Medical-Surgical Nursing
Exam Answer Key
Course Introduction
Medical-Surgical Nursing is a foundational course designed to equip students with comprehensive knowledge and skills in delivering care to adult patients experiencing a range of acute and chronic health conditions. The course emphasizes the nursing process, critical thinking, and evidence-based practices focused on the assessment, planning, implementation, and evaluation of care. Students will explore topics such as fluid and electrolyte balance, perioperative nursing, infection control, pain management, and the management of diseases affecting various body systems. Through theoretical instruction and clinical experiences, learners gain proficiency in administering medications, performing procedures, collaborating within interdisciplinary teams, and supporting patients and their families through illness, recovery, and rehabilitation.
Recommended Textbook
Medical Surgical Nursing 2nd Edition by Kathleen S. Osborn
Available Study Resources on Quizplus
67 Chapters
1995 Verified Questions
1995 Flashcards
Source URL: https://quizplus.com/study-set/3943
Page 2
Chapter 1: Preparation for Practice
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78657
Sample Questions
Q1) A staffing issue and lack of patient care supplies cause a nurse to cancel planned evening activities and stay on the care area until all issues are resolved. The nurse's actions are most typical of which role?
A) Administrator
B) Educator
C) Manager
D) Researcher
Answer: C
Q2) A group of nurse managers wishes to develop more expert nurses in the hospital. Which activities should they plan?. Select all that apply.
A) Encourage the development of critical thinking skills.
B) Require that all nurses go back to school for an advanced degree.
C) Schedule sessions that will allow nurses to reflect on the care provided over a specific period of time.
D) Encourage examination of alternate solutions to common nursing problems.
E) Encourage strict adherence to all unit protocols.
Answer: A,C,D
To view all questions and flashcards with answers, click on the resource link above. Page 3
Chapter 2: Legal, Ethical, and Regulatory Aspects of Health
Care Delivery
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78656
Sample Questions
Q1) A patient in the emergency department required resuscitation, including administration of medications, blood products, and intravenous fluids. The next day, the patient threatens legal action because blood was administered without consent. What questions should the nurse manager ask when investigating this situation?. Select all that apply.
A) Was the patient conscious when admitted?
B) Did the patient say he did not want blood products?
C) Would the patient have died if the blood product had not been administered?
D) Was another form of treatment other than administration of blood possible?
E) What is the experience level of the providers caring for this patient?
Answer: A,B
Q2) The nurse is a member of a committee that is studying the frequency of medication errors. Other committee members include a health care provider, pharmacist, pharmacy technician, and nurse manager. The nurse is most likely participating in which specific type of quality process?
A) Total quality management
B) Continuous quality improvement
C) Quality improvement
D) Quality assurance
Answer: B
To view all questions and flashcards with answers, click on the resource link above. Page 4
Chapter 3: Research Foundations for Nursing Practice
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78655
Sample Questions
Q1) A nurse who is reading a research report has questions about the study's internal validity. Which questions might this nurse be considering?. Select all that apply.
A) Was there bias in the random selection of study subjects?
B) Was the research setting adequately controlled?
C) Do all of the items being measured focus on the same trait?
D) Did the independent variable occur before the dependent variable?
E) Why was the sample size at the end of the study so much smaller than the sample size at the beginning of the study?
Answer: A,D,E
Q2) While critiquing a quantitative research study, the nurse is curious about the sample size. Which is appropriate?. Select all that apply.
A) Does the study describe the population about whom results will be generalized?
B) Are inclusion and exclusion criteria identified?
C) Is the sample size appropriate to meet assumptions of the statistical tests?
D) How are the rights of the participants protected?
E) Is the sample representative of the population?
Answer: A,B,C,E
To view all questions and flashcards with answers, click on the resource link above.
Page 5
Chapter 4: Nursing Care Delivery Systems
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78654
Sample Questions
Q1) A registered nurse is seeking employment at a hospital with magnet status after hearing about the high nurse satisfaction at this hospital. High nursing satisfaction in a hospital with magnet status rating is a result of which commonality?
A) Unlicensed assistive personnel are used to perform direct patient care such as hygiene.
B) Charge nurses direct all care by tight control of nursing services.
C) Responsibility for care of the patient rests with the primary health care provider rather than the nurse.
D) Nurses have a great deal of professional autonomy.
Q2) A clinic has instituted a program of disease management. The nurse administrator would describe the clinic's work using which statements?. Select all that apply.
A) The clinic will address high-cost chronic illnesses.
B) Proactive case management will be a part of the clinic's work.
C) Prevention will be a major focus.
D) Patient anonymity will be protected by clinic regulations.
E) Early detection and early intervention are among the clinic's goals.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 5: Nursing Process and Documentation
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78653
Sample Questions
Q1) A nurse manager is discussing documentation standards that reflect Joint Commission safety goals. Which information should the manager share with staff nurses?. Select all that apply.
A) "The documentation of assessment of infants and children should reflect standardization of assessment techniques."
B) "Documentation should reveal that patients are reassessed according to hospital policy."
C) "Education about pain and pain management should be documented on all appropriate patients."
D) "Assessment documentation should make it clear that the assessment was conducted by a registered nurse."
E) "Traditional care plans should be documented for each patient."
Q2) Which aspect of critical thinking would the nurse use when making a nursing diagnosis?
A) Making decisions about an action
B) Identifying potential and actual problems
C) Increasing the likelihood of obtaining good results
D) Getting a better understanding of someone else
To view all questions and flashcards with answers, click on the resource link above. Page 7
Chapter 6: Health Assessment
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78652
Sample Questions
Q1) The nurse introduces herself and shakes the patient's hand, then sits so as to maintain eye contact during the health interview. What do the nurse's actions demonstrate?
A) Facilitation
B) Negative nonverbal messages
C) Positive nonverbal messages
D) Empathy
Q2) A 54-year-old patient reports that she smokes a pack and a half of cigarettes daily and has been smoking since she was 16 years old. The nurse would record a smoking history of ______ pack-years.
Q3) While conducting a health history, the nurse nods her head as the patient is talking. What is the nurse's primary rationale for this action?
A) It conveys acknowledgment of the patient's feelings.
B) It helps to reduce the patient's anxiety level.
C) It encourages the patient to continue talking.
D) It allows the nurse time to observe the patient's nonverbal cues.
To view all questions and flashcards with answers, click on the resource link above.
8
Chapter 7: Genetics
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78651
Sample Questions
Q1) A patient planning to have genetic testing prior to having children tells the nurse that she is fearful that people will learn about the testing and the results. How should the nurse respond to this concern?
A) "The results of the tests are confidential, and no one can see them without your permission."
B) "Most insurance companies will want the results before paying for the tests."
C) "The results will be available to anyone who reviews your medical record."
D) "The doctor will most likely use the results when planning care and treatment for other patients with the same genetic disorder."
Q2) A patient is upset to hear the nurse say that the results of genetic testing revealed "wild-type" genes. What information should the nurse provide?
A) "This term means your genes are unaltered and are considered the normal type."
B) "Your genes are considered normal for the most part but do have some limitations."
C) "We detected some abnormalities in your genes."
D) "The results of your genetic test were unexpected."
To view all questions and flashcards with answers, click on the resource link above.
9
Chapter 8: Nutrition
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78650
Sample Questions
Q1) The nurse is caring for an elderly patient who recently experienced a cerebral vascular accident (CVA, or stroke). The nurse will evaluate which assessment findings as indicating dysphagia?. Select all that apply.
A) Drooling
B) Slurred speech
C) Pocketing of food in the cheeks
D) Anorexia
E) Frequent throat clearing
Q2) The nurse is caring for a patient recovering from a total hip replacement. Which nutritional intervention is indicated?
A) Assess for tolerance to diet and progress from clear liquid to another level as tolerated.
B) Maintain a clear liquid diet with intravenous fluid supplementation.
C) Plan to support nutritional status with parenteral supplements.
D) Plan to support nutritional status with enteral feedings.
To view all questions and flashcards with answers, click on the resource link above.
