Medical-Surgical Nursing Practice Exam
Course Introduction
Medical-Surgical Nursing is a foundational course that focuses on the care of adult patients who are experiencing a variety of medical and surgical conditions. The course emphasizes the application of the nursing process to assess, plan, implement, and evaluate nursing care for individuals facing acute and chronic health challenges. Key topics include pathophysiology, pharmacology, pre- and post-operative care, pain management, infection control, fluid and electrolyte balance, and patient safety. Students will develop critical thinking, clinical decision-making, and communication skills essential for effective collaboration within multidisciplinary healthcare teams, ultimately preparing them for competent and compassionate practice in diverse hospital and clinical settings.
Recommended Textbook
Medical Surgical Nursing in Canada 4th Edition by Lewis
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72 Chapters
1844 Verified Questions
1844 Flashcards
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Page 2
Chapter 1: Introduction to Medical-Surgical Nursing
Practice in Canada
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3266
Sample Questions
Q1) The nurse is caring for a client who has been admitted to the hospital for surgery and tells the nurse, "I do not feel right about leaving my children with my neighbour." Which action should the nurse take next?
A)Reassure the client that these feelings are common for parents.
B)Have the client call the children to ensure that they are doing well.
C)Call the neighbour to determine whether adequate childcare is being provided.
D)Gather more data about the client's feelings about the childcare arrangements.
Answer: D
Q2) Which of these nursing actions for the client with heart failure is appropriate for the nurse to delegate to experienced unregulated care providers?
A)Assess for shortness of breath or fatigue after ambulation.
B)Instruct the client about the need to alternate activity and rest.
C)Obtain the client's blood pressure and pulse rate after ambulation.
D)Determine whether the client is ready to increase the activity level.
Answer: C
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Page 3
Chapter 2: Cultural Competence and Health Equity in Nursing Care
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) An Indigenous client tells the nurse that he thinks his abdominal pain is caused by eating too much seal fat and that strong massage over the stomach will help it. Which of the following statements depicts what the client is describing to the nurse?
A)Evidence-informed national guidelines
B)Awareness and knowledge of his own culture
C)The explanatory model of health and health practices
D)Knowledge about the difference in modern and folk health practices
Answer: C
Q2) An elderly Asian Canadian client tells the nurse that she has lived in Canada for 50 years. The client speaks English but lives in a predominantly Asian neighbourhood. Which of the following actions is most appropriate for the nurse?
A)Arrange to have a folk healer available when planning the client's care.
B)Ask the client about any special cultural beliefs or practices.
C)Avoid making direct eye contact with the client during care.
D)Involve the client's oldest son in making health care decisions.
Answer: B
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4
Chapter 3: Health History and Physical Examination
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) When assessing a client's abdomen during the admission assessment, which of these actions should the nurse take first?
A)Feel for any masses.
B)Palpate the abdomen.
C)Percuss the liver borders.
D)Listen to the bowel sounds.
Answer: D
Q2) A client is seen in the emergency department with chest pain and hypotension. Which type of assessment should the nurse do at this time?
A)Focused
B)Subjective
C)Emergency
D)Comprehensive
Answer: C
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Chapter 4: Patient and Caregiver Teaching
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) After the nurse implements diet instruction for a client with heart disease, the client can explain the information but fails to make the recommended dietary changes. Which of the following statements reflects the correct evaluation of the intervention?
A)Learning did not occur because the client's behaviour did not change.
B)Choosing not to follow the diet is the behaviour that resulted from learning.
C)The nursing responsibility for helping the client make dietary changes has been fulfilled.
D)The teaching methods were ineffective in helping the client learn the dietary information.
Q2) A client with poor circulation to the feet requires teaching about foot care. Which learning goal should the nurse include in the teaching plan?
A)The nurse will demonstrate the proper technique for trimming toenails.
B)The client will list three ways to protect the feet from injury by discharge.
C)The nurse will instruct the client on appropriate foot care before discharge.
D)The client will understand the rationale for proper foot care after instruction.
