Hospital Nursing Final Test Solutions - 1995 Verified Questions

Hospital Nursing

Final Test Solutions

Course Introduction

Hospital Nursing is a comprehensive course that introduces students to the fundamental concepts and practical skills essential for effective nursing care within a hospital setting. The curriculum covers patient assessment, care planning, medical-surgical nursing procedures, infection control, interprofessional communication, and the use of technology in patient management. Emphasis is placed on acute and chronic care, patient safety, ethical considerations, and the delivery of holistic care to diverse patient populations. Through a combination of theoretical instruction and hands-on clinical experience, students gain the competence and confidence necessary to succeed as integral members of the healthcare team in a hospital environment.

Recommended Textbook

Medical Surgical Nursing 2nd Edition by Kathleen

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67 Chapters

1995 Verified Questions

1995 Flashcards

Source URL: https://quizplus.com/study-set/3943

S. Osborn

Page 2

Chapter 1: Preparation for Practice

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Sample Questions

Q1) The nurse plans and implements care for a patient based on nursing knowledge and skills. The nurse is functioning within which role?

A) Caregiver

B) Advocate

C) Educator

D) Leader

Answer: A

Q2) A nurse with community-health nursing experience provides monthly blood pressure checks for fellow members of a religious congregation. The nurse is functioning within which role?

A) Parish nurse

B) Clinic nurse

C) Gerontologic nurse

D) Occupational health nurse

Answer: A

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Page 3

Chapter 2: Legal, Ethical, and Regulatory Aspects of Health

Care Delivery

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Sample Questions

Q1) A patient tells the nurse that if he does not wake up after surgery, his friend should be contacted because the friend knows what should be done concerning his health care needs. After referring to the patient's medical record, the nurse realizes that the friend has which relationship with the patient?

A) The patient's best friend

B) The patient's health care power of attorney

C) The patient's next-door neighbor

D) The patient's brother

Answer: B

Q2) The state board of nursing has notified a hospital about the changes in mandatory continuing education requirements for the nurses. The administration realizes these changes would impact which activity?

A) Regulations

B) Accreditation

C) Licensure

D) Life safety

Answer: C

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Chapter 3: Research Foundations for Nursing Practice

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Sample Questions

Q1) The nurse, working with patients in an orthopedic surgical unit, wants to study the impact of assistive devices on progressive ambulation. What would be an example of a research problem for this study?

A) Do post-hip replacement patients ambulate faster with one crutch or two?

B) How does learning postsurgical exercises before the hip replacement impact the patient's use of assistive devices?

C) Will post-hip replacement patients recover from surgery faster if ambulated the day after surgery?

D) Will post-hip replacement surgery patients be discharged using a cane for ambulation?

Answer: A

Q2) The nurse, critiquing a quantitative research study, is particularly interested in information obtained in stage 3 of the critique. This information would most likely include which information?

A) How the findings of the study are related to the theoretical framework

B) Whether the study can be replicated

C) The major strengths of the study

D) How ethical issues were handled

Answer: A

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Page 5

Chapter 4: Nursing Care Delivery Systems

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Sample Questions

Q1) A hospital's nursing administration is considering moving to a patient-centered care model. What are the benefits of this model?

A) It is less expensive as it requires fewer registered nurses.

B) Care can be provided more efficiently.

C) This care delivery method increases patient satisfaction.

D) It standardizes care, therefore reducing the need for large supply or medication inventories.

Q2) A registered nurse desires to work at a hospital close to her home. A nurse who works at the hospital tells her that he spends much of his day delegating to unlicensed assistive personnel (UAPs). The nurse realizes that the hospital practices one of which types of care delivery?. Select all that apply.

A) Functional nursing

B) Primary nursing

C) Team nursing

D) Case method

E) Relationship-based care

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Chapter 5: Nursing Process and Documentation

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Sample Questions

Q1) The nursing instructor knows that further education is needed when a student makes which statement?

A) "Assessment precedes nursing diagnosis and outcome identification."

B) "Planning follows nursing diagnosis and outcome identification and precedes implementation."

C) "Evaluation follows implementation and precedes planning."

D) "Planning follows assessment and precedes evaluation."

Q2) A 16-year-old patient has been admitted for treatment of presumptive pelvic inflammatory disease. The patient's hygiene is poor and she reports living "on the street" for a year. She is febrile and tachycardic and reports pain as 10 on the 1-to-10 scale. The nurse identifies Acute Pain as the priority nursing diagnosis. Which outcome statement is appropriate?

A) The patient's comfort will be achieved and maintained.

B) The patient will be discharged to a safe living environment.

C) The patient will be reunited with her parents.

D) The patient's infection will be eradicated.

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Chapter 6: Health Assessment

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Sample Questions

Q1) A patient in the unit has a blood pressure of 55/30, is lethargic, has slurred speech, and is unable to get back to bed from the bathroom. The nurse calls for a rapid response team. Which component of critical thinking is the nurse exhibiting?

A) Analysis of situation, distinguishing normal from abnormal

B) Selection of alternative by developing outcomes and plans

C) Collection of information, subjective and objective

D) Evaluation of situation, determination of outcomes achieved

Q2) Using critical thinking, the nurse assesses that a patient is not a reliable historian. How should the nurse proceed?

A) Stop the assessment because all data is invalid.

B) Document that the patient is not answering questions truthfully.

C) Ask different questions to assess the same information.

D) Document the information just as the patient reports it.

Q3) A 54-year-old patient reports that she smokes a pack and a half of cigarettes daily and has been smoking since she was 16 years old. The nurse would record a smoking history of ______ pack-years.

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Chapter 7: Genetics

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Sample Questions

Q1) A fetus is found to have an autosomal recessive condition. After genetic testing is completed, both parents are found to have the same genetic alteration. Which statements by a parent indicate that further education is required?. Select all that apply.

A) "This condition is related to a genetic alteration of the X chromosome."

B) "This condition is a Mendelian condition."

C) "So we are carriers of this condition because we don't have any signs or symptoms of the condition."

D) "Our baby would have a better chance of living if we were both positive for an autosomal dominant condition."

E) "The problem is the result of an alteration of a single gene."

Q2) A baby is born with a genetic disorder that did not affect either of the parents. What would the nurse deduce about this situation?

A) The mother is the carrier of the disorder.

B) The father is the carrier of the disorder.

C) The father is not the biological father of the baby.

D) Both parents are carriers of the disorder.

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9

Chapter 8: Nutrition

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Sample Questions

Q1) The nurse has been providing nutritional education to a patient. Which statement would indicate the patient understands the information regarding low-sodium foods?

A) "I should look for foods with 'reduced sodium' on the label."

B) "I should purchase canned vegetables."

C) "I should avoid foods whose labels indicate they are smoked or cured."

D) "Most fruit juices are naturally high in sodium."

Q2) A patient who has just been diagnosed with type 2 diabetes asks, "Is it okay for me to have an occasional glass of beer?" What is the nurse's best advice?

A) "I'm so sorry but you should not drink any alcohol."

B) "As long as you are not drinking to excess, beer will have no effect on your blood glucose."

C) "An occasional beer is fine as long as you eat something while you are drinking it."

D) "You can drink a beer if you eliminate other foods from your diet that day."

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Chapter 9: The Biophysical and Psychosocial Aspects of Nursing

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Sample Questions

Q1) While changing a patient's abdominal dressing, the nurse talks about aspects of wound care such as the need to check the skin and protect the wound from infection or injury. The nurse and patient are in which phase of the nurse-patient relationship?

