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Comprehensive Nursing is an integrative course designed to provide students with a thorough understanding of holistic patient care across the lifespan. The curriculum emphasizes the assessment, planning, implementation, and evaluation of nursing interventions for individuals, families, and communities with varying health needs. It encompasses essential topics such as evidence-based practice, interdisciplinary collaboration, health promotion, disease prevention, ethical and legal aspects of nursing, and the development of critical thinking and clinical judgment skills. Through a combination of theoretical instruction and practical experiences, students are prepared to deliver safe, patient-centered care in diverse healthcare settings.
Recommended Textbook
Medical Surgical Nursing in Canada 4th Edition by Lewis
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1844 Verified Questions
1844 Flashcards
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Q1) The nurse is caring for a client who has been admitted to the hospital for surgery and tells the nurse, "I do not feel right about leaving my children with my neighbour." Which action should the nurse take next?
A)Reassure the client that these feelings are common for parents.
B)Have the client call the children to ensure that they are doing well.
C)Call the neighbour to determine whether adequate childcare is being provided.
D)Gather more data about the client's feelings about the childcare arrangements.
Answer: D
Q2) When caring for clients using evidence-informed practice, which of the following does the nurse use?
A)Clinical judgement based on experience
B)Evidence from a clinical research study
C)The best available evidence to guide clinical expertise
D)Evaluation of data showing that the client outcomes are met
Answer: C
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Sample Questions
Q1) Which of the following actions represent the best example of culturally appropriate nursing care when caring for a newly admitted client?
A)Have family members provide most of the client's personal care.
B)Maintain a personal space of at least 0.5 m when assessing the client.
C)Ask permission before touching a client during the physical assessment.
D)Consider the client's ethnicity as the most important factor in planning care.
Answer: C
Q2) The nurse is caring for a client who speaks a language different from the nurse's language and there is no interpreter available. Which of the following actions is the most appropriate for the nurse to implement?
A)Use specific medical terms in the Latin form.
B)Talk loudly and slowly so that each word is clearly heard.
C)Repeat important words so that the client recognizes their importance.
D)Use simple gestures to demonstrate meaning while talking to the client.
Answer: D
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Sample Questions
Q1) When assessing the circulation to the lower leg of a client who has had knee surgery, which action should the nurse take first?
A)Feel for the temperature of the foot.
B)Visually inspect the colour of the foot.
C)Check the client's pedal pulses using the fingertips.
D)Compress the nail beds to determine capillary refill time.
Answer: B
Q2) During the health history interview, a client tells the nurse about periodic fainting spells. Which question by the nurse will be most helpful in determining the setting in which the fainting spells occur?
A)"How frequently do you have the fainting spells?"
B)"Where are you when you have the fainting spells?"
C)"Do the spells tend to occur at any special time of day?"
D)"Do you have any other symptoms along with the spells?"
Answer: B
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Sample Questions
Q1) A client with poor circulation to the feet requires teaching about foot care. Which learning goal should the nurse include in the teaching plan?
A)The nurse will demonstrate the proper technique for trimming toenails.
B)The client will list three ways to protect the feet from injury by discharge.
C)The nurse will instruct the client on appropriate foot care before discharge.
D)The client will understand the rationale for proper foot care after instruction.
Q2) When assessing a client's readiness to learn before planning teaching activities, which question should the nurse ask?
A)"What kind of work and leisure activities do you do?"
B)"What information do you think you need right now?"
C)"Do you have any religious beliefs that are inconsistent with the treatment?"
D)"Can you describe the types of activities that help you learn new information?"
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Q1) Which of the following characteristics is true related to chronic illness?
A)Abrupt onset
B)Usually single cause
C)Short latency period
D)Noninfectious origin
Q2) What is the most influential source of self-efficacy?
A)Mastery
B)Affective states
C)Verbal persuasion
D)Vicarious experience
Q3) Which of the following is an example of multimorbidity?
A)Chronic obstructive pulmonary disease and a urinary tract infection
B)Lung cancer and pneumonia
C)Chronic kidney disease and appendicitis
D)Diabetes and exacerbation of rheumatoid arthritis
Q4) What is the average life expectancy in Canada?
A)60 years
B)70 years
C)80 years
D)90 years

Page 7
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Q1) The nurse is describing home care services to a client that requires extended care. Which of the following statements is true related to home care services?
A)Technologically complex therapies must be managed in the hospital.
B)The client's family will be included in planning and the client's care.
C)Home care services are limited to visits by registered nurses or home health aides.
D)In order for insurance to cover the home care, the client must be confined to bed.
Q2) Afamily caregiver tells the home health nurse, "I feel like I can never get away to do anything for myself." Which action is the most appropriate for the nurse to take?
A)Assist the caregiver in finding respite services.
B)Assure the caregiver that the work is appreciated.
C)Teach the caregiver that family members provide excellent client care.
D)Encourage the caregiver to discuss feelings openly with the nurse as needed.
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Q1) The nurse is admitting an older-adult client who has urinary urgency and a possible urinary tract infection (UTI). Which of the following actions should the nurse implement first?
A)Assess the client's orientation.
B)Inspect for abdominal distension.
C)Question the client about hematuria.
D)Invite the client to use the bathroom.
Q2) Findings from a health history indicate that the client takes daily supplements of the antioxidants beta carotene, vitamin C, and vitamin E. This health practice reflects which of the following theories of biological aging?
A)Free radicals
B)Crosslinking
C)Somatic mutation
D)Telomere-telomerase depletion
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Q1) The nurse is caring for a hospitalized client with diabetes who states to the nurse, "I don't understand why I can keep my blood sugar under control at home with diet alone, but when I get sick, my blood sugar goes up." Which response by the nurse is appropriate?
A)"It is probably just coincidental that your blood sugars are high when you are ill."
B)"Stressors such as illness cause the release of hormones that increase blood sugar."
C)"Increased blood sugar occurs because the kidneys are not able to metabolize glucose as well during stressful times."
D)"Your diet is different here in the hospital than at home and that is the most likely cause of the increased glucose level."
Q2) The nurse is assisting with a breast biopsy for an alert client who has a lump in the right breast. Which relaxation technique will be best to use at this time?
A)Massage
B)Meditation
C)Guided imagery
D)Relaxation breathing
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Q1) Which action by the nurse manager of an acute care unit will improve the alertness of nurses who work the night shift?
A)Arrange for older staff members to work most night shifts.
B)Provide a sleeping area for staff to use for napping at night.
C)Post reminders about the relationship of sleep and alertness.
D)Schedule nursing staff to rotate day and night shifts monthly.
Q2) The nurse is providing a health-promotion session to young adults who have difficulty sleeping at night and has instructed them to limit their caffeine intake. Which of the following beverages have 50 mg or more of caffeine? (Select all that apply.)
A)Green tea (237 mL)
B)Dr. Pepper soda (237 mL)
C)Chocolate cake (5 cm square)
D)Brewed coffee (237 mL)
E)Black tea (237 mL)
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Q1) The nurse is caring when caring for a client with cancer pain that the client describes as at "level 8 (0-10 scale), deep, and aching." Which of the following prescribed medications should the nurse administer first?
A)Fentanyl patch
B)Ketorolac tablets PO
C)Hydromorphone IV
D)Acetaminophen suppository
Q2) The nurse is caring for a client who is using fentanyl patch and immediate-release morphine for chronic cancer pain who develops new-onset confusion, dizziness, and a decrease in respiratory rate. Which of the following actions is the priority for the nurse to implement?
