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Health Assessment Exam Materials - 1705 Verified Questions

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Health Assessment

Exam Materials

Course Introduction

Health Assessment is a foundational course that introduces students to the systematic process of collecting comprehensive health data from individuals across the lifespan. The course covers essential techniques and skills for obtaining health histories, conducting physical examinations, and utilizing assessment tools to evaluate physical, psychological, and social well-being. Emphasis is placed on the development of critical thinking, clinical judgment, and communication skills necessary for interpreting findings and identifying deviations from normal health. Students learn to document and report assessment outcomes accurately, laying the groundwork for effective clinical decision-making and holistic patient care.

Recommended Textbook

Introduction to Medical Surgical Nursing 5th Edition by Linton

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56 Chapters

1705 Verified Questions

1705 Flashcards

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Page 2

Chapter 1: The Health Care System

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28 Verified Questions

28 Flashcards

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Sample Questions

Q1) The nurse assures the parents of a newborn with a congenital heart defect that the home care for their child is eased and supported by: (Select all that apply.)

A) Availability of smaller and more compact equipment

B) Specialized DRGs for home care of children

C) Medicaid-funded home care services

D) Home care services funded by private insurance

E) Grants and stipends from various drug manufacturers

Answer: A,B,C,D

Q2) The nurse explains that the mission of the Public Health Service (PHS)is to: (Select all that apply.)

A) Ensure safety of foods and cosmetics.

B) Provide access to health care services for low-income individuals.

C) Support medical research.

D) Support substance abuse prevention and treatment.

E) Monitor and prevent disease outbreaks.

F) None of above

Answer: A,B,C,D,E

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Chapter 2: Patient Care Settings

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26 Verified Questions

26 Flashcards

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Sample Questions

Q1) A computer programmer who lost both legs is being retained by his employer,who has made arrangements for a ramp and a special desk to accommodate the patient's wheelchair.This is an example of disability level:

A) I

B) II

C) III

D) IV

Answer: B

Q2) Based on guidelines from the ADA,which question is an appropriate choice for the director of nurses to ask a nurse with an artificial leg who is applying for a staff position in an extended care facility?

A) "How long have you had your prosthesis?"

B) "How many flights of stairs are you able to climb without assistance?"

C) "Are you able to lift a load of 45 pounds?'

D) "Has your disability caused you to miss work?"

Answer: C

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4

Chapter 3: Legal and Ethical Considerations

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Sample Questions

Q1) The LPN/LVN reminds a group of nursing students that the values they demonstrate in their practice have their roots in:

A) Nursing school education

B) Family influence

C) Peer relationships

D) Agency policies

Answer: B

Q2) A good friend of the licensed practical/vocational nurse (LPN/LVN)confides that she is in a serious romantic relationship with a man the LPN/LVN had as a patient when he was diagnosed with the human immunodeficiency virus (HIV).The policies of the Health Insurance Portability and Accountability Act (HIPAA)prevent the nurse from warning her friend.This situation is a moral:

A) Dilemma

B) Uncertainty

C) Distress

D) Outrage

Answer: C

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Page 5

Chapter 4: The Leadership Role of the Licensed Practical Nurse

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Sample Questions

Q1) The leadership style that allows leadership flow among members of the team according to the task at hand is:

A) Democratic

B) Laissez-faire

C) Multicratic

D) Transformational

Q2) The task to which nurse aides may be delegated is:

A) Updating a nursing care plan

B) Developing a teaching plan

C) Weighing a patient

D) Evaluating pain medication responses

Q3) A nurse tells the other staff members that she works only for the money and simply wants to "do the job and go home." The leadership style in which this nurse would be most comfortable is:

A) Autocratic

B) Democratic

C) Laissez-faire

D) Participative

Q4) Planning,organizing,directing,and controlling are major functions of

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Chapter 5: The Nurse-Patient Relationship

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Sample Questions

Q1) The nurse is careful to perform each procedure in the same step-by-step manner because such consistency in care will:

A) Ensure that no step is omitted.

B) Guarantee complete safety.

C) Build confidence in the nurse's competence.

D) Save time.

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 assessing a patient's affect is trying to discern the patient's:

A) Problem

B) Mood

C) Orientation

D) Needs

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Chapter 6: Cultural Aspects of Nursing Care

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Sample Questions

Q1) The nurse explains that a Hindu refers to the record of his or her life and its accomplishments as ____________________.

Q2) A nurse,who is leading a discussion with a group of residents of a Jewish long-term care facility to discuss dietary laws and other religious practices,anticipates that the most prominent need of these patients would be:

A) Fasting every Friday night from sunset until sunset on the following Saturday and not taking them to the dining room.

B) Having a quiet time for prayer provided before and after all meals.

C) Serving meat and milk products at the same time but on separate plates.

D) Allowing Jewish men to shave before their Sabbath.

Q3) A Japanese patient,hospitalized for arteriosclerotic heart disease and hypertension,is allowed to have a regular diet with cultural provisions of Asian food.A diuretic,antibiotic,bronchodilator,and vasodilator have been prescribed.The medication that would be hampered by an Asian diet would be a(n):

A) Bronchodilator

B) Vasodilator

C) Diuretic

D) Antibiotic

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Chapter 7: The Nurse and the Family

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Sample Questions

Q1) During a family counseling session,the patient,a mother of a 5-year-old son,states,"I don't understand why my husband continually tries to get our son involved in T-ball.My son said the coach and his dad yelled at him and told him the game was lost because he couldn't catch the ball." As a nurse,you know that to maintain a healthy family unit,one of the most important family interactions is to:

A) Maintain open communication among all family members.

B) Encourage self-acceptance and self-esteem for all family members.

C) Encourage all family members to participate in community events.

D) Realize that not all family members may be able to fulfill assigned roles.

