Foundations of Nursing Exam Materials
Course Introduction
Foundations of Nursing introduces students to the core principles and essential skills required in the nursing profession. This course covers fundamental concepts such as the nursing process, patient safety, ethical and legal responsibilities, effective communication, and basic assessment techniques. Students gain hands-on experience in providing safe and compassionate care, learn the importance of critical thinking in clinical settings, and explore the historical and theoretical underpinnings that shape modern nursing practice. Through lectures, simulations, and supervised clinical experiences, students build a strong foundation for success in upper-level nursing courses and professional practice.
Recommended Textbook
Medical Surgical Nursing 2nd Edition by Kathleen
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67 Chapters
1995 Verified Questions
1995 Flashcards
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S. Osborn
Page 2
Chapter 1: Preparation for Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A patient tells the nurse that he does not understand the surgical procedure the physician told him he needed. What should the nurse do to advocate for this patient?
A) Contact the physician and ask that the procedure be explained to the patient.
B) Explain the procedure to the patient.
C) Document that the patient does not understand the proposed surgical procedure.
D) Instruct the patient about alternatives to the surgical procedure.
Answer: A
Q2) A nurse practitioner (NP) has joined a practice focusing on family medicine. Which roles would the nurse fulfill in this practice?. Select all that apply.
A) Developing a comprehensive education program for clinic patients
B) Working with individual patients to promote their wellness
C) Discussing how to prevent illness with patients during regular visits
D) Managing the business office of the clinic
E) Providing expert care to younger patients while the clinic physicians care for older patients
Answer: A,B,C
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Chapter 2: Legal, Ethical, and Regulatory Aspects of Health
Care Delivery
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Sample Questions
Q1) A patient cries quietly while undergoing a painful treatment. The nurse realizes that although the treatment is painful, it is necessary for the patient's healing and recovery. Which ethical principle does this situation exemplify?
A) Paternalism
B) Nonmaleficence
C) Veracity
D) Respect for others
Answer: B
Q2) The state board of nursing has notified a hospital about the changes in mandatory continuing education requirements for the nurses. The administration realizes these changes would impact which activity?
A) Regulations
B) Accreditation
C) Licensure
D) Life safety
Answer: C
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Chapter 3: Research Foundations for Nursing Practice
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Sample Questions
Q1) A qualitative research study has concluded and the nurse researcher is currently watching the study participants to make sure that the research findings can be observed in their routine lives. The nurse is conducting which type of basic research?
A) Ethnography
B) Experimental research
C) Phenomenology
D) Grounded theory
Answer: D
Q2) The nurse is implementing stage 2 of a critique of a quantitative research study. In this stage, the nurse will perform which action?
A) Study the findings.
B) Summarize the quality of the study.
C) Review the purpose of the research.
D) Focus on the conduct of the research.
Answer: D
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Chapter 4: Nursing Care Delivery Systems
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Sample Questions
Q1) The nurse's chief function is to collaboratively plan, coordinate, and evaluate services in a cost-effective manner. The nurse fulfills which role within the care delivery system?
A) Nurse practitioner
B) Clinical nurse specialist
C) Clinical nurse leader
D) Case manager
Q2) A hospital's nursing administration is considering moving to a patient-centered care model. What are the benefits of this model?
A) It is less expensive as it requires fewer registered nurses.
B) Care can be provided more efficiently.
C) This care delivery method increases patient satisfaction.
D) It standardizes care, therefore reducing the need for large supply or medication inventories.
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6
Chapter 5: Nursing Process and Documentation
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Sample Questions
Q1) The nurse is providing care for a patient who is unhappy with the health care provider's care. The patient signs the Against Medical Advice (AMA) form and leaves the hospital against medical advice. What should the nurse include in the documentation of this event in the patient's medical record or on the AMA form?. Select all that apply.
A) Documentation that the patient was informed that he or she cannot come back to the hospital
B) Documentation that the patient was informed that he or she was leaving against medical advice
C) Documentation that the risks of leaving against medical advice were explained to the patient
D) Documentation of any discharge instructions given to the patient
E) Documentation indicating an incident report has been completed
Q2) When asking a patient if a pain medication provided a few hours ago has been effective, the nurse is performing which step of the nursing process?
A) Planning
B) Implementation
C) Evaluation
D) Assessment
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7
Chapter 6: Health Assessment
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Sample Questions
Q1) During the health history, a patient tells the nurse that she is in an abusive relationship and is fearful of getting hurt if her husband finds out that she told the nurse. Which response by the nurse is most appropriate for this patient?
A) "Don't worry. They only strike back when they are angry."
B) "Are you saying that you are in danger?"
C) "I would get an attorney if I were you."
D) "Remember, what goes around comes around."
Q2) The nurse asks the patient, "What brings you to the hospital today?" What is the nurse's rationale for using this type of question?
A) It acknowledges agreement between the patient and the nurse.
B) It elicits specific information.
C) It is useful for introducing a subject in general terms.
D) It helps to clarify information.
Q3) A 54-year-old patient reports that she smokes a pack and a half of cigarettes daily and has been smoking since she was 16 years old. The nurse would record a smoking history of ______ pack-years.
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Page 8
Chapter 7: Genetics
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Q1) A patient who has been diagnosed with Parkinson's disease expresses hopelessness regarding the future. The nurse would consider which genetic technology when formulating a response?
A) Gene therapy
B) Real-time PCR
C) Stem cell therapy
D) Microarray analysis
Q2) The nurse works in a geneticist's office and is educating a new employee about human cells. Which statement by the employee indicates an understanding of the information?. Select all that apply.
A) "Every human cell has 23 pairs of chromosomes and a total of 46 chromosomes."
B) "Genes are found in the nucleus of all cells."
C) "Each human cell contains mitochondria."
D) "The 22<sup>nd</sup> pair of chromosomes determines the person's gender."
E) "All human cells function in the same way regardless of their location."
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9
Chapter 8: Nutrition
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Sample Questions
Q1) A patient is postoperative from kidney transplant. What nutritional care is appropriate for this patient?. Select all that apply.
A) Begin the introduction of previously restricted foods.
B) Meet the demands of any existing hypermetabolic process.
C) Correct any preexisting deficiencies.
D) Provide necessary support to promote wound healing.
E) Restrict calories to prevent the postoperative weight gain common with this procedure.
Q2) During a nutritional assessment, a patient asks why the waist circumference measurement is needed. What is the nurse's best response?
A) "It helps determine if the BMI is accurate."
B) "It is more reliable than skinfold measurements."
C) "It is the only tool that can reliably provide information on nutritional status."
D) "It helps in determining your risk for cardiovascular disease."
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Chapter 9: The Biophysical and Psychosocial Aspects of Nursing
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Q1) A patient is admitted after being bitten by a dog and tells the nurse he feels fine except for the bite. The nurse assesses that this patient is functioning within which phase of the general adaptation syndrome?
A) Transaction
B) Resistance
C) Alarm
D) Exhaustion
Q2) While being assessed, a patient tells the nurse that she has many stresses in her life. Which statement would the nurse evaluate as indicating external stress?
A) "I am a workaholic."
B) "My job has many rigid rules."
C) "I feel like I have to please everyone."
D) "I drink several cups of coffee in the morning and then switch to cola drinks in the afternoon."
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11
Chapter 10: The Aging Process
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Q1) A 78-year-old patient's respiratory vital capacity measurement is decreased. How would the nurse evaluate this information?
A) The patient will likely also have cardiac insufficiency.
B) This finding can be normal in older patients.
C) This finding indicates neurological deterioration.
D) This patient has had undiagnosed chronic respiratory disease.
