Health Assessment Review Questions
Course Introduction
Health Assessment is a foundational course that introduces students to the principles and practices of comprehensive health evaluation across the lifespan. The course emphasizes the development of skills required to collect, interpret, and document subjective and objective health data through patient interviews, physical examinations, and diagnostic procedures. Topics include assessment techniques, health history taking, cultural competence, and identification of normal versus abnormal findings. Students also gain experience in critical thinking and clinical reasoning to inform patient-centered care, preparing them for advanced roles in nursing and allied health professions.
Recommended Textbook
Foundations of Nursing 3rd Edition by Lois White
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61 Chapters
2346 Verified Questions
2346 Flashcards
Source URL: https://quizplus.com/study-set/2241
Page 2
Chapter 1: Student Nurse Skills for Success
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/44533
Sample Questions
Q1) Because the LP/VN works primarily under the supervision of registered nurses or other health care providers,the LP/VN's scope of practice is considered to be:
A)independent
B)dependent
C)collaborative
D)contingent
Answer: B
Q2) The student nurse is aware that using the components of reasoning,including such things as purpose,assumptions,developing conclusions,will allow the student to figure things out or to solve problems.Which of the following is an additional component of reasoning?
A)sources of data
B)implications and consequences
C)historical perspective
D)rationalizations
Answer: B
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Chapter 2: Holistic Care
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The philosophy that views total health as incorporating physical,mental,social,emotional,and spiritual components of a person's life is called:
A)holism
B)homeostasis
C)Maslow's hierarchy of needs
D)the health continuum
Answer: A
Q2) When explaining to client the importance of sleep,the nurse would be sure to include:
A)Every adult individual needs 6 hours of sleep each day.
B)Exercise should be done immediately before rest.
C)Sleep can be replaced by relaxing activities as long as the individual is enjoying himor herself.
D)The amount of sleep required by any individual varies.
Answer: D
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Chapter 3: Nursing History, Education, and Organizations
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) Nursing educators provide a systematic presentation of information in a classroom setting.Student nurses are aware that this type of learning experience is considered to be:
A)clinical learning
B)didactic learning
C)group learning
D)staff development learning
Answer: B
Q2) Which of these concepts used in current nursing practice was introduced by Nightingale?
A)encouraging involvement of family and friends in a client's care
B)maintaining confidentiality
C)organizing a methodical system of nursing administration
D)organizing a system of differentiated nursing practice
Answer: B
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5
Chapter 4: Legal and Ethical Responsibilities
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63 Verified Questions
63 Flashcards
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Sample Questions
Q1) Nursing practice acts are created and governed under what type of law?
A)administrative
B)constitutional
C)criminal
D)statutory
Q2) A method of identifying a person's priorities in life,including values about God,family,truth,love,sex,and pleasure is known as:
A)cultural values
B)ethical reasoning
C)personal values
D)values clarification
Q3) Which of the following persons would be eligible to assume responsibility as a durable power of attorney for health care for a client?
A)a next-door neighbor
B)the client's spouse
C)the client's physician
D)the client's nurse
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Chapter 5: The Health Care Delivery System
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) When a client participates in a prepaid health plan that provides primary health care services for a preset fee and that focuses on cost-effective treatment measures,this is considered to be:
A)an exclusive provider organization
B)a health maintenance organization
C)an independent practice
D)a preferred provider organization
Q2) Public health includes services such as prenatal care,immunizations,and:
A)primary care
B)discharge planning
C)preadmission interviews
D)environmental concerns
Q3) American health care consumers are becoming disillusioned with health care providers because of what factors?
A)greed and waste within the health care system
B)rising malpractice suits
C)increased length of hospital stays
D)increasing provider specialization
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Chapter 6: Arenas of Care
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Which of the following activities would be classified as an instrumental activity of daily living (IADL)?
A)dressing
B)driving a car
C)mobility
D)toileting
Q2) Nurses working in home health care must have all of the following skills and abilities.Which of these forms the foundation for all others?
A)ability to conduct ongoing client and family teaching
B)ability to work with the family to meet the client's needs
C)excellent assessment skills and a keen ability to identify problems
D)excellent nursing skills and creativity
Q3) An LP/VN who is considering work in a hospice should know that a primary feature of this care arena is its:
A)recognition that dying is a normal process
B)focus on providing aggressive end-of-life care
C)physician-dominated environment
D)strong staff development program
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8
Chapter 7: Communication
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) While assessing a client,the nurse notes that the client speaks softly when asked a question and rarely looks directly at the nurse.Which communication style is the client exhibiting?
A)aggressive
B)assertive
C)individual
D)passive
Q2) With which of the following clients is it important to continue verbal communication,even though they cannot respond?
A)clients with dysphasia
B)non-English-speaking clients
C)clients who are terminally ill
D)clients who are visually impaired
Q3) The nurse uses telecommunications equipment and communication networks to transfer a request for medical supplies to a different location.This is an example of:
A)the computerized client record
B)Internet health continuum
C)proxemics
D)telehealth
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Chapter 8: Client Teaching
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Which of the following statements would be MOST appropriate when a nurse is teaching a client about a diagnostic test?
A)"Don't eat anything before you have this test."
B)"For 6 hours prior to this test you should not eat or drink at all."
C)"You must not have anything by mouth for 6 hours before this test."
D)"You must remain NPO for at least 6 hours prior to the test."
Q2) The nurse is caring for a Hispanic client visiting his family in the United States.He is newly diagnosed with diabetes.The nurse would ensure that which of the following would be included in assessing this client's learning needs? (Select all that apply. )
A)client's age
B)client's language understanding
C)client's educational level
D)client's living arrangements
E)client's previous health history
F)client's insurance company
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Chapter 9: Nursing Processdocumentationinformatics
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64 Verified Questions
64 Flashcards
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Sample Questions
Q1) What is the relationship between nursing practice acts and documentation?
A)Nursing practice acts establish guidelines for practice and standards of care that are evidenced by documentation.
B)Documentation ensures safe practice.
C)Documentation and nursing practice requirements differ from state to state.
