Fundamentals of Nursing Exam Preparation Guide
Course Introduction
Fundamentals of Nursing introduces students to the essential principles, skills, and concepts at the core of nursing practice. This course covers foundational topics such as patient safety, infection control, basic human needs, communication, ethical and legal considerations, and the nursing process. Students will learn about the roles and responsibilities of nurses in various healthcare settings and develop fundamental clinical skills through hands-on practice and simulation. Emphasis is placed on developing critical thinking, clinical judgment, and compassionate care to prepare students for entry into more advanced nursing courses and clinical experiences.
Recommended Textbook
Medical Surgical Nursing 10th Edition by Lewis
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68 Chapters
1998 Verified Questions
1998 Flashcards
Source URL: https://quizplus.com/study-set/1279
Page 2
Chapter 1: Professional Nursing Practice
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/25336
Sample Questions
Q1) The nurse is caring for an older adult patient who had surgery to repair a fractured hip. The patient needs continued nursing care and physical therapy to improve mobility before returning home. The nurse will help to arrange for transfer of this patient to which facility?
A)A skilled care facility
B)A residential care facility
C)A transitional care facility
D)An intermediate care facility
Answer: C
Q2) A patient with a bacterial infection has a nursing diagnosis of deficient fluid volume related to excessive diaphoresis. Which outcome would the nurse recognize as appropriate for this patient?
A)Patient has a balanced intake and output.
B)Patient's bedding is changed when it becomes damp.
C)Patient understands the need for increased fluid intake.
D)Patient's skin remains cool and dry throughout hospitalization.
Answer: A
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Chapter 2: Health Disparities and Culturally Competent Care
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse working in a clinic in a primarily African American community notes a higher incidence of uncontrolled hypertension in the patients. To correct this health disparity,which action should the nurse take first?
A)Initiate a regular home-visit program by nurses working at the clinic.
B)Schedule teaching sessions about low-salt diets at community events.
C)Assess the perceptions of community members about the care at the clinic.
D)Obtain low-cost antihypertensive drugs using funding from government grants.
Answer: C
Q2) The nurse is caring for a Native American patient who has traditional beliefs about health and illness. Which action by nurse is most appropriate?
A)Avoid asking questions unless the patient initiates the conversation.
B)Ask the patient whether it is important that cultural healers are contacted.
C)Explain the usual hospital routines for meal times, care, and family visits.
D)Obtain further information about the patient's cultural beliefs from a family member. Answer: B
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Page 4
Chapter 3: Health History and Physical Examination
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A nurse performs a health history and physical examination with a patient who has a right leg fracture. Which assessment would be a pertinent negative finding?
A)Patient has several bruised and swollen areas on the right leg.
B)Patient states that there have been no other recent health problems.
C)Patient refuses to bend the right knee because of the associated pain.
D)Patient denies having pain when the area over the fracture is palpated.
Answer: D
Q2) The registered nurse (RN)cares for a patient who was admitted a few hours previously with back pain after falling. Which action can the RN delegate to unlicensed assistive personnel (UAP)?
A)Finish documenting the admission assessment.
B)Determine the patient's priority nursing diagnoses.
C)Obtain the health history from the patient's caregiver.
D)Take the patient's temperature, pulse, and blood pressure.
Answer: D
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Chapter 4: Patient and Caregiver Teaching
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The hospital nurse implements a teaching plan to assist an older patient who lives alone to independently accomplish daily activities. How would the nurse best evaluate the patient's long-term response to the teaching?
A)Make a referral to the home health nursing agency for home visits.
B)Have the patient demonstrate the learned skills at the end of the teaching session.
C)Arrange a physical therapy visit before the patient is discharged from the hospital.
D)Check the patient's ability to bathe and get dressed without any assistance the next day.
Q2) A patient who was admitted to the hospital with hyperglycemia and newly diagnosed diabetes mellitus is scheduled for discharge the second day after admission. When implementing patient teaching,what is the priority action for the nurse?
A)Instruct about the increased risk for cardiovascular disease.
B)Provide detailed information about dietary control of glucose.
C)Teach glucose self-monitoring and medication administration.
D)Give information about the effects of exercise on glucose control.
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Chapter 5: Chronic Illness and Older Adults
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The home health nurse visits an older patient with mild forgetfulness. Which new information is of most concern to the nurse?
A)The patient tells the nurse that a close friend recently died.
B)The patient has lost 10 lb (4.5 kg) during the past month.
C)The patient is cared for by a daughter during the day and stays with a son at night.
D)The patient's son uses a marked pillbox to set up the patient's medications weekly.
Q2) Which intervention should the nurse implement to provide optimal care for an older patient who is hospitalized with pneumonia?
A)Plan for transfer to a long-term care facility.
B)Minimize activity level during hospitalization.
C)Consider the preadmission functional abilities.
D)Use an approved standardized geriatric nursing care plan.
Q3) Which patient is most likely to need long-term nursing care management?
A)72-yr-old who had a hip replacement after a fall at home
B)64-yr-old who developed sepsis after a ruptured peptic ulcer
C)76-yr-old who had a cholecystectomy and bile duct drainage
D)63-yr-old with bilateral knee osteoarthritis who weighs 350 lb (159 kg)
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Chapter 6: Stress and Stress Management
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) An obese female patient who had enjoyed active outdoor activities is stressed because osteoarthritis in her hips now limits her activity. Which action by the nurse will best assist the patient to cope with this situation?
A)Have the patient practice frequent relaxation breathing.
B)Ask the patient what outdoor activities she misses the most.
C)Teach the patient to use imagery for reducing pain and stress.
D)Encourage the patient to consider weight loss to improve symptoms.
Q2) A patient is extremely anxious about having a biopsy on a femoral lymph node. Which relaxation technique would be the best choice for the nurse to facilitate during the procedure?
A)Yoga stretching
B)Guided imagery
C)Relaxation breathing
D)Mindfulness meditation
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8
Chapter 7: Sleep and Sleep Disorders
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) What is the first action the nurse should take in addressing a patient's concerns about insomnia and daytime fatigue?
A)Question the patient about the use of over-the-counter sleep aids.
B)Suggest that the patient decrease intake of caffeinated beverages.
C)Advise the patient to get out of bed if unable to fall asleep in 10 to 20 minutes.
D)Recommend that the patient use any prescribed sleep aids for only 2 to 3 weeks.
Q2) Which action should the nurse manager promote as an evidence-based practice to support alertness for night shift nurses?
A)Arrange for older staff members to work most night shifts.
B)Provide a sleeping area for staff to use for napping at night.
C)Post reminders about the relationship of sleep and alertness.
D)Schedule nursing staff to rotate day and night shifts monthly.
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Chapter 8: Pain
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse assesses that a home hospice patient with terminal cancer who complains of severe pain has a respiratory rate of 11 breaths/min. Which action should the nurse take?
A)Inform the patient that increasing the morphine will cause the respiratory drive to fail.
B)Tell the patient that additional morphine can be administered when the respirations are 12.
C)Titrate the prescribed morphine dose up until the patient indicates adequate pain relief.
D)Administer a nonsteroidal antiinflammatory drug (NSAID) to improve patient pain control.
Q2) Which medication should the nurse administer for a patient with cancer who describes the pain as "deep,aching and at a level 8 on a 0 to 10 scale"?
A)Ketorolac tablets
B)Fentanyl (Duragesic) patch
C)Hydromorphone (Dilaudid) IV
D)Acetaminophen (Tylenol) suppository
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Chapter 9: Palliative Care at End of Life
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The nurse is caring for an unresponsive terminally ill patient who has 20-second periods of apnea followed by periods of deep and rapid breathing. Which action by the nurse would be appropriate?
A)Suction the patient's mouth.
B)Administer oxygen via face mask.
C)Document Cheyne-Stokes respirations.
D)Place the patient in high Fowler's position.
Q2) The nurse is caring for an adolescent patient who is dying. The patient's parents are interested in organ donation and ask the nurse how the health care providers determine brain death. Which response by the nurse accurately describes brain death determination?
A)"If CPR does not restore a heartbeat, the brain cannot function."