Q2) The nurse reminds the patient that functional patterns of communication in the family setting provide a means of:

A) Nurturing

B) Information

C) Closeness

D) Openness

Q3) The nurse includes the family in patient care to maintain the family's

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Chapter 8: Health and Illness

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Sample Questions

Q1) The nurse gives the example of when an individual becomes frightened and experiences increased heart rate and mental activity,along with increased blood flow to the skeletal muscles and dilated pupils,the person is experiencing an alarm reaction that helps the body defend against stressors.This alarm reaction is the:

A) Positive feedback response

B) Negative feedback response

C) Fight-or-flight response

D) Homeostasis response

Q2) During the initial gathering of data,the patient reveals a weight loss of 17 pounds since the death of his spouse 5 weeks earlier.He says that he is not sleeping and has no appetite.Using Maslow's "Hierarchy of Needs," the nurse assesses that the unmet needs are in the category of:

A) Physiologic

B) Safety and security

C) Love and belonging

D) Self-actualization

Q3) 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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Sample Questions

Q1) Cysteine,proline,isoleucine,valine,tryptophan,phenylalanine,methionine,and histidine are all classified as ______________________________.

Q2) Elements required for enzyme regulation and maintenance of osmotic pressure are:

A) Proteins

B) Minerals

C) Carbohydrates

D) Amino acids

Q3) The standard peripheral parenteral nutrition intravenous (IV)therapy usually infuses:

A) 50% glucose

B) 5% glucose

C) 0.9% sodium chloride

D) Sterile water

Q4) The main sugar in the blood and the primary source of energy for the body is:

A) Glycerol

B) Glucose

C) Fatty acids

D) Glycogen

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11

Chapter 10: Developmental Processes

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29 Verified Questions

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Sample Questions

Q1) The nurse cautions that most health problems in the young adult are related to:

A) Stress

B) Smoking

C) Alcohol consumption

D) Fatigue

Q2) The nurse is aware that ethnic- and gender-related difference in life expectancies exist,such as:

A) Black men live longer than white men.

B) White women live longer than black women.

C) Black men live longer than black women.

D) White men live longer than white women.

Q3) 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

Q4) Asking patients about loneliness is a particularly significant part of the nursing assessment of:

A) Young adults

B) Old young adults

C) Old middle-aged adults

D) Older adults

Page 12

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Chapter 11: The Older Patient

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25 Verified Questions

25 Flashcards

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Sample Questions

Q1) The nurse assesses age-related cardiovascular changes that include: (Select all that apply.)

A) Cardiac murmurs

B) Widened pulse pressure

C) Pulse decreasing in force

D) Dyspnea

E) Chest pain

Q2) The nurse includes in her approach to nursing care that older adult patients with mild cognitive impairment (MCI)are more likely to develop:

A) Dementia, non-Alzheimer type

B) Alzheimer dementia

C) Parkinson disease

D) Psychotic disorders

Q3) When the patient holds his Bible 6 inches from his face and turns his head to read out of the corner of his eyes,the nurse suspects that the patient is developing:

A) Cataracts

B) Glaucoma

C) Presbyopia

D) Macular degeneration

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Page 13

Chapter 12: The Nursing Process and Critical Thinking

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30 Verified Questions

30 Flashcards

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Sample Questions

Q1) Critical thinking is an integral part of the nursing process because it:

A) Promotes flexibility and individualized care.

B) Incorporates decision making.

C) Includes the patient in part of the nursing process.

D) Provides guidelines of care.

Q2) The patient complains of a headache.This information would be classified as:

A) Subjective

B) Objective

C) Pain assessment

D) Undifferentiated

Q3) Nursing interventions classifications (NIC)are:

A) Mandated by the North American Nursing Diagnosis Association (NANDA) as interventions that are to be used for all patients.

B) Currently approved nursing goals.

C) Instituted on the basis of individual patient needs.

D) Guidelines for goal setting and documentation of nursing care given to patients.

Q4) The nurse who exhibits an open minded,professionally curious,mature and self confident approach to care would be considered a ________________

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Chapter 13: Inflammation, Infection, and Immunity

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32 Verified Questions

32 Flashcards

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Sample Questions

Q1) Persons with human immunodeficiency virus (HIV)have acquired Pneumocystis jiroveci (PCP),a serious pulmonary infection caused by ____________________.

Q2) The nurse assesses a high eosinophil count in a pediatric patient.The nurse recognizes that this elevation is an indicator of ____________________.

Q3) A patient has had several increasingly severe allergic reactions during last year's pollen season.This year,the patient comes regularly to the office to receive some antigen injections.The nurse teaches that these will:

A) Combat infection brought on by the allergic response.

B) Act as a steroid to lessen the allergic response.

C) Increase tolerance to the antigen.

D) Decrease the production of the antibodies.

Q4) The nurse reminds the patient who is to undergo hyperbaric oxygen therapy that the clothing worn into the chamber must be made of ____________________.

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Chapter 14: Fluids and Electrolytes

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30 Verified Questions

30 Flashcards

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Sample Questions

Q1) The patient is frequently thirsty.The nurse assesses this symptom as:

A) Too much sodium and too much water in the body

B) Too little sodium and too much water in the body

C) Too much sodium and too little water in the body

D) Too little sodium and too little water in the body

Q2) A patient has renal damage because of diabetes,which places the patient at risk for:

A) Hypercalcemia

B) Hypocalcemia

C) Hyperkalemia

D) Hypokalemia

Q3) The nurse is aware that extracellular fluid osmolarity is primarily maintained by:

A) Chloride

B) Magnesium

C) K+

D) Sodium

Q4) The nurse would anticipate in a patient with respiratory acidosis that the blood pH reading would be lower than ____________________.