10
Chapter 9: The Biophysical and Psychosocial Aspects of Nursing
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78649
Sample Questions
Q1) A patient is admitted after being bitten by a dog and tells the nurse he feels fine except for the bite. The nurse assesses that this patient is functioning within which phase of the general adaptation syndrome?
A) Transaction
B) Resistance
C) Alarm
D) Exhaustion
Q2) A patient is brought to the emergency department after being involved in a drive-by shooting. Which physiological changes associated with the alarm stage would make it difficult to assess this patient for injury?. Select all that apply.
A) The patient's heart rate will be elevated.
B) The patient's blood glucose will be elevated.
C) The patient's urine output will be decreased.
D) The patient's bowel sounds will be hyperactive.
E) The patient's systolic blood pressure will be low.
To view all questions and flashcards with answers, click on the resource link above. Page 11
Chapter 10: The Aging Process
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78648
Sample Questions
Q1) A 66-year-old patient tells the nurse, "It is time for my annual tetanus vaccine." The nurse would respond that it is recommended that a person this age receive the tetanus vaccine every ______ years.
Q2) An elderly patient tells the nurse that her daughter bought her a system that will call for help if she falls. The nurse realizes this patient is describing which technology?
A) Direct dial to the local ambulance company
B) Computerized communication
C) A home alarm system
D) Continuous body monitoring
Q3) An elderly patient tells the nurse that her son cashes her Social Security checks but tells her he does not have enough money to buy her medications. The nurse should investigate this statement because it could reflect which situation?
A) Physical abuse
B) Financial exploitation
C) Emotional abuse
D) Neglect
To view all questions and flashcards with answers, click on the resource link above. Page 12
Chapter 11: Caring for the Patient at End of Life
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78647
Sample Questions
Q1) A terminally ill patient has been transferred from acute care to palliative care. The health care team should review former orders for which characteristics?. Select all that apply.
A) Does the order comply with the patient's wishes?
B) Does this treatment provide symptom relief?
C) Does the treatment make the best use of resources?
D) Does the intervention support the patient's emotional health?
E) Does the intervention support the patient's spiritual health?
Q2) The medical team has proposed a new therapy for a patient who is terminally ill. The nurse should ensure that the patient and family understand which aspects of the therapy before they make a decision about its implementation?. Select all that apply.
A) The goals of the treatment
B) The likelihood that the goals of therapy will be met
C) The treatment burden
D) Predicted quality of life after the treatment
E) Implications for the health care community
Q3) A patient is prescribed an intravenous midazolam drip at a rate of 1-5 mg/hr, titrated to symptom relief. The nurse would start this drip at ______ mg/hr.
To view all questions and flashcards with answers, click on the resource link above. Page 13
Chapter 12: Pain Assessment and Management
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78646
Sample Questions
Q1) The nurse is managing care for a group of patients with pain. The nurse plans care for acute pain for which patient?. Select all that apply.
A) A patient who had a cholecystectomy this morning
B) A patient with phantom limb pain
C) A patient with a compound femur fracture that occurred 5 days ago
D) A patient with degenerative joint disease
E) A patient being treated for a burn that occurred 8 months ago
Q2) The nurse is administering analgesic medication to a group of patients. Which statement should guide the nurse in this work?
A) Pain should be managed to improve the patient's quality of life.
B) Opiates are not recommended for patients with addiction issues.
C) The nurse should be certain pain is present prior to administering opiates.
D) Patients with psychiatric diseases should avoid opiates for malignant pain.
Q3) The nurse is assessing a patient who is unable to supply a self-report of pain. What should the nurse do to assess the patient's pain?
A) Use a surrogate pain rating from the family or caregiver.
B) Document that the client cannot scale the pain.
C) Document the client's pain using a numeric rating scale.
D) Use the McGill pain questionnaire to assess the pain.
To view all questions and flashcards with answers, click on the resource link above.
Page 14
Chapter 13: Substance Abuse Assessment and Management
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/78645
Sample Questions
Q1) A patient with a history of chronic alcohol abuse is underweight and malnourished. Which drug may be prescribed to manage the patient's nutritional status?
A) Vitamin B<sub>1</sub>
B) Warfarin
C) Methadone
D) Narcan
Q2) A patient is admitted with symptoms of alcohol withdrawal. Which intervention is the highest priority for this patient?
A) Encourage verbalization of feelings.
B) Support respiratory and cardiac status.
C) Keep the room dimly lit.
D) Encourage taking fluids by mouth.
Q3) The nurse is concerned about possible substance abuse by a coworker. Which behavior warrants further investigation?
A) The coworker frequently wastes medications.
B) The coworker frequently requests the largest patient care assignment for the shift.
C) The coworker prefers not to be the "medication nurse" on the shift.
D) The coworker declines to take scheduled breaks.
To view all questions and flashcards with answers, click on the resource link above. Page 15
Chapter 14: Infectious Process and Prophylaxis
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/78644
Sample Questions
Q1) A patient tells the nurse that she doesn't wash her hands very much because the skin on her hands is dry and cracked. What instruction should the nurse give this patient?
A) Wash the hands without soap.
B) Wash the hands with hot water.
C) Wash the hands with cold water.
D) Use a hand lotion with high fat or oil content to protect the skin.
Q2) The nurse is planning care for a patient at risk for developing an infection. Which intervention is the most important for the nurse to include in this patient's plan of care?
A) Wash hands prior to providing care to the patient.
B) Provide prophylactic antibiotic therapy as prescribed.
C) Wear a mask when caring for the patient.
D) Wear a gown and gloves when changing the patient's linen.
Q3) The nurse needs to obtain a sputum specimen for culture and sensitivity from a patient. When should the nurse obtain this specimen?
A) Before the first dose of antibiotics is administered
B) Immediately after the first dose of antibiotic is administered
C) 30 minutes after the first dose of antibiotics is administered
D) As the first dose of antibiotics is administered
To view all questions and flashcards with answers, click on the resource link above. Page 16
Chapter 15: Fluids, Electrolytes and Acid-Base Imbalance
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/78643
Sample Questions
Q1) The nurse is caring for a patient diagnosed with renal failure. Which compensation does the nurse expect for the acid-base disturbance found in patients with renal failure?
A) The patient breathes rapidly to eliminate carbon dioxide.
B) The patient will retain bicarbonate in excess of normal.
C) The pH will decrease from the present value.
D) The patient's oxygen saturation level will improve.
Q2) An elderly patient does not complain of thirst. Which information would the nurse evaluate to determine if the patient is dehydrated?
A) Magnesium level
B) Chest X-ray
C) Urine osmolality
D) Brain scan
Q3) When analyzing an arterial blood gas report of a patient with COPD and respiratory acidosis, the nurse anticipates that compensation will develop through which mechanism?
A) The kidneys retain bicarbonate.
B) The kidneys excrete bicarbonate.
C) The lungs will retain carbon dioxide.
D) The lungs will excrete carbon dioxide.
To view all questions and flashcards with answers, click on the resource link above.
Page 17
Chapter 16: Fluid and Blood Infusion Therapy
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/78642
Sample Questions
Q1) A patient admitted 14 hours ago following a motorcycle accident has received 20 units of blood due to massive hemorrhage. Nursing assessment for which complications is essential?. Select all that apply.
A) Coagulation imbalances
B) Acid-base imbalance
C) Hypocalcemia
D) Elevated blood ammonia titers
E) Hypokalemia
Q2) A unit of packed red blood cells was ordered for a patient. Twenty minutes after the blood began infusing, the patient developed dyspnea, chest pain, bloody urine, and a decrease in blood pressure. The nurse would characterize this as which type of transfusion reaction?
A) Allergic
B) Febrile nonhemolytic
C) Delayed hemolytic
D) Acute hemolytic
Q3) The nurse is planning to administer 10 units of platelets to a patient with thrombocytopenia. The nurse plans to have a platelet count drawn within _______ minutes of the end of the transfusion.
To view all questions and flashcards with answers, click on the resource link above.
Page 18
Chapter 17: Preoperative Nursing
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/78641
Sample Questions
Q1) Which patient information is essential for the nurse to provide the physician who is preparing to administer conscious sedation to a patient?. Select all that apply.
