Medical-Surgical Nursing Exam Review
Course Introduction
Medical-Surgical Nursing is a foundational course designed to equip students with the knowledge and skills necessary to care for adult patients experiencing a wide range of acute and chronic health conditions. The course emphasizes the nursing process, clinical decision-making, and evidence-based interventions in the management of diseases affecting various body systems. Topics include pathophysiology, assessment, pharmacology, perioperative care, infection control, patient education, and interdisciplinary collaboration. By integrating theoretical concepts with practical application, students develop critical thinking, clinical reasoning, and effective communication skills essential for delivering safe, compassionate, and holistic patient care in diverse healthcare settings.
Recommended Textbook
Medical Surgical Nursing 8th Edition by Sharon L. Lewis
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69 Chapters
1771 Verified Questions
1771 Flashcards
Source URL: https://quizplus.com/study-set/1584 Page 2
Chapter 1: Contemporary Nursing Practice
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31398
Sample Questions
Q1) The nurse primarily uses the nursing process in the care of patients
A) to explain nursing interventions to other health care professionals
B) as a problem-solving tool to identify and treat patients' health care needs
C) as a scientific-based process of diagnosing the patient's health care problems
D) to establish nursing theory that incorporates the biopsychosocial nature of humans
Answer: B
Q2) A nursing activity that is carried out during the evaluation phase of the nursing process is
A) determining if interventions have been effective in meeting patient outcomes.
B) documenting the nursing care plan in the progress notes in the medical record.
C) deciding whether the patient's health problems have been completely resolved.
D) asking the patient to evaluate whether the nursing care provided was satisfactory.
Answer: A
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3
Chapter 2: Health Disparities and Culturally Competent Care
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/31399
Sample Questions
Q1) The nurse obtains information about all these areas during the health interview for a new patient. Which area will be the focus of patient teaching?
A) Age and gender
B) Hispanic/Latino ethnicity
C) Family history of diabetes
D) Refined carbohydrate intake
Answer: D
Q2) The nurse working in a clinic in a primarily African American community notes a higher incidence of uncontrolled hypertension in clinic patients than the national average. To correct this health disparity, which action should the nurse take first?
A) Initiate a regular home-visit program by nurses working at the clinic.
B) Schedule teaching sessions about hypertension at community events.
C) Assess the perceptions of community members about the care at the clinic.
D) Obtain low-cost antihypertensive drugs using funding from government grants. Answer: C
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4
Chapter 3: Health History and Physical Examination
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31400
Sample Questions
Q1) A nurse is performing a health history and physical examination for a patient with right-sided rib fractures. The pertinent negative finding is that the patient
A) states that there have been no other health problems recently.
B) denies having pain when the area over the fractures is palpated.
C) has several bruised and swollen areas on the right anterior chest.
D) refuses to take a deep breath because of the associated chest pain.
Answer: B
Q2) The nurse records the following general survey of a patient: "The patient is a 68-year-old male Asian attended by his wife and two daughters. Alert and oriented. Does not make eye contact with the nurse and responds slowly, but appropriately, to questions. No apparent disabilities or distinguishing features." Additional information that should be added to this general survey includes
A) nutritional status.
B) intake and output.
C) reasons for contact with the health care system.
D) comments of family members about his condition.
Answer: A
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Chapter 4: Patient and Caregiver Teaching
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/31401
Sample Questions
Q1) A patient with newly diagnosed breast cancer has a nursing diagnosis of deficient knowledge about breast cancer. When the nurse is planning teaching for the patient, which is the most important initial learning goal?
A) The patient will select the most appropriate breast cancer therapy.
B) The patient will state ways of preventing the recurrence of the tumor.
C) The patient will demonstrate coping skills needed to manage the disease.
D) The patient will choose methods to minimize adverse effects of treatment.
Q2) When assessing the learning needs for a patient who has coronary heart disease, the nurse finds that the patient has recently made dietary changes to decrease fat intake and has stopped smoking. The best initial statement by the nurse at this time is
A) "Although those are important, it is essential that you make other changes, too."
B) "Are you having any difficulty in maintaining the changes you have already made?"
C) "You have already accomplished some changes that are important in heart health."
D) "Which additional changes in your lifestyle would you like to implement at this time?"
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6
Chapter 5: Chronic Illness and Older Adults
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/31402
Sample Questions
Q1) Which information obtained by the home health nurse when making a visit to an 88-year-old with mild forgetfulness is of concern?
A) The patient tells the nurse that a close friend recently died.
B) The patient has lost 10 pounds (4.5 kg) during the last month.
C) The patient is cared for by a daughter during the day and stays with a son at night.
D) The patient's son uses a marked pillbox to set up the patient's medications weekly.
Q2) When caring for an older adult who lives in a rural area, the nurse will plan to
A) assess the patient for chronic diseases that are unique to rural areas.
B) ensure transportation to appointments with the health care provider.
C) suggest that the patient move to an urban area for better health care.
D) obtain adequate medications for the patient to last for 4 to 6 months.
Q3) When admitting a 79-year-old patient who has urinary urgency and a possible urinary tract infection (UTI), the nurse should first
A) assess the patient's orientation.
B) inspect for abdominal distention.
C) question the patient about hematuria.
D) invite the patient to use the bathroom.
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Page 7
Chapter 6: Community-Based Nursing and Home Care
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/31403
Sample Questions
Q1) When making an initial home visit, the most appropriate approach by the nurse is to
A) ask the patient and family what their expectations are.
B) tell the patient and family all of the planned interventions.
C) instruct the family members that they will need to participate in care.
D) discuss the importance of following through with health care provider orders.
Q2) A patient who was in an automobile accident is assigned a nurse as a case manager. The responsibilities of the nurse in this role are to
A) care for the patient during hospitalization for the injuries.
B) assist the patient with home care activities during recovery.
C) coordinate the services that the patient receives in the hospital and at home.
D) determine the types of medical care the patient needs for optimal rehabilitation.
Q3) Which of these patients should the nurse refer for Medicare-reimbursed home health services?
A) A 71-year-old with dementia who needs 24-hour care to prevent injury
B) An 82-year-old whose family has asked for respite care for a few days a month
C) A 67-year-old who requires assistance with shopping, housework, and cooking
D) A 79-year-old who needs to have medications placed in a marked pillbox weekly
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Chapter 7: Complementary and Alternative Therapies
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/31404
Sample Questions
Q1) Which information will the nurse include when discussing the use of herbal remedies with a patient who uses a variety of herbs for health maintenance?
A) Herbs should be purchased only from manufacturers with a history of quality control.
B) Most herbs are toxic and carcinogenic and should be used only when proven effective.
C) Herbs are no better than conventional drugs in maintaining health and may be less safe.
D) Frequent medical evaluation is required during the use of herbs to avoid adverse effects.
Q2) A patient who has nausea associated with chemotherapy asks the nurse whether there are any complementary and alternative therapies that might be effective. The nurse should discuss the use of
A) green tea.
B) acupuncture.
C) black cohosh.
D) chiropractic therapy.
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Chapter 8: Stress and Stress Management
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/31405
Sample Questions
Q1) An overweight patient who enjoys active outdoor activities develops arthritis in the knees. Which action by the nurse will be best to assist the patient in coping with the diagnosis?
A) Ask the patient to discuss feelings about the diagnosis.
B) Have the patient practice frequent relaxation breathing.
C) Educate the patient on the use of imagery to decrease pain and decrease stress.
D) Encourage the patient to think about how weight loss might improve symptoms.
Q2) When choosing music to help relax a patient who is having a painful dressing change, which action is best for the nurse to take?
A) Use music composed by Mozart.
B) Ask the patient about music preferences.
C) Select music that has 60 to 80 beats/minute.
D) Encourage the patient to use music without words.
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Chapter 9: Sleep and Sleep Disorders
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/31406
Sample Questions
Q1) Which action is best for the nurse to include in the plan of care in order to improve sleep quality for a critically ill patient in the intensive care unit (ICU)?
A) Ask all visitors to leave the ICU for the night.
B) Lower the level of light from 8:00 PM until 7:00 AM.
C) Avoid the use of opioids for pain relief during the evening hours.
D) Schedule assessments to allow at least 4 hours of uninterrupted sleep.
Q2) A patient with sleep apnea who received a new prescription for a continuous positive airway pressure (CPAP) device a week ago returns to the clinic and says that severe daytime fatigue is still a problem. Which action should the nurse take first?
A) Teach about radiofrequency ablation.
