Medical-Surgical Nursing Exam Solutions
Course Introduction
Medical-Surgical Nursing is a foundational course that focuses on the care of adults experiencing a variety of acute and chronic health conditions. This course integrates theoretical knowledge, clinical reasoning, and evidence-based practice to prepare students for managing complex physiological alterations in diverse patient populations. Students will learn about the pathophysiology, assessment, and management of medical and surgical conditions affecting major body systems, while also emphasizing patient safety, interdisciplinary collaboration, and holistic care. Clinical experiences and case studies enable students to apply nursing processes, develop critical thinking skills, and deliver compassionate, patient-centered care in various healthcare settings.
Recommended Textbook
Medical Surgical Nursing Concepts and Practice 3rd Edition by deWit
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48 Chapters
1519 Verified Questions
1519 Flashcards
Source URL: https://quizplus.com/study-set/949 Page 2
Chapter 1: Caring for Medical-Surgical Patients
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/18659
Sample Questions
Q1) The nurse is assessing a group of patients.Which patient would most likely qualify for Medicaid?
A) A 35-year-old unemployed single mother with diabetes
B) A 70-year-old Medicare recipient with retirement income who needs to be in a long-term care facility
C) An 80-year-old blind woman living in her own home who has inadequate private insurance
D) A 67-year-old stroke victim with Medicare Part A and an income from investments
Answer: A
Q2) Which statement accurately describes the primary purpose of the state nurse practice act (NPA)?
A) To test and license LPN/LVNs.
B) To define the scope of LPN/LVN practice.
C) To improve the quality of care provided by the LPN/LVN.
D) To limit the LPN/LVN employment placement.
Answer: B
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3
Chapter 2: Critical Thinking and the Nursing Process
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) Which example shows that the nursing student demonstrates compliance with the Health Insurance Portability and Accountability Act (HIPAA)?
A) The student uses the patient's full name only on clinical assignments submitted to the instructor.
B) The student uses the facility printer to copy laboratory reports on an assigned patient.
C) The student shreds any documents that contain identifying patient information before leaving the clinical facility.
D) The student asks the patient for permission to copy laboratory and diagnostic reports for educational purposes.
Answer: C
Q2) Step 1
A)Evaluation
B)Assessment
C)Implementation
D)Planning
E)Problem statement/nursing diagnosis
Answer: B
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Chapter 3: Fluid, Electrolytes, Acid-Base Balance, and
Intravenous Therapy
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient with a potassium level of 2.9 mEq/L.The nurse should carefully monitor the patient for which potential problem?
A) Excessive urinary output
B) Abdominal distention
C) Increased reflexes
D) Hyperactive bowel sounds
Answer: B
Q2) Step 2
A)Loss of calcium ions
B)Vitamin D not activated
C)Bone loss
D)Retention of phosphates
E)Loss of absorption of calcium from the gastrointestinal tract
Answer: A
Q3) The nurse demonstrates knowledge of IV solutions by identifying that the IV solution which provides free water,as well as 340 calories/L,is ______________.
Answer: 10% dextrose in water
10% dextrose in water provides free water with no electrolytes and 340 calories/L.
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Chapter 4: Care of Preoperative and Intraoperative Surgical Patients
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) Which physiological change(s)explain why the older adult is at greater surgical risk?
A) Fewer physiologic reserves
B) Greater probability of a chronic illness
C) Greater vulnerability to fluid loss
D) Less tolerance for pain
E) Less psychological stamina
Q2) Which patient statement indicates a need for further instruction about the emotional preparation for surgery?
A) "I'm going to hug my surgeon tomorrow."
B) "My fate is in the hands of my surgeon. I'm frightened about the outcome."
C) "I'll be ready for a cheeseburger when I get back."
D) "I know I may have some pain, but this gallbladder will be gone when I wake up."
Q3) A(n)________________ allows a patient to donate her own blood to be used during or after surgery.
Q4) The _____________functions within the sterile area of the operating room and maintains sterile technique.
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Chapter 5: Care of Postoperative Patients
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient during the first postoperative day.Which goal works to prevent atelectasis and is most appropriate for the nursing care plan?
A) Patient will turn, cough, and deep-breathe every 4 hours.
B) Patient will "huff-cough" every 2 hours.
C) Patient will use the incentive spirometer twice a day.
D) Patient will resume diet as soon as possible.
Q2) Following an outpatient procedure for which the patient received general anesthesia,which finding(s)indicate(s)to the nurse that the patient is ready to be discharged?
A) The patient ambulates to the bathroom with minimal assistance.
B) The patient cannot read and voice an understanding of discharge instructions.
C) The patient has been awake for 2 hours.
D) The patient is able to empty the bladder.
E) The patient plans to drive home.
Q3) A postsurgical patient consumed a cup of ice chips filled to the 120-mL mark,2 ounces of broth,and 120 mL of water.In addition,750 mL of intravenous fluids were infused.The patient voided 650 mL and vomited 100 mL. What is the total intake for this patient? ________ mL What is the total output for this patient? ________ mL
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Page 7
Chapter 6: Infection Prevention and Control
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse provides discharge teaching about antibiotic therapy.Which statement indicates that the patient requires additional teaching?
A) "I should wait 3 days after my symptoms resolve before stopping my antibiotic."
B) "I should try to take my medication as evenly spaced apart as possible."
C) "If I start feeling worse, I should call my health care provider."
