Fundamentals of Nursing Exam Practice Tests
Course Introduction
Fundamentals of Nursing introduces students to the essential concepts, skills, and values foundational to the nursing profession. This course covers the history and roles of nursing, the nursing process, principles of patient care, communication techniques, ethical and legal aspects, and evidence-based practice. Emphasis is placed on developing basic clinical competencies, including vital signs measurement, hygiene care, safety, infection control, and patient assessment. Through theoretical learning and hands-on practice, students gain the knowledge and confidence required for safe and compassionate care in various healthcare settings.
Recommended Textbook
Medical Surgical Nursing Concepts and Practice 3rd Edition by deWit
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48 Chapters
1519 Verified Questions
1519 Flashcards
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Chapter 1: Caring for Medical-Surgical Patients
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The long-term care facility nurse is caring for a newly admitted 80-year-old patient who is depressed.Which approach is best for the nurse to employ?
A) Encourage the resident to engage in an activity.
B) Remind the resident of reasons to be positive.
C) Point out episodes of negative behavior.
D) Present a bright and cheerful behavior.
Answer: A
Q2) Which is the main cost-containment component of diagnosis-related groups (DRGs)?
A) Hospitals focus only on the specific diagnosis.
B) Hospitals treat and discharge patients quickly.
C) Reduced cost drugs are ordered for specific diagnoses.
D) Diagnostic group classification streamlines care.
Answer: B
Q3) The nurse explains that the term _____________ refers to the severity of illness. Answer: acuity
Acuity is the term referring to the severity of illness or condition of a patient.
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3
Chapter 2: Critical Thinking and the Nursing Process
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The nurse is caring for a newly admitted patient who is describing his recent symptoms to the nurse.This scenario is an example of which type of source?
A) Primary
B) Objective
C) Secondary
D) Complete
Answer: A
Q2) The nurse is caring for a patient with pneumonia who complains of shortness of breath.Further assessment reveals an oxygen saturation of 89% on room air,28 respirations/min with bilateral crackles in lung bases,blood pressure of 160/94,and a pulse rate of 102 beats/min.Which nursing diagnosis is priority for this patient?
A) Activity Intolerance
B) Impaired Gas Exchange
C) Ineffective Cardiopulmonary Tissue Perfusion
D) Self-Care Deficit: Bathing and Hygiene
Answer: B
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4
Chapter 3: Fluid, Electrolytes, Acid-Base Balance, and
Intravenous Therapy
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The nurse demonstrates knowledge of IV solutions by identifying that the IV solution which provides free water,as well as 340 calories/L,is ______________.
Answer: 10% dextrose in water
10% dextrose in water provides free water with no electrolytes and 340 calories/L.
Q2) The nurse assesses the patient's IV insertion site and observes that the vein is hard,the skin is red and tender,and a blood return in the IV line.After removing the IV catheter,which action should the nurse take next?
A) Obtain an arm board to properly secure the IV.
B) Elevate the arm above the level of the heart.
C) Clean the site with alcohol and apply cool compresses.
D) Apply a warm moist pack.
Answer: D
Q3) The nurse explains to the 85-year-old patient with a temperature that,with each degree of fever,the body loses _____% of water.
Answer: 10
With each degree of fever,the body has an insensible loss of 10% of its water.
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Page 5
Chapter 4: Care of Preoperative and Intraoperative Surgical Patients
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse is caring for an Asian patient who received atropine as a preoperative drug.For which problem should the nurse should carefully monitor the patient?
A) Oliguria
B) Hyperventilation
C) Hypotension
D) Tachycardia
Q2) The nurse clarifies the difference between regional anesthesia and procedural sedation anesthesia.Which statement about procedural sedation anesthesia is true?
A) Procedural sedation anesthesia uses both intravenous (IV) sedation and regional anesthesia.
B) Procedural sedation anesthesia uses both general anesthesia and IV sedation.
C) Procedural sedation anesthesia uses both alternative medicine herbs and regional anesthesia.
D) Procedural sedation anesthesia uses both IV sedation and local anesthesia.
Q3) The _____________functions within the sterile area of the operating room and maintains sterile technique.
Q4) A(n)________________ allows a patient to donate her own blood to be used during or after surgery.
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Chapter 5: Care of Postoperative Patients
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient recovering in the PACU.The patient awakens confused and disoriented.What action should the nurse take first?
A) Take the patient's vital signs.
B) Encourage the patient to return to sleep.
C) Reorient and reassure the patient.
D) Document that the patient is awake and disoriented.
Q2) The PACU nurse is caring for an unconscious patient.Assessment reveals diminished breath sounds bilaterally.Which action should the nurse take?
A) Hyperventilate the patient with an Ambu bag.
B) Increase bi-nasal oxygen to 3 L/min.
C) Elevate the head of bed 45 degrees.
D) Document "diminished breath sounds in both lower lobes."
Q3) Anti-embolic stockings are in place on the obese postsurgical patient.Which statement accurately describes the standard of care in regard to anti-embolic stockings?
A) The stockings should remain in place continually for the first 24 hours.
B) The stockings should fit tightly at the knee and ankle.
C) The stockings should be removed approximately 20 minutes every shift.
D) The stockings should be removed when ambulating.
