Health Assessment and Promotion
Mock Exam
Course Introduction
Health Assessment and Promotion is a foundational course designed to equip students with the knowledge and skills necessary for comprehensive health evaluation across the lifespan. The course emphasizes the systematic collection of physical, psychological, social, and cultural data to accurately assess client health status. Students learn evidence-based techniques for conducting physical examinations, obtaining health histories, and interpreting assessment findings. Additionally, the course explores strategies for health promotion and disease prevention, empowering students to educate individuals and communities about healthy lifestyle choices, risk reduction, and self-care practices. Through lectures, simulations, and laboratory experiences, students gain practical skills essential for effective patient assessment and health education in diverse healthcare settings.
Recommended Textbook
Medical Surgical Nursing Critical Thinking for Person Centred Care 3rd Edition by
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52 Chapters
1083 Verified Questions
1083 Flashcards
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Page 2
Priscilla Lemone
Chapter 1: Medical-Surgical Nursing in the Twenty-First Century
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47623
Sample Questions
Q1) A person-centred care issue has been raised about the actions taken by a nurse who was asked to provide care to a person whose healthcare decisions were considered controversial. The unit's nurse manager is concerned that care was not appropriately provided. Which of the following should be consulted to protect the person and to evaluate the care in question?
A)The code of professional conduct.
B)Hospital quality improvement guidelines.
C)Clinical pathways.
D)The nursing code of ethics.
Answer: D
Q2) Which of the following would a nurse use to guide the preparation of a smoking cessation plan for a specific person?
A)Evidence-based practice.
B)Variance analysis.
C)The nursing process.
D)Clinical pathways.
Answer: C
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Chapter 2: Health and Illness in Adults
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A 47-year-old woman says, 'I worry about my parents every day and my job is overwhelming.' The nurse realises this person is most at risk of which of the following?
A)Psychosocial stress.
B)An eating disorder.
C)Developing cancer.
D)Committing suicide.
Answer: A
Q2) A parent of two preschool children voices concerns to the nurse about feeling 'stressed' lately and being worried about the limited amount of time to devote to the marriage. Based on knowledge of the stages of family development, what are the primary tasks for the family during this time?
A)Maintain ties with younger and older generations.
B)Encourage the educational achievement of the children in the family.
C)Adjust to increased financial responsibilities.
D)Reestablish the marital relationship after expansion of the family.
Answer: B
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Chapter 3: Nursing Care of People Having Surgery
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A person is signing a surgical consent form. Afterwards, the nurse also signs the form. What is the meaning of the nursing signature? It means the:
A)person was alert and aware of what was being signed.
B)person understood the procedure as described by the nurse.
C)surgeon was not able to witness the patient's signature.
D)person had questions about the procedure that the nurse answered.
Answer: A
Q2) The nurse is assisting a postoperative person in using an incentive spirometer. Which of the following postoperative complications is the nurse attempting to avoid with this person?
A)Pulmonary embolism.
B)Deep vein thrombosis.
C)Atelectasis.
D)Pneumothorax.
Answer: C
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Chapter 4: Nursing Care of People Experiencing Loss, Grief, and Death
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A dying person tells the nurse, 'Don't let my family leave me.' What is this person demonstrating?
A)Fear of dying alone.
B)An anticipation of improvement in health.
C)Denial about his eventual death.
D)The desire to prolong life.
Q2) A dying person tells the nurse, 'Don't let my family leave me.' What does this statement indicate?
A)Fear of dying alone.
B)An anticipation of improvement in health.
C)Denial about their eventual death.
D)The desire to prolong life.
Q3) Which of the following may be a consideration with regard to death and dying in Indigenous Australian culture?
A)The deceased need to be buried shortly after death.
B)Family members may prefer to bathe the body after death.
C)The mourning period is usually very short.
D)Indigenous people often need sufficient space to gather together to facilitate grieving and bereavement.
Page 6
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Chapter 5: Nursing Care of People With Problems of Substance Misuse
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which is a manifestation of gamma-hydroxybutyrate (GHB)withdrawal?
A)Bradycardia.
B)Anorexia.
C)Headache.
D)Paranoia.
Q2) A pregnant woman smokes to avoid weight gain. How should the nurse instruct this person about smoking during pregnancy?
A)'It will prevent some weight gain.'
B)'In moderation it will not harm the infant.'
C)'It can cause low birth weight in the infant.'
D)'It doesn't prevent weight gain.'
Q3) The family of a person with a crystal methamphetamine addiction is concerned because the person is excessively fatigued, sleeping, and has a voracious appetite. How should the nurse respond to these concerns?
A)'This is normal while withdrawing from this drug.'
B)'Give the person hot black coffee to keep him awake.'
C)'Try to keep the person awake and take him to an emergency room if sleeping continues.'
D)'Prevent the person from eating.'
Page 7
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Chapter 6: Nursing Care of People Experiencing Disasters
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse is planning to attend a program to learn how to respond to mass casualty incidents. What are the core competencies within this program? Select all that apply.
A)Communication
B)Critical thinking
C)Assessment
D)Nursing process
Q2) A person comes into the clinic with the onset of itching after opening a letter received about a week ago that contained quite a bit of white powder. It is suspected that this person has had an anthrax exposure. Which medication can the nurse anticipate that this person will most likely be prescribed?
A)Doxycycline
B)Amphotericin
C)Methylprednisolone
D)Interferon
Q3) What does care of persons experiencing blast injuries typically focus on?