D) "I should not share my medication with anyone."
Q2) The nurse instructs the nursing assistant in a long-term care facility regarding infection control measures.Which action(s)demonstrate(s)that the nursing assistant understands the nurse's teaching?
A) Assisting residents with hand hygiene before meals.
B) Cleaning incontinent residents as soon as possible.
C) Administering prescribed antibiotics during meals to residents who require assistance with feeding.
D) Inspecting residents' skin for open areas during bathing.
E) Assisting residents with hand hygiene after participating in group activities.
Q3) The bacteria that are rod-shaped are classified as _________.
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Chapter 7: Care of Patients with Pain
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/18665
Sample Questions
Q1) The patient on frequent doses of meperidine (Demerol)complains of constipation.Which initial intervention is best?
A) Offer fruit such as prunes or apricots.
B) Request an order for an enema.
C) Report the condition to the charge nurse.
D) Increase oral fluid intake.
Q2) The nurse explains that acupressure and acupuncture are effective pain relief modalities that focus on specific body areas.Which term best describes these therapies?
A) Triangulation
B) Hot spots
C) Meridians
D) Zones
Q3) The nurse is caring for a 45-year-old male Arab patient who is in pain.Which action can most likely be attributed to the patient's cultural belief about pain?
A) The patient never requests pain medication.
B) The patient asks for pain relief to control pain.
C) The patient becomes irritable and demanding when in pain.
D) The patient hides pain from his family.
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Chapter 8: Care of Patients with Cancer
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse explains that metastasis from the original site to a new site can occur in a variety of ways.Which mechanisms do malignant cells use to metastasize?
A) Traveling through tissues.
B) "Transplantation" via surgical instruments during surgery.
C) Entering a body cavity and attaching to an organ.
D) Traveling through the lymphatic system.
E) "Relocation" from contaminated gloves during surgery.
Q2) The nurse is advising a young college student who wants a tan before spring break.Which method is safest for the student to use?
A) Take advantage of morning sun while using sunscreen with an SPF of 30.
B) Use a spray-on tanning solution.
C) Use a sun lamp for a maximum of 20 minutes a day.
D) Use a tanning salon for no more than 10 minutes per visit.
Q3) The nurse cautions that stress over a long period of time can contribute to the risk for cancer as prolonged stress suppresses the ____________.
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Chapter 9: Chronic Illness and Rehabilitation
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse is planning a group TV activity in a long-term care facility.The nurse should select a channel that offers which type of program?
A) Cartoons
B) Travel documentaries
C) Dramatic two-part mini-series
D) Opera performances
Q2) The nurse assesses a bed-bound resident,a reddened area over the coccyx that does not blanch is discovered.Which is the best intervention to prevent further skin damage?
A) Cover the site with a transparent film dressing.
B) Apply warm compresses each shift.
C) Turn the patient every 2 hours.
D) Continue to monitor the area.
Q3) Which role may the LPN/LVN perform in a long-term health care facility?
A) Charge nurse
B) Designer of nursing care plans
C) Administrator of medications
D) Administrator of wound care
E) Assignment delegator
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Page 11
Chapter 10: The Immune and Lymphatic System
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The nurse differentiates the humoral response from the cell-mediated response.Which statement about cell-mediated response is true?
A) The sensitized lymphocytes attack the cell for which they were sensitized.
B) Cells produce new antibodies.
C) The response does not occur until the white blood cell (WBC) count rises.
D) There is a systemic response of fever and malaise.
Q2) Techniques of testing for possible allergy include which of the following?
A) The scratch test
B) Drinking diluted solution of antigen
C) Intradermal injection
D) Dropping solution in the eye
E) Adhesive patches
Q3) The outpatient clinic nurse is collecting a health history on a 78-year-old patient who has a history of emphysema.Which annual immunization is most important for the patient to receive?
A) Tetanus
B) Influenza
C) Pneumonia
D) Hepatitis B
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Page 12
Chapter 11: Care of Patients with Immune and Lymphatic Disorders
(with HIV and AIDS)
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/18669
Sample Questions
Q1) The nurse has just administered a new antibiotic to a patient.Which manifestation is the best early indicator that the patient may be experiencing an anaphylactic reaction?
A) Wheezing
B) Shortness of breath
C) Difficulty swallowing
D) Angioedema
Q2) The school nurse is instructing a group of high school sophomores in safe sex practices.Which practice(s)should the nurse include in her teaching?
A) Use a condom.
B) Use a spermicide.
C) Practice abstinence.
D) Get vaccinated against HIV.
E) Avoid unprotected orogenital sex.
Q3) Which condition(s)that can cause acquired immune deficiency?
A) Chemotherapy
B) Viral infections
C) Smoking
D) Malnutrition
E) Bacterial infections
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Chapter 12: The Respiratory System
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/18670
Sample Questions
Q1) A patient with emphysema presents to the emergency room with severe dyspnea; O<sub>2</sub> saturation is 74%,pulse is 120,and respirations are 26.The nurse positions the patient in high Fowler.What action should the nurse take next?
A) Collect a sputum specimen.
B) Coach the patient in pursed-lip breathing.
C) Give oxygen at 5 L/min by nasal cannula.
D) Ensure patent intravenous (IV) access.
Q2) The nurse is performing deep tracheal suctioning of a patient with a respiratory disorder.Which action demonstrates appropriate technique?