D)Nursing practice acts are independent of documentation requirements.
Q2) Client documentation can be used as an educational tool by which of these persons or groups?
A)health care students
B)sociologists
C)the client and family
D)medical anthropologists
Q3) In addition to recording,which of these communication tools is based on the nursing process,standards of care,and legal and ethical principles?
A)nursing diagnosis
B)reporting
C)nursing history
D)flow sheets
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Chapter 10: Life Span Development
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) Developmental characteristics of an older adult client include:
A)decreased capacity for long-term recall
B)maintenance of physical strength
C)decreased sense of worth
D)potential for social isolation
Q2) When caring for the preschooler,it is important for the nurse to remember that:
A)frequent use of the word no usually results from fear and stranger anxiety
B)play is the main mechanism for learning
C)teaching is more readily accepted from a peer or with a peer group with similar needs
D)a parent or caregiver should always be with the child during treatment
Q3) Which of these behaviors in an adolescent is a sign of suicide risk?
A)increased participation in social activities
B)giving away treasured objects
C)overattention to personal hygiene
D)preoccupation with peer group and social roles
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Chapter 11: Cultural Considerations
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The imposition of the rules,modes,and ideals of one group on another group is called:
A)acculturation
B)cultural diversity
C)oppression
D)stereotyping
Q2) When a nurse is caring for a client whose culture considers personal touch as negative,what can the nurse do to express caring and acceptance to the client?
A)Assign personal care responsibilities to a family member.
B)Wear gloves when providing personal care.
C)Smile frequently at the client.
D)Stand a respectful distance away from the client.
Q3) When a nurse is unsure if the client has understood a teaching or message,which of these actions should be taken?
A)Ask the client if the message is understood.
B)Ask the client to repeat or demonstrate the process.
C)Document the teaching session.
D)Reteach the concept.
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Chapter 12: Stress, Adaptation, and Anxiety
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/44544
Sample Questions
Q1) At the end of a difficult week,the nurse is experiencing physical and emotional exhaustion.This is an example of:
A)burnout
B)crisis
C)distress
D)stress
Q2) Which of the following interventions would be MOST appropriate in assisting a client deal with stress? (Select all that apply. )
A)teach relaxation exercises
B)plan care for client
C)minimize environmental stimuli
D)encourage verbalization of feelings
E)encourage increase in workload
F)establish a trusting relationship
Q3) The process by which individuals adapt is called:
A)maintenance
B)change
C)homeostasis
D)stress
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Page 14
Chapter 13: Loss, Grief, and Death
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) The loss of someone or something,such as the death of a loved one or the theft of one's property,represents what kind of loss?
A)actual
B)anticipated
C)situational
D)perceived
Q2) A loss of freedom occurring as an individual accepts the responsibility of a first full-time job after completing school represents what kind of loss?
A)actual
B)maturational
C)anticipated
D)perceived
Q3) When a person is unable to recognize a sense of loss and develops guilt feelings,what type of grief is the person experiencing?
A)disenfranchised
B)delayed
C)displaced
D)distorted
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15
Chapter 14: Wellness Concepts
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Health care personnel who may be exposed to blood and body fluids should be immunized against hepatitis B.This is an example of :
A)physical prevention
B)primary prevention
C)secondary prevention
D)tertiary prevention
Q2) Health promotion can BEST be defined as:
A)avoiding illness
B)preventing illness
C)choosing healthy behaviors
D)maintaining current health status
Q3) Over which factors affecting health does the individual have no control?
A)environmental influences
B)genetics and human biology
C)health care
D)personal behavior
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Chapter 15: Self-Concept
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) When assessing the client's self-concept,body image,or role performance,the nurse's priority would be which of the following? (Select all that apply. )
A)nonverbal actions
B)poor hygiene
C)excessive grooming
D)interactions with others
E)withdrawal
F)lack of appetite
Q2) The nurse is caring for a client who has lost her hair after undergoing chemotherapy treatments for cancer.How the client perceives her appearance can BEST be described as:
A)physical self
B)body image
C)hormonal changes
D)side effect of treatments
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17
Chapter 16: Spirituality
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse is caring for a client demonstrating signs of spiritual distress.Which of the following would the nurse note? (Select all that apply. )
A)lack of hope
B)anger toward family
C)poor coping mechanisms
D)feelings of courage
E)faith in God
F)lack of purpose in life
Q2) Which of the following statements about spirituality is TRUE?
A)There is no evidence of a connection between spirituality and health.
B)Spiritual nursing requires specialized training in order to perform.
C)Spirituality and values are the same.
D)Spirituality is the core of a person's being.
Q3) The nurse is caring for a client who expresses,"I believe that God will help the physician to heal me and make my health better." This is an example of:
A)hope
B)values
C)spirituality
D)faith
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Page 18
Chapter 17: Complementary Alternative Therapies
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse is caring for a client using therapies along with conventional medical therapies.This client's plan of care includes the use of:
A)alternative therapies
B)complementary therapies
C)congruent therapies
D)nonconventional therapies
Q2) Chemical substances that are produced by the body and facilitate nerve-impulse transmission are called:
A)antioxidants
B)neuropeptides
C)neurotransmitters
D)phytochemicals
Q3) The practice of entering altered states of consciousness with the intent of helping others is known as:
A)Ayurveda
B)meditation
C)mental imagery
D)shamanism
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19
Chapter 18: Basic Nutrition
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/44550
Sample Questions
Q1) When preparing the client for a meal,a nurse's FIRST responsibility is:
A)ensuring that the client is ready to eat
B)identifying the client's tray and ensuring that the correct diet has been sent
C)positioning the client comfortably upright with the overbed table over the client's lap
D)removing any offensive sights and smells from the room
Q2) The body requires a certain amount of energy needed to maintain functions such as circulation and respiration.This is an example of:
A)anabolism
B)basal metabolism
C)base caloric requirement
D)metabolic rate
Q3) At what age is it recommended that solid foods be introduced to an infant?
