discharge teaching for a patient with systolic heart failure and an ejection fraction of 33%?

A) Need to begin an aerobic exercise program several times weekly

B) Use of salt substitutes to replace table salt when cooking and at the table

C) Benefits and side effects of angiotensin-converting enzyme (ACE) inhibitors

D) Importance of making an annual appointment with the primary care provider

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Page 31

Chapter 32: Nursing Management: Ecg Monitoring and Arrhythmias

Available Study Resources on Quizplus for this Chatper

31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/33833

Sample Questions

Q1) A patient whose heart monitor shows sinus tachycardia,rate 132,is apneic and has no palpable pulses.What is the first action that the nurse should take?

A) Perform synchronized cardioversion.

B) Start cardiopulmonary resuscitation (CPR).

C) Administer atropine per agency dysrhythmia protocol.

D) Provide supplemental oxygen via non-rebreather mask.

Q2) Which nursing action can the registered nurse (RN)delegate to experienced unlicensed assistive personnel (UAP)working as a telemetry technician on the cardiac care unit?

A) Decide whether a patient's heart rate of 116 requires urgent treatment.

B) Monitor a patient's level of consciousness during synchronized cardioversion.

C) Observe cardiac rhythms for multiple patients who have telemetry monitoring.

D) Select the best lead for monitoring a patient admitted with acute coronary syndrome.

Q3) When analyzing an electrocardiographic (ECG)rhythm strip of a patient with a regular heart rhythm,the nurse counts 30 small blocks from one R wave to the next.The nurse calculates the patient's heart rate as ____.

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32

Chapter 33: Nursing Management: Inflammatory and Structural Heart Disorders

Available Study Resources on Quizplus for this Chatper

35 Verified Questions

35 Flashcards

Source URL: https://quizplus.com/quiz/33834

Sample Questions

Q1) After receiving the following information about four patients during change-of-shift report,which patient should the nurse assess first?

A) Patient with acute pericarditis who has a pericardial friction rub

B) Patient who has just returned to the unit after balloon valvuloplasty

C) Patient who has hypertrophic cardiomyopathy and a heart rate of 116

D) Patient with a mitral valve replacement who has an anticoagulant scheduled

Q2) Which statement by a patient with restrictive cardiomyopathy indicates that the nurse's discharge teaching about self-management has been most effective?

A) "I will avoid taking aspirin or other antiinflammatory drugs."

B) "I will need to limit my intake of salt and fluids even in hot weather."

C) "I will take antibiotics when my teeth are cleaned at the dental office."

D) "I should begin an exercise program that includes things like biking or swimming."

Q3) When caring for a patient with mitral valve stenosis,it is most important that the nurse assess for

A) diastolic murmur.

B) peripheral edema.

C) shortness of breath on exertion.

D) right upper quadrant tenderness.

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Chapter 34: Nursing Management: Vascular Disorders

Available Study Resources on Quizplus for this Chatper

36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/33835

Sample Questions

Q1) When developing a teaching plan for a 76-year-old patient newly diagnosed with peripheral artery disease (PAD),which instructions 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 elastic compression stockings on early in the morning."

Q2) After teaching a patient with newly diagnosed Raynaud's phenomenon about how to manage the condition,which action by the patient demonstrates that the teaching has been effective?

A) The patient exercises indoors during the winter months.

B) The patient places the hands in hot water when they turn pale.

C) The patient takes pseudoephedrine (Sudafed) for cold symptoms.

D) The patient avoids taking nonsteroidal antiinflammatory drugs (NSAIDs).

Q3) Which nursing action should be included in the plan of care after endovascular repair of an abdominal aortic aneurysm?

A) Record hourly chest tube drainage.

B) Monitor fluid intake and urine output.

C) Check the abdominal incision for any redness.

D) Teach the reason for a prolonged recovery period.

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Page 34

Chapter 35: Nursing Assessment: Gastrointestinal System

Available Study Resources on Quizplus for this Chatper

18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/33836

Sample Questions

Q1) The nurse will plan to monitor a patient with an obstructed common bile duct for A) melena.

B) steatorrhea.

C) decreased serum cholesterol levels.

D) increased serum indirect bilirubin levels.

Q2) A patient is being scheduled for endoscopic retrograde cholangiopancreatography (ERCP)as soon as possible.Which actions from the agency policy for ERCP should the nurse take first?

A) Place the patient on NPO status.

B) Administer sedative medications.

C) Ensure the consent form is signed.

D) Teach the patient about the procedure.

Q3) Which finding by the nurse during abdominal auscultation indicates a need for a focused abdominal assessment?