A)Remove the fentanyl patch.
B)Notify the health care provider.
C)Continue to monitor the client's status.
D)Give the prescribed PRN naloxone.
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12
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Q1) The nurse is caring for a client who has a history of ongoing opioid use and has been hospitalized for surgery. After a visit by a friend, the nurse assesses that the client is unresponsive with pinpoint pupils. Which of these prescribed medications will thenurse administer immediately?
A)Naloxone
B)Diazepam
C)Clonidine
D)Methadone
Q2) During physical assessment of a client who has sinus headaches, the nurse finds nasal sores and necrosis of the nasal septum. Client use of which of the following substances should the nurse include in the assessment?
A)Heroin
B)Cocaine
C)Tobacco
D)Marijuana
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Q1) Which of the following actions if implemented by the nurse indicates that further education about complementary and alternative therapy is required?
A)Massaging the legs of a client who has a left foot stasis ulcer.
B)Assessing a capillary blood glucose level for a client taking aloe.
C)Recommending the use of acupressure to a client with tension headaches.
D)Teaching family members how to provide a hand massage to a client.
Q2) Which of the following data obtained by the nurse during the preoperative assessment of a client requires further assessment?
A)The client uses several herbal remedies routinely.
B)The client recently visited a chiropractor for back pain.
C)The client has used acupressure to relieve postoperative nausea in the past.
D)The client expresses a wish to use acupuncture for postoperative pain control.
Q3) Which of the following terms is used to describe the study of health as related to a connection between a deity and the human body?
A)Distant healing
B)Petitionary prayer
C)Theosomatic medicine
D)Spiritual healing
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Q1) The nurse has been caring for a terminally ill client for the past 10 months. The nurse and the family are present when the client dies and feels saddened and tearful as the family members begin to cry. Which of the following actions should the nurse takeatthis time?
A)Contact a grief counsellor as soon as possible.
B)Cry along with the client's family members.
C)Leave the home as quickly as possible to allow the family to grieve privately.
D)Consider whether working in hospice is desirable since client losses are common.
Q2) The nurse is providing hospice care to a client who is manifesting a decrease in all body system functions except for a heart rate of 124 and a respiratory rate of 28. Which of the following is the basis for the nurses' response about these symptoms?
A)They will continue to increase until death finally occurs.
B)They are a normal response before these functions decrease.
C)They indicate a reflex response to the slowing of other body systems.
D)They may be associated with an improvement in the client's condition.
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Q1) During wound healing, a wound is resistant to infection during which of the following phases?
A)Initial phase
B)Granulation phase
C)Maturation phase
D)Reoccurrence phase
Q2) Aclient's 6 * 3 cm leg wound has a 2 mm black area surrounded by yellow-green semiliquid material. Which of the following dressings should the nurse use for wound care?
A)Dry gauze dressing (Kerlix)
B)Nonadherent dressing (Xeroform)
C)Hydrocolloid dressing (DuoDerm)
D)Transparent film dressing (Tegaderm)
Q3) The nurse is planning care for a client and is preparing to complete a wet-to-dry dressing. Which of the following wound descriptions is appropriate for using this type of dressing?
A)Pressure injury with pink granulation tissue
B)Surgical incision with pink, approximated edges
C)Full-thickness burn filled with dry, black material
D)Wound with purulent drainage and dry brown areas
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Sample Questions
Q1) The parents of a child with brachydactyly ask if their next child will also be affected. Which of the following is the basis for the nurses' response related to autosomal dominant disorders?
A)There is a 25% chance that the child will be affected.
B)All male off-spring are affected.
C)There is a 50% chance that the child will be affected.
D)All female off-spring will be affected.
Q2) Which of the following terms describe the process by which the codon sequence is converted to amino acids?
A)Transcription
B)Mutation
C)Translation
D)Processing
Q3) A male with mild hemophilia asks the nurse, "Will my children be hemophiliacs?"
Which of the following responses by the nurse is most appropriate?
A)"All of your children will be at risk for hemophilia."
B)"Hemophilia is a multifactorial inherited condition."
C)"Only your male children are at risk for hemophilia."
D)"Your female children will be carriers for hemophilia."
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Q1) The nurse is caring for a client at an outpatient clinic who is experiencing an allergic reaction to an unknown allergen. Which of the following actions is most appropriate for the nurse to implement?
A)Perform a focused physical assessment.
B)Obtain the health history from the client.
C)Teach the client about the various diagnostic studies.
D)Administer skin testing by the cutaneous scratch method.
Q2) The nurse encourages a new mother to breastfeed her infant, even for a short time, because colostrum will provide the infant with which of the following types of immunity?
A)Innate
B)Active
C)Passive
D)Cell-mediated
Q3) Which of the following antibodies is involved with an anaphylactic reaction?
A)IgE
B)IgA
C)IgM
D)IgG
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Q1) Apregnant woman with a history of early chronic HIV infection is seen at the clinic. Which of the following information should the nurse include when teaching the client?
A)The antiretroviral medications used to treat HIV infection are teratogenic.
B)Most infants born to HIV-positive mothers are not infected with the virus.
C)Since she is at an early stage of HIV infection, the infant will not contract HIV.
D)It is likely that her newborn will become infected with HIV unless she uses antiretroviral drug therapy (ART).
Q2) Ten years after seroconversion, an HIV-infected client has a CD4+ cell count of 800 cells per microlitre and an undetectable viral load. Which of the following actions is the priority nursing intervention at this time?
A)Monitor for symptoms of AIDS.
B)Teach about the effects of antiretroviral agents.
C)Encourage adequate nutrition, exercise, and sleep.
D)Discuss likelihood of increased opportunistic infections.
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Q1) The nurse is teaching a client who has a new diagnosis of acute leukemia about the complications associated with chemotherapy. The client is restless and is looking away, never making eye contact. After the teaching, the client asks the nurse to repeatallofthe information. Based on this assessment, which of the following nursing diagnoses is most likely for this client?
A)Ineffective denial related to ineffective coping strategies (leukemia diagnosis)
B)Acute confusion related to pain (infiltration of leukemia cells into the central nervous system)
C)Anxiety related to threat of death (leukemia diagnosis)
D)Deficient knowledge (of chemotherapy) related to insufficient interest in learning
Q2) The nurse is caring for a client with tumour lysis syndrome (TLS) who is taking allopurinol. Which of the following laboratory values should the nurse monitor to determine the effectiveness of the medication?
A)Uric acid level
B)Serum potassium
C)Serum phosphate
D)Blood urea nitrogen
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Sample Questions
Q1) The nurse is caring for a client recently admitted with small cell carcinoma of the lung and the syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following assessments should the nurse carefully monitor?
A)Increased total urinary output
B)Elevation of serum hematocrit
C)Decreased serum sodium level
D)Rapid and unexpected weight loss
Q2) Which assessment finding about a client who has a serum calcium level of 1.58 mmol/L is most important for the nurse to immediately report to the health care provider?
A)The client is experiencing laryngeal stridor.
B)The client complains of generalized fatigue.
C)The client's bowels have not moved for 4 days.
D)The client has numbness and tingling of the lips.
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Q1) The nurse is providing preoperative teaching to a client who is scheduled for surgery in 3 days. Which of the following information should the nurse include when addressing preoperative sensory information? (Select all that apply.)
A)Warming blankets are available as the operating room is often cold.
B)Lighting in the operating room is low that may cause the client to have blurred vision.
