Introduction to Nursing
Mock Exam
Course Introduction
Introduction to Nursing provides students with a foundational understanding of the nursing profession, exploring core concepts, roles, and responsibilities of nurses within the healthcare system. The course covers the history and evolution of nursing, ethical and legal considerations, basic principles of patient care, and the importance of communication and professionalism in diverse healthcare settings. Emphasis is placed on developing critical thinking, compassion, and cultural awareness as essential qualities for effective nursing practice. Through theoretical frameworks and practical examples, students gain a comprehensive overview of what it means to be a nurse and are prepared for further study in clinical nursing courses.
Recommended Textbook
Clinical Nursing Skills and Techniques 6th Edition by Anne Griffin Perry
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63 Chapters
1925 Verified Questions
1925 Flashcards
Source URL: https://quizplus.com/study-set/1705
Page 2
Chapter 1: The Importance of Nursing
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/33804
Sample Questions
Q1) A home care nurse is planning care for a patient who has just been diagnosed with type 2 diabetes mellitus.Which task is appropriate for the nurse to delegate to the home health aide?
A) Assist the patient to choose appropriate foods.
B) Help the patient with a daily bath and oral care.
C) Check the patient's feet for signs of breakdown.
D) Teach the patient how to monitor blood glucose.
Answer: B
Q2) The nurse admits a patient to the hospital and develops a plan of care.What components should the nurse include in the nursing diagnosis statement?
A) The problem and the suggested patient goals or outcomes
B) The problem with possible causes and the planned interventions
C) The problem, its cause, and objective data that support the problem
D) The problem with an etiology and the signs and symptoms of the problem
Answer: D
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3
Chapter 3: Health Disparities and Cultural Care
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/33805
Sample Questions
Q1) The nurse cares for a patient who speaks a different language.If an interpreter is not available,which action by the nurse is most appropriate?
A) Talk slowly so that each word is clearly heard.
B) Speak loudly in close proximity to the patient's ears.
C) Repeat important words so that the patient recognizes their significance.
D) Use simple gestures to demonstrate meaning while talking to the patient.
Answer: D
Q2) The nurse plans care for a hospitalized patient who uses culturally based treatments.Which action by the nurse is best?
A) Encourage the use of diagnostic procedures.
B) Coordinate the use of folk treatments with ordered medical therapies.
C) Ask the patient to discontinue the cultural treatments during hospitalization.
D) Teach the patient that folk remedies will interfere with orders by the health care provider.
Answer: B
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4
Chapter 4: Pain Management
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/33806
Sample Questions
Q1) The nurse assesses that a patient receiving epidural morphine has not voided for over 10 hours.What action should the nurse take initially?
A) Monitor for withdrawal symptoms.
B) Place an indwelling urinary catheter.
C) Ask if the patient feels the need to void.
D) Document this allergic reaction in the patient's chart.
Q2) A nurse assesses a patient with chronic cancer pain who is receiving imipramine (Tofranil)in addition to long-acting morphine.Which statement,if made by the patient,indicates to the nurse that the patient is receiving adequate pain control?
A) "I'm not anxious at all."
B) "I sleep 8 hours every night."
C) "I feel much less depressed since I've been taking the Tofranil."
D) "The pain is manageable and I can accomplish my desired activities.
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5
Chapter 5: Palliative Care
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/33807
Sample Questions
Q1) A hospice nurse who has become close to a terminally ill patient is present in the home when the patient dies and feels saddened and tearful as the family members begin to cry.Which action should the nurse take at this time?
A) Contact a grief counselor as soon as possible.
B) Cry along with the patient's family members.
C) Leave the home as soon as possible to allow the family to grieve privately.
D) Consider whether working in hospice is desirable because patient losses are common.
Q2) A young adult patient with metastatic cancer,who is very close to death,appears restless.The patient keeps repeating,"I am not ready to die." Which action is best for the nurse to take?
A) Remind the patient that no one feels ready for death.
B) Sit at the bedside and ask if there is anything the patient needs.
C) Insist that family members remain at the bedside with the patient.
D) Tell the patient that everything possible is being done to delay death.
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Chapter 6: Substance Use and Dependency
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/33808
Sample Questions
Q1) Which information is most important for the nurse to report to the health care provider about a patient who has been using varenicline (Chantix)?
A) The patient continues to smoke a few cigarettes every day.
B) The patient complains of headaches that occur almost daily.
C) The patient complains of new-onset sadness and depression.
D) The patient says, "I have decided that I am not ready to quit."
Q2) A patient admitted with shortness of breath and chest pain who is a pack-a-day smoker tells the nurse,"I am just not ready to quit smoking yet." Which response by the nurse is best?
A) "This would be a really good time to quit."
B) "Your smoking is the cause of your chest pain."
C) "What health problems do you think smoking has caused?"
D) "Are you familiar with the various nicotine replacement options?"
Q3) A patient who is admitted to the hospital for wound debridement admits to using fentanyl (Sublimaze)illegally.What finding does the nurse expect?
A) Nausea and diarrhea
B) Tremors and seizures
C) Lethargy and disorientation
D) Delusions and hallucinations
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Page 7
Chapter 8: Nursing Management: Inflammation and Wound Healing
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/33809
Sample Questions
Q1) After receiving a change-of-shift report,which patient should the nurse assess first?
A) The patient who has multiple black wounds on the feet and ankles
B) The newly admitted patient with a stage IV pressure ulcer on the coccyx
C) The patient who has been receiving chemotherapy and has a temperature of 102° F
D) The patient who needs to be medicated with multiple analgesics before a scheduled dressing change
Q2) A patient from a long-term care facility is admitted to the hospital with a sacral pressure ulcer.The base of the wound is yellow and involves subcutaneous tissue.How should the nurse classify this pressure ulcer?
A) Stage I
B) Stage II
C) Stage III
D) Stage IV
Q3) A patient's temperature has been 101° F (38.3° C)for several days.The patient's normal caloric intake to meet nutritional needs is 2000 calories per day.Knowing that the metabolic rate increases 7% for each Fahrenheit degree above 100° in body temperature,how many total calories should the patient receive each day?
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Page 8
Chapter 9: Genetics and Genomics
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/33810
Sample Questions
Q1) A patient tells the nurse,"I would like to use a home genetic test to see if I will develop breast cancer." Which response by the nurse is best?
A) "Home genetic testing is very expensive."
B) "Are you concerned about developing breast cancer?"
C) "Won't you be depressed if the testing shows a positive result?"
D) "Genetic testing can only determine if you are at higher risk for breast cancer."
Q2) A patient with a family history of cystic fibrosis (CF)asks for information about genetic testing.Which response by the nurse is most appropriate?
A) Refer the patient to a qualified genetic counselor.
B) Ask the patient why genetic testing is so important.
C) Remind the patient that genetic testing has many social implications.
D) Tell the patient that cystic fibrosis is an autosomal recessive disorder.
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9
Chapter 10: Altered Immune Responses and Transplantation
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/33811
Sample Questions
Q1) A patient is admitted to the hospital with acute rejection of a kidney transplant.Which intervention will the nurse prepare for this patient?
A) Administration of immunosuppressant medications
B) Insertion of an arteriovenous graft for hemodialysis
C) Placement of the patient on the transplant waiting list
D) A blood draw for human leukocyte antigen (HLA) matching
Q2) The nurse is caring for a patient undergoing plasmapheresis.The nurse should assess the patient for which clinical manifestation?
A) Shortness of breath
B) High blood pressure
C) Transfusion reaction
D) Numbness and tingling
Q3) A patient is being evaluated for possible atopic dermatitis.The nurse expects elevation of which laboratory value?
A) IgE
B) IgA
C) Basophils
D) Neutrophils
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Chapter 11: Nursing Management: Infection and Human
Immunodeficiency Virus Infection
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/33812
Sample Questions
Q1) An older adult who takes medications for coronary artery disease has just been diagnosed with asymptomatic chronic human immunodeficiency virus (HIV)infection.Which information will the nurse include in patient teaching?
A) Many medications have interactions with antiretroviral drugs.