A) The patient has a history of snoring.
B) The patient drank a cup of coffee 2 hours ago.
C) The patient wants to be asleep for the procedure.
D) The patient's father was hypertensive.
E) The patient has a history of gout.
Q2) A chart review reveals that a patient being prepared for surgery has been diagnosed with dehydration. Which laboratory results would the nurse review to evaluate the effect of treatment of this condition?
A) Hemoglobin and hematocrit
B) Glucose
C) White blood cell count
D) Platelet count
Q3) A patient has postponed an elective surgical procedure. The nurse would advise the patient that a new preoperative health assessment will be necessary if the original assessment document is over _____ days old.
To view all questions and flashcards with answers, click on the resource link above. Page 19
Chapter 18: Intraoperative Nursing
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78640
Sample Questions
Q1) The nurse in the preoperative holding area is checking to see if the correct patient has been transferred for the next surgical case. What questions would the nurse ask?. Select all that apply.
A) "Are you Mary Smith?"
B) "What is your name?"
C) "What is your social security number?"
D) "What is your birth date?"
E) "What surgery are you having?"
Q2) The patient is scheduled for an operative procedure that will require placement of an additional IV line, an indwelling urinary catheter, and a nasogastric tube. The nurse should advocate for these lines to be placed at what time?
A) Prior to transferring the patient to the preoperative holding area
B) In the preoperative holding area
C) After general anesthesia has been induced
D) In the postanesthesia recovery room
Q3) The certified nurse anesthetist suspects a patient is experiencing malignant hyperthermia and will administer dantrolene sodium 3 mg/kg IV. The patient's documented weight is 143 pounds. The nurse will administer _____ mg in the first bolus.
To view all questions and flashcards with answers, click on the resource link above.
Page 20
Chapter 19: Postoperative Nursing
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/78639
Sample Questions
Q1) A nurse notices that patients who ambulate within the first 12 hours of surgery have fewer postoperative complications. Which approach would provide validation for the nurse's belief that early ambulation reduces postoperative complications?
A) Correlation of postoperative complications with the patients' activity
B) Modification of the patients' activity based on the surgical severity
C) Discussion of postoperative complications with a physical therapist
D) Adjustment of the patients' medications related to their activity levels
Q2) The PACU nurse is using the postanesthetic scoring system to determine if a patient is ready to be discharged home after a same-day surgery. The nurse would determine the patient to be ready when the score reaches _______.
Q3) A patient in the PACU is nauseated and has vomited. Which nursing actions are indicated?. Select all that apply.
A) Administer an antiemetic per protocol or order.
B) Raise the head of the patient's bed.
C) Place a cool washcloth on the patient's forehead or neck.
D) Offer the patient a small amount of ice chips.
E) Offer the patient sips of tea or coffee.
To view all questions and flashcards with answers, click on the resource link above. Page 21
Chapter 20: Nursing Assessment of the Patient With
Neurological Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78638
Sample Questions
Q1) The nurse observes signs that a patient may be experiencing dysfunction related to the acoustic nerve (CN VIII). Which action by the nurse is most appropriate for minimizing the patient's risk for injury?. Select all that apply.
A) Identify the patient's fall risk category.
B) Assess the patient's gag reflex prior to offering food or liquids.
C) Assist the patient with bedside sitting or toileting.
D) Assess the patient's vision using a Snellen chart.
E) Place a red "falls risk" bracelet on the patient's arm.
Q2) The patient's vision is recorded as 20/
50. The nurse is measuring what this patient can see as compared to what a normal eye can see at _______ feet.
Q3) When bringing in the meal tray for a patient with damage to the glossopharyngeal nerve (CN IX), which action by the nurse is most appropriate?
A) Place the tray on the patient's right side.
B) Assess the patient's ability to swallow.
C) Speak loudly and make eye contact with the patient.
D) Assist the patient in identifying where items are on the tray.
To view all questions and flashcards with answers, click on the resource link above.
Page 22
Chapter
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78637
Sample Questions
Q1) The nurse is caring for a patient with an intracranial pressure monitoring device. What is the priority nursing diagnosis (NDX) for this patient?
A) Risk for Infection
B) Ineffective Thermoregulation
C) Risk for Impaired Skin Integrity
D) Impaired Physical Mobility
Q2) A patient is being admitted for possible early-stage viral meningitis. The nurse would assess for which significant findings to help confirm the diagnosis?
A) A history of flulike symptoms resolving 5 days ago
B) Sluggish pupils bilaterally
C) Blood pressure of 100/62
D) A cervical lymph node palpable on physical examination
Q3) Decerebrate posturing is present in an unconscious patient following a motor vehicle accident. The nurse expects to see which position?
A) The arms and legs are hyperextended, and arms are hyperpronated.
B) The arms are folded over the chest and spasms are rhythmic.
C) The arms are pulled inward and the head is turned to the side.
D) The arms and legs have tonic-clonic seizure activity.
To view all questions and flashcards with answers, click on the resource link above. Page 23
Chapter 22: Caring for the Patient With Cerebral Vascular Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78636
Sample Questions
Q1) An emergency department nurse is caring for a patient who has been diagnosed with an evolving ischemic stroke. The nurse anticipates preparing the patient and family for which initial medical intervention?
A) Craniotomy
B) Administration of t-PA (tissue plasminogen activator)
C) Full-body X-ray series
D) Watchful waiting over the next 24 hours
Q2) The nurse is planning care for a patient undergoing diagnostic evaluation for presence of an intracranial bleed. Which nursing diagnosis (NDX) would the nurse set as the first priority?
A) Impaired Verbal Communication
B) Potential for Aspiration
C) Risk for Altered Cerebral Tissue Perfusion
D) Altered Coping
Q3) A patient has been admitted with stroke-like symptoms. The nurse would report a serum potassium level of less than _____mEq/L as below the desired level.
To view all questions and flashcards with answers, click on the resource link above. Page 24
Chapter 23: Caring for the Patient With Chronic and Degenerative Neurological Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78635
Sample Questions
Q1) Which medication would the nurse anticipate administering as treatment for mild Alzheimer's disease (AD)?
A) Donepezil (Aricept)
B) Adrenocorticotropic hormone (ACTH)
C) Olanzapine (Zyprexa)
D) Memantine (Namenda)
Q2) The nurse is assessing a patient who has been diagnosed with Parkinson's disease and documents that he is demonstrating bradykinesia. The nurse bases this on which observation?
A) The patient sloshes coffee out of his cup when eating breakfast.
B) The patient has difficulty initiating a walk to the bathroom.
C) The patient maintains his balance by holding on to the furniture.
D) The patient's skin is moist and his clothing is damp.
Q3) Which test involving injection of a drug would the nurse anticipate being ordered to diagnose myasthenia gravis (MG)?
A) A Tensilon test
B) A computed tomography (CT) scan of the legs
C) A nerve stimulation study
D) Analysis of antiacetylcholine receptor antibodies
Page 25
To view all questions and flashcards with answers, click on the resource link above.
Chapter 24: Caring for the Patient With Spinal Cord Injuries
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78634
Sample Questions
Q1) A patient with a spinal cord injury at the T1 level complains of a severe headache and an "anxious feeling." Which is the most appropriate initial reaction by the nurse?
A) Try to calm the patient and make the environment soothing.
B) Assess for a full bladder.
C) Notify the health care provider.
D) Prepare the patient for diagnostic radiography.
Q2) A patient with a spinal cord injury (SCI) has complete paralysis of the upper extremities and the lower part of the body. The nurse should use which medical term to correctly describe this in documentation?
A) Hemiplegia
B) Paresthesia
C) Paraplegia
D) Tetraplegia
Q3) The health care provider orders 15 mg IV of ketorolac (Toradol) for a patient who has recently undergone a spinal fusion. The nurse has a 5 milliliter (mL) ampule containing 60 mg of ketorolac. The nurse withdraws ______ mL of ketorolac from the ampule.