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Page 7
Chapter 6: Infection Prevention and Control
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Sample Questions
Q1) The nurse is obtaining a health history on a newly admitted patient.Which information alerts the nurse that the patient is at increased risk for developing an infection?
A) The patient reports having unprotected heterosexual sex in three previous relationships.
B) The patient is employed as a biochemist in a hospital.
C) The patient's income is considered middle-class level.
D) The patient reports getting 4 to 5 hours of sleep per night.
E) The patient is 21% over the suggested normal weight.
Q2) The nurse is providing infection control teaching to a patient.Which patient statement warrants additional patient teaching?
A) "It is important that I get my whooping cough vaccination as directed by my health care provider."
B) "Getting plenty of sleep each night will help my immune system."
C) "I should wash my hands before preparing my food."
D) "It is important that I take my antibiotic until my symptoms have completely resolved."
Q3) The nurse explains that an infection occurring in the body represents an interrelationship between the __________,__________,and __________.
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Chapter 7: Care of Patients with Pain
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) The nurse is caring for a 45-year-old male Arab patient who is in pain.Which action can most likely be attributed to the patient's cultural belief about pain?
A) The patient never requests pain medication.
B) The patient asks for pain relief to control pain.
C) The patient becomes irritable and demanding when in pain.
D) The patient hides pain from his family.
Q2) The nurse is planning to teach a family member about effective massage techniques.Which information is most important to include in the teaching plan?
A) Use heat and a mild menthol cream for comfort.
B) Pound painful areas with the sides of the hands.
C) Gently and firmly massage of areas of inflammation.
D) Use long, firm strokes while avoiding areas of inflammation.
Q3) Pain receptors in the skin,connective tissue,bone,joints,and muscles are classified as
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Chapter 8: Care of Patients with Cancer
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse is teaching a 50-year-old male patient who is taking estrogens as treatment of prostate cancer.The nurse should educate the patient about which expected side effect?
A) Blurred vision
B) Gynecomastia
C) Enlarged gonads
D) Acne
Q2) Which description(s)is/are characteristic of a malignant neoplasm?
A) Very small nuclei
B) Disorganization
C) Altered DNA
D) Invasion of nearby organs
E) Travel through body fluid
Q3) Which categories are classifications of malignant neoplasms?
A) Carcinomas
B) Lymphomas
C) Fibromas
D) Lipomas
E) Sarcomas
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Page 10
Chapter 9: Chronic Illness and Rehabilitation
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Long-term health care facilities are the center of treatment for which type of patients?
A) Patients who are recovering after the most acute phase of their illness is over.
B) Patients who are receiving rehabilitation after a joint replacement.
C) Patients who are too weak from primary illness to care for themselves presently.
D) Patients who are in need of a permanent home because of effects of a chronic condition.
E) Patients who are under treatment for substance abuse.
Q2) The nurse is caring for an obese resident with a pressure ulcer on her coccyx.The patient frequently lies on her back because it is difficult to turn due to her weight.Which intervention most effectively encourages independence?
A) Instruct the staff turn the resident every 2 hours.
B) Turn the patient on her side and use pillows to stabilize her.
C) Arrange for short side rails to be used for positioning.
D) Arrange for a trapeze so the patient can assist with positioning.
Q3) The rehabilitation nurse makes the point that a dysfunction of a specific body part is termed __________.
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Page 11
Chapter 10: The Immune and Lymphatic System
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The nurse explains to a patient with a painful toe that the pain is related to the inflammatory response.What process causes this discomfort?
A) Swelling, which compresses nerves.
B) Enzyme release, which irritates the area.
C) Acidic waste from the destroyed cells.
D) Heat of lysis, which affects the nerves.
Q2) The industrial nurse should teach all middle-aged employees to receive a tetanus booster how often?
A) Every 2 years
B) Every 4 years
C) Every 7 years
D) Every 10 years
Q3) The nurse is preparing a presentation on the inflammatory response.While preparing a cartoon picture of lysis,the nurse correctly draws which scenario?
A) An antibody acting through the process of neutralization
B) An individual's arm that is red and swollen
C) A phagocyte eating an antigen
D) A cell that is originating in the bone marrow
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12
Chapter 11: Care of Patients with Immune and Lymphatic Disorders (with
HIV and AIDS)
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse is caring for a pediatric patient recently diagnosed with severe combined immunodeficiency (SCID)disease.The nurse determines that teaching has been effective after the parent makes which statement?
A) "This disease is like a pediatric version of AIDS."
B) "My child must be careful not to fall to avoid bleeding."
C) "My child should not attend day care."
D) "This problem happened because of chemotherapy treatments."
Q2) The home care nurse is caring for a patient with a severe immune deficiency disorder.What information about infection prevention is most important for the nurse to include in the teaching plan?
A) Check your temperature daily.
B) Wash your hands frequently.
C) Check daily for signs of infection.
D) Seek medical advice at the first sign of infection.
Q3) The nurse stresses that the primary emphasis on controlling HIV is __________.
Q4) The patient with AIDS voices concern over the amount of money it will cost to manage his disease.The nurse is aware that the estimated medications and laboratory testing cost is an average of $______ per year for the patient with AIDS.