Q2) Upon discharge from the hospital, a patient is going home and will need medication injected weekly, assistance with meal preparation, and minor assistance with activities of daily living. The nurse would identify which community-based care service as appropriate for this patient?
A) Home care
B) Hospice care
C) Ambulatory surgical care
D) Long-term care
Q3) A 66-year-old patient tells the nurse, "It is time for my annual tetanus vaccine." The nurse would respond that it is recommended that a person this age receive the tetanus vaccine every ______ years.
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12
Chapter 11: Caring for the Patient at End of Life
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Sample Questions
Q1) The family of an incapacitated patient desires one course of treatment that contradicts the decisions of the person with durable power of attorney. The disagreement is affecting the patient's nursing care. What should the nurse do?
A) Tell the person with durable power of attorney that he has to get the family's consent.
B) Follow the family's desires.
C) Provide care according to the decisions of the person with durable power of attorney.
D) Ask the physician to talk with the family and the person with durable power of attorney.
Q2) A terminally ill patient is unconscious. Which nursing assessment findings would the nurse evaluate as possible pain responses?. Select all that apply.
A) The patient's breathing pattern changes.
B) The patient becomes diaphoretic.
C) It is unlikely that the unconscious patient will experience pain.
D) Agitation will begin or will increase.
E) Facial grimacing will occur with movement.
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13
Chapter 12: Pain Assessment and Management
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Sample Questions
Q1) A patient who had abdominal surgery this morning is receiving opioid pain medication on a routine basis. The nurse would hold the medication if the patient's respirations fall below _____ per minute.
Q2) The nurse, caring for a patient recovering from surgery, knows that which intervention will provide the most pain relief for the patient?
A) Offer pain relief before the patient complains of pain.
B) Wait until the patient can describe the pain specifically.
C) Assess the pain level every 4 hours around the clock.
D) Allow the patient to "sleep off" the anesthesia, and then offer pain medication.
Q3) The nurse is performing a multidimensional pain assessment. Which questions should be included in this type of assessment?. Select all that apply.
A) "Can you rate the pain's severity?"
B) "Is there a history of similar pain in your family?"
C) "How are you managing your daily activities?"
D) "How does the pain make you feel?"
E) "Can you point to the area of pain?"
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Chapter 13: Substance Abuse Assessment and Management
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Sample Questions
Q1) The nurse is concerned about possible substance abuse by a coworker. Which behavior warrants further investigation?
A) The coworker frequently wastes medications.
B) The coworker frequently requests the largest patient care assignment for the shift.
C) The coworker prefers not to be the "medication nurse" on the shift.
D) The coworker declines to take scheduled breaks.
Q2) A patient withdrawing from alcohol addiction has an order for diazepam (Valium), 10 mg every 4 hours for four doses, then 5 mg every 4 hours for four doses. The drug comes in a concentration of 5 mg/mL. The patient is given a total of ______ mL.
Q3) A patient tells the nurse that she started to have a glass of wine every evening at home after work to "unwind" and then realized that she cannot continue with her day unless she has the wine. The nurse realizes that this patient uses wine for which reason?
A) To cope with day-to-day problems
B) To deal with difficulty expressing emotions
C) To suppress a genetic need for alcohol
D) To socialize with others
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Page 15
Chapter 14: Infectious Process and Prophylaxis
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Sample Questions
Q1) The nurse is caring for four patients in a medical-surgical unit. Which patient should the nurse see first?
A) A patent admitted with pneumonia who is has small amounts of yellow productive sputum
B) A patent admitted with fever of unknown origin whose temperature is currently
C) A patent admitted with an infected wound on the left foot whose WBC is 8,500 mm<sup>3</sup>
D) A patent admitted with infectious gastroenteritis who has had severe diarrhea for the last 24 hours
99.0F
Q2) A patient tells the nurse that she doesn't wash her hands very much because the skin on her hands is dry and cracked. What instruction should the nurse give this patient?
A) Wash the hands without soap.
B) Wash the hands with hot water.
C) Wash the hands with cold water.
D) Use a hand lotion with high fat or oil content to protect the skin.
Q3) The nurse would assess that a patient is severely neutropenic if the absolute neutrophil count is less than ______ cells per cubic millimeter.
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Page 16
Chapter 15: Fluids, Electrolytes and Acid-Base Imbalance
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Sample Questions
Q1) The nurse is planning care for a patient with fluid volume overload and hyponatremia. Which intervention should be included in this patient's plan of care?
A) Restrict fluids.
B) Administer intravenous fluids.
C) Provide Kayexalate.
D) Administer intravenous normal saline with furosemide.
Q2) A pregnant patient is admitted with excessive thirst, increased urination, and a medical diagnosis of diabetes insipidus. The nurse chooses which nursing diagnosis as most appropriate?
A) Risk for Imbalanced Fluid Volume
B) Excess Fluid Volume
C) Imbalanced Nutrition
D) Ineffective Tissue Perfusion
Q3) An elderly patient does not complain of thirst. Which information would the nurse evaluate to determine if the patient is dehydrated?
A) Magnesium level
B) Chest X-ray
C) Urine osmolality
D) Brain scan
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Page 17
Chapter 16: Fluid and Blood Infusion Therapy
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Sample Questions
Q1) A patient is in critical need of additional blood transfusions related to massive hemorrhage. The blood bank has no blood that matches the patient's type. The nurse would agree to administer non-type-specific blood if the patient has which blood type?
A) B
B) AB
C) A
D) O
Q2) The nurse is caring for a patient receiving medication directly into the cerebrospinal fluid. The nurse correctly describes this procedure as involving which type of catheter?
A) An intraspinal catheter
B) An intrathecal catheter
C) A subcutaneous infusion set
D) An intraosseous catheter
Q3) Which technique should the nurse use when infusing fresh frozen plasma?
A) Administer slowly.
B) Give through a filter.
C) Agitate the bag periodically.
D) Give IV push.
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Chapter 17: Preoperative Nursing
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Sample Questions
Q1) An elderly patient is being prepared for orthopedic surgery. The nurse realizes this patient is at risk for which complication?
A) Decreased tolerance of general anesthesia
B) Prolonged effects of anesthesia because of herbal supplements
C) Wound dehiscence
D) Increased hypotensive effects of anesthesia
Q2) A patient asks the nurse about the possibility of donating blood for his upcoming surgery. Which information should the nurse provide?. Select all that apply.
A) "You must have approval from your surgeon."
B) "You must have a hemoglobin level of at least 14 g/dL to donate blood to yourself."
C) "As long as you are still in good health, this plan can be considered."
D) "Because you have an intermittent fever, this donation is not possible."
E) "This is a type of directed donation that is not recommended."
Q3) A patient has postponed an elective surgical procedure. The nurse would advise the patient that a new preoperative health assessment will be necessary if the original assessment document is over _____ days old.
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Chapter 18: Intraoperative Nursing
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Sample Questions
Q1) The nurse in the preoperative holding area is checking to see if the correct patient has been transferred for the next surgical case. What questions would the nurse ask?. Select all that apply.
A) "Are you Mary Smith?"
B) "What is your name?"
C) "What is your social security number?"
D) "What is your birth date?"
E) "What surgery are you having?"
Q2) According to national guidelines for surgical wound classification, the nurse would classify which wounds as contaminated?. Select all that apply.
A) A normal hysterectomy incision
B) A gunshot wound to the chest
C) A stab wound to the abdomen that does not enter the bowel
D) A pressure ulcer that has eschar present
E) The skin wound from a compound femur fracture
Q3) The certified nurse anesthetist suspects a patient is experiencing malignant hyperthermia and will administer dantrolene sodium 3 mg/kg IV. The patient's documented weight is 143 pounds. The nurse will administer _____ mg in the first bolus.