A) The nurse maintains clean technique.
B) The nurse places the patient in a side-lying position.
C) The nurse suctions the patient for 10 to 15 seconds.
D) The nurse reassures the patient that he will feel no discomfort.
Q3) When creating a visual aid to show the mechanics of inhaling,the nurse correctly illustrates which scenario?
A) The diaphragm moves downward.
B) The negative pressure of the lung converts to positive pressure.
C) The muscles contract and pull the rib cage downward.
D) The bronchi enlarge.
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Page 14
Chapter 13: Care of Patients with Disorders of the Upper
Respiratory
System
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/18671
Sample Questions
Q1) Which statement is most important for the nurse to make when caring for an anxious patient with a new tracheostomy?
A) "I have cared for patients who were able to have the tracheostomy reversed."
B) "I will be efficient and give care quickly."
C) "I will wait until your tracheostomy heals before teaching."
D) "I understand that you might be apprehensive."
Q2) Which action(s)may help to reduce the risk of transmitting a common cold?
A) Cover the mouth and nose when sneezing.
B) Wash the hands frequently.
C) Use saline nose sprays.
D) Turn the head to the crook of the arm when coughing.
E) Drink juices with vitamin C.
Q3) The nurse is setting up the environment for tracheal suction on a newly postoperative tracheostomy patient.Which action(s)should the nurse perform?
A) Auscultate lungs for retained secretions.
B) Wash hands and open sterile suction kit.
C) Don clean gloves and lift out catheter and connect to suction.
D) Inform the patient about the procedure.
E) Perform suction with sterile supplies.
Page 15
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Chapter 14: Care of Patients with Disorders of the Lower
Respiratory
System
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/18672
Sample Questions
Q1) When caring for a patient with acquired immune deficiency syndrome (AIDS),the nurse is aware that this patient is most at risk for developing which type of pneumonia?
A) Hypostatic
B) Streptococcus pneumoniae
C) Atypical
D) Pneumocystis jiroveci
Q2) The patient with asthma is prescribed a leukotriene modifier drug,montelukast (Singulair).Which statement describes an advantage of this medication?
A) Limited gastrointestinal (GI) side effects
B) Bronchodilation and anti-inflammatory effects
C) Stringent control of acute episodes of asthma
D) Ability to replace all other asthma remedies
Q3) Step 5
A)Mast cell-mediated inflammatory response in bronchi
B)Mucus production
C)Plugging of small airways
D)Contact with precipitator
E)Mucosal edema
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Chapter 15: The Hematologic System
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/18673
Sample Questions
Q1) Step 2
A)Becomes a phagocyte
B)Becomes a macrophage
C)Engulfs bacteria
D)Migrates into tissues
E)Becomes a monocyte
F)Becomes a leukocyte
Q2) Step 1
A)Becomes a phagocyte
B)Becomes a macrophage
C)Engulfs bacteria
D)Migrates into tissues
E)Becomes a monocyte
F)Becomes a leukocyte
Q3) Jaundice results from excessive release of which substance into the bloodstream?
A) Histamine
B) Bilirubin
C) Plasma
D) Platelets
Q4) The normal range of hemoglobin is from _____ g/dL to _____ g/dL.
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Chapter 16: Care of Patients with Hematologic Disorders
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) Which factor(s)may be causative for leukemia?
A) Radiation exposure
B) Pesticides exposure
C) Benzene exposure
D) Frequent bacterial infections
E) Virulent viral infections
Q2) The nurse is assessing a patient with polycythemia vera.Which finding is consistent with this disorder?
A) Pallor
B) Blood pressure (BP) of 100/60
C) Hemoglobin of 17 mg/dL
D) Agitation
Q3) The nurse is caring for a patient with sickle cell anemia.Which intervention may best help prevent sickle cell crisis?
A) Taking iron supplements daily
B) Maintaining adequate fluid intake
C) Engaging in daily exercise
D) Eating leafy green vegetables
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18
Chapter 17: The Cardiovascular System
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27 Flashcards
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Sample Questions
Q1) The 65-year-old patient complains of leg pain that disappears at rest after having walked a short distance.The nurse recognizes that the patient's symptoms are consistent with which problem?
A) Muscle spasm
B) Deep venous thrombosis
C) Claudication
D) Angiospasm
Q2) The nurse assessing the heart places the stethoscope between the fifth and sixth ribs at the mid-clavicular line to hear the point of _________.
Q3) The nurse is caring for a patient on lisinopril (Zestril).The patient asks how this medication affects blood pressure.Which response best explains the medication's effects?
A) "This medication blocks epinephrine and lowers the heart rate, which impacts blood pressure."
B) "This medication stimulates the release of sodium and water to be excreted."
C) "This medication lowers blood pressure by blocking an enzyme that causes blood vessels to constrict."
D) "This medication decreases cardiac output."
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Chapter 18: Care of Patients with Hypertension and Peripheral Vascular Disease
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/18676
Sample Questions
Q1) Which intervention(s)is/are important for a patient with venous insufficiency?
A) Avoid swimming.
B) Elevate feet to reduce edema.
C) Wear tight clothing.
D) Decrease fluid intake.
E) Apply elastic compression wraps twice daily.
Q2) The nurse is caring for a patient with a deep venous thrombosis (DVT).Which medication would likely be used for initial inpatient treatment?
