Medical Surgical Nursing Exam Review
Course Introduction
Medical Surgical Nursing is a foundational course that equips nursing students with the knowledge and skills required to care for adult patients experiencing a wide range of medical and surgical conditions. The course emphasizes assessment, planning, implementation, and evaluation of holistic care using evidence-based practices. It covers topics such as pathophysiology, pharmacology, perioperative care, pain management, fluid and electrolyte balance, wound care, infection control, and the management of patients with acute and chronic illnesses. Through theoretical instruction and practical experiences, students learn to prioritize patient safety, communicate effectively with multidisciplinary teams, and apply critical thinking in clinical decision-making.
Recommended Textbook
Medical Surgical Nursing Critical Thinking for Person Centred Care 3rd Edition by
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52 Chapters
1083 Verified Questions
1083 Flashcards
Source URL: https://quizplus.com/study-set/2398
Page 2
Priscilla Lemone
Chapter 1: Medical-Surgical Nursing in the Twenty-First Century
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47623
Sample Questions
Q1) A person-centred care issue has been raised about the actions taken by a nurse who was asked to provide care to a person whose healthcare decisions were considered controversial. The unit's nurse manager is concerned that care was not appropriately provided. Which of the following should be consulted to protect the person and to evaluate the care in question?
A)The code of professional conduct.
B)Hospital quality improvement guidelines.
C)Clinical pathways.
D)The nursing code of ethics.
Answer: D
Q2) The nurse is implementing a plan of care for a person. After providing care, what should the nurse do as the final step in the process?
A)Document.
B)Reassess the person.
C)Set daily priorities of care.
D)Provide a verbal handover report.
Answer: A
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3
Chapter 2: Health and Illness in Adults
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/47625
Sample Questions
Q1) A person tells the nurse, 'All the people in my family hold extra weight around their hips and legs.' The nurse realises this person is describing which health risk factor?
A)Ethnicity.
B)Educational level.
C)Socioeconomic background.
D)Genetic makeup.
Answer: D
Q2) A person tells the nurse, 'My family uses a Shaman when we are ill.' The nurse realises this person is describing which determinant of health?
A)Culture.
B)Educational level.
C)Socioeconomic background.
D)Genetic makeup.
Answer: A
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Chapter 3: Nursing Care of People Having Surgery
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/47627
Sample Questions
Q1) A recovery room nurse is consulting with a circulating nurse about a person who is having a surgical procedure. These nurses are most likely in which zone of the surgical department?
A)Banned.
B)Restricted.
C)Semi-restricted.
D)Unrestricted.
Answer: D
Q2) A person is scheduled for surgery. Which of the following should be included in the preoperative teaching provided by the nurse?
A)Planned postoperative routine.
B)Information about the type of anaesthesia.
C)Information concerning the surgical procedure which will be provided by the surgeon.
D)Cost of the procedure.
Answer: A
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Chapter 4: Nursing Care of People Experiencing Loss, Grief, and Death
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/47628
Sample Questions
Q1) The family of a dying person experiencing a worsening of breathing wants to help. Which of the following can the nurse instruct the family to provide for the person?
A)Encourage the person to eat.
B)Perform frequent chest physical therapy.
C)Raise the head of the bed.
D)Place the person on his left side.
Q2) Which of the following relates to Freud's theory of loss and grief?
A)There is a restitution phase of the grieving process in which mourning is institutionalised.
B)Living without the assets and guidance of the lost person or resource can influence the person's ability to deal with a loss.
C)The bargaining stage serves as an attempt to postpone the reality of the loss.
D)The inability to grieve can result in depression.
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6
Chapter 5: Nursing Care of People With Problems of Substance Misuse
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47629
Sample Questions
Q1) A person recalls 'feeling funny' after taking a few sips of a drink at a night club and later remembers that she was raped. Which drug should the nurse suspect this person had been given?
A)Benzodiazepine.
B)Ecstasy.
C)Cannabis.
D)Cocaine.
Q2) A person has been diagnosed with alcoholism that is causing him to be depressed. What does this diagnosis indicate?
A)Co-dependence.
B)Tolerance.
C)Kindling.
D)A dual disorder.
Q3) A 35-year-old person with a history of barbiturate abuse tells the nurse that she 'likes to have a few drinks with friends.' This person is at risk of which condition?
A)Co-dependence.
B)Dual disorders.
C)Delirium tremens.
D)Cross-tolerance.
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Chapter 6: Nursing Care of People Experiencing Disasters
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse is planning the coding for a triage disaster plan. What are the colours most associated with triage? Select all that apply.
A)Black
B)Red
C)Yellow
D)Purple .
Q2) What does care of persons experiencing blast injuries typically focus on?
A)Psychological shock
B)Lung injuries
C)Ear and hearing trauma
D)Head injuries
Q3) What are the appropriate actions for people with highly contagious respiratory infections?
A)Reverse barrier nursing.
B)Teach them how to stop coughing.
C)Teach them to cover their mouths when they cough or sneeze.
D)These persons need to wear protective gowns, masks and gloves at all times.
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Chapter 7: Genetic Implications of Adult Health Nursing
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/47631
Sample Questions
Q1) A baby is born with a genetic disorder that did not affect either of the parents. Which of the following is true?
A)The father is the carrier of the disorder.
B)Both parents are carriers of the disorder.
C)The father is not the 'biological father' of the baby.
D)The disorder must be due to a mutation.