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Page 20
Chapter 19: Postoperative Nursing
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Sample Questions
Q1) The nurse assesses a patient in the postanesthesia recovery unit and finds a BP of 88/50, pulse 116, and respirations of
A) Pain assessment
B) Urine output
20. What assessment data will the nurse collect next?
C) Pulse oximeter reading
D) Whether the patient is nauseated
Q2) The PACU nurse is assessing a postoperative patient's intravenous fluids. Which assessments should be documented?. Select all that apply.
A) Location of the intravenous catheter
B) The length of time the catheter has been in place
C) The type of IV fluid infusing
D) The rate fluid is infusing
E) The type of IV catheter present
Q3) A child who weighs 30 kg is in the PACU. The nurse would collaborate with the child's health care provider if the child's urine output was less than ______ mL per hour.
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Chapter 20: Nursing Assessment of the Patient With Neurological Disorders
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Sample Questions
Q1) The patient has upper motor neuron injuries. The nurse anticipates that what type of reflex is present?
A) Pathologic
B) Increased
C) Normal
D) Exaggerated
Q2) An intensive care unit (ICU) nurse is preparing to assess the level of consciousness (LOC) of a patient who experienced multiple trauma injuries and is on assisted ventilation. The nurse chooses the FOUR Score Consciousness Scale for which reason?
A) This scoring system does not require verbal responses.
B) This scoring system focuses primarily on assessment of cognitive ability.
C) This scoring system requires minimal interaction on the part of the patient.
D) This scoring system is designed especially for intensive care unit patients.
Q3) When testing cranial nerve XI (spinal accessory), the nurse should ask the patient to perform which activity?
A) Shrug the shoulders and turn the head against resistance.
B) Stick out the tongue and move it from side to side.
C) Taste foods and distinguish sweet from sour.
D) Identify smells correctly with one side of the nares blocked.
Page 22
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Chapter 21: Caring for the Patient With an Acute Brain or Cranial Nerve Disorder
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Sample Questions
Q1) A patient has had a surgical resection of an acoustic neuroma. The nurse would prioritize which postoperative assessment?
A) Timing how long it takes for tinnitus to return
B) Measuring urine output hourly
C) Determining the degree of hearing loss
D) Identifying damage to cranial nerves VII, IX, X, and XII
Q2) A patient with a right temporal lobe hematoma is displaying Cheyne-Stokes respirations. How should this nurse interpret this assessment finding?
A) The next sign will likely be sluggish pupil reaction ipsilaterally.
B) This type of brain pathophysiology is usually self-limiting.
C) This patient requires surgical decompression of the brain.
D) There is no medical treatment appropriate for this symptomology.
Q3) Decerebrate posturing is present in an unconscious patient following a motor vehicle accident. The nurse expects to see which position?
A) The arms and legs are hyperextended, and arms are hyperpronated.
B) The arms are folded over the chest and spasms are rhythmic.
C) The arms are pulled inward and the head is turned to the side.
D) The arms and legs have tonic-clonic seizure activity.
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Chapter 22: Caring for the Patient With Cerebral Vascular Disorders
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Sample Questions
Q1) A patient has had successful treatment for a leaking arteriovenous malformation and is being discharged to home. The patient's Barthel Index score is
A) Partial assistance with daily care activities
B) Maximum assistance with self-care in all activities
C) Very little assistance with activities of daily living
D) No assistance with most activities
48. The nurse anticipates that the patient will require which assistance?
Q2) A patient has undergone repair of a subarachnoid hemorrhage. The nurse should monitor this patient for development of which complications?. Select all that apply.
A) Hypernatremia
B) Hydrocephalus
C) Rebleeding
D) Vasospasm
E) Hemodilution
Q3) A patient has been admitted with stroke-like symptoms. The nurse would report a serum potassium level of less than _____mEq/L as below the desired level.
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Chapter 23: Caring for the Patient With Chronic and Degenerative Neurological Disorders
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Q1) The nurse is providing community education about Parkinson's disease (PD) symptomology. Which information would the nurse include in this discussion?. Select all that apply.
A) "'Pill-rolling' motions are often seen in the hands."
B) "Muscle stiffness is a common manifestation."
C) "People with Parkinson's disease often complain that they move slowly."
D) "Many people with PD are injured because they tend to fall more than others."
E) "People with PD tend to have drooping of the eyelids."
Q2) When providing education for a patient newly diagnosed with mild Alzheimer's disease (AD) and the family, the nurse identifies which actions as signs that the disease is progressing in severity?. Select all that apply.
A) The patient repeatedly allows pots of water to boil dry.
B) The patient claims that the newspaper is not readable anymore.
C) The patient becomes agitated when old friends come to visit.
D) The patient is obsessive about how personal belongings are organized.
E) The patient develops a ravenous appetite, especially for carbohydrates.
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Chapter 24: Caring for the Patient With Spinal Cord Injuries
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Q1) The nurse is assessing the psychosocial status of a patient who experienced a spinal cord injury. What would provide the best subjective evidence of the patient's state of mind?
A) The nurse asks the patient to identify members of his support system.
B) The patient says, "I would enjoy some fast food for lunch."
C) The nurse enters the room and finds the patient crying.
D) The patient tells the nurse he was once treated for depression.
Q2) A patient was admitted after falling from the roof of a one-story building. Assessment reveals presence of a patellar reflex, but loss of sensation in part of both feet. The nurse would plan for which level of bowel and bladder function?
A) Bladder function only
B) Bowel function only
C) Intact bladder and bowel function
D) Loss of both bladder and bowel function
Q3) Which patient is at highest risk for a spinal cord injury?
A) 18-year-old male with a prior arrest for driving while intoxicated (DWI)
B) 20-year-old female with a history of substance abuse
C) 50-year-old female with osteoporosis
D) 35-year-old male who coaches a soccer team
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Page 26
Chapter 25: Nursing Assessment of the Patient With
Respiratory Disorders
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Sample Questions
Q1) During an assessment, a patient begins to cough. How would the nurse evaluate this finding?
A) The patient has a cold.
B) The patient is nervous.
C) Something other than air was entering the larynx.
D) The patient is not fully conscious.
Q2) The nurse is assessing a patient for pedal edema. If using the correct technique, the nurse will depress the tissue for _____ seconds.
Q3) The patient says, "I think I am allergic to something in my house. I feel better when I am away for a few days." What should the nurse suggest?
A) "You might want to keep your dog outside."
B) "You might want to consider having allergy testing done."
C) "You should remove dust by vacuuming your house every day and getting rid of your drapes and decorative pillows."
D) "You should consider having your home professionally cleaned."
Q4) A review of a patient's medical record reveals a 70-pack-year smoking history. The patient says he smokes two packs of cigarettes every day. The nurse calculates that this patient has been smoking for ______ years.
Page 27
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Chapter 26: Caring for the Patient With Upper Airway Disorders
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Sample Questions
Q1) The nurse is planning care for a patient who has just had a permanent tracheostomy following total laryngectomy. What should the nurse consider when planning this care?. Select all that apply.
A) The patient will require isolation until the site is healed.
B) The patient will require enteral feedings until healed.
C) Writing will be an important form of communication immediately postoperatively.
D) The patient will be unable to speak normally
E) The family will be unable to communicate with the patient.
Q2) An 81-year-old woman who lives alone is in the clinic for an annual physical. She reports that she has noticed that her sense of smell is not as acute as it used to be. Which nursing interventions are indicated?. Select all that apply.
A) Ask the patient if her kitchen stove is gas or electric.
B) Remind the patient of the need to change batteries in her smoke detectors twice a year.
