Fundamentals of Nursing Exam Materials - 1742 Verified Questions

Fundamentals of Nursing Exam

Materials

Course Introduction

Fundamentals of Nursing provides students with a comprehensive introduction to the core principles and practices of the nursing profession. The course emphasizes the nursing process, effective communication, patient safety, ethical and legal considerations, and basic patient care skills. Students will learn how to assess patient needs, develop care plans, perform essential clinical procedures, and collaborate within healthcare teams. Through theoretical instruction and hands-on laboratory experiences, the course prepares students to deliver compassionate, evidence-based care across various healthcare settings.

Recommended Textbook

Medical Surgical Nursing in Canada 3rd Canadian Edition by Lewis

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72 Chapters

1742 Verified Questions

1742 Flashcards

Source URL: https://quizplus.com/study-set/3946

Page 2

Chapter 1: Introduction to Medical-Surgical Nursing

Practice in Canada

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14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/78758

Sample Questions

Q1) How does the nurse primarily use the nursing process in the care of patients?

A) As a science-based process of diagnosing the patient's health care problems

B) To establish nursing theory that incorporates the bio-psycho-social nature of humans

C) To promote the management of patient care in collaboration with other health care providers

D) As a tool to organize the nurse's thinking and clinical decision making about the patient's health care needs

Answer: D

Q2) A woman with hypertension is concerned that if she sees the nurse practitioner (an advanced practice nurse),only her hypertension will be assessed,and she is worried that another health problem may not be diagnosed.What should the nurse tell the patient regarding nurse practitioners' scope of practice as it relates to diagnosis?

A) They diagnose and treat all major health problems.

B) They have the same role and scope of practice as physicians.

C) They write prescriptions for all classifications of medications.

D) They focus on primary care and health promotion,including diagnosis.

Answer: D

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Page 3

Chapter 2: Cultural Competence and Health Equity in Nursing Care

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10 Verified Questions

10 Flashcards

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Sample Questions

Q1) What is the most appropriate action when the patient constantly pauses before answering questions about his or her health history on an admission assessment?

A) Stop the assessment and return later.

B) Wait for the patient to answer the questions.

C) Ask why the questions require so much time to answer.

D) Give the patient the assessment form listing the questions and a pen.

Answer: B

Q2) Which of the following is a system factor that influences help-seeking behaviour for health care?

A) Lack of health insurance

B) Association by patients of hospitals with death

C) Lack of ethnic-specific health care programs

D) Possible patient distrust of the dominant population and institutions

Answer: C

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Chapter 3: Health History and Physical Examination

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14 Verified Questions

14 Flashcards

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Sample Questions

Q1) When the nurse is gathering information of a personal nature,which best demonstrates an acceptance of the patient's behaviour?

A) "Tell me,do you drink alcohol like I do?"

B) "Many drugs used for hypertension cause sexual dysfunction.How is your sexual functioning?"

C) "Most of my friends have been divorced.Would you like to tell me about the problems with your divorce?"

D) "Many older people have limited financial resources for food and medications.Is this a concern for you?"

Answer: D

Q2) As the nurse assesses the patient's neck,the patient tells the nurse that it is so stiff she can hardly move it.The nurse should next perform a(n)_____ examination.

A) emergency

B) screening

C) focused

D) extensive

Answer: C

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Chapter 4: Patient and Caregiver Teaching

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) Which of the following is a recent health literacy tool that health care providers can use to identify patients who are at risk for low health literacy?

A) Rapid Estimate of Adult Literacy in Medicine

B) Newest Vital Sign

C) Test of Functional Health Literacy in Adults

D) Adult Literacy and Skills Survey

Q2) When using the transtheoretical model of health behaviour change during patient teaching,the nurse listens to the patient state,"I told my wife that I was going to start exercising,and I think I will join a fitness club." Which stage of change is this patient in?

A) Action

B) Preparation

C) Termination

D) Maintenance

Q3) Which of the following is a technique to enhance patient learning?

A) Keep patient expression of needs at a minimum.

B) Focus on "nice to know" information initially.

C) Emphasize relevancy of information to patient's lifestyle.

D) Maintain a formal physical environment at all times.

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6

Chapter 5: Chronic Illness

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15 Flashcards

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Sample Questions

Q1) Which characteristic reflects a nonmodifiable risk factor for chronic illness?

A) The risk factor cannot be changed.

B) The risk factor requires intervention in order to change.

C) The risk factor can be altered to benefit health outcomes.

D) The risk factor can be changed with patient perseverance.

Q2) Which of the following is an example of effective communication in the domain of respect?

A) Politeness

B) Sincerity

C) Listening

D) Coaching

Q3) Which of the following has been identified by patients with chronic illness as something they want from the health care system?

A) Less information

B) Less travel and wait times

C) Ways to adjust to disease consequences

D) Limited information on ways to cope with symptoms

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Chapter 6: Community-Based Nursing and Home Care

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10 Verified Questions

10 Flashcards

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Sample Questions

Q1) A patient hospitalized with diabetes mellitus is being referred to a certified home health care agency on discharge from the hospital.Which of the following people will coordinate the care?

A) A case manager

B) A community registered nurse

C) The patient's family physician

D) A certified diabetic educator from the hospital

Q2) On average,what is the approximate national percentage of provincial/territorial budgets in Canada that are expended on health care costs?

A) 19%

B) 29%

C) 39%

D) 49%

Q3) Which of the following is a key principle of primary health care?

A) Universal access to health care on an economic basis

B) Focus on acute illness and cure

C) Partnership with other professions and sectors for health

D) Individuals as passive recipients of health care

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8

Chapter 7: Older Adults

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) When performing a nutrition assessment of an older adult using the SCALES acronym,what would the nurse be assessing when documenting the findings from the "A" portion of this assessment tool?

A) Anxiety

B) Albumin level

C) Appearance in general

D) AC glucose level

Q2) As the nurse is teaching a 72-year-old woman about her new medications,she replies that she "just can't remember all that information anymore." What knowledge about aging does the nurse use to understand why the woman may have difficulty learning about the medications?

A) Intellectual ability declines with age.

B) All mental abilities slow as individual's age.

C) Declining physical health can impair cognitive function.

D) Impaired vocabulary and verbal function decrease reasoning with age.

Q3) Why is ageism an important concept to understand when caring for the elderly?

A) May damage the self-esteem of older adults

B) Increases social awareness of the needs of older adults

C) Provides statistical information regarding the older adult population

D) Promotes consideration of the diversity of the older adult population

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Chapter 8: Stress and Stress Management

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10 Verified Questions

10 Flashcards

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Sample Questions

Q1) A patient is scheduled for exploratory abdominal surgery to determine the cause of intermittent abdominal pain that he has had for the past six months.He tells the nurse that it will be a relief to finally have an answer as to the cause of the pain and that he feels relaxed about having the surgery.The nurse concludes that the patient is depicting stress as which type of transaction?

A) He is denying his anxiety about the planned surgery.

B) He will have no physiological response to the surgical procedure.

C) He has a sense of coherence that is able to mediate his stress.

D) He does not perceive that he is lacking adaptive resources for the planned surgery.

Q2) A 40-year-old woman comes to the health clinic requesting sleeping medication and treatment for headaches.She tells the nurse that her husband has moved out to live with another woman.Her 16-year-old son,who has a drug problem,sold her jewellery and electronic equipment.What stress theory is the nurse using in concluding that the woman's life events are contributing to her insomnia and headaches?

A) Stress as a stimulus

B) Stress as a response

C) Stress as a perception

D) Stress as a transaction

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10

Chapter 9: Sleep and Sleep Disorders

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10 Verified Questions

10 Flashcards

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Sample Questions

Q1) Which instruction will the nurse include when teaching a patient with chronic insomnia about ways to improve sleep quality?

A) Avoid aerobic exercise during the day.

B) Read in bed for a few minutes each night.

C) Keep the bedroom temperature slightly warm.

D) Try to go to bed at the same time every evening.

Q2) Which of the following is a common misconception about sleep in the older adult?

A) Older adults need less sleep than middle-aged adults.

B) Insomnia symptoms in the older adult frequently occur with depression.

C) Older female adults report more trouble falling asleep than their male counterparts.

D) Diabetes in the older adult can increase the prevalence of insomnia.

Q3) Which action is best for the nurse to include in the plan of care in order to improve sleep quality for a critically ill patient in the critical care unit (CCU)?

