Introduction to Nursing Practice
Textbook Exam Questions
Course Introduction
Introduction to Nursing Practice provides students with foundational knowledge and skills essential for a career in nursing. The course explores the core concepts of patient-centered care, professional standards, ethical and legal principles, and effective communication within healthcare teams. Emphasis is placed on basic nursing assessments, clinical safety, infection control, and the development of critical thinking for patient care decisions. Through lectures, simulations, and clinical experiences, students gain hands-on practice to prepare for the realities of nursing in diverse healthcare settings.
Recommended Textbook
Medical Surgical Nursing 10th Edition by Lewis
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68 Chapters
1998 Verified Questions
1998 Flashcards
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Page 2
Chapter 1: Professional Nursing Practice
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which nursing diagnosis statement is written correctly?
A)Altered tissue perfusion related to heart failure
B)Risk for impaired tissue integrity related to sacral redness
C)Ineffective coping related to response to biopsy test results
D)Altered urinary elimination related to urinary tract infection
Answer: C
Q2) A patient with a bacterial infection has a nursing diagnosis of deficient fluid volume related to excessive diaphoresis. Which outcome would the nurse recognize as appropriate for this patient?
A)Patient has a balanced intake and output.
B)Patient's bedding is changed when it becomes damp.
C)Patient understands the need for increased fluid intake.
D)Patient's skin remains cool and dry throughout hospitalization.
Answer: A
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3
Chapter 2: Health Disparities and Culturally Competent Care
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Sample Questions
Q1) The nurse performs a cultural assessment with a patient from a different culture. Which action by the nurse should be taken first?
A)Request an interpreter before interviewing the patient.
B)Wait until a family member is available to help with the assessment.
C)Ask the patient about any affiliation with a particular cultural group.
D)Tell the patient what the nurse already knows about the patient's culture.
Answer: C
Q2) A staff nurse expresses frustration that a Native American patient always has several family members at the bedside. Which action by the charge nurse is most appropriate?
A)Remind the nurse that family support is important to this family and patient.
B)Have the nurse explain to the family that too many visitors will tire the patient.
C)Suggest that the nurse ask family members to leave the room during patient care.
D)Ask about the nurse's personal beliefs about family support during hospitalization.
Answer: D
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4
Chapter 3: Health History and Physical Examination
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Sample Questions
Q1) When assessing for formation of a possible blood clot in the lower leg of a patient,which action should the nurse take first?
A)Visually inspect the leg.
B)Feel for the temperature of the leg.
C)Check the patient's pedal pulses using the fingertips.
D)Compress the nail beds to determine capillary refill time.
Answer: A
Q2) A patient is seen in the emergency department with severe abdominal pain and hypotension. Which type of assessment should the nurse do at this time?
A)Focused assessment
B)Subjective assessment
C)Emergency assessment
D)Comprehensive assessment
Answer: C
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Chapter 4: Patient and Caregiver Teaching
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Sample Questions
Q1) A postoperative patient and caregiver need discharge teaching. Which actions included in the teaching plan can the nurse delegate to unlicensed assistive personnel (UAP)?
A)Evaluate whether the patient and caregiver understand the teaching.
B)Show the caregiver how to accurately check the patient's temperature.
C)Schedule the discharge teaching session with the patient and caregiver.
D)Give the patient a pamphlet reinforcing teaching already done by the nurse.
Q2) A patient with diabetic neuropathy requires teaching about foot care. Which learning goal should the nurse include in the teaching plan?
A)The nurse will demonstrate the proper technique for trimming toenails.
B)The patient will list three ways to protect the feet from injury by discharge.
C)The nurse will instruct the patient on appropriate foot care before discharge.
D)The patient will understand the rationale for proper foot care after instruction.
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Chapter 5: Chronic Illness and Older Adults
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Sample Questions
Q1) Which nursing actions will the nurse take to assess for possible malnutrition in an older adult patient ?
A)Assess for depression.
B)Review laboratory results.
C)Determine food preferences.
D)Inspect teeth and oral mucosa.
E)Ask about transportation needs.
Q2) The nurse assesses an older patient who takes diuretics and has a possible urinary tract infection (UTI). Which action should the nurse take first?
A)Palpate over the suprapubic area.
B)Inspect for abdominal distention.
C)Question the patient about hematuria.
D)Request the patient empty the bladder.
Q3) Which patient is most likely to need long-term nursing care management?
A)72-yr-old who had a hip replacement after a fall at home
B)64-yr-old who developed sepsis after a ruptured peptic ulcer
C)76-yr-old who had a cholecystectomy and bile duct drainage
D)63-yr-old with bilateral knee osteoarthritis who weighs 350 lb (159 kg)
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Chapter 6: Stress and Stress Management
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Sample Questions
Q1) A patient who is hospitalized with a pelvic fracture after a motor vehicle accident just received news that the driver of the car died from multiple injuries. What actions should the nurse take based on knowledge of the physiologic stress reactions that may occur in this patient ?
A)Assess for bradycardia.
B)Observe for decreased appetite.
C)Ask about epigastric discomfort.
D)Monitor for decreased respiratory rate.
E)Check for elevated blood glucose levels.
Q2) An adult patient who is hospitalized after a motorcycle crash tells the nurse,"I didn't sleep last night because I worried about missing work at my new job and losing my insurance coverage." Which nursing diagnosis is appropriate to include in the plan of care?
A)Anxiety
B)Defensive coping
C)Ineffective denial
D)Risk prone health behavior
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8
Chapter 7: Sleep and Sleep Disorders
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Sample Questions
Q1) A patient complains of difficulty falling asleep and daytime fatigue for the past 6 weeks. What is the best initial action for the nurse to take in determining whether this patient has chronic insomnia?
A)Schedule a polysomnograph (PSG).
B)Teach the patient how to use an actigraph.
C)Ask the patient to keep a 2-week sleep diary.
D)Arrange for the patient to have a sleep study.
Q2) When caring for patients with sleep disorders,which activity can the nurse appropriately delegate to unlicensed assistive personnel (UAP)?
A)Assist a patient to place the CPAP device on correctly at bedtime.
B)Interview a patient about risk factors for obstructive sleep disorders.
C)Discuss the benefits of oral appliances in decreasing obstructive sleep apnea.
D)Help a patient choose a new continuous positive airway pressure (CPAP) mask.
Q3) Which action should the nurse manager promote as an evidence-based practice to support alertness for night shift nurses?
A)Arrange for older staff members to work most night shifts.
B)Provide a sleeping area for staff to use for napping at night.
C)Post reminders about the relationship of sleep and alertness.
D)Schedule nursing staff to rotate day and night shifts monthly.
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Page 9
Chapter 8: Pain
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Sample Questions
Q1) A patient with chronic neck pain is seen in the pain clinic for follow-up. To evaluate whether the pain management is effective,which question is best for the nurse to ask?
A)"Has there been a change in pain location?"
B)"Can you describe the quality of your pain?"
C)"How would you rate your pain on a 0 to 10 scale?"
D)"Does the pain keep you from activities that you enjoy?"
Q2) A patient who is receiving sustained-release morphine sulfate (MS Contin)every 12 hours for chronic pain experiences level 9 (0 to 10 scale)breakthrough pain and anxiety. Which action by the nurse is appropriate for treating this change in assessment?
A)Suggest amitriptyline 10 mg orally.
B)Administer lorazepam (Ativan) 1 mg orally.
C)Give ibuprofen (Motrin) 400 to 800 mg orally.
D)Offer immediate-release morphine 30 mg orally.