A) Orientation

B) Working

C) Caring

D) Termination

Q2) A patient tells the nurse that he is sick and will do whatever he is told to do. How should the nurse evaluate this statement?

A) The patient is exhibiting an internal locus of control.

B) The patient is responding to a perceived crisis.

C) The patient is demonstrating sick role behavior.

D) The patient is using denial as a coping mechanism.

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11

Chapter 10: The Aging Process

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Sample Questions

Q1) A patient tells the nurse that she does not bother to bathe anymore and has no appetite, so she eats only a few times a week. The nurse would evaluate this statement as possibly indicating which type of mistreatment?

A) Abandonment

B) Physical abuse

C) Emotional abuse

D) Self-neglect

Q2) A 75-year-old female has been brought to the emergency department. She tells the nurse that her son, who has taken care of her, said he would "be right back," but she has not seen him for weeks. The nurse is concerned that the patient is describing which possible situation?

A) Neglect

B) Physical abuse

C) Abandonment

D) Self-neglect

Q3) A nurse researcher is preparing to study a group of older adults and their response to a nursing intervention. To meet the legal definition of older adult, the study group should include persons _______ years of age or older.

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Chapter 11: Caring for the Patient at End of Life

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Sample Questions

Q1) A competent elderly patient has a living will that specifies avoiding resuscitation and heroic life support measures. The family members are not supportive of this directive. Which action by the nurse is most appropriate?

A) Consider the document valid and document its existence in the medical record.

B) Contact the Social Services department.

C) Notify the hospital attorney.

D) Explain to the patient that the conflict could invalidate the document.

Q2) A patient with a chronic illness who is receiving palliative care asks the nurse if a newly prescribed medication will cure the disease. What is the nurse's best response?

A) "It will help you be more comfortable. I don't think it's going to cure the disease."

B) "Of course it's going to cure the disease."

C) "If you believe it will cure the disease, then it will."

D) "I don't think it's going to help or hurt at this time."

Q3) A patient is prescribed an intravenous midazolam drip at a rate of 1-5 mg/hr, titrated to symptom relief. The nurse would start this drip at ______ mg/hr.

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13

Chapter 12: Pain Assessment and Management

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Sample Questions

Q1) A patient tells the nurse that putting a small pillow under the knee and rubbing the thigh helps reduce hip pain. How would the nurse interpret this statement?

A) As a way to deny the presence of the hip pain

B) As demonstrating fear of taking pain medication

C) As a way to hide a previous pain medication addiction

D) As a nonpharmacologic method to reduce the hip pain

Q2) While caring for a nonverbal patient, which action ensures appropriate and timely pain management?

A) Have the family medicate the patient, based on their knowledge of the patient's response to pain.

B) Use the McGill pain questionnaire to determine the optimal pain management plan.

C) Administer opioids around the clock, adding NSAIDS when necessary.

D) Medicate the patient based on the pathologic condition, nonverbal cues, and pain procedures.

Q3) A patient who had abdominal surgery this morning is receiving opioid pain medication on a routine basis. The nurse would hold the medication if the patient's respirations fall below _____ per minute.

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Chapter 13: Substance Abuse Assessment and Management

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Sample Questions

Q1) A teenager who is brought to the emergency department by the parents is reported to have taken barbiturates with alcohol. What will be the greatest concern for this patient?

A) Respiratory depression

B) Seizure activity

C) Signs of withdrawal

D) Hallucinations

Q2) A patient involved in a minor accident reports using "crank" an hour ago. The patient denies having used the drug before. Which manifestation can the nurse anticipate assessing in this patient?

A) Feelings of increased energy and happiness

B) Increased strength and coordination

C) Drowsiness

D) Delusional accusations

Q3) A patient withdrawing from alcohol addiction has an order for diazepam (Valium), 10 mg every 4 hours for four doses, then 5 mg every 4 hours for four doses. The drug comes in a concentration of 5 mg/mL. The patient is given a total of ______ mL.

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Page 15

Chapter 14: Infectious Process and Prophylaxis

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Sample Questions

Q1) The nurse needs to obtain a sputum specimen for culture and sensitivity from a patient. When should the nurse obtain this specimen?

A) Before the first dose of antibiotics is administered

B) Immediately after the first dose of antibiotic is administered

C) 30 minutes after the first dose of antibiotics is administered

D) As the first dose of antibiotics is administered

Q2) The nurse is caring for four patients in a medical-surgical unit. Which patient should the nurse see first?

A) A patent admitted with pneumonia who is has small amounts of yellow productive sputum

B) A patent admitted with fever of unknown origin whose temperature is currently

C) A patent admitted with an infected wound on the left foot whose WBC is 8,500 mm³

D) A patent admitted with infectious gastroenteritis who has had severe diarrhea for the last 24 hours

99.0F

Q3) The nurse is performing hand hygiene with an alcohol-based product. The nurse should rub the hands together for at least ______ seconds.

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Chapter 15: Fluids, Electrolytes and Acid-Base Imbalance

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Sample Questions

Q1) An elderly patient does not complain of thirst. Which information would the nurse evaluate to determine if the patient is dehydrated?

A) Magnesium level

B) Chest X-ray

C) Urine osmolality

D) Brain scan

Q2) The nurse would assess specifically for metabolic alkalosis in which patient?

A) A patient admitted for treatment of bulimia

B) A patient who has been on dialysis for 2 months

C) A patient with a nonhealing venous stasis ulcer

D) A patient with newly diagnosed with COPD

Q3) The nurse would assess for dehydration if the patient's urine specific gravity is higher than ________.

Q4) A clinic patient is short of breath and has ankle edema. Today's weight is 8 pounds heavier that last week's weight. The nurse determines that the patient could have retained ______ pints of fluid.

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Chapter 16: Fluid and Blood Infusion Therapy

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Sample Questions

Q1) Following insertion of a peripheral vascular device, the patient immediately complains of shortness of breath, chest pain, and palpitations. What is the nurse's initial intervention?

A) Obtain radiographic studies.

B) Notify the physician.

C) Place a tourniquet proximal to the site.

D) Obtain vital signs.

Q2) Which nursing diagnosis would explain the purpose of using a self-sheathing stylet catheter?

A) Risk for Fluid Volume Deficit

B) Risk for Injury

C) Risk for Altered Nutrition

D) Risk for Infection

Q3) Which technique should the nurse use when infusing fresh frozen plasma?

A) Administer slowly.

B) Give through a filter.

C) Agitate the bag periodically.

D) Give IV push.

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18

Chapter 17: Preoperative Nursing

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Sample Questions

Q1) The patient who is preparing for surgery asks the nurse to keep his glasses in place until he is under anesthesia. Which statement by the nurse demonstrates accurate, therapeutic communication?

A) "I will contact the surgery department to discuss your requests."

B) "You cannot keep your glasses on."

C) "The policies in the surgery unit will not allow it."

D) "Certainly, you can keep them for that time."

Q2) For which patient is the nurse most likely to request an order for a preoperative chest X-ray?

A) A 22-year-old with Down syndrome

B) A 50-year-old with a history of gallbladder disease

C) A 16-year-old with a history of abdominal pain

D) A 55-year-old current smoker with a recent productive cough

Q3) Which preoperative finding should the nurse report immediately to the rest of the health care team?

A) No prior patient history or family history of malignant hyperthermia

B) Patient's age greater than 70

C) Heart rate of 88 beats per minute

D) Latex allergy

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Page 19

Chapter 18: Intraoperative Nursing

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Sample Questions

Q1) The certified nurse anesthetist suspects a patient is experiencing malignant hyperthermia and will administer dantrolene sodium 3 mg/kg IV. The patient's documented weight is 143 pounds. The nurse will administer _____ mg in the first bolus.