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16

Chapter 15: Pain Management

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29 Verified Questions

29 Flashcards

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Sample Questions

Q1) The nurse administers nalbuphine (Nubain),an opioid agonist-antagonist to a 78-year-old patient.The family is worried about the patient and thinks that this drug is too strong and will cause harm.The nurse assures the family that this drug:

A) Does not accumulate in the body.

B) Blocks the side effects observed in opioid agonists.

C) Does not affect the CNS.

D) Can only be given orally.

Q2) The nurse applying heat to an injured hip of a patient is careful not to leave the heat on longer than:

A) 15 minutes

B) 20 minutes

C) 30 minutes

D) 1 hour

Q3) The nurse explains that afferent pathways are activated by pain receptors called

Q4) ____________________ and ____________________ are natural opioid-like substances that block pain perception.

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17

Chapter 16: First Aid, Emergency Care, and Disaster Management

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30 Verified Questions

30 Flashcards

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Sample Questions

Q1) A patient is brought to the emergency department having had a rock chip imbed in the right eye.The nurse's initial action should be to:

A) Turn the patient to the left side and prepare to remove the chip.

B) Flush the right eye with normal saline.

C) Keep the patient flat.

D) Cover both eyes.

Q2) The patient is admitted to the emergency department after having been bitten on the hand by a black widow spider.The nursing intervention that is indicated is to:

A) Monitor for respiratory distress.

B) Wrap the hand in a warm compress.

C) Seat the patient upright in a chair.

D) Elevate the patient's hand above his or her heart.

Q3) The nurse has assessed the patient with a left-sided head injury and records this information: decreasing LOC; slow pupillary response on the right side; BP: 167/80 mm Hg; previous BP: 160/72 mm Hg; and gradually increasing respiratory and pulse rates.The nurse is aware that these assessments are indicators of

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Page 18

Chapter 17: Surgical Care

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32 Verified Questions

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Sample Questions

Q1) 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

Q2) The patient scheduled for a liver biopsy has given the nurse a list of medications routinely taken at home.The nurse should be concerned about the:

A) Aspirin

B) Multivitamin

C) Furosemide

D) Acetaminophen

Q3) Because malignant hyperthermia is a potential postoperative complication,the nurse should ask:

A) "Do you think you might have a fever?"

B) "Do you currently have an infection?"

C) "Has anyone in your family ever had problems with general anesthesia?"

D) "Have you ever had any type of malignancy?"

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Page 19

Chapter 18: Intravenous Therapy

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29 Flashcards

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Sample Questions

Q1) The nurse is choosing an IV cannula for an older adult patient and will choose the smallest size that will deliver the appropriate fluid,which is a cannula of:

A) 12 gauge

B) 14 gauge

C) 18 gauge

D) 22 gauge

Q2) As part of a written standard protocol for the unit,the nurse adds that irrigation of an occluded cannula is not recommended.The rationale against performing this procedure is that it may:

A) Damage a venous valve

B) Introduce an air embolus into the line

C) Cause the patient pain

D) Force blood clots into the main bloodstream

Q3) The nurse is carefully checking IV sites for signs of infiltration,which are:

A) Burning sensation, pain, and puffy

B) Pain, heat, and puffy

C) Burning sensation and no feeling at the site

D) Red streak up the arm

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20

Chapter 19: Shock

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Sample Questions

Q1) The nurse explains that the minimal acceptable hourly urine output for the patient in shock who weighs 220 pounds is ____________________.

Q2) When speaking to the family of a 65-year-old Hispanic woman,the nurse will address most conversation to the:

A) 66-year-old husband

B) Entire family, in general

C) 42-year-old daughter (oldest child)

D) 40-year-old son (only son)

Q3) The nurse explains to a concerned family member about the purpose of some of the interventions for systemic inflammatory response syndrome (SIRS),which is:

A) Applying a MAST garment to promote and conserve body heat.

B) Inserting an IABP to decrease fluid leaking into the extravascular space.

C) Maintaining strict isolation to prevent an overlying bacterial infection.

D) Aggressively treating to support the multiple failing organs.

Q4) The nurse explains that when shock forces the body into anaerobic metabolism,organ damage is caused by a product of that metabolism,which is

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21

Chapter 20: Falls

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Sample Questions

Q1) The nurse is talking to the family of a patient who has fallen several times.She knows that her teaching should be aimed toward the most important intervention for falls,which is:

A) Prevention

B) Hospitalization

C) Continuous observation

D) Restraint

Q2) The older adult patient with osteoporosis is at risk for falls.To maintain safety in the home,the nurse would advise the patient to:

A) Take the rubber mat out of the shower.

B) Install a grab rail in the bath and shower and by the toilet.

C) Avoid rubber-soled shoes.

D) Avoid exercise.

Q3) After a patient has fallen,the most appropriate nursing intervention is to:

A) Apply a vest restraint.

B) Have the patient begin ambulating as soon as possible.

C) Administer haloperidol (Haldol) as prescribed or as needed (PRN).

D) Apply wrist restraints.

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Chapter 21: Immobility

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Sample Questions

Q1) The nurse is providing discharge instructions to the family of an older adult patient who is unable to get out of bed.The nurse should instruct the family that the most effective way to prevent urinary incontinence associated with immobility is to:

A) Use absorbent under pads.

B) Set up a toileting program.

C) Restrict fluid intake to 500 ml per 24 hours.

D) Restrict fluids after dinner and throughout the night.

Q2) The nurse knows that the best prevention of immobility-related disorders is:

A) Dietary supplements

B) Fluids

C) Adequate fiber

D) Exercise

Q3) The nurse instructs a patient in a wheelchair that the risk for pressure ulcers can be diminished if the patient will:

A) Use a ring pillow on the seat of the chair.

B) Lift the weight of the body using the arms of the wheelchair every 15 minutes.

C) Scoot forward and back in the seat to stimulate circulation.

D) Wear underwear that holds moisture close to skin.

