Medical-Surgical Nursing
Midterm Exam
Course Introduction
Medical-Surgical Nursing is a comprehensive course designed to equip students with the foundational knowledge and clinical skills necessary to care for adult patients experiencing a wide range of acute and chronic medical conditions. Emphasizing the nursing process, this course covers the assessment, planning, implementation, and evaluation of evidence-based interventions for patients with disorders involving cardiovascular, respiratory, gastrointestinal, musculoskeletal, and other body systems. Students will develop critical thinking and clinical judgment abilities through case studies, simulation, and hands-on practice, preparing them to provide safe, effective, and compassionate care in diverse healthcare settings.
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 patient is admitted to a patient care area. The nurse has never provided care to a patient from this patient's culture before and is concerned. How should the nurse proceed?
A) Briefly review the patient's culture and its expectations of health care providers.
B) Have another nurse provide care to this patient.
C) Approach the care of this patient as with any other patient admitted to the care area.
D) Locate an interpreter to assist with communication.
Answer: A
Q2) The nurse relates how excited she was when a patient responded to a particular intervention and how the entire situation was anxiety-producing for her. This nurse is demonstrating a characteristic of which level of nursing practice?
A) Novice
B) Advanced beginner
C) Competent
D) Expert
Answer: C
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Chapter 2: Legal, Ethical, and Regulatory Aspects of Health
Care Delivery
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A patient asks the nurse to promise that nothing bad will happen while the patient is under anesthesia for a surgical procedure. The patient is creating a conflict in which of the nurse's ethical principles?. Select all that apply.
A) Fidelity
B) Respect for others
C) Paternalism
D) Veracity
E) Autonomy
Answer: A,D
Q2) A patient tells the nurse that her primary care provider wants her to see a specialist, but the specialist is out of the network and her deductible will be higher. The nurse realizes the patient is a member of which type of health care organization?
A) Medicare
B) Health maintenance organization (HMO)
C) Independent practice association (IPA)
D) Preferred provider organization (PPO)
Answer: D
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Chapter 3: Research Foundations for Nursing Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A nurse is going to determine the best design to use for a research project. Which action would the nurse perform to guide this choice?
A) Collect data.
B) Do a review of the literature.
C) Write an overview of the conceptual framework.
D) Identify themes and categories.
Answer: C
Q2) While conducting a research study, the researcher creates a table of new health data based on patient responses. Which action by the researcher is correct?
A) Asking the patients' nurses if the data appears to be correct and then document it was validated
B) Validating the data with laboratory results in the patients' medical records that are not part of the study
C) Gaining permission from the patients to use the data and discussing who will receive it
D) Sharing the data with the patients' health care providers to improve care
Answer: C
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Chapter 4: Nursing Care Delivery Systems
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Sample Questions
Q1) A hospital utilizes the functional nursing care delivery system, and patient satisfaction scores have been falling in each quarter of the past year. What is a likely reason for this decrease?. Select all that apply.
A) Utilization of advanced practice nurses on the unit
B) Efficient nursing staff
C) Lack of confidence in the caregivers
D) Lower health care costs
E) Fragmentation of the nursing care
Q2) A hospital's nursing administration is considering moving to a patient-centered care model. What are the benefits of this model?
A) It is less expensive as it requires fewer registered nurses.
B) Care can be provided more efficiently.
C) This care delivery method increases patient satisfaction.
D) It standardizes care, therefore reducing the need for large supply or medication inventories.
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Chapter 5: Nursing Process and Documentation
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A 16-year-old patient has been admitted for treatment of presumptive pelvic inflammatory disease. The patient's hygiene is poor and she reports living "on the street" for a year. She is febrile and tachycardic and reports pain as 10 on the 1-to-10 scale. The nurse identifies Acute Pain as the priority nursing diagnosis. Which outcome statement is appropriate?
A) The patient's comfort will be achieved and maintained.
B) The patient will be discharged to a safe living environment.
C) The patient will be reunited with her parents.
D) The patient's infection will be eradicated.
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
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Chapter 6: Health Assessment
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Sample Questions
Q1) While conducting a health assessment, the nurse documents a patient's response under the heading "chief complaint." Which part of the assessment is the nurse conducting?
A) History of present illness
B) Family history
C) Psychosocial history
D) Past medical history
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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Page 8
Chapter 7: Genetics
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Sample Questions
Q1) The nurse works in a geneticist's office and is educating a new employee about human cells. Which statement by the employee indicates an understanding of the information?. Select all that apply.
A) "Every human cell has 23 pairs of chromosomes and a total of 46 chromosomes."
B) "Genes are found in the nucleus of all cells."
C) "Each human cell contains mitochondria."
D) "The 22<sup>nd</sup> pair of chromosomes determines the person's gender."
E) "All human cells function in the same way regardless of their location."
Q2) A patient is upset to hear the nurse say that the results of genetic testing revealed "wild-type" genes. What information should the nurse provide?
A) "This term means your genes are unaltered and are considered the normal type."
B) "Your genes are considered normal for the most part but do have some limitations."
C) "We detected some abnormalities in your genes."
D) "The results of your genetic test were unexpected."
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9
Chapter 8: Nutrition
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Sample Questions
Q1) A patient is postoperative from kidney transplant. What nutritional care is appropriate for this patient?. Select all that apply.
A) Begin the introduction of previously restricted foods.
B) Meet the demands of any existing hypermetabolic process.
C) Correct any preexisting deficiencies.
D) Provide necessary support to promote wound healing.
E) Restrict calories to prevent the postoperative weight gain common with this procedure.
Q2) A patient is admitted for treatment of celiac sprue. Which nursing intervention is indicated to address this patient's nutritional needs?
A) Instruct the patient to consume products identified as "new and improved."
B) Encourage the patient to try an oral lactase enzyme product.
C) Limit iron and B vitamin intake.
D) Identify gluten-containing foods and eliminate them from the diet.
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Chapter 9: The Biophysical and Psychosocial Aspects of Nursing
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Sample Questions
Q1) The nurse is attempting to use the therapeutic communication technique of acceptance while interviewing a patient. Which nursing actions support this attempt?. Select all that apply.
A) Asking, "What would you like to talk about today?"
B) Making eye contact as appropriate
C) Nodding when the patient describes a symptom
D) Saying, "Go on."
E) Saying, "Let me see if I understand what you said."
Q2) While changing a patient's abdominal dressing, the nurse talks about aspects of wound care such as the need to check the skin and protect the wound from infection or injury. The nurse and patient are in which phase of the nurse-patient relationship?
A) Orientation
B) Working
C) Caring
D) Termination
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Chapter 10: The Aging Process
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Sample Questions
Q1) 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.
Q2) The nurse is aware that cardiovascular changes are part of the normal aging process. This nurse would consider the position of a patient's point of maximal impulse (PMI) normal if it was found at the midclavicular line (MCL) in which intercostal spaces (ICS)?. Select all that apply.