Page 13
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Chapter 12: The Respiratory System
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who was recently admitted with a traumatic head injury.The nurse anticipates that the patient may display which type of respirations?
A) Apneustic respirations
B) Cheyne-Stokes
C) Kussmaul
D) Biot
Q2) The nurse is caring for a patient with a respiratory disorder who complains of anorexia.Which factor(s)may contribute to the patient's anorexia?
A) Increased sense of taste
B) Bad taste in mouth
C) Fear of exacerbate coughing by eating
D) Fatigue
E) Altered sense of smell
Q3) Most of the inspired oxygen is carried to the tissues via which component of the body?
A) Plasma
B) Lymphatic system
C) Red blood cells
D) White blood cells
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Page 14
Chapter 13: Care of Patients with Disorders of the Upper
Respiratory
System
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Step 4
A)Wrap hand around fist.
B)Squeeze and thrust five times.
C)Make a fist.
D)Check status of breathing.
E)Position fist, thumb foremost, over umbilicus.
Q2) The nurse is aware that the patient seeking antibiotic treatment for pharyngitis will only receive the desired medication if the condition is caused by what type of pathogen?
A) Protozoa
B) Bacteria
C) A virus
D) Fungi
Q3) When doing routine cleaning of a double-lumen tracheostomy tube,the nurse should include which action?
A) Place the patient supine.
B) Reinsert the inner cannula without touching the faceplate of the tracheostomy tube.
C) Rinse the inner cannula in a basin of hydrogen peroxide.
D) Clean the inner cannula with a pipe cleaner.
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Chapter 14: Care of Patients with Disorders of the Lower
Respiratory
System
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) The 75-year-old patient asks the nurse if the Pneumovax immunization he took when he was 65 is still protecting him.Which reply is most accurate?
A) "Pneumovax protects you for your lifetime."
B) "Immunity afforded you by Pneumovax lasts only 2 years."
C) "Pneumovax protection varies according to your risk factors and living situation."
D) "After 6 years, you need a repeat dose of Pneumovax for full immunity."
Q2) The 75-year-old patient presents to the emergency department with shortness of breath,fatigue,and a dry cough.When information leads the nurse to suspect that this patient should undergo workup for histoplasmosis?
A) The patient reports drinking pond water.
B) The patient lives on a farm and raises chickens.
C) The patient recently went hunting in a wooded area.
D) The patient owns a landscaping company.
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16
Chapter 15: The Hematologic System
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Sample Questions
Q1) Jaundice results from excessive release of which substance into the bloodstream?
A) Histamine
B) Bilirubin
C) Plasma
D) Platelets
Q2) The nurse is caring for an 80-year-old African American patient.On assessment,the nurse observes yellow sclera.Which other finding would support the nurse's suspicion that hemolysis is occurring?
A) Koilonychia
B) Circumoral cyanosis
C) Tea colored urine
D) Hemangioma
Q3) Which age-related changes occur in the hematologic system?
A) Decreased blood volume
B) Decreased bone marrow production
C) Decreased rate of blood cell production
D) Increased immune response
E) Increased clotting time
Q4) The normal range of hemoglobin is from _____ g/dL to _____ g/dL.
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Chapter 16: Care of Patients with Hematologic Disorders
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Sample Questions
Q1) The nurse is caring for a patient with sickle cell anemia.Based on the underlying pathophysiology of this disorder,the nurse should carefully perform which detailed assessment?
A) Examination for skin breakdown
B) Auscultation of lungs
C) Abdominal girth measurement
D) Palpation of radial pulses
Q2) The home health nurse is caring for a patient who is taking ferrous sulfate (Feosol).Which statement indicates that the patient requires additional teaching about this medication?
A) "It tastes better when I take my medicine with milk."
B) "My wife says I should take my medicine with orange juice."
C) "I am always careful not to break open the capsule."
D) "I usually take my iron with my whole-grain toast during breakfast."
Q3) Iron deficiency anemia impacts adequate production of which component?
A) Plasma
B) White blood cells (WBCs)
C) Hemoglobin
D) Antibodies
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Page 18
Chapter 17: The Cardiovascular System
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Sample Questions
Q1) The nurse is caring for a 50-year-old patient who complains of tingling in his toes.Which other assessment finding would cause the nurse to suspect arterial insufficiency?
A) Equal warmth in bilateral feet
B) Shiny, hairless legs
C) Thin, brittle toenails
D) Pedal edema
Q2) Which factors may affect the volume of cardiac output?
A) Heart rate
B) Peripheral pulses
C) Preload
D) Contraction strength
E) Afterload
Q3) Which statement accurately describes the purpose of a Doppler flow study?
A) To detect a clot in a coronary artery
B) To visualize obstructions in leg vessels
C) To assess efficiency of blood flow through heart chambers
D) To detect a defective heart valve
Q4) The nurse assessing the heart places the stethoscope between the fifth and sixth ribs at the mid-clavicular line to hear the point of _________.
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Chapter 18: Care of Patients with Hypertension and Peripheral Vascular Disease
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Sample Questions
Q1) Which intervention(s)is/are important for a patient with venous insufficiency?
A) Avoid swimming.
B) Elevate feet to reduce edema.
C) Wear tight clothing.
