Fundamentals of Nursing Exam Bank
Course Introduction
Fundamentals of Nursing introduces students to the essential concepts and skills that form the foundation of nursing practice. The course covers the history and evolution of nursing, the roles and responsibilities of professional nurses, and the principles of patient-centered care. Topics include communication, safety, infection control, health assessment, basic patient care techniques, and documentation. Emphasis is placed on the nursing process, ethical and legal considerations, and the development of critical thinking and clinical judgment needed for effective care across diverse populations. Hands-on practice in laboratory settings allows students to apply theory to real-world scenarios, preparing them for clinical experiences.
Recommended Textbook
Medical Surgical Nursing Assessment and Management of Clinical Problems 9th Edition by Lewis
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69 Chapters
2018 Verified Questions
2018 Flashcards
Source URL: https://quizplus.com/study-set/999 Page 2
Chapter 2: Health Disparities and Culturally Competent Care
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/19658
Sample Questions
Q1) The nurse plans health care for a community with a large number of recent immigrants from Vietnam.Which intervention is the most important for the nurse to implement?
A) Hepatitis testing
B) Tuberculosis screening
C) Contraceptive teaching
D) Colonoscopy information
Answer: B
Q2) The nurse works in a clinic located in a community with many Hispanics.Which strategy,if implemented by the nurse,would decrease health care disparities for the Hispanic patients?
A) Improve public transportation to the clinic.
B) Update equipment and supplies at the clinic.
C) Obtain low-cost medications for clinic patients.
D) Teach clinic staff about Hispanic health beliefs.
Answer: D
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Chapter 3: Health History and Physical Examination
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/19659
Sample Questions
Q1) The nurse plans to complete a physical examination of an alert,older patient.Which adaptations to the examination technique should the nurse include?
A) Avoid the use of touch as much as possible.
B) Use slightly more pressure for palpation of the liver.
C) Speak softly and slowly when talking with the patient.
D) Organize the sequence to minimize the position changes.
Answer: D
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
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Chapter 4: Patient and Caregiver Teaching
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/19660
Sample Questions
Q1) The hospital nurse implements a teaching plan to assist an older patient who lives alone to independently accomplish daily activities.How would the nurse best evaluate the patient's long-term response to the teaching?
A) Make a referral to the home health nursing department for home visits.
B) Have the patient demonstrate the learned skills at the end of the teaching session.
C) Arrange a physical therapy visit before the patient is discharged from the hospital.
D) Check the patient's ability to bathe and get dressed without any assistance the next day.
Q2) The nurse educator teaches students how to be more assertive.Which teaching strategy,if implemented by the nurse educator,would be most effective?
A) Role playing
B) Peer teaching
C) Printed materials
D) Lecture-discussion
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Chapter 5: Chronic Illness and Older Adults
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/19661
Sample Questions
Q1) An older adult patient presents with a broken arm and visible scattered bruises healing at different stages.Which action should the nurse take first?
A) Notify an elder protective services agency about the possible abuse.
B) Make a referral for a home assessment visit by the home health nurse.
C) Have the family member stay in the waiting area while the patient is assessed.
D) Ask the patient how the injury occurred and observe the family member's reaction.
Q2) The nurse plans to complete a thorough assessment of an older patient.Which method should the nurse use to gather the most complete information?
A) Use a geriatric assessment instrument to evaluate the patient.
B) Ask the patient to write down medical problems and medications.
C) Interview both the patient and the primary caregiver for the patient.
D) Review the patient's medical record for a history of medical problems.
Q3) Which patient is most likely to need long-term nursing care management?
A) 72-year-old who had a hip replacement after a fall at home
B) 64-year-old who developed sepsis after a ruptured peptic ulcer
C) 76-year-old who had a cholecystectomy and bile duct drainage
D) 63-year-old with bilateral knee osteoarthritis who weighs 350 lb (159 kg)
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Chapter 6: Complementary and Alternative Therapies
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/19662
Sample Questions
Q1) Which is the most appropriate therapy for the nurse to suggest for a patient with chronic low back pain from osteoarthritis?
A) Acupuncture
B) Aromatherapy
C) St. John's wort
D) Magnetic therapy
Q2) Which information should the nurse include when discussing the use of herbal remedies with a patient?
A) Many herbs are toxic and carcinogenic and should not be used.
B) Frequent medical evaluation is required when a person uses herbs.
C) Herbs should be purchased only from manufacturers with a history of quality control.
D) Herbs are no better than conventional drugs in maintaining health and may be less safe.
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8
Chapter 7: Stress and Stress Management
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/19663
Sample Questions
Q1) A patient is extremely anxious about having a biopsy on a femoral lymph node in the groin area.Which relaxation technique would be best for the nurse to use at this time?
A) Meditation
B) Yoga stretching
C) Guided imagery
D) Relaxation breathing
Q2) A female patient who initially came to the clinic with incontinence was recently diagnosed with endometrial cancer.She is usually well organized and calm but the nurse who is giving her preoperative instructions observes that she is irritable,has difficulty concentrating,and yells at her husband.Which action should the nurse take?
A) Ask the health care provider for a psychiatric referral.
B) Focus teaching on preventing postoperative complications.
C) Try to calm patient and reinforce and repeat teaching about the surgery.
D) Encourage the patient to have bladder repair at the same time as the hysterectomy.
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9
Chapter 8: Sleep and Sleep Disorders
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/19664
Sample Questions
Q1) A patient complains of difficulty falling asleep and daytime fatigue for the past 6 weeks.What is the best initial action for the nurse to take in determining whether this patient has chronic insomnia?
A) Schedule a polysomnography (PSG) study.
B) Arrange for the patient to have a sleep study.
C) Ask the patient to keep a 2-week sleep diary.
D) Teach the patient about the use of an actigraph.
Q2) A patient with sleep apnea who uses a continuous positive airway pressure (CPAP)device is preparing to have inpatient surgery.Which instructions should the nurse provide to the patient?
A) Remind the patient to take the CPAP device to the hospital.
B) Plan to schedule a nighttime polysomnography (PSG) study before surgery.
C) Discourage the patient from requesting pain medication while hospitalized.
D) Call the hospital to ensure that mechanical ventilation will be available for the patient.
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Chapter 9: Pain
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/19665
Sample Questions
Q1) When visiting a hospice patient,the nurse assesses that the patient has a respiratory rate of 11 breaths/minute and complains of severe pain.Which action is best for the nurse to take?
A) Inform the patient that increasing the morphine will cause the respiratory drive to fail.
B) Tell the patient that additional morphine can be administered when the respirations are 12.
C) Titrate the prescribed morphine dose upward until the patient indicates adequate pain relief.
D) Administer a nonopioid analgesic, such as a nonsteroidal antiinflammatory drug (NSAID), to improve patient pain control.
Q2) A patient who has just started taking sustained-release morphine sulfate (MS Contin)for chronic arthritic joint pain following a traumatic injury complains of nausea and abdominal fullness.Which action should the nurse take initially?
A) Administer the ordered antiemetic medication.
B) Tell the patient that the nausea will subside in about a week.
C) Order the patient a clear liquid diet until the nausea decreases.