A)as soon as possible
B)at 2 months
C)at 3 months
D)at 4 to 6 months
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Chapter 19: Rest and Sleep
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A client has difficulty sleeping.Which of these methods should a nurse recommend the client try at bedtime?
A)vigorous exercise
B)take an over-the-counter sleep aid
C)life review
D)deep breathing
Q2) When a client is in stage 1 of non-rapid eye movement (NREM)sleep,a nurse would expect which of these responses when the client is to be roused?
A)The client can be easily awakened.
B)The client can be difficult to arouse.
C)The client will report dreaming if awakened.
D)The client's vital signs are significantly lower than when awake.
Q3) When a nurse is assessing a client's altered sleep patterns,which of these questions is MOST important to be included?
A)"Do you experience fatigue,confusion,or irritability during the day?"
B)"How much sleep do you expect to get every night?"
C)"How would you rate the quality of your sleep?"
D)"Do you get up several times during the night?"
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Chapter 20: Safety-Hygiene
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) To reduce bathroom hazards,a nurse should teach a client to do which of the following?
A)Position throw rugs around tubs,showers,and sinks.
B)Use hot water liberally.
C)Install grab bars near the tub or shower.
D)Keep extra toilet tissue within easy reach.
Q2) What is a nurse's highest priority when providing client care?
A)adhering to facility policy and procedure
B)ensuring client confidentiality
C)maintaining a safe environment
D)providing clinically competent client care
Q3) When the nurse is using a wheelchair to transport a client,which of these actions is essential?
A)Push the wheelchair into doorways and elevators with the client facing forward.
B)Lift the footrests when getting the client into or out of the chair.
C)Push the wheelchair slowly from behind.
D)Keep the wheelchair unlocked when the client is not in motion.
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Chapter 21: Infection Controlasepsis
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which of these factors affects the virulence of a pathogen?
A)ability to bypass healthy cells
B)amount available to produce disease
C)ability to evade the attack of white blood cells
D)strength of resistance to healthy cells
Q2) Which of the following lab values would be indicative of infection?
A)decrease in the pH of body fluids
B)increased neutrophil and lymphocyte count
C)negative cultures of involved body fluids
D)normal leukocyte count with increased eosinophils
Q3) Which of these terms refers to microorganisms that are always present but usually not harmful to clients?
A)pathogens
B)protozoa
C)resident flora
D)transient flora
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23
Chapter 22: Standard Precautions and Isolation
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Sample Questions
Q1) A client who has a major abscess on the thigh is on isolation precautions in a private room after surgical debridement.The physician changes the dressing each day.What barrier precautions should the nurse wear when providing care to this client?
A)an N-95 respirator and gloves
B)eye protection and a face mask
C)gloves and a gown,using antimicrobial-agent hand hygiene after glove removal
D)a gown only
Q2) A nurse is caring for a client who has active tuberculosis.What barrier precautions will the nurse wear when in the client's room?
A)a face shield
B)a surgical mask
C)an N-95 respirator
D)mask and eye protection,a gown,and gloves
Q3) Which of these approaches should a nurse take when caring for a client placed on isolation precautions?
A)Encourage client verbalization of feelings about isolation.
B)Limit visitors to hasten client recovery.
C)Arrange for a psychiatric consult for the client.
D)Split care responsibilities with another nurse to increase client distraction.
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Page 24
Chapter 23: Bioterrorism
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) At the scene of a terrorist attack,the nurse assists with triaging victims.Which victim should be seen as first priority or most urgent? (Select all that apply. )
A)Victim is pulseless.
B)Victim has chest pain.
C)Victim has multiple fractures.
D)Victim has chest wound.
E)Victim has a head injury with loss of consciousness.
F)Victim has third-degree burns.
Q2) The nurse is caring for a client suspected of contracting smallpox.The MOST important nursing intervention following this diagnosis is to:
A)notify the client's family members
B)wash the vesicular rash
C)monitor oxygen levels
D)airborne precautions
Q3) The priority intervention for a victim exposed to ricin is to:
A)wash the entire body with large amounts of soap and water
B)remove clothing
C)remove from exposed area or get outside
D)rinse out the eyes
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Page 25
Chapter 24: Fluid, Electrolyte, and Acid-Base Balance
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80 Verified Questions
80 Flashcards
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Sample Questions
Q1) The physician requires more information on the client's acid-base balance.The nurse anticipates the physician ordering which lab test to measure acid-base balance?
A)arterial blood gases (ABG)
B)serum carbon-dioxide level
C)serum hydrogen level
D)serum oxygen level
Q2) Which of these organs plays the major role in maintaining the body's fluid and electrolyte balance?
A)kidneys
B)colon
C)lungs
D)skin
Q3) The osmolality of a solution is determined by which of these?
A)density of molecules in water
B)number of molecules in water
C)percentage of molecules in water
D)weight of molecules in water
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Chapter 25: Medication Administration and IV Therapy
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59 Flashcards
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Sample Questions
Q1) In addition to the dorsogluteal and ventrogluteal muscles,which of these sites can safely be used for intramuscular injections?
A)deltoid and vastus lateralis
B)inner forearm and scapular area of the back
C)upper chest and abdomen
D)lower leg
Q2) A nurse is unable to read a health care provider's order for a new medication.Which of these actions must the nurse take next?
A)Ask another nurse for assistance.
B)Ask the client what new medication is to be started.
C)Call the pharmacist for assistance.
D)Clarify the order with the health care provider.
Q3) When a drug cannot be metabolized by the body and accumulates in the blood,the result is known as:
A)a toxic effect
B)an idiosyncratic reaction
C)drug tolerance
D)drug allergy
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Chapter 26: Assessment
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Sample
Questions
Q1) When performing a client's breast assessment,the nurse notes all of these findings.Which one indicates something is abnormal?
A)a slight difference in the size of the breasts
B)discharge from the right nipple
C)smooth skin that is even in color
D)symmetrical shape and color of the nipples and areolae
Q2) A client complains of dizziness when moving from a reclining position to a standing position.Which of these assessments will provide the nurse with the MOST pertinent data about the client's symptoms?
