Integrated Nursing Practice
Exam Materials
Course Introduction
Integrated Nursing Practice is designed to bridge theory and practice by equipping students with the foundational knowledge, skills, and attitudes necessary for competent, person-centered nursing care. The course emphasizes clinical judgment, evidence-based interventions, and holistic approaches to health promotion and disease prevention. Through simulated and real-world clinical experiences, students learn to perform comprehensive assessments, develop and implement care plans, and collaborate effectively within interdisciplinary teams. Integrated Nursing Practice fosters critical thinking, effective communication, ethical decision-making, and cultural competence to prepare students for the dynamic demands of contemporary healthcare environments.
Recommended Textbook
Medical Surgical Nursing Concepts and Practice 3rd Edition by deWit
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48 Chapters
1519 Verified Questions
1519 Flashcards
Source URL: https://quizplus.com/study-set/949 Page 2
Chapter 1: Caring for Medical-Surgical Patients
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/18659
Sample Questions
Q1) A patient furiously says,"My doctor was so busy giving me instructions that he didn't hear what I was trying to ask him!" Which response is most empathetic?
A) "When people ignore me, I really get mad."
B) "I'm sure that the doctor was rushed and unaware of your needs."
C) "I'll bet that made you feel very frustrated."
D) "Take a deep breath and plan what you will say to him tomorrow."
Answer: C
Q2) According to most state NPAs,the vocational nurse acting as charge nurse in a long-term care facility acts in which capacity?
A) Working under direct supervision of an RN on the unit
B) Working with the RN in the building
C) Working under general supervision by the RN available on site or by phone
D) Working as an independent vocational nurse
Answer: C
Q3) The nurse explains that the term _____________ refers to the severity of illness. Answer: acuity
Acuity is the term referring to the severity of illness or condition of a patient.
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Page 3
Chapter 2: Critical Thinking and the Nursing Process
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/18660
Sample Questions
Q1) Step 1
A)Evaluation
B)Assessment
C)Implementation
D)Planning
E)Problem statement/nursing diagnosis
Answer: B
Q2) The nurse is explaining the components of a complete problem statement/nursing diagnosis.In addition to the NANDA stem and etiology,which other component should the diagnosis include?
A) A time reference for meeting the need
B) A designation of what the patient should do
C) Signs and symptoms of the problem assessed
D) A specifically worded medical diagnosis
Answer: C
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4
Chapter 3: Fluid, Electrolytes, Acid-Base Balance, and
Intravenous Therapy
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/18661
Sample Questions
Q1) The nurse is caring for a patient with a potassium level of 2.9 mEq/L.The nurse should carefully monitor the patient for which potential problem?
A) Excessive urinary output
B) Abdominal distention
C) Increased reflexes
D) Hyperactive bowel sounds
Answer: B
Q2) The nurse is caring for a patient who has been on total parenteral nutrition (TPN)for 48 hours.Which action demonstrates effective nursing care?
A) Checking the patient's blood glucose level according to facility protocol.
B) Increasing the infusion rate if the prescribed intake falls behind.
C) Informing the patient that TPN can only be administered via a central line for 1 week.
D) Monitoring the peripheral IV site of TPN infusion for signs of infiltration at least every 8 hours.
Answer: A
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5
Chapter 4: Care of Preoperative and Intraoperative Surgical Patients
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/18662
Sample Questions
Q1) Which person is responsible for verifying that the consent form is signed and that the surgical site?
A) The scrub nurse
B) The surgeon
C) The anesthesiologist
D) The circulating nurse
Q2) The patient questions the nurse about robotics surgery.Which information should the nurse include?
A) "Robotics gives the surgeon greater magnification than the human eye."
B) "Robotics allows the surgeon to be more precise than normal."
C) "Robotics allows for a smaller incision."
D) "Robotics increases healing time."
E) "Robotics procedures generally cause less postoperative pain."
Q3) The nurse is caring for an 82-year-old presurgical patient.Which abnormal finding is most important for the nurse to report immediately?
A) Respiratory rate of 22 breaths/min
B) Report of extreme thirst
C) Dizziness
D) Temperature of 99.8° F
Page 6
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Chapter 5: Care of Postoperative Patients
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient recovering in the PACU.The patient awakens confused and disoriented.What action should the nurse take first?
A) Take the patient's vital signs.
B) Encourage the patient to return to sleep.
C) Reorient and reassure the patient.
D) Document that the patient is awake and disoriented.
Q2) The PACU nurse is caring for a semiconscious patient immediately following abdominal surgery.The nurse correctly places the patient in which position?
A) Supine
B) Semi-Fowler
C) Lateral
D) Trendelenburg
Q3) The nurse is caring for a patient who had spinal anesthesia.Which drink is the best choice for the nurse to offer the patient?
A) Tea
B) Orange juice
C) Milk
D) Water
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Chapter 6: Infection Prevention and Control
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/18664
Sample Questions
Q1) The clinic nurse offers suggestions to a patient who is planning a trip to Mexico that will help prevent a protozoan infection.Which suggestion is most helpful?
A) "Ask the doctor for a prophylactic prescription for an antiviral drug."
B) "Broad-spectrum antibiotics will be most helpful if you contract a protozoan infection."
C) "Be sure to practice good hand hygiene while on your vacation."