B) Less frequent CD4<sup>+</sup> level monitoring is needed in older adults.
C) Hospice care is available for patients with terminal HIV infection.
D) Progression of HIV infection occurs more rapidly in older patients.
Q2) Which information would be most important to help the nurse determine if the patient needs human immunodeficiency virus (HIV)testing?
A) Patient age
B) Patient lifestyle
C) Patient symptoms
D) Patient sexual orientation
Q3) Which of these patients being seen at the human immunodeficiency virus (HIV)clinic should the nurse assess first?
A) Patient whose latest CD4<sup>+</sup> count is 250/µL
B) Patient whose rapid HIV-antibody test is positive
C) Patient who has had 10 liquid stools in the last 24 hours
D) Patient who has nausea from prescribed antiretroviral drugs
Page 11
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Chapter 12: Cancer
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/33813
Sample Questions
Q1) The nurse assesses a patient who is receiving interleukin-2.Which finding should the nurse report immediately to the health care provider?
A) Generalized muscle aches
B) Complaints of nausea and anorexia
C) Oral temperature of 100.6° F (38.1° C)
D) Crackles heard at the lower scapular border
Q2) A patient undergoing external radiation has developed a dry desquamation of the skin in the treatment area.The nurse teaches the patient about management of the skin reaction.Which statement,if made by the patient,indicates the teaching was effective?
A) "I can buy some aloe vera gel to use on the area."
B) "I will expose the treatment area to a sun lamp daily."
C) "I can use ice packs to relieve itching in the treatment area."
D) "I will scrub the area with warm water to remove the scales."
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12
Chapter 13: Nursing Management: Fluid,electrolyte and Acidbase Imbalances
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/33814
Sample Questions
Q1) The nurse assesses a patient who has been hospitalized for 2 days.The patient has been receiving normal saline IV at 100 mL/hr,has a nasogastric tube to low suction,and is NPO.Which assessment finding would be a priority for the nurse to report to the health care provider?
A) Oral temperature of 100.1° F
B) Serum sodium level of 138 mEq/L (138 mmol/L)
C) Gradually decreasing level of consciousness (LOC)
D) Weight gain of 2 pounds (1 kg) above the admission weight
Q2) The home health nurse cares for an alert and oriented older adult patient with a history of dehydration.Which instructions should the nurse give to this patient related to fluid intake?
A) "Increase fluids if your mouth feels dry.
B) "More fluids are needed if you feel thirsty."
C) "Drink more fluids in the late evening hours."
D) "If you feel lethargic or confused, you need more to drink."
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Chapter 14: Nursing Management: Preoperative Care
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/33815
Sample Questions
Q1) When caring for a preoperative patient on the day of surgery,which actions included in the plan of care can the nurse delegate to unlicensed assistive personnel (UAP)(select all that apply)?
A) Teach incentive spirometer use.
B) Explain preoperative routine care.
C) Obtain and document baseline vital signs.
D) Remove nail polish and apply pulse oximeter.
E) Transport the patient by stretcher to the operating room.
Q2) The outpatient surgery nurse reviews the complete blood cell (CBC)count results for a patient who is scheduled for surgery in a few days.The results are white blood cell (WBC)count 10.2 × 10³/µL; hemoglobin 15 g/dL; hematocrit 45%; platelets 150 × 10³/µL.Which action should the nurse take?
A) Call the surgeon and anesthesiologist immediately.
B) Ask the patient about any symptoms of a recent infection.
C) Discuss the possibility of blood transfusion with the patient.
D) Send the patient to the holding area when the operating room calls.
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Chapter 15: Nursing Management: Intraoperative Care
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/33816
Sample Questions
Q1) A patient scheduled to undergo total knee replacement surgery under general anesthesia asks the nurse,"Will the doctor put me to sleep with a mask over my face?" Which response by the nurse is most appropriate?
A) "A drug may be given to you through your IV line first. I will check with the anesthesia care provider."
B) "Only your surgeon can tell you for sure what method of anesthesia will be used. Should I ask your surgeon?"
C) "General anesthesia is now given by injecting medication into your veins, so you will not need a mask over your face."
D) "Masks are not used anymore for anesthesia. A tube will be inserted into your throat to deliver a gas that will put you to sleep."
Q2) Monitored anesthesia care (MAC)is going to be used for a closed,manual reduction of a dislocated shoulder.What action does the nurse anticipate?
A) Securing an airtight fit for the inhalation mask
B) Starting a 20-gauge IV in the patient's unaffected arm
C) Obtaining a nonocclusive dressing to place over the administration site
D) Teaching the patient about epidural patient-controlled anesthesia (PCA) use
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Chapter 16: Nursing Management: Postoperative Care
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/33817
Sample Questions
Q1) Which action could the postanesthesia care unit (PACU)nurse delegate to unlicensed assistive personnel (UAP)who help with the transfer of a patient to the clinical unit?
A) Clarify the postoperative orders with the surgeon.
B) Help with the transfer of the patient onto a stretcher.
C) Document the appearance of the patient's incision in the chart.
D) Provide hand off communication to the surgical unit charge nurse.
Q2) After receiving change-of-shift report about these postoperative patients,which patient should the nurse assess first?
A) Obese patient who had abdominal surgery 3 days ago and whose wound edges are separating
B) Patient who has 30 mL of sanguineous drainage in the wound drain 10 hours after hip replacement surgery
C) Patient who has bibasilar crackles and a temperature of 100°F (37.8°C) on the first postoperative day after chest surgery
D) Patient who continues to have incisional pain 15 minutes after hydrocodone and acetaminophen (Vicodin) administration
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Page 16
Chapter 17: Nursing Assessment: Visual and Auditory Systems
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/33818
Sample Questions
Q1) The nurse is providing health promotion teaching to a group of older adults.Which information will the nurse include when teaching about routine glaucoma testing?
A) A Tono-pen will be applied to the surface of the eye.
B) The test involves reading a Snellen chart from 20 feet.
C) Medications will be used to dilate the pupils for the test.
D) The examination involves checking the pupil's reaction to light.
Q2) The nurse recording health histories in the outpatient clinic would plan a focused hearing assessment for adult patients taking which medication?
A) Atenolol (Tenormin) taken to prevent angina
B) Acetaminophen (Tylenol) taken frequently for headaches
C) Ibuprofen (Advil) taken for 20 years to treat osteoarthritis
D) Albuterol (Proventil) taken since childhood to treat asthma
Q3) The nurse is assessing a 65-year-old patient for presbyopia.Which instruction will the nurse give the patient before the test?
A) "Hold this card and read the print out loud."
B) "Cover one eye at a time while reading the wall chart."
C) "You'll feel a short burst of air directed at your eyeball."
D) "A light will be used to look for a change in your pupils."
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Chapter 18: Nursing Management: Visual and Auditory
Problems
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/33819
Sample Questions
Q1) To determine whether treatment is effective for a patient with primary open-angle glaucoma (POAG),the nurse can evaluate the patient for improvement by
A) questioning the patient about blurred vision.
B) noting any changes in the patient's visual field.
C) asking the patient to rate the pain using a 0 to 10 scale.
D) assessing the patient's depth perception when climbing stairs.
Q2) Which statement by the patient to the home health nurse indicates a need for more teaching about self-administering eardrops?
A) "I will leave the ear wick in place while administering the drops."
B) "I should lie down before and for 5 minutes after administering the drops."
C) "I will hold the tip of the dropper above the ear while administering the drops."
D) "I should keep the medication refrigerated until I am ready to administer the drops."
Q3) A patient who has undergone a left tympanoplasty should be instructed to A) remain on bed rest.
B) keep the head elevated.
C) avoid blowing the nose.
D) irrigate the left ear canal.
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Page 18
Chapter 19: Nursing Assessment: Integumentary System
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/33820
Sample Questions
Q1) When taking the health history of an older adult,the nurse discovers that the patient has worked in the landscaping business for 40 years.The nurse will plan to teach the patient about how to self-assess for which clinical manifestations (select all that apply)?
A) Vitiligo
B) Alopecia
C) Intertrigo
D) Erythema
E) Actinic keratosis
Q2) Which abnormality on the skin of an older patient is the priority to discuss immediately with the health care provider?