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Chapter 22: Confusion

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Sample Questions

Q1) In assessing a patient for the possibility of confusion,the nurse should keep in mind that the two major types of confusion are:

A) Acute and chronic senility

B) Temporary and permanent confusion

C) Delirium and dementia

D) Senility and senile dementia

Q2) The family of a patient with Alzheimer disease asks the nurse,"When will my mother quit being so confused?" The nurse's response should be based on the fact that dementia is a:

A) Short-term confusional state that is typically reversible

B) State of confusion caused primarily by medications

C) State of confusion that usually begins abruptly and lasts a short period

D) Syndrome that is chronic and irreversible

Q3) When admitting a patient who has been diagnosed as having confusion,the most important observation that the nurse should make is the patient's:

A) Eating, drinking, and sleeping patterns

B) Behavior, orientation, memory, and sleeping habits

C) Urinary and bowel elimination habits

D) Talking, walking, and sleeping patterns

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Page 24

Chapter 23: Incontinence

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Sample Questions

Q1) The nurse,instructing a patient in urge suppression,would include that when the patient is aware of the urge to void,she should: (Select all that apply.)

A) Breathe deeply and try to relax.

B) Perform several Kegel maneuvers without resting in between.

C) Walk to the bathroom at a normal pace while performing Kegel maneuvers.

D) Distract herself with a book or a television program.

E) Stop what she is doing, and sit down or stand quietly.

Q2) The patient who has been diagnosed with stress incontinence should be instructed by the nurse to:

A) "Restrict fluid intake to less than 1000 ml/day."

B) "Avoid fluids such as tea, coffee, and cola."

C) "Delay voiding until you feel the urge to void."

D) "Void no more often than every 4 hours."

Q3) The patient diagnosed with anorectal incontinence should be taught by the nurse to:

A) Take a daily laxative.

B) Increase fiber in the diet.

C) Perform pelvic muscle exercises.

D) Administer daily enemas.

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Chapter 24: Loss,Death,and End-of-Life Care

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Sample Questions

Q1) Nurses who have been caring for patients who are terminally ill frequently begin to feel helpless and frustrated.The best action by the nurse would be to:

A) Find another job.

B) Express her feelings to a friend or co-worker.

C) Ignore these feelings, because they will soon be gone.

D) Ask to care for different patients.

Q2) 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.

Q3) The nurse caring for the dying patient should understand the importance of:

A) Frequent, thorough physical assessments

B) Not imposing repeated and unnecessary assessments

C) Current, updated health history from the patient

D) Limiting the amount of visitors allowed

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26

Chapter 25: The Patient with Cancer

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Sample Questions

Q1) The nurse clarifies that radiation has an immediate effect on cells,which is cell death by:

A) Separating the cell from normal cells

B) Damaging the cell membrane

C) Altering the DNA of the cell

D) Reducing the nutrition of the cell

Q2) The family is concerned about the possibility of addiction as a result of the frequent doses of Roxanol.The nurse's best response is:

A) "At this stage, addiction is the least of our worries."

B) "This is a low-dose drug, and it controls pain without the problems of addiction."

C) "Addiction is rare, but we have drugs that can counteract the effect of this narcotic."

D) "You may want to share your concerns with the physician. He can order another drug that is not addictive."

Q3) Radiation is now measured in GRAY rather than RADS.One GRAY is equal to ________ RADS.

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Chapter 26: The Patient with an Ostomy

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Sample Questions

Q1) 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

Q2) The nurse cautions that some adhesive pouch material used to hold the appliance in place may cause:

A) Melting of the pouch

B) Excoriation of the stoma

C) Allergic reaction

D) Unpleasant odor

Q3) The nurse explains that an artificial opening into a body cavity is a(n):

A) Gastrostomy

B) Ostomy

C) Colonoscopy

D) Ureterostomy

Q4) When the patient complains of urine crystals forming on the urostomy stoma,the home health nurse recommends dissolving them with a pad saturated with

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Chapter 27: Neurologic Disorders

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Sample Questions

Q1) The patient with meningitis who has a positive Brudzinski sign will:

A) Flex the hips when the neck is flexed by the nurse.

B) Will not be able to extend the flexed leg fully because of hamstring pain.

C) Resist efforts of the nurse to flex his or her neck.

D) Flex the big toe upward and fan out the other toes.

Q2) A patient with a severe head injury begins to assume a posture of flexed upper extremities,with plantar-flexed lower extremities.These assessments indicate:

A) Increasing intracranial pressure (ICP) with decorticate posturing

B) Decreasing ICP with decerebrate posturing

C) Decreasing ICP with decorticate posturing

D) Increasing intracranial pressure with decerebrate posturing.

Q3) To prevent a headache after lumbar puncture,the nurse instructs the patient to:

A) Lie flat

B) Lie on left side

C) Stay in semi-Fowler position

D) Ambulate in the room with assistance

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Chapter 28: Cerebrovascular Accident

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34 Flashcards

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Sample Questions

Q1) The nurse encourages which one of the following posthospital options that would provide the most comprehensive assistance to a patient who is recovering from a CVA?

A) Transfer to a rehabilitation center.

B) Discharge to home with scheduled visits from home health care nurses.

C) Discharge to home with scheduled visits from a physical therapist.

D) Discharge to home with scheduled visits from an occupational therapist.

Q2) The nurse assesses that the patient with a CVA is in transition to the rehabilitation phase when:

A) BP has been within normal limits for 24 hours.

B) Patient makes positive statements about his condition.

C) No further neurologic deficits are observed.

D) Successful attempts are made at independent function.

Q3) The patient recovering from a CVA asks the purpose of the warfarin (Coumadin).The best response by the nurse is that Coumadin:

A) Dissolves the clot.

B) Prevents the formation of new clots.

C) Dilates the vessels to improve blood flow.