D) "It would be best if you drank bottled water while on your trip."
Q2) The nurse explains that exposure to a pathogen stimulates the macrophages to migrate to the area of infection to ingest and destroy the pathogen.This statement describes which process?
A) Pathogen neutralization
B) Immune response
C) Antibody action
D) Phagocytosis
Q3) The nurse explains that an infection occurring in the body represents an interrelationship between the __________,__________,and __________.
Q4) The bacteria that are rod-shaped are classified as _________.
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Page 8
Chapter 7: Care of Patients with Pain
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/18665
Sample Questions
Q1) The nurse is caring for a patient who is 1-day postoperative following a colon resection.The patient has degenerative joint disease and uses a pain medication patch to control this chronic pain.Which consideration is most important when planning care for this patient?
A) Understand that the pain medication patch will control the postoperative pain.
B) Realize that this patient will most likely require more pain medication than most patients undergoing a colon resection.
C) Recognize that the patient will be afraid to ask for additional pain medication for fear of being viewed as addicted to pain medicine.
D) Expect the patient to forget about the pain caused from the degenerative joint disease.
Q2) The nurse clarifies the basics of the gate theory of pain control.Which information should the nurse include?
A) Pain is perceived as opening a "gate" to pain symptoms.
B) The "gate" can be closed to pain by the use of nonpainful stimuli.
C) The "gate" swings back and forth, first allowing pain, then blocking it.
D) The patient can be trained to close the "gate" to pain.
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Page 9
Chapter 8: Care of Patients with Cancer
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/18666
Sample Questions
Q1) The nurse assesses several patients in the outpatient clinic.Which patient has the greatest risk for developing cancer?
A) 23-year-old car repairman who repaints cars
B) 30-year-old overweight certified public accountant in New York who has smoked for 4 years and rarely exercises
C) 45-year-old farmer from Texas who has worked on his family's cotton farm since the age of 12
D) 60-year-old ski instructor in Colorado
Q2) The student nurse is teaching a community group about risk factors for colorectal cancer.Based on risk factors,which patient has the highest risk for developing colorectal cancer?
A) 50-year-old male who has been exposed to arsenic in the workplace
B) 45-year-old female with a doctorate degree in psychology who smokes occasionally
C) 38-year-old female who had her first child 1 year ago
D) 29-year-old male who has had Crohn disease since the age of 13
Q3) The nurse cautions that stress over a long period of time can contribute to the risk for cancer as prolonged stress suppresses the ____________.
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Page 10
Chapter 9: Chronic Illness and Rehabilitation
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/18667
Sample Questions
Q1) The nurse is caring for a disoriented resident.Which intervention is most appropriate for the nurse to include when planning care for this patient?
A) Ensure that activities are scheduled for the same time each day.
B) Change care assignments for assistive personnel frequently to prevent burnout.
C) Encourage autonomy by allowing the resident to choose clothes from the closet.
D) Administer sedatives to calm the patient.
Q2) The nurse assesses a bed-bound resident,a reddened area over the coccyx that does not blanch is discovered.Which is the best intervention to prevent further skin damage?
A) Cover the site with a transparent film dressing.
B) Apply warm compresses each shift.
C) Turn the patient every 2 hours.
D) Continue to monitor the area.
Q3) The rehabilitation nurse makes the point that a dysfunction of a specific body part is termed __________.
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Chapter 10: The Immune and Lymphatic System
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/18668
Sample Questions
Q1) The bone marrow produces a(n)_______ cell that can differentiate itself to acquire individual characteristics.
Q2) Which patient would the nurse consider to be immunosuppressed?
A) A patient on chemotherapy for cancer
B) A patient using corticosteroids
C) A patient pregnant at 28 weeks gestation
D) A patient recovering from joint replacement
E) A patient diagnosed with human immunodeficiency virus (HIV)
Q3) The nurse differentiates the humoral response from the cell-mediated response.Which statement about cell-mediated response is true?
A) The sensitized lymphocytes attack the cell for which they were sensitized.
B) Cells produce new antibodies.
C) The response does not occur until the white blood cell (WBC) count rises.
D) There is a systemic response of fever and malaise.
Q4) How does long-term alcohol abuse lead to alteration in the immune system?
A) It alters the effectiveness of antibodies.
B) It stimulates autoimmune activity.
C) It impairs the ability of B lymphocytes to produce antibodies.
D) It shortens the life of circulating antibodies.
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Chapter 11: Care of Patients with Immune and Lymphatic Disorders (with
HIV and AIDS)
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/18669
Sample Questions
Q1) Step 3
A)HIV attaches to CD4 receptor sites on T-helper cells.
B)Opportunistic infection occurs.
C)Infected cell replicates itself millions of times.
D)T-helper cells fail to activate phagocytes.
E)Immune system is unable to respond effectively
Q2) The nurse is working in a trauma unit and is accidentally stuck with an IV needle following venipuncture of the patient.What is the nurse's first action?
A) Immediately begin taking the two- or three-drug regimen.
B) Report the stick to the charge nurse immediately so follow-up can be initiated.
C) Wash the punctured area with soap and water.
D) Complete an incident report so immediate testing of the patient and nurse can begin.
Q3) The nurse stresses that the primary emphasis on controlling HIV is __________.