C) Suggest that the patient use fewer spices when cooking.
D) Recommend that the patient limit the amount she drives her car.
E) Ask the patient if she has a cat or dog living in her house.
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Chapter 27: Caring for the Patient With Lower Airway Disorders
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Sample Questions
Q1) The nurse would anticipate alpha-1 antitrypsin (ATT) levels to be drawn on all patients ______ years of age or younger who demonstrate assessment findings of chronic obstructive pulmonary disease.
Q2) The nurse, caring for a patient diagnosed with lung cancer, determines that the patient might be experiencing superior vena cava syndrome when which finding is assessed?
A) Face and neck swelling
14.0 mg/dL
B) Hourly urine outputs 250 to 500 mL
C) Calcium level of
D) Flat jugular veins
Q3) A patient has been diagnosed with a restrictive lung disease. Which assessment finding would the nurse expect?
A) Cough that the patient describes as occasional for the last 2 weeks
B) Bradycardia
C) Patient report of increased shortness of breath when walking
D) Clear lung sounds
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Page 29
Chapter 28: Caring for the Patient With Complex
Respiratory Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78630
Sample Questions
Q1) Which interventions should the nurse plan to help reduce a patient's risk of developing ventilator-associated pneumonia?. Select all that apply.
A) Brush the patient's teeth every 4 hours.
B) Regularly drain any accumulated water from ventilator tubing.
C) Place a nasogastric tube to keep the stomach decompressed.
D) Keep the head of the bed at 30 to 45 degrees.
E) Wash the hands before and after patient contact.
Q2) Which physician's order should the nurse for a patient who is intubated and being mechanically ventilated?
A) Endotracheal suctioning every hour
B) Endotracheal suctioning as needed
C) NPO status
D) Intake and output every 4 hours
Q3) Which patient should the nurse assess first?
A) Patient with a chest tube complaining of difficulty breathing
B) Patient with a tracheostomy who is on oxygen via trach mask
C) Patient preparing for discharge following a lengthy hospital stay for ARDS
D) Patient complaining of incisional pain
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Chapter 29: Nursing Assessment of the Patient With
Cardiovascular Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78629
Sample Questions
Q1) A patient is admitted to the telemetry unit. Which nursing assessment has the highest priority for further investigation?
A) The patient complains of intermittent chest pain during mild exercise.
B) The patient has a history of urinary retention.
C) The patient complains of fatigue and dyspnea after walking up several flights of stairs.
D) The patient's father has a history of smoking.
Q2) A patient presents to the medical-surgical unit confused and with a blood pressure of 90/
A) Skin tenting (poor turgor) and heart rate 102
B) Pallor and peripheral edema
C) Bounding peripheral pulses and pulse oximeter reading 90%
D) Prolonged capillary refill and diminished peripheral pulses
50. Which assessment findings would support the nurse's concern that the patient has low cardiac output?
Q3) The nurse assesses full and bounding pulses in a patient being assessed for cardiac risk factors. The nurse would document this finding as +_____ pulses.
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Page 31
Chapter 30: Car-Ing for the Patient With Dysrhythmias
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78628
Sample Questions
Q1) Which is the priority nursing intervention for a patient with a junctional escape rhythm?
A) Assess the patient for symptoms associated with this rhythm.
B) Contact the physician immediately for emergency orders.
C) Eliminate caffeine from the diet.
D) Prepare for a pacemaker insertion.
Q2) A patient is having elective synchronized cardioversion. Place the steps of the procedure in the correct order.
A) Verify patency of IV access.
B) Administer sedative per physician prescription.
C) Set cardioverter to "synchronize" mode.
D) Charge the cardioverter to the selected energy level.
E) Ensure that personnel are not in physical contact with the bed or patient.
Q3) Which statement would the nurse use to describe the Q wave of an electrocardiogram tracing?
A) Rounded and upright and follows the QRS complex
B) Rounded and upright and precedes the QRS complex
C) Negative deflection following the R wave
D) First negative deflection after the P wave
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Page 32
Chapter 31: Hemodynamic Monitoring
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78627
Sample Questions
Q1) A family member of a critically ill patient is verbalizing the purpose of hemodynamic monitoring. Which statement indicates that the family member needs more education?
A) "The hemodynamic monitor can measure how much blood is in the arteries and veins."
B) "The hemodynamic monitor can measure how much blood comes out of the heart each minute."
C) "The hemodynamic monitor can measure how much oxygen is left in the blood after it circulates through the body."
D) "The hemodynamic monitor can measure how much pressure is in the heart."
Q2) The nurse is preparing to inflate a pulmonary artery catheter (PAC) balloon while it is located in the pulmonary artery. What assessment is possible from this action?
A) When inflated, the catheter indirectly measures pressures in the left side of the heart.
B) When inflated, the catheter measures the pressure in the right side of the heart.
C) When inflated, the catheter indirectly measures the cardiac index.
D) When inflated, the catheter measures cardiac output through thermodilution.
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33
Chapter 32: Caring for the Patient With Coronary Artery Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78626
Sample Questions
Q1) The nurse, assessing a middle-aged patient experiencing chest pain, realizes that which symptoms would be most suggestive of an acute myocardial infarction?
A) Substernal pressure-type pain, radiating down the left arm
B) Colic-like epigastric pain
C) Sharp, well-localized unilateral chest and left arm pain
D) Sharp, burning chest pain moving from place to place
Q2) The nurse would recommend closer evaluation for coronary artery disease (CAD) to a patient with which history?. Select all that apply.
A) Diabetes
B) Hyperlipidemia
C) Positive family history
D) Increased C-reactive protein level
E) hypotension
Q3) Following a transmural myocardial infarction, which ECG change stays with the patient for life?
A) Q wave deepening
B) ST segment elevation
C) ST segment depression
D) P wave inversion
Page 34
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Chapter 33: Caring for the Patient With Cardiac
Inflammatory Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78625
Sample Questions
Q1) A patient with mitral regurgitation is instructed to report to the health care provider if it becomes too difficult to perform activities of daily living. What is the nurse's rationale for providing this instruction?
A) Activity intolerance indicates acute respiratory distress.
B) The patient may have experienced a myocardial infarction.
C) These changes indicate that it is time to consider valve replacement.
D) Infective endocarditis is developing.
Q2) The nurse is evaluating activity tolerance in a patient with mitral valve stenosis. Which finding would the nurse evaluate as indicating the patient tolerated ambulating in the hall?. Select all that apply.
A) The heart rate, measured 3 minutes after the patient returned to bed, was at the patient's normal level.
B) Blood pressure taken at the halfway point of ambulation was not significantly different from the preambulation level.
C) The patient does not complain of being tired when ambulating.
D) The patient's pulse oximetry reading goes up slightly right after ambulation.
E) The patient's respiratory rate is at normal level at the end of the walk.
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Page 35
Chapter 34: Caring for the Patient With Heart Failure
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78624
Sample Questions
Q1) The nurse realizes that a patient is experiencing paroxysmal nocturnal dyspnea (PND) when which symptoms are reported?. Select all that apply.
A) Symptoms occurring at night
B) Pulmonary congestion while lying down
C) Improving cardiac reserve
D) Voiding more than once at night
E) Attacks occurring suddenly
Q2) Which statement by a patient with heart failure would indicate to the nurse that the patient does not understand the discharge instructions?
A) "I will increase my activity a little every day."
B) "I will contact the health care provider if I begin gaining weight."
C) "I will eat a low-sodium diet."
D) "I will pick up my new medications in a few days when I get paid."
Q3) What is the priority nursing action the nurse would implement for a patient who is admitted with pulmonary edema?
A) Insert a peripheral intravenous catheter.
