Medical-Surgical Nursing Exam Solutions
Course Introduction
Medical-Surgical Nursing is a foundational course that introduces students to the care of adult patients experiencing a variety of acute and chronic medical conditions. The course covers key concepts in pathophysiology, assessment, pharmacology, and evidence-based nursing interventions to manage the complex health needs of individuals in diverse healthcare settings. Emphasis is placed on clinical judgment, patient safety, interdisciplinary collaboration, and culturally competent care. Students develop critical thinking and decision-making skills necessary for prioritizing care, managing therapeutic regimens, and promoting optimal patient outcomes across the lifespan.
Recommended Textbook
Medical Surgical Nursing 2nd Edition by Kathleen S. Osborn
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67 Chapters
1995 Verified Questions
1995 Flashcards
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Page 2
Chapter 1: Preparation for Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A nurse would like to teach nursing in a technical school. The nurse should pursue which educational preparation?. Select all that apply.
A) Associate degree
B) Baccalaureate degree
C) Preparation as a clinical nurse specialist
D) Master's degree
E) Doctoral preparation
Answer: D,E
Q2) The nurse has decided to pursue employment as an occupational health nurse. What would this nurse anticipate as being a primary focus in this job?
A) Serving as compliance officer for the Occupational Safety and Health Act
B) Manage the company's insurance benefit program.
C) Eliminate the employee's need for a primary physician.
D) Make home visits to employees to provide care.
Answer: A
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Chapter 2: Legal, Ethical, and Regulatory Aspects of Health
Care Delivery
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19 Verified Questions
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Sample Questions
Q1) A patient is telling the nurse manager that she believes a wrongful act occurred when she was given the wrong medication. Which type of law would the nurse expect to address this issue?
A) Criminal law
B) Common law
C) Civil law
D) Tort law
Answer: D
Q2) A patient cries quietly while undergoing a painful treatment. The nurse realizes that although the treatment is painful, it is necessary for the patient's healing and recovery. Which ethical principle does this situation exemplify?
A) Paternalism
B) Nonmaleficence
C) Veracity
D) Respect for others
Answer: B
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Chapter 3: Research Foundations for Nursing Practice
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Sample Questions
Q1) A patient with severe hypertension, chosen to receive an experimental medication that has shown a dramatic efficacy in lowering blood pressure, has been told that his participation in the study is no longer needed. The patient is upset because he wanted to try the medication to control his blood pressure. What should the nurse do to support this patient?
A) Tell the patient that he can participate some other time.
B) Explain to the patient that experimental medications rarely produce the desired results.
C) Help the patient understand that his participation "wasn't meant to be."
D) Talk with the researchers about the patient's right to receive the medication.
Answer: D
Q2) The nurse wants to study outpatient medical records to determine a specific pattern of care. Which part of HIPAA should this nurse initially consult to guide the study?
A) Disclosing data
B) Creating data
C) Destroying data
D) Accessing data
Answer: D
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Chapter 4: Nursing Care Delivery Systems
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Sample Questions
Q1) The nurse works in a hospital that practices functional care delivery. Which statements represent common perceptions about this system?. Select all that apply.
A) "My job is so boring."
B) "My job is very satisfying."
C) "Knowing that I am instrumental in my patient's return to health is very joyful."
D) "It is hard for me to see the impact of my work in helping patients get better."
E) "As long as I do my job correctly, I am not responsible for when or how the patient gets better."
Q2) The nurse administrator is considering employing an advanced practice nurse. The administrator would refer to which documents to determine this nurse's role in the hospital's nursing care delivery model?
A) The State Board of Nursing scope of practice information
B) The job description for the advanced practice nurse
C) The Joint Commission standards for nursing practice
D) The curriculum of the advanced practice nurse's educational program
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Chapter 5: Nursing Process and Documentation
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Sample Questions
Q1) The nurse is using the Kardex to plan a patient's care. What information would the nurse expect to find in this document?. Select all that apply.
A) Nursing notes from the previous shift
B) Schedule of diagnostic tests
C) Level of activity
D) Diet
E) IV therapy
Q2) When asking a patient if a pain medication provided a few hours ago has been effective, the nurse is performing which step of the nursing process?
A) Planning
B) Implementation
C) Evaluation
D) Assessment
Q3) Which statement represents a nursing diagnosis?
A) High risk for delayed maternal-infant bonding due to maternal-infant separation
B) Crohn's disease
C) Hypertension
D) Appendicitis
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Chapter 6: Health Assessment
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Sample Questions
Q1) The nurse introduces herself and shakes the patient's hand, then sits so as to maintain eye contact during the health interview. What do the nurse's actions demonstrate?
A) Facilitation
B) Negative nonverbal messages
C) Positive nonverbal messages
D) Empathy
Q2) The nurse is preparing to use auscultation as part of a patient's physical examination. Which techniques should the nurse use?. Select all that apply.
A) Pressing the bell of the stethoscope firmly on the skin to hear muffled tones
B) Using the diaphragm of the stethoscope to hear normal lung sounds
C) Placing the diaphragm of the stethoscope firmly against the patient's gown
D) Focusing on one sound at a time
E) Using the bell of the stethoscope to hear low-pitched sounds
Q3) A 54-year-old patient reports that she smokes a pack and a half of cigarettes daily and has been smoking since she was 16 years old. The nurse would record a smoking history of ______ pack-years.
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Chapter 7: Genetics
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Sample Questions
Q1) The mother of a child with cystic fibrosis says, "No one in our family has ever had cystic fibrosis. Why did it suddenly appear in my child?" What information should the nurse offer this mother?
A) "While all people carry the gene for cystic fibrosis, those who develop the disease have a mutation in that gene."
B) "A small percentage of the general population carries the gene for cystic fibrosis. If two carriers have children, 25% of those children will develop the disease."
C) "One in four people carries the gene for cystic fibrosis. If two carriers have children, 25% of those children will develop the disease."
D) "Some people carry the gene for cystic fibrosis. Of those carriers, one in four will develop the disease."
Q2) A baby is born with a genetic disorder that did not affect either of the parents. What would the nurse deduce about this situation?
A) The mother is the carrier of the disorder.
B) The father is the carrier of the disorder.
C) The father is not the biological father of the baby.
D) Both parents are carriers of the disorder.
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Page 9
Chapter 8: Nutrition
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Sample Questions
Q1) According to BMI measurements, a patient is overweight. Which additional assessments would the nurse perform to verify this conclusion?. Select all that apply.
A) Wrist circumference
B) Length of femur
C) Head circumference
D) Elbow breadth
E) Maximum length from tip of thumb to tip of small finger
Q2) The mother of a 14-year-old boy is concerned that her son may have anorexia nervosa. Which statements by the mother would the nurse evaluate as supporting this concern?. Select all that apply.
A) "His whole focus in life is on improving his marathon time."
B) "He complains of being hot all the time."
C) "He is losing his hair."
D) "He has lost 5 pounds since he started football practice."
E) "He seems so skinny and weak."
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10
Chapter 9: The Biophysical and Psychosocial Aspects of Nursing
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Sample Questions
Q1) While conducting an assessment, the nurse asks the patient to rate her pain, with 1 being no pain and 10 being the worst pain she ever experienced. The nurse is utilizing which therapeutic communication technique?
A) Focusing
B) Encouraging comparison
C) Offering self
D) Accepting
Q2) The nurse is developing a care plan to help a patient deal with the stress associated with a chronic illness. Which interventions should the nurse include?. Select all that apply.