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Chapter 5: Chronic Illness
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which of the following diseases has the highest proportion of chronic illness deaths in Canada?
A)Cancer
B)Diabetes
C)Cardiovascular disease
D)Chronic respiratory disease
Q2) What is the most influential source of self-efficacy?
A)Mastery
B)Affective states
C)Verbal persuasion
D)Vicarious experience
Q3) Which of the following factors has a major impact on the development of chronic illness?
A)Poverty
B)Social stability
C)Urban dwelling
D)High school diploma
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Page 7
Chapter 6: Community-Based Nursing and Home Care
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) Which of the following statements is true in relation to nursing-sensitive outcomes?
A)Only used to evaluate client care.
B)Are outside of the nurses' scope of practice.
C)Have no influence on health care budgets.
D)Require empirical evidence.
Q2) Aclient who was in an automobile accident is assigned a nurse as a case manager. Which of the following responsibilities is required of the nurse in this role?
A)Care for the client during hospitalization for the injuries.
B)Assist the client with home care activities during recovery.
C)Coordinate the services that the client receives in the hospital and at home.
D)Determine the types of medical care the client needs for optimal rehabilitation.
Q3) Which of the following concepts is foundational to home health nursing?
A)Acute care management
B)Health promotion
C)Chronic disease management
D)Health restoration
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Chapter 7: Older Adults
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse is visiting a homeless shelter for older adults to provide a health-promotion activity. Which of the following factors are associated with adult homelessness? (Select all that apply.)
A)Low income
B)Reduced cognitive capacity
C)Decreased health problems
D)Abundance of affordable housing
E)Living alone
Q2) The home health nurse is caring for an older-adult client who lives alone and is taking seven different prescribed medications for chronic health problems. Which of the following nursing interventions would be most appropriate to ensure medication regimenadherence?
A)Use a marked pillbox to set up the client's medications.
B)Discuss the option of moving to an assisted-living facility.
C)Remind the client about the importance of taking medications.
D)Visit the client daily to administer the prescribed medications.
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Chapter 8: Stress and Stress Management
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) Ayoung adult arrives in the emergency department (ED) with multiple abrasions after a motor vehicle accident and has an initial blood pressure (BP) of 180/98. Which of the following interventions should the nurse implement?
A)Discuss the need for hospital admission to control blood pressure.
B)Change the dressing on the abrasions and discuss the risks associated with hypertension.
C)Recheck the blood pressure before the client's discharge from the ED.
D)Start an intravenous (IV) line to administer antihypertensive medications.
Q2) The nurse is teaching a hospitalized client to use imagery as a relaxation technique. Which statement by the nurse is appropriate?
A)"Place your stress in the image of a form you can destroy."
B)"Think of a place where you feel peaceful and comfortable."
C)"Bring what you hear and sense in your present environment into your image of the scene."
D)"If your scene is stressful to you, continue visualizing until you can overcome the distress."
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Chapter 9: Sleep and Sleep Disorders
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3274
Sample Questions
Q1) The nurse is providing a health-promotion session to young adults who have difficulty sleeping at night and has instructed them to limit their caffeine intake. Which of the following beverages have 50 mg or more of caffeine? (Select all that apply.)
A)Green tea (237 mL)
B)Dr. Pepper soda (237 mL)
C)Chocolate cake (5 cm square)
D)Brewed coffee (237 mL)
E)Black tea (237 mL)
Q2) Aclient with sleep apnea who received a new prescription for a continuous positive airway pressure (CPAP) device a week ago returns to the clinic and says that severe daytime fatigue is still a problem. Which action should the nurse take first?
A)Teach about radiofrequency ablation.
B)Plan to schedule a nighttime PSG study.
C)Ask the client whether the CPAP is being used every night.
D)Discuss the possible surgical approaches used for sleep apnea.
