Foundations of Nursing Question Bank
Course Introduction
Foundations of Nursing provides students with a comprehensive introduction to the core concepts, principles, and practices of the nursing profession. This course explores the historical evolution of nursing, ethical and legal responsibilities, communication techniques, patient safety, and holistic approaches to care. Emphasis is placed on the development of critical thinking, therapeutic communication, cultural competence, and evidence-based practice, as well as the roles and responsibilities of nurses in diverse healthcare settings. Students gain essential knowledge and practical skills necessary for the delivery of compassionate, patient-centered care and for success in further nursing studies.
Recommended Textbook
Medical Surgical Nursing 10th Edition by Lewis
Available Study Resources on Quizplus
68 Chapters
1998 Verified Questions
1998 Flashcards
Source URL: https://quizplus.com/study-set/1279
Page 2
Chapter 1: Professional Nursing Practice
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/25336
Sample Questions
Q1) The nurse describes to a student nurse how to use evidence-based practice guidelines when caring for patients. Which statement,if made by the nurse,would be the most accurate?
A)"Inferences from clinical research studies are used as a guide."
B)"Patient care is based on clinical judgment, experience, and traditions."
C)"Data are evaluated to show that the patient outcomes are consistently met."
D)"Recommendations are based on research, clinical expertise, and patient preferences."
Answer: D
Q2) The nurse documenting the patient's progress in the care plan in the electronic health record before an interprofessional discharge conference is demonstrating competency in which QSEN category?
A)Patient-centered care
B)Quality improvement
C)Evidence-based practice
D)Informatics and technology
Answer: D
To view all questions and flashcards with answers, click on the resource link above. Page 3
Chapter 2: Health Disparities and Culturally Competent Care
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/25337
Sample Questions
Q1) What information should the nurse collect when assessing the health status of a community?
A)Air pollution levels
B)Number of health food stores
C)Most common causes of death
D)Education level of the individuals
Answer: C
Q2) Which strategy should be a priority when the nurse is planning care for a diabetic patient who is uninsured?
A)Obtain less expensive medications.
B)Follow evidence-based practice guidelines.
C)Assist with dietary changes as the first action.
D)Teach about the impact of exercise on diabetes.
Answer: B
To view all questions and flashcards with answers, click on the resource link above. Page 4
Chapter 3: Health History and Physical Examination
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/25338
Sample Questions
Q1) The nurse records the following general survey of a patient: "The patient is a 50-yr-old Asian female attended by her husband and two daughters. Alert and oriented. Does not make eye contact with the nurse and responds slowly,but appropriately,to questions. No apparent disabilities or distinguishing features." What additional information should the nurse add to this general survey?
A)Nutritional status
B)Intake and output
C)Reasons for contact with the health care system
D)Comments of family members about his condition
Answer: A
Q2) The registered nurse (RN)cares for a patient who was admitted a few hours previously with back pain after falling. Which action can the RN delegate to unlicensed assistive personnel (UAP)?
A)Finish documenting the admission assessment.
B)Determine the patient's priority nursing diagnoses.
C)Obtain the health history from the patient's caregiver.
D)Take the patient's temperature, pulse, and blood pressure.
Answer: D
To view all questions and flashcards with answers, click on the resource link above. Page 5
Chapter 4: Patient and Caregiver Teaching
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/25339
Sample Questions
Q1) A patient who is morbidly obese states,"I've recently made some changes in my life. I've decreased my fat intake,and I've stopped smoking." Which statement,if made by the nurse,is the best initial response?
A)"Although those are important, it is essential that you make other changes, too."
B)"Are you having any difficulty in maintaining the changes you have already made?"
C)"Which additional changes in your lifestyle would you like to implement at this time?"
D)"You have already accomplished changes that are important for the health of your heart."
Q2) A postoperative patient and caregiver need discharge teaching. Which actions included in the teaching plan can the nurse delegate to unlicensed assistive personnel (UAP)?
A)Evaluate whether the patient and caregiver understand the teaching.
B)Show the caregiver how to accurately check the patient's temperature.
C)Schedule the discharge teaching session with the patient and caregiver.
D)Give the patient a pamphlet reinforcing teaching already done by the nurse.
To view all questions and flashcards with answers, click on the resource link above.
6
Chapter 5: Chronic Illness and Older Adults
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/25340
Sample Questions
Q1) Which patient is most likely to need long-term nursing care management?
A)72-yr-old who had a hip replacement after a fall at home
B)64-yr-old who developed sepsis after a ruptured peptic ulcer
C)76-yr-old who had a cholecystectomy and bile duct drainage
D)63-yr-old with bilateral knee osteoarthritis who weighs 350 lb (159 kg)
Q2) Which nursing actions will the nurse take to assess for possible malnutrition in an older adult patient ?
A)Assess for depression.
B)Review laboratory results.
C)Determine food preferences.
D)Inspect teeth and oral mucosa.
E)Ask about transportation needs.
Q3) A patient who has just moved to a long-term care facility has a nursing diagnosis of relocation stress syndrome. Which action should the nurse include in the plan of care?
A)Remind the patient that making changes is usually stressful.
B)Discuss the reason for the move to the facility with the patient.
C)Restrict family visits until the patient is accustomed to the facility.
D)Have staff members write notes welcoming the patient to the facility.
To view all questions and flashcards with answers, click on the resource link above. Page 7
Chapter 6: Stress and Stress Management
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/25341
Sample Questions
Q1) A patient is extremely anxious about having a biopsy on a femoral lymph node. Which relaxation technique would be the best choice for the nurse to facilitate during the procedure?
A)Yoga stretching
B)Guided imagery
C)Relaxation breathing
D)Mindfulness meditation
Q2) An adult patient who is hospitalized after a motorcycle crash tells the nurse,"I didn't sleep last night because I worried about missing work at my new job and losing my insurance coverage." Which nursing diagnosis is appropriate to include in the plan of care?
A)Anxiety
B)Defensive coping
C)Ineffective denial
D)Risk prone health behavior
To view all questions and flashcards with answers, click on the resource link above. Page 8
Chapter 7: Sleep and Sleep Disorders
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/25342
Sample Questions
Q1) What teaching should be included in the plan of care for a patient with narcolepsy?
A)Driving an automobile may be possible with appropriate treatment of narcolepsy.
B)Changes in sleep hygiene are ineffective in improving sleep quality in narcolepsy.
C)Antidepressant drugs are prescribed to treat the depression caused by the disorder.
D)Stimulant drugs should be used for less than a month because of the risk for abuse.
Q2) The nurse cares for an unstable patient in the intensive care unit (ICU). Which intervention should the nurse include in the plan of care to improve this patient's sleep quality?
A)Ask all visitors to leave the ICU for the night.
B)Lower the level of lighting from 8:00 PM until 7:00 AM.
C)Avoid the use of opioids for pain relief during the evening.
D)Schedule assessments to allow 4 hours of uninterrupted sleep.
To view all questions and flashcards with answers, click on the resource link above. Page 9
Chapter 8: Pain
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/25343
Sample Questions
Q1) A patient who has had good control for chronic pain using a fentanyl (Duragesic)patch reports rapid onset pain at a level 9 (0 to 10 scale)and requests "something for pain that will work quickly." How will the nurse document the type of pain reported by this patient?
A)Somatic pain
B)Referred pain
C)Neuropathic pain
D)Breakthrough pain
Q2) Which medication should the nurse administer for a patient with cancer who describes the pain as "deep,aching and at a level 8 on a 0 to 10 scale"?
A)Ketorolac tablets
B)Fentanyl (Duragesic) patch
C)Hydromorphone (Dilaudid) IV
D)Acetaminophen (Tylenol) suppository
Q3) A patient with chronic pain who has been receiving morphine sulfate 20 mg IV over 24 hours is to be discharged home on oral sustained-release morphine (MS Contin)administered twice a day. What dosage of MS Contin will be needed for each dose to obtain an equianalgesic dose for the patient? (Morphine sulfate 10 mg IV is equianalgesic to morphine sulfate 30 mg orally.)
To view all questions and flashcards with answers, click on the resource link above.
Page 10
Chapter 9: Palliative Care at End of Life
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/25344
Sample Questions
Q1) A hospice nurse who has become close to a terminally ill patient is present in the home when the patient dies and feels saddened and tearful as the family members begin to cry. Which action should the nurse take at this time?
A)Contact a grief counselor as soon as possible.
B)Cry along with the patient's family members.
C)Leave the home quickly to allow the family to grieve privately.
D)Consider leaving hospice work because patient losses are common.
Q2) A middle-aged patient tells the nurse,"My mother died 4 months ago,and I just can't get over it. I'm not sure it is normal to still think about her every day." Which nursing diagnosis is most appropriate?
A)Hopelessness related to inability to resolve grief
B)Complicated grieving related to unresolved issues
C)Anxiety related to lack of knowledge about normal grieving
D)Chronic sorrow related to ongoing distress about loss of mother
To view all questions and flashcards with answers, click on the resource link above.