To view all questions and flashcards with answers, click on the resource link above. Page 26
Chapter 25: Nursing Assessment of the Patient With
Respiratory Disorders
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78633
Sample Questions
Q1) A patient is diagnosed with a low iron count. The nurse would be alert for which finding associated with this condition?
A) Increased carbon dioxide in the blood
B) Nausea
C) Anxiety
D) Poor tissue oxygenation
Q2) The nurse administers oxygen to a patient who has lost a moderate amount of blood following a motor vehicle accident. What is the primary rationale for this nursing action?
A) To ease the work of breathing
B) To compensate for the reduction in circulating oxygen
C) To provide comfort
D) To prevent shock
Q3) To establish the location of a respiratory sound, the nurse uses standard landmarks. The nurse locates the second rib as adjacent to which structure?
A) Supersternal notch
B) Sternal angle
C) Costal margin
D) Xiphoid process
To view all questions and flashcards with answers, click on the resource link above.
Chapter 26: Caring for the Patient With Upper Airway Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78632
Sample Questions
Q1) It is most important for the nurse to include which instruction when educating a patient who has had laryngeal papillomas removed?
A) "If you experience recurrent hoarseness, come in for a check-up."
B) "You should come in if you have worsening respiratory distress so we can intubate you quickly."
C) "Next time we can remove them in the office, so no admission is necessary."
D) "Papillomas rarely cause airway obstruction."
Q2) The nurse is assessing a patient who has received trauma to the face. It is suspected that damage to the facial nerve (CN VIII) has occurred. The nurse would prepare this patient for which intervention?
A) Surgery
B) Intubation
C) Placement of ice packs to the face for 24 hours
D) Consultation with the patient's dentist
Q3) A patient is being treated for laryngopharyngeal reflux disease. As part of behavioral modification treatment for this disorder, the nurse advises the patient not to eat for at least ______ hours before bedtime.
To view all questions and flashcards with answers, click on the resource link above.
Page 28
Chapter 27: Caring for the Patient With Lower Airway Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78631
Sample Questions
Q1) A patient diagnosed with tuberculosis is prescribed ethambutol (Myambutol). Which nursing statement is indicated?
A) "Are you allergic to eggs?"
B) "Before starting this medication, you must have a baseline eye examination."
C) "You will need an influenza vaccine before starting this medication."
D) "Before you start this medication, we must schedule a baseline ECG (electrocardiogram)."
Q2) The nurse is discussing the long-term care of a child with cystic fibrosis (CF) with the parents. Which goals should the nurse include in this plan?. Select all that apply.
A) Prevention of infection
B) Improvement of nutrition
C) Making the child's life as normal as possible
D) Maintaining antibiotic therapy to cure the disease
E) Preventing common neurologic complications
Q3) The nurse would anticipate alpha-1 antitrypsin (ATT) levels to be drawn on all patients ______ years of age or younger who demonstrate assessment findings of chronic obstructive pulmonary disease.
To view all questions and flashcards with answers, click on the resource link above.
Page 29
Chapter 28: Caring for the Patient With Complex
Respiratory Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78630
Sample Questions
Q1) Which patient should the nurse assess first?
A) Patient with a chest tube complaining of difficulty breathing
B) Patient with a tracheostomy who is on oxygen via trach mask
C) Patient preparing for discharge following a lengthy hospital stay for ARDS
D) Patient complaining of incisional pain
Q2) A student is accompanying the nurse today. A newly admitted ICU patient with a diagnosis of pulmonary edema has an elevated jugular vein distension (JVD) and an S<sub>3</sub>. Based on these assessment findings, the nurse indicates to the student that this is which type of pulmonary edema?
A) Neurogenic
B) Cardiogenic
C) High altitude
D) Excessive IV fluid administration
Q3) Arterial blood gases reveal that a patient's PaO<sub>2</sub> is 84% on room air. The patient's FaO<sub>2</sub>/FiO<sub>2</sub> ratio is ______.
Q4) A patient who has cardiogenic pulmonary edema is receiving intravenous dopamine at a rate of 195 mcg/min. The patient weighs 65 kg. The nurse would increase surveillance for tachycardia and dysrhythmias if the dopamine rate must be increased to a rate greater than ________ mcg/min.
Page 30
To view all questions and flashcards with answers, click on the resource link above.
Chapter 29: Nursing Assessment of the Patient With
Cardiovascular Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78629
Sample Questions
Q1) During the physical assessment of a patient on admission, the nurse auscultates a grade II midsystolic heart murmur. The nurse would conduct additional assessment for which condition?
A) Aortic stenosis
B) Mitral stenosis
C) Aortic regurgitation
D) Mitral regurgitation
Q2) The nurse is completing a physical assessment on a clinic patient who has been complaining of fatigue and intermittent chest pain over the last several weeks. Upon auscultation of the chest, the nurse hears an S<sub>1</sub>, S<sub>2</sub>, and S<sub>3</sub>. Because of these findings, the nurse's priority will be to assess for which other finding?
A) Absence of bowel sounds
B) Lung sounds for crackles
C) Diminished pulses
D) Sluggish pupil response
Q3) A patient has mild pitting edema over the lower legs. A ¼-inch indentation remains in the tissue after the nurse depresses it with a finger. The nurse would document this finding as + _______ pitting edema.
Page 31
To view all questions and flashcards with answers, click on the resource link above.
Chapter 30: Car-Ing for the Patient With Dysrhythmias
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78628
Sample Questions
Q1) A patient is having occasional premature ventricular contractions (PVCs). Which finding would require immediate nursing action?
A) There are no P waves in the PVCs.
B) The heart rate is irregular.
C) A PVC occurs at the top of the T wave.
D) Two PVCs occur in one minute.
Q2) The telemetry technician reports that a patient is having occasional premature atrial contractions (PACs). Which characteristics would the nurse expect when reviewing the patient's rhythm strip?. Select all that apply.
A) Retrograde P waves
B) P wave early in the rhythm
C) Irregularity in the rhythm
D) Insignificant change in heart rate
E) A compensatory pause
Q3) The nurse count
3.5 large squares between two R waves on the patient's cardiac monitor tracing. The nurse calculates the patient's heart rate as _______ beats per minute. (Round to the nearest whole beat.)
To view all questions and flashcards with answers, click on the resource link above.
Chapter 31: Hemodynamic Monitoring
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78627
Sample Questions
Q1) The nurse is obtaining a thermodilution cardiac output measurement from a pulmonary artery catheter (PAC). Which techniques should the nurse use?. Select all that apply.
A) Keep the injectate at least 10°F below room temperature.
B) Inject the injectate over 30-45 seconds.
C) Inject the injectate smoothly.
D) Inject the standard amount of injectate for the brand of catheter.
E) Perform three measurements 1 to 2 minutes apart.
Q2) The nurse caring for a patient with hemodynamic monitoring would collaborate with a physician colleague to implement which intervention?
A) Changing the dosages (titrating) of medications based on changes in hemodynamic pressures
B) Using sterile technique to clean the site of insertion of the catheter and changing the dressing
C) Inflating the balloon in the pulmonary artery to obtain pulmonary artery occlusion pressures
D) Advancing the catheter if the radiologist determines it is not in the pulmonary artery
To view all questions and flashcards with answers, click on the resource link above.
Chapter 32: Caring for the Patient With Coronary Artery Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78626
Sample Questions
Q1) A patient is being discharged after having balloon angioplasty. Which teaching should the nurse provide?. Select all that apply.
A) "Take aspirin for any minor discomfort at the procedure site."
B) "Call the hospital immediately if there is any bright red bleeding from the procedure site."
C) "Because the access site is in your groin, you should avoid bending over or straining for at least 48 hours."
D) "You may shower or bathe as usual."
E) "Keep a pressure dressing over the site for 24 hours and then replace it with a light dressing for the next 24 hours."
Q2) Nursing care of the patient after thrombolytic therapy focuses on the assessment of which common complication?
A) Bleeding
B) Reperfusion chest pain
C) Lethargy
D) Heart block
Q3) The nurse would suspect conversion of a patient's stable angina to unstable angina if the patient reports angina lasting over _______ minutes at rest.