Q2) Before a patient goes into the surgical suite, the nurse anesthetist assesses the patient's previous experience with anesthesia and answers any questions the patient might have about the anesthesia plan for the surgery. In which category of nurse anesthetist practice is this nurse functioning?

A) Maintenance

B) Induction

C) Perianesthetic clinical support

D) Preanesthetic preparation and evaluation

Q3) The patient is scheduled for an operative procedure that will require placement of an additional IV line, an indwelling urinary catheter, and a nasogastric tube. The nurse should advocate for these lines to be placed at what time?

A) Prior to transferring the patient to the preoperative holding area

B) In the preoperative holding area

C) After general anesthesia has been induced

D) In the postanesthesia recovery room

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Page 20

Chapter 19: Postoperative Nursing

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Sample Questions

Q1) A patient is just arriving in the postanesthesia care unit following general anesthesia. What is the nurse's priority intervention?

A) Assess the patient's respiratory status.

B) Assess the patient's IV.

C) Ask the patient about pain.

D) Assess the patient's cardiac status.

Q2) The recovery room nurse has just received a patient whose abdominal drain has an excessive amount of sanguineous drainage. The nurse contacts the physician without delay, recognizing that the drainage could indicate which critical situation?

A) A major wound infection

B) Need for further assessment

C) A potential respiratory crisis

D) Need to return immediately to surgery

Q3) What is the purpose of a call by the ambulatory care unit nurse to the patient on the day after discharge?

A) To minimize patient complications and ensure patient safety

B) To let the patient know the nurse cares about him or her

C) To assist in collecting discharge data for the health care provider

D) To meet federal and regulatory requirements

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Page 21

Chapter 20: Nursing Assessment of the Patient With Neurological Disorders

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Sample Questions

Q1) While assessing an unconscious patient's neurologic status, the nurse applies pain by pinching the sternocleidomastoid muscle. Which statement by the nurse indicates an understanding of the use of this technique?

A) "Pain will make abnormal motor responses observable."

B) "An unconscious patient's pain threshold is abnormally high."

C) "Response to pain is an indicator of cognitive function."

D) "The patient is most likely to respond to pain at that site."

Q2) During an assessment of a patient's cranial nerves, the nurse asks the patient to stick out the tongue. The nurse observes that the tongue deviates markedly to the right side. Which condition is the patient most likely exhibiting?

A) Abnormal hypoglossal nerve response

B) First cranial nerve (CN I) damage

C) Sluggish oculomotor response

D) Absence of Homans' sign

Q3) The nurse assesses that a patient is able move her left arm but uses her right arm to assist. The nurse would assign the affected muscle group a strength grade of ______.

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Page 22

Chapter 21: Caring for the Patient With an Acute Brain or Cranial Nerve Disorder

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Sample Questions

Q1) A patient has developed severe postsurgical muscle weakness in the lower extremities after the removal of a brain tumor. The nurse takes which initial intervention to minimize the patient's risk of developing a deep vein thrombosis (DVT)?

A) Ask the patient questions to determine if there is a history of DVT.

B) Add regular leg massages to the patient's care plan.

C) Instruct the patient to perform leg exercises at least twice daily.

D) Apply well-fitted antiembolism hose.

Q2) The patient was an unrestrained front-seat passenger in a motor vehicle crash and struck his forehead on the inside of the windshield. Diagnostic testing in the emergency department reveals coup-contrecoup injury. The nurse identifies which area as the contrecoup injury?

A) The frontal area of the brain

B) The posterior or occipital part of the brain

C) Both the anterior and posterior areas of the brain

D) The midpoint of the brainstem

Q3) A nurse is providing care to a patient with increased intracranial pressure following a closed head injury. The nurse would determine that adequate cerebral perfusion pressure exists if the CPP is at least ____.

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Chapter 22: Caring for the Patient With Cerebral Vascular Disorders

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Sample Questions

Q1) Which assessment data alerts the nurse to the fact that the patient is at risk for an embolic stroke?

A) Blood sugar of 110 mg

B) Right partial lung lobectomy 6 months ago

C) BP 108/68

D) History of atrial fibrillation

Q2) A patient will have either endovascular coiling or neurosurgical clipping as treatment for an intracranial aneurysm. How would the nurse describe the benefits and risks of each form of treatment?. Select all that apply.

A) Surgery is the most reliable method of treating these aneurysms.

B) Coiling is only successful in very small aneurysms.

C) The decision of which approach to use is based on the patient's preference.

D) Coiling is generally a less invasive option.

E) Coiling may require placement of a stent.

Q3) A patient has been admitted with stroke-like symptoms. The nurse would report a serum potassium level of less than _____mEq/L as below the desired level.

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Page 24

Chapter 23: Caring for the Patient With Chronic and Degenerative Neurological Disorders

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Sample Questions

Q1) A patient diagnosed with Parkinson's disease (PD) 11 years ago is being cared for at home by the spouse. The nurse asks whether the family has considered arranging for in-home assistive care, based primarily on which knowledge?

A) The patient may live for many more years.

B) This type of assistive care is warranted because PD is both progressive and degenerative.

C) It is becoming more difficult for the spouse to adequately meet the patient's physical needs.

D) This type of assistance can help preserve the physical and emotional well-being of the patient's spouse.

Q2) Once amyotrophic lateral sclerosis (ALS) is diagnosed, what is the priority nursing activity?

A) Support the patient and family to meet physical and psychosocial needs.

B) Monitor for infection.

C) Assist the patient to avoid complications.

D) Assist the patient to adapt to the disease.

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Chapter 24: Caring for the Patient With Spinal Cord Injuries

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Sample Questions

Q1) A patient with a spinal cord injury at the T1 level complains of a severe headache and an "anxious feeling." Which is the most appropriate initial reaction by the nurse?

A) Try to calm the patient and make the environment soothing.

B) Assess for a full bladder.

C) Notify the health care provider.

D) Prepare the patient for diagnostic radiography.

Q2) How should the nurse explain to a patient with a spinal cord injury why the extent of injury cannot be determined for several days to a week?

A) "Tissue repair does not begin for 72 hours."

B) "We have to wait until spinal shock resolves."

C) "Neurons need time to regenerate, so it is hard to predict how you will progress."

D) "The most serious changes after an injury take days to develop."

Q3) The health care provider orders

2.5 mg IV of morphine sulfate (Morphine) to be administered to a patient with a ruptured intervertebral disc. The nurse has a 1 milliliter (mL) vial containing 10 mg of morphine sulfate. The nurse needs to withdraw ______ mL of morphine sulfate from the vial.

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Chapter 25: Nursing Assessment of the Patient With

Respiratory Disorders

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Sample Questions

Q1) The nurse knows that the caregiver of a patient with a respiratory illness understands discharge teaching when the caregiver makes which statement?

A) "I can expect to hear adventitious sounds only in the mornings; the rest of the day, breath sounds should be normal."

B) "If I hear extra sounds during a deep breath, I know I am hearing adventitious sounds."

C) "Adventitious sounds may be heard during inspiration or expiration because of secretions or inflammation."

D) "I will know I am hearing adventitious breath sounds if I hear any sounds when I listen over the lower chest."

Q2) The nurse is preparing to auscultate a patient's lungs. Which breath sounds would the nurse consider abnormal?. Select all that apply.