Chapter 10: Substance Use Disorders
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/25345
Sample Questions
Q1) A 73-yr-old patient is admitted for pancreatitis. Which tool would be the most appropriate for the nurse to use during the admission assessment?
A)Mini-Mental State Examination
B)Drug Abuse Screening Test (DAST-10)
C)Screening Test-Geriatric Version (SMAST-G)
D)Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar)
Q2) A patient who has a history of ongoing opioid use is hospitalized for surgery. After a visit by a friend,the nurse finds that the patient is unresponsive with pinpoint pupils. Which prescribed medication will the nurse administer?
A)Naloxone
B)Diazepam (Valium)
C)Clonidine (Catapres)
D)Methadone (Dolophine)
Q3) Which assessment finding would alert the nurse to ask the patient about alcohol use?
A)Low blood pressure
B)Decreased heart rate
C)Elevated temperature
D)Abdominal tenderness
To view all questions and flashcards with answers, click on the resource link above.
Page 12
Chapter 11: Inflammation and Wound Healing
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/25346
Sample Questions
Q1) The nurse is caring for a patient with diabetes who had abdominal surgery 3 days ago. Which finding is most important for the nurse to report to the health care provider?
A)Blood glucose of 136 mg/dL
B)Oral temperature of 101° F (38.3° C)
C)Separation of the proximal wound edges
D)Patient complaint of increased incisional pain
Q2) A new nurse performs a dressing change on a stage II left heel pressure ulcer. Which action by the new nurse indicates a need for further teaching about pressure ulcer care?
A)The new nurse cleans the ulcer with half-strength peroxide.
B)The new nurse uses a hydrocolloid dressing (DuoDerm)on the ulcer.
C)The new nurse irrigates the pressure ulcer with saline using a 30-mL syringe.
D)The new nurse inserts a sterile cotton-tipped applicator into the pressure ulcer.
Q3) A patient's temperature has been 101° F (38.3° C)for several days. The patient's normal caloric intake to meet nutritional needs is 2000 calories per day. Knowing that the metabolic rate increases 7% for each Fahrenheit degree above 100° in body temperature,how many total calories should the patient receive each day?
To view all questions and flashcards with answers, click on the resource link above.
13
Chapter 12: Genetics and Genomics
Available Study Resources on Quizplus for this Chatper
7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/25347
Sample Questions
Q1) The nurse in the outpatient clinic has obtained health histories for these new patients. Which patient may need referral for genetic testing?
A)A 20-yr-old patient whose maternal grandparents died after strokes at ages 80 and 82
B)A 20-yr-old patient with a positive pregnancy test whose first child has cerebral palsy
C)A 30-yr-old patient who has a sibling with newly diagnosed polycystic kidney disease
D)A 30-yr-old patient with a history of cigarette smoking who is complaining of dyspnea
Q2) When caring for a young adult patient who has abnormalities in the cytochrome P450 (CYP 450)gene,which action will the nurse include in the patient's plan of care?
A)Teach that some medications may not work effectively.
B)Teach about genetic risk for cystic fibrosis in any children.
C)Encourage scheduling screening mammograms starting at age 30.
D)Encourage the patient to watch for early symptoms of heart disease.
To view all questions and flashcards with answers, click on the resource link above.
14
Chapter 13: Altered Immune Responses and Transplantation
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/25348
Sample Questions
Q1) The nurse teaches a patient about drug therapy after a kidney transplant. Which statement by the patient would indicate a need for further instructions?
A)"I need to be monitored closely for development of malignant tumors."
B)"After a couple of years I will be able to stop taking the cyclosporine."
C)"If I develop acute rejection episode, I will need additional types of drugs."
D)"The drugs are combined to inhibit different ways the kidney can be rejected."
Q2) A clinic patient is experiencing an allergic reaction to an unknown allergen. Which action is appropriate for the registered nurse (RN)to delegate to a licensed practical/vocational nurse (LPN/LVN)?
A)Perform a focused physical assessment.
B)Obtain the health history from the patient.
C)Teach the patient about the various diagnostic studies.
D)Administer a skin test by the cutaneous scratch method.
Q3) A patient is anxious and reports difficulty breathing after being stung by a wasp. What is the nurse's priority action?
A)Provide high-flow oxygen.
B)Administer antihistamines.
C)Assess the patient's airway.
D)Remove the stinger from the site.
Page 15
To view all questions and flashcards with answers, click on the resource link above.
Chapter 14: Infection and Human Immunodeficiency Virus
Infection
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/25349
Sample Questions
Q1) The nurse prepares to administer the following medications to a hospitalized patient with human immunodeficiency (HIV). Which medication is most important to administer at the scheduled time?
A)Nystatin tablet
B)Oral acyclovir (Zovirax)
C)Oral saquinavir (Invirase)
D)Aerosolized pentamidine (NebuPent)
Q2) Which nursing action will be most useful in assisting a college student to adhere to a newly prescribed antiretroviral therapy (ART)regimen?
A)Give the patient detailed information about possible medication side effects.
B)Remind the patient of the importance of taking the medications as scheduled.
C)Encourage the patient to join a support group for students who are HIV positive.
D)Check the patient's class schedule to help decide when the drugs should be taken.
To view all questions and flashcards with answers, click on the resource link above. Page 16
Chapter 15: Cancer
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/25350
Sample Questions
Q1) A patient develops neutropenia after receiving chemotherapy. Which information about ways to prevent infection will the nurse include in the teaching plan ?
A)Cook food thoroughly before eating.
B)Choose low fiber, low residue foods.
C)Avoid public transportation such as buses.
D)Use rectal suppositories if needed for constipation.
E)Talk to the oncologist before having any dental work.
Q2) A patient who has ovarian cancer is crying and tells the nurse,"My husband rarely visits. He just doesn't care." The husband indicates to the nurse that he does not know what to say to his wife. Which nursing diagnosis is appropriate for the nurse to add to the plan of care?
A)Compromised family coping related to disruption in lifestyle
B)Impaired home maintenance related to perceived role changes
C)Risk for caregiver role strain related to burdens of caregiving responsibilities
D)Dysfunctional family processes related to effect of illness on family members
To view all questions and flashcards with answers, click on the resource link above.
Chapter 16: Fluid, electrolyte, and Acid-Base Imbalances
Available Study Resources on Quizplus for this Chatper
37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/25351
Sample Questions
Q1) During the admission process,the nurse obtains information about a patient through a physical assessment and diagnostic testing. Based on the data shown in the accompanying figure,which nursing diagnosis is appropriate?
A)Deficient fluid volume
B)Impaired gas exchange
C)Risk for injury: seizures
D)Risk for impaired skin integrity
Q2) A patient who has been receiving diuretic therapy is admitted to the emergency department with a serum potassium level of 3.0 mEq/L. The nurse should alert the health care provider immediately that the patient is on which medication?
A)Digoxin (Lanoxin) 0.25 mg/day
B)Metoprolol (Lopressor) 12.5 mg/day
C)Ibuprofen (Motrin) 400 mg every 6 hours
D)Lantus insulin 24 U subcutaneously every evening
To view all questions and flashcards with answers, click on the resource link above.
Chapter 17: Preoperative Care
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/25352
Sample Questions
Q1) A patient who has not had any prior surgeries tells the nurse doing the preoperative assessment about allergies to avocados and bananas. Which action is most important for the nurse to take?
A)Notify the dietitian about the specific food allergies.
B)Alert the surgery center about a possible latex allergy.
C)Reassure the patient that all allergies are noted on the health record.
D)Ask whether the patient uses antihistamines to reduce allergic reactions.
Q2) A patient scheduled for an elective hysterectomy tells the nurse,"I am afraid that I will die in surgery like my mother did!" Which initial response by the nurse is appropriate?
A)"Surgical techniques have improved in recent years."
B)"Tell me more about what happened to your mother."
C)"You will receive medication to reduce your anxiety."
D)"You should talk to the doctor again about the surgery."
Q3) Which statement by a patient scheduled for surgery is most important to report to the health care provider?
A)"I have a strong family history of cancer."
B)"I had a heart valve replacement last year."
C)"I had bacterial pneumonia 3 months ago."
D)"I have knee pain whenever I walk or jog."
To view all questions and flashcards with answers, click on the resource link above.
Page 19
Chapter 18: Intraoperative Care
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/25353
Sample Questions
Q1) Which action should the perioperative nurse take to best protect the patient from burn injury during surgery?
A)Ensure correct placement of the grounding pad.
B)Check emergency sprinklers in the operating room.
C)Verify that a fire extinguisher is available during surgery.
D)Confirm that all electrosurgical equipment is working properly.
Q2) When caring for a patient who has received a general anesthetic,the circulating nurse notes red,raised wheals on the patient's arms. Which action should the nurse take?