A) Loud gurgles

B) High-pitched gurgles

C) Absent bowel sounds

D) Frequent clicking sounds

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Chapter 36: Nursing Management: Nutritional Problems

Available Study Resources on Quizplus for this Chatper

24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/33837

Sample Questions

Q1) Which menu choice indicates that the patient is implementing plans to choose high-calorie,high-protein foods?

A) Baked fish with applesauce

B) Beef noodle soup and canned corn

C) Fresh fruit salad with yogurt topping

D) Fried chicken with potatoes and gravy

Q2) A 19-year-old female admitted with anorexia nervosa is 5 ft 6 in (163 cm)tall and weighs 88 pounds (41 kg).Laboratory tests reveal hypokalemia and iron-deficiency anemia.Which nursing diagnosis has the highest priority?

A) Risk for activity intolerance related to anemia

B) Risk for electrolyte imbalance related to eating patterns

C) Ineffective health maintenance related to body image obsession

D) Imbalanced nutrition: less than body requirements related to anorexia

Q3) When caring for a 63-year-old woman with a soft,silicone nasogastric tube in place for enteral feedings,the nurse will

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 days to avoid mucosal damage.

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Page 36

Chapter 37: Nursing Management: Obesity

Available Study Resources on Quizplus for this Chatper

20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/33838

Sample Questions

Q1) After the nurse teaches a patient about the recommended amounts of foods from animal and plant sources,which menu selections indicate that the initial instructions about diet have been understood?

A) 3 oz of lean beef, 2 oz of low-fat cheese, and a tomato slice

B) 3 oz of roasted pork, a cup of corn, and a cup of carrot sticks

C) Cup of tossed salad and nonfat dressing topped with a chicken breast

D) Half cup of tuna mixed with nonfat mayonnaise and a half cup of celery

Q2) Which nursing action is appropriate when coaching obese adults enrolled in a behavior modification program?

A) Having the adults write down the caloric intake of each meal

B) Asking the adults about situations that tend to increase appetite

C) Suggesting that the adults plan rewards, such as sugarless candy, for achieving their goals

D) Encouraging the adults to eat small amounts frequently rather than having scheduled meals

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Chapter 38: Nursing Management: Upper Gastrointestinal

Problems

Available Study Resources on Quizplus for this Chatper

47 Verified Questions

47 Flashcards

Source URL: https://quizplus.com/quiz/33839

Sample Questions

Q1) A 73-year-old patient is diagnosed with stomach cancer after an unintended 20-pound weight loss.Which nursing action will be included in the plan of care?

A) Refer the patient for hospice services.

B) Infuse IV fluids through a central line.

C) Teach the patient about antiemetic therapy.

D) Offer supplemental feedings between meals.

Q2) A 50-year-old man vomiting blood-streaked fluid is admitted to the hospital with acute gastritis.To determine possible risk factors for gastritis,the nurse will ask the patient about

A) the amount of saturated fat in the diet.

B) any family history of gastric or colon cancer.

C) a history of a large recent weight gain or loss.

D) use of nonsteroidal antiinflammatory drugs (NSAIDs).

Q3) The nurse explaining esomeprazole (Nexium)to a patient with recurring heartburn describes that the medication

A) reduces gastroesophageal reflux by increasing the rate of gastric emptying.

B) neutralizes stomach acid and provides relief of symptoms in a few minutes.

C) coats and protects the lining of the stomach and esophagus from gastric acid.

D) treats gastroesophageal reflux disease by decreasing stomach acid production.

Page 38

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Chapter 39: Nursing Management: Lower Gastrointestinal

Problems

Available Study Resources on Quizplus for this Chatper

56 Verified Questions

56 Flashcards

Source URL: https://quizplus.com/quiz/33840

Sample Questions

Q1) A patient complains of gas pains and abdominal distention two days after a small bowel resection.Which nursing action is best to take?

A) Encourage the patient to ambulate.

B) Instill a mineral oil retention enema.

C) Administer the ordered IV morphine sulfate.

D) Offer the ordered promethazine (Phenergan) suppository.

Q2) Which nursing action will be included in the plan of care for a 27-year-old male patient with bowel irregularity and a new diagnosis of irritable bowel syndrome (IBS)?

A) Encourage the patient to express concerns and ask questions about IBS.

B) Suggest that the patient increase the intake of milk and other dairy products.

C) Educate the patient about the use of alosetron (Lotronex) to reduce symptoms.

D) Teach the patient to avoid using nonsteroidal antiinflammatory drugs (NSAIDs).

