Comprehensive Nursing Care Final Test Solutions - 1769 Verified Questions

Comprehensive Nursing Care

Final Test Solutions

Course Introduction

Comprehensive Nursing Care is designed to equip students with the knowledge and skills necessary to deliver holistic, patient-centered nursing care across the lifespan. Emphasizing the integration of physical, psychological, social, and cultural factors, the course addresses the needs of diverse patient populations in various healthcare settings. Students will engage with core concepts such as assessment, care planning, implementation, and evaluation of nursing interventions, promoting health, managing illness, and supporting recovery. Through a combination of theoretical instruction and practical clinical experiences, students will develop competence in critical thinking, effective communication, and interdisciplinary collaboration, preparing them to provide high-quality, evidence-based nursing care.

Recommended Textbook

Medical Surgical Nursing 8th Edition by Ignatavicius

Available Study Resources on Quizplus

74 Chapters

1769 Verified Questions

1769 Flashcards

Source URL: https://quizplus.com/study-set/814

Page 2

Chapter 1: Introduction to Medical Surgical Nursing Practice

Available Study Resources on Quizplus for this Chatper

15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/16109

Sample Questions

Q1) A nurse is calling the on-call physician about a client who had a hysterectomy 2 days ago and has pain that is unrelieved by the prescribed narcotic pain medication.Which statement is part of the SBAR format for communication?

A) A: "I would like you to order a different pain medication."

B) B: "This client has allergies to morphine and codeine."

C) R: "Dr.Smith doesn't like nonsteroidal anti-inflammatory meds."

D) S: "This client had a vaginal hysterectomy 2 days ago."

Answer: B

Q2) A nurse manager wishes to ensure that the nurses on the unit are practicing at their highest levels of competency.Which areas should the manager assess to determine if the nursing staff demonstrate competency according to the Institute of Medicine (IOM)report Health Professions Education: A Bridge to Quality? (Select all that apply.)

A) Collaborating with an interdisciplinary team

B) Implementing evidence-based care

C) Providing family-focused care

D) Routinely using informatics in practice

E) Using quality improvement in client care

Answer: A,B,D,E

To view all questions and flashcards with answers, click on the resource link above. Page 3

Chapter 2: Common Health Problems of Older Adults

Available Study Resources on Quizplus for this Chatper

22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/16110

Sample Questions

Q1) A nursing faculty member working with students explains that the fastest growing subset of the older population is which group?

A) Elite old

B) Middle old

C) Old old

D) Young old

Answer: C

Q2) A hospitalized older adult has been assessed at high risk for skin breakdown.Which actions does the registered nurse (RN)delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)

A) Assess skin redness when turning.

B) Document Braden Scale results.

C) Keep the client's skin dry.

D) Obtain a pressure-relieving mattress.

E) Turn the client every 2 hours.

Answer: C,D,E

To view all questions and flashcards with answers, click on the resource link above. Page 4

Chapter 3: Assessment and Care of Patients with Pain

Available Study Resources on Quizplus for this Chatper

35 Verified Questions

35 Flashcards

Source URL: https://quizplus.com/quiz/16111

Sample Questions

Q1) A nurse is assessing pain on a confused older client who has difficulty with verbal expression.What pain assessment tool would the nurse choose for this assessment?

A) Numeric rating scale

B) Verbal Descriptor Scale

C) FACES Pain Scale-Revised

D) Wong-Baker FACES Pain Scale

Answer: C

Q2) The nurse receives a hand-off report.One client is described as a drug seeker who is obsessed with even tiny changes in physical condition and is "on the light constantly" asking for more pain medication.When assessing this client's pain,what statement or question by the nurse is most appropriate?

A) "Help me understand how pain is affecting you right now."

B) "I wish I could do more; is there anything I can get for you?"

C) "You cannot have more pain medication for 3 hours."

D) "Why do you think the medication is not helping your pain?"

Answer: A

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

Chapter 4: Genetic and Genomic Concepts for Medical

Surgical Nursing

Available Study Resources on Quizplus for this Chatper

15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/16112

Sample Questions

Q1) A client is typed and crossmatched for a unit of blood.Which statement by the nurse indicates a need for further genetic education?

A) "Blood type is formed from three gene alleles: A, B, and O."

B) "Each blood type allele is inherited from the mother or the father."

C) "If the client's blood type is AB, then the client is homozygous for that trait."

D) "If the client has a dominant and a recessive blood type allele, only the dominant will be expressed."

Q2) A nurse obtains health histories when admitting clients to a medical-surgical unit.With which client should the nurse discuss predisposition genetic testing?

A) Middle-aged woman whose mother died at age 48 of breast cancer

B) Young man who has all the symptoms of rheumatoid arthritis

C) Pregnant woman whose father has sickle cell disease

D) Middle-aged man of Eastern European Jewish ancestry

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

6

Chapter 5: Evidence Based Practice in Medical Surgical

Nursing

Available Study Resources on Quizplus for this Chatper

14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/16113

Sample Questions

Q1) A nurse is searching for evidence related to a qualitative PICOT question.Which type of evidence should the nurse search first?

A) Meta-analyses with credible synthesized findings

B) Systematic reviews

C) Multi-site randomized clinical trials

D) Meta-syntheses

Q2) A nurse researcher is evaluating clinical questions.Which is a quantitative question?

A) "What are the effects of hourly rounding on client fall rates?"

B) "How do middle-aged men respond to premature balding?"

C) "What are the lived experiences of postoperative clients with pain?"

D) "What is the experience of having breast cancer like for young women?"

Q3) A nurse who wants to incorporate evidence-based practices into client care on a medical unit is meeting resistance.Which barrier does the nurse identify as preventing nurses from engaging in evidence-based practices?

A) Difficulty accessing research materials

B) Lack of value for client preferences

C) Trouble understanding client needs

D) Inadequate nurse-client ratios

To view all questions and flashcards with answers, click on the resource link above. Page 7

Chapter 6: Rehabilitation Concepts for Chronic and Disabling Health Problems

Available Study Resources on Quizplus for this Chatper

18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/16114

Sample Questions

Q1) A nurse delegates the ambulation of an older adult client to an unlicensed nursing assistant (UAP).Which statement should the nurse include when delegating this task?

A) "The client has skid-proof socks, so there is no need to use your gait belt."

B) "Teach the client how to use the walker while you are ambulating up the hall."

C) "Sit the client on the edge of the bed with legs dangling before ambulating."

D) "Ask the client if pain medication is needed before you walk the client in the hall."

Q2) A rehabilitation nurse cares for a client who is wheelchair bound.Which intervention should the nurse implement to prevent skin breakdown?

A) Place pillows under the client's heels.

B) Have the client do wheelchair push-ups.

C) Perform wound care as prescribed.

D) Massage the client's calves and feet with lotion.

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

Chapter 7: End of Life Care

Available Study Resources on Quizplus for this Chatper

18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/16115

Sample Questions

Q1) A nurse discusses inpatient hospice with a client and the client's family.A family member expresses concern that her loved one will receive only custodial care.How should the nurse respond?

A) "The goal of palliative care is to provide the greatest degree of comfort possible and help the dying person enjoy whatever time is left."

B) "Palliative care will release you from the burden of having to care for someone in the home.It does not mean that curative treatment will stop."

C) "A palliative care facility is like a nursing home and costs less than a hospital because only pain medications are given."

D) "Your relative is unaware of her surroundings and will not notice the difference between her home and a palliative care facility."

Q2) A nurse cares for a dying client.Which manifestation of dying should the nurse treat first?

A) Anorexia

B) Pain

C) Nausea

D) Hair loss

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

Chapter 8: Concepts of Emergency and Trauma Nursing

Available Study Resources on Quizplus for this Chatper

18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/16116

Sample Questions

Q1) An emergency room nurse is triaging victims of a multi-casualty event.Which client should receive care first?

A) A 30-year-old distraught mother holding her crying child

B) A 65-year-old conscious male with a head laceration

C) A 26-year-old male who has pale, cool, clammy skin

D) A 48-year-old with a simple fracture of the lower leg

Q2) An emergency room nurse is caring for a trauma client.Which interventions should the nurse perform during the primary survey? (Select all that apply.)

A) Foley catheterization

B) Needle decompression

C) Initiating IV fluids

D) Splinting open fractures

E) Endotracheal intubation

F) Removing wet clothing

G) Laceration repair

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

10

Chapter 9: Care of Patients with Common Environmental Emergencies

Available Study Resources on Quizplus for this Chatper

19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/16117

Sample Questions

Q1) On a hot humid day,an emergency department nurse is caring for a client who is confused and has these vital signs: temperature 104.1° F (40.1° C),pulse 132 beats/min,respirations 26 breaths/min,blood pressure 106/66 mm Hg.Which action should the nurse take?

A) Encourage the client to drink cool water or sports drinks.

B) Start an intravenous line and infuse 0.9% saline solution.

C) Administer acetaminophen (Tylenol) 650 mg orally.

D) Encourage rest and re-assess in 15 minutes.

Q2) A nurse assesses a client admitted with a brown recluse spider bite.Which priority assessment should the nurse perform to identify complications of this bite?

A) Ask the client about pruritus at the bite site.

B) Inspect the bite site for a bluish purple vesicle.

C) Assess the extremity for redness and swelling.

D) Monitor the client's temperature every 4 hours.

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

11

Chapter 10: Concepts of Emergency and Disaster

Preparedness

Available Study Resources on Quizplus for this Chatper

16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/16118

Sample Questions

Q1) A nurse is caring for a client whose wife died in a recent mass casualty accident.The client says,"I can't believe that my wife is gone and I am left to raise my children all by myself." How should the nurse respond?