A)Apply lotion to the affected areas.
B)Cover the arms with sterile drapes.
C)Recheck the patient's arms during surgery.
D)Notify the anesthesia care practitioner (ACP).
Q3) Which nursing action should the operating room (OR)nurse manager delegate to the registered nurse first assistant (RNFA)when caring for a surgical patient?
A)Adjust the doses of administered anesthetics.
B)Make surgical incisions and suture as needed.
C)Provide postoperative teaching about coughing.
D)Coordinate transfer of the patient to the operating table.
To view all questions and flashcards with answers, click on the resource link above.
Page 20
Chapter 19: Postoperative Care
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/25354
Sample Questions
Q1) In the postanesthesia care unit (PACU),a patient's vital signs are blood pressure 116/72 mm Hg,pulse 74 beats/min,respirations 12 breaths/min,and SpO? 91%. The patient is sleepy but awakens easily. Which action should the nurse take first?
A)Place the patient in a side-lying position.
B)Encourage the patient to take deep breaths.
C)Prepare to transfer the patient to a clinical unit.
D)Increase the rate of the postoperative IV fluids.
Q2) When caring for a patient the second postoperative day after abdominal surgery for removal of a large pancreatic cyst,the nurse obtains an oral temperature of 100.8° F (38.2° C). Which action should the nurse take next?
A)Place ice packs in the patient's axillae.
B)Have the patient use the incentive spirometer.
C)Request an order for acetaminophen (Tylenol).
D)Ask the health care provider to prescribe a different antibiotic.
To view all questions and flashcards with answers, click on the resource link above.
21
Chapter 20: Assessment of Visual and Auditory Systems
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/25355
Sample Questions
Q1) The nurse recording health histories in the outpatient clinic would plan a focused hearing assessment for adult patients taking which medication?
A)Atenolol taken to prevent angina
B)Acetaminophen taken frequently for headaches
C)Ibuprofen taken for 20 years to treat osteoarthritis
D)Albuterol taken since early childhood to treat asthma
Q2) When assessing a patient's consensual pupil response,the nurse should
A)have the patient cover one eye while facing the nurse.
B)observe for a light reflection in the center of both pupils.
C)shine a light into one eye and observe responses of both pupils.
D)instruct the patient to follow a moving object using only the eyes.
Q3) Which information will the nurse provide to the patient scheduled for refractometry?
A)"You should not take any of your eye medicines before the examination."
B)"You will need to wear sunglasses for a few hours after the examination."
C)"The doctor will shine a bright light into your eye during the examination."
D)"The surface of your eye will be numb while the doctor does the examination."
To view all questions and flashcards with answers, click on the resource link above. Page 22
Chapter 21: Visual and Auditory Problems
Available Study Resources on Quizplus for this Chatper
47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/25356
Sample Questions
Q1) Which finding in an emergency department patient who reports being struck in the right eye with a fist is a priority for the nurse to communicate to the health care provider?
A)The patient complains of a right-sided headache.
B)The sclera on the right eye has broken blood vessels.
C)The area around the right eye is bruised and tender to the touch.
D)The patient complains of "a curtain" over part of the visual field.
Q2) Which action will the nurse take when performing ear irrigation for a patient with cerumen impaction?
A)Assist the patient to a supine position for the irrigation.
B)Fill the irrigation syringe with body-temperature solution.
C)Use a sterile applicator to clean the ear canal before irrigating.
D)Occlude the ear canal completely with the syringe while irrigating.
Q3) Which topic will the nurse teach after a patient has had outpatient cataract surgery and lens implantation?
A)Use of oral opioids for pain control
B)Administration of corticosteroid drops
C)Importance of coughing and deep breathing exercises
D)Need for bed rest for the first 1 to 2 days after the surgery
To view all questions and flashcards with answers, click on the resource link above.
Page 23
Chapter 22: Assessment of Integumentary System
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/25357
Sample Questions
Q1) A 35-yr-old female patient states that she is using topical fluorouracil to treat actinic keratoses on her face. Which additional assessment information will be most important for the nurse to obtain?
A)History of sun exposure by the patient
B)Method of contraception used by the patient
C)Length of time the patient has used fluorouracil
D)Appearance of the treated areas on the patient's face
Q2) Which abnormality on the skin of an older patient is the priority to discuss immediately with the health care provider?
A)Dry, scaly patches on the face
B)Numerous varicosities on both legs
C)Petechiae on the chest and abdomen
D)Small dilated blood vessels on the face
Q3) A patient reports chronic itching of the ankles and continuously scratches the area. Which assessment finding will the nurse expect?
A)Hypertrophied scars on both ankles
B)Thickening of the skin around the ankles
C)Yellowish-brown skin around both ankles
D)Complete absence of melanin in both ankles
To view all questions and flashcards with answers, click on the resource link above.
Page 24
Chapter 23: Integumentary Problems
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/25358
Sample Questions
Q1) The health care provider diagnoses impetigo in a patient who has crusty vesicopustular lesions on the lower face. Which instructions should the nurse include in the teaching plan?
A)Clean the infected areas with soap and water.
B)Apply alcohol-based cleansers on the lesions.
C)Avoid use of antibiotic ointments on the lesions.
D)Use petroleum jelly (Vaseline) to soften crusty areas.
Q2) The health care provider prescribes topical 5-FU for a patient with actinic keratosis on the left cheek. The nurse should include which statement in the patient's instructions?
A)"5-FU will shrink the lesion to prepare for surgical excision."
B)"Your cheek area will be eroded and it will take several weeks to heal."
C)"You may develop nausea and anorexia, but good nutrition is important during treatment."
D)"You will need to avoid crowds because of the risk for infection caused by chemotherapy."
To view all questions and flashcards with answers, click on the resource link above.
25
Chapter 24: Burns
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/25359
Sample Questions
Q1) Which prescribed drug is best for the nurse to give before scheduled wound debridement on a patient with partial-thickness burns?
A)ketorolac
B)lorazepam (Ativan)
C)gabapentin (Neurontin)
D)hydromorphone (Dilaudid)
Q2) The nurse estimates the extent of a burn using the rule of nines for a patient who has been admitted with deep partial-thickness burns of the anterior trunk and the entire left arm. What percentage of the patient's total body surface area (TBSA)has been injured?
Q3) A patient with severe burns has crystalloid fluid replacement 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/hr. After the first 8 hours,what rate should the nurse infuse the IV fluids?
A)219 mL/hr
B)625 mL/hr
C)938 mL/hr
D)1875 mL/hr
To view all questions and flashcards with answers, click on the resource link above.
Chapter 25: Assessment of Respiratory System
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/25360
Sample Questions
Q1) The laboratory has just called with the arterial blood gas (ABG)results on four patients. Which result is most important for the nurse to report immediately to the health care provider?
A)pH 7.34, PaO2 82 mm Hg, PaCO2 40 mm Hg, and O2 sat 97%
B)pH 7.35, PaO2 85 mm Hg, PaCO2 50 mm Hg, and O2 sat 95%
C)pH 7.46, PaO2 90 mm Hg, PaCO2 32 mm Hg, and O2 sat 98%
D)pH 7.31, PaO2 91 mm Hg, PaCO2 50 mm Hg, and O2 sat 96%
Q2) A patient admitted to the emergency department complaining of sudden onset shortness of breath is diagnosed with a possible pulmonary embolus. How should the nurse prepare the patient for diagnostic testing to confirm the diagnosis?
A)Ensure that the patient has been NPO.
B)Start an IV so contrast media may be given.
C)Inform radiology that radioactive glucose preparation is needed.
D)Instruct the patient to expect to inspire deeply and exhale forcefully.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 26: Upper Respiratory Problems
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/25361
Sample Questions
Q1) After being hit by a baseball,a patient arrives in the emergency department with a possible nasal fracture. Which finding by the nurse is most important to report to the health care provider?
A)Clear nasal drainage
B)Complaint of nasal pain
C)Bilateral nose swelling and bruising
D)Inability to breathe through the nose
Q2) The nurse is caring for a patient who has acute pharyngitis caused by Candida albicans. Which action is appropriate for the nurse to include in the plan of care?
A)Assess patient for allergies to penicillin antibiotics.
B)Teach the patient to sleep in a warm, dry environment.
C)Avoid giving the patient warm food or warm liquids to drink.
D)Teach patient to "swish and swallow" prescribed oral nystatin
Q3) Which action should the nurse take first when a patient develops epistaxis?
A)Pack the affected nare tightly with an epistaxis balloon.
B)Apply squeezing pressure to the nostrils for 10 minutes.
C)Obtain silver nitrate that may be needed for cauterization.
D)Instill a vasoconstrictor medication into the affected nare.
To view all questions and flashcards with answers, click on the resource link above.
28
Chapter 27: Lower Respiratory Problems
Available Study Resources on Quizplus for this Chatper
51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/25362
Sample Questions
Q1) Which factors will the nurse consider when calculating the CURB-65 score for a patient with pneumonia ?