D) Consult with the health care provider about using a different opioid.
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Chapter 10: Palliative Care at End of Life
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/19666
Sample Questions
Q1) Which action is best for the nurse to take to ensure culturally competent care for an alert,terminally ill Filipino patient?
A) Ask the patient and family about their preferences for care during this time.
B) Let the family decide whether to tell the patient about the terminal diagnosis.
C) Obtain information from Filipino staff members about possible cultural needs.
D) Remind family members that dying patients prefer to have someone at the bedside.
Q2) A young adult patient with metastatic cancer,who is very close to death,appears restless.The patient keeps repeating,"I am not ready to die." Which action is best for the nurse to take?
A) Remind the patient that no one feels ready for death.
B) Sit at the bedside and ask if there is anything the patient needs.
C) Insist that family members remain at the bedside with the patient.
D) Tell the patient that everything possible is being done to delay death.
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Chapter 11: Substance Abuse
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/19667
Sample Questions
Q1) Which nursing activity can the nurse delegate to unlicensed assistive personnel (UAP)who are working in a family practice clinic?
A) Make referrals to community substance abuse treatment centers.
B) Teach patients about the use of prescribed nicotine replacement products.
C) Administer and score the Alcohol Use Disorders Identification Test (AUDIT).
D) Obtain patient histories regarding alcohol, tobacco, and other substance abuse.
Q2) An older adult patient who has been taking alprazolam (Xanax)calls the clinic asking for a refill of the prescription 1 month before the alprazolam should need to be refilled.Which response by the nurse is best?
A) "The prescription cannot be refilled for another month. What happened to all of your pills?"
B) "Do you have any muscle cramps and tremors if you don't take the medication frequently?"
C) "I am concerned that you may be overusing the Xanax. Let's make an appointment for you to see the doctor."
D) "I will ask the doctor to prescribe a few more pills, but you will not be able to get any more for another month."
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Page 13
Chapter 13: Genetics and Genomics
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/19669
Sample Questions
Q1) When counseling a couple in which the man has an autosomal recessive disorder and the woman has no gene for the disorder,the nurse uses Punnett squares to show the couple the probability of their having a child with the disorder.Which statement by the nurse is most appropriate?
A) "You should consider adoption."
B) "Your children will be carriers of the disorder."
C) "Your female children will display characteristics of the disorder."
D) "Your first-born child will likely display characteristics of the disorder."
Q2) The nurse in the outpatient clinic has obtained health histories for these new patients.Which patient may need referral for genetic testing?
A) 35-year-old patient whose maternal grandparents died after strokes at ages 90 and 96
B) 18-year-old patient with a positive pregnancy test whose first child has cerebral palsy
C) 34-year-old patient who has a sibling with newly diagnosed polycystic kidney disease
D) 50-year-old patient with a history of cigarette smoking who is complaining of dyspnea
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Page 15
Chapter 15: Infection and Human Immunodeficiency Virus
Infection
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/19671
Sample Questions
Q1) The registered nurse (RN)caring for an HIV-positive patient admitted with tuberculosis can delegate which action to unlicensed assistive personnel (UAP)?
A) Teach the patient about how to use tissues to dispose of respiratory secretions.
B) Stock the patient's room with all the necessary personal protective equipment.
C) Interview the patient to obtain the names of family members and close contacts.
D) Tell the patient's family members the reason for the use of airborne precautions.
Q2) A patient who is human immunodeficiency virus (HIV)-infected has a CD4<sup>+</sup> cell count of 400/µL.Which factor is most important for the nurse to determine before the initiation of antiretroviral therapy (ART)for this patient?
A) HIV genotype and phenotype
B) Patient's social support system
C) Potential medication side effects
D) Patient's ability to comply with ART schedule
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Chapter 20: Nursing Management: Postoperative Care
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/19676
Sample Questions
Q1) A patient's blood pressure in the postanesthesia care unit (PACU)has dropped from an admission blood pressure of 140/86 to 102/60 with a pulse change of 70 to 96.SpO<sub>2</sub> is 92% on 3 L of oxygen.In which order should the nurse take these actions? (Put a comma and a space between each answer choice [A,B,C,D].)
A) Increase the IV infusion rate.
B) Assess the patient's dressing.
C) Increase the oxygen flow rate.
D) Check the patient's temperature.
Q2) Which action could the postanesthesia care unit (PACU)nurse delegate to unlicensed assistive personnel (UAP)who help with the transfer of a patient to the clinical unit?
A) Clarify the postoperative orders with the surgeon.
B) Help with the transfer of the patient onto a stretcher.
C) Document the appearance of the patient's incision in the chart.
D) Provide hand off communication to the surgical unit charge nurse.
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22
Chapter 21: Nursing Assessment: Visual and Auditory Systems
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/19677
Sample Questions
Q1) When obtaining a health history from a 49-year-old patient,which patient statement is most important to communicate to the primary health care provider?
A) "My eyes are dry now."
B) "It is hard for me to see at night."
C) "My vision is blurry when I read."
D) "I can't see as far over to the side."
Q2) The nurse performing an eye examination will document normal findings for accommodation when
A) shining a light into the patient's eye causes pupil constriction in the opposite eye.
B) a blink reaction follows touching the patient's pupil with a piece of sterile cotton.
C) covering one eye for 1 minute and noting pupil constriction as the cover is removed. D) the pupils constrict while fixating on an object being moved closer to the patient's eyes.
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Chapter 22: Nursing Management: Visual and Auditory
Problems
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/19678
Sample Questions
Q1) A patient with a right retinal detachment had a pneumatic retinopexy procedure.Which information will be included in the discharge teaching plan?
A) The purpose of maintaining the head in a prescribed position
B) The use of eye patches to reduce movement of the operative eye
C) The need to wear dark glasses to protect the eyes from bright light
D) The procedure for dressing changes when the eye dressing is saturated
Q2) Which teaching point should the nurse plan to include when caring for a patient whose vision is corrected to 20/200?
A) How to access audio books
B) How to use a white cane safely
C) Where Braille instruction is available
D) Where to obtain specialized magnifiers
Q3) A patient who has undergone a left tympanoplasty should be instructed to A) remain on bed rest.
B) keep the head elevated.
C) avoid blowing the nose.
D) irrigate the left ear canal.
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Page 24
Chapter 24: Nursing Management: Integumentary Problems
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/19680
Sample Questions
Q1) There is one opening in the schedule at the dermatology clinic,and 4 patients are seeking appointments today.Which patient will the nurse schedule for the available opening?
A) 38-year old with a 7-mm nevus on the face that has recently become darker
B) 62-year-old with multiple small, soft, pedunculated papules in both axillary areas
C) 42-year-old with complaints of itching after using topical fluorouracil on the nose
D) 50-year-old with concerns about skin redness after having a chemical peel 3 days ago
Q2) The nurse assesses a patient who has just arrived in the postanesthesia recovery area (PACU)after a blepharoplasty.Which assessment data should be reported to the surgeon immediately?
A) The patient complains of incisional pain.
B) The patient's heart rate is 110 beats/minute.
C) The patient is unable to detect when the eyelids are touched.