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Chapter 10: Pain
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse is caring for a client diagnosed with tendinitis in the outpatient clinic and advises that the client use a topical ointment to assist with pain relief. The client informs the nurse that they have never used a topical ointment for pain reliefbeforeso the nurse provides education related to the correct use of the ointment. Which of the following information should the nurse include in the teaching plan?
A)Apply the ointment after a 20-minute massage of the area.
B)Use moist heat for 10 minutes to the area prior to applying the ointment.
C)Test the ointment on a small area of the skin for adverse effects.
D)Use EMLA to the area prior to applying the ointment.
Q2) The nurse is caring for a client with chronic back pain who has arrived at the pain clinic for a follow-up appointment. In order to evaluate whether the pain management is effective, which of the following questions is most appropriate for the nurse to ask?
A)"Can you describe the quality of your pain?"
B)"Has there been a change in the pain location?"
C)"How would you rate your pain on a 0-10 scale?"
D)"Does the pain keep you from doing things you enjoy?"
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Chapter 11: Substance Use
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3276
Sample Questions
Q1) An agitated individual is brought to the emergency department by friends who state that the client took a hallucinogenic drug at a party and then tried to jump from a second-story window. Which of the following nursing diagnoses is priority?
A)Risk for injury related to altered sensation.
B)Ineffective health maintenance related to ineffective coping strategies.
C)Powerlessness related to insufficient knowledge to manage a situation.
D)Ineffective denial related to insufficient sense of control.
Q2) The nurse is caring for a client admitted to hospital with chest pain who is a pack-a-day smoker and tells the nurse, "I am just not ready to quit smoking yet." Which of the following responses is the most appropriate?
A)"This would be a really good time to quit."
B)"Your smoking is the cause of your chest pain."
C)"Do you think that smoking has caused any health problems?"
D)"Are you familiar with the various nicotine replacement options?"
Q3) Suicide is an overdose effect of which of the following substances?
A)Alcohol
B)Inhalants
C)Opioids
D)Hallucinogens
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Page 13
Chapter 12: Complementary and Alternative Therapies
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3277
Sample Questions
Q1) Aclient who develops frequent upper respiratory infections (URIs) asks the nurse whether any herbal therapies might help. Which of the following should the nurse discuss with this client?
A)Ginger
B)Echinacea
C)Ginkgo biloba
D)St. John's wort
Q2) Aclient who uses multiple herbal products is scheduled to undergo knee replacement surgery. The nurse informs the client that herbs that should be discontinued at least 2-3 weeks before surgery include which of the following? (Select all that apply.)
A)Garlic
B)Ginger
C)Feverfew
D)Echinacea
E)Ginkgo biloba
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14
Chapter 13: Palliative Care at the End of Life
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Aclient who is very close to death is very restless and keeps repeating, "I am not ready to die." Which of the following actions should the nurse take?
A)Remind the client that no one feels ready for death.
B)Sit at the bedside and ask if there is anything the client needs.
C)Insist that family members remain at the bedside with the client.
D)Tell the client that everything possible is being done to delay death.
Q2) Which of the following clients is most appropriate for the nurse to refer to hospice palliative care?
A)A 60-year-old with lymphoma whose children are unable to discuss issues related to dying
B)A 72-year-old with chronic severe pain as a result of spinal arthritis and vertebral collapse
C)A 28-year-old with AIDS-related dementia who needs palliative care and pain management
D)A 56-year-old with advanced liver failure whose family members can no longer care for him or her at home
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15
Chapter 14: Inflammation and Wound Healing
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) During wound healing, a wound is resistant to infection during which of the following phases?
A)Initial phase
B)Granulation phase
C)Maturation phase
D)Reoccurrence phase
Q2) The nurse is caring for a client with diabetes who had abdominal surgery one week ago, and obtains the following data. Which of these findings should be reported immediately to the health care provider?
A)Blood glucose 7.6 mmol/L
B)Oral temperature 38.3°C (100.9°F)
C)Client has increased incisional pain
D)New 5-cm separation of the proximal wound edges
Q3) The nurse is caring for a client who has an open surgical wound on the abdomen that contains a creamy exudate and small areas of deep pink granulation tissue. Which of the following terms should the nurse use to document these findings?