Q2) Which of the following conditions results from an autosomal pattern of inheritance?
A)Cystic fibrosis.
B)Huntington disease.
C)Down syndrome.
D)Duchenne muscular dystrophy.
Q3) A mother who has given birth to a baby with Down syndrome refuses to allow any family members to visit her or the newborn. What is the person demonstrating?
A)Poor maternal-child bonding.
B)Denial.
C)Postpartum depression.
D)Anxiety and guilt.
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9
Chapter 8: Nursing Care of People in Pain
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47632
Sample Questions
Q1) A person with chronic pain is being started on a 'patch.' Which of the following should be included when instructing the person about this pain-relieving delivery system?
A)Dosing will commence with a low dose.
B)It is not as effective as oral pain medications.
C)The person should never experience breakthrough pain.
D)The person should never overdose with this delivery method.
Q2) A person who has had a below-knee amputation appears to be experiencing pain in the amputated foot. What type of pain is this?
A)Central.
B)Acute postoperative.
C)Phantom.
D)Visceral.
Q3) A person with a history of lumbar spinal cord nerve compression continues to complain of burning pain. Which type of pain is the person experiencing?
A)Palliative pain.
B)Myofascial pain syndrome.
C)Complex regional pain syndrome.
D)Visceral pain.
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Chapter 9: Nursing Care of People With Altered Fluid,
Electrolyte, Acid-Based Balance
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/47633
Sample Questions
Q1) An older adult is at home after being diagnosed with a fluid volume excess. Which of the following should the community nurse instruct this person to do?
A)Try to sleep on one pillow.
B)Keep legs in a dependent position.
C)Avoid wearing shoes while in the home.
D)Wear support hose.
Q2) An older adult with peripheral neuropathy has been self-medicating with magnesium supplements. The nurse realises that which of the following symptoms can indicate hypermagnesaemia?
A)Increased deep tendon reflexes
B)Tachycardia
C)Paraesthesias
D)Hypotension, warmth and sweating
Q3) A 35-year-old postoperative woman comes into the clinic after a parathyroidectomy. Which of the following should the nurse teach this person?
A)Limit consumption of salty foods.
B)Milk and milk-based products will help to provide an adequate calcium intake.
C)Lean red meat is the protein source of choice.
D)Minimise direct exposure to sunlight.
Page 11
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Chapter 10: Nursing Care of People Experiencing Trauma and Shock
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47634
Sample Questions
Q1) A critically injured trauma person needs immediate whole blood transfusions and has a blood type of AB+. The nurse realises that this person may receive which blood type?
A)AB- only.
B)Any type.
C)AB+ only.
D)A+ only.
Q2) A person is prescribed an infusion of nitroprusside sodium (Nipride). Which action should the nurse take to ensure a safe infusion of this medication?
A)Protect the infusion bag from light by keeping the wrapping provided from the pharmacy on the bag.
B)Minimise adverse effects by administering adrenaline.
C)Perform initial vital observations every 30 minutes.
D)Mix with normal saline.
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12
Chapter 11: Nursing Care of People With Infections
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/47635
Sample Questions
Q1) One school district is not enforcing vaccinations for children who are starting school. What could be the result of this action?
A)Healthier children.
B)An epidemic of an illness that could have been avoided with vaccinations.
C)A reduction in the number of colds and flu incidences in the school.
D)A decrease in school costs.
Q2) The nurse is caring for a person recovering from abdominal surgery. The person asks the nurse why the incentive spirometry must be used. Which of the following can be provided as an explanation to the person for the use of this device?
A)'It will help with intestinal parastalysis'.
B)'It will help prevent skin breakdown'.
C)'It will help prevent the development of pneumonia'.
D)'It will prevent you from getting the flu'.
Q3) A person has elevated blood levels of immunoglobulin IgM. What does this suggest to the nurse? The person is:
A)in the early stages of an infection.
B)experiencing a hypersensitivity response.
C)responding to bacterial toxins.
D)in the later stages of an infection.
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Page 13
Chapter 12: Nursing Care of People With Altered Immunity
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/47636
Sample Questions
Q1) A person is diagnosed with a type IV hypersensitivity response. What will the person most likely need treatment with?
A)Antihistamines
B)Adrenaline
C)Plasmapheresis
D)Endotracheal intubation
Q2) A person tells the nurse, 'I had this rheumatoid arthritis pain under control, but then I learned I might lose my job'. Which of the following should the nurse say in response to this person?
A)'The pain will inevitably get worse'.
B)'You need to find a job more suited to your condition'.
C)'Stress can cause an exacerbation of the arthritis'.
D)'Have you considered going on disability?'
Q3) A person is recovering from a skin graft where the skin of a pig is sutured to the person's ear. Which type of graft is this?
A)Xenograft
B)Allograft
C)Autograft
D)Isograft
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Page 14
Chapter 13: Nursing Care of People With Cancer
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/47637
Sample Questions
Q1) A person has breast cancer. Where is a common metastatic site for this cancer?
A)Vertebrae
B)Lungs
C)Colon
D)Spleen
Q2) A person who is newly diagnosed with cancer says to the nurse, 'I don't want to spend my final days on earth in a hospital bed.' What is the nurse's best response?
A)'Why do you feel so negative about being in the hospital?'
B)'You should enjoy the life you have left'.
C)'You are not going to die from cancer'.
D)'Please tell me more about how you are feeling right now'.