Q3) A patient with chronic pain who has been receiving morphine sulfate 20 mg IV over 24 hours is to be discharged home on oral sustained-release morphine (MS Contin)administered twice a day. What dosage of MS Contin will be needed for each dose to obtain an equianalgesic dose for the patient? (Morphine sulfate 10 mg IV is equianalgesic to morphine sulfate 30 mg orally.)
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Chapter 9: Palliative Care at End of Life
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Sample Questions
Q1) Which action is most important for the nurse to take to ensure culturally competent care for an alert,terminally ill Filipino patient?
A)Let the family decide how to tell the patient about the terminal diagnosis.
B)Ask the patient and family about their preferences for care during this time.
C)Obtain information from Filipino staff members about possible cultural needs.
D)Remind family members that dying patients prefer to have someone at the bedside.
Q2) The nurse is caring for an unresponsive terminally ill patient who has 20-second periods of apnea followed by periods of deep and rapid breathing. Which action by the nurse would be appropriate?
A)Suction the patient's mouth.
B)Administer oxygen via face mask.
C)Document Cheyne-Stokes respirations.
D)Place the patient in high Fowler's position.
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Chapter 10: Substance Use Disorders
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Sample Questions
Q1) A disoriented and agitated patient comes to the emergency department and admits using methamphetamine. Vital signs are blood pressure 164/94 mm Hg,heart rate 136 beats/min and irregular,and respirations 32 breaths/min. Which action by the nurse is most important?
A)Reorient the patient at frequent intervals.
B)Monitor the patient's electrocardiogram (ECG).
C)Keep the patient in a quiet and darkened room.
D)Obtain a health history including prior drug use.
Q2) A patient is admitted to the emergency department for treatment of a possible opioid overdose. Rank the nursing activities in the correct order from first activity to last activity. (Put a comma and a space between each answer choice [A,B,C,D,E]).
A)Initiate IV access.
B)Take a health history.
C)Administer naloxone
D)Obtain a toxicology screen
E)Provide respiratory support with a bag-valve mask.
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Chapter 11: Inflammation and Wound Healing
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Sample Questions
Q1) A patient who has diabetes is admitted for an exploratory laparotomy for abdominal pain. When planning interventions to promote wound healing,what is the nurse's highest priority?
A)Maintaining the patient's blood glucose within a normal range
B)Ensuring that the patient has an adequate dietary protein intake
C)Giving antipyretics to keep the temperature less than 102° F (38.9° C)
D)Redressing the surgical incision with a dry, sterile dressing twice daily
Q2) After receiving a change-of-shift report,which patient should the nurse assess first?
A)The patient who has multiple leg wounds with eschar to be debrided
B)The patient receiving chemotherapy who has a temperature of 102° F
C)The patient who requires analgesics before a scheduled dressing change
D)The newly admitted patient with a stage IV pressure ulcer on the coccyx
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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Chapter 12: Genetics and Genomics
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Sample Questions
Q1) The sister of a patient diagnosed with BRCA gene-related breast cancer asks the nurse,"Do you think I should be tested for the gene?" Which response by the nurse is most appropriate?
A)"In most cases, breast cancer is not caused by having the BRCA gene."
B)"It depends on how you will feel if the test is positive for the BRCA gene."
C)"There are many things to consider before deciding to have genetic testing."
D)"You should decide first whether you are willing to have a bilateral mastectomy."
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 seems necessary.
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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14
Chapter 13: Altered Immune Responses and Transplantation
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Sample Questions
Q1) What instructions about plasmapheresis should the nurse include in the teaching plan for a patient diagnosed with systemic lupus erythematosus (SLE)?
A)Plasmapheresis eliminates eosinophils and basophils from blood.
B)Plasmapheresis decreases the damage to organs from T lymphocytes.
C)Plasmapheresis removes antibody-antigen complexes from circulation.
D)Plasmapheresis prevents foreign antibodies from damaging various body tissues.
Q2) An older adult patient has a prescription for cyclosporine following a kidney transplant. Which information in the patient's health history has implications for planning patient teaching about the medication at this time?
A)The patient restricts salt to 2 grams per day.
B)The patient eats green leafy vegetables daily.
C)The patient drinks grapefruit juice every day.
D)The patient drinks 3 to 4 quarts of fluid each day.
Q3) Which patient should the nurse assess first?
A)Patient with urticaria after receiving an IV antibiotic
B)Patient who is sneezing after subcutaneous immunotherapy
C)Patient who has graft-versus-host disease and severe diarrhea
D)Patient with multiple chemical sensitivities who has muscle stiffness
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Chapter 14: Infection and Human Immunodeficiency Virus
Infection
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Sample Questions
Q1) Eight years after seroconversion,a human immunodeficiency virus (HIV)-infected patient has a CD<sub>4</sub>+ cell count of 800/µL and an undetectable viral load.
What is the priority nursing intervention at this time?
A)Encourage adequate nutrition, exercise, and sleep.
B)Teach about the side effects of antiretroviral agents.
C)Explain opportunistic infections and antibiotic prophylaxis.
D)Monitor symptoms of acquired immunodeficiency syndrome (AIDS).
Q2) Which information about a patient population would be most useful to help the nurse plan for human immunodeficiency virus (HIV)testing needs?
A)Age
B)Lifestyle
C)Symptoms
D)Sexual orientation
Q3) Which of these patients who have arrived at the human immunodeficiency virus (HIV)clinic should the nurse assess first?
A)Patient whose rapid HIV-antibody test is positive
B)Patient whose latest CD<sub>4</sub>+ count has dropped to 250/µL
C)Patient who has had 10 liquid stools in the last 24 hours
D)Patient who has nausea from prescribed antiretroviral drugs
Page 16
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Chapter 15: Cancer
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Sample Questions
Q1) The nurse at the clinic is interviewing a 64-yr-old woman who is 5 feet,3 inches tall and weighs 125 lb (57 kg). The patient has not seen a health care provider for 20 years. She walks 5 miles most days and has a glass of wine two or three times a week. Which topics will the nurse plan to include in patient teaching about cancer screening and decreasing cancer risk ?
A)Pap testing
B)Tobacco use
C)Sunscreen use
D)Mammography
E)Colorectal screening
Q2) The nurse is caring for a patient receiving intravesical bladder chemotherapy. The nurse should monitor for which adverse effect?
A)Nausea
B)Alopecia
C)Hematuria
D)Xerostomia
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Sample Questions
Q1) The nurse is caring for a patient with a massive burn injury and possible hypovolemia. Which assessment data will be of most concern to the nurse?
A)Urine output is 30 mL/hr.
B)Blood pressure is 90/40 mm Hg.
C)Oral fluid intake is 100 mL for the past 8 hours.
D)There is prolonged skin tenting over the sternum.
Q2) The nurse notes that a patient who was admitted with diabetic ketoacidosis has rapid,deep respirations. Which action should the nurse take?
A)Give the prescribed PRN lorazepam (Ativan).
B)Encourage the patient to take deep slow breaths.
C)Start the prescribed PRN oxygen at 2 to 4 L/min.
D)Administer the prescribed normal saline bolus and insulin.
Q3) The home health nurse cares for an alert and oriented older adult patient with a history of dehydration. Which instructions should the nurse give this patient related to fluid intake?
A)"Drink more fluids in the late evening."
B)"Increase fluids if your mouth feels dry."
C)"More fluids are needed if you feel thirsty."
D)"If you feel confused, you need more to drink."
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Page 18
Chapter 17: Preoperative Care
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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)?
A)Teach incentive spirometer use.
B)Explain routine preoperative 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 nurse interviews a patient scheduled to undergo general anesthesia for a bilateral hernia repair. Which information is most important to communicate to the surgeon and anesthesiologist before surgery?
A)The patient's father died after general anesthesia for abdominal surgery.