D) Decrease fluid intake.
E) Apply elastic compression wraps twice daily.
Q2) Which findings characterize peripheral vascular disease (PVD)?
A) Narrowed arteries
B) Obstructed veins
C) Involvement of all extremities
D) Defective valve function
E) Thrombophlebitis
Q3) The nurse is teaching a pregnant patient who works as a cashier in a grocery store about varicose vein prevention.Which instruction is most important for the nurse to include in the teaching plan?
A) Add vitamin C to diet.
B) March in place while standing at the counter.
C) Avoid tight support hose.
D) Wear supportive shoes.
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Chapter 19: Care of Patients with Cardiac Disorders
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Sample Questions
Q1) The nurse is teaching the patient with an arrhythmia.Which statement indicates that the patient requires further teaching?
A) "I've cut my coffee from 10 cups to 2 cups a day."
B) "I don't drink regular cola drinks anymore."
C) "I have given up drinking those high-energy drinks."
D) "I've switched from 5 cups of coffee to 5 cups of tea."
Q2) The nurse is performing an initial assessment on a new patient with suspected right-sided heart failure.Which finding(s)is/are consistent with the patient's potential diagnosis?
A) Clammy skin
B) Splenomegaly
C) Abdominal distention
D) Wheezing
E) Dyspnea
Q3) The patient suffering from ventricular tachydysrhythmia may benefit from _________________ when medications are not effectively treating the disorder.
Q4) When the nurse assesses an apical pulse of 52,the nurse documents this arrhythmia as _________.
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Chapter 20: Care of Patients with Coronary Artery Disease and Cardiac Surgery
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Sample Questions
Q1) The nurse is caring for a patient with agina pectoris who asks what happens to make his body experience pain.The nurse explains that pain results from which underlying causative factor?
A) Congestion that backs up into the lungs
B) Inadequate blood flow and poor oxygen supply
C) Edema from fluid overload
D) Inflammation in the vessels
Q2) Step 4
A)Platelets adhere to plaque.
B)Deposits of low-density lipoproteins (LDLs) accumulate.
C)Fibrous plaque is laid down in vessel.
D)Streaks of fatty material are laid down in arteries.
E)Platelets clump.
F)Platelets calcify.
Q3) The nurse is aware that the patient's cardiac rehabilitation levels of physical activity are designated through ____________ units.
Q4) The nurse uses a diagram to show how obstruction of an artery has caused an area of necrosis called a(n)_________.
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Chapter 21: The Neurologic System
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Sample Questions
Q1) The nurse is performing a neurologic assessment on a newly admitted patient with a head injury.Which sign best indicates that the patient may have experienced a brainstem injury?
A) Nystagmus
B) Decerebrate posturing
C) Seizure activity
D) Glasgow Coma Scale score of 3
Q2) The nurse differentiates the sympathetic from the parasympathetic nervous systems.Which statement about the sympathetic system is accurate?
A) The sympathetic system provides energy for "fight or flight" in stressful situations.
B) The sympathetic system slows the heart rate after a stressful situation.
C) The sympathetic system supports deep sleep after large expenditures of energy.
D) The sympathetic system relaxes blood vessels to counteract hypertension.
Q3) A neurologically damaged patient who cannot interpret communication directed to him is said to have ____________ aphasia.
Q4) There are _______ cranial nerves that control the sensory and motor activities of the body.
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Chapter 22: Care of Patients with Head and Spinal Cord Injuries
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Sample Questions
Q1) Which position is best for an unconscious patient with a right-sided closed head injury?
A) High Fowler
B) Right side-lying
C) Flat with small pillow under head
D) Head of bed 20 to 30 degrees
Q2) The nurse documents which sign(s)of epidural hematoma in a patient with a closed head injury?
A) Mottling of extremities
B) Periorbital ecchymosis
C) Battle sign
D) Nausea and vomiting
E) PERRLA
Q3) The nurse is caring for a patient with (AD).The nurse should assess the patient for which conditions or situations?
A) Distended bladder
B) Constipation
C) Increased fluid intake
D) Wrinkles in bed linens
E) Abrupt environmental temperature changes
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Chapter 23: Care of Patients with Disorders of the Brain
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Sample Questions
Q1) Which nursing intervention best encourages self-feeding in a patient with right-sided paralysis after a CVA?
A) Place finger foods on the left side of the plate.
B) Support the right hand in holding an adaptive cup.
C) Seat the patient in the dining room with other residents.
D) Place large helpings of food in the center of the plate.
Q2) The nurse is caring for a patient admitted with a transient ischemic attack (TIA).A carotid ultrasound reveals a 40% obstruction.The nurse anticipates that the treatment will likely consist of which factor(s)?
A) Diet modification
B) Lifestyle alteration
C) Aspirin for antiplatelet aggregation
D) Daily doses of nitrates
E) Endarterectomy
Q3) Which symptom is a key sign of a brain tumor?
A) Morning nausea
B) Difficulty reading
C) A headache that awakens patient
D) Increasing blood pressure
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Chapter 24: Care of Patients with Peripheral Nerve and Degenerative Diseases
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Sample Questions
Q1) The home health nurse is planning an exercise program for a patient with multiple sclerosis (MS).Which exercise would be most beneficial for this patient?