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Chapter 40: Nursing Management: Liver,pancreas and Biliary Tract Problems

Available Study Resources on Quizplus for this Chatper

46 Verified Questions

46 Flashcards

Source URL: https://quizplus.com/quiz/33841

Sample Questions

Q1) The nurse administering á-interferon and ribavirin (Rebetol)to a patient with chronic hepatitis C will plan to monitor for A) leukopenia.

B) hypokalemia.

C) polycythemia.

D) hypoglycemia.

Q2) Which goal has the highest priority in the plan of care for a 26-year-old homeless patient admitted with viral hepatitis who has severe anorexia and fatigue?

A) Increase activity level.

B) Maintain adequate nutrition.

C) Establish a stable environment.

D) Identify sources of hepatitis exposure.

Q3) The nurse will ask a 64-year-old patient being admitted with acute pancreatitis specifically about a history of A) diabetes mellitus. B) high-protein diet.

C) cigarette smoking. D) alcohol consumption.

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Chapter 41: Nursing Assessment: Urinary System

Available Study Resources on Quizplus for this Chatper

24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/33842

Sample Questions

Q1) Which statement by a patient who had a cystoscopy the previous day should be reported immediately to the health care provider?

A) "My urine looks pink."

B) "My IV site is bruised."

C) "My sleep was restless."

D) "My temperature is 101."

Q2) The nurse completing a physical assessment for a newly admitted male patient is unable to feel either kidney on palpation.Which action should the nurse take next?

A) Obtain a urine specimen to check for hematuria.

B) Document the information on the assessment form.

C) Ask the patient about any history of recent sore throat.

D) Ask the health care provider about scheduling a renal ultrasound.

Q3) Which assessment of a 62-year-old patient who has just had an intravenous pyelogram (IVP)requires immediate action by the nurse?

A) The heart rate is 58 beats/minute.

B) The patient complains of a dry mouth.

C) The respiratory rate is 38 breaths/minute.

D) The urine output is 400 mL after 2 hours.

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Chapter 42: Nursing Management: Renal and Urological Problems

Available Study Resources on Quizplus for this Chatper

45 Verified Questions

45 Flashcards

Source URL: https://quizplus.com/quiz/33843

Sample Questions

Q1) A 63-year-old male patient had a cystectomy with an ileal conduit yesterday.Which new assessment data is most important for the nurse to communicate to the physician?

A) Cloudy appearing urine

B) Hypotonic bowel sounds

C) Heart rate 102 beats/minute

D) Continuous stoma drainage

Q2) Which action will the nurse anticipate taking for an otherwise healthy 50-year-old who has just been diagnosed with Stage 1 renal cell carcinoma?

A) Prepare patient for a renal biopsy.

B) Provide preoperative teaching about nephrectomy.

C) Teach the patient about chemotherapy medications.

D) Schedule for a follow-up appointment in 3 months.

Q3) When preparing a female patient with bladder cancer for intravesical chemotherapy,the nurse will teach about

A) premedicating to prevent nausea.

B) obtaining wigs and scarves to wear.

C) emptying the bladder before the medication.

D) maintaining oral care during the treatments.

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Chapter 43: Nursing Management: Acute Kidney Injury and Chronic Kidney Disease

Available Study Resources on Quizplus for this Chatper

39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/33844

Sample Questions

Q1) A patient in the oliguric phase after an acute kidney injury has had a 250 mL urine output and an emesis of 100 mL in the past 24 hours.What is the patient's fluid restriction for the next 24 hours?

Q2) When a patient with acute kidney injury (AKI)has an arterial blood pH of 7.30,the nurse will expect an assessment finding of

A) persistent skin tenting

B) rapid, deep respirations.

C) bounding peripheral pulses.

D) hot, flushed face and neck.

Q3) Which information will be included when the nurse is teaching self-management to a patient who is receiving peritoneal dialysis (select all that apply)?

A) Avoid commercial salt substitutes.

B) Drink 1500 to 2000 mL of fluids daily.

C) Take phosphate-binders with each meal.

D) Choose high-protein foods for most meals.

E) Have several servings of dairy products daily.

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Chapter 44: Nursing Assessment: Endocrine System

Available Study Resources on Quizplus for this Chatper

22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/33845

Sample Questions

Q1) Which laboratory value should the nurse review to determine whether a patient's hypothyroidism is caused by a problem with the anterior pituitary gland or with the thyroid gland?