Q3) A person is prescribed external radiation as part of his cancer treatment. Which of the following should be included in this person's instructions? Select all that apply.
A)Use an electric razor to shave the treatment area.
B)Apply an ice pack if the skin becomes irritated.
C)Wash the skin with soap and water.
D)Do not wash off the treatment marks.
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Chapter 14: A Person-Centred Approach to Assessing the
Integumentary System
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/47638
Sample Questions
Q1) A person's upper body is covered with flat red or purple freckles approximately 1 to 3 mm in diameter that do not blanch. What is the name given to these skin lesions?
A)Cysts
B)Venous stars
C)Petechiae
D)Vesicles
Q2) The nurse is preparing to assess a person's integumentary status. Which of the following techniques should the nurse use to conduct this assessment?
A)Percussion and palpation
B)Inspection and palpation
C)Inspection and percussion
D)Palpation and auscultation
Q3) A person has jaundice. The nurse would expect which change in laboratory test results to be consistent with jaundice?
A)High levels of serum creatinine
B)Decreased red blood cell count
C)Increased serum bilirubin
D)Low levels of serum albumin
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Chapter 15: Nursing Care of People With Integumentary Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47639
Sample Questions
Q1) A middle-aged man of Scottish descent is diagnosed with basal cell cancer on the face and forehead. What should the nurse include when teaching this person about the diagnosis?
A)It is a fast growing form of skin cancer.
B)It is a rare type of skin cancer.
C)This type of skin cancer frequently metastasises.
D)Recurrence is common with this type of skin cancer.
Q2) The nurse instructs a person with melanoma to maintain adequate kilojoule and protein intake in the diet. For which nursing diagnosis is this intervention the most appropriate?
A)Fluid Volume Excess.
B)Hopelessness.
C)Impaired Skin Integrity.
D)Anxiety.
Q3) A young person asks what can be done to remove acne scars. What should the nurse suggest to this person?
A)Laser treatment.
B)Blepharoplasty.
C)Chemical peeling.
D)Skin graft.
Page 17
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Chapter 16: Nursing Care of People With Burns
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47640
Sample Questions
Q1) A woman comes into the clinic complaining of nausea and vomiting after spending the weekend at a seaside resort. On which area should the nurse focus when assessing this person?
A)Eating pattern.
B)Recent sunburn.
C)Rest and sleep pattern.
D)Alcohol consumption.
Q2) What percentage of a child's total body surface area needs to be burned for the nurse to consider inserting an indwelling catheter to measure urinary output?
A)5.
B)10.
C)20.
D)25.
Q3) A person with full-thickness burns is prescribed a gastrointestinal medication. What is the primary action of this medication?
A)Promote peristalsis.
B)Prevent the onset of stress ulcers.
C)Treat a pre-existing duodenal ulcer.
D)Minimise anorexia.
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Chapter 17: A Person-Centred Approach to Assessing the Endocrine System
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/47641
Sample Questions
Q1) A person has elevated serum cortisol levels. Which health problem is associated with this finding?
A)Cushing's syndrome.
B)Diabetes insipidus.
C)Grave's disease.
D)Addison's disease.
Q2) A person has an abnormal serum calcium level. Which endocrine gland could be causing this low blood level?
A)Parathyroid.
B)Gonads.
C)Thymus.
D)Thyroid.
Q3) A person is concerned about his spouse's inability to conceive. Which hormone should be evaluated because of this issue?
A)Thyroid-stimulating hormone.
B)Adrenaline.
C)Parathormone.
D)Follicle-stimulating hormone.
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Chapter 18: Nursing Care of People With Endocrine Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47642
Sample Questions
Q1) A person with myxoedema is concerned about a rising cholesterol level despite adhering to a strict diet. How should the nurse respond to this person?
A)'It's a normal part of ageing.'
B)'The thyroid gland disease can affect your cholesterol level.'
C)'You need to cut all fat out of your diet'
D)'Maybe you don't realise how much fat is in the foods that you eat.'
Q2) A person is diagnosed with hyperparathyroidism. Which assessment finding is consistent with this diagnosis?
A)Hypotension.
B)Muscle weakness.
C)Weight gain.
D)Fluid retention.
Q3) Which laboratory data would be used to diagnose a person with Grave's disease?
A)Increased serum thyroid-stimulating hormone.
B)Increased serum thyroid antibodies.
C)Decreased radioactive iodine uptake.
D)Decreased serum thyroxine.
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Page 20
Chapter 19: Nursing Care of People With Diabetes Mellitus
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47643
Sample Questions
Q1) A person with diabetes wants to check the feet every day but is unable to lift the legs because of arthritic knees. '''Which technique should the nurse advise for this person?
A)'Prop a mirror against the wall and lift the foot, checking for any skin breakdown.'
B)'Wear only soft shoes or socks.'
C)'Check the inside of socks when changing for any bleeding.'
D)'Don't worry about it unless pain in the feet is present.'
Q2) A person with type 2 diabetes is admitted to the intensive care unit with a blood glucose level of 40 mmol/L. Which nursing action would be appropriate for this person?
A)Change intravenous fluids from normal saline to dextrose when blood glucose levels reach 14-16 mmol/L.
B)Permit activity as tolerated.
C)Monitor neurological functioning every 8 hours.
D)Restrict intravenous fluids.