B)"Brain death has occurred if there is not any breathing or brainstem reflexes."
C)"Brain death has occurred if a person has flaccid muscles and does not awaken."
D)"If respiratory efforts cease and no apical pulse is audible, brain death is present."
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11
Chapter 10: Substance Use Disorders
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A patient with a history of heavy alcohol use is diagnosed with acute gastritis. Which statement by the patient indicates a willingness to stop alcohol use?
A)"I am older and wiser now, and I can change my drinking behavior."
B)"Alcohol has never bothered my stomach before.I think I have the flu."
C)"People say that I drink too much, but I feel pretty good most of the time."
D)"My drinking is affecting my stomach, but medication will help me feel better."
Q2) A patient admitted to the hospital after an automobile accident is alert and does not appear to be highly intoxicated. The blood alcohol concentration (BAC)is 110 mg/dL (0.11 mg%). Which action by the nurse is appropriate?
A)Restrict oral and IV fluids.
B)Maintain the patient on NPO status.
C)Administer acetaminophen for headache.
D)Monitor for hyperreflexia and diaphoresis.
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12
Chapter 11: Inflammation and Wound Healing
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The nurse assesses a patient's surgical wound on the first postoperative day and notes redness and warmth around the incision. Which action by the nurse is appropriate?
A)Obtain wound cultures.
B)Document the assessment.
C)Notify the health care provider.
D)Assess the wound every 2 hours.
Q2) The nurse is caring for a patient with diabetes who had abdominal surgery 3 days ago. Which finding is most important for the nurse to report to the health care provider?
A)Blood glucose of 136 mg/dL
B)Oral temperature of 101° F (38.3° C)
C)Separation of the proximal wound edges
D)Patient complaint of increased incisional pain
Q3) After receiving a change-of-shift report,which patient should the nurse assess first?
A)The patient who has multiple leg wounds with eschar to be debrided
B)The patient receiving chemotherapy who has a temperature of 102° F
C)The patient who requires analgesics before a scheduled dressing change
D)The newly admitted patient with a stage IV pressure ulcer on the coccyx
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Chapter 12: Genetics and Genomics
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) When caring for a young adult patient who has abnormalities in the cytochrome P450 (CYP 450)gene,which action will the nurse include in the patient's plan of care?
A)Teach that some medications may not work effectively.
B)Teach about genetic risk for cystic fibrosis in any children.
C)Encourage scheduling screening mammograms starting at age 30.
D)Encourage the patient to watch for early symptoms of heart disease.
Q2) A patient tells the nurse,"I would like to use a home genetic test to see if I will develop breast cancer." Which is the nurse's best initial response?
A)"Home genetic testing is very expensive."
B)"Are you prepared to cope with a positive result?"
C)"Are you concerned about developing breast cancer?"
D)"Genetic testing only determines if you are at higher risk for breast cancer."
Q3) A male patient with hemophilia asks the nurse if his children will be hemophiliacs. Which response by the nurse is accurate?
A)"All of your children will be at risk for hemophilia."
B)"Hemophilia is a multifactorial inherited condition."
C)"Only your male children are at risk for hemophilia."
D)"Your female children will be carriers for hemophilia."
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Chapter 13: Altered Immune Responses and Transplantation
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A clinic patient is experiencing an allergic reaction to an unknown allergen. Which action is appropriate for the registered nurse (RN)to delegate to a licensed practical/vocational nurse (LPN/LVN)?
A)Perform a focused physical assessment.
B)Obtain the health history from the patient.
C)Teach the patient about the various diagnostic studies.
D)Administer a skin test by the cutaneous scratch method.
Q2) Ten days after receiving a bone marrow transplant,a patient develops a skin rash. What would the nurse suspect is the cause of the rash?
A)The donor T cells are attacking the patient's skin cells.
B)The patient needs treatment to prevent hyperacute rejection.
C)The patient's antibodies are rejecting the donor bone marrow.
D)The patient is experiencing a delayed hypersensitivity reaction.
Q3) A patient is admitted to the hospital with acute rejection of a kidney transplant. Which intervention will the nurse prepare for this patient?
A)Testing for human leukocyte antigen (HLA) match
B)Administration of immunosuppressant medications
C)Insertion of an arteriovenous graft for hemodialysis
D)Placement of the patient on the transplant waiting list
Page 15
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Chapter 14: Infection and Human Immunodeficiency Virus
Infection
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/25349
Sample Questions
Q1) According to the Center for Disease Control and Prevention (CDC)guidelines,which personal protective equipment will the nurse put on before assessing a patient who is on contact precautions for Clostridium difficile diarrhea ?
A)Mask
B)Gown
C)Gloves
D)Shoe covers
E)Eye protection
Q2) Which of these patients who have arrived at the human immunodeficiency virus (HIV)clinic should the nurse assess first?
A)Patient whose rapid HIV-antibody test is positive
B)Patient whose latest CD<sub>4</sub>+ count has dropped to 250/µL
C)Patient who has had 10 liquid stools in the last 24 hours
D)Patient who has nausea from prescribed antiretroviral drugs
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16
Chapter 15: Cancer
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) The home health nurse is caring for a patient who has been receiving interferon therapy for treatment of cancer. Which statement by the patient indicates a need for further assessment?
A)"I have frequent muscle aches and pains."
B)"I rarely have the energy to get out of bed."
C)"I experience chills after I inject the interferon."
D)"I take acetaminophen (Tylenol) every 4 hours."
Q2) A patient with metastatic cancer of the colon experiences severe vomiting after each administration of chemotherapy. Which action,if taken by the nurse,is appropriate?
A)Have the patient eat large meals when nausea is not present.
B)Offer dry crackers and carbonated fluids during chemotherapy.
C)Administer prescribed antiemetics 1 hour before the treatments.
D)Give the patient a glass of a citrus fruit beverage during treatments.
Q3) The nurse administers an IV vesicant chemotherapeutic agent to a patient. Which action is most important for the nurse to take?
A)Infuse the medication over a short period of time.
B)Stop the infusion if swelling is observed at the site.
C)Administer the chemotherapy through a small-bore catheter.
D)Hold the medication unless a central venous line is available.
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Page 17
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) A patient is receiving a 3% saline continuous IV infusion for hyponatremia. Which assessment data will require the most rapid response by the nurse?
A)The patient's radial pulse is 105 beats/min.
B)There are crackles throughout both lung fields.
C)There is sediment and blood in the patient's urine.
D)The blood pressure increases from 120/80 to 142/94 mm Hg.
Q2) During the admission process,the nurse obtains information about a patient through a physical assessment and diagnostic testing. Based on the data shown in the accompanying figure,which nursing diagnosis is appropriate?
A)Deficient fluid volume
B)Impaired gas exchange
C)Risk for injury: seizures
D)Risk for impaired skin integrity
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Chapter 17: Preoperative Care
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A patient who has diabetes and uses insulin to control blood glucose has been NPO since midnight before having a knee replacement surgery. Which action should the nurse take?
A)Withhold the usual scheduled insulin dose because the patient is NPO.
B)Obtain a blood glucose measurement before any insulin administration.
C)Give the patient the usual insulin dose because stress will increase the blood glucose.
D)Give half the usual dose of insulin because there will be no oral intake before surgery.
Q2) A patient arrives at the outpatient surgical center for a scheduled laparoscopy under general anesthesia. Which information requires the nurse's preoperative intervention to maintain patient safety?
A)The patient has never had general anesthesia.
B)The patient is planning to drive home after surgery.
C)The patient had a sip of water 4 hours before arriving.
D)The patient's insurance does not cover outpatient surgery.
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Chapter 18: Intraoperative Care
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which action in the perioperative patient plan of care can the charge nurse delegate to a surgical technologist?
A)Teach the patient about what to expect in the operating room (OR).
B)Pass sterile instruments and supplies to the surgeon and scrub technician.
C)Monitor and interpret the patient's echocardiogram (ECG) during surgery.
D)Give the postoperative report to the postanesthesia care unit (PACU) nurse.