A)Age
B)Blood pressure
C)Respiratory rate
D)O2 saturation
E)Presence of confusion
F)Blood urea nitrogen (BUN) level
Q2) Which action by the nurse will be most effective in decreasing the spread of pertussis in a community setting?
A)Providing supportive care to patients diagnosed with pertussis
B)Teaching family members about the need for careful hand washing
C)Teaching patients about the need for adult pertussis immunizations
D)Encouraging patients to complete the prescribed course of antibiotics
Q3) Which action should the nurse plan to prevent aspiration in a high-risk patient?
A)Turn and reposition an immobile patient at least every 2 hours.
B)Place a patient with altered consciousness in a side-lying position.
C)Insert a nasogastric tube for feeding a patient with high calorie needs.
D)Monitor respiratory symptoms in a patient who is immunosuppressed.
To view all questions and flashcards with answers, click on the resource link above.
Page 29
Chapter 28: Obstructive Pulmonary Diseases
Available Study Resources on Quizplus for this Chatper
44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/25363
Sample Questions
Q1) Which finding by the nurse for a patient with a nursing diagnosis of impaired gas exchange will be most useful in evaluating the effectiveness of treatment?
A)Even, unlabored respirations
B)Pulse oximetry reading of 92%
C)Absence of wheezes or crackles
D)Respiratory rate of 18 breaths/min
Q2) A young adult patient with cystic fibrosis (CF)is admitted to the hospital with increased dyspnea. Which intervention should the nurse include in the plan of care?
A)Schedule a sweat chloride test.
B)Arrange for a hospice nurse visit.
C)Place the patient on a low-sodium diet.
D)Perform chest physiotherapy every 4 hours.
Q3) A patient seen in the asthma clinic has recorded daily peak flow rates that are 75% of the baseline. Which action will the nurse plan to take next?
A)Increase the dose of the leukotriene inhibitor.
B)Teach the patient about the use of oral corticosteroids.
C)Administer a bronchodilator and recheck the peak flow.
D)Instruct the patient to keep the scheduled follow-up appointment.
To view all questions and flashcards with answers, click on the resource link above. Page 30
Chapter 29: Assessment of Hematologic System
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/25364
Sample Questions
Q1) The nurse is reviewing laboratory results and notes a patient's activated partial thromboplastin time (aPTT)level of 28 seconds. The nurse should notify the health care provider in anticipation of adjusting which medication?
A)Aspirin
B)Heparin
C)Warfarin
D)Erythropoietin
Q2) A patient with pancytopenia has a bone marrow aspiration from the left posterior iliac crest. Which action would be important for the nurse to take after the procedure?
A)Elevate the head of the bed to 45 degrees.
B)Have the patient lie on the left side for 1 hour.
C)Apply a sterile 2-inch gauze dressing to the site.
D)Use a half-inch sterile gauze to pack the wound.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 30: Hematologic Problems
Available Study Resources on Quizplus for this Chatper
48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/25365
Sample Questions
Q1) A patient who has a history of a transfusion-related acute lung injury (TRALI)is to receive a transfusion of packed red blood cells (PRBCs). Which action by the nurse will decrease the risk for TRALI for this patient?
A)Infuse the PRBCs slowly over 4 hours.
B)Transfuse only leukocyte-reduced PRBCs.
C)Administer the scheduled diuretic before the transfusion.
D)Give the PRN dose of antihistamine before the transfusion.
Q2) A patient in the emergency department complains of back pain and difficulty breathing 15 minutes after a transfusion of packed red blood cells is started. The nurse's first action should be to
A)administer oxygen therapy at a high flow rate.
B)obtain a urine specimen to send to the laboratory.
C)notify the health care provider about the symptoms.
D)disconnect the transfusion and infuse normal saline.
Q3) A patient is to receive an infusion of 250 mL of platelets over 2 hours through tubing that is labeled: 1 mL equals 10 drops. How many drops per minute will the nurse infuse?
To view all questions and flashcards with answers, click on the resource link above.
Chapter 31: Assessment of Cardiovascular System
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/25366
Sample Questions
Q1) When auscultating over the patient's abdominal aorta,the nurse hears a loud humming sound. The nurse documents this finding as a A)thrill.
B)bruit.
C)murmur.
D)normal finding.
Q2) The nurse has received the laboratory results for a patient who developed chest pain 4 hours ago and may be having a myocardial infarction. The laboratory test result most helpful in indicating myocardial damage will be A)myoglobin.
B)troponins T and I.
C)homocysteine (Hcy)
D)creatine kinase-MB (CK-MB).
Q3) To auscultate for S3 or S4 gallops in the mitral area,the nurse listens with the A)diaphragm of the stethoscope with the patient lying flat.
B)bell of the stethoscope with the patient in the left lateral position.
C)diaphragm of the stethoscope with the patient in a supine position.
D)bell of the stethoscope with the patient sitting and leaning forward.
To view all questions and flashcards with answers, click on the resource link above. Page 33
Chapter 32: Hypertension
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/25367
Sample Questions
Q1) Which information is most important for the nurse to include when teaching a patient with newly diagnosed hypertension?
A)Most people are able to control BP through dietary changes.
B)Annual BP checks are needed to monitor treatment effectiveness.
C)Hypertension is usually asymptomatic until target organ damage occurs.
D)Increasing physical activity alone controls blood pressure (BP) for most people.
Q2) Which action should the nurse take when giving the initial dose of oral labetalol to a patient with hypertension?
A)Encourage the use of hard candy to prevent dry mouth.
B)Teach the patient that headaches often occur with this drug.
C)Instruct the patient to call for help if heart palpitations occur.
D)Ask the patient to request assistance before getting out of bed.
Q3) Which assessment finding for a patient who is receiving IV furosemide (Lasix)to treat stage 2 hypertension is most important to report to the health care provider?
A)Blood glucose level of 175 mg/dL
B)Serum potassium level of 3.0 mEq/L
C)Orthostatic systolic BP decrease of 12 mm Hg
D)Most recent blood pressure (BP) reading of 168/94 mm Hg
To view all questions and flashcards with answers, click on the resource link above. Page 34
Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/25368
Sample Questions
Q1) The nurse suspects that the patient with stable angina is experiencing a side effect of the prescribed drug metoprolol (Lopressor)if the
A)patient is restless and agitated.
B)blood pressure is 90/54 mm Hg.
C)patient complains about feeling anxious.
D)heart monitor shows normal sinus rhythm.
Q2) After an acute myocardial infarction (AMI),a patient ambulates in the hospital hallway. When the nurse evaluates the patient's response to the activity,which data would indicate that the exercise level should be decreased?
A)O2 saturation drops from 99% to 95%.
B)Heart rate increases from 66 to 98 beats/min.
C)Respiratory rate goes from 14 to 20 breaths/min.
D)Blood pressure (BP) changes from 118/60 to 126/68 mm Hg.
Q3) Which information from a patient helps the nurse confirm the previous diagnosis of chronic stable angina?
A)"The pain wakes me up at night."
B)"The pain is level 3 to 5 (0 to 10 scale)."
C)"The pain has gotten worse over the last week."
D)"The pain goes away after a nitroglycerin tablet."
Page 35
To view all questions and flashcards with answers, click on the resource link above.
Chapter 34: Heart Failure
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/25369
Sample Questions
Q1) After receiving change-of-shift report on a heart failure unit,which patient should the nurse assess first?
A)Patient who is taking carvedilol (Coreg) and has a heart rate of 58
B)Patient who is taking digoxin and has a potassium level of 3.1 mEq/L
C)Patient who is taking captopril and has a frequent nonproductive cough
D)Patient who is taking isosorbide dinitrate/hydralazine (BiDil) and has a headache
Q2) Which diagnostic test will be most useful to the nurse in determining whether a patient admitted with acute shortness of breath has heart failure?
A)Serum troponin
B)Arterial blood gases
C)B-type natriuretic peptide
D)12-lead electrocardiogram
Q3) Which topic will the nurse plan to include in discharge teaching for a patient with heart failure with reduced ejection fraction (HFrEF)?
A)Need to begin an aerobic exercise program several times weekly
B)Use of salt substitutes to replace table salt when cooking and at the table
C)Importance of making an annual appointment with the health care provider
D)Benefits and side effects of angiotensin-converting enzyme (ACE) inhibitors
To view all questions and flashcards with answers, click on the resource link above.
36
Chapter 35: Dysrhythmias
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/25370
Sample Questions
Q1) Which intervention by a new nurse who is caring for a patient who has just had an implantable cardioverter-defibrillator (ICD)inserted indicates a need for more teaching about the care of patients with ICDs?
A)The nurse administers amiodarone (Cordarone) to the patient.
B)The nurse helps the patient fill out the application for obtaining a Medic Alert device.
C)The nurse encourages the patient to do active range of motion exercises for all extremities.
