

Fundamentals of Nursing
Midterm Exam
Course Introduction
Fundamentals of Nursing introduces students to the essential concepts, skills, and principles of nursing practice. This course covers the foundational theories of nursing, the nursing process, ethical and legal considerations, and patient-centered care. Through a combination of classroom instruction and hands-on clinical experiences, students learn basic nursing procedures, communication techniques, and methods for assessing and meeting the physical, emotional, and cultural needs of patients across the lifespan. Emphasis is placed on developing critical thinking, professionalism, and a holistic approach to health promotion and disease prevention.
Recommended Textbook
Introduction to Medical Surgical Nursing 5th Edition by Linton
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56 Chapters
1705 Verified Questions
1705 Flashcards
Source URL: https://quizplus.com/study-set/497

Page 2

Chapter 1: The Health Care System
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/9178
Sample Questions
Q1) The nurse clarifies that health care benefits supported by both federal and state funding are exemplified in:
A) Cost-containment prospective funding
B) Department of Health and Human Services (DHHS) Social Security benefits for dentures
C) Centers for Disease Control and Prevention (CDC) surveillance of persons at risk for acquired immunodeficiency syndrome (AIDS)
D) Medicaid provision for skilled care in the home
Answer: D
Q2) In discussing the discharge to a transitional subacute facility with a 72-year-old patient with diabetes who has had both legs amputated,the nurse informs the patient that his stay in the new facility will be limited to:
A) 25 days
B) 50 days
C) 75 days
D) Is totally unlimited
Answer: D
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Chapter 2: Patient Care Settings
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/9179
Sample Questions
Q1) The nurse clarifies to a new patient in a rehabilitation center that rehabilitation means that the patient will:
A) Return to his previous level of functioning.
B) Be counseled into a new career.
C) Develop better coping skills to accept his disability.
D) Attain the greatest degree of independence possible.
Answer: D
Q2) The home health nurse,while in the home to change a decubitus dressing,notices that the wound has a musky odor and is weepier than the last visit,2 days earlier.Prioritize these nursing interventions for this situation:
A) Contact the case manager.
B) Assess the patient's entire skin, vital signs, and be prepared to describe the wound findings.
C) Cleanse the decubitus area well, and redress the wound.
D) Chart the appearance of the decubitus completely.
E) Assess the patient's mobility.
Answer: B,C,E,D,A
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Chapter 3: Legal and Ethical Considerations
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/9180
Sample Questions
Q1) The LPN/LVN charted that "the patient was drunk and acted in a crazy manner." The team leader has cautioned that such documentation would leave the LPN/LVN open to charges of commission of the intentional tort of:
A) Assault
B) Wrongful publication
C) Defamation of character
D) Invasion of privacy
Answer: C
Q2) Prioritize the steps in solving an ethical dilemma.
A) Evaluate the outcome.
B) Plan an approach.
C) Visualize the consequences.
D) Take action.
E) Identify the problem.
Answer: E,B,C,D,A
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Chapter 4: The Leadership Role of the Licensed Practical
Nurse
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/9181
Sample Questions
Q1) The team leader assigns LPN/LVN A to patient care in rooms 123 and 129,explaining some of the special higher level care that these patients will need.Nurse aides G and F are assigned to the rest of the hall,splitting the numbers of patients needing total care versus partial care.Their care duties are discussed in detail.Making assignments according to skill level is an example of:
A) Planning
B) Organizing
C) Evaluating
D) Directing
Q2) An LPN/LVN took the responsibility of working with the equipment company representative to learn about some new equipment coming to the facility.The LPN/LVN then developed and presented in-service teaching to the rest of the staff.This LPN/LVN is managing under management theory ____________________.
Q3) Laissez-faire leadership is the opposite of:
A) Authoritarian
B) Bureaucratic
C) Democratic
D) Participative
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Chapter 5: The Nurse-Patient Relationship
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/9182
Sample Questions
Q1) The nurse assessing a patient's affect is trying to discern the patient's:
A) Problem
B) Mood
C) Orientation
D) Needs
Q2) A 6-year-old who is brought to the Public Health Clinic Building to receive immunizations for the beginning of school would be properly classified for service as a:
A) Patient
B) Child
C) Customer
D) Client
Q3) The nurse explains that a pamphlet called the "Patient Care Partnership" was created by the:
A) Joint Commission for Accreditation of Hospitals
B) Medicare/Medicaid Act
C) Social Security Act
D) American Hospital Association
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Chapter 6: Cultural Aspects of Nursing Care
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/9183
Sample Questions
Q1) A severely injured adult man is brought into the emergency department after an automobile accident and is given two units of O-negative blood while waiting for a cross-match to be completed for the other four units of blood that the physician has ordered.The nurse discovers a card identifying the man as a Jehovah's Witness.The nurse should:
A) Inform the laboratory to hold the process on typing and cross-matching the four units of blood.
B) Call the hospital administration to obtain a court order to intervene.
C) Inform the physician that the patient is a Jehovah's Witness.
D) Remove all tourniquets and cardiac monitoring devices.
Q2) At the request of the family,the instructor makes an assignment change for a black male student who had been assigned to take care of a postpartum Muslim woman.The culturally competent nurse is aware that the request by the family was made because:
A) Muslim culture does not allow black practitioners to care for women.
B) Muslim culture prefers that women health care providers care for Muslim women.
C) The husband will be present, and he will object.
D) After childbirth, all care must be performed by women.
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Page 8