B)The patient drinks 3 cups of coffee every morning before going to work.
C)The patient takes a baby aspirin daily but stopped taking aspirin 10 days ago.
D)The patient drank 4 ounces of apple juice 3 hours before coming to the hospital.
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Chapter 18: Intraoperative Care
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Sample Questions
Q1) Which nursing action should the operating room (OR)nurse manager delegate to the registered nurse first assistant (RNFA)when caring for a surgical patient?
A)Adjust the doses of administered anesthetics.
B)Make surgical incisions and suture as needed.
C)Provide postoperative teaching about coughing.
D)Coordinate transfer of the patient to the operating table.
Q2) A patient in surgery receives a neuromuscular blocking agent as an adjunct to general anesthesia. While in the postanesthesia care unit (PACU),what assessment finding is most important for the nurse to report?
A)Lethargy
B)Complaint of nausea
C)Disorientation to time
D)Weak chest movement
Q3) Postoperatively,the nurse should monitor the patient who received inhalation anesthesia for which complication?
A)Tachypnea
B)Myoclonus
C)Hypertension
D)Laryngospasm
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Page 20
Chapter 19: Postoperative Care
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Sample Questions
Q1) Which action could the postanesthesia care unit (PACU)nurse delegate to unlicensed assistive personnel (UAP)who help to transport 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) The nurse assesses a patient who had a total abdominal hysterectomy 2 days ago. Which information about the patient is most important to communicate to the health care provider?
A)The patient's temperature is 100.3° F (37.9° C).
B)The patient's calf is swollen, warm, and painful.
C)The 24-hour oral intake is 600 mL greater than the total output.
D)The patient reports abdominal pain at level 6 (0 to 10 scale) when ambulating.
Q3) Which action by the nurse will be most helpful to a patient who is expected to ambulate,deep breathe,and cough on the first postoperative day?
A)Schedule the activity to begin after the patient has taken a nap.
B)Administer prescribed analgesic medications before the activities.
C)Ask the patient to state two possible complications of immobility.
D)Encourage the patient to state the purpose of splinting the incision.
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Page 21
Chapter 20: Assessment of Visual and Auditory Systems
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Sample Questions
Q1) The nurse should report which assessment finding immediately to the health care provider?
A)Cone of light is visible.
B)Tympanum is blue-tinged.
C)Skin in the ear canal is dry and scaly.
D)Cerumen is present in the auditory canal.
Q2) Which action should the nurse take when providing patient teaching to a 76-yr-old patient with mild presbycusis?
A)Use patient education handouts rather than discussion.
B)Use a higher-pitched tone of voice to provide instructions.
C)Ask for permission to turn off the television before teaching.
D)Wait until family members have left before initiating teaching.
Q3) When the patient turns his head quickly during the admission assessment,the nurse observes nystagmus. What is the indicated nursing action?
A)Assess the patient with a Rinne test.
B)Place a fall-risk bracelet on the patient.
C)Ask the patient to watch the mouths of staff when they are speaking.
D)Remind unlicensed assistive personnel to speak loudly to the patient.
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22
Chapter 21: Visual and Auditory Problems
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Sample Questions
Q1) Which action will the nurse include in the plan of care for a patient with benign paroxysmal positional vertigo (BPPV)?
A)Teach the patient about use of medications to reduce symptoms.
B)Place the patient in a dark, quiet room to avoid stimulating BPPV attacks.
C)Teach the patient that canalith repositioning may be used to reduce dizziness.
D)Speak with a low-pitched voice so that the patient is able to hear instructions.
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 will hold the tip of the dropper above the ear to administer the drops."
C)"I will refrigerate the medication until I am ready to administer the drops."
D)"I should lie down before and for 5 minutes after administering the drops."
Q3) Which prescribed medication should the nurse give first to a patient who has just been admitted to a hospital with acute angle-closure glaucoma?
A)Morphine sulfate 4 mg IV
B)Mannitol (Osmitrol) 100 mg IV
C)Betaxolol (Betoptic) 1 drop in each eye
D)Acetazolamide (Diamox) 250 mg orally
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Chapter 22: Assessment of Integumentary System
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Q1) Which integumentary assessment data from an older patient admitted with bacterial pneumonia is of concern to the nurse?
A)Brown macules on extremities
B)Reports a history of allergic rashes
C)Skin wrinkled with tenting on both hands
D)Longitudinal nail ridges and sparse scalp hair
Q2) 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 appropriate action?
A)Discuss the use of drying agents to minimize infection risk.
B)Instruct the patient about the use of mild soap to clean skinfolds.
C)Teach the patient about treating fungal infections in the skinfolds.
D)Ask the patient about a personal or family history of type 2 diabetes.
Q3) A patient reports chronic itching of the ankles and continuously scratches the area. Which assessment finding will the nurse expect?
A)Hypertrophied scars on both ankles
B)Thickening of the skin around the ankles
C)Yellowish-brown skin around both ankles
D)Complete absence of melanin in both ankles
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24
Chapter 23: Integumentary Problems
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Sample Questions
Q1) 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 adds oilated oatmeal to the bath water every day.
C)The patient uses bacitracin-neomycin-polymyxin on minor abrasions.
D)The patient takes diphenhydramine at night if persistent itching occurs.
Q2) An older adult patient with a squamous cell carcinoma (SCC)on the lower arm has a Mohs procedure in the dermatology clinic. Which nursing action will be included in the postoperative plan of care?
A)Schedule daily appointments for dressing changes.
B)Describe the use of topical fluorouracil on the incision.
C)Teach how to use sterile technique to clean the suture line.
D)Teach the use of cold packs to reduce bruising and swelling.
Q3) The nurse is caring for a patient diagnosed with furunculosis. Which nursing action could the nurse delegate to unlicensed assistive personnel (UAP)?
A)Applying antibiotic cream to the groin
B)Obtaining cultures from ruptured lesions
C)Evaluating the patient's personal hygiene
D)Cleaning the skin with antimicrobial soap
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Page 25
Chapter 24: Burns
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Sample Questions
Q1) A patient who has burns on the arms,legs,and chest from a house fire has become agitated and restless 8 hours after being admitted to the hospital. Which action should the nurse take first?
A)Stay at the bedside and reassure the patient.
B)Administer the ordered morphine sulfate IV.
C)Assess orientation and level of consciousness.
D)Use pulse oximetry to check oxygen saturation.
Q2) A nurse is caring for a patient who has burns of the ears,head,neck,and right arm and hand. The nurse should place the patient in which position?
A)Place the right arm and hand flexed in a position of comfort.
B)Elevate the right arm and hand on pillows and extend the fingers.
C)Assist the patient to a supine position with a small pillow under the head.
D)Position the patient in a side-lying position with rolled towel under the neck.
Q3) Which patient should the nurse assess first?
A)A patient with burns who is complaining of level 8 (0 to 10 scale) pain
B)A patient with smoke inhalation who has wheezes and altered mental status
C)A patient with full-thickness leg burns who is scheduled for a dressing change
D)A patient with partial thickness burns who is receiving IV fluids at 500 mL/hr
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Chapter 25: Assessment of Respiratory System
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Sample Questions
Q1) A patient is scheduled for a computed tomography (CT)scan of the chest with contrast media. Which assessment findings should the nurse report to the health care provider before the patient goes for the CT ?
A)Allergy to shellfish
B)Patient reports claustrophobia
C)Elevated serum creatinine level
D)Recent bronchodilator inhaler use
E)Inability to remove a wedding band
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>3</sub>- 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
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Chapter 26: Upper Respiratory Problems
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A patient who had a total laryngectomy has a nursing diagnosis of hopelessness related to loss of control of personal care. Which information obtained by the nurse indicates that this identified problem is resolving?