D) Suppresses the formation of platelets.

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Chapter 29: Spinal Cord Injury

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34 Verified Questions

34 Flashcards

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Sample Questions

Q1) Which statement made by a male patient with a SCI could be assessed as a positive adaptation to the nursing diagnosis of "Sexual dysfunction,related to altered body function?"

A) "I know I will never have a sexual relationship again."

B) "I need some suggestions as to how to direct my sexual energy into gardening or painting or just anything."

C) "Can you arrange an appointment with a sex counselor so I can begin to examine alternative methods of sexual activity?"

D) "I think that after a while I will be able to have sexual relationships just like I had before my accident."

Q2) The patient with a SCI begins to have seizures,and the blood pressure (BP)rises rapidly to 210/160 mm Hg.Which is the third indicator of the dreaded syndrome of autonomic dysreflexia?

A) Profuse vomiting

B) Hives on face and neck

C) Excessive urine output

D) Bradycardia

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Chapter 30: Acute Respiratory Disorders

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33 Verified Questions

33 Flashcards

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Sample Questions

Q1) The nurse charts that the patient has had periods of tachypnea during the night.This means that the respiration rate was:

A) Below 12 breaths/min

B) Uneven, with periods of apnea

C) Gradually deepening, then shallow, and then periods of apnea

D) Above 20 breaths/min

Q2) During the physical examination of a patient with respiratory difficulty,the nurse notices other clues to respiratory dysfunction that are: (Select all that apply.)

A) Flushed facial skin

B) Cyanotic nail beds

C) Abdomen distention

D) Curved spine

E) Clubbed fingers

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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Chapter 31: Chronic Respiratory Disorders

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32 Verified Questions

32 Flashcards

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Sample Questions

Q1) The discharge instruction given by the nurse that would be informative to a patient with TB,who asks how to protect his family members from his disease,is:

A) "Your family will need to take treatments to prevent infection."

B) "You will need to wear a mask at home to protect your family members."

C) "You should always cover your mouth and nose if coughing or sneezing."

D) "You should avoid intimate contact with everyone."

Q2) When asked by a patient with TB how long he will have to take his TB medications,the nurse's best response would be:

A) "Generally about 2 weeks."

B) "Depending on the drug, it may be as long as 2 years."

C) "TB drugs are usually taken throughout the lifespan."

D) "People frequently ask that question. It depends on many things."

Q3) The nurse cautions a group of individuals with COPD that using O<sub>2</sub> at levels greater than 1 to 3 L/min can cause the loss of their

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33

Chapter 32: Hematologic Disorders

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Sample Questions

Q1) The rationale for administering injections of vitamin B12 to patients with pernicious anemia is that:

A) The patient's body does not normally manufacture enough vitamin B12.

B) The patient may lack the intrinsic factor necessary for vitamin B12 absorption.

C) Vitamin B<sub>12</sub> is found in very small quantities in the patient's body.

D) Vitamin B<sub>12</sub> is a mineral necessary to aid in the formation of strong bones.

Q2) At the end of a shift,a nurse documents the effectiveness of parent teaching concerning the transmission of hemophilia.Which of the following statements by the mother would best indicate an accurate parental perception?

A) "Hemophilia is a genetic disorder and I am a carrier, although I do not have the disease."

B) "My son developed hemophilia because I had measles while I was pregnant."

C) "Since my husband isn't affected by the disease, our daughter will not be a carrier."

D) "I know it is not necessary to have my two daughters tested for the disease."

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Chapter 33: Immunologic Disorders

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31 Verified Questions

31 Flashcards

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Sample Questions

Q1) The nurse tells the family of a patient who has just undergone bone marrow transplant that to help stabilize the immune response and prevent rejection,________________ will be given.

A) Dexamethasone (Decadron)

B) Filgrastim (Neupogen)

C) Zidovudine (Retrovir)

D) Nevirapine (Viramune)

Q2) An 11-year-old girl is diagnosed with idiopathic thrombocytopenic purpura (ITP).The parental statement that helps the nurse evaluate the teaching as successful is:

A) "Our daughter can still be involved in gymnastics."

B) "When our daughter's hemoglobin falls below 3.5, she'll need blood."

C) "Our daughter will need genetic counseling before she marries."

D) "Our daughter should avoid drugs containing sulfonamides."

Q3) The nurse explains that the type of bone marrow transplant that uses the patient's own bone marrow is:

A) Allergenic

B) Allogeneic

C) Peripheral blood stem cell

D) Autologous

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Page 35

Chapter 34: Human Immunodeficiency Virus and Acquired

Immunodeficiency Syndrome

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Sample Questions

Q1) To avoid the exposure to bacillary angiomatosis (BA),the nurse advises the patient with HIV to avoid:

A) Cats

B) Large crowds of people

C) Consuming unwashed fruits

D) Exposure to mosquito bites

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 nursing diagnosis that would take priority in the care of an outpatient with AIDS would be:

A) Ineffective therapeutic regimen management

B) Impaired physical mobility

C) Impaired skin integrity

D) Social isolation

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Chapter 35: Cardiac Disorders

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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) A patient with an irregular sinoatrial (SA)node conduction has a permanent pacemaker with the code AAIOO and is now going home.The patient asks,"What happens when my real SA node fires on its own?" The nurse responds that the pacemaker will:

A) Not fire

B) Fire only the ventricles

C) Change the rate of firing

D) Fire both the atria and the ventricles.