A) Crackles

B) Vesicular breath sounds

C) Bronchovesicular breath sounds

D) Wheezes

E) Bronchial breath sounds

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Chapter 26: Caring for the Patient With Upper Airway Disorders

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Q1) The nurse suspects that a patient is demonstrating signs of tonsillitis. Which findings are indicative of this disorder?. Select all that apply.

A) Pain on swallowing

B) Thirst

C) Nuchal rigidity

D) Enlarged lymph nodes in the neck

E) Fever

Q2) When preparing for a maxillary resection, the nurse should provide the patient and family with which instruction?

A) "It will be at least 3 to 4 days after surgery before you will be allowed out of bed."

B) "It is important to keep objects within reach and in the same place at all times."

C) "You will be given pain medication whenever you need it, so pain should not be a concern."

D) "Your speech will not be affected, so communication will not be a problem."

Q3) The nurse, suctioning a patient's tracheostomy, plans for each suctioning attempt to last no longer than _____ seconds.

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Chapter 27: Caring for the Patient With Lower Airway Disorders

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Sample Questions

Q1) A patient has been prescribed isoniazid (INH) and rifampin for the treatment of tuberculosis. The nurse should instruct the patient to report which physical changes associated with this therapy?. Select all that apply.

A) Fever

B) Yellow tint to the skin

C) Discoloration of tears

D) Visual disturbances

E) Loss of appetite

Q2) A patient diagnosed with active tuberculosis is in a negative pressure room for respiratory airborne isolation. How long should the nurse maintain the patient in this type of isolation?

A) Until three consecutive sputum specimens for acid fast bacilli are negative

B) Until the Mantoux test (PPD) converts from positive to negative

C) Until the patient has orders for discharge

D) Until the chest X-ray is normal

Q3) A child with recurrent respiratory infection is being evaluated for cystic fibrosis. The nurse explains to the parents that diagnosis is based on history and two sweat chloride tests equal to or over ______ mEq/L.

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Chapter 28: Caring for the Patient With Complex

Respiratory Disorders

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34 Verified Questions

34 Flashcards

Source URL: https://quizplus.com/quiz/78630

Sample Questions

Q1) A patient was admitted 3 days ago with a myocardial infarction (MI) and has developed pulmonary edema. How would the nurse explain this condition to the patient and family?

A) The pulmonary system has an excessive amount of fluid that has been building over the last several days, and now the heart is no longer able to keep up with the demands.

B) The cardiac muscle has been injured and is not able to efficiently pump the blood through the patient's system, resulting in an increased pressure in the pulmonary system.

C) The pulmonary system was injured first due to hypoxia, which caused the heart attack.

D) The cardiac muscle is working too hard to push fluids through the pulmonary system and there is fluid excess as a result.

Q2) A patient who has cardiogenic pulmonary edema is receiving intravenous dopamine at a rate of 195 mcg/min. The patient weighs 65 kg. The nurse would increase surveillance for tachycardia and dysrhythmias if the dopamine rate must be increased to a rate greater than ________ mcg/min.

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Page 30

Chapter 29: Nursing Assessment of the Patient With

Cardiovascular Disorders

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/78629

Sample Questions

Q1) The patient presents to the emergency department (ED) complaining of chest pain, fatigue, and dyspnea. What is the nurse's priority assessment?

A) Medications

B) Airway and oxygen status

C) Activity tolerance

D) Chest pain

Q2) A review of family history reveals that a significant number of a patient's ancestors died very early from cardiac diseases. What is the best use of this information for the patient and the nurse?

A) The patient should avoid stress and exposure to communicable diseases.

B) The patient and the nurse should work together to identify other risk factors and establish a plan for health living.

C) The nurse should prepare the patient for the eventuality of an early death.

D) The nurse should encourage the patient not to have biological children.

Q3) When assessing the adult heart, the nurse expects to hear which heart sounds?

A) S1, then S2

B) S2, then S3

C) S3, then S4

D) S2, then S1

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Chapter 30: Car-Ing for the Patient With Dysrhythmias

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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/78628

Sample Questions

Q1) A patient is having elective synchronized cardioversion. Place the steps of the procedure in the correct order.

A) Verify patency of IV access.

B) Administer sedative per physician prescription.

C) Set cardioverter to "synchronize" mode.

D) Charge the cardioverter to the selected energy level.

E) Ensure that personnel are not in physical contact with the bed or patient.

Q2) While admitting a patient to the emergency department, the nurse observes the cardiac monitor and identifies the following rhythm: one inverted P wave for every QRS complex and a regular heart rate of 46 beats per minute. How would the nurse interpret this rhythm?

A) Junctional escape rhythm

B) Mobitz II heart block

C) Normal sinus rhythm

D) Complete heart block

Q3) The nurse count

3.5 large squares between two R waves on the patient's cardiac monitor tracing. The nurse calculates the patient's heart rate as _______ beats per minute. (Round to the nearest whole beat.)

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Page 32

Chapter 31: Hemodynamic Monitoring

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35 Verified Questions

35 Flashcards

Source URL: https://quizplus.com/quiz/78627

Sample Questions

Q1) Which actions would the nurse take when removing a radial artery catheter?. Select all that apply.

A) Don a sterile gown, sterile gloves, and eye protection.

B) Send the tip of the catheter to the laboratory for culture and sensitivity.

C) Remove the dressing.

D) Apply direct pressure to the insertion site after the catheter is removed.

E) Plan frequent observation of the site after removal of the catheter.

Q2) The nurse is attempting to increase contractility to improve cardiac output in a patient with acute exacerbation of heart failure. Which measure would be helpful to improve cardiac contractility?

A) Administering magnesium sulfate

B) Encouraging the patient to exercise

C) Giving the patient a beta-adrenergic blocking medication

D) Correcting oxygenation and mild respiratory acidosis

Q3) A patient's vital signs are heart rate 82, respirations 22, and blood pressure 90/52. If hemodynamic monitoring reveals the patient's cardiac output to be 5330 mL/min, the nurse would calculate that stroke volume is _____ mL.

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Chapter 32: Caring for the Patient With Coronary Artery Disorders

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33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/78626

Sample Questions

Q1) The nurse is teaching a patient about coronary artery bypass surgery via the left internal mammary artery. Which information is essential for the patient to understand?

A) "You must still reduce or modify cardiac risk factors."

B) "This surgery prolongs life an average of 2 years."

C) "You have only a minimal chance of functional improvement, even with this surgery."

D) "This surgery will cure your atherosclerosis."

Q2) The nurse, assessing a middle-aged patient experiencing chest pain, realizes that which symptoms would be most suggestive of an acute myocardial infarction?

A) Substernal pressure-type pain, radiating down the left arm

B) Colic-like epigastric pain

C) Sharp, well-localized unilateral chest and left arm pain

D) Sharp, burning chest pain moving from place to place

Q3) The nurse would suspect conversion of a patient's stable angina to unstable angina if the patient reports angina lasting over _______ minutes at rest.

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Chapter 33: Caring for the Patient With Cardiac

Inflammatory Disorders

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35 Verified Questions

35 Flashcards

Source URL: https://quizplus.com/quiz/78625

Sample Questions

Q1) A patient is diagnosed with hypertrophic obstructive cardiomyopathy. The nurse would design interventions to meet which primary collaborative treatment goals for this patient?. Select all that apply.

A) Preventing sudden cardiac death

B) Preventing renal failure

C) Preventing pulmonary damage

D) Preventing heart failure

E) Preventing liver failure

Q2) A young male athlete is admitted to the hospital after collapsing at football practice. The medical diagnosis is hypertrophic obstructive cardiomyopathy. The nurse expects that which activity recommendation will be necessary?