B) Seek a prescription to medicate the patient for comfort.
C) Monitor the blood glucose level.
D) Place a pulse oximeter and administer oxygen.
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Page 36
Chapter 35: Caring for the Patient With Peripheral Vascular Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78623
Sample Questions
Q1) A patient is demonstrating signs of thrombophlebitis. The nurse understands that which mechanisms occur with this disorder?. Select all that apply.
A) Bleeding into surrounding tissues
B) Blood hypercoagulation
C) Sluggish blood flow
D) Elevated systemic blood pressure
E) Vessel damage
Q2) The nurse notes that a patient with Raynaud's disease is more anxious than usual and states, "I don't understand why my hands keep turning colors. It seems to happen when I get upset." What is the nurse's most appropriate action?
A) Discuss how stress can cause the vasospasms in Raynaud's disease and develop a plan to manage stress.
B) Discuss using hot water to warm up the patient's hands and keep them warm.
C) Discuss how Raynaud's can impact the patient's health.
D) Implement a no-visitor policy to keep the patient calmer.
Q3) The patient's brachial artery systolic pressure is 144 mmHg, and the right ankle systolic pressure is 120 mmHg. The nurse calculates the patient's ankle-brachial index to be ______.
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Chapter 36: Nursing Assessment of the Patient With
Gastrointestinal, Renal, or Urinary Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78622
Sample Questions
Q1) Which assessment finding alerts the nurse to the likelihood that the patient has a distended bladder?
A) Percussion in the middle of the lower abdomen elicits a dull sound.
B) The patient states, "My back is killing me."
C) Percussion over the costovertebral angle produces pain.
D) The patient complains of colicky pain in the side.
Q2) The nurse is preparing to assess a patient who reports abdominal pain as 6 on a scale of 0 to
A) First medicate the patient for the pain.
10. To best facilitate the abdominal assessment, what nursing action is indicated?
B) Palpate the patient's abdomen last.
C) Assist the patient into the knees-bent supine position.
D) Encourage the patient to take slow, deep breaths.
Q3) Which would the nurse ask to most effectively assess the patient's pattern of elimination?
A) "Are you having any bowel problems?"
B) "Have you had any recent difficulties with your stools?"
C) "Tell me about your usual bowel habits."
D) "Are your bowel movements normal?"
Page 38
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Chapter 37: Caring for the Patient With Gastrointestinal Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78621
Sample Questions
Q1) The nurse recognizes that a patient diagnosed with celiac disease needs further education regarding the disease process when the patient makes which statement?
A) "It's really difficult to maintain my gluten-free lifestyle."
B) "The only way to truly diagnose this disease is through a biopsy of my small intestine."
C) "The trouble I'm having with the enamel on my teeth is a result of this disease."
D) "I treat myself to a ham and cheese on rye with a light beer once a week."
Q2) The nurse has identified the goals of "intact skin integrity" and "intact stoma integrity" for a patient with a colostomy. Which evaluation parameters are best suited for these goals?. Select all that apply.
A) The stoma is pink and moist.
B) No excoriation is noted on skin surrounding the stoma.
C) The patient shows understanding of importance of preventing fecal leakage.
D) The patient demonstrates ability to apply the collecting appliance properly.
E) The stomal area is free of pain.
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Chapter 38: Caring for the Patient With Hepatic and Biliary Disorders
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78620
Sample Questions
Q1) The nurse is caring for a patient with severe liver disease. The nurse notes new ecchymotic areas on the patient's arms and legs. Which laboratory results will the nurse analyze regarding this finding?. Select all that apply.
A) Complete blood count
B) Coagulation studies
C) Serum albumin
D) Serum ammonia levels
E) Serum hepatitis antibodies
Q2) The nurse is teaching a patient about strategies for reducing the risk of hepatitis B transmission. Which statements by the patient indicate understanding of the nurse's instruction?. Select all that apply.
A) "I will wash my hands frequently to prevent fecal-oral transmission."
B) "I will avoid alcohol."
C) "I will avoid contact with blood and body fluids."
D) "I will avoid contaminated food and water."
E) "I will use safe sex techniques."
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Chapter 39: Caring for the Patient With Renal and Urinary Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78619
Sample Questions
Q1) A patient with a history of renal calculi has been instructed to acidify his urine. The nurse would suggest intake of which foods or fluids?. Select all that apply.
A) Orange juice
B) Cranberries
C) Chocolate
D) Dairy products
E) Water
Q2) A patient diagnosed with a symptomatic urinary tract infection (UTI) is prescribed phenazopyridine (Pyridium). Which medication education should the nurse provide?
A) "This medication will make your urine orange or red."
B) "This medication will kill the bacteria in your urine."
C) "Take this medication until the prescription is finished."
D) "Don't worry if your skin turns a yellowish color."
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41
Chapter 40: Nursing Assessment of the Patient With
Reproductive Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78618
Sample Questions
Q1) A 40-year-old male has reported to the clinic with complaints of impotence. The nurse is reviewing the patient's health history. Which statements by the patient warrant further investigation?. Select all that apply.
A) "I take medications to control my blood pressure."
B) "I had the mumps when I was a boy."
C) "I had a vasectomy 4 years ago."
D) "I have had diabetes for several years."
E) "My wife has a history of cervical cancer."
Q2) Which statement by a patient offers the nurse information about moliminal symptoms?
A) "I have headaches if I don't eat regularly."
B) "When I was pregnant, my feet and ankles were swollen every day."
C) "My last boyfriend gave me hepatitis."
D) "I get terrible cramps with my periods."
Q3) A patient is having a routine prostate examination. Which is an important part of this examination?
A) "Do you have polyuria in the morning?"
B) "Do you take laxatives or stool softeners?"
C) "Do you have difficulty with urination?"
D) "Do you experience constipation?"
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Chapter 41: Caring for the Patient With Female
Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78617
Sample Questions
Q1) A female patient who is experiencing menopause is "tired of the night sweats." Which activity can the nurse suggest to help this patient?
A) Ensure that the bedroom temperature is cool and limit sleeping attire.
B) Reduce intake of milk and milk products.
C) Suggest talking with the physician about a hysterectomy.
D) Exercise 1 hour before going to sleep.
Q2) The school nurse is providing health promotion information regarding menstruation to a group of girls in middle school. Which strategies should the nurse suggest to avoid toxic shock syndrome (TSS)?. Select all that apply.
A) Use superabsorbent tampons.
B) Change tampons at least every 4 hours.
C) Alternate the use of tampons and sanitary napkins.
D) Drink additional fluids while menstruating.
E) Take anti-inflammatory medications daily while wearing tampons.
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Chapter 42: Caring for the Patient With Male Reproductive Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78616
Sample Questions
Q1) A patient who has benign prostatic hyperplasia (BPH) would like to try an alternative therapy along with the prescribed medication. The nurse would evaluate that education goals have been met when the patient states he will purchase which herbal remedy?
A) Dill weed
B) African star grass
C) St. John's wort
D) Oil of primrose
Q2) A male patient is diagnosed with stage I testicular cancer. The nurse would prepare this patient for which treatment?
A) Surgical removal of the testicle
B) Aspiration of the enlarged testicle
C) Chemotherapy
D) Surgical removal of both testicles
Q3) A patient has been diagnosed with a hydrocele. Which teaching should the nurse provide about this condition?
A) "The swelling in your scrotum is a cyst filled with sperm."
B) "The fluid in your scrotum will probably reabsorb in time."
C) "Be sure to take your entire antibiotic prescription."
D) "It is good that you came in early since this is an emergency situation."