A) Ask all visitors to leave the CCU for the night.

B) Lower the level of light from 2000 hours until 0700 hours.

C) Avoid the use of opioids for pain relief during the evening hours.

D) Schedule assessments to allow at least four hours of uninterrupted sleep.

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Chapter 10: Pain

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) Which of the following is a possible musculoskeletal consequence of unrelieved pain?

A) Decreased peristalsis

B) Hypermobility

C) Muscle spasm

D) Muscle protein catabolism

Q2) A patient with chronic abdominal pain has learned to control the pain with the use of imagery and hypnosis.What does the nurse recognize about how these cognitive strategies work?

A) They reduce the sensory and affective components of pain.

B) They prevent transmission of nociceptive stimuli to the cortex.

C) They decrease the intensity of the pain that the patient is willing to tolerate.

D) They decrease sensitization by increasing the production of glutamate in the spinal cord.

Q3) Which type of pain is caused by damage to somatic tissue?

A) Visceral

B) Nociceptive

C) Neuropathic

D) Sensory-discriminative

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Page 12

Chapter 11: Substance Use

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) A patient has a history of drug abuse and is hospitalized following a fall down a flight of stairs.After a visit by a friend,the nurse finds the patient unresponsive,with pinpoint pupils.What drug should the nurse anticipate will be used to treat this patient?

A) Caffeine

B) Methadone

C) Naloxone (Narcan)

D) Diazepam (Valium)

Q2) Which statement is true in relation to Canada's low-risk drinking guidelines?

A) Drink no more than 15 drinks per week if you are a female.

B) Have no more than six drinks on any one occasion if you are a male.

C) Limit alcohol intake to two drinks in any three-hour period,regardless of gender.

D) Eat before but not while drinking alcohol.

Q3) During which stage of alcohol withdrawal would the nurse expect to see a patient experience delirium tremens?

A) Early

B) Minor

C) Intermediate

D) Major

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13

Chapter 12: Complementary and Alternative Therapies

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14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/78755

Sample Questions

Q1) During a routine health examination,the patient tells the nurse that she uses a variety of herbal therapies to maintain her health.In discussing her use of herbs,what should the nurse caution the patient about?

A) Most herbs are toxic and carcinogenic and should be used only when proven effective.

B) Herbs are not any better than conventional drugs in maintaining health and may be more unsafe.

C) Herbs should be purchased only from manufacturers with a history of quality control of their products.

D) Because herbal therapies may mask the symptoms of serious disease,frequent medical evaluation is required during their use.

Q2) Which therapy is appropriate for the nurse to suggest for a patient with fibromyalgia?

A) Acupuncture

B) Aromatherapy

C) Magnetic therapy

D) Therapeutic touch

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14

Chapter 13: Palliative Care at the End of Life

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13 Verified Questions

13 Flashcards

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Sample Questions

Q1) Which of the following refers to care that is provided in the last days or weeks of the patient's life?

A) Hospice care

B) Palliative care

C) Respite care

D) End-of-life care

Q2) As the nurse admits a patient with acquired immune deficiency syndrome (AIDS)who has cryptococcal meningitis,the patient tells the nurse that she does not want to be resuscitated if she stops breathing.What should the nurse do with this information?

A) Document the patient's request in the patient's record.

B) Ask the patient if she has discussed this decision with her physician.

C) Inform the patient that unless she has a written,notarized advance directive,resuscitation must be performed.

D) Advise the patient to designate a person to make health care decisions on her behalf in the event that she cannot make her own decisions.

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15

Chapter 14: Inflammation and Wound Healing

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18 Verified Questions

18 Flashcards

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Sample Questions

Q1) Which local manifestation of inflammation causes a change in pH?

A) Heat

B) Pain

C) Redness

D) Swelling

Q2) The charge nurse observes a new graduate performing a dressing change on a stage III sacral pressure ulcer.Which action by the new graduate indicates a need for further education about pressure ulcer care?

A) The new graduate uses a hydrocolloid dressing (DuoDerm)to cover the ulcer.

B) The new graduate inserts a sterile cotton-tipped applicator into the pressure ulcer.

C) The new graduate irrigates the pressure ulcer with a 30-mL syringe using sterile saline.

D) The new graduate cleans the ulcer with a sterile dressing soaked in half-strength peroxide.

Q3) Which one of the following types of macrophages would be found in bone tissue?

A) Type A cells

B) Microglial cells

C) Osteoclasts

D) Histiocytes

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Page 16

Chapter 15: Genetics

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7 Verified Questions

7 Flashcards

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Sample Questions

Q1) What is the name given to a family tree that contains the genetic information and disorders of the family?

A) Genome

B) Hereditary

C) Phenotype

D) Pedigree

Q2) When counselling parents about hemophilia A,an X-linked recessive trait,which of the following would be the basis for the nurse's response related to offspring?

A) Daughters will not be affected with the trait or be carriers.

B) Sons will not be affected with the trait or be carriers.

C) Fifty percent of sons will be normal,and 50% will be affected with the trait.

D) Fifty percent of daughters will be normal,and 50% will be affected with the trait.

Q3) When completing a pedigree,the nurse knows to use the symbol g (blue square)to denote which of the following?

A) Unknown sex,normal

B) Normal male

C) Female heterozygote

D) Affected male

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Chapter 16: Altered Immune Response and Transplantation

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) The nurse should explain to a patient undergoing plasmapheresis for treatment of an autoimmune disorder that this procedure involves which of the following?

A) Selective destruction of autoantibodies

B) Separation and removal of specific blood cells

C) Exchanging saline or albumin for blood plasma

D) Removal of white cells responsible for immune reactions

Q2) When monitoring older adult patients for signs of cancer,the nurse explains that the incidence of cancer is increased in this age group primarily as a result of the decreased action of which of the following cells?

A) D lymphocytes

B) T lymphocytes

C) Immunoglobulins

D) Granulocyte colony-stimulating factor

Q3) Which of the following is an example of a type IV delayed hypersensitivity reaction?

A) Transfusion reaction

B) Serum sickness

C) Contact dermatitis

D) Systemic lupus erythematosis

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18

Chapter 17: Infection and Human Immunodeficiency Virus

Infection

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) When teaching a patient with HIV infection about ART,what should the nurse explain that these drugs do?

A) They work in various ways to decrease viral replication in the blood.

B) They alter the cellular surface of cells with CD4 receptors,preventing viral attachment.

C) They destroy the viral envelope,enabling monocyte and macrophage phagocytosis of the viral ribonucleic acid.

D) They stimulate the activity of B lymphocytes to produce antibodies that react with the virus in the blood.

Q2) What is the median interval between untreated HIV infection and a diagnosis of AIDS?

A) 2 years

B) 5 years

C) 10 years

D) 20 years

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19

Chapter 18: Cancer

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30 Verified Questions

30 Flashcards

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Sample Questions

Q1) After 3 weeks of radiation therapy,a patient has lost 4.5 kg and does not eat well because nothing tastes good.What is an appropriate nursing diagnosis for the patient?

A) Risk for infection related to poor nutrition

B) Ineffective therapeutic regimen management related to refusal to eat

C) Imbalanced nutrition: less than body requirements related to anorexia

D) Ineffective health maintenance related to lack of knowledge of nutritional requirements during radiation therapy

Q2) Which one of the flowing malignancies has been linked to radiation?

A) Cervical cancer

B) Breast cancer

C) Thyroid cancer

D) Lung cancer

Q3) A patient with a large stomach tumour that is attached to the liver is scheduled to have a debulking procedure.What should the nurse explain that the expected outcome for this surgery will be?

A) Relief of pain by cutting sensory nerves in the stomach

B) Reduction of the tumour burden to enhance adjuvant therapy

C) Control of the tumour growth by removal of malignant tissue

D) Promotion of better nutrition by relieving the pressure in his stomach

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Page 20

Chapter 19: Fluid, electrolyte, and Acidbase Imbalances

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) Spironolactone (Aldactone),an aldosterone antagonist,is prescribed for a patient as a diuretic.What dietary modifications should the nurse teach the patient to prevent electrolyte imbalances?

A) Increasing foods high in sodium

B) Decreasing foods high in potassium

C) Restricting fluid intake to 1000 mL per day

D) Increasing intake of milk and milk products

Q2) For which of the following reasons would the nurse recognize that a patient's serum sodium level may not accurately reflect changes in total body sodium?