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Chapter 20: A Person-Centred Approach to Assessing the
Gastrointestinal
System
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A person is diagnosed with a vitamin B<sub>12</sub> (cyanocobalamin)deficiency. Which stomach cells are impaired for this person?
A)Zymogenic cells
B)Mucous cells
C)Enteroendocrine cells
D)Parietal cells
Q2) Which condition might develop in a person eating a diet high in meat and cheese?
A)Skin lesions
B)Vitamin C excess
C)Increase in adipose tissue
D)Muscle wasting
Q3) The nurse is preparing to assess a person's abdomen. Which assessment technique should this nurse use last?
A)Palpation
B)Percussion
C)Auscultation
D)Inspection
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Page 22
Chapter 21: Nursing Care of People With Nutritional Disorders
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A female has a body mass index (BMI)of 27. Which of the following would be an appropriate documentation by the nurse?
A)Underweight
B)Normal weight
C)Overweight
D)Obese
Q2) Which waist-to-hip ratio increases the risk of a female developing stroke, elevated insulin levels, and an abnormal lipid profile?
A)0.2
B)0.3
C)0.5.
D)0.8
Q3) A person is being assessed for malnutrition. What laboratory test findings indicate malnutrition? Select all that apply.
A)Elevated serum albumin
B)Low serum sodium
C)Low white blood cell count
D)Low transferrin
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Chapter 22: Nursing Care of People With Upper
Gastrointestinal Disorders
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A person who is experiencing difficulty swallowing is diagnosed with oesophageal cancer after having a barium swallow. The nurse realises that the diagnostic test must have displayed which of the following?
A)Delayed swallowing
B)A narrow oesophageal lumen
C)Blood in the upper gastrointestinal tract
D)Malabsorption of the barium
Q2) The nurse learns that an elderly person with ill-fitting dentures has been using an over-the-counter preparation for a gum sore over the last month. Which of the following should the nurse instruct this person?
A)Make an appointment to see the doctor.
B)Continue to use the preparation.
C)Choose a different over-the-counter preparation.
D)Get a new set of dentures.
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24
Chapter 23: Nursing Care of People With Bowel Disorders
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A person has been diagnosed with internal haemorrhoids. Where are the haemorrhoids most likely located? At the:
A)hepatic flexure.
B)splenic flexure.
C)descending colon.
D)anorectal junction.
Q2) A person comes into the outpatient clinic for testing because of chronic constipation. What might this person have evidence of?
A)Inflammatory bowel diseases
B)External haemorrhoids
C)Gastroenteritis
D)Irritable bowel syndrome
Q3) A person is having stool collected for guaiac testing. What is the test looking for in the stool? The presence of:
A)white blood cells.
B)parasites.
C)blood.
D)bacteria.
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25
Chapter 24: Nursing Care of People With Gallbladder, Liver, and Pancreatic Disorders
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A person with acute pancreatitis is being discharged. Which of the following should the nurse include when providing discharge instructions to this person?
A)Limit smoking.
B)Resume a regular diet.
C)Avoid all alcohol.
D)Restrict caffeine intake.
Q2) Which of the following is a risk factor for the development of gallstones?
A)Tobacco smoking
B)Heavy alcohol consumption
C)Pregnancy
D)High-fibre diet
Q3) A person who is admitted to the hospital with an acutely inflamed gallbladder says, 'I suddenly feel better. The pain was really bad, but then it completely stopped.' What should the nurse do?
A)Prepare the person for discharge.
B)Contact the doctor immediately.
C)Continue with normal monitoring of the person.
D)Check when the person last received any pain medication.
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Chapter 25: A Person-Centred Approach to Assessing the Renal System
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The nurse is preparing to catheterise a person after the person has just independently voided. What is the purpose of this catheterisation? To:
A)check for the presence of kidney stones.
B)evaluate for residual urine.
C)serve as a urine output baseline.
D)evaluate renal function.
Q2) The nurse is able to percuss a dull tone over a person's bladder. What is this finding suggestive of?
A)Bladder cancer
B)Urinary retention
C)A normal finding
D)Ureteral blockage
Q3) Upon a routine urinalysis, a person is found to have +3 ketones in the urine. Which of the following should be done following this finding?
A)Suggest that the person be tested for diabetes mellitus.
B)Schedule a renal CT scan.
C)Schedule an intravenous pyelogram.
D)Nothing. This is normal.
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Chapter 26: Nursing Care of People With Urinary Tract Disorders
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/47650
Sample Questions
Q1) A person who is recovering from spinal surgery had an 'accident' while attempting to reach the bathroom to void. Which type of incontinence has the person most likely experienced?
A)Functional.
B)Overflow.
C)Stress.
D)Urge.
Q2) While being catheterised for urinary retention, a person becomes diaphoretic and pale. Which of the following can be done to help this person?
A)Clamp the catheter after draining 500 mL of urine.
B)Nothing, as this is a normal response.
C)Remove the urinary catheter.
D)Provide the person with extra fluids.
Q3) A man has a history of calcium calculi. Which of the following medications can be prescribed to help treat this person's condition?
A)Indomethacin.
B)Allopurinol (Progout).
C)A thiazide diuretic.
D)Amoxycillin.
Page 28
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Chapter 27: Nursing Care of People With Kidney Disorders
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20 Flashcards
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Sample Questions
Q1) An elderly person is scheduled for a CT scan with and without contrast dye. Which action should be performed prior to this CT scan?
A)Measure the person's weight.