A) "Please accept my sympathies for your loss."

B) "I can call the hospital chaplain if you wish."

C) "You sound anxious about being a single parent."

D) "At least your children still have you in their lives."

Q2) A client who is hospitalized with burns after losing the family home in a fire becomes angry and screams at a nurse when dinner is served late.How should the nurse respond?

A) "Do you need something for pain right now?"

B) "Please stop yelling.I brought dinner as soon as I could."

C) "I suggest that you get control of yourself."

D) "You seem upset.I have time to talk if you'd like."

To view all questions and flashcards with answers, click on the resource link above. Page 12

Chapter 11: Assessment and Care of Patients with Fluid and Electrolyte Imbalances

Available Study Resources on Quizplus for this Chatper

24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/16119

Sample Questions

Q1) A nurse cares for a client who has a serum potassium of 7.5 mEq/L and is exhibiting cardiovascular changes.Which prescription should the nurse implement first?

A) Prepare to administer sodium polystyrene sulfate (Kayexalate) 15 g by mouth.

B) Provide a heart healthy, low-potassium diet.

C) Prepare to administer dextrose 20% and 10 units of regular insulin IV push.

D) Prepare the client for hemodialysis treatment.

Q2) A nurse is assessing a client with hypokalemia,and notes that the client's handgrip strength has diminished since the previous assessment 1 hour ago.Which action should the nurse take first?

A) Assess the client's respiratory rate, rhythm, and depth.

B) Measure the client's pulse and blood pressure.

C) Document findings and monitor the client.

D) Call the health care provider.

Q3) A nurse is caring for a client who has a serum calcium level of 14 mg/dL.Which provider order should the nurse implement first?

A) Encourage oral fluid intake.

B) Connect the client to a cardiac monitor.

C) Assess urinary output.

D) Administer oral calcitonin (Calcimar).

To view all questions and flashcards with answers, click on the resource link above. Page 13

Chapter 12: Assessment and Care of Patients with Acid-Base Imbalances

Available Study Resources on Quizplus for this Chatper

20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/16120

Sample Questions

Q1) A nurse is caring for a client who is experiencing excessive diarrhea.The client's arterial blood gas values are pH 7.28,PaO₂ 98 mm Hg,PaCO₂ 45 mm Hg,and HCO₃- 16 mEq/L.Which provider order should the nurse expect to receive?

A) Furosemide (Lasix) 40 mg intravenous push

B) Sodium bicarbonate 100 mEq diluted in 1 L of D₅W

C) Mechanical ventilation

D) Indwelling urinary catheter

Q2) A nurse is planning care for a client who is hyperventilating.The client's arterial blood gas values are pH 7.30,PaO₂ 94 mm Hg,PaCO₂ 31 mm Hg,and HCO_3- 26 mEq/L.Which question should the nurse ask when developing this client's plan of care?

A) "Do you take any over-the-counter medications?"

B) "You appear anxious.What is causing your distress?"

C) "Do you have a history of anxiety attacks?"

D) "You are breathing fast.Is this causing you to feel light-headed?

To view all questions and flashcards with answers, click on the resource link above. Page 14

Chapter 13: Infusion Therapy

Available Study Resources on Quizplus for this Chatper

24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/16121

Sample Questions

Q1) A nurse assists with the insertion of a central vascular access device.Which actions should the nurse ensure are completed to prevent a catheter-related bloodstream infection? (Select all that apply.)

A) Include a review for the need of the device each day in the client's plan of care.

B) Remind the provider to perform hand hygiene prior to starting the procedure.

C) Cleanse the preferred site with alcohol and let it dry completely before insertion.

D) Ask everyone in the room to wear a surgical mask during the procedure.

E) Plan to complete a sterile dressing change on the device every day.

Q2) A nurse assesses a client's peripheral IV site,and notices edema and tenderness above the site.Which action should the nurse take next?

A) Apply cold compresses to the IV site.

B) Elevate the extremity on a pillow.

C) Flush the catheter with normal saline.

D) Stop the infusion of intravenous fluids.

Q3) A client is prescribed 1000 mL of normal saline to infuse over 24 hours.At what rate should the nurse set the pump (mL/hr)to deliver this infusion? (Record your answer using a whole number.)____ mL/hr

To view all questions and flashcards with answers, click on the resource link above. Page 15

Chapter 14: Care of Preoperative Patients

Available Study Resources on Quizplus for this Chatper

27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/16122

Sample Questions

Q1) A new perioperative nurse is receiving orientation to the surgical area and learns about the Surgical Care Improvement Project (SCIP)goals.What major areas do these measures focus on preventing? (Select all that apply.)

A) Hemorrhage

B) Infection

C) Serious cardiac events

D) Stroke

E) Thromboembolism

Q2) A nurse recently hired to the preoperative area learns that certain clients are at higher risk for venous thromboembolism (VTE).Which clients are considered at high risk? (Select all that apply.)

A) Client with a humerus fracture

B) Morbidly obese client

C) Client who underwent a prolonged surgical procedure

D) Client with severe heart failure

E) Wheelchair-bound client

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

16

Chapter 15: Care of Intraoperative Patients

Available Study Resources on Quizplus for this Chatper

18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/16123

Sample Questions

Q1) A client is having shoulder surgery with regional anesthesia.What actions by the nurse are most important to enhance client safety related to this anesthesia? (Select all that apply.)

A) Assessing distal circulation to the operative arm after positioning

B) Keeping the client warm during the operative procedure

C) Padding the client's shoulder and arm on the operating table

D) Preparing to suction the client's airway if the client vomits

E) Speaking in a low, quiet voice as anesthesia is administered

Q2) The circulating nurse is plugging in a piece of equipment and notes that the cord is frayed.What action by the nurse is best?

A) Call maintenance for repair.

B) Check the machine before using.

C) Get another piece of equipment.

D) Notify the charge nurse.

Q3) A client is in stage 2 of general anesthesia.What action by the nurse is most important?

A) Keeping the room quiet and calm

B) Being prepared to suction the airway

C) Positioning the client correctly

D) Warming the client with blankets

To view all questions and flashcards with answers, click on the resource link above. Page 17

Chapter 16: Care of Postoperative Patients

Available Study Resources on Quizplus for this Chatper

21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/16124

Sample Questions

Q1) A client had a surgical procedure with spinal anesthesia.The nurse raises the head of the client's bed.The client's blood pressure changes from 122/78 mm Hg to 102/50 mm Hg.What action by the nurse is best?

A) Call the Rapid Response Team.

B) Increase the IV fluid rate.

C) Lower the head of the bed.

D) Nothing; this is expected.

Q2) A postoperative client has just been admitted to the postanesthesia care unit (PACU).What assessment by the PACU nurse takes priority?

A) Airway

B) Bleeding

C) Breathing

D) Cardiac rhythm

Q3) The postanesthesia care unit (PACU)charge nurse notes vital signs on four postoperative clients.Which client should the nurse assess first?

A) Client with a blood pressure of 100/50 mm Hg

B) Client with a pulse of 118 beats/min

C) Client with a respiratory rate of 6 breaths/min

D) Client with a temperature of 96° F (35.6° C)

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

Page 18

Chapter 17: Inflammation and Immunity

Available Study Resources on Quizplus for this Chatper

19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/16125

Sample Questions

Q1) The student nurse learns that the most important function of inflammation and immunity is which purpose?

A) Destroying bacteria before damage occurs

B) Preventing any entry of foreign material

C) Providing protection against invading organisms

D) Regulating the process of self-tolerance

Q2) A client is taking prednisone to prevent transplant rejection.What instruction by the nurse is most important?

A) "Avoid large crowds and people who are ill."

B) "Check over-the-counter meds for acetaminophen."

C) "Take this medicine exactly as prescribed."

D) "You have a higher risk of developing cancer."

Q3) A nurse is assessing an older client for the presence of infection.The client's temperature is 97.6° F (36.4° C).What response by the nurse is best?

A) Assess the client for more specific signs.

B) Conclude that an infection is not present.

C) Document findings and continue to monitor.

D) Request that the provider order blood cultures.

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

19

Chapter 18: Care of Patients with Arthritis and Other

Connective Tissue Diseases

Available Study Resources on Quizplus for this Chatper

49 Verified Questions

49 Flashcards

Source URL: https://quizplus.com/quiz/16126

Sample Questions

Q1) The nurse is working with a client who has rheumatoid arthritis (RA).The nurse has identified the priority problem of poor body image for the client.What finding by the nurse indicates goals for this client problem are being met?

A) Attends meetings of a book club

B) Has a positive outlook on life

C) Takes medication as directed

D) Uses assistive devices to protect joints

Q2) A client comes to the family medicine clinic and reports joint pain and stiffness.The nurse is asked to assess the client for Heberden's nodules.What assessment technique is correct?

A) Inspect the client's distal finger joints.

B) Palpate the client's abdomen for tenderness.

C) Palpate the client's upper body lymph nodes.

D) Perform range of motion on the client's wrists.

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

20

Chapter 19: Care of Patients with HIV Disease and Other Immune Deficiencies

Available Study Resources on Quizplus for this Chatper

26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/16127

Sample Questions

Q1) A client with human immune deficiency virus is admitted to the hospital with fever,night sweats,and severe cough.Laboratory results include a CD4+ cell count of 180/mm³ and a negative tuberculosis (TB)skin test 4 days ago.What action should the nurse take first?

A) Initiate Droplet Precautions for the client.

B) Notify the provider about the CD4+ results.

C) Place the client under Airborne Precautions.

D) Use Standard Precautions to provide care.