A)Red wound
B)Yellow wound
C)Full-thickness wound
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Page 16
Chapter 15: Genetics
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) A male with mild hemophilia asks the nurse, "Will my children be hemophiliacs?"
Which of the following responses by the nurse is most appropriate?
A)"All of your children will be at risk for hemophilia."
B)"Hemophilia is a multifactorial inherited condition."
C)"Only your male children are at risk for hemophilia."
D)"Your female children will be carriers for hemophilia."
Q2) Aclient whose mother has diagnosed with BRCA gene-related breast cancer asks the nurse, "Do you think I should be tested for the gene?" Which of the following responses by the nurse is most appropriate?
A)"In most cases, breast cancer is not caused by the BRCA gene."
B)"It depends on how you will feel if the test is positive for the BRCA gene."
C)"There are many things to consider before deciding to have genetic testing."
D)"You should decide first whether you are willing to have a double mastectomy."
Q3) Which of the following terms describe the process by which the codon sequence is converted to amino acids?
A)Transcription
B)Mutation
C)Translation
D)Processing
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Page 17
Chapter 16: Altered Immune Response and Transplantation
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse is obtaining a health history from a client who works as a laboratory technician and learns that the client has a history of allergic rhinitis, asthma, and multiple food allergies. Which of the following actions is most important for the nursetoimplement?
A)Encourage the client to carry an epinephrine kit in case a type IV allergic reaction to latex develops.
B)Advise the client to use oil-based hand creams to decrease contact with natural proteins in latex gloves.
C)Document the client's allergy history and be alert for any clinical manifestations of a type I latex allergy.
D)Recommend that the client use vinyl gloves instead of latex gloves in preventing bloodborne pathogen contact.
Q2) Which of the following antibodies is involved with an anaphylactic reaction?
A)IgE
B)IgA
C)IgM
D)IgG
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Chapter 17: Infection and Human Immunodeficiency Virus
Infection
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Aclient who has vague symptoms of fatigue and headaches is found to have a positive enzyme immunoassay (EIA) for human immunodeficiency virus (HIV) antibodies. In discussing the test results with the client, which of the following information should thenurseinclude?
A)The EIA test will need to be repeated to verify the results.
B)A viral culture will be done to determine the progress of the disease.
C)It will probably be 10 or more years before the client develops acquired immunodeficiency syndrome (AIDS).
D)The Western blot test will be done to determine whether AIDS has developed.
Q2) Aclient is admitted to the hospital with Pneumocystis jiroveci pneumonia (PCP) and HIV testing is positive. Based on diagnostic criteria established by the World Health Organization (WHO), which of the following diagnoses should the nurse anticipate?
A)Acute infection
B)Early chronic infection
C)Intermediate chronic infection
D)Late chronic infection or AIDS
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Chapter 18: Cancer
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A client who has severe pain associated with terminal liver cancer is being cared for at home by family members. Which of the following findings indicates that teaching regarding pain management has been effective?
A)The client agrees to take the medications by the IV route in order to improve analgesic effectiveness.
B)The client uses the ordered opioid pain medication whenever the pain is greater than 5 (0-10 scale).
C)The client takes opioids around the clock on a regular schedule and uses additional doses when breakthrough pain occurs.
D)The client states that nonopioid analgesics may be used when the maximal dose of the opioid is reached without adequate pain relief.
Q2) During a routine health examination, a client tells the nurse about a family history of colon cancer. Which of the following actions should the nurse take next?
A)Educate the client about the need for a colonoscopy at age 50.
B)Teach the client how to do home testing for fecal occult blood.
C)Obtain more information from the client about the family history.
D)Schedule a sigmoidoscopy to provide baseline data about the client.
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Page 20
Chapter 19: Fluid
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse is caring for a client who is postoperative and has been receiving nasogastric suction for 3 days. The client's serum sodium level is 123 mmol/L. Which of the following prescribed therapies would the nurse implement? (Select all that apply.)