B) Assess vital signs.
C)Keep the person NBM.
D) Monitor renal functioning.
Q2) Which of the following interventions would be appropriate for a person with excess fluid volume related to chronic glomerulonephritis?
A)Assess for manifestations of infection.
B) Schedule activities to conserve energy.
C)Document energy level.
D) Daily weights.
Q3) Which of the following should be included when providing instructions to a person who is post-nephrectomy for kidney cancer?
A)Promotion of vigorous physical activity.
B)Organ donor information.
C)Early recognition of the manifestations of a urinary tract infection (UTI).
D)The need to restrict fluid intake.
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Chapter 28: A Person-Centred Approach to Assessing the Cardiovascular
and Lymphatic
Systems
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47624
Sample Questions
Q1) Bradycardia occurs when the nurse assesses an apical heart rate of how many beats per minute in an adult?
A)Less than 60.
B)60-90.
C)90.
D)Greater than 100.
Q2) What is an important nutritional-metabolic interview question to ask persons who are being evaluated for heart conditions?
A)'What heart medications are you taking?'
B)'Have you experienced chest pain in the last week?'
C)'Have you had a recent weight gain or loss?'
D)'Is there any change in your usual bowel elimination?'
Q3) Tachycardia occurs when the nurse assesses an apical heart rate of how many beats per minute in an adult?
A)Less than 60.
B)60-90.
C)90.
D)Greater than 100.
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Chapter 29: Nursing Care of People With Coronary Heart Disease
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Sample Questions
Q1) The person is being evaluated for left atrium thrombus due to a dysrhythmia (altered heart rhythm). Which of the following common cardiac tests will be ordered to assess for thrombus?
A)Blood pool imaging.
B)Cardiac catheterisation.
C)Thallium scan.
D)Transoesophageal echocardiography (TEE).
Q2) The person is having a treadmill test. Which of the following is an important teaching point?
A)Smoking is permitted up until the time of the test.
B)Comfortable clothing and shoes should be worn for the test.
C)The person is nil by mouth for 6-8 hours before the test.
D)A hospital gown and slippers should be worn for the test.
Q3) An older adult is being evaluated for age-related cardiac changes. Common age-related changes include which of the following? (Select all that apply.)
A)Decreased cardiac output.
B)Increased cardiac output.
C)Decreased stroke volume.
D)Decreased blood pressure.
Page 31
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Chapter 30: Nursing Care of People With Cardiac Disorders
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Sample Questions
Q1) The term 'pacemaker noncapture' requires the nurse to do the following: (Select all that apply.)
A)assess the person to determine their response to the pacemaker noncapture.
B)contact the doctor and describe what is documented on the ECG strip.
C)document the event by printing an ECG strip and making it part of the person's record.
D)administer glyceryl trinitrate sublingual stat.
Q2) The person has a pacemaker with one pacing spike seen on the ECG before every QRS complex. There is no change in the pacemaker rhythm over time, with rest or with activity. What type of pacemaker is this?
A)Atrial single-chamber pacing.
B)Asynchronous pacing.
C)Demand pacing.
D)Dual-chamber pacing.
Q3) What should a person who is taking a statin medication be monitored for?
A)Blood urea nitrogen and serum creatinine levels.
B)Constipation and sudden back pain.
C)Blood glucose and uric acid levels.
D)Serum cholesterol and liver enzymes.
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32
Chapter 31: Nursing Care of People With Vascular and Lymphatic Disorders
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Sample Questions
Q1) In the early postoperative period a person with a transplanted heart often requires low doses of which medication to support cardiac function and circulation?
A)Dopamine.
B)Enalapril.
C)Digoxin.
D)Anginine.
Q2) A person is admitted with acute heart failure. The nurse realises that acute heart failure is associated with an abrupt onset of which of the following?
A)Cardiomyopathy.
B)Pericarditis.
C)Hypertension.
D)Myocardial infarction (MI).
Q3) The nurse recognises which of the following as a sign of decreased cardiac output and tissue perfusion in a person with heart failure?
A)Impaired memory.
B)Increased urine output.
C)Joint pain.
D)Strong peripheral pulses.
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Chapter 32: Nursing Care of People With Hematologic Disorders
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Sample Questions
Q1) To which if the following are neutrophils considered closely connected?
A)Platelet count
B)Immune response
C)Total white blood cell count
D)Peripheral blood
Q2) A person diagnosed with leukaemia says, 'If I have too many white blood cells and white blood cells fight infections, why do I have to be careful not to be exposed to germs?' What is an appropriate response for the nurse to make? 10)______
A)'Your bone marrow can easily become infected.'
B)'The white blood cells with leukaemia aren't very effective in fighting infections.'
C)'That's not what leukaemia is.'
D)'Leukaemia means you have the wrong types of white blood cells.'
Q3) Which of the following causes relative polycythaemia?
A)Increased RBC production
B)Erythropoietin levels are elevated
C)Fluid deficit
D)Decreased RBC production
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Chapter 33: A Person-Centred Approach to Assessing the
Respiratory
System
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Q1) Which of the following describes what happens to the respiratory rate when the level of carbon dioxide increases?
A)Respiratory rate decreases
B)Respiratory rate increases
C)No change seen in the respiratory rate
D)Respiratory rate becomes erratic
Q2) A person's blood oxygen saturation level is 99% on room air. Through which of the following structures does the nurse realise that the oxygenated blood is transported to the heart ?