A) Third
B) Fifth
C) Sixth
D) Seventh
E) Fourth
Q3) An elderly patient tells the nurse that her daughter bought her a system that will call for help if she falls. The nurse realizes this patient is describing which technology?
A) Direct dial to the local ambulance company
B) Computerized communication
C) A home alarm system
D) Continuous body monitoring
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Chapter 11: Caring for the Patient at End of Life
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Sample Questions
Q1) The nurse is preparing an analgesic infusion for a cancer patient who is in pain and is nearing the end of life. What should the nurse do to ensure this patient's comfort?
A) Titrate the medication to help with pain relief and not hasten the dying process.
B) Use meperidine in the infusion.
C) Limit the amount of medication infused.
D) Contact the pharmacy for the correct dose to provide the patient.
Q2) While preparing for the discharge of an elderly, terminally ill patient, the family asks for information concerning the most appropriate time to become involved with a hospice agency. Which action by the nurse is most appropriate?
A) Assist the family in making contact with a hospice agency at this time.
B) Estimate the patient's life expectancy to gauge when contact with hospice should be made.
C) Encourage the family to "hold off" making the contact until death is very close.
D) Determine what expectations the family has of the hospice agency.
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13
Chapter 12: Pain Assessment and Management
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Sample Questions
Q1) A nurse in the emergency department is caring for a patient with a fractured tibia and fibula who admits to regular heroin use. Which factor should be used to determine the presence of pain and need for pain medication?
A) The patient has taken an opiate already today.
B) The shift report indicates the patient has been sleeping on and off.
C) The patient is angry about being in the hospital.
D) The patient reports pain in the leg of an intensity of 10 out of 10 on the numeric rating scale.
Q2) The nurse, completing a pain assessment, would attribute which data to the affective dimension of pain?
A) The patient is pale and moaning. 10.
B) The patient rates the pain as 9 on a scale of 1 to
C) The patient states, "The pain comes in waves in my abdomen."
D) The patient states that the pain is "punishment for my misdeeds."
Q3) A patient who had abdominal surgery this morning is receiving opioid pain medication on a routine basis. The nurse would hold the medication if the patient's respirations fall below _____ per minute.
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Page 14
Chapter 13: Substance Abuse Assessment and Management
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29 Verified Questions
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Sample Questions
Q1) A patient has been admitted to withdraw from alcohol. The patient is agitated and restless and complains of having "the shakes." The nurse anticipates this patient will experience these effects for at least _____ weeks.
Q2) A community pharmacist calls the clinic and reports that a patient has asked for pain medication refills early for the last 2 months. What action should be taken by the nurse?
A) Notify the health care provider that the patient has lost control of his or her consumption of medication.
B) Tell the pharmacist to refill the prescriptions early.
C) Ask the pharmacist if the patient has received medications early from any other provider.
D) Notify the health care provider of the patient's request.
Q3) A patient involved in a minor accident reports using "crank" an hour ago. The patient denies having used the drug before. Which manifestation can the nurse anticipate assessing in this patient?
A) Feelings of increased energy and happiness
B) Increased strength and coordination
C) Drowsiness
D) Delusional accusations
Page 15
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Chapter 14: Infectious Process and Prophylaxis
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) While reviewing the white blood cell count differential for a patient, the nurse notes that the basophil count is elevated. What does this laboratory value indicate to the nurse?
A) The patient may be experiencing an acute hypersensitivity reaction.
B) The patient has a viral gastrointestinal infection.
C) The patient is fighting a bacterial skin infection.
D) The patient is not responding to a parasitic infection.
Q2) A patient with methicillin-resistant Staphylococcus aureus (MRSA) is no longer responding to the medication vancomycin (Vancocin). The nurse realizes that this patient is most likely demonstrating which condition?
A) A superinfection
B) VISA
C) VRE
D) PRSP
Q3) The nurse is performing hand hygiene with an alcohol-based product. The nurse should rub the hands together for at least ______ seconds.
Q4) 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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Page 16
Chapter 15: Fluids, Electrolytes and Acid-Base Imbalance
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24 Verified Questions
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Sample Questions
Q1) A patient experiencing multisystem fluid volume deficit has tachycardia and decreased urine output. The nurse realizes these findings are most likely a direct result of which factor?
A) The body's natural compensatory mechanisms
B) Pharmacologic effects of a diuretic
C) Effects of rapidly infused intravenous fluids
D) Cardiac failure
Q2) When analyzing an arterial blood gas report of a patient with COPD and respiratory acidosis, the nurse anticipates that compensation will develop through which mechanism?
A) The kidneys retain bicarbonate.
B) The kidneys excrete bicarbonate.
C) The lungs will retain carbon dioxide.
D) The lungs will excrete carbon dioxide.
Q3) The nurse would assess for dehydration if the patient's urine specific gravity is higher than ________.
Q4) 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.
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Chapter 16: Fluid and Blood Infusion Therapy
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Sample Questions
Q1) A patient has been prescribed 3 units of packed red blood cells. How should the nurse proceed?. Select all that apply.
A) Start an IV site with an 18-gauge catheter.
B) Obtain special Y-type tubing.
C) Attach D5NS to the selected tubing and prime the line.
D) Warm the blood for at least one hour before beginning the transfusion.
E) Stay with the patient for the first 15 minutes of the transfusion.
Q2) The nurse is caring for an 80-year-old patient who is receiving a unit of whole blood. During the transfusion the nurse prioritizes assessment for which possible complication?
A) Liver failure
B) Infection
C) Fluid overload
D) Thrombosis
Q3) Which nursing diagnosis would explain the purpose of using a self-sheathing stylet catheter?
A) Risk for Fluid Volume Deficit
B) Risk for Injury
C) Risk for Altered Nutrition
D) Risk for Infection
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Page 18
Chapter 17: Preoperative Nursing
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Sample Questions
Q1) After administering a preoperative sedative, the nurse notes that the surgical consent form has not been signed by the patient. What is the nurse's priority intervention?
A) Contact the surgeon.
B) Ask the patient to sign the consent form.
C) Send the patient for surgery with an unsigned consent form.
D) Phone the operating room suite to notify the nurse that the patient has not signed the consent form.
Q2) A patient asks the nurse about the possibility of donating blood for his upcoming surgery. Which information should the nurse provide?. Select all that apply.
A) "You must have approval from your surgeon."
B) "You must have a hemoglobin level of at least 14 g/dL to donate blood to yourself."
C) "As long as you are still in good health, this plan can be considered."
D) "Because you have an intermittent fever, this donation is not possible."
E) "This is a type of directed donation that is not recommended."
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Chapter 18: Intraoperative Nursing
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Sample Questions
Q1) At the conclusion of a surgical procedure, it has been determined that one sponge is missing. How should the nurse manage this situation?