A)The patient allows the nurse to suction the tracheostomy.
B)The patient's spouse provides the daily tracheostomy care.
C)The patient asks how to clean the tracheostomy stoma and tube.
D)The patient uses a communication board to request "No Visitors."
Q2) The nurse is caring for a patient who has acute pharyngitis caused by Candida albicans. Which action is appropriate for the nurse to include in the plan of care?
A)Assess patient for allergies to penicillin antibiotics.
B)Teach the patient to sleep in a warm, dry environment.
C)Avoid giving the patient warm food or warm liquids to drink.
D)Teach patient to "swish and swallow" prescribed oral nystatin
Q3) Which action should the nurse take first when a patient develops epistaxis?
A)Pack the affected nare tightly with an epistaxis balloon.
B)Apply squeezing pressure to the nostrils for 10 minutes.
C)Obtain silver nitrate that may be needed for cauterization.
D)Instill a vasoconstrictor medication into the affected nare.
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Chapter 27: Lower Respiratory Problems
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51 Verified Questions
51 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient with idiopathic pulmonary arterial hypertension (IPAH). Which assessment information requires the most immediate action by the nurse?
A)The O2 saturation is 90%.
B)The blood pressure is 98/56 mm Hg.
C)The epoprostenol (Flolan) infusion is disconnected.
D)The international normalized ratio (INR) is prolonged.
Q2) A patient with right lower-lobe pneumonia has been treated with IV antibiotics for 3 days. Which assessment data obtained by the nurse indicates that the treatment is effective?
A)Bronchial breath sounds are heard at the right base.
B)The patient coughs up small amounts of green mucus.
C)The patient's white blood cell (WBC) count is 9000/µL.
D)Increased tactile fremitus is palpable over the right chest.
Q3) Which action should the nurse plan to prevent aspiration in a high-risk patient?
A)Turn and reposition an immobile patient at least every 2 hours.
B)Place a patient with altered consciousness in a side-lying position.
C)Insert a nasogastric tube for feeding a patient with high calorie needs.
D)Monitor respiratory symptoms in a patient who is immunosuppressed.
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29
Chapter 28: Obstructive Pulmonary Diseases
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44 Flashcards
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Sample Questions
Q1) Which finding in a patient hospitalized with bronchiectasis is most important to report to the health care provider?
A)Cough productive of bloody, purulent mucus
B)Scattered crackles and wheezes heard bilaterally
C)Complaint of sharp chest pain with deep breathing
D)Respiratory rate 28 breaths/minute while ambulating
Q2) The nurse reviews the medication administration record (MAR)for a patient having an acute asthma attack. Which medication should the nurse administer first?
A)Methylprednisolone (Solu-Medrol) 60 mg IV
B)Albuterol (Ventolin HFA) 2.5 mg per nebulizer
C)Salmeterol (Serevent) 50 mcg per dry-powder inhaler (DPI)
D)Ipratropium (Atrovent) 2 puffs per metered-dose inhaler (MDI)
Q3) Which instruction should the nurse include in an exercise teaching plan for a patient with chronic obstructive pulmonary disease (COPD)?
A)"Avoid upper body exercise to prevent dyspnea."
B)"Stop exercising if you start to feel short of breath."
C)"Use the bronchodilator before you start to exercise."
D)"Breathe in and out through the mouth while you exercise."
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Chapter 29: Assessment of Hematologic System
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Sample Questions
Q1) A patient's complete blood count (CBC)shows a hemoglobin of 19 g/dL and a hematocrit of 54%. Which question should the nurse ask to determine possible causes of this finding?
A)"Have you had a recent weight loss?"
B)"Do you have any history of lung disease?"
C)"Have you noticed any dark or bloody stools?"
D)"What is your dietary intake of meats and protein?"
Q2) The nurse assesses a patient with pernicious anemia. Which assessment finding would the nurse expect?
A)Yellow-tinged sclerae
B)Shiny, smooth tongue
C)Numbness of the extremities
D)Gum bleeding and tenderness
Q3) The nurse is caring for a patient who is being discharged after an emergency splenectomy following a motor vehicle crash. Which instructions should the nurse include in the discharge teaching?
A)Check often for swollen lymph nodes.
B)Watch for excess bleeding or bruising.
C)Take iron supplements to prevent anemia.
D)Wash hands and avoid persons who are ill.
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Chapter 30: Hematologic Problems
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) Which statement by a patient indicates good understanding of the nurse's teaching about prevention of sickle cell crisis?
A)"Home oxygen therapy is frequently used to decrease sickling."
B)"There are no effective medications that can help prevent sickling."
C)"Routine continuous dosage narcotics are prescribed to prevent a crisis."
D)"Risk for a crisis is decreased by having an annual influenza vaccination."
Q2) The nurse notes scleral jaundice in a patient being admitted with hemolytic anemia. The nurse will plan to check the laboratory results for the
A)Schilling test.
B)bilirubin level.
C)gastric analysis.
D)stool occult blood.
Q3) An appropriate nursing intervention for a hospitalized patient with severe hemolytic anemia is to
A)provide a diet high in vitamin K.
B)alternate periods of rest and activity.
C)teach the patient how to avoid injury.
D)place the patient on protective isolation.
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Chapter 31: Assessment of Cardiovascular System
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24 Flashcards
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Sample Questions
Q1) While listening at the mitral area,the nurse notes abnormal heart sounds at the patient's fifth intercostal space,midclavicular line. After listening to the audio clip,describe how the nurse will document the assessment finding.
A)S3 gallop heard at the aortic area
B)Systolic murmur noted at mitral area
C)Diastolic murmur noted at tricuspid area
D)Pericardial friction rub heard at the apex
Q2) A registered nurse (RN)is observing a student nurse who is doing a physical assessment on a patient. The RN will need to intervene immediately if the student nurse
A)presses on the skin over the tibia for 10 seconds to check for edema.
B)palpates both carotid arteries simultaneously to compare pulse quality.
C)documents a murmur heard along the right sternal border as a pulmonic murmur.
D)places the patient in the left lateral position to check for the point of maximal impulse.
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33
Chapter 32: Hypertension
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Sample Questions
Q1) The nurse is caring for a 70-yr-old patient who uses hydrochlorothiazide and enalapril (Norvasc)but whose self-monitored blood pressure (BP)continues to be elevated. Which patient information may indicate a need for a change?
A)Patient takes a daily multivitamin tablet.
B)Patient checks BP daily just after getting up.
C)Patient drinks wine three to four times a week.
D)Patient uses ibuprofen (Motrin) treat osteoarthritis.
Q2) After the nurse teaches the patient with stage 1 hypertension about diet modifications that should be implemented,which diet choice indicates that the teaching has been most effective?
A)The patient avoids eating nuts or nut butters.
B)The patient restricts intake of chicken and fish.
C)The patient drinks low-fat milk with each meal.
D)The patient has two cups of coffee in the morning.
Q3) The nurse obtains a blood pressure of 176/82 mm Hg for a patient. What is the patient's mean arterial pressure (MAP)?
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Page 34
Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome
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43 Flashcards
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Sample Questions
Q1) When caring for a patient with acute coronary syndrome who has returned to the coronary care unit after having angioplasty with stent placement,the nurse obtains the following assessment data. Which data indicate the need for immediate action by the nurse?
A)Heart rate 102 beats/min
B)Pedal pulses 1+ bilaterally
C)Report of severe chest pain
D)Blood pressure 103/54 mm Hg
Q2) A patient with hyperlipidemia has a new order for colesevelam (Welchol). Which nursing action is appropriate when scheduling this medication?
A)Administer the medication at the patient's usual bedtime.