A)respiratory pattern
B)temperature
C)positional blood pressures
D)radial and carotid pulses
Q3) A nurse observes a client's lips and nail beds are cyanotic,which means that there is:
A)pale skin coloration
B)buildup of bile pigment in the skin
C)decreased oxygen supply to the area
D)increased redness to the skin
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Chapter 27: Pain Management
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Sample Questions
Q1) When assessing an older adult client for pain,the nurse should recognize which of these statements as TRUE?
A)Older clients often do not report pain for fear of being considered "complainers."
B)Older clients request pain medication more frequently to prevent complications.
C)Older clients believe that taking pain medication will hasten death.
D)Older clients have little experience with the increased efficacy of current pain medications.
Q2) Which of these statements about chronic pain is TRUE?
A)It is accompanied by elevated heart rate,respiratory rate,and blood pressure.
B)It occurs for at least 6 months.
C)It is usually described as sharp but is difficult to pinpoint.
D)Its signs and symptoms are often similar to depression.
Q3) Which of the following may occur as a side effect when administering opiates?
A)anxiety
B)diarrhea
C)palpitations
D)respiratory depression
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Chapter 28: Diagnostic Tests
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Sample Questions
Q1) All of these procedures involve aspiration of body fluid for therapeutic or diagnostic purposes.Which would be indicated for relief of pressure caused by ascites?
A)amniocentesis
B)lumbar puncture
C)paracentesis
D)thoracentesis
Q2) Prior to scheduling X-rays for a client,the nurse must:
A)determine the number and type of previous X-rays
B)determine the client's previous exposure to lead
C)be sure the client is fasting
D)question the client about the possibility of pregnancy
Q3) A client receives radioactive iodine as part of a diagnostic procedure.After the test,what actions must the nurse take?
A)Ask the client about previous allergic reactions to iodine or shellfish.
B)Assess the client's skin for breakdown and allergic reaction to the iodine.
C)Collect and discard the client's urine in a special container approved for handling radioactive wastes.
D)Notify the client's family.
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Chapter 29: Basic Procedures
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Sample Questions
Q1) To determine the correct size of below-the-knee antiembolic stockings for a client,the nurse should measure the distance from the:
A)Achilles tendon to the gluteal fold and midthigh circumference
B)knee to the ankle
C)Achilles tendon to the popliteal fold and the midcalf circumference
D)knee to the toes
Q2) When a nurse is assisting a client who has a urinary catheter in place to ambulate,the drainage bag should be:
A)disconnected temporarily for the period of ambulation
B)carried by the client
C)carried by the nurse
D)kept below the level of the bladder
Q3) Which of these statements about obtaining a stool specimen for occult blood is TRUE?
A)The client must use a bedpan for specimen collection.
B)If possible,the client should void before and after specimen collection.
C)Only a representative sample of stool is required.
D)The entire stool is placed in the appropriate collection cup.
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Chapter 30: Intermediate Procedures
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Sample Questions
Q1) A nurse should instruct a client who is to use a metered-dose nebulizer to follow which of these steps?
A)Exhale,place mouthpiece in mouth,press down on dispenser while simultaneously inhaling,and hold for 10 seconds before exhaling slowly.
B)Inhale and exhale several times,place mouthpiece in mouth,press down on dispenser,inhale,and hold for 20 seconds before exhaling slowly.
C)Place mouthpiece in mouth,press down on dispenser,take two deep breaths,and exhale rapidly.
D)Rest quietly for 5 minutes before placing mouthpiece in mouth,press down on dispenser,take two deep breaths,and exhale rapidly.
Q2) Which of these steps in administering eyedrops to a client is MOST important?
A)placing a tissue below the lower lid
B)pulling down on the cheek
C)having client close eyes after drops are instilled
D)holding the eyedropper at least 1/2 inch above the eyeball
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32
Chapter 31: Advanced Procedures
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/44563
Sample Questions
Q1) A nurse is preparing to draw blood from a client.Where should the tourniquet be applied?
A)2 inches above the venipuncture site
B)3 to 4 inches above the venipuncture site
C)5 inches above the venipuncture site
D)6 to 7 inches above the venipuncture site
Q2) To calculate the minute rate of a client's IV infusion,the nurse follows which of these steps?
A)Multiply the infusion time in minutes by the drop factor.
B)Divide the infusion time in minutes by the hourly rate.
C)Divide the hourly infusion rate by number of minutes.
D)Multiply the hourly infusion rate by the drop factor,and divide by the infusion time in minutes.
Q3) The nurse is preparing for placement of a nasogastric tube in a client.Before inserting a nasogastric tube,which position will the nurse place the client?
A)high Fowler's
B)Sims' left
C)supine
D)Sims' right
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Page 33
Chapter 32: Anesthesia
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/44564
Sample Questions
Q1) When caring for a client who has undergone general anesthesia,the nurse's immediate priority interventions would include which of the following? (Select all that apply. )
A)monitoring respirations and blood pressure
B)monitoring for level of consciousness
C)repositioning client frequently
D)encouraging deep breathing
E)providing fluids and missed meal
F)encouraging ambulation
G)keeping the client warm
Q2) A client is scheduled to have general anesthesia for a surgical procedure.The client asks the nurse about being awake during surgery.What is the nurse's BEST response?
A)"The anesthesiologist can give you specific information about the effects of the anesthesia selected."
B)"Just relax.You'll be fine."
C)"I'm not sure.Better talk to your anesthesiologist."
D)"With a general anesthetic you will be asleep during surgery."
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34
Chapter 33: Surgery
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/44565
Sample Questions
Q1) The nurse is caring for a client about to undergo surgery.A major nursing role related to preoperative physiologic assessment and diagnostic tests is to:
A)ensure the tests ordered by the health care provider have been performed
B)inform the client and family of test results
C)notify the surgeon that tests have been completed
D)make the client's family comfortable while tests are performed
Q2) What is the primary reason that electrocardiograms (EKGs)are routinely performed in middle-aged and older adult clients undergoing surgery?