D)The nurse teaches the patient that sexual activity can be resumed when the incision is healed.
Q2) Which nursing action can the registered nurse (RN)delegate to experienced unlicensed assistive personnel (UAP)working as telemetry technicians on the cardiac care unit?
A)Decide whether a patient's heart rate of 116 requires urgent treatment.
B)Observe heart rhythms for multiple patients who have telemetry monitoring.
C)Monitor a patient's level of consciousness during synchronized cardioversion.
D)Select the best lead for monitoring a patient admitted with acute coronary syndrome.
To view all questions and flashcards with answers, click on the resource link above. Page 37
Chapter 36: Inflammatory and Structural Heart Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/25371
Sample Questions
Q1) The nurse identifies the nursing diagnosis of decreased cardiac output related to valvular insufficiency for the patient with infective endocarditis (IE)based on which assessment finding(s)?
A)Fever, chills, and diaphoresis
B)Urine output less than 30 mL/hr
C)Petechiae on the inside of the mouth and conjunctiva
D)Increase in heart rate of 15 beats/minute with walking
Q2) The nurse will plan discharge teaching about prophylactic antibiotics before dental procedures for which patient?
A)Patient admitted with a large acute myocardial infarction
B)Patient being discharged after an exacerbation of heart failure
C)Patient who had a mitral valve replacement with a mechanical valve
D)Patient being treated for rheumatic fever after a streptococcal infection
Q3) Two days after an acute myocardial infarction (MI),a patient complains of stabbing chest pain that increases with a deep breath. Which action will the nurse take first?
A)Auscultate the heart sounds.
B)Check the patient's temperature.
C)Give the PRN acetaminophen (Tylenol).
D)Notify the patient's health care provider.
To view all questions and flashcards with answers, click on the resource link above.
Page 38
Chapter 37: Vascular Disorders
Available Study Resources on Quizplus for this Chatper
36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/25372
Sample Questions
Q1) When discussing risk factor modification for a patient who has a 5-cm abdominal aortic aneurysm,the nurse will focus teaching on which patient risk factor?
A)Male gender
B)Turner syndrome
C)Abdominal trauma history
D)Uncontrolled hypertension
Q2) A patient in the outpatient clinic has a new diagnosis of peripheral artery disease (PAD). Which group of drugs will the nurse plan to include when teaching about PAD management?
A)Statins
B)Antibiotics
C)Thrombolytics
D)Anticoagulants
Q3) Which nursing action should be included in the plan of care after endovascular repair of an abdominal aortic aneurysm?
A)Record hourly chest tube drainage.
B)Monitor fluid intake and urine output.
C)Assess the abdominal incision for redness.
D)Teach the patient to plan for a long recovery period.
To view all questions and flashcards with answers, click on the resource link above.
Page 39
Chapter 38: Assessment of Gastrointestinal System
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/25373
Sample Questions
Q1) A 30-yr-old male patient with a body mass index (BMI)of 22 kg/m² is being admitted to the hospital for elective knee surgery. Which assessment finding is important to report to the health care provider?
A)Tympany on percussion of the abdomen
B)Liver edge 3 cm below the costal margin
C)Bowel sounds of 20/minute in each quadrant
D)Aortic pulsations visible in the epigastric area
Q2) When caring for a patient with a history of a total gastrectomy,the nurse will monitor for
A)constipation.
B)dehydration.
C)elevated total serum cholesterol.
D)cobalamin (vitamin B<sub>12</sub>) deficiency.
Q3) A patient has just arrived in the recovery area after an upper endoscopy. Which information collected by the nurse is most important to communicate to the health care provider?
A)The patient is very drowsy.
B)The patient reports a sore throat.
C)The oral temperature is 101.4°F.
D)The apical pulse is 100 beats/minute.
To view all questions and flashcards with answers, click on the resource link above. Page 40
Chapter 39: Nutritional Problems
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/25374
Sample Questions
Q1) A patient is receiving continuous enteral nutrition through a small-bore silicone feeding tube. What should the nurse plan for when this patient has a computed tomography (CT)scan ordered?
A)Ask the health care provider to reschedule the scan.
B)Shut the feeding off 30 to 60 minutes before the scan.
C)Connect the feeding tube to continuous suction before and during the scan.
D)Send a suction catheter with the patient in case of aspiration during the scan.
Q2) A patient hospitalized with chronic heart failure eats only about 50% of each meal and reports "feeling too tired to eat." Which action should the nurse take first?
A)Teach the patient about the importance of good nutrition.
B)Serve multiple small feedings of high-calorie, high-protein foods.
C)Consult with the health care provider about parenteral nutrition (PN).
D)Obtain an order for enteral feedings of liquid nutritional supplements.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 40: Obesity
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/25375
Sample Questions
Q1) After successfully losing 1 lb weekly for several months,a patient at the clinic has not lost any weight for the past month. The nurse should first
A)review the diet and exercise guidelines with the patient.
B)instruct the patient to weigh and record weights weekly.
C)ask the patient whether there have been any changes in exercise or diet patterns.
D)discuss the possibility that the patient has reached a temporary weight loss plateau.
Q2) The nurse will be teaching self-management to patients after gastric bypass surgery. Which information will the nurse plan to include?
A)Drink fluids between meals but not with meals.
B)Choose high-fat foods for at least 30% of intake.
C)Developing flabby skin can be prevented by exercise.
D)Choose foods high in fiber to promote bowel function.
Q3) Which adult will the nurse plan to teach about risks associated with obesity?
A)Man who has a BMI of 18 kg/m2
B)Man with a 42 in waist and 44 in hips
C)Woman who has a body mass index (BMI) of 24 kg/m2
D)Woman with a waist circumference of 34 inches (86 cm)
To view all questions and flashcards with answers, click on the resource link above.
Page 42
Chapter 41: Upper Gastrointestinal Problems
Available Study Resources on Quizplus for this Chatper
47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/25376
Sample Questions
Q1) Which assessment should the nurse perform first for a patient who just vomited bright red blood?
A)Measuring the quantity of emesis
B)Palpating the abdomen for distention
C)Auscultating the chest for breath sounds
D)Taking the blood pressure (BP) and pulse
Q2) The nurse is assessing a patient who had a total gastrectomy 8 hours ago. What information is most important to report to the health care provider?
A)Hemoglobin (Hgb) 10.8 g/dL
B)Temperature 102.1°F (38.9°C)
C)Absent bowel sounds in all quadrants
D)Scant nasogastric (NG) tube drainage
Q3) The health care provider prescribes antacids and sucralfate (Carafate)for treatment of a patient's peptic ulcer. The nurse will teach the patient to take
A)sucralfate at bedtime and antacids before each meal.
B)sucralfate and antacids together 30 minutes before meals.
C)antacids 30 minutes before each dose of sucralfate is taken.
D)antacids after meals and sucralfate 30 minutes before meals.
To view all questions and flashcards with answers, click on the resource link above. Page 43
Chapter 42: Lower Gastrointestinal Problems
Available Study Resources on Quizplus for this Chatper
55 Verified Questions
55 Flashcards
Source URL: https://quizplus.com/quiz/25377
Sample Questions
Q1) A patient in the emergency department has just been diagnosed with peritonitis caused by a ruptured diverticulum. Which prescribed intervention will the nurse implement first?
A)Insert a urinary catheter to drainage.
B)Infuse metronidazole (Flagyl) 500 mg IV.
C)Send the patient for a computerized tomography scan.
D)Place a nasogastric (NG) tube to intermittent low suction.
Q2) The nurse will plan to teach a patient with Crohn's disease who has megaloblastic anemia about the need for
A)iron dextran infusions
B)oral ferrous sulfate tablets.
C)routine blood transfusions.
D)cobalamin (B12) supplements.
Q3) Which question from the nurse would help determine if a patient's abdominal pain might indicate irritable bowel syndrome (IBS)?
A)"Have you been passing a lot of gas?"
B)"What foods affect your bowel patterns?"
C)"Do you have any abdominal distention?"
D)"How long have you had abdominal pain?"
To view all questions and flashcards with answers, click on the resource link above.
Page 44
Chapter 43: Liver, pancreas, and Biliary Tract Problems
Available Study Resources on Quizplus for this Chatper
46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/25378
Sample Questions
Q1) The nurse is planning care for a patient with acute severe pancreatitis. The highest priority patient outcome is
A)maintaining normal respiratory function.
B)expressing satisfaction with pain control.
C)developing no ongoing pancreatic disease.
D)having adequate fluid and electrolyte balance.
Q2) The nurse will plan to teach the patient diagnosed with acute hepatitis B about
A)administering a-interferon
B)side effects of nucleotide analogs.
C)measures for improving the appetite.
D)ways to increase activity and exercise.
Q3) Which assessment finding is of most concern for a patient with acute pancreatitis?