B) Plan to schedule a night time PSG study.
C) Ask the patient whether the CPAP is being used every night.
D) Discuss the possible surgical approaches used for sleep apnea.
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Chapter 10: Pain
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/31407
Sample Questions
Q1) A patient with chronic cancer pain is receiving imipramine (Tofranil) in addition to long-acting morphine for pain control. Which information is the best indicator that the imipramine is effective?
A) The patient sleeps 8 hours every night.
B) The patient has no symptoms of anxiety.
C) The patient states, "I feel much less depressed since I've been taking the imipramine."
D) The patient states, "The pain is manageable, and I can accomplish my desired activities.
Q2) Which nursing action should the nurse delegate to nursing assistive personnel ( NAP ) when caring for a patient who is using a fentanyl ( Duragesic ) patch and a heating pad for treatment of chronic back pain?
A) Assess the skin under the heating pad.
B) Check the respiratory rate every 2 hours.
C) Monitor sedation using the sedation assessment scale.
D) Ask the patient about whether pain control is effective.
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Chapter 11: Palliative Care at End of Life
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31408
Sample Questions
Q1) As the nurse admits a patient with severe heart failure to the hospital, the patient tells the nurse, "If my heart or breathing stop, I do not want to be resuscitated." Which action is best for the nurse to take?
A) Ask if these wishes have been discussed with the health care provider.
B) Place a "Do Not Resuscitate" (DNR) notation in the patient's care plan.
C) Inform the patient that a notarized advance directive must be included in the record or resuscitation must be performed.
D) Advise the patient to designate a person to make health care decisions when the patient is not able to make them independently.
Q2) The spouse of a patient with terminal lung cancer visits daily and cheerfully talks with the patient about vacation plans for the next year. When the nurse asks about any concerns, the spouse says, "I'm busy at work, but otherwise things are fine." An appropriate nursing diagnosis is
A) ineffective coping related to lack of grieving.
B) anxiety related to complicated grieving process.
C) caregiver role strain related to feeling overwhelmed.
D) hopelessness related to knowledge deficit about cancer.
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Chapter 12: Addictive Behaviors
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/31409
Sample Questions
Q1) A patient in the outpatient clinic who is using a nicotine patch (Nicoderm CQ) tells the nurse about waking frequently during the night. Which action is best for the nurse to take?
A) Question the patient about use of the patch at night.
B) Suggest that the patient go to bed earlier in the evening.
C) Ask the health care provider about prescribing a sedative drug for nighttime use.
D) Remind the patient that the benefits of the patch outweigh the short-term insomnia.
Q2) A patient who is alcohol-intoxicated must undergo emergency surgery for abdominal trauma. The nurse anticipates that during the perioperative period, the patient
A) will require an increased dose of the general anesthetic medication.
B) will need frequent monitoring for bleeding and respiratory complications.
C) is likely to develop withdrawal symptoms within a few hours after surgery.
D) should be stimulated every hour to prevent prolonged postoperative sedation.
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14
Chapter 13: Inflammation and Wound Healing
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/31410
Sample Questions
Q1) A patient who is confined to bed and who has a stage II pressure ulcer is being cared for in the home by family members. To prevent further tissue damage, the home care nurse instructs the family members that it is most important to
A) change the patient's bedding frequently.
B) use a hydrocolloid dressing over the ulcer.
C) record the size and appearance of the ulcer weekly.
D) change the patient's position at least every 2 hours.
Q2) Which nursing action is most likely to detect early signs of infection in a patient who is taking immunosuppressive medications?
A) Monitor white blood cell count.
B) Check the skin for areas of redness.
C) Check the temperature every 2 hours.
D) Ask about fatigue or feelings of malaise.
Q3) A patient's temperature has been 101° F (38.3° C) for several days. The patient's normal caloric intake to meet nutritional needs is 2000 calories per day. Knowing that the metabolic rate increases 7% for each Fahrenheit degree above 100° in body temperature, calculate the total calories the patient should receive each day.
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Chapter 14: Genetics, Altered Immune Responses, and Transplantation
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/31411
Sample Questions
Q1) Immediately after the nurse administers an intracutaneous injection of an allergen on the forearm, a patient complains of itching at the site and of weakness and dizziness. The nurse should first
A) remind the patient to remain calm.
B) administer subcutaneous epinephrine.
C) apply a tourniquet above the injection site.
D) rub a local anti-inflammatory cream on the site.
Q2) A patient is admitted to the hospital with acute rejection of a kidney transplant. The nurse will anticipate
A) administration of immunosuppressant medications.
B) insertion of an arteriovenous graft for hemodialysis.
C) placement of the patient on the transplant waiting list.
D) drawing blood for human leukocyte antigen ( HLA ) and ABO compatibility matching.
Q3) The nurse will monitor a patient who is undergoing plasmapheresis for
A) shortness of breath.
B) high blood pressure.
C) transfusion reactions.
D) numbness and tingling.
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Chapter 15: Infection and Human Immunodeficiency Virus
Infection
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/31412
Sample Questions
Q1) A 24-year-old woman who uses injectable illegal drugs asks the nurse about preventing AIDS. The nurse informs the patient that the best way to reduce the risk of HIV infection from drug use is to
A) participate in a needle-exchange program.
B) clean drug injection equipment before use.
C) ask those who share equipment to be tested for HIV.
D) avoid sexual intercourse when using injectable drugs.
Q2) A patient who has been treated for HIV infection for 7 years has developed fat redistribution to the trunk, with wasting of the arms, legs, and face. The nurse will anticipate teaching the patient about
A) the benefits of daily exercise.
B) foods that are higher in protein.
C) treatment with antifungal agents.
D) a change in antiretroviral therapy.
Q3) To evaluate the effectiveness of ART, the nurse will schedule the patient for A) viral load testing.
B) enzyme immunoassay.
C) rapid HIV antibody testing.
D) immunofluorescence assay.
Page 17
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Chapter 16: Cancer
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/31413
Sample Questions
Q1) A patient receiving head and neck radiation has ulcerations over the oral mucosa and tongue and thick, ropey saliva. The nurse will teach the patient to
A) remove food debris from the teeth and oral mucosa with a stiff toothbrush.
B) use cotton-tipped applicators dipped in hydrogen peroxide to clean the teeth.
C) gargle and rinse the mouth several times a day with an antiseptic mouthwash.
D) rinse the mouth before and after each meal and at bedtime with a saline solution.
Q2) A patient with leukemia is considering whether to have hematopoietic stem cell transplantation. Which information will be included in patient teaching?
A) Transplant of the donated cells is painful because of the nerves in the tissue lining the bone.
B) Donor bone marrow cells are transplanted through an incision into the sternum or hip bone.
C) The transplant procedure takes place in a sterile operating room to minimize the risk for infection.
D) Hospitalization will be required for several weeks after the hematopoietic stem cell transplant (HSCT).
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Page 18
Chapter 17: Fluid, Electrolyte, and Acid-Base Imbalances
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/31414
Sample Questions
Q1) When caring for an alert and oriented elderly patient with a history of dehydration, the home health nurse will teach the patient to increase fluid intake
A) in the late evening hours.
B) if the oral mucosa feels dry.
C) when the patient feels thirsty.
D) as soon as changes in level of consciousness ( LOC ) occur.
Q2) Which of these actions can the nurse who is caring for a critically ill patient with multiple intravenous (IV) lines delegate to an experienced LPN?
A) Administer IV antibiotics through the implantable port.
B) Monitor the IV sites for redness, swelling, or tenderness.
C) Remove the patient's nontunneled subclavian central venous catheter.
D) Adjust the flow rate of the 0.9% normal saline in the peripheral IV line.
Q3) When the nurse is evaluating the fluid balance for a patient admitted for hypovolemia associated with multiple draining wounds, the most accurate assessment to include is
A) skin turgor.
B) daily weight.
C) presence of edema.
D) hourly urine output.
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Page 19
Chapter 18: Nursing Management: Preoperative Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/31415
Sample Questions
Q1) An alert 82-year-old who has poor hearing and vision is receiving preoperative teaching from the nurse. His wife response most questions directed to the patient. Which action should the nurse take when doing the teaching?
A) Use printed materials for instruction so that the patient will have more time to review the material.
B) Direct the teaching toward the wife because she is the obvious support and caregiver for the patient.
C) Provide additional time for the patient to understand preoperative instructions and carry out procedures.
D) Ask the patient's wife to wait in the hall in order to focus preoperative teaching with the patient himself.