Q2) While in the holding area,a patient reveals to the nurse that his father had a high fever after surgery. What action by the nurse is a priority?
A)Place a medical alert sticker on the front of the patient's chart.
B)Alert the anesthesia care provider of the family member's reaction to surgery.
C)Give 650 mg of acetaminophen (Tylenol) per rectum as a preventive measure.
D)Reassure the patient that his temperature will be closely monitored after surgery.
Q3) Which action describes how the scrub nurse protects the patient with aseptic technique during surgery?
A)Uses waterproof shoe covers
B)Wears personal protective equipment
C)Changes gloves after touching the upper arm of the surgeon's gown
D)Requires that all operating room (OR) staff perform a surgical scrub
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20
Chapter 19: Postoperative Care
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25 Flashcards
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Sample Questions
Q1) On admission of a patient to the postanesthesia care unit (PACU),the blood pressure (BP)is 122/72 mm Hg. Thirty minutes after admission,the BP is 114/62,with a pulse of 74 and warm,dry skin. Which action by the nurse is most appropriate?
A)Increase the IV fluid rate.
B)Notify the anesthesia care provider (ACP).
C)Continue to take vital signs every 15 minutes.
D)Administer oxygen therapy at 100% per mask.
Q2) The nasogastric (NG)tube is removed on the second postoperative day,and the patient is placed on a clear liquid diet. Four hours later,the patient complains of frequent,cramping gas pains. What action by the nurse is the most appropriate?
A)Reinsert the NG tube.
B)Give the PRN IV opioid.
C)Assist the patient to ambulate.
D)Place the patient on NPO status.
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Chapter 20: Assessment of Visual and Auditory Systems
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Sample Questions
Q1) A patient complains of dizziness when bending over and of nausea and dizziness associated with physical activities. The nurse will plan to teach the patient about A)tympanometry.
B)rotary chair testing.
C)pure-tone audiometry.
D)bone-conduction testing.
Q2) The nurse is performing an eye examination on a 76-yr-old patient. The nurse should refer the patient for a more extensive assessment based on which finding?
A)The patient's sclerae are light yellow.
B)The patient reports persistent photophobia.
C)The pupil recovers slowly after responding to a bright light.
D)There is a whitish gray ring encircling the periphery of the iris.
Q3) The nurse recording health histories in the outpatient clinic would plan a focused hearing assessment for adult patients taking which medication?
A)Atenolol taken to prevent angina
B)Acetaminophen taken frequently for headaches
C)Ibuprofen taken for 20 years to treat osteoarthritis
D)Albuterol taken since early childhood to treat asthma
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Chapter 21: Visual and Auditory Problems
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47 Verified Questions
47 Flashcards
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Sample Questions
Q1) The nurse evaluates that wearing bifocals improved the patient's myopia and presbyopia by assessing for
A)strength of the eye muscles.
B)both near and distant vision.
C)cloudiness in the eye lenses.
D)intraocular pressure changes.
Q2) A nurse should include which instructions when teaching a patient with repeated hordeolum how to prevent further infection?
A)Apply cold compresses.
B)Discard used eye cosmetics.
C)Wash the scalp and eyebrows with an antiseborrheic shampoo.
D)Be examined for recurrent sexually transmitted infections (STIs).
Q3) Which finding in an emergency department patient who reports being struck in the right eye with a fist is a priority for the nurse to communicate to the health care provider?
A)The patient complains of a right-sided headache.
B)The sclera on the right eye has broken blood vessels.
C)The area around the right eye is bruised and tender to the touch.
D)The patient complains of "a curtain" over part of the visual field.
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Page 23
Chapter 22: Assessment of Integumentary System
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Sample Questions
Q1) Which integumentary assessment data from an older patient admitted with bacterial pneumonia is of concern to the nurse?
A)Brown macules on extremities
B)Reports a history of allergic rashes
C)Skin wrinkled with tenting on both hands
D)Longitudinal nail ridges and sparse scalp hair
Q2) A dark-skinned patient has been admitted to the hospital with chronic heart failure. How would the nurse assess this patient for cyanosis?
A)Assess the skin color of the earlobes.
B)Apply pressure to the palms of the hands.
C)Check the lips and oral mucous membranes.
D)Examine capillary refill time of the nail beds.
Q3) When examining an older patient in the home,the home health nurse notices irregular patterns of bruising at different stages of healing on the patient's body. Which action should the nurse take first?
A)Ensure the patient wears shoes with nonslip soles.
B)Discourage using throw rugs throughout the house.
C)Talk with the patient alone and ask about the bruising.
D)Notify the health care provider so that radiographs can be ordered.
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Page 24
Chapter 23: Integumentary Problems
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Sample Questions
Q1) The health care provider diagnoses impetigo in a patient who has crusty vesicopustular lesions on the lower face. Which instructions should the nurse include in the teaching plan?
A)Clean the infected areas with soap and water.
B)Apply alcohol-based cleansers on the lesions.
C)Avoid use of antibiotic ointments on the lesions.
D)Use petroleum jelly (Vaseline) to soften crusty areas.
Q2) The nurse instructs a patient about application of corticosteroid cream to an area of contact dermatitis on the right leg. Which patient action indicates that further teaching is needed?
A)The patient takes a tepid bath before applying the cream.
B)The patient spreads the cream using a downward motion.
C)The patient applies a thick layer of the cream to the affected skin.
D)The patient covers the area with a dressing after applying the cream.
Q3) The nurse is interviewing a patient with contact dermatitis. Which finding indicates a need for patient teaching?
A)The patient applies corticosteroid cream to pruritic areas.
B)The patient adds oilated oatmeal to the bath water every day.
C)The patient uses bacitracin-neomycin-polymyxin on minor abrasions.
D)The patient takes diphenhydramine at night if persistent itching occurs.
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Chapter 24: Burns
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Sample Questions
Q1) Eight hours after a thermal burn covering 50% of a patient's total body surface area (TBSA),the nurse assesses the patient. The patient weighs 92 kg (202.4 lb). Which information would be a priority to communicate to the health care provider?
A)Blood pressure is 95/48 per arterial line.
B)Urine output of 41 mL over past 2 hours.
C)Serous exudate is leaking from the burns.
D)Heart monitor shows sinus tachycardia of 108.
Q2) A young adult patient who is in the rehabilitation phase 6 months after a severe face and neck burn tells the nurse,"I'm sorry that I'm still alive. My life will never be normal again." Which response by the nurse is best?
A)"Most people recover after a burn and feel satisfied with their lives."
B)"It's true that your life may be different.What concerns you the most?"
C)"Why do you feel that way? It will get better as your recovery progresses."
D)"It is really too early to know how much your life will be changed by the burn."
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Chapter 25: Assessment of Respiratory System
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Sample Questions
Q1) A patient is scheduled for a computed tomography (CT)scan of the chest with contrast media. Which assessment findings should the nurse report to the health care provider before the patient goes for the CT ?
A)Allergy to shellfish
B)Patient reports claustrophobia
C)Elevated serum creatinine level
D)Recent bronchodilator inhaler use
E)Inability to remove a wedding band
Q2) The nurse prepares a patient with a left-sided pleural effusion for a thoracentesis.
How should the nurse position the patient?
A)High-Fowler's position with the left arm extended
B)Supine with the head of the bed elevated 30 degrees
C)On the right side with the left arm extended above the head
D)Sitting upright with the arms supported on an over bed table
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Chapter 26: Upper Respiratory Problems
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A patient scheduled for a total laryngectomy and radical neck dissection for cancer of the larynx asks the nurse,"Will I be able to talk normally after surgery?" What is the most accurate response by the nurse?
A)"You will breathe through a permanent opening in your neck, but you will not be able to communicate orally."
B)"You won't be able to talk right after surgery, but you will be able to speak again after the tracheostomy tube is removed."
C)"You will have a permanent opening into your neck, and you will need rehabilitation for some type of voice restoration."
D)"You won't be able to speak as you used to, but there are artificial voice devices that will give you the ability to speak normally."
Q2) After a laryngectomy,a patient coughs violently during suctioning and dislodges the tracheostomy tube. Which action should the nurse take first?