A)Absent bowel sounds
B)Abdominal tenderness
C)Left upper quadrant pain
D)Palpable abdominal mass
To view all questions and flashcards with answers, click on the resource link above.
Chapter 44: Assessment of Urinary System
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/25379
Sample Questions
Q1) A female patient with a suspected urinary tract infection (UTI)is to provide a clean-catch urine specimen for culture and sensitivity testing. To obtain the specimen,the nurse will
A)have the patient empty the bladder completely; then obtain the next urine specimen that the patient is able to void.
B)teach the patient to clean the urethral area, void a small amount into the toilet, and then void into a sterile specimen cup.
C)insert a short sterile "mini" catheter attached to a collecting container into the urethra and bladder to obtain the specimen.
D)clean the area around the meatus with a povidone-iodine (Betadine) swab and then have the patient void into a sterile container.
Q2) The nurse completing a physical assessment for a newly admitted patient is unable to feel either kidney on palpation. Which action should the nurse take?
A)Obtain a urine specimen to check for hematuria.
B)Document the information on the assessment form.
C)Ask the patient about any history of recent sore throat.
D)Ask the health care provider about scheduling a renal ultrasound.
To view all questions and flashcards with answers, click on the resource link above. Page 46
Chapter 45: Renal and Urologic Problems
Available Study Resources on Quizplus for this Chatper
45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/25380
Sample Questions
Q1) A 46-yr-old female patient returns to the clinic with recurrent dysuria after being treated with trimethoprim and sulfamethoxazole for 3 days. Which action will the nurse plan to take?
A)Remind the patient about the need to drink 1000 mL of fluids daily.
B)Obtain a midstream urine specimen for culture and sensitivity testing.
C)Suggest that the patient use acetaminophen (Tylenol) to relieve symptoms.
D)Teach the patient to take the prescribed trimethoprim and sulfamethoxazole for 3 more days.
Q2) A 56-yr-old female patient is admitted to the hospital with new-onset nephrotic syndrome. Which assessment data will the nurse expect?
A)Poor skin turgor
B)Recent weight gain
C)Elevated urine ketones
D)Decreased blood pressure
Q3) The nurse teaches an adult patient to prevent the recurrence of renal calculi by A)using a filter to strain all urine.
B)avoiding dietary sources of calcium.
C)drinking 2000 to 3000 mL of fluid each day.
D)choosing diuretic fluids such as coffee and tea.
To view all questions and flashcards with answers, click on the resource link above.
Page 47
Chapter 46: Acute Kidney Injury and Chronic Kidney Disease
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/25381
Sample Questions
Q1) The nurse is assessing a patient 4 hours after a kidney transplant. Which information is most important to communicate to the health care provider?
A)The urine output is 900 to 1100 mL/hr.
B)The patient's central venous pressure (CVP) is decreased.
C)The patient has a level 7 (0- to 10-point scale) incisional pain.
D)The blood urea nitrogen (BUN) and creatinine levels are elevated.
Q2) A patient complains of leg cramps during hemodialysis. The nurse should
A)massage the patient's legs.
B)reposition the patient supine.
C)give acetaminophen (Tylenol).
D)infuse a bolus of normal saline.
Q3) Which information will be included when the nurse is teaching self-management to a patient who is receiving peritoneal dialysis ?
A)Avoid commercial salt substitutes.
B)Restrict fluid intake to 1000 mL daily.
C)Take phosphate binders with each meal.
D)Choose high-protein foods for most meals.
E)Have several servings of dairy products daily.
To view all questions and flashcards with answers, click on the resource link above. Page 48
Chapter 47: Assessment of Endocrine System
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/25382
Sample Questions
Q1) Which question from a nurse during a patient interview will provide focused information about a possible thyroid disorder?
A)"What methods do you use to help cope with stress?"
B)"Have you experienced any blurring or double vision?"
C)"Have you had a recent unplanned weight gain or loss?"
D)"Do you have to get up at night to empty your bladder?"
Q2) A young adult patient is being seen in the clinic with increased secretion of the anterior pituitary hormones. The nurse would expect the laboratory test results to show
A)increased urinary cortisol.
B)decreased serum thyroxine.
C)elevated serum aldosterone levels.
D)low urinary catecholamines excretion.
Q3) Which statement by a 50-yr-old female patient indicates to the nurse that further assessment of thyroid function may be necessary?
A)"I notice my breasts are tender lately."
B)"I am so thirsty that I drink all day long."
C)"I get up several times at night to urinate."
D)"I feel a lump in my throat when I swallow."
To view all questions and flashcards with answers, click on the resource link above.
Page 49
Chapter 48: Diabetes Mellitus
Available Study Resources on Quizplus for this Chatper
49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/25383
Sample Questions
Q1) A patient who has diabetes and reported burning foot pain at night receives a new prescription. Which information should the nurse teach the patient about amitriptyline ?
A)Amitriptyline decreases the depression caused by your foot pain.
B)Amitriptyline helps prevent transmission of pain impulses to the brain.
C)Amitriptyline corrects some of the blood vessel changes that cause pain.
D)Amitriptyline improves sleep and makes you less aware of nighttime pain.
Q2) The nurse is assessing a 55-yr-old female patient with type 2 diabetes who has a body mass index (BMI)of 31 kg/m².Which goal in the plan of care is most important for this patient?
A)The patient will reach a glycosylated hemoglobin level of less than 7%.
B)The patient will follow a diet and exercise plan that results in weight loss.
C)The patient will choose a diet that distributes calories throughout the day.
D)The patient will state the reasons for eliminating simple sugars in the diet.
Q3) Which finding indicates a need to contact the health care provider before the nurse administers metformin (Glucophage)?
A)The patient's blood glucose level is 174 mg/dL.
B)The patient is scheduled for a chest x-ray in an hour.
C)The patient has gained 2 lb (0.9 kg) in the past 24 hours.
D)The patient's blood urea nitrogen (BUN) level is 52 mg/dL.
To view all questions and flashcards with answers, click on the resource link above.
Page 50
Chapter 49: Endocrine Problems
Available Study Resources on Quizplus for this Chatper
46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/25384
Sample Questions
Q1) A patient is admitted with diabetes insipidus. Which action will be appropriate for the registered nurse (RN)to delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?
A)Titrate the infusion of 5% dextrose in water.
B)Administer prescribed subcutaneous DDAVP.
C)Assess the patient's overall hydration status every 8 hours.
D)Teach the patient how to use desmopressin (DDAVP) nasal spray.
Q2) Which finding for a patient who has hypothyroidism and hypertension indicates that the nurse should contact the health care provider before administering levothyroxine (Synthroid)?
A)Increased thyroxine (T4) level
B)Blood pressure 112/62 mm Hg
C)Distant and difficult to hear heart sounds
D)Elevated thyroid stimulating hormone level
Q3) An expected patient problem for a patient admitted to the hospital with symptoms of diabetes insipidus is
A)excess fluid volume related to intake greater than output.
B)impaired gas exchange related to fluid retention in lungs.
C)sleep pattern disturbance related to frequent waking to void.
D)risk for impaired skin integrity related to generalized edema.
To view all questions and flashcards with answers, click on the resource link above. Page 51
Chapter 50: Assessment of Reproductive System
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/25385
Sample Questions
Q1) A woman calls the clinic because she is having an unusually heavy menstrual flow. She tells the nurse that she has saturated three tampons in the past 2 hours. The nurse estimates that the amount of blood loss over the past 2 hours is _____ mL.
A)20 to 30
B)30 to 40
C)40 to 60
D)60 to 90
Q2) Which finding from the nurse's physical assessment of a 42-yr-old male patient should be reported to the health care provider?
A)One testis hangs lower than the other.
B)Genital hair distribution is diamond shaped.
C)Clear discharge is present at the penile meatus.
D)Inguinal lymph nodes are nonpalpable bilaterally.
Q3) The nurse will plan to teach a 51-yr-old man who is scheduled for an annual physical examination about a(n)
A)increased risk for testicular cancer.
B)possible changes in erectile function.
C)normal decreases in testosterone level.
D)prostate specific antigen (PSA) testing.
To view all questions and flashcards with answers, click on the resource link above.
Page 52
Chapter 51: Breast Disorders
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/25386
Sample Questions
Q1) A 51-yr-old patient with a small immobile breast lump is considering having a fine-needle aspiration (FNA)biopsy. The nurse explains that an advantage to this procedure is that
A)FNA is done in the outpatient clinic, and results are available in 1 to 2 days.
B)only a small incision is needed, resulting in minimal breast pain and scarring.
C)if the biopsy results are negative, no further diagnostic testing will be needed.
D)FNA is guided by a mammogram, ensuring that cells are taken from the lesion.
Q2) After a 48-yr-old patient has had a modified radical mastectomy,the pathology report identifies the tumor as an estrogen-receptor positive adenocarcinoma. The nurse will plan to teach the patient about
A)tamoxifen
B)estradiol (Estrace).