A) Several dry, scaly patches on the face
B) Numerous varicosities noted on both legs
C) Dilation of small blood vessels on the face
D) Petechiae present on the chest and abdomen
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Chapter 20: Nursing Management: Integumentary
Problems
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/33821
Sample Questions
Q1) The nurse notes darker skin pigmentation in the skinfolds of a middle-aged patient who has a body mass index of 40 kg/m².What is the nurse's best action?
A) Teach the patient about the treatment of fungal infection.
B) Discuss the use of drying agents to minimize infection risk.
C) Instruct the patient about the use of mild soap to clean skinfolds.
D) Ask the patient about type 2 diabetes or if there is a family history of it.
Q2) The nurse instructs a patient about application of corticosteroid cream to an area of contact dermatitis on the right leg.Which patient action indicates that further teaching is needed?
A) The patient takes a tepid bath before applying the cream.
B) The patient spreads the cream using a downward motion.
C) The patient applies a thick layer of the cream to the affected skin.
D) The patient covers the area with a dressing after applying the cream.
Q3) The nurse is interviewing a patient with contact dermatitis.Which finding indicates a need for patient teaching?
A) The patient applies corticosteroid cream to pruritic areas.
B) The patient uses Neosporin ointment on minor cuts or abrasions.
C) The patient adds oilated oatmeal (Aveeno) to the bath water every day.
D) The patient takes diphenhydramine (Benadryl) at night if itching occurs.
Page 20
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Chapter 21: Nursing Management: Burns
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/33822
Sample Questions
Q1) While the patient's full-thickness burn wounds to the face are exposed,what is the best nursing action to prevent cross contamination?
A) Use sterile gloves when removing old dressings.
B) Wear gowns, caps, masks, and gloves during all care of the patient.
C) Administer IV antibiotics to prevent bacterial colonization of wounds.
D) Turn the room temperature up to at least 70° F (20° C) during dressing changes.
Q2) The nurse estimates the extent of a burn using the rule of nines for a patient who has been admitted with deep partial-thickness burns of the anterior trunk and the entire left arm.What percentage of the patient's total body surface area (TBSA)has been injured?
Q3) An employee spills industrial acids on both arms and legs at work.What is the priority action that the occupational health nurse at the facility should take?
A) Remove nonadherent clothing and watch.
B) Apply an alkaline solution to the affected area.
C) Place cool compresses on the area of exposure.
D) Cover the affected area with dry, sterile dressings.
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21
Chapter 22: Nursing Assessment: Respiratory System
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/33823
Sample Questions
Q1) The nurse palpates the posterior chest while the patient says "99" and notes absent fremitus.Which action should the nurse take next?
A) Palpate the anterior chest and observe for barrel chest.
B) Encourage the patient to turn, cough, and deep breathe.
C) Review the chest x-ray report for evidence of pneumonia.
D) Auscultate anterior and posterior breath sounds bilaterally.
Q2) A diabetic patient's arterial blood gas (ABG)results are pH 7.28; PaCO<sub>2</sub> 34 mm Hg; PaO<sub>2</sub> 85 mm Hg; HCO<sub>2</sub><sup>-</sup> 18 mEq/L.The nurse would expect which finding?
A) Intercostal retractions
B) Kussmaul respirations
C) Low oxygen saturation (SpO<sub>2</sub>)
D) Decreased venous O<sub>2</sub> pressure
Q3) The nurse prepares a patient with a left-sided pleural effusion for a thoracentesis.How should the nurse position the patient?
A) Supine with the head of the bed elevated 30 degrees
B) In a high-Fowler's position with the left arm extended
C) On the right side with the left arm extended above the head
D) Sitting upright with the arms supported on an over bed table
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Page 22
Chapter 23: Nursing Management: Upper Respiratory
Problems
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/33824
Sample Questions
Q1) The nurse is caring for a hospitalized older patient who has nasal packing in place to treat a nosebleed.Which assessment finding will require the most immediate action by the nurse?
A) The oxygen saturation is 89%.
B) The nose appears red and swollen.
C) The patient's temperature is 100.1° F (37.8° C).
D) The patient complains of level 8 (0 to 10 scale) pain.
Q2) Which action should the nurse take first when a patient develops a nosebleed?
A) Pinch the lower portion of the nose for 10 minutes.
B) Pack the affected nare tightly with an epistaxis balloon.
C) Obtain silver nitrate that will be needed for cauterization.
D) Apply ice compresses over the patient's nose and cheeks.
Q3) A nurse obtains a health history from a patient who has a 35 pack-year smoking history.The patient complains of hoarseness and tightness in the throat and difficulty swallowing.Which question is most important for the nurse to ask?
A) "How much alcohol do you drink in an average week?"
B) "Do you have a family history of head or neck cancer?"
C) "Have you had frequent streptococcal throat infections?"
D) "Do you use antihistamines for upper airway congestion?"
Page 23
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Chapter 24: Nursing Management: Lower Respiratory Problems
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/33825
Sample Questions
Q1) When caring for a patient who is hospitalized with active tuberculosis (TB),the nurse observes a student nurse who is assigned to take care of a patient.Which action,if performed by the student nurse,would require an intervention by the nurse?
A) The patient is offered a tissue from the box at the bedside.
B) A surgical face mask is applied before visiting the patient.
C) A snack is brought to the patient from the unit refrigerator.
D) Hand washing is performed before entering the patient's room.
Q2) A patient with pneumonia has a fever of 101.4° F (38.6° C),a nonproductive cough,and an oxygen saturation of 88%.The patient complains of weakness,fatigue,and needs assistance to get out of bed.Which nursing diagnosis should the nurse assign as the highest priority?
A) Hyperthermia related to infectious illness
B) Impaired transfer ability related to weakness
C) Ineffective airway clearance related to thick secretions
D) Impaired gas exchange related to respiratory congestion
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Page 24
Chapter 25: Nursing Management: Obstructive Pulmonary Diseases
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/33826
Sample Questions
Q1) A patient in the clinic with cystic fibrosis (CF)reports increased sweating and weakness during the summer months.Which action by the nurse would be most appropriate?
A) Have the patient add dietary salt to meals.
B) Teach the patient about the signs of hypoglycemia.
C) Suggest decreasing intake of dietary fat and calories.
D) Instruct the patient about pancreatic enzyme replacements.
Q2) A patient with chronic obstructive pulmonary disease (COPD)has a nursing diagnosis of imbalanced nutrition: less than body requirements.Which intervention would be most appropriate for the nurse to include in the plan of care?
A) Encourage increased intake of whole grains.
B) Increase the patient's intake of fruits and fruit juices.
C) Offer high-calorie snacks between meals and at bedtime.
D) Assist the patient in choosing foods with high vegetable and mineral content.
Q3) A patient with asthma has a personal best peak expiratory flow rate (PEFR)of 400 L/minute.When explaining the asthma action plan,the nurse will teach the patient that a change in therapy is needed when the PEFR is less than ___ L/minute
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Page 25
Chapter 26: Nursing Assessment: Haematological System
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/33827
Sample Questions
Q1) When assessing a newly admitted patient,the nurse notes pallor of the skin and nail beds.The nurse should ensure that which laboratory test has been ordered?
A) Platelet count
B) Neutrophil count
C) White blood cell count
D) Hemoglobin (Hgb) level
Q2) A patient who had a total hip replacement had an intraoperative hemorrhage 14 hours ago.Which laboratory result would the nurse expect to find?
A) Hematocrit of 46%
B) Hemoglobin of 13.8 g/dL
C) Elevated reticulocyte count
D) Decreased white blood cell (WBC) count
Q3) The nurse examines the lymph nodes of a patient during a physical assessment.Which assessment finding would be of most concern to the nurse?
A) A 2-cm nontender supraclavicular node
B) A 1-cm mobile and nontender axillary node
C) An inability to palpate any superficial lymph nodes
D) Firm inguinal nodes in a patient with an infected foot
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26
Chapter 27: Nursing Management: Haematological
Problems
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/33828
Sample Questions
Q1) A patient with septicemia develops prolonged bleeding from venipuncture sites and blood in the stools.Which action is most important for the nurse to take?