Q2) A patient who is scheduled for surgery in a week tells the nurse doing the preoperative assessment about an allergy to bananas, kiwifruit, and latex products. Which action is most important for the nurse to take?
A) Notify the dietitian about the food allergies.
B) Alert the surgery center about the latex allergy.
C) Reassure the patient that all allergies are noted on the medical record.
D) Ask whether the patient uses antihistamines to reduce allergic reactions.
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Chapter 19: Nursing Management: Intraoperative Care
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/31416
Sample Questions
Q1) A patient's family history reveals that the patient may be at risk for malignant hyperthermia (MH) during anesthesia. The nurse explains to the patient that
A) anesthesia can be administered with minimal risks with the use of appropriate precautions and medications.
B) as long as succinylcholine (Anectine) is not administered as a muscle relaxant, the reaction should not occur.
C) surgery must be performed under local anesthetic to prevent development of a sudden, extreme increase in body temperature.
D) surgery will be delayed until the patient is genetically tested to determine whether he or she is susceptible to malignant hyperthermia.
Q2) When the nurse caring for a patient before surgery has a question about a sedative medication to be given before sending the patient to the surgical suite, the nurse will communicate with the
A) surgeon.
B) anesthesiologist.
C) circulating nurse.
D) registered nurse first assistant ( RNFA ).
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Chapter 20: Nursing Management: Postoperative Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/31417
Sample Questions
Q1) When a patient is transferred from the postanesthesia care unit (PACU) to the clinical surgical unit, the first action by the nurse on the surgical unit should be to
A) assess the patient's pain.
B) take the patient's vital signs.
C) read the postoperative orders.
D) check the rate of the IV infusion.
Q2) After removal of the nasogastric (NG) tube on the second postoperative day, the patient is placed on a clear liquid diet. Four hours later, the patient complains of sharp, cramping gas pains. Which action should the nurse take?
A) Reinsert the NG tube.
B) Give the PRN IV opioid.
C) Assist the patient to ambulate.
D) Place the patient on NPO status.
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Chapter 21: Nursing Assessment: Visual and Auditory Systems
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/31418
Sample Questions
Q1) When taking a health history from a new patient in the outpatient clinic, which information may indicate the need to perform a focused hearing assessment?
A) The patient uses albuterol (Proventil) for acute asthma.
B) The patient takes atenolol (Tenormin) to prevent angina.
C) The patient uses acetaminophen (Tylenol) frequently for headaches.
D) The patient has taken ibuprofen (Advil) for 20 years to treat arthritis.
Q2) The nurse is assessing a 48-year-old patient for presbyopia. Which equipment will the nurse need to obtain before the examination?
A) Penlight
B) Tono-pen
C) Jaeger chart
D) Snellen chart
Q3) Which action will the nurse include in the plan of care for a patient who has vestibular disease?
A) Check Rinne and Weber tests.
B) Face the patient when speaking.
C) Enunciate clearly when speaking.
D) Monitor the patient's ability to ambulate safely.
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Chapter 22: Nursing Management: Visual and Auditory
Problems
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/31419
Sample Questions
Q1) In reviewing a 50-year-old patient's medical record, the nurse notes that the last eye examination revealed an intraocular pressure of 28 mm Hg. The nurse will plan to assess
A) visual acuity.
B) pupil reaction.
C) color perception.
D) peripheral vision.
Q2) The priority nursing diagnosis for a patient with Ménière's disease who is experiencing an acute attack is
A) risk for falls related to dizziness.
B) impaired verbal communication related to tinnitus.
C) self-care deficit (bathing and dressing) related to vertigo.
D) imbalanced nutrition: less than body requirements related to nausea.
Q3) To determine whether treatment is effective for a patient with primary open-angle glaucoma (POAG), the nurse will evaluate the patient for improvement in
A) eye pain.
B) visual field.
C) blurred vision.
D) depth perception.
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Chapter 23: Nursing Assessment: Integumentary System
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/31420
Sample Questions
Q1) When taking the health history for a patient, the nurse discovers that the patient works as a roofer. The nurse will plan to teach the patient about how to self-assess for clinical manifestations of (select all that apply)
A) alopecia.
B) intertrigo.
C) wrinkling.
D) erythema.
E) actinic keratosis.
Q2) Which assessment information documented in a patient's chart indicates that the nurse may need to continue to monitor the skin condition of an 82-year-old patient admitted with bacterial pneumonia?
A) "Scattered macular brown areas on extremities"
B) "Skin brown and wrinkled, skin tenting on forearm"
C) "Longitudinal nail bed ridges noted, sparse scalp hair"
D) "Skin moist and intact; states history of allergic rashes"
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Chapter 24: Nursing Management: Integumentary
Problems
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/31421
Sample Questions
Q1) A patient with an enlarging, irregular mole that is 6 mm in diameter is scheduled for outpatient treatment. The nurse should plan on teaching the patient about A) curettage.
B) cryosurgery.
C) punch biopsy.
D) surgical excision.
Q2) A patient is diagnosed with basal cell carcinoma ( BCC ) of the face. Which information should be included in patient teaching?
A) Treatment plans include watchful waiting.
B) Screening for metastasis will be important.
C) Low dose systemic chemotherapy is used to treat BCC.
D) Minimizing sun exposure will reduce risk for future BCC.
Q3) When examining a patient's scalp, the nurse suspects the presence of pediculosis on finding
A) ringlike rashes with red, scaly borders over the entire scalp.
B) papular, wheal-like lesions with white deposits on the hair shaft.
C) patchy areas of alopecia with small vesicles and excoriated areas.
D) red, hivelike papules and plaques with sharply circumscribed borders.
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Chapter 25: Nursing Management: Burns
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/31422
Sample Questions
Q1) After an employee spills industrial acids on the arms and legs at work, what is the priority action that the occupational health nurse at the facility should take?
A) Apply an alkaline solution to the affected area.
B) Place cool compresses on the area of exposure.
C) Cover the affected area with dry, sterile dressings.
D) Flush the burned area with large amounts of water.
Q2) Which of these actions should the nurse take first when a patient arrives in the emergency department with facial and chest burns caused by a house fire?
A) Infuse the ordered IV solution.
B) Auscultate the patient's lung sounds.
C) Determine the extent and depth of the burns.
D) Administer the ordered opioid pain medications.
Q3) To maintain adequate nutrition for a patient who has just been admitted with a 40% total body surface area ( TBSA ) burn injury, the nurse will plan to
A) insert a feeding tube and initiate enteral feedings.
B) infuse total parenteral nutrition via a central catheter.
C) encourage an oral intake of at least 5000 kcal per day.
D) administer multiple vitamins and minerals in the IV solution.
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Chapter 26: Nursing Assessment: Respiratory System
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/31423
Sample Questions
Q1) A patient with chronic hypoxemia ( SaO<sub>2</sub> levels of 89% to 90% ) caused by chronic obstructive pulmonary disease ( COPD ) has been hospitalized with increasing shortness of breath. In planning for discharge, which of these actions by the nurse will be most effective in improving compliance with discharge teaching?
A) Arrange for the patient's spouse to be present during the teaching.
B) Start giving the patient discharge teaching on the day of admission.
C) Accomplish the patient teaching just before the scheduled discharge.
D) Have the patient repeat the instructions immediately after the teaching.
Q2) The nurse is observing a student who is listening to a patient's lungs. Which action by the student indicates a need to review respiratory assessment skills?
A) The student compares breath sounds from side to side.
B) The student listens only over the posterior part of the chest.
C) The student places the stethoscope over the scapulae and then auscultates.
D) The student starts at the base of the posterior lung and moves to the apices.
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Chapter 27: Nursing Management: Upper Respiratory
Problems
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/31424
Sample Questions
Q1) The nurse is caring for a spontaneously breathing patient who has a tracheostomy. To determine that the patient can protect the airway when eating without having the tracheostomy cuff inflated, the nurse will deflate the cuff and A) ask the patient to say a few sentences.
B) monitor for signs of respiratory distress.
C) have the patient drink a small amount of grape juice and observe for coughing.
D) auscultate the lungs for crackles after having the patient take a few sips of water.
Q2) The nurse obtains the following assessment data in a 76-year-old patient who has influenza. Which information will be most important to communicate to the health care provider?