C)raloxifene (Evista).
D)trastuzumab (Herceptin).
To view all questions and flashcards with answers, click on the resource link above. Page 53
Chapter 52: Sexually Transmitted Infections
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/25387
Sample Questions
Q1) A 20-yr-old female patient who is being seen in the family medicine clinic for an annual physical examination reports being sexually active. The nurse will plan to teach the patient about
A)testing for Chlamydia infection.
B)immunization for herpes simplex.
C)infertility associated with the human papillomavirus (HPV).
D)the relationship between the herpes virus and cervical cancer.
Q2) When a 31-yr-old male patient returns to the clinic for follow-up after treatment for gonococcal urethritis,a purulent urethral discharge is still present. Which question will the nurse ask to identify a possible cause of recurrent infection?
A)"Did you take the prescribed antibiotic for a week?"
B)"Did you drink at least 3 quarts of fluids every day?"
C)"Were your sexual partners treated with antibiotics?"
D)"Do you wash your hands after using the bathroom?"
Q3) Which patient will the nurse plan on teaching about the Gardasil vaccine?
A)A 24-yr-old female patient who has not been sexually active
B)A 34-yr-old female patient who has multiple sexual partners
C)A 24-yr-old female patient who is pregnant for the first time
D)A 34-yr-old female patient who is in a monogamous relationship
To view all questions and flashcards with answers, click on the resource link above.
Page 54
Chapter 53: Female Reproductive and Genital Problems
Available Study Resources on Quizplus for this Chatper
49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/25388
Sample Questions
Q1) The nurse has just received change-of-shift report about the following four patients. Which patient should be assessed first?
A)A patient with a cervical radium implant in place who is crying in her room
B)A patient who is complaining of 5/10 pain after an abdominal hysterectomy
C)A patient with a possible ectopic pregnancy who is complaining of shoulder pain
D)A patient in the fifteenth week of gestation who has uterine cramping and spotting
Q2) The nurse will plan to teach a 34-yr-old patient diagnosed with stage 0 cervical cancer about A)radiation.
B)conization.
C)chemotherapy.
D)radical hysterectomy.
Q3) The nurse will plan to teach the female patient with genital warts about the A)importance of regular Pap tests.
B)increased risk for endometrial cancer.
C)appropriate use of oral contraceptives.
D)symptoms of pelvic inflammatory disease (PID).
To view all questions and flashcards with answers, click on the resource link above. Page 55
Chapter 54: Male Reproductive and Genital Problems
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/25389
Sample Questions
Q1) The nurse in a health clinic receives requests for appointments from several patients. Which patient should be seen by the health care provider first?
A)A 48-yr-old patient who has perineal pain and a temperature of 100.4° F
B)A 58-yr-old patient who has a painful erection that has lasted more than 6 hours
C)A 38-yr-old patient who reports that he had difficulty maintaining an erection twice last week
D)A 68-yr-old patient who has pink urine after a transurethral resection of the prostate (TURP) 3 days ago
Q2) The nurse in the clinic notes elevated prostate specific antigen (PSA)levels in the laboratory results of these patients. Which patient's PSA result is not expected to be elevated?
A)A 38-yr-old patient who is being treated for acute prostatitis
B)A 48-yr-old patient whose father died of metastatic prostate cancer
C)A 52-yr-old patient who goes on long bicycle rides every weekend
D)A 75-yr-old patient who uses saw palmetto to treat benign prostatic hyperplasia (BPH)
To view all questions and flashcards with answers, click on the resource link above.
Chapter 55: Assessment of Nervous System
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/25390
Sample Questions
Q1) Which finding would the nurse expect when assessing the legs of a patient who has a lower motor neuron lesion?
A)Spasticity
B)Flaccidity
C)Impaired sensation
D)Hyperactive reflexes
Q2) A 39-yr-old patient with a suspected herniated intervertebral disc is scheduled for a myelogram. Which information communicated by the nurse to the health care provider before the procedure would change the procedural plans?
A)The patient is anxious about the test results.
B)The patient reports a previous allergy to shellfish.
C)The patient has back pain when lying flat for more than 4 hours.
D)The patient drank apple juice 4 hours before the scheduled procedure.
Q3) The nurse will anticipate teaching a patient with a possible seizure disorder about which test?
A)Cerebral angiography
B)Evoked potential studies
C)Electromyography (EMG)
D)Electroencephalography (EEG)
To view all questions and flashcards with answers, click on the resource link above.
Page 57
Chapter 56: Acute Intracranial Problems
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/25391
Sample Questions
Q1) When assessing a 53-yr-old patient with bacterial meningitis,the nurse obtains the following data. Which finding requires the most immediate intervention?
A)The patient exhibits nuchal rigidity.
B)The patient has a positive Kernig's sign.
C)The patient's temperature is 101° F (38.3° C).
D)The patient's blood pressure is 88/42 mm Hg.
Q2) A 68-yr-old male patient is brought to the emergency department (ED)by ambulance after being found unconscious on the bathroom floor by his spouse. Which action will the nurse take first?
A)Check oxygen saturation.
B)Assess pupil reaction to light.
C)Palpate the head for injuries
D)Verify Glasgow Coma Scale (GCS) score.
Q3) Which question will the nurse ask a patient who has been admitted with a benign occipital lobe tumor to assess for functional deficits?
A)"Do you have difficulty in hearing?"
B)"Are you experiencing visual problems?"
C)"Are you having any trouble with your balance?"
D)"Have you developed any weakness on one side?"
To view all questions and flashcards with answers, click on the resource link above.
Page 58
Chapter 57: Stroke
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/25392
Sample Questions
Q1) A patient with a stroke experiences facial drooping on the right side and right-sided arm and leg paralysis. When admitting the patient,which clinical manifestation will the nurse expect to find?
A)Impulsive behavior
B)Right-sided neglect
C)Hyperactive left-sided tendon reflexes
D)Difficulty comprehending instructions
Q2) When teaching about clopidogrel (Plavix),the nurse will tell the patient with cerebral atherosclerosis
A)to monitor and record the blood pressure daily.
B)to call the health care provider if stools are tarry.
C)that clopidogrel will dissolve clots in the cerebral arteries.
D)that clopidogrel will reduce cerebral artery plaque formation.
Q3) A female patient who had a stroke 24 hours ago has expressive aphasia. An appropriate nursing intervention to help the patient communicate is to
A)ask questions that the patient can answer with "yes" or "no."
B)develop a list of words that the patient can read and practice reciting.
C)have the patient practice her facial and tongue exercises with a mirror.
D)prevent embarrassing the patient by answering for her if she does not respond.
To view all questions and flashcards with answers, click on the resource link above.
Page 59
Chapter 58: Chronic Neurologic Problems
Available Study Resources on Quizplus for this Chatper
36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/25393
Sample Questions
Q1) The nurse advises a patient with myasthenia gravis (MG)to
A)perform physically demanding activities early in the day.
B)anticipate the need for weekly plasmapheresis treatments.
C)do frequent weight-bearing exercise to prevent muscle atrophy.
D)protect the extremities from injury due to poor sensory perception.
Q2) After a thymectomy,a patient with myasthenia gravis receives the usual dose of pyridostigmine (Mestinon). An hour later,the patient complains of nausea and severe abdominal cramps. Which action should the nurse take first?
A)Auscultate the patient's bowel sounds.
B)Notify the patient's health care provider.
C)Administer the prescribed PRN antiemetic drug.
D)Give the scheduled dose of prednisone (Deltasone).
Q3) A hospitalized patient complains of a bilateral headache (4/10 on the pain scale)that radiates from the base of the skull. Which prescribed PRN medications should the nurse administer initially?
A)Lorazepam (Ativan)
B)Acetaminophen (Tylenol)
C)Morphine sulfate (MS Contin)
D)Butalbital and aspirin (Fiorinal)
To view all questions and flashcards with answers, click on the resource link above.
Page 60
Chapter 59: Dementia and Delirium
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/25394
Sample Questions
Q1) Which actions could the nurse delegate to a licensed practical/vocational nurse (LPN/LVN)who is part of the team caring for a patient with Alzheimer's disease ?
A)Develop a plan to minimize difficult behavior.
B)Administer the prescribed memantine (Namenda).
C)Remove potential safety hazards from the patient's environment.
D)Refer the patient and caregivers to appropriate community resources.
E)Help the patient and caregivers choose memory enhancement methods.
F)Evaluate the effectiveness of the prescribed enteral feedings on patient nutrition.
Q2) The nurse is administering a mental status examination to a patient who has hypertension. The nurse suspects depression when the patient responds to the nurse's questions with
A)"Is that right?"
B)"I don't know."
C)"Wait, let me think about that."
D)"Who are those people over there?"
To view all questions and flashcards with answers, click on the resource link above.