A) Avoid venipunctures.
B) Notify the patient's physician.
C) Apply sterile dressings to the sites.
D) Give prescribed proton-pump inhibitors.
Q2) Which patient information is most important for the nurse to monitor when evaluating the effectiveness of deferoxamine (Desferal)for a patient with hemochromatosis?
A) Skin color
B) Hematocrit
C) Liver function
D) Serum iron level
Q3) A 28-year-old man with von Willebrand disease is admitted to the hospital for minor knee surgery.The nurse will review the coagulation survey to check the
A) platelet count.
B) bleeding time.
C) thrombin time.
D) prothrombin time.
To view all questions and flashcards with answers, click on the resource link above. Page 27
Chapter 28: Nursing Assessment: Cardiovascular System
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/33829
Sample Questions
Q1) When assessing a newly admitted patient,the nurse notes a murmur along the left sternal border.To document more information about the murmur,which action will the nurse take next?
A) Find the point of maximal impulse.
B) Determine the timing of the murmur.
C) Compare the apical and radial pulse rates.
D) Palpate the quality of the peripheral pulses.
Q2) To determine the effects of therapy for a patient who is being treated for heart failure,which laboratory result will the nurse plan to review?
A) Troponin
B) Homocysteine (Hcy)
C) Low-density lipoprotein (LDL)
D) B-type natriuretic peptide (BNP)
Q3) Which action will the nurse implement for a patient who arrives for a calcium-scoring CT scan?
A) Insert an IV catheter.
B) Administer oral sedative medications.
C) Teach the patient about the procedure.
D) Confirm that the patient has been fasting.
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Page 28
Chapter 29: Nursing Management: Hypertension
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/33830
Sample Questions
Q1) The nurse obtains a blood pressure of 176/83 mm Hg for a patient.What is the patient's mean arterial pressure (MAP)?
Q2) A patient has just been diagnosed with hypertension and has been started on captopril (Capoten). Which information is important to include when teaching the patient about this medication?
A) Check blood pressure (BP) in both arms before taking the medication.
B) Increase fluid intake if dryness of the mouth is a problem.
C) Include high-potassium foods such as bananas in the diet.
D) Change position slowly to help prevent dizziness and falls.
Q3) During change-of-shift report,the nurse obtains the following information about a hypertensive patient who received the first dose of nadolol (Corgard)during the previous shift.Which information indicates that the patient needs immediate intervention?
A) The patient's most recent blood pressure (BP) reading is 158/91 mm Hg.
B) The patient's pulse has dropped from 68 to 57 beats/minute.
C) The patient has developed wheezes throughout the lung fields.
D) The patient complains that the fingers and toes feel quite cold.
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29
Chapter 30: Nursing Management: Coronary Artery Disease
and Acute Coronary Syndrome
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/33831
Sample Questions
Q1) A patient with ST-segment elevation in three contiguous electrocardiographic (ECG)leads is admitted to the emergency department (ED)and diagnosed as having an ST-segment-elevation myocardial infarction (STEMI).Which question should the nurse ask to determine whether the patient is a candidate for thrombolytic therapy?
A) "Do you have any allergies?"
B) "Do you take aspirin on a daily basis?"
C) "What time did your chest pain begin?"
D) "Can you rate your chest pain using a 0 to 10 scale?"
Q2) A patient admitted to the coronary care unit (CCU)with an ST-segment-elevation myocardial infarction (STEMI)is restless and anxious.The blood pressure is 86/40 and heart rate is 123.Based on this information,which nursing diagnosis is a priority for the patient?
A) Acute pain related to myocardial infarction
B) Anxiety related to perceived threat of death
C) Stress overload related to acute change in health
D) Decreased cardiac output related to cardiogenic shock
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Chapter 31: Nursing Management: Heart Failure
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/33832
Sample Questions
Q1) After receiving change-of-shift report on a heart failure unit,which patient should the nurse assess first?
A) Patient who is taking carvedilol (Coreg) and has a heart rate of 58
B) Patient who is taking digoxin and has a potassium level of 3.1 mEq/L
C) Patient who is taking isosorbide dinitrate/hydralazine (BiDil) and has a headache
D) Patient who is taking captopril (Capoten) and has a frequent nonproductive cough
Q2) A patient with chronic heart failure who is taking a diuretic and an angiotensin-converting enzyme (ACE)inhibitor and who is on a low-sodium diet tells the home health nurse about a 5-pound weight gain in the last 3 days.The nurse's priority action will be to
A) have the patient recall the dietary intake for the last 3 days.
B) ask the patient about the use of the prescribed medications.
C) assess the patient for clinical manifestations of acute heart failure.
D) teach the patient about the importance of restricting dietary sodium.
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Chapter 32: Nursing Management: Ecg Monitoring and Arrhythmias
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/33833
Sample Questions
Q1) A patient has a junctional escape rhythm on the monitor.The nurse will expect the patient to have a heart rate of _____ beats/minute.
A) 15 to 20
B) 20 to 40
C) 40 to 60
D) 60 to 100
Q2) The nurse notes that a patient's cardiac monitor shows that every other beat is earlier than expected,has no visible P wave,and has a QRS complex that is wide and bizarre in shape.How will the nurse document the rhythm?
A) Ventricular couplets
B) Ventricular bigeminy
C) Ventricular R-on-T phenomenon
D) Multifocal premature ventricular contractions
Q3) When analyzing an electrocardiographic (ECG)rhythm strip of a patient with a regular heart rhythm,the nurse counts 30 small blocks from one R wave to the next.The nurse calculates the patient's heart rate as ____.
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Chapter 33: Nursing Management: Inflammatory and Structural
Heart Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/33834
Sample Questions
Q1) Which statement by a patient with restrictive cardiomyopathy indicates that the nurse's discharge teaching about self-management has been most effective?
A) "I will avoid taking aspirin or other antiinflammatory drugs."
B) "I will need to limit my intake of salt and fluids even in hot weather."
C) "I will take antibiotics when my teeth are cleaned at the dental office."
D) "I should begin an exercise program that includes things like biking or swimming."
Q2) A patient admitted with acute dyspnea is newly diagnosed with dilated cardiomyopathy.Which information will the nurse plan to teach the patient about managing this disorder?
A) A heart transplant should be scheduled as soon as possible.
B) Elevating the legs above the heart will help relieve dyspnea.
C) Careful compliance with diet and medications will prevent heart failure.
D) Notify the doctor about any symptoms of heart failure such as shortness of breath.
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33
Chapter 34: Nursing Management: Vascular Disorders
Available Study Resources on Quizplus for this Chatper
36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/33835
Sample Questions
Q1) When discussing risk factor modification for a 63-year-old patient who has a 5-cm abdominal aortic aneurysm,the nurse will focus discharge teaching on which patient risk factor?
A) Male gender
B) Turner syndrome
C) Abdominal trauma history
D) Uncontrolled hypertension
Q2) After teaching a patient with newly diagnosed Raynaud's phenomenon about how to manage the condition,which action by the patient demonstrates that the teaching has been effective?
A) The patient exercises indoors during the winter months.
B) The patient places the hands in hot water when they turn pale.
C) The patient takes pseudoephedrine (Sudafed) for cold symptoms.
D) The patient avoids taking nonsteroidal antiinflammatory drugs (NSAIDs).
Q3) When assessing a patient with possible peripheral artery disease (PAD),the nurse obtains a brachial BP of 147/82 and an ankle pressure of 112/74.The nurse calculates the patient's ankle-brachial index (ABI)as ________ (round up to the nearest hundredth).
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Page 34
Chapter 35: Nursing Assessment: Gastrointestinal System
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/33836
Sample Questions
Q1) A 30-year-old man is being admitted to the hospital for elective knee surgery.Which assessment finding is most important to report to the health care provider?