Q2) A client with acquired immune deficiency syndrome (AIDS)is hospitalized with Pneumocystis jiroveci pneumonia and is started on the drug of choice for this infection.What laboratory values should the nurse report to the provider as a priority? (Select all that apply.)

A) Aspartate transaminase, alanine transaminase: elevated

B) CD4+ cell count: 180/mm³

C) Creatinine: 1.0 mg/dL

D) Platelet count: 80,000/mm³

E) Serum sodium: 120 mEq/L

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

Page 21

Chapter 20: Care of Patients with Immune Function Excess:

Hypersensitivity (Allergy)and Autoimmunity

Available Study Resources on Quizplus for this Chatper

13 Verified Questions

13 Flashcards

Source URL: https://quizplus.com/quiz/16128

Sample Questions

Q1) The nursing student is studying hypersensitivity reactions.Which reactions are correctly matched with their hypersensitivity types? (Select all that apply.)

A) Type I - Examples include hay fever and anaphylaxis

B) Type II - Mediated by action of immunoglobulin M (IgM)

C) Type III - Immune complex deposits in blood vessel walls

D) Type IV - Examples are poison ivy and transplant rejection

E) Type V - Examples include a positive tuberculosis test and sarcoidosis

Q2) A client with Sjögren's syndrome reports dry skin,eyes,mouth,and vagina.What nonpharmacologic comfort measure does the nurse suggest?

A) Frequent eyedrops

B) Home humidifier

C) Strong moisturizer

D) Tear duct plugs

Q3) A nurse works in an allergy clinic.What task performed by the nurse takes priority?

A) Checking emergency equipment each morning

B) Ensuring informed consent is obtained as needed

C) Providing educational materials in several languages

D) Teaching clients how to manage their allergies

To view all questions and flashcards with answers, click on the resource link above. Page 22

Chapter 21: Cancer Development

Available Study Resources on Quizplus for this Chatper

14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/16129

Sample Questions

Q1) The nursing student learning about cancer development remembers characteristics of normal cells.Which characteristics does this include? (Select all that apply.)

A) Differentiated function

B) Large nucleus-to-cytoplasm ratio

C) Loose adherence

D) Nonmigratory

E) Specific morphology

Q2) The nurse caring for oncology clients knows that which form of metastasis is the most common?

A) Bloodborne

B) Direct invasion

C) Lymphatic spread

D) Via bone marrow

Q3) Which statement about carcinogenesis is accurate?

A) An initiated cell will always become clinical cancer.

B) Cancer becomes a health problem once it is 1 cm in size.

C) Normal hormones and proteins do not promote cancer growth.

D) Tumor cells need to develop their own blood supply.

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

Chapter 22: Care of Patients with Cancer

Available Study Resources on Quizplus for this Chatper

32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/16130

Sample Questions

Q1) A client has received a dose of ondansetron (Zofran)for nausea.What action by the nurse is most important?

A) Assess the client for a headache.

B) Assist the client in getting out of bed.

C) Instruct the client to reduce salt intake.

D) Weigh the client daily before the client eats.

Q2) A client with cancer has anorexia and mucositis,and is losing weight.The client's family members continually bring favorite foods to the client and are distressed when the client won't eat them.What action by the nurse is best?

A) Explain the pathophysiologic reasons behind the client not eating.

B) Help the family show other ways to demonstrate love and caring.

C) Suggest foods and liquids the client might be willing to try to eat.

D) Tell the family the client isn't able to eat now no matter what they bring.

Q3) The nurse has taught a client with cancer ways to prevent infection.What statement by the client indicates that more teaching is needed?

A) "I should take my temperature daily and when I don't feel well."

B) "I will wash my toothbrush in the dishwasher once a week."

C) "I won't let anyone share any of my personal items or dishes."

D) "It's alright for me to keep my pets and change the litter box."

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

Page 24

Chapter 23: Care of Patients with Infection

Available Study Resources on Quizplus for this Chatper

21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/16131

Sample Questions

Q1) A client has been placed on Contact Precautions.The client's family is very afraid to visit for fear of being "contaminated" by the client.What action by the nurse is best?

A) Explain to them that these precautions are mandated by law.

B) Inform them that the infection is the issue, not the client.

C) Reassure the family that they will not get the infection.

D) Tell the family it is important that they visit the client.

Q2) A client is admitted with possible sepsis.Which action should the nurse perform first?

A) Administer antibiotics.

B) Give an antipyretic.

C) Place the client in isolation.

D) Obtain specified cultures.

Q3) A client is hospitalized and on multiple antibiotics.The client develops frequent diarrhea.What action by the nurse is most important?

A) Consult with the provider about obtaining stool cultures.

B) Delegate frequent perianal care to unlicensed assistive personnel.

C) Place the client on NPO status until the diarrhea resolves.

D) Request a prescription for an anti-diarrheal medication.

To view all questions and flashcards with answers, click on the resource link above. Page 25

Chapter 24: Assessment of the Skin, Hair, and Nails

Available Study Resources on Quizplus for this Chatper

15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/16132

Sample Questions

Q1) A nurse assesses a client who has multiple areas of ecchymosis on both arms.Which question should the nurse ask first?

A) "Are you using lotion on your skin?"

B) "Do you have a family history of this?"

C) "Do your arms itch?"

D) "What medications are you taking?"

Q2) During skin inspection of a client,a nurse observes lesions with wavy borders that are widespread across the client's chest.Which descriptors should the nurse use to document these observations?

A) Clustered and annular

B) Linear and circinate

C) Diffuse and serpiginous

D) Coalesced and circumscribed

Q3) A nurse assesses a client who has open lesions.Which action should the nurse take first?

A) Put on gloves.

B) Ask the client about his or her occupation.

C) Assess the client's pain.

D) Obtain vital signs.

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

Page 26

Chapter 25: Care of Patients with Skin Problems

Available Study Resources on Quizplus for this Chatper

30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/16133

Sample Questions

Q1) A nurse cares for older adult clients in a long-term acute care facility.Which interventions should the nurse implement to prevent skin breakdown in these clients? (Select all that apply.)

A) Use a lift sheet when moving the client in bed.

B) Avoid tape when applying dressings.

C) Avoid whirlpool therapy.

D) Use loose dressing on all wounds.

E) Implement pressure-relieving devices.

Q2) A nurse cares for a client who is prescribed vancomycin (Vancocin)500 mg IV every 6 hours for a methicillin-resistant Staphylococcus aureus (MRSA)infection.Which action should the nurse take?

A) Administer it over 30 minutes using an IV pump.

B) Give the client diphenhydramine (Benadryl) before the drug.

C) Assess the IV site at least every 2 hours for thrombophlebitis.

D) Ensure that the client has increased oral intake during therapy.

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

Chapter 26: Care of Patients with Burns

Available Study Resources on Quizplus for this Chatper

30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/16134

Sample Questions

Q1) An emergency room nurse implements fluid replacement for a client with severe burn injuries.The provider prescribes a liter of 0.9% normal saline to infuse over 1 hour and 30 minutes via gravity tubing with a drip factor of 30 drops/mL.At what rate should the nurse administer the infusion? (Record your answer using a whole number and rounding to the nearest drop.)____ drops/min

Q2) A nurse cares for a client with burn injuries.Which intervention should the nurse implement to appropriately reduce the client's pain?

A) Administer the prescribed intravenous morphine sulfate.

B) Apply ice to skin around the burn wound for 20 minutes.

C) Administer prescribed intramuscular ketorolac (Toradol).

D) Decrease tactile stimulation near the burn injuries.

Q3) A nurse assesses a client who has burn injuries and notes crackles in bilateral lung bases,a respiratory rate of 40 breaths/min,and a productive cough with blood-tinged sputum.Which action should the nurse take next?

A) Administer furosemide (Lasix).

B) Perform chest physiotherapy.

C) Document and reassess in an hour.

D) Place the client in an upright position.

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

28

Chapter 27: Assessment of the Respiratory System

Available Study Resources on Quizplus for this Chatper

20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/16135

Sample Questions

Q1) A nurse plans care for a client who is at high risk for a pulmonary infection.Which interventions should the nurse include in this client's plan of care? (Select all that apply.)

A) Encourage deep breathing and coughing.

B) Implement an air mattress overlay.

C) Ambulate the client three times each day.

D) Provide a diet high in protein and vitamins.

E) Administer acetaminophen (Tylenol) twice daily.

Q2) A nurse assesses a client's respiratory status.Which information is of highest priority for the nurse to obtain?

A) Average daily fluid intake

B) Neck circumference

C) Height and weight

D) Occupation and hobbies

Q3) A nurse assesses a 66-year-old client who is attempting to quit smoking.The client states,"I started smoking at age 16,and smoked one pack each day until 10 years ago.Then I decreased to a half of a pack per day." How many pack-years should the nurse document for this client? (Record your answer using a whole number.)___ pack-years

To view all questions and flashcards with answers, click on the resource link above. Page 29

Chapter 28: Care of Patients Requiring Oxygen Therapy or Tracheostomy

Available Study Resources on Quizplus for this Chatper

18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/16136

Sample Questions

Q1) A student is practicing suctioning a tracheostomy in the skills laboratory.What action by the student demonstrates that more teaching is needed?

A) Applying suction while inserting the catheter

B) Preoxygenating the client prior to suctioning

C) Suctioning for a total of three times if needed

D) Suctioning for only 10 to 15 seconds each time

Q2) A client is wearing a Venturi mask to deliver oxygen and the dinner tray has arrived.What action by the nurse is best?

A) Assess the client's oxygen saturation and, if normal, turn off the oxygen.

B) Determine if the client can switch to a nasal cannula during the meal.