B)Have the patient take the colesevelam 1 hour before breakfast.
C)Give the patient's other medications 2 hours after colesevelam.
D)Have the patient take the dose at the same time as the prescribed aspirin.
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Chapter 34: Heart Failure
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Sample Questions
Q1) While admitting an 82-yr-old patient with acute decompensated heart failure to the hospital,the nurse learns that the patient lives alone and sometimes confuses the "water pill" with the "heart pill." When planning for the patient's discharge the nurse will facilitate a
A)plan for around-the-clock care.
B)consultation with a psychologist.
C)transfer to a long-term care facility.
D)referral to a home health care agency.
Q2) An outpatient who has chronic heart failure returns to the clinic after 2 weeks of therapy with metoprolol (Toprol XL). Which assessment finding is most important for the nurse to report to the health care provider?
A)2+ bilateral pedal edema
B)Heart rate of 56 beats/min
C)Complaints of increased fatigue
D)Blood pressure (BP) of 88/42 mm Hg
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Chapter 35: Dysrhythmias
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31 Flashcards
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Sample Questions
Q1) When preparing to defibrillate a patient,in which order will the nurse perform the following steps? (Put a comma and a space between each answer choice [A,B,C,D,E].)
A)Turn the defibrillator on.
B)Deliver the electrical charge.
C)Select the appropriate energy level.
D)Place the hands-free, multifunction defibrillator pads on the patient's chest.
E)Check the location of other staff and call out "all clear."
Q2) Which nursing action can the registered nurse (RN)delegate to experienced unlicensed assistive personnel (UAP)working as telemetry technicians on the cardiac care unit?
A)Decide whether a patient's heart rate of 116 requires urgent treatment.
B)Observe heart rhythms for multiple patients who have telemetry monitoring.
C)Monitor a patient's level of consciousness during synchronized cardioversion.
D)Select the best lead for monitoring a patient admitted with acute coronary syndrome.
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 36: Inflammatory and Structural Heart Disorders
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) Which assessment finding obtained by the nurse when assessing a patient with acute pericarditis should be reported immediately to the health care provider?
A)Pulsus paradoxus 8 mm Hg
B)Blood pressure (BP) of 168/94 mm Hg
C)Jugular venous distention (JVD) to jaw level
D)Level 6 (0 to 10 scale) chest pain with a deep breath
Q2) During the assessment of a young adult patient with infective endocarditis (IE),the nurse would expect to find
A)substernal chest pressure.
B)a new regurgitant murmur.
C)a pruritic rash on the chest.
D)involuntary muscle movement.
Q3) The nurse is obtaining a health history from a 24-yr-old patient with hypertrophic cardiomyopathy (CMP). Which information obtained by the nurse is most important?
A)The patient has a history of a recent upper respiratory infection.
B)The patient has a family history of coronary artery disease (CAD).
C)The patient reports using cocaine a "couple of times" as a teenager.
D)The patient's 29-yr-old brother died from a sudden cardiac arrest.
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Chapter 37: Vascular Disorders
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36 Flashcards
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Sample Questions
Q1) A 46-yr-old service-counter worker undergoes sclerotherapy for treatment of superficial varicose veins at an outpatient center. Which instructions should the nurse provide to the patient before discharge?
A)Sitting at the work counter, rather than standing, is recommended.
B)Exercise, such as walking or jogging, can cause recurrence of varicosities.
C)Elastic compression stockings should be applied before getting out of bed.
D)Taking an aspirin daily will help prevent clots from forming around venous valves.
Q2) When assessing a patient with possible peripheral artery disease (PAD),the nurse obtains a brachial blood pressure (BP)of 147/82 mm Hg and an ankle pressure of 112/74 mm Hg. The nurse calculates the patient's ankle-brachial index (ABI)as ________ (round up to the nearest hundredth).
Q3) Which nursing action should be included in the plan of care after endovascular repair of an abdominal aortic aneurysm?
A)Record hourly chest tube drainage.
B)Monitor fluid intake and urine output.
C)Assess the abdominal incision for redness.
D)Teach the patient to plan for a long recovery period.
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Chapter 38: Assessment of Gastrointestinal System
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Sample Questions
Q1) A 58-yr-old patient has just returned to the nursing unit after an esophagogastroduodenoscopy (EGD). Which action by unlicensed assistive personnel (UAP)requires that the registered nurse (RN)intervene?
A)Offering the patient a pitcher of water
B)Positioning the patient on the right side
C)Checking the vital signs every 30 minutes
D)Swabbing the patient's mouth with a wet cloth
Q2) The nurse receives the following information about a 51-yr-old female patient 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 both shellfish and iodine in the past.
D)The patient declined to drink the prescribed polyethylene glycol (GoLYTELY).
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Chapter 39: Nutritional Problems
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Sample Questions
Q1) A malnourished patient is receiving a parenteral nutrition (PN)infusion containing amino acids and dextrose from a bag that was hung with a new tubing and filter 24 hours ago. The nurse observes that about 50 mL remain in the PN container. Which action is best for the nurse to take?
A)Add a new container of PN using the current tubing and filter.
B)Hang a new container of PN and change the IV tubing and filter.
C)Infuse the remaining 50 mL and then hang a new container of PN.
D)Ask the health care provider to clarify the written PN prescription.
Q2) Which menu choice best indicates that the patient is implementing the nurse's suggestion 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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Chapter 40: Obesity
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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) A patient 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 turning the patient after surgery.
C)Assist with IV insertion by holding adipose tissue out of the way.
D)Develop strategies to provide privacy and decrease embarrassment.
Q3) The nurse will be teaching self-management to patients after gastric bypass surgery. Which information will the nurse plan to include?
A)Drink fluids between meals but not with meals.
B)Choose high-fat foods for at least 30% of intake.
C)Developing flabby skin can be prevented by exercise.
D)Choose foods high in fiber to promote bowel function.
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42
Chapter 41: Upper Gastrointestinal Problems
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Sample Questions
Q1) An 80-yr-old patient who is hospitalized with peptic ulcer disease develops new-onset auditory hallucinations. Which prescribed medication will the nurse discuss with the health care provider before administration?
A)Sucralfate (Carafate)
B)Aluminum hydroxide
C)Omeprazole (Prilosec)
D)Metoclopramide (Reglan)
Q2) The nurse explaining esomeprazole (Nexium)to a patient with recurring heartburn describes that the medication
A)reduces gastroesophageal reflux by increasing the rate of gastric emptying.
B)neutralizes stomach acid and provides relief of symptoms in a few minutes.
C)coats and protects the lining of the stomach and esophagus from gastric acid.
D)treats gastroesophageal reflux disease by decreasing stomach acid production.
Q3) Which patient statement indicates that the nurse's postoperative teaching after a gastroduodenostomy has been effective?
A)"I will drink more liquids with my meals."
B)"I should choose high carbohydrate foods."
C)"Vitamin supplements may prevent anemia."
D)"Persistent heartburn is common after surgery."
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Page 43
Chapter 42: Lower Gastrointestinal Problems
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55 Flashcards
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Sample Questions
Q1) A 72-yr-old male patient with dehydration caused by an exacerbation of ulcerative colitis is receiving 5% dextrose in normal saline at 125 mL/hour. Which assessment finding by the nurse is most important to report to the health care provider?
A)Patient has not voided for the last 4 hours.
B)Skin is dry with poor turgor on all extremities.
C)Crackles are heard halfway up the posterior chest.
D)Patient has had 5 loose stools over the previous 6 hours.
Q2) A new 19-yr-old male patient has familial adenomatous polyposis (FAP). Which action will the nurse in the gastrointestinal clinic include in the plan of care?
A)Obtain blood samples for DNA analysis.