A) Remind the patient daily how lucky he is to have help available for dealing with his stressors.
B) Allow the patient to make as many personal care decisions as possible.
C) Assist the patient with gathering education about the disease process.
D) Assist the patient in developing positive coping mechanisms.
E) Avoid discussing the disease with the patient.
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11
Chapter 10: The Aging Process
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Sample Questions
Q1) A 78-year-old patient's respiratory vital capacity measurement is decreased. How would the nurse evaluate this information?
A) The patient will likely also have cardiac insufficiency.
B) This finding can be normal in older patients.
C) This finding indicates neurological deterioration.
D) This patient has had undiagnosed chronic respiratory disease.
Q2) An elderly patient leaves the home for several hours most days of the week and attends a facility where care is provided specific to the needs of the elderly. The patient is attending which type of community-based nursing care program?
A) Adult day care
B) Health care clinic
C) Residential care facility
D) Outpatient center
Q3) A nurse researcher is preparing to study a group of older adults and their response to a nursing intervention. To meet the legal definition of older adult, the study group should include persons _______ years of age or older.
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12
Chapter 11: Caring for the Patient at End of Life
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Sample Questions
Q1) A patient asks the nurse what it means to have hospice care at home. What is the most accurate response to this patient?
A) "Hospice makes sure that you are comfortable at home."
B) "Hospice care helps cure your illness."
C) "Hospice care is for patients who will be sick for longer than a year."
D) "Hospice care means all your needs will be met."
Q2) Which nursing intervention follows the principles of palliative care?
A) Encouraging physical therapy to restore prior level of functioning
B) Talking to the patient about plans for funeral arrangements
C) Talking to the patient about possibly becoming an organ donor
D) Facilitating a consult to promote weight gain
Q3) A terminally ill patient is experiencing dyspnea. What should the nurse do to help the patient feel more comfortable?
A) Raise the head of the bed.
B) Gently massage the patient.
C) Replace the oxygen cannula with a face mask.
D) Provide oral care.
Q4) A patient is prescribed an intravenous midazolam drip at a rate of 1-5 mg/hr, titrated to symptom relief. The nurse would start this drip at ______ mg/hr.
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Chapter 12: Pain Assessment and Management
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Sample Questions
Q1) A patient says that she has pain every day but never asks her health care provider for medication because she doesn't want to "become addicted." What is the nurse's best response to this patient?
A) "Pain isn't always a bad thing to experience."
B) "It's better to experience the pain than to cover it up."
C) "There are many medications your doctor can prescribe that are not addicting."
D) "I wouldn't want to become addicted either."
Q2) A patient is seen resting quietly; however, when the nurse enters the room, the patient grimaces and asks for more pain medication. What should the nurse do?
A) Tell the patient that medication cannot be provided at this time and leave the room.
B) Assess the level of pain and provide the requested pain medication.
C) Confront the patient and ask about the sudden demonstration of pain.
D) Refuse the medication and document that the patient appears to be faking the need for pain medication.
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Chapter 13: Substance Abuse Assessment and Management
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Sample Questions
Q1) A patient has been admitted to an addiction detoxification unit. The nurse has educated the patient about the medications that have been prescribed to help with withdrawal symptoms. Which statements by the patient indicate that further education is required?. Select all that apply.
A) "Naltrexone is an antidepressant."
B) "The Antabuse will help me with my cravings for heroin."
C) "Chlordiazepoxide is also called Librium, and it can help with my anxiety."
D) "The phenobarbital will help prevent seizures."
E) "I need folic acid and other vitamin supplements because I haven't eaten well for so long."
Q2) A teenager who is brought to the emergency department by the parents is reported to have taken barbiturates with alcohol. What will be the greatest concern for this patient?
A) Respiratory depression
B) Seizure activity
C) Signs of withdrawal
D) Hallucinations
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Page 15
Chapter 14: Infectious Process and Prophylaxis
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Sample Questions
Q1) A patient is diagnosed with an antibiotic-resistant infection. What can the nurse do to reduce the spread of this infection?
A) Isolate the supplies used when caring for this patient.
B) Transfer the patient to a semiprivate room.
C) Limit exposure to this patient.
D) Restrict visitors and plan activities to coincide with meal delivery times.
Q2) The nurse is caring for four patients in a medical-surgical unit. Which patient should the nurse see first?
A) A patent admitted with pneumonia who is has small amounts of yellow productive sputum
B) A patent admitted with fever of unknown origin whose temperature is currently
C) A patent admitted with an infected wound on the left foot whose WBC is 8,500 mm<sup>3</sup>
D) A patent admitted with infectious gastroenteritis who has had severe diarrhea for the last 24 hours
99.0F
Q3) The nurse would assess that a patient is severely neutropenic if the absolute neutrophil count is less than ______ cells per cubic millimeter.
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Chapter 15: Fluids, Electrolytes and Acid-Base Imbalance
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Sample Questions
Q1) The nurse is caring for a patient diagnosed with renal failure. Which compensation does the nurse expect for the acid-base disturbance found in patients with renal failure?
A) The patient breathes rapidly to eliminate carbon dioxide.
B) The patient will retain bicarbonate in excess of normal.
C) The pH will decrease from the present value.
D) The patient's oxygen saturation level will improve.
Q2) A postoperative patient is diagnosed with fluid volume overload. Which assessment would the nurse attribute to this diagnosis?
A) The patient has poor skin turgor.
B) The patient has decreased urine output.
C) The patient reports sleeping on two pillows.
D) The patient's laboratory testing reveals concentrated hemoglobin and hematocrit levels.
Q3) A clinic patient is short of breath and has ankle edema. Today's weight is 8 pounds heavier that last week's weight. The nurse determines that the patient could have retained ______ pints of fluid.
Q4) The nurse would assess for dehydration if the patient's urine specific gravity is higher than ________.
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Page 17
Chapter 16: Fluid and Blood Infusion Therapy
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Sample Questions
Q1) Following insertion of a peripheral vascular device, the patient immediately complains of shortness of breath, chest pain, and palpitations. What is the nurse's initial intervention?
A) Obtain radiographic studies.
B) Notify the physician.
C) Place a tourniquet proximal to the site.
D) Obtain vital signs.
Q2) A patient admitted 14 hours ago following a motorcycle accident has received 20 units of blood due to massive hemorrhage. Nursing assessment for which complications is essential?. Select all that apply.
A) Coagulation imbalances
B) Acid-base imbalance
C) Hypocalcemia
D) Elevated blood ammonia titers
E) Hypokalemia
Q3) A patient has received a unit of packed red blood cells. If the patient is not bleeding, the nurse would expect that the hematocrit would rise _____ %.
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Chapter 17: Preoperative Nursing
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Sample Questions
Q1) During preoperative assessment, the patient says, "My surgery must be minor because it's being done on an outpatient basis." How should the nurse respond?
A) "Every surgical procedure is serious, and I will make sure you have the information you need for a successful recovery."
B) "You are right."
C) "If it were more serious, you would be admitted to the hospital."
D) "Your insurance plan does not cover inpatient surgical procedures. That's why your surgery is being done on an outpatient basis."
Q2) The nurse wonders if a patient's outcome would be better if the patient stopped smoking 3 weeks or 2 months before surgery. This is an example of which concept?
A) A question to ask the patient
B) The nurse's ability to think critically
C) A question to ask the health care provider
D) A potential nursing research question
Q3) A patient has postponed an elective surgical procedure. The nurse would advise the patient that a new preoperative health assessment will be necessary if the original assessment document is over _____ days old.