A)Most insurance coverage dictates that they be performed.
B)The client's cardiac health must be evaluated because of the physical stress of surgery.
C)Ischemic heart disease is prevalent in these age groups.
D)A baseline study for comparison is needed should subsequent EKGs be needed.
Q3) Clients who have diabetes mellitus are prone to what postoperative complications?
A)atelectasis
B)hemorrhage
C)infection
D)pressure sores
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Chapter 34: Oncology
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64 Verified Questions
64 Flashcards
Source URL: https://quizplus.com/quiz/44566
Sample Questions
Q1) The client undergoing chemotherapy or radiation treatments is experiencing thinning or loss of hair.The nurse explains to the client that this reaction to the treatment is:
A)alopecia
B)ascites
C)cachexia
D)dysphagia
Q2) The client is diagnosed with malignant neoplasms that have multiplied quickly and spread to distant body parts.The nurse is aware that this process is called:
A)cellular transition
B)metastasis
C)osmosis
D)transposition
Q3) Nursing care of a client receiving internal radiation would include which of these approaches?
A)having one primary nurse care for the client
B)having the client perform personal care activities without assistance
C)limiting time of exposure to the client
D)wearing gown and gloves when in the client's room
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Page 36
Chapter 35: Respiratory System
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74 Verified Questions
74 Flashcards
Source URL: https://quizplus.com/quiz/44567
Sample Questions
Q1) Which of the following measures should the nurse take when caring for the hospitalized client with TB?
A)Double-bag and dispose of client secretions as infectious waste.
B)Wear gown,gloves,goggles,head cover,particulate respiratory mask,and shoe covers when entering the client's room.
C)Instruct the client to wear a surgical mask at all times.
D)Select reusable care items and keep them in the client's room.
Q2) Which of these terms describes an asthma attack that persists and does not respond to treatment?
A)asthma crisis
B)intrinsic asthma
C)persistent asthma
D)status asthmaticus
Q3) Immediate treatment of epistaxis would include:
A)administration of supplemental oxygen
B)cauterizing of nasal mucosa
C)compression of the nares
D)fluid and blood replacement
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Chapter 36: Cardiovascular System
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61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/44568
Sample Questions
Q1) When the left ventricle is unable to effectively pump blood to body systems,as in left-sided heart failure,what is the impact on the right ventricle?
A)It continues to pump adequate quantities of blood.
B)It is unable to pump adequate quantities of blood.
C)It works harder,and hypertrophy of the right ventricle eventually results.
D)It works harder and initially results in no changes in cardiac output.
Q2) What is the MOST common cause of premature ventricular contractions?
A)alcohol abuse
B)coronary artery disease
C)excessive drug abuse
D)myocardial infarction
Q3) Which of the following statements about Buerger's disease is TRUE?
A)It affects women between 20 and 40 years old of Asian descent.
B)It can be cured by large doses of corticosteroids given early in the disease process.
C)It is an inflammatory disease of small and medium blood vessels,leading to vascular obstruction.
D)It is closely associated with thrombophlebitis.
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Chapter 37: Hematologic and Lymphatic Systems
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/44569
Sample Questions
Q1) A nurse is caring for a client who has hemophilia and experiences pain due to bleeding into the joints.Which of the following interventions would be appropriate for this client?
A)Apply ice and pressure to bleeding sites.
B)Apply warm compresses to bleeding sites.
C)Administer aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs).
D)Immobilize painful joints in an extended position.
Q2) When a nurse suspects a client is having a transfusion reaction,which action must the nurse take immediately?
A)Call the blood bank or laboratory and report findings.
B)Call the health care provider and report findings.
C)Continue to observe the client closely.
D)Stop the infusion.
Q3) Which of the following medications or solutions may be administered with a blood transfusion?
A)intravenous (IV)antibiotics
B)calcium or potassium
C)lactated Ringer's solution
D)0.9% sodium chloride (normal saline)
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Page 39
Chapter 38: Gastrointestinal System
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/44570
Sample Questions
Q1) Which of these factors contributes to a client developing gastritis?
A)exposure to irritating substances such as ibuprofen
B)impaired esophageal sphincter function
C)high-fat diet
D)viral infection
Q2) A client develops peritonitis as a result of a ruptured appendix.The nurse should carefully monitor the client for evidence of which of these complications?
A)hypothermia
B)thrombosis
C)hepatitis
D)paralytic ileus
Q3) Paralytic ileus can develop as the result of:
A)adhesions that obstruct the bowel's lumen
B)interrupted blood flow to a portion of the bowel,which then becomes necrotic
C)interrupted nerve transmission to the bowel with a portion becoming paralyzed
D)a tumor obstructing the bowel's lumen
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Chapter 39: Urinary System
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/44571
Sample Questions
Q1) What appearance should the returned dialysate from a client's manual peritoneal dialysis session have?
A)clear and white
B)clear and light yellow
C)cloudy and white
D)cloudy and dark yellow
Q2) A client is to be treated for suspected cystitis.Which of these orders should the nurse implement first?
A)Administer urinary antimicrobial medication.
B)Administer urinary tract analgesics.
C)Obtain a urine specimen for culture and sensitivity (C&S).
D)Start an IV fluid at 100 mL/h.
Q3) With the progression of chronic renal disease,fluid restrictions are necessary.Which fluid intake schedule would be MOST appropriate for each 24-hour period?
A)250 cc days;200 cc evenings;350 cc nights
B)300 cc days;250 cc evenings;250 cc nights
C)400 cc days;200 cc evenings;200 cc nights
D)500 cc days;200 cc evenings;100 cc nights
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Chapter 40: Musculoskeletal System
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A client is diagnosed with temporomandibular joint dysfunction (TMJ)syndrome.Medical management would consist of which of the following?
A)orthodontics to close gaps in teeth
B)antibiotics and narcotic analgesics
C)regular chewing exercises
D)moist heat and cold therapy
Q2) What is the MOST important concern of the nurse caring for a client with decreased range of motion and ambulatory ability?