A) Thyroxine (T₄) level

B) Triiodothyronine (T₃) level

C) Thyroid-stimulating hormone (TSH) level

D) Thyrotropin-releasing hormone (TRH) level

Q2) A 30-year-old patient seen in the emergency department for severe headache and acute confusion is found to have a serum sodium level of 118 mEq/L.The nurse will anticipate the need for which diagnostic test?

A) Urinary 17-ketosteroids

B) Antidiuretic hormone level

C) Growth hormone stimulation test

D) Adrenocorticotropic hormone level

Q3) A 44-year-old patient is admitted with tetany.Which laboratory value should the nurse monitor?

A) Total protein

B) Blood glucose

C) Ionized calcium

D) Serum phosphate

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Chapter 45: Nursing Management: Diabetes Mellitus

Available Study Resources on Quizplus for this Chatper

49 Verified Questions

49 Flashcards

Source URL: https://quizplus.com/quiz/33846

Sample Questions

Q1) A patient who was admitted with diabetic ketoacidosis secondary to a urinary tract infection has been weaned off an insulin drip 30 minutes ago.The patient reports feeling lightheaded and sweaty.Which action should the nurse take first?

A) Infuse dextrose 50% by slow IV push.

B) Administer 1 mg glucagon subcutaneously.

C) Obtain a glucose reading using a finger stick.

D) Have the patient drink 4 ounces of orange juice.

Q2) When a patient with type 2 diabetes is admitted for a cholecystectomy,which nursing action can the nurse delegate to a licensed practical/vocational nurse (LPN/LVN)?

A) Communicate the blood glucose level and insulin dose to the circulating nurse in surgery.

B) Discuss the reason for the use of insulin therapy during the immediate postoperative period.

C) Administer the prescribed lispro (Humalog) insulin before transporting the patient to surgery.

D) Plan strategies to minimize the risk for hypoglycemia or hyperglycemia during the postoperative period.

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Chapter 46: Nursing Management: Endocrine Problems

Available Study Resources on Quizplus for this Chatper

46 Verified Questions

46 Flashcards

Source URL: https://quizplus.com/quiz/33847

Sample Questions

Q1) A 29-year-old woman with systemic lupus erythematosus has been prescribed 2 weeks of high-dose prednisone therapy.Which information about the prednisone is most important for the nurse to include?

A) "Weigh yourself daily to monitor for weight gain caused by increased appetite."

B) "A weight-bearing exercise program will help minimize the risk for osteoporosis."

C) "The prednisone dose should be decreased gradually rather than stopped suddenly."

D) "Call the health care provider if you experience mood alterations with the prednisone."

Q2) A 23-year-old patient is admitted with diabetes insipidus.Which action will be most appropriate for the registered nurse (RN)to delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?

A) Titrate the infusion of 5% dextrose in water.

B) Teach the patient how to use desmopressin (DDAVP) nasal spray.

C) Assess the patient's hydration status every 8 hours.

D) Administer subcutaneous DDAVP.

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Chapter 47: Nursing Assessment: Reproductive System

Available Study Resources on Quizplus for this Chatper

19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/33848

Sample Questions

Q1) After scheduling a patient with a possible ovarian cyst for ultrasound,the nurse will teach the patient that she should

A) expect to receive IV contrast during the procedure.

B) drink several glasses of fluids before the procedure.

C) experience mild abdominal cramps after the procedure.

D) discontinue taking aspirin for 7 days before the procedure.

Q2) A 44-year-old patient in the sexually transmitted infection clinic has a positive Venereal Disease Research Laboratory (VDRL)test,but no chancre is visible on assessment.The nurse will plan to send specimens for A) gram stain.

B) cytologic studies.

C) rapid plasma reagin (RPR) agglutination.

D) fluorescent treponemal antibody absorption (FTA-Abs).

Q3) A couple is scheduled to have a Huhner test for infertility.In preparation for the test,the nurse will instruct the couple about

A) being sedated during the procedure.

B) determining the estimated time of ovulation.

C) experiencing shoulder pain after the procedure.

D) refraining from intercourse before the appointment.

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Page 47

Chapter 48: Nursing Management: Breast Disorders

Available Study Resources on Quizplus for this Chatper

28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/33849

Sample Questions

Q1) The nurse will teach a patient with metastatic breast cancer who has a new prescription for trastuzumab (Herceptin)that

A) hot flashes may occur with the medication.

B) serum electrolyte levels will be drawn monthly.

C) the patient will need frequent eye examinations.

D) the patient should call if she notices ankle swelling.

Q2) The nurse will anticipate teaching a 56-year-old patient who is diagnosed with lobular carcinoma in situ (LCIS)about

A) lumpectomy.