To view all questions and flashcards with answers, click on the resource link above. Page 34
Chapter 33: Caring for the Patient With Cardiac
Inflammatory Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78625
Sample Questions
Q1) A patient with endocarditis develops sudden leg pain with pallor, tingling, and a loss of peripheral pulses. What should be the initial nursing intervention?
A) Notify the physician about these findings.
B) Elevate the leg above the level of the heart.
C) Administer prn analgesia.
D) Perform passive range-of-motion (PROM) exercises to stimulate circulation.
Q2) The nurse implements the following measures for a patient with rheumatic fever: turn, cough, deep breathe, elevate head of bed, instruct on use of incentive spirometry. On which parameters would the nurse assess the effectiveness of the nursing interventions?. Select all that apply.
A) Urine output
B) Arterial blood gases
C) Potassium level
D) Lung sounds
E) Orientation
To view all questions and flashcards with answers, click on the resource link above.
35
Chapter 34: Caring for the Patient With Heart Failure
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78624
Sample Questions
Q1) A patient is being started on enalapril (Vasotec). The nurse would teach the patient to be alert for which adverse effects?. Select all that apply.
A) Increased thirst
B) Dizziness
C) Cough
D) Sore throat
E) Constipation
Q2) The nurse assesses that a patient is more anxious than usual. The patient states, "I don't understand how I can still be alive when my heart has failed." Which nursing response is indicated?
A) "Heart failure is a common problem in the United States. Many people have it. They all have problems such as yours."
B) "Heart failure doesn't mean your heart has quit, just that it no longer is as efficient as it once was."
C) "You seem upset. Would you like for me to call the health care provider to explain this to you?"
D) "Heart failure is pretty complicated. It means the heart is failing to work."
To view all questions and flashcards with answers, click on the resource link above.
Page 36
Chapter 35: Caring for the Patient With Peripheral Vascular Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78623
Sample Questions
Q1) A patient's visit to the health care clinic reveals a blood pressure of 142/
A) Notify the physician or primary health care provider immediately.
B) Identify medications the patient has been taking.
C) Discuss the diagnosis of hypertension with the patient.
D) Check the patient's record for the past several blood pressure readings.
90. What is the nurse's next step?
Q2) The nurse would conduct additional assessment for peripheral arterial disease if the patient's ankle-brachial index is lower than_______.
Q3) A patient admitted with hypertension reports peripheral edema, difficulty breathing, and a cough following ambulation. The nurse chooses which priority nursing diagnosis?
A) Impaired Tissue Perfusion
B) Risk of Noncompliance
C) Imbalanced Nutrition
D) Fatigue
Q4) A patient has the nursing diagnosis Impaired Physical Mobility related to decreased blood flow to the lower extremities. To address this nursing diagnosis, the nurse should instruct the patient to walk for at least 30 minutes at least _______ times a week.
To view all questions and flashcards with answers, click on the resource link above. Page 37
Chapter 36: Nursing Assessment of the Patient With
Gastrointestinal, Renal, or Urinary Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78622
Sample Questions
Q1) A patient is reporting intermittent pain in the left upper abdomen. To best assess the characteristics of the pain, the nurse would ask which questions?. Select all that apply.
A) "Can you describe the pain for me?"
B) "What do you think is causing the pain?"
C) "When did you first notice the pain?"
D) "Can you do anything that makes the pain go away?"
E) "Does anything make the pain worse?"
Q2) The nurse recognizes that a patient diagnosed with poorly controlled type 2 diabetes is at risk for developing which gastrointestinal complication?
A) Paralytic ileus
B) Peptic ulcer
C) Gastroparesis
D) Gastric reflux disease
To view all questions and flashcards with answers, click on the resource link above.
Chapter 37: Caring for the Patient With Gastrointestinal Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78621
Sample Questions
Q1) The nurse is teaching a patient about the major risk factors for peptic ulcer disease (PUD). Which risk factors should the nurse discuss?. Select all that apply.
A) Chronic H. pylori infection
B) Use of aspirin and NSAIDs
C) Cigarette smoking
D) Dietary intake of dairy products
E) Stress
Q2) What information should the nurse provide for the patient with a newly created Kock ileostomy (continent ileostomy)?. Select all that apply.
A) The stoma will be reversed when the bowels have had the time to heal.
B) Fecal matter will be removed by a catheter inserted through the stoma.
C) A nipple valve was created to control the flow of fecal matter.
D) The stoma should appear pink and moist.
E) The surgery involved manipulating a portion of the terminal ileum.
Q3) The physician has ordered metoclopramide (Reglan) 2 mg/kg IVP to be given 30 minutes before the start of chemotherapy. The patient weighs 54 kg. The metoclopramide (Reglan) is dispensed in a 10 mg/10 mL vial. The nurse will administer ________ mL of metoclopramide.
To view all questions and flashcards with answers, click on the resource link above. Page 39
Chapter 38: Caring for the Patient With Hepatic and Biliary Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78620
Sample Questions
Q1) The nurse should instruct the patient with a diagnosis of cholelithiasis to make which lifestyle modification to alleviate symptoms?
A) Reduce sodium intake.
B) Increase fluids.
C) Reduce smoking.
D) Reduce fat consumption.
Q2) The nurse is caring for a patient who has just returned from a humanitarian trip to Central America. The patient is jaundiced and is diagnosed with hepatitis A. The patient is the parent of three school-age children. Which statement by the patient is a priority for follow-up?
A) "I need to get home to take care of my children."
B) "We cared for several very ill people on our trip."
C) "I plan to get a lot of rest in the next few days."
D) "I am likely to recover fully eventually."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 39: Caring for the Patient With Renal and Urinary Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78619
Sample Questions
Q1) A male patient is admitted for removal of a bladder papilloma. Which assessment finding would the nurse evaluate as having increased the patient's risk of this disorder?
A) History of cigarette smoking
B) Low daily fluid intake
C) Weak pedal pulses
D) Decreased appetite level
Q2) A male patient comes to the emergency department with symptoms of renal colic. The nurse realizes that this patient most likely has a calculus that is obstructing which structure?
A) Ureter
B) Bladder
C) Renal pelvis
D) Urethra
Q3) A patient is admitted with signs of chronic renal failure. Which finding would alert the nurse to possible metabolic acidosis?
A) Kussmaul's respirations
B) Low urine output
C) Muscle cramps
D) Diarrhea
To view all questions and flashcards with answers, click on the resource link above.
Chapter 40: Nursing Assessment of the Patient With
Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78618
Sample Questions
Q1) The nurse is instructing a female patient about changes in sexual functioning that may result from the aging process. Which nursing diagnoses would the nurse incorporate into the plan of care for this patient regarding sexual intercourse?. Select all that apply.
A) Risk for Injury
B) Risk for Infection
C) Impaired Skin Integrity
D) Altered Tissue Perfusion
E) Alteration in Comfort
Q2) A patient is having a routine prostate examination. Which is an important part of this examination?
A) "Do you have polyuria in the morning?"
B) "Do you take laxatives or stool softeners?"
C) "Do you have difficulty with urination?"
D) "Do you experience constipation?"
To view all questions and flashcards with answers, click on the resource link above.
42
Chapter 41: Caring for the Patient With Female
Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78617
Sample Questions
Q1) A 30-year-old patient reports increased irritability during the days preceding the onset of her menstrual cycle. Which measures might assist in the management of her irritability?. Select all that apply.
A) Increase dietary sugar intake to promote energy.
B) Increase intake of simple carbohydrates.
C) Reduce caffeine.
D) Utilize guided imagery.
E) Drink one glass of red wine each evening.
Q2) A 56-year-old female patient thinks she's "losing her mind" because of constant anxiety, flushing, inability to sleep, and headaches. The nurse would ask assessment questions based on which condition being the most likely cause of these symptoms?
A) Premenstrual syndrome
B) Menopause
C) Postmenopause
D) Dysmenorrhea
To view all questions and flashcards with answers, click on the resource link above. Page 43
Chapter 42: Caring for the Patient With Male Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78616
Sample Questions
Q1) A male patient who presents with the complaint of a "swollen" scrotum is found to have fluid within the scrotum. The nurse understands that this finding is consistent with which condition?