A) Ask housekeeping personnel to look for the missing sponge while preparing the surgical suite for the next procedure.
B) Ask the surgeon to recount the sponges along with the nurse.
C) Refer to AORN standards for guidance.
D) Call the nursing supervisor to report the missing sponge.
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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Page 20
Chapter 19: Postoperative Nursing
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Sample Questions
Q1) The PACU nurse is assessing a postoperative patient's intravenous fluids. Which assessments should be documented?. Select all that apply.
A) Location of the intravenous catheter
B) The length of time the catheter has been in place
C) The type of IV fluid infusing
D) The rate fluid is infusing
E) The type of IV catheter present
Q2) A patient in the PACU is nauseated and has vomited. Which nursing actions are indicated?. Select all that apply.
A) Administer an antiemetic per protocol or order.
B) Raise the head of the patient's bed.
C) Place a cool washcloth on the patient's forehead or neck.
D) Offer the patient a small amount of ice chips.
E) Offer the patient sips of tea or coffee.
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) A patient was admitted to the emergency department after falling at work. The nurse assesses that the patient's left pupil has a slightly oval shape. What nursing action is indicated?
A) Notify the physician immediately.
B) Document this finding as anisocoria.
C) Document a normal finding
D) Plan to reassess the pupils in a darker room.
Q2) The nurse recognizes which observation as a positive Babinski sign?
A) Inability to identify two simultaneous points of pain on the foot
B) Curling of all the toes in response to stroking stimulation
C) Feeling a buzzing sensation in the foot when touched with a tuning fork
D) Dorsiflexion of the great toe, with fanning of the other toes
Q3) The nurse recognizes that which assessment observation of a comatose patient has the greatest implications?
A) Both arms are extended and adducted, with the palms facing down.
B) Fasciculational twitching occurs in the small muscle groups of both arms.
C) Muscles of the entire upper extremities are flaccid bilaterally.
D) Arms, wrist, and fingers are flexed and adducted.
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Chapter 21: Caring for the Patient With an Acute Brain or Cranial Nerve Disorder
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Sample Questions
Q1) A 2-year-old child fell and sustained a scalp laceration that will require suturing. The parents ask the nurse, "How serious an injury is this?" How should the nurse respond?
A) "There is a lot of bleeding, but it is really a rather superficial injury."
B) "From the description of the fall it doesn't appear serious, but the X-ray will tell us for sure."
C) "He'll need a few stitches and a tetanus injection, but that should do it."
D) "Children this age are really resilient, but you never know until the X-rays are read."
Q2) Which observations by the nurse are representative of the symptomology of an epidural hematoma (EDH)?. Select all that apply.
A) History of unconsciousness immediately after trauma
B) Muscle weakness on the side opposite the head injury
C) Rapid deterioration in level of consciousness
D) Period of lucidity prior to onset of symptoms
E) Dilated pupil on the same side as the injury
Q3) A nurse is providing care to a patient with increased intracranial pressure following a closed head injury. The nurse would determine that adequate cerebral perfusion pressure exists if the CPP is at least ____.
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Page 23
Chapter 22: Caring for the Patient With Cerebral Vascular Disorders
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Sample Questions
Q1) A patient is admitted with signs of a stroke (CVA). On admission, vital signs were blood pressure 128/70, pulse 68, and respirations
A) Impending brain death
B) Decreasing intracranial pressure
20. Two hours later the patient is not awake, has a blood pressure of 170/70, pulse 52, and the left pupil is now slower than the right pupil in reacting to light. These findings suggest which condition?
C) Stabilization of the patient's condition
D) Increasing intracranial pressure
Q2) A 27-year-old male arrives at the emergency department reporting a sudden severe-onset headache. Diagnostic studies confirm he is experiencing an intracerebral hemorrhage. The nurse recognizes which risk factor for this condition in the patient's history?
A) The patient reports having a sprained ankle last week, for which he took ibuprofen.
B) The patient reports smoking a pack of cigarettes a day since he was 16 years old.
C) The patient is 27 years old.
D) The patient is male.
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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) The nurse is completing discharge teaching to a patient with a new diagnosis of myasthenia gravis (MG). What information should the nurse provide about the patient's diet?
A) "You should try to maintain a healthy weight for your height."
B) "Your diet should include more fats."
C) "You should get most of your calories from liquids."
D) "There should be no difference in your diet from what you were eating prior to diagnosis."
Q2) A patient who was diagnosed with Parkinson's disease is exhibiting hypomimia. What will the nurse likely observe in this patient?
A) Slow movements of the arms and legs
B) Falling when attempting to step backward
C) Blank facial expression
D) Very slow talk
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25
Chapter 24: Caring for the Patient With Spinal Cord Injuries
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Sample Questions
Q1) The nurse is educating a patient and the family about different types of stabilization devices. Which statement by the patient indicates that the patient understands the benefit of using a halo fixation device instead of Gardner-Wells tongs?
A) "I will have less pain if I use the halo device."
B) "The halo device will allow me to get out of bed."
C) "I am less likely to get an infection with the halo device."
D) "The halo device does not have to stay in place as long."
Q2) The nurse is caring for a patient who has been diagnosed with an incomplete spinal cord injury (SCI) that has resulted in central cord syndrome. The nurse expects which findings related to this injury?. Select all that apply.
A) It is likely a result of a hyperextension injury to the cervical spine.
B) Function, if restored, will occur first in the hands.
C) Loss of function will be greatest in the lower extremities.
D) Prognosis for recovery is poor.
E) The patient may have preexisting degenerative bone changes.
Q3) The health care provider orders 15 mg IV of ketorolac (Toradol) for a patient who has recently undergone a spinal fusion. The nurse has a 5 milliliter (mL) ampule containing 60 mg of ketorolac. The nurse withdraws ______ mL of ketorolac from the ampule.
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Chapter 25: Nursing Assessment of the Patient With
Respiratory Disorders
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Sample Questions
Q1) The nurse administers oxygen to a patient who has lost a moderate amount of blood following a motor vehicle accident. What is the primary rationale for this nursing action?
A) To ease the work of breathing
B) To compensate for the reduction in circulating oxygen
C) To provide comfort
D) To prevent shock
Q2) The patient has respiratory difficulty due to changes in anatomic dead space. The nurse plans interventions based on changes in which physiological process?
A) Beginning of the gas exchange process
B) Neutralizing the air
C) Filtering the air
D) Separating the air
Q3) The nurse wants to assess the apex of a patient's right lung. In which location should the nurse place the stethoscope?
A) Intercostal space, sixth rib near the sternum
B) Intercostal space, fourth rib near the axillary line
C) Below the scapula
D) Near the right clavicle
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Chapter 26: Caring for the Patient With Upper Airway Disorders
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Sample Questions
Q1) An 81-year-old woman who lives alone is in the clinic for an annual physical. She reports that she has noticed that her sense of smell is not as acute as it used to be. Which nursing interventions are indicated?. Select all that apply.