Chapter 7: The Nurse and the Family
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9184
Sample Questions
Q1) The nurse is designing a home care plan for a child with a congenital disease and is assessing the family values regarding home care.The nurse will use as her best source:
A) Current literature on congenital deformities
B) General knowledge of the culture
C) Patient's family
D) Written survey
Q2) For the past three evenings,shortly after their arrival in the hospital unit,the parents of a 14-year-old daughter begin to argue about the cost of the hospitalization and the time required to come to the hospital.The patient begins to cry and complains about her abdominal pain.The nurse assesses that the patient is assuming the role of:
A) Caretaker
B) Martyr
C) Blocker
D) Scapegoat
Q3) The nurse congratulates the patient for successfully coping with a family crisis.The state of having used coping strategies effectively is classified as
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Chapter 8: Health and Illness
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9185
Sample Questions
Q1) The nurse explains that by adopting the "sick role," the person who is ill is: (Select all that apply.)
A) Exempt from usual roles
B) Seeking attention
C) Expected to get well
D) Actively seeking remedy
E) Using illness as excuse for failure
Q2) The nurse clarifies that nontraditional remedies are becoming popular because: (Select all that apply.)
A) Many remedies are available without a prescription.
B) Remedies do not interfere with traditional medications.
C) Treatment modalities can be self-taught.
D) Practitioners charge lower fees than medical physicians.
E) Remedies are noninvasive.
Q3) The term that the nurse uses to refer to persons who fail to maintain treatment protocols is ____________________.
Q4) A tendency of biologic systems to maintain stability of the internal environment while continually adjusting to changes is ____________________.
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Chapter 9: Nutrition
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/9186
Sample Questions
Q1) A 13-year-old patient is 5 feet,6 inches tall,weighs 102 pounds,and is constantly worried about getting "too fat" and is refusing to eat.The nurse assesses that the patient is suffering from:
A) Bulimia
B) Anorexia nervosa
C) Malabsorption
D) Peptic ulcer
Q2) Lipoproteins carry cholesterol in the bloodstream.For this reason,primary caregivers are interested in monitoring lipid-density profiles.Which one of the following is of primary interest to the primary caregiver in relationship to the patient's risk for cardiovascular disease?
A) Very low-density lipoproteins (VLDLs) and hematocrit (Hct)
B) VLDLs and high-density lipoproteins (HDLs)
C) Low-density lipoproteins (LDLs) and hemoglobin (Hgb)
D) LDLs and HDLs
Q3) Starches,glycogen,and fibers are:
A) Simple sugars
B) Monosaccharides
C) Disaccharides/fatty acids
D) Polysaccharides
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Chapter 10: Developmental Processes
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9187
Sample Questions
Q1) The nurse explains that intimacy means that a relationship has developed that:
A) Allows for sexual expression
B) Gives priority to the well-being of another over one's own
C) Guarantees a suitable setting for the selection of a partner
D) Requires exclusion of all others
Q2) When planning care,the nurse takes into consideration that developmental tasks are:
A) All the activities performed throughout life
B) Activities learned primarily in the middle years of life
C) Things to be learned and accomplished in each stage of life
D) All actions taken when confronted with specific problems
Q3) The nurse takes into consideration that the group of adults that must accept role reversal with their parents is:
A) Younger adults
B) Old young adults
C) Middle-aged adults
D) Older-aged adults
Q4) The nurse assesses that the 22-year-old woman who is totally committed to her career and who does not date or socialize is experiencing the Eriksonian crises of
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Chapter 11: The Older Patient
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/9188
Sample Questions
Q1) A new 72-year-old resident of a long-term care facility naps frequently during the day,stating that he is tired.The nurse should:
A) Obtain an order from the primary caregiver for a sedative.
B) Ask the patient if he is sleeping well at night.
C) Plan activities to keep the patient awake during the day.
D) Tell the patient that he cannot take any more naps.
Q2) The nurse in a long-term care facility takes extra precaution in the approach to nursing care because the older adult is more prone to respiratory infection because of:
A) Decreased ciliary action
B) Decreased physical activity
C) Inadequate hydration
D) Poor personal hygiene
Q3) When gathering data concerning the musculoskeletal system,the most significant assessment would be:
A) Slow gait
B) Degree of motion of all joints
C) Enlarged joints
D) Crepitus in joints
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13

Chapter 12: The Nursing Process and Critical Thinking
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9189
Sample Questions
Q1) The most effective documentation is:
A) 7/27; 9:45 AM; pt. vomited; pt. looked better after episode-A. Nurse, LPN
B) 7/27; 9:45 AM; pt. vomited large amount; reduced nausea
C) 7/27; 9:45 AM; pt. reported less nausea after vomiting-A. Nurse, LPN
D) 7/27; 0945; pt. vomited 200 ml of partially digested food; pt. states nausea has diminished-A. Nurse, LPN
Q2) Characteristics of critical thinking include:
A) Interpretation, analysis, and evaluation
B) Patient-centered criteria and problem solving
C) Realistic outcomes and frequent evaluation
D) Data gathering and assessment
Q3) Examine this goal statement: Patient will walk in the hall unassisted.The two missing components for a correctly stated goal in this example are the descriptors for ____________________ and ____________________.
Q4) When a patient plan of care has been written,it:
A) Is continually reviewed and evaluated.
B) Must be reviewed by the primary caregiver.
C) Remains in effect until the patient is discharged.
D) Can only be changed by the initiating nurse.
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Chapter 13: Inflammation, Infection, and Immunity
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9190
Sample Questions
Q1) With the exposure to an antigen,the nurse explains that the initiator of the inflammatory response is the presence of histamine,which is released by the:
A) Neutrophils
B) Eosinophils
C) Basophils
D) Monocytes
Q2) The patient receiving a large intramuscular (IM)dose of antibiotic was asked to please wait 20 to 30 minutes before checking out.The reason for this request is that:
A) The office staff needs to make sure that the right medicine was administered before the patient leaves.
B) The nurse always forgets to ask the patient about allergies before administering the antibiotic.
C) Antibiotics are a common source of severe allergic reactions within the first few minutes after an injection.
D) The staff wants to make sure that the patient has time to pay for the services delivered that day.
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15

Chapter 14: Fluids and Electrolytes
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9191
Sample Questions
Q1) The nurse instructs a family that the blood being brought by the incoming capillaries into the kidney,which contains nitrogenous substances to be excreted as waste,involves the process of:
A) Active transport
B) Diffusion
C) Filtration
D) Osmosis
Q2) Older adults are at risk for dehydration because of reduced thirst and aging kidneys.The nurse monitors for the early indicator of dehydration,which is:
A) Reduced skin turgor
B) Constipation
C) Concentrated urine
D) Disorientation
Q3) The nurse instructs that the healthy kidney adjusts the volume and composition of the filtrate that prevents excessive fluid loss by:
A) Active transport
B) Filtration in the lymphatic system
C) Secretion of adrenalin
D) Tubular reabsorption
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Page 16