A) Swimming
B) Progressive walking
C) Weight training
D) Isometric exercises
Q2) The student nurse is researching relapsing-progressive forms of multiple sclerosis (MS).What characteristic(s)is/are typical of this form of the disease?
A) Steadily worsens
B) Partial remissions
C) Clear, acute relapses
D) Temporary minor improvements
E) Long plateau periods
Q3) Two viruses that are especially associated with the etiology of Guillain-Barré syndrome (GBS)are ___________ and ___________.
Q4) The test for the diagnosis of myasthenia gravis in which muscle strength is increased within 1 minute of the injection is the __________ test.
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Chapter 25: The Sensory System: Eye and Ear
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Sample Questions
Q1) When assessing for macular degeneration,the nurse should use which assessment tool?
A) Snellen eye chart
B) Corneal reflex test
C) Visual field test
D) Amsler grid test
Q2) The nurse is caring for a patient with a frequent history of falls.The nurse notes that which problems in the patient's history may contribute to frequent falls?
A) Diplopia
B) Vertigo
C) Tinnitus
D) Cirrhosis
E) Ataxia
Q3) The nurse interviewing a patient with macular degeneration will inquire about the patient's habits,especially __________,which is a significant contributor to the disorder.
Q4) The nurse clarifies to the patient with an eye disorder that the fluid in the anterior chamber is called __________ humor,whereas the fluid in the posterior chamber is called __________ humor.
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Chapter 26: Care of Patients with Disorders of the Eyes and Ears
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Sample Questions
Q1) The nurse is reviewing the plan of care for a patient following a tympanoplasty.Which intervention should the nurse implement in the immediate postoperative period?
A) Keep the patient flat in bed.
B) Encourage deep breathing and coughing.
C) Reposition the patient quickly to reduce nausea and vomiting.
D) Position the patient's head with the affected ear touching the mattress.
Q2) Accommodation is accomplished through the interaction of the ciliary bodies and the _____.
Q3) The nurse notices that the patient must hold the newspaper at arm's length and squint to read.The nurse understands that this finding is consistent with which eye problem?
A) Myopia
B) Hyperopia
C) Presbyopia
D) Astigmatism
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28
Chapter 27: The Gastrointestinal System
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Sample Questions
Q1) The nurse is caring for a patient scheduled to have an MRI study.Which instruction(s)should the nurse include in the teaching?
A) Radiation exposure is extremely minimal.
B) All metal objects, including dental bridges, jewelry, and body piercings, must be removed.
C) Do not eat or drink for 4 hours before the procedure.
D) A radiopaque medium may be injected during the procedure.
E) There may be a tingling sensation in metal alloy filling of the teeth.
Q2) Repair of body tissue
A)Absorption
B)Peristalsis
C)Metabolism
D)Anabolism
E)Catabolism
Q3) Breaking down larger molecules into smaller molecules
A)Absorption
B)Peristalsis
C)Metabolism
D)Anabolism
E)Catabolism
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Chapter 28: Care of Patients with Disorders of the Upper
Gastrointestinal
System
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/18686
Sample Questions
Q1) The nurse is caring for a patient who is being treated for a gunshot wound to the abdomen.The patient is receiving total parenteral nutrition (TPN),and the physician has prescribed insulin coverage on a sliding scale.The patient reports he has never had diabetes before.What response is best for the nurse to make?
A) "It is likely you have developed diabetes as a result of your illness."
B) "Do you have a family history for diabetes?"
C) "The TPN you are receiving has high amounts of glucose."
D) "Insulin is needed to manage your stomach's inability to adequately metabolize food at this time."
Q2) Which causative agent is the primary cause of Barrett esophagus?
A) Gastroesophageal reflux disease (GERD)
B) Eating hot, spicy foods
C) Anorexia nervosa
D) Esophageal polyps
Q3) The nurse demonstrates that the person whose recommended weight is 150 pounds based on height,age,and body type would be considered obese if the person weighed a minimum of ______ pounds.
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Chapter 29: Care of Patients with Disorders of the Lower
Gastrointestinal
System
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/18687
Sample Questions
Q1) The nurse is educating a group of patients about high-fiber dietary selections.Which patient menu selection indicates that the nurse's teaching has been successful?
A) Turkey sandwich on whole wheat toast, pears, and tea
B) Grilled chicken, corn, and water
C) Cheese pizza, salad, and milk
D) Bacon, lettuce, and tomato sandwich on sourdough, blackberry compote, and orange juice
Q2) The nurse is aware that an unresolved intestinal obstruction can lead to which complications?
A) Systemic infection and fever
B) Intestinal rupture and shock
C) Adhesions and pain
D) Bloating and expelling gas
Q3) Which age-related change predisposes older adult patients to diverticula?
A) Loss of bowel tone reduces motility.
B) Chronic constipation increases intra-abdominal pressure and allows herniation.
C) The diet may be deficient in bulk.
D) Multipharmacy has altered bowel mucosa.
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Chapter 30: Care of Patients with Disorders of the Liver,
Gallbladder, and Pancreas
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/18688
Sample Questions
Q1) The nurse reinforces that the immunization for HBV is believed to provide _____ immunity.