A)Arrange for arterial blood gases to be drawn immediately.
B)Cover stoma with sterile gauze and ventilate through stoma.
C)Attempt to reinsert the tracheostomy tube with the obturator in place.
D)Assess the patient's oxygen saturation and notify the health care provider.
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Chapter 27: Lower Respiratory Problems
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/25362
Sample Questions
Q1) The nurse receives change-of-shift report on the following four patients. Which patient should the nurse assess first?
A)A 23-yr-old patient with cystic fibrosis who has pulmonary function testing scheduled
B)A 46-yr-old patient on bed rest who is complaining of sudden onset of shortness of breath
C)A 77-yr-old patient with tuberculosis (TB) who has four medications due in 15 minutes
D)A 35-yr-old patient who was admitted with pneumonia and has a temperature of 100.2° F (37.8° C)
Q2) The nurse provides preoperative instruction for a patient scheduled for a left pneumonectomy. Which information should the nurse include about the patient's postoperative care?
A)Bed rest for the first 24 hours
B)Positioning only on the right side
C)Frequent use of an incentive spirometer
D)Chest tube placement to continuous suction
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Chapter 28: Obstructive Pulmonary Diseases
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) The nurse interviews a patient with a new diagnosis of chronic obstructive pulmonary disease (COPD). Which information is most specific in confirming a diagnosis of chronic bronchitis?
A)The patient tells the nurse about a family history of bronchitis.
B)The patient indicates a 30 pack-year cigarette smoking history.
C)The patient reports a productive cough for 3 months every winter.
D)The patient denies having respiratory problems until the past 12 months.
Q2) The nurse teaches a patient how to administer formoterol (Perforomist)through a nebulizer. Which action by the patient indicates good understanding of the teaching?
A)The patient attaches a spacer before using the inhaler.
B)The patient coughs vigorously after using the inhaler.
C)The patient removes the facial mask when misting stops.
D)The patient activates the inhaler at the onset of expiration.
Q3) A patient is scheduled for spirometry. Which action should the nurse take to prepare the patient for this procedure?
A)Give the rescue medication immediately before testing.
B)Administer oral corticosteroids 2 hours before the procedure.
C)Withhold bronchodilators for 6 to 12 hours before the examination.
D)Ensure that the patient has been NPO for several hours before the test.
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Page 30
Chapter 29: Assessment of Hematologic System
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/25364
Sample Questions
Q1) The complete blood count (CBC)indicates that a patient is thrombocytopenic. Which action should the nurse include in the plan of care?
A)Avoid intramuscular injections.
B)Encourage increased oral fluids.
C)Check temperature every 4 hours.
D)Increase intake of iron-rich foods.
Q2) The nurse notes pallor of the skin and nail beds in a newly admitted patient. The nurse should ensure that which laboratory test has been ordered?
A)Platelet count
B)Neutrophil count
C)Hemoglobin level
D)White blood cell count
Q3) The health care provider's progress note for a patient states that the complete blood count (CBC)shows a "shift to the left." Which assessment finding will the nurse expect?
A)Cool extremities
B)Pallor and weakness
C)Elevated temperature
D)Low oxygen saturation
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Chapter 30: Hematologic Problems
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) Which information obtained by the nurse assessing a patient admitted with multiple myeloma is most important to report to the health care provider?
A)Serum calcium level is 15 mg/dL.
B)Patient reports no stool for 5 days.
C)Urine sample has Bence-Jones protein.
D)Patient is complaining of severe back pain.
Q2) The nurse is caring for a patient with type A hemophilia being admitted to the hospital with severe pain and swelling in the right knee. The nurse should
A)apply heat to the knee.
B)immobilize the knee joint.
C)assist the patient with light weight bearing.
D)perform passive range of motion to the knee.
Q3) Which finding about a patient with polycythemia vera is most important for the nurse to report to the health care provider?
A)Hematocrit 55%
B)Presence of plethora
C)Calf swelling and pain
D)Platelet count 450,000/mL
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Chapter 31: Assessment of Cardiovascular System
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24 Flashcards
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Sample Questions
Q1) The nurse is reviewing the 12-lead electrocardiograph (ECG)for a healthy 74-yr-old patient who is having an annual physical examination. What finding is of most concern to the nurse?
A)A right bundle-branch block.
B)The PR interval is 0.21 seconds.
C)The QRS duration is 0.13 seconds.
D)The heart rate (HR) is 41 beats/min.
Q2) The nurse notes that a patient who was admitted with heart failure has jugular venous distention (JVD)when lying flat in bed. Which follow-up action should the nurse take next?
A)Obtain vital signs, including oxygen saturation.
B)Have the patient perform the Valsalva maneuver.
C)Document this JVD finding in the patient's record.
D)Observe for JVD with the patient elevated 45 degrees.
Q3) To auscultate for S3 or S4 gallops in the mitral area,the nurse listens with the
A)diaphragm of the stethoscope with the patient lying flat.
B)bell of the stethoscope with the patient in the left lateral position.
C)diaphragm of the stethoscope with the patient in a supine position.
D)bell of the stethoscope with the patient sitting and leaning forward.
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Page 33
Chapter 32: Hypertension
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24 Flashcards
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Sample Questions
Q1) Which blood pressure (BP)finding by the nurse indicates that no changes in therapy are needed for a 48-yr-old patient with newly diagnosed hypertension?
A)98/56 mm Hg
B)128/76 mm Hg
C)128/92 mm Hg
D)142/78 mm Hg
Q2) The registered nurse (RN)is caring for a patient with a hypertensive crisis who is receiving sodium nitroprusside . Which nursing action can the nurse delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?
A)Evaluate effectiveness of nitroprusside therapy on blood pressure (BP).
B)Assess the patient's environment for adverse stimuli that might increase BP.
C)Titrate nitroprusside to decrease mean arterial pressure (MAP) to 115 mm Hg.
D)Set up the automatic noninvasive BP machine to take readings every 15 minutes.
Q3) The nurse obtains a blood pressure of 176/82 mm Hg for a patient. What is the patient's mean arterial pressure (MAP)?
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Page 34
Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) Which assessment finding by the nurse caring for a patient who has had coronary artery bypass grafting using a right radial artery graft is most important to communicate to the health care provider?
A)Complaints of incisional chest pain
B)Pallor and weakness of the right hand
C)Fine crackles heard at both lung bases
D)Redness on both sides of the sternal incision
Q2) After receiving change-of-shift report about the following four patients on the cardiac care unit,which patient should the nurse assess first?
A)A 39-yr-old patient with pericarditis who is complaining of sharp, stabbing chest pain
B)A 56-yr-old patient with variant angina who is scheduled to receive nifedipine (Procardia)
C)A 65-yr-old patient who had a myocardial infarction (MI) 4 days ago and is anxious about today's planned discharge
D)A 59-yr-old patient with unstable angina who has just returned after a percutaneous coronary intervention (PCI)
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Chapter 34: Heart Failure
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which diagnostic test will be most useful to the nurse in determining whether a patient admitted with acute shortness of breath has heart failure?
A)Serum troponin
B)Arterial blood gases
C)B-type natriuretic peptide
D)12-lead electrocardiogram
Q2) A patient in the intensive care unit with acute decompensated heart failure (ADHF)complains of severe dyspnea and is anxious,tachypneic,and tachycardic. Several drugs have been ordered for the patient. The nurse's priority action will be to
A)give PRN IV morphine sulfate 4 mg.
B)give PRN IV diazepam (Valium) 2.5 mg.
C)increase nitroglycerin infusion by 5 mcg/min.
D)increase dopamine infusion by 2 mcg/kg/min.
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Chapter 35: Dysrhythmias
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A patient with dilated cardiomyopathy has new onset atrial fibrillation that has been unresponsive to drug therapy for several days. Teaching for this patient would include information about
A)anticoagulant therapy.
B)permanent pacemakers.
C)emergency cardioversion.
D)IV adenosine (Adenocard).
Q2) Which nursing action can the registered nurse (RN)delegate to experienced unlicensed assistive personnel (UAP)working as telemetry technicians on the cardiac care unit?