Q3) A dopamine infusion is being administered to a patient with shock.The nurse should be alert for:

A) Sharp spike in blood pressure

B) Tremor of the hands

C) Increasing urinary output

D) Hyperirritability of the patient

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Chapter 36: Vascular Disorders

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Sample Questions

Q1) Because of the relationship between as deep-vein thrombosis (DVT)and other vascular problems,the nurse asks a patient with a DVT about the presence of:

A) An aneurysm

B) Rheumatoid arthritis

C) A peptic ulcer

D) Recurring chest pain

Q2) The nurse explains that a capillary refill time of less than 3 seconds is a quick assessment for:

A) Hypertension

B) Tissue perfusion

C) Excess fluid volume

D) Increased blood viscosity

Q3) The nurse explains that the major advantage of low-molecular-weight heparin (LMWH)is that LMWH can be given:

A) Orally

B) In a fixed doses

C) Only after partial thromboplastin time (PTT) laboratory work

D) For an immediate effect

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Chapter 37: Hypertension

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Sample Questions

Q1) The nurse explains that treatment of secondary hypertension focuses on a:

A) Smoking cessation program

B) Strenuous exercise program

C) Weight-loss program designed to reduce weight rapidly

D) Specific etiologic disease

Q2) Malignant hypertension is most commonly observed in:

A) White postmenopausal women

B) Obese Asians

C) Young African-American adults

D) Older Latino men

Q3) An 87-year-old patient is taking furosemide (Lasix)for elevated blood pressure.The nurse knows that older patients are at risk for:

A) Falls

B) Hypokalemia

C) Reflex tachycardia

D) Neutropenia

Q4) The nurse explains that the force against which the left ventricle must work to force the blood into the circulation is called ______________________________.

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Chapter 38: Digestive Tract Disorders

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Sample Questions

Q1) The goal for your patient with gastritis who has experienced nausea,vomiting,and diarrhea is to have a return of normal elimination patterns.Which of the following best reflects this goal in a measurable manner?

A) The patient will have fewer stools.

B) Diarrhea will be controlled and not return.

C) The patient will have no more than one stool per day.

D) The patient's bowel pattern will return to normal.

Q2) A need for further teaching is indicated when a patient with an ileostomy as a remedy for ulcerative colitis says:

A) "I will avoid milk products."

B) "I should select food with less dietary fiber."

C) "I'll miss my martini before dinner."

D) "I will be glad when the surgeon closes this ileostomy."

Q3) Patient teaching to promote self-care for the individual with diverticulosis should include the avoidance of:

A) Peanuts and raspberries

B) Apples and pears

C) Red meat and dairy products

D) Bran and whole grains

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Page 40

Chapter 39: Disorders of the Liver, Gallbladder, and Pancreas

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Sample Questions

Q1) The nurse assures the patient that the Occupational Health and Safety Administration (OSHA)has a requirement that all health care providers have the vaccination for:

A) Hepatitis A

B) Hepatitis B

C) Hepatitis C

D) All strains of hepatitis.

Q2) 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 ____________________.

Q3) In assessing a dark-skinned patient for jaundice,the nurse would assess the ____________________ for a yellow color.

Q4) Before discharge after a laparoscopic procedure for cholelithiasis,the patient is advised to:

A) Take water-soluble vitamins.

B) Follow a low-fat diet.

C) Expect light-colored stools for several days.

D) Keep dressing over T-tube dry.

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Chapter 40: Urologic Disorders

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32 Flashcards

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Sample Questions

Q1) Before discharge,the nurse teaches a patient who has had a lithotripsy that he should:

A) Check for edema of the legs and ankles.

B) Watch for stone debris in the urine in 1 to 4 weeks.

C) Decrease fluid intake to 1000 ml/day.

D) Remain on restricted activity for a week.

Q2) When the female patient complains of a very painful urethritis,the home health care nurse questions the patient about the use of: (Select all that apply.)

A) Bubble bath

B) Vitamin preparations

C) Herbal remedies

D) Vaginal sprays

E) Exercise machines

Q3) The nurse explains to a 10-year-old boy who wants to give his kidney to his grandfather that kidney donors must be at least how many years old?

A) 14

B) 16

C) 18

D) 21

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Page 42

Chapter 41: Connective Tissue Disorders

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33 Flashcards

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Sample Questions

Q1) The nurse explains that connective tissue function:

A) Helps provide a source of storage for calcium.

B) Stores hormones in the pores of bone tissue.

C) Controls the distribution of minerals.

D) Provides protection to body parts.

Q2) The nurse clarifies to the patient with gout that the medication,probenecid (Benemid),is prescribed to:

A) Reduce inflammation in the affected joint

B) Relieve pain

C) Diminish swelling

D) Increase excretion of uric acid

Q3) The nurse would include in a teaching plan for a patient with carpal tunnel syndrome instructions about:

A) Anticoagulants and glucocorticoids

B) Methotrexate

C) Lubricating ointments

D) Splinting to prevent flexion and hyperextension

Q4) To decrease osteoporosis,the nurse explains that women can benefit from ____________________ for 15 years after the onset of menopause.

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Chapter 42: Fractures

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Sample Questions

Q1) The older adult patient is at risk for constipation after sustaining a pelvic fracture.The nutritional suggestion that the nurse would make is:

A) Select food with high-sodium content.

B) Avoid foods high in dietary fiber.

C) While immobilized, drink at least 2 to 3 L of fluids daily.

D) Include milk products at every meal.

Q2) The nurse who is documenting and reporting the signs and symptoms of an infection underneath a cast would include:

A) Elevated temperature

B) Tingling and decreased sensation

C) Full pulses and absence of pain

D) Swelling and diminished motor function

Q3) When the patient who has been in a full body cast (spica)complains of nausea and abdominal distention,the licensed vocational nurse (LVN)alerts the charge nurse about the possibility of:

A) Constipation

B) Compartment syndrome

C) Cast syndrome

D) Shock

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Chapter 43: Amputations

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33 Flashcards

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Sample Questions

Q1) The postoperative observation that must be reported to the physician immediately is:

A) Brownish-red drainage on the dressing, which is damp

B) Respirations of 20 breaths/min

C) Pulse of 72 beats/min

D) Bright-red bleeding

Q2) An appropriate outcome for a nursing diagnosis,"Anxiety,related to perceived threat of disability," would be:

A) Comfort is increased; verbalized pain is less.