A)prevention of contractures
B)assessing crepitus
C)diagnosing locomotion disorders
D)assessing synarthrosis
Q3) A checkout clerk at a grocery store develops numbness,pain,and impaired mobility of the fingers of the dominant left hand.The nurse should suspect the client has developed which of these conditions?
A)carpal tunnel syndrome
B)bursitis
C)osteoarthritis
D)osteoporosis
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Chapter 41: Neurological System
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/44573
Sample Questions
Q1) When entering a client's room,a nurse observes the client laughing.The nurse asks what is making the client so happy.The client states angrily,"I'm not happy,you fool! I'm very upset," and then begins to cry.The nurse would note this behavior when evaluating the client's:
A)emotional status
B)intellectual function
C)mental status
D)orientation
Q2) Clients with a left-sided stroke tend to have which deficit?
A)agnosia
B)aphasia
C)anosognosia
D)unilateral neglect
Q3) Which type of skull fracture is of particular concern because of the close proximity of the fragile sinus bones and the adhesion of the dura mater to this area?
A)basilar
B)comminuted
C)depressed
D)linear
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Page 43
Chapter 42: Sensory System
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57 Verified Questions
57 Flashcards
Source URL: https://quizplus.com/quiz/44574
Sample Questions
Q1) The nurse explains to the client that the condition in which inflammation occurs in the middle ear and can cause temporary conductive hearing loss is:
A)acoustic neuroma
B)Ménière's disease
C)otitis media
D)otosclerosis
Q2) What are the primary clinical manifestations of otosclerosis?
A)dizziness,possible facial weakness,tinnitus,and hearing loss
B)ear pain,fever,and redness of the auricle and ear canal
C)subtle changes in hearing and low-pitched tinnitus
D)vertigo,tinnitus,and unilateral fluctuating hearing loss
Q3) The client has inflammation of the conjunctiva resulting from invasion by bacterial,viral,or rickettsial organisms,and is causing pain and redness.The nurse explains that this problem is:
A)uveitis
B)conjunctivitis
C)keratitis
D)iriditis
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Chapter 43: Endocrine System
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) A teenaged client appears to have developed hybrid diabetes.The nurse is aware that this type of diabetes causes the client to have which of the following? (Select all that apply. )
A)insulin resistance associated type 1 diabetes
B)antibodies against pancreatic islet cells associated with autoimmunity
C)antibodies against pancreatic islet cells associated with type 1 diabetes
D)insulin resistance associated with obesity
E)insulin resistance associated type 2 diabetes
Q2) What is the MOST common cause of hypopituitarism?
A)congenital defect
B)metabolic disorder
C)trauma causing damage to the pituitary gland
D)tumor
Q3) Which nursing diagnosis is MOST appropriate for a client who has hyperthyroidism?
A)Anxiety related to complications of hyperthyroidism
B)Risk for injury related to potential for hypertensive crisis
C)Imbalanced nutrition,less than body requirements
D)Impaired swallowing related to goiter
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45
Chapter 44: Reproductive System
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61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/44576
Sample Questions
Q1) In addition to aging,functional impotence can be the result of:
A)taking antihypertensive medications
B)difficulty with communication or relationships
C)anatomic factors
D)taking too much Viagra
Q2) A vacuum constriction device (VCD)may be used to promote an erection by:
A)strengthening penile vasculature
B)increasing blood supply to the penis
C)reducing inhibitions
D)enhancing sensation
Q3) What is the MOST useful screening method for prostate cancer?
A)prostate specific antigen (PSA)
B)prostatic biopsy
C)rectal examination
D)transrectal ultrasonic examination
Q4) The FIRST part of the menstrual cycle during which an ova develops is called:
A)fertilization
B)menstruation
C)ovulation
D)the proliferative phase
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Chapter 45: Sexually Transmitted Diseases
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/44577
Sample Questions
Q1) Which treatment will cure herpes genitalis?
A)acyclovir taken orally twice daily for 2 weeks
B)an injection of penicillin G benzathine
C)doxycycline 100 mg orally,twice daily for 7 days
D)none
Q2) Common diagnotic tests to determine the presence of sexually transmitted infections (STIs)include which of the following? (Select all that apply. )
A)antigen for HSV
B)Reiter's test
C)CT scan
D)Western blot
E)biopsy
F)urine specimen
Q3) Which statement regarding sexually transmitted infections (STIs)is TRUE?
A)Guidelines for reporting STIs are often ignored.
B)Statistics on STIs are kept only by individual states.
C)Reporting is required for STIs such as herpes and trichomoniasis.
D)There is no uniformity in the reporting requirements for STIs.
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Chapter 46: Integumentary System
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57 Verified Questions
57 Flashcards
Source URL: https://quizplus.com/quiz/44578
Sample Questions
Q1) An older adult client is admitted to a long-term care facility.The nurse should automatically place which of these support surfaces on the client's bed?
A)air-filled mattress
B)egg-crate mattress
C)waterproof draw sheet
D)electric warming blanket
Q2) All persons coming into contact with a client sustaining burn injury must wear:
A)gown and gloves
B)masks and gloves
C)gowns,gloves,masks,and caps
D)gowns,gloves,and caps
Q3) Which of the following nursing observations of the client who is severely burn injured would indicate a less-than-desirable client status and should be immediately reported to the doctor?
A)a change in the client's level of consciousness from confused to alert
B)hourly urine output below 30 mL
C)pulse oximetry reading that remains above 90%
D)productive cough
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Chapter 47: Immune System
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/44579
Sample Questions
Q1) The nurse is caring for a client who is human immunodeficiency virus (HIV)positive with a diagnosis of toxoplasmosis.Confirmation the diagnosis of toxoplasmosis in the client is made by which of these signs?
A)recent onset of neurological abnormality
B)presence of CD4 T cells
C)presence of white patches on tongue or oral mucosa
D)evidence of elevated protein level in cerebrospinal fluid
Q2) The nurse is caring for a client who just had an intravenous pyelogram (IVP).The client suddenly develops severe urticaria,angioedema,dyspnea,and cyanosis.Which of these actions should the nurse take first?