Q2) Fecal-oral transmission,acute onset
A)HAV
B)HBV
C)HCV
D)HDV
E)HEV
Q3) The nurse is caring for a patient diagnosed with gallstones who requires a cholecystectomy.The patient is upset and asks the nurse why he cannot have lithotripsy instead.Which response is most appropriate for the nurse to make?
A) "Is there a reason that you want to have lithotripsy?"
B) "Your doctor decides which procedure will be best."
C) "Gallstones are usually treated with surgery. Tell me more about your concerns."
D) "I understand that you are upset. Would you like to speak with a chaplain?"
Q4) The nurse explains that bile salts deposited in the skin cause jaundice and also cause _____.
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Chapter 31: The Musculoskeletal System
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/18689
Sample Questions
Q1) When the patient returns to the unit from having had an arthrogram,which intervention should the nurse perform first?
A) Ambulate the patient in the room.
B) Apply ice packs to the knee.
C) Perform passive range-of-motion (ROM) exercises.
D) Wrap the knee in an elastic bandage.
Q2) The nurse is assessing the patient's crutches.Which observation confirms that the crutches are sized correctly?
A) The crutches are the same height as the patient's shoulders.
B) The crutches are approximately 12 inches shorter than the patient's shoulders.
C) The crutches are approximately 16 inches shorter than the patient's height.
D) The crutches are tall enough to allow the patient's arms to be fully extended when walking.
Q3) When a joint is obliterated by bony overgrowth,the joint is said to be _________.
Q4) The canal system that runs through the bone and contains the blood and lymph vessels is called the ____________.
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Chapter 32: Care of Patients with Musculoskeletal and Connective
Tissue Disorders
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/18690
Sample Questions
Q1) Used with infected fractures that do not heal properly
A)Closed reduction
B)Open reduction
C)Internal fixation
D)External fixation
Q2) The patient in a long arm cast (from below the shoulder to the wrist,with a 90-degree elbow flexion)complains of a burning sensation over the elbow.The nurse's initial intervention should be:
A) Elevate the casted arm on pillows.
B) Check to see if the cast is properly supported.
C) Notify the charge nurse of developing pressure ulcer.
D) Cut a "window" in the cast.
Q3) The nurse is instructing a patient with rheumatoid arthritis about a prescribed exercise program.Which information should the nurse include?
A) Perform exercises every day, 3 to 10 times for every joint.
B) Perform exercises even if inflammation is present.
C) Perform exercises past the point of pain.
D) Perform twice the number of exercises the next day if one day is missed.
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Chapter 33: The Urinary System
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/18691
Sample Questions
Q1) An 85-year-old patient who has been NPO since midnight last night for diagnostic testing just completed the procedure.Which intervention is most important?
A) Inform the patient about the test results.
B) Obtain the patient's weight for comparison to the morning value.
C) Turn the patient every 2 hours.
D) Offer 4 ounces of water or juice every hour.
Q2) The nurse is caring for a patient with deteriorating kidney function.Laboratory work indicates 900 mg of uric acid in 24 hours.In addition to administering prescribed medication,which dietary modification should the nurse address?
A) Limit servings of beef to 3-ounce portions.
B) Increase intake of avocados and liver.
C) Avoid yogurt or skim milk.
D) Limit intake of potatoes and pasta.
Q3) Diminished urine
A)Anuria
B)Oliguria
C)Polyuria
D)Nocturia
E)Hematuria
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Chapter 34: Care of Patients with Disorders of the Urinary System
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/18692
Sample Questions
Q1) Prostate hypertrophy
A)Prerenal ARF
B)Intrarenal ARF
C)Postrenal ARF
Q2) Which statement best indicates that the patient understands teaching about dietary restrictions in glomerulonephritis?
A) "I should avoid canned soups and hot dogs."
B) "I should drink more water."
C) "I should eat more meat and cheeses."
D) "I should not eat fresh produce."
Q3) The nurse is caring for a patient who is scheduled to undergo hemodialysis.Based on awareness of potential complications,the nurse correctly withholds which medication?
A) Lisinopril (Zestril)
B) Famotidine (Pepcid)
C) Paroxetine (Paxil)
D) Ciprofloxacin (Cipro)
Q4) The nurse is aware that 80% of UTIs in females are the result of contamination from
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Chapter 35: The Endocrine System
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/18693
Sample Questions
Q1) Which hormone acts on bone to release calcium into the blood?
A) Thyroxine (T4)
B) Thyrocalcitonin
C) Triiodothyronine (T3)
D) Parathormone
Q2) The nurse is caring for a patient who has been experiencing infertility.Which statement indicates that the patient understands the impact of inadequate luteinizing hormone (LH)levels?
A) "Since luteinizing hormone maintains my secondary sex characteristics, low levels explain my small breasts."
B) "Low levels of luteinizing hormone cause the swelling I experience during my menstrual cycle."
C) "Low levels of luteinizing hormone cause my menstrual cycle irregularities."
D) "Since luteinizing hormone stimulates ovulation and progesterone production, low levels could cause infertility."
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Chapter 36: Care of Patients with Pituitary, Thyroid, Parathyroid,
and Adrenal Disorders
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/18694
Sample Questions
Q1) Step 5
A)Hypothalamus is activated.