A) Fever of 100.4° F ( 38° C )
B) Diffuse crackles in the lungs
C) Sore throat and frequent cough
D) Myalgia and persistent headache
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Chapter 28: Nursing Management: Lower Respiratory
Problems
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/31425
Sample Questions
Q1) A patient with primary pulmonary hypertension ( PPH ) is receiving nifedipine ( Procardia ). The nurse will evaluate that the treatment is effective if A) the BP is less than 140/90 mm Hg.
B) the patient reports decreased exertional dyspnea.
C) the heart rate is between 60 and 100 beats/minute.
D) the patient's chest x-ray indicates clear lung fields.
Q2) The nurse notes that a patient has incisional pain, a poor cough effort, and scattered rhonchi after a thoracotomy. Which action should the nurse take first?
A) Assist the patient to sit up at the bedside.
B) Splint the patient's chest during coughing.
C) Medicate the patient with the prescribed morphine.
D) Have the patient use the prescribed incentive spirometer.
Q3) A patient with bacterial pneumonia has rhonchi and thick sputum. Which action will the nurse use to promote airway clearance?
A) Assist the patient to splint the chest when coughing.
B) Educate the patient about the need for fluid restrictions.
C) Encourage the patient to wear the nasal oxygen cannula.
D) Instruct the patient on the pursed lip breathing technique.
To view all questions and flashcards with answers, click on the resource link above. Page 30
Chapter 29: Nursing Management: Obstructive Pulmonary Diseases
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/31426
Sample Questions
Q1) A patient with cystic fibrosis (CF) has blood glucose levels that are consistently 200 to 250 mg/dL. Which nursing action will the nurse plan to implement?
A) Discuss the role of diet in blood glucose control.
B) Educate the patient about administration of insulin.
C) Give oral hypoglycemic medications before meals.
D) Evaluate the patient's home use of pancreatic enzymes.
Q2) Which information will the nurse include when teaching the patient with asthma about the prescribed medications?
A) Utilize the inhaled corticosteroid when shortness of breath occurs.
B) Inhale slowly and deeply when using the dry-powder inhaler (DPI).
C) Hold your breath for 5 seconds after using the bronchodilator inhaler.
D) Tremors are an expected side effect of rapidly acting bronchodilators.
Q3) A patient seen in the asthma clinic has recorded daily peak flows that are 85% of the baseline. Which action will the nurse plan to take?
A) Teach the patient about the use of oral corticosteroids.
B) Administer a bronchodilator and recheck the peak flow.
C) Instruct the patient to continue to use current medications.
D) Evaluate whether the peak flow meter is being used correctly.
To view all questions and flashcards with answers, click on the resource link above. Page 31
Chapter 30: Nursing Assessment: Hematologic System
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31427
Sample Questions
Q1) The history and physical for a newly admitted patient states that the complete blood count ( CBC ) shows a "shift to the left." The nurse will plan to monitor the patient for
A) cool extremities.
B) pallor and weakness.
C) elevated temperature.
D) low oxygen saturation.
Q2) When evaluating the red cell indices of a patient, the nurse knows that a low mean corpuscular volume (MCV) indicates
A) hypochromic red blood cells (RBCs).
B) inadequate numbers of RBCs.
C) low hemoglobin in the RBCs.
D) small size of the RBCs
Q3) A patient's complete blood count shows a hemoglobin of 20 g/dL and a hematocrit of 54%. Which question should the nurse ask to determine possible causes of this finding?
A) "Has there been any recent weight loss?"
B) "Do you have any history of lung disease?"
C) "What is your intake of fruits and vegetables?"
D) "Have you noticed any dark or bloody stools?"
To view all questions and flashcards with answers, click on the resource link above.
Page 32
Chapter 31: Nursing Management: Hematologic Problems
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/31428
Sample Questions
Q1) Which of the following nursing actions included in the care plan for a patient with neutropenia is appropriate for the RN to delegate to an LPN/LVN who is assisting with patient care?
A) Assessing the patient for signs and symptoms of infection
B) Teaching the patient the purpose of neutropenic precautions
C) Developing a discharge teaching plan for the patient and family
D) Administering the ordered subcutaneous filgrastim (Neupogen) injection
Q2) All of the following patients are waiting to be admitted by the emergency department nurse. Which one requires the most rapid assessment and care by the nurse?
A) The patient with hemochromatosis who is complaining of abdominal pain
B) The patient with thrombocytopenia who has oozing after having a tooth extracted
C) The patient with chemotherapy-induced neutropenia who has a temperature of 100.8° F
D) The patient with a history of sickle cell anemia who has had nausea and diarrhea for 24 hours
To view all questions and flashcards with answers, click on the resource link above.
33
Chapter 32: Nursing Assessment: Cardiovascular System
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/31429
Sample Questions
Q1) During a physical examination of a patient, the nurse palpates the point of maximal impulse (PMI) in the sixth intercostal space lateral to the left midclavicular line. The most appropriate action for the nurse to take next will be to A) document that the PMI is in the normal anatomic location. B) ask the patient about risk factors for coronary artery disease. C) auscultate both the carotid arteries for the presence of a bruit. D) assess the patient for symptoms of left ventricular hypertrophy.
Q2) The nurse has received the laboratory results for a patient who developed chest pain 4 hours ago and may be having a myocardial infarction. The most important laboratory result to review will be A) LDL cholesterol.
B) troponins T and I.
C) C-reactive protein.
D) creatine kinase-MB ( CK-MB ).
To view all questions and flashcards with answers, click on the resource link above. Page 34
Chapter 33: Nursing Management: Hypertension
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/31430
Sample Questions
Q1) The charge nurse observes a new RN doing discharge teaching for a hypertensive patient who has a new prescription for enalapril ( Vasotec ). The charge nurse will need to intervene if the new RN tells the patient to
A) check the BP with a home BP monitor every day.
B) move slowly when moving from lying to standing.
C) increase the dietary intake of high-potassium foods.
D) make an appointment with the dietitian for teaching.
Q2) The RN is caring for a patient with a hypertensive crisis who is receiving sodium nitroprusside (Nipride). Which of the following nursing actions can the nurse delegate to an experienced LPN/LVN?
A) Titrate nitroprusside to maintain BP at 160/100 mm Hg.
B) Evaluate effectiveness of nitroprusside therapy on BP.
C) Set up the automatic blood pressure machine to take BP every 15 minutes.
D) Assess the patient's environment for adverse stimuli that might increase BP.
Q3) The nurse obtains a blood pressure of 180/75 mm Hg for a patient. What is the patient's mean arterial pressure (MAP)? ____________________
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Chapter 34: Nursing Management: Coronary Artery Disease
and Acute Coronary Syndrome
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/31431
Sample Questions
Q1) A patient who has recently started taking rosuvastatin ( Crestor ) and niacin ( Nicobid ) reports all the following symptoms to the nurse. Which is most important to communicate to the health care provider?
A) Generalized muscle aches and pains
B) Skin flushing after taking the medications
C) Dizziness when changing positions quickly
D) Nausea when taking the drugs before eating
Q2) Which of these nursing interventions included in the plan of care for a patient who had an acute myocardial infarction (AMI) 3 days ago is most appropriate for the RN to delegate to an experienced LPN/LVN?
A) Evaluating the patient's response to ambulation in the hallway
B) Completing the documentation for a home health nurse referral
C) Educating the patient about the pathophysiology of heart disease
D) Reinforcing teaching about the purpose of prescribed medications
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Chapter 35: Nursing Management: Heart Failure
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/31432
Sample Questions
Q1) Intravenous sodium nitroprusside (Nipride) is ordered for a patient with acute pulmonary edema. During the first hours of administration, the nurse will need to adjust the nitroprusside rate if the patient develops
A) a dry, hacking cough.
B) any ventricular ectopy.
C) a systolic BP <90 mm Hg.
D) a heart rate <50 beats/minute.
Q2) A patient who has chronic heart failure tells the nurse, "I felt fine when I went to bed, but I woke up in the middle of the night feeling like I was suffocating!" The nurse will document this assessment information as
A) pulsus alternans.
B) two-pillow orthopnea.
C) acute bilateral pleural effusion.
D) paroxysmal nocturnal dyspnea.
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Chapter 36: Nursing Management: Dysrhythmias
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/31433
Sample Questions
Q1) A patient whose cardiac monitor shows sinus tachycardia, rate 102, is apneic and no pulses are palpable by the nurse. What is the first action that the nurse should take?
A) Start CPR.
B) Defibrillate.
C) Administer atropine per hospital protocol.
D) Give 100% oxygen per non-rebreather mask.