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Page 19
Chapter 18: Intraoperative Nursing
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Sample Questions
Q1) During a surgical procedure, the nurse assesses the patient's response to anesthesia and determines the amount of pain medication to provide. Which role is this nurse fulfilling?
A) Scrub nurse
B) Certified registered nurse anesthetist
C) Registered nurse first assistant
D) Circulating nurse
Q2) Before a patient goes into the surgical suite, the nurse anesthetist assesses the patient's previous experience with anesthesia and answers any questions the patient might have about the anesthesia plan for the surgery. In which category of nurse anesthetist practice is this nurse functioning?
A) Maintenance
B) Induction
C) Perianesthetic clinical support
D) Preanesthetic preparation and evaluation
Q3) The certified nurse anesthetist suspects a patient is experiencing malignant hyperthermia and will administer dantrolene sodium 3 mg/kg IV. The patient's documented weight is 143 pounds. The nurse will administer _____ mg in the first bolus.
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Chapter 19: Postoperative Nursing
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Sample Questions
Q1) The nurse is caring for a patient recovering from surgery conducted in the previous 24 hours. What should the nurse do to assist this patient with pain control?
A) Administer prescribed analgesics around the clock.
B) Administer prescribed analgesics when the patient requests something for pain.
C) Assist the patient to a more comfortable position to reduce the amount of pain.
D) Offer the patient a back rub to reduce the amount of pain.
Q2) A patient is preparing for discharge to home. The nurse has provided discharge instructions regarding activities. Which instruction is most helpful to the patient?
A) "You may complete activities as tolerated."
B) "Be sure to rest throughout the day."
C) "You can start exercising in 7 days if there are no signs of wound infection."
D) "You can bathe normally."
Q3) A child who weighs 30 kg is in the PACU. The nurse would collaborate with the child's health care provider if the child's urine output was less than ______ mL per hour.
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21
Chapter 20: Nursing Assessment of the Patient With
Neurological Disorders
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Sample Questions
Q1) The nurse has just finished explaining to a patient's son the function of the Mini-Mental Status Examination (MMSE). Which statement by the patient's son indicates his understanding?
A) "This test will evaluate my dad's ability to think, reason, and make decisions."
B) "This test will give us a good idea if Dad is mentally healthy enough to live alone."
C) "If Dad passes this test, we will know that his mind is still okay."
D) "I'm sure Dad will do well on the test; he's always been smart."
Q2) The nurse observes a patient who has a lack of coordination, clumsy movements, and an unbalanced gait. How would the nurse document this observation?
A) As flaccidity
B) As paralysis
C) As hemiparesis
D) As ataxia
Q3) The patient's vision is recorded as 20/
50. The nurse is measuring what this patient can see as compared to what a normal eye can see at _______ feet.
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Page 22
Chapter 21: Caring for the Patient With an Acute Brain or Cranial Nerve Disorder
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Sample Questions
Q1) A patient has had a surgical resection of an acoustic neuroma. The nurse would prioritize which postoperative assessment?
A) Timing how long it takes for tinnitus to return
B) Measuring urine output hourly
C) Determining the degree of hearing loss
D) Identifying damage to cranial nerves VII, IX, X, and XII
Q2) A 25-year-old female is diagnosed with tic douloureux. How should the nurse describe this disorder to the patient?. Select all that apply.
A) "This condition is also called Bell's palsy."
B) "You are the typical age for onset of this condition."
C) "More women than men have this condition."
D) "More testing will be necessary."
E) "The treatment for this condition is to allow it to run its course, which is typically 5 to 7 days."
Q3) Which nursing diagnosis is most applicable to a patient with new-onset seizures?
A) Anxiety
B) Self-Care Deficit
C) Activity Intolerance
D) Impaired Mobility
Page 23
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Chapter 22: Caring for the Patient With Cerebral Vascular Disorders
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Sample Questions
Q1) A patient has been admitted with stroke-like symptoms. The nurse would report a serum potassium level of less than _____mEq/L as below the desired level.
Q2) A patient will have either endovascular coiling or neurosurgical clipping as treatment for an intracranial aneurysm. How would the nurse describe the benefits and risks of each form of treatment?. Select all that apply.
A) Surgery is the most reliable method of treating these aneurysms.
B) Coiling is only successful in very small aneurysms.
C) The decision of which approach to use is based on the patient's preference.
D) Coiling is generally a less invasive option.
E) Coiling may require placement of a stent.
Q3) A patient has had successful treatment for a leaking arteriovenous malformation and is being discharged to home. The patient's Barthel Index score is
A) Partial assistance with daily care activities
B) Maximum assistance with self-care in all activities
C) Very little assistance with activities of daily living
D) No assistance with most activities
48. The nurse anticipates that the patient will require which assistance?
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Page 24
Chapter 23: Caring for the Patient With Chronic and Degenerative Neurological Disorders
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Sample Questions
Q1) A patient's husband states, "I've noticed that my wife doesn't sleep well anymore and sometimes can't find the right words when we're talking." Which is the most appropriate response by the nurse?
A) "How long have you noticed these changes?"
B) "Does anyone in your family have Alzheimer's disease?"
C) "These are common changes associated with age."
D) "Do you think your spouse is depressed?"
Q2) A 30-year-old nurse who works on a busy medical-surgical unit has been diagnosed with multiple sclerosis (MS). What is this patient's priority health promotion activity?
A) Negotiate a regular schedule of 8-hour day shifts and consider applying for nursing positions that are less stressful and demanding.
B) Work as hard as possible now because it may not be possible later.
C) Continue to work as scheduled without making changes.
D) Leave employment as a nurse because of the need for complete bed rest.
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Page 25
Chapter 24: Caring for the Patient With Spinal Cord Injuries
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Q1) The nurse recognizes that the rehabilitation goal for a patient who has experienced a spinal cord injury (SCI) is to assist the patient in which activities?. Select all that apply.
A) Adapting to the realization of the patient's limitations
B) Providing the emotional support required for this adjustment
C) Reaching the patient's highest potential for independence
D) Managing the physical pain such injuries cause
E) Assimilating back into the patient's home environment
Q2) Risk for Constipation related to impaired gastric motility is added to the nursing care plan of a patient with a new spinal cord injury (SCI). The nurse would plan which interventions to address this diagnosis?. Select all that apply.
A) Check each stool for occult blood.
B) Administer stool softener as prescribed.
C) Institute chemical stimulation to initiate bowel evacuation.
D) Place the patient in an adult incontinence garment.
E) Manage parenteral feedings as ordered.
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Chapter 25: Nursing Assessment of the Patient With
Respiratory Disorders
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Sample Questions
Q1) After auscultating a patient's chest, the nurse reports the findings to the preceptor. Which statement would indicate the need for immediate reassessment by the preceptor?
A) "I heard coarse crackles earlier, but now they sound finer."
B) "I heard wheezing earlier, but now I don't hear it."
C) "There are coarse crackles that clear with coughing."
D) "The patient was clear, but now there are scattered wheezes bilaterally."
Q2) A patient from Southeast Asia presents to the clinic with complaints of shortness of breath. The patient says, "I tried to coin my wind illness, but it did not work." Which assessment finding would the nurse expect?
A) The patient is wearing an amulet shaped like a dragon.
B) The patient has burns on the inside of the nose and mouth.
C) The patient is pale from blood loss.
D) The patient has small scrapes across the back and chest.
Q3) A review of a patient's medical record reveals a 70-pack-year smoking history. The patient says he smokes two packs of cigarettes every day. The nurse calculates that this patient has been smoking for ______ years.