B) lymphatic mapping.

C) MammaPrint testing.

D) tamoxifen (Nolvadex).

Q3) The nurse is providing preoperative teaching about the transverse rectus abdominis musculocutaneous (TRAM)procedure to a patient.Which information will the nurse include?

A) Saline-filled implants are placed under the pectoral muscles.

B) Recovery from the TRAM surgery takes at least 6 to 8 weeks.

C) Muscle tissue removed from the back is used to form a breast.

D) TRAM flap procedures may be done in outpatient surgery centers.

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Page 48

Chapter 49: Nursing Management: Sexually Transmitted

Infections

Available Study Resources on Quizplus for this Chatper

19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/33850

Sample Questions

Q1) A 46-year-old man who has had blood drawn for an insurance screening has a positive Venereal Disease Research Laboratory (VDRL)test.Which action should the nurse take next?

A) Ask the patient about past treatment for syphilis.

B) Explain the need for blood and spinal fluid cultures.

C) Obtain a specimen for fluorescent treponemal antibody absorption (FAT-Abs) testing.

D) Assess for the presence of chancres, flulike symptoms, or a bilateral rash on the trunk.

Q2) When a 31-year-old male patient 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 question is most appropriate for the nurse to ask the patient?

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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Page 49

Chapter 50: Nursing Management: Female Reproductive Problems

Available Study Resources on Quizplus for this Chatper

49 Verified Questions

49 Flashcards

Source URL: https://quizplus.com/quiz/33851

Sample Questions

Q1) Which assessment finding in a woman who recently started taking hormone therapy (HT)is most important for the nurse to report to the health care provider?

A) Breast tenderness

B) Left calf swelling

C) Weight gain of 3 lb

D) Intermittent spotting

Q2) Which patient in the women's health clinic will the nurse expect to teach about an endometrial biopsy?

A) The 55-year-old patient who has 3 to 4 alcoholic drinks each day

B) The 35-year-old patient who has used oral contraceptives for 15 years

C) The 25-year-old patient who has a family history of hereditary nonpolyposis colorectal cancer

D) The 45-year-old patient who has had 6 full-term pregnancies and 2 spontaneous abortions

Q3) The nurse will plan to teach the female patient with genital warts about the A) importance of regular Pap tests.

B) increased risk for endometrial cancer.

C) appropriate use of oral contraceptives.

D) symptoms of pelvic inflammatory disease (PID).

Page 50

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Chapter 51: Nursing Management: Male Reproductive Problems

Available Study Resources on Quizplus for this Chatper

35 Verified Questions

35 Flashcards

Source URL: https://quizplus.com/quiz/33852

Sample Questions

Q1) A 22-year-old man tells the nurse at the health clinic that he has recently had some problems with erectile dysfunction.Which question should the nurse ask first to assess for possible etiologic factors?

A) "Do you experience an unusual amount of stress?"

B) "Do you use any recreational drugs or drink alcohol?"

C) "Do you have chronic cardiovascular or peripheral vascular disease?"

D) "Do you have a history of an erection that lasted for 6 hours or more?"

Q2) When obtaining the pertinent health history for a man who is being evaluated for infertility,which question is most important for the nurse to ask?

A) "Are you circumcised?"

B) "Have you had surgery for phimosis?"

C) "Do you use medications to improve muscle mass?"

D) "Is there a history of prostate cancer in your family?"

Q3) The nurse will inform a patient with cancer of the prostate that side effects of leuprolide (Lupron)may include

A) flushing.

B) dizziness.

C) infection.

D) incontinence.

Page 51

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Chapter 52: Nursing Assessment: Nervous System

Available Study Resources on Quizplus for this Chatper

21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/33853

Sample Questions

Q1) Several patients have been hospitalized for diagnosis of neurologic problems.Which patient will the nurse assess first?

A) Patient with a transient ischemic attack (TIA) returning from carotid duplex studies

B) Patient with a brain tumor who has just arrived on the unit after a cerebral angiogram

C) Patient with a seizure disorder who has just completed an electroencephalogram (EEG)

D) Patient prepared for a lumbar puncture whose health care provider is waiting for assistance

Q2) A patient with suspected meningitis is scheduled for a lumbar puncture.Before the procedure,the nurse will plan to

A) enforce NPO status for 4 hours.

B) transfer the patient to radiology.

C) administer a sedative medication.

D) help the patient to a lateral position.

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Chapter 53: Nursing Management: Acute Intracranial Problems

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40 Verified Questions

40 Flashcards

Source URL: https://quizplus.com/quiz/33854

Sample Questions

Q1) Which action will the emergency department nurse anticipate for a patient diagnosed with a concussion who did not lose consciousness?