B)Schedule the patient for yearly colonoscopy.
C)Provide preoperative teaching about total colectomy.
D)Discuss lifestyle modifications to decrease cancer risk.
Q3) Which information will the nurse teach a patient with lactose intolerance?
A)Ice cream is relatively low in lactose.
B)Live-culture yogurt is usually tolerated.
C)Heating milk will break down the lactose.
D)Nonfat milk is tolerated better than whole milk.
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Chapter 43: Liver, pancreas, and Biliary Tract Problems
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Sample Questions
Q1) Which action should the nurse in the emergency department take first for a new patient who is vomiting blood?
A)Insert a large-gauge IV catheter.
B)Draw blood for coagulation studies.
C)Check blood pressure and heart rate.
D)Place the patient in the supine position.
Q2) The nurse will ask a patient being admitted with acute pancreatitis specifically about a history of
A)diabetes mellitus.
B)high-protein diet.
C)cigarette smoking.
D)alcohol consumption.
Q3) The nurse is caring for a patient with pancreatic cancer. Which nursing action is the highest priority?
A)Offer psychologic support for depression.
B)Offer high-calorie, high-protein dietary choices.
C)Administer prescribed opioids to relieve pain as needed.
D)Teach about the need to avoid scratching any pruritic areas.
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45
Chapter 44: Assessment of Urinary System
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Sample Questions
Q1) Which information from a patient's urinalysis requires that the nurse notify the health care provider?
A)pH 6.2
B)Trace protein
C)WBC 20 to 26/hpf
D)Specific gravity 1.021
Q2) A hospitalized patient with possible renal insufficiency after coronary artery bypass surgery is scheduled for a creatinine clearance test. Which item will the nurse need to obtain?
A)Urinary catheter
B)Sterile specimen cup
C)Cleansing towelettes
D)Large urine container
Q3) A 79-yr-old patient has been admitted with benign prostatic hyperplasia. What is most appropriate to include in the nursing plan of care?
A)Limit fluid intake to no more than 1000 mL/day.
B)Leave a light on in the bathroom during the night.
C)Ask the patient to use a urinal so that urine can be measured.
D)Pad the patient's bed to accommodate overflow incontinence.
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Page 46
Chapter 45: Renal and Urologic Problems
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Sample Questions
Q1) The nurse observes unlicensed assistive personnel (UAP)taking the following actions when caring for a patient with a urethral catheter. Which action requires that the nurse intervene?
A)Taping the catheter to the skin on the patient's upper inner thigh
B)Cleaning around the patient's urinary meatus with soap and water
C)Disconnecting the catheter from the drainage tube to obtain a specimen
D)Using an alcohol-based gel hand cleaner before performing catheter care
Q2) The nurse determines that further instruction is needed for a patient with interstitial cystitis when the patient says which of the following?
A)"I should stop having coffee and orange juice for breakfast."
B)"I will buy calcium glycerophosphate (Prelief) at the pharmacy."
C)"I will start taking high potency multiple vitamins every morning."
D)"I should call the doctor about increased bladder pain or foul urine."
Q3) When preparing a female patient with bladder cancer for intravesical chemotherapy,the nurse will teach about
A)premedicating to prevent nausea.
B)obtaining wigs and scarves to wear.
C)emptying the bladder before the medication.
D)maintaining oral care during the treatments.
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Page 47
Chapter 46: Acute Kidney Injury and Chronic Kidney Disease
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Sample Questions
Q1) When a patient with acute kidney injury (AKI)has an arterial blood pH of 7.30,the nurse will expect an assessment finding of
A)persistent skin tenting
B)rapid, deep respirations.
C)hot, flushed face and neck.
D)bounding peripheral pulses.
Q2) A patient in the oliguric phase after an acute kidney injury has had a 250-mL urine output and an emesis of 100 mL in the past 24 hours. What is the patient's fluid restriction for the next 24 hours?
Q3) Which information will the nurse monitor in order to determine the effectiveness of prescribed calcium carbonate (Caltrate)for a patient with chronic kidney disease (CKD)?
A)Blood pressure
B)Phosphate level
C)Neurologic status
D)Creatinine clearance
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Chapter 47: Assessment of Endocrine System
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Sample Questions
Q1) Which statements will the nurse include when teaching a patient who is scheduled for oral glucose tolerance testing in the outpatient clinic ?
A)"You will need to avoid smoking before the test."
B)"Exercise should be avoided until the testing is complete."
C)"Several blood samples will be obtained during the testing."
D)"You should follow a low-calorie diet the day before the test."
E)"The test requires that you fast for at least 8 hours before testing."
Q2) A young adult patient is being seen in the clinic with increased secretion of the anterior pituitary hormones. The nurse would expect the laboratory test results to show
A)increased urinary cortisol.
B)decreased serum thyroxine.
C)elevated serum aldosterone levels.
D)low urinary catecholamines excretion.
Q3) The nurse reviews a patient's glycosylated hemoglobin (A1C)results to evaluate A)fasting preprandial glucose levels.
B)glucose levels 2 hours after a meal.
C)glucose control over the past 90 days.
D)hypoglycemic episodes in the past 3 months.
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Chapter 48: Diabetes Mellitus
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Sample Questions
Q1) A 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 patient with diabetes rides a bicycle to and from work every day. Which site should the nurse teach the patient to use to administer the morning insulin?
A)thigh.
B)buttock.
C)abdomen.
D)upper arm.
Q3) Which finding indicates a need to contact the health care provider before the nurse administers metformin (Glucophage)?
A)The patient's blood glucose level is 174 mg/dL.
B)The patient is scheduled for a chest x-ray in an hour.
C)The patient has gained 2 lb (0.9 kg) in the past 24 hours.
D)The patient's blood urea nitrogen (BUN) level is 52 mg/dL.
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Page 50
Chapter 49: Endocrine Problems
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46 Verified Questions
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Sample Questions
Q1) A patient develops carpopedal spasms and tingling of the lips following a parathyroidectomy. Which action will provide the patient with rapid relief from the symptoms?
A)Administer the prescribed muscle relaxant.
B)Have the patient rebreathe from a paper bag.
C)Start the PRN O<sub>2</sub> at 2 L/min per cannula.
D)Stretch the muscles with passive range of motion.
Q2) The nurse is caring for a patient admitted with diabetes insipidus (DI). Which information is most important to report to the health care provider?
A)The patient is confused and lethargic.
B)The patient reports a recent head injury.
C)The patient has a urine output of 400 mL/hr.
D)The patient's urine specific gravity is 1.003.
Q3) A patient has just arrived on the unit after a thyroidectomy. Which action should the nurse take first?
A)Observe the dressing for bleeding.
B)Check the blood pressure and pulse.
C)Assess the patient's respiratory effort.
D)Support the patient's head with pillows.
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Page 51
Chapter 50: Assessment of Reproductive System
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Sample Questions
Q1) A 68-yr-old male patient tells the nurse that he is worried because he does not respond to sexual stimulation the same way he did when he was younger. Which is the nurse's best response to the patient's concern?
A)"Interest in sex frequently decreases as men get older."
B)"Many men need additional sexual stimulation with aging."
C)"Erectile dysfunction is a common problem with older men."
D)"Tell me more about how your sexual response has changed."
Q2) A 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).
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Chapter 51: Breast Disorders
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28 Flashcards
Source URL: https://quizplus.com/quiz/25386
Sample Questions
Q1) A 53-yr-old woman who is experiencing menopause is discussing the use of hormone therapy (HT)with the nurse. Which information about the risk of breast cancer will the nurse provide?
A)HT is a safe therapy for menopausal symptoms if there is no family history of BRCA genes.
B)HT does not appear to increase the risk for breast cancer unless there are other risk factors.