A)Administer epinephrine subcutaneously.
B)Maintain the airway and administer oxygen via mask.
C)Notify the health care provider for medication orders.
D)Start an IV line of D5W.
Q3) How is active acquired immunity obtained?
A)by antibodies produced by another human being or an animal
B)by exposure to a disease itself or its vaccine
C)by innate resistance to illnesses specific to other species
D)by transmission of antibodies through fetal circulation
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Page 49
Chapter 48: Mental Illness
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30 Flashcards
Source URL: https://quizplus.com/quiz/44580
Sample Questions
Q1) A client is to receive pharmacological intervention for anxiety on a long-term basis.Which of these medicines should be tried FIRST because of its lack of addiction potential?
A)lorazepam (Ativan)
B)buspirone hydrochloride (BuSpar)
C)clonazepam (Klonopin)
D)diazepam (Valium)
Q2) Which type of hallucination is the MOST serious because it often results in the client causing harm to him- or herself or others?
A)auditory
B)command
C)ideation
D)visual
Q3) Which of the following nursing interventions may be used for a client with potentially violent tendencies,to facilitate expression of anger in an adaptive,nonviolent manner?
A)anger control assistance
B)brief dynamic therapy
C)cognitive behavior therapy
D)psychotherapy
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Page 50
Chapter 49: Substance Abuse
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/44581
Sample Questions
Q1) When teaching a client about substance abuse,the nurse would BEST define a substance as:
A)a street drug that is frequently abused
B)a readily obtained drug that compels a person to overdose
C)a homemade concoction that produces desired effects
D)a drug,legal or illegal,that may cause physical or mental impairment
Q2) What is the potential for psychological addiction to marijuana?
A)virtually nonexistent
B)moderate
C)high
D)depends on the client's age,weight,and ethnic background
Q3) When assessing the client for adverse reactions that can result from taking MDMA,the nurse should observe for:
A)brain damage and disruptions in temperature and cardiovascular regulation
B)dehydration and central nervous system collapse
C)liver deterioration and psychosis
D)depression and respiratory failure
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Chapter 50: The Older Adult
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/44582
Sample Questions
Q1) Which of these dietary guidelines is MOST important for older adult clients?
A)Maintain a calcium intake of 1,000 to 1,500 mg daily from food and supplements.
B)Increase intake of potassium-rich foods.
C)Decrease intake of protein-rich fluids.
D)Maintain intake of carbohydrates and fat.
Q2) Because older adult clients frequently do not present the usual signs and symptoms of urinary tract infection,the major clinical manifestation may be:
A)incontinence
B)signs of acute confusion
C)fever of unknown origin
D)nausea and vomiting
Q3) Which of these nursing interventions would be MOST important for a client who has Alzheimer's disease?
A)Assist with activities of daily living (ADLs).
B)Arrange a therapeutic,calm,safe,consistent care environment.
C)Serve favorite foods.
D)Observe for improvement in mental status.
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Chapter 51: Ambulatory, Restorative, and Palliative Care in Community Settings
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25 Flashcards
Source URL: https://quizplus.com/quiz/44583
Sample Questions
Q1) The nurse employed at an extended-care facilities is aware that which of the following conditions are MOST likely to contribute to a decline in functional abilities?
A)influenza and urinary tract infections
B)pneumonia and renal stones
C)pneumonia and urinary tract infections
D)upper respiratory infections and constipation
Q2) The criteria for a client to be admitted to a restorative care program is:
A)mentally stable,able to learn,able to sit supported for at least 1 hour
B)medically stable,able to learn,able to sit supported for at least 1 hour
C)mentally stable,able to learn,willing to participate
D)medically stable,unable to perform activities of daily living (ADLs),willing to participate
Q3) The function of the interdisciplinary health care team is to:
A)assess,maintain,and evaluate the abilities of clients upon completion of therapy
B)provide care and evaluate the abilities of clients in need of functional therapy
C)evaluate the effectiveness of treatment of clients in functional therapy
D)assess and provide care for the clients in need of functional therapy
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Chapter 52: Responding to Emergencies
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Sample Questions
Q1) A female client comes to the emergency department saying she was sexually assaulted in her apartment.The nurse's focus in this situation should be to:
A)provide accurate,methodical care to the client
B)notify the client's family of the attack
C)refer the client for psychological counseling
D)administer antipregnancy medication when prescribed
Q2) The basic principles of first aid developed for emergency medicine are part of the triage and include which of the following? (Select all that apply. )
A)assess physical environment for self-protections
B)notify family for treatment consent
C)remove the client from danger
D)obtain and maintain an open airway
E)assess breathing
F)use Glasgow Coma Scale
G)obtain arterial blood gases
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Chapter 53: Integration
Source URL: https://quizplus.com/quiz/44585
Sample Questions
Q1) A 45-year-old male client with a history of hypertension for 5 years develops symptoms of congestive heart failure (CHF)and renal failure.What are some of the possible reasons the client has developed CHF and renal failure? Describe the areas in which nursing intervention with this client could have helped prevent development of these complications.
Q2) A nurse is caring for a client with cirrhosis.The nurse notes that the client is dyspneic,and crackles are heard on the auscultation of the lungs.The nurse suspects fluid volume excess secondary to congestive heart failure (CHF).What additional signs would the nurse expect to see if the cardiovascular system is being affected?
A)flat hand and neck veins
B)a weak and thready pulse
C)an increase in blood pressure
D)an increased urine output
Q3) A 60-year-old male client has just been diagnosed as having type 2 diabetes.The client is 30 pounds overweight and knows very little about his condition.What are the major points that the nurse should include in this client's teaching plan?
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Chapter 54: Prenatal Care
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36 Flashcards
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Sample Questions
Q1) In the fetus,the foramen ovale causes the majority of blood to bypass which of these structures?
A)coronary sinus
B)left ventricle
C)right ventricle
D)superior vena cava
Q2) The fetus is surrounded by a fluid-filled cavity enclosed by which of these membranes?