A) Total body sodium is not reflected in serum sodium levels.

B) Excess serum sodium is taken into the cells in exchange for potassium.

C) Increased serum sodium causes increased retention of water in the blood.

D) Serum sodium concentration is kept constant by the effect of ADH on the kidney.

Q3) What is the normal approximate fluid balance in the adult?

A) 1000 mL

B) 1500 mL

C) 2000 mL

D) 2500 mL

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Chapter 20: Nursing Management: Preoperative Care

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17 Verified Questions

17 Flashcards

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Sample Questions

Q1) During the preoperative assessment of a patient scheduled for a cholecystectomy at an outpatient centre,the patient tells the nurse that she uses St.John's wort to keep her spirits up.Why should the nurse notify the anaesthesiologist about this use of St.John's wort?

A) It may increase the risk of bleeding.

B) It may prolong the effects of anaesthetics.

C) It may cause serious elevations in blood pressure.

D) It may depress the immune system response,delaying healing.

Q2) Which of the following should be the nurse's preoperative consideration when the patient states that she takes a garlic pill every day?

A) Garlic may cause inflammation of the liver.

B) Garlic may inhibit platelet activity.

C) Garlic may increase bleeding.

D) Garlic may increase pulse rate.

Q3) Which of the following is the meaning of the suffix -ostomy?

A) Excision or removal

B) Creation of opening into

C) Incision or cutting into

D) Repair and reconstruction

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Page 22

Chapter 21: Nursing Management: Intraoperative Care

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16 Flashcards

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Sample Questions

Q1) A patient in surgery receives a neuromuscular blocking agent as an adjunct to general anaesthesia.At the completion of the surgery,it is most important that the nurse monitor the patient for which one of the following?

A) Nausea and vomiting

B) Agitation and seizures

C) Laryngospasm or bronchospasm

D) Adequacy of respiratory muscle movement

Q2) The nurse would implement postoperative monitoring of a patient's sedation score when the patient had received which one of the following anaesthetics?

A) Lidocaine (local spinal)

B) Fentanyl (analgesic spinal)

C) Lidocaine (local epidural)

D) Sufentanil (analgesic epidural)

Q3) What are the physical environment and traffic control measures of the OR primarily designed to do?

A) Protect the patient's privacy.

B) Prevent transmission of infection.

C) Ensure the proper function of electrical equipment.

D) Promote the development of teamwork among the OR staff.

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Page 23

Chapter 22: Nursing Management: Postoperative Care

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Sample Questions

Q1) During recovery from anaesthesia in the PACU,a patient's vital signs for the past hour have been as follows: blood pressure 112/82,110/82,112/80,and 114/82 mm Hg;pulse 76,78,78,and 80 beats/min;and respirations 22,24,24,and 26 breaths/min;her SpO₂ is 90%.She is sleepy but awakens easily and is oriented when spoken to.Her surgical dressing is dry and intact.What is the most appropriate nursing action?

A) Position the patient in a lateral position.

B) Encourage the patient to take deep breaths.

C) Check the patient's temperature,and apply warm blankets.

D) Notify the anaesthesiologist that the patient is ready for discharge from the PACU.

Q2) A patient is one day postoperative for abdominal surgery and has an indwelling catheter.Which of the following amounts represents the normal daily range of urine volume?

A) 200 to 400 mL

B) 500 to 700 mL

C) 800 to 1000 mL

D) 1500 to 2000 mL

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Chapter 23: Nursing Assessment: Visual and Auditory Systems

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20 Flashcards

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Sample Questions

Q1) When documenting the physical assessment findings of the pupils,the nurse writes PERRLA.How does the nurse interpret the initial "R" in this chart entry?

A) Redness

B) Round

C) Reactive to light

D) Retinal vessels normal

Q2) Which of the following is a possible cause of diplopia?

A) Superficial corneal erosion

B) Anterior uveitis

C) Abnormalities of extraocular muscle action

D) Liquefaction of the vitreous humor

Q3) During assessment of a patient's eyes,the nurse notes that the pupil of the right eye is irregular and appears to protrude into the iris.The nurse should question the patient about a history of which of the following?

A) Pinguecula

B) Eye trauma

C) Corticosteroid use

D) Glaucoma surgery

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Chapter 24: Nursing Management: Visual and Auditory

Problems

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35 Verified Questions

35 Flashcards

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Sample Questions

Q1) Which of the following is an infection of the sebaceous glands in the eyelid margin?

A) Chalazion

B) Hordeolum

C) Blepharitis

D) Keratitis

Q2) What type of strabismus does the patient have when he describes his symptom as his right eye looking in toward his nose?

A) Esotropia

B) Exotropia

C) Hypotropia

D) Hypertropia

Q3) A patient with Ménière's disease is totally incapacitated by vertigo and is lying rigidly in bed,grasping the siderails,and staring at the television.What is an appropriate nursing intervention to decrease the patient's vertigo?

A) Encouraging fluids to 3000 mL/day

B) Changing the patient's position every 2 hours

C) Keeping the head of the bed elevated 30 degrees

D) Turning off the television set and darkening the room

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Chapter 25: Nursing Assessment: Integumentary System

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13 Flashcards

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Sample Questions

Q1) How would the nurse describe vitiligo,a common assessment abnormality of the integumentary system?

A) Tumour consisting of lymph vessels

B) Male-pattern distribution of hair in women

C) Complete absence of melanin resulting in chalky white patches

D) A sac containing fluid or semisolid material

Q2) Where would you find apocrine sweat glands?

A) Scalp

B) Eyelids

C) Back

D) Upper chest

Q3) How would the nurse document a papule?

A) Firm,edematous,irregularly shaped area

B) Elevated,solid lesion smaller than 1 cm in diameter

C) Circumscribed,flat area with a change in skin colour,less than 1 cm in diameter

D) Circumscribed,elevated solid lesion,larger than 1 cm in diameter

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Chapter 26: Nursing Management: Integumentary Problems

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) A patient with multiple commonly acquired nevi expresses concern about their presence and the possibility of malignant changes.How should the nurse advise the patient?

A) To consult the physician if the moles develop irregular coloration or borders

B) To request removal of all nevi larger than 4 mm to prevent malignant changes

C) That only moles occurring on the back and chest are likely to become malignant

D) That malignant changes are characterized by scaling,ulceration,and an opaque appearance of the moles

Q2) A patient is undergoing psoralen plus UVA light (PUVA)therapy for treatment of psoriasis.To prevent complications from this procedure,what should the nurse plan to do?

A) Shield unaffected areas with lead-lined drapes.

B) Monitor for accumulation of laser light in adjacent tissue.

C) Apply petroleum jelly to unaffected areas surrounding the lesions.

D) Have the patient use protective eyewear that blocks 100% of UV light.

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Chapter 27: Nursing Management: Burns

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23 Verified Questions

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Sample Questions

Q1) Which of the following burn victims should the nurse assess for carbon monoxide inhalation?

A) Was found unconscious in a burning building

B) Has facial burns,hoarseness,and sooty sputum

C) Inhaled a large amount of steam released by a radiator

D) Was burned in a charcoal grill fire ignited with gasoline

Q2) A patient is admitted to the burn unit with burns on his head and neck,chest and back,and left arm and hand following an explosion and fire in his garage.On his admission to the unit,the nurse auscultates wheezes in the patient's lungs.One hour later,the wheezes cannot be heard,and lung sounds are decreased.What is the most appropriate nursing action at this time?

A) Place the patient in the high-Fowler's position.

B) Encourage the patient to cough,and auscultate the lungs again.

C) Document the results,and continue to monitor the patient's progress.

D) Anticipate the need for endotracheal intubation,and notify the physician.

Q3) Which of the following injuries is most often chemically produced?

A) Carbon monoxide poisoning

B) Inhalation injury below the glottis

C) Alkali burn

D) Circumferential chest burn

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Chapter 28: Nursing Assessment: Respiratory System

Available Study Resources on Quizplus for this Chatper

24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/78738

Sample Questions

Q1) A hypothermic patient is admitted to the emergency department,and pulse oximetry (SpO₂)indicates that the O₂ saturation is 95%.Which action should the nurse take next?

A) Complete a head-to-toe assessment.

B) Place the patient on high-flow oxygen.

C) Start rewarming the patient.

D) Obtain arterial blood gases.

Q2) The physician performs a thoracentesis on a patient with a right pleural effusion.In preparing the patient for the procedure,how should the nurse position the patient?