A) A hydrocele
B) A spermatocele
C) A variocele
D) Scrotal cancer
Q2) The wife of a man diagnosed with prostate cancer appears disheveled and anxious during a visit to her husband. When the patient leaves the floor for testing, the nurse uses the opportunity to approach her. Which approach by the nurse is most therapeutic?
A) "Would you like to talk about your concerns?"
B) "You must be having problems with all of this."
C) "What is wrong?"
D) "I can see that you are having a difficult time."
To view all questions and flashcards with answers, click on the resource link above.
44
Chapter 43: Caring for the Patient With Sexually
Transmitted Diseases
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78615
Sample Questions
Q1) The nurse is determining diagnoses appropriate for a pregnant patient newly diagnosed with herpes simplex. Which nursing diagnosis has the highest priority?
A) Risk for Injury related to the disease process
B) Deficient Knowledge related to the diagnosis
C) Anxiety related the diagnosis
D) Interrupted Family Processes related to the effects of the diagnosis on her relationship with her partner
Q2) A 20-year-old patient has small painful blisters on her labia that developed about 6 days after having sex with her new boyfriend. The nurse would conduct additional assessment for which most likely STI?
A) Syphilis
B) Gonorrhea
C) Chlamydia
D) Genital herpes
Q3) A patient is prescribed ceftriaxone (Rocephin) 350 mg IM. The nurse reconstitutes a 500 mg vial of ceftriaxone powder with 1.8 mL of diluent to achieve a concentration of 250 mg/mL. The nurse will administer _______ mL for the total dose.
To view all questions and flashcards with answers, click on the resource link above. Page 45
Chapter 44: Caring for the Patient With Breast Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78614
Sample Questions
Q1) A patient who had breast augmentation surgery last year presents to the clinic and says, "My right breast is so hard all over." The nurse would assess for development of which likely condition?
A) Infection
B) Hemorrhage into the implant
C) Capsule contracture
D) Breast cancer
Q2) A new mother reports that her infant son's breasts are enlarged and tender. How can the nurse best respond?
A) "Bring him to the clinic immediately; we need to examine him more closely."
B) "This sometimes happens in babies whose gender is not clear."
C) "Occasionally a baby is born with a cyst or tumor, but they generally disappear by the time the baby is a month old."
D) "Babies of both genders often have breast enlargement, which will go away in a month or so."
Q3) A patient's genetic studies reveal she is positive for both BRCA1 and BRCA2 mutations. The nurse prepares to care for a patient whose lifetime risk of developing breast cancer is _______%.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 45: Nursing Assessment of the Patient Endocrine Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78613
Sample Questions
Q1) The nurse is preparing to discuss the importance of neuroendrocrine regulation with a group of nurses who work in the endocrine clinic. The nurse will explain that this type of regulation facilitates which essential abilities?. Select all that apply.
A) Ability to think critically
B) Ability to reason
C) Ability to reproduce
D) Ability to adapt to external changes
E) Ability to grow physically
Q2) A patient is scheduled for MRI with gadolinium contrast. The nurse should review the medical record for which essential baseline test?
A) Kidney function
B) Chest X-ray
C) CBC with differential
D) Presence of pedal pulses
To view all questions and flashcards with answers, click on the resource link above. Page 47
Chapter 46: Caring for the Patient With Glandular and Hormonal Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78612
Sample Questions
Q1) A patient comes into the emergency department with symptoms of an Addisonian crisis. What should the nurse be prepared to administer to assist this patient?
A) Intravenous fluids
B) Warm blankets
C) Thyroid replacement hormone
D) Blood transfusion
Q2) Which interventions would the nurse plan to address the nursing diagnosis Risk for Impaired Skin Integrity for a patient with hypothyroidism?. Select all that apply.
A) Wash daily with antibacterial soap.
B) Apply emollient skin lotion liberally at least twice daily.
C) Use astringent wipes to reduce itching.
D) Assess the need for an alternating air mattress daily.
E) Clean areas between skin folds with alcohol to prevent a yeast infection.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 47: Caring for the Patient With Diabetes
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78611
Sample Questions
Q1) Which teaching, included in the plan of care for a patient who has type 1 diabetes mellitus, would be most effective in reducing the development of complications?
A) Self-monitoring of blood glucose levels
B) Effective foot care
C) Importance of early eye exam
D) Avoidance of simple carbohydrates in the diet
Q2) A newly admitted patient has a fasting serum blood glucose level of 125 mg/dL. How should the nurse interpret this value?
A) This is a critical value that should be reported immediately.
B) The patient has type 1 diabetes.
C) The patient has normal glucose metabolism.
D) The patient may be prediabetic.
Q3) The nurse is planning a presentation to a community group on diabetes mellitus. The nurse should include information about which possible etiology for type 1 diabetes?
A) Inflammatory disorder
B) Infectious disorder
C) Autoimmune disorder
D) Drug-induced disorder
To view all questions and flashcards with answers, click on the resource link above.
Chapter 48: Nursing Management of the Patient With
Musculoskeletal Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78610
Sample Questions
Q1) A patient tells the nurse that she is "tired of having leg pain" because it "gets in the way" of enjoying the activities that she wants to do with her family. What is the nurse's best response?
A) "How does your family react when you are having the pain and can't participate in activities?"
B) "At least you are able to do regular activities around the house."
C) "Everyone has some degree of pain every day, and I'm sure your family understands."
D) "But you are still working, so you are productive."
Q2) The nurse assesses that a patient is unable to completely straighten the right arm. The nurse conducts additional assessment for which condition?
A) Muscle atrophy
B) The presence of nodules
C) Gout
D) Muscle fasciculation
Q3) The nurse determines that a patient's shoulder muscle strength is normal when it is graded as _______ or better.
To view all questions and flashcards with answers, click on the resource link above.
Page 50
Chapter 49: Caring for the Patient With Musculoskeletal Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78609
Sample Questions
Q1) A 50-year-old female patient is concerned that she will develop osteoporosis because both her maternal aunts have been diagnosed with the disorder. The nurse would help the patient manage which intervention?
A) Prophylactic nonsteroidal anti-inflammatory medication
B) A DEXA test
C) Prescription for risedronate (Actonel)
D) Daily intake of 2,000 mg of calcium
Q2) The nurse is instructing a patient on foods high in calcium. The nurse knows the teaching was effective when the patient chooses which foods for a meal?. Select all that apply.
A) Chicken
B) Kale
C) Bananas
D) Salmon
E) Low-fat milk
Q3) A woman who emigrated from a Third World country has just delivered a baby. The woman says, "In my country, many babies die from polio. I want my baby immunized as soon as possible." The nurse responds, "Your baby will receive the first polio immunization at age _______ months.
Page 51
To view all questions and flashcards with answers, click on the resource link above.
Chapter 50: Caring for the Patient With Musculoskeletal
Trauma and Surgical Procedures
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78608
Sample Questions
Q1) A patient wearing a long leg cast has assessment findings of compartment syndrome in the extremity. The nurse demonstrates understanding of the complication and its specific treatment by gathering which equipment?
A) Pillows to elevate the leg
B) A percussion hammer
C) Buck's traction equipment
D) Ace bandages
Q2) The nurse is caring for a patient whose fractured left femur was surgically managed with intramedullary (I-M) rodding. The nurse would explain which benefits of this type of fixation?. Select all that apply.
A) It results in only minimal skin scarring.
B) It does not interfere with range of motion.
C) It facilitates direct visualization of the fracture.
D) It reduces the risk of a postsurgical fat embolus.
E) It allows for early weight bearing.
To view all questions and flashcards with answers, click on the resource link above.
52
Chapter 51: Caring for the Patient With Arthritis and
Connective Tissue Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78607
Sample Questions
Q1) A patient diagnosed with rheumatoid arthritis (RA) is reluctant to start some recommended therapies. The nurse tells the patient that early intervention is crucial for long-term health. What rationales would the nurse provide for this statement?. Select all that apply.
A) Early intervention is instrumental in bringing about long-term remission of symptoms.