A)Psychological shock
B)Lung injuries
C)Ear and hearing trauma
D)Head injuries
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Page 8
Chapter 7: Genetic Implications of Adult Health Nursing
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A person tells the nurse that her mother has type 2 diabetes and heart problems. What is the significance of this information? It:
A)helps predict the future health of the person's children.
B)is not pertinent to the person's current health issues.
C)can help predict the person's future health problems.
D)is not relevant to the person's future health problems.
Q2) What is the pattern of inheritance of haemophilia A?
A)Sex-linked.
B)Multifactorial.
C)Autosomal recessive.
D)Autosomal dominant.
Q3) A baby is born with a genetic disorder that did not affect either of the parents. Which of the following is true?
A)The father is the carrier of the disorder.
B)Both parents are carriers of the disorder.
C)The father is not the 'biological father' of the baby.
D)The disorder must be due to a mutation.
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Chapter 8: Nursing Care of People in Pain
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A person with a history of lumbar spinal cord nerve compression continues to complain of burning pain. Which type of pain is the person experiencing?
A)Palliative pain.
B)Myofascial pain syndrome.
C)Complex regional pain syndrome.
D)Visceral pain.
Q2) A person with chronic pain is desperately searching for something to relieve the pain. Which of the following would be helpful to consider for this person?
A)Perform a thorough assessment of the pain to determine if it is truly pain.
B)Minimise the use of narcotic analgesics.
C)Recommend evaluation by a psychiatrist to determine if the person is experiencing depression.
D)Develop a pain medication schedule to help avoid the onset of pain.
Q3) Which of the following is a general adverse effect of opioids?
A)Exacerbation of coughing.
B)Diarrhoea.
C)Vasoconstriction.
D)Loss of appetite.
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Chapter 9: Nursing Care of People With Altered Fluid,
Electrolyte, Acid-Based Balance
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A person with fluid retention related to renal problems is admitted to the hospital. The nurse realises that this person could possibly have which of the following electrolyte imbalances?
A)Hypercapnia
B)Hypocalcaemia
C)Hypernatraemia
D)Hypophosphataemia
Q2) The nurse is reviewing a person's blood pH level. Which body system helps regulate blood pH?
A)Musculoskeletal
B)Renal
C)Neurological
D)Gastrointestinal
Q3) The nurse is admitting a person who was diagnosed with acute renal failure. Which of the following electrolytes will be most affected with this disorder?
A)Sodium
B)Potassium
C)Calcium
D)Phosphorous
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Chapter 10: Nursing Care of People Experiencing Trauma and Shock
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A person is receiving a blood transfusion. Which of the following action should the nurse take to ensure safe blood administration?
A)Administer the blood over a minimum of eight hours.
B)Monitor for signs of a reaction and take vital signs.
C)Inject an intravenous diuretic such as Frusemide (Lasix)through the blood tubing line.
D)Stay with the person throughout the transfusion.
Q2) The nurse recognises that which of the following is a clue to a possible violence-related injury?
A)Pattern burns.
B)Fractures with a history of trauma.
C)Confusion.
D)Head injuries.
Q3) A person is evaluated for brain death. Which of the following diagnostic tests will need to be done to make this evaluation?
A)Cerebral CT scan.
B)ECG.
C)Glasgow Coma Scale.
D)EEG.
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Chapter 11: Nursing Care of People With Infections
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A person has been vaccinated against measles. This is an example of which type of immunity?
A)Passive artificial
B)Active artificial
C)Active natural
D)Passive natural
Q2) A person with a compromised immune system is admitted to the hospital with an infection. Which of the following will most likely be done to help this person?
A)Discharge the person early to recover at home.
B)Place the person in a semi-private room.
C)Place the person in respiratory isolation.
D)Utilise isolation techniques to protect the person from further infection.
Q3) A person is having skin testing done to assess for allergies. What would be evidence of exposure to an antigen?
A)A response that only appears 5 days later
B)Itching at the site of the skin test
C)An area of approximately 1 mm of induration and erythema
D)An area of greater than 10 mm of induration and erythema
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13
Chapter 12: Nursing Care of People With Altered Immunity
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/47636
Sample Questions
Q1) During the physical assessment of a person, the nurse wants to include the person's immunity function. Which of the following techniques would provide the nurse with the best information?
A)Auscultation of the heart
B)Palpation of the abdomen
C)Percussion of the lungs
D)Assessment of skin colour, temperature and moisture
Q2) Which of the following conditions is an autoimmune disorder?
A)Osteoarthritis
B)Phenylketonuria
C)Non-insulin dependent (type 2)diabetes mellitus
D)Systemic lupus erythematosus (SLE)
Q3) A differential diagnosis for a person is food allergies. The nurse escorts the person into an examination room and begins to ask questions about what the person has most recently eaten. Which of the following has the nurse observed about this person?
A)Hives
B)Obesity
C)Malnutrition
D)Anorexia
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Page 14
Chapter 13: Nursing Care of People With Cancer
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) A person who was treated for bladder cancer 15 years ago tells the nurse, 'I live each day like it is my last yet plan for the future.' The nurse realises that this person is demonstrating which phase of cancer survival?
A)Rehabilitation
B)Permanent survival
C)Watchful waiting
D)Extended survival
Q2) A person is prescribed external radiation as part of his cancer treatment. Which of the following should be included in this person's instructions? Select all that apply.
A)Use an electric razor to shave the treatment area.
B)Apply an ice pack if the skin becomes irritated.
C)Wash the skin with soap and water.
D)Do not wash off the treatment marks.
Q3) Which type of diet is associated with an increased risk of developing breast cancer?