A) Supine with the head of the bed elevated 45 degrees

B) On his left side with his right arm extended above his head

C) Sitting upright with his arms supported on an overbed table

D) On his left side in the Trendelenburg's position with both arms extended

Q3) Which of the following is an age-related change in the respiratory system?

A) Increased elastic recoil of the lungs

B) Increase in chest wall compliance

C) Increase in anteroposterior diameter

D) Increase in functional alveoli

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Chapter 29: Nursing Management: Upper Respiratory

Problems

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/78737

Sample Questions

Q1) A patient returns from surgery with a cuffed,single-cannula tracheostomy tube after a total laryngectomy and radical neck dissection.In planning tracheostomy care for the patient during the first 24 hours after surgery,what is the priority nursing intervention?

A) The tracheostomy ties should not be changed.

B) The tracheostomy dressings should not be changed.

C) The patient should be encouraged to assist in the procedure.

D) Assess the airway and breath sounds.

Q2) When the nurse removes a nasogastric tube that has been in place for 7 days postoperatively,the patient develops a nosebleed.To control the bleeding,what should the nurse do?

A) Pinch the soft lower portion of the nose for 10 to 15 minutes.

B) Place the patient in a sitting position with the head hyperextended.

C) Apply ice compresses to the patient's forehead and back of the neck.

D) Pack the nares with ribbon gauze to apply pressure to the source of the bleeding.

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Chapter 30: Nursing Management: Lower Respiratory Problems

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47 Verified Questions

47 Flashcards

Source URL: https://quizplus.com/quiz/78735

Sample Questions

Q1) A patient has a chest tube following a thoracotomy.Continuous bubbling in the suction-control chamber of the collection device would alert the nurse to which of the following facts?

A) An air leak may be present.

B) The lung has fully expanded.

C) The unit is functioning normally.

D) A tension pneumothorax is developing.

Q2) A patient with a chronic productive cough and weight loss is receiving a TB skin test and asks the nurse the reason for the test.Which response should the nurse give?

A) "The skin test will determine if you have a TB infection."

B) "The skin test will indicate whether you have active TB."

C) "The skin test is used to decide which antibiotic therapy will work best."

D) "The skin test is done before notification of the public health department."

Q3) Which of the following is a general term used for lung diseases caused by the inhalation and retention of dust particles?

A) Berylliosis

B) Byssinosis

C) Paraneoplastic syndrome

D) Pneumoconiosis

Page 32

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Chapter 31: Nursing Management: Obstructive Pulmonary Diseases

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42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/78734

Sample Questions

Q1) When evaluating a patient's oral intake,the nurse knows that which fluid intake would be considered adequate for the patient with COPD?

A) 1200 mL

B) 2000 mL

C) 2500 mL

D) 3000 mL

Q2) When caring for a patient with CF,the nurse recognizes that the manifestations of the disease are caused by which of the following pathophysiological processes?

A) Inflammation and fibrosis of lung tissue

B) Failure of the bronchial goblet cells to produce mucus

C) Altered function of exocrine glands,with abnormally thick,viscous secretions

D) Thickening and fibrosis of the pleural linings of the lungs,causing thoracic wall changes

Q3) What is the best nursing action when a patient with COPD is receiving oxygen?

A) Avoid administration of oxygen at a rate of more than 2 L/min.

B) Minimize oxygen use to avoid oxygen dependency.

C) Administer oxygen according to the patient's level of dyspnea.

D) Maintain the pulse oximetry level at 90% or greater.

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Chapter 32: Nursing Assessment: Hematological System

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14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/78733

Sample Questions

Q1) The physician performs a bone marrow aspiration from the posterior iliac crest on a patient with pancytopenia.Following the procedure,what should the nurse do?

A) Apply a topical antimicrobial agent to the site.

B) Administer an analgesic to control pain at the site.

C) Apply pressure over the site for 5 to 10 minutes.

D) Position the patient supine with a small pillow at the aspiration site.

Q2) A patient is found to have leukopenia,anemia,neutropenia,and thrombocytopenia.Which drug classification is known to exhibit these hematological alterations?

A) Isoniazid

B) Aminoglycosides

C) H₂-receptor blockers

D) Trimethoprim-sulfamethoxazole (Septra)

Q3) Which one of the following cells is a WBC?

A) Myeloblast

B) Band cell

C) Basophil

D) Megakaryocyte

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34

Chapter 33: Nursing Management: Hematological Problems

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38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/78732

Sample Questions

Q1) A 21-year-old patient is having a sickle cell crisis for the first time in many years.He asks the nurse why the sickling causes such pain.The nurse should explain that the pain of sickling is caused by which of the following?

A) Spasms of the blood cells as they change shape

B) Deposition of sickled red cells in the bone marrow

C) Tissue hypoxia caused by small blood vessel occlusion

D) Bacterial or viral infections of organs that caused the sickling

Q2) What is the most appropriate nursing intervention to assess for the presence of infection in a patient with neutropenia?

A) Monitor WBCs daily.

B) Monitor temperature every 4 hours.

C) Monitor the skin for temperature and diaphoresis.

D) Monitor the mouth and perianal area every shift for signs of redness and swelling.

Q3) Which nutrient plays a role in helping mature RBCs in erythropoiesis?

A) Iron

B) Folic acid

C) Pyridoxine

D) Ascorbic acid

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Chapter 34: Nursing Assessment: Cardiovascular System

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/78731

Sample Questions

Q1) Which of the following is a normal age-related change in the heart?

A) Increased elastin

B) Decreased collagen

C) Decreased cardiac output

D) Increased stroke volume

Q2) During physical examination of a 72-year-old patient,the nurse observes pulsation of the abdominal aorta in the epigastric area just below the xiphoid process.How will the nurse interpret this finding?

A) Normal assessment data in a thin person

B) Sclerosis and inelasticity of the aorta

C) A possible abdominal aortic aneurysm

D) Evidence of elevated systemic arterial pressure

Q3) The standard orders on the cardiac unit state,"Notify the physician for MAP less than 70 mm Hg." For which patient would the nurse call the physician?

A) The patient with left ventricular failure who has a BP of 110/70 mm Hg

B) The patient with a myocardial infarction who has a BP of 114/50 mm Hg

C) The postoperative patient with a BP of 116/42 mm Hg

D) The newly admitted patient with a BP of 122/60 mm Hg

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Chapter 35: Nursing Management: Hypertension

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/78730

Sample Questions

Q1) During assessment of a patient who has stage 2 hypertension,the nurse recognizes that it is common for the patient to experience which of the following?

A) Nosebleeds

B) No symptoms

C) Blurred vision

D) Dyspnea on exertion

Q2) When teaching a patient about nutritional therapy related to hypertension,the nurse tells the patient to consume how many servings per day of whole grains?

A) Two to three

B) Four to five

C) Six to eight

D) Avoid intake of whole grains.

Q3) The nurse measures the BP of a 78-year-old patient and finds it to be 168/86 mm Hg in both arms.What will the nurse include in the teaching plan for this patient?

A) Increased BP is a normal finding in older adults.

B) Prehypertension indicates the need for lifestyle changes.

C) It is important to address the increased BP.

D) A high probability of kidney and heart disease exists.

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Chapter 36: Nursing Management: Coronary Artery Disease

and Acute Coronary Syndrome

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39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/78729

Sample Questions

Q1) The nurse evaluates the outcomes of preoperative teaching with a patient scheduled for a coronary artery bypass graft using the internal mammary artery.Which of the following statements by the patient helps the nurse identify that additional teaching is needed?

A) "I will need to take an aspirin a day after the surgery to keep the graft open."

B) "I will have incisions in my leg where they removed the vein."

C) "They will stop my heart and circulate my blood with a machine during the surgery."

D) "They will cut between my ribs and use a scope to attach a different artery to the artery that is blocked in my heart."

Q2) During early assessment of the patient with an MI,the nurse is aware that which of the following diagnostic tests is the most important to determine the extent and treatment of an MI?

A) Serial ECGs

B) A chest X-ray

C) Treadmill exercising

D) Serum cardiac markers

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38

Chapter 37: Nursing Management: Heart Failure

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/78728

Sample Questions

Q1) When teaching the patient with congestive heart failure about a 2-g sodium diet,the nurse explains that which of the following foods must be restricted?