D) The skin around the incision is pale and cold when palpated.
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26
Chapter 25: Nursing Management: Burns
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/19681
Sample Questions
Q1) Which patient is most appropriate for the burn unit charge nurse to assign to a registered nurse (RN)who has floated from the hospital medical unit?
A) A 34-year-old patient who has a weight loss of 15% from admission and requires enteral feedings.
B) A 67-year-old patient who has blebs under an autograft on the thigh and has an order for bleb aspiration
C) A 46-year-old patient who has just come back to the unit after having a cultured epithelial autograft to the chest
D) A 65-year-old patient who has twice-daily burn debridements and dressing changes to partial-thickness facial burns
Q2) The nurse is reviewing laboratory results on a patient who had a large burn 48 hours ago.Which result requires priority action by the nurse?
A) Hematocrit 53%
B) Serum sodium 147 mEq/L
C) Serum potassium 6.1 mEq/L
D) Blood urea nitrogen 37 mg/dL
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Chapter 26: Nursing Assessment: Respiratory System
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/19682
Sample Questions
Q1) The nurse prepares a patient with a left-sided pleural effusion for a thoracentesis.How should the nurse position the patient?
A) Supine with the head of the bed elevated 30 degrees
B) In a high-Fowler's position with the left arm extended
C) On the right side with the left arm extended above the head
D) Sitting upright with the arms supported on an over bed table
Q2) A patient with acute shortness of breath is admitted to the hospital.Which action should the nurse take during the initial assessment of the patient?
A) Ask the patient to lie down to complete a full physical assessment.
B) Briefly ask specific questions about this episode of respiratory distress.
C) Complete the admission database to check for allergies before treatment.
D) Delay the physical assessment to first complete pulmonary function tests.
Q3) When assessing the respiratory system of an older patient,which finding indicates that the nurse should take immediate action?
A) Weak cough effort
B) Barrel-shaped chest
C) Dry mucous membranes
D) Bilateral crackles at lung bases
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Chapter 27: Nursing Management: Upper Respiratory
Problems
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/19683
Sample Questions
Q1) 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) Avoid giving patient warm liquids to drink.
B) Assess patient for allergies to penicillin antibiotics.
C) Teach the patient about the need to sleep in a warm, dry environment.
D) Teach patient to "swish and swallow" prescribed oral nystatin (Mycostatin).
Q2) A patient with a tracheostomy has a new order for a fenestrated tracheostomy tube.Which action should the nurse include in the plan of care in collaboration with the speech therapist?
A) Leave the tracheostomy inner cannula inserted at all times.
B) Place the decannulation cap in the tube before cuff deflation.
C) Assess the ability to swallow before using the fenestrated tube.
D) Inflate the tracheostomy cuff during use of the fenestrated tube.
Q3) Which action should the nurse take first when a patient develops a nosebleed?
A) Pinch the lower portion of the nose for 10 minutes.
B) Pack the affected nare tightly with an epistaxis balloon.
C) Obtain silver nitrate that will be needed for cauterization.
D) Apply ice compresses over the patient's nose and cheeks.
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Chapter 28: Nursing Management: Lower Respiratory Problems
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/19684
Sample Questions
Q1) The nurse provides discharge teaching for a patient who has two fractured ribs from an automobile accident.Which statement,if made by the patient,would indicate that teaching has been effective?
A) "I am going to buy a rib binder to wear during the day."
B) "I can take shallow breaths to prevent my chest from hurting."
C) "I should plan on taking the pain pills only at bedtime so I can sleep."
D) "I will use the incentive spirometer every hour or two during the day."
Q2) The nurse completes discharge teaching for a patient who has had a lung transplant.The nurse evaluates that the teaching has been effective if the patient makes which statement?
A) "I will make an appointment to see the doctor every year."
B) "I will stop taking the prednisone if I experience a dry cough."
C) "I will not worry if I feel a little short of breath with exercise."
D) "I will call the health care provider right away if I develop a fever."
Q3) The nurse assesses the chest of a patient with pneumococcal pneumonia.Which finding would the nurse expect?
A) Increased tactile fremitus
B) Dry, nonproductive cough
C) Hyperresonance to percussion
D) A grating sound on auscultation
Page 30
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Chapter 30: Nursing Assessment: Hematologic System
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/19686
Sample Questions
Q1) The nurse is caring for a patient who is being discharged after an emergency splenectomy following an automobile accident.Which instructions should the nurse include in the discharge teaching?
A) Watch for excess bruising.
B) Check for swollen lymph nodes.
C) Take iron supplements to prevent anemia.
D) Wash hands and avoid persons who are ill.
Q2) A patient who had a total hip replacement had an intraoperative hemorrhage 14 hours ago.Which laboratory result would the nurse expect to find?
A) Hematocrit of 46%
B) Hemoglobin of 13.8 g/dL
C) Elevated reticulocyte count
D) Decreased white blood cell (WBC) count
Q3) The nurse examines the lymph nodes of a patient during a physical assessment.Which assessment finding would be of most concern to the nurse?
A) A 2-cm nontender supraclavicular node
B) A 1-cm mobile and nontender axillary node
C) An inability to palpate any superficial lymph nodes
D) Firm inguinal nodes in a patient with an infected foot
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Page 32
Chapter 31: Nursing Management: Hematologic Problems
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/19687
Sample Questions
Q1) A 19-year-old woman with immune thrombocytopenic purpura (ITP)has an order for a platelet transfusion.Which information indicates that the nurse should consult with the health care provider before obtaining and administering platelets?
A) The platelet count is 42,000/mL.
B) Petechiae are present on the chest.
C) Blood pressure (BP) is 94/56 mm Hg.
D) Blood is oozing from the venipuncture site.
Q2) A 28-year-old man with von Willebrand disease is admitted to the hospital for minor knee surgery.The nurse will review the coagulation survey to check the
A) platelet count.
B) bleeding time.
C) thrombin time.
D) prothrombin time.
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?
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33
Chapter 32: Nursing Assessment: Cardiovascular System
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/19688
Sample Questions
Q1) When admitting a patient for a cardiac catheterization and coronary angiogram,which information about the patient is most important for the nurse to communicate to the health care provider?
A) The patient's pedal pulses are +1.
B) The patient is allergic to shellfish.
C) The patient had a heart attack a year ago.
D) The patient has not eaten anything today.
Q2) During a physical examination of a 74-year-old patient,the nurse palpates the point of maximal impulse (PMI)in the sixth intercostal space lateral to the left midclavicular line.The most appropriate action for the nurse to take next will be to
A) ask the patient about risk factors for atherosclerosis.
B) document that the PMI is in the normal anatomic location.
C) auscultate both the carotid arteries for the presence of a bruit.
D) assess the patient for symptoms of left ventricular hypertrophy.
Q3) To auscultate for S3 or S4 gallops in the mitral area,the nurse listens with the
A) bell of the stethoscope with the patient in the left lateral position.
B) diaphragm of the stethoscope with the patient in a supine position.
C) bell of the stethoscope with the patient sitting and leaning forward.
D) diaphragm of the stethoscope with the patient lying flat on the left side.