Q4) The patient with AIDS voices concern over the amount of money it will cost to manage his disease.The nurse is aware that the estimated medications and laboratory testing cost is an average of $______ per year for the patient with AIDS.
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Page 13
Chapter 12: The Respiratory System
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/18670
Sample Questions
Q1) Step 1
A)Larynx
B)Left and right bronchi
C)Trachea
D)Oxygen is inhaled through the nose
E)Bronchioles
F)Alveoli
Q2) The nurse is caring for a patient with chronic obstructive pulmonary disorder (COPD)who has been in the hospital for several days.The patient complains of shortness of breath and asks the nurse to turn up his oxygen to compensate for his labored breathing.What is the best nursing response?
A) Turn up the patient's oxygen flow by 1 liter.
B) Call the physician for an order to turn up the oxygen.
C) Assess the patient in an attempt to identify the cause of the shortness of breath.
D) Ask the patient what he usually keeps his oxygen set on at home.
Q3) Rapid opening and closing of the glottis combined with movement of the mouth,lips,and tongue is what makes _____________.
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14
Chapter 13: Care of Patients with Disorders of the Upper
Respiratory
System
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/18671
Sample Questions
Q1) The nurse is aware that the patient seeking antibiotic treatment for pharyngitis will only receive the desired medication if the condition is caused by what type of pathogen?
A) Protozoa
B) Bacteria
C) A virus
D) Fungi
Q2) The nurse is caring for a patient who has a tracheostomy with a one-way valve box.The nurse explains to the CNA that this valve allows the patient to carry out which function?
A) Drinking
B) Eating
C) Coughing
D) Talking
Q3) The nurse encourages a patient with larynx cancer that the "near-total laryngectomy" is a new procedure that preserves the ability to __________ and to
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15
Chapter 14: Care of Patients with Disorders of the Lower
Respiratory
System
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/18672
Sample Questions
Q1) After using a nasal cannula delivery system at 3 L/min,a patient with chronic airflow limitation (CAL)changes to a simple face mask.The nasal equipment oxygen was set at 3 L/min.How should the nurse adjust the oxygen flow for the new delivery system?
A) Decrease it to 2 L.
B) Keep it the same.
C) Increase it to 4 L.
D) Increase it to 6 L.
Q2) The nurse is caring for a patient with a closed-chest drainage system with chest tubes.Which observation confirms that the system is intact and working?
A) The water level in the water-seal chamber fluctuates.
B) The level of fluid in the collection chamber rises.
C) There are constant bubbles in the water-seal chamber.
D) The suction has been attached.
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16
Chapter 15: The Hematologic System
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/18673
Sample Questions
Q1) Which actions should the nurse take to help the severely anemic patient conserve energy?
A) Manage care to include frequent rest periods.
B) Assist with activities of daily living (ADLs).
C) Place personal care items close at hand.
D) Arrange for small meals with between-meal snacks.
E) Ensure that exercise sessions are planned during the morning.
Q2) When the nurse notes a rise in the eosinophil count,which problem does she suspect?
A) Bacterial infection
B) Allergy
C) Viral infection
D) Blood dyscrasia
Q3) The nurse uses a visual aid to depict the several kinds of hemoglobin.Which hemoglobin changes the shape of the red blood cell RBC on which it resides?
A) hemoglobin A
B) hemoglobin A1c
C) hemoglobin F
D) hemoglobin S
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Page 17
Chapter 16: Care of Patients with Hematologic Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/18674
Sample Questions
Q1) Which descriptions accurately characterize the appearance of red blood cells (RBCs)in iron deficiency anemia?
A) Normochromic and normocytic
B) Hypochromic and microcytic
C) Hyperchromic and macrocytic
D) Normochromic and microcytic
Q2) The nurse is caring for patient with iron deficiency anemia.The nurse should encourage intake of which food(s)?
A) Liver
B) Lima beans
C) Prune juice
D) Cabbage
E) Dried apricots
Q3) The nurse explains to a person who has undergone bone marrow transplantation (BMT)that engraftment takes up to ____________________ weeks.
Q4) The nurse is aware that bone marrow transplantation (BMT)is a treatment alternative for aplastic anemia for people under the age of
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Chapter 17: The Cardiovascular System
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/18675
Sample Questions
Q1) Which statement accurately describes the purpose of a Doppler flow study?
A) To detect a clot in a coronary artery
B) To visualize obstructions in leg vessels
C) To assess efficiency of blood flow through heart chambers
D) To detect a defective heart valve
Q2) _________ is the acute symptom most experienced by African Americans when having a myocardial infarction (MI).
Q3) The nurse is caring for an older adult patient.While auscultating the patient's apical pulse,the nurse notices an irregular rhythm.The nurse suspects which causative factor for the patient's dysrhythmia?
A) Loss of cells in the sinoatrial (SA) nodes
B) Increased peripheral resistance
C) Hypertension
D) Atherosclerosis
Q4) The nurse assessing the heart places the stethoscope between the fifth and sixth ribs at the mid-clavicular line to hear the point of _________.
Q5) When the nurse uses the PQRST tool for pain assessment,the "R" prompts an inquiry about the __________ of the pain.
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Chapter 18: Care of Patients with Hypertension and Peripheral Vascular Disease
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/18676
Sample Questions
Q1) An 86-year-old patient asks why her ankles have a brownish discoloration and the skin looks thick.Which response best addresses the patient's concern?