A) Dabigatran (Pradaxa)
B) Heparin
C) Warfarin (Coumadin)
D) Edoxaban (Lixiana)
Q3) The patient who has a history of smoking and alcohol abuse is most likely to develop __________ hypertension.
Q4) Which blood pressure findings constitute a diagnosis of hypertension?
A) 120/80 × 2, 2 weeks apart
B) 140/90 ×2, 2 weeks apart
C) 120/80 on 3 consecutive days
D) 140/90 every day for a week
Page 20
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Chapter 19: Care of Patients with Cardiac Disorders
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) Which statement accurately explains how calcium channel blocker verapamil assists to correct an arrhythmia?
A) The medication desensitizes the heart to the impulse to contract.
B) The medication increases the strength of the impulse from the atrioventricular (AV) node.
C) The medication alters the impulse from the sinoatrial (SA) node.
D) The medication inhibits transmission of the impulse from the AV node.
Q2) Which potential hazard is most important for a patient with an automatic implantable cardioverter-defibrillator (AICD)to avoid?
A) Static electricity from synthetic fabric
B) Airport security detection devices
C) Constricting clothing and belts
D) High altitudes
Q3) The nurse is caring for a patient with congestive heart failure (CHF).Which intervention should the nurse include in the plan of care?
A) Encourage intake of canned soups.
B) Place the patient in a side-lying position to prevent venous pooling.
C) Encourage large meals for increased nutritional impact.
D) Alternate rest with activity.
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Page 21
Chapter 20: Care of Patients with Coronary Artery Disease and Cardiac Surgery
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) The nurse is educating a patient on a low-fat,low-cholesterol diet after a myocardial infarction (MI).Which food choice should the nurse recommend?
A) "Avoid eating frozen foods."
B) "Replace a serving of red meat with a serving of fish."
C) "Use nondairy creamer in your decaffeinated coffee."
D) "Drink a serving of grapefruit juice each day."
Q2) A patient who presented to the emergency room with a myocardial infarction (MI)becomes pale,diaphoretic,and hypotensive.What action should the nurse take first?
A) Notify the physician immediately.
B) Ensure that the patient has patent IV access.
C) Request assistance from respiratory therapy.
D) Inform the patient's family of the change in status.
Q3) Step 3
A)Platelets adhere to plaque.
B)Deposits of low-density lipoproteins (LDLs) accumulate.
C)Fibrous plaque is laid down in vessel.
D)Streaks of fatty material are laid down in arteries.
E)Platelets clump.
F)Platelets calcify.
Page 22
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Chapter 21: The Neurologic System
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The nurse is performing a neurologic assessment on a patient.Which action should the nurse take to adequately test the effectiveness for the hypoglossal nerve?
A) Ask the patient to touch the tip of the tongue to each cheek.
B) Check air movement through each nostril separately.
C) Ask the patient to wrinkle the forehead.
D) Ask the patient to shrug the shoulders.
Q2) The FOUR (Full Outline of UnResponsiveness)tool is based on the assessment of which components?
A) Eye response
B) Motor response
C) Brainstem response
D) Respiratory function
E) Reflex response
Q3) During a physical assessment of the neurologic system,the nurse checks the patient's __________,which is built into the nervous system and does not need the intervention of conscious thought to take place.
Q4) When documenting pupillary response that is normal,the acceptable abbreviation is _______.
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Page 23
Chapter 22: Care of Patients with Head and Spinal Cord Injuries
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Sample Questions
Q1) The nurse is aware that increasing intracranial pressure can cause _____________ of the brain,which results in the brain impinging on the brainstem.
Q2) The student nurse is planning care for a patient with a recent spinal cord injury.Which intervention indicates that the student nurse requires further instruction regarding appropriate care for this patient?
A) Keep the halo jacket fastened unless the patient is in a supine position.
B) Monitor the bladder every 4 hours for signs of bladder distention.
C) Instruct unlicensed assistive personnel (UAP) to turn and reposition the patient every 2 hours.
D) Assess compression stockings for proper fit.
Q3) The nurse describes a concussion as a closed head injury in which:
A) The brain tissue is bruised.
B) No loss of consciousness occurs.
C) There is amnesia related to the incident.
D) There are no subsequent symptoms.
Q4) If conservative measures are unsuccessful in treating a herniated disk,a(n)__________ may be necessary to remove the posterior arch of the vertebrae,along with the disk.
Page 24
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Chapter 23: Care of Patients with Disorders of the Brain
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Sample Questions
Q1) The nurse instructs a person taking phenytoin (Dilantin)that periodic blood tests will be necessary.The nurse explains that the laboratory checks will monitor for which potential medication-induced change?
A) Potassium depletion
B) Liver damage
C) Increasing creatinine
D) Increasing sedimentation rates
Q2) The nurse is aware that absence (petit mal)seizures are difficult to detect for which reason(s)?
A) Lack of an aura
B) Appearance as a brief moment of absentmindedness
C) Brief loss of consciousness (LOC)
D) Absence of patient memory of the event
E) Absence of postictal signs
Q3) Which symptom is a key sign of a brain tumor?
A) Morning nausea
B) Difficulty reading
C) A headache that awakens patient
D) Increasing blood pressure
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Chapter 24: Care of Patients with Peripheral Nerve and Degenerative Diseases
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27 Verified Questions
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Sample Questions
Q1) The nurse outlines nutritional needs for the patient with multiple sclerosis (MS).Which dietary instruction(s)is/are most important for the nurse to emphasize?