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Page 34
Chapter 33: Nursing Management: Hypertension
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/19689
Sample Questions
Q1) The nurse obtains the following information from a patient newly diagnosed with prehypertension.Which finding is most important to address with the patient?
A) Low dietary fiber intake
B) No regular aerobic exercise
C) Weight 5 pounds above ideal weight
D) Drinks a beer with dinner on most nights
Q2) Which action should the nurse take when administering the initial dose of oral labetalol (Normodyne)to a patient with hypertension?
A) Encourage the use of hard candy to prevent dry mouth.
B) Instruct the patient to ask for help if heart palpitations occur.
C) Ask the patient to request assistance when getting out of bed.
D) Teach the patient that headaches may occur with this medication.
Q3) Which nursing action should the nurse take first in order to assist a patient with newly diagnosed stage 1 hypertension in making needed dietary changes?
A) Collect a detailed diet history.
B) Provide a list of low-sodium foods.
C) Help the patient make an appointment with a dietitian.
D) Teach the patient about foods that are high in potassium.
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Chapter 34: Nursing Management: Coronary Artery Disease
and Acute Coronary Syndrome
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/19690
Sample Questions
Q1) In preparation for discharge,the nurse teaches a patient with chronic stable angina how to use the prescribed short-acting and long-acting nitrates.Which patient statement indicates that the teaching has been effective?
A) "I will check my pulse rate before I take any nitroglycerin tablets."
B) "I will put the nitroglycerin patch on as soon as I get any chest pain."
C) "I will stop what I am doing and sit down before I put the nitroglycerin under my tongue."
D) "I will be sure to remove the nitroglycerin patch before taking any sublingual nitroglycerin."
Q2) The nurse obtains the following data when assessing a patient who experienced an ST-segment-elevation myocardial infarction (STEMI)2 days previously.Which information is most important to report to the health care provider?
A) The troponin level is elevated.
B) The patient denies ever having a heart attack.
C) Bilateral crackles are auscultated in the mid-lower lobes.
D) The patient has occasional premature atrial contractions (PACs).
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Chapter 35: Nursing Management: Heart Failure
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/19691
Sample Questions
Q1) A patient with a history of chronic heart failure is admitted to the emergency department (ED)with severe dyspnea and a dry,hacking cough.Which action should the nurse do first?
A) Auscultate the abdomen.
B) Check the capillary refill.
C) Auscultate the breath sounds.
D) Assess the level of orientation.
Q2) A patient with heart failure has a new order for captopril (Capoten)12.5 mg PO.After administering the first dose and teaching the patient about the drug,which statement by the patient indicates that teaching has been effective?
A) "I will be sure to take the medication with food."
B) "I will need to eat more potassium-rich foods in my diet."
C) "I will call for help when I need to get up to use the bathroom."
D) "I will expect to feel more short of breath for the next few days."
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Chapter 36: Nursing Management: Dysrhythmias
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/19692
Sample Questions
Q1) A patient has ST segment changes that support an acute inferior wall myocardial infarction.Which lead would be best for monitoring the patient?
A) I
B) II
C) V<sub>2</sub>
D) V<sub>6</sub>
Q2) Which information will the nurse include when teaching a patient who is scheduled for a radiofrequency catheter ablation for treatment of atrial flutter?
A) The procedure will prevent or minimize the risk for sudden cardiac death.
B) The procedure will use cold therapy to stop the formation of the flutter waves.
C) The procedure will use electrical energy to destroy areas of the conduction system.
D) The procedure will stimulate the growth of new conduction pathways between the atria.
Q3) When analyzing an electrocardiographic (ECG)rhythm strip of a patient with a regular heart rhythm,the nurse counts 30 small blocks from one R wave to the next.The nurse calculates the patient's heart rate as ____.
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Chapter 37: Nursing Management: Inflammatory and Structural
Heart Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/19693
Sample Questions
Q1) The nurse is obtaining a health history from a 24-year-old patient with hypertrophic cardiomyopathy (HC).Which information obtained by the nurse is most important?
A) The patient has a history of a recent upper respiratory infection.
B) The patient has a family history of coronary artery disease (CAD).
C) The patient reports using cocaine a "couple of times" as a teenager.
D) The patient's 29-year-old brother died from a sudden cardiac arrest.
Q2) When developing a community health program to decrease the incidence of rheumatic fever,which action would be most important for the community health nurse to include?
A) Vaccinate high-risk groups in the community with streptococcal vaccine.
B) Teach community members to seek treatment for streptococcal pharyngitis.
C) Teach about the importance of monitoring temperature when sore throats occur.
D) Teach about prophylactic antibiotics to those with a family history of rheumatic fever.
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39
Chapter 38: Nursing Management: Vascular Disorders
Available Study Resources on Quizplus for this Chatper
36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/19694
Sample Questions
Q1) When discussing risk factor modification for a 63-year-old patient who has a 5-cm abdominal aortic aneurysm,the nurse will focus discharge teaching on which patient risk factor?
A) Male gender
B) Turner syndrome
C) Abdominal trauma history
D) Uncontrolled hypertension
Q2) Which nursing intervention for a patient who had an open repair of an abdominal aortic aneurysm 2 days previously is appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)?
A) Monitor the quality and presence of the pedal pulses.
B) Teach the patient the signs of possible wound infection.
C) Check the lower extremities for strength and movement.
D) Help the patient to use a pillow to splint while coughing.
Q3) When assessing a patient with possible peripheral artery disease (PAD),the nurse obtains a brachial BP of 147/82 and an ankle pressure of 112/74.The nurse calculates the patient's ankle-brachial index (ABI)as ________ (round up to the nearest hundredth).
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Page 40
Chapter 39: Nursing Assessment: Gastrointestinal System
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/19695
Sample Questions
Q1) The nurse will plan to monitor a patient with an obstructed common bile duct for A) melena.
B) steatorrhea.
C) decreased serum cholesterol levels.
D) increased serum indirect bilirubin levels.
Q2) To palpate the liver during a head-to-toe physical assessment,the nurse
A) places one hand on the patient's back and presses upward and inward with the other hand below the patient's right costal margin.
B) places one hand on top of the other and uses the upper fingers to apply pressure and the bottom fingers to feel for the liver edge.
C) presses slowly and firmly over the right costal margin with one hand and withdraws the fingers quickly after the liver edge is felt.
D) places one hand under the patient's lower ribs and presses the left lower rib cage forward, palpating below the costal margin with the other hand.
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Chapter 40: Nursing Management: Nutritional Problems
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/19696
Sample Questions
Q1) The nurse is caring for a 47-year-old female patient who is comatose and is receiving continuous enteral nutrition through a soft nasogastric tube.The nurse notes the presence of new crackles in the patient's lungs.In which order will the nurse take action? (Put a comma and a space between each answer choice [A,B,C,D].)
A) Check the patient's oxygen saturation.
B) Notify the patient's health care provider.
C) Measure the tube feeding residual volume.
D) Stop administering the continuous feeding.
Q2) A 20-year-old female is being admitted for electrolyte disorders of unknown etiology.Which assessment finding is most important to report to the health care provider?