A)Large amounts of fruit and vegetables
B)Protein rich
C)Large amounts of dairy products
D)High fat, low fibre
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Chapter 14: A Person-Centred Approach to Assessing the
Integumentary System
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) An adolescent male has extensive acne over his face and upper neck. What is acne caused by?
A)Blocked sudoriferous glands
B)Inflamed ceruminous glands
C)Blocked apocrine glands
D)Inflamed sebaceous glands
Q2) After the completion of an integumentary status assessment, the nurse documents: '+1 oedema right lower leg'. What does this documentation mean?
A)Slight pitting, no obvious distortion
B)Deeper pit, no obvious distortion
C)Pitting is obvious; extremities are swollen
D)Pitting remains with obvious distortion
Q3) The nurse is planning to document the appearance of herpetic lesions found over a person's nose and mouth region. Which of the following terms would the nurse most likely use to describe this finding?
A)Nodular
B)Ulcerated
C)Bullous
D)Pigmented
Page 16
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Chapter 15: Nursing Care of People With Integumentary Disorders
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A person with skin cancer is recovering from a surgical procedure in which thin layers of the tumour were horizontally shaved off. Which type of treatment did this person most likely have?
A)Mohs surgery.
B)Curettage.
C)Electrodesiccation.
D)Total surgical excision of the lesion.
Q2) A young person asks what can be done to remove acne scars. What should the nurse suggest to this person?
A)Laser treatment.
B)Blepharoplasty.
C)Chemical peeling.
D)Skin graft.
Q3) For which reason would corticosteroid medication be used to treat a skin disorder?
A)Moisturise the skin.
B)Suppress inflammation.
C)Lubricate the skin.
D)Retard water loss.
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Chapter 16: Nursing Care of People With Burns
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20 Flashcards
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Sample Questions
Q1) A person comes into the doctor's office after sustaining chemical burns to both hands. Where does this person need to be treated?
A)The hospital emergency department.
B)The outpatient ambulatory clinic.
C)The doctor's office and then at home.
D)A burn centre.
Q2) A person comes into the emergency department with full-thickness burns over 25% of his body. Which intravenous solution should the nurse prepare for this person?
A)Normal saline.
B)Hartmann's solution.
C)5% dextrose in normal saline.
D)4% dextrose in 1/5th normal saline.
Q3) Passive range-of-motion exercises every two hours are prescribed for a person with full-thickness burns to the right arm. What should the nurse do prior to the next exercise session?
A)Change the burn dressing.
B)Reposition the person.
C)Change the person's bed linens.
D)Medicate for pain.
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Page 18
Chapter 17: A Person-Centred Approach to Assessing the Endocrine System
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) During an assessment the nurse notes that the person's eyes are extremely wide open and bulging. With which endocrine disorder should the nurse associate this finding?
A)Hypofunction of the anterior pituitary gland.
B)Addison's disease.
C)Hyperthyroidism.
D)Diabetes insipidus.
Q2) The healthcare provider prescribes diagnostic tests for a person's pituitary gland. ''What does this gland regulate?
A)Blood glucose.
B)Blood pressure.
C)Eight hormone-related functions.
D)Bone density.
Q3) A woman is experiencing fatigue and a lingering head cold that began after starting a new job. What should the nurse suspect this person is experiencing?
A)Increase in adrenaline secretion.
B)Increase in glucocorticoid secretion.
C)Decrease in epinephrine secretion.
D)Reduction in noradrenaline secretion.
Page 19
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Chapter 18: Nursing Care of People With Endocrine Disorders
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) During the assessment of a person with a hyperthyroidism, the nurse notes smooth, fine hair and warm, dry skin. What do these findings indicate?
A)Inconsistency with the diagnosis of hyperthyroidism.
B)Nothing, as these are normal findings in hyperthyroidism.
C)A concurrent disease.
D)Oversecretion of thyroid-stimulating hormone.
Q2) A person with Cushing's syndrome is concerned about the frequency of head colds.
''Which nursing intervention would be appropriate for this person?
A)Assess for protein and vitamin intake.
B)Encourage daily weighing.
C)Limit visitor contact.
D)Plan for frequent rest periods.
Q3) A family member is concerned about keeping an older person's broken skin areas clean. What should the nurse teach this family member?
A)'Use warm water.'
B)'Use firm, consistent strokes when bathing.'
C)'Make sure she has a daily bath.'
D)'Follow the bath with an alcohol body massage.'
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Chapter 19: Nursing Care of People With Diabetes Mellitus
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A person with diabetes is unable to lose weight despite careful dieting and consuming only sugar-free soft drinks. How should the nurse respond to this person?
A)'How much water are you drinking every day?'
B)'Sugar-free drinks still have some calories.'
C)'Are you sure you are buying only sugar-free items?'
D)'It is very difficult to stick to a weight loss diet.'
Q2) The nurse is preparing to mix 20 units of NPH insulin with 8 units of regular insulin into one syringe for injection. Select the order of the steps the nurse should follow:
A) Wipe tops of both vials with alcohol.
B) Inject 8 units of air into the regular insulin vial.
C) Inject 20 units of air into the NPH insulin vial.
D) Withdraw 20 units of NPH insulin into the syringe.
E) Withdraw 8 units of regular insulin into the syringe.
Q3) Which medication is classified as an ultra-short-acting insulin?
A)Protaphane.
B)Isophane NPH.
C)Insulin glargine.
D)Insulin aspart.
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21
Chapter 20: A Person-Centred Approach to Assessing the
Gastrointestinal
System
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Sample Questions
Q1) A person says, 'I drink fluids throughout the day but I seem to always be hungry!' Which of the following characterises this person's gastric emptying?