A) "The valves in the vessels in your legs aren't working as well as they used to, which causes the discoloration and thickening of your skin."
B) "You probably aren't getting enough iron in your diet. We should talk to your doctor about adding an iron supplement."
C) "How many years have you smoked? Nicotine will cause these changes in your skin."
D) "These are just normal changes seen in most older people."
Q2) The nurse is caring for a patient with a compression dressing.Which action indicates appropriate wound care?
A) The nurse changes the compression dressing daily.
B) The nurse uses an alcohol-based cleanser before applying the compression dressing.
C) The nurse places a compression dressing over the wound dressing.
D) The nurse dons a face mask before applying a compression dressing.
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Chapter 19: Care of Patients with Cardiac Disorders
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/18677
Sample Questions
Q1) Which statement(s)accurately describe(s)characteristics of normal sinus rhythm (NSR)?
A) One atrial contraction (P wave)
B) One ventricular contraction (QRS complex)
C) One T wave
D) Heart rate 60 to 100
E) P wave immediately follows the QRS complex
Q2) Which factor(s)is/are potential causative agents for arrhythmias?
A) Hyperkalemia
B) Valvular prolapse
C) Infarct damage
D) Properly functioning sinoatrial (SA) node
E) Excess fluid
Q3) The nurse is caring for a patient with atrial fibrillation who asks why she needs to take warfarin.Which statement best answers the patient's question?
A) Warfarin increases the ejection fraction.
B) Warfarin prevents clots from forming in the atria.
C) Warfarin keeps the atrial fibrillation from involving the ventricles.
D) Warfarin increases the cardiac output.
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Page 21
Chapter 20: Care of Patients with Coronary Artery Disease and Cardiac Surgery
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/18678
Sample Questions
Q1) The 60-year-old female in the post-coronary care unit confides to the nurse,"My life is over.I'll never be able to care for my family,take a vacation,or work in my garden." Which response is most supportive?
A) "You are doing great! You can do all of those things in a few weeks."
B) "You may have to give up some things, but there are other activities you might enjoy."
C) "You are feeling a little blue today. Would you like medication to help your anxiety?"
D) "You sound a little down. Tell me what you think is going to keep you from those activities; we might be able to address the problems."
Q2) The nurse is aware that the patient's cardiac rehabilitation levels of physical activity are designated through ____________ units.
Q3) The nurse uses a diagram to show how obstruction of an artery has caused an area of necrosis called a(n)_________.
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22
Chapter 21: The Neurologic System
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/18679
Sample Questions
Q1) Bladder training begins with scheduling the patient's toileting in what time increment?
A) Every hour
B) Every 2 hours
C) Every 4 hours
D) Every 6 hours
Q2) Which reflex indicates an abnormality in the motor control pathways from the cerebral cortex?
A) Babinski reflex
B) Biceps reflex
C) Brachioradialis reflex
D) Knee jerk reflex
Q3) When feeding a patient with dysphagia with a left-sided hemiplegia,how should the nurse position the patient?
A) Side-lying on the right side
B) Semi-Fowler
C) High Fowler
D) Upright at a table in a wheelchair
Q4) There are _______ cranial nerves that control the sensory and motor activities of the body.
Page 23
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Chapter 22: Care of Patients with Head and Spinal Cord Injuries
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/18680
Sample Questions
Q1) When turning the patient who is in Crutchfield tongs traction,the nurse should employ which technique?
A) Turn the patient as a unit by log rolling.
B) Release the weights to prevent injury while turning.
C) Turn the patient quickly to avoid muscle spasms.
D) Advise the patient to hold his breath and bear down during turning.
Q2) The nurse is caring for an adolescent who has lower limb paralysis after sustaining a spinal injury yesterday.The patient's anxious mother asks if the paralysis is permanent.Which response is most appropriate for the nurse to make?
A) "It is possible that motor function may or may not return after spinal cord swelling has subsided."
B) "Motor function may improve, but there will always be a deficit."
C) "In all likelihood, the paralysis will be permanent."
D) "Have you asked the physician about your concerns?"
Q3) The nurse describes a concussion as a closed head injury in which:
A) The brain tissue is bruised.
B) No loss of consciousness occurs.
C) There is amnesia related to the incident.
D) There are no subsequent symptoms.
Page 24
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Chapter 23: Care of Patients with Disorders of the Brain
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/18681
Sample Questions
Q1) A patient was recently diagnosed as having Bell palsy.Which nursing intervention is most important for the nurse to include in the patient's care plan?
A) Administer pain medication as needed.
B) Administer artificial tears and aclyclovir.
C) Implement aspiration precautions.
D) Offer the patient a small fan to cool the face.
Q2) The nurse is writing the care plan for a cerebrovascular accident (CVA)patient who has partial left-sided paralysis and is experiencing ataxia.Which intervention is most beneficial for this patient?
A) Encourage the patient to ambulate as much as possible when she feels the energy to do so.
B) Ensure the patient receives pureed foods and thickened liquids.
C) Place the patient's call light on the right side of the patient and remind her to call for assistance before getting up.
D) Encourage the patient to use a communication board.
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25
Chapter 24: Care of Patients with Peripheral Nerve and Degenerative Diseases
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/18682
Sample Questions
Q1) The triad of Parkinson disease is __________,__________,and __________.