A) Ask the patient if her kitchen stove is gas or electric.
B) Remind the patient of the need to change batteries in her smoke detectors twice a year.
C) Suggest that the patient use fewer spices when cooking.
D) Recommend that the patient limit the amount she drives her car.
E) Ask the patient if she has a cat or dog living in her house.
Q2) A patient is being treated for laryngopharyngeal reflux disease. As part of behavioral modification treatment for this disorder, the nurse advises the patient not to eat for at least ______ hours before bedtime.
Q3) When a patient's airway becomes completely obstructed, which sign will the nurse see first?
A) Pallor changing to cyanosis
B) A sudden change in mentation
C) A decrease in urine output
D) Cyanosis changing to pallor
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Chapter 27: Caring for the Patient With Lower Airway Disorders
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34 Flashcards
Source URL: https://quizplus.com/quiz/78631
Sample Questions
Q1) A patient tells the nurse she had the bacilli Calmette-Guérin (BCG) vaccination as a child because her mother had tuberculosis. How will this patient be screened for tuberculosis?
A) Two-step Mantoux test
B) PPD test
C) Sputum tests
D) Chest X-ray
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
Q3) A child with recurrent respiratory infection is being evaluated for cystic fibrosis. The nurse explains to the parents that diagnosis is based on history and two sweat chloride tests equal to or over ______ mEq/L.
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Chapter 28: Caring for the Patient With Complex
Respiratory Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78630
Sample Questions
Q1) The nurse will assess for which complications in the patient who has a nasal endotracheal tube in place?. Select all that apply.
A) Tracheoesophageal fistula
B) Wound infection
C) Pressure necrosis of the nares
D) Sinusitis
E) Obstruction of the tube
Q2) A patient who was in a motor vehicle accident 1 day ago has been diagnosed with lung contusions. The patient develops increasing respiratory distress. The nurse recognizes that which factor will differentiate a diagnosis of acute lung injury (ALI) from a diagnosis of acute respiratory distress syndrome (ARDS)?
A) ALI patients have fewer injuries than ARDS patients.
B) ARDS patients have a lower respiratory rate than ALI patients.
C) ARDS and ALI differ only in the extent of hypoxemia.
D) ALI patients have more inflammation than ARDS patients.
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
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78629
Sample Questions
Q1) During the physical assessment of a patient on admission, the nurse auscultates a grade II midsystolic heart murmur. The nurse would conduct additional assessment for which condition?
A) Aortic stenosis
B) Mitral stenosis
C) Aortic regurgitation
D) Mitral regurgitation
Q2) A patient being assessed for cardiovascular illness reports smoking cigarettes. Which nursing questions are indicated?. Select all that apply.
A) "How many packs of cigarettes do you smoke a day?"
B) "How many years have you been smoking?"
C) "Have you ever tried to quit smoking?"
D) "How much money do you spend on cigarettes each month?"
E) "How do you feel about smoking?"
Q3) When assessing the adult heart, the nurse expects to hear which heart sounds?
A) S1, then S2
B) S2, then S3
C) S3, then S4
D) S2, then S1
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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 is in the critical care area with ventricular tachycardia. The nurse realizes that the patient will require which action?. Select all that apply.
A) Immediate assessment and probable emergency intervention
B) Cardioversion, if the ventricular tachycardia is sustained and symptomatic
C) Probable drug intervention
D) Close observation for 1 hour prior to calling the physician
E) Defibrillation to convert the rhythm in the awake patient
Q2) If the PR interval is abnormal, the nurse would assess for conditions affecting the timing of impulse transmission from which parts of the cardiac conduction system?
A) SA node to the ventricles
B) Bundle of His to the ventricles
C) AV node to the ventricles
D) Purkinje fibers to the ventricles
Q3) The nurse is analyzing a cardiac monitor tracing. To accurately figure interval times, the nurse counts the smallest squares and multiplies by ________ second(s).
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Chapter 31: Hemodynamic Monitoring
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78627
Sample Questions
Q1) A patient has been diagnosed with an increase in afterload and a CVP reading of 7 mmHg. What should the nurse include in this patient's plan of care?
A) Provide plasma.
B) Provide intravenous fluids.
C) Provide diuretic therapy as prescribed.
D) Encourage an increase in fluids by mouth.
Q2) The role of the nurse who is caring for a patient with invasive hemodynamic monitoring includes which important interventions?
A) Keeping IV solutions at atmospheric pressure so the monitor obtains accurate patient pressures
B) Frequent reassessment and evaluation of data in order to tailor therapies to the patient
C) Using the hemodynamic line for monitoring pressures and not for infusing IV fluids
D) Zero referencing the transducer to the level of the radial artery
Q3) The nurse would discard any cardiac output measurement obtained from a pulmonary artery catheter if the measurement was questionable based on the curve or if two measurements differed by _____ %.
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Chapter 32: Caring for the Patient With Coronary Artery Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78626
Sample Questions
Q1) The nurse, assessing a middle-aged patient experiencing chest pain, realizes that which symptoms would be most suggestive of an acute myocardial infarction?
A) Substernal pressure-type pain, radiating down the left arm
B) Colic-like epigastric pain
C) Sharp, well-localized unilateral chest and left arm pain
D) Sharp, burning chest pain moving from place to place
Q2) The nurse, caring for a patient diagnosed with Prinzmetal's or variant angina, realizes this is a serious type of chest pain. Why is this so?
A) It indicates the presence of coronary artery spasm.
B) It indicates there is associated renal disease.
C) It indicates there is associated pulmonary disease.
D) It indicates the presence of a myocardial infarction.
Q3) Aspirin has been prescribed for a patient following a myocardial infarction. What should the nurse include in teaching about this drug?
A) Watch for signs of bleeding, such as bruising.
B) Report any itching that develops after 7 days of taking the drug.
C) Take aspirin as a substitute for clopidrogrel (Plavix).
D) Do not skip any scheduled appointments to have blood drawn for labs.
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Chapter 33: Caring for the Patient With Cardiac
Inflammatory Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78625
Sample Questions
Q1) A patient has been admitted for treatment of acute pericarditis. The nurse would include which nursing diagnoses in this patient's plan of care?. Select all that apply.
A) Anxiety
B) Decreased Cardiac Output
C) Risk for Impaired Skin Integrity
D) Ineffective Tissue Perfusion
E) Activity Intolerance
Q2) A patient is considering valve replacement surgery. The nurse would explain which main differences between biological and mechanical valves?. Select all that apply.
A) Biological valves have a higher incidence of clot formation than do mechanical valves.
B) Biological valves wear out faster than mechanical valves.
C) Mechanical valves sometimes have an audible click.
D) Infections are harder to treat in mechanical valves.