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Page 27
Chapter 26: Caring for the Patient With Upper Airway Disorders
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Sample Questions
Q1) A patient tells the nurse he has a "cold" every spring that lasts for 8 to 10 weeks. The nurse suspects that the patient is experiencing which condition?
A) Acute viral rhinitis
B) Allergic rhinitis
C) Vasomotor rhinitis
D) Atrophic rhinitis
Q2) A patient who is scheduled for a partial laryngectomy asks if he will still be able to talk after the surgery. What are appropriate nursing responses to this patient?. Select all that apply.
A) "No, you will not."
B) "You will have to ask your physician."
C) "Yes, but it might sound a little different."
D) "You will be able to talk, but with an electronic device."
E) "Speech is usually preserved, but we will know better after surgery."
Q3) Which individual is most at risk for head and neck cancer?
A) A young female infected with human papillomavirus
B) A male with a 15-year history of smoking and alcohol use
C) A young male who has used smokeless tobacco for 2 years
D) An older male with a history of preferring "meat and potatoes"
Page 28
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Chapter 27: Caring for the Patient With Lower Airway Disorders
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34 Flashcards
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Sample Questions
Q1) Which health promotion information should the nurse provide to the patient newly diagnosed with chronic obstructive pulmonary disease (COPD)?. Select all that apply.
A) "Here is some information about a smoking cessation clinic you should investigate."
B) "I will give you a flu shot before you leave the clinic today."
C) "High pollen counts should not bother you, but stay inside on windy, dusty days."
D) "You should avoid being in enclosed areas with large groups of people."
E) "Avoid spending time outside if it is very hot or very cold."
Q2) A patient diagnosed with chronic obstructive pulmonary disease (COPD) has a pulse oximetry reading of 86%, polycythemia, increase in WBC bands count, temperature of 101° F, pulse 100, respirations 35, and a chest X-ray showing evidence of a flattened diaphragm with infiltrates. Which physician order would the nurse for this patient?
A) Antibiotic therapy
B) Initiation of oxygen by nasal cannula at 1-2 L/minute
C) Bronchodilator therapy
D) Mucolytic therapy
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Chapter 28: Caring for the Patient With Complex
Respiratory Disorders
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78630
Sample Questions
Q1) The family of an elderly patient diagnosed with pulmonary edema asks the nurse what the diagnosis means. How should the nurse respond?
A) "It is too much fluid in the lungs."
B) "It is a narrowing of the coronary vessels that causes the heart to stop working correctly."
C) "It is a disorder that rarely affects individuals older than D) "It is caused by working too hard when one is younger." 60."
Q2) A patient being mechanically ventilated develops hypotension after the respiratory therapist implements the most recent physician orders. The nurse suspects which ventilator mode might be the cause?
A) PEEP
B) SIMV mode
C) Assist-control mode
D) Pressure-controlled settings
Q3) Arterial blood gases reveal that a patient's PaO<sub>2</sub> is 84% on room air. The patient's FaO<sub>2</sub>/FiO<sub>2</sub> ratio is ______.
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Page 30
Chapter 29: Nursing Assessment of the Patient With
Cardiovascular Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78629
Sample Questions
Q1) A review of family history reveals that a significant number of a patient's ancestors died very early from cardiac diseases. What is the best use of this information for the patient and the nurse?
A) The patient should avoid stress and exposure to communicable diseases.
B) The patient and the nurse should work together to identify other risk factors and establish a plan for health living.
C) The nurse should prepare the patient for the eventuality of an early death.
D) The nurse should encourage the patient not to have biological children.
Q2) A patient is being evaluated for intermittent chest pain. The nurse's concern about a cardiac origin for this pain would be increased if the patient reports his mother had a myocardial infarction at the age of ______ years or younger.
Q3) The nurse, assessing a patient for cardiac failure, has elected to test for abdominojugular reflux. Which action is indicated?
A) Ask the patient to bear down as if moving the bowels.
B) Compress the right upper abdomen for 30 seconds.
C) Use a reflex hammer to tap on the xiphoid process.
D) Roll the patient to the right side and percuss over the left abdomen.
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Page 31
Chapter 30: Car-Ing for the Patient With Dysrhythmias
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78628
Sample Questions
Q1) A patient received an implantable cardioverter-defibrillator (ICD). The nurse would include which instruction during discharge teaching for this patient?
A) "If a family member is in direct contact with you when the ICD discharges, he or she may experience a shock or tingling sensation."
B) "You can activate the ICD whenever you feel a change in your heart rhythm."
C) "The batteries of the ICD won't need to be replaced if the ICD never shocks the heart."
D) "There should be no discomfort if the ICD discharges. You probably won't notice it."
Q2) How would the nurse differentiate between premature atrial contractions (PACs) and premature junctional contractions (PJCs) on the patient's cardiac monitor tracing?
A) The beat in question is early in the rhythm.
B) A PJC has an inverted P wave.
C) The QRS looks essentially normal.
D) The heart rate is 60.
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Chapter 31: Hemodynamic Monitoring
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78627
Sample Questions
Q1) Which actions are correct when the nurse is performing the Allen's test?. Select all that apply.
A) Occlude the radial artery and, after 15 seconds, occlude the ulnar artery.
B) Ask the patient to hold the hand below waist level for 30 seconds before beginning the test.
C) Release pressure over the ulnar artery first.
D) Hold pressure on the radial artery for 30 seconds before assessing the hand.
E) Consider color return to the hand in 20 seconds as a negative test.
Q2) The nurse caring for a patient with hemodynamic monitoring would collaborate with a physician colleague to implement which intervention?
A) Changing the dosages (titrating) of medications based on changes in hemodynamic pressures
B) Using sterile technique to clean the site of insertion of the catheter and changing the dressing
C) Inflating the balloon in the pulmonary artery to obtain pulmonary artery occlusion pressures
D) Advancing the catheter if the radiologist determines it is not in the pulmonary artery
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Chapter 32: Caring for the Patient With Coronary Artery Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78626
Sample Questions
Q1) A patient was admitted this morning for an elective percutaneous coronary intervention. The nurse would alert the health care provider if the patient makes which statement?
A) "My blood sugar was high yesterday, so I took my metformin as prescribed last night."
B) "I have not had anything to eat or drink since midnight last night."
C) "I am eager to get this procedure over with so I can go to my grandson's baseball game next week."
D) "I did not sleep well last night."
Q2) A patient asks the nurse about metabolic syndrome. Which is the most accurate answer for the nurse to provide?
A) "Metabolic syndrome is caused by obesity, physical inactivity, and genetic factors."
B) "This syndrome is not a concern for females unless they smoke."
C) "This problem affects only older adults over the age of
D) "Metabolic syndrome can be avoided by taking vitamins daily and drinking 64 fluid ounces of water a day." 65."
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Chapter 33: Caring for the Patient With Cardiac
Inflammatory Disorders
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78625
Sample Questions
Q1) A nurse caring for a patient with coronary artery disease (CAD) hears a murmur during auscultation of the heart. The nurse suspects which complication of CAD?
A) Valvular heart disease
B) Pericarditis
C) Cardiac tamponade
D) Heart failure
Q2) A patient with infective endocarditis is expressing fear and anxiety related to changes in health status and anticipated procedures. What interventions would the nurse include in this patient's care plan?.. Select all that apply.
A) Provide factual information concerning diagnosis, treatment, disfigurement, disabilities, and prognosis.
B) State that the physician will have to be the one who talks to the patient about the procedure.