A)Decide whether a patient's heart rate of 116 requires urgent treatment.
B)Observe heart rhythms for multiple patients who have telemetry monitoring.
C)Monitor a patient's level of consciousness during synchronized cardioversion.
D)Select the best lead for monitoring a patient admitted with acute coronary syndrome.
Q3) When analyzing an electrocardiographic (ECG)rhythm strip of a patient with a regular heart rhythm,the nurse counts 30 small blocks from one R wave to the next. The nurse calculates the patient's heart rate as ____.
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Page 37
Chapter 36: Inflammatory and Structural Heart Disorders
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The nurse is caring for a 64-yr-old patient admitted with mitral valve regurgitation. Which information obtained by the nurse when assessing the patient should be communicated to the health care provider immediately?
A)The patient has 4+ peripheral edema.
B)The patient has diffuse bilateral crackles.
C)The patient has a loud systolic murmur across the precordium.
D)The patient has a palpable thrill felt over the left anterior chest.
Q2) The nurse has identified a nursing diagnosis of acute pain related to inflammatory process for a patient with acute pericarditis. An appropriate intervention by the nurse for this problem is to
A)teach the patient to take deep, slow breaths to control the pain.
B)force fluids to 3000 mL/day to decrease fever and inflammation.
C)provide a fresh ice bag every hour for the patient to place on the chest.
D)place the patient in Fowler's position, leaning forward on the overbed table.
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Chapter 37: Vascular Disorders
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36 Flashcards
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Sample Questions
Q1) An older patient with a history of an abdominal aortic aneurysm arrives at the emergency department (ED)with severe back pain and absent pedal pulses. Which action should the nurse take first?
A)Check the blood pressure.
B)Draw blood for laboratory testing.
C)Assess for the presence of an abdominal bruit.
D)Determine any family history of heart disease.
Q2) When discussing risk factor modification for a patient who has a 5-cm abdominal aortic aneurysm,the nurse will focus teaching on which patient risk factor?
A)Male gender
B)Turner syndrome
C)Abdominal trauma history
D)Uncontrolled hypertension
Q3) The nurse is admitting a patient newly diagnosed with peripheral artery disease. Which admission order should the nurse question?
A)Cilostazol drug therapy
B)Omeprazole drug therapy
C)Use of treadmill for exercise
D)Exercise to the point of discomfort
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Page 39
Chapter 38: Assessment of Gastrointestinal System
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) After assisting with a needle biopsy of the liver at a patient's bedside,the nurse should
A)put pressure on the biopsy site using a sandbag.
B)elevate the head of the bed to facilitate breathing.
C)place the patient on the right side with the bed flat.
D)check the patient's postbiopsy coagulation studies.
Q2) A 58-yr-old patient has just returned to the nursing unit after an esophagogastroduodenoscopy (EGD). Which action by unlicensed assistive personnel (UAP)requires that the registered nurse (RN)intervene?
A)Offering the patient a pitcher of water
B)Positioning the patient on the right side
C)Checking the vital signs every 30 minutes
D)Swabbing the patient's mouth with a wet cloth
Q3) The nurse is assessing an alert and independent 78-yr-old patient for malnutrition risk. Which is the most appropriate initial question?
A)"How do you get to the store to buy your food?"
B)"Can you tell me the food that you ate yesterday?"
C)"Do you have any difficulty in preparing or eating food?"
D)"Are you taking any medications that alter your taste for food?"
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Page 40
Chapter 39: Nutritional Problems
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) After change-of-shift report,which patient will the nurse assess first?
A)A 40-yr-old woman whose parenteral nutrition infusion bag has 30 minutes of solution left
B)A 40-yr-old man with continuous enteral feedings who has developed pulmonary crackles
C)A 30-yr-old man with 4+ generalized pitting edema and severe protein-calorie malnutrition
D)A 30-yr-old woman whose gastrostomy tube is plugged after crushed medications were administered
Q2) Which action for a patient receiving tube feedings through a percutaneous endoscopic gastrostomy (PEG)may be delegated to a licensed practical/vocational nurse (LPN/LVN)?
A)Assessing the patient's nutritional status weekly
B)Providing skin care to the area around the tube site
C)Teaching the patient how to administer tube feedings
D)Determining the need for adding water to the feedings
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Chapter 40: Obesity
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) After sleeve gastrectomy,a 42-yr-old male patient returns to the surgical nursing unit with a nasogastric tube to low,intermittent suction and a patient-controlled analgesia (PCA)machine for pain control. Which nursing action should be included in the postoperative plan of care?
A)Offer sips of fruit juices at frequent intervals.
B)Irrigate the nasogastric (NG) tube frequently.
C)Remind the patient that PCA use may slow the return of bowel function.
D)Support the surgical incision during patient coughing and turning in bed.
Q2) Which nursing action is appropriate when coaching obese adults enrolled in a behavior modification program?
A)Having the adults write down the caloric intake of each meal
B)Asking the adults about situations that tend to increase appetite
C)Suggesting that the adults plan rewards, such as sugarless candy, for achieving their goals
D)Encouraging the adults to eat small amounts frequently rather than having scheduled meals
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Chapter 41: Upper Gastrointestinal Problems
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47 Verified Questions
47 Flashcards
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Sample Questions
Q1) The nurse is administering IV fluid boluses and nasogastric irrigation to a patient with acute gastrointestinal (GI)bleeding. Which assessment finding is most important for the nurse to communicate to the health care provider?
A)The bowel sounds are hyperactive in all four quadrants.
B)The patient's lungs have crackles audible to the midchest.
C)The nasogastric (NG) suction is returning coffee-ground material.
D)The patient's blood pressure (BP) has increased to 142/84 mm Hg.
Q2) The nurse will anticipate preparing an older patient who is vomiting "coffee-ground" emesis for
A)endoscopy.
B)angiography.
C)barium studies.
D)gastric analysis.
Q3) Which finding in the mouth of a patient who uses smokeless tobacco is suggestive of oral cancer?
A)Bleeding during tooth brushing
B)Painful blisters at the lip border
C)Red, velvety patches on the buccal mucosa
D)White, curdlike plaques on the posterior tongue
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Page 43
Chapter 42: Lower Gastrointestinal Problems
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55 Verified Questions
55 Flashcards
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Sample Questions
Q1) Which menu choice by the patient with diverticulosis is best for preventing diverticulitis?
A)Navy bean soup and vegetable salad
B)Whole grain pasta with tomato sauce
C)Baked potato with low-fat sour cream
D)Roast beef sandwich on whole wheat bread
Q2) A 71-yr-old patient had an abdominal-perineal resection for colon cancer. Which nursing action is most important to include in the plan of care for the day after surgery?
A)Teach about a low-residue diet.
B)Monitor output from the stoma.
C)Assess the perineal drainage and incision.
D)Encourage acceptance of the colostomy stoma.
Q3) Which prescribed intervention for a patient with chronic short bowel syndrome will the nurse question?
A)Senna 1 tablet every day
B)Ferrous sulfate 325 mg daily
C)Psyllium (Metamucil) 3 times daily
D)Diphenoxylate with atropine (Lomotil) prn loose stools
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Page 44
Chapter 43: Liver, pancreas, and Biliary Tract Problems
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46 Flashcards
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Sample Questions
Q1) Which assessment finding is of most concern for a patient with acute pancreatitis?
A)Absent bowel sounds
B)Abdominal tenderness
C)Left upper quadrant pain
D)Palpable abdominal mass
Q2) The nurse administering a-interferon and ribavirin (Rebetol)to a patient with chronic hepatitis C will plan to monitor for A)leukopenia.
B)hypokalemia.
C)polycythemia.
D)hypoglycemia.
Q3) Which assessment finding would the nurse need to report most quickly to the health care provider regarding a patient with acute pancreatitis?
A)Nausea and vomiting
B)Hypotonic bowel sounds
C)Muscle twitching and finger numbness
D)Upper abdominal tenderness and guarding
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Chapter 44: Assessment of Urinary System
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23 Flashcards
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Sample Questions
Q1) When working in the urology/nephrology clinic,which patient could the nurse delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?