B) Beginning treatment early can help control pain generated by the disorder.
C) If the disease is not treated, tissue and joint damage can be extreme.
D) Early and aggressive exercise will help keep joints mobile.
E) If treatment is started early, joint deformity can be avoided.
Q2) The nurse has chosen these nursing diagnoses for a patient who has systemic lupus erythematosus. Which NDX would be assigned the highest priority?
A) Skin Integrity: Impaired
B) Activity Intolerance
C) Anxiety
D) Fluid Volume Excess
To view all questions and flashcards with answers, click on the resource link above.
Chapter 52: Nursing Management of the Patient With
Immunological and Inflammatory Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/78606
Sample Questions
Q1) A patient is admitted with an autoimmune disorder. The nurse plans care for this patient based on which characteristics of autoimmune disorders?
A) The patient's body does not recognize non-self antigens.
B) The patient's body does not recognize its own tissues.
C) The patient's body does not have enough white blood cells to combat infections.
D) The patient's body overproduces histamine.
Q2) Review of a patient's medical record reveals the presence of petechiae. How would the nurse interpret this information?. Select all that apply.
A) The patient will have a maculopapular rash that extends over at least 30% of the body.
B) The patient has sustained damage to capillary blood vessels.
C) The patient has sustained bruising trauma.
D) The patient will have small purple or red spots.
E) The patient probably has an infection distal to the point where the petechiae begin.
Q3) The nurse would consider a provisional diagnosis of sepsis as supported by a band count of over ______ % of the total white blood cell count.
To view all questions and flashcards with answers, click on the resource link above.
Page 54
Chapter 53: Caring for the Patient With Immune Response Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78605
Sample Questions
Q1) A patient is demonstrating signs of anaphylactic shock. Which action should the nurse take first to assist this patient?
A) Administer subcutaneous epinephrine.
B) Maintain an airway.
C) Provide calm reassurance.
D) Place the patient on a cardiac monitor.
Q2) A patient who is HIV positive comes to the clinic for a routine assessment. Which statement by the patient would the nurse evaluate as indicating a potential lack of adherence to the medication schedule?. Select all that apply.
A) "These medications are so expensive and my insurance doesn't pay very well."
B) "One of the newer medications I am taking is a combination of two that I took previously."
C) "One of the medications I am taking makes me nauseous."
D) "I take so many pills at so many different times of the day."
E) "Sometimes I feel I just cannot cope a single second longer."
Q3) A patient diagnosed with HIV/AIDS weighed 180 pounds when diagnosed. The patient has had intermittent fever, diarrhea, and anorexia for the last 30 days. The nurse would be concerned that HIV wasting is occurring if the patient has lost more than _______ pounds.
Page 55
To view all questions and flashcards with answers, click on the resource link above.
Chapter 54: Caring for the Patient With Inflammatory
Response, Shock, and Severe Sepsis
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/78604
Sample Questions
Q1) The nurse is caring for a patient with endocarditis who is receiving penicillin. The nurse should be particularly attentive to recognize early symptoms of which type of shock?
A) Hypovolemic
B) Cardiogenic
C) Septic
D) Anaphylactic
Q2) According to standard definitions, which patient would the nurse describe as being in septic shock?
A) A patient with community-acquired pneumonia who has developed respiratory failure
B) A patient who has burns over 40% of the body and is febrile
C) A patient with an infection whose blood pressure is 84/52 after 4 liters of saline were administered intravenously
D) A patient with a WBC count of 22,000 and fever
Q3) A patient was diagnosed with sepsis 5 hours ago. To meet the criteria of the Sepsis Resuscitation Bundle, the nurse and health care team must complete the bundle within ______ hour(s).
To view all questions and flashcards with answers, click on the resource link above. Page 56
Chapter 55: Nursing Assessment of the Patient With
Hematological Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/78603
Sample Questions
Q1) A patient is suspected of having pernicious anemia. Which area of the body would the nurse pay particular attention to during assessment?
A) Nose
B) Tongue
C) Hands
D) Feet
Q2) How would the nurse explain primary and secondary hemostasis to the parents of a child newly diagnosed with a platelet disorder?. Select all that apply.
A) "During primary hemostasis, the vessels around the injured area constrict to reduce blood loss."
B) "The clot that forms in the injured vessel becomes more stable during secondary hemostasis."
C) "Normally a soft plug or clot is formed early in primary hemostasis."
D) "Normally, the coagulation cascade is started in primary hemostasis."
E) "Platelets play a role in primary hemostasis."
To view all questions and flashcards with answers, click on the resource link above. Page 57
Chapter 56: Caring for the Patient With Blood Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78602
Sample Questions
Q1) A child has been admitted with assessment findings suggestive of hemophilia. Which laboratory test would the nurse evaluate as supporting that diagnosis?
A) Decreased red blood cell count on CBC
B) Prolonged partial thromboplastin time (aPTT)
C) Decreased factor VI
D) A positive d-dimer
Q2) After several doses of chemotherapy, a patient complains of fatigue, pallor, progressive weakness, exertional dyspnea, headache, and tachycardia. Which NANDA nursing diagnosis would the nurse list as the first priority?
A) Imbalanced Nutrition: Less than Body Requirements
B) Activity Intolerance
C) Powerlessness
D) Ineffective Coping
Q3) A patient has lost 800 mL of blood during surgery. The nurse calculates that the patient has lost _______ mg of iron.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 57: Caring for the Patient With Cancer
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78601
Sample Questions
Q1) A patient is deciding on a course of therapy for advanced cancer. Which information should the nurse provide about chemotherapy?. Select all that apply.
A) The only body system not adversely affected by chemotherapy is the genitourinary system.
B) Chemotherapy can result in clotting due to increased platelet counts.
C) Chemotherapy is often a painful experience.
D) Side effects can occur anywhere in the gastrointestinal tract.
E) Some chemotherapeutic agents can result in permanent heart damage.
Q2) A patient newly diagnosed with prostate cancer says, "I know this kind of cancer spreads to other organs. Which places should I worry about getting it?" The nurse would include which anatomical locations in the response to this question?. Select all that apply.
A) Bowel
B) Lung
C) Liver
D) Bone
E) Brain
To view all questions and flashcards with answers, click on the resource link above.
Chapter 58: Nursing Assessment of the Patient With
Integumentary Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78600
Sample Questions
Q1) The nurse would interpret which patient findings as increasing the risk for development of skin cancer?. Select all that apply.
A) The patient is 58 years old.
B) The patient has blonde hair.
C) The patient has an olive complexion.
D) The patient is female.
E) The patient has blue eyes.
Q2) The nurse is assessing for changes in the nails of a patient with chronic obstructive pulmonary disease. The nurse would document clubbing of the fingers if the angle of the nail bed exceeds _________ degrees.
Q3) A patient's skin lesion has been described as a nodule. The nurse expects which findings to be present?. Select all that apply.
A) The margins of the lesion are clearly identifiable.
B) The lesion is pus-filled.
C) The lesion is flat and nonpalpable.
D) The lesion is firm.
E) The lesion is within the dermis.
To view all questions and flashcards with answers, click on the resource link above.
Page 60
Chapter 59: Caring for the Patient With Skin Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78599
Sample Questions
Q1) A patient diagnosed with scabies asks the nurse how she "caught" the disorder. What information should be provided to the patient?
A) The disorder is transmitted by contact with infected persons or their possessions.
B) The disorder is transmitted via the feces of infected animals.
C) Scabies is a bacterial infection transmitted by direct contact with infected persons.
D) Scabies is a fungal infection transmitted by contact with infected respiratory secretions.
Q2) A female patient is prescribed isotretinoin (Accutane). Which information should the nurse provide when teaching about the medication?. Select all that apply.
A) Avoid prolonged exposure to sunlight.
B) Avoid the use of vitamin A supplements.
C) The medication may cause intolerance to contact lenses.
D) Take the pills on an empty stomach to avoid nausea and vomiting.
E) Pregnancy prevention is essential.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 60: Caring for the Patient With Wounds
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78598
Sample Questions
Q1) The nurse would assess that granulation tissue is developing in a wound when noting which characteristics?. Select all that apply.