A)Rapid
B)Delayed
C)Sluggish
D)Normal
Q2) A person tells the nurse about the 'new vitamin pill' she started taking because it won't 'break down until it reaches the large intestine.' Which of the following is correct about the benefits of this vitamin pill?
A)It is better than most.
B)It is excellent.
C)It is average.
D)It is useless.
Q3) Which statement should the nurse include when instructing a person about the purpose of the gallbladder?
A)It stores bile until needed for digestion of fats.
B)It stores glucose until needed by the body.
C)It acts as a reservoir for excess dietary iron.
D)The gallbladder produces intestinal hormones.
Page 22
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Chapter 21: Nursing Care of People With Nutritional Disorders
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Sample Questions
Q1) A 33-year-old female states, 'I eat anything I want and just have a laxative for dessert!' What is this person exhibiting?
A)Bulimia
B)Anorexia
C)Distorted body image
D)Binge-eating disorder
Q2) A person with a BMI of 29 says, 'I cut out all my sweet snacks last week and I still can't lose any weight.' Which of the following would be appropriate for the nurse to do or say in response?
A)'It takes a while to lose weight.'
B)Document that 'person states no longer eating sweet snacks.'
C)Refer the person to a dietician.
D)'Let's calculate how many calories you are eating each day.'
Q3) A person has been receiving parenteral nutrition for many months. The nurse is aware that the person is at an increased risk of developing what condition?
A)Cardiomyopathy
B)Grave's disease
C)Liver disease
D)Diabetes
Page 23
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Chapter 22: Nursing Care of People With Upper
Gastrointestinal Disorders
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Sample Questions
Q1) A person who is recovering from surgery for stomach cancer a month ago continues to experience dumping syndrome. Which of the following should the nurse instruct this person to help the person address this problem? Select all that apply.
A)'It is likely to be a problem for the rest of your life.'
B)'There's no effective treatment for this complication.'
C)'Eat smaller, more frequent meals.'
D)'Only eat a clear liquid diet until the problem resolves.
E)'Drink your liquids separately from your solid foods.;
Q2) A person with gastritis is commencing therapy with the anti-ulcer agent sucralfate (Carafate). What would the nurse teach the person about using this medication?
A)The medication may be taken with antacids.
B)The medication is likely to cause nausea.
C)Shake the suspension well.
D)Take the medication with meals.
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Chapter 23: Nursing Care of People With Bowel Disorders
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Sample Questions
Q1) The nurse is instructing a person about how to increase intra-abdominal pressure in order to facilitate a bowel movement. In this example, what is the nurse instructing the person about?
A)Valsalva manoeuvre
B)Crede procedure
C)Splinting
D)Tetany
Q2) A person comes into the outpatient clinic for testing because of chronic constipation. What might this person have evidence of?
A)Inflammatory bowel diseases
B)External haemorrhoids
C)Gastroenteritis
D)Irritable bowel syndrome
Q3) During the assessment of a person's perianal area, the nurse notes 'donut-shaped red tissue'. What is this finding indicative of?
A)Anorectal abscess
B)Pilonidal disease
C)Prolapsed rectum
D)Anorectal fistula
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25
Chapter 24: Nursing Care of People With Gallbladder, Liver, and Pancreatic Disorders
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Sample Questions
Q1) A person who is admitted to the hospital with an acutely inflamed gallbladder says, 'I suddenly feel better. The pain was really bad, but then it completely stopped.' What should the nurse do?
A)Prepare the person for discharge.
B)Contact the doctor immediately.
C)Continue with normal monitoring of the person.
D)Check when the person last received any pain medication.
Q2) The family and friends of a person who recently had a liver transplant are upset because they have not been permitted to see the person after surgery. What would be the nurse's best response concerning the significance of this issue?
A)'These types of visiting restrictions are common after transplants.'
B)'You can't visit because the person is susceptible to infections and are in isolation.'
C)'I am sorry but the person is too unstable to have visitors right now.'
D)'The person's condition is critical post-transplant, so visitors are not advisable.'
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26
Chapter 25: A Person-Centred Approach to Assessing the Renal System
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A person is participating in rehabilitation for bladder retraining. Which of the following bladder layers houses the detrusor muscle?
A)Fibrous outer layer
B)Muscle layer
C)Inner epithelial mucosa
D)Connective tissue mucosa
Q2) A person is experiencing a sudden decrease in systemic blood pressure. Which of the following will occur within the kidney to help control this blood pressure drop?
A)Glomerular filtration rate (GFR)will increase.
B)Juxtaglomerular cells will release renin.
C)Renal arteries will dilate.
D)Osmotic pressure will increase.
Q3) A 65-year-old female comes into the clinic to be seen for urinary incontinence. What may this symptom indicate?
A)It is part of the ageing process.
B)It is a side effect of her medications.
C)She has excessive urine production.
D)Something else is going on and the person needs to be evaluated.
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Chapter 26: Nursing Care of People With Urinary Tract Disorders
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22 Flashcards
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Sample Questions
Q1) A person is scheduled for a lithotripsy for renal calculi. What is the purpose of a bowel preparation prior to this procedure? To:
A)ensure maximum visualisation of the kidney and the stones.
B)reduce abdominal discomfort.
C)ensure that there is no constipation prior to the procedure.
D)minimise postoperative pain.
Q2) A man has a history of calcium calculi. Which of the following medications can be prescribed to help treat this person's condition?
A)Indomethacin.