A)Patient who is scheduled for a renal biopsy after a recent kidney transplant
B)Patient who will need monitoring for several hours after a renal arteriogram
C)Patient who requires teaching about possible post-cystoscopy complications
D)Patient who will have catheterization to check for residual urine after voiding
Q2) What glomerular filtration rate (GFR)would the nurse estimate for a 30-yr-old patient with a creatinine clearance result of 60 mL/min?
A)60 mL/min
B)90 mL/min
C)120 mL/min
D)180 mL/min
Q3) The nurse caring for a patient after cystoscopy plans that the patient
A)learns to request narcotics for pain.
B)understands to expect blood-tinged urine.
C)restricts activity to bed rest for 4 to 6 hours.
D)remains NPO for 8 hours to prevent vomiting.
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Page 46
Chapter 45: Renal and Urologic Problems
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45 Flashcards
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Sample Questions
Q1) A 56-yr-old female patient is admitted to the hospital with new-onset nephrotic syndrome. Which assessment data will the nurse expect?
A)Poor skin turgor
B)Recent weight gain
C)Elevated urine ketones
D)Decreased blood pressure
Q2) Which information will the nurse include when teaching the patient with a urinary tract infection (UTI)about the use of phenazopyridine?
A)Take phenazopyridine for at least 7 days.
B)Phenazopyridine may cause photosensitivity
C)Phenazopyridine may change the urine color
D)Take phenazopyridine before sexual intercourse.
Q3) Which finding by the nurse will be most helpful in determining whether a 67-yr-old patient with benign prostatic hyperplasia has an upper urinary tract infection (UTI)?
A)Bladder distention
B)Foul-smelling urine
C)Suprapubic discomfort
D)Costovertebral tenderness
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Chapter 46: Acute Kidney Injury and Chronic Kidney Disease
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38 Verified Questions
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Sample Questions
Q1) Sodium polystyrene sulfonate (Kayexalate)is ordered for a patient with hyperkalemia. Before administering the medication,the nurse should assess the A)bowel sounds.
B)blood glucose.
C)blood urea nitrogen (BUN).
D)level of consciousness (LOC).
Q2) A 62-yr-old female patient has been hospitalized for 4 days with acute kidney injury (AKI)caused by dehydration. Which information will be most important for the nurse to report to the health care provider?
A)The creatinine level is 3.0 mg/dL.
B)Urine output over an 8-hour period is 2500 mL.
C)The blood urea nitrogen (BUN) level is 67 mg/dL.
D)The glomerular filtration rate is less than 30 mL/min/1.73 m2.
Q3) Before administration of captopril to a patient with stage 2 chronic kidney disease (CKD),the nurse will check the patient's A)glucose.
B)potassium.
C)creatinine.
D)phosphate.
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Chapter 47: Assessment of Endocrine System
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22 Flashcards
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Sample Questions
Q1) A 61-yr-old female patient admitted with pneumonia has a total serum calcium level of 13.3 mg/dL (3.3 mmol/L). The nurse will anticipate the need to teach the patient about testing for _____ levels.
A)calcitonin
B)catecholamine
C)thyroid hormone
D)parathyroid hormone
Q2) A patient with a possible pituitary adenoma is scheduled for a computed tomography (CT)scan with contrast media. Which patient information is important for the nurse to communicate to the health care provider before the test?
A)Bilateral poor peripheral vision
B)Allergies to iodine and shellfish
C)Recent weight loss of 20 lb
D)Complaint of ongoing headaches
Q3) The nurse reviews a patient's glycosylated hemoglobin (A1C)results to evaluate
A)fasting preprandial glucose levels.
B)glucose levels 2 hours after a meal.
C)glucose control over the past 90 days.
D)hypoglycemic episodes in the past 3 months.
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Page 49
Chapter 48: Diabetes Mellitus
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Sample Questions
Q1) An unresponsive patient with type 2 diabetes is brought to the emergency department and diagnosed with hyperosmolar hyperglycemic syndrome (HHS). The nurse will anticipate the need to
A)give 50% dextrose.
B)insert an IV catheter.
C)initiate O2 by nasal cannula.
D)administer glargine (Lantus) insulin.
Q2) A 27-yr-old patient admitted with diabetic ketoacidosis (DKA)has a serum glucose level of 732 mg/dL and serum potassium level of 3.1 mEq/L. Which action prescribed by the health care provider should the nurse take first?
A)Place the patient on a cardiac monitor.
B)Administer IV potassium supplements.
C)Ask the patient about home insulin doses.
D)Start an insulin infusion at 0.1 units/kg/hr.
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Chapter 49: Endocrine Problems
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Sample Questions
Q1) A patient has just arrived on the unit after a thyroidectomy. Which action should the nurse take first?
A)Observe the dressing for bleeding.
B)Check the blood pressure and pulse.
C)Assess the patient's respiratory effort.
D)Support the patient's head with pillows.
Q2) A 56-yr-old patient who is disoriented and reports a headache and muscle cramps is hospitalized with possible syndrome of inappropriate antidiuretic hormone (SIADH). The nurse would expect the initial laboratory results to include a(n)
A)elevated hematocrit.
B)decreased serum sodium.
C)increased serum chloride.
D)low urine specific gravity.
Q3) Which information will the nurse teach a patient who has been newly diagnosed with Graves' disease?
A)Exercise is contraindicated to avoid increasing metabolic rate.
B)Restriction of iodine intake is needed to reduce thyroid activity.
C)Antithyroid medications may take several months for full effect.
D)Surgery will eventually be required to remove the thyroid gland.
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Page 51
Chapter 50: Assessment of Reproductive System
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Sample Questions
Q1) An 18-yr-old female patient who has been admitted to the emergency department after a motor vehicle crash is scheduled for chest and abdominal x-rays. Which information may alter the plans for the x-rays?
A)Report of abdominal pain
B)Positive result of hCG test
C)Blood pressure of 172/88 mm Hg
D)Temperature of 102.1°F (38.9°C)
Q2) A 22-yr-old patient reports her concern about not having a menstrual period for the past 7 months. Which statement by the patient indicates a possible related factor to the amenorrhea?
A)"I drink at least 3 glasses of nonfat milk every day."
B)"I run 7 to 8 miles every day to manage my weight."
C)"I am not sexually active but currently I have an IUD."
D)"I was treated for a sexually transmitted infection 2 years ago."
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Chapter 51: Breast Disorders
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Sample Questions
Q1) The nurse will anticipate teaching a patient who is diagnosed with lobular carcinoma in situ (LCIS)about
A)tamoxifen
B)lumpectomy.
C)lymphatic mapping.
D)MammaPrint testing.
Q2) Which information should the nurse include in teaching a patient who is scheduled for external beam radiation to the breast?
A)The radiation therapy will take a week to complete.
B)Careful skin care in the radiated area will be necessary.
C)Visitors are restricted until the radiation therapy is completed.
D)Wigs may be used until the hair regrows after radiation therapy.
Q3) Which action will the nurse include in the plan of care for a patient with right arm lymphedema?
A)Avoid isometric exercise on the right arm.
B)Assist with application of a compression sleeve.
C)Keep the right arm at or below the level of the heart.
D)Check blood pressure (BP) on both right and left arms.
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53
Chapter 52: Sexually Transmitted Infections
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19 Flashcards
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Sample Questions
Q1) A 32-yr-old patient who is diagnosed with Chlamydia tells the nurse that she is very angry because her husband is her only sexual partner. Which response should the nurse make first?
A)"You may need professional counseling to help resolve your anger."
B)"It is understandable that you feel angry about contracting an infection."
C)"Your feelings are justified and you should share them with your husband."
D)"It is important that both you and your husband be treated for the infection."
Q2) Which statement by a 24-yr-old patient indicates that the nurse's teaching about management of primary genital herpes has been effective?
A)"I will use acyclovir ointment on the area to relieve the discomfort."
B)"I will use condoms for intercourse until the medication is all gone."