E) There is a higher risk of hemorrhage in the years after surgery if a biologic valve is used.
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35
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) The nurse is caring for a patient who has chronic left-sided heart failure. Which statement would the nurse expect in the physician's written report following cardiac catheterization?
A) "Pressures in the left ventricle and atrium are increased."
B) "Pressures in the left ventricle and atrium are equal."
C) "Pressures in the right ventricle and atrium match the left ventricular pressures."
D) "Pressures in the right ventricle exceed those in the left ventricle."
Q2) A patient with heart failure is facing the end of life. Which intervention would the nurse prioritize with this patient?
A) Have the health care provider discuss end-of-life topics with the patient.
B) Tell the patient that the family should be the primary source of support, but that nursing staff will be glad to substitute if necessary.
C) Be as honest as possible about the progression of the disease and the support needed.
D) Reassure the patient that death will be painless.
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Chapter 35: Caring for the Patient With Peripheral Vascular Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78623
Sample Questions
Q1) A patient presents to the emergency department with complaints of "feeling like something is ripping in my chest" and sudden onset of mid-back pain. The patient has a history of hypertension. What is the top priority in the care of this patient?
A) Contact the patient's family.
B) Facilitate an immediate CT scan.
C) Obtain a surgical history.
D) Provide pain medication.
Q2) 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.
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Page 37
Chapter 36: Nursing Assessment of the Patient With
Gastrointestinal, Renal, or Urinary Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78622
Sample Questions
Q1) The nurse is assessing a 68-year-old female patient who states, "I am having episodes of urinary incontinence." The nurse should recognize that this statement indicates which situation?
A) An abnormal finding requiring further testing
B) The presence of a urinary infection
C) A normal outcome of the aging process
D) The result of having several children
Q2) The patient reports feeling pain in the right lower quadrant. The nurse shows an understanding of the anatomical location of organs in the abdomen by asking the patient which question?
A) "Do you have any problems eating fatty foods?"
B) "Can you tell me about your bowel habits?"
C) "When you eat, do you experience any nausea?"
D) "Do you get clammy when you miss a meal?"
Q3) Arrange the four parts of abdominal assessment in the order the nurse should follow.
A) Percussion
B) Inspection
C) Palpation
D) Auscultation
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Chapter 37: Caring for the Patient With Gastrointestinal Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78621
Sample Questions
Q1) The nurse is preparing the morning medications for a patient with gastroesophageal reflux disease (GERD). Which nursing intervention would be appropriate regarding this patient's medications? 000.
A) Hold the antacids for at least 2 hours after oral medications are taken.
B) Provide all prescribed medications at 1,
C) Provide the antacids first, and then follow with the oral medications.
D) Provide the antacids only at the hour of sleep.
Q2) Which acid base and electrolyte complications are commonly associated with prolonged vomiting?. Select all that apply.
A) Hypokalemia
B) Metabolic alkalosis
C) Metabolic acidosis
D) Hypocalemia
E) Hyponatremia
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.
Page 39
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Chapter 38: Caring for the Patient With Hepatic and Biliary Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78620
Sample Questions
Q1) A patient with liver cancer has been admitted to hospice. The patient asks why he developed this disease. The nurse knows there is a high likelihood this patient has which medical history?
A) Alcohol consumption
B) Frequent nausea and vomiting
C) H. pylori
D) Sexually transmitted infections
Q2) The nurse is teaching a patient about modifiable risk factors for cholelithiasis. Which specific factors would the nurse discuss?. Select all that apply.
A) Age
B) Obesity
C) Alternating rapid weight loss with rapid regaining of the weight
D) Family history
E) Elevated serum cholesterol
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Chapter 39: Caring for the Patient With Renal and Urinary Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78619
Sample Questions
Q1) The patient is scheduled for a peritoneal dialysis catheter insertion. Which information will the nurse provide prior to this procedure?
A) "The insertion site will be just below your sternum."
B) "You will be able to care for this catheter at home."
C) "Since you are having this procedure, you will not need a kidney transplant."
D) "Hemodialysis can be performed through this catheter if necessary."
Q2) A patient diagnosed with a symptomatic urinary tract infection (UTI) is prescribed phenazopyridine (Pyridium). Which medication education should the nurse provide?
A) "This medication will make your urine orange or red."
B) "This medication will kill the bacteria in your urine."
C) "Take this medication until the prescription is finished."
D) "Don't worry if your skin turns a yellowish color."
Q3) Which intervention would be appropriate for a patient in renal failure with the diagnosis of Imbalanced Nutrition: Less than Body Requirements?
A) Provide mouth care before meals.
B) Maximize the protein content of meals and snacks.
C) Provide antiemetics after meals.
D) Weigh once per week.
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Chapter 40: Nursing Assessment of the Patient With
Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78618
Sample Questions
Q1) A patient is having a routine prostate examination. Which is an important part of this examination?
A) "Do you have polyuria in the morning?"
B) "Do you take laxatives or stool softeners?"
C) "Do you have difficulty with urination?"
D) "Do you experience constipation?"
Q2) The nurse is assessing for a left inguinal hernia in a male patient. Which technique should the nurse use?
A) Palpate for a structure that feels like a "bag of worms."
B) Use the left forefinger to examine the inguinal ring.
C) Ask the patient to cough during the assessment.
D) Have the patient face a table and lean over it.
Q3) The nurse is performing an assessment of a female patient's breasts. Which findings indicate the need for further assessment?. Select all that apply.
A) One breast is shaped differently from the other.
B) The breasts do not display prominent veins.
C) The nipples are a light tan in color.
D) There is clear discharge from one nipple.
E) There is an area of dimpled skin on one breast.
Page 42
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Chapter 41: Caring for the Patient With Female
Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78617
Sample Questions
Q1) A couple has been experiencing infertility for 4 years. After becoming pregnant using the zygote intrafallopian transfer (ZIFT) procedure, the woman is diagnosed with an ectopic pregnancy. The health care provider opts to manage the condition with methotrexate. Which nursing diagnosis will the nurse include in this patient's plan of care?
A) Parenting, Readiness for Enhanced
B) Grieving, Risk for Complicated
C) Maternal/Fetal Dyad, Risk for Disturbed
D) Fluid Volume Excess
Q2) A patient has been diagnosed with vulvovaginal candidiasis (VCC). The nurse would evaluate the teaching goal for this patient as successful if the patient makes which statement?
A) "I will take the entire 28-day course of antibiotics."
B) "I will douche each evening to cleanse my vaginal area."
C) "Now that I know the symptoms, if I get another infection I can use over-the-counter medications."
D) "I will start wearing cotton underwear."
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Page 43
Chapter 42: Caring for the Patient With Male Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78616
Sample Questions
Q1) 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
Q2) A patient comes into the emergency department with complaints of an erection that has lasted for more than 4 hours. Which topics should the nurse include in the patient's assessment?