C) Explain to the patient that it is better not to be informed prior to procedures, as information increases anxiety.
D) Tell the patient not to worry and that everything will be fine.
E) Explain all procedures and allow the patient time for mental preparation.
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Chapter 34: Caring for the Patient With Heart Failure
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78624
Sample Questions
Q1) A patient with heart failure has orthopnea, tachycardia, fatigue, and activity intolerance. How would the nurse explain the presence of these findings?
A) "You are not coping with your body's changing health."
B) "Your body's protective mechanisms are malfunctioning."
C) "You have not been following instructions on caring for yourself."
D) "Your body is trying to maintain an adequate blood pressure and oxygen supply."
Q2) The nurse is providing medication instruction to a patient who has both hypertension and heart failure. The nurse would expect this patient to be prescribed which drug?
A) Cardiac glycoside
B) ACE inhibitor
C) Antidysrhythmic
D) Anticoagulants
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Chapter 35: Caring for the Patient With Peripheral Vascular Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78623
Sample Questions
Q1) A patient on whom an endovascular repair of the aorta has just been performed is now complaining of numbness and tingling in the toes. The nurse inspects the patient's legs and discovers weak pulses bilaterally, cool lower extremities, and capillary refill greater than 3 seconds. What immediate nursing action is indicated?
A) Contact the patient's family to come to the hospital.
B) Instruct the patient to take deep breaths to increase oxygenation.
C) Contact the ECG technician to get an ECG because the patient is likely having a heart attack.
D) Contact the health care provider because the patient has likely developed interruption of arterial flow.
Q2) A patient on clopidogrel (Plavix) is receiving discharge instructions. What information should the nurse provide?
A) "Be aware of food interactions with the medication."
B) "Take the medication with an NSAID pain reliever if it gives you a headache."
C) "Take vitamin C, vitamin E, and vitamin A supplements daily."
D) "Take the medication with food."
Q3) The nurse would conduct additional assessment for peripheral arterial disease if the patient's ankle-brachial index is lower than_______.
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Chapter 36: Nursing Assessment of the Patient With
Gastrointestinal, Renal, or Urinary Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78622
Sample Questions
Q1) An older adult patient states, "My mouth is always dry." The nurse recognizes that which priority health promotion problem should be addressed?
A) Poorly chewed food will remain in the patient's mouth, supporting bacterial growth.
B) The normal aging process reduces the antibacterial properties of saliva.
C) A lack of salivary gland lubrication makes chewing the food difficult, resulting in gum trauma.
D) A dry mouth lacks bacteria-fighting immunoglobulin A.
Q2) Which techniques would the nurse use to elicit rebound tenderness in a patient's abdomen?. Select all that apply.
A) Start in an area away from the painful area.
B) Start with deep palpation.
C) Release pressure on the abdomen quickly.
D) Stop the assessment as soon as rebound tenderness is elicited.
E) Start the assessment by gently stroking the painful area of the abdomen.
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Chapter 37: Caring for the Patient With Gastrointestinal Disorders
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78621
Sample Questions
Q1) The nurse learns that an elderly patient with ill-fitting dentures has been using an over-the-counter preparation for a gum sore over the last month. What instruction should the nurse give this patient?
A) Make an appointment to see the physician.
B) Continue to use the preparation.
C) Change the preparation.
D) Stop wearing the dentures.
Q2) A patient has been diagnosed with type 1 herpes simplex lesions on the mouth and face. Which statement indicates that the patient understands the information provided by the nurse?
A) "I will have this condition for life."
B) "This was caused by a bacterial infection."
C) "I have come into contact with some type of fungal infection."
D) "An antibiotic will help heal these sores in about 3 days."
Q3) The physician has ordered metoclopramide (Reglan) 2 mg/kg IVP to be given 30 minutes before the start of chemotherapy. The patient weighs 54 kg. The metoclopramide (Reglan) is dispensed in a 10 mg/10 mL vial. The nurse will administer ________ mL of metoclopramide.
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Chapter 38: Caring for the Patient With Hepatic and Biliary Disorders
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78620
Sample Questions
Q1) Which outcome should receive priority in the care plan for a patient who has had a paracentesis to treat ascites?
A) The patient will have normal bilateral breath sounds.
B) The patient's spleen will not rupture.
C) The patient's respiratory effort will be lessened.
D) The patient will not manifest symptoms of hepatomegaly.
Q2) A patient asks the nurse about ways to reduce the risk of developing gallstones and cholecystitis. The nurse should discuss which health promotion activities?. Select all that apply.
A) Walk for 30 minutes five times a week.
B) Eat a low-fiber, high-calorie diet.
C) Eat a low-cholesterol diet.
D) Eat large amounts of citrus fruits.
E) Lose weight as rapidly as possible.
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Chapter 39: Caring for the Patient With Renal and Urinary Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78619
Sample Questions
Q1) A patient with a history of renal calculi has been instructed to acidify his urine. The nurse would suggest intake of which foods or fluids?. Select all that apply.
A) Orange juice
B) Cranberries
C) Chocolate
D) Dairy products
E) Water
Q2) A patient had a renal stent removed. Which intervention is the priority of care for this patient?
A) Monitor urine output.
B) Encourage ambulation.
C) Ensure an adequate protein intake.
D) Monitor blood pressure.
Q3) A female patient is admitted with an overdistended bladder. Which diagnostic test can be done to confirm the diagnosis of urine retention?
A) Bladder scan
B) Renal scan
C) Intravenous pyelography (IVP)
D) MRI
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Chapter 40: Nursing Assessment of the Patient With
Reproductive Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78618
Sample Questions
Q1) During a vaginal examination of a 33-year-old patient, a nontender mass at the posterolateral portion of the labia majora is noted. The nurse anticipates which diagnosis?
A) Rectocele
B) Fistula
C) Bartholin cyst
D) Cyst of the Skene's gland
Q2) The nurse is assisting the health care provider with a routine prostate examination. The nurse could assist the patient to which positions for this examination?. Select all that apply.
A) On the left side with right knee drawn up
B) Leaning over the examination table
C) Standing in the most comfortable position
D) On the right side with both knees flexed
E) In the lithotomy position
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Chapter 41: Caring for the Patient With Female
Reproductive Disorders
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78617
Sample Questions
Q1) The nurse is providing care for a patient with dysfunctional uterine bleeding (DUB). The nurse would reinforce teaching about which procedures as options for managing DUB?. Select all that apply.
A) Hysterectomy
B) Watchful waiting
C) Colposcopy
D) Hormonal agents
E) Dilatation and curettage
Q2) A couple has come to the health care provider's office with concerns about infertility. While collecting data, the woman questions the nurse about who is at fault for the inability to conceive. Which statement by the nurse is most appropriate at this time?
A) "As long as you get pregnant, there is no need to place blame."
B) "The causes of infertility are varied. Determining the cause in each case requires further investigation."
C) "Unfortunately, infertility is usually the fault of the woman."
D) "Most causes of infertility are never explained."
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Chapter 42: Caring for the Patient With Male Reproductive Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78616
Sample Questions
Q1) An 86-year-old patient has just been diagnosed with benign prostatic hyperplasia (BPH). While discussing the condition with the nurse, the patient shakes his head and states, "I thought this disease was more common in middle-aged men." Which response by the nurse is most appropriate?
A) "I understand how you feel."
B) "No one really knows why this happens in older men."
C) "This disease is most common in men between the ages of 40 and
D) "This condition is seen in about 90% of men your age." 55."