C)"I will take the acyclovir (Zovirax) every 8 hours for the next week."
D)"I will need to take all of the medication to be sure the infection is cured."
Q3) Which infection,reported in the health history of a female patient who is having difficulty conceiving,will the nurse identify as a risk factor for infertility?
A)N.gonorrhoeae
B)Treponema pallidum
C)Condyloma acuminatum
D)Herpes simplex virus type 2
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Page 54
Chapter 53: Female Reproductive and Genital Problems
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/25388
Sample Questions
Q1) To prevent pregnancy in a patient who has been sexually assaulted,the nurse in the emergency department will plan to teach the patient about the use of A)mifepristone .
B)dilation and evacuation.
C)methotrexate with misoprostol.
D)levonorgestrel (Plan-B One-Step).
Q2) The nurse will plan to teach a 34-yr-old patient diagnosed with stage 0 cervical cancer about A)radiation.
B)conization.
C)chemotherapy. D)radical hysterectomy.
Q3) A patient was recently diagnosed with polycystic ovary syndrome. It is most important for the nurse to teach the patient A)reasons for a total hysterectomy.
B)how to decrease facial hair growth.
C)ways to reduce the occurrence of acne.
D)methods to maintain appropriate weight.
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Chapter 54: Male Reproductive and Genital Problems
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/25389
Sample Questions
Q1) When caring for a patient with continuous bladder irrigation after having transurethral resection of the prostate,which action could the nurse delegate to unlicensed assistive personnel (UAP)?
A)Teach the patient how to perform Kegel exercises.
B)Report any complaints of pain or spasms to the nurse.
C)Monitor for increases in bleeding or presence of clots.
D)Increase the flow rate of the irrigation if clots are noted.
Q2) Which information will the nurse teach a patient who has chronic prostatitis?
A)Ibuprofen (Motrin) should provide good pain control.
B)Prescribed antibiotics should be taken for 7 to 10 days.
C)Intercourse or masturbation will help relieve symptoms.
D)Cold packs used every 4 hours will decrease inflammation.
Q3) A patient tells the nurse that he decided to seek treatment for erectile dysfunction (ED)because his wife "is losing patience with the situation." The nurse's follow-up questions should focus on the man's identified concern with A)low self-esteem.
B)role performance.
C)increased anxiety.
D)infrequent intercourse.
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Page 56
Chapter 55: Assessment of Nervous System
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/25390
Sample Questions
Q1) Which nursing action will be included in the plan of care for a patient who has had cerebral angiography?
A)Monitor for headache and photophobia.
B)Keep patient NPO until gag reflex returns.
C)Check pulse and blood pressure frequently.
D)Assess orientation to person, place, and time.
Q2) The nurse performing a focused assessment of left posterior temporal lobe functions will assess the patient for
A)sensation on the left side of the body.
B)reasoning and problem-solving ability.
C)ability to understand written and oral language.
D)voluntary movements on the right side of the body.
Q3) During the neurologic assessment,the patient is unable to respond verbally to the nurse but cooperates with the nurse's directions to move his hands and feet. The nurse will suspect
A)cerebellar injury.
B)a brainstem lesion.
C)frontal lobe damage.
D)a temporal lobe lesion.
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Page 57
Chapter 56: Acute Intracranial Problems
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/25391
Sample Questions
Q1) Admission vital signs for a brain-injured patient are blood pressure of 128/68 mm Hg,pulse of 110 beats/min,and of respirations 26 breaths/min. Which set of vital signs,if taken 1 hour later,will be of most concern to the nurse?
A)Blood pressure of 154/68 mm Hg, pulse of 56 beats/min, respirations of 12 breaths/min
B)Blood pressure of 134/72 mm Hg, pulse of 90 beats/min, respirations of 32 breaths/min
C)Blood pressure of 148/78 mm Hg, pulse of 112 beats/min, respirations of 28 breaths/min
D)Blood pressure of 110/70 mm Hg, pulse of 120 beats/min, respirations of 30 breaths/min
Q2) After the emergency department nurse has received a status report on the following patients who have been admitted with head injuries,which patient should the nurse assess first?
A)A 20-yr-old patient whose cranial x-ray shows a linear skull fracture
B)A 50-yr-old patient who has an initial Glasgow Coma Scale score of 13
C)A 30-yr-old patient who lost consciousness for a few seconds after a fall
D)A 40-yr-old patient whose right pupil is 10 mm and unresponsive to light
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Chapter 57: Stroke
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/25392
Sample Questions
Q1) Several weeks after a stroke,a 50-yr-old male patient has impaired awareness of bladder fullness,resulting in urinary incontinence. Which nursing intervention should be planned to begin an effective bladder training program?
A)Limit fluid intake to 1200 mL daily to reduce urine volume.
B)Assist the patient onto the bedside commode every 2 hours.
C)Perform intermittent catheterization after each voiding to check for residual urine.
D)Use an external "condom" catheter to protect the skin and prevent embarrassment.
Q2) The nurse is caring for a patient who has been experiencing stroke symptoms for 60 minutes. Which action can the nurse delegate to a licensed practical/vocational nurse (LPN/LVN)?
A)Assess the patient's gag and cough reflexes.
B)Determine when the stroke symptoms began.
C)Administer the prescribed short-acting insulin.
D)Infuse the prescribed IV metoprolol (Lopressor).
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Chapter 58: Chronic Neurologic Problems
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/25393
Sample Questions
Q1) The home health registered nurse (RN)is planning care for a patient with a seizure disorder related to a recent head injury. Which nursing action can be delegated to a licensed practical/vocational nurse (LPN/LVN)?
A)Make referrals to appropriate community agencies.
B)Place medications in the home medication organizer.
C)Teach the patient and family how to manage seizures.
D)Assess for use of medications that may precipitate seizures.
Q2) When a 74-yr-old patient is seen in the health clinic with new development of a stooped posture,shuffling gait,and pill rolling-type tremor,the nurse will anticipate teaching the patient about
A)oral corticosteroids.
B)antiparkinsonian drugs.
C)magnetic resonance imaging (MRI).
D)electroencephalogram (EEG) testing.
Q3) A patient who is having an acute exacerbation of multiple sclerosis has a prescription for methylprednisolone (Solu-Medrol)150 mg IV. The label on the vial reads: methylprednisolone 125 mg in 2 mL. How many mL will the nurse administer?
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Chapter 59: Dementia and Delirium
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21 Flashcards
Source URL: https://quizplus.com/quiz/25394
Sample Questions
Q1) A patient who has severe Alzheimer's disease (AD)is being admitted to the hospital for surgery. Which intervention will the nurse include in the plan of care?
A)Encourage the patient to discuss events from the past.
B)Maintain a consistent daily routine for the patient's care.
C)Reorient the patient to the date and time every 2 to 3 hours.
D)Provide the patient with current newspapers and magazines.
Q2) Which actions could the nurse delegate to a licensed practical/vocational nurse (LPN/LVN)who is part of the team caring for a patient with Alzheimer's disease ?
A)Develop a plan to minimize difficult behavior.
B)Administer the prescribed memantine (Namenda).
C)Remove potential safety hazards from the patient's environment.
D)Refer the patient and caregivers to appropriate community resources.
E)Help the patient and caregivers choose memory enhancement methods.
F)Evaluate the effectiveness of the prescribed enteral feedings on patient nutrition.
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Chapter 60: Spinal Cord and Peripheral Nerve Problems
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/25395
Sample Questions
Q1) Which nursing action has the highest priority for a patient who was admitted 16 hours earlier with a C5 spinal cord injury?
A)Cardiac monitoring for bradycardia
B)Assessment of respiratory rate and effort
C)Administration of low-molecular-weight heparin
D)Application of pneumatic compression devices to legs
Q2) A patient with paraplegia resulting from a T9 spinal cord injury has a neurogenic reflexic bladder. Which action will the nurse include in the plan of care?
A)Teach the patient the Credé method.
B)Instruct the patient how to self-catheterize.
C)Catheterize for residual urine after voiding.
D)Assist the patient to the toilet every 2 hours.