Q2) The nurse is caring for a patient with Huntington disease.The patient asks if his disease will affect future children.Which reply is most appropriate?
A) "Huntingdon disease does not have a genetic component."
B) "Male children would have Huntington disease and female children would be carriers."
C) "Huntington disease is caused by an autoimmune response."
D) "The genetic nature of the disease means that 50% of your children will inherit it."
Q3) The home health nurse assesses the patient with Parkinson disease who just started taking carbidopa-levodopa.The nurse should be alert for which side effect(s)?
A) Urinary retention
B) Pruritis
C) Diaphoresis
D) Orthostatic hypotension
E) Pink urine
Q4) The test for the diagnosis of myasthenia gravis in which muscle strength is increased within 1 minute of the injection is the __________ test.
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Page 26
Chapter 25: The Sensory System: Eye and Ear
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/18683
Sample Questions
Q1) The nurse is assessing an 84-year-old patient.Which finding is consistent with aging?
A) Thick cerumen
B) Heightened perception of low-frequency sounds
C) Outer ear canal pain
D) Increased hair on the pinna
Q2) The nurse recalls that the Healthy People 2020 objectives for vision include directives for which goals?
A) Vision screenings for children 10 years of age and younger
B) Reduction of uncorrected refractive errors
C) Reduction of diabetic retinopathy
D) Reduction of visual impairment related to cataracts
E) Increased use of protective eyewear
Q3) The nurse interviewing a patient with macular degeneration will inquire about the patient's habits,especially __________,which is a significant contributor to the disorder.
Q4) The nurse clarifies to the patient with an eye disorder that the fluid in the anterior chamber is called __________ humor,whereas the fluid in the posterior chamber is called __________ humor.
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Chapter 26: Care of Patients with Disorders of the Eyes and Ears
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/18684
Sample Questions
Q1) The patient who had a corneal transplant is taught that inflammatory changes (redness,swelling,and pain)in the corneal graft are best indicators of which complication?
A) Graft rejection
B) Allergy to graft
C) Infection
D) Revascularization
Q2) Step 5
A)Intraocular pressure exceeding 25 mm Hg
B)Optic nerve and retina damaged by ischemia
C)Permanent and irreversible vision impairment
D)Overproduction of aqueous humor
E)Continued high intraocular pressure restricting blood flow to optic nerve and retina
Q3) The patient with glaucoma is prescribed an Ocusert miotic.How often should the medication be replaced?
A) Daily
B) Semiweekly
C) Weekly
D) Biweekly
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Chapter 27: The Gastrointestinal System
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/18685
Sample Questions
Q1) The nurse is caring for a patient who is complaining of postoperative gas pain.What intervention should nurse implement?
A) Assist the patient with ambulation.
B) Apply a cold compress on the abdomen.
C) Offer a cup of coffee or tea.
D) Offer chilled vegetable juice.
Q2) The nurse is preparing to administer liquid laxative to a patient in preparation for a colonoscopy.Which action should the nurse take?
A) Offer a small snack.
B) Take the patient's temperature.
C) Mix the laxative with orange juice.
D) Chill the laxative and pour it over ice.
Q3) The nurse explains that the older adult is prone to digestive disorders related to which age-related change(s)?
A) Decreased hydrochloric acid
B) Increased enzyme levels
C) Inadequate chewing
D) Diminished intestinal motility
E) Gastroesophageal sphincter incompetence
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Page 29
Chapter 28: Care of Patients with Disorders of the Upper
Gastrointestinal
System
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/18686
Sample Questions
Q1) The nurse explains that the diagnosis of morbidly obese is reserved for people who exceed which percentage of their recommended weight?
A) 50%
B) 70%
C) 90%
D) 100%
Q2) The nurse is caring for a patient with a Salem sump tube for decompression.The patient displays dyspnea and reports feeling full and nauseated.What action should the nurse take first?
A) Increase suction from low to high.
B) Notify the charge nurse.
C) Irrigate the tube with normal saline.
D) Withdraw the tube about three inches.
Q3) The nurse explains that the laparoscopic adjustable gastric banding surgery is best described as which type of bariatric surgery?
A) Restrictive
B) Malabsorptive
C) Restrictive/malabsorptive
D) Obstructive
30
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Chapter 29: Care of Patients with Disorders of the Lower
Gastrointestinal
System
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/18687
Sample Questions
Q1) The nursing is planning care for a patient with an acute exacerbation of inflammatory bowel disease (IBD).Which action(s)is/are most important for the nurse to include in the care plan?
A) Assess number and character of stools.
B) Auscultate bowel sounds.
C) Obtain weights each shift.
D) Encouraging periods of rest.
E) Assess for internal bleeding.
Q2) The nurse is caring for patient with a history of a chronic incarcerated hernia.The patient suddenly complains of abdominal pain and vomits dark material with a fecal odor.The nurse recognizes these signs as indications of which complication?
A) Complete intestinal obstruction
B) Rupture
C) Gastroenteritis
D) Duodenal ulcer
Q3) The mechanical bowel obstruction caused when the bowel twists on itself is known as _________.