A)Pulmonary arteries
B)Jugular veins
C)Pulmonary veins
D)Superior vena cava
Q3) The nurse is preparing to auscultate a person's lungs. Which breath sounds should be considered abnormal? Select all that apply.
A)Bronchial
B)Crackles
C)Friction rub
D)Bronchovesicular
35
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Chapter 34: Nursing Care of People With Upper Respiratory Disorders
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Q1) A person tells the nurse, 'After I leave here, I need to get to the dentist. My upper teeth are hurting and I don't know why.' What should the nurse do?
A)End the visit quickly so the person can get to the dentist.
B)Reschedule the appointment for another time.
C)Check the person's nasopharynx.
D)Assess the person for a sinus infection.
Q2) A person says, 'My nose is always congested and it just seems to get worse with the nasal spray I've been using.' What does the nurse realise that this person is describing?
A)A chronic sinus infection that needs to be treated with antibiotics
B)Overuse of the nasal spray
C)Rebound nasal congestion
D)An adverse effect of the nasal spray
Q3) While recovering at home from a total laryngectomy, a person notices an increase in left shoulder weakness. What is this symptom consistent with?
A)Medication complication
B)Side effect of neck radiation therapy
C)Removal of the cervical lymph nodes
D)Damage to the spinal accessory nerve
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Chapter 35: Nursing Care of People With Ventilation Disorders
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Q1) A 20-year-old person who is asking questions about smoking cessation tells the nurse about an upcoming class on scuba diving. The nurse identifies that this person might be at risk of developing what?
A)Haemothorax
B)Pneumothorax
C)Pulmonary oedema
D)Atelectasis
Q2) The nurse is providing care to a person with a differential diagnosis of carbon monoxide poisoning. Which of the following would be consistent with this diagnosis? Select all that apply.
A)Cherry red mucous membranes
B)Nausea
C)Dizziness
D)Circumoral pallor
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Chapter 36: Nursing Care of People With Gas Exchange Disorders
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Q1) The nurse is providing care to a person with cystic fibrosis. Which of the following interventions would help prevent the onset of an acute illness?
A)Restrict fluid intake.
B)Administer an immunization.
C)Provide prophylactic anti-inflammatory therapy.
D)Monitor white blood cell count.
Q2) Which of the following would be considered the type of trigger for an asthmatic patient that experiences an exacerbation when in contact with house pets?
A)Psychosocial
B)Emotional stress
C)Physical factors
D)Environmental allergens
Q3) A person has a nasal endotracheal tube. What will this method of airway management result in?
A)Easier removal of secretions
B)Increased discomfort for the person
C)A greater chance of upper respiratory infection
D)Ability of the person to talk
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Chapter 37: A Person-Centred Approach to Assessing the
Musculoskeletal
System
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Q1) The person's right femur was fractured and repaired at the diaphysis. When teaching, the person asks the nurse to explain the diaphysis. What is the nurse's best response?
1)_______
A)'Short bones like the femur are cuboid, spongy bones are called the diaphysis.'
B)'Flat bones like the femur are disc-shaped and are called the diaphysis.'
C)'Irregular bones like the femur are plates of compact bone that are also called the diaphysis.'
D)'Long bones like the femur have a mid-portion or shaft that is also called the diaphysis.'
Q2) The nurse assesses a person and finds that a grating sound is present when a joint is bent and straightened. What is the appropriate medical term to describe this finding?
A)Bursitis.
B)Crepitation.
C)Synovitis.
D)Grinding.
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Chapter 38: Nursing Care of People With Musculoskeletal
Trauma
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Sample Questions
Q1) The nurse is teaching older adults about the risks for musculoskeletal trauma. What advice should the nurse include? Avoid:
A)wearing comfortable slippers.
B)installing grab bars next to the toilet.
C)injury by not using assistive devices at home.
D)fire by not cooking in the kitchen when alone.
Q2) What does the acronym RICE stand for in the RICE therapy plan?
A)Rest, immobilisation, convalescence and elimination of pain.
B)Rest, ice, compression and elevation.
C)Rest, immobilisation, compression and elevation.
D)Rest, ice, CT scan and elimination of pain.
Q3) What are the signs and symptoms of compartment syndrome? (Select all that apply.)
A)Decreased peripheral pulse.
B)Decrease in pain.
C)Increased draining.
D)Tingling in an extremity.
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Chapter 39: Nursing Care of People With Musculoskeletal Disorders
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Sample Questions
Q1) A person comes to the clinic complaining of severe pain in the right great toe that started at night. What is the most probable prognosis?
A)Osteoarthritis.
B)Scleroderma.
C)Gout.
D)A fracture of the right great toe.
Q2) Impaired physical mobility is a major nursing diagnosis for persons with osteoarthritis (OA). What nursing activity relates to this diagnosis?
A)Assessing the need for continuous narcotic analgesics to prevent pain in activities of daily living.
B)Assessing the range of motion of affected joints in order to plan appropriate interventions.
C)Encouraging taking care of own self-care needs in order to remain more active.
D)Encouraging consistently high activity levels in order to slow down the progression of the condition.
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Chapter 40: A Person-Centred Approach to Assessing the
Nervous
System
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Q1) One of the most common neurological diseases is characterised by abnormal cell firing in the brain. What does this disease cause in persons?
A)Migraines.
B)Decerebrate posturing.
C)Photophobia.
D)Seizures.