C) Have the client lift the mask off the face when taking bites of food.

D) Turn the oxygen off while the client eats the meal and then restart it.

Q3) A nursing student caring for a client removes the client's oxygen as prescribed.The client is now breathing what percentage of oxygen in the room air?

A) 14%

B) 21%

C) 28%

D) 31%

To view all questions and flashcards with answers, click on the resource link above. Page 30

Chapter 29: Care of Patients with Noninfectious Upper

Respiratory

Problems

Available Study Resources on Quizplus for this Chatper

20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/16137

Sample Questions

Q1) A nurse cares for a client who is scheduled for a total laryngectomy.Which action should the nurse take prior to surgery?

A) Assess airway patency, breathing, and circulation.

B) Administer prescribed intravenous pain medication.

C) Assist the client to choose a communication method.

D) Ambulate the client in the hallway to assess gait.

Q2) A nurse is assessing a client who has suffered a nasal fracture.Which assessment should the nurse perform first?

A) Facial pain

B) Vital signs

C) Bone displacement

D) Airway patency

Q3) A nurse is caring for a client who has sleep apnea and is prescribed modafinil (Provigil).The client asks,"How will this medication help me?" How should the nurse respond?

A) "This medication will treat your sleep apnea."

B) "This sedative will help you to sleep at night."

C) "This medication will promote daytime wakefulness."

D) "This analgesic will increase comfort while you sleep."

Page 31

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

Chapter 30: Care of Patients with Noninfectious Lower

Respiratory

Problems

Available Study Resources on Quizplus for this Chatper

35 Verified Questions

35 Flashcards

Source URL: https://quizplus.com/quiz/16138

Sample Questions

Q1) A nurse cares for a client who is infected with Burkholderia cepacia.Which action should the nurse take first when admitting this client to a pulmonary care unit?

A) Instruct the client to wash his or her hands after contact with other people.

B) Implement Droplet Precautions and don a surgical mask.

C) Keep the client isolated from other clients with cystic fibrosis.

D) Obtain blood, sputum, and urine culture specimens.

Q2) A nurse cares for a client with chronic obstructive pulmonary disease (COPD)who appears thin and disheveled.Which question should the nurse ask first?

A) "Do you have a strong support system?"

B) "What do you understand about your disease?"

C) "Do you experience shortness of breath with basic activities?"

D) "What medications are you prescribed to take each day?"

Q3) A nurse assesses a client who is prescribed fluticasone (Flovent)and notes oral lesions.Which action should the nurse take?

A) Encourage oral rinsing after fluticasone administration.

B) Obtain an oral specimen for culture and sensitivity.

C) Start the client on a broad-spectrum antibiotic.

D) Document the finding as a known side effect.

To view all questions and flashcards with answers, click on the resource link above. Page 32

Chapter 31: Care of Patients with Infectious Respiratory Problems

Available Study Resources on Quizplus for this Chatper

25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/16139

Sample Questions

Q1) A client has been diagnosed with tuberculosis (TB).What action by the nurse takes highest priority?

A) Educating the client on adherence to the treatment regimen

B) Encouraging the client to eat a well-balanced diet

C) Informing the client about follow-up sputum cultures

D) Teaching the client ways to balance rest with activity

Q2) A nurse has educated a client on isoniazid (INH).What statement by the client indicates teaching has been effective?

A) "I need to take extra vitamin C while on INH."

B) "I should take this medicine with milk or juice."

C) "I will take this medication on an empty stomach."

D) "My contact lenses will be permanently stained."

Q3) A client is in the family practice clinic reporting a severe cough that has lasted for 5 weeks.The client is so exhausted after coughing that work has become impossible.What action by the nurse is most appropriate?

A) Arrange for immediate hospitalization.

B) Facilitate polymerase chain reaction testing.

C) Have the client produce a sputum sample.

D) Obtain two sets of blood cultures.

Page 33

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

Chapter 32: Care of Critically Ill Patients with Respiratory Problems

Available Study Resources on Quizplus for this Chatper

30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/16140

Sample Questions

Q1) A nurse is caring for five clients.For which clients would the nurse assess a high risk for developing a pulmonary embolism (PE)? (Select all that apply.)

A) Client who had a reaction to contrast dye yesterday

B) Client with a new spinal cord injury on a rotating bed

C) Middle-aged man with an exacerbation of asthma

D) Older client who is 1-day post hip replacement surgery

E) Young obese client with a fractured femur

Q2) When working with women who are taking hormonal birth control,what health promotion measures should the nurse teach to prevent possible pulmonary embolism (PE)? (Select all that apply.)

A) Avoid drinking alcohol.

B) Eat more omega-3 fatty acids.

C) Exercise on a regular basis.

D) Maintain a healthy weight.

E) Stop smoking cigarettes.

Q3) A 242-pound client is being mechanically ventilated.To prevent lung injury,what setting should the nurse anticipate for tidal volume? (Record your answer using a whole number.)___ mL

To view all questions and flashcards with answers, click on the resource link above. Page 34

Chapter 33: Assessment of the Cardiovascular System

Available Study Resources on Quizplus for this Chatper

27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/16141

Sample Questions

Q1) A nurse prepares a client for a pharmacologic stress echocardiogram.Which actions should the nurse take when preparing this client for the procedure? (Select all that apply.)

A) Assist the provider to place a central venous access device.

B) Prepare for continuous blood pressure and pulse monitoring.

C) Administer the client's prescribed beta blocker.

D) Give the client nothing by mouth 3 to 6 hours before the procedure.

E) Explain to the client that dobutamine will simulate exercise for this examination.

Q2) A nurse is caring for a client with a history of renal insufficiency who is scheduled for a cardiac catheterization.Which actions should the nurse take prior to the catheterization? (Select all that apply.)

A) Assess for allergies to iodine.

B) Administer intravenous fluids.

C) Assess blood urea nitrogen (BUN) and creatinine results.

D) Insert a Foley catheter.

E) Administer a prophylactic antibiotic.

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

Chapter 34: Care of Patients with Dysrhythmias

Available Study Resources on Quizplus for this Chatper

25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/16142

Sample Questions

Q1) A nurse cares for a client with atrial fibrillation who reports fatigue when completing activities of daily living.What interventions should the nurse implement to address this client's concerns?

A) Administer oxygen therapy at 2 liters per nasal cannula.

B) Provide the client with a sleeping pill to stimulate rest.

C) Schedule periods of exercise and rest during the day.

D) Ask unlicensed assistive personnel to help bathe the client.

Q2) The nurse asks a client who has experienced ventricular dysrhythmias about substance abuse.The client asks,"Why do you want to know if I use cocaine?" How should the nurse respond?

A) "Substance abuse puts clients at risk for many health issues."

B) "The hospital requires that I ask you about cocaine use."

C) "Clients who use cocaine are at risk for fatal dysrhythmias."

D) "We can provide services for cessation of substance abuse."

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

Chapter 35: Care of Patients with Cardiac Problems

Available Study Resources on Quizplus for this Chatper

33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/16143

Sample Questions

Q1) A nurse assesses a client after administering isosorbide mononitrate (Imdur).The client reports a headache.Which action should the nurse take?

A) Initiate oxygen therapy.

B) Hold the next dose of Imdur.

C) Instruct the client to drink water.

D) Administer PRN acetaminophen.

Q2) After teaching a client with congestive heart failure (CHF),the nurse assesses the client's understanding.Which client statements indicate a correct understanding of the teaching related to nutritional intake? (Select all that apply.)

A) "I'll read the nutritional labels on food items for salt content."

B) "I will drink at least 3 liters of water each day."

C) "Using salt in moderation will reduce the workload of my heart."

D) "I will eat oatmeal for breakfast instead of ham and eggs."

E) "Substituting fresh vegetables for canned ones will lower my salt intake."

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

Chapter 36: Care of Patients with Vascular Problems

Available Study Resources on Quizplus for this Chatper

39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/16144

Sample Questions

Q1) A student nurse asks what "essential hypertension" is.What response by the registered nurse is best?

A) "It means it is caused by another disease."

B) "It means it is 'essential' that it be treated."

C) "It is hypertension with no specific cause."

D) "It refers to severe and life-threatening hypertension."

Q2) A student nurse is assessing the peripheral vascular system of an older adult.What action by the student would cause the faculty member to intervene?

A) Assessing blood pressure in both upper extremities

B) Auscultating the carotid arteries for any bruits

C) Classifying capillary refill of 4 seconds as normal

D) Palpating both carotid arteries at the same time

Q3) A client has hypertension and high risk factors for cardiovascular disease.The client is overwhelmed with the recommended lifestyle changes.What action by the nurse is best?

A) Assess the client's support system.

B) Assist in finding one change the client can control.

C) Determine what stressors the client faces in daily life.

D) Inquire about delegating some of the client's obligations.

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

Page 38

Chapter 37: Care of Patients with Shock

Available Study Resources on Quizplus for this Chatper

21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/16145

Sample Questions

Q1) The nurse caring frequently for older adults in the hospital is aware of risk factors that place them at a higher risk for shock.For what factors would the nurse assess? (Select all that apply.)

A) Altered mobility/immobility

B) Decreased thirst response

C) Diminished immune response

D) Malnutrition

E) Overhydration

Q2) A client is in the early stages of shock and is restless.What comfort measures does the nurse delegate to the nursing student? (Select all that apply.)