A) The patient should limit fluid intake while exercising.

B) The patient should stop playing football and other strenuous sports.

C) The patient will need to gradually return to previous levels of exercise.

D) Exercise is not related to hypertrophic cardiomyopathy symptomology.

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35

Chapter 34: Caring for the Patient With Heart Failure

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33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/78624

Sample Questions

Q1) A patient with heart failure is facing the end of life. Which intervention would the nurse prioritize with this patient?

A) Have the health care provider discuss end-of-life topics with the patient.

B) Tell the patient that the family should be the primary source of support, but that nursing staff will be glad to substitute if necessary.

C) Be as honest as possible about the progression of the disease and the support needed.

D) Reassure the patient that death will be painless.

Q2) The nurse is assessing a patient who has been admitted with heart failure. The nurse anticipates which lab test to be ordered to determine the severity of the diagnosis?

A) Troponin

B) Lipid panel

C) CBC

D) BNP

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Chapter 35: Caring for the Patient With Peripheral Vascular Disorders

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33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/78623

Sample Questions

Q1) The nurse has provided medication instruction for a patient who will be discharged on warfarin therapy. The nurse evaluates the patient has understood dietary restrictions when the patient lists which foods to avoid?. Select all that apply.

A) Green tea

B) Soybeans

C) Caffeinated beverages

D) Avocado

E) Cauliflower

Q2) The nurse is providing preoperative instructions to a patient scheduled for endovascular repair to reduce peripheral vascular disease. The patient asks where the incision will be located. How should the nurse reply?

A) "There will be a small incision in the groin area because the procedure is done via the femoral artery."

B) "There will be no incisions because the repair is done via IV access."

C) "There will be an incision in the mid-chest because the surgeon will need to perform bypass surgery."

D) "There will be an incision in the abdomen so the surgeon can visualize the affected area."

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Chapter 36: Nursing Assessment of the Patient With

Gastrointestinal, Renal, or Urinary Disorders

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/78622

Sample Questions

Q1) The nurse is assessing a 68-year-old female patient who states, "I am having episodes of urinary incontinence." The nurse should recognize that this statement indicates which situation?

A) An abnormal finding requiring further testing

B) The presence of a urinary infection

C) A normal outcome of the aging process

D) The result of having several children

Q2) The nurse is preparing to assess a patient who reports abdominal pain as 6 on a scale of 0 to

A) First medicate the patient for the pain.

10. To best facilitate the abdominal assessment, what nursing action is indicated?

B) Palpate the patient's abdomen last.

C) Assist the patient into the knees-bent supine position.

D) Encourage the patient to take slow, deep breaths.

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Chapter 37: Caring for the Patient With Gastrointestinal Disorders

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34 Verified Questions

34 Flashcards

Source URL: https://quizplus.com/quiz/78621

Sample Questions

Q1) A patient is being assessed for a possible bowel obstruction. The nurse provides information regarding which diagnostic tests to confirm the presence of an obstruction?. Select all that apply.

A) Barium swallow

B) A CT scan of the abdomen

C) An abdominal X-ray series

D) Serum osmolality

E) CBC with differential

Q2) The nurse would assess for which risk factor in a patient hospitalized for a strangulated intestinal hernia?

A) Abdominal surgery

B) Hyperlipidemia

C) Intestinal infarctions

D) Family history

Q3) The physician has ordered metoclopramide (Reglan) 2 mg/kg IVP to be given 30 minutes before the start of chemotherapy. The patient weighs 54 kg. The metoclopramide (Reglan) is dispensed in a 10 mg/10 mL vial. The nurse will administer ________ mL of metoclopramide.

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Chapter 38: Caring for the Patient With Hepatic and Biliary Disorders

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35 Verified Questions

35 Flashcards

Source URL: https://quizplus.com/quiz/78620

Sample Questions

Q1) The nurse is caring for a patient with severe liver disease. The nurse notes new ecchymotic areas on the patient's arms and legs. Which laboratory results will the nurse analyze regarding this finding?. Select all that apply.

A) Complete blood count

B) Coagulation studies

C) Serum albumin

D) Serum ammonia levels

E) Serum hepatitis antibodies

Q2) A patient who reports a severe, steady pain in the epigastric area along with nausea and vomiting states, "This happens every time I eat barbecued ribs. It will go away in a little while, especially if I lie on my back." The nurse would consider which disorder as the likely cause of these symptoms?

A) Porcine allergy

B) Obesity

C) Cholelithiasis

D) Pancreatitis

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Chapter 39: Caring for the Patient With Renal and Urinary Disorders

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32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/78619

Sample Questions

Q1) A patient is diagnosed with hypertension caused by polycystic kidney disease. Which intervention might be helpful to control this patient's blood pressure and slow the progression of renal failure?

A) Administration of ACE inhibitors

B) Kidney transplant

C) Hemodialysis

D) Peritoneal dialysis

Q2) Which intervention would be appropriate for a patient in renal failure with the diagnosis of Imbalanced Nutrition: Less than Body Requirements?

A) Provide mouth care before meals.

B) Maximize the protein content of meals and snacks.

C) Provide antiemetics after meals.

D) Weigh once per week.

Q3) A patient had a renal stent removed. Which intervention is the priority of care for this patient?

A) Monitor urine output.

B) Encourage ambulation.

C) Ensure an adequate protein intake.

D) Monitor blood pressure.

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Chapter 40: Nursing Assessment of the Patient With

Reproductive Disorders

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/78618

Sample Questions

Q1) A 20-year-old female asks the nurse when she should begin having pelvic examinations. Which should the nurse ask before responding?

A) "Are you on any medications?"

B) "Do you have a boyfriend?"

C) "Are you sexually active?"

D) "Are you asking because you think you are pregnant?"

Q2) The nurse is instructing a female patient about changes in sexual functioning that may result from the aging process. Which nursing diagnoses would the nurse incorporate into the plan of care for this patient regarding sexual intercourse?. Select all that apply.

A) Risk for Injury

B) Risk for Infection

C) Impaired Skin Integrity

D) Altered Tissue Perfusion

E) Alteration in Comfort

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Chapter 41: Caring for the Patient With Female

Reproductive Disorders

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35 Verified Questions

35 Flashcards

Source URL: https://quizplus.com/quiz/78617

Sample Questions

Q1) A 30-year-old patient reports increased irritability during the days preceding the onset of her menstrual cycle. Which measures might assist in the management of her irritability?. Select all that apply.

A) Increase dietary sugar intake to promote energy.

B) Increase intake of simple carbohydrates.

C) Reduce caffeine.

D) Utilize guided imagery.

E) Drink one glass of red wine each evening.

Q2) The nurse is developing a teaching plan for a postmenopausal woman who has stress incontinence secondary to a prolapsed uterus. The nurse would include which interventions in the teaching plan?. Select all that apply.

A) Kegel exercises

B) Increased caffeine intake

C) Use of progesterone supplements

D) Proper perineal care

E) Use of perineal pads

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Chapter 42: Caring for the Patient With Male Reproductive Disorders

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33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/78616

Sample Questions

Q1) A patient who is being treated for epididymitis stops taking his antibiotics. The nurse is concerned that this patient is at risk for developing which complication?

A) Orchitis

B) Priapism

C) Hydrocele

D) Spermatocele

Q2) A patient seen in the emergency department for priapism is sent to the medical unit. The admitting nurse should anticipate performing which actions as part of the nursing care plan?. Select all that apply.

A) Assess the penis for color changes.