Q2) The nurse is planning care for a patient who has just been diagnosed with testicular cancer. Surgery is planned. Which patient problem should be included in the plan of care?
A) Bowel incontinence
B) Erectile dysfunction
C) Urinary incontinence
D) Altered body image
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44
Chapter 43: Caring for the Patient With Sexually
Transmitted Diseases
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78615
Sample Questions
Q1) A patient is being treated for secondary syphilis. The nurse would assess for a rash in which areas?. Select all that apply.
A) Palms of the hands
B) Soles of the feet
C) Across the genitals
D) In the axilla
E) On the lower legs
Q2) A patient diagnosed with herpes simplex II is concerned about sexual relations. What information should the nurse discuss with the patient?
A) The infection can be transmitted only when the lesions are present.
B) The infection can be prevented with condom use.
C) Sexual relations must be avoided at the first sign of recurrence.
D) Sexual activity is permissible once the lesions have dried out.
Q3) A patient is prescribed ceftriaxone (Rocephin) 350 mg IM. The nurse reconstitutes a 500 mg vial of ceftriaxone powder with 1.8 mL of diluent to achieve a concentration of 250 mg/mL. The nurse will administer _______ mL for the total dose.
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Page 45
Chapter 44: Caring for the Patient With Breast Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78614
Sample Questions
Q1) A woman presents to the clinic with a breast mass. The nurse reviewing this patient's history identifies which finding as indicating the highest risk of the mass being malignant?
A) The patient's father died of breast cancer.
B) The woman is Native American. 27.
C) The woman's children were born when she was 22 and D) The woman is vegetarian.
Q2) A woman who has never been pregnant is being treated for mastitis. Which information should the nurse provide?
A) "Because you have never been pregnant, having mastitis increases your risk of breast cancer."
B) "Mastitis is rare in women who are not breastfeeding."
C) "We must differentiate between mastitis and a phyllodes tumor before we can predict whether your condition is malignant."
D) "We should run a pregnancy test because some patients develop mastitis as an initial sign of pregnancy."
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Chapter 45: Nursing Assessment of the Patient Endocrine
Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78613
Sample Questions
Q1) A patient is scheduled for a thyroid scan. The nurse should specifically ask the patient about possible allergy to which substance?
A) Penicillin
B) Iodine
C) Citrus fruit
D) Sulfa drugs
Q2) A patient with assessment findings suggesting acromegaly is scheduled for a growth hormone suppression test. The nurse would prepare the patient for this test with which information?. Select all that apply.
A) "Several blood samples will be drawn for this test."
B) "You will be asked to drink a solution of glucose."
C) "You will be asked to assume several positions as X-rays are taken."
D) "Contrast media that includes iodine will be administered intravenously."
E) "Your urine will be collected for 24 hours."
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Chapter 46: Caring for the Patient With Glandular and Hormonal Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78612
Sample Questions
Q1) Which interventions would the nurse plan to address the nursing diagnosis Risk for Impaired Skin Integrity for a patient with hypothyroidism?. Select all that apply.
A) Wash daily with antibacterial soap.
B) Apply emollient skin lotion liberally at least twice daily.
C) Use astringent wipes to reduce itching.
D) Assess the need for an alternating air mattress daily.
E) Clean areas between skin folds with alcohol to prevent a yeast infection.
Q2) A patient is scheduled to start taking prednisone (Dexasone). The nurse would monitor this patient for which side effects?. Select all that apply.
A) Fat deposits in the abdominal and clavicle regions
B) Muscle weakness and wasting in the extremities
C) Delayed wound healing
D) Varicose leg veins
E) Hypotension
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Chapter 47: Caring for the Patient With Diabetes
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78611
Sample Questions
Q1) A patient who has diabetes mellitus says to the nurse, "I've had difficulty swallowing and have felt nauseous for months. I have been taking milk of magnesia every day for constipation, too." The nurse should recognize these statements as likely being indicative of which condition?
A) The aging process
B) Autonomic neuropathy
C) Retinopathy
D) Nephropathy
Q2) The nurse is identifying patient demographic groups that are at increased risk for needing insulin to control blood sugar. Which patient groups would the nurse identify?. Select all that apply.
A) Patients who are fasting or malnourished
B) Patients with type 2 diabetes who are diagnosed with an infection
C) Patients with type 2 diabetes who are undergoing surgical procedures
D) Patients with gestational diabetes
E) Patients receiving total parenteral nutrition
Q3) The nurse is providing dietary instruction to a patient diagnosed with type 2 diabetes. The nurse includes information on how to reduce dietary intake of cholesterol to no more than _______ mg per day.
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Page 49
Chapter 48: Nursing Management of the Patient With
Musculoskeletal Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78610
Sample Questions
Q1) The nurse determines that a patient's shoulder muscle strength is normal when it is graded as _______ or better.
Q2) While assessing a patient's left knee for range of motion, the nurse hears clicking. The patient says that at times the knee "locks." The nurse would conduct additional assessment for which condition?
A) Rheumatoid arthritis
B) Fluid in the knee
C) Dislocation
D) Damage to the meniscus
Q3) The nurse wishes to assess the anatomic snuffbox of a patient's wrist. Which instruction should the nurse provide?
A) "Place your hand palm-up on the table."
B) "Make a tight fist as I palpate your wrist."
C) "Extend your thumb fully to the side."
D) "Flex your wrist as much as possible."
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Chapter 49: Caring for the Patient With Musculoskeletal Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78609
Sample Questions
Q1) Which instruction should the nurse include when teaching a patient about the medication alendronate (Fosamax)?. Select all that apply.
A) Report new or worsening heartburn and difficult or painful swallowing.
B) Take the medication with orange juice 1 hour after eating.
C) Do not lie down for 30 minutes after taking the medication.
D) Take vitamin C supplements as instructed for bone mineralization.
E) Chew the medication well before swallowing.
Q2) A patient diagnosed with fibromyalgia has been prescribed pregabalin (Lyrica). Which patient statement about the drug is correct?
A) "Pregabalin will cure my fibromyalgia."
B) "I should not drive until I see how this drug affects me."
C) "It is okay for me to relax with a glass of wine in the evening before bed."
D) "If this drug doesn't help me, I can quit taking it and try something else."
Q3) A patient states, "I am in such pain. Do you think I might have fibromyalgia?" Which response by the nurse is indicated?
A) "Have you been in pain over 2 months?"
B) "You must stop smoking before a diagnosis of fibromyalgia can be made."
C) "Have you considered having the blood test for fibromyalgia?"
D) "In which areas do you have pain?"
Page 51
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Chapter 50: Caring for the Patient With Musculoskeletal
Trauma and Surgical
Procedures
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78608
Sample Questions
Q1) A patient has a minor orthopedic injury to the arm. The nurse would suspect the development of complex regional pain syndrome (CRPS) based on which assessment findings?
A) The patient complains of widespread pain and has limited joint mobility.
B) The patient has a fever and a rash over the injured area.
C) The patient complains of vague abdominal pain with diarrhea.
D) The patient's fingers are cyanotic.
Q2) Which home care instructions would the nurse provide a patient whose ulnar fracture was treated with an external fixator device?
A) "Notify your health care provider if the pin sites become painful."
B) "Adjust the tension on the pins if they feel too tight."
C) "You may resume tub bathing after your pins have been in place for 5 days."
D) "Try to avoid using the affected arm."
Q3) A patient recovering from a fractured hip is at risk for developing deep vein thrombosis (DVT). The nurse monitors for which findings that would indicate DVT is occurring?