Q2) A patient has a normal cardiac rhythm and a heart rate of 72 beats/minute, except that the PR interval is 0.24 seconds. The appropriate intervention by the nurse is to
A) notify the patient's health care provider immediately.
B) administer atropine per agency bradycardia protocol.
C) prepare the patient for temporary pacemaker insertion.
D) document the finding and continue to monitor the patient.
Q3) When analyzing the waveforms of a patient's electrocardiogram (ECG), the nurse will need to investigate further upon finding a
A) T wave of 0.16 second.
B) P-R interval of 0.18 second.
C) Q-T interval of 0.34 second.
D) QRS interval of 0.14 second.
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Chapter 37: Nursing Management: Inflammatory and Structural
Heart Disorders
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/31434
Sample Questions
Q1) While caring for a patient with aortic stenosis, the nurse establishes a nursing diagnosis of acute pain related to decreased coronary blood flow. An appropriate intervention by the nurse is to
A) promote rest to decrease myocardial oxygen demand.
B) educate the patient about the need for anticoagulant therapy.
C) teach the patient to use sublingual nitroglycerin for chest pain.
D) elevate the head of the bed 60 degrees to decrease venous return.
Q2) A patient admitted with acute dyspnea is diagnosed with dilated cardiomyopathy. Which information will the nurse include when teaching the patient about management of this disorder?
A) Elevating the legs above the heart will help relieve angina.
B) No more than two alcoholic drinks daily are recommended.
C) Careful compliance with diet and medications will prevent heart failure.
D) Notify the doctor about any symptoms of heart failure such as shortness of breath.
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Chapter 38: Nursing Management: Vascular Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/31435
Sample Questions
Q1) Which action by a nurse who is administering fondaparinux ( Arixtra ) to a patient with venous thromboembolism ( VTE ) indicates that more education about the medication is needed?
A) The nurse avoids rubbing the injection site after giving the medication.
B) The nurse injects the medication into the abdominal subcutaneous tissue.
C) The nurse fails to assess the partial thromboplastin time ( PTT ) before administration of the medication.
D) The nurse ejects the air bubble in the syringe before administering the Arixtra.
Q2) A 46-year-old is diagnosed with thromboangiitis obliterans (Buerger's disease). When the nurse is planning expected outcomes for the patient, which outcome has the highest priority for this patient?
A) Cessation of smoking
B) Control of serum lipid levels
C) Maintenance of appropriate weight
D) Demonstration of meticulous foot care
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Chapter 39: Nursing Assessment: Gastrointestinal System
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31436
Sample Questions
Q1) To promote bowel evacuation in a patient with chronic complaints of constipation, the nurse will suggest that the patient should attempt defecation
A) in the mid-afternoon.
B) after eating breakfast.
C) right after getting up in the morning.
D) immediately before the first daily meal.
Q2) Which information obtained by the nurse when admitting a patient who is scheduled for an ultrasound of the gallbladder indicates that the ultrasound may need to be rescheduled?
A) The patient has a permanent gastrostomy tube.
B) The patient took a laxative the previous evening.
C) The patient ate a low-fat bagel an hour previously.
D) The patient had a high-fat meal the previous evening.
Q3) When the nurse is assessing an alert and independent older patient in the clinic for malnutrition risk, the most appropriate initial question is,
A) "How do you get to the grocery store to buy your food?"
B) "Do you have any difficulty in preparing or eating food?"
C) "Can you tell me the foods that you have eaten over the past 24 hours?"
D) "Are you taking any medications that alter your taste or tolerance of foods?"
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Page 41
Chapter 40: Nursing Management: Nutritional Problems
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/31437
Sample Questions
Q1) A 66-year-old patient has a body mass index (BMI) of 31 kg/m², a normal C-reactive protein level, and low transferrin and albumin levels. The nurse will plan patient teaching to increase the patient's intake of foods that are high in A) iron.
B) protein.
C) calories.
D) carbohydrate.
Q2) A patient who has a wound infection after major surgery has only been taking in about 50% to 75% of the ordered meals and states, "Nothing on the menu really appeals to me." Which action by the nurse will be most effective in improving the patient's oral intake?
A) Make a referral to the dietician.
B) Order at least six small meals daily.
C) Teach the patient about high-calorie, high-protein foods.
D) Have family members bring in favorite foods from home.
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Chapter 41: Nursing Management: Obesity
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/31438
Sample Questions
Q1) A patient returns to the surgical nursing unit following a vertical banded gastroplasty with a nasogastric tube to low, intermittent suction and a patient-controlled analgesia ( PCA ) machine for pain control. Which nursing action should be included in the postoperative plan of care?
A) Irrigate the nasogastric ( NG ) tube frequently with normal saline.
B) Offer sips of sweetened liquids at frequent intervals.
C) Remind the patient that PCA use may slow the return of bowel function.
D) Support the surgical incision during patient coughing and turning in bed.
Q2) What specific information will the nurse include in patient teaching for an overweight patient who is starting a weight loss plan?
A) Weigh yourself at the same time every morning.
B) Start dieting with a 600- to 800-calorie diet for rapid weight loss.
C) Low carbohydrate diets lead to rapid weight loss but are difficult to maintain.
D) Weighing all foods on a scale is necessary to choose appropriate portion sizes.
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43
Chapter 42: Nursing Management: Upper Gastrointestinal
Problems
Available Study Resources on Quizplus for this Chatper
42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/31439
Sample Questions
Q1) Which assessment finding in a patient who had a total gastrectomy 12 hours previously is most important to report to the health care provider?
A) Absent bowel sounds
B) Scant nasogastric ( NG ) tube drainage
C) Complaints of incisional pain
D) Temperature 102.1° F ( 38.9° C )
Q2) Which information about a patient who has just been admitted to the hospital with nausea and vomiting will require the most rapid intervention by the nurse?
A) The patient has taken only sips of water.
B) The patient is lethargic and difficult to arouse.
C) The patient's chart indicates a recent resection of the small intestine.
D) The patient has been vomiting several times a day for the last 4 days.
Q3) A patient who is receiving chemotherapy develops a Candida albicans oral infection. The nurse will anticipate the need for
A) hydrogen peroxide rinses.
B) the use of antiviral agents.
C) referral to a dentist for professional tooth cleaning.
D) administration of nystatin (Mycostatin) oral tablets.
To view all questions and flashcards with answers, click on the resource link above. Page 44
Chapter 43: Nursing Management: Lower Gastrointestinal Problems
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/31440
Sample Questions
Q1) A 67-year-old patient tells the nurse, "I have problems with constipation now that I am older, so I use a suppository every morning." Which action should the nurse take first?
A) Encourage the patient to increase oral fluid intake.
B) Inform the patient that a daily bowel movement is unnecessary.
C) Assess the patient about individual risk factors for constipation.
D) Suggest that the patient increase dietary intake of high-fiber foods.
Q2) The nurse who is interviewing a 40-year-old obtains information about the following patient problems. Which information is most important to communicate to the health care provider?
A) The patient had an appendectomy at age 17.
B) The patient smokes a pack/day of cigarettes.
C) The patient has a history of frequent constipation.
D) The patient has recently noticed blood in the stools.
Q3) When implementing the initial plan of care for a patient admitted with acute diverticulitis, the nurse will plan to A) give stool softeners.
B) administer IV fluids.
C) order a diet high in fiber and fluids.
D) prepare the patient for colonoscopy.
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Chapter 44: Nursing Management: Liver, Pancreas, and Biliary Tract Problems
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/31441
Sample Questions
Q1) When educating a patient with chronic pancreatitis about the prescribed pancrelipase (Viokase), the nurse will teach the patient to take the medication
A) at bedtime.
B) with every meal.
C) upon arising in the morning.
D) as soon as abdominal pain occurs.
Q2) Which nursing action is a priority when the nurse is caring for a patient with pancreatic cancer?
A) Offer high-calorie, high-protein dietary choices.
B) Offer psychologic support for anxiety or depression.
C) Educate about the need to avoid scratching pruritic areas.
D) Administer prescribed opioids to relieve pain as needed.
Q3) A 32-year-old patient is diagnosed with early alcoholic cirrhosis. Which topic is most important to include in patient teaching?
A) Need to abstain from alcohol
B) Use of vitamin B supplements
C) Maintenance of a nutritious diet
D) Treatment with lactulose ( Cephulac )
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Chapter 45: Nursing Assessment: Urinary System
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/31442
Sample Questions
Q1) The nurse informs the patient undergoing cystoscopy that following the procedure, the patient
A) will be NPO for 8 hours to prevent nausea and vomiting.