A) Maintain fluid intake of at 1500 mL each day.
B) Include intake of high-fiber foods in the diet.
C) Include high intake of carbohydrates.
D) Add supplemental calcium and vitamin D to the diet.
E) Increase intake of high-fat foods.
Q2) Which drug therapy is indicated for an acute severe attack of multiple sclerosis (MS)?
A) Intravenous (IV) methylprednisolone
B) Intramuscular injections of interferon beta-1b
C) Massive doses of antibiotics
D) Muscle relaxants and opioids
Q3) The triad of Parkinson disease is __________,__________,and __________.
Q4) Two viruses that are especially associated with the etiology of Guillain-Barré syndrome (GBS)are ___________ and ___________.
Q5) The test for the diagnosis of myasthenia gravis in which muscle strength is increased within 1 minute of the injection is the __________ test.
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Chapter 25: The Sensory System: Eye and Ear
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient with a frequent history of falls.The nurse notes that which problems in the patient's history may contribute to frequent falls?
A) Diplopia
B) Vertigo
C) Tinnitus
D) Cirrhosis
E) Ataxia
Q2) The patient is experiencing frequent attacks of vertigo.When planning care,which activity should the nurse encourage?
A) Increase sodium in the diet.
B) Consider a smoking cessation program.
C) Increase daily fluid intake.
D) Drink a glass of red wine before supper.
Q3) Step 4
A)Expose the conjunctival sac.
B)Ask the patient to close the eyelids and move the eyes back and forth.
C)Ask the patient to look up.
D)Ask the patient to tilt the head toward the eye receiving the drops.
E)Drop medication in the conjunctival sac.
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Chapter 26: Care of Patients with Disorders of the Eyes and Ears
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) The nurse notices that the patient must hold the newspaper at arm's length and squint to read.The nurse understands that this finding is consistent with which eye problem?
A) Myopia
B) Hyperopia
C) Presbyopia
D) Astigmatism
Q2) Step 1
A)Ask patient to turn head to affected side.
B)Don gloves.
C)Direct continuous stream of fluid from inner to outer canthus.
D)Instruct patient to lie supine.
E)Hold lids apart with thumb and finger.
F)Have patient close eyes to move debris from upper eyelid to conjunctival sac.
Q3) The nurse is caring for a patient with Ménière disease.Which action is most important for the nurse to take?
A) Speak loudly and clearly into the affected ear.
B) Restrict sodium intake.
C) Encourage frequent ambulation.
D) Encourage fluid intake.
Page 28
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Chapter 27: The Gastrointestinal System
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/18685
Sample Questions
Q1) The nurse is caring for a patient immediately following a liver biopsy.Which actions are appropriate for the nurse to take?
A) Position the patient on the right side.
B) Assess the patient's pain.
C) Monitor vital signs every 15 minutes for the first hour.
D) Instruct patient to cough and deep-breathe.
E) Assess for hematoma at puncture site.
Q2) During a morning assessment,the nurse observes that a patient displays bulging flanks when supine with the knees flexed.Which action should the nurse take next?
A) Measure the patient's abdominal girth.
B) Auscultate each quadrant of the abdomen for 5 minutes.
C) Document the finding.
D) Notify the charge nurse.
Q3) Chemical process to make substances needed by the body
A)Absorption
B)Peristalsis
C)Metabolism
D)Anabolism
E)Catabolism
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Page 29
Chapter 28: Care of Patients with Disorders of the Upper
Gastrointestinal
System
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/18686
Sample Questions
Q1) The nurse is educating a patient who has gastroesophageal reflux disease (GERD)about dietary modification.Which information is most important for the nurse to include in the teaching plan?
A) Avoid highly seasoned or spiced foods.
B) Drink ginger ale or lemon lime soda rather than cola.
C) Use a straw to drink all fluids.
D) Eating three meals spaced evenly apart.
Q2) The nurse correctly recognizes that esophageal cancer is associated with which risk factor(s)?
A) Cigarette smoking
B) Diabetes
C) Hypertension
D) Heavy alcohol use
E) Smokeless tobacco
Q3) The nurse demonstrates that the person whose recommended weight is 150 pounds based on height,age,and body type would be considered obese if the person weighed a minimum of ______ pounds.
Q4) The nurse cautions that increased morbidity from hypertension and cardiac disease,even in children,is related to the modifiable risk factor of __________.
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Chapter 29: Care of Patients with Disorders of the Lower
Gastrointestinal
System
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/18687
Sample Questions
Q1) Liquid and unformed stool
A)Ascending colostomy
B)Transverse colostomy
C)Descending colostomy
D)Ileostomy
E)Continent ileostomy
Q2) Which type of hernia can lead to necrosis?
A) Strangulated hernia
B) Indirect hernia
C) Direct hernia
D) Irreducible hernia
Q3) The nursing is planning care for a patient with an acute exacerbation of inflammatory bowel disease (IBD).Which action(s)is/are most important for the nurse to include in the care plan?
A) Assess number and character of stools.
B) Auscultate bowel sounds.
C) Obtain weights each shift.
D) Encouraging periods of rest.
E) Assess for internal bleeding.
31
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Chapter 30: Care of Patients with Disorders of the Liver,
Gallbladder, and Pancreas
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient with cirrhosis.Which assessment finding warrants the nurse's immediate attention?