A) Coordinate the transfer of the patient to the operating room.

B) Provide discharge instructions about monitoring neurologic status.

C) Transport the patient to radiology for magnetic resonance imaging (MRI).

D) Arrange to admit the patient to the neurologic unit for 24 hours of observation.

Q2) Admission vital signs for a brain-injured patient are blood pressure 128/68,pulse 110,and respirations 26.Which set of vital signs,if taken 1 hour after admission,will be of most concern to the nurse?

A) Blood pressure 154/68, pulse 56, respirations 12

B) Blood pressure 134/72, pulse 90, respirations 32

C) Blood pressure 148/78, pulse 112, respirations 28

D) Blood pressure 110/70, pulse 120, respirations 30

Q3) An unconscious patient with a traumatic head injury has a blood pressure of 130/76 mm Hg,and an intracranial pressure (ICP)of 20 mm Hg.The nurse will calculate the cerebral perfusion pressure (CPP)as ____ mm Hg.

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Chapter 54: Nursing Management: the Patient With a Stroke

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/33855

Sample Questions

Q1) A 58-year-old patient with a left-brain stroke suddenly bursts into tears when family members visit.The nurse should

A) use a calm voice to ask the patient to stop the crying behavior.

B) explain to the family that depression is normal following a stroke.

C) have the family members leave the patient alone for a few minutes.

D) teach the family that emotional outbursts are common after strokes.

Q2) After a patient experienced a brief episode of tinnitus,diplopia,and dysarthria with no residual effects,the nurse anticipates teaching the patient about A) cerebral aneurysm clipping.

B) heparin intravenous infusion.

C) oral low-dose aspirin therapy.

D) tissue plasminogen activator (tPA).

Q3) A 47-year-old patient will attempt oral feedings for the first time since having a stroke.The nurse should assess the gag reflex and then

A) order a varied pureed diet.

B) assess the patient's appetite.

C) assist the patient into a chair.

D) offer the patient a sip of juice.

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Chapter 55: Nursing Management: Chronic Neurological Problems

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36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/33856

Sample Questions

Q1) A 76-year-old patient is being treated with carbidopa/levodopa (Sinemet)for Parkinson's disease.Which information is most important for the nurse to report to the health care provider?

A) Shuffling gait

B) Tremor at rest

C) Cogwheel rigidity of limbs

D) Uncontrolled head movement

Q2) Which nursing diagnosis is of highest priority for a patient with Parkinson's disease who is unable to move the facial muscles?

A) Activity intolerance

B) Self-care deficit: toileting

C) Ineffective self-health management

D) Imbalanced nutrition: less than body requirements

Q3) A patient has been taking phenytoin (Dilantin)for 2 years.Which action will the nurse take when evaluating for adverse effects of the medication?

A) Inspect the oral mucosa.

B) Listen to the lung sounds.

C) Auscultate the bowel tones.

D) Check pupil reaction to light.

Page 55

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Chapter 56: Nursing Management: Delirium,depression and Dementia

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/33857

Sample Questions

Q1) When administering a mental status examination to a patient with delirium,the nurse should

A) wait until the patient is well-rested.

B) administer an anxiolytic medication.

C) choose a place without distracting stimuli.

D) reorient the patient during the examination.

Q2) A 71-year-old patient with Alzheimer's disease (AD)who is being admitted to a long-term care facility has had several episodes of wandering away from home.Which action will the nurse include in the plan of care?

A) Reorient the patient several times daily.

B) Have the family bring in familiar items.

C) Place the patient in a room close to the nurses' station.

D) Ask the patient why the wandering episodes have occurred.

Q3) Which intervention will the nurse include in the plan of care for a patient with moderate dementia who had an appendectomy 2 days ago?

A) Provide complete personal hygiene care for the patient.

B) Remind the patient frequently about being in the hospital.

C) Reposition the patient frequently to avoid skin breakdown.

D) Place suction at the bedside to decrease the risk for aspiration.

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Chapter 57: Nursing Management: Peripheral Nerve and Spinal Cord Problems

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33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/33858

Sample Questions

Q1) A patient with paraplegia resulting from a T9 spinal cord injury has a neurogenic reflexic bladder.Which action will the nurse include in the plan of care?

A) Teach the patient the Credé method.

B) Instruct the patient how to self-catheterize.

C) Catheterize for residual urine after voiding.

D) Assist the patient to the toilet every 2 hours.