A) The patient uses laxatives daily.
B) The patient's knuckles are macerated.
C) The patient's serum potassium level is 2.9 mEq/L.
D) The patient has a history of large weight fluctuations.
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42
Chapter 41: Nursing Management: Obesity
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/19697
Sample Questions
Q1) The nurse is coaching a community group for individuals who are overweight.Which participant behavior is an example of the best exercise plan for weight loss?
A) Walking for 40 minutes 6 or 7 days/week
B) Lifting weights with friends 3 times/week
C) Playing soccer for an hour on the weekend
D) Running for 10 to 15 minutes 3 times/week
Q2) A few months after bariatric surgery,a 56-year-old man tells the nurse,"My skin is hanging in folds.I think I need cosmetic surgery." Which response by the nurse is most appropriate?
A) "The important thing is that you are improving your health."
B) "The skinfolds will disappear once most of the weight is lost."
C) "Cosmetic surgery is a possibility once your weight has stabilized."
D) "Perhaps you would like to talk to a counselor about your body image."
Q3) When teaching a patient about testing to diagnose metabolic syndrome,which topic would the nurse include?
A) Blood glucose test
B) Cardiac enzyme tests
C) Postural blood pressures
D) Resting electrocardiogram
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Page 43
Chapter 42: Nursing Management: Upper Gastrointestinal
Problems
Available Study Resources on Quizplus for this Chatper
47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/19698
Sample Questions
Q1) A 49-year-old man has been admitted with hypotension and dehydration after 3 days of nausea and vomiting.Which order from the health care provider will the nurse implement first?
A) Insert a nasogastric (NG) tube.
B) Infuse normal saline at 250 mL/hr.
C) Administer IV ondansetron (Zofran).
D) Provide oral care with moistened swabs.
Q2) A 50-year-old patient who underwent a gastroduodenostomy (Billroth I)earlier today complains of increasing abdominal pain.The patient has no bowel sounds and 200 mL of bright red nasogastric (NG)drainage in the last hour.The highest priority action by the nurse is to
A) contact the surgeon.
B) irrigate the NG tube.
C) monitor the NG drainage.
D) administer the prescribed morphine.
Q3) After change-of-shift report,which patient should the nurse assess first?
A) 42-year-old who has acute gastritis and ongoing epigastric pain
B) 70-year-old with a hiatal hernia who experiences frequent heartburn
C) 53-year-old who has dumping syndrome after a recent partial gastrectomy
Page 44
D) 60-year-old with nausea and vomiting who has dry oral mucosa and lethargy
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Chapter 43: Nursing Management: Lower Gastrointestinal
Problems
Available Study Resources on Quizplus for this Chatper
56 Verified Questions
56 Flashcards
Source URL: https://quizplus.com/quiz/19699
Sample Questions
Q1) A 34-year-old female patient with a new ileostomy asks how much drainage to expect.The nurse explains that after the bowel adjusts to the ileostomy,the usual drainage will be about _____ cups.
A) 2
B) 3
C) 4
D) 5
Q2) A 76-year-old patient with obstipation has a fecal impaction and is incontinent of liquid stool.Which action should the nurse take first?
A) Administer bulk-forming laxatives.
B) Assist the patient to sit on the toilet.
C) Manually remove the impacted stool.
D) Increase the patient's oral fluid intake.
Q3) The nurse admitting a patient with acute diverticulitis explains that the initial plan of care is to
A) administer IV fluids.
B) give stool softeners and enemas.
C) order a diet high in fiber and fluids.
D) prepare the patient for colonoscopy.
Page 45
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Tract Problems
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/19700
Sample Questions
Q1) Which information given by a 70-year-old patient during a health history indicates to the nurse that the patient should be screened for hepatitis C?
A) The patient had a blood transfusion in 2005.
B) The patient used IV drugs about 20 years ago.
C) The patient frequently eats in fast-food restaurants.
D) The patient traveled to a country with poor sanitation.
Q2) Which response by the nurse best explains the purpose of ranitidine (Zantac)for a patient admitted with bleeding esophageal varices?
A) The medication will reduce the risk for aspiration.
B) The medication will inhibit development of gastric ulcers.
C) The medication will prevent irritation of the enlarged veins.
D) The medication will decrease nausea and improve the appetite.
Q3) To detect possible complications in a patient with severe cirrhosis who has bleeding esophageal varices,it is most important for the nurse to monitor
A) bilirubin levels.
B) ammonia levels.
C) potassium levels.
D) prothrombin time.
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Chapter 45: Nursing Assessment: Urinary System
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/19701
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) A patient gives the nurse health information before a scheduled intravenous pyelogram (IVP).Which item has the most immediate implications for the patient's care?
A) The patient has not had food or drink for 8 hours.
B) The patient lists allergies to shellfish and penicillin.
C) The patient complains of costovertebral angle (CVA) tenderness.
D) The patient used a bisacodyl (Dulcolax) tablet the previous night.
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Chapter 46: Nursing Management: Renal and Urologic Problems
Available Study Resources on Quizplus for this Chatper
45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/19702
Sample Questions
Q1) Which finding for a patient admitted with glomerulonephritis indicates to the nurse that treatment has been effective?
A) The patient denies pain with voiding.
B) The urine dipstick is negative for nitrites.
C) The antistreptolysin-O (ASO) titer is decreased.
D) The periorbital and peripheral edema is resolved.
Q2) The nurse will plan to teach a 27-year-old female who smokes 2 packs of cigarettes daily about the increased risk for A) kidney stones.
B) bladder cancer.
C) bladder infection.
D) interstitial cystitis.
Q3) Following rectal surgery,a patient voids about 50 mL of urine every 30 to 60 minutes for the first 4 hours.Which nursing action is most appropriate?
A) Monitor the patient's intake and output over night.
B) Have the patient drink small amounts of fluid frequently.
C) Use an ultrasound scanner to check the postvoiding residual volume.
D) Reassure the patient that this is normal after rectal surgery because of anesthesia.
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Chapter 47: Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/19703
Sample Questions
Q1) A 62-year-old female patient has been hospitalized for 8 days with acute kidney injury (AKI)caused by dehydration.Which information will be most important for the nurse to report to the health care provider?
A) The creatinine level is 3.0 mg/dL.
B) Urine output over an 8-hour period is 2500 mL.
C) The blood urea nitrogen (BUN) level is 67 mg/dL.
D) The glomerular filtration rate is <30 mL/min/1.73m2.
Q2) A patient who has acute glomerulonephritis is hospitalized with hyperkalemia.Which information will the nurse monitor to evaluate the effectiveness of the prescribed calcium gluconate IV?
A) Urine volume
B) Calcium level
C) Cardiac rhythm
D) Neurologic status
Q3) A patient complains of leg cramps during hemodialysis.The nurse should first A) massage the patient's legs.
B) reposition the patient supine.
C) give acetaminophen (Tylenol).
D) infuse a bolus of normal saline.
Page 49
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Chapter 48: Nursing Assessment: Endocrine System
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/19704
Sample Questions
Q1) During the physical examination of a 36-year-old female,the nurse finds that the patient's thyroid gland cannot be palpated.The most appropriate action by the nurse is to
A) palpate the patient's neck more deeply.