B)Allopurinol (Progout).
C)A thiazide diuretic.
D)Amoxycillin.
Q3) A married woman has a history of repeated urinary tract infections. Which of the following should the nurse include while assessing this person?
A)Physical activity level.
B)Height and weight.
C)Type of contraception used.
D)Type of work.
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Chapter 27: Nursing Care of People With Kidney Disorders
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Sample Questions
Q1) A person who received a kidney transplant seven years ago is seen for increasing blood pressure and proteinuria. The nurse realises that this person is demonstrating signs of which condition?
A)Nephrotic syndrome.
B) Acute kidney rejection.
C)Glomerulonephritis.
D) Chronic kidney rejection.
Q2) A person who is recovering from acute renal injury is being discharged. Which of the following should the nurse include in this person's instructions?
A)Instruct to weigh themselves weekly.
B)Avoid alcohol consumption.
C)Limit fluid intake.
D)Use over-the-counter medications as needed.
Q3) The nurse is planning the care of a person with chronic glomerulonephritis. What is an appropriate treatment goal for this person?
A)Returning to work as soon as possible.
B) Encouraging lifestyle changes.
C)Maintaining renal function.
D) Achieving maximum independence.
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Page 29
Chapter 28: A Person-Centred Approach to Assessing the Cardiovascular
and Lymphatic
Systems
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20 Verified Questions
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Sample Questions
Q1) The nurse is caring for a person admitted with an atrial gallop. The nurse realises that which of the following cardiac conditions could result in this assessment finding? (Select all that apply.)
A)Cardiomyopathy.
B)Mitral valve prolapse.
C)Aortic stenosis.
D)Tricuspid regurgitation.
Q2) The person is having a treadmill test. Which of the following is an important teaching point?
A)Smoking is permitted up until the time of the test.
B)Comfortable clothing and shoes should be worn for the test.
C)The person is nil by mouth for 6-8 hours before the test.
D)A hospital gown and slippers should be worn for the test.
Q3) At which location will S2 be heard the loudest?
A)Right sternal border at the second intercostal space.
B)Left sternal border at the fifth intercostal space.
C)Left midclavicular line at the fifth intercostal space.
D)Right midclavicular line at the third intercostal space.
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Chapter 29: Nursing Care of People With Coronary Heart Disease
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Sample Questions
Q1) The nurse is interviewing the person. Which functional health pattern is related to asking the person if they have had tests to check the function of their heart?
A)Activity-exercise.
B)Cognitive-perceptual.
C)Health-perception-health-management.
D)Nutritional-metabolic.
Q2) A common laboratory test related to heart assessment is a fasting lipid profile.
Which of the following statements is true regarding this test?
A)Cholesterol levels should be less than 200 mg/dL.
B)HDL is not part of this test.
C)LDL is measured and should be over 130 mg/dL.
D)A normal triglyceride level is 200-300 mg/dL.
Q3) Place the following statements regarding cardiac catheterisation in the correct order:
A) inject contrast.
B) heart activity is filmed.
C) thread catheter to heart chamber.
D) catheter insertion in the leg.
E) peripheral IV insertion.
Page 31
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Chapter 30: Nursing Care of People With Cardiac Disorders
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Sample Questions
Q1) Which of the following is correct for a 52-year-old obese male who is admitted with elevated triglycerides and a history of smoking two packs of cigarettes a day for 20 years? He:
A)possesses all non-modifiable risk factors for coronary artery disease that cannot be overcome.
B)possesses all modifiable risk factors for coronary artery disease that can be overcome.
C)is at high risk of coronary artery disease.
D)is not at an increased risk of coronary artery disease.
Q2) The term 'pacemaker noncapture' requires the nurse to do the following: (Select all that apply.)
A)assess the person to determine their response to the pacemaker noncapture.
B)contact the doctor and describe what is documented on the ECG strip.
C)document the event by printing an ECG strip and making it part of the person's record.
D)administer glyceryl trinitrate sublingual stat.
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Chapter 31: Nursing Care of People With Vascular and Lymphatic Disorders
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Sample Questions
Q1) What is the initial indication of valve disease?
A)It is discovered by accident on a routine chest x-ray.
B)A murmur is heard during physical exam.
C)An echocardiography study is done to preventatively check the valves.
D)It is discovered only through an ECG.
Q2) Which of the following tests in most indicative of CHF in a patient who may have this diagnosis?
A)Liver function tests.
B)Serum electrolytes.
C)Blood urea nitrogen (BUN).
D)Atrial natriuretic peptide (ANP).
Q3) What is cardiac tamponade treated with?
A)Oxygen and bed rest.
B)Pericardiocentesis.
C)Antiarrhythmic drugs and oxygen.
D)Chest x-ray and IV antibiotics.
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Chapter 32: Nursing Care of People With Hematologic Disorders
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Sample Questions
Q1) Which of the following is the most common symptom of early Hodgkin's disease?
A)Night sweats
B)Enlarged lymph nodes
C)Malaise
D)Persistent fever
Q2) Where would you expect to see leukaemic cells accumulate?
A)White blood cells
B)Plasma
C)Lymph
D)Bone marrow
Q3) A person who is undergoing chemotherapy for lymphoma says, 'I thought I was ugly before this all started. Now I know for sure I'm disgusting to look at.' Which of the following is this person most at risk of developing related to their comments?
A)Inability to cope with the diagnosis and treatment
B)Dysfunctional grieving
C)Reduced sexual response
D)Changed body image perception
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Page 34
Chapter 33: A Person-Centred Approach to Assessing the
Respiratory
System
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Sample Questions
Q1) Which of the following would be considered an important job of the paranasal sinuses?