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Page 31
Chapter 30: Care of Patients with Disorders of the Liver,
Gallbladder, and Pancreas
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/18688
Sample Questions
Q1) The nurse is caring for a patient diagnosed with acute pancreatitis who complains of significant pain.Which nursing action holds the highest priority for this patient?
A) Instruct the patient to sit and lean forward.
B) Monitor intake and output.
C) Monitor laboratory values and note changes.
D) Check blood glucose values frequently.
Q2) Fecal-oral transmission,acute onset
A)HAV
B)HBV
C)HCV
D)HDV
E)HEV
Q3) The nurse is caring for a patient with hepatitis.The nurse explains that jaundice occurs in conjunction with hepatitis based on which underlying pathophysiology?
A) Liver ischemia in hepatitis causes jaundice.
B) Increased bile production by the enlarged Kupffer cells causes jaundice.
C) The hepatitis virus destroys red blood cells and causes jaundice.
D) Hepatitis causes liver congestion that obstructs bile flow.
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Chapter 31: The Musculoskeletal System
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/18689
Sample Questions
Q1) Positioning and range-of-motion (ROM)exercises most help the immobilized patient to prevent which complication?
A) Increased pain
B) Contractures
C) Pressure ulcers
D) Compromised circulation
Q2) Step 5
A)Transfer both crutches to the side of injury.
B)With weight on good leg, reach back, and grasp chair arm.
C)Sit back in chair.
D)Turn slowly and touch backs of legs to seat of chair.
E)Using crutch and chair arm for support, slowly sit on chair.
Q3) Step 2
A)Transfer both crutches to the side of injury.
B)With weight on good leg, reach back, and grasp chair arm.
C)Sit back in chair.
D)Turn slowly and touch backs of legs to seat of chair.
E)Using crutch and chair arm for support, slowly sit on chair.
Q4) The canal system that runs through the bone and contains the blood and lymph vessels is called the ____________.
Page 33
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Chapter 32: Care of Patients with Musculoskeletal and Connective Tissue Disorders
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/18690
Sample Questions
Q1) Used with older adults when brittle bones do not heal quickly
A)Closed reduction
B)Open reduction
C)Internal fixation
D)External fixation
Q2) When the clinic nurse starts to take the "air cast" off the grade 2 sprain,the patient asks why it is being removed since he still has pain.Which explanation is best?
A) "Long-term immobilization can interfere with adequate circulation."
B) "Long-term immobilization may increase long-term edema."
C) "Long-term immobilization can cause permanent disability."
D) "This cast will be replaced with a heavier cast."
Q3) Which statement(s)accurately describe the advantage(s)of fiberglass casts?
A) Lighter weight
B) Allowance of weight bearing after 30 minutes
C) Cheaper
D) Dries more quickly
E) Easily pliable
F) Smooth surface that is less abrasive to skin
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Chapter 33: The Urinary System
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/18691
Sample Questions
Q1) High urinary output
A)Anuria
B)Oliguria
C)Polyuria
D)Nocturia
E)Hematuria
Q2) Diminished urine
A)Anuria
B)Oliguria
C)Polyuria
D)Nocturia
E)Hematuria
Q3) When the nurse is caring for a patient who reports he has blood that begins when he initiates the urine stream and then abates.Based on underlying pathophysiology,the nurse concludes that the hematuria is occurring in which location?
A) In the kidney
B) Above the neck of the bladder
C) In the neck of the bladder
D) In the urethra
Q4) The basic functional unit of the kidney is the ________.
Page 35
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Chapter 34: Care of Patients with Disorders of the Urinary System
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/18692
Sample Questions
Q1) The home health nurse is caring for a patient with chronic renal failure.Which assessment finding(s)indicate(s)that the patient is experiencing uremic syndrome?
A) Restless legs
B) Dry, scaly skin
C) Crystals in the eyebrows
D) Muscle cramps
E) Hypotension
Q2) The nurse is caring for a 90-year-old resident in a long-term care facility who is becoming progressively confused and irritable.What should the nurse do next?
A) Request an order for a urinalysis.
B) Hold the patient's antihypertensive medications.
C) Assess the patient for fecal impaction.
D) Notify the charge nurse.
Q3) The nurse is aware that 80% of UTIs in females are the result of contamination from
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36
Chapter 35: The Endocrine System
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/18693
Sample Questions
Q1) The nurse is caring for a patient who is scheduled to undergo a glucose tolerance test next week.The patient's daily medications include an antihypertensive,oral contraceptives,and over-the-counter (OTC)vitamin C and calcium supplements.The nurse should instruct the patient to withhold which medication before the test?
A) Antihypertensive agent
B) Oral contraceptive
C) Vitamin C
D) Calcium supplement
Q2) The nurse is caring for a patient who is scheduled to undergo a computed tomography (CT)scan with contrast within the hour.Which statement requires the nurse's immediate attention?
A) "I forgot that I was not supposed to eat anything."
B) "I left my potassium supplements off of my home medication list."
C) "Did I tell you that I cannot eat lobster?"
D) "I take my daily blood pressure medication at night."
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Chapter 36: Care of Patients with Pituitary, Thyroid, Parathyroid,
and Adrenal Disorders
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) The nurse's major contribution to the care of a patient with Cushing syndrome is that of __________ and __________.
Q2) The nurse is educating a patient with a simple goiter.Which statement indicates that the patient needs additional instruction?