A) Use of medications for erectile dysfunction
B) Substance abuse
C) Blood pressure
D) Number of sexual partners
Q3) A patient has been diagnosed with a hydrocele. Which teaching should the nurse provide about this condition?
A) "The swelling in your scrotum is a cyst filled with sperm."
B) "The fluid in your scrotum will probably reabsorb in time."
C) "Be sure to take your entire antibiotic prescription."
Page 44
D) "It is good that you came in early since this is an emergency situation."
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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 female patient who was just diagnosed with a sexually transmitted infection (STI) is beginning treatment. The nurse would evaluate that education goals have been met if this patient makes which statement?
A) "I will avoid all sexual activity in the future."
B) "I need to begin birth control pills to prevent future disease transmission."
C) "I am so glad it was just an STI and not something dangerous."
D) "I need to tell my sexual partners about the diagnosis so they can also be treated."
Q2) The health care provider orders doxycyline 100 mg PO every 12 hours for 7 days. The pharmacy fills the prescription with 0.1 g doxycyline capsules. The nurse should instruct the patient to take ____ capsules per day.
Q3) After the removal of genital warts, a male patient says, "Now I can have sex again." The nurse should provide the patient with which information?
A) How to prevent reinfection now that he is cured of the warts
B) The need to always have female partners douche after having sex
C) The need to wash the genitals well before every sexual encounter
D) The need to always use a condom for sexual activity
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Page 45
Chapter 44: Caring for the Patient With Breast Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78614
Sample Questions
Q1) A patient is undergoing diagnostic testing for a breast mass. Initial reports suggest that the mass is benign, but definitive results are not yet available. Which nursing diagnoses would the nurse consider when planning this patient's care?. Select all that apply.
A) Fear
B) Decisional Conflicts
C) Altered Tissue Perfusion: Peripheral
D) Disturbed Body Image
E) Deficient Knowledge
Q2) A breastfeeding mother reports that one of her nipples is cracked and sore. She is concerned about developing infection in her breast. Which instruction should the nurse provide?. Select all that apply.
A) "Express breast milk and rub it into your nipples after feeding is completed."
B) "Purchase some evening primrose oil and treat your nipples with it twice each day."
C) "Avoid feeding on that breast until the nipple heals."
D) "You can use water-soluble lanolin on your nipple to sooth and heal it."
E) "Coat your nipples with petroleum jelly prior to feedings."
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46
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) The nurse is preparing to discuss the importance of neuroendrocrine regulation with a group of nurses who work in the endocrine clinic. The nurse will explain that this type of regulation facilitates which essential abilities?. Select all that apply.
A) Ability to think critically
B) Ability to reason
C) Ability to reproduce
D) Ability to adapt to external changes
E) Ability to grow physically
Q2) A patient reports to the clinic with complaints of nervousness, weight changes, and a general feeling of ill health. History reveals that the patient recently took a demanding new job that requires frequent air travel across the country. The nurse recognizes which risk factors for endocrine disturbance?. Select all that apply.
A) Probable exposure to unfamiliar infection pathogens
B) Psychological stress from the new job
C) Physiological stress of travel
D) Disruption of circadian rhythms
E) Ingestion of unfamiliar foods and beverages
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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) When measuring the blood pressure of a patient with hypoparathyroidism, the nurse notes spasms of the patient's hand. How should the nurse document this finding?
A) Trousseau's sign
B) Chvostek's sign
C) Turner's sign
D) Cullen's sign
Q2) A patient has been prescribed the synthetic hormone levothyroxine. What medication instructions should the nurse provide?. Select all that apply.
A) "Take the medication with juice or milk for best absorption."
B) "You may need a stool softener when taking this medication."
C) "Do not switch brands of levothyroxine without first discussing the change with your health care provider."
D) "Plan to take this medication every day for the rest of your life."
E) "Take your medication at least 4 hours before taking antacids containing calcium."
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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) Genetic testing indicates that a child has DR3 and DR4 antigens on chromosome 6 of the human leukocyte antigen system. Which statement by the parents would indicate the nurse should reinforce teaching about these test results?
A) "Our son has a genetic immunity disorder."
B) "These results mean our son has diabetes."
C) "These markers are present in 95% of people with type 1 diabetes."
D) "These results are associated with increased susceptibility to diabetes."
Q2) A newly admitted patient has a fasting serum blood glucose level of 125 mg/dL. How should the nurse interpret this value?
A) This is a critical value that should be reported immediately.
B) The patient has type 1 diabetes.
C) The patient has normal glucose metabolism.
D) The patient may be prediabetic.
Q3) The nurse is 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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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 is assessing an older adult's musculoskeletal system. The nurse would evaluate that which findings represent normal age-related changes?. Select all that apply.
A) Slightly reduced ROM of the shoulder
B) Slower gait
C) Redness and crepitus of the knee joint
D) Inability to abduct the thumb
E) Asymmetry of the pelvis
Q2) A patient tells the nurse that he has had increasing difficulty bending his knees to pick objects up from the floor since he got a desk job about 10 months ago. The nurse suspects that the patient's loss of knee and hip range of motion would be due to which condition?
A) Gout
B) Muscle spasms
C) Pain
D) Atrophy
Q3) The nurse determines that a patient's shoulder muscle strength is normal when it is graded as _______ or better.
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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) A 50-year-old woman is diagnosed with a small malignant tumor in her spine. The nurse anticipates which interventions?. Select all that apply.
A) Surveillance for the primary cancer site
B) Removal of the woman's ovaries because these cancers are almost always estrogen dependent
C) Pharmacologic treatment of severe pain
D) Involvement of a multidisciplinary team in designing the patient's care
E) Surgical removal of the tumor, which will facilitate rapid recovery
Q2) A patient diagnosed with polymyositis has been prescribed azathioprine (Imuran.) What medication education should the nurse provide?. Select all that apply.
A) "This therapy increases your risk for infections."
B) "Take this medication at least 4 hours prior to or after eating."
C) "Do not drink alcohol while taking the medication."
D) "Wear sunscreen if you are outside."
E) "You may need folic acid supplementation while on this drug."
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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) Which statement by an adolescent patient recovering from a sprain would indicate the need for further instruction by the nurse regarding care at home?
A) "I should put a heating pad on my leg as soon as I get home."
B) "I should avoid weight bearing on this leg for a couple days."
C) "I should make sure to keep the Ace bandage on my leg."
D) "I should prop this leg up when I'm sitting in a chair."
Q2) The nurse would be most alert for assessment findings of osteomyelitis in which patients?. Select all that apply.
A) The patient with a compound fracture
B) A patient who required open reduction of a fractured ankle
C) A patient who has a spiral fracture
D) A patient whose fractured radius was repaired with an external fixator device
E) A patient who has a torn anterior cruciate ligament
Q3) Following hip replacement surgery, which patient statement would the nurse evaluate as indicating additional teaching is necessary?