C)The patient and her health care provider must weigh the benefits of HT against the risks of breast cancer.
D)Natural herbs are as effective as estrogen in relieving symptoms without increasing the risk of breast cancer.
Q2) The nurse is admitting a patient scheduled this morning for lumpectomy and axillary lymph node dissection. Which action should the nurse take first?
A)Teach the patient how to deep breathe and cough.
B)Discuss options for postoperative pain management.
C)Explain the postdischarge care of the axillary drains.
D)Ask the patient to describe what she knows about the surgery.
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Page 53
Chapter 52: Sexually Transmitted Infections
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Source URL: https://quizplus.com/quiz/25387
Sample Questions
Q1) A male patient who has a profuse,purulent urethral discharge with painful urination is seen at the clinic. Which information will be most important for the nurse to obtain?
A)Sexual orientation
B)Immunization history
C)Recent sexual contacts
D)Contraceptive preference
Q2) Which infection,reported in the health history of a female patient who is having difficulty conceiving,will the nurse identify as a risk factor for infertility?
A)N.gonorrhoeae
B)Treponema pallidum
C)Condyloma acuminatum
D)Herpes simplex virus type 2
Q3) A patient 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 53: Female Reproductive and Genital Problems
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) A patient requests a prescription for birth control pills to control severe abdominal cramping and headaches during her menstrual periods. Which action should the nurse take first?
A)Determine whether the patient is sexually active.
B)Teach about the side effects of oral contraceptives.
C)Take the patient's personal and family health history.
D)Suggest nonsteroidal antiinflammatory drugs (NSAIDs).
Q2) A patient was recently diagnosed with polycystic ovary syndrome. It is most important for the nurse to teach the patient
A)reasons for a total hysterectomy.
B)how to decrease facial hair growth.
C)ways to reduce the occurrence of acne.
D)methods to maintain appropriate weight.
Q3) When caring for a 58-yr-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.
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Page 55
Chapter 54: Male Reproductive and Genital Problems
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/25389
Sample Questions
Q1) Which action by the unlicensed assistive personnel (UAP)who are assisting with the care of male patients with reproductive problems indicates that the nurse should provide more teaching?
A)The UAP apply a cold pack to the scrotum for a patient with mumps orchitis.
B)The UAP help a patient who has had a prostatectomy to put on antiembolism hose.
C)The UAP leave the foreskin pulled back after cleaning the glans of a patient who has a retention catheter.
D)The UAP encourage a high oral fluid intake for patient who had transurethral resection of the prostate yesterday.
Q2) When caring for a patient with continuous bladder irrigation after having transurethral resection of the prostate,which action could the nurse delegate to unlicensed assistive personnel (UAP)?
A)Teach the patient how to perform Kegel exercises.
B)Report any complaints of pain or spasms to the nurse.
C)Monitor for increases in bleeding or presence of clots.
D)Increase the flow rate of the irrigation if clots are noted.
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Chapter 55: Assessment of Nervous System
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Sample Questions
Q1) Which assessments will the nurse make to monitor a patient's cerebellar function ?
A)Test for graphesthesia.
B)Observe arm swing with gait.
C)Perform the finger-to-nose test.
D)Assess heat and cold sensation.
E)Measure strength against resistance.
Q2) Which information about a 76-yr-old patient should the nurse report as uncharacteristic of normal aging?
A)Triceps reflex response graded at 1/5
B)Unintended weight loss of 15 pounds
C)10 mm Hg orthostatic drop in systolic blood pressure
D)Patient complaint of chronic difficulty in falling asleep
Q3) A patient has a tumor in the cerebellum. The nurse will plan interventions to A)prevent falls.
B)stabilize mood.
C)avoid aspiration.
D)improve memory.
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Chapter 56: Acute Intracranial Problems
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Sample Questions
Q1) Which information about a 30-yr-old patient who is hospitalized after a traumatic brain injury requires the most rapid action by the nurse?
A)Intracranial pressure of 15 mm Hg
B)Cerebrospinal fluid (CSF) drainage of 25 mL/hr
C)Pressure of oxygen in brain tissue (PbtO<sub>2</sub>) is 14 mm Hg
D)Cardiac monitor shows sinus tachycardia at 120 beats/minute
Q2) Which question will the nurse ask a patient who has been admitted with a benign occipital lobe tumor to assess for functional deficits?
A)"Do you have difficulty in hearing?"
B)"Are you experiencing visual problems?"
C)"Are you having any trouble with your balance?"
D)"Have you developed any weakness on one side?"
Q3) When a brain-injured patient responds to nail bed pressure with internal rotation,adduction,and flexion of the arms,the nurse reports the response as A)flexion withdrawal.
B)localization of pain.
C)decorticate posturing.
D)decerebrate posturing.
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Chapter 57: Stroke
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Sample Questions
Q1) Several weeks after a stroke,a 50-yr-old male patient has impaired awareness of bladder fullness,resulting in urinary incontinence. Which nursing intervention should be planned to begin an effective bladder training program?
A)Limit fluid intake to 1200 mL daily to reduce urine volume.
B)Assist the patient onto the bedside commode every 2 hours.
C)Perform intermittent catheterization after each voiding to check for residual urine.
D)Use an external "condom" catheter to protect the skin and prevent embarrassment.
Q2) Which stroke risk factor for a 48-yr-old male patient in the clinic is most important for the nurse to address?
A)The patient is 25 lb above the ideal weight.
B)The patient drinks a glass of red wine with dinner daily.
C)The patient's usual blood pressure (BP) is 170/94 mm Hg.
D)The patient works at a desk and relaxes by watching television.
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Chapter 58: Chronic Neurologic Problems
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Sample Questions
Q1) A hospitalized patient with a history of cluster headache awakens during the night with a severe stabbing headache. Which action should the nurse take first?
A)Put a moist hot pack on the patient's neck.
B)Start the prescribed PRN O2 at 6 L/min.
C)Give the ordered PRN acetaminophen (Tylenol).
D)Notify the patient's health care provider immediately.
Q2) Which assessment is most important for the nurse to make regarding a patient with myasthenia gravis?
A)Pupil size
B)Grip strength
C)Respiratory effort
D)Level of consciousness
Q3) A 62-yr-old patient who has Parkinson's disease is taking bromocriptine (Parlodel). Which information obtained by the nurse may indicate a need for a decrease in the dosage?
A)The patient has a chronic dry cough.
B)The patient has four loose stools in a day.
C)The patient develops a deep vein thrombosis.
D)The patient's blood pressure is 92/52 mm Hg.
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Page 60
Chapter 59: Dementia and Delirium
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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) A patient who has severe Alzheimer's disease (AD)is being admitted to the hospital for surgery. Which intervention will the nurse include in the plan of care?
A)Encourage the patient to discuss events from the past.
B)Maintain a consistent daily routine for the patient's care.
C)Reorient the patient to the date and time every 2 to 3 hours.
D)Provide the patient with current newspapers and magazines.
Q3) After change-of-shift report on the Alzheimer's disease/dementia unit,which patient will the nurse assess first?
A)Patient who has not had a bowel movement for 5 days
B)Patient who has a stage II pressure ulcer on the coccyx
C)Patient who is refusing to take the prescribed medications
D)Patient who developed a new cough after eating breakfast
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Chapter 60: Spinal Cord and Peripheral Nerve Problems
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Sample Questions
Q1) The nurse identifies a patient with type 1 diabetes and a history of herpes simplex infection as being at risk for Bell's palsy. Which information should the nurse include in teaching the patient?
A)"You may be able to prevent Bell's palsy by doing facial exercises regularly."
B)"Prophylactic treatment of herpes with antiviral agents prevents Bell's palsy."