A) Shiny, tight abdomen
B) Yellow sclera
C) Confusion
D) Paired horizontal bands on the fingernails
Q2) The nurse is caring for a patient being treated for new onset of gallstones.The patient asks the nurse if he will have to have surgery.How should the nurse respond?
A) "You will have to have surgery if you continue to have gallstones."
B) "Tell me more about your concern."
C) "Treatment for gallstones may include diet modification and weight loss, medications, or surgery."
D) "You need to ask the doctor about your concerns."
Q3) Most likely to lead to cirrhosis
A)HAV
B)HBV
C)HCV
D)HDV
E)HEV
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Chapter 31: The Musculoskeletal System
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/18689
Sample Questions
Q1) Step 1
A)Transfer both crutches to the side of injury.
B)With weight on good leg, reach back, and grasp chair arm.
C)Sit back in chair.
D)Turn slowly and touch backs of legs to seat of chair.
E)Using crutch and chair arm for support, slowly sit on chair.
Q2) The nurse is discussing actions that can be taken to best prevent osteoporosis with a patient.Which information should the nurse include?
A) Take an extra calcium supplement.
B) Eat a balanced diet.
C) Exercise throughout life.
D) Increase daily intake of milk products.
Q3) A patient is learning to use crutches on the stairs.Which action indicates that the patient needs further instruction?
A) The patient places the good leg on the step to be climbed first.
B) The patient places the affected leg on the step to be climbed first.
C) The patient places the crutches on the floor and uses a swing-through method to get to the next step.
D) The patient places the crutch on the affected side on the next step first.
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Page 33
Chapter 32: Care of Patients with Musculoskeletal and Connective Tissue Disorders
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) The nurse is educating a patient going home with a short arm synthetic cast.Which instructions should the nurse include in the teaching plan?
A) Cover the cast with a plastic bag when taking a shower.
B) Blow warm air into the cast to relieve itching.
C) Observe skin at the edge of the cast for irritation or injury.
D) Check circulation and sensation in the fingers frequently.
E) Move and flex the fingers to stimulate circulation.
Q2) Carpal tunnel syndrome (CTS)is caused when the carpal tunnel compresses which location?
A) Radial artery
B) Brachial artery
C) Median nerve
D) Ulnar nerve
Q3) Which vitamin is essential in treating osteoporosis?
A) Vitamin A
B) Vitamin D
C) Vitamin B<sub>12</sub>
D) Vitamin C
Q4) The nurse explains that the "C" in the acronym RICE for sprain treatment stands for
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Chapter 33: The Urinary System
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/18691
Sample Questions
Q1) The patient confides that sneezing makes her "wet her pants." The nurse recognizes this cardinal sign of which type of incontinence?
A) Urge incontinence
B) Stress incontinence
C) Functional incontinence
D) Overflow incontinence
Q2) The nurse is caring for a patient with urinary retention.Which measure(s)should the nurse take when assisting the patient to void?
A) Accompany the patient to the toilet.
B) Offer the patient tea or soda.
C) Provide a warm bath.
D) Discourage the double void technique.
E) Run water in the lavatory.
Q3) High urinary output
A)Anuria
B)Oliguria
C)Polyuria
D)Nocturia
E)Hematuria
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Page 35
Chapter 34: Care of Patients with Disorders of the Urinary System
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/18692
Sample Questions
Q1) The nurse is caring for a patient with glomerulonephritis.Which finding best leads the nurse to suspect that the patient is developing nephrotic syndrome?
A) Ascites
B) Anorexia
C) Pruritis
D) Lethargy
Q2) Ureteral obstruction
A)Prerenal ARF
B)Intrarenal ARF
C)Postrenal ARF
Q3) In which situation(s)should the nurse question an order for carbenicillin for a patient with a urinary infection?
A) The patient is older than 80 years of age.
B) The patient is allergic to penicillin.
C) The patient takes warfarin daily.
D) The patient takes oral contraceptives.
E) The patient has a history of hypertension.
Q4) The nurse is aware that 80% of UTIs in females are the result of contamination from
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Chapter 35: The Endocrine System
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/18693
Sample Questions
Q1) The physician has ordered cortisol level testing for a patient.Which statement indicates that the patient accurately understands the nurse's teaching?
A) "I should not eat or drink 6 hours before the procedure."
B) "I should exercise for at least 10 minutes during the test."
C) "I will have blood samples collected during the day and night."
D) "I should limit salty foods the day before the test."
Q2) The nurse is caring for a patient who has orders for a 17-ketosteroid (17-KS)test.Which preparation is most important for the nurse to make?
A) Keep the patient NPO after midnight the night before the test.
B) Ensure adequate space for the specimen container is available in the refrigerator.
C) Withhold the patient's metformin for 24 hours prior to the test.
D) Request an order for an antacid.
Q3) Where in the body are mineralocorticoids and glucocorticoids produced?
A) Adrenal cortex
B) Adrenal medulla
C) Pancreas
D) Hypothalamus
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Page 37
Chapter 36: Care of Patients with Pituitary, Thyroid, Parathyroid,
and Adrenal Disorders
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who reports abruptly discontinuing his prescribed levothyroxine.The nurse should carefully monitor the patient for which complication?