B) Anxiety is relieved; the patient verbalizes concern related to disability.

C) Grief is resolved; the patient expresses an acceptance of loss.

D) Residual limb is cleaned; no exudate, redness, or edema is observed.

Q3) The nurse conducting the safety seminar reminds the audience that upper extremity amputations are most frequently caused by trauma.The highest incidence of this type of amputation is in:

A) School-aged girls

B) School-aged boys

C) Young men

D) Young women

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Page 45

Chapter 44: Pituitary and Adrenal Disorders

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Sample Questions

Q1) The nurse prepares the family for the altered appearance of the patient returning from stereotactic radiosurgery to see a _____________ ___________ in place.

Q2) 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

Q3) The family member of a patient who is in adrenal crisis asks why the IV cortisone is continued after the initial IV push of Solu-Cortef,which seemed to stop the symptoms.The nurse replies that:

A) Solu-Cortef has a very brief therapeutic period and needs a maintenance IV infusion to keep up the level.

B) IV infusions guarantee that Solu-Cortef will be absorbed.

C) Long-term IV infusions maintain adequate urine output.

D) IV cortisone supports peripheral perfusion and elevates the blood pressure.

Q4) The nurse noting a peaked T-wave on the electrocardiogram (ECG)of a patient with Addison disease recognizes this complex as suggestive of _________________.

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Page 46

Chapter 45: Thyroid and Parathyroid Disorders

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31 Flashcards

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Sample Questions

Q1) The nurse assessing a patient 1 day after a subtotal thyroidectomy notes that the patient's color is poor,the pulse and respirations are rapid,and she feels warm to the touch.The patient says that she feels frightened.The nurse's initial implementation should be to:

A) Tell her that there is nothing to be afraid of, and to stay to calm her.

B) Ask her if she would like pain medication.

C) Call the charge nurse; these are signs of a thyroid storm.

D) Get a tracheostomy set at the bedside.

Q2) To meet the nutritional needs of a patient with Graves disease,the nurse recommends a diet of ____________________ to ____________________ calories.

Q3) The patient who has hypothyroidism can live a full and normal life if he is:

A) Taught the importance of taking his antithyroid medication until it is no longer needed.

B) Able to exercise to burn extra calories and maintain a normal weight.

C) Taught to take care of his energy needs through adequate nutrition.

D) Treated with thyroid replacement therapy.

Q4) Congenital hypothyroidism,if left untreated,will result in _________________.

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Chapter 46: Diabetes Mellitus and Hypoglycemia

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30 Flashcards

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Sample Questions

Q1) The home health care nurse is assessing a patient with type 1 diabetes who has been controlled for 6 months.The nurse is surprised and concerned about a blood glucose reading of 52.This episode of hypoglycemia is probably caused by the patient's having:

A) Taken a new form of birth control pill this morning.

B) Used large amounts of sugar substitute in her tea this morning.

C) Had a 2-hour long exercise class at the spa this morning.

D) Administered an insufficient dose of insulin this morning.

Q2) The nurse administering Humulin R 20 U at 7 AM is aware that this drug will peak in:

A) 15 minutes

B) 30 minutes

C) 1 hour

D) 2 hours

Q3) The nurse reminds the patient with type I diabetes to rotate the insulin injection sites to prevent ___________________________.

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Chapter 47: Female Reproductive Disorders

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29 Flashcards

Source URL: https://quizplus.com/quiz/9224

Sample Questions

Q1) 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

Q2) When the nurse read that the patient's breast tumor is a stage II,the nurse realizes that the tumor is:

A) Is smaller than 2 cm, with no positive lymph node involvement and no metastasis evident.

B) Measures between 2 and 5 cm, with no positive lymph node involvement and no metastasis evident.

C) Is larger than 5 cm, with no positive lymph node involvement and no metastasis evident.

D) Measures between 2 and 5 cm, with positive axillary lymph node involvement and metastasis evident.

Q3) Because small nonnodal metastases may be present,______________ is recommended after a lumpectomy.

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Chapter 48: Male Reproductive Disorders

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29 Flashcards

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Sample Questions

Q1) The discharge teaching plan for a patient after undergoing a prostatectomy would include instructions relative to: (Select all that apply.)

A) Remedy for bladder spasm

B) Catheter care

C) Delay of sexual activity for 3 months

D) Perineal exercises

E) Avoidance of heavy lifting

Q2) When conducting an initial assessment on a 65-year-old male patient,the nurse assesses a mass in the left testicle that on transillumination glows red.The nurse notes the presence of:

A) Phimosis

B) A hydrocele

C) Smegma

D) A hematocele

Q3) The nurse should explain that the purpose of the urethral smear is to:

A) Screen for human immunodeficiency viral (HIV) infection.

B) Detect sexually transmitted infections.

C) Verify fertility through a sperm count.

D) Eliminate concerns of prostate problems.

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Page 50

Chapter 49: Sexually Transmitted Infections

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Sample Questions

Q1) The nurse asks a patient to repeat the instructions to evaluate her knowledge about safe sex practices.The statement that indicates understanding is:

A) "Body massage would be considered safe."

B) "Mutual open-mouth kissing is safe."

C) "Vaginal intercourse with a properly used condom is safe."

D) "Anal sex with a condom made of latex is a safe sex practice."

Q2) When the female patient who is newly diagnosed with gonorrhea screams,"I am going to kill my husband.I mean it." The nurse's best response would be:

A) "Are you sure it is your husband who gave you gonorrhea?"

B) "Yikes! Killing your spouse seems extreme."

C) "Shall I report your spouse as a sexual contact?"

D) "I can understand your anger. How best can you deal with it?"