A) Bringing the client warm blankets

B) Giving the client hot tea to drink

C) Massaging the client's painful legs

D) Reorienting the client as needed

E) Sitting with the client for reassurance

Q3) A client with severe sepsis has a serum lactate level of 6.2 mmol/L.The client weighs 250 pounds.To infuse the amount of fluid this client requires in 24 hours,at what rate does the nurse set the IV pump? (Record your answer using a whole number.)____ mL/hr

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

Page 39

Chapter 38: Care of Patients with Acute Coronary Syndromes

Available Study Resources on Quizplus for this Chatper

31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/16146

Sample Questions

Q1) The provider requests the nurse start an infusion of an inotropic agent on a client.How does the nurse explain the action of these drugs to the client and spouse?

A) "It constricts vessels, improving blood flow."

B) "It dilates vessels, which lessens the work of the heart."

C) "It increases the force of the heart's contractions."

D) "It slows the heart rate down for better filling."

Q2) A client in the cardiac stepdown unit reports severe,crushing chest pain accompanied by nausea and vomiting.What action by the nurse takes priority?

A) Administer an aspirin.

B) Call for an electrocardiogram (ECG).

C) Maintain airway patency.

D) Notify the provider.

Q3) A client with coronary artery disease (CAD)asks the nurse about taking fish oil supplements.What response by the nurse is best?

A) "Fish oil is contraindicated with most drugs for CAD."

B) "The best source is fish, but pills have benefits too."

C) "There is no evidence to support fish oil use with CAD."

D) "You can reverse CAD totally with diet and supplements."

To view all questions and flashcards with answers, click on the resource link above. Page 40

Chapter 39: Assessment of the Hematologic System

Available Study Resources on Quizplus for this Chatper

13 Verified Questions

13 Flashcards

Source URL: https://quizplus.com/quiz/16147

Sample Questions

Q1) A hospitalized client has a platelet count of 58,000/mm³.What action by the nurse is best?

A) Encourage high-protein foods.

B) Institute neutropenic precautions.

C) Limit visitors to healthy adults.

D) Place the client on safety precautions.

Q2) A client is having a bone marrow biopsy and is extremely anxious.What action by the nurse is best?

A) Assess client fears and coping mechanisms.

B) Reassure the client this is a common test.

C) Sedate the client prior to the procedure.

D) Tell the client he or she will be asleep.

Q3) A client is having a bone marrow biopsy today.What action by the nurse takes priority?

A) Administer pain medication first.

B) Ensure valid consent is on the chart.

C) Have the client shower in the morning.

D) Premedicate the client with sedatives.

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

Chapter 40: Care of Patients with Hematologic Problems

Available Study Resources on Quizplus for this Chatper

38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/16148

Sample Questions

Q1) A client has been admitted after sustaining a humerus fracture that occurred when picking up the family cat.What test result would the nurse correlate to this condition?

A) Bence-Jones protein in urine

B) Epstein-Barr virus: positive

C) Hemoglobin: 18 mg/dL

D) Red blood cell count: 8.2/mm³

Q2) A nurse is preparing to hang a blood transfusion.Which action is most important?

A) Documenting the transfusion

B) Placing the client on NPO status

C) Placing the client in isolation

D) Putting on a pair of gloves

Q3) A student studying leukemias learns the risk factors for developing this disorder.Which risk factors does this include? (Select all that apply.)

A) Chemical exposure

B) Genetically modified foods

C) Ionizing radiation exposure

D) Vaccinations

E) Viral infections

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

Chapter 41: Assessment of the Nervous System

Available Study Resources on Quizplus for this Chatper

30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/16149

Sample Questions

Q1) An emergency department nurse assesses a client who was struck in the temporal lobe with a baseball.For which clinical manifestations that are related to a temporal lobe injury should the nurse assess? (Select all that apply.)

A) Memory loss

B) Personality changes

C) Difficulty with sound interpretation

D) Speech difficulties

E) Impaired taste

Q2) A nurse assesses an older client.Which assessment findings should the nurse identify as normal changes in the nervous system related to aging? (Select all that apply.)

A) Long-term memory loss

B) Slower processing time

C) Increased sensory perception

D) Decreased risk for infection

E) Change in sleep patterns

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

43

Chapter 42: Care of Patients with Problems of the Central

Nervous System: The Brain

Available Study Resources on Quizplus for this Chatper

32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/16150

Sample Questions

Q1) A nurse witnesses a client begin to experience a tonic-clonic seizure and loss of consciousness.Which action should the nurse take?

A) Start fluids via a large-bore catheter.

B) Turn the client's head to the side.

C) Administer IV push diazepam.

D) Prepare to intubate the client.

Q2) A nurse obtains a focused health history for a client who is suspected of having bacterial meningitis.Which question should the nurse ask?

A) "Do you live in a crowded residence?"

B) "When was your last tetanus vaccination?"

C) "Have you had any viral infections recently?"

D) "Have you traveled out of the country in the last month?"

Q3) A nurse delegates care for a client with early-stage Alzheimer's disease to an unlicensed assistive personnel (UAP).Which statement should the nurse include when delegating this client's care?

A) "If she is confused, play along and pretend that everything is okay."

B) "Remove the clock from her room so that she doesn't get confused."

C) "Reorient the client to the day, time, and environment with each contact."

D) "Use validation therapy to recognize and acknowledge the client's concerns."

Page 44

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

Chapter 43: Care of Patients with Problems of the Central

Nervous System: The Spinal Cord

Available Study Resources on Quizplus for this Chatper

30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/16151

Sample Questions

Q1) A nurse cares for a client who presents with an acute exacerbation of multiple sclerosis (MS).Which prescribed medication should the nurse prepare to administer?

A) Baclofen (Lioresal)

B) Interferon beta-1b (Betaseron)

C) Dantrolene sodium (Dantrium)

D) Methylprednisolone (Medrol)

Q2) A nurse assesses a client with paraplegia from a spinal cord injury and notes reddened areas over the client's hips and sacrum.Which actions should the nurse take? (Select all that apply.)

A) Apply a barrier cream to protect the skin from excoriation.

B) Perform range-of-motion (ROM) exercises for the hip joint.

C) Re-position the client off of the reddened areas.

D) Get the client out of bed and into a chair once a day.

E) Obtain a low-air-loss mattress to minimize pressure.

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

Chapter 44: Care of Patients with Problems of the

Peripheral Nervous

System

Available Study Resources on Quizplus for this Chatper

18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/16152

Sample Questions

Q1) A client with Guillain-Barré syndrome is admitted to the hospital.The nurse plans caregiving priority to interventions that address which priority client problem?

A) Anxiety

B) Low fluid volume

C) Inadequate airway

D) Potential for skin breakdown

Q2) A client had a nerve laceration repair to the forearm and is being discharged in a cast.What statement by the client indicates a poor understanding of discharge instructions relating to cast care?

A) "I can scratch with a coat hanger."

B) "I should feel my fingers for warmth."

C) "I will keep the cast clean and dry."

D) "I will return to have the cast removed."

Q3) A client is receiving plasmapheresis.What action by the nurse best prevents infection in this client?

A) Giving antibiotics prior to treatments

B) Monitoring the client's vital signs

C) Performing appropriate hand hygiene

D) Placing the client in protective isolation

To view all questions and flashcards with answers, click on the resource link above. Page 46

Chapter 45: Care of Critically Ill Patients with Neurologic Problems

Available Study Resources on Quizplus for this Chatper

43 Verified Questions

43 Flashcards

Source URL: https://quizplus.com/quiz/16153

Sample Questions

Q1) A client has a traumatic brain injury and a positive halo sign.The client is in the intensive care unit,sedated and on a ventilator,and is in critical but stable condition.What collaborative problem takes priority at this time?

A) Inability to communicate

B) Nutritional deficit

C) Risk for acquiring an infection

D) Risk for skin breakdown

Q2) A nursing student studying the neurologic system learns which information? (Select all that apply.)

A) An aneurysm is a ballooning in a weakened part of an arterial wall.

B) An arteriovenous malformation is the usual cause of strokes.

C) Intracerebral hemorrhage is bleeding directly into the brain.

D) Reduced perfusion from vasospasm often makes stroke worse.

E) Subarachnoid hemorrhage is caused by high blood pressure.

Q3) A client has a subarachnoid bolt.What action by the nurse is most important?

A) Balancing and recalibrating the device

B) Documenting intracranial pressure readings

C) Handling the fiberoptic cable with care to avoid breakage

D) Monitoring the client's phlebostatic axis

Page 47

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

Chapter 46: Assessment of the Eye and Vision

Available Study Resources on Quizplus for this Chatper

10 Verified Questions

10 Flashcards

Source URL: https://quizplus.com/quiz/16154

Sample Questions

Q1) The nursing student learns that age-related changes affect the eyes and vision.Which changes does this include? (Select all that apply.)

A) Decreased eye muscle tone

B) Development of arcus senilis

C) Increase in far point of near vision

D) Decrease in general color perception

E) Increase in point of near vision

Q2) The student learning about vision should remember which facts related to the eyes? (Select all that apply.)

A) Aqueous humor controls intraocular pressure.

B) Cones work in low light conditions.

C) Glaucoma occurs due to increased pressure in the eye.

D) Muscles of the iris control light entering the eye.

E) Rods work in low light conditions.

Q3) A client's chart indicates anisocoria.For what should the nurse assess?

A) Difference in pupil size

B) Draining infection

C) Recent eye trauma

D) Tumor of the eyelid

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

Page 48

Chapter 47: Care of Patients with Eye and Vision Problems

Available Study Resources on Quizplus for this Chatper

18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/16155

Sample Questions

Q1) A client is seen in the ophthalmology clinic with bacterial conjunctivitis.Which statements by the client indicate a good understanding of home management of this condition? (Select all that apply.)

A) "As long as I don't wipe my eyes, I can share my towel."