Chapter 15: Pain Management
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9192
Sample Questions
Q1) In performing a pain assessment,the LPN/LVN would follow which steps?
A) Assess vital signs, status of pain, and aggravating factors.
B) Assess location, quality, and intensity on an identified scale.
C) Assess the intensity on an identified scale and record findings.
D) Assess vital signs and location, and report to the RN.
Q2) The nurse instructs a patient who has had a rhizotomy for leg pain that:
A) Relief may not be permanent.
B) The leg will tingle and burn occasionally.
C) The foot may discolor and twitch at times.
D) Snug shoes should be worn at all times.
E) Caution should be taken to prevent injury to the leg.
Q3) The nurse has assessed that prolonged and unrelieved pain will:
A) Release endorphins
B) Lower the pain threshold
C) Stimulate gate control
D) Lower the blood pressure
Q4) The nurse explains that afferent pathways are activated by pain receptors called ____________________.
Q5) ____________________ and ____________________ are natural opioid-like substances that block pain perception.
Page 17
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Chapter 16: First Aid, Emergency Care, and Disaster Management
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9193
Sample Questions
Q1) The nurse intervenes for a patient with a perforation of the right eye by which of the following? (Place the interventions in the appropriate sequence.)
A) Cover the right eye with an eye shield.
B) Place the patient in a Fowler position.
C) Clean around the right eye.
D) Cover the left eye with a light occlusive dressing.
E) Darken the room.
Q2) When the nurse notes paradoxical respiration in a patient in the emergency department who fell off some scaffolding,the nurse applies ____________________ to the ribs.
Q3) When the accident victim comes to the emergency department with an open chest wound,the nurse should apply to the wound:
A) Occlusive dressing taped on four sides
B) Tight Ace bandage wrap
C) No dressing of any sort
D) Vented dressing, taped on three sides
Q4) The nurse in the emergency department knows that tissue damage has probably occurred in the person with hypothermia when a rectal temperature of ____________________ is assessed.
Page 18
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Chapter 17: Surgical Care
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9194
Sample Questions
Q1) The nurse discovers on the preoperative assessment that the patient has a condition that would require increased amounts of general anesthesia.The condition is
Q2) When obtaining the patient's signature on the surgical consent form,the patient seems confused about the procedure to be performed.The appropriate response by the nurse is to:
A) Tell the patient to talk to the physician after he gets to the surgical department.
B) Ask the patient to go ahead and sign the consent.
C) Ask the patient what the physician told him, and then call the physician, if necessary.
D) Encourage the patient to ask his family what the physician told them.
Q3) The nurse is doing an assessment of a patient who has returned from a cardiac catheterization and had conscious sedation.The nurse should report which of the following findings?
A) Difficulty arousing the patient
B) Blood pressure of 124/72 mm Hg
C) Oxygen saturation of 96%
D) Patient complaints of the need to void
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Chapter 18: Intravenous Therapy
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9195
Sample Questions
Q1) The older adult patient is quite ill and confused and begins to cry pitifully when the nurse approaches the bed to start an IV.The best action for the nurse at this point would be to:
A) Keep the infusion equipment out of sight as much as possible, talk slowly, and divert the attention of the patient.
B) Inform the patient that the physician has ordered the IV, and calmly continue to prepare the site and start the IV.
C) Give an analgesic as ordered, wait a few minutes, and then proceed.
D) Restrain the patient's arm to a padded arm board, and proceed as directed.
Q2) The nurse explains that a major advantage of IV therapy is that drugs administered via the IV route:
A) Can better be maintained at a therapeutic blood level
B) Is less expensive than oral route
C) Is safer than administering by oral or intramuscular (IM) route
D) Has a lower incidence of allergy than other routes
Q3) The nurse explains to the patient that the peripheral IV tubing administration set and dressing should be changed every __________ hours.
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Page 20

Chapter 19: Shock
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9196
Sample Questions
Q1) The nurse explains that the use of medical antishock trousers (MAST)garment compress the legs and abdomen to:
A) Help restore cellular perfusion.
B) Decrease internal hemorrhage.
C) Cool the patient to create less metabolic demand.
D) Apply pressure during the systole phase and relax pressure during the diastole phase.
Q2) The nurse assessing a patient in the progressive stage of shock would expect to find:
A) Bounding pulse, decreased respirations, and decreased blood pressure
B) Bounding pulse, shallow respirations, and significantly increased blood pressure
C) Thready pulse and deep respirations with decreased blood pressure
D) Thready pulse and irregular respirations with increased blood pressure
Q3) In the compensatory stage of shock,the nurse would need to implement actions to care for the patient who is:
A) Irritable and restless
B) Listless and confused
C) Unconscious
D) Anxious and fearful
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Chapter 20: Falls
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9197
Sample Questions
Q1) When the nurse finds that a patient has fallen,the first intervention should be to:
A) Ask the patient to stand up.
B) Document the fall according to agency policy.
C) Remove or correct the cause of the fall.
D) Assess the circumstances of the fall and any injuries sustained.
Q2) The home health nurse recommends to a patient that if a fall occurs at home,the patient should:
A) Assume a crawling position and push up from the floor.
B) Pull self up using sturdy furniture.
C) Roll to a doorway, and pull up using the door knob.
D) Place the right foot flat on floor, and push up on right knee.
Q3) The nurse visiting a patient in the patient's home assesses the environment for extrinsic risk factors for falling.The nurse should have the patient or family correct which one of the following?
A) No door thresholds are present.
B) The kitchen floor is clean, shiny, and slick.
C) Lamps have 60-watt bulbs.
D) The telephone is placed on the bedside table.
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Chapter 21: Immobility
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9198
Sample Questions
Q1) Incontinence in older adults,which is related to the inability to get to the bathroom in time,is classified as:
A) Stress incontinence
B) Urge incontinence
C) Functional incontinence
D) Sporadic incontinence
Q2) When planning the care of a patient who is immobile,the nurse should remember that the patient will be at risk for urinary tract infection because the:
A) Urine will pool in the bladder when the patient remains in a supine position.
B) Patient is likely to have urinary incontinence.
C) Patient's appetite may be decreased.
D) Patient may not be able to move quickly enough to get to the bathroom.
Q3) On a newly discovered pressure ulcer,the nurse should document which of the following? (Select all that apply.)
A) Precise measurement of the ulcer
B) Location of the wound and its description
C) Color of the ulcer
D) Amount and characteristics of the drainage
E) Probable cause of the ulcer
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Page 23