A)Lighten the skull.
B)Assist in sneezing.
C)Push out through the nasal cavity.
D)Serves as a passageway for air and food.
Q2) During the palpation of a person's chest for expansion, the nurse notices a decrease in expansion of the right side. This finding is consistent with which of the following? Select all that apply.
A)Pneumothorax
B)Pleural effusion
C)Pneumonia
D)Emphysema
Q3) Which of the following would the nasopharynx serve as a passage way for as it works in the respiratory system?
A)Air and food
B)Air only
C)Food only
D)Debris
35
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Chapter 34: Nursing Care of People With Upper Respiratory Disorders
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Sample Questions
Q1) The nurse suspects that a person is demonstrating signs of tonsillitis. Which of the following would be indications of this disorder? Select all that apply.
A)Thirst
B)Hoarse voice
C)Difficulty swallowing
D)Otalgia
Q2) A person tells the nurse, 'After I leave here, I need to get to the dentist. My upper teeth are hurting and I don't know why.' What should the nurse do?
A)End the visit quickly so the person can get to the dentist.
B)Reschedule the appointment for another time.
C)Check the person's nasopharynx.
D)Assess the person for a sinus infection.
Q3) A person with epiglottitis is allergic to penicillin. What is the antibiotic of choice for this person?
A)Ampicillin (Austrapen)
B)Dicloxacillin (Diclocil)
C)Amoxicillin (Augmentin)
D)Rocephin (Ceftriaxone)
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Chapter 35: Nursing Care of People With Ventilation Disorders
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Sample Questions
Q1) A 20-year-old person who is asking questions about smoking cessation tells the nurse about an upcoming class on scuba diving. The nurse identifies that this person might be at risk of developing what?
A)Haemothorax
B)Pneumothorax
C)Pulmonary oedema
D)Atelectasis
Q2) The nurse is providing care to a person with a differential diagnosis of carbon monoxide poisoning. Which of the following would be consistent with this diagnosis? Select all that apply.
A)Cherry red mucous membranes
B)Nausea
C)Dizziness
D)Circumoral pallor
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Chapter 36: Nursing Care of People With Gas Exchange Disorders
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Sample Questions
Q1) An intubated person is awake and begins to cry. What is the nurse's best action?
A)Wipe the person's tears and leave the person alone.
B)Give a neuromuscular blocking agent.
C)Turn off the lights so that the person can sleep.
D)Explain to the person that the breathing tube is a temporary measure.
Q2) Which of the following would be the COPD classification of a person that presents with few symptoms and is left breathless on exertion?
A)Minimal
B)Mild
C)Moderate
D)Severe
Q3) A person with pulmonary hypertension has an elevated haematocrit level. What should be included in the nurse's discharge instructions?
A)Instructions about anticoagulant therapy
B)Discussion of the need for long-acting corticosteroids
C)Instructions about venesection
D)Instructions about fluid restrictions
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Page 38
Chapter 37: A Person-Centred Approach to Assessing the
Musculoskeletal
System
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Sample Questions
Q1) During assessment when is a person's gait considered to be normal? If:
A)the gait is smooth and steady without limping.
B)the gait is slow and deliberate, as if the person is gingerly pulling one side up to meet the other.
C)the gait is jerky and quick, indicating the person has excellent motor control.
D)the person does not stumble, run into objects, or fall.
Q2) Creatine kinase (CK)is evaluated in persons who are suspected of having which condition?
A)Osteoarthritis.
B)Bone tumours.
C)Muscle trauma.
D)Gout.
Q3) Why is alkaline phosphatase (ALP)assessed in people experiencing musculoskeletal disorders and diseases? To:
A)identify bone diseases.
B)determine phosphorus levels.
C)diagnose and monitor the treatment of gout.
D)establish true calcium levels.
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Chapter 38: Nursing Care of People With Musculoskeletal
Trauma
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Sample Questions
Q1) The nurse is caring for a person with a new cast. What is appropriate teaching for care of a cast?
A)Use a wooden stick to scratch itches under the cast.
B)A plaster cast dries in 3 hours.
C)If a plaster cast gets wet, it can be dried with a blow dryer on a cool setting.
D)It is permitted to get fiberglass casts wet.
Q2) There is a risk of fat embolus in a person who has had surgery to repair a fracture.
What is (are)the early sign(s)and symptom(s)of a fat embolus?
A)Reduced urinary output.
B)Chest pain.
C)Petechiae and tachycardia.
D)Fever.
Q3) What are the signs and symptoms of compartment syndrome? (Select all that apply.)
A)Decreased peripheral pulse.
B)Decrease in pain.
C)Increased draining.
D)Tingling in an extremity.
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Chapter 39: Nursing Care of People With Musculoskeletal Disorders
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Sample Questions
Q1) The nurse is teaching a person who has gout. Which of the following should be included in the teaching? Avoid:
A)eating cottage cheese.
B)drinking fruit juices.
C)drinking milk.
D)eating oysters.
Q2) The nurse is teaching a 68-year-old female, who is on oestrogen replacement, information about dietary calcium recommendations. Which dosage should be included in the nurse's teaching?
A)1000 mg per day.
B)800 mg per day.
C)700 mg per day.
D)300 mg per day.
Q3) What is one of the first symptoms that the nurse would expect to find on assessment of a person with osteoarthritis?
A)Pain and stiffness in one or more weight-bearing joints.
B)Muscle spasms and weakness.
C)Pain when at rest.