A)amnion and chorion
B)cotyledons and funis
C)decidua basalis and decidua capsularis
D)ectoderm and endoderm
Q3) A client's last menstrual period began on July 13.Using Naegele's rule,the nurse calculates the client's estimated date of delivery (EDD)as:
A)March 6
B)March 20
C)April 6
D)April 20
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Chapter 55: Complications of Pregnancy
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Sample Questions
Q1) A potential effect of diabetes on pregnancy and the fetus or neonate includes which of these risks?
A)euglycemia
B)congenital anomalies
C)HELLP syndrome
D)hyperglycemia
Q2) The nurse is explaining fetus viability to a client considering terminating her pregnancy.The nurse explains that a fetus is usually considered viable and can survive with medical interventions at how many weeks' gestation?
A)16
B)18
C)24
D)28
Q3) Which of the following does NOT demonstrate high-risk factors in pregnancy in general classification?
A)17-year-old female
B)abortion
C)dropped out of school
D)unmarried
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Page 57
Chapter 56: The Birth Process
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38 Flashcards
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Sample Questions
Q1) Which client position is preferred during the active and transition phases of labor because it promotes uteroplacental blood flow?
A)semi-Fowler's
B)side-lying
C)supine
D)walking
Q2) Shortly after delivery a client experiences a shaking chill.What is the nurse's MOST appropriate action?
A)Cover her with a warmed blanket.
B)Notify her health care provider of this development.
C)Obtain a culture of her lochia.
D)Take her temperature.
Q3) Flexion of the fetal head,a fetal mechanism of labor,assists it to move through the maternal pelvis by:
A)allowing the narrowest part of the skull to enter the pelvic outlet
B)causing lightening
C)facilitating engagement
D)shortening the entire birth process
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Chapter 57: Postpartum Care
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27 Flashcards
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Sample Questions
Q1) A client who is breastfeeding experiences engorgement on the 4th postpartum day.The nurse should explain to the client that engorgement is the result of:
A)a blocked milk duct
B)milk stasis that has resulted in inflammation of the breast
C)the breasts beginning to fill with colostrum
D)vasocongestion of breast tissues as milk production begins
Q2) A postpartum client has a midline episiotomy and states there is a great deal of discomfort whenever she moves.To decrease the discomfort,the nurse should instruct the client to:
A)ask for medication as needed
B)sit on a large pillow at all times
C)walk around frequently to restore circulation
D)tighten the buttocks and perineum before sitting and relax the area once seated
Q3) What are the usual causes of maternal afterpains?
A)cesarean delivery and prolonged labor
B)multiparity and breastfeeding
C)postpartal hemorrhage and puerperal infection
D)uterine involution and breast engorgement
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Chapter 58: Newborn Care
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A 5-month-old infant is admitted with vomiting and eczema over the lower extremities.The mother states that the infant is not developing as fast as her other children.When a diagnosis of phenylketonuria (PKU)is made,the nurse should recognize which of the following as the basic underlying defect involved?
A)absence of the enzyme hexosaminidase component A
B)absence of surfactant
C)chromosomal abnormality involving pairs 21 to 23
D)deficiency of a liver enzyme that metabolizes phenylalanine
Q2) When a newborn assumes the "fencing position" under the radiant warmer,it means that the infant:
A)extends and arches the spine with flexion of the legs
B)extends the arm and leg on the side the face points to and flexes the opposite arm and leg
C)flexes the arm and leg on the side the face points to and extends the opposite arm and leg
D)rotates the trunk in the direction the head is turned
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Chapter 59: Basics of Pediatric Care
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/44591
Sample Questions
Q1) Preoperative nursing responsibilities for a child having surgery include which of the following? (Select all that apply. )
A)Prepare for separation from caregivers.
B)Complete presurgery assessment.
C)Provide beverage or bottle 1 hour prior.
D)Obtain vital signs.
E)Assess operative site.
Q2) The Denver II (DDST)is the tool to be used when conducting a developmental assessment of a 5-year-old child.What is MOST important for the nurse to tell the caregiver about this procedure?
A)It is not an IQ test but a measure of the child's growth and development.
B)It is painless.
C)It is a test the child cannot fail.
D)It will require a day's hospitalization to complete.
Q3) What is the MOST common and reliable method of calculating drug dosages for children?
A)according to body surface area
B)according to age
C)according to weight
D)according to standardized dosing
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Chapter 60: Infants With Special Needs: Birth to 12 Months
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/44592
Sample Questions
Q1) The main objective of treatment of hyperbilirubinemia is to reduce the amount of which element in the infant's blood?
A)conjugated bilirubin
B)lumirubin
C)unconjugated bilirubin
D)urobilinogen
Q2) Which of these statements about surgical repair of cleft lip and palate malformations in a 4-week-old infant is TRUE?
A)It will be delayed until the growth of the craniofacial bones is complete.
B)It will be done in stages with the lip being the last repair done.
C)The lip will be repaired at 6 to 12 weeks and the palate at 12 to 18 months.
D)Only the palate will be repaired,and the lip can be done later if cosmetic surgery is desired.
Q3) In addition to administering antibiotics,nursing care of the infant with meningitis includes which of these interventions?
A)maintaining isolation for a minimum of 72 hours
B)monitoring neurological status every 4 hours
C)observing the infant's developmental status
D)ensuring the parents receive prophylactic treatment
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Page 62
Chapter 61: Common Problems: 1-18 Years
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36 Verified Questions
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Sample Questions
Q1) Children should be advised to avoid areas where venomous spiders are likely to live,such as:
A)overgrown or unmowed fields
B)dead tree trunks
C)closets and woodpiles
D)gardens with many shrubs
Q2) Which of these statements about Duchenne muscular dystrophy is TRUE?
A)It is X-linked dominant and occurs equally in males and females.
B)It is X-linked dominant and occurs primarily in females.
C)It is X-linked recessive and can be carried by either males or females.
D)It is X-linked recessive and occurs almost exclusively in males.
Q3) Due to incomplete ossification of bones,what type of fractures are common among young children?
A)compound
B)greenstick
C)multiple
D)open
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