A) "I will sit down in a chair to reach items below waist height."
B) "I will use a shower chair and raised toilet seat when performing hygiene."
C) "My husband has removed our loose carpets and has cleared out our walkway."
D) "My daughter bought me a 'reacher' to access things on the floor."
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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) A patient says, "My physician thinks I may have psoriatic arthritis, but there is nothing wrong with my skin." How should the nurse respond?
A) "You must have a subclinical case of psoriasis."
B) "You will probably develop skin eruptions in a few years."
C) "Not all people with psoriatic arthritis also have psoriasis."
D) "There are other arthritis conditions that have similar laboratory values, so additional testing will be likely."
Q2) A woman calls the emergency department and says, "I just found a tick crawling on my son. What can I do to keep him from getting Lyme disease?" How should the nurse respond?
A) "Bring him in so that we can give him a prescription for amoxicillin."
B) "The tick can transmit the disease only if it bit your child."
C) "He needs an injection of gamma globulin."
D) "Unless the tick is bigger than a pencil eraser, there is no reason to be alarmed."
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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 diagnosed with a viral infection. The nurse understands that which chemical will act to prevent the spread of the virus to other cells?
A) Interleukin
B) Tissue factor
C) Tumor necrosis factor
D) Interferon
Q2) A patient tells the nurse that this illness is "much less" than the last one. What is one way for the nurse to interpret this statement?
A) The patient now has natural immunity.
B) The patient has experienced a primary immune response.
C) The patient's immune system has mounted a secondary response to the pathogen.
D) The patient experienced an inflammatory response.
Q3) The nurse is providing care for a patient who has a respiratory infection. Because the infection is in the lung, the nurse expects which immunoglobulin level to be most elevated?
A) Immunoglobulin D
B) Immunoglobulin E
C) Immunoglobulin A
D) Immunoglobulin M
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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 home health nurse is preparing to visit a patient who is bedbound after complications from HIV/AIDS. A review of the medical record reveals a new prescription for thalidomide. What conclusion can the nurse draw from this information?
A) The patient has developed severe wasting syndrome.
B) The patient has developed a candidiasis infection of the oral mucosa.
C) The patient's antiretroviral medications have been effective, resulting in the use of a less toxic medication.
D) The patient's pneumonia has worsened, so a stronger antibiotic has been prescribed.
Q2) An HIV-positive patient comes into the clinic complaining of increasing pain in the feet and legs. The nurse realizes that this patient is demonstrating which complication?
A) A reaction to the medication
B) An opportunistic infection
C) A secondary cancer
D) A nervous system manifestation of the disease
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Chapter 54: Caring for the Patient With Inflammatory
Response, Shock, and Severe Sepsis
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/78604
Sample Questions
Q1) The nurse would be most alert for assessment findings of obstructive shock in which patients?. Select all that apply.
A) A patient who has tumor mass in the vena cava
B) A patient who sustained a gunshot wound to the abdomen
C) A patient who suffered a severe cardiac contusion
D) The patient who sustained several fractured ribs in a fall
E) A patient who has pneumonia caused by a multiple-drug-resistant organism
Q2) The nurse will plan which interventions to reduce metabolic demands in a patient with multiple organ dysfunction syndrome (MODS)?
A) Provide skin care and positioning to prevent breakdown.
B) Use meticulous hand hygiene and aseptic technique for procedures.
C) Place the patient on a high-fat diet to increase energy.
D) Administer antipyretics for fever
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
Page 56
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Chapter 55: Nursing Assessment of the Patient With
Hematological Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/78603
Sample Questions
Q1) The patient's laboratory testing reveals a decreased red blood cell count. The nurse anticipates further testing to determine if the patient has which disorder?. Select all that apply.
A) Polycythemia vera
B) Bleeding
C) Lack of hormone needed to produce leukocytes
D) Bone marrow suppression
E) Abnormal destruction of erythrocytes
Q2) While reviewing the white blood cell count differential for a patient, the nurse notes that the basophil count is elevated. What does this laboratory value indicate to the nurse?
A) The patient is experiencing an acute hypersensitivity reaction.
B) The patient has a parasitic infection.
C) The patient is fighting chronic infection.
D) The patient is fighting cancer.
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Chapter 56: Caring for the Patient With Blood Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78602
Sample Questions
Q1) A patient has been prescribed 100 mg of iron dextran IV push daily for 5 days. How should the nurse prepare to administer this medication?. Select all that apply.
A) Give a test dose of 25 mg slow IV push.
B) Plan on giving the medication over 10 to 15 minutes.
C) Dilute the iron is 20 mL of D5W prior to administration.
D) Report any patient complaint of nausea during or just after the injection.
E) Observe the patient for anorexia.
Q2) A patient has no complaints when she comes to the clinic for a routine physical. Laboratory results reveal a hemoglobin level of
A) This patient has a normal hemoglobin level for an adult female.
B) The patient has lost some blood in the last few hours.
C) The patient should be encouraged to eat more iron-rich foods.
D) The patient has been bleeding slowly for an extended period. E)2 g/dL. How should the nurse interpret this result?
Q3) 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.
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Chapter 57: Caring for the Patient With Cancer
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient receiving chemotherapy for breast cancer. The patient has developed a sore mouth, nausea and vomiting, and anorexia. How should the nurse respond to the patient's report of symptoms?
A) "You may be developing the flu, and I can give you an antinausea medication."
B) "These are symptoms of your cancer, and more frequent oral care will help."
C) "You may be allergic to the chemotherapy. I will place a call to the health care provider."
D) "These are the expected side effects of your chemotherapy, and the health care provider has already ordered some medications that will help."
Q2) 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."
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Chapter 58: Nursing Assessment of the Patient With
Integumentary Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78600
Sample Questions
Q1) Which technique would the nurse use to assess a patient's skin turgor?
A) Palpate the skin.
B) Grasp a fold of the patient's skin between the forefinger and thumb.
C) Determine the patient's fluid intake for past 2 hours.
D) Blanch the nail bed.
Q2) During a conversation with the nurse, a patient says, "I avoid going outside when the sun is shining because I don't want to get skin cancer." The nurse should inform the patient that sun avoidance may predispose the patient to which condition?
A) Vitamin D deficiency
B) Hypokalemia
C) Hypernatremia
D) Hypercholesterolemia
Q3) A patient has a surgical scar that extends beyond the original incision site. The area is raised and smooth, and the patient reports that it occasionally itches but is not tender. How would the nurse document this lesion?
A) Cicatrix
B) Hypertrophic scar
C) Fissure
D) Keloid
Page 60
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Chapter 59: Caring for the Patient With Skin Disorders
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78599
Sample Questions
Q1) A patient has an infection in a piercing of the upper ear cartilage. Which information should the nurse provide?