Chapter 22: Confusion
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9199
Sample Questions
Q1) The 80-year-old woman who has Alzheimer disease is restless,wanders during mealtime,and will not sit down to eat.The nurse assisting with writing the care plan prioritizes the following interventions for the goal-The patient will eat at least 25% of each meal: (Prioritize the options in sequence,from the most therapeutic to the least therapeutic)
A) Place her in a chair with a vest restraint.
B) Assign an nursing assistant (NA) to feed her.
C) Give her a high-protein drink in a small cup to carry with her.
D) Offer peanut butter crackers as she passes by.
E) Leave her alone. She will eat when she is hungry.
Q2) The Cognitive Developmental Approach (CDA)to caring for patients with dementia adapts interventions that are designed to:
A) Increase cognitive abilities
B) Adapt environment to patient
C) Offer a wide variety of choices
D) Abolish irrational fears
Q3) When a normally oriented 87-year-old resident in a long-term care facility exhibits acute confusion,the nurse should first assess for a(n)____________________.
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Chapter 23: Incontinence
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/9200
Sample Questions
Q1) The patient with fecal incontinence should be taught the importance of maintaining good skin integrity.The nurse's teaching should focus on teaching the patient to:
A) Cleanse the perianal area thoroughly after each stool.
B) Use a fecal pouch.
C) Change incontinence undergarments once a day.
D) Take an over-the-counter laxative daily.
Q2) The nurse is asked to instruct the patient on performing Kegel exercises.The patient should be instructed to contract the muscles he or she would use to stop the flow of urine.The proper technique is to:
A) Contract for 3 to 4 seconds and relax for 10 seconds
B) Contract for 10 seconds and relax for 10 seconds
C) Contract for 10 seconds and relax for 3 to 4 seconds
D) Contract for 3 to 4 seconds and relax for 3 to 4 seconds
Q3) The nurse uses the knowledge that symptomatic incontinence is probably having symptoms as a result of:
A) Colorectal disease
B) Gastrocolic reflex
C) Constipation
D) Nerve damage
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Page 25

Chapter 24: Loss,Death,and End-of-Life Care
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9201
Sample Questions
Q1) The nurse is caring for a patient who is terminally ill and an Orthodox Jew who has orders to "Do not resuscitate" (DNR).The patient is alone and is having signs of impending death.The nurse should:
A) Notify the family.
B) Wait until the patient dies, and then notify the family.
C) Transfer the body to the mortuary or the morgue immediately after death.
D) Stay with the patient until death occurs, prepare the body, and then call the family.
Q2) When the family of a dying person do not discuss the issue of death openly and avoid the subject of dying altogether,the nurse recognizes this behavior representative of the _________stage described by Straus and Glaser.
Q3) The patient who has been diagnosed with a terminal illness is crying when the nurse enters the room.The patient states,"I promised God that I would be a better person if He will just let me get over this disease." The nurse recognizes this as Kübler-Ross's dying stage of:
A) Denial
B) Anger
C) Bargaining
D) Depression
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Chapter 25: The Patient with Cancer
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9202
Sample Questions
Q1) List the tumors in order based on the following tissue of origin:
TISSUE:
1.FAT
2.FIBROUS
3.SMOOTH MUSCLE
4.GLANDS
5.BONE
A) Sarcoma
B) Lipoma
C) Leiomyoma
D) Fibroma
E) Carcinoma
Q2) The nurse closely monitors for hypercalcemia,an oncologic emergency that is manifested by:
A) Hypertension and bradycardia
B) Fatigue, confusion, and weakness
C) Laboratory test results of potassium 3.5 mEq/L, sodium 143 mEq/L
D) Urine output less than 30 ml/hr.
Q3) The nurse clarifies that cells that change from their tissues of origin and have multiple nuclei are categorized as ____________________.
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Chapter 26: The Patient with an Ostomy
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/9203
Sample Questions
Q1) The initial assessment of a patient just returned from surgery for the creation of an Indiana pouch would include the:
A) Drainage of urine from the Penrose drain at the operative site
B) Condition and color of the stoma
C) Appearance of mucus in the urine
D) Copious and odorous urine drainage from the incision
Q2) The nurse is aware that many ostomates have an altered self-image,which may cause:
A) Self-care deficits
B) Sexual dysfunction
C) Nonadherence to diet
D) Irrational anger
Q3) Because the colostomy patient continues to worry about odor,the nurse can allay those concerns by explaining that odor can be diminished by:
A) Piercing the top of the appliance bag with a pin to allow gas to escape
B) Rinsing the pouch in a vinegar solution
C) Wearing tight-fitting underwear
D) Improving personal hygiene
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Chapter 27: Neurologic Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9204
Sample Questions
Q1) A patient with generalized convulsive disorder has a nursing diagnosis of "Deficient knowledge,related to lack of information about the side effects of phenytoin (Dilantin)." Which goal and outcome criteria would be most appropriate?
A) Absence of gastrointestinal (GI) complaint; takes medication with food
B) Stimulation of gingiva; brushes teeth vigorously to encourage gingival growth
C) Maintenance of normal pattern of elimination; limits fluids and eats foods that reduce diarrhea
D) Maintenance of normal sleep pattern; reduces stimuli and takes warm baths to induce drowsiness
Q2) The patient who is stuporous but reacts by withdrawing from painful stimuli is said to be:
A) Comatose
B) Lethargic
C) Semicomatose
D) Somnolent
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Chapter 28: Cerebrovascular Accident
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/9205
Sample Questions
Q1) The instruction that is most helpful in teaching the family and patient who is in the rehabilitation phase after a CVA about altered sensation is to:
A) Make frequent assessments for signs of pressure or injury.
B) Use the affected side in supporting the patient in ambulation, and transfer to stimulate better sensation.
C) Apply ice packs to the affected limbs to encourage a return of sensation.
D) Apply a heating pad to the affected limbs to increase circulation.
Q2) The nurse explains that a lumbar puncture is most helpful as a diagnostic tool for a new patient who has had a CVA because it can help determine if the stroke:
A) Is lacunar
B) Is hemorrhagic or embolic
C) Is complete or in evolution
D) Will result in paralysis
Q3) The nurse checks the oxygen in the circulating volume for adequate concentration to support the brain's need of ________% of the oxygen supply of the body.
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Chapter 29: Spinal Cord Injury
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/9206
Sample Questions
Q1) The nurse cautions an 85-year-old golfer that he should take care to protect his back during his backswing because the intervertebral disks in older adults undergo changes to the point that they: (Select all that apply.)
A) Fill with calcium deposits.
B) Are less shock absorbent.
C) Are herniated.
D) Enlarge and swell.
E) Lose water.
Q2) The family members of a patient with a SCI,who is in the rehabilitation phase,want to take the patient outdoors for a visit.Because it is 90° outside and very humid,the nurse will suggest that they:
A) Do not go outside at all buy remain in the hospital.
B) Take a spray bottle to spray water to cool the patient by evaporation.
C) Take a light sweater to insulate the patient.
D) Have the patient drink at least 32 ounces of water during the outing.
Q3) The nurse refers to the ___________ __________ to assess the extent of sensory loss and specific nerve root enervation.
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Chapter 30: Acute Respiratory Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9207
Sample Questions
Q1) A 90-year-old patient complains to the nurse of shortness of breath after walking up a flight of stairs.The nurse explains that this problem is a result of age-related changes,such as a(n):
A) Flexible rib cage
B) High-arched diaphragm
C) Increased chest movement
D) Enlarged bronchioles
Q2) The nurse who is instructing a patient in deep breathing and coughing techniques directs the patient to: (Place the options in the appropriate sequence.)
A) Place the hand on the abdomen to check the rise and fall.
B) Inhale through the nose, pause 1 to 3 seconds, and then exhale.
C) Assume a high Fowler position.
D) Take 4 to 6 deep breaths.
E) Cough deeply.
Q3) The symptoms of hypoxemia for which the nurse should be alert are:
A) Restlessness, tachycardia, and tachypnea
B) Bradycardia, cyanosis, and restlessness
C) Dyspnea, flushed face, and tachycardia
D) Cyanosis, nausea, and bradycardia
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Page 32