D)Crepitus in the joint with movement.
Page 41
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Chapter 40: A Person-Centred Approach to Assessing the Nervous System
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Sample Questions
Q1) How would the nurse describe Alzheimer's disease to a community group? It: (Select all of the following that apply.)
A)Alzheimer's disease tends to run in families.
B)Alzheimer's disease is caused by a prion.
C)Alzheimer's disease increases in incidence with age.
D)Alzheimer's disease has a short duration.
Q2) When the nurse is assessing the functional health pattern of health perception-health management for a person with a neurological problem, which of the following questions is appropriate?
A)'Are you having any problems with the ability to see, hear, taste, or smell?'
B)'Do your health problems interfere with your ability to sleep?'
C)'Do you have any problems with balance, coordination or walking?'
D)'Have you noticed any problems with chewing or swallowing your food?'
Q3) One of the most common neurological diseases is characterised by abnormal cell firing in the brain. What does this disease cause in persons?
A)Migraines.
B)Decerebrate posturing.
C)Photophobia.
D)Seizures.
Page 42
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Chapter 41: Nursing Care of People With Intracranial Disorders
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Sample Questions
Q1) The nurse is providing preoperative teaching to a client with frequent and severe seizures. What information should be included?
A)'You will get a partial dose of your antiepileptic medication on the morning of surgery.'
B)'You can expect to be unconscious during the surgery.'
C)'You will get double the dose of your antiepileptic medication after surgery.'
D)'This surgery will cure you of any further seizures.'
Q2) Following a craniotomy, in which position should the nurse place the person?
5)_______
A)Head of bed elevated 20 degrees.
B)Flat.
C)Head of bed elevated 45 degrees.
D)Sitting upright.
Q3) Which of the following is the most important psychosocial need for a person with a seizure disorder?
A)Altered body image.
B)Risk of trauma.
C)Anxiety.
D)Unilateral neglect.
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Chapter 42: Nursing Care of People With Cerebrovascular and Spinal Cord Disorders
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Sample Questions
Q1) A person is recovering following a carotid endarterectomy. The person's blood pressure has risen this morning to 168/60. What should the nurse do?
A)Recheck the blood pressure every 30 minutes and report this change to the doctor when they make rounds the next time.
B)Record the blood pressure and find out who took this reading. Have that staff member demonstrate their blood pressure procedure and offer tips to obtain more accurate readings.
C)Check the standing orders and see if there is a medication ordered PRN for lowering blood pressure. If so, administer it and document the action.
D)Recheck the blood pressure and ensure the correct size cuff was used. Compare the trend of blood pressure readings and call the doctor now.
Q2) The nurse is caring for a person with a secondary metastatic spinal cord tumour. What would be the benefit of surgery?
A)Exploration to obtain a biopsy.
B)To remove part of the tumor, to reduce spinal cord compression.
C)To eliminate the tumour with excision and drainage.
D)Complete removal of the tumour and affected spinal cord tissue.
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Page 44
Chapter 43: Nursing Care of People With Neurologic Disorders
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Sample Questions
Q1) An adult has been diagnosed with Bell's palsy. The person asks if the facial paralysis and distortion will go away. What should the nurse answer?
A)'About 80% of people recover completely within a few weeks to a few months, but there can be lasting effects.'
B)'Virtually everyone recovers from Bell's palsy in three to five weeks.'
C)'Most people have intermittent facial paralysis on both sides of the face.'
D)'Most people have permanent facial paralysis on one side of the face.'
Q2) Once motor neurone disease is diagnosed, what is the priority nursing activity?
A)Support the person and family to meet physical and psychosocial needs.
B)Assist the person to avoid cardiac complications.
C)Assist the person to adapt to the disease.
D)Monitor for early signs of infection.
Q3) How is tetanus completely preventable?
A)Passive immunisation.
B)Complete cleansing of all contaminated skin wounds.
C)Administering antibiotics immediately after a dog bite.
D)Active immunisation.
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Page 45
Chapter 44: A Person-Centred Approach to Assessing the
Eye and Ear
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Sample Questions
Q1) After repeated attempts, a person standing at a distance of 6 metres is able to read all of the letters on the Snellen chart without difficulty. How should the nurse document this person's vision?
A)Normal vision
B)Visual impairments
C)Normal 6/6 vision
D)Impaired depth perception
Q2) The nurse notices that a person's pupils constrict when reading the consent form for medical treatment. What is this observation considered to be?
A)Evidence that the person has normal vision
B)A normal pupillary response
C)An abnormal pupillary response that should not happen when reading
D)Evidence that the person needs reading glasses
Q3) A person sustained an injury to the inner layer of the left retina. With what will this person have difficulty?
A)Peripheral vision and colour perception
B)Bright lights
C)Night vision
D)Visual discrimination
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Chapter 45: Nursing Care of People With Eye and Ear Disorders
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Sample Questions
Q1) A person reports increased ear pain when the auricle is pulled up and back. What should the nurse consider this person is experiencing?
A)Mastoiditis
B)Otitis media
C)Otosclerosis
D)Otitis externa
Q2) A person with chronic otitis media is diagnosed with a cholesteatoma. What is the treatment for this person?
A)Anti-inflammatory medications
B)Tympanostomy tubes
C)Surgery
D)Antibiotics
Q3) A person comes into the clinic complaining of 'flashes and a curtain dropping' in his right eye. What is this person most likely experiencing?