A) Positive Homans' sign
B) Decreased urine output
C) Confusion
D) Tachypnea
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Chapter 51: Caring for the Patient With Arthritis and
Connective Tissue Disorders
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78607
Sample Questions
Q1) The nurse has been providing care to a patient with scleroderma for a number of years. As the patient's disease progresses, the nurse monitors for CREST symptomology. For which finding is the nurse assessing?
A) Recurrence of tophi on the ears or fingers
B) Shiny skin over the involved joints.
C) Development of telangiectasia
D) Extremities that are always cool to the touch
Q2) A butterfly rash on the face is characteristic of which inflammatory connective tissue disease?
A) Rheumatoid arthritis
B) Systemic lupus erythematosus (SLE)
C) Paget's disease
D) Gout
Q3) The nurse is monitoring a patient diagnosed with scleroderma for the development of sclerodactyly. Which area would the nurse assess?
A) The posterior neck
B) The knees
C) The chest wall
D) The fingers
Page 53
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Chapter 52: Nursing Management of the Patient With
Immunological and Inflammatory Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/78606
Sample Questions
Q1) A patient is admitted with a large, inflamed leg wound. The nurse explains that the inflammatory response is initiated by chemicals released by which white blood cell type?
A) Monocytes
B) Eosinophils
C) Basophils
D) Neutrophils
Q2) Which lymph node assessment findings would increase the nurse's concern that a patient has a malignancy?. Select all that apply.
A) The node is tender.
B) The node is hard.
C) The node is irregularly shaped.
D) The node is freely movable.
E) The node is easily palpable.
Q3) The nurse would consider a provisional diagnosis of sepsis as supported by a band count of over ______ % of the total white blood cell count.
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Chapter 53: Caring for the Patient With Immune Response Disorders
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78605
Sample Questions
Q1) A patient is diagnosed with a type IV delayed hypersensitivity reaction. Which patient reaction is an example of this type of reaction?
A) The patient's hands are dry, red, swollen, and itchy after wearing a latex costume to a party 2 days ago.
B) The patient is light-headed and complains of nausea after being stung by a wasp.
C) The patient develops rash and joint pain a week after taking penicillin.
D) The patient goes into shock after receiving a unit of blood.
Q2) The nurse is providing discharge education for a patient who experienced an anaphylactic reaction to a bee sting. To ensure that the patient receives prompt, appropriate medical care in the event of another bee sting, the nurse encourages which actions?. Select all that apply.
A) Carry oral antihistamines at all times.
B) Be aware of how quickly the symptoms occur and exacerbate.
C) Always have quick access to an epinephrine pen.
D) Wear a medical alert bracelet that identifies allergy to bee venom.
E) Be able to identify early symptoms of allergic reaction.
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Chapter 54: Caring for the Patient With Inflammatory
Response, Shock, and Severe Sepsis
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Q1) The nurse anticipates assisting with which therapy to achieve improved outcomes for a patient who is in septic shock?
A) Vasopressin instead of dopamine for hypotension
B) Early use of neuromuscular blocking agents
C) Limiting fluids to 3 liters per day
D) Mechanical ventilation with a tidal volume of 4 to 6 ml/kg
Q2) A patient diagnosed with shock is prescribed dobutamine (Dobutrex). The nurse would evaluate which finding as indicating the medication has had the desired effect?
A) Increased cardiac output
B) Decreased temperature
C) Decreased respiratory rate
D) Decreased blood pressure
Q3) The nurse is caring for a patient with papillary muscle rupture. The nurse would be most alert to the development of which type of shock?
A) Septic
B) Cardiogenic
C) Anaphylactic
D) Neurogenic
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Chapter 55: Nursing Assessment of the Patient With
Hematological Disorders
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Sample Questions
Q1) Physical examination related to the hematologic system of the adult patient should include inspection of which areas of the body?. Select all that apply.
A) Skin
B) Chest
C) Head and neck
D) Feet and leg musculature
E) Abdomen
Q2) A patient's laboratory results reveal a low platelet count. The nurse would assess the patient for which skin finding?
A) Jaundice
B) Petechiae
C) A brown or dark tinge to the skin
D) A flushed appearance
Q3) A patient's mean corpuscular volume (MCV) is low. How would the nurse explain this finding to the patient?
A) "Your red blood cells do not have enough hemoglobin."
B) "Your red blood cells are not consistent in size."
C) "Your hematocrit is low."
D) "Your red blood cells are small."
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Chapter 56: Caring for the Patient With Blood Disorders
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Q1) A patient who has iron deficiency anemia is prescribed approximately 200 mg of oral elemental iron to be taken daily in three individual doses with meals. The nurse would teach this patient to take ______ tablet(s) of over-the-counter ferrous sulfate for each dose.
Q2) A patient is admitted with immune thrombocytopenia purpura (ITP). How would the nurse explain the etiology of this disorder?
A) "You are producing antibodies against your own platelets."
B) "This is a disorder caused by an overproduction of neutrophils."
C) "You are having a reaction to heparin therapy."
D) "This disorder is caused by an overproduction of reticulocytes."
Q3) A patient has been diagnosed with von Willebrand's disease (vWD). What patient education should the nurse provide?. Select all that apply.
A) This disorder is inherited.
B) This disorder affects only women.
C) This disorder occurs more frequently than was once recognized.
D) This disorder can cause excessive bleeding or excessive clotting.
E) This disease can be cured with administration of von Willebrand's factor.
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Chapter 57: Caring for the Patient With Cancer
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Q1) A patient diagnosed with cancer and scheduled to begin biotherapy asks the nurse how the therapy will treat the cancer. How should the nurse respond?
A) "It changes the body processes that caused the cancer by enhancing your own immunity."
B) "It uses radiation implanted into the cancerous organ."
C) "It uses laser therapy to remove the cancer."
D) "It causes the blood flow to the tumor to be interrupted."
Q2) A patient has been diagnosed with cancer. Which finding in the patient's social history would the nurse evaluate as contributing to cancer development both in the initiation stage and the promotion stage?
A) The patient was exposed to radiation during an industrial accident 5 years ago. 10.
B) The patient has taken vitamin C supplements for many years.
C) The patient's menses began at age
D) The patient reports drinking one or two glasses of wine each week.
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Chapter 58: Nursing Assessment of the Patient With
Integumentary Disorders
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Q1) The nurse is conducting an integumentary assessment on an older adult. Which patient statement would the nurse prioritize as it does not reflect a normal age-related change?
A) "My skin is so thin and gets injured so easily."
B) "My skin is so greasy even though I wash frequently."
C) "My nails are growing more slowly."
D) "I've had mostly gray hair since I was in my thirties."
Q2) During completion of a health history, the patient reports being allergic to strawberries. What additional questions should the nurse ask?. Select all that apply.
A) "How long has it been since you ate strawberries?"
B) "What happens when you eat strawberries?"
C) "What treatments do you use to treat this allergic reaction?"
D) "When was your last allergic reaction?"
E) "Are you allergic to any other foods?"
Q3) The nurse is assessing for changes in the nails of a patient with chronic obstructive pulmonary disease. The nurse would document clubbing of the fingers if the angle of the nail bed exceeds _________ degrees.
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Chapter 59: Caring for the Patient With Skin Disorders
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Q1) A patient asks the nurse about possible options regarding treatment for a malignant melanoma lesion on the arm. Which response by the nurse would be most accurate?
A) "The preferred method of treatment is to remove all the cancer surgically."
B) "An anticancer cream will be used to dissolve the lesion."