A) Tympany on percussion of the abdomen
B) Liver edge 3 cm below the costal margin
C) Bowel sounds of 20/minute in each quadrant
D) Aortic pulsations visible in the epigastric area
Q2) The nurse receives the following information about a 51-year-old woman who is scheduled for a colonoscopy.Which information should be communicated to the health care provider before sending the patient for the procedure?
A) The patient has a permanent pacemaker to prevent bradycardia.
B) The patient is worried about discomfort during the examination.
C) The patient has had an allergic reaction to shellfish and iodine in the past.
D) The patient refused to drink the ordered polyethylene glycol (GoLYTELY).
Q3) The nurse will plan to monitor a patient with an obstructed common bile duct for A) melena.
B) steatorrhea.
C) decreased serum cholesterol levels.
D) increased serum indirect bilirubin levels.
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35
Chapter 36: Nursing Management: Nutritional Problems
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/33837
Sample Questions
Q1) A patient's capillary blood glucose level is 120 mg/dL 6 hours after the nurse initiated a parenteral nutrition (PN)infusion.The most appropriate action by the nurse is to
A) obtain a venous blood glucose specimen.
B) slow the infusion rate of the PN infusion.
C) recheck the capillary blood glucose in 4 to 6 hours.
D) notify the health care provider of the glucose level.
Q2) A 48-year-old man who has just been started on tube feedings of full-strength formula at 100 mL/hr has 6 diarrhea stools the first day.Which action should the nurse plan to take?
A) Slow the infusion rate of the tube feeding.
B) Check gastric residual volumes more frequently.
C) Change the enteral feeding system and formula every 8 hours.
D) Discontinue administration of water through the feeding tube.
Q3) Which menu choice indicates that the patient is implementing plans to choose high-calorie,high-protein foods?
A) Baked fish with applesauce
B) Beef noodle soup and canned corn
C) Fresh fruit salad with yogurt topping
D) Fried chicken with potatoes and gravy
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Page 36
Chapter 37: Nursing Management: Obesity
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/33838
Sample Questions
Q1) Which assessment action will help the nurse determine if an obese patient has metabolic syndrome?
A) Take the patient's apical pulse.
B) Check the patient's blood pressure.
C) Ask the patient about dietary intake.
D) Dipstick the patient's urine for protein.
Q2) Which finding for a patient who has been taking orlistat (Xenical)is most important to report to the health care provider?
A) The patient frequently has liquid stools.
B) The patient is pale and has many bruises.
C) The patient complains of bloating after meals.
D) The patient is experiencing a weight loss plateau.
Q3) A 61-year-old man is being admitted for bariatric surgery.Which nursing action can the nurse delegate to unlicensed assistive personnel (UAP)?
A) Demonstrate use of the incentive spirometer.
B) Plan methods for bathing and turning the patient.
C) Assist with IV insertion by holding adipose tissue out of the way.
D) Develop strategies to provide privacy and decrease embarrassment.
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Chapter 38: Nursing Management: Upper Gastrointestinal
Problems
Available Study Resources on Quizplus for this Chatper
47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/33839
Sample Questions
Q1) A 26-year-old woman has been admitted to the emergency department with nausea and vomiting.Which action could the RN delegate to unlicensed assistive personnel (UAP)?
A) Auscultate the bowel sounds.
B) Assess for signs of dehydration.
C) Assist the patient with oral care.
D) Ask the patient about the nausea.
Q2) Which finding in the mouth of a patient who uses smokeless tobacco is suggestive of oral cancer?
A) Bleeding during tooth brushing
B) Painful blisters at the lip border
C) Red, velvety patches on the buccal mucosa
D) White, curdlike plaques on the posterior tongue
Q3) Which assessment should the nurse perform first for a patient who just vomited bright red blood?
A) Measuring the quantity of emesis
B) Palpating the abdomen for distention
C) Auscultating the chest for breath sounds
D) Taking the blood pressure (BP) and pulse
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Chapter 39: Nursing Management: Lower Gastrointestinal
Problems
Available Study Resources on Quizplus for this Chatper
56 Verified Questions
56 Flashcards
Source URL: https://quizplus.com/quiz/33840
Sample Questions
Q1) Which care activity for a patient with a paralytic ileus is appropriate for the registered nurse (RN)to delegate to unlicensed assistive personnel (UAP)?
A) Auscultation for bowel sounds
B) Nasogastric (NG) tube irrigation
C) Applying petroleum jelly to the lips
D) Assessment of the nares for irritation
Q2) A 71-year-old patient had an abdominal-perineal resection for colon cancer.Which nursing action is most important to include in the plan of care for the day after surgery?
A) Teach about a low-residue diet.
B) Monitor output from the stoma.
C) Assess the perineal drainage and incision.
D) Encourage acceptance of the colostomy stoma.
Q3) Which information obtained by the nurse interviewing a 30-year-old male patient is most important to communicate to the health care provider?
A) The patient has a history of constipation.
B) The patient has noticed blood in the stools.
C) The patient had an appendectomy at age 27.
D) The patient smokes a pack/day of cigarettes.
To view all questions and flashcards with answers, click on the resource link above. Page 39
Chapter 40: Nursing Management: Liver,pancreas and Biliary Tract Problems
Available Study Resources on Quizplus for this Chatper
46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/33841
Sample Questions
Q1) After an unimmunized individual is exposed to hepatitis B through a needle-stick injury,which actions will the nurse plan to take (select all that apply)?
A) Administer hepatitis B vaccine.
B) Test for antibodies to hepatitis B.
C) Teach about á-interferon therapy.
D) Give hepatitis B immune globulin.
E) Teach about choices for oral antiviral therapy.
Q2) The nurse is planning care for a 48-year-old woman with acute severe pancreatitis.The highest priority patient outcome is
A) maintaining normal respiratory function.
B) expressing satisfaction with pain control.
C) developing no ongoing pancreatic disease.
D) having adequate fluid and electrolyte balance.
Q3) Which assessment finding is of most concern for a 46-year-old woman with acute pancreatitis?
A) Absent bowel sounds
B) Abdominal tenderness
C) Left upper quadrant pain
D) Palpable abdominal mass
Page 40
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Chapter 41: Nursing Assessment: Urinary System
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/33842
Sample Questions
Q1) A female patient with a suspected urinary tract infection (UTI)is to provide a clean-catch urine specimen for culture and sensitivity testing.To obtain the specimen,the nurse will
A) have the patient empty the bladder completely, then obtain the next urine specimen that the patient is able to void.
B) teach the patient to clean the urethral area, void a small amount into the toilet, and then void into a sterile specimen cup.
C) insert a short sterile "mini" catheter attached to a collecting container into the urethra and bladder to obtain the specimen.
D) clean the area around the meatus with a povidone-iodine (Betadine) swab, and then have the patient void into a sterile container.
Q2) How will the nurse assess for flank tenderness in a 30-year-old female patient with suspected pyelonephritis?
A) Palpate along both sides of the lumbar vertebral column.
B) Strike a flat hand covering the costovertebral angle (CVA).
C) Push fingers upward into the two lowest intercostal spaces.
D) Percuss between the iliac crest and ribs along the midaxillary line.
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Chapter 42: Nursing Management: Renal and Urological Problems
Available Study Resources on Quizplus for this Chatper
45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/33843
Sample Questions
Q1) A patient admitted to the hospital with pneumonia has a history of functional urinary incontinence.Which nursing action will be included in the plan of care?
A) Demonstrate the use of the Credé maneuver.
B) Teach exercises to strengthen the pelvic floor.
C) Place a bedside commode close to the patient's bed.
D) Use an ultrasound scanner to check postvoiding residuals.
Q2) It is most important that the nurse ask a patient admitted with acute glomerulonephritis about
A) history of kidney stones.
B) recent sore throat and fever.
C) history of high blood pressure.
D) frequency of bladder infections.
Q3) A 44-year-old patient is unable to void after having an open loop resection and fulguration of the bladder.Which nursing action should be implemented first?
A) Assist the patient to soak in a 15-minute sitz bath.
B) Insert a straight urethral catheter and drain the bladder.
C) Encourage the patient to drink several glasses of water.
D) Teach the patient how to do isometric perineal exercises.