A) Beefy red color
B) Blue-gray tinge to the wound bed
C) Small, round nodules in the wound bed
D) Pearly-appearing wound margins
E) Moist tissue
Q2) The nurse manager of a long-term care facility would institute which policies to be in compliance with federal tag 314?. Select all that apply.
A) Periodic resident care plan revisions
B) Transfer of resident with pressure ulcers to an acute care facility
C) Documentation of a plan to reduce the development of pressure ulcers
D) A plan to assess residents for their risk of pressure ulcers
E) A method of documenting adherence to facility pressure ulcer policies and procedures
Q3) A patient with diabetes presents with an ulcer on the end of the great toe. Assessment reveals gangrene extending to the base of the toe. The nurse would evaluate this ulcer as matching criteria for grade ____ on the Wagner Ulcer Grade Classification System.
To view all questions and flashcards with answers, click on the resource link above.
Page 62
Chapter 61: Caring for the Patient With Burn Injuries
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78597
Sample Questions
Q1) The nurse would anticipate which laboratory result drawn 10 hours after a patient experienced a major burn injury?
A) Potassium level of 3.0 mEq/L
B) Platelets 450,000 uL
C) Hematocrit of 48%
D) Sodium 138 mEq/L
Q2) The mortality rate for burns is highest in the very young and in the elderly population. What factors put the very young at a higher risk?. Select all that apply.
A) The very young have a greater proportion of body surface area per amount of body mass, resulting in a higher risk for fluid-volume loss.
B) The very young tend to heal more slowly.
C) Infants and young children have an immature immune system with a weak antibody response.
D) The very young have a higher risk for the development of hypovolemic shock.
E) In the very young, burns tend to exacerbate previous medical problems.
Q3) A patient who weighs 132 pounds sustained a burn injury and is receiving fluid resuscitation. The nurse would evaluate adequate hydration if the patient is producing at least ________ mL of urine each hour.
To view all questions and flashcards with answers, click on the resource link above. Page 63
Chapter 62: Nursing Assessment of the Patient With
Sensory Disorders
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78596
Sample Questions
Q1) The nurse is testing a patient for visual tropia. Which actions are steps in this test?. Select all that apply.
A) Have the patient remove corrective lenses.
B) Sit in front of the patient.
C) Have the patient stare at an object about 20 feet behind the nurse.
D) Cover one of the patient's eyes.
E) Record eye movement toward the nose as exotropia.
Q2) A patient has been prescribed sildenafil (Viagra) and says, "I know that this mediation can cause eye problems, but the television commercials don't say what kind of problems." How should the nurse respond?. Select all that apply.
A) "Don't pay attention to television commericals."
B) "Be watchful for hazing of your vision."
C) "Your eyes may become more sensitive to light."
D) "Sildenafil may cause deposits on your retina."
E) "You may notice changes in your ability to see colors."
Q3) During the assessment of a patient's fields of gaze, the nurse notices the left eye lags slightly behind the right when moving from the primary position to right upward position. All other movements are symmetrical and smooth. To allow for trending, the nurse would record - ______ for this result.
Page 64
To view all questions and flashcards with answers, click on the resource link above.
Chapter 63: Caring for the Patient With Hearing and Balance Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78595
Sample Questions
Q1) A patient experiences an increase in ear pain when the auricle is pulled up and back. The nurse would conduct additional assessment for which condition?
A) Otitis externa
B) Otitis media
C) Labyrinthitis
D) Exostosis
Q2) A patient with a sore throat and head cold is complaining of "trouble with hearing." The nurse should conduct additional assessment for which most likely condition?
A) Swimmer's ear
B) A middle ear infection
C) Otosclerosis
D) An inner ear infection
Q3) A patient with chronic acute otitis media infections is having a myringotomy. What discharge instructions should the nurse provide?
A) Avoid getting any water into the ears.
B) Wash hair only with warm water.
C) Make sure showers are completed within 10 minutes.
D) Avoid gum chewing.
To view all questions and flashcards with answers, click on the resource link above. Page 65
Chapter 64: Caring for the Patient With Visual Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78594
Sample Questions
Q1) A patient reports having difficulty discriminating colors after being prescribed hydroxychloroquine (Plaquenil). What information should the nurse provide?
A) Keratometry can be done to diagnose color blindness.
B) The Ishihara test is simple and can reveal color blindness.
C) Invasive testing will be required to assess cones and rods.
D) A picture of the ocular fundus will be necessary to make this diagnosis.
Q2) A patient has been diagnosed with primary glaucoma. What information would the nurse provide about this condition?
A) It was probably caused by a congenital anomaly in the structure of the eye.
B) Primary glaucoma is not as serious as other forms of glaucoma.
C) The disorder has no relation to other ocular conditions.
D) This condition is the result of conjunctival infections in childhood.
Q3) A patient comes into the clinic complaining of sudden onset of "black spots and a curtain dropping" in the right eye. The nurse would conduct additional assessment for which condition?
A) Detached retina
B) Conjunctivitis
C) Endophthalmitis
D) Cataract
To view all questions and flashcards with answers, click on the resource link above.
Page 66
Chapter 65: Disaster Nursing
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78593
Sample Questions
Q1) The nurse is planning to attend a program to learn how to respond to mass casualty incidents. The nurse anticipates this program will address which core competencies of emergency and disaster preparedness for nurses?. Select all that apply.
A) Creative problem-solving skills
B) Adherence to standard protocols and policies
C) Emergency communication skills
D) Understanding of personal limitations
E) Identification of emergency situations
Q2) The nurse is interested in learning how to become a disaster relief nurse. What should the nurse consider prior to joining the Disaster Medical Assistance Team (DMAT) program?
A) The nurse must be licensed to practice nursing in the state of the disaster.
B) The nurse must provide and pay for his or her own personal gear, including a sleeping bag.
C) The nurse must be willing to be a volunteer, as the positions are unpaid.
D) The nurse must be willing to pay for his or her own travel to the disaster region.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 66: Caring for the Patient in the Emergency Department
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78592
Sample Questions
Q1) The nurse has removed clothing with gunshot residue from a murder victim. What information should the nurse include when labeling the bag containing this clothing?. Select all that apply.
A) Patient's name
B) Attending physician
C) Date
D) Time
E) The name of the person who collected the evidence
Q2) The nurse is reviewing the current status of patients who have been waiting in the emergency department for several hours. At the time of first arrival, each of the patients was identified as nonurgent. Which nonurgent patient should be seen and treated first?
A) Male child holding left arm in sling, fingers and wrist intact to sensation, motion, and pulse
B) Female with swollen ankle, leg elevated, ice pack currently applied, pulse present
C) Elderly male whose swollen hand now is slightly blue-tinged with a faint pulse
D) Adolescent male with bruised right eye, ice pack applied, no further bleeding from nose
To view all questions and flashcards with answers, click on the resource link above.
Chapter 67: Caring for the Patient With Multisystem
Trauma
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78591
Sample Questions
Q1) The nurse would aggressive fluid resuscitation as an early intervention for which patient?
A) The patient with a serious head injury from a fall
B) The patient whose hands were burned in a kitchen fire
C) The patient whose leg was severed in an industrial accident
D) The patient with an open abdominal wound from a car crash
Q2) A patient sustained multiple fractures and contusions when hit by a car while walking across the street. He says, "How can I be hurt so badly? The car barely hit me." How should the nurse respond?
A) "Your body absorbed a lot of energy from the moving car."
B) "Because you are diabetic, your injuries are worse."
C) "You probably don't remember how hard you were hit."
D) "Because you are older, your injuries are worse."
Q3) A trauma patient is hemorrhaging from multiple gunshot wounds to the lower abdomen. The nurse provides care based on which priority nursing diagnosis (NDX)?
A) Ineffective Breathing related to shallow respirations
B) Fluid Volume Deficit related to effects of decreased renal perfusion
C) Impaired Ventilation related to airway obstruction
D) Ineffective Tissue Perfusion related to hypovolemia
Page 69
To view all questions and flashcards with answers, click on the resource link above.