Q2) When the person is supine and the head is flexed to the chest without pain, resistance, or flexion of the hips or knees, the nurse is observing which neurological sign?
A)Brudzinski's sign.
B)Romberg's sign.
C)Kernig's sign.
D)Babinski's sign.
Q3) A The nurse is caring for a person scheduled for an Electromyogram (EMG). How should the nurse explain this test to the person?
A)It measures cerebral spinal fluid.
B)It measures the skeletal activity of the brain.
C)It measures the electrical activity of the skeletal muscles.
D)It is a diagnostic procedure for aneurysms.
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Chapter 41: Nursing Care of People With Intracranial Disorders
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Sample Questions
Q1) The nurse is caring for a person with vagal nerve stimulation therapy. What instructions should be given to this person?
A)'This therapy should improve your quality of life.'
B)'This treatment will prevent any seizures.'
C)'You will not need to take your antiepileptic medications after this therapy.'
D)'You will need to discharge the stimulator after a seizure.'
Q2) The nurse is caring for a person suspected of brain death. What are the generally recognised criteria to establish brain death? (Select all that apply.)
A)Frequent ocular response to head turning and caloric stimulation.
B)Flat electroencephalogram (EEG)on successive EEGs.
C)Pupils are equal and unreactive to light.
D)Absent motor and reflex movements.
Q3) The nurse is caring for a person with a head injury from a motor vehicle accident. What should the nurse assess for that would be a sign of increased intracranial pressure?
A)Pupils are reactive to light.
B)Bradycardia.
C)Tachycardia.
D)Change in mental status.
Page 43
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Chapter 42: Nursing Care of People With Cerebrovascular and Spinal Cord Disorders
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Sample Questions
Q1) A hospitalised person has become unresponsive. The left side of the body is flaccid. The attending doctor believes the person may have had a stroke (CVA). What is the nurse's priority intervention?
A)Monitor any deterioration in urinary output.
B)Perform neurological observations.
C)Assess the airway and breathing.
D)Assess blood pressure.
Q2) When caring for a person just admitted post-stroke (CVA), who has altered consciousness, the nurse should place the person in which position?
A)Flat.
B)High Fowler's.
C)Side-lying.
D)Prone.
Q3) The most common type of brain attack (CVA)is related to which of the following?
A)Migraines.
B)Ischaemia.
C)Haemorrhage.
D)Seizures.
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Chapter 43: Nursing Care of People With Neurologic Disorders
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Sample Questions
Q1) A surgical option for persons younger than 60 with myasthenia gravis (MG)is thymectomy. Approximately what percentage of persons obtain remission with the surgery?
A)10%.
B)40%.
C)75%.
D)100%.
Q2) The nurse is assessing a person with myasthenia gravis. Which of the following is characteristic of this disease?
A)Routine exercise provides an improvement in muscle strength.
B)Great improvement occurs in muscle strength with physical therapy.
C)Diplopia is an early symptom.
D)No improvement occurs in muscle strength with any treatment.
Q3) The nurse is caring for an older adult newly diagnosed with Parkinson's disease. What medication does the nurse expect to administer?
A)Glyceryl trinitrate (Anginine).
B)Paracetamol (Panadol).
C)Sodium valproate (Epilim).
D)Levodopa (Leradopa).
Page 45
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Chapter 44: A Person-Centred Approach to Assessing the Eye and Ear
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Sample Questions
Q1) A person is having difficulty maintaining equilibrium. Which part of the ear is involved with this symptom?
A)Ossicles
B)Oval window
C)Auricles
D)Labyrinth
Q2) The nurse, preparing to assess visual fields, obscures the vision of the person's right eye with an opaque covering. What should the nurse do next?
A)Cover own right eye.
B)Cover own left eye.
C)Observe the movements of the person's eye.
D)Assess the convergence of the person's eye.
Q3) A person is found to have small, raised lesions on the rim of the ear. What does this finding indicate?
A)Renal impairment
B)Hypertension
C)Cardiac disease
D)Gout
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Chapter 45: Nursing Care of People With Eye and Ear Disorders
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Sample Questions
Q1) A person is experiencing a severe episode of Ménière's disease. Which medication may help to reduce the sensations of spinning and nausea?
A)Hydrochlorothiazide (Dithiazide)
B)Diazepam (Valium)
C)Amoxicillin (Amoxil)
D)Prochlorperazine (Stemetil)
Q2) A person with COPD is being treated for glaucoma. What medication will most likely be prescribed for this person?
A)Thiazide diuretic
B)Antibiotic
C)Beta-blocker
D)Adrenergic agonist
Q3) What should the nurse instruct a teenager who is diagnosed with a corneal abrasion?
A)Be very careful when rubbing the affected eye.
B)Use eye drops until the symptoms moderate.
C)Do not share or use another person's eye makeup.
D)Only share a towel with family members.
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Chapter 46: A Person-Centred Approach to Assessing the
Male and Female Reproductive Systems
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Sample Questions
Q1) A woman is scheduled for an ultrasound to study the uterus. What should the nurse instruct this woman to do? Select all that apply.
A)Take a suppository the night before the test to clear the colon.
B)Take no food after midnight the day before the test.
C)Increase fluid intake before the exam.
D)A local anaesthetic will need to be given.
E)Do not void until after the exam to keep the bladder full.
Q2) A man has an infection of his epididymis. Because of this infection the person will have a reduction in what?