B) is expected to be on strict bed rest for about 4 to 6 hours.
C) should ask for the ordered narcotics as necessary for pain.
D) may experience blood-tinged urine and urinary frequency.
Q2) During assessment of a patient with decreased renal function, which of these medications taken by the patient at home will be of most concern to the nurse?
A) ibuprofen ( Motrin )
B) warfarin ( Coumadin )
C) folic acid ( vitamin B<sub>9</sub> )
D) penicillin ( Bicillin LA )
Q3) A patient with a possible urinary tract infection (UTI) gives the nurse in the clinic a urine specimen that is a red-orange color. Which action should the nurse take first?
A) Notify the patient's health care provider.
B) Ask the patient about use of any medications.
C) Question the patient about any UTI risk factors.
D) Teach about the correct procedure for midstream urine collection.
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Chapter 46: Nursing Management: Renal and Urologic Problems
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/31443
Sample Questions
Q1) Following rectal surgery, a patient voids about 50 mL of urine every 30 to 60 minutes. Which nursing action is most appropriate?
A) Use an ultrasound scanner to check the postvoiding residual.
B) Monitor the patient's intake and output over the next few hours.
C) Have the patient take small amounts of fluid frequently throughout the day.
D) Reassure the patient that this is normal after rectal surgery because of anesthesia.
Q2) A patient with nephrotic syndrome develops flank pain. The nurse will anticipate teaching the patient about treatment with A) antibiotics.
B) anticoagulants.
C) corticosteroids.
D) antihypertensives.
Q3) A patient in the hospital has a history of functional urinary incontinence. Which nursing action will be included in the plan of care?
A) Place a bedside commode near the patient's bed.
B) Demonstrate the use of the Credé maneuver to the patient.
C) Use an ultrasound scanner to check postvoiding residuals.
D) Teach the use of Kegel exercises to strengthen the pelvic floor.
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Chapter 47: Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/31444
Sample Questions
Q1) A patient with stage 2 chronic kidney disease ( CKD ) is scheduled for an intravenous pyelogram ( IVP ). Which of these orders for the patient will the nurse question?
A) NPO for 6 hours before IVP procedure
B) Normal saline 500 mL IV before procedure
C) Ibuprofen ( Advil ) 400 mg PO PRN for pain
D) Dulcolax suppository 4 hours before IVP procedure
Q2) Which data obtained when assessing a patient who had a kidney transplant 8 years ago and who is receiving the immunosuppressants tacrolimus (Prograf), cyclosporine (Sandimmune), and prednisone (Deltasone) will be of most concern to the nurse?
A) The blood glucose is 144 mg/dL.
B) The patient's blood pressure is 150/92.
C) There is a nontender lump in the axilla.
D) The patient has a round, moonlike face.
Q3) A patient complains of leg cramps during hemodialysis. The nurse should first
A) reposition the patient.
B) massage the patient's legs.
C) give acetaminophen (Tylenol).
D) infuse a bolus of normal saline.
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Chapter 48: Nursing Assessment: Endocrine System
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/31445
Sample Questions
Q1) When the nurse is obtaining the health history, which statement by a patient indicates further assessment of thyroid function may be necessary?
A) "I notice my breasts are tender lately."
B) "I am so thirsty that I drink all day long."
C) "I get up several times at night to urinate."
D) "I feel a lump in my throat when I swallow."
Q2) When a patient in the outpatient clinic has an order for blood cortisol testing, which instruction will the nurse provide for the patient?
A) "Avoid adding any salt to your foods for 24 hours before the test."
B) "You will need to lie down for 30 minutes before the blood is drawn."
C) "Come to the laboratory to have the blood drawn early in the morning."
D) "Do not have anything to eat or drink before the blood test is obtained."
Q3) When working with a patient who has diabetes mellitus, the nurse reviews the results of testing for glycosylated hemoglobin ( HbA1C ) to evaluate for
A) glucose levels 2 hours after a meal.
B) circulating, nonfasting glucose levels.
C) glucose control over the past 3 months.
D) hypoglycemic episodes in the past 90 days.
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Chapter 49: Nursing Management: Diabetes Mellitus
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/31446
Sample Questions
Q1) Which information about a patient who receives rosiglitazone ( Avandia ) is most important for the nurse to report immediately to the health care provider?
A) The patient's blood pressure is 154/92.
B) The patient has a history of emphysema.
C) The patient's noon blood glucose is 86 mg/dL.
D) The patient has chest pressure when ambulating.
Q2) Intramuscular glucagon is administered to an unresponsive patient for treatment of hypoglycemia. Which action should the nurse take after the patient regains consciousness?
A) Assess the patient for symptoms of hyperglycemia.
B) Give the patient a snack of crackers and peanut butter.
C) Have the patient drink a glass of orange juice or nonfat milk.
D) Administer a continuous infusion of 5% dextrose for 24 hours.
Q3) When assessing the patient experiencing the onset of symptoms of type 1 diabetes, which question is most appropriate for the nurse to ask?
A) "Have you lost any weight lately?"
B) "How long have you felt anorexic?"
C) "Is your urine unusually dark colored?"
D) "Do you crave fluids containing sugar?"
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Page 51
Chapter 50: Nursing Management: Endocrine Problems
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/31447
Sample Questions
Q1) A patient is hospitalized with possible syndrome of inappropriate antidiuretic hormone (SIADH). The patient is confused and reports a headache, muscle cramps, and twitching. The nurse would expect the initial laboratory results to include
A) an elevated hematocrit.
B) a decreased serum sodium.
C) an increased serum chloride.
D) a low urine specific gravity.
Q2) A patient admitted to the hospital with hypertension is diagnosed with a pheochromocytoma. The nurse will plan to monitor the patient for A) flushing.
B) headache.
C) bradycardia.
D) hypoglycemia.
Q3) Which information will the nurse include when teaching a patient about use of somatropin (Genotropin)?
A) The medication will improve vaginal dryness.
B) Inject the medication subcutaneously every day.
C) Blood glucose levels will decrease when taking the medication.
D) Stop taking the medication if swelling of the hands or feet occurs.
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Page 52
Chapter 51: Nursing Assessment: Reproductive System
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/31448
Sample Questions
Q1) A patient calls the clinic and tells the nurse, "My menstrual period is very heavy. I have to change my tampon every 4 hours." Which action should the nurse take next?
A) Tell the patient that her flow is not unusually heavy.
B) Schedule the patient for an appointment later that day.
C) Ask the patient how heavy her usual menstrual flow is.
D) Have the patient call again if the heavy flow continues.
Q2) When preparing a patient for colposcopy with a cervical biopsy, the nurse explains to the patient that the procedure
A) involves dilation of the cervix and biopsy of the tissue lining the uterus.
B) will take place in a same-day surgery center so that local anesthesia can be used.
C) requires that the patient have nothing to eat or drink for 6 hours before the procedure.
D) is similar to a speculum examination of the cervix and should result in little or no pain.
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Chapter 52: Nursing Management: Breast Disorders
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/31449
Sample Questions
Q1) When the nurse is assessing the breasts of a 31-year-old, which finding is most indicative of a need for further evaluation?
A) Bilateral nodules that are tender with palpation
B) A nodule that is 1 cm in size, painless, and fixed
C) A lump that increases in size before the menstrual period
D) A lump that is small, mobile, and has a rubbery consistency
Q2) After the nurse completes discharge teaching for a patient who has had a left modified radical mastectomy and lymph node dissection, which statement by the patient indicates that teaching has been successful?
A) "I will need to use my right arm and to rest the left one."
B) "I will avoid reaching over the stove with my left hand."
C) "I will keep my left arm in a sling until the incision is healed."
D) "I will stop the left arm exercises if moving the arm is painful."
Q3) Which information will the nurse include when teaching a patient about the transverse rectus abdominis musculocutaneous (TRAM) procedure?
A) Saline-filled implants are placed under the pectoral muscles.
B) Recovery from the TRAM surgery takes at least 6 to 8 weeks.
C) Muscle tissue is removed from the back and used to form a breast.
D) TRAM flap procedures may be done in outpatient surgery centers.
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Page 54
Chapter 53: Nursing Management: Sexually Transmitted
16 Flashcards
Source URL: https://quizplus.com/quiz/31450
Sample Questions
Q1) When a patient returns to the clinic for follow-up after treatment for gonococcal urethritis, a purulent urethral discharge is still present. When trying to determine the reason for the recurrent infection, which question is most appropriate for the nurse to ask the patient?