Page 44
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Chapter 43: Caring for the Patient With Sexually
Transmitted Diseases
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78615
Sample Questions
Q1) A female patient is having difficulty accepting the diagnosis of a sexually transmitted infection (STI) because she has been "on the pill" for years. What information can the nurse provide to aid this patient?
A) Skipping doses could have caused the disease.
B) She may need to change the type of birth control pill she is using.
C) The pill offers some protection against STIs.
D) Latex condoms are better protection against bacterial STIs.
Q2) A patient asks which method of contraception will provide the greatest protection against gonorrhea. What method can the nurse recommend?
A) Oral contraceptives
B) Male condoms
C) Sponges
D) Spermicides
Q3) A patient is prescribed ceftriaxone (Rocephin) 350 mg IM. The nurse reconstitutes a 500 mg vial of ceftriaxone powder with 1.8 mL of diluent to achieve a concentration of 250 mg/mL. The nurse will administer _______ mL for the total dose.
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Page 45
Chapter 44: Caring for the Patient With Breast Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78614
Sample Questions
Q1) A patient had a mastectomy with axillary node dissection and was told she has stage IV breast cancer. The nurse would expect surveillance of which body systems as the most likely areas for metastasis?. Select all that apply.
A) Bone
B) Liver
C) Brain
D) Lung
E) Uterus
Q2) A patient diagnosed with breast cancer wishes to have reconstruction surgery as soon as possible. Which information should the nurse reinforce?
A) "Breast reconstruction works better if it is done as a separate surgery after you have recovered from mastectomy."
B) "Breast reconstruction has to wait until after chemotherapy is completed."
C) "The timing of reconstruction is your personal choice."
D) "You should wait until we are certain your cancer does not recur."
Q3) A patient's genetic studies reveal she is positive for both BRCA1 and BRCA2 mutations. The nurse prepares to care for a patient whose lifetime risk of developing breast cancer is _______%.
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46
Chapter 45: Nursing Assessment of the Patient Endocrine Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78613
Sample Questions
Q1) During an endocrine assessment, the nurse asks specific questions about the patient's employment. What rationale would the nurse provide for this line of questioning?
A) Occupational exposure to some toxic chemicals may be implicated in the development of endocrine disorders.
B) People in occupations that require sitting for long periods are at higher risk for endocrine disorders.
C) People who are exposed to environmental tobacco smoke are at high risk for development of thyroid disorders.
D) People working in occupations requiring lifting are at higher risk for development of adrenal disorders.
Q2) A patient is scheduled for an ACTH stimulation test as part of endocrine evaluation. What information should the nurse provide as preparation for this test?
A) "At least two blood samples will be drawn."
B) "Wear comfortable clothing and supportive shoes for this exam."
C) "You will be asked to swallow some medication during X-ray examination."
D) "You should not drive for at least 12 hours after this exam."
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Page 47
Chapter 46: Caring for the Patient With Glandular and Hormonal Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78612
Sample Questions
Q1) Which clinic patient would the nurse monitor for development of Cushing syndrome?
A) A patient who received radioactive iodine treatment for hyperthyroidism
B) A patient receiving steroid treatment for rheumatoid arthritis
C) A patient who has had surgery on the neck
D) A patient receiving radiation for a brain tumor
Q2) The nurse is caring for a patient with Cushing syndrome who is scheduled for a surgical procedure to remove an adrenal cortex tumor. The nurse knows patient teaching regarding the procedure has been effective when the patient makes which statement?
A) "The adrenal gland with the tumor will be removed."
B) "I will need to take adrenal hormones for the rest of my life."
C) "The tumor will be removed by the transsphenoidal route."
D) "I will receive IV cortisol in preparation for the surgery."
Q3) An older adult is diagnosed with apathetic thyrotoxicosis. Which nursing diagnosis would the nurse prioritize in this patient's care plan?
A) Anxiety
B) Depression
C) Risk for Injury: Falls
D) Decreased Tissue Perfusion: Peripheral
Page 48
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Chapter 47: Caring for the Patient With Diabetes
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78611
Sample Questions
Q1) At a community health screening for blood glucose testing, the nurse would expect which person to have the highest risk for having type 2 diabetes?
A) A 30-year-old Caucasian patient who recently had a baby
B) A patient who lives in a nearby rural farming town
C) A patient following a high-protein diet
D) A 40-year-old with weight centered in the abdomen
Q2) The nurse is providing instruction to a group of patients who are planning to participate in an athletic triathlon. Each member of the group has been diagnosed with either diabetes mellitus type 1 or type 2. A member of the group asks, "If we each follow our usual daily diabetic control routine, which diabetic complication is most likely to occur during this event?" What is the nurse's best answer?
A) Diabetic ketoacidosis
B) Hypoglycemia
C) Hyperosmolar hyperglycemic state
D) Impaired glucose tolerance
Q3) The nurse is providing dietary instruction to a patient diagnosed with type 2 diabetes. The nurse includes information on how to reduce dietary intake of cholesterol to no more than _______ mg per day.
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Chapter 48: Nursing Management of the Patient With
Musculoskeletal Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78610
Sample Questions
Q1) The nurse is assessing a patient's gait. Which findings would the nurse consider normal?. Select all that apply.
A) The patient walks with a wide base of support.
B) The arms swing according to gait phase.
C) The patient shuffles when walking.
D) The gait is jerky, with quick movements.
E) The patient holds the arms out from the body in slight extension.
Q2) The nurse plans to use a goniometer during assessment of a patient's musculoskeletal system. Which technique should the nurse use?. Select all that apply.
A) Document the angle of the joint in range of degrees.
B) Place the fulcrum of the goniometer on the joint.
C) Place the movable arm of the goniometer on the stationary part of the joint.
D) Place the stationary arm of the goniometer on the part of the limb that will not move.
E) Move the patient's arm through the normal full range of motion.
Q3) The nurse determines that a patient's shoulder muscle strength is normal when it is graded as _______ or better.
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Chapter 49: Caring for the Patient With Musculoskeletal Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78609
Sample Questions
Q1) The nurse is preparing discharge instructions for a patient diagnosed with hypokalemic myopathy. What information should be included in these instructions?
A) When to take coenzyme Q-10
B) The need for rest periods between activities
C) Foods rich in potassium
D) When to take prescribed prednisone
Q2) A nursing unit has adopted the Four P strategy to reduce fall rates. Which components of patient care will this plan emphasize?. Select all that apply.
A) Position
B) Pain assessment
C) Personal needs
D) Prevention
E) Placement
Q3) A woman who emigrated from a Third World country has just delivered a baby. The woman says, "In my country, many babies die from polio. I want my baby immunized as soon as possible." The nurse responds, "Your baby will receive the first polio immunization at age _______ months.
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Page 51
Chapter 50: Caring for the Patient With Musculoskeletal
Trauma and Surgical Procedures
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78608
Sample Questions
Q1) The patient is diagnosed with an oblique fracture of the left femur. The nurse understands that the process of bone healing occurs in phases. Place in order the phases of the bone healing process.
A) Reparative phase
B) Initial injury (fracture)
C) Inflammatory phase
D) Remodeling phase
Q2) Assessment of a patient postarthroplasty reveals tachypnea, air hunger, hypoxia, O<sub>2</sub> sat of 86%, declining mental status, and petechiae. What is the nurse's priority action?
A) Apply oxygen at 3 to 4 liters /minute.
B) Call a code for potential cardiac arrest.
C) Prepare the patient for immediate intubation and mechanical ventilation with PEEP.
D) Raise the head of the bed (HOB) and encourage coughing every hour.
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Chapter 51: Caring for the Patient With Arthritis and
Connective Tissue Disorders
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78607
Sample Questions
Q1) A patient with a history of rheumatoid arthritis reports mobility impairment as a result of hip and knee joint stiffness. Which intervention should the nurse include in an education session to address this problem?. Select all that apply.