C)"Medications to treat Bell's palsy work only if started before paralysis onset."
D)"Call the doctor if you experience pain or develop herpes lesions near the ear."
Q2) A patient admitted with dermal ulcers who has a history of a T3 spinal cord injury tells the nurse,"I have a pounding headache and I feel sick to my stomach." Which action should the nurse take first?
A)Check for a fecal impaction.
B)Give the prescribed antiemetic.
C)Assess the blood pressure (BP).
D)Notify the health care provider.
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62
Chapter 61: Assessment of Musculoskeletal System
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Sample Questions
Q1) Which finding from analysis of fluid from a patient's right knee arthrocentesis will be of concern to the nurse?
A)Cloudy fluid
B)Scant thin fluid
C)Pale yellow fluid
D)Straw-colored fluid
Q2) A patient has a new order for magnetic resonance imaging (MRI)to evaluate possible left femur osteomyelitis after hip arthroplasty surgery. Which information indicates the nurse should consult with the health care provider before scheduling the MRI?
A)The patient has a pacemaker.
B)The patient is claustrophobic.
C)The patient wears a hearing aid.
D)The patient is allergic to shellfish.
Q3) After completing the health history,the nurse assessing the musculoskeletal system will begin by
A)having the patient move the extremities against resistance.
B)feeling for the presence of crepitus during joint movement.
C)observing the patient's body build and muscle configuration.
D)checking active and passive range of motion for the extremities.
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Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery
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Sample Questions
Q1) A factory line worker has repetitive strain syndrome in the left elbow. The nurse will plan to teach the patient about
A)surgical options.
B)elbow injections.
C)wearing a left wrist splint.
D)modifying arm movements.
Q2) A patient with a right lower leg fracture will be discharged home with an external fixation device in place. Which information will the nurse teach?
A)"Check and clean the pin insertion sites daily."
B)"Remove the external fixator for your shower."
C)"Remain on bed rest until bone healing is complete."
D)"Take prophylactic antibiotics until the fixator is removed."
Q3) Which statement by a patient who has had an above-the-knee amputation indicates the nurse's discharge teaching has been effective?
A)"I should elevate my residual limb on a pillow 2 or 3 times a day."
B)"I should lie flat on my abdomen for 30 minutes 3 or 4 times a day."
C)"I should change the limb sock when it becomes soiled or each week."
D)"I should use lotion on the stump to prevent skin drying and cracking."
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Chapter 63: Musculoskeletal Problems
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Sample Questions
Q1) A patient is being discharged after 1 week of IV antibiotic therapy for acute osteomyelitis in the right leg. Which information will be included in the discharge teaching?
A)How to apply warm packs to the leg to reduce pain
B)How to monitor and care for a long-term IV catheter
C)The need for daily aerobic exercise to help maintain muscle strength
D)The reason for taking oral antibiotics for 7 to 10 days after discharge
Q2) An appropriate nursing intervention for a patient who has acute low back pain and muscle spasms is to teach the patient to
A)keep both feet flat on the floor when prolonged standing is required.
B)twist gently from side to side to maintain range of motion in the spine.
C)keep the head elevated slightly and flex the knees when resting in bed.
D)avoid the use of cold packs because they will exacerbate the muscle spasms.
Q3) The nurse will determine more teaching is needed if a patient with discomfort from a bunion says,"I will
A)give away my high-heeled shoes."
B)take ibuprofen (Motrin) if I need it."
C)use the bunion pad to cushion the area."
D)only wear sandals, no closed-toe shoes."
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Page 65
Chapter 64: Arthritis and Connective Tissue Diseases
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Sample Questions
Q1) A patient who takes multiple medications develops acute gouty arthritis. The nurse will consult with the health care provider before giving the prescribed dose of A)sertraline (Zoloft).
B)famotidine (Pepcid).
C)hydrochlorothiazide.
D)oxycodone (Roxicodone).
Q2) The nurse determines that colchicine has been effective for a patient with an acute attack of gout upon finding
A)reduced joint pain.
B)increased urine output.
C)elevated serum uric acid.
D)increased white blood cells (WBC).
Q3) Anakinra (Kineret)is prescribed for a patient with rheumatoid arthritis (RA). When teaching the patient about this drug,the nurse will include information about A)avoiding concurrent aspirin use.
B)symptoms of gastrointestinal (GI) bleeding.
C)self-administration of subcutaneous injections.
D)taking the medication with at least 8 oz of fluid.
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Chapter 65: Critical Care
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Sample Questions
Q1) A patient with respiratory failure has arterial pressure-based cardiac output (APCO)monitoring and is receiving mechanical ventilation with peak end-expiratory pressure (PEEP)of 12 cm H<sub>2</sub>O. Which information indicates that a change in the ventilator settings may be required?
A)The arterial pressure is 90/46.
B)The stroke volume is increased.
C)The heart rate is 58 beats/minute.
D)The stroke volume variation is 12%.
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)Avoid the use of anticoagulant medications.
B)Measure the patient's urinary output every hour.
C)Provide passive range of motion for all extremities.
D)Position the patient supine with head flat at all times.
Q3) A patient's vital signs are pulse 90,respirations 24,and BP 128/64 mm Hg,and cardiac output is 4.7 L/min. The patient's stroke volume is _____ mL. (Round to the nearest whole number.)
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Chapter 66: Shock, sepsis, and Multiple Organ Dysfunction Syndrome
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Source URL: https://quizplus.com/quiz/25401
Sample Questions
Q1) A 198-lb patient is to receive a dobutamine infusion at 5 mcg/kg/min. The label on the infusion bag states: dobutamine 250 mg in 250 mL of normal saline. When setting the infusion pump,the nurse will set the infusion rate at how many milliliters per hour?
Q2) Which finding is the best indicator that the fluid resuscitation for a 90-kg patient with hypovolemic shock has been effective?
A)Hemoglobin is within normal limits.
B)Urine output is 65 mL over the past hour.
C)Central venous pressure (CVP) is normal.
D)Mean arterial pressure (MAP) is 72 mm Hg.
Q3) A patient is admitted to the emergency department (ED)for shock of unknown etiology. The first action by the nurse should be to
A)obtain the blood pressure.
B)check the level of orientation.
C)administer supplemental oxygen.
D)obtain a 12-lead electrocardiogram.
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Chapter 67: Acute Respiratory Failure and Acute
Respiratory Distress Syndrome
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Sample Questions
Q1) During change-of-shift report on a medical unit,the nurse learns that a patient with aspiration pneumonia who was admitted with respiratory distress has become increasingly agitated. Which action should the nurse take first?
A)Give the prescribed PRN sedative drug.
B)Offer reassurance and reorient the patient.
C)Use pulse oximetry to check the oxygen saturation.
D)Notify the health care provider about the patient's status.
Q2) A patient with acute respiratory distress syndrome (ARDS)and acute kidney injury has the following drugs ordered. Which drug should the nurse discuss with the health care provider before giving?
A)gentamicin 60 mg IV
B)pantoprazole (Protonix) 40 mg IV
C)sucralfate (Carafate) 1 g per nasogastric tube
D)methylprednisolone (Solu-Medrol) 60 mg IV
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Chapter 68: Emergency and Disaster Nursing
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Sample Questions
Q1) 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)attach an electrocardiogram monitor.
D)ask about chronic medical conditions.
Q2) A patient arrives in the emergency department (ED)several hours after taking "25 to 30" acetaminophen (Tylenol)tablets. Which action will the nurse plan to take?
A)Give N-acetylcysteine.
B)Discuss the use of chelation therapy.
C)Start oxygen using a non-rebreather mask.
D)Have the patient drink large amounts of water.
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