A) "The lump on my throat is my enlarged thyroid."
B) "Treatment stops enlargement of the goiter."
C) "I am aware this goiter could develop into cancer."
D) "I'm glad my treatment will make this thing go away."
Q3) The nurse is aware that the severe dehydration associated with diabetes insipidus (DI)can lead which serious electrolyte imbalance?
A) Hypercalcemia
B) Hypernatremia
C) Hypocalcemia
D) Hyperkalemia
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Chapter 37: Care of Patients with Diabetes and Hypoglycemia
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) Little or no endogenous insulin
A)Type 1
B)Type 2
C)Gestational
D)Prediabetes
Q2) Which factor(s)may cause diabetes mellitus (DM)?
A) Genetic
B) Microbiologic
C) Metabolic
D) Allogenic
E) Immunologic
Q3) A patient with type 1 diabetes mellitus (DM)is preparing for a moderate 30-minute exercise period.Which action best indicates that the patient understands condition management?
A) The patient reduces insulin use during days when exercise periods are planned.
B) The patient administers insulin after exercise rather than before exercise.
C) The patient eats a high-carbohydrate snack before the exercise period.
D) The patient consumes a simple carbohydrate snack after 30 minutes of activity.
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Chapter 38: Care of Women with Reproductive Disorders
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/18696
Sample Questions
Q1) The nurse describes the "morning-after" pill,levonorgestrel,as a multipurpose pill.Which statement(s)describe(s)a purpose of levonorgestrel?
A) Ovulation prevention
B) Immediate menses induction
C) Fertilization interference
D) Alteration of ova DNA
E) Prevention of uterine implantation
Q2) During a family planning session,a young couple confides that they are hoping to conceive.Which action should the nurse suggest to potentially enhance conception?
A) Relax together in a sauna or hot tub.
B) Stimulate the scrotum with a vibrator.
C) Increased time spent in foreplay.
D) Use water-soluble lubricant.
Q3) How does the body benefit from the normal acidic pH of the vaginal vault?
A) Supported vaginal muscle tone
B) Vaginal lubrication
C) A hostile environment to sperm
D) Protection against infection
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Chapter 39: Care of Men with Reproductive Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/18697
Sample Questions
Q1) The nurse has provided discharge instructions to a patient who underwent a vasectomy.Which statement indicates the patient understands the nurse's teaching?
A) "I can use a heating pad this evening for my discomfort."
B) "Taking aspirin every 4 hours will help with my pain."
C) "I should leave the compression dressing on for the first 24 hours."
D) "I should ice my scrotum once I get home."
Q2) The nurse is caring for a patient who returns to the unit after undergoing a transurethral resection of the prostate (TURP).The nurse observes a few small clots and pieces of tissue returning in the indwelling catheter bag.What should the nurse do next?
A) Document the finding.
B) Notify the surgeon immediately.
C) Adjust the bladder irrigation flow rate.
D) Apply traction to the catheter.
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Chapter 40: Care of Patients with Sexually Transmitted Infections
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient with genital herpes.Which manifestation alerts the nurse to a potential signal of an impending outbreak?
A) Elevation in temperature
B) Tingling sensation in the vagina
C) Copious vaginal discharge
D) Migraine-like headache
Q2) The nurse is educating a sexually active female patient about infection prevention.Which change during the premenstrual period increases the patient's risk of infection?
A) Cervical secretions become more alkaline.
B) The cervical mucous plug becomes more permeable.
C) Higher estrogen levels increase vaginal lubrication.
D) Lower antibody levels increase risk for infection.
Q3) How long after exposure does the incubation period for gonorrhea last?
A) 2 to 6 days
B) 1 week
C) 2 weeks
D) 4 weeks
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Chapter 41: The Integumentary System
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/18699
Sample Questions
Q1) A newly admitted 86-year-old patient has scratch marks in the groin and axilla and on her limbs.There are small,punctate red lesions that the patient says itch "like crazy." Which nursing action is most appropriate?
A) Employ skin tear precautions
B) Employ Standard Precautions
C) Employ use of emollient
D) Employs focused assessment for cause
Q2) Smooth,elevated area that is pale or reddened
A)Erythrasma
B)Wheal
C)Fungal infection
D)Keratosis
E)Keloid
Q3) A 93-year-old resident eats only a few bites at meals and then refuses to eat more.Which intervention might the nurse use to help delay skin breakdown from diminished nutrition?
A) Spoon-feed the resident.
B) Request an order for a feeding tube.
C) Inform the resident of the need to increase intake.
D) Offer 4 ounces of fluid every hour.
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Chapter 42: Care of Patents with Integumentary Disorders and Burns
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/18700
Sample Questions
Q1) An 84-year-old patient has had a low-grade fever for 2 days.This morning,the patient complains of burning,tingling hip pain that shoots down the leg.The nurse observes a small group of vesicles on the leg.These findings are consistent with which disorder?
A) Herpes simplex
B) Herpes zoster
C) Syphilis lesions
D) Furuncles
Q2) The nurse is educating a patient with psoriasis.Which information is most important for the nurse to include in the teaching plan?
A) Liberally apply a lubricating cream three times daily.
B) Use a humidifier at night.
C) Use an alcohol-based cleanser in the morning.
D) Take hot baths to reduce skin discomfort.