A) Eggs

B) Canned fruit

C) Frozen vegetables

D) Milk and milk products

Q2) The nurse plans discharge teaching for a patient with chronic heart failure who is to be maintained on digoxin (Lanoxin),a diuretic,and a potassium supplement.What would appropriate instructions for the patient include?

A) Avoid dietary sources of potassium because too much can cause digitalis toxicity.

B) Take the diuretic before bedtime to prevent drowsiness during the day.

C) Notify the physician immediately if nausea or difficulty breathing occurs.

D) Take the pulse rate before taking all medications.

Q3) What is the most common form of initial heart failure?

A) Left-sided

B) Right-sided

C) Biventricular

D) All types occur equally;there is no one common form of heart failure.

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Chapter 38: Nursing Management: Dysrhythmias

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/78727

Sample Questions

Q1) A patient with myocardial damage develops a type I,second-degree AV block.The nurse administers IV atropine as prescribed.The nurse determines that the medication has been effective on finding which of the following changes?

A) A decrease in ventricular response

B) A decrease in premature contractions

C) An increase in the patient's heart rate

D) Increased carotid and peripheral pulse volume

Q2) The nurse obtains a monitor strip on a patient admitted to the coronary care unit with a myocardial infarction (MI)and makes the following analysis: P wave not apparent;ventricular rate 142 beats/min,R-R interval regular;PR interval not measurable;and QRS complex wide and distorted,greater than 0.14 second.The nurse interprets this patient's cardiac rhythm as which of the following?

A) Atrial fibrillation

B) Sinus tachycardia

C) Ventricular fibrillation

D) Ventricular tachycardia

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Chapter 39: Nursing Management: Inflammatory and Structural

Heart Disorders

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/78726

Sample Questions

Q1) A patient who has developed acute pulmonary edema is hospitalized and diagnosed with dilated cardiomyopathy.Which information will the nurse plan to include when teaching the patient about management of this disorder?

A) Careful compliance with diet and medications will control the patient's symptoms.

B) Notify the doctor about any symptoms of heart failure such as shortness of breath.

C) No more than one or two alcoholic drinks daily are permitted.

D) Elevating the legs above the heart will help relieve angina.

Q2) The nurse suspects the development of cardiac tamponade in a patient with acute pericarditis on finding which of the following data?

A) Blood pressure 166/96 mm Hg

B) Jugular vein distension (JVD)to the level of the jaw

C) A pulsus paradoxus of 8 mm Hg

D) Level 6 chest pain on a 10-point scale with deep inspiration

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Chapter 40: Nursing Management: Vascular Disorders

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/78724

Sample Questions

Q1) When teaching a patient with Raynaud's phenomenon how to manage the condition,which of the following behaviours by the patient indicates that the teaching has been effective?

A) The patient places the hands in hot water when they turn pale.

B) The patient exercises indoors during the winter months.

C) The patient takes pseudoephedrine (Sudafed)for cold symptoms.

D) The patient avoids the use of aspirin and NSAIDs.

Q2) When caring for a patient following an AAA repair,which information is most helpful to the nurse in assessing the patient's gastrointestinal function?

A) Serum lipase

B) Bowel sounds

C) Stool character

D) Central venous pressure

Q3) Which one of the following therapies is not recommended to treat claudication?

A) Green tea

B) Diet low in fruits and vegetables

C) Vitamin E supplementation

D) Treadmill exercise training

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Chapter 41: Nursing Assessment: Gastrointestinal System

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17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/78723

Sample Questions

Q1) Which of the following is an abnormal finding when performing an assessment of an 80-year-old patient?

A) Loss of appetite and anorexia

B) Difficulty chewing and swallowing food

C) Complaints of indigestion and stomach fullness

D) Consistent weight loss without change in dietary habits

Q2) Which major GI hormone is responsible for stimulating pancreatic bicarbonate secretion?

A) Gastrin

B) Secretin

C) Cholecystokinin

D) Gastric inhibitory peptide

Q3) When caring for a patient following a needle biopsy of the liver at the bedside,what should the nurse do?

A) Elevate the head of the bed to facilitate breathing.

B) Check the patient's postbiopsy coagulation studies.

C) Place the patient on the right side with the bed flat.

D) Instruct the patient to take shallow breaths to avoid pressure on the liver.

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43

Chapter 42: Nursing Management: Nutritional Problems

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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/78722

Sample Questions

Q1) A patient is commencing continuous tube feedings through a percutaneous endoscopic gastrostomy tube.To maintain safe and effective delivery of the tube feeding,what should the nurse do?

A) Flush the tube with 50 mL of water every 8 hours.

B) Obtain a daily X-ray film for verification of tube placement.

C) Check residual volume every 4 hours.

D) Position the patient on the left side with the head of the bed elevated 45 degrees.

Q2) In evaluating a patient outcome of "identifies high-protein foods," the nurse knows that the outcome has been met when for lunch,the patient selects which of the following foods from the hospital menu?

A) Bacon and tomato sandwich,bean soup,and coffee

B) Peanut butter and jelly sandwich,French fries,and whole milk

C) Chicken noodle soup,grilled cheese sandwich,and apple juice

D) Barbecued chicken breast sandwich,fruit yogurt,and skim milk

Q3) What is the daily recommended intake of fibre for a 38-year-old healthy female?

A) 21 g

B) 25 g

C) 30 g

D) 38 g

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Page 44

Chapter 43: Nursing Management: Obesity

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/78721

Sample Questions

Q1) A patient is being evaluated at the clinic for possible metabolic syndrome.The nurse will explain the purpose of which test to the patient?

A) Resting electrocardiogram

B) Fasting blood glucose test

C) Postural blood pressures

D) Cardiac enzyme tests

Q2) In developing a weight-reduction plan for an obese patient who is motivated to lose weight,it is most important for the nurse to assess which of the following data first?

A) The patient's current level of physical activity

B) The length of time that the patient has been obese

C) The patient's social,emotional,and behavioural etiologies of obesity

D) Anthropometric measurements of height,weight,BMI,waist-to-hip ratio,and skinfold thickness

Q3) Which of the following is a hormone in the body that stimulates appetite?

A) Leptin

B) Insulin

C) Ghrelin

D) Cholecystokinin

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Chapter 44: Nursing Management: Upper Gastrointestinal

Problems

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43 Verified Questions

43 Flashcards

Source URL: https://quizplus.com/quiz/78720

Sample Questions

Q1) A patient returns to the surgical unit following an abdominal Nissen fundoplication for treatment of GERD.Four hours postoperatively,which one of the following is it most important for the nurse to address?

A) The patient has dyspnea and absent breath sounds throughout the left lung.

B) The patient complains of level 6 (of a 0 to 10 scale)abdominal pain.

C) The patient has decreased bowel sounds in all four quadrants.

D) The patient is experiencing intermittent waves of nausea.

Q2) Which of the following foods are associated with an increased incidence of gastric cancer that the nurse should specifically question the patient about when obtaining a nursing history?

A) Milk and milk products

B) Raw fruits and vegetables

C) Smoked,highly salted,or spiced foods

D) Beans and other gas-forming foods

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Chapter 45: Nursing Management: Lower Gastrointestinal

Problems

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45 Verified Questions

45 Flashcards

Source URL: https://quizplus.com/quiz/78719

Sample Questions

Q1) A patient is brought to the emergency department following an automobile accident in which she suffered blunt trauma to the abdomen.She is splinting her abdomen and complaining of pain,and bowel sounds are decreased.A peritoneal lavage returns brown drainage.Based on the results of the lavage,what should the nurse plan for?

A) Preparation for a paracentesis

B) Administration of pain medications

C) Continued monitoring of the patient's condition

D) Immediate preparation of the patient for surgery

Q2) When teaching a patient to irrigate a new colostomy,the nurse recognizes that additional teaching is needed when the patient indicates which of the following?

A) "I should hang the irrigating container about 46 to 60 cm above the stoma."

B) "Irrigation will help control and train my bowel."

C) "I should use a hard plastic catheter for irrigating."

D) "If resistance is met,force is not to be used."

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Tract Problems

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40 Verified Questions

40 Flashcards

Source URL: https://quizplus.com/quiz/78718

Sample Questions

Q1) A 68-year-old patient has an abrupt onset of anorexia,nausea and vomiting,hepatomegaly,and abnormal liver function studies.Serological testing is negative for viral causes of hepatitis.During assessment of the patient,what is it most important for the nurse to ask the patient about?