B) "Eye irrigations should be done with warm saline or water."

C) "I will throw away all my eye makeup when I get home."

D) "I won't touch the tip of the eyedrop bottle to my eye."

E) "When the infection is gone, I can use my contacts again."

Q2) A client is in the preoperative holding area waiting for cataract surgery.The client says "Oh,yeah,I forgot to tell you that I take clopidogrel,or Plavix." What action by the nurse is most important?

A) Ask the client when the last dose was.

B) Check results of the prothrombin time (PT) and international normalized ratio (INR).

C) Document the information in the chart.

D) Notify the surgeon immediately.

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

Chapter 48: Assessment and Care of Patients with Ear and Hearing Problems

Available Study Resources on Quizplus for this Chatper

24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/16156

Sample Questions

Q1) A nurse is irrigating a client's ear when the client becomes nauseated.What action by the nurse is most appropriate for client comfort?

A) Have the client tilt the head back.

B) Re-position the client on the other side.

C) Slow the rate of the irrigation.

D) Stop the irrigation immediately.

Q2) The client's chart indicates a sensorineural hearing loss.What assessment question does the nurse ask to determine the possible cause?

A) "Do you feel like something is in your ear?"

B) "Do you have frequent ear infections?"

C) "Have you been exposed to loud noises?"

D) "Have you been told your ear bones don't move?"

Q3) A nurse is teaching a client about ear hygiene and health.What client statement indicates a need for further teaching?

A) "A soft cotton swab is alright to clean my ears with."

B) "I make sure my ears are dry after I go swimming."

C) "I use good earplugs when I practice with the band."

D) "Keeping my diabetes under control helps my ears."

To view all questions and flashcards with answers, click on the resource link above. Page 50

Chapter 49: Assessment of the Musculoskeletal System

Available Study Resources on Quizplus for this Chatper

14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/16157

Sample Questions

Q1) The nurse knows that hematopoiesis occurs in what part of the musculoskeletal system?

A) Cancellous tissue

B) Collagen matrix

C) Red marrow

D) Yellow marrow

Q2) A client had an arthroscopy 1 hour ago on the left knee.The nurse finds the left lower leg to be pale and cool,with 1+/4+ pedal pulses.What action by the nurse is best?

A) Assess the neurovascular status of the right leg.

B) Document the findings in the client's chart.

C) Elevate the left leg on at least two pillows.

D) Notify the provider of the findings immediately.

Q3) When assessing gait,what features does the nurse inspect? (Select all that apply.)

A) Balance

B) Ease of stride

C) Goniometer readings

D) Length of stride

E) Steadiness

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

Chapter 50: Care of Patients with Musculoskeletal Problems

Available Study Resources on Quizplus for this Chatper

28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/16158

Sample Questions

Q1) A client with Paget's disease is hospitalized for an unrelated issue.The client reports pain and it is not yet time for more medication.What comfort measures can the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)

A) Administering ibuprofen (Motrin)

B) Applying a heating pad

C) Providing a massage

D) Referring the client to a support group

E) Using a bed cradle to lift sheets off the feet

Q2) A client with osteoporosis is going home,where the client lives alone.What action by the nurse is best?

A) Arrange a home safety evaluation.

B) Ensure the client has a walker at home.

C) Help the client look into assisted living.

D) Refer the client to Meals on Wheels.

Q3) A client is scheduled for a bone biopsy.What action by the nurse takes priority?

A) Administering the preoperative medications

B) Answering any questions about the procedure

C) Ensuring that informed consent is on the chart

D) Showing the client's family where to wait

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

Page 52

Chapter 51: Care of Patients with Musculoskeletal Trauma

Available Study Resources on Quizplus for this Chatper

34 Verified Questions

34 Flashcards

Source URL: https://quizplus.com/quiz/16159

Sample Questions

Q1) A nurse obtains the health history of a client with a fractured femur.Which factor identified in the client's history should the nurse recognize as an aspect that may impede healing of the fracture?

A) Sedentary lifestyle

B) A 30-pack-year smoking history

C) Prescribed oral contraceptives

D) Paget's disease

Q2) A phone triage nurse speaks with a client who has an arm cast.The client states,"My arm feels really tight and puffy." How should the nurse respond?

A) "Elevate your arm on two pillows and get ice to apply to the cast."

B) "Continue to take ibuprofen (Motrin) until the swelling subsides."

C) "This is normal.A new cast will often feel a little tight for the first few days."

D) "Please come to the clinic today to have your arm checked by the provider."

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

Chapter 52: Assessment of the Gastrointestinal System

Available Study Resources on Quizplus for this Chatper

18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/16160

Sample Questions

Q1) The nurse is aware of the 2014 American Cancer Society Screening Guidelines for colon cancer,which include which testing modalities for people over the age of 50? (Select all that apply.)

A) Colonoscopy every 10 years

B) Colonoscopy every 5 years

C) Computed tomography (CT) colonography every 5 years

D) Double-contrast barium enema every 10 years

E) Flexible sigmoidoscopy every 10 years

Q2) A client is scheduled for a colonoscopy and the nurse has provided instructions on the bowel cleansing regimen.What statement by the client indicates a need for further teaching?

A) "It's a good thing I love orange and cherry gelatin."

B) "My spouse will be here to drive me home."

C) "I should refrigerate the GoLYTELY before use."

D) "I will buy a case of Gatorade before the prep."

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

Chapter 53: Care of Patients with Oral Cavity Problems

Available Study Resources on Quizplus for this Chatper

12 Verified Questions

12 Flashcards

Source URL: https://quizplus.com/quiz/16161

Sample Questions

Q1) A nurse studying cancer knows that job-related risks for developing oral cancer include which occupations? (Select all that apply.)

A) Coal miner

B) Electrician

C) Metal worker

D) Plumber

E) Textile worker

Q2) A client is having a temporary tracheostomy placed during surgery for oral cancer.What action by the nurse is best to relieve anxiety?

A) Agree on a postoperative communication method.

B) Explain that staff will answer the call light promptly.

C) Give the client a Magic Slate to write on postoperatively.

D) Reassure the client that you will take care of all of his or her needs.

Q3) A client is prescribed cetuximab (Erbitux)for oral cancer and asks the nurse how it works.What response by the nurse is best?

A) "It blocks epidermal growth factor."

B) "It cuts off the tumor's blood supply."

C) "It prevents tumor extension."

D) "It targets rapidly dividing cells."

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

Page 55

Chapter 54: Care of Patients with Esophageal Problems

Available Study Resources on Quizplus for this Chatper

20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/16162

Sample Questions

Q1) The nurse is aware that which factors are related to the development of gastroesophageal reflux disease (GERD)? (Select all that apply.)

A) Delayed gastric emptying

B) Eating large meals

C) Hiatal hernia

D) Obesity

E) Viral infections

Q2) The nurse is caring for a client who had an esophagectomy 3 days ago and was extubated yesterday.What actions may the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)

A) Assisting with position changes and getting out of bed

B) Keeping the head of the bed elevated to at least 30 degrees

C) Reminding the client to use the spirometer every 4 hours

D) Taking and recording vital signs per hospital protocol

E) Titrating oxygen based on the client's oxygen saturations

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

Chapter 55: Care of Patients with Stomach Disorders

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/16163

Sample Questions

Q1) An older female client has been prescribed esomeprazole (Nexium)for treatment of chronic gastric ulcers.What teaching is particularly important for this client?

A) Check with the pharmacist before taking other medications.

B) Increase intake of calcium and vitamin D.

C) Report any worsening of symptoms to the provider.

D) Take the medication as prescribed by the provider.

Q2) A nurse answers a client's call light and finds the client in the bathroom,vomiting large amounts of bright red blood.Which action should the nurse take first?

A) Assist the client back to bed.

B) Notify the provider immediately.

C) Put on a pair of gloves.

D) Take a set of vital signs.

Q3) A client is being taught about drug therapy for Helicobacter pylori infection.What assessment by the nurse is most important?

A) Alcohol intake of 1 to 2 drinks per week

B) Family history of H.pylori infection

C) Former smoker still using nicotine patches

D) Willingness to adhere to drug therapy

To view all questions and flashcards with answers, click on the resource link above. Page 57

Chapter 56: Care of Patients with Noninflammatory

Intestinal Disorders

Available Study Resources on Quizplus for this Chatper

30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/16164

Sample Questions

Q1) A nurse cares for a client who had a colostomy placed in the ascending colon 2 weeks ago.The client states,"The stool in my pouch is still liquid." How should the nurse respond?

A) "The stool will always be liquid with this type of colostomy."

B) "Eating additional fiber will bulk up your stool and decrease diarrhea."

C) "Your stool will become firmer over the next couple of weeks."

D) "This is abnormal.I will contact your health care provider."

Q2) A nurse assesses a client who is prescribed 5-fluorouracil (5-FU)chemotherapy intravenously for the treatment of colon cancer.Which assessment finding should alert the nurse to contact the health care provider?

A) White blood cell (WBC) count of 1500/mm³

B) Fatigue

C) Nausea and diarrhea

D) Mucositis and oral ulcers

Q3) A nurse cares for a client who has a new colostomy.Which action should the nurse take?

A) Empty the pouch frequently to remove excess gas collection.

B) Change the ostomy pouch and wafer every morning.

C) Allow the pouch to completely fill with stool prior to emptying it.

Page 58

D) Use surgical tape to secure the pouch and prevent leakage.

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

Chapter 57: Care of Patients with Inflammatory Intestinal Disorders

Available Study Resources on Quizplus for this Chatper

30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/16165

Sample Questions

Q1) A nurse assesses a client who has ulcerative colitis and severe diarrhea.Which assessment should the nurse complete first?