B) Assess the penis for firmness and rigidity.

C) Administer an analgesic as prescribed for pain.

D) Apply ice packs as prescribed.

E) Push oral fluids.

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Chapter 43: Caring for the Patient With Sexually

Transmitted Diseases

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33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/78615

Sample Questions

Q1) A 20-year-old patient has small painful blisters on her labia that developed about 6 days after having sex with her new boyfriend. The nurse would conduct additional assessment for which most likely STI?

A) Syphilis

B) Gonorrhea

C) Chlamydia

D) Genital herpes

Q2) The nurse is planning to teach a group of adolescents about sexually transmitted infections. What information concerning genital warts should the nurse discuss?

A) Hand washing will aid in reducing the spread of genital warts.

B) Genital warts lead to cervical cancer in the majority of women who get them.

C) Women who have certain types of genital warts should be vaccinated against other types.

D) Wearing a condom eliminates the risk of contracting genital warts.

Q3) The health care provider orders doxycyline 100 mg PO every 12 hours for 7 days. The pharmacy fills the prescription with 0.1 g doxycyline capsules. The nurse should instruct the patient to take ____ capsules per day.

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Chapter 44: Caring for the Patient With Breast Disorders

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33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/78614

Sample Questions

Q1) A patient has experienced galactorrhea. Cytology is negative. Which nursing statement is indicated?

A) "It is good that your breast mass is not malignant."

B) "At least you don't have cancer."

C) "Even though this is a good report, more tests will be necessary."

D) "This result means your discharge is probably from a malignant change in your breast."

Q2) Biopsy reveals that a patient has a single papilloma in her right breast. The lesion was completely removed during the biopsy procedure. What information would the nurse reinforce regarding this patient's future breast cancer risk?

A) The patient has breast cancer at present.

B) The patient is at no greater risk for breast cancer in the future.

C) The patient is at some increased risk for breast cancer, generally about 1.5 to 2 times the normal risk.

D) The patient's risk for future breast cancer is very high, generally 10 to 20 times the normal risk.

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Chapter 45: Nursing Assessment of the Patient Endocrine

Disorders

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/78613

Sample Questions

Q1) Which information should the nurse provide for a patient scheduled for an MRI procedure as part of endocrine assessment?. Select all that apply.

A) "You will need to take out your earrings when you get in the MRI suite."

B) "I will remove your transdermal medication patch before you go to the MRI suite."

C) "Be certain to report any permanent cosmetic or other tattoos to the MRI technologist before you enter the MRI suite."

D) "I will help you remove your dentures before you go to the MRI suite."

E) "We will tape over the top of your wedding ring so that you can wear it during the procedure."

Q2) The nurse is preparing to discuss the importance of neuroendrocrine regulation with a group of nurses who work in the endocrine clinic. The nurse will explain that this type of regulation facilitates which essential abilities?. Select all that apply.

A) Ability to think critically

B) Ability to reason

C) Ability to reproduce

D) Ability to adapt to external changes

E) Ability to grow physically

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Chapter 46: Caring for the Patient With Glandular and Hormonal Disorders

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33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/78612

Sample Questions

Q1) The nurse is caring for a patient with Cushing syndrome who is scheduled for a surgical procedure to remove an adrenal cortex tumor. The nurse knows patient teaching regarding the procedure has been effective when the patient makes which statement?

A) "The adrenal gland with the tumor will be removed."

B) "I will need to take adrenal hormones for the rest of my life."

C) "The tumor will be removed by the transsphenoidal route."

D) "I will receive IV cortisol in preparation for the surgery."

Q2) A 70-year-old patient is prescribed levothyroxine for treatment of hypothyroidism. The nurse would expect which age-related adjustment in dosage?

A) The dosage will be higher than for younger patients.

B) The dose will be divided into two or three doses each day.

C) The dose will be the same as for younger adults, but greater than that for children.

D) The initial dose will be significantly lower for the older adult.

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Chapter 47: Caring for the Patient With Diabetes

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32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/78611

Sample Questions

Q1) The nurse recognizes that which factor in a patient's history increases the risk for type 2 diabetes mellitus (DM)?

A) Body mass index of 23

B) Blood pressure of 130/80

C) Physical inactivity

D) Low waist-to-hip ratio

Q2) Which information should the nurse include when teaching a patient about fasting blood glucose level testing?

A) "Your test is scheduled for 6:00 a.m., so do not eat or drink anything after midnight."

B) "After the sample is drawn you will be asked to drink a sweet liquid."

C) "This test will indicate your average blood sugar over the last 2 months."

D) "The fasting glucose must be 100 or under to be normal."

Q3) Which teaching, included in the plan of care for a patient who has type 1 diabetes mellitus, would be most effective in reducing the development of complications?

A) Self-monitoring of blood glucose levels

B) Effective foot care

C) Importance of early eye exam

D) Avoidance of simple carbohydrates in the diet

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Chapter 48: Nursing Management of the Patient With

Musculoskeletal Disorders

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/78610

Sample Questions

Q1) A 70-year-old woman is diagnosed with a pathologic fracture of the fibula. The nurse would assess for which most common condition?

A) Elder abuse

B) Osteoporosis

C) An unreported fall or injury

D) Cancer of the bone

Q2) The nurse asks the patient to shrug the shoulders while the nurse applies pressure to keep the shoulders from moving. The nurse would document the results of this test as indicating strength of which muscle?

A) Sternocleidomastoid

B) Triceps

C) Biceps

D) Trapezius

Q3) The nurse wishes to assess the anatomic snuffbox of a patient's wrist. Which instruction should the nurse provide?

A) "Place your hand palm-up on the table."

B) "Make a tight fist as I palpate your wrist."

C) "Extend your thumb fully to the side."

D) "Flex your wrist as much as possible."

Page 50

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Chapter 49: Caring for the Patient With Musculoskeletal Disorders

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32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/78609

Sample Questions

Q1) A patient recovering from a total hip replacement develops a fever and redness at the surgical site. The nurse's priority is to conduct additional assessment for which disorder?

A) Pathologic fracture

B) Osteomyelitis

C) Undiagnosed osteitis deformans

D) Subacute osteoporosis

Q2) The nurse is providing discharge instructions to a patient recovering from a total hip replacement. Which information should the nurse include in these instructions?. Select all that apply.

A) Follow the use and weight-bearing instructions provided by the surgeon.

B) Do not do exercises if experiencing discomfort.

C) Report possible complications such as infection or dislocation.

D) Continue pain medications for only 2 days after discharge.

E) Eat protein foods with high biologic value such as meat, eggs, and dairy products.

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Chapter 50: Caring for the Patient With Musculoskeletal

Trauma and Surgical Procedures

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33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/78608

Sample Questions

Q1) A patient wearing a long leg cast has assessment findings of compartment syndrome in the extremity. The nurse demonstrates understanding of the complication and its specific treatment by gathering which equipment?

A) Pillows to elevate the leg

B) A percussion hammer

C) Buck's traction equipment

D) Ace bandages

Q2) The nurse is planning care for a patient who had an above-the-knee amputation 2 days ago. Which position should the nurse include in this patient's plan of care?

A) Sims' position as tolerated

B) Flat in bed

C) High Fowler's position with the stump elevated

D) Sitting in a chair while awake

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Chapter 51: Caring for the Patient With Arthritis and

Connective Tissue Disorders

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34 Verified Questions

34 Flashcards

Source URL: https://quizplus.com/quiz/78607

Sample Questions

Q1) A 20-year-old male patient is scheduled for an echocardiogram. The patient says, "I don't understand why this test is necessary when I came in for back and hip pain." The nurse considers which information before responding?