A) Any prior exposure to people with jaundice

B) The use of all prescription and over-the-counter medications

C) Treatment of chronic diseases with corticosteroids

D) Exposure to children recently immunized for hepatitis B

Q2) Which hepatitis virus has DNA as its characteristic virus type?

A) Hepatitis A

B) Hepatitis B

C) Hepatitis C

D) Hepatitis E

Q3) Which data obtained by the nurse during the assessment of a patient with cirrhosis will be of most concern?

A) The patient's skin has multiple spider-shaped blood vessels on the abdomen.

B) The patient has ascites and a 2-kg weight gain from the previous day.

C) The patient complains of right upper quadrant pain with abdominal palpation.

D) The patient's hands flap back and forth when the arms are extended.

Page 48

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Chapter 47: Nursing Assessment: Urinary System

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/78717

Sample Questions

Q1) Which of the following is an age-related change in the urinary system?

A) Increased amount of renal tissue

B) Increased number of nephrons

C) Decreased function of the loop of Henle

D) Decreased prevalence of unstable bladder contractions

Q2) What one of the following would the nurse document when the physical assessment reveals a passage of urine containing gas?

A) Anuria

B) Enuresis

C) Pneumaturia

D) Polyuria

Q3) Which component of the nephron is responsible for the reabsorption of sodium and chloride?

A) Glomerulus

B) Proximal tubule

C) Loop of Henle

D) Distal tubule

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Chapter 48: Nursing Management: Renal and Urological Problems

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34 Verified Questions

34 Flashcards

Source URL: https://quizplus.com/quiz/78716

Sample Questions

Q1) The nurse notes that the results of an intravenous pyelogram indicate a left hydroureter and hydronephrosis in a female patient who was hospitalized with a markedly distended bladder.A catheterization for residual urine obtained 1650 mL.What does the nurse understand about these findings that are characteristic of a urinary tract obstruction?

A) They are located at the bladder neck.

B) They are caused by ureteral calculi.

C) They are situated at the ureteropelvic junction.

D) They are caused by a ureteral stricture.

Q2) The nurse advises genetic counselling for the children of which of the following patients?

A) A patient with interstitial cystitis

B) A patient with horseshoe kidney

C) A patient with polycystic kidney disease

D) A patient with Goodpasture syndrome

Q3) Which of the following is considered a storage symptom of a lower UTI?

A) Dysuria

B) Hesitancy

C) Intermittency

D) Urgency

Page 50

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Chapter 49: Nursing Management: Acute Kidney Injury and Chronic Kidney Disease

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35 Verified Questions

35 Flashcards

Source URL: https://quizplus.com/quiz/78715

Sample Questions

Q1) A patient with CKD is started on hemodialysis,and after the first treatment,the patient complains of nausea and a headache.The nurse notes mild jerking and twitching of the patient's extremities.The nurse will anticipate the need to do which of the following?

A) Increase the time for the next dialysis to remove wastes more completely.

B) Switch to continuous renal replacement therapy to improve dialysis efficiency.

C) Administer medications to control these symptoms before the next dialysis.

D) Slow the rate for the next dialysis to decrease the speed of solute removal.

Q2) A patient in ARF has a gradual increase in urinary output to 3400 mL a day with a BUN of 33 mmol/L (92 mg/dL)and a serum creatinine of 371 micromol/L (4.2 mg/dL).The nurse should plan to do which of the following?

A) Use a urine dipstick to monitor for proteinuria.

B) Auscultate the lungs to assess for pulmonary edema.

C) Take the blood pressure to check for hypotension.

D) Draw blood to monitor for hyperkalemia.

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Chapter 50: Nursing Assessment: Endocrine System

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/78713

Sample Questions

Q1) A patient is scheduled for a 24-hour urine collection for 17-ketosteroids.The nurse will plan to do which of the following?

A) Insert a retention catheter.

B) Keep the specimen on ice.

C) Have the patient void and save that specimen to start the collection.

D) Encourage the patient to drink 2 to 3 L of fluid during the 24 hours.

Q2) Which of the following factors stimulates the secretion of insulin?

A) Decreased glucose levels

B) Increased somatostatin levels

C) Decreased amino acid levels

D) Increased vagal stimulation

Q3) During a physical examination,the nurse finds that a patient's thyroid gland cannot be palpated.What does the nurse interpret this finding as?

A) A normal finding

B) Evidence of an atrophied thyroid gland

C) Insignificant in a patient with elevated triiodothyronine (T₃)and T₄ levels

D) Abnormal,and confirmation of the finding by another experienced health care provider is necessary

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Page 52

Chapter 51: Nursing Management: Endocrine Problems

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39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/78712

Sample Questions

Q1) A patient is suspected of having a pituitary tumour causing panhypopituitarism.During assessment of the patient,the nurse would expect to find which of the following changes?

A) Elevated plasma glucose levels and dyslipidemia

B) Changes in secondary sex characteristics and loss of libido

C) Hypertension resulting from increased water reabsorption in the kidney

D) Evidence of hypofunction of the adrenal,thyroid,and parathyroid glands

Q2) A patient is taking high doses of prednisone to control the symptoms of an acute exacerbation of systemic lupus erythematosus.When teaching the patient about the use of prednisone,which information is most important for the nurse to include?

A) Call the doctor if you experience any mood alterations with the prednisone.

B) Do not stop taking the prednisone suddenly;it should be decreased gradually.

C) Weigh yourself daily to monitor for weight gain caused by water or increased fat.

D) Check your temperature daily because prednisone can hide signs of infection.

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Chapter 52: Nursing Management: Diabetes Mellitus

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38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/78711

Sample Questions

Q1) A 20-year-old university student who has type 1 diabetes normally walks each evening as part of her exercise regimen.She now plans to enroll in a swimming class to meet her physical education requirement.What should the nurse teach the patient that adjustments to her treatment plan should include?

A) Delaying the normal meal before the swimming class until the session is over

B) Adding 10 units of regular insulin to her usual morning dose on the days she plans to swim

C) Timing her morning insulin injection so that the peak action will occur during her swimming class

D) Monitoring her glucose level before,during,and after swimming to determine the need for alterations in food or insulin

Q2) When assessing the patient experiencing the onset of type 1 diabetes,which question should the nurse ask?

A) "Have you lost any weight lately?"

B) "Do you crave fluids containing sugar?"

C) "How long have you felt anorexic?"

D) "Is your urine unusually dark-coloured?"

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Page 54

Chapter 53: Nursing Assessment: Reproductive System

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/78710

Sample Questions

Q1) During the nursing assessment of a 62-year-old man,the patient tells the nurse that he does not respond to sexual stimulation the way he did when he was younger.What is the best response to the patient's comment?

A) "Erectile dysfunction is a common problem with older men."

B) "Tell me more about how your response has changed."

C) "Interest in sex frequently decreases as men get older."

D) "Many men need more sexual stimulation with aging."

Q2) When the nurse obtains a health history from a patient,the patient reports that she had cryosurgery 1 year ago.What does the nurse anticipate that the patient most likely has a history of?

A) Obstructed fallopian tubes

B) Abnormal menstrual cycles

C) Abnormal cells detected by a Pap smear

D) A protrusion of the urinary bladder through the vaginal wall

Q3) When is menopause usually considered to be complete?

A) Cessation of menses for a period of 1 year

B) Once a woman turns 55 years of age

C) When estrogen levels drop 10% below normal

D) Once ovulation has ceased for a period of 2 years

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Page 55

Chapter 54: Nursing Management: Breast Disorders

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/78709

Sample Questions

Q1) During examination of a 67-year-old man,the nurse notes bilateral enlargement of the breasts.What should the nurse do?

A) Palpate the breasts for any discrete,circumscribed masses.

B) Explain that this is not unusual in older men and is no reason for concern.

C) Refer the patient to a primary physician for mammography and biopsy of the breast tissue.

D) Explain to the patient that this is normal in older men because of conversion of androgens to estrogens.

Q2) Which one of the following statements is true regarding nipple-areolar reconstruction?

A) All breast reconstructive surgery requires nipple-areolar reconstruction.

B) The function of lactation is maintained.

C) It is not possible to have the nipples project away from the breast.

D) It is usually completed a few months after breast reconstructive surgery.

Q3) Which stage of breast cancer is depicted by the TNM designation of T2 N0 M0?