C)The operating room bed is narrow and a safety strap is used to secure the client to the bed.
D)Not to be alarmed by the quiet environment as there is no conversation in the operating room.
E)Machines may be making "ticking and pinging noises" that can be heard.
Q2) The nurse is preparing a client for abdominal surgery who takes a diuretic and a ?-blocker pill to control blood pressure. Which of the following client information is most important for the nurse to communicate to the health care provider before surgery?
A)Pulse rate 59 beats/minute
B)Hematocrit 35%
C)Blood pressure 142/78 mm Hg
D)Serum potassium 3.3 mmol/L
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Sample Questions
Q1) Which of the following actions should the scrub nurse use to maintain aseptic technique during surgery?
A)Use waterproof shoe covers.
B)Wear personal protective equipment.
C)Insist that all operating room (OR) staff perform a surgical scrub.
D)Change gloves after touching the thigh of a surgeon's sterile gown.
Q2) A client in surgery receives a neuro-muscular blocking agent as an adjunct to general anaesthesia. At completion of the surgery, it is most important that the nurse monitor the client for which of the following adverse effects?
A)Nausea
B)Confusion
C)Bronchospasm
D)Weak chest-wall movement
Q3) Which of the following nursing actions should the preoperative nurse perform to prepare a client for cranial surgery that requires hair removal?
A)Consult with the surgeon to consider cancellation of the surgery.
B)Use a depilatory agent to remove hair from the surgical area.
C)Shave the scalp surgical area with a 1 cm border.
D)No special preoperative action is required.
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Sample Questions
Q1) After removal of the nasogastric (NG) tube on the second postoperative day, the client is placed on a clear liquid diet. Four hours later, the client complains of sharp, cramping gas pains. Which of the following actions should the nurse take?
A)Reinsert the NG tube.
B)Give the PRN IV opioid.
C)Assist the client to ambulate.
D)Place the client on NPO status.
Q2) After a new nurse has been oriented to the postanaesthesia care unit (PACU), the charge nurse will evaluate that the orientation has been successful when the new nurse does which of the following actions?
A)Places a client in the Trendelenburg position when the blood pressure (BP) drops.
B)Assists a client to the prone position when the client is nauseated.
C)Turns an unconscious client to the side when the client arrives in the PACU.
D)Positions a newly admitted unconscious client supine with the head elevated.
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Q1) Which of the following actions should the nurse include in the plan of care for a client who has vestibular disease?
A)Check Rinne's and Weber's tests.
B)Face the client when speaking.
C)Enunciate clearly when speaking.
D)Monitor the client's ability to ambulate safely.
Q2) The nurse is delivering a health-promotion session at the eye clinic and advises all clients to wear sunglasses that protect the eyes from ultraviolet light. Which of the following conditions is associated with ultraviolet sunlight exposure?
A)Cataracts
B)Glaucoma
C)Anisocoria
D)Exophthalmos
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Sample Questions
Q1) An older-adult client with presbycusis is fitted with binaural hearing aids. Which of the following information should the nurse include when teaching the client how to use the hearing aids?
A)Experiment with volume and hearing ability in a quiet environment initially.
B)Keep the volume low on the hearing aids for the first week while adjusting to them.
C)Add the second hearing aid after making the initial adjustment to the first hearing aid.
D)Wear the hearing aids for about an hour a day at first, gradually increasing the time of use.
Q2) The nurse is caring for a client with adult inclusion conjunctivitis (AIC) caused by Chlamydia trachomatis. Which of these actions should be included in the plan of care?
A)Discussing the need for sexually transmitted infection testing
B)Applying topical corticosteroids to prevent further inflammation
C)Assisting with applying for community visual rehabilitation services
D)Educating about the use of antiviral eye drops to treat the infection
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Q1) Aclient asks the nurse why a potassium hydroxide test needs to be done. The nurse's response is based upon the knowledge that which of the following is the purpose of this test?
A)Examine a lesion via a biopsy.
B)Obtain fluids from vesicles for assessment.
C)Assess for fungal infection.
D)Scrap exudate from a lesion for microscopic examination.
Q2) The nurse is caring for a client who has several angiomas on their legs. Which of the following actions should the nurse take next?
A)Assess the client for evidence of liver disease.
B)Discuss the adverse effects of sun exposure on the skin.
C)Educate the client about possible skin changes with aging.
D)Suggest that the client make an appointment with a dermatologist.
Q3) The nurse is preparing for a teaching session with older-adult clients. Which of the following changes is an age-related change in the hair?
A)Increased melanocytes
B)Decreased oils
C)Increased density
D)Increased estrogen
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Sample Questions
Q1) The health care provider prescribes topical 5-fluorouracil (5-FU) for a client with actinic keratosis on the nose. Which of the following information would the nurse include in the client teaching plan?
A)You may develop nausea and anorexia, but good nutrition is important during treatment.
B)You will need to avoid crowds because of the risk for infection caused by chemotherapy.
C)The nose will develop painful, eroded areas that will take weeks before completely healing.
D)5-FU is needed to shrink the lesion so that less scarring occurs once the lesion is excised.
Q2) The nurse is teaching the client how to use wet compresses at home for treatment of poison ivy. Which of the following instructions would the nurse include in the teaching plan?
A)Use only sterile water as the solution for the dressing.
B)The material for the compress is to be 4-8 layers thick.
C)The compress should meet the edge of the area that is to be treated.
D)Use abdominal pads (gauze sponges) when covering odd-shaped body parts.
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Sample Questions
Q1) Six hours after a thermal burn covering 50% of a client's total body surface area (TBSA), the nurse obtains these data when assessing a client. Which of the following information is priority for the nurse to communicate to the health care provider?
A)Blood pressure is 94/46 per arterial line.
B)Serous exudate is leaking from the burns.
C)Cardiac monitor shows a pulse rate of 104.
D)Urine output is 20 mL/hour for the past 2 hours.
Q2) The nurse is caring for a client with severe burns who is receiving crystalloid fluid replacement IV, ordered using the Parkland formula. The initial volume of fluid to be administered in the first 24 hours is 30 000 mL. The initial rate of administration is 1875 mL/hour. Which of the following infusion rates is accurate after the first 8 hours?
A)350 mL/hour
B)523 mL/hour
C)938 mL/hour
D)1 250 mL/hour
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Sample Questions
Q1) The nurse has just received arterial blood gas (ABG) results on four clients. Which of the following results is considered normal?
A)pH 7.32, PaO<sub>2</sub> 85 mm Hg, PaCO<sub>2</sub> 55 mm Hg, and O<sub>2</sub> saturation 90%
B)pH 7.38, PaO<sub>2</sub> 75 mm Hg, PaCO<sub>2</sub> 40 mm Hg, and O<sub>2</sub> saturation 92%
C)pH 7.42, PaO<sub>2</sub> 80 mm Hg, PaCO<sub>2</sub> 33 mm Hg, and O<sub>2</sub> saturation 98%
D)pH 7.52, PaO<sub>2</sub> 90 mm Hg, PaCO<sub>2</sub> 30 mm Hg, and O<sub>2</sub> saturation 94%
Q2) The nurse is preparing a client with a right-sided pleural effusion for a thoracentesis. Which of the following positions should the nurse position the client?
A)Supine with the head of the bed elevated 45 degrees
B)In the Trendelenburg position with both arms extended
C)On the left side with the right arm extended above the head
D)Sitting upright with the arms supported on an over bed table
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Source URL: https://quizplus.com/quiz/3294
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Q1) An RN is observing a nursing student who is suctioning a hospitalized client with a tracheostomy in place. Which of the following actions by the student requires the RN to intervene?