Q3) Doxycycline (Vibramycin)has been prescribed for a patient who has gonorrhea.Before beginning the medication,the nurse would instruct the patient to:

A) Take the medication with food or crackers.

B) Refrain from sexual relations for 4 weeks.

C) Follow-up to determine if the treatment was effective.

D) Keep the medication in the refrigerator.

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Chapter 50: Skin Disorders

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Sample Questions

Q1) The daughter of an older adult patient who has just returned from surgery is distressed about her father's pale,cold hands and feet.The nurse covers the patient with an extra blanket and responds:

A) "Don't be concerned. It is quite cold in the operating room. Your dad will be warm in a minute."

B) "Older patients like your dad get a little shocky during surgery."

C) "When patients have blood loss during surgery, superficial vessels close off temporarily, resulting in cold extremities."

D) "We are watching the disturbed circulation in your dad's hands and feet very carefully."

Q2) The implementation that the nurse may perform for a patient with pruritus without a physician's order is to:

A) Apply topical corticosteroids to affected areas.

B) Administer an antihistamine.

C) Apply lubricant to unbroken skin.

D) Bathe the patient in an oatmeal bath.

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Chapter 51: Eye and Vision Disorders

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29 Flashcards

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Sample Questions

Q1) The patient with glaucoma who is taking a beta-adrenergic blocking agent,timolol (Timoptic),should be monitored for:

A) Wheezing

B) Hypertension

C) Sudden eye pain

D) Blurred vision

Q2) The nurse instructs a family member how to guide a visually impaired person when ambulating by:

A) Holding the visually impaired person by his or her nondominant arm and walking side by side.

B) Holding the nondominant hand, wrapping the arm around his or her waist, and walking side by side.

C) Allowing the visually impaired person to hold the helper's arm, with the helper slightly ahead.

D) Allowing the visually impaired person to hold the shoulder of the helper and walk slightly behind the helper.

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Chapter 52: Ear and Hearing Disorders

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Sample Questions

Q1) The young woman being admitted to the clinic service states that all the members of her family have been hard of hearing.She says her hearing loss became more pronounced when she was pregnant.You suspect that this patient has a type of hearing loss called:

A) Otosclerosis

B) Ototoxicity

C) Otalgia.

D) Otitis media

Q2) A significant instruction to a patient being discharged after ear surgery is to:

A) Use stool softeners with caution.

B) Assume your usual activities.

C) Avoid blowing your nose.

D) Shampoo your hair with baby shampoo.

Q3) When teaching the patient with Ménière disease about managing the disorder,the nurse will stress:

A) Limiting fluid intake.

B) Avoiding the use of alcohol and tobacco.

C) Using antiemetic medications sparingly.

D) Staying active during the day.

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Page 54

Chapter 53: Nose, Sinus, and Throat Disorders

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Sample Questions

Q1) When the patient with sleep apnea says,"I'm not wearing that silly mask.I look like something out of Star Wars." The nurse reminds the patient that the mask:

A) Increases oxygen intake.

B) Stimulates regular respirations.

C) Sounds an alarm when the oxygen concentration drops.

D) Uses positive pressure to keep the airway open.

Q2) To encourage a new patient after a tonsillectomy to increase fluids,the nurse would offer:

A) Chilled citrus juices

B) Tap water sipped through a straw

C) Flavored popsicles to suck

D) Ice cubes

Q3) The most significant topic in a teaching plan for a patient with frequent episodes of laryngitis should include:

A) Observing voice rest.

B) Reducing smoking.

C) Eating warm foods.

D) Maintaining a consistent environmental temperature.

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Chapter 54: Psychologic Responses to Illness

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Sample Questions

Q1) The star quarterback on the high school football team is injured in a motorcycle accident.He will be unable to play football again.In planning his care,an appropriate nursing diagnosis for coping is:

A) Impaired physical mobility

B) Situational low self-esteem

C) Impaired social interaction

D) Impaired comfort

Q2) When the nurse assesses the social dimension of the patient's persona,the nurse will evaluate how the patient: (Select all that apply.)

A) Interacts with family.

B) Formulates thoughts.

C) Presents self to community.

D) Solves problems.

E) Processes information.

Q3) The example of a positive stressor is:

A) Test anxiety

B) Loss of a job

C) Paying income tax

D) Single motherhood

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Page 56

Chapter 55: Psychiatric Disorders

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Source URL: https://quizplus.com/quiz/9232

Sample Questions

Q1) While in the dayroom,one of the patients becomes very agitated and begins to threaten to harm the other patients and is directing violence at the other patients and staff.Appropriate nursing implementations include:

A) Decreasing the stimuli, and using restraints if all other measures fail.

B) Offering to call the physician, and asking another staff member to call security.

C) Removing harmful objects, and trying to perform relaxation exercises with the patient.

D) Restraining the patient, and not allowing him or her to eat or drink anything by mouth (NPO).

Q2) A patient states that he feels angry at work for no reason and often yells at his coworkers.The therapist asks the patient to describe events,and then tells the patient to try different strategies to cope with these angry outbursts.This would be an example of a(n)___________________ approach.

A) Biologic

B) Analytical

C) Cognitive or behavioral

D) Interpersonal

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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 cautions a patient who is taking disulfiram (Antabuse)that ______________ should be avoided to prevent the accidental activation of Antabuse.

A) Aged cheese

B) Pickled foods

C) Mouthwash

D) Chocolate candy

Q2) A patient who is an alcoholic is brought to the inpatient psychiatric unit saying that he does not know where he is or what day it is.Because he has a history of heavy drinking,you suspect that he is having:

A) Delirium

B) Alcoholic dementia

C) Blackout

D) Amnesia

Q3) The nurse explains that a test that can detect substance abuse for up to 1 year after only 2 or 3 days of use is performed on ____________________.

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