B)Pituitary releases thyroid-stimulating hormone (TSH).
C)Drop in norepinephrine level.
D)Thyroid releases thyroid hormone.
E)Satisfaction of norepinephrine level signals hypothalamus in negative feedback.
F)Thyrotropin-releasing hormone (TRH) is secreted.
Q2) The nurse's major contribution to the care of a patient with Cushing syndrome is that of __________ and __________.
Q3) The nurse is aware that the severe dehydration associated with diabetes insipidus (DI)can lead which serious electrolyte imbalance?
A) Hypercalcemia
B) Hypernatremia
C) Hypocalcemia
D) Hyperkalemia
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38
Chapter 37: Care of Patients with Diabetes and Hypoglycemia
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/18695
Sample Questions
Q1) Type 2 diabetes cases compose approximately what percentage of all known cases of diabetes?
A) 70%
B) 75%
C) 80%
D) 95%
Q2) The patient takes his NovoLog 70/30 at 0700.When should the nurse suggest that the patient schedule exercise?
A) 0730.
B) 1000.
C) 1300.
D) Scheduling exercise is unnecessary.
Q3) The nurse is caring for an older adult patient who is diabetic.The nurse cautions against the technique of "tight control" of hyperglycemia.Which statement explains why this management method is not recommended?
A) Older adults may not accurately test and administer sliding-scale insulin.
B) Older adults possess lower risk for hyperglycemia.
C) Older adults may experience cardiovascular problems from hypoglycemia.
D) Older adults possess an unstable metabolic rate.
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Chapter 38: Care of Women with Reproductive Disorders
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/18696
Sample Questions
Q1) Lower abdomen pain progressing to back and thighs
A)Primary dysmenorrhea
B)Secondary dysmenorrhea
Q2) The nurse is caring for a patient who has been diagnosed with a cystocele.The patient is not a surgical candidate.The nurse should include information about which nonsurgical management technique(s)in the teaching plan?
A) Kegel exercises
B) Pessary insertion of a pessary
C) Hormone therapy
D) Vitamin B<sub>12</sub> therapy
E) Increased fluid intake
Q3) Which statement accurately describes BRCA1 and BRCA2?
A) BRCA1 and BRCA2 are genes involved with the inherited form of breast cancer.
B) BRCA1 and BRCA2 are enzymes that are markers for breast cancer.
C) BRCA1 and BRCA2 are particular proteins attached to the red blood cells indicating presence of breast cancer.
D) BRCA1 and BRCA2 are laboratory tests performed on a breast biopsy to detect breast cancer.
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Chapter 39: Care of Men with Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/18697
Sample Questions
Q1) Erection curving upward preventing vaginal penetration
A)Hydrocele
B)Varicocele
C)Priapism
D)Peyronie disease
E)Torsion
Q2) The nurse has provided discharge instructions to a patient who underwent a vasectomy.Which statement indicates the patient understands the nurse's teaching?
A) "I can use a heating pad this evening for my discomfort."
B) "Taking aspirin every 4 hours will help with my pain."
C) "I should leave the compression dressing on for the first 24 hours."
D) "I should ice my scrotum once I get home."
Q3) Painful left-sided scrotal edema from clumping and dilation of vessels of the spermatic vein
A)Hydrocele
B)Varicocele
C)Priapism
D)Peyronie disease
E)Torsion
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Chapter 40: Care of Patients with Sexually Transmitted
Infections
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/18698
Sample Questions
Q1) The nurse is caring for a patient with syphilis.Which manifestation indicates that the syphilis has progressed to the secondary stage?
A) Foul-smelling penile discharge
B) Positive serology
C) Purulent skin rash
D) Scrotal swelling
Q2) How long after exposure does the incubation period for gonorrhea last?
A) 2 to 6 days
B) 1 week
C) 2 weeks
D) 4 weeks
Q3) Which factors indicate reasons why young patients are frequently reluctant to have their sexually transmitted infections (STIs)reported?
A) Fear of parental reaction
B) Embarrassment about their condition
C) Fear of reprisal from identified contacts
D) Fear of information becoming public
E) Fear of rejection by peers
F)None of above
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Chapter 41: The Integumentary System
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/18699
Sample Questions
Q1) The nurse teaches the patient the "ABCD" technique for evaluating melanomas.What does the "D" in this memory prompt represent?
A) Darkness
B) Drainage
C) Dimpling
D) Diameter
Q2) The nurse is caring for a patient with an order for an "open dressing." Which action indicates that the nurse accurately understands the order?
A) The nurse leaves the entire lesion open to air.
B) The nurse changes wet compresses frequently enough to keep them wet.
C) The nurse applies medicated ointment directly in the open wound.
D) The nurse applies dressings to the perimeter of the wound while leaving the center of the wound open to air.