B) document that the thyroid was nonpalpable.
C) notify the health care provider immediately.
D) teach the patient about thyroid hormone testing.
Q2) A 22-year-old patient is being seen in the clinic with increased secretion of the anterior pituitary hormones.The nurse would expect the laboratory results to show
A) increased urinary cortisol.
B) decreased serum thyroxine.
C) elevated serum aldosterone levels.
D) low urinary catecholamines excretion.
Q3) A nurse will teach a patient who is scheduled to complete a 24-hour urine collection for 17-ketosteroids to
A) insert and maintain a retention catheter.
B) keep the specimen refrigerated or on ice.
C) drink at least 3 L of fluid during the 24 hours.
D) void and save that specimen to start the collection.
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Page 50
Chapter 49: Nursing Management: Diabetes Mellitus
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/19705
Sample Questions
Q1) A hospitalized diabetic patient received 38 U of NPH insulin at 7:00 AM.At 1:00 PM,the patient has been away from the nursing unit for 2 hours,missing the lunch delivery while awaiting a chest x-ray.To prevent hypoglycemia,the best action by the nurse is to
A) save the lunch tray for the patient's later return to the unit.
B) ask that diagnostic testing area staff to start a 5% dextrose IV.
C) send a glass of milk or orange juice to the patient in the diagnostic testing area.
D) request that if testing is further delayed, the patient be returned to the unit to eat.
Q2) Which patient action indicates a good understanding of the nurse's teaching about the use of an insulin pump?
A) The patient programs the pump for an insulin bolus after eating.
B) The patient changes the location of the insertion site every week.
C) The patient takes the pump off at bedtime and starts it again each morning.
D) The patient plans for a diet that is less flexible when using the insulin pump.
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Chapter 50: Nursing Management: Endocrine Problems
Available Study Resources on Quizplus for this Chatper
46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/19706
Sample Questions
Q1) A patient who had radical neck surgery to remove a malignant tumor developed hypoparathyroidism.The nurse should plan to teach the patient about A) bisphosphonates to reduce bone demineralization.
B) calcium supplements to normalize serum calcium levels.
C) increasing fluid intake to decrease risk for nephrolithiasis.
D) including whole grains in the diet to prevent constipation.
Q2) The nurse is planning postoperative care for a patient who is being admitted to the surgical unit form the recovery room after transsphenoidal resection of a pituitary tumor.Which nursing action should be included?
A) Palpate extremities for edema.
B) Measure urine volume every hour.
C) Check hematocrit every 2 hours for 8 hours.
D) Monitor continuous pulse oximetry for 24 hours.
Q3) The nurse will plan to monitor a patient diagnosed with a pheochromocytoma for A) flushing.
B) headache.
C) bradycardia.
D) hypoglycemia.
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Chapter 51: Nursing Assessment: Reproductive System
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/19707
Sample Questions
Q1) The nurse will plan to teach a 51-year-old man who is scheduled for an annual physical exam 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.
Q2) An 18-year-old female patient who has been admitted to the emergency department after a motor vehicle crash is scheduled for chest and abdominal x-rays.Which information is most important to report to the health care provider before the x-rays are obtained?
A) Severity of abdominal pain
B) Positive result of hCG test
C) Blood pressure 172/88 mm Hg
D) Temperature 102.1° F (38.9° C)
Q3) After a 26-year-old patient has been treated for pelvic inflammatory disease,the nurse will plan to teach about
A) use of hormone therapy (HT).
B) irregularities in the menstrual cycle.
C) changes in secondary sex characteristics.
D) possible difficulty with becoming pregnant.
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Chapter 52: Nursing Management: Breast Disorders
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/19708
Sample Questions
Q1) A 58-year-old woman tells the nurse,"I understand that I have stage II breast cancer and I need to decide on a surgery,but I feel overwhelmed.What do you think I should do?" Which response by the nurse is best?
A) "I would have a lumpectomy, but you need to decide what is best for you."
B) "Tell me what you understand about the surgical options that are available."
C) "It would not be appropriate for me to make a decision about your health."
D) "There is no need to make a decision rapidly; you have time to think about this."
Q2) A 36-year-old who has a diagnosis of fibrocystic breast changes calls the nurse in the clinic with symptoms.Which is most important to report to the health care provider?
A) There is yellow-green discharge from the patient's right nipple.
B) There is an area on the breast that is hot, pink, and tender to touch.
C) The lumps are firm and most are in the upper outer breast quadrants.
D) The lumps are larger and painful before the patient's menstrual period.
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Chapter 53: Nursing Management: Sexually Transmitted
Infections
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/19709
Sample Questions
Q1) Which infection,reported in the health history of a woman who is having difficulty conceiving,will the nurse identify as a risk factor for infertility?
A) N. gonorrhoeae
B) Treponema pallidum
C) Condyloma acuminatum
D) Herpes simplex virus type 2
Q2) A 22-year-old patient with gonorrhea is treated with a single IM dose of ceftriaxone (Rocephin)and is given a prescription for doxycycline (Vibramycin)100 mg bid for 7 days.The nurse explains to the patient that this combination of antibiotics is prescribed to
A) prevent reinfection during treatment.
B) treat any coexisting chlamydial infection.
C) eradicate resistant strains of N. gonorrhoeae.
D) prevent the development of resistant organisms.
Q3) Which patient will the nurse plan on teaching about the Gardasil vaccine?
A) A 24-year-old female who has not been sexually active
B) A 34-year-old woman who has multiple sexual partners
C) A 19-year-old woman who is pregnant for the first time
D) A 29-year-old woman who is in a monogamous relationship
Page 55
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Chapter 54: Nursing Management: Female Reproductive Problems
Available Study Resources on Quizplus for this Chatper
49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/19710
Sample Questions
Q1) A 32-year-old who was admitted to the emergency department with severe abdominal pain is diagnosed with an ectopic pregnancy.The patient begins to cry and asks the nurse to leave her alone to grieve.Which action should the nurse take next?
A) Stay with the patient and encourage her to discuss her feelings.
B) Explain the reason for taking vital signs every 15 to 30 minutes.
C) Close the door to the patient's room and minimize disturbances.
D) Provide teaching about options for termination of the pregnancy.
Q2) A 49-year-old woman tells the nurse that she is postmenopausal but has occasional spotting.Which initial response by the nurse is most appropriate?
A) "A frequent cause of spotting is endometrial cancer."
B) "How long has it been since your last menstrual period?"
C) "Breakthrough bleeding is not unusual in women your age."
D) "Are you using prescription hormone replacement therapy?"
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).
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Chapter 55: Nursing Management: Male Reproductive Problems
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/19711
Sample Questions
Q1) A 57-year-old patient is incontinent of urine following a radical retropubic prostatectomy.The nurse will plan to teach the patient
A) to restrict oral fluid intake.
B) pelvic floor muscle exercises.
C) to perform intermittent self-catheterization.
D) the use of belladonna and opium suppositories.