A) "Did you take the prescribed antibiotic for a week?"
B) "Did you drink at least 2 quarts of fluids every day?"
C) "Were your sexual partners treated with antibiotics?"
D) "Do you wash your hands after using the bathroom?"
Q2) Which of these patients will the nurse plan on teaching about the Gardasil vaccine?
A) A 50-year-old woman who has multiple sexual partners
B) A 23-year-old woman who is pregnant for the first time
C) An 18-year-old female who has never been sexually active
D) A 28-year-old woman who is in a monogamous relationship
Q3) A woman who is 6 weeks' pregnant is diagnosed with primary syphilis. The nurse will plan to teach the patient about
A) the likelihood of a stillbirth.
B) the need for cesarean section.
C) intramuscular injection of penicillin.
D) use of antibiotic eye drops for the newborn.
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Chapter 54: Nursing Management: Female Reproductive Problems
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/31451
Sample Questions
Q1) A patient who has a large cystocele has not voided since admission 8 hours previously. Which action should the nurse take first?
A) Insert a straight catheter per the PRN order.
B) Encourage the patient to increase oral fluids.
C) Notify the health care provider of the inability to void.
D) Use an ultrasound scanner to check for urinary retention.
Q2) The nurse has just received change-of-shift report about the following four patients. Which patient should be assessed first?
A) A patient with a possible ectopic pregnancy who is complaining of severe shoulder pain
B) A patient in the fifteenth week of gestation who is experiencing uterine cramping and spotting
C) A patient who has a radium implant in place to treat cervical cancer and is crying in her room
D) A patient with ovarian cancer who is complaining of 5/10 pain after an abdominal hysterectomy
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Chapter 55: Nursing Management: Male Reproductive Problems
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/31452
Sample Questions
Q1) When teaching a patient who is scheduled for a transurethral resection of the prostate (TURP) about continuous bladder irrigation, which information will the nurse include?
A) Bladder irrigation decreases the risk of postoperative bleeding.
B) Hydration and urine output are maintained by bladder irrigation.
C) Bladder irrigation prevents obstruction of the catheter after surgery.
D) Antibiotics are infused on a continuous basis with bladder irrigation.
Q2) A 53-year-old man tells the nurse he has been having increasing problems with erectile dysfunction ( ED ) for several years but is now interested in using Viagra ( sildenafil ). Which action should the nurse take first?
A) Ask the patient about any prescription drugs he is taking.
B) Tell the patient that Viagra does not always work for ED.
C) Discuss the common adverse effects of erectogenic drugs.
D) Assure the patient that ED is commonly associated with aging.
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Chapter 56: Nursing Assessment: Nervous System
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which equipment will the nurse obtain to assess vibration sense in a patient who has peripheral nerve dysfunction?
A) Sharp pin
B) Tuning fork
C) Reflex hammer
D) Calibrated compass
Q2) A patient is scheduled for a myelogram to confirm the presence of a herniated intervertebral disk. Which information obtained when admitting the patient is most important for the nurse to communicate to the health care provider before the procedure?
A) The patient is anxious about the test.
B) The patient has an allergy to shellfish.
C) The patient had 4 ounces of apple juice 4 hours earlier.
D) The patient has back pain when lying flat for long periods.
Q3) When admitting an acutely confused patient with a head injury, which action should the nurse take?
A) Ask family members about the patient's health history.
B) Ask leading questions to assist in obtaining health data.
C) Wait until the patient is better oriented to ask questions.
D) Obtain only the physiologic neurologic assessment data.
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Chapter 57: Nursing Management: Acute Intracranial Problems
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) After the emergency department nurse has received a status report on the following patients who have been admitted with head injuries, which patient should the nurse assess first?
A) A patient whose cranial x-ray shows a linear skull fracture
B) A patient who has an initial Glasgow Coma Scale score of 13
C) A patient who lost consciousness for a few seconds after a fall
D) A patient whose right pupil is 10 mm and unresponsive to light
Q2) Which of these patients is most appropriate for the intensive care unit (ICU) charge nurse to assign to an RN who has floated from the medical unit?
A) A 44-year-old receiving IV antibiotics for meningococcal meningitis
B) A 23-year-old who had a skull fracture and craniotomy the previous day
C) A 30-year-old who has an intracranial pressure (ICP) monitor in place after a head injury a week ago
D) A 61-year-old who has increased ICP and is receiving hyperventilation therapy
Q3) An unconscious patient with a traumatic head injury has a blood pressure of 126/72 mm Hg, and an intracranial pressure of 18 mm Hg. The nurse will calculate the cerebral perfusion pressure as ____________________.
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Page 59
Chapter 58: Nursing Management: Stroke
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/31455
Sample Questions
Q1) Aspirin is ordered for a patient who is admitted with a possible stroke. Which information obtained during the admission assessment indicates that the nurse should consult with the health care provider before giving the aspirin?
A) The patient has dysphasia.
B) The patient has atrial fibrillation.
C) The patient states, "My symptoms started with a terrible headache."
D) The patient has a history of brief episodes of right-sided hemiplegia.
Q2) A 32-year-old patient has a stroke resulting from a ruptured aneurysm and subarachnoid hemorrhage. Which intervention will be included in the care plan?
A) Applying intermittent pneumatic compression stockings
B) Assisting to dangle on edge of bed and assess for dizziness
C) Encouraging patient to cough and deep breathe every 4 hours
D) Inserting an oropharyngeal airway to prevent airway obstruction
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Chapter 59: Nursing Management: Chronic Neurologic Problems
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32 Verified Questions
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Sample Questions
Q1) A patient has a tonic-clonic seizure while the nurse is in the patient's room. Which action should the nurse take?
A) Insert an oral airway during the seizure to maintain a patent airway.
B) Restrain the patient's arms and legs to prevent injury during the seizure.
C) Avoid touching the patient to prevent further nervous system stimulation.
D) Time and observe and record the details of the seizure and postictal state.
Q2) A patient with amyotrophic lateral sclerosis (ALS) is hospitalized with pneumonia. Which nursing action will be included in the plan of care?
A) Assist with active range of motion.
B) Observe for agitation and paranoia.
C) Give muscle relaxants as needed to reduce spasms.
D) Use simple words and phrases to explain procedures.
Q3) Which information about a patient with MS indicates that the nurse should consult with the health care provider before giving the prescribed dose of dalfampridine ( Ampyra )?
A) The patient has relapsing-remitting MS.
B) The patient enjoys walking for relaxation.
C) The patient has an increased creatinine level.
D) The patient complains of pain with neck flexion.
Page 61
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Chapter 60: Nursing Management: Alzheimers Disease,
Dementia, and Delirium
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) To protect a patient from injury during an episode of delirium, the most appropriate action by the nurse is to
A) secure the patient in bed using a soft chest restraint.
B) ask the health care provider about ordering an antipsychotic drug.
C) instruct family members to remain with the patient and prevent injury.
D) assign a nursing assistant to stay with the patient and offer frequent reorientation.
Q2) A 62-year-old patient is brought to the clinic by a family member who is concerned about the patient's inability to solve common problems. To obtain information about the patient's current mental status, which question should the nurse ask the patient?
A) "Where were you were born?"
B) "Do you have any feelings of sadness?"
C) "What did you have for breakfast?"
D) "How positive is your self-image?"
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Chapter 61: Nursing Management: Peripheral Nerve and Spinal Cord Problems
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29 Verified Questions
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Sample Questions
Q1) A patient with a neck fracture at the C5 level is admitted to the intensive care unit. During initial assessment of the patient, the nurse recognizes the presence of neurogenic shock on finding
A) hypotension, bradycardia, and warm extremities.
B) involuntary, spastic movements of the arms and legs.
C) hyperactive reflex activity below the level of the injury.
D) lack of movement or sensation below the level of the injury.
Q2) When teaching patients who are at risk for Bell's palsy because of previous herpes simplex infection, which information should the nurse include?
A) "Call the doctor if pain or herpes lesions occur near the ear."
B) "Treatment of herpes with antiviral agents prevents Bell's palsy."
C) "You may be able to prevent Bell's palsy by doing facial exercises regularly."
D) "Medications to treat Bell's palsy work only if started before paralysis onset."
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63
Chapter 62: Nursing Assessment: Musculoskeletal System
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Sample Questions
Q1) A patient has a new order for magnetic resonance imaging (MRI) to evaluate for right femur osteomyelitis. Which patient information indicates that the nurse should consult with the health care provider before scheduling the MRI?