Q3) Smooth,elevated area that is pale or reddened
A)Erythrasma
B)Wheal
C)Fungal infection
D)Keratosis
E)Keloid
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Chapter 42: Care of Patents with Integumentary Disorders and Burns
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/18700
Sample Questions
Q1) Mast cell-stimulated release of histamine
A)Contact dermatitis
B)Atopic dermatitis
C)Stasis dermatitis
D)Seborrheic dermatitis
Q2) Increased viscosity of blood slowing blood flow to small vessels
A)Edema
B)Hyperkalemia
C)Hypovolemia
D)Tissue hypoxia
E)Hypermetabolism
Q3) Inflammatory response causing fluid shift
A)Edema
B)Hyperkalemia
C)Hypovolemia
D)Tissue hypoxia
E)Hypermetabolism
Q4) An adult male patient enters the emergency department with full- and partial-thickness burns on the entire right leg,front of the right arm,and one half of the front torso.The nurse,using the "rule of nines," assesses the burn as ____%.
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Chapter 43: Care of Patients in Disasters or Bioterrorism
Attack
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/18701
Sample Questions
Q1) A freezer full of food at the time of the power failure will keep food to eat for what period of time?
A) 8 hours
B) 12 hours
C) 24 hours
D) 48 hours
Q2) Compound fracture of both femurs,concussion
A)Red tag: emergent
B)Yellow tag: urgent
C)Green tag: nonurgent
D)Black tag: terminal
Q3) Toddler with partial-thickness burns on both legs
A)Red tag: emergent
B)Yellow tag: urgent
C)Green tag: nonurgent
D)Black tag: terminal
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Chapter 44: Care of Patients with Emergencies, Trauma, and Shock
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/18702
Sample Questions
Q1) A drowning victim is brought to shore and is semiconscious and breathing.The camp counselor recognizes that which positioning is the most appropriate for this victim?
A) Supine to receive CPR
B) Supine with knees flexed
C) On the side in recovery position
D) Prone with head turned to side
Q2) Administration of epinephrine
A)Cardiogenic shock
B)Hypovolemic shock
C)Anaphylactic shock
D)Neurogenic shock
E)Insulin shock
Q3) The home health nurse in Wyoming gives instruction to an 80-year-old patient in the prevention of hypothermia.Which information should the nurse include?
A) Wear multiple layers of clothing.
B) Wear a loose-fitting hat.
C) Move about briskly.
D) Drink warm fluids from a thermos.
E) Wear gloves and earmuffs.
46
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Chapter 45: Care of Patients with Anxiety, Mood, and Eating Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/18703
Sample Questions
Q1) The nurse is helping a patient get dressed to go to her dialysis treatment.The patient bursts into tears and says,"I can't go! I can't stand another day in that awful place.I will die if I have to go!" Which intervention is best?
A) Stop the dressing process and calmly ask the patient talk about her feelings.
B) Continue to dress the patient and reassure her that she will feel better after her treatment.
C) Stop the dressing process and remind the patient that missing a treatment can make her very sick.
D) Continue dressing the patient and remind her that she must stay on task in order to be on time.
Q2) Which signs and symptoms are consistent with general anxiety disorder (GAD)?
A) Heart rate of over 100 beats/min
B) Restlessness
C) Urinary retention
D) Fatigue
E) Muscular tension
Q3) The nurse takes into consideration that it is estimated that _____% of the population will have some form of anxiety disorder.
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Chapter 46: Care of Patients with Substance Abuse Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/18704
Sample Questions
Q1) The nurse is concerned about a coworker who she suspects is abusing amphetamines.Which behavior best validates the nurse's concern?
A) Frantic, excited speech
B) Poor attention to detail
C) Poor personal hygiene
D) Insatiable hunger
Q2) The wife of an alcoholic tells the nurse,"My husband only drinks on the weekends to relax.He has a very stressful job." The nurse recognizes that the patient's wife is using which defense mechanism?
A) Repression
B) Denial
C) Rationalization
D) Identification
Q3) Needs substance to feel good
A)Abuse
B)Psychological dependence
C)Addiction
D)Tolerance
E)Withdrawal
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Chapter 47: Care of Patients with Cognitive Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/18705
Sample Questions
Q1) Experiences an illusion
A)Cognition
B)Dementia
C)Delirium
Q2) The nurse differentiates vascular dementia from Alzheimer dementia.Which causative factor is responsible for vascular dementia?
A) Cerebral atrophy
B) Global reduction of cognition
C) Hypertension
D) Emboli in cerebral vessels
Q3) How should the nurse speak when communicating with a patient with moderate Alzheimer dementia?
A) Slowly
B) Clearly
C) Loudly
D) Softly
Q4) Characterized by slow onset
A)Cognition
B)Dementia
C)Delirium
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Chapter 48: Care of Patients with Thought and Personality Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/18706
Sample Questions
Q1) Milieu therapy is a therapeutic application for people with personality disorders.What principle(s)underscore(s)the basis of this method?
A) Maintaining a structured environment
B) Participating as a member of the structured environment
C) Practicing appropriate social behavior
D) Actively attempting to modify behavior
E) Learning to modify feelings and emotional responses
F)None of above
Q2) The nurse is changing the dressing on self-inflicted cigarette burns on a patient with borderline personality disorder.When providing the care,which action is most therapeutic?
A) Change the dressings while being nurturing and caring to keep patient from feeling abandoned.
B) Approach the dressing change with a matter-of-fact demeanor to decrease secondary gains of sympathy.
C) Present a stern attitude to underscore the seriousness of the act.
D) Interact in a professional and distant manner to diminish the opportunity for manipulation.
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