A)Mature sperm
B)Testosterone production
C)Sperm production
D)The ability to ejaculate
Q3) A specimen has been taken from a lesion on a man's penis and is sent for fluorescent treponemal antibody absorption. What might this lesion be indicative of?
A)Chlamydia
B)Syphilis
C)Genital warts
D)Gonorrhoea
Page 48
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Chapter 47: Nursing Care of Men With Reproductive System and
Breast Disorders
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Sample Questions
Q1) A man reports concern about a recent increase in breast tissue. What should the nurse do to assist this man?
A)Explain that this is usually self-limiting and will go away in time.
B)Review current medications.
C)Suggest a mammogram.
D)Recommend a breast biopsy to learn the reason for the increase in breast tissue.
Q2) A man is concerned about ongoing premature ejaculation. What can the nurse do to assist this man?
A)Tell the man that the condition is temporary and will disappear in time.
B)Assess his current medications for possible side effects.
C)Determine whether the man is experiencing significant levels of stress.
D)Suggest that the man wear a condom with sexual activity.
Q3) A man with a swollen scrotum is diagnosed with fluid within the scrotal sac. For which health problem should the nurse prepare teaching for this person?
A)Hydrocele
B)Epididymitis
C)Phimosis
D)Spermatocele
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Chapter 48: Nursing Care of Women With Reproductive
System and Breast Disorders
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Sample Questions
Q1) A woman is recovering from breast cancer surgery that included axillary node dissection. What is this woman at risk of developing?
A)Lymphoedema
B)Chronic anaemia
C)Metastasis
D)Extensive postoperative scarring
Q2) A postmenopausal woman is diagnosed with cervical dysplasia caused by the human papillomavirus. What procedure will both diagnose and treat the dysplasia?
A)Loop electrosurgical excision procedure (LEEP)
B)Colposcopy
C)Cryosurgery
D)Cervical biopsy
Q3) A woman of child-bearing age is diagnosed with large uterine fibroids. Since the woman wants to have children, what will the treatment most likely be?
A)Gonadotropin-releasing hormone (GnRH)antagonists.
B)Removal of the tumour.
C)Oestrogen replacement.
D)Anti-inflammatory medications.
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Chapter 49: Nursing Care of People With Sexually
Transmitted Infections
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Q1) A woman, who missed two previous appointments, is seen for a continued infection that caused pelvic inflammatory disease. Which of the following instructions should the nurse include in the teaching session?
A)The need for meticulous personal hygiene.
B)The need to commence birth control pills while being treated.
C)The necessity of continuing with the anti-inflammatory medications.
D)The need to keep appointments and to complete all prescribed medications.
Q2) A woman is seen for a new onset of blisters on the labia majora. What is this woman experiencing?
A)First episode of a herpes virus infection.
B)Latency period of the herpes virus infection.
C)An adverse reaction to her current birth control methods.
D)Prodromal symptoms of the herpes virus.
Q3) A person with genital herpes is experiencing increased pain with urination. What should the nurse suggest to this person?
A)Drink more cranberry juice.
B)Commence a course of urinary antibiotics.
C)Drink more water.
D)Take a urinary acidifier.
Page 51
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Chapter 50: Mental Healthcare in the Australian Context
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Q1) Which are symptoms of depression? Select all that apply.
A)Sleeping more than usual
B)Faster thinking than usual
C)Grandiose delusions
D)Reduced motivation
E) Indifference
Q2) Approximately what percentage of persons in Australia presenting with alcohol and other drug problems also have additional mental health problems?
A)5%
B)20%
C)50%
D)75%
Q3) What does the concept of Recovery mean in the context of mental health nursing? The person: 7)_______
A)is fully rehabilitated.
B)establishes a new and valued sense of identity, role and purpose.
C)is no longer a threat to others.
D)is cured of mental illness.
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52
Chapter 51: Community Care
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Q1) The nurse is teaching a group of persons at a senior citizen's centre about ways to reduce their blood pressure through exercise and recreation. What type of care is this nurse providing?
A)Community health
B)Skilled nursing
C)Community-based
D)Ambulatory
Q2) Tobacco smoking would be considered which type of social determinant?
A)Distal determinant
B)Intermediate determinant
C)Proximal determinant
D)Not considered a determinant
Q3) The community nurse sees that the person uses a walker and oxygen. During the home assessment, the nurse identifies several safety concerns. Which of the following should the nurse be most concerned about in the person's home?
A)Throw rugs everywhere in the home
B)Light switches at arm's length
C)Grab bars in the bathroom and toilet
D)Large spaces between the furniture in the living and dining room
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Page 53
Chapter 52: Nursing Care of Clients in Regional, Rural and Remote Areas of Australia
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Sample Questions
Q1) In an emergency nursing care triage, what is the purpose of the primary survey?
A)Evaluation of the person's relevant previous medical history
B)Identification of all acute conditions
C)Assessment of mental health
D)A comprehensive head-to-toe physical assessment
Q2) What are four of the components of the initial emergency response to persons with potentially life-threatening conditions?
A)Danger, breathing, circulation and education
B)Danger, rescue, cognition and airway
C)Airway, circulation, disability and exposure
D)Rescue, airway, circulation and diagnosis
Q3) How does the participation rate for health screening programs among rural and remote communities compare to the participation rate of urban communities?
A)It is lower.
B)It is the same.
C)It is higher.
D)It is significantly higher.
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