A)The student preoxygenates the client for 1 minute before suctioning.
B)The student puts on clean gloves and uses a sterile catheter to suction.
C)The student inserts the catheter about 15 cm into the tracheostomy tube.
D)The student applies suction for 10 seconds while withdrawing the catheter.
Q2) The nurse is deflating the cuff of a tracheostomy tube to evaluate the client's ability to swallow. Which of the following actions should the nurse implement?
A)Clean the inner cannula of the tracheostomy tube before deflation.
B)Deflate the cuff during the inhalation phase of the respiratory cycle.
C)Suction the client's mouth and trachea before deflation of the cuff.
D)Insert exactly the same volume of air into the cuff during reinflation.
Q3) Which of the following nursing actions should the nurse perform when suctioning a tracheostomy?
A)Insert tube 13-15 cm while suctioning.
B)Withdraw catheter in a straight time while applying intermittent suction.
C)Limit suction time to 10 seconds.
D)Oxygenate the client once all suctioning is completed.
Page 31
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Source URL: https://quizplus.com/quiz/3295
Sample Questions
Q1) The nurse notes new onset confusion in an older-adult client in a long-term care facility. The client is normally alert and oriented. In which order should the nurse take the following actions?
A)Obtain the oxygen saturation.
B)Check the client's pulse rate.
C)Document the change in status.
D)Notify the health care provider.
Q2) Which of the following information obtained by the nurse about a client who has human immunodeficiency virus (HIV) and active tuberculosis (TB) disease is most important to communicate to the health care provider?
A)The Mantoux test had an induration of only 8 mm.
B)The chest x-ray showed infiltrates in the upper lobes.
C)The client is being treated with antiretrovirals for HIV infection.
D)The client has a cough that is productive of blood-tinged mucus.
Q3) Which of the following information about a client who has a recent history of A)Chest x-ray shows no upper lobe infiltrates.
B)TB medications have been taken for 6 months.
C)Mantoux testing shows an induration of 10 mm.
D)Three sputum smears for acid-fast bacilli are negative.
Page 32
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Source URL: https://quizplus.com/quiz/3296
Sample Questions
Q1) The nurse is conducting an admission history for a client with possible asthma who has new-onset wheezing and shortness of breath. Which of the following information indicates a need for a change in therapy?
A)The client has a history of pneumonia 2 years ago.
B)The client has chronic inflammatory bowel disease.
C)The client takes propranolol for hypertension.
D)The client uses acetaminophen for headaches.
Q2) The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is receiving oxygen. Which of the following actions is best for the nurse to implement to determine the appropriate oxygen flow rate?
A)Minimize oxygen use to avoid oxygen dependency.
B)Maintain the pulse oximetry level at 90% or greater.
C)Administer oxygen according to the client's level of dyspnea.
D)Avoid administration of oxygen at a rate of more than 2 L/minute.
Q3) Which of the following information should the nurse teach a client with COPD?
A)To exercise immediately before a meal.
B)To eat a high-calorie, low-protein diet.
C)To have 5 or 6 small meals a day.
D)Avoid foods that are cooked in a microwave.
Page 33
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Source URL: https://quizplus.com/quiz/3297
Sample Questions
Q1) The nurse is reviewing the laboratory results of clotting study tests for the client. Which of the following findings should the nurse identify as abnormal? (Select all that apply.)
A)Activated clotting time 118 seconds
B)Activated partial thromboplastin time 40 seconds
C)D-dimer 200 mcg/L
D)Fibrinogen 5 g/L
E)Prothrombin time 21 seconds
Q2) The nurse is obtaining a health history from a client and notes numerous petechiae. Which of the following assessments should the nurse anticipate?
A)Bruising on the skin
B)Pinpoint purplish-red lesions
C)Small focal red lesions
D)Brown spots on mucous membranes
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Q1) A routine complete blood count indicates that a client may have myelodysplastic syndrome. At this time, which of the following information should the nurse include in the teaching plan?
A)Packed red blood cells (PRBCs) transfusion
B)Bone marrow biopsy
C)Filgrastim administration
D)Erythropoietin administration
Q2) The nurse is teaching a client with a new diagnosis of pernicious anemia about the disorder. Which of the following client statements indicates that the teaching has been effective?
A)"I need to start eating more red meat or liver."
B)"I will stop having a glass of wine with dinner."
C)"I will need to take a proton pump inhibitor like omeprazole."
D)"I would rather use the nasal spray than have to get injections of vitamin B12."
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Q1) The nurse is assessing a newly admitted client and notes a thrill along the left sternal border. To obtain more information about the cause of the thrill, which of the following actions should the nurse take next?
A)Auscultate for any cardiac murmurs.
B)Find the point of maximal impulse.
C)Compare the apical and radial pulse rates.
D)Palpate the quality of the peripheral pulses.
Q2) To auscultate for S3 or S4 gallops in the mitral area, which of the following should the nurse implement?
A)Use the bell of the stethoscope with the client in the left lateral position.
B)Use the bell of the stethoscope with the client sitting and leaning forward.
C)Use the diaphragm of the stethoscope with the client in a reclining position.
D)Use the diaphragm of the stethoscope with the client lying flat on the left side.
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Q1) The nurse in the emergency department received change-of-shift report on these four clients with hypertension. Which of the following clients should the nurse assess first?
A)52-year-old with a BP of 212/90 who has intermittent claudication
B)43-year-old with a BP of 190/102 who is complaining of chest pain
C)50-year-old with a BP of 210/110 who has a creatinine of 133 mcmol/L
D)48-year-old with a BP of 200/98 whose urine shows microalbuminuria
Q2) When a client with hypertension who has a new prescription for atenolol returns to the health clinic after 2 weeks for a follow-up visit, the BP is unchanged from the previous visit. Which of the following actions should the nurse take first?
A)Provide information about the use of multiple drugs to treat hypertension.
B)Teach the client about the reasons for a possible change in drug therapy.
C)Remind the client that lifestyle changes also are important in BP control.
D)Ask the client about whether the medication is actually being taken.
Q3) The nurse obtains a blood pressure of 180/75 mm Hg for a client. What is the client's mean arterial pressure (MAP)?
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Q1) The nurse has just received a change-of-shift report about the following four clients. Which client should the nurse assess first?
A)38-year-old who has pericarditis and is complaining of sharp, stabbing chest pain
B)45-year-old who had a myocardial infarction (MI) 4 days ago and is anxious about the planned discharge
C)51-year-old with unstable angina who has just returned to the unit after having a percutaneous coronary intervention (PCI)
D)60-year-old with variant angina who is to receive a scheduled dose of nifedipine (Adalat)
Q2) The nurse is administering a fibrinolytic agent to a client with an acute myocardial infarction. Which of the following assessments should cause the nurse to stop the drug infusion?
A)Bleeding from the gums
B)Surface bleeding from the IV site
C)A decrease in level of consciousness
D)A nonsustained episode of ventricular tachycardia
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Q1) An outpatient who has heart failure returns to the clinic after 2 weeks of therapy with an ACE inhibitor. Which of these assessment findings is most important for the nurse to report to the health care provider?
A)Pulse rate of 56
B)2+ pedal edema
C)BP of 88/42 mm Hg
D)Complaints of fatigue
Q2) Which topic will the nurse plan to include in discharge teaching for a client with systolic heart failure and an ejection fraction of 38%?