Q2) The nurse will anticipate that a 61-year-old patient who has an enlarged prostate detected by digital rectal examination (DRE)and an elevated prostate specific antigen (PSA)level will need teaching about
A) cystourethroscopy.
B) uroflowmetry studies.
C) magnetic resonance imaging (MRI).
D) transrectal ultrasonography (TRUS).
Q3) The nurse will plan to teach the patient scheduled for photovaporization of the prostate (PVP)
A) that urine will appear bloody for several days.
B) how to care for an indwelling urinary catheter.
C) that symptom improvement takes 2 to 3 weeks.
D) about complications associated with urethral stenting.
Page 57
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Chapter 56: Nursing Assessment: Nervous System
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/19712
Sample Questions
Q1) Which assessments will the nurse make to monitor a patient's cerebellar function ?
A) Assess for graphesthesia.
B) Observe arm swing with gait.
C) Perform the finger-to-nose test.
D) Check ability to push against resistance.
E) Determine ability to sense heat and cold.
Q2) Several patients have been hospitalized for diagnosis of neurologic problems.Which patient will the nurse assess first?
A) Patient with a transient ischemic attack (TIA) returning from carotid duplex studies
B) Patient with a brain tumor who has just arrived on the unit after a cerebral angiogram
C) Patient with a seizure disorder who has just completed an electroencephalogram (EEG)
D) Patient prepared for a lumbar puncture whose health care provider is waiting for assistance
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Chapter 57: Nursing Management: Acute Intracranial Problems
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/19713
Sample Questions
Q1) A 42-year-old patient who has bacterial meningitis is disoriented and anxious.Which nursing action will be included in the plan of care?
A) Encourage family members to remain at the bedside.
B) Apply soft restraints to protect the patient from injury.
C) Keep the room well-lighted to improve patient orientation.
D) Minimize contact with the patient to decrease sensory input.
Q2) The public health nurse is planning a program to decrease the incidence of meningitis in adolescents and young adults.Which action is most important?
A) Encourage adolescents and young adults to avoid crowds in the winter.
B) Vaccinate 11- and 12-year-old children against Haemophilus influenzae.
C) Immunize adolescents and college freshman against Neisseria meningitides.
D) Emphasize the importance of hand washing to prevent the spread of infection.
Q3) Which finding for a patient who has a head injury should the nurse report immediately to the health care provider?
A) Intracranial pressure is 16 mm Hg when patient is turned.
B) Pale yellow urine output is 1200 mL over the last 2 hours.
C) LICOX brain tissue oxygenation catheter shows PbtO<sub>2</sub> of 38 mm Hg.
D) Ventriculostomy drained 40 mL of cerebrospinal fluid in the last 2 hours.
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Chapter 58: Nursing Management: Stroke
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/19714
Sample Questions
Q1) When teaching about clopidogrel (Plavix),the nurse will tell the patient with cerebral atherosclerosis
A) to monitor and record the blood pressure daily.
B) that Plavix will dissolve clots in the cerebral arteries.
C) that Plavix will reduce cerebral artery plaque formation.
D) to call the health care provider if stools are bloody or tarry.
Q2) The nurse is caring for a patient who has just returned after having left carotid artery angioplasty and stenting.Which assessment information is of most concern to the nurse?
A) The pulse rate is 102 beats/min.
B) The patient has difficulty speaking.
C) The blood pressure is 144/86 mm Hg.
D) There are fine crackles at the lung bases.
Q3) For a patient who had a right hemisphere stroke the nurse establishes a nursing diagnosis of
A) risk for injury related to denial of deficits and impulsiveness.
B) impaired physical mobility related to right-sided hemiplegia.
C) impaired verbal communication related to speech-language deficits.
D) ineffective coping related to depression and distress about disability.
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Page 60
Chapter 59: Nursing Management: Chronic Neurologic Problems
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/19715
Sample Questions
Q1) A patient with Parkinson's disease is admitted to the hospital for treatment of pneumonia.Which nursing interventions will be included in the plan of care ?
A) Use an elevated toilet seat.
B) Cut patient's food into small pieces.
C) Provide high-protein foods at each meal.
D) Place an armchair at the patient's bedside.
E) Observe for sudden exacerbation of symptoms.
Q2) After change-of-shift report,which patient should the nurse assess first?
A) Patient with myasthenia gravis who is reporting increased muscle weakness
B) Patient with a bilateral headache described as "like a band around my head"
C) Patient with seizures who is scheduled to receive a dose of phenytoin (Dilantin)
D) Patient with Parkinson's disease who has developed cogwheel rigidity of the arms
Q3) 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.
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Page 61
Chapter 60: Nursing Management: Alzheimer's
Disease,Dementia,and Delirium
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/19716
Sample Questions
Q1) A patient who has severe Alzheimer's disease (AD)is being admitted to the hospital for surgery.Which intervention will the nurse include in the plan of care?
A) Encourage the patient to discuss events from the past.
B) Maintain a consistent daily routine for the patient's care.
C) Reorient the patient to the date and time every 2 to 3 hours.
D) Provide the patient with current newspapers and magazines.
Q2) A patient is being evaluated for Alzheimer's disease (AD).The nurse explains to the patient's adult children that
A) the most important risk factor for AD is a family history of the disorder.
B) new drugs have been shown to reverse AD dramatically in some patients.
C) a diagnosis of AD is made only after other causes of dementia are ruled out.
D) the presence of brain atrophy detected by magnetic resonance imaging (MRI) will confirm the diagnosis of AD.
Q3) When administering a mental status examination to a patient with delirium,the nurse should
A) wait until the patient is well-rested.
B) administer an anxiolytic medication.
C) choose a place without distracting stimuli.
D) reorient the patient during the examination.
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Chapter 61: Nursing Management: Peripheral Nerve and Spinal Cord Problems
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/19717
Sample Questions
Q1) When evaluating outcomes of a glycerol rhizotomy for a patient with trigeminal neuralgia,the nurse will
A) assess whether the patient is doing daily facial exercises.
B) question whether the patient is using an eye shield at night.
C) ask the patient about social activities with family and friends.
D) remind the patient to chew on the unaffected side of the mouth.
Q2) The nurse identifies a patient with type 1 diabetes and a history of herpes simplex infection as being at risk for Bell's palsy.Which information should the nurse include in teaching the patient?
A) "You may be able to prevent Bell's palsy by doing facial exercises regularly."
B) "Prophylactic treatment of herpes with antiviral agents prevents Bell's palsy."
C) "Medications to treat Bell's palsy work only if started before paralysis onset."
D) "Call the doctor if you experience pain or develop herpes lesions near the ear."
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Chapter 62: Nursing Assessment: Musculoskeletal System
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/19718
Sample Questions
Q1) The nurse finds that a patient can flex the arms when no resistance is applied but is unable to flex when the nurse applies light resistance.The nurse should document the patient's muscle strength as level
A) 0.
B) 1.
C) 2.
D) 3.
Q2) After completing the health history,the nurse assessing the musculoskeletal system will begin by
A) having the patient move the extremities against resistance.
B) feeling for the presence of crepitus during joint movement.
C) observing the patient's body build and muscle configuration.
D) checking active and passive range of motion for the extremities.