Chapter 31: Chronic Respiratory Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9208
Sample Questions
Q1) The nurse reviews the signs and symptoms characteristic of the patient with chronic blue bloater bronchitis,which are: (Select all that apply.)
A) Productive cough
B) Peripheral edema
C) Discolored teeth
D) Exertional dyspnea
E) Elevated red blood cell count
Q2) The nurse recognizes that a rising level of partial pressure of carbon dioxide (CO<sub>2</sub>)in arterial blood (PaCO<sub>2</sub>)in a patient with COPD means that:
A) More arterial O<sub>2</sub> is available than is needed.
B) The ventilation-perfusion ratio is becoming balanced.
C) Respiratory acidosis has begun.
D) The anticholinergic medications are effective.
Q3) In assessing for major sources of infection in a patient with COPD,the nurse focuses on:
A) Stasis of respiratory secretions
B) Low body weight
C) Episodes of postural hypotension
D) Delayed antigen-antibody response
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Chapter 32: Hematologic Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9209
Sample Questions
Q1) The nurse explains that sickle cell crisis occurs when the sickle-shaped red blood cells:
A) Rupture
B) Produce hemoglobin S
C) Interfere with blood production
D) Obstruct major arteries
Q2) A nurse is completing an initial assessment on a new patient being seen in the hospital clinic.The presentation of this female patient includes vague symptoms of tiredness and large areas of ecchymosis.The question that would be most important to ask is:
A) "Are you allergic to anything?"
B) "Do your gums easily bleed?"
C) "How many hours do you sleep?"
D) "How frequent are your periods?"
Q3) The nurse explains that a normal hematocrit value is approximately:
A) Three times the hemoglobin value
B) The same as the hemoglobin value
C) Four times lower than the red blood cell count
D) Same as the red blood cell count
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Page 34

Chapter 33: Immunologic Disorders
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/9210
Sample Questions
Q1) The nursing staff of an oncology unit cautions visitors to be free of infections before visiting patients.The rationale for this precaution is because chemotherapy and decreased bone marrow production can cause:
A) Hemorrhage
B) Neutropenia
C) Edema
D) Hypovolemia
Q2) The nurse explains that the inflammatory process has four distinct stages,which are: (Select all that apply.)
A) Dolor
B) Rubor
C) Tumor
D) Calor
E) Rumor
Q3) The nurse explains that early in life,lymphocytes migrate from the marrow of the bones to the ________________,in which they mature into T cells.
Q4) Cells in the bone marrow that are capable of developing into RBCs,WBCs,or platelets are the ___________ cells.
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Chapter 34: Human Immunodeficiency Virus and Acquired
Immunodeficiency Syndrome
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9211
Sample Questions
Q1) The nurse explains that HIV is introduced to the systemic circulation by the ____________________,which is found in the mucous membranes.
Q2) The nurse cautions a patient with HIV infection who has been prescribed highly active antiretroviral therapy (HAART)that inconsistent administration of the drug can result in the:
A) HIV strain becoming resistant to the drug
B) Decrease in antibodies in the circulating volume
C) Addition of another antiretroviral agent to the protocol
D) Rapid increase in the symptoms of AIDS
Q3) The nurse explains that the enzyme reverse transcriptase transcribes:
A) DNA to mimic CD4 cells
B) T4-helper cells to RNA
C) HIV RNA to HIV DNA
D) T4 cells to HIV virons
Q4) The nurse clarifies that a patient with HIV does not necessarily have AIDS until:
A) Two or more opportunistic infections are diagnosed.
B) Kaposi sarcoma appears.
C) CD4 cell level drops to 200.
D) Tested positive for enzyme-linked immunosorbent assay (ELISA).
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Chapter 35: Cardiac Disorders
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/9212
Sample Questions
Q1) When the patient asks what a transesophageal echocardiogram (TEE)is and what it is expected to do,the nurse explains that the TEE:
A) Measures conductivity.
B) Records the force of contraction.
C) Evaluates the efficiency of the valves.
D) Checks the volume of the preload.
Q2) The nurse takes into consideration the age-related changes in the heart,which are: (Select all that apply.)
A) Decrease in contractility
B) Thickened valves
C) Stiffened valves
D) Decreased SA node cells
E) Increased nerve fibers in ventricles
Q3) When the nurse assesses an inverted T wave on the ECG of a patient who had an acute MI 2 days earlier,the nurse interprets this as an indication of a(n):
A) Normal recovery
B) New MI
C) Abnormal wave form
D) Congestive heart failure
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Page 37