A) Inspection of oral mucosa

B) Recent dietary intake

C) Heart rate and rhythm

D) Percussion of abdomen

Q2) A nurse cares for a client with ulcerative colitis.The client states,"I feel like I am tied to the toilet.This disease is controlling my life." How should the nurse respond?

A) "Let's discuss potential factors that increase your symptoms."

B) "If you take the prescribed medications, you will no longer have diarrhea."

C) "To decrease distress, do not eat anything before you go out."

D) "You must retake control of your life.I will consult a therapist to help."

Q3) A nurse assesses a client who is hospitalized with an exacerbation of Crohn's disease.Which clinical manifestation should the nurse expect to find?

A) Positive Murphy's sign with rebound tenderness to palpitation

B) Dull, hypoactive bowel sounds in the lower abdominal quadrants

C) High-pitched, rushing bowel sounds in the right lower quadrant

D) Reports of abdominal cramping that is worse at night

To view all questions and flashcards with answers, click on the resource link above. Page 59

Chapter 58: Care of Patients with Liver Problems

Available Study Resources on Quizplus for this Chatper

25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/16166

Sample Questions

Q1) After teaching a client who has alcohol-induced cirrhosis,a nurse assesses the client's understanding.Which statement made by the client indicates a need for additional teaching?

A) "I cannot drink any alcohol at all anymore."

B) "I need to avoid protein in my diet."

C) "I should not take over-the-counter medications."

D) "I should eat small, frequent, balanced meals."

Q2) A nurse cares for a client with hepatitis C.The client's brother states,"I do not want to contract this infection,so I will not go into his hospital room." How should the nurse respond?

A) "If you wear a gown and gloves, you will not get this virus."

B) "Viral hepatitis is not spread through casual contact."

C) "This virus is only transmitted through a fecal specimen."

D) "I can give you an update on your brother's status from here."

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

Chapter 59: Care of Patients with Problems of the Biliary System

and Pancreas

Available Study Resources on Quizplus for this Chatper

26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/16167

Sample Questions

Q1) A nurse teaches a client who is recovering from acute pancreatitis.Which statements should the nurse include in this client's teaching? (Select all that apply.)

A) "Take a 20-minute walk at least 5 days each week."

B) "Attend local Alcoholics Anonymous (AA) meetings weekly."

C) "Choose whole grains rather than foods with simple sugars."

D) "Use cooking spray when you cook rather than margarine or butter."

E) "Stay away from milk and dairy products that contain lactose."

F) We can talk to your doctor about a prescription for nicotine patches.

Q2) A nurse assesses clients at a community health center.Which client is at highest risk for pancreatic cancer?

A) A 32-year-old with hypothyroidism

B) A 44-year-old with cholelithiasis

C) A 50-year-old who has the BRCA2 gene mutation

D) A 68-year-old who is of African-American ethnicity

Q3) A nurse cares for a client who is prescribed 4 mg of calcium gluconate to infuse over 5 hours.The pharmacy provides 2 premixed infusion bags with 2 mg of calcium gluconate in 100 mL of D₅W.At what rate should the nurse administer this medication? (Record your answer using a whole number.)____ mL/hr

To view all questions and flashcards with answers, click on the resource link above. Page 61

Chapter 60: Care of Patients with Malnutrition:

Undernutrition and Obesity

Available Study Resources on Quizplus for this Chatper

29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/16168

Sample Questions

Q1) A nurse is weighing and measuring a client with severe kyphosis.What is the best method to obtain this client's height?

A) Add the trunk and leg measurements.

B) Ask the client how tall he or she is.

C) Estimate by measuring clothing.

D) Use knee-height calipers.

Q2) A morbidly obese client is admitted to a community hospital that does not typically care for bariatric-sized clients.What action by the nurse is most appropriate?

A) Assess the client's readiness to make lifestyle changes.

B) Ensure adequate staff when moving the client.

C) Leave siderails down to prevent pressure ulcers.

D) Reinforce the need to be sensitive to the client.

Q3) A nurse and a registered dietitian are assessing clients for partial parenteral nutrition (PPN).For which client would the nurse suggest another route of providing nutrition?

A) Client with congestive heart failure

B) Older client with dementia

C) Client who has multiorgan failure

D) Client who is post gastric resection

Page 62

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

Chapter 61: Assessment of the Endocrine System

Available Study Resources on Quizplus for this Chatper

18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/16169

Sample Questions

Q1) A nurse cares for a client with a deficiency of aldosterone.Which assessment finding should the nurse correlate with this deficiency?

A) Increased urine output

B) Vasoconstriction

C) Blood glucose of 98 mg/dL

D) Serum sodium of 144 mEq/L

Q2) A nurse assesses a client diagnosed with adrenal hypofunction.Which client statement should the nurse correlate with this diagnosis?

A) "I have a terrible craving for potato chips."

B) "I cannot seem to drink enough water."

C) "I no longer have an appetite for anything."

D) "I get hungry even after eating a meal."

Q3) A nurse cares for a client who is prescribed a serum catecholamine test.Which action should the nurse take when obtaining the sample?

A) Discard the first sample and then begin the collection.

B) Draw the blood sample after the client eats breakfast.

C) Place the sample on ice and send to the laboratory immediately.

D) Add preservatives before sending the sample to the laboratory.

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

63

Chapter 62: Care of Patients with Pituitary and Adrenal

Gland Problems

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/16170

Sample Questions

Q1) A nurse cares for a male client with hypopituitarism who is prescribed testosterone hormone replacement therapy.The client asks,"How long will I need to take this medication?" How should the nurse respond?

A) "When your blood levels of testosterone are normal, the therapy is no longer needed."

B) "When your beard thickens and your voice deepens, the dose is decreased, but treatment will continue forever."

C) "When your sperm count is high enough to demonstrate fertility, you will no longer need this therapy."

D) "With age, testosterone levels naturally decrease, so the medication can be stopped when you are 50 years old."

Q2) An emergency nurse cares for a client who is experiencing an acute adrenal crisis.Which action should the nurse take first?

A) Obtain intravenous access.

B) Administer hydrocortisone succinate (Solu-Cortef).

C) Assess blood glucose.

D) Administer insulin and dextrose.

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

64

Chapter 63: Care of Patients with Problems of the Thyroid and Parathyroid Glands

Available Study Resources on Quizplus for this Chatper

20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/16171

Sample Questions

Q1) A nurse cares for a client with elevated triiodothyronine and thyroxine,and normal thyroid-stimulating hormone levels.Which actions should the nurse take? (Select all that apply.)

A) Administer levothyroxine (Synthroid).

B) Administer propranolol (Inderal).

C) Monitor the apical pulse.

D) Assess for Trousseau's sign.

E) Initiate telemetry monitoring.

Q2) A nurse teaches a client with hyperthyroidism.Which dietary modifications should the nurse include in this client's teaching? (Select all that apply.)

A) Increased carbohydrates

B) Decreased fats

C) Increased calorie intake

D) Supplemental vitamins

E) Increased proteins

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

65

Chapter 64: Care of Patients with Diabetes Mellitus

Available Study Resources on Quizplus for this Chatper

50 Verified Questions

50 Flashcards

Source URL: https://quizplus.com/quiz/16172

Sample Questions

Q1) A nurse teaches a client who is prescribed an insulin pump.Which statement should the nurse include in this client's discharge education?

A) "Test your urine daily for ketones."

B) "Use only buffered insulin in your pump."

C) "Store the insulin in the freezer until you need it."

D) "Change the needle every 3 days."

Q2) After teaching a client with type 2 diabetes mellitus,the nurse assesses the client's understanding.Which statement made by the client indicates a need for additional teaching?

A) "I need to have an annual appointment even if my glucose levels are in good control."

B) "Since my diabetes is controlled with diet and exercise, I must be seen only if I am sick."

C) "I can still develop complications even though I do not have to take insulin at this time."

D) "If I have surgery or get very ill, I may have to receive insulin injections for a short time."

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

66

Chapter 65: Assessment of the Renal/Urinary System

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/16173

Sample Questions

Q1) A nurse obtains a sterile urine specimen from a client's Foley catheter.After applying a clamp to the drainage tubing distal to the injection port,which action should the nurse take next?

A) Clamp another section of the tube to create a fixed sample section for retrieval.

B) Insert a syringe into the injection port and aspirate the quantity of urine required.

C) Clean the injection port cap of the drainage tubing with povidone-iodine solution.

D) Withdraw 10 mL of urine and discard it; then withdraw a fresh sample of urine.

Q2) A nurse cares for a client with an increased blood urea nitrogen (BUN)/creatinine ratio.Which action should the nurse take first?

A) Assess the client's dietary habits.

B) Inquire about the use of nonsteroidal anti-inflammatory drugs (NSAIDs).

C) Hold the client's metformin (Glucophage).

D) Contact the health care provider immediately.

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

Chapter 66: Care of Patients with Urinary Problems

Available Study Resources on Quizplus for this Chatper

34 Verified Questions

34 Flashcards

Source URL: https://quizplus.com/quiz/16174

Sample Questions

Q1) A nurse provides phone triage to a pregnant client.The client states,"I am experiencing a burning pain when I urinate." How should the nurse respond?

A) "This means labor will start soon.Prepare to go to the hospital."

B) "You probably have a urinary tract infection.Drink more cranberry juice."

C) "Make an appointment with your provider to have your infection treated."

D) "Your pelvic wall is weakening.Pelvic muscle exercises should help."