A) Cardiac pain often refers to the back.

B) Ankylosing spondylitis also affects the heart.

C) The patient likely has septic arthritis, which can be caused by congenital heart disorders.

D) Young males often develop back pain as a sign of dissecting aortic aneurysm.

Q2) A 59 year-old female is being evaluated for presence of a connective tissue disease. The erythrocyte sedimentation rate (ESR) result is reported as 26 mm/hour. How would the nurse evaluate this result?

A) The ESR is very low, indicating that the patient has an autoimmune disorder rather than a connective tissue disorder.

B) This is a normal finding, so no connective tissue disease is present.

C) The ESR is high, so inflammatory disease is present.

D) The ESR is normal and other testing is indicated.

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Page 53

Chapter 52: Nursing Management of the Patient With

Immunological and Inflammatory Disorders

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/78606

Sample Questions

Q1) A patient has dysfunction of immunity associated with Peyer's patches. The nurse interprets this information to indicate a disorder of which areas?. Select all that apply.

A) The intestines

B) GALT

C) Spleen

D) Axilla

E) Lungs

Q2) A 68-year-old patient tells the nurse she does not understand why she has had more colds over the last several years. The nurse considers which component of normal aging before replying?

A) There is a decrease in the number and function of T cells.

B) The flu vaccine given to the elderly is not as potent as that given to younger adults.

C) There is a decrease in complement.

D) The B cells respond more rapidly.

Q3) The nurse would consider a provisional diagnosis of sepsis as supported by a band count of over ______ % of the total white blood cell count.

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Page 54

Chapter 53: Caring for the Patient With Immune Response Disorders

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34 Verified Questions

34 Flashcards

Source URL: https://quizplus.com/quiz/78605

Sample Questions

Q1) Which statement by a patient who has HIV would the nurse evaluate as indicating additional health care teaching is necessary?

A) "I will use an oil-based lubricant when I use condoms."

B) "I know I should not donate blood anymore."

C) "I know I have to assume responsibility when I have sex."

D) "I will not share my toothbrush or razor with my partner."

Q2) The nurse is instructing a patient diagnosed with AIDS regarding food choices that will increase caloric intake. Which meal choice would indicate that the patient understands the dietary instruction?

A) Spaghetti and meat sauce, raisin salad, whole-grain roll with butter, vanilla milkshake (with Ensure), and a piece of pecan pie

B) Baked chicken (thigh), cabbage, small green salad, slice of white bread, dried prunes, and a soda

C) Red beans and rice, slaw, tomato, crackers, chocolate pudding, and iced tea

D) Vegetable soup, small piece of cornbread, banana pudding, and water

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Page 55

Chapter 54: Caring for the Patient With Inflammatory

Response, Shock, and Severe Sepsis

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/78604

Sample Questions

Q1) A patient who was stabbed in the abdomen has received fluid resuscitation of 2 liters over the last hour. Which finding would the nurse evaluate as indicating this intervention has been ineffective?

A) Patient complaints of abdominal pain

B) Patient's request to see a priest

C) Urine output of 45 mL for this hour

D) Heart rate 142 and regular

Q2) A patient diagnosed with shock is prescribed dobutamine (Dobutrex). The nurse would evaluate which finding as indicating the medication has had the desired effect?

A) Increased cardiac output

B) Decreased temperature

C) Decreased respiratory rate

D) Decreased blood pressure

Q3) A patient was admitted directly from a physician's office with suspected sepsis. The nurse contacts the pharmacy with the medication orders immediately because the antibiotic must be administered within _______ minutes of admission.

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Chapter 55: Nursing Assessment of the Patient With

Hematological Disorders

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/78603

Sample Questions

Q1) A differential blood count has been ordered on a patient being admitted for surgery. How would the nurse explain the purpose of this test?

A) "This test will measure your clotting ability before you are taken to surgery."

B) "This test measures the total number of white blood cells."

C) "This test assesses whether you have responded to the blood transfusion you received last week."

D) "This test measures percentages of the different white blood cells to help us determine if you have an infection."

Q2) A patient is scheduled for a bone marrow aspiration. The nurse would reinforce which teaching about this procedure?

A) Bone marrow fluid will be drawn into a needle.

B) The sample will be taken from a vertebra in the neck.

C) Bone marrow fluid and a piece of bone will be collected.

D) The patient will receive general anesthesia for this procedure.

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Chapter 56: Caring for the Patient With Blood Disorders

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33 Flashcards

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Sample Questions

Q1) A child has been admitted with assessment findings suggestive of hemophilia. Which laboratory test would the nurse evaluate as supporting that diagnosis?

A) Decreased red blood cell count on CBC

B) Prolonged partial thromboplastin time (aPTT)

C) Decreased factor VI

D) A positive d-dimer

Q2) A child is diagnosed with beta-thalassemia major. What should the nurse teach the child's parents?. Select all that apply.

A) "Monitor transfusion of packed red blood cells as ordered."

B) "Prepare yourselves for the care of a child who is seriously ill."

C) "Prioritize the child's activities to allow for rest."

D) "Your child will always be small, with a petite skeletal frame."

E) "Be alert for allergic reactions to common foods such as peanuts and strawberries."

Q3) A patient who has iron deficiency anemia is prescribed approximately 200 mg of oral elemental iron to be taken daily in three individual doses with meals. The nurse would teach this patient to take ______ tablet(s) of over-the-counter ferrous sulfate for each dose.

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58

Chapter 57: Caring for the Patient With Cancer

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Source URL: https://quizplus.com/quiz/78601

Sample Questions

Q1) A 20-year-old college student is diagnosed with Epstein-Barr virus. The student has a history of smoking and alcohol use and works part-time as a manual laborer for a floor refinishing company. Which factors increase the student's risk of developing cancer?. Select all that apply.

A) Alcohol use

B) Occupation

C) Smoking

D) Viral infection

E) Age

Q2) Biopsy of a skin lesion reveals anaplastic changes. The nurse would prepare this patient for which intervention?

A) Careful monitoring to ensure the cells do not develop into cancer

B) Chemotherapy for skin cancer

C) Removal of the anaplastic cells

D) Medication to reverse the anaplasia

Q3) The TNM classification system is being used to stage a patient's cancer. The nurse would plan to care for a patient with an advanced lesion spreading into adjacent organs if the primary tumor size (T) classification is T_____.

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Chapter 58: Nursing Assessment of the Patient With

Integumentary Disorders

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Sample Questions

Q1) The nurse discovers a vascular lesion on a patient's chest. What should the nurse check to help determine if the lesion is petechiae or telangiectasia?

A) Is the lesion scaly?

B) Is the lesion raised?

C) Does the lesion blanch?

D) Is the lesion painful?

Q2) While palpating the nail bed of an African American patient, the nurse notes that the nails have linear bands along the nail edge. How would the nurse evaluate this finding?

A) It likely indicates a nutritional deficiency.

B) This is a common finding in dark-skinned individuals.

C) Additional areas should be assessed for cyanosis.

D) The patient has a fungal infection of the nail bed.

Q3) Which technique would the nurse use to assess a patient's skin turgor?

A) Palpate the skin.

B) Grasp a fold of the patient's skin between the forefinger and thumb.

C) Determine the patient's fluid intake for past 2 hours.

D) Blanch the nail bed.

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Page 60

Chapter 59: Caring for the Patient With Skin Disorders

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Sample Questions

Q1) Several individuals from a homeless shelter have been diagnosed with pediculosis. The nurse, planning to train staff in the control and prevention of this infection, should include which information?. Select all that apply.