A) Seizures
B) Extreme diarrhea
C) Sudden hypertension
D) Respiratory distress
Q2) The nurse is caring for patient who is 8 hours postoperative after a total thyroidectomy.The patient complains of muscle cramps,and the nurse assesses a positive Chvostek sign.The nurse correctly interprets that these findings indicate which complication?
A) Imminent convulsions
B) Hypoparathyroidism
C) Hyperkalemia
D) Thyroid storm
Q3) The nurse's major contribution to the care of a patient with Cushing syndrome is that of __________ and __________.
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Chapter 37: Care of Patients with Diabetes and Hypoglycemia
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) Occurs during pregnancy
A)Type 1
B)Type 2
C)Gestational
D)Prediabetes
Q2) Which statement(s)explain(s)a reason for weight loss in type 1 diabetics?
A) Loss of body fluid
B) Insulin intolerance
C) Metabolization of body fats
D) Stress of disease
E) Altered diet
Q3) Which genetic factor(s)increase(s)the risk of a person developing diabetes mellitus (DM)?
A) Number of relatives with DM
B) Body mass index (BMI)
C) Sedentary lifestyle
D) Genetic closeness of relatives with DM
E) Race
Q4) The nurse explains that the three cardinal signs of type 1 diabetes mellitus (DM)are __________,__________,and __________.
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Chapter 38: Care of Women with Reproductive Disorders
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/18696
Sample Questions
Q1) The nurse is caring for a patient who is suffering from dysmenorrhea.Which action(s)is/are ways in which pelvic rock exercise decreases pain?
A) Releasing endorphins
B) Generating abdominal heat
C) Suppressing prostaglandins
D) Making the uterus drop forward
E) Relieving pelvic congestion
Q2) The nurse is caring for a patient with a tentative diagnosis of polycystic ovarian syndrome (PCOS).When reviewing the patient's health history,which finding supports this diagnosis?
A) Cold intolerance
B) Significant weight loss
C) Menstrual periods every 33 days
D) Elevated serum glucose levels
Q3) When does premenstrual syndrome (PMS)occur?
A) The follicular phase of the ovarian cycle
B) The luteal phase of the ovarian cycle
C) The dismantling stage of the menstrual cycle
D) The proliferative stage of the stage of the menstrual cycle
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Page 40
Chapter 39: Care of Men with Reproductive Disorders
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse is interviewing a patient who is seeking assistance at the urology clinic for erectile dysfunction.Which statement is the best way to open the interview?
A) "When was the last time you were impotent?"
B) "Do you attempt to have intercourse every week?"
C) "What medications have you tried previously?"
D) "What experiences have you had with erectile dysfunction?"
Q2) A young man who has been diagnosed as sterile says to the nurse,"I am not much of a man or a husband." Which response is most therapeutic?
A) "I know you feel awful, but you can always adopt."
B) "How do you feel about artificial insemination?"
C) "What about this sterility diagnosis concerns you the most?"
D) "Sterility isn't the end of the world, is it?"
Q3) The nurse is aware that of the known infertility causes,approximately what percentage is due to male factors?
A) 15%
B) 25%
C) 35%
D) 45%
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Chapter 40: Care of Patients with Sexually Transmitted
Infections
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse is educating a young woman newly diagnosed with genital herpes.Which information is most important for the nurse to include in the teaching plain?
A) Take the entire course of antibiotics.
B) Increase fluid intake to dilute urine.
C) Wash hands after applying topical ointment to lesions.
D) Avoid all sexual contact until lesions completely resolve.
Q2) Which patient is exhibiting manifestations consistent with the primary stage of syphilis?
A) A female patient with copious vaginal discharge
B) A male patient with a generalized skin rash
C) A female patient with a painless nodule on her vagina
D) A male patient with a gumma
Q3) To which factor(s)can the rise in the number of sexually transmitted infections (STIs)be attributed?
A) An increase in the number of sexually active teenagers
B) An increase in the opportunity to have multiple partners
C) A knowledge deficit about signs and symptoms of STIs
D) Teenagers being reluctant to report diseases
E) Young people's increasing ability to acquire confidential health care
Page 42
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Chapter 41: The Integumentary System
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36 Verified Questions
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Source URL: https://quizplus.com/quiz/18699
Sample Questions
Q1) Benign wartlike lesions on trunk,arms,and scalp
A)Erythrasma
B)Wheal
C)Fungal infection
D)Keratosis
E)Keloid
Q2) Consists of dense connective tissue
A)Epidermis
B)Dermis
C)Sebaceous glands
D)Sweat glands
Q3) The nurse teaches the patient the "ABCD" technique for evaluating melanomas.What does the "D" in this memory prompt represent?
A) Darkness
B) Drainage
C) Dimpling
D) Diameter
Q4) The nurse reminds the junior high school health class that the first line of defense from pathogens for the body is the ____________.
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Chapter 42: Care of Patents with Integumentary Disorders and Burns
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/18700
Sample Questions
Q1) The nurse is caring for a patient with a stage III pressure ulcer.Which assessment findings are consistent with this stage of ulcer?
A) A crater-like lesion
B) Skin that does not blanch with fingertip pressure
C) Presence of mottled skin
D) Excoriation around the lesion
Q2) The patient with shingles has been on an antiviral medication since the vesicles appeared.The goal of early treatment is to prevent which complication?