C) "Radiation to the skin lesion will be the first method of treatment."
D) "Intravenous chemotherapy will be the initial method of treatment."
Q2) The nurse is preparing a teaching plan for a group of community teenagers about acne. Which information should be included in this teaching plan?. Select all that apply.
A) Avoid wearing makeup to reduce acne outbreak.
B) Keep hair clean with frequent shampoos.
C) Avoid eating chocolate.
D) Wearing a cap or hat may increase acne on the forehead.
E) Open pimples when they develop.
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Chapter 60: Caring for the Patient With Wounds
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Q1) The nurse manager of a long-term care facility would institute which policies to be in compliance with federal tag 314?. Select all that apply.
A) Periodic resident care plan revisions
B) Transfer of resident with pressure ulcers to an acute care facility
C) Documentation of a plan to reduce the development of pressure ulcers
D) A plan to assess residents for their risk of pressure ulcers
E) A method of documenting adherence to facility pressure ulcer policies and procedures
Q2) The nurse is caring for a patient with a large open wound. While changing the dressing, the nurse notes purulent drainage. What additional assessments are necessary for this patient?. Select all that apply.
A) Wound odor
B) Blood urea nitrogen (BUN)
C) Fever
D) Wound bleeding
E) White blood cell count
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Chapter 61: Caring for the Patient With Burn Injuries
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Q1) The nurse is preparing a patient for discharge from the hospital following a major burn injury. The nurse would consider which pathophysiology when developing a plan for the patient's nutrition?
A) The hypermetabolic state is only present in the emergency and acute phases of burn care.
B) The hypermetabolic state continues until all the wounds are healed.
C) The major dietary need after discharge is additional oral fluids.
D) The calorie intake should be decreased so the patient does not stress new tissue with weight gain.
Q2) A patient who weighs 132 pounds sustained a burn injury and is receiving fluid resuscitation. The nurse would evaluate adequate hydration if the patient is producing at least ________ mL of urine each hour.
Q3) A patient who sustained a burn injury over 65% of the body is in the acute phase of care. The patient's preburn weight was 165 pounds. The nurse would work with the patient to achieve intake of ________ calories each day.
Q4) An adult patient who weighs 220 pounds has been burned over 70% of the body. Using the Parkland/Baxter formula, the nurse would anticipate administering ______ mL of fluid in the second 8 hours after the patient was burned.
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Page 63
Chapter 62: Nursing Assessment of the Patient With
Sensory Disorders
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Q1) The nurse notes that the cerumen (earwax) in a patient's ear may indicate an infection. The nurse makes that assessment because of which characteristic of the cerumen?
A) It is nearly absent.
B) It is hardened, dry, and foul-smelling.
C) It is brown, wet, and sticky.
D) It is dry, white, and flaky.
Q2) The school nurse is educating middle school students about the connection between noise and hearing loss. Which information should the nurse provide?
A) Hearing loss requires multiple exposures to high noise levels.
B) Rock concerts are considered to produce moderate levels of noise.
C) One exposure to intense "impulse" noise will probably not damage hearing.
D) Noise-induced hearing loss is also referred to as toxic loss.
Q3) The nurse is assisting with caloric testing on a patient who is persistently unconscious. Which response would the nurse expect if severe brainstem injury exists?
A) No response
B) Right beating nystagmus to cold water introduced in the right ear
C) Left beating nystagmus to introduction of warm water in the left ear
D) Nystagmus in both eyes with introduction of warm or cold water in either ear
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Chapter 63: Caring for the Patient With Hearing and Balance Disorders
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Q1) The nurse knows that a patient may develop sensorineural hearing loss as a result of ototoxic drugs. Which patient would be at highest risk for this type of hearing deficit?
A) A patient with methicillin-resistant Staphylococcus aureus (MRSA) on high doses of vancomycin (Vancocin)
B) A patient on low-dose aspirin to prevent stroke
C) A patient on steroids (Prednisone) for chronic spondylolisthesis
D) A patient using atorvastatin (Lipitor) to prevent heart disease and stroke
Q2) A patient is diagnosed with otosclerosis. The nurse plans interventions related to which type of hearing loss?
A) Sensorineural
B) Mixed
C) Conductive
D) Cochlear
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Chapter 64: Caring for the Patient With Visual Disorders
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Q1) The nurse is teaching a community education class on the prevention of eye injuries and caring for someone with an eye injury. What should be included in this presentation?. Select all that apply.
A) Eye protection devices should be worn when participating in high-risk sports or occupations.
B) Most eye injuries are self-limited and do not require medical intervention.
C) Immediately flush the eye with copious amounts of water if a chemical splash occurs.
D) Loose, visible objects can be removed using a clean, moistened cotton-tipped swab.
E) If an object appears to penetrate the eye, gently remove it using sterile gauze and seek medical attention.
Q2) A patient with an ectropion continues to experience eye dryness and corneal abrasions. The nurse would reinforce teaching about which treatment option?
A) Corrective surgery
B) Corrective lenses
C) UV protective sunglasses
D) Corneal transplant
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Chapter 65: Disaster Nursing
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Sample Questions
Q1) The emergency department has been notified of a possible Category A biologic exposure in a rural community. When preparing staff for these patients, the nurse manager explains care for victims of which agents?. Select all that apply.
A) Botulism
B) Anthrax
C) Plague
D) Tularemia
E) Salmonella
Q2) The nurse manager is determining whether a recent situation involving the injury and death of multiple patients in a gun battle should be classified as a critical incident. Which components of a critical incident should the nurse consider?. Select all that apply.
A) Have any of the staff involved asked for critical incident interventions?
B) Was the incident abnormal in this environment?
C) Have any of the staff involved behaved abnormally since the incident?
D) Did the incident disrupt the emotional culture of the ED?
E) Has there been evidence of inability to cope with severely injured patients since the incident?
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Chapter 66: Caring for the Patient in the Emergency Department
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Q1) A patient arrives by ambulance to the emergency department. A paramedic is administering a breathing bag to help with the patient's respirations. Which triage level will the nurse assign?
A) Nonurgent
B) Resuscitative
C) Emergent
D) Urgent
Q2) The nurse manager makes a quick visit with patients in the emergency department (ED) waiting area. The manager is concerned about one patient who was originally assigned nonurgent status, even though there is no specific change from the triage assessment. What action should the manager take?
A) Check on the patient in another 15 minutes.
B) Tell the admittance clerk to keep an eye on the patient.
C) Change the triage tag to urgent and admit the patient to the ED.
D) Blame the concern on the number of patients still waiting to be seen.
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Chapter 67: Caring for the Patient With Multisystem
Trauma
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Q1) A patient is brought to the emergency department after being involved in a motor vehicle crash. Which assessment would indicate to the nurse that FAST examination will likely be necessary?Select all that apply.
A) Ecchymoses over the abdomen
B) Complaint of neck pain
C) Report of head-on crash in which the patient was the restrained driver
D) Lower leg lacerations and fractures
E) Complaints of chest wall tenderness
Q2) A patient sustained multiple fractures and contusions when hit by a car while walking across the street. He says, "How can I be hurt so badly? The car barely hit me." How should the nurse respond?
A) "Your body absorbed a lot of energy from the moving car."
B) "Because you are diabetic, your injuries are worse."
C) "You probably don't remember how hard you were hit."
D) "Because you are older, your injuries are worse."
Q3) The emergency services department of a hospital has adopted a policy of tertiary survey for all admitted trauma patients. The nurse understands that this survey will be done within ______ hours of admission.
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