A) Encouraging frequent periods of rest for the affected hip and knee joints
B) Educating the patient's family to perform passive range-of-motion exercises of the affected joints
C) Instructing the patient in the proper technique for active range of motion of the affected joints
D) Discussing the use of relaxation techniques when affected joints are most painful
E) Suggesting the application of ice to the affected joints to minimize pain
Q2) A patient says, "My physician thinks I may have psoriatic arthritis, but there is nothing wrong with my skin." How should the nurse respond?
A) "You must have a subclinical case of psoriasis."
B) "You will probably develop skin eruptions in a few years."
C) "Not all people with psoriatic arthritis also have psoriasis."
D) "There are other arthritis conditions that have similar laboratory values, so additional testing will be likely."
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Chapter 52: Nursing Management of the Patient With
Immunological and Inflammatory Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/78606
Sample Questions
Q1) A patient is admitted with an autoimmune disorder. The nurse plans care for this patient based on which characteristics of autoimmune disorders?
A) The patient's body does not recognize non-self antigens.
B) The patient's body does not recognize its own tissues.
C) The patient's body does not have enough white blood cells to combat infections.
D) The patient's body overproduces histamine.
Q2) The parent of a young patient asks the nurse why the child should receive the measles-mumps-rubella vaccination. What is the nurse's best response?
A) "Your child will develop immunity to these illnesses even without the vaccination, but at a slower rate."
B) "The child can always receive the vaccination later."
C) "Receiving the vaccination will cause your child to develop active acquired immunity, which will protect against the development of these illnesses."
D) "I know the Centers for Disease Control expects everyone to have this vaccination, but you can always refuse."
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Page 54
Chapter 53: Caring for the Patient With Immune Response Disorders
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78605
Sample Questions
Q1) A patient with HIV/AIDS has had diarrhea for 7 days. The nurse would evaluate that dietary teaching regarding diarrhea has been effective when the patient selects which foods for breakfast?. Select all that apply.
A) Coffee with cream but no sugar
B) Sliced bananas and cream of rice cereal
C) Applesauce and dry toast
D) Eggs scrambled with cheese and ham
E) Banana nut bread and cream cheese
Q2) A patient had no skin reaction to a purified protein derivative (PPD) screen. When discussing this result, the patient tells the nurse that she is HIV positive. What information should the nurse provide?. Select all that apply.
A) "As this is the first PPD you have ever had, you should have it repeated in 2 weeks."
B) "You have not contracted TB."
C) "Your skin test may not be valid."
D) "You should have a chest X-ray."
E) "Additional laboratory tests are indicated."
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55
Chapter 54: Caring for the Patient With Inflammatory
Response, Shock, and Severe Sepsis
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/78604
Sample Questions
Q1) A patient diagnosed with shock is prescribed dobutamine (Dobutrex). The nurse would evaluate which finding as indicating the medication has had the desired effect?
A) Increased cardiac output
B) Decreased temperature
C) Decreased respiratory rate
D) Decreased blood pressure
Q2) Which statements by the paramedic who brought a patient to the emergency department would indicate correct field treatment of a patient suspected of being in shock?. Select all that apply.
A) "An endotracheal tube was inserted prior to transport."
B) "Secondary assessment took place during transport."
C) "The IV was started while we were at the scene."
D) "My partner applied direct pressure to the bleeding wound as we moved the patient to the ambulance."
E) "Blood was drawn for blood cultures before we left the scene."
Q3) A patient was diagnosed with sepsis 5 hours ago. To meet the criteria of the Sepsis Resuscitation Bundle, the nurse and health care team must complete the bundle within ______ hour(s).
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Chapter 55: Nursing Assessment of the Patient With
Hematological Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/78603
Sample Questions
Q1) A middle-aged couple has had their hemoglobin and hematocrit levels measured at a community health fair. How would the nurse explain the results of these tests?
A) Hemoglobin values vary between men and women, but hematocrit values do not.
B) Hemoglobin is the percentage of iron-carrying protein in a standard volume of blood, whereas hematocrit is an indicator of the amount of that protein in a red blood cell.
C) Normal hematocrit values are about 3 times the hemoglobin value.
D) Hemoglobin can change quickly due to dehydration.
Q2) A patient's mean corpuscular volume (MCV) is low. How would the nurse explain this finding to the patient?
A) "Your red blood cells do not have enough hemoglobin."
B) "Your red blood cells are not consistent in size."
C) "Your hematocrit is low."
D) "Your red blood cells are small."
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Chapter 56: Caring for the Patient With Blood Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78602
Sample Questions
Q1) A patient with anemia of chronic disease is prescribed erythropoietin (Epogen) 50 units per kilogram three times a week. The patient weighs 188 pounds. The home health nurse would be certain that at least _____ units of Epogen are available for this week's doses.
Q2) A patient has been hospitalized with hemophilia. Nursing management of this patient's care will include which interventions?. Select all that apply.
A) Administration of replacement factors
B) Providing education to the patient and family
C) Achieving a cure for the disorder
D) Managing pain
E) Environmental control of risk
Q3) Review of a patient's medical record reveals a diagnosis of anemic hypoxia. Which condition would the nurse suspect was the underlying cause of this diagnosis?
A) Reduced production of erythropoietin
B) Airway obstruction
C) Pneumonia
D) Right-to-left shunt in the heart
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Chapter 57: Caring for the Patient With Cancer
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78601
Sample Questions
Q1) After assessing several patients in the clinic, the nurse would be most concerned about which patient's risk of developing cancer?
A) Patient age 51, spouse deceased, downsized from employment, history of back and leg pain
B) Patient age 52, plays tennis twice a week, no alcohol intake, smokes one or two cigarettes a month
C) Patient age 45, premenopausal, not planning to use hormone replacement therapy
D) Patient age 50, employed as a computer technician, uses the fitness center five times a week
Q2) A patient who was treated for colorectal cancer last year now has a malignant tumor in the lung. The nurse realizes that this patient is most likely experiencing which phenomenon?
A) Metastasis
B) Contact inhibition
C) Differentiation
D) Hypertrophy
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Chapter 58: Nursing Assessment of the Patient With
Integumentary Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78600
Sample Questions
Q1) After assisting a patient to turn in bed, the nurse notes that the patient's leg has indentations that clearly show where the leg was supported by the nurse's hand. How would the nurse document this finding?
A) Pitting edema
B) Loss of skin elasticity
C) Increased skin turgor
D) Reduced sensation
Q2) The nurse assesses the presence of linea nigra on the abdomen of a pregnant patient. Which information should the nurse provide about this finding?
A) "You should use a good emollient lotion to help prevent more of these lines."
B) "These lines are caused by the stretching of the skin."
C) "This line will probably go away after your baby is delivered."
D) "We will monitor this lesion for possible removal after you deliver your baby."
Q3) How should the nurse conduct the physical examination of a patient's skin?
A) Inspect the skin while the patient is standing up.
B) Be aware of ethnic differences.
C) Examine the least-exposed areas first.
D) Examine only the areas of specific concern.
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Chapter 59: Caring for the Patient With Skin Disorders
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78599
Sample Questions
Q1) A female patient comes to the clinic with an itchy, reddened area on both hands. What nursing assessment is indicated?
A) Ask the patient if she has changed soap or perfume.
B) Ask the patient if she might be pregnant.
C) Auscultate the patient's lungs for rhonchi or wheezes.
D) Assess the patient's hand grasp strength.
Q2) A 52-year-old male patient is diagnosed with basal cell cancer on the face and forehead. What should the nurse include when teaching this patient about his diagnosis?