A) Stage I

B) Stage IIA

C) Stage IIB

D) Stage IIIA

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Page 56

Chapter 55: Nursing Management: Sexually Transmitted

Infections

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15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/78708

Sample Questions

Q1) A patient who has undergone laboratory tests for an insurance screening has a positive Venereal Disease Research Laboratory test.What is the nurse's first action?

A) Ask the patient about past treatment for syphilis.

B) Discuss the need for blood and spinal fluid cultures.

C) Obtain a specimen for fluorescent treponemal antibody absorption testing.

D) Assess for the presence of chancres,flulike symptoms,or a bilateral rash on the trunk.

Q2) Primary genital herpes is diagnosed in a patient seeking care for lesions on her vulva and perineum.After the nurse teaches the patient about management of the disease,which statement by the patient indicates that the teaching has been effective?

A) "I will take the acyclovir (Zovirax)every 8 hours for the next week."

B) "I will use condoms for intercourse until the medication is all gone."

C) "I will use the acyclovir ointment on the area to relieve the pain."

D) "I will need to take all of the medication to be sure the infection is cured."

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Chapter 56: Nursing Management: Female Reproductive Problems

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40 Verified Questions

40 Flashcards

Source URL: https://quizplus.com/quiz/78707

Sample Questions

Q1) During a routine health examination,a 32-year-old woman tells the nurse that she uses oral contraceptives because her husband wants to delay having children for a few more years.What is the most appropriate response?

A) "It is more difficult for women to conceive the older they become."

B) "I'm sure you will have plenty of time to have a family in a few years when you are ready."

C) "Long-term use of oral contraceptives causes uterine changes that make it more difficult for you to conceive."

D) "Pregnancy is no problem when women pass the age of 30 because their sexual response peak is at about the age of 35."

Q2) A 42-year-old woman has developed amenorrhea.If the woman is experiencing menopause,what would the nurse expect the laboratory findings to include?

A) Decreased estrogen levels

B) Increased progesterone levels

C) Presence of human chorionic gonadotropin in the urine

D) Marked decrease in serum follicle-stimulating hormone (FSH)

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Chapter 57: Nursing Management: Male Reproductive Problems

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/78706

Sample Questions

Q1) Which of the following will the nurse teach to a patient with chronic bacterial prostatitis?

A) PSA elevation indicates that he has concurrent prostate cancer.

B) Nonsteroidal anti-inflammatory drugs usually provide adequate pain control.

C) Sexual intercourse and masturbation will relieve symptoms.

D) Antibiotics should be taken for 7 to 10 days.

Q2) Following discharge teaching for a patient who has had a TURP for BPH,the nurse determines that additional instruction is needed when the patient gives which of the following responses?

A) "I will increase fibre and fluids in my diet to prevent constipation."

B) "I should notify my physician if I experience incontinence at home."

C) "I will avoid heavy lifting or driving until I get approval from my physician."

D) "I will have an annual prostate examination because I have prostatic tissue that could enlarge or become malignant."

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Chapter 58: Nursing Assessment: Nervous System

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/78705

Sample Questions

Q1) When the nurse administers a drug that increases the synaptic release of ?-aminobutyric acid (GABA),what is the effect the nurse would expect?

A) Widespread increases in nervous system activity

B) Suppression of nervous system activity

C) Increased patient alertness and arousal

D) Excitation of the affected postsynaptic neurons

Q2) A 71-year-old patient reports a change in sleep patterns occurring over the past 2 to 3 years.Based on knowledge of the effects of aging on the reticular activating system,what would the nurse expect the patient to exhibit?

A) Increased rapid-eye-movement sleep

B) Longer cycles of sleep

C) Increased sleep apnea

D) Increased spontaneous awakening

Q3) Which of the following is an age-related change in the nervous system?

A) Increased efficiency of temperature-regulating mechanism

B) Decreased size of ventricles in the brain

C) Decrease in electrical activity

D) Increase in deep-tendon reflexes

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Chapter 59: Nursing Management: Acute Intracranial Problems

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34 Verified Questions

34 Flashcards

Source URL: https://quizplus.com/quiz/78704

Sample Questions

Q1) ICP monitoring is instituted for a patient with a head injury.The patient's arterial blood pressure is 92/50 mm Hg,and her ICP is 18 mm Hg.Which nursing action is most appropriate?

A) Document and continue to monitor the parameters.

B) Elevate the head of the patient's bed.

C) Notify the physician about the assessments.

D) Check the patient's pupillary response to light.

Q2) A patient was brought to the emergency department when he became faint and disoriented after being hit in the head with a baseball bat during a company picnic.On admission,he has a headache and cannot remember being hit,but he has no other signs of neurological deficit.What would the nurse expect treatment for the patient to include?

A) Diagnostic testing with magnetic resonance imaging

B) Hospitalization for observation for 24 hours

C) Discharge with observation and monitoring instructions

D) Administration of a narcotic for the headache,followed by observation for several hours

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61

Chapter 60: Nursing Management: Stroke

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/78702

Sample Questions

Q1) A 32-year-old patient has a stroke resulting from a ruptured aneurysm and subarachnoid hemorrhage.Which intervention will be included in the care plan?

A) Encouraging the patient to cough and breathe deeply every 4 hours

B) Inserting an oropharyngeal airway to prevent airway obstruction

C) Assisting the patient to dangle on the edge of the bed and assessing for dizziness

D) Applying intermittent pneumatic compression stockings

Q2) Which classification of stroke is the most common one,representing approximately 80% of all strokes?

A) Intercerebral stroke

B) Ischemic stroke

C) Hemorrhagic stroke

D) Subarachnoid stroke

Q3) A patient with left-sided hemiparesis arrives by ambulance at the emergency department.Which action should the nurse take first?

A) Obtain the Glasgow Coma Scale score.

B) Check the respiratory rate.

C) Monitor the blood pressure.

D) Send the patient for a CT scan.

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62

Chapter 61: Nursing Management: Chronic Neurological Problems

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33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/78701

Sample Questions

Q1) The nurse identifies the nursing diagnosis of impaired physical mobility related to bradykinesia for a patient with Parkinson's disease.To assist the patient to ambulate safely,what should the nurse do?

A) Allow the patient to ambulate only with assistance.

B) Teach the patient to rock back and forth to initiate leg movement.

C) Have the patient take small steps in a straight line directly in front of the feet.

D) Teach the patient to slide the feet forward with each step,always keeping the feet in contact with the floor.

Q2) According to the International Classification of Seizure Disorders,what would be the classification of a clonic seizure?

A) Simple partial

B) Generalized

C) Complex partial

D) Unclassified

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Disease,and Other Dementias

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17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/78700

Sample Questions

Q1) A 71-year-old patient is diagnosed with moderate dementia as a result of multiple strokes.During assessment of the patient,what would the nurse expect to find?

A) Extreme suspiciousness

B) Irritability and withdrawal

C) Difficulty eating and swallowing

D) Loss of recent and long-term memory

Q2) The nurse has identified the nursing diagnosis of disturbed thought processes related to effects of dementia for a patient with late-stage Alzheimer's disease.What is an appropriate intervention for this problem?

A) Maintain a consistent daily routine.

B) Keep the television in the room on all day.

C) Reorient the patient to the date and time every few hours.

D) Provide the patient with current newspapers and magazines.

Q3) Which of the following is a modifiable risk factor for reducing the risk for getting Alzheimer's disease?

A) Type 1 diabetes

B) Hypotension

C) Inadequate intellectual stimulation

D) Inadequate nutrition

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Chapter 63: Nursing Management: Peripheral Nerve and Spinal Cord Problems

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/78699

Sample Questions

Q1) A 24-year-old patient is hospitalized with the onset of Guillain-Barré syndrome.During this phase of the patient's illness,what is the most essential assessment for the nurse to carry out?

A) Monitoring the vital signs every 2 hours

B) Determining the patient's level of consciousness every 2 hours

C) Performing constant evaluation of respiratory function

D) Evaluating sensory and motor function of the extremities

Q2) A 26-year-old patient with a C8 spinal cord injury tells the nurse that sexual activity has always been very important to him and his wife,and he worries she may leave him if he cannot function sexually.What is the most appropriate response to the patient's comment?

A) Advise the patient to talk to his wife about his concerns.

B) Tell the patient that alternative methods of obtaining sexual satisfaction could be used.

C) Inform the patient that most patients with upper motor neuron injuries have reflex erections.