Chapter 36: Vascular Disorders
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/9213
Sample Questions
Q1) Following an angiogram,the nurse will make a point of care to assess and document:
A) Fluid intake
B) Peripheral pulses in the effected leg
C) Inquiring about an allergy to iodine
D) Decreased blood pressure
Q2) While performing an intake examination on a patient with PVD,the nurse identifies a factor that aggravates vascular disease,which is that the patient:
A) Rides a bicycle to work.
B) Drinks red wine every day.
C) Is employed as an air traffic controller.
D) Eats chocolate candy every day.
Q3) Patient teaching for the patient with varicose veins should include:
A) Weight reduction
B) Decreasing exercise
C) Wearing a panty girdle
D) Standing rather than sitting
Q4) The nurse explains that the lining of a vessel that allows for smooth blood flow and also reduced resistance in the vessel is the ____________________ of the vessel.
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Chapter 37: Hypertension
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9214
Sample Questions
Q1) The nurse reminds a patient that to be diagnosed with hypertension,the blood pressure is evaluated to confirm consistent blood pressure readings over:
A) 120/80 mm Hg
B) 130/90 mm Hg
C) 140/90 mm Hg
D) 150/100 mm Hg
Q2) The cause of secondary hypertension can be a variety of conditions that include: (Select all that apply.)
A) Renal disease
B) Coarctation of the aorta
C) Colon cancer
D) Increased intracranial pressure (ICP)
E) Rheumatoid arthritis
Q3) Malignant hypertension is most commonly observed in:
A) White postmenopausal women
B) Obese Asians
C) Young African-American adults
D) Older Latino men
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Chapter 38: Digestive Tract Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9215
Sample Questions
Q1) While the patient is on TPN feedings,the nurse will include in the care plan to: (Select all that apply.)
A) Monitor for hyperglycemia.
B) Assess temperature.
C) Change subclavian dressing with clean procedure.
D) Monitor for hypoglycemia.
E) Assess intake and output.
Q2) The TPN feeding is running at 20 ml and is an hour behind schedule.The initial intervention would be:
A) Increase the flow rate to 22 ml/hr (10%), and inform the charge nurse.
B) Reposition the patient to the right side, and lower the head of the bed.
C) Dilute the thick feeding formula with 10 ml of sterile water, and inform the charge nurse.
D) Document the event, and inform the charge nurse.
Q3) An instruction given to a patient with irritable bowel syndrome (IBS)that will lessen discomfort is:
A) Eat only whole grains.
B) Take small bites, and chew well.
C) Include dietary fiber in at least two meals per day.
D) Drink herbal teas and low-calorie cola drinks.
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Chapter 39: Disorders of the Liver, Gallbladder, and Pancreas
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9216
Sample Questions
Q1) The goal of medical treatment for patients with cirrhosis is to prevent complications and limit cell damage.A major approach is to promote rest.The reason for this is to:
A) Allow time for a transplant.
B) Allow the liver to regenerate.
C) Prevent red cell destruction.
D) Decrease the risk of trauma.
Q2) The patient with ascites is scheduled for a LeVeen peritoneal-venous shunt.The patient asks why this needs to be done instead of the paracentesis.The nurse replies:
A) "It helps the kidneys retain needed sodium."
B) "It will decrease the need for analgesics."
C) "This procedure will prevent the loss of protein."
D) "The risk of infection is lessened with this procedure."
Q3) The nurse reminds the patient with liver disease that the level of ____________________ in the blood is an indicator of the how well the liver is functioning.
Q4) The nurse explains to the patient that when the blood sugar level drops,the liver is capable of converting the stored glycogen to glucose by the process of
Page 41
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Chapter 40: Urologic Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9217
Sample Questions
Q1) The home health patient who has cystitis has been placed on the drug,phenazopyridine (Pyridium),and should be cautioned about:
A) Staying out of the heat
B) Nausea
C) Staining of clothing
D) Skin rash
Q2) As the nurse assesses the patient with renal impairment,a facial characteristic that is a sign of fluid retention is:
A) Broken blood vessels around the nose
B) Periorbital edema
C) Rash on cheeks and neck
D) Facial twitching
Q3) The patient on dialysis asks why he is receiving aluminum hydroxide gel (Amphojel),a phosphate binder,for his renal disorder.The nurse explains that Amphojel will:
A) Calm the frequent upset stomach experienced by patients on dialysis.
B) Bind with phosphorus to increase the serum calcium level.
C) Increases the appetite.
D) Correct the pH of the bowel.
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Page 42

Chapter 41: Connective Tissue Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9218
Sample Questions
Q1) The nurse recommends that to control chronic pain for the patient with osteoarthritis,the patient should:
A) Administer analgesics only when needed.
B) Administer analgesics as prescribed on a routine basis.
C) Plan activities with no rest periods to complete the activities quickly.
D) Wear high-heeled shoes to keep the body in alignment.
Q2) For the patient with Behçet syndrome,the nurse would choose the nursing diagnosis of:
A) Activity intolerance, related to unsteady gait
B) Risk for injury, related to falls
C) Imbalance in nutrition: Less than body requirements, related to anorexia
D) Sexual Dysfunction, related to pain in genital area
Q3) The nurse recognizes that the patient who is most likely to develop a connective tissue disease is a:
A) Teenage girl who swims
B) 30-year-old woman who plays tennis
C) 35-year-old male golfer
D) 40-year-old male computer analyst
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43

Chapter 42: Fractures
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9219
Sample Questions
Q1) When an older woman falls down at church and immediately complains of severe pain in her left hip,the choir director recognizes the cardinal sign of a fractured hip when he sees:
A) Shortened left leg when compared with the right
B) Downward curled toes
C) Internal rotation of the left leg
D) Hematoma on the left hip
Q2) In caring for a patient just admitted with a pelvic fracture,the assessment that would cause the most concern is:
A) Pain level rating of 8 on a scale of 1 to 10
B) No urinary output for 8 hours
C) Evidence of bruising along the patient's hips and buttocks
D) Complaints of the need for back care from resting in bed
Q3) The finding that would produce the most concern when performing pin care for the patient with an external fixator is:
A) Crusts around the pin
B) Serous drainage on the dressing
C) Purulent drainage
D) Absence of pain
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Page 44