A) This type of skin cancer usually occurs on the head and neck.
B) This is a virulent form of skin cancer.
C) This type of skin cancer should be left alone.
D) This type of skin cancer is rare.
Q3) A patient with a history of tinea pedis is concerned about developing the disorder again. Which intervention can the nurse suggest to reduce the likelihood of a recurrence?
A) Wear sandal-style footwear.
B) Wear cotton undergarments.
C) Soak affected extremities in salted water nightly.
D) Apply lotion to moisturize potential areas of outbreak daily.
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Chapter 60: Caring for the Patient With Wounds
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78598
Sample Questions
Q1) The nurse who is current on wound care research would consider which product to be antimicrobial when used in wound dressings?
A) Normal saline
B) Tap water
C) Topical gold
D) Topical silver
Q2) The nurse manager of a long-term care facility would institute which policies to be in compliance with federal tag 314?. Select all that apply.
A) Periodic resident care plan revisions
B) Transfer of resident with pressure ulcers to an acute care facility
C) Documentation of a plan to reduce the development of pressure ulcers
D) A plan to assess residents for their risk of pressure ulcers
E) A method of documenting adherence to facility pressure ulcer policies and procedures
Q3) A patient with diabetes presents with an ulcer on the end of the great toe. Assessment reveals gangrene extending to the base of the toe. The nurse would evaluate this ulcer as matching criteria for grade ____ on the Wagner Ulcer Grade Classification System.
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Chapter 61: Caring for the Patient With Burn Injuries
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78597
Sample Questions
Q1) A patient who sustained a burn injury over 65% of the body is in the acute phase of care. The patient's preburn weight was 165 pounds. The nurse would work with the patient to achieve intake of ________ calories each day.
Q2) Which teaching would the nurse provide to the patient prescribed a pressure garment?
A) Wear the garment during daytime hours.
B) Order two garments so one will always be clean.
C) The garment should feel snug but not tight.
D) The patient should plan on wearing the garment for 4 to 6 weeks.
Q3) Which grief reactions would the nurse discuss with a patient who is being discharged from the hospital after treatment for major burn injury?. Select all that apply.
A) Separation from home and family
B) Potential change in vocation
C) Change in family role patterns
D) Body image change
E) Loss of physical functioning
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Chapter 62: Nursing Assessment of the Patient With
Sensory Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78596
Sample Questions
Q1) The nurse is conducting the whisper test. Which nursing action is indicated?
A) Whisper directly into the patient's ears, one at a time.
B) Stand across the room from the patient.
C) Whisper words from 1 to 2 feet behind the patient.
D) Ask the patient to whisper a series of words.
Q2) Which patient report would the nurse evaluate as indicating that changes in accommodation are occurring?
A) "I have noticed that it is more difficult for me to read signs when I am driving."
B) "I have pain behind my eyes."
C) "I have difficulty reading the newspaper."
D) "I get dizzy when watching television."
Q3) Neonatal hearing screening indicates that a baby may have hearing loss. The nurse would review the mother's prenatal history for which conditions?. Select all that apply.
A) A sinus infection during the first trimester
B) Confirmed influenza
C) Oral contraceptive use until 2 months prior to becoming pregnant
D) Exposure to rubella while pregnant
E) Two ear infections in the mother during pregnancy
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Chapter 63: Caring for the Patient With Hearing and Balance Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78595
Sample Questions
Q1) The nurse is holding a community educational session for parents of toddlers. Which guidelines should the nurse discuss to promote healthy ears and hearing in these children?. Select all that apply.
A) Clean the child's ear canal with the finger.
B) Avoid taking the child to places where the noise level is high.
C) Teach the child the importance of wearing a helmet when riding a bike.
D) Rinse the child's hair with a weak saltwater solution after shampooing.
E) When flying, give the child something to drink during landings.
Q2) The nurse is working with a patient who has just purchased hearing aids. Which instruction should be part of the nurse's teaching?
A) "Wear the devices only when you think you are going to need them."
B) "Leave the devices on when you are not wearing them."
C) "Only wear the devices for a part of the day at first."
D) "Bring the device back to the clinic when the battery needs to be changed."
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65
Chapter 64: Caring for the Patient With Visual Disorders
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78594
Sample Questions
Q1) A patient with dry macular degeneration is being treated conservatively with dietary management. Which foods in particular should the nurse encourage the patient to include in the daily diet?
A) Salad made with dark-green leafy vegetables
B) Lean proteins
C) Baked or steamed white potatoes
D) Whole-grain cereal
Q2) The nurse is teaching a patient about dietary considerations associated with the diagnosis of glaucoma. Which foods should the nurse teach the patient to avoid?. Select all that apply.
A) Citrus fruits
B) Cheese
C) White dinner rolls
D) Gas-producing foods such as beans and broccoli
E) Beef
Q3) A patient is being discharged after cataract surgery. The nurse evaluates that the patient understands discharge instructions when the patient says, "I should not pick up anything that weighs more than _______ pounds."
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Chapter 65: Disaster Nursing
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78593
Sample Questions
Q1) The hospital incident command system (HICS) has been activated following a multivehicle accident. Nurses are moving ambulatory patients to one section of the emergency department. These patients will be assigned which START triage category?
A) Yellow
B) Green
C) Black
D) Red
Q2) A group of workers arrives at the hospital after being exposed to chemicals during an industrial accident. The nurse would prepare to supervise decontamination in which zone?
A) Warm
B) Red
C) Cold
D) Green
Q3) After an anthrax exposure, the health care provider orders doxycycline 100 mg PO. The label on the bottle of doxycycline oral powder states to reconstitute with sterile water to prepare a concentration of 0.025 g/5 mL. The nurse should prepare to administer ______ mL to the patient.
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Chapter 66: Caring for the Patient in the Emergency Department
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78592
Sample Questions
Q1) The nurse is reviewing the current status of patients who have been waiting in the emergency department for several hours. At the time of first arrival, each of the patients was identified as nonurgent. Which nonurgent patient should be seen and treated first?
A) Male child holding left arm in sling, fingers and wrist intact to sensation, motion, and pulse
B) Female with swollen ankle, leg elevated, ice pack currently applied, pulse present
C) Elderly male whose swollen hand now is slightly blue-tinged with a faint pulse
D) Adolescent male with bruised right eye, ice pack applied, no further bleeding from nose
Q2) The emergency department (ED) nurse is using the CIAMPEDS mnemonic to triage an 8-year-old patient. Which questions would the nurse ask? Select all that apply.
A) "C": What is the chief complaint?
B) "I": Has the child been exposed to anything requiring isolation?
C) "P": What do you think is the problem?
D) "E": Has the patient ever had these symptoms before today?
E) "D": Has the patient's diet or appetite changed?
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68
Chapter 67: Caring for the Patient With Multisystem
Trauma
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78591
Sample Questions
Q1) A patient was the restrained front seat passenger in a slow-speed automobile crash in which the car was struck in the middle of the passenger side. Where would the nurse look first for injuries in this patient?
A) Right head, arm, and hip
B) Left knee and ankle
C) Low back
D) There is no pattern to the potential injury.
Q2) During the secondary survey it is discovered that a trauma patient has pelvic instability. Which nursing actions are indicated? Select all that apply.
A) Recheck stability every hour.
B) Monitor for bleeding.
C) Assist with wrapping a sheet around the pelvis.
D) Turn the patient every 2 hours, alternating sides and back.
E) Place the patient in high Fowler's position.
Q3) The emergency services department of a hospital has adopted a policy of tertiary survey for all admitted trauma patients. The nurse understands that this survey will be done within ______ hours of admission.
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