Q2) Before administering botulinum antitoxin to a patient in the emergency department,it is most important for the nurse to

A) obtain the patient's temperature.

B) administer an intradermal test dose.

C) document the neurologic symptoms.

D) ask the patient about an allergy to eggs.

Q3) A 68-year-old patient hospitalized with a new diagnosis of Guillain-Barré syndrome has numbness and weakness of both feet.The nurse will anticipate teaching the patient about

A) intubation and mechanical ventilation.

B) administration of corticosteroid drugs.

C) insertion of a nasogastric (NG) feeding tube.

D) infusion of immunoglobulin (Sandoglobulin).

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Chapter 58: Nursing Assessment: Musculoskeletal System

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16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/33859

Sample Questions

Q1) The nurse notes crackling sounds and a grating sensation with palpation of an older patient's elbow.How will this finding be documented?

A) Torticollis

B) Crepitation

C) Subluxation

D) Epicondylitis

Q2) Which information in a 67-year-old woman's health history will alert the nurse to the need for a more focused assessment of the musculoskeletal system?

A) The patient sprained her ankle at age 13.

B) The patient's mother became shorter with aging.

C) The patient takes ibuprofen (Advil) for occasional headaches.

D) The patient's father died of complications of miliary tuberculosis.

Q3) A 42-year-old male patient complains of shoulder pain when the nurse moves his arm behind the back.Which question should the nurse ask?

A) "Are you able to feed yourself without difficulty?"

B) "Do you have difficulty when you are putting on a shirt?"

C) "Are you able to sleep through the night without waking?"

D) "Do you ever have trouble lowering yourself to the toilet?"

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Chapter 59: Nursing Management: Musculoskeletal

Trauma and Orthopaedic Surgery

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47 Verified Questions

47 Flashcards

Source URL: https://quizplus.com/quiz/33860

Sample Questions

Q1) A patient has a long-arm plaster cast applied for immobilization of a fractured left radius.Until the cast has completely dried,the nurse should

A) keep the left arm in dependent position.

B) avoid handling the cast using fingertips.

C) place gauze around the cast edge to pad any roughness.

D) cover the cast with a small blanket to absorb the dampness.

Q2) A patient is being discharged 4 days after hip replacement surgery using the posterior approach.Which patient action requires immediate intervention by the nurse?

A) The patient uses crutches with a swing-to gait.

B) The patient leans over to pull shoes and socks on.

C) The patient sits straight up on the edge of the bed.

D) The patient bends over the sink while brushing teeth.

Q3) Which action will the urgent care nurse take when caring for a patient who has a possible knee meniscus injury?

A) Encourage bed rest for 24 to 48 hours.

B) Avoid palpation or movement of the knee.

C) Apply a knee immobilizer to the affected leg.

D) Administer intravenous narcotics for pain relief.

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Chapter 60: Nursing Management: Musculoskeletal

Problems

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/33861

Sample Questions

Q1) Which action will the nurse take first when a patient is seen in the outpatient clinic with neck pain?

A) Provide information about therapeutic neck exercises.

B) Ask about numbness or tingling of the hands and arms.

C) Suggest that the patient alternate the use of heat and cold to the neck to treat the pain.

D) Teach about the use of nonsteroidal antiinflammatory drugs such as ibuprofen (Advil).

Q2) Which actions will the nurse include in the plan of care when caring for a patient with metastatic bone cancer of the left femur (select all that apply)?

A) Monitor serum calcium level.

B) Teach about the need for strict bed rest.

C) Avoid use of sustained-release opioids for pain.

D) Support the left leg when repositioning the patient.

E) Support family as they discuss the prognosis of patient

Q3) A patient with osteomyelitis is to receive vancomycin (Vancocin)500 mg IV every 6 hours.The vancomycin is diluted in 100 mL of normal saline and needs to be administered over 1 hour.The nurse will set the IV pump for how many mL/minute? (Round to the nearest hundredth.)

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Chapter 61: Nursing Management: Arthritis and Connective

Tissue Diseases

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47 Verified Questions

47 Flashcards

Source URL: https://quizplus.com/quiz/33862

Sample Questions

Q1) A 25-year-old female patient with systemic lupus erythematosus (SLE)who has a facial rash and alopecia tells the nurse,"I never leave my house because I hate the way I look." An appropriate nursing diagnosis for the patient is

A) activity intolerance related to fatigue and inactivity.

B) impaired social interaction related to lack of social skills.

C) impaired skin integrity related to itching and skin sloughing.

D) social isolation related to embarrassment about the effects of SLE.