A)Need to participate in an aerobic exercise program several times weekly
B)Use of salt substitutes to replace table salt when cooking and at the table
C)Importance of making a yearly appointment with the primary care provider
D)Benefits and adverse effects of angiotensin-converting enzyme (ACE) inhibitors
Q3) Which of the following clients is less likely to enroll in a cardiac rehabilitation program?
A)A 64-year-old male who has diabetes
B)A 51-year-old male who has a same-sex partner
C)A 52-year-old single female
D)A 39-year-old male with two children
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Source URL: https://quizplus.com/quiz/3303
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Q1) The nurse is caring for a client with dilated cardiomyopathy who has an atrial fibrillation that has been unresponsive to drug therapy for several days. Which of the following actions should the nurse anticipate?
A)Electrical cardioversion
B)IV adenosine
C)Anticoagulant therapy with warfarin
D)Insertion of an implantable cardioverter-defibrillator
Q2) The nurse is caring for a client who requires defibrillation. In which order will the nurse accomplish the following steps?
A)Turn the defibrillator on.
B)Deliver the electrical charge.
C)Select the appropriate energy level.
D)Place the paddles on the client's chest.
E)Check the location of other personnel and call out "all clear."
Q3) The nurse is analyzing an electrocardiographic rhythm strip of a client with a regular cardiac rhythm and finds there are 25 small blocks from one R wave to the next. The nurse calculates the client's heart rate as beats per minute.
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Q1) The nurse is obtaining a health history from a client with a prosthetic mitral valve who has symptoms of infective endocarditis (IE). Which of the following questions by the nurse is best?
A)"Have you been to the dentist lately?"
B)"Do you have a history of a heart attack?"
C)"Is there a family history of endocarditis?"
D)"Have you had any recent immunizations?"
Q2) The nurse is caring for a client with acute dyspnea and is diagnosed with dilated cardiomyopathy. Which of the following information should the nurse include when teaching the client about management of this disorder?
A)Elevating the legs above the heart will help relieve angina.
B)No more than two alcoholic drinks daily are recommended.
C)Careful adherence to diet and medication regimen will prevent heart failure.
D)Notify the health care provider about any symptoms of heart failure.
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Q1) The nurse has initiated discharge teaching for a client who is to be maintained on warfarin following hospitalization for venous thrombo-embolism (VTE). Which of the following client statements indicates that additional teaching is required?
A)"I should reduce the amount of green, leafy vegetables that I eat."
B)"I should wear a Medic Alert bracelet stating that I take warfarin."
C)"I will need to have blood tests routinely to monitor the effects of the warfarin."
D)"I will check with my health care provider before I begin or stop any medication."
Q2) The nurse is assessing a client with possible peripheral artery disease (PAD) and obtains a brachial BP of 140/80 and an ankle pressure of 110/70. The nurse calculates the client's ankle-brachial index (ABI) as .
Q3) Which of the following responses by a client that is on anticoagulant therapy indicates the need for further teaching?
A)"I can still have a glass of wine with my dinner"
B)"For pain relief I will take ibuprofen"
C)"I take my pills at two o'clock every day"
D)"I will use an electric razor for shaving"
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Sample Questions
Q1) The nurse is obtaining a history from a client who is admitted with jaundice. Which of the following statements is most indicative of a need for client teaching?
A)"I used cough syrup several times a day last week."
B)"I take a baby Aspirin every day to prevent strokes."
C)"I need to take an antacid for indigestion several times a week"
D)"I use acetaminophen every 4 hours for chronic pain."
Q2) During change-of-shift report, the nurse receives the following information about a client who is scheduled for a colonoscopy. Which information should be communicated to the health care provider before sending the client for the procedure?
A)The client has a permanent pacemaker to prevent bradycardia.
B)The client is worried about discomfort during the examination.
C)The client has had an allergic reaction to shellfish and iodine in the past.
D)The client refused to drink the ordered polyethylene glycol.
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Sample Questions
Q1) The student nurse is caring for a client who is receiving intermittent tube feedings. Which of the following actions by the student nurse should cause the RN to intervene in the clients' care?
A)Positions the head of the bed 30 degrees
B)Flushes the tube before and after the feeding
C)Checks residual volume every hour
D)Maintains the elevated bed position one hour after the feeding.
Q2) The nurse is preparing to teach an 82-year-old Indigenous client who lives with an adult daughter about ways to improve nutrition. Which of the following actions should the nurse take first?
A)Ask the daughter about the client's food preferences.
B)Determine who shops for groceries and prepares the meals.
C)Question the client about how many meals per day are eaten.
D)Assure the client that culturally appropriate foods will be included.
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Q1) Which of the following surgeries places the client at greatest risk of developing dumping syndrome postoperatively?
A)Vertical banded gastroplasty
B)Adjustable gastric banding
C)Vertical sleeve gastrectomy
D)Lap-Band
Q2) On the first postoperative day the nurse is caring for a client who has had a Roux-en-Y gastric bypass procedure. Which of the following assessment findings should be reported immediately to the surgeon?
A)Use of patient-controlled analgesia (PCA) several times an hour for pain
B)Irritation and skin breakdown in skin folds
C)Bilateral crackles audible at both lung bases
D)Emesis of bile-coloured fluid past the nasogastric (NG) tube
Q3) Which of the following information should the nurse plan to include in discharge teaching for a client after gastric bypass surgery?
A)Avoid drinking fluids with meals.
B)Choose high-fat foods for at least 30% of intake.
C)Choose foods that are high in fibre to promote bowel function.
D)Development of flabby skin can be prevented by daily exercise.
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Sample Questions
Q1) The nurse is caring for a client with acute gastrointestinal (GI) bleeding who is receiving normal saline IV at a rate of 500 mL/hour. Which of the following findings obtained by the nurse is most important to communicate immediately to the health careprovider?
A)The client's blood pressure (BP) has increased to 142/94 mm Hg.
B)The nasogastric (NG) suction is returning coffee-ground material.
C)The client's lungs have crackles audible to the midline.
D)The bowel sounds are very hyperactive in all four quadrants.
Q2) To decrease the risk for cancers of the tongue and buccal mucosa, which of the following information should the nurse include when teaching a client who is seen for an annual physical examination in the outpatient clinic?
A)Avoid use of cigarettes and smokeless tobacco.
B)Use sunscreen when outside even on cloudy days.
C)Complete antibiotics used to treat throat infections.
D)Use antivirals to treat herpes simplex virus (HSV) infections.
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Source URL: https://quizplus.com/quiz/3310
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Q1) The nurse is providing client teaching about recommended dietary choices for a client with an acute exacerbation of inflammatory bowel disease (IBD). Which of the following diet choices by the client indicates a need for more teaching?
A)Scrambled eggs
B)White toast and jam
C)Oatmeal with cream
D)Pancakes with syrup
Q2) A client is admitted to the emergency department with severe abdominal pain with rebound tenderness. The vital signs include temperature 38.3°C (100.9°F), pulse 130, respirations 34, and blood pressure (BP) 84/50. Which of the following interventions should the nurse implement first?
A)Administer IV ketorolac 5 mg.
B)Draw blood for a complete blood count (CBC).
C)Obtain a computed tomography (CT) scan of the abdomen.
D)Infuse 1 000 mL of lactated Ringer's solution over 30 minutes.
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Q1) The nurse is preparing a teaching plan for a young adult client who is diagnosed with early alcoholic cirrhosis. Which of the following topics is most important to include in client teaching?