Chapter 43: Amputations
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9220
Sample Questions
Q1) When the patient asks when he should expect to be up and walking after his below-the-knee amputation,the nurse assures him that most amputees can fully bear weight in:
A) 3 weeks
B) 1 month
C) 6 weeks
D) 3 months
Q2) During the admission of a patient scheduled for an amputation,the patient relates that she is a practicing Orthodox Jew.The nurse should make arrangements for:
A) A veil to cover the amputated part.
B) A rabbi present for the surgery.
C) The amputated part to be buried.
D) A family member present to read the Torah.
Q3) To diminish swelling of the residual limb in the postoperative period after an above-the-knee amputation,the nurse should:
A) Elevate the foot of the bed on blocks.
B) Elevate the residual limb on pillows.
C) Elevate the head of bed 15 degrees.
D) Turn the patient on the affected side.
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Page 45

Chapter 44: Pituitary and Adrenal Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9221
Sample Questions
Q1) The nurse takes into consideration that an addisonian crisis can be brought on by:
A) Sudden atmospheric temperature change
B) Hyperglycemia
C) Infection
D) Change of altitude
Q2) The nurse clarifies that the drug,octreotide (Sandostatin),is a treatment for acromegaly and will:
A) Reverse the effects of acromegaly.
B) Be given on a daily basis by injection.
C) Increase insulin secretion causing hypoglycemia.
D) Suppress the growth hormone.
Q3) The nurse assessing a patient with Simmonds cachexia anticipates that the patient will exhibit:
A) High body temperature
B) Ruddy complexion
C) Silky body hair
D) Muscle wasting
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Chapter 45: Thyroid and Parathyroid Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/9222
Sample Questions
Q1) The home health care nurse is aware that hypothyroidism is frequently overlooked in older adults because: (Select all that apply.)
A) Signs and symptoms are subtle.
B) Signs and symptoms are discounted as age-related changes.
C) Weight changes in the older adult are not pronounced.
D) Older adults are not susceptible to thyroid disorders.
E) Decrease in mental function is attributed to dementia.
Q2) On returning from surgery after undergoing a thyroidectomy,the patient is alarmed about the large tracheostomy tray on the bedside table.When she asks why it is there,the nurse's most reassuring response would be:
A) "We have it there as a precautionary measure in the unlikely event that you have difficulty breathing."
B) "If you start bleeding, we'll be able to take care of it right here at the bedside."
C) "We have to keep it there in case of an emergency and the physician needs it."
D) "It's hospital policy to have it available for persons who are likely to have respiratory arrest."
Q3) Congenital hypothyroidism,if left untreated,will result in _________________.
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Chapter 46: Diabetes Mellitus and Hypoglycemia
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9223
Sample Questions
Q1) The teaching plan for a patient with diabetes is focused on smoking cessation and the control of hypertension for the avoidance of microvascular complications,such as: (Select all that apply.)
A) Macular degeneration
B) End-stage renal disease (ESRD)
C) Coronary artery disease (CAD)
D) Peripheral vascular disease (PVD)
E) Cerebrovascular accident (CVA)
Q2) The nurse tells a patient that the functional causes of hypoglycemia include: (Select all that apply.)
A) Dumping syndrome
B) Overdose of insulin
C) Addison disease
D) Prolonged muscular exercise
E) Chronic alcoholism
Q3) A patient who has been diagnosed with endogenous hypoglycemia most likely has:
A) Taken an overdose of hypoglycemic drugs.
B) Been following a very restricted fasting diet or is malnourished.
C) Excessive secretion of insulin or an increase in glucose metabolism.
D) Exercised unwittingly without replenishing needed fluids and nutrients.
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Chapter 47: Female Reproductive Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9224
Sample Questions
Q1) The nurse,collecting data on the reproductive system from a female patient,is told that the patient has a vaginal discharge that is cottage cheese-like in appearance.The nurse recognizes this as a common sign of:
A) Pelvic inflammatory disease (PID)
B) Trichomonas vaginalis infection
C) Atrophic vaginitis
D) Candida albicans infection
Q2) The nurse instructing a patient on breast self-examination explains to the patient that the best time of the month to perform a breast self-examination is:
A) Before the menstrual period
B) During the menstrual period
C) After the menstrual period
D) On the first day of the month
Q3) A mastectomy care plan should address psychosocial problems of the patient.This should be directed toward:
A) Caring for the wound and dressings.
B) Finding an appropriate support group.
C) Educating for methods for controlling edema.
D) Helping the patient express feelings and concerns.
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Page 49

Chapter 48: Male Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9225
Sample Questions
Q1) The mother of a newborn with cryptorchidism asks if this condition will be permanent.The nurse's best response would be:
A) "Yes, but your child can develop normally with hormone replacement therapy."
B) "No, several medical and surgical remedies can be performed after your baby's first birthday."
C) "Yes, but the undescended testicle is still able to function in a normal manner."
D) "No, the process of sexual maturity will cause it to descend at puberty."
Q2) A 60-year-old man who had a prostatectomy 3 weeks earlier asks if the ongoing incontinence will ever stop.The nurse's most helpful response would be based on the knowledge that the:
A) Postprostatectomy incontinence is usually permanent.
B) Postprostatectomy incontinence usually clears up in 6 months.
C) Although the constant dribbling will stop, stress incontinence will continue.
D) Postprostatectomy incontinence frequently requires a second surgery is to correct the problem.
Q3) When a significant elevation in the human chorionic gonadotropin (hCG)level is noted on the laboratory report,the nurse is aware that this is a marker for ____________________ cancer.
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Chapter 49: Sexually Transmitted Infections
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/9226
Sample Questions
Q1) The nurse teaching a seminar on STIs points out that systemic (disseminated)gonorrhea may involve the: (Select all that apply.)
A) Heart
B) Eyes
C) Meninges
D) Skin
E) Joints
Q2) The patient with a chlamydial infection who is taking a 7-day course of doxycyclin (Vibramycin)is reminded by the nurse to:
A) Return in 1 month for a follow-up culture.
B) Take the drug on an empty stomach with a minimum of fluid.
C) Delay sexual activity until cured.
D) Expect genital or anal itching or burning.
Q3) The nurse who is caring for a patient who is taking acyclovir (Zovirax)is alert for the side effects of this drug,which include:
A) Fever and bone marrow suppression
B) Vaginal burning and skin irritation
C) Dizziness, headache, and nausea
D) Leukopenia and peripheral neuropathy
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Page 51