Q2) A 71-year-old patient who takes multiple medications develops acute gouty arthritis.The nurse will consult with the health care provider before giving the prescribed dose of

A) sertraline (Zoloft).

B) famotidine (Pepcid).

C) oxycodone (Roxicodone).

D) hydrochlorothiazide (HydroDIURIL).

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Chapter 62: Nursing Management: Critical Care Environment

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41 Flashcards

Source URL: https://quizplus.com/quiz/33863

Sample Questions

Q1) The nurse is caring for a patient who has an intraaortic balloon pump in place.Which action should be included in the plan of care?

A) Position the patient supine at all times.

B) Avoid the use of anticoagulant medications.

C) Measure the patient's urinary output every hour.

D) Provide passive range of motion for all extremities.

Q2) The family members of a patient who has just been admitted to the intensive care unit (ICU)with multiple traumatic injuries have just arrived in the ICU waiting room.Which action should the nurse take next?

A) Explain ICU visitation policies and encourage family visits.

B) Immediately take the family members to the patient's bedside.

C) Describe the patient's injuries and the care that is being provided.

D) Invite the family to participate in a multidisciplinary care conference.

Q3) Which assessment finding obtained by the nurse when caring for a patient receiving mechanical ventilation indicates the need for suctioning?

A) The patient's oxygen saturation is 93%.

B) The patient was last suctioned 6 hours ago.

C) The patient's respiratory rate is 32 breaths/minute.

D) The patient has occasional audible expiratory wheezes.

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Chapter 63: Nursing Management: Shock,systemic

Inflammatory Response Syndrome and Multiple Organ

Dysfunction Syndrome

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/33864

Sample Questions

Q1) Norepinephrine (Levophed)has been prescribed for a patient who was admitted with dehydration and hypotension.Which patient data indicate that the nurse should consult with the health care provider before starting the norepinephrine?

A) The patient's central venous pressure is 3 mm Hg.

B) The patient is in sinus tachycardia at 120 beats/min.

C) The patient is receiving low dose dopamine (Intropin).

D) The patient has had no urine output since being admitted.

Q2) Which finding about a patient who is receiving vasopressin (Pitressin)to treat septic shock is most important for the nurse to communicate to the health care provider?

A) The patient's urine output is 18 mL/hr.

B) The patient's heart rate is 110 beats/minute.

C) The patient is complaining of chest pain.

D) The patient's peripheral pulses are weak.

Q3) A 198-lb patient is to receive a dobutamine infusion at 5 mcg/kg/minute.The label on the infusion bag states: dobutamine 250 mg in 250 mL normal saline.When setting the infusion pump,the nurse will set the infusion rate at how many mL per hour?

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Chapter 64: Nursing Management: Respiratory Failure and

Acute Respiratory Distress Syndrome

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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/33865

Sample Questions

Q1) To evaluate the effectiveness of ordered interventions for a patient with ventilatory failure,which diagnostic test will be most useful to the nurse?

A) Chest x-ray

B) Oxygen saturation

C) Arterial blood gas analysis

D) Central venous pressure monitoring

Q2) A patient admitted with acute respiratory failure has a nursing diagnosis of ineffective airway clearance related to thick,secretions.Which action is a priority for the nurse to include in the plan of care?

A) Encourage use of the incentive spirometer.

B) Offer the patient fluids at frequent intervals.

C) Teach the patient the importance of ambulation.

D) Titrate oxygen level to keep O₂ saturation >93%.

Q3) After receiving change-of-shift report on a medical unit,which patient should the nurse assess first?

A) A patient with cystic fibrosis who has thick, green-colored sputum

B) A patient with pneumonia who has crackles bilaterally in the lung bases

C) A patient with emphysema who has an oxygen saturation of 90% to 92%

D) A patient with septicemia who has intercostal and suprasternal retractions

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Chapter 65: Nursing Management: Emergency Care Situations

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/33866

Sample Questions

Q1) During the primary assessment of a victim of a motor vehicle collision,the nurse determines that the patient is breathing and has an unobstructed airway.Which action should the nurse take next?

A) Palpate extremities for bilateral pulses.

B) Observe the patient's respiratory effort.

C) Check the patient's level of consciousness.

D) Examine the patient for any external bleeding.

Q2) A 20-year-old patient arrives in the emergency department (ED)several hours after taking "25 to 30" acetaminophen (Tylenol)tablets.Which action will the nurse plan to take?

A) Give N-acetylcysteine (Mucomyst).

B) Discuss the use of chelation therapy.

C) Start oxygen using a non-rebreather mask.

D) Have the patient drink large amounts of water.

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