Q3) A patient with left knee pain is diagnosed with bursitis.The nurse will explain that bursitis is an inflammation of
A) the synovial membrane that lines the joint.
B) a small, fluid-filled sac found at some joints.
C) the fibrocartilage that acts as a shock absorber in the knee joint.
D) any connective tissue that is found supporting the joints of the body.
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Chapter 63: Nursing Management: Musculoskeletal
Trauma and Orthopedic Surgery
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/19719
Sample Questions
Q1) After being hospitalized for 3 days with a right femur fracture,a 32-year-old patient suddenly develops shortness of breath and tachypnea.The patient tells the nurse,"I feel like I am going to die!" Which action should the nurse take first?
A) Stay with the patient and offer reassurance.
B) Administer the prescribed PRN oxygen at 4 L/min.
C) Check the patient's legs for swelling or tenderness.
D) Notify the health care provider about the symptoms.
Q2) In which order will the nurse take these actions when caring for a patient in the emergency department with a right leg fracture after a motor vehicle accident? (Put a comma and a space between each answer choice [A,B,C,D,E,F].)
A) Obtain x-rays.
B) Check pedal pulses.
C) Assess lung sounds.
D) Take blood pressure.
E) Apply splint to the leg.
F) Administer tetanus prophylaxis.
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Chapter 64: Nursing Management: Musculoskeletal
Problems
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/19720
Sample Questions
Q1) Which menu choice by a patient with osteoporosis indicates that the nurse's teaching about appropriate diet has been effective?
A) Pancakes with syrup and bacon
B) Whole wheat toast and fresh fruit
C) Egg-white omelet and a half grapefruit
D) Oatmeal with skim milk and fruit yogurt
Q2) Which action should the nurse take before administering gentamicin (Garamycin)to a patient who has acute osteomyelitis?
A) Ask the patient about any nausea.
B) Review the patient's creatinine level.
C) Obtain the patient's oral temperature.
D) Change the prescribed wet-to-dry dressing.
Q3) A patient with osteomyelitis is to receive vancomycin (Vancocin)500 mg IV every 6 hours.The vancomycin is diluted in 100 mL of normal saline and needs to be administered over 1 hour.The nurse will set the IV pump for how many mL/minute? (Round to the nearest hundredth.)
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Chapter 65: Nursing Management: Arthritis and Connective
Tissue Diseases
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/19721
Sample Questions
Q1) A 28-year-old with psoriatic arthritis and back pain is receiving etanercept (Enbrel).Which finding is most important for the nurse to report to the health care provider?
A) Crackles are heard in both lung bases.
B) Red, scaly patches are noted on the arms.
C) Hemoglobin level is 11.1g/dL and hematocrit is 35%.
D) Patient reports continued back pain after a week of etanercept therapy.
Q2) A 19-year-old patient hospitalized with a fever and red,hot,and painful knees is suspected of having septic arthritis.Information obtained during the nursing history that indicates a risk factor for septic arthritis is that the patient
A) had several knee injuries as a teenager.
B) recently returned from South America.
C) is sexually active with multiple partners.
D) has a parent who has rheumatoid arthritis.
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Chapter 66: Nursing Management: Critical Care
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/19722
Sample Questions
Q1) Which assessment finding obtained by the nurse when caring for a patient with a right radial arterial line indicates a need for the nurse to take immediate action?
A) The right hand is cooler than the left hand.
B) The mean arterial pressure (MAP) is 77 mm Hg.
C) The system is delivering 3 mL of flush solution per hour.
D) The flush bag and tubing were last changed 3 days previously.
Q2) The nurse is caring for a patient who has an intraortic balloon pump (IABP)following a massive heart attack.When assessing the patient,the nurse notices blood backing up into the IABP catheter.In which order should the nurse take the following actions? (Put a comma and a space between each answer choice [A,B,C,D].)
A) Ensure that the IABP console has turned off.
B) Assess the patient's vital signs and orientation.
C) Obtain supplies for insertion of a new IABP catheter.
D) Notify the health care provider of the IABP malfunction.
Q3) A patient's vital signs are pulse 87,respirations 24,and BP of 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.)
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Chapter 67: Nursing Management: Shock, Systemic
Inflammatory Response Syndrome, and Multiple Organ
Dysfunction Syndrome
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/19723
Sample Questions
Q1) To evaluate the effectiveness of the pantoprazole (Protonix)ordered for a patient with systemic inflammatory response syndrome (SIRS),which assessment will the nurse perform?
A) Auscultate bowel sounds.
B) Palpate for abdominal pain.
C) Ask the patient about nausea.
D) Check stools for occult blood.
Q2) An older patient with cardiogenic shock is cool and clammy and hemodynamic monitoring indicates a high systemic vascular resistance (SVR).Which intervention should the nurse anticipate doing next?
A) Increase the rate for the dopamine (Intropin) infusion.
B) Decrease the rate for the nitroglycerin (Tridil) infusion.
C) Increase the rate for the sodium nitroprusside (Nipride) infusion.
D) Decrease the rate for the 5% dextrose in normal saline (D<sub>5</sub>/.9 NS) infusion.
Q3) A 198-lb patient is to receive a dobutamine infusion at 5 mcg/kg/minute.The label on the infusion bag states: dobutamine 250 mg in 250 mL normal saline.When setting the infusion pump,the nurse will set the infusion rate at how many mL per hour?
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Chapter 68: Nursing Management: Respiratory Failure and
Acute Respiratory Distress Syndrome
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/19724
Sample Questions
Q1) A nurse is caring for an obese patient with right lower lobe pneumonia.Which position will be best to improve gas exchange?
A) On the left side
B) On the right side
C) In the tripod position
D) In the high-Fowler's position
Q2) A patient with acute respiratory distress syndrome (ARDS)is placed in the prone position.When prone positioning is used,which information obtained by the nurse indicates that the positioning is effective?
A) The patient's PaO<sub>2</sub> is 89 mm Hg, and the SaO<sub>2</sub> is 91%.
B) Endotracheal suctioning results in clear mucous return.
C) Sputum and blood cultures show no growth after 48 hours.
D) The skin on the patient's back is intact and without redness.
Q3) To evaluate the effectiveness of ordered interventions for a patient with ventilatory failure,which diagnostic test will be most useful to the nurse?
A) Chest x-ray
B) Oxygen saturation
C) Arterial blood gas analysis
D) Central venous pressure monitoring
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/19725
Sample Questions
Q1) A 54-year-old patient arrives in the emergency department (ED)after 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) A 28-year-old patient who has deep human bite wounds on the left hand is being treated in the urgent care center.Which action will the nurse plan to take?
A) Prepare to administer rabies immune globulin (BayRab).
B) Assist the health care provider with suturing of the bite wounds.
C) Teach the patient the reason for the use of prophylactic antibiotics.
D) Keep the wounds dry until the health care provider can assess them.
Q3) Following an earthquake,patients are triaged by emergency medical personnel and are transported to the emergency department (ED).Which patient will the nurse need to assess first?
A) A patient with a red tag
B) A patient with a blue tag
C) A patient with a black tag
D) A patient with a yellow tag
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