A) "Cleanse the area with hydrogen peroxide three times a day."
B) "Keep the area covered with ointment."
C) "This infection will clear after a course of oral antibiotics."
D) "Cartilage infections can cause changes to the shape of your ear."
Q2) An African American male patient has recurring folliculitis on the face. Which information should the nurse provide about shaving?
A) Use an electric razor.
B) Shave daily.
C) Shave very closely.
D) Shave in the opposite direction of hair growth.
Q3) A 68-year-old male patient comes into the clinic with a "strange painful rash" on the left side of his upper chest. The nurse would conduct additional assessment for which condition?
A) Herpes zoster
B) Herpes simplex
C) Verruca plana
D) Condylomata acuminata
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Page 61
Chapter 60: Caring for the Patient With Wounds
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The nurse is caring for a young patient with a large wound on the arm from necrotizing fasciitis. Which statement should the nurse make to support the patient's psychological adjustment to the wound?
A) "I think this wound makes you look dashing."
B) "What is the best time for you to have your dressing changed?"
C) "I told your mother that she probably shouldn't look at the wound yet."
D) "Let's let your family participate in the next dressing change."
Q2) The nurse is caring for a frail, elderly patient who has a chronic pressure ulcer on the ankle. The nurse plans care to reverse which factors that impair healing in the wound?.
Select all that apply.
A) Repeated prolonged insults to the tissue
B) Patient's lack of concern about the wound
C) An inadequate blood supply in the tissue
D) Newly diagnosed urinary tract infection that may have been present for some time
E) Recent laceration on the other leg
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Chapter 61: Caring for the Patient With Burn Injuries
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) Which interventions would the nurse perform to help prevent bacterial translocation in a patient who has suffered a severe burn injury?. Select all that apply.
A) Administer glutamine as ordered.
B) Administer enteral feedings as ordered.
C) Administer potassium as ordered.
D) Monitor arterial blood gases.
E) Monitor creatinine.
Q2) During the immediate postburn period, the nurse conducts a rapid but thorough assessment. Which finding indicates a potential complication?
A) Coughing
B) Presence of eschar
C) Urine output of 30 mL in the hour since the burn occurred
D) Edema in the burned area
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.
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Chapter 62: Nursing Assessment of the Patient With
Sensory Disorders
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20 Verified Questions
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Sample Questions
Q1) A 45-year-old patient is admitted complaining of dizziness, hearing loss, and a "full" feeling in one ear. Based on the patient's age and symptoms, the nurse would ask which additional assessment question?
A) "Do you have reduced feeling in your cheek on that side?"
B) "Have you noticed any impairment in your sense of smell?"
C) "Do you have a headache?"
D) "Do you have ringing in your ears?"
Q2) 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
Q3) The nurse is conducting the whisper test. Which nursing action is indicated?
A) Whisper directly into the patient's ears, one at a time.
B) Stand across the room from the patient.
C) Whisper words from 1 to 2 feet behind the patient.
D) Ask the patient to whisper a series of words.
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Chapter 63: Caring for the Patient With Hearing and Balance Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78595
Sample Questions
Q1) A patient tells the nurse that the only way he can adequately clean his ears is with a cotton-tipped applicator. What is the nurse's best action regarding this statement?
A) Instruct the patient on the proper use of cotton-tipped applicators.
B) Educate the patient about the danger of using cotton-tipped applicators for this purpose.
C) Instruct the patient to use cotton-tipped applicators only when necessary.
D) Check to see if the ears are clean.
Q2) A patient complains of feeling "off balance." The nurse should consider that the patient might have a disorder affecting which structure?
A) Organ of Corti
B) Vestibular system
C) Middle ear
D) Cochlea
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65
Chapter 64: Caring for the Patient With Visual Disorders
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A patient with severe diabetic retinopathy is nearly blind despite years of various treatments. Which patient statements would the nurse evaluate as indicating this patient is coping with the disability?. Select all that apply.
A) "I went to a luncheon at church this week."
B) "My husband put some Velcro on my washing machine so I could tell which setting to use."
C) "I don't get out of doors very often, so it is fun to come to the doctor."
D) "My daughters found a new low-carbohydrate recipe to try for my birthday cake this year."
E) "I would so love to really be able to see my new grandson's face."
Q2) A patient comes into the clinic complaining of sudden onset of "black spots and a curtain dropping" in the right eye. The nurse would conduct additional assessment for which condition?
A) Detached retina
B) Conjunctivitis
C) Endophthalmitis
D) Cataract
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Chapter 65: Disaster Nursing
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78593
Sample Questions
Q1) A hospital has been notified that a tornado injured numerous people in a neighboring town and the hospital may receive some victims. How should the hospital administration respond?
A) Immediately implement the hospital's incident command system.
B) Wait until the first victims arrive to implement the hospital incident command system.
C) Implement the positions and functions most likely to be required by the situation and reassess once patients arrive.
D) Notify the emergency department that a drill is possible.
Q2) A smallpox outbreak has been identified, and supplies have been requested from vendor-managed inventory. The nurse manager receiving these supplies would anticipate providing which material from the hospital's internal inventory?. Select all that apply.
A) Examination gloves
B) Diluent for the vaccine
C) Transfer needles
D) Sharps containers
E) Adhesive bandages
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Chapter 66: Caring for the Patient in the Emergency Department
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78592
Sample Questions
Q1) A patient from another country is brought to the emergency department (ED) after sustaining a serious leg wound. The ED nurse asks how the wound would be treated in the patient's country of origin. The nurse is practicing which part of the ABCDE Diversity Practice Model?
A) "A" or assumptions
B) "B" or beliefs
C) "C" or communication
D) "D" or diversity
Q2) The emergency department (ED) nurses are planning a community education program during Summer Safety Week at the hospital. Including which topic in this program would support the Emergency Nurses Association (ENA) initiatives?
A) Clean House: Eliminate Winter Pathogens Just in Time for Spring!
B) Bicycles and Helmets: Friends for Life!
C) Recycle Your Clothing: Help a Friend in Need!
D) Get Out and Walk!
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Chapter 67: Caring for the Patient With Multisystem
Trauma
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78591
Sample Questions
Q1) A patient has been stabbed just below the left nipple. The nurse would assess for damage to which structures? Select all that apply.
A) Lung
B) Heart
C) Spleen
D) Subclavian vein
E) Diaphragm
Q2) Which assessment findings would the nurse evaluate as supporting the diagnosis of flail chest?Select all that apply.
A) An area of the chest wall is depressed when the patient inspires.
B) The patient's cough is weak and causes obvious pain.
C) The patient's chest x-ray reveals a broken rib.
D) The patient's respirations are shallow.
E) The patient has a sucking chest wound.
Q3) A patient drove himself to the ED after falling from the roof of his one-story home. The nurse assesses the patient, considering that the fall was probably from about _____ feet.
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