A)Need to abstain from alcohol
B)Use of vitamin B supplements
C)Maintenance of a nutritious diet
D)Treatment with lactulose
Q2) The nurse is obtaining a health history from a client with acute pancreatitis. Which of the following information should the nurse specifically assess when conducting a health history?
A)Alcohol use
B)Diabetes mellitus
C)High-protein diet
D)Cigarette smoking
Q3) Which of the following clients should alert the nurse that screening for hepatitis C should be done?
A)The client eats frequent meals in fast-food restaurants.
B)The client recently travelled to an undeveloped country.
C)The client had a blood transfusion after surgery in 1998.
D)The client reports a one-time use of IV drugs 20 years ago.
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Q1) The nurse is reviewing the results of a client's urinalysis. Which of the following information indicates that the nurse should notify the health care provider?
A)pH 6.2
B)Trace protein
C)WBC: 20-26/hpf
D)Specific gravity: 1.021
Q2) A client with a possible urinary tract infection (UTI) gives the nurse in the clinic a urine specimen that is a red-orange colour. Which of the following actions should the nurse take first?
A)Notify the client's health care provider.
B)Ask the client about use of any medications.
C)Question the client about any UTI risk factors.
D)Teach about the correct procedure for midstream urine collection.
Q3) For which of the following purposes does the nurse use auscultation during assessment of the urinary system?
A)Check for ureteral peristalsis.
B)Assess for bladder distension.
C)Identify renal artery or aortic bruits.
D)Determine the position of the kidneys.
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Q1) Aclient returns to the clinic with recurrent dysuria after being treated with trimethoprim-sulfamethoxazole for 3 days. Which of the following actions should the nurse plan to take?
A)Remind the client about the need to drink 1 000 mL of fluids daily.
B)Obtain a midstream urine specimen for culture and sensitivity testing.
C)Teach the client to take the prescribed trimethoprim-sulfamethoxazole for at least 3 more days.
D)Suggest that the client use acetaminophen to treat the symptoms.
Q2) The nurse is caring for a client with benign prostatic hyperplasia who has chills, fever, and is vomiting. Which of the following findings by the nurse is most helpful in determining whether the client has an upper urinary tract infection (UTI)?
A)Suprapubic pain
B)Bladder distention
C)Foul-smelling urine
D)Costovertebral tenderness
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Q1) The nurse is caring for a client with stage 2 chronic kidney disease (CKD) who is scheduled for an intravenous pyelogram (IVP). Which of the following prescriptions for the client should the nurse question?
A)NPO for 6 hours before IVP procedure
B)Normal saline 500 mL IV before procedure
C)Ibuprofen 400 mg PO PRN for pain
D)Dulcolax suppository 4 hours before IVP procedure
Q2) The nurse is caring for a client in the oliguric phase of acute renal failure who has a A)400
B) 800
C)1 000
D) 1 400
Q3) Which of the following information is most useful to the nurse in evaluating improvement in kidney function for a client who is hospitalized with acute kidney injury (AKI)?
A)Blood urea nitrogen (BUN) level
B)Urine output
C)Creatinine level
D)Calculated glomerular filtration rate (GFR)
Page 51
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Q1) The nurse is caring for a client who has clinical manifestations of hypothyroidism. Which of the following laboratory tests is most accurate to evaluate thyroid function?
A)Thyroxine (T4) level
B)Triiodothyronine (T3) level
C)Thyroid-stimulating hormone (TSH) level
D)Thyrotropin-releasing hormone (TRH) level
Q2) The nurse is teaching a client how to prepare for an oral glucose tolerance test (OGTT). Which of the following client response indicates that the teaching has been effective?
A)Fast 12 hours before the procedure
B)Clear fluid diet 12 hours prior to the test
C)Drink only full fluids 6 hours before the test
D)No fluid or food restrictions prior to the test
Q3) The nurse is caring for a client who is taking spironolactone. Which of the following parameters should the nurse monitor?
A)Decreased urinary output
B)Evidence of fluid overload.
C)Increased serum sodium levels.
D)Elevated serum potassium levels.
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Q1) The nurse is caring for a client with acute adrenal insufficiency. Which of the following findings indicate that the prescribed therapies are effective?
A)Increasing serum sodium levels
B)Decreasing blood glucose levels
C)Decreasing serum chloride levels
D)Increasing serum potassium levels
Q2) The nurse is assessing a client who has just arrived in the postanesthesia recovery unit (PACU) after a thyroidectomy and obtains these data. Which of the following information is most important to communicate to the surgeon?
A)The client is sleepy and hard to arouse.
B)The client has increasing swelling of the neck.
C)The client is complaining of 7/10 incisional pain.
D)The client's cardiac monitor shows a heart rate of 112.
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Q1) The nurse has completed teaching a client with type 2 diabetes about taking gliclazide. Which of the following client statements indicate a need for additional teaching?
A)"Other medications besides the gliclazide may affect my blood sugar."
B)"If I overeat at a meal, I will still take just the usual dose of medication."
C)"When I become ill, I may have to take insulin to control my blood sugar."
D)"My diabetes is not as likely to cause complications as if I needed to take insulin."
Q2) The nurse is teaching about meal coverage to a client with diabetes who has just started on intensive insulin therapy. Which of the following types of insulin should the nurse discuss with the client?
A)Glargine
B)Lispro
C)Detemir
D)NPH
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Q1) The nurse is assessing an older-adult male client and the client says that he does not respond to sexual stimulation the way he did when he was younger. Which of the following responses to the client's comment is best?
A)"Many men need more sexual stimulation with aging."
B)"Interest in sex frequently decreases as men get older."
C)"Erectile dysfunction is a common problem with older men."
D)"Tell me more about how your sexual response has changed."
Q2) A client calls the clinic because of an unusually heavy menstrual flow. She tells the nurse that she has saturated two tampons in the past 2 hours. Which of the following amounts of blood loss should the nurse estimate from the clients information?
A)10-20 mL.
B)20-30 mL.
C)30-40 mL.
D)40-60 mL.
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Q1) Which of the following actions should the nurse take first when caring for a client who has been admitted for lumpectomy and axillary lymph node dissection?
A)Teach the client how to deep breathe and cough.
B)Discuss options for postoperative pain management.
C)Explain the postdischarge care of the axillary drains.
D)Ask the client to describe what she knows about the surgery.
Q2) A client has a saline breast implant inserted in the outpatient surgery area. Which of the following instructions should the nurse include in the discharge teaching?
A)Take Aspirin every 4 hours to reduce inflammation.
B)Check wound drains for excessive blood or any foul odour.
C)Wear a loose-fitting bra to decrease irritation of the sutures.
D)Resume normal activities 2 to 3 days after the mammoplasty.
Q3) Which of the following information should the nurse include when teaching a client about the transverse rectus abdominis musculo-cutaneous (TRAM) procedure?
A)Saline-filled implants are placed under the pectoral muscles.
B)Recovery from the TRAM surgery takes at least 6 to 8 weeks.
C)Muscle tissue is removed from the back and used to form a breast.
D)TRAM flap procedures may be done in outpatient surgery centres.
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Q1) The nurse is assessing a female client who being seen in the family medicine clinic for an annual physical exam. Which of the following information should the nurse plan to teach the client about?
A)Testing for chlamydia infection
B)Immunization for herpes simplex
C)The relationship between the herpes virus and cervical cancer
D)The risk of infertility associated with the human papillomavirus (HPV)
Q2) The nurse is counselling a client who is having difficulty in conceiving. Which of the following infections is of most concern to the nurse?