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Chapter 43: Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/33844
Sample Questions
Q1) Which intervention will be included in the plan of care for a male patient with acute kidney injury (AKI)who has a temporary vascular access catheter in the left femoral vein?
A) Start continuous pulse oximetry.
B) Restrict physical activity to bed rest.
C) Restrict the patient's oral protein intake.
D) Discontinue the urethral retention catheter.
Q2) The nurse is assessing a patient 4 hours after a kidney transplant.Which information is most important to communicate to the health care provider?
A) The urine output is 900 to 1100 mL/hr.
B) The patient's central venous pressure (CVP) is decreased.
C) The patient has a level 7 (0 to 10 point scale) incisional pain.
D) The blood urea nitrogen (BUN) and creatinine levels are elevated.
Q3) Which assessment finding may indicate that a patient is experiencing adverse effects to a corticosteroid prescribed after kidney transplantation?
A) Postural hypotension
B) Recurrent tachycardia
C) Knee and hip joint pain
D) Increased serum creatinine
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Chapter 44: Nursing Assessment: Endocrine System
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/33845
Sample Questions
Q1) Which statement by a 50-year-old female patient indicates to the nurse that further assessment of thyroid function may be necessary?
A) "I notice my breasts are tender lately."
B) "I am so thirsty that I drink all day long."
C) "I get up several times at night to urinate."
D) "I feel a lump in my throat when I swallow."
Q2) Which information about a 30-year-old patient who is scheduled for an oral glucose tolerance test should be reported to the health care provider before starting the test?
A) The patient reports having occasional orthostatic dizziness.
B) The patient takes oral corticosteroids for rheumatoid arthritis.
C) The patient has had a 10-pound weight gain in the last month.
D) The patient drank several glasses of water an hour previously.
Q3) The nurse is caring for a 45-year-old male patient during a water deprivation test.Which finding is most important for the nurse to communicate to the health care provider?
A) The patient complains of intense thirst.
B) The patient has a 5-lb (2.3 kg) weight loss.
C) The patient's urine osmolality does not increase.
D) The patient feels dizzy when sitting on the edge of the bed.
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Page 44
Chapter 45: Nursing Management: Diabetes Mellitus
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/33846
Sample Questions
Q1) A 48-year-old male patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dL (6.7 mmol/L).The nurse will plan to teach the patient about
A) self-monitoring of blood glucose.
B) using low doses of regular insulin.
C) lifestyle changes to lower blood glucose.
D) effects of oral hypoglycemic medications.
Q2) A 38-year-old patient who has type 1 diabetes plans to swim laps daily at 1:00 PM.The clinic nurse will plan to teach the patient to
A) check glucose level before, during, and after swimming.
B) delay eating the noon meal until after the swimming class.
C) increase the morning dose of neutral protamine Hagedorn (NPH) insulin.
D) time the morning insulin injection so that the peak occurs while swimming.
Q3) An active 28-year-old male with type 1 diabetes is being seen in the endocrine clinic.Which finding may indicate the need for a change in therapy?
A) Hemoglobin A?C level 6.2%
B) Blood pressure 146/88 mmHg
C) Heart rate at rest 58 beats/minute
D) High density lipoprotein (HDL) level 65 mg/dL
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45
Chapter 46: Nursing Management: Endocrine Problems
Available Study Resources on Quizplus for this Chatper
46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/33847
Sample Questions
Q1) A 56-year-old female patient has an adrenocortical adenoma,causing hyperaldosteronism.The nurse providing care should
A) monitor the blood pressure every 4 hours.
B) elevate the patient's legs to relieve edema.
C) monitor blood glucose level every 4 hours.
D) order the patient a potassium-restricted diet.
Q2) A patient who was admitted with myxedema coma and diagnosed with hypothyroidism is improving and expected to be discharged in 2 days.Which teaching strategy will be best for the nurse to use?
A) Provide written reminders of self-care information.
B) Offer multiple options for management of therapies.
C) Ensure privacy for teaching by asking visitors to leave.
D) Delay teaching until patient discharge date is confirmed.
Q3) Which assessment finding of a 42-year-old patient who had a bilateral adrenalectomy requires the most rapid action by the nurse?
A) The blood glucose is 176 mg/dL.
B) The lungs have bibasilar crackles.
C) The blood pressure (BP) is 88/50 mm Hg.
D) The patient reports 5/10 incisional pain.
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Page 46
Chapter 47: Nursing Assessment: Reproductive System
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/33848
Sample Questions
Q1) A 44-year-old patient in the sexually transmitted infection clinic has a positive Venereal Disease Research Laboratory (VDRL)test,but no chancre is visible on assessment.The nurse will plan to send specimens for A) gram stain.
B) cytologic studies.
C) rapid plasma reagin (RPR) agglutination.
D) fluorescent treponemal antibody absorption (FTA-Abs).
Q2) A couple is scheduled to have a Huhner test for infertility.In preparation for the test,the nurse will instruct the couple about
A) being sedated during the procedure.
B) determining the estimated time of ovulation.
C) experiencing shoulder pain after the procedure.
D) refraining from intercourse before the appointment.
Q3) Which question should the nurse ask when assessing a 60-year-old patient who has a history of benign prostatic hyperplasia (BPH)?
A) "Have you noticed any unusual discharge from your penis?"
B) "Has there been any change in your sex life in the last year?"
C) "Has there been a decrease in the force of your urinary stream?"
D) "Have you been experiencing any difficulty in achieving an erection?"
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Page 47
Chapter 48: Nursing Management: Breast Disorders
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/33849
Sample Questions
Q1) The nurse is caring for a 52-year-old patient with breast cancer who is receiving chemotherapy with doxorubicin (Adriamycin)and cyclophosphamide (Cytoxan).Which assessment finding is most important to communicate to the health care provider?
A) The patient complains of fatigue.
B) The patient eats only 25% of meals.
C) The patient's apical pulse is irregular.
D) The patient's white blood cell (WBC) count is 5000/µL.
Q2) The nurse will anticipate teaching a 56-year-old patient who is diagnosed with lobular carcinoma in situ (LCIS)about
A) lumpectomy.
B) lymphatic mapping.
C) MammaPrint testing.
D) tamoxifen (Nolvadex).
Q3) Which patient statement indicates that the nurse's teaching about tamoxifen (Nolvadex)has been effective?
A) "I can expect to have leg cramps."
B) "I will call if I have any eye problems."
C) "I should contact you if I have hot flashes."
D) "I will be taking the medication for 6 to 12 months."
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Page 48
Chapter 49: Nursing Management: Sexually Transmitted
Infections
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/33850
Sample Questions
Q1) Which topics will the nurse include when preparing to teach a patient with recurrent genital herpes simplex (select all that apply)?
A) Infected areas should be kept moist to speed healing.
B) Sitz baths may be used to relieve discomfort caused by the lesions.
C) Genital herpes can be cured by consistent use of antiviral medications.
D) Recurrent genital herpes episodes usually are shorter than the first episode.
E) The virus can infect sexual partners even when you do not have symptoms of infection.
Q2) Which patient will the nurse plan on teaching about the Gardasil vaccine?
A) A 24-year-old female who has not been sexually active
B) A 34-year-old woman who has multiple sexual partners
C) A 19-year-old woman who is pregnant for the first time
D) A 29-year-old woman who is in a monogamous relationship
Q3) A woman is diagnosed with primary syphilis during her eighth week of pregnancy.The nurse will plan to teach the patient about the A) likelihood of a stillbirth.
B) plans for cesarean section
C) intramuscular injection of penicillin.
D) antibiotic eye drops for the newborn.
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Chapter 50: Nursing Management: Female Reproductive Problems
Available Study Resources on Quizplus for this Chatper
49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/33851
Sample Questions
Q1) Which statement by the patient indicates that the nurse's teaching about treating vaginal candidiasis has been effective?
A) "I should clean carefully after each urination and bowel movement."
B) "I can douche with warm water if the itching continues to bother me."
C) "I will insert the antifungal cream right before I get up in the morning."
D) "I will tell my husband that we cannot have intercourse for the next month."