Q3) The nurse is admitting a patient who has a neck fracture at the C6 level to the intensive care unit. Which assessment findings indicate neurogenic shock?
A)Involuntary and spastic movement
B)Hypotension and warm extremities
C)Hyperactive reflexes below the injury
D)Lack of sensation or movement below the injury
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Chapter 61: Assessment of Musculoskeletal System
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15 Flashcards
Source URL: https://quizplus.com/quiz/25396
Sample Questions
Q1) A patient with severe kyphosis is scheduled for dual-energy x-ray absorptiometry (DXA)testing. The nurse will plan to
A)explain the procedure.
B)start an IV line for contrast medium injection.
C)give an oral sedative 60 to 90 minutes before the procedure.
D)screen the patient for allergies to shellfish or iodine products.
Q2) Which finding for a 77-yr-old patient seen in the outpatient clinic requires further nursing assessment and intervention?
A)Symmetric joint swelling of fingers
B)Decreased right knee range of motion
C)Report of left hip aching when jogging
D)History of recent loss of balance and fall
Q3) Which information in a 67-yr-old woman's health history will alert the nurse to the need for a more focused assessment of the musculoskeletal system?
A)The patient sprained her ankle at age 13.
B)The patient's mother became shorter with aging.
C)The patient takes ibuprofen for occasional headaches.
D)The patient's father died of complications of miliary tuberculosis.
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63
Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/25397
Sample Questions
Q1) A patient who has had open reduction and internal fixation (ORIF)of a hip fracture tells the nurse he is ready to get out of bed for the first time. Which action should the nurse take?
A)Check the patient's prescribed weight-bearing status.
B)Use a mechanical lift to transfer the patient to the chair.
C)Delegate the transfer to nursing assistive personnel (NAP).
D)Decrease the pain medication before getting the patient up.
Q2) A pedestrian who was hit by a car is admitted to the emergency department with possible right lower leg fractures. The initial action by the nurse should be to
A)elevate the right leg.
B)splint the lower leg.
C)assess the pedal pulses.
D)verify tetanus immunization.
Q3) A factory line worker has repetitive strain syndrome in the left elbow. The nurse will plan to teach the patient about
A)surgical options.
B)elbow injections.
C)wearing a left wrist splint.
D)modifying arm movements.
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Chapter 63: Musculoskeletal Problems
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/25398
Sample Questions
Q1) An assessment finding for a 55-yr-old patient that alerts the nurse to the presence of osteoporosis is
A)bowed legs.
B)a loss of height.
C)the report of frequent falls.
D)an aversion to dairy products.
Q2) Which actions will the nurse include in the plan of care for a patient with metastatic bone cancer of the left femur ?
A)Monitor serum calcium.
B)Teach about the need for strict bed rest.
C)Discontinue use of sustained-release opioids.
D)Support the left leg when repositioning the patient.
E)Support family and patient as they discuss the prognosis.
Q3) Which nursing action included in the care of a patient after laminectomy can the nurse delegate to experienced unlicensed assistive personnel (UAP)?
A)Check ability to plantar and dorsiflex the foot.
B)Determine the patient's readiness to ambulate.
C)Log roll the patient from side to side every 2 hours.
D)Ask about pain management with the patient-controlled analgesia (PCA).
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Page 65
Chapter 64: Arthritis and Connective Tissue Diseases
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/25399
Sample Questions
Q1) Which statement by a patient with systemic lupus erythematosus (SLE)indicates the patient has understood the nurse's teaching about the condition?
A)"I will exercise even if I am tired."
B)"I will use sunscreen when I am outside."
C)"I should avoid nonsteroidal antiinflammatory drugs."
D)"I should take birth control pills to avoid getting pregnant."
Q2) Which result for a patient with systemic lupus erythematosus (SLE)is most important for the nurse to communicate to the health care provider?
A)Decreased C-reactive protein (CRP)
B)Elevated blood urea nitrogen (BUN)
C)Positive antinuclear antibodies (ANA)
D)Positive lupus erythematosus cell prep
Q3) Which action will the nurse include in the plan of care for a patient with newly diagnosed ankylosing spondylitis?
A)Advise the patient to sleep on the back with a flat pillow.
B)Emphasize that application of heat may worsen symptoms.
C)Schedule annual laboratory assessment for the HLA-B27 antigen.
D)Assist patient to choose physical activities that involve spinal flexion.
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66
Chapter 65: Critical Care
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/25400
Sample Questions
Q1) After change-of-shift report,which patient should the progressive care nurse assess first?
A)Patient who was extubated this morning and has a temperature of 101.4°F (38.6°C)
B)Patient with bilevel positive airway pressure (BiPAP) for obstructive sleep apnea and a respiratory rate of 16
C)Patient with arterial pressure monitoring who is 2 hours post-percutaneous coronary intervention and needs to void
D)Patient who is receiving IV heparin for a venous thromboembolism and has a partial thromboplastin time (PTT) of 101 sec
Q2) A patient's vital signs are pulse 90,respirations 24,and BP 128/64 mm Hg,and cardiac output is 4.7 L/min. The patient's stroke volume is _____ mL. (Round to the nearest whole number.)
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Chapter 66: Shock, sepsis, and Multiple Organ Dysfunction Syndrome
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/25401
Sample Questions
Q1) A patient who has neurogenic shock is receiving a phenylephrine infusion through a right forearm IV. Which assessment finding obtained by the nurse indicates a need for immediate action?
A)The patient's heart rate is 58 beats/min.
B)The patient's extremities are warm and dry.
C)The patient's IV infusion site is cool and pale.
D)The patient's urine output is 28 mL over the past hour.
Q2) After receiving 2 L of normal saline,the central venous pressure for a patient who has septic shock is 10 mm Hg,but the blood pressure is still 82/40 mm Hg. The nurse will anticipate an order for
A)furosemide .
B)nitroglycerin .
C)norepinephrine .
D)sodium nitroprusside .
Q3) A 198-lb patient is to receive a dobutamine infusion at 5 mcg/kg/min. The label on the infusion bag states: dobutamine 250 mg in 250 mL of normal saline. When setting the infusion pump,the nurse will set the infusion rate at how many milliliters per hour?
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Page 68
Chapter 67: Acute Respiratory Failure and Acute
Respiratory Distress Syndrome
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/25402
Sample Questions
Q1) A nurse is caring for a patient who is orally intubated and receiving mechanical ventilation. To decrease the risk for ventilator-associated pneumonia,which action will the nurse include in the plan of care?
A)Elevate head of bed to 30 to 45 degrees.
B)Give enteral feedings at no more than 10 mL/hr.
C)Suction the endotracheal tube every 2 to 4 hours.
D)Limit the use of positive end-expiratory pressure.
Q2) Which actions should the nurse start to reduce the risk for ventilator-associated pneumonia (VAP)?
A)Obtain arterial blood gases daily.
B)Provide a "sedation holiday" daily.
C)Give prescribed pantoprazole (Protonix).
D)Elevate the head of the bed to at least 30°.
E)Provide oral care with chlorhexidine (0.12%) solution daily.
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69
Chapter 68: Emergency and Disaster Nursing
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/25403
Sample Questions
Q1) During the primary assessment of a victim of a motor vehicle collision,the nurse determines that the patient has an unobstructed airway. Which action should the nurse take next?
A)Palpate extremities for bilateral pulses.
B)Observe the patient's respiratory effort.
C)Check the patient's level of consciousness.
D)Examine the patient for any external bleeding.
Q2) A patient arrives in the emergency department (ED)after topical exposure to powdered lime at work. Which action should the nurse take first?
A)Obtain the patient's vital signs.
B)Obtain a baseline complete blood count.
C)Decontaminate the patient by showering with water.
D)Brush off any visible powder on the skin and clothing.
Q3) A patient arrives in the emergency department (ED)several hours after taking "25 to 30" acetaminophen (Tylenol)tablets. Which action will the nurse plan to take?
A)Give N-acetylcysteine.
B)Discuss the use of chelation therapy.
C)Start oxygen using a non-rebreather mask.
D)Have the patient drink large amounts of water.
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