Q2) A nurse reviews the laboratory findings of a client with a urinary tract infection.The laboratory report notes a "shift to the left" in a client's white blood cell count.Which action should the nurse take?

A) Request that the laboratory perform a differential analysis on the white blood cells.

B) Notify the provider and start an intravenous line for parenteral antibiotics.

C) Collaborate with the unlicensed assistive personnel (UAP) to strain the client's urine for renal calculi.

D) Assess the client for a potential allergic reaction and anaphylactic shock.

To view all questions and flashcards with answers, click on the resource link above. Page 68

Chapter 67: Care of Patients with Kidney Disorders

Available Study Resources on Quizplus for this Chatper

20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/16175

Sample Questions

Q1) A nurse cares for a middle-aged female client with diabetes mellitus who is being treated for the third episode of acute pyelonephritis in the past year.The client asks,"What can I do to help prevent these infections?" How should the nurse respond?

A) "Test your urine daily for the presence of ketone bodies and proteins."

B) "Use tampons rather than sanitary napkins during your menstrual period."

C) "Drink more water and empty your bladder more frequently during the day."

D) "Keep your hemoglobin A1c under 9% by keeping your blood sugar controlled."

Q2) A nurse assesses a client with nephrotic syndrome.For which clinical manifestations should the nurse assess? (Select all that apply.)

A) Proteinuria

B) Hypoalbuminemia

C) Dehydration

D) Lipiduria

E) Dysuria

Q3) An emergency department nurse cares for a client who is severely dehydrated and is prescribed 3 L of intravenous fluid over 6 hours.At what rate (mL/hr)should the nurse set the intravenous pump to infuse the fluids? (Record your answer using a whole number.)____ mL/hr

To view all questions and flashcards with answers, click on the resource link above. Page 69

Chapter 68: Care of Patients with Acute Kidney Injury and Chronic Kidney Disease

Available Study Resources on Quizplus for this Chatper

36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/16176

Sample Questions

Q1) A client with chronic kidney disease states,"I feel chained to the hemodialysis machine." What is the nurse's best response to the client's statement?

A) "That feeling will gradually go away as you get used to the treatment."

B) "You probably need to see a psychiatrist to see if you are depressed."

C) "Do you need help from social services to discuss financial aid?"

D) "Tell me more about your feelings regarding hemodialysis treatment."

Q2) A client is diagnosed with chronic kidney disease (CKD).What is an ideal goal of treatment set by the nurse in the care plan to reduce the risk of pulmonary edema?

A) Maintaining oxygen saturation of 89%

B) Minimal crackles and wheezes in lung sounds

C) Maintaining a balanced intake and output

D) Limited shortness of breath upon exertion

Q3) A client in the intensive care unit is started on continuous venovenous hemofiltration (CVVH).Which finding is the cause of immediate action by the nurse?

A) Blood pressure of 76/58 mm Hg

B) Sodium level of 138 mEq/L

C) Potassium level of 5.5 mEq/L

D) Pulse rate of 90 beats/min

To view all questions and flashcards with answers, click on the resource link above. Page 70

Chapter 69: Assessment of the Reproductive System

Available Study Resources on Quizplus for this Chatper

11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/16177

Sample Questions

Q1) A 72-year-old woman is being assessed by the nurse for an annual physical.Which finding is of concern to the nurse?

A) Thinning of pubic hair

B) Increased size of the uterus

C) Decreased size of the clitoris

D) Loss of tone of the pelvic ligaments

Q2) The nurse is reviewing discharge instructions with a client who has just experienced an endometrial biopsy.Which finding should be reported to the health care provider immediately?

A) Mild cramping

B) Slight chills and fever

C) Spotting of blood on a perineal pad

D) Fatigue after anesthesia

Q3) The mother of an 18-year-old girl asks the nurse which screening her daughter should receive now based on evidence-based recommendations.Which suggestion by the nurse is best?

A) Papanicolaou test

B) Human papilloma virus (HPV) test

C) Mammogram

D) No screenings at this time

To view all questions and flashcards with answers, click on the resource link above. Page 71

Chapter 70: Care of Patients with Breast Disorders

Available Study Resources on Quizplus for this Chatper

22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/16178

Sample Questions

Q1) A client is starting hormonal therapy with tamoxifen (Nolvadex)to lower the risk for breast cancer.What information needs to be explained by the nurse regarding the action of this drug?

A) It blocks the release of luteinizing hormone.

B) It interferes with cancer cell division.

C) It selectively blocks estrogen in the breast.

D) It inhibits DNA synthesis in rapidly dividing cells.

Q2) A client has just returned from a right radical mastectomy.Which action by the unlicensed assistive personnel (UAP)would the nurse consider unsafe?

A) Checking the amount of urine in the urine catheter collection bag

B) Elevating the right arm on a pillow

C) Taking the blood pressure on the right arm

D) Encouraging the client to squeeze a rolled washcloth

Q3) Which finding in a female client by the nurse would receive the highest priority of further diagnostics?

A) Tender moveable masses throughout the breast tissue

B) A 3-cm firm, defined mobile mass in the lower quadrant of the breast

C) Nontender immobile mass in the upper outer quadrant of the breast

D) Small, painful mass under warm reddened skin

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

Page 72

Chapter 71: Care of Patients with Gynecologic Problems

Available Study Resources on Quizplus for this Chatper

21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/16179

Sample Questions

Q1) The nurse is doing preoperative teaching for a client who is scheduled for removal of cervical polyps in the office.Which statement by the client indicates a correct understanding of the procedure?

A) "I hope that I do not have cancer of the cervix."

B) "There should be little or no discomfort during the procedure."

C) "There may be a lot of bleeding after the polyp is removed."

D) "This may prevent me from having any more children."

Q2) A 28-year-old client is diagnosed with endometriosis and is experiencing severe symptoms.Which actions by the nurse are the most appropriate at this time? (Select all that apply.)

A) Reduce the pain by low-level heat.

B) Discuss the high risk of infertility with this diagnosis.

C) Relieve anxiety by relaxation techniques and education.

D) Discuss in detail the side effects of laparoscopic surgery.

E) Suggest resources such as the Endometriosis Association.

Q3) A client who had a hysterectomy has a 200-mg dose of ciprofloxacin (Cipro)ordered to infuse in 30 minutes.At what rate should the nurse infuse the medication if the pharmacy provides 200 mg in a 100-mL bag of normal saline? (Record your answer using a whole number.)___ mL/hr

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

Page 73

Chapter 72: Care of Patients with Male Reproductive

Problems

Available Study Resources on Quizplus for this Chatper

17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/16180

Sample Questions

Q1) A client has returned from a transurethral resection of the prostate with a continuous bladder irrigation.Which action by the nurse is a priority if bright red urinary drainage and clots are noted 5 hours after the surgery?

A) Review the hemoglobin and hematocrit as ordered.

B) Take vital signs and notify the surgeon immediately.

C) Release the traction on the three-way catheter.

D) Remind the client not to pull on the catheter.

Q2) A client is diagnosed with benign prostatic hyperplasia and seems sad and irritable.After assessing the client's behavior,which statement by the nurse would be the most appropriate?

A) "The urine incontinence should not prevent you from socializing."

B) "You seem depressed and should seek more pleasant things to do."

C) "It is common for men at your age to have changes in mood."

D) "Nocturia could cause interruption of your sleep and cause changes in mood."

Q3) Post transurethral resection of the prostate,a client has a three-way catheter with a continuous bladder irrigation.Over the last 12 hours,there has been 1400 mL of irrigation solution infused and 2000 mL measured in output from the drainage bag.What is the recording of the urinary output for the 12-hour period? (Record your answer using a whole number.)____ mL

Page 74

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

Chapter 73: Care of Transgender Patients

Available Study Resources on Quizplus for this Chatper

12 Verified Questions

12 Flashcards

Source URL: https://quizplus.com/quiz/16181

Sample Questions

Q1) A client has returned from the postanesthesia care unit after a vaginoplasty.What comfort measure does the nurse provide for this client?

A) Apply ice to the perineum.

B) Elevate the legs on pillows.

C) Position the client on the left side.

D) Raise the head of the bed.

Q2) A nurse is reviewing the chart of a new client in the family medicine clinic and notes the client is identified as "George Smith." The nurse enters the room and finds a woman in a skirt.What action by the nurse is best?

A) Apologize and declare confusion about the client.

B) Ask Mrs.Smith where her husband is right now.

C) Ask the client about preferred forms of address.

D) Explain that the chart must contain an error.

Q3) A client had a vaginoplasty under epidural anesthetic.Which action by the nurse is most important?

A) Ensure that the urinary catheter is securely attached to the leg.

B) Instruct the client not to try to get out of bed unassisted.

C) Monitor the client's dressings and wound drainage.

D) Position the Jackson-Pratt drain to the contralateral side.

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

Page 75

Chapter 74: Care of Patients with Sexually Transmitted Diseases

Available Study Resources on Quizplus for this Chatper

20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/16182

Sample Questions

Q1) A female client returned to the clinic with a yellow vaginal discharge after being treated for Chlamydia infection 3 weeks ago.Which statement by the client alerts the nurse that there may be a recurrence of the infection?

A) "I did practice abstinence while taking the medication."

B) "I took doxycycline two times a day for a week."

C) "I never told my boyfriend about the infection."

D) "I did drink wine when taking the medication for Chlamydia."

Q2) Which risk factors would the nurse teach a 23-year-old client about to prevent pelvic inflammatory disease (PID)? (Select all that apply.)

A) Having multiple sexual partners

B) Using an intrauterine device (IUD)

C) Smoking

D) Drinking two alcoholic beverages per day

E) Having a history of sexually transmitted diseases (STDs)

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