Q2) When caring for a 58-year-old patient with persistent menorrhagia,the nurse will plan to monitor the
A) estrogen level.
B) complete blood count (CBC).
C) gonadotropin-releasing hormone (GNRH) level.
D) serial human chorionic gonadotropin (hCG) results.
Q3) A 25-year-old woman has an induced abortion with suction curettage at an ambulatory surgical center.Which instructions will the nurse include when discharging the patient?
A) "Heavy vaginal bleeding is expected for about 2 weeks."
B) "You should abstain from sexual intercourse for 2 weeks."
C) "Contraceptives should be avoided until your reexamination."
D) "Irregular menstrual periods are expected for the next few months."
Page 50
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Chapter 51: Nursing Management: Male Reproductive Problems
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/33852
Sample Questions
Q1) The nurse in a health clinic receives requests for appointments from several patients.Which patient should be seen by the health care provider first?
A) A 48-year-old man who has perineal pain and a temperature of 100.4° F
B) A 58-year-old man who has a painful erection that has lasted over 6 hours
C) A 38-year-old man who states he had difficulty maintaining an erection last night
D) A 68-year-old man who has pink urine after a transurethral resection of the prostate (TURP) 3 days ago
Q2) A 76-year-old patient who has been diagnosed with stage 2 prostate cancer chooses the option of active surveillance.The nurse will plan to
A) vaccinate the patient with sipuleucel-T ( Provenge).
B) provide the patient with information about cryotherapy.
C) teach the patient about placement of intraurethral stents.
D) schedule the patient for annual prostate-specific antigen testing.
Q3) Which information will the nurse teach a patient who has chronic prostatitis?
A) Ibuprofen (Motrin) should provide good pain control.
B) Prescribed antibiotics should be taken for 7 to 10 days.
C) Intercourse or masturbation will help relieve symptoms.
D) Cold packs used every 4 hours will decrease inflammation.
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Chapter 52: Nursing Assessment: Nervous System
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/33853
Sample Questions
Q1) Which information about a 76-year-old patient is most important for the admitting nurse to report to the patient's health care provider?
A) Triceps reflex response graded at 1/5
B) Unintended weight loss of 20 pounds
C) 10 mm Hg orthostatic drop in systolic blood pressure
D) Patient complaint of chronic difficulty in falling asleep
Q2) The nurse will anticipate teaching a patient with a possible seizure disorder about which test?
A) Cerebral angiography
B) Evoked potential studies
C) Electromyography (EMG)
D) Electroencephalography (EEG)
Q3) Which assessments will the nurse make to monitor a patient's cerebellar function (select all that apply)?
A) Assess for graphesthesia.
B) Observe arm swing with gait.
C) Perform the finger-to-nose test.
D) Check ability to push against resistance.
E) Determine ability to sense heat and cold.
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Chapter 53: Nursing Management: Acute Intracranial Problems
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/33854
Sample Questions
Q1) Which patient is most appropriate for the intensive care unit (ICU)charge nurse to assign to a registered nurse (RN)who has floated from the medical unit?
A) A 45-year-old receiving IV antibiotics for meningococcal meningitis
B) A 25-year-old admitted with a skull fracture and craniotomy the previous day
C) A 55-year-old who has increased intracranial pressure (ICP) and is receiving hyperventilation therapy
D) A 35-year-old with ICP monitoring after a head injury last week
Q2) A 42-year-old patient who has bacterial meningitis is disoriented and anxious.Which nursing action will be included in the plan of care?
A) Encourage family members to remain at the bedside.
B) Apply soft restraints to protect the patient from injury.
C) Keep the room well-lighted to improve patient orientation.
D) Minimize contact with the patient to decrease sensory input.
Q3) An unconscious patient with a traumatic head injury has a blood pressure of 130/76 mm Hg,and an intracranial pressure (ICP)of 20 mm Hg.The nurse will calculate the cerebral perfusion pressure (CPP)as ____ mm Hg.
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Chapter 54: Nursing Management: the Patient With a Stroke
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/33855
Sample Questions
Q1) The nurse identifies the nursing diagnosis of imbalanced nutrition: less than body requirements related to impaired self-feeding ability for a left-handed patient with left-sided hemiplegia.Which intervention should be included in the plan of care?
A) Provide a wide variety of food choices.
B) Provide oral care before and after meals.
C) Assist the patient to eat with the right hand.
D) Teach the patient the "chin-tuck" technique.
Q2) A 72-year-old patient who has a history of a transient ischemic attack (TIA)has an order for aspirin 160 mg daily.When the nurse is administering medications,the patient says,"I don't need the aspirin today.I don't have a fever." Which action should the nurse take?
A) Document that the aspirin was refused by the patient.
B) Tell the patient that the aspirin is used to prevent a fever.
C) Explain that the aspirin is ordered to decrease stroke risk.
D) Call the health care provider to clarify the medication order.
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Chapter 55: Nursing Management: Chronic Neurological Problems
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/33856
Sample Questions
Q1) A 46-year-old patient tells the nurse about using acetaminophen (Tylenol)several times every day for recurrent bilateral headaches.Which action will the nurse plan to take first?
A) Discuss the need to stop taking the acetaminophen.
B) Suggest the use of biofeedback for headache control.
C) Describe the use of botulism toxin (Botox) for headaches.
D) Teach the patient about magnetic resonance imaging (MRI).
Q2) Which information about a 72-year-old patient who has a new prescription for phenytoin (Dilantin)indicates that the nurse should consult with the health care provider before administration of the medication?
A) Patient has generalized tonic-clonic seizures.
B) Patient experiences an aura before seizures.
C) Patient's most recent blood pressure is 156/92 mm Hg.
D) Patient has minor elevations in the liver function tests.
Q3) A patient who is having an acute exacerbation of multiple sclerosis has a prescription for methylprednisolone (Solu-Medrol)160 mg IV.The label on the vial reads: methylprednisolone 125 mg in 2 mL.How many mL will the nurse administer?
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Chapter 56: Nursing Management: Delirium,depression and Dementia
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/33857
Sample Questions
Q1) When administering the Mini-Cog exam to a patient with possible Alzheimer's disease,which action will the nurse take?
A) Check the patient's orientation to time and date.
B) Obtain a list of the patient's prescribed medications.
C) Ask the person to use a clock drawing to indicate a specific time.
D) Determine the patient's ability to recognize a common object such as a pen.
Q2) The nurse is administering a mental status examination to a 48-year-old patient who has hypertension.The nurse suspects depression when the patient responds to the nurse's questions with
A) "Is that right?"
B) "I don't know."
C) "Wait, let me think about that."
D) "Who are those people over there?"
Q3) Which nursing action will be most effective in ensuring daily medication compliance for a patient with mild dementia?
A) Setting the medications up monthly in a medication box
B) Having the patient's family member administer the medication
C) Posting reminders to take the medications in the patient's house
D) Calling the patient weekly with a reminder to take the medication
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Chapter 57: Nursing Management: Peripheral Nerve and Spinal Cord Problems
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) Before administering botulinum antitoxin to a patient in the emergency department,it is most important for the nurse to
A) obtain the patient's temperature.
B) administer an intradermal test dose.
C) document the neurologic symptoms.
D) ask the patient about an allergy to eggs.
Q2) Which assessment data for a patient who has Guillain-Barré syndrome will require the nurse's most immediate action?
A) The patient's triceps reflexes are absent.
B) The patient is continuously drooling saliva.
C) The patient complains of severe pain in the feet.
D) The patient's blood pressure (BP) is 150/82 mm Hg.
Q3) Which action will the nurse include in the plan of care for a 62-year-old patient who is experiencing pain from trigeminal neuralgia?
A) Assess fluid and dietary intake.
B) Apply ice packs for 20 minutes.
C) Teach facial relaxation techniques.
D) Spend time talking with the patient.
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Chapter 58: Nursing Assessment: Musculoskeletal System
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/33859
Sample Questions
Q1) Which information obtained during the nurse's assessment of a 30-year-old patient's nutritional-metabolic pattern may indicate the risk for musculoskeletal problems?
A) The patient takes a multivitamin daily.