A) The patient has a pacemaker.
B) The patient is claustrophobic.
C) The patient wears a hearing aid.
D) The patient is allergic to shellfish.
Q2) Which information in a 60-year-old woman's health history will alert the nurse to the need for a more focused assessment of the musculoskeletal system?
A) The patient experienced a sprained ankle at age 13.
B) The patient's mother became much shorter with aging.
C) The patient's father died of complications of miliary tuberculosis.
D) The patient reports taking ibuprofen (Advil) for occasional headaches.
Q3) When assessing the musculoskeletal system, the nurse's initial action will usually be to
A) feel for the presence of crepitus during joint movement.
B) have the patient move the extremities against resistance.
C) observe the patient's body build and muscle configuration.
D) check active and passive range of motion for the extremities.
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Page 64
Chapter 63: Nursing Management: Musculoskeletal
Trauma and Orthopedic Surgery
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39 Verified Questions
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Source URL: https://quizplus.com/quiz/31460
Sample Questions
Q1) A 20-year-old baseball pitcher has an arthroscopic repair of a rotator cuff injury performed in same-day surgery. When the nurse plans postoperative teaching for the patient, which information will be included?
A) "You have an appointment with a physical therapist for tomorrow."
B) "You can still play baseball but you will not be able to return to pitching."
C) "The doctor will use the drop-arm test to determine the success of surgery."
D) "Leave the shoulder immobilizer on for the first few days to minimize pain."
Q2) On the first postoperative day, a patient with a below-the-knee amputation complains of pain in the amputated limb. Which action is best for the nurse to take?
A) Explain the reasons for the phantom limb pain.
B) Administer prescribed analgesics to relieve the pain.
C) Loosen the compression bandage to decrease incisional pressure.
D) Remind the patient that this phantom pain will diminish over time.
Q3) When counseling an older patient about ways to prevent fractures, which information will the nurse include?
A) Tack down scatter rugs in the home.
B) Most falls happen outside the home.
C) Buy shoes that provide good support and are comfortable to wear.
D) Range-of-motion exercises should be taught by a physical therapist.
Page 65
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Chapter 64: Nursing Management: Musculoskeletal
Problems
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18 Verified Questions
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Sample Questions
Q1) A patient has muscle spasms and acute low back pain. An appropriate nursing intervention for this problem is to teach the patient to
A) avoid the use of cold because it will exacerbate the muscle spasms.
B) keep both feet flat on the floor when prolonged standing is required.
C) keep the head elevated slightly and flex the knees when resting in bed.
D) twist gently from side to side to maintain range of motion in the spine.
Q2) The nurse is caring for a patient who has had a surgical reduction of an open fracture of the left tibia. Which assessment finding is most important to report to the health care provider?
A) Left leg muscle spasms
B) Serous wound drainage
C) Left leg pain with movement
D) Temperature 101.4° F ( 38.6° C )
Q3) An assessment finding that alerts the nurse to the presence of osteoporosis in a middle-aged patient is
A) measurable loss of height.
B) the presence of bowed legs.
C) an aversion to dairy products.
D) statements about frequent falls.
Page 66
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Chapter 65: Nursing Management: Arthritis and Connective
Tissue Diseases
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) Which assessment finding about a patient who has been using naproxen (Naprosyn) for 3 weeks to treat osteoarthritis is most important for the nurse to report to the health care provider?
A) The patient has dark colored stools.
B) The patient's pain has not improved.
C) The patient is using capsaicin cream (Zostrix).
D) The patient has gained 3 pounds over 3 weeks.
Q2) A patient with an acute attack of gout is treated with colchicine. The nurse determines that the drug is effective upon finding
A) relief of joint pain.
B) increased urine output.
C) elevated serum uric acid.
D) decreased white blood cells ( WBC ).
Q3) A patient with gout tells the nurse that he takes losartan (Cozaar) for control of the condition. The nurse will plan to monitor
A) blood glucose.
B) blood pressure.
C) erythrocyte count.
D) lymphocyte count.
Page 67
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Chapter 66: Nursing Management: Critical Care
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37 Verified Questions
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Sample Questions
Q1) When the ventilator alarm sounds, the nurse finds the patient lying in bed holding the endotracheal tube (ET). Which action should the nurse take first?
A) Offer reassurance to the patient.
B) Activate the hospital's rapid response team.
C) Call the health care provider to reinsert the tube.
D) Manually ventilate the patient with 100% oxygen.
Q2) When caring for a patient who has an intraaortic balloon pump in place, which action will be included in the plan of care?
A) Avoid the use of anticoagulant medications.
B) Keep the head of the bed elevated 45 degrees.
C) Measure the patient's urinary output every hour.
D) Provide passive range of motion for all extremities.
Q3) An intraaortic balloon pump (IABP) is being used for a patient who is in cardiogenic shock. An assessment finding indicating to the nurse that the goals of treatment with the IABP are being met is a
A) heart rate of 110 beats/min.
B) urine output of 20 mL/hr.
C) cardiac output (CO) of 5 L/min.
D) stroke volume (SV) of 40 mL/beat.
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Page 68
Chapter 67: Nursing Management: Shock, Systemic
Inflammatory Response Syndrome, and Multiple Organ
Dysfunction Syndrome
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25 Verified Questions
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Sample Questions
Q1) Norepinephrine ( Levophed ) has been prescribed for a patient who was admitted with dehydration and hypotension. Which patient information indicates that the nurse should consult with the health care provider before administration of the norepinephrine?
A) The patient's central venous pressure is 3 mm Hg.
B) The patient is receiving low dose dopamine ( Intropin ).
C) The patient is in sinus tachycardia at 100 to 110 beats/min.
D) The patient has had no urine output since being admitted.
Q2) A patient with cardiogenic shock has the following vital signs: BP 86/50, pulse 126, respirations 30. The PAWP is increased and cardiac output is low. The nurse will anticipate
A) infusion of 5% human albumin.
B) administration of furosemide (Lasix) IV.
C) titration of an epinephrine (Adrenalin) drip.
D) administration of hydrocortisone (SoluCortef).
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Page 69
Chapter 68: Nursing Management: Respiratory Failure and
Acute Respiratory Distress Syndrome
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Sample Questions
Q1) When admitting a patient in possible respiratory failure with a high PaCO<sub>2</sub>, which assessment information will be of most concern to the nurse?
A) The patient is somnolent.
B) The patient's SpO<sub>2</sub> is 90%.
C) The patient complains of weakness.
D) The patient's blood pressure is 162/94.
Q2) When prone positioning is used in the care of a patient with acute respiratory distress syndrome (ARDS), which information obtained by the nurse indicates that the positioning is effective?
A) The patient's PaO<sub>2</sub> is 90 mm Hg, and the SaO<sub>2</sub> is 92%.
B) Endotracheal suctioning results in minimal mucous return.
C) Sputum and blood cultures show no growth after 24 hours.
D) The skin on the patient's back is intact and without redness.
Q3) After receiving change-of-shift report, which patient will the nurse assess first?
A) A patient with cystic fibrosis who has thick, green-colored sputum
B) A patient with pneumonia who has coarse crackles in both lung bases
C) A patient with emphysema who has an oxygen saturation of 91% to 92%
D) A patient with septicemia who has intercostal and suprasternal retractions
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Source URL: https://quizplus.com/quiz/31466
Sample Questions
Q1) During the primary survey of a patient with multiple traumatic injuries, the nurse observes that the patient's right pedal pulses are absent and the leg is swollen. Which of these actions will the nurse take next?
A) Assess further for a cause of the decreased circulation.
B) Send blood to the lab for a complete blood count ( CBC ).
C) Finish the airway, breathing, circulation, disability survey.
D) Initiate isotonic fluid infusion through two large-bore IV lines.
Q2) A patient with hypotension and temperature elevation after doing yard work on a hot day is treated in the ED. After the nurse has completed discharge teaching, which statement by the patient indicates that the teaching has been effective?
A) "I will take salt tablets when I work outdoors in the summer."
B) "I should take acetaminophen (Tylenol) if I start to feel too warm."
C) "I should have sports drinks when exercising outside in hot weather."
D) "I will get into a cool environment if I notice that I am feeling confused."
Q3) When preparing to rewarm a patient with hypothermia, the nurse will plan to
A) attach a cardiac monitor.
B) insert a urinary catheter.
C) assist with endotracheal intubation.
D) have sympathomimetic drugs available.
Page 71
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