Chapter 60: Spinal Cord and Peripheral Nerve Problems
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/25395
Sample Questions
Q1) A patient with paraplegia resulting from a T9 spinal cord injury has a neurogenic reflexic bladder. Which action will the nurse include in the plan of care?
A)Teach the patient the Credé method.
B)Instruct the patient how to self-catheterize.
C)Catheterize for residual urine after voiding.
D)Assist the patient to the toilet every 2 hours.
Q2) A patient admitted with dermal ulcers who has a history of a T3 spinal cord injury tells the nurse,"I have a pounding headache and I feel sick to my stomach." Which action should the nurse take first?
A)Check for a fecal impaction.
B)Give the prescribed antiemetic.
C)Assess the blood pressure (BP).
D)Notify the health care provider.
Q3) Which finding in a patient with a spinal cord tumor requires an immediate report to the health care provider?
A)Depression about the diagnosis
B)Anxiety about scheduled surgery
C)Decreased ability to move the legs
D)Back pain that worsens with coughing
To view all questions and flashcards with answers, click on the resource link above.
Page 62
Chapter 61: Assessment of Musculoskeletal System
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/25396
Sample Questions
Q1) Which action can the nurse delegate to unlicensed assistive personnel (UAP)who are working in the orthopedic clinic?
A)Grade leg muscle strength for a patient with back pain.
B)Obtain blood sample for uric acid from a patient with gout.
C)Perform straight-leg-raise testing for a patient with sciatica.
D)Check for knee joint crepitation before arthroscopic surgery.
Q2) Which finding from analysis of fluid from a patient's right knee arthrocentesis will be of concern to the nurse?
A)Cloudy fluid
B)Scant thin fluid
C)Pale yellow fluid
D)Straw-colored fluid
Q3) A patient with severe kyphosis is scheduled for dual-energy x-ray absorptiometry (DXA)testing. The nurse will plan to A)explain the procedure.
B)start an IV line for contrast medium injection.
C)give an oral sedative 60 to 90 minutes before the procedure.
D)screen the patient for allergies to shellfish or iodine products.
To view all questions and flashcards with answers, click on the resource link above. Page 63
Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery
Available Study Resources on Quizplus for this Chatper
47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/25397
Sample Questions
Q1) After a motorcycle accident,a patient arrives in the emergency department with severe swelling of the left lower leg. Which action will the nurse take first?
A)Elevate the leg on 2 pillows.
B)Apply a compression bandage.
C)Assess leg pulses and sensation.
D)Place ice packs on the lower leg.
Q2) After change-of-shift report,which patient should the nurse assess first?
A)Patient with a repaired mandibular fracture who is complaining of facial pain
B)Patient with an unrepaired intracapsular left hip fracture whose leg is externally rotated
C)Patient with an unrepaired Colles' fracture who has right wrist swelling and deformity
D)Patient with repaired right femoral shaft fracture who is complaining of tightness in the calf
To view all questions and flashcards with answers, click on the resource link above.
Chapter 63: Musculoskeletal Problems
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/25398
Sample Questions
Q1) When administering alendronate (Fosamax)to a patient with osteoporosis,the nurse will
A)ask about any leg cramps or hot flashes.
B)assist the patient to sit up at the bedside.
C)be sure that the patient has recently eaten.
D)administer the ordered calcium carbonate.
Q2) After laminectomy with a spinal fusion to treat a herniated disc,a patient reports numbness and tingling of the right lower leg. The first action the nurse should take is to
A)report the patient's complaint to the surgeon.
B)check the chart for preoperative assessment data.
C)check the vital signs for indications of hemorrhage.
D)turn the patient to the left to relieve pressure on the right leg.
Q3) An appropriate nursing intervention for a patient who has acute low back pain and muscle spasms is to teach the patient to
A)keep both feet flat on the floor when prolonged standing is required.
B)twist gently from side to side to maintain range of motion in the spine.
C)keep the head elevated slightly and flex the knees when resting in bed.
D)avoid the use of cold packs because they will exacerbate the muscle spasms.
To view all questions and flashcards with answers, click on the resource link above.
65
Chapter 64: Arthritis and Connective Tissue Diseases
Available Study Resources on Quizplus for this Chatper
47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/25399
Sample Questions
Q1) A patient with gout has a new prescription for losartan (Cozaar)to control the condition. The nurse will plan to monitor
A)blood glucose.
B)blood pressure.
C)erythrocyte count.
D)lymphocyte count.
Q2) A patient reporting painful urination and knee pain is diagnosed with reactive arthritis. The nurse will plan to teach the patient about the need for several months of therapy with
A)methotrexate
B)anakinra (Kineret).
C)etanercept (Enbrel).
D)doxycycline (Vibramycin).
Q3) Which finding for a patient who is taking hydroxychloroquine (Plaquenil)to treat rheumatoid arthritis is likely to be an adverse effect of the medication?
A)Blurred vision
B)Joint tenderness
C)Abdominal cramping
D)Elevated blood pressure
To view all questions and flashcards with answers, click on the resource link above.
Page 66
Chapter 65: Critical Care
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/25400
Sample Questions
Q1) A patient who has been in the intensive care unit for 4 days has disturbed sensory perception from sleep deprivation. Which action should the nurse include in the plan of care?
A)Administer prescribed sedatives or opioids at bedtime to promote sleep.
B)Cluster nursing activities so that the patient has uninterrupted rest periods.
C)Silence the alarms on the cardiac monitors to allow 30- to 40-minute naps.
D)Eliminate assessments between 2200 and 0600 to allow uninterrupted sleep.
Q2) A patient with respiratory failure has arterial pressure-based cardiac output (APCO)monitoring and is receiving mechanical ventilation with peak end-expiratory pressure (PEEP)of 12 cm H<sub>2</sub>O. Which information indicates that a change in the ventilator settings may be required?
A)The arterial pressure is 90/46.
B)The stroke volume is increased.
C)The heart rate is 58 beats/minute.
D)The stroke volume variation is 12%.
Q3) A patient's vital signs are pulse 90,respirations 24,and BP 128/64 mm Hg,and cardiac output is 4.7 L/min. The patient's stroke volume is _____ mL. (Round to the nearest whole number.)
To view all questions and flashcards with answers, click on the resource link above.
Chapter 66: Shock, sepsis, and Multiple Organ Dysfunction Syndrome
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/25401
Sample Questions
Q1) During change-of-shift report,the nurse is told that a patient has been admitted with dehydration and hypotension after having vomiting and diarrhea for 4 days. Which finding is most important for the nurse to report to the health care provider?
A)New onset of confusion
B)Decreased bowel sounds
C)Heart rate 112 beats/min
D)Pale, cool, and dry extremities
Q2) Which intervention will the nurse include in the plan of care for a patient who has cardiogenic shock?
A)Check temperature every 2 hours.
B)Monitor breath sounds frequently.
C)Maintain patient in supine position.
D)Assess skin for flushing and itching.
Q3) A patient is admitted to the emergency department (ED)for shock of unknown etiology. The first action by the nurse should be to
A)obtain the blood pressure.
B)check the level of orientation.
C)administer supplemental oxygen.
D)obtain a 12-lead electrocardiogram.
Page 68
To view all questions and flashcards with answers, click on the resource link above.
Chapter 67: Acute Respiratory Failure and Acute
Respiratory Distress Syndrome
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/25402
Sample Questions
Q1) During change-of-shift report on a medical unit,the nurse learns that a patient with aspiration pneumonia who was admitted with respiratory distress has become increasingly agitated. Which action should the nurse take first?
A)Give the prescribed PRN sedative drug.
B)Offer reassurance and reorient the patient.
C)Use pulse oximetry to check the oxygen saturation.
D)Notify the health care provider about the patient's status.
Q2) A patient with chronic obstructive pulmonary disease (COPD)arrives in the emergency department complaining of shortness of breath and dyspnea on minimal exertion. Which assessment finding by the nurse is most important to report to the health care provider?
A)The patient has bibasilar lung crackles.
B)The patient is sitting in the tripod position.
C)The patient's pulse oximetry indicates a 91% O<sub>2</sub> saturation.
D)The patient's respirations have dropped to 10 breaths/minute.
To view all questions and flashcards with answers, click on the resource link above. Page 69
Chapter 68: Emergency and Disaster Nursing
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/25403
Sample Questions
Q1) A patient arrives in the emergency department (ED)after topical exposure to powdered lime at work. Which action should the nurse take first?
A)Obtain the patient's vital signs.
B)Obtain a baseline complete blood count.
C)Decontaminate the patient by showering with water.
D)Brush off any visible powder on the skin and clothing.
Q2) When assessing an older patient admitted to the emergency department (ED)with a broken arm and facial bruises,the nurse observes several additional bruises in various stages of healing. Which statement or question by the nurse should be first?
A)"You should not go home."
B)"Do you feel safe at home?"
C)"Would you like to see a social worker?"
D)"I need to report my concerns to the police."
To view all questions and flashcards with answers, click on the resource link above.