B) The patient dislikes fruits and vegetables.
C) The patient is 5 ft 2 in and weighs 180 lb.
D) The patient prefers whole milk to nonfat milk.
Q2) The nurse who notes that a 59-year-old female patient has lost 1 inch in height over the past 2 years will plan to teach the patient about
A) discography studies.
B) myelographic testing.
C) magnetic resonance imaging (MRI).
D) dual-energy x-ray absorptiometry (DXA).
Q3) A patient with left knee pain is diagnosed with bursitis.The nurse will explain that bursitis is an inflammation of
A) the synovial membrane that lines the joint.
B) a small, fluid-filled sac found at some joints.
C) the fibrocartilage that acts as a shock absorber in the knee joint.
D) any connective tissue that is found supporting the joints of the body.
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Chapter 59: Nursing Management: Musculoskeletal
Trauma and Orthopaedic Surgery
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/33860
Sample Questions
Q1) A patient arrived at the emergency department after tripping over a rug and falling at home.Which finding is most important for the nurse to communicate to the health care provider?
A) There is bruising at the shoulder area.
B) The patient reports arm and shoulder pain.
C) The right arm appears shorter than the left.
D) There is decreased shoulder range of motion.
Q2) When assessing for Tinel's sign in a patient with possible right-sided carpal tunnel syndrome,the nurse will ask the patient about
A) weakness in the right little finger.
B) tingling in the right thumb and fingers.
C) burning in the right elbow and forearm.
D) tremor when gripping with the right hand.
Q3) Which nursing action for a patient who has had right hip replacement surgery can the nurse delegate to experienced unlicensed assistive personnel (UAP)?
A) Reposition the patient every 1 to 2 hours.
B) Assess for skin irritation on the patient's back.
C) Teach the patient quadriceps-setting exercises.
D) Determine the patient's pain level and tolerance.
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Chapter 60: Nursing Management: Musculoskeletal
Problems
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/33861
Sample Questions
Q1) When administering alendronate (Fosamax)to a patient with osteoporosis,the nurse will
A) ask about any leg cramps or hot flashes.
B) assist the patient to sit up at the bedside.
C) be sure that the patient has recently eaten.
D) administer the ordered calcium carbonate.
Q2) Which action should the nurse take before administering gentamicin (Garamycin)to a patient who has acute osteomyelitis?
A) Ask the patient about any nausea.
B) Review the patient's creatinine level.
C) Obtain the patient's oral temperature.
D) Change the prescribed wet-to-dry dressing.
Q3) Following laminectomy with a spinal fusion to treat a herniated disc,a patient reports numbness and tingling of the right lower leg.The first action that the nurse should take is to
A) report the patient's complaint to the surgeon.
B) check the chart for preoperative assessment data.
C) check the vital signs for indications of hemorrhage.
D) turn the patient to the side to relieve pressure on the right leg.
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Chapter 61: Nursing Management: Arthritis and Connective
Tissue Diseases
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/33862
Sample Questions
Q1) A patient with rheumatoid arthritis (RA)complains to the clinic nurse about having chronically dry eyes.Which action by the nurse is most appropriate?
A) Teach the patient about adverse effects of the RA medications.
B) Suggest that the patient use over-the-counter (OTC) artificial tears.
C) Reassure the patient that dry eyes are a common problem with RA.
D) Ask the health care provider about discontinuing methotrexate (Rheumatrex) .
Q2) The home health nurse is doing a follow-up visit to a 41-year-old patient with recently diagnosed rheumatoid arthritis (RA).Which assessment made by the nurse indicates that more patient teaching is needed?
A) The patient takes a 2-hour nap each day.
B) The patient has been taking 16 aspirins daily.
C) The patient sits on a stool while preparing meals.
D) The patient sleeps with two pillows under the head.
Q3) Which finding will the nurse expect when assessing a 58-year-old patient who has osteoarthritis (OA)of the knee?
A) Discomfort with joint movement
B) Heberden's and Bouchard's nodes
C) Redness and swelling of the knee joint
D) Stiffness that increases with movement
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Chapter 62: Nursing Management: Critical Care Environment
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/33863
Sample Questions
Q1) When caring for a patient with pulmonary hypertension,which parameter is most appropriate for the nurse to monitor to evaluate the effectiveness of the treatment?
A) Central venous pressure (CVP)
B) Systemic vascular resistance (SVR)
C) Pulmonary vascular resistance (PVR)
D) Pulmonary artery wedge pressure (PAWP)
Q2) The nurse is caring for a patient who has an intraaortic balloon pump in place.Which action should be included in the plan of care?
A) Position the patient supine at all times.
B) Avoid the use of anticoagulant medications.
C) Measure the patient's urinary output every hour.
D) Provide passive range of motion for all extremities.
Q3) The nurse is caring for a patient receiving a continuous norepinephrine (Levophed)IV infusion.Which patient assessment finding indicates that the infusion rate may need to be adjusted?
A) Heart rate is 58 beats/minute.
B) Mean arterial pressure (MAP) is 56 mm Hg.
C) Systemic vascular resistance (SVR) is elevated.
D) Pulmonary artery wedge pressure (PAWP) is low.
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Chapter 63: Nursing Management: Shock,systemic
Inflammatory Response Syndrome and Multiple Organ
Dysfunction Syndrome
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/33864
Sample Questions
Q1) A patient who has been involved in a motor vehicle crash arrives in the emergency department (ED)with cool,clammy skin; tachycardia; and hypotension.Which intervention ordered by the health care provider should the nurse implement first?
A) Insert two large-bore IV catheters.
B) Initiate continuous electrocardiogram (ECG) monitoring.
C) Provide oxygen at 100% per non-rebreather mask.
D) Draw blood to type and crossmatch for transfusions.
Q2) A patient with septic shock has a BP of 70/46 mm Hg,pulse 136,respirations 32,temperature 104° F,and blood glucose 246 mg/dL.Which intervention ordered by the health care provider should the nurse implement first?
A) Give normal saline IV at 500 mL/hr.
B) Give acetaminophen (Tylenol) 650 mg rectally.
C) Start insulin drip to maintain blood glucose at 110 to 150 mg/dL.
D) Start norepinephrine (Levophed) to keep systolic blood pressure >90 mm Hg.
Q3) A 198-lb patient is to receive a dobutamine infusion at 5 mcg/kg/minute.The label on the infusion bag states: dobutamine 250 mg in 250 mL normal saline.When setting the infusion pump,the nurse will set the infusion rate at how many mL per hour?
Page 63
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Chapter 64: Nursing Management: Respiratory Failure and
Acute Respiratory Distress Syndrome
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/33865
Sample Questions
Q1) The oxygen saturation (SpO<sub>2</sub>)for a patient with left lower lobe pneumonia is 90%.The patient has rhonchi,a weak cough effort,and complains of fatigue.Which action is a priority for the nurse to take?
A) Position the patient on the left side.
B) Assist the patient with staged coughing.
C) Place a humidifier in the patient's room.
D) Schedule a 2-hour rest period for the patient.
Q2) When assessing a patient with chronic obstructive pulmonary disease (COPD),the nurse finds a new onset of agitation and confusion.Which action should the nurse take first?
A) Notify the health care provider.
B) Check pupils for reaction to light.
C) Attempt to calm and reorient the patient.
D) Assess oxygenation using pulse oximetry.
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Chapter 65: Nursing Management: Emergency Care Situations
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/33866
Sample Questions
Q1) After the return of spontaneous circulation following the resuscitation of a patient who had a cardiac arrest,therapeutic hypothermia is ordered.Which action will the nurse include in the plan of care?
A) Apply external cooling device.
B) Check mental status every 15 minutes.
C) Avoid the use of sedative medications.
D) Rewarm if temperature is <91° F (32.8° C).
Q2) A patient who is unconscious after a fall from a ladder is transported to the emergency department by emergency medical personnel.During the primary survey of the patient,the nurse should
A) obtain a complete set of vital signs.
B) obtain a Glasgow Coma Scale score.
C) ask about chronic medical conditions.
D) attach a cardiac electrocardiogram monitor.
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