A)Chlamydia
B)Treponema pallidum.
C)Condyloma acuminatum.
D)Herpes simplex virus type 2.
Q3) Which of the following clients should the nurse plan on teaching about the Gardasil vaccine?
A)A 50-year-old man who has multiple sexual partners
B)A 23-year-old woman who is pregnant for the first time
C)An 11-year-old female who has never been sexually active
D)A 28-year-old male who is in a monogamous relationship
Page 57
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3321
Sample Questions
Q1) The nurse is caring for a client who has a large cystocele and has not voided since admission 8 hours previously. Which of the following actions should the nurse take first?
A)Insert a straight catheter per the PRN order.
B)Encourage the client to increase oral fluids.
C)Notify the health care provider of the inability to void.
D)Assess for urinary retention.
Q2) A client who is scheduled for a Pap test tells the nurse that she has had intercourse during the last year with several men. Which of the following information should the nurse teach to the client?
A)Contraceptive use
B)Antibiotic therapy
C)Chlamydia testing
D)Pregnancy testing
Q3) A 32-year-old client has minor changes on her Pap test. Which of the following actions should the nurse take?
A)Teach the client about colposcopy.
B)Teach the client about punch biopsy.
C)Schedule another Pap test in 4 months.
D)Administer the human papilloma virus (HPV) vaccine.
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/3322
Sample Questions
Q1) The nurse is conducting a focused health history for a client with possible testicular cancer. Which of the following topics should the nurse include in the assessment?
A)Sexually transmitted infections (STIs)
B)Testicular trauma
C)Testicular torsion
D)Undescended testicles
Q2) The nurse is caring for a client with erectile dysfunction (ED) following treatment for benign prostatic hyperplasia (BPH) who tells the nurse that he decided to seek treatment because his wife "is losing patience with the situation." Which of the following nursing diagnoses is best for the client?
A)Ineffective role performance related to alteration in body image
B)Anxiety related to threat to current status (inability to have sexual intercourse)
C)Situational low self-esteem related to alteration in body image
D)Ineffective sexuality pattern related to skill deficit about alternatives related to sexuality
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Source URL: https://quizplus.com/quiz/3323
Sample Questions
Q1) The nurse is admitting a client with a brain stem infarction. Which of the following assessments is priority?
A)Reflex reaction time
B)Pupil reaction to light
C)Level of consciousness
D)Respiratory rate and rhythm
Q2) The nurse is completing a neurological assessment with a client. Which of the following assessments is the most sensitive indicator of a change in neurological status?
A)Level of consciousness
B)Cognition and thought content
C)Mood and affect
D)General appearance and behaviour
Q3) Aclient has a lesion that affects lower motor neurons. During assessment of the client's lower extremities, which of the following findings should the nurse expect?
A)Spasticity
B)Flaccidity
C)Loss of sensation
D)Hyperactive reflexes
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Problems
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/3324
Sample Questions
Q1) The nurse is caring for a client with a head injury and has admission vital signs of blood pressure 128/68 mm Hg, pulse 110 beats/minute, and respirations 26/minute. Which of these vital signs, if taken 1 hour after admission, will be of most concern tothenurse?
A)Blood pressure 156/60, pulse 55, respirations 12
B)Blood pressure 130/72, pulse 90, respirations 32
C)Blood pressure 148/78, pulse 112, respirations 28
D)Blood pressure 110/70, pulse 120, respirations 30
Q2) The nurse is caring for a client who has just been admitted with meningococcal meningitis. Which of the following observations requires the nurse to act?
A)The bedrails at the head and foot of the bed are both elevated.
B)The client receives a regular diet from the dietary department.
C)The student nurse goes into the client's room without a mask.
D)The lights in the client's room are turned off and the blinds are shut.
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29 Verified Questions
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Source URL: https://quizplus.com/quiz/3325
Sample Questions
Q1) The nurse is caring for a client who experiences a brief episode of tinnitus, diplopia, and dysarthria with no residual effects. Which of the following actions should the nurse anticipate as treatment for this client?
A)Prophylactic clipping of cerebral aneurysms
B)Heparin via continuous intravenous infusion
C)Oral administration of low dose Aspirin therapy
D)Therapy with tissue plasminogen activator (tPA)
Q2) The nurse identifies the nursing diagnosis of imbalanced nutrition: less than body requirements related to insufficient dietary intake (secondary to impaired self-feeding ability) for a client with right-sided hemiplegia. Which of the following interventionsshould be included in the plan of care?
A)Provide a wide variety of food choices.
B)Provide oral care before and after meals.
C)Assist the client to eat with the left hand.
D)Teach the client the "chin-tuck" technique.
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33 Verified Questions
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Source URL: https://quizplus.com/quiz/3326
Sample Questions
Q1) The nurse is teaching a client about management of migraine headaches. Which of the following client statements indicates that the teaching has been effective?
A)"I will take the topiramate as soon as any headaches start."
B)"I should avoid taking Aspirin and sumatriptan at the same time."
C)"I will try to lie down someplace dark and quiet when the headaches begin."
D)"A glass of wine might help me relax and prevent headaches from developing."
Q2) Aclient has a tonic-clonic seizure while the nurse is in the client's room. Which of the following actions should the nurse take?
A)Insert an oral airway during the seizure to maintain a patent airway.
B)Restrain the client's arms and legs to prevent injury during the seizure.
C)Avoid touching the client to prevent further nervous system stimulation.
D)Time and observe and record the details of the seizure and postictal state.
Q3) Which of the following prescribed interventions will the nurse implement first for a hospitalized client who is experiencing continuous tonic-clonic seizures?
A)Give phenytoin 100 mg IV.
B)Monitor level of consciousness.
C)Obtain computed tomography scan.
D)Administer lorazepam 4 mg IV.
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Source URL: https://quizplus.com/quiz/3327
Sample Questions
Q1) To determine whether a new client's confusion is caused by dementia or delirium, which of the following actions should the nurse take?
A)Assess the client using the Mini-Mental Status Exam.
B)Obtain a list of the medications that the client usually takes.
C)Determine whether there is positive family history of dementia.
D)Use the Confusion Assessment Method tool to assess the client.
Q2) The partner of a client with early stage Alzheimer's disease (AD) tells the nurse, "I am just exhausted from the constant worry. I don't know what to do." Which of the following actions is best for the nurse to take next. (Select all that apply.)
A)Suggest that a long-term care facility be considered.
B)Offer ideas for ways to distract or redirect the client.
C)Suggest that the partner consult with the physician for antianxiety drugs.
D)Educate the partner about the availability of adult day care as a respite.
E)Ask the partner what has been considered about dementia care options.
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Q1) Which of the following actions should the nurse include in the plan of care when caring for a client who is experiencing trigeminal neuralgia?
A)Teach facial and jaw relaxation techniques.
B)Assess intake and output and dietary intake.
C)Apply ice packs for no more than 20 minutes.
D)Spend time at the bedside talking with the client.
Q2) The nurse is caring for a client with a T1 spinal cord injury in the intensive care unit.
Which of the following information should the nurse include in the teaching plan for the client and family?
A)Use of the shoulders will be preserved.
B)Full function of the client's arms will be retained.
C)Total loss of respiratory function may occur temporarily.
D)Elevations in heart rate are common with this type of injury.
Q3) Which of the following nursing interventions is appropriate for a client with a spinal cord injury who is in the anger phase of adjustment?
A)Use firm kindness.