A)Cataract
B)Glaucoma
C)Macular degeneration
D)Detached retina
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Chapter 46: A Person-Centred Approach to Assessing the
Male and Female Reproductive Systems
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Sample Questions
Q1) The nurse is preparing to examine a man's reproductive organs. Which of the following should the nurse do in preparation for this examination? Select all that apply.
A)Ask the man to lie down on the exam table.
B)Arrange for a private examination room.
C)Use clean hands for the examination.
D)Ask the man to empty his bladder.
Q2) A man's prostate specific antigen (PSA)level is elevated. The nurse realises that this man most likely will need which of the following diagnostic tests to accurately diagnose the presence or absence of cancer?
A)Prostate ultrasound
B)Semen analysis
C)Biopsy
D)CT scan
Q3) A woman complains of severe menstrual cramps. What uterine structure is responsible for this complaint?
A)Internal os
B)Uterine fundus
C)Endometrium
D)Myometrium
Page 48
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Chapter 47: Nursing Care of Men With Reproductive System and
Breast Disorders
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Sample Questions
Q1) A man is recovering from a penile implant procedure. What should be included in the care of, and teaching about, the implant? Select all that apply.
A)Suggest wearing snug-fitting underwear and loose trousers to conceal the semi-erection.
B)Encourage the man to practice inflating and deflating the device during the recovery period.
C)Sexual activity may resume in 4 weeks.
D)Suggest wearing loose-fitting underwear.
Q2) A man reports concern about a recent increase in breast tissue. What should the nurse do to assist this man?
A)Explain that this is usually self-limiting and will go away in time.
B)Review current medications.
C)Suggest a mammogram.
D)Recommend a breast biopsy to learn the reason for the increase in breast tissue.
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Chapter 48: Nursing Care of Women With Reproductive
System and Breast Disorders
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Sample Questions
Q1) A woman experiencing menopause is 'tired of the night sweats.' What should the nurse suggest to help this woman?
A)Ensure that the bedroom temperature is cool and wear light night attire.
B)Increase fluid intake of an evening.
C)Talk with the doctor about a hysterectomy.
D)Exercise 1 hour before going to sleep.
Q2) A woman is diagnosed with uterine prolapse into the vagina. What factor most likely contributed to this disorder?
A)Multiple pregnancies
B)Cervical polyps
C)Pelvic inflammatory disease
D)Vaginal tears
Q3) A postmenopausal woman is diagnosed with cervical dysplasia caused by the human papillomavirus. What procedure will both diagnose and treat the dysplasia?
A)Loop electrosurgical excision procedure (LEEP)
B)Colposcopy
C)Cryosurgery
D)Cervical biopsy
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Chapter 49: Nursing Care of People With Sexually
Transmitted Infections
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Q1) A woman has the complaint of a 'weird rash' on her hands and feet. Which of the following should the nurse include in the care of this woman? (Select all that apply.)
A)Conduct a complete sexual history assessment.
B)Find out if the woman has experienced a chancre sore on her mouth or genital area.
C)Ask if the woman has experienced a foul-smelling vaginal discharge.
D)Ask the woman if she uses a public swimming pool or spa
Q2) A woman says that she has been using 'the medication for a yeast infection' but it is not 'getting any better.' The nurse suspects that which of the following relates to this female? The woman:
A)needs to continue using the medication for a much longer period of time.
B)might be using a medication that is not appropriate for the cause.
C)is not using the medication correctly.
D)is not washing her hands before applying the medication.
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Chapter 50: Mental Healthcare in the Australian Context
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Q1) What is schizophrenia?
A)Intermittent episodes of extreme mood swing
B)A strong belief in something that cannot be true, with few if any hallucinations
C)A chronic severe depression
D)Episodes of hallucinations, delusions and thought disorder
Q2) Which are symptoms of depression? Select all that apply.
A)Sleeping more than usual
B)Faster thinking than usual
C)Grandiose delusions
D)Reduced motivation
E) Indifference
Q3) What is the model of care for mental healthcare nursing in Australasia?
A)Rehabilitation
B)Cure
C)Recovery
D)Protection
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Chapter 51: Community Care
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Sample
Questions
Q1) The community nurse sees that the person uses a walker and oxygen. During the home assessment, the nurse identifies several safety concerns. Which of the following should the nurse be most concerned about in the person's home?
A)Throw rugs everywhere in the home
B)Light switches at arm's length
C)Grab bars in the bathroom and toilet
D)Large spaces between the furniture in the living and dining room
Q2) The community nurse sees that a family member is not adhering to the person's prescribed care plan and reviews the plan with this family member. The nurse is functioning in which capacity with the family?
A)Educator
B)Provider of direct care
C)Advocate
D)Coordinator of the person's care
Q3) Tobacco smoking would be considered which type of social determinant?
A)Distal determinant
B)Intermediate determinant
C)Proximal determinant
D)Not considered a determinant
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Chapter 52: Nursing Care of Clients in Regional, Rural and Remote Areas of Australia
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Sample Questions
Q1) Which of the following is correct about the health of Indigenous Australians?
A)Indigenous Australians living in cities have poorer health outcomes than Indigenous Australians living in country towns.
B)The health outcomes of Indigenous Australians are similar to those of non-Indigenous Australians.
C)The health outcomes of Indigenous Australians in cities are better than those of non-Indigenous Australians living in cities.
D)The lower life expectancy of Indigenous Australians in remote areas is more suggestive of their Indigenous status rather than their locality.
Q2) In an emergency nursing care triage, what is the purpose of the primary survey?
A)Evaluation of the person's relevant previous medical history
B)Identification of all acute conditions
C)Assessment of mental health
D)A comprehensive head-to-toe physical assessment
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54