A) Postherpetic pain
B) Outbreak of additional vesicles
C) Lesions of the eye
D) Transmission to health care workers
Q3) Incision into subcutaneous tissue to increase circulation
A)Open technique
B)Closed technique
C)Escharotomy
D)Allograft
E)Xenograft
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Chapter 43: Care of Patients in Disasters or Bioterrorism
Attack
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/18701
Sample Questions
Q1) Compound fracture of both femurs,concussion
A)Red tag: emergent
B)Yellow tag: urgent
C)Green tag: nonurgent
D)Black tag: terminal
Q2) Which category A organisms may be released in a bioterrorism attack because of high lethality?
A) Ebola
B) Avian flu
C) Botulism
D) Smallpox
E) Tularemia
Q3) When can patients with plague who have been treated with appropriate antibiotics be released from respiratory droplet precautions?
A) After resolution of all symptoms
B) After three sputum samples are negative for blood
C) After all lesions are dried
D) After the patient receives 48 hours of antibiotic treatment
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Chapter 44: Care of Patients with Emergencies, Trauma, and Shock
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/18702
Sample Questions
Q1) The nurse cautions that,when cooling down a victim of heatstroke,one must be careful to prevent shivering.Shivering can lead to which complication?
A) A paralytic ileus
B) Cardiac arrhythmias
C) An increase in temperature
D) A seizure
Q2) The nurse is caring for a conscious patient who has symptoms consistent with hypoglycemia.After a serum glucose reading supports this diagnosis,which substance is preferred to initially increase the patient's glucose level?
A) A carbonated soda
B) A teaspoon of white sugar
C) A glass of milk
D) IV glucose
Q3) Administration of glucose orally or IV
A)Cardiogenic shock
B)Hypovolemic shock
C)Anaphylactic shock
D)Neurogenic shock
E)Insulin shock
46
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Chapter 45: Care of Patients with Anxiety, Mood, and Eating Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/18703
Sample Questions
Q1) Which signs and symptoms are consistent with general anxiety disorder (GAD)?
A) Heart rate of over 100 beats/min
B) Restlessness
C) Urinary retention
D) Fatigue
E) Muscular tension
Q2) The nurse is educating a patient who has just been prescribed diazepam (Valium).The nurse cautions the patient that diazepam (Valium)may cause which problem?
A) Dependency
B) Urinary retention
C) Severe dehydration
D) Hallucinations
Q3) The nurse explains that anxiety disorders differ from normal anxiety.Which statement accurately describes anxiety disorders?
A) Anxiety disorders develop into suicidal tendencies.
B) Anxiety disorders are seldom controlled.
C) Anxiety disorders interfere with effective functioning.
D) Anxiety disorders make maintenance of relationships impossible.
Page 47
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Chapter 46: Care of Patients with Substance Abuse Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/18704
Sample Questions
Q1) The nurse cautions the recovering alcoholic who is on disulfiram (Antabuse)should avoid even small exposure to alcohol.Which signs and symptoms are characteristic of a reaction of disulfiram (Antabuse)with alcohol?
A) Chest pain
B) Nausea and vomiting
C) Hypertension
D) Blurred vision
E) Blinding headache
Q2) The nurse uses the CAGE challenge to alcoholics who persist in denial.What does the "G" in the set of questions from CAGE represent?
A) Get: "Do you feel like you must get alcohol?"
B) Go: "Do you go out to drink?"
C) Gone: "Is memory of drinking episodes gone?"
D) Guilty: "Do you feel guilty about your drinking?"
Q3) Why do many people who abuse Cannabis (marijuana)rationalize their use?
A) Cannabis sedates them.
B) Cannabis expands their senses.
C) Cannabis heightens sexual pleasure.
D) Cannabis may be obtained legally for therapeutic purposes.
Page 48
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Chapter 47: Care of Patients with Cognitive Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/18705
Sample Questions
Q1) The nurse is caring for a patient who has dementia and has been getting up out of bed at night.What action by the nurse is most therapeutic?
A) The nurse raises all of the side rails.
B) The nurse reassigns the patient to a room closer to the nurse's station.
C) The nurse obtains orders from the physician to apply restraints at night.
D) The nurse places the mattress on the floor.
Q2) Which criteria must be established to assign a diagnosis of dementia?
A) Evidence of cognitive deficits.
B) Evidence of aphasia, apraxia, or agnosia.
C) Impairment in social function.
D) Impairments of occupational function.
E) Neurologic signs and symptoms, such as ataxic gait.
F)None of above
Q3) Uses confabulation to cover memory gaps
A)Cognition
B)Dementia
C)Delirium
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Chapter 48: Care of Patients with Thought and Personality Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/18706
Sample Questions
Q1) The nurse explains that neuroleptic drugs such as chlorpromazine (Thorazine)are very effective in treating specific symptoms of schizophrenia.Which effect(s)should chlorpromazine have?
A) Eliminating hallucinations
B) Stimulating effective interpersonal relationships
C) Enabling organized thought
D) Increasing activity level
E) Eliminating delusional systems
Q2) The paranoid schizophrenic who is taking a neuroleptic is brought to the emergency department with acute muscle spasm of the face and neck with eyes that are fixed in an upward stare.The nurse recognizes the condition of ________.
Q3) A student nurse questions the nurse about the frequency of administration of antipsychotics,such as risperidone (Risperdal).Which advantage is true of newer antipsychotics like risperidone (Risperdal)?
A) Decreased photosensitivity
B) Fewer serious side effects
C) Less expensive
D) Decreased incidence of headaches
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