Q3) Biologic dressing obtained from a cadaver
A)Open technique
B)Closed technique
C)Escharotomy
D)Allograft
E)Xenograft
Page 44
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Chapter 43: Care of Patients in Disasters or Bioterrorism
Attack
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/18701
Sample Questions
Q1) Amputated arm,conscious,but in shock
A)Red tag: emergent
B)Yellow tag: urgent
C)Green tag: nonurgent
D)Black tag: terminal
Q2) In a terrorist attack,introduction of the plague would most likely occur as an aerosolized weapon.The nurse understands that this organism is very vulnerable to exposure to which element?
A) Temperature of 40° F
B) Sunlight
C) Strong chlorine solution
D) Nitrogen gas
Q3) Which agency requires emergency preparedness plans for accredited hospitals?
A) American Red Cross (ARC)
B) The Joint Commission (TJC)
C) Federal Emergency Management Agency (FEMA)
D) Office of Civil Defense (OCD)
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Page 45
Chapter 44: Care of Patients with Emergencies, Trauma, and Shock
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/18702
Sample Questions
Q1) A diving accident occurs at the community pool and the victim is conscious and in pain.Which intervention is most appropriate pending the arrival of emergency medical personnel?
A) Position the patient on the side of the pool.
B) Move the patient to the shallow end and cover with a towel
C) Leave the patient in the pool and support with a large float.
D) Leave the patient in the pool and attempt cardiopulmonary resuscitation (CPR).
Q2) A worker in a department store fell through a plate glass window,causing a deep laceration on the right mid-thigh that is pumping bright red arterial blood.Which initial action is most important for the first responder to take?
A) Elevate the leg.
B) Bunch up the worker's shirt and press it against the wound.
C) Press the palm of hand in the groin to compress the femoral artery.
D) Tie the worker's belt tightly around his upper thigh to stop bleeding.
Q3) ________________ are the organisms most commonly associated with infections leading to sepsis and septic shock.
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Chapter 45: Care of Patients with Anxiety, Mood, and Eating Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/18703
Sample Questions
Q1) The nurse is caring for a patient admitted with a diagnosis of serotonin syndrome.Which type of medication will most likely be included in the plan of treatment?
A) Antihypertensive medications
B) Intravenous (IV) therapy
C) Antianxiety medications
D) Sedatives
Q2) What thought process underscores a patient's anorexia nervosa?
A) A desire to be attractive by staying slender.
B) A desire to be involved with food preparation of food, but not eating it.
C) A desire to punish self by denial of adequate nutrition.
D) A desire to gain a sense of control by limiting food intake.
Q3) The nurse is caring for an older adult patient with a history of anxiety.Which complaint could indicate that the patient may actually be experiencing emotional distress?
A) Upset stomach
B) Heightened tooth sensitivity
C) Unpleasant taste in mouth
D) Dizziness
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Chapter 46: Care of Patients with Substance Abuse Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/18704
Sample Questions
Q1) Needs increasing amounts of substance to achieve desired effect
A)Abuse
B)Psychological dependence
C)Addiction
D)Tolerance
E)Withdrawal
Q2) Which criteria are part of alcohol dependency diagnosis guidelines?
A) Identifiable withdrawal signs and symptoms
B) Decreasing tolerance
C) Altered family relationships
D) Blackouts or amnesia pertinent to drinking episodes
E) Altered occupational productivity
Q3) Which actions describe diagnostic criteria for the diagnosis of substance abuse?
A) Failure to meet obligations
B) Putting self and others in potential harm
C) Experiencing conflict with law enforcement authorities
D) Developing physical debilitation
E) Denying existence of a problem
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Chapter 47: Care of Patients with Cognitive Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/18705
Sample Questions
Q1) How should the nurse speak when communicating with a patient with moderate Alzheimer dementia?
A) Slowly
B) Clearly
C) Loudly
D) Softly
Q2) The home health nurse assesses caregivers for a person with a cognitive deficit.Which finding(s)is/are characteristic of exhaustion?
A) Irritability with other family members and the patient
B) Report of sleep disturbances
C) Anger at patient and self
D) Depression
E) Fatigue
F)None of above
Q3) Processes of perception,memory,and judgment
A)Cognition
B)Dementia
C)elirium
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Chapter 48: Care of Patients with Thought and Personality Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/18706
Sample Questions
Q1) The paranoid schizophrenic who is taking a neuroleptic is brought to the emergency department with acute muscle spasm of the face and neck with eyes that are fixed in an upward stare.The nurse recognizes the condition of ________.
Q2) The nurse is caring for a patient with a recent diagnosis of schizophrenia.His wife asks how long it will be until her husband is cured.What response by the nurse is most appropriate?
A) "Unfortunately, there is no cure, but the condition can be managed."
B) "It will take approximately 1 to 2 months of medication therapy to alleviate your husband's symptoms."
C) "We cannot consider your husband cured until he has been symptom free for at least 1 year."
D) "There is no way to predict his outcome during his initial episode."
Q3) The nurse adds an intervention to the nursing care plan for a patient on neuroleptics.Which intervention is most appropriate?
A) Increase fluid intake to compensate for the side effect of diarrhea.
B) Encourage snacks to prevent weight loss.
C) Monitor vital signs for hypertension.
D) Assess urinary output for evidence of urinary retention.
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