A) Pediculosis is spread by contact with personal items such as hats and blankets.

B) Pediculosis is more common in people who lack the proper facilities for bathing and washing clothes.

C) "Crabs" is another name for pediculosis.

D) Pediculosis affects children only.

E) Pediculosis is infestation by mites.

Q2) The nurse instructs a patient with melanoma to "eat foods rich in protein and calories." This intervention is most likely associated with which nursing diagnosis?

A) Impaired Skin Integrity

B) Hopelessness

C) Anxiety

D) Fluid Volume Deficit

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Chapter 60: Caring for the Patient With Wounds

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Sample Questions

Q1) The nurse who is current on wound care research would consider which product to be antimicrobial when used in wound dressings?

A) Normal saline

B) Tap water

C) Topical gold

D) Topical silver

Q2) The nurse is caring for a patient with a large open wound. While changing the dressing, the nurse notes purulent drainage. What additional assessments are necessary for this patient?. Select all that apply.

A) Wound odor

B) Blood urea nitrogen (BUN)

C) Fever

D) Wound bleeding

E) White blood cell count

Q3) The nurse has used the Braden Risk Assessment Scale to assess three newly admitted patients. The scores are 11, 15, and 17. The nurse prioritizes pressure ulcer prevention for the patient whose score is

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Chapter 61: Caring for the Patient With Burn Injuries

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Sample Questions

Q1) Which information will the nurse collect to assist in the classification of a burn injury as minor, moderate, or major?. Select all that apply.

A) Location of the burns on the body

B) The history of the event and location where the injury occurred

C) Any concurrent injuries

D) The time the injury occurred

E) The causative agent

Q2) During the acute period of burn care, a focus of care is to promote healing of full-thickness burn wounds. Which nursing interventions are necessary before this healing can begin?

A) Administration of diuretics to reduce edema in the wound bed

B) Pharmacologic and nonpharmacologic methods to achieve pain-free status

C) Debridement and cleansing to rid the wound bed of eschar

D) Nutritional support to return the patient to preburn weight

Q3) A patient who weighs 132 pounds sustained a burn injury and is receiving fluid resuscitation. The nurse would evaluate adequate hydration if the patient is producing at least ________ mL of urine each hour.

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Chapter 62: Nursing Assessment of the Patient With

Sensory Disorders

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Sample Questions

Q1) The nurse is conducting the whisper test. Which nursing action is indicated?

A) Whisper directly into the patient's ears, one at a time.

B) Stand across the room from the patient.

C) Whisper words from 1 to 2 feet behind the patient.

D) Ask the patient to whisper a series of words.

Q2) A 45-year-old patient is admitted complaining of dizziness, hearing loss, and a "full" feeling in one ear. Based on the patient's age and symptoms, the nurse would ask which additional assessment question?

A) "Do you have reduced feeling in your cheek on that side?"

B) "Have you noticed any impairment in your sense of smell?"

C) "Do you have a headache?"

D) "Do you have ringing in your ears?"

Q3) Which subjective symptom of the sensory system may also be an objective symptom?

A) Presyncope

B) Vertigo

C) Otalgia

D) Tinnitus

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Chapter 63: Caring for the Patient With Hearing and Balance Disorders

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Sample Questions

Q1) A patient has been diagnosed with a balance disorder that is expected to clear on its own in a few weeks. Which safety information should the nurse provide?. Select all that apply.

A) "Use a stepladder to get things off high shelves instead of reaching up over your head."

B) "Don't pick up objects from the floor."

C) "Do not drink alcohol until your condition passes."

D) "Have someone put nonslip surfaces in the floor of your shower."

E) "Be certain to drink enough fluids while you are sick."

Q2) A patient with a sore throat and head cold is complaining of "trouble with hearing." The nurse should conduct additional assessment for which most likely condition?

A) Swimmer's ear

B) A middle ear infection

C) Otosclerosis

D) An inner ear infection

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Chapter 64: Caring for the Patient With Visual Disorders

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Sample Questions

Q1) A patient with an ectropion continues to experience eye dryness and corneal abrasions. The nurse would reinforce teaching about which treatment option?

A) Corrective surgery

B) Corrective lenses

C) UV protective sunglasses

D) Corneal transplant

Q2) The nurse is conducting assessment of a patient's eye. Which instrument would the nurse obtain to measure intraocular pressure?

A) Snellen chart

B) Ophthalmoscope

C) Tonometer

D) Penlight

Q3) A patient reports having difficulty discriminating colors after being prescribed hydroxychloroquine (Plaquenil). What information should the nurse provide?

A) Keratometry can be done to diagnose color blindness.

B) The Ishihara test is simple and can reveal color blindness.

C) Invasive testing will be required to assess cones and rods.

D) A picture of the ocular fundus will be necessary to make this diagnosis.

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Chapter 65: Disaster Nursing

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Sample Questions

Q1) The nurse manager is working on a committee to revise a hospital's emergency preparedness plan. What is the first step of this work?

A) Conduct a hazard risk analysis.

B) Write a basic plan that can be expanded as time permits.

C) Describe functional annexes.

D) Develop hazard-specific annexes.

Q2) The hospital has activated its incident command system (HICS) and is currently triaging patients and determining the extent of injuries and casualties. The nurse would refer calls from the media to which person?

A) The safety and security officer

B) The liaison officer

C) The public information officer

D) The incident commander

Q3) The nurse decides to respond to a disaster in another city. When arriving at the scene, what should the nurse do first?

A) Begin treating triaged patients.

B) Survey the scene for personal safety.

C) Locate the check-in station.

D) Begin triaging patients.

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Chapter 66: Caring for the Patient in the Emergency Department

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Sample Questions

Q1) A patient from another country is brought to the emergency department (ED) after sustaining a serious leg wound. The ED nurse asks how the wound would be treated in the patient's country of origin. The nurse is practicing which part of the ABCDE Diversity Practice Model?

A) "A" or assumptions

B) "B" or beliefs

C) "C" or communication

D) "D" or diversity

Q2) Nursing administrators are trying to decide if they want a "traffic director," "spot check," or "comprehensive" form of triage in the emergency department. What information should be considered when making this decision?Select all that apply.

A) All forms will require employment of a registered nurse.

B) All forms will include evaluation of the patient.

C) Both spot check and comprehensive triage nurses order lab or radiographs according to established protocol.

D) A comprehensive triage plan results in patients receiving pain medications earlier.

E) Both the spot check and comprehensive triage nurses assign urgency categories.

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Page 68

Chapter 67: Caring for the Patient With Multisystem

Trauma

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Source URL: https://quizplus.com/quiz/78591

Sample Questions

Q1) The patient was a restrained front seat passenger in a car crash. Which findings would the nurse evaluate as indicating possible internal injury from the seatbelt? Select all that apply.

A) The patient is unconscious.

B) There are abrasions across the patient's abdomen.

C) There is bruising across the patient's chest.

D) The patient has ecchymosis across both knees.

E) The patient complains of hip pain.

Q2) A trauma patient who experienced blunt cardiac injury from a steering wheel should be assessed for cardiac tamponade. The nurse would assess for which clinical manifestations? Select all that apply.

A) Neck vein distention

B) Presence of an S3 heart sound

C) Muffled heart sounds

D) Bounding pulse

E) Hypotension

Q3) A patient drove himself to the ED after falling from the roof of his one-story home. The nurse assesses the patient, considering that the fall was probably from about _____ feet.

Page 69

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