B)Do not allow fixation on the injury.
C)Use simple diagrams to explain the injury.
D)Give cheerful assistance with the activities of daily living.
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Source URL: https://quizplus.com/quiz/3329
Sample Questions
Q1) The nurse is assessing the movement of a client's elbow and notes crackling sounds and a grating sensation with palpation. Which of the following terms should the nurse use to document these findings?
A)Torticollis
B)Crepitation
C)Subluxation
D)Epicondylitis
Q2) The nurse is caring for a client with kyphosis. Which of the following findings should the nurse expect to assess?
A)Shortened stride
B)Exaggerated thoracic curvature
C)Grating sound when preforming passive ROM
D)Uncoordinated, swaying gait
Q3) Which of the following assessments of synovial fluid indicates that the findings are normal?
A)Transparent and colourless
B)Reddish pink fluid
C)Grey, thin fluid
D)Whitish yellow fluid
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Source URL: https://quizplus.com/quiz/3330
Sample Questions
Q1) After the health care provider has recommended an amputation for a client who has ischemic foot ulcers, the client tells the nurse, "If they want to cut off my foot, they should just shoot me instead." Which of the following responses by the nurse is best?
A)"Many people are able to function normally with a foot prosthesis."
B)"I understand that you are upset, but you may lose the foot anyway."
C)"Tell me what you know about what your options for treatment are."
D)"If you do not want the surgery, you do not have to have an amputation."
Q2) The nurse is developing a care plan for a client with an open reduction and internal fixation (ORIF) of an open, displaced fracture of the tibia. Which of the following nursing diagnoses is priority?
A)Activity intolerance related to physical deconditioning
B)Risk for constipation as evidenced by electrolyte imbalance
C)Risk for impaired skin integrity as evidenced by pressure over bony prominence
D)Risk for infection as evidenced by invasive procedure
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19 Verified Questions
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Source URL: https://quizplus.com/quiz/3331
Sample Questions
Q1) The nurse is teaching a client with a bunion about how to prevent further problems. Which of the following client statements indicates that more teaching is required?
A)"I will throw away my high heel shoes."
B)"I will use the bunion pad to relieve the pain."
C)"I will need to wear open sandals at all times."
D)"I will take ibuprofen when I need it."
Q2) The nurse is caring for a client who has had a surgical reduction of an open fracture of the left tibia. Which of the following assessment findings is most important to report to the health care provider?
A)Left leg muscle spasms
B)Serous wound drainage
C)Left leg pain with movement
D)Temperature 38.6C (101.5F)
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3332
Q1) The home health nurse is visiting a client who has rheumatoid arthritis (RA) and tells the nurse about having chronically dry eyes. Which of the following actions by the nurse is most appropriate?
A)Reassure the client that dry eyes are a common problem with RA.
B)Teach the client more about adverse effects of the RA medications.
C)Suggest that the client start using over-the-counter (OTC) artificial tears.
D)Ask the health care provider about lowering the methotrexate dose.
Q2) The nurse is caring for a client with an acute attack of gout and is being treated with colchicine. Which of the following assessment data indicates the effectiveness of this mediation?
A)Relief of joint pain
B)Increased urine output
C)Elevated serum uric acid
D)Decreased white blood cells
Q3) Which of the following actions should the nurse implement for a client with septic arthritis?
A)Hot compress on affected area tid
B)Active ROM exercises qid
C)Monitor BP q4h
D)Passive ROM exercises bid

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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/3333
Sample Questions
Q1) The nurse is caring for a client who has an intra-aortic balloon pump in place. Which of the following actions should be included in the plan of care?
A)Avoid the use of anticoagulant medications.
B)Keep the head of the bed elevated 45 degrees.
C)Measure the client's urinary output every hour.
D)Provide passive range of motion for all extremities.
Q2) While family members are visiting, a client has a cardiac arrest and is being resuscitated. Which of the following actions by the nurse is best?
A)Ask family members if they wish to remain in the room during the resuscitation.
B)Explain to family members that watching the resuscitation will be very stressful.
C)Assign a staff member to wait with family members just outside the client room.
D)Escort family members quickly out of the client room and then remain with them.
Q3) A client's vital signs are pulse 80, respirations 24, BP of 124/60 mm Hg, and cardiac output is 4.8 L/minute. What is the client's stroke volume?
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25 Verified Questions
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Source URL: https://quizplus.com/quiz/3334
Sample Questions
Q1) The nurse is caring for a client in the emergency department with massive trauma and possible spinal cord injury. Which of the following findings by the nurse will help confirm a diagnosis of neurogenic shock?
A)Cool, clammy skin
B)Inspiratory crackles
C)Apical heart rate 48 beats/minute
D)Temperature 38.4C (101.1F)
Q2) The health care provider prescribes the following actions for a client who has possible septic shock with a BP of 70/42 mm Hg and oxygen saturation of 90%. In which order will the nurse implement the actions?
A)Obtain blood and urine cultures.
B)Give vancomycin 1 g IV.
C)Infuse vasopressin 0.01 units/minute.
D)Administer normal saline 1 000 mL over 30 minutes.
E)Titrate oxygen administration to keep O<sub>2</sub> saturation >95%.
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23 Verified Questions
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Source URL: https://quizplus.com/quiz/3335
Sample Questions
Q1) The nurse is admitting a client with chronic obstructive pulmonary disease (COPD) who has shortness of breath and dyspnea. Which of the following assessment findings is most important to report to the health care provider?
A)The client has bibasilar lung crackles.
B)The client is sitting in the tripod position.
C)The client's respiratory rate has decreased from 30 to 10 breaths/minute.
D)The client's pulse oximetry indicates an O<sub>2</sub> saturation of 91%.
Q2) The pulse oximetry for a client with right lower lobe pneumonia indicates an oxygen saturation of 90%. The client has rhonchi, a weak cough effort, and complains of fatigue. Which of the following actions is best for the nurse to take?
A)Position the client on the right side.
B)Place a humidifier in the client's room.
C)Assist the client with staged coughing.
D)Schedule a 2-hour rest period for the client.
Q3) Chest physiotherapy is indicated for which of the following clients?
A)Takes a bronchodilator
B)Produces 40 mL of sputum per 24 hours
C)Has an increased PCO<sub>2</sub> level
D)Is taking vancomycin

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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/3336
Sample Questions
Q1) After spending the previous weekend camping out with some friends, a client arrives at the emergency department and is diagnosed with flaccid ascending paralysis. Based upon this information, the nurse concludes that the client has been bitten by whichofthefollowing?
A)Spider
B)Wasp
C)Tick
D)Snake
Q2) The nurse is caring for a client that has sustained a black widow spider bite. Which of the following times should the nurse be aware of that the symptoms usually peak?
A)30 minutes
B)2-3 hours
C)5-6 hours
D)9-10 hours
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Source URL: https://quizplus.com/quiz/3337
Sample Questions
Q1) The nurse is triaging a client who arrives in the emergency department experiencing shock. Using the START system, which of the following colours should the nurse assign to this client?
A)Red
B)Black
C)Green
D)Yellow
Q2) When using the START triage system, the nurse will assess a client who has massive head trauma with which of the following colours?
A)Green
B)Yellow
C)Red
D)Black
Q3) A client arrives in the emergency department after exposure to radioactive dust. Which of the following actions should the nurse take first?
A)Place the client in a shower.
B)Obtain the client's vital signs.
C)Determine the type of radioactive agent.
D)Obtain a baseline complete blood count.
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