D) Suggest that the patient and his wife work with a nurse specially trained in sexual counselling.

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Chapter 64: Nursing Assessment: Musculoskeletal System

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14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/78698

Sample Questions

Q1) During assessment of the musculoskeletal system,the nurse notes that the patient's gait is disturbed.To further assess this problem,what should the nurse do?

A) Measure the length of both legs.

B) Perform muscle strength testing of the legs.

C) Ask the patient to demonstrate active range of motion of the legs.

D) Perform deep palpation on the hip joints to identify the presence of pain.

Q2) A patient suffers an injury to the shoulder while playing football.To identify abnormalities of cartilage and soft tissue surrounding the joint,what would the nurse expect the patient to be evaluated with?

A) A bone scan

B) An arthrogram

C) Standard X-ray films

D) Magnetic resonance imaging (MRI)

Q3) Skeletal muscle accounts for approximately what percentage of a person's body weight?

A) 25%

B) 33%

C) 50%

D) 66%

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Chapter 65: Nursing Management: Musculoskeletal

Trauma and Orthopedic Surgery

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38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/78697

Sample Questions

Q1) A 20-year-old baseball pitcher has an arthroscopic repair of a rotator cuff injury performed as same-day surgery.When the nurse plans postoperative teaching for the patient,which information will be included?

A) "You have an appointment with a physiotherapist for tomorrow."

B) "Leave the shoulder immobilizer on for the first few days to minimize pain."

C) "The doctor will use the drop-arm test to determine the success of the procedure."

D) "You should try to find a different position to play on the baseball team."

Q2) A cashier in a grocery store has muscle and tendon tears that have become inflamed,causing pain and weakness in her left hand and elbow.What should the nurse identify these symptoms as being related to?

A) Bursitis

B) Meniscus injury

C) Repetitive strain injury (RSI)

D) Carpal tunnel syndrome

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Chapter 66: Nursing Management: Musculoskeletal Problems

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17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/78696

Sample Questions

Q1) The nurse identifies a nursing diagnosis of pain related to muscle spasms for a patient with acute low back pain associated with acute lumbosacral strain.What is an appropriate nursing intervention for this problem to teach to the patient?

A) Gently perform range-of-motion exercises of the lower extremities.

B) Place a small pillow under the upper back to gently flex the lumbar spine.

C) Rest in bed with the head of the bed elevated 20 degrees,and flex the knees.

D) Elevate the head of the bed on blocks,and lie with the feet firmly against the foot of the bed.

Q2) A patient is hospitalized for initiation of regional antibiotic perfusion for chronic osteomyelitis of the right femur.Which intervention will be included in the plan of care?

A) Frequent weight-bearing exercise

B) Immobilization of the right leg

C) Avoiding administration of nonsteroidal anti-inflammatory drugs

D) Supporting the right leg in a flexed position

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68

Chapter 67: Nursing Management: Arthritis and Connective

Tissue Diseases

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41 Verified Questions

41 Flashcards

Source URL: https://quizplus.com/quiz/78695

Sample Questions

Q1) The nurse emphasizes the need for range-of-motion exercises for a patient who is having an acute exacerbation of RA with joint pain and swelling in both hands.What should the nurse teach the patient?

A) The joints should not be exercised when pain is present.

B) Cold applications to the joints before exercise will decrease the pain.

C) The exercises should be performed passively by someone other than the patient.

D) Joint motion required for activities of daily living is sufficient exercise for the joints.

Q2) A 71-year-old obese man has bilateral OA of the hips.The nurse teaches the patient that the most beneficial measure to protect his joints is to do which of the following activities?

A) Use a wheelchair to avoid walking as much as possible.

B) Use a weight-reduction diet to obtain a healthy body weight.

C) Use a walker for ambulation to relieve the pressure on his hips.

D) Sit in chairs that do not cause his hips to be lower than his knees.

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69

Chapter 68: Nursing Management: Critical Care Environment

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38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/78694

Sample Questions

Q1) A patient with left ventricular failure is admitted to the CCU.The nurse evaluates that the patient's condition is improving when hemodynamic monitoring reveals which of the following information?

A) Increased SVR

B) Increased PVR

C) Decreased MAP

D) Decreased pulmonary artery occlusive pressure (PAOP)

Q2) A patient with an oral endotracheal tube has a nursing diagnosis of risk for aspiration related to presence of artificial airway.What is an appropriate nursing intervention for the patient?

A) Perform oral suctioning frequently and before cuff deflation.

B) Remove the bite block and perform oral hygiene every 2 hours.

C) Maintain cuff pressure at minimal occluding volume to prevent gastric secretions from entering the trachea.

D) Use chest physiotherapy to move secretions to large airways,where they can be suctioned.

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Inflammatory Response Syndrome,and Multiple-Organ

Dysfunction Syndrome

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24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/78693

Sample Questions

Q1) A patient with massive trauma and possible spinal cord injury is admitted to the emergency department.The nurse suspects that the patient may be experiencing neurogenic shock in addition to hypovolemic shock based on which of the following findings?

A) Bradycardia

B) Hypotension

C) Cool,clammy skin

D) A subnormal body temperature

Q2) While evaluating the effects of treatment in a patient in shock,the nurse finds that the patient has orthostatic hypotension.This finding indicates a need for which of the following treatments?

A) Additional fluid replacement

B) Administration of antibiotics

C) Administration of an inotropic drug

D) Administration of supplemental oxygen

Q3) Which of the following nursing interventions prevents the development of shock?

A) Routine checking of stools for occult blood

B) Keeping patients warm to prevent chilling or shivering

Page 71

C) Identifying situations in which patients are at risk for shock

D) Frequent monitoring of patient status to detect compensatory changes

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Chapter 70: Nursing Management: Respiratory Failure and

Acute Respiratory Distress Syndrome

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/78691

Sample Questions

Q1) Which of the following areas has the highest regional ventilation-perfusion ratio?

A) Apex of lung

B) Midpoint of lung

C) Base of lung

D) Right lung

Q2) A patient with hypercapnic respiratory failure is lethargic and has the following vital signs: blood pressure 84/50 mm Hg,pulse 120 beats/min,respiration 8 breaths/min,and SpO₂ of 89%.Which collaborative intervention will the nurse anticipate?

A) Administration of 100% oxygen by mask

B) Endotracheal intubation with mechanical ventilation

C) Insertion of a mini-tracheostomy tube to facilitate suctioning

D) Use of noninvasive PPV

Q3) The nurse suspects the possible onset of ARDS in a susceptible patient who develops which of the following symptoms?

A) Dyspnea,restlessness,and mild hypoxemia

B) Tachypnea and hypertension with elevated PaO₂

C) Diffuse crackles and rhonchi on chest auscultation

D) Cough with blood-tinged sputum and respiratory alkalosis

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Chapter 71: Nursing Management: Emergency Care Situations

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/78690

Sample Questions

Q1) During the primary assessment of a trauma victim,the nurse determines that the patient has a patent airway.What is the next assessment the nurse should make?

A) The patient's level of consciousness

B) Observation for external bleeding

C) The status of the patient's respiration

D) The rate and character of the patient's carotid or femoral pulses

Q2) A construction worker is treated in the emergency department in the summer with heat cramps accompanied by nausea,weakness,and profuse diaphoresis.The nurse determines that discharge teaching regarding the prevention of another episode of heat cramps has been effective when the patient gives which of the following responses?

A) "I will take salt tablets when I work outdoors in the summer."

B) "I should double my water intake when the weather gets hot."

C) "I should drink commercially prepared electrolyte solutions when the weather is warm."

D) "If I notice swelling of my hands and feet,I should get into a cool environment for a while."

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74

Chapter 72: Emergency Preparedness and Disaster Management

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/78689

Sample Questions

Q1) The incident management system (IMS)used in Canada is based on the incident command system that was developed as a result of which event?

A) Tsunami off the coast of Tahiti

B) Wildfires in California

C) Floods in Saskatchewan

D) Drought in Alberta

Q2) When using START,which colour triage tag would the nurse place on a patient who has massive head trauma?

A) Green

B) Yellow

C) Red

D) Black

Q3) Assessment of a patient in the emergency department reveals the following: hemoptysis,cough,temperature of 41°C,headache and lymph node enlargement.Based upon these findings,what does the nurse suspect as a diagnosis?

A) Botulism

B) Plague

C) Tularemia

D) Severe acute respiratory syndrome

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