Chapter 50: Skin Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9227
Sample Questions
Q1) The nurse explains that the major characteristic that differentiates cutaneous T-cell lymphoma from squamous cell and basal cell carcinomas is that cutaneous T-cell lymphoma:
A) Does not metastasize.
B) Has a cause unrelated to sun exposure.
C) Can be treated with radiation.
D) Can be treated topically.
Q2) A family member of an older patient with severe dermatitis says,"I was always so careful to bathe him every day.I guess I just wasn't careful enough." The nurse's best response would be:
A) "Dermatitis is not caused by poor hygiene."
B) "Don't worry; we will bathe him thoroughly while he is here."
C) "You will have a chance to do better when he is back at home."
D) "You shouldn't feel like the skin condition is your fault."
Q3) A nurse screening patients that the plastic surgeon is considering for phototherapy would exclude a:
A) 34-year-old woman with lupus erythematosus
B) 5-year-old child with pneumonia
C) 60-year-old man with a pacemaker
D) 23-year-old woman who is 3 months' pregnant
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Chapter 51: Eye and Vision Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9228
Sample Questions
Q1) When the patient asks what electroretinography is supposed to measure,the nurse responds that:
A) A fluorescein dye is injected intravenously (IV) into a vein in the arm, and the retina is observed as the dye circulates.
B) Electrodes are placed on the scalp, each eye is stimulated, and retinal activity is assessed.
C) A small plunger is used to apply pressure on the sclera while the retinal vessels are evaluated.
D) A contact lens electrode is placed on the eye and exposed to flashes of light to evaluate the retinal response.
Q2) During the initial assessment of a very thin patient at the eye clinic,the nurse notes that the patient has very prominent eyes.The nurse should inquire about a history of:
A) Diabetes
B) Glomerulonephritis
C) Graves disease
D) Hypertension
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Chapter 52: Ear and Hearing Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9229
Sample Questions
Q1) When a patient has a suspected vestibular disorder,the physician orders an electronystagmography test.The nursing instruction for this test will include:
A) Use of tea or coffee on the morning of test
B) Electrodes placed on the scalp
C) Air blown into the external ear
D) Nothing to eat or drink (NPO) 3 hours before the test
Q2) A 75-year-old patient reports having difficulty hearing in crowds but can hear just fine at home with his wife.The nurse responds that,"Your description sounds like _______________."
A) Otitis media
B) Presbycusis
C) Ototoxicity
D) Central deafness
Q3) For the nursing care plan for a patient with Ménière disease,the nursing diagnosis that would take priority would be:
A) Social isolation, related to anxiety
B) Risk for injury, related to falls
C) Risk for deficient fluid intake, related to weakness
D) Nutrition: Less than body requirements, related to fatigue
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Page 54

Chapter 53: Nose, Sinus, and Throat Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9230
Sample Questions
Q1) A patient who has cancer of the larynx has been told that he needs a total laryngectomy.To help the patient cope with the loss of his voice,the nurse would consider:
A) Offering to have a volunteer from a local laryngectomy organization visit the patient.
B) Explaining in detail the available vocalization aids and techniques.
C) Explaining to the patient what will happen directly after the surgery.
D) Notifying the hospital chaplain of the patient's needs.
Q2) A 68-year-old patient tells the nurse that her sense of smell is not as acute as before; her nose is drier,and she occasionally gets a nosebleed.The nurse explains that she may have:
A) An infection
B) Normal age-related changes
C) A nasal defect
D) Allergies that are causing her symptoms
Q3) The portion of the internal nose that traps particles and kills bacteria is the:
A) Turbinates
B) Mucous membrane
C) Vestibular formations
D) Cilia
To view all questions and flashcards with answers, click on the resource link above.
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Chapter 54: Psychologic Responses to Illness
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/9231
Sample Questions
Q1) The nurse recognizes that mild stress can be a positive force that stimulates the patient to _______________ a problem.
A) Deny
B) Identify
C) Solve
D) Avoid
Q2) The mother of a 5-year-old patient says that she is just mortified by his rude vocabulary since he has started school.The nurse reminds her that the best response to this behavior is to:
A) Ignore it.
B) Speak to his teacher about it.
C) Praise him when he speaks properly.
D) Talk about it at the parent-teachers association (PTA).
Q3) The behavior that best exemplifies developmental activities in a 13-year-old teenager is:
A) Going out with a group of friends.
B) Reading an exciting book.
C) Volunteering for the local hospital.
D) Choosing a career.
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Page 56

Chapter 55: Psychiatric Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9232
Sample Questions
Q1) The nurse assessing the patient with an acute stress disorder will note the evidence of: (Select all that apply.)
A) Diminished awareness of surroundings
B) Derealization
C) Depersonalization
D) Amnesia
E) Irritability
Q2) When a patient says that he often feels restless,has a tight sensation in his chest,and has an increased heart rate at times,the nurse suspects that the patient has:
A) Anxiety disorder
B) Panic disorder
C) Agoraphobia
D) Obsessive-compulsive disorder
Q3) To listen therapeutically to the patient,the nurse should try to:
A) Concentrate on the patient and not think of responses to the patient while he or she is speaking.
B) Determine the cause of the patient's problem while the patient is speaking.
C) Ask the patient why he thinks he feels the way he does.
D) Tell the patient that you have had similar experiences.
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Page 57
Chapter 56: Substance-Related Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9233
Sample Questions
Q1) The nurse clarifies that when a urine sample is needed for screening in a case of DWI or other crime,the specimen should: (Select all that apply.)
A) Be collected and witnessed by a staff member of the same gender.
B) Be documented with a chain-of-custody form and signed by all who handle the specimen.
C) Be kept under secure conditions if temporary storage is necessary.
D) Never be out of sight until someone from law enforcement takes it.
E) Be placed in a specially marked container.
Q2) In some cases,patients will use drugs or alcohol to treat the disturbing symptoms of a psychiatric disease.This scenario presents a problem,because the potential exists to:
A) Cause a mixed-drug reaction, which may heighten the effects of both drugs.
B) Decrease psychiatric symptoms, which makes the psychiatric condition harder to treat.
C) Cause an accidental overdose by mixing alcohol with anxiolytic medications, antipsychotic medications, or antidepressant agents.
D) Cause an increase in psychiatric symptoms, because the psychiatric drugs become less effective in the presence of alcohol.
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