A)Infuse 5% dextrose in water at 125 mL/hour.
B)Administer IV morphine sulphate 4 mg every 4 hours PRN.
C)Give IV metoclopramide 10 mg every 6 hours PRN for nausea.
D)Administer 3% saline if serum sodium drops to less than 128 mmol/L.
E)Withhold opioid prescription related to adverse events with low sodium level.
Q2) The nurse is caring for a client with severe hypokalemia and is preparing to administer intravenous potassium chloride (KCl) 40 mmol as prescribed by the health care provider. Which of the following actions should the nurse take?
A)Administer the KCl as a rapid IV bolus.
B)Infuse the KCl at a rate of 20 mEq/hour.
C)Give the KCl only through a central venous line.
D)Add no more than 40 mEq/L to a litre of IV fluid.
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21
Chapter 20: Nursing Management Preoperative Care
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Before the administration of preoperative medications, the nurse is preparing to witness the client signing the operative consent form when the client says, "I do not really understand what the doctor said." Which of the following actions is best for thenurseto take?
A)Provide an explanation of the planned surgical procedure.
B)Notify the surgeon that the informed-consent process is not complete.
C)Administer the prescribed preoperative antibiotics and withhold any ordered sedative medications.
D)Notify the operating room staff that the surgeon needs to give a more complete explanation of the procedure.
Q2) The nurse is analyzing a client's preoperative blood studies. Which of the following blood studies should the nurse review to assess for anemia and infection in a client with no known health problems? (Select all that apply.)
A)Red blood cell count
B)White blood cell count
C)Serum potassium
D)Hematocrit
E)Prothrombin (INR) time
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22
Chapter 21: Nursing Management Intraoperative Care
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Which of the following actions should the nurse include in the plan of care immediately after surgery for a client who received ketamine as an anaesthetic agent?
A)Administer larger doses of analgesic agents.
B)Monitor for severe slowing of the heart rate.
C)Provide a quiet environment in the postanaesthesia care unit.
D)Avoid the use of benzodiazepines in the postoperative period.
Q2) The nurse is preparing a client for surgery. Which of the following actions should the nurse include in the surgical time-out procedure? (Select all that apply.)
A)Check for placement of IV lines.
B)Have the surgeon identify the client.
C)Confirm the hospital chart identification (ID) number.
D)Have the client state name and date of birth.
E)Ask the client to state the surgical procedure.
F)Verify the client ID band number.
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Chapter 22: Nursing Management Postoperative Care
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Sample Questions
Q1) In intervening to promote ambulation, coughing, deep breathing, and turning by a postoperative client on the first postoperative day, which of the following actions by the nurse is most helpful?
A)Discuss the complications of immobility and poor cough effort.
B)Teach the client the purpose of respiratory care and ambulation.
C)Administer ordered analgesic medications before these activities.
D)Give the client positive reinforcement for accomplishing these activities.
Q2) The nurse is caring for an older-adult client who had a surgical repair of a hip fracture 2 days previously and has restrictions on ambulation. Based on this information, which of the following collaborative problems is priority for the client?
A)Potential complication: hypovolemic shock
B)Potential complication: venous thrombo-embolism
C)Potential complication: fluid and electrolyte imbalance
D)Potential complication: impaired surgical wound healing
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Chapter 23: Nursing Assessment Visual and Auditory Systems
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) Which assessment information obtained by the nurse when performing an eye examination for an older-adult client indicates that more extensive examination of the eyes is needed?
A)The client's sclerae are light yellow in colour.
B)The client complains of persistent photophobia.
C)The pupil recovers slowly after being stimulated by a penlight.
D)There is a whitish gray ring encircling the periphery of the iris.
Q2) The nurse is teaching a client about routine glaucoma testing. Which of the following information should the nurse include in the teaching plan?
A)The test involves reading a Snellen chart at a distance of 6 m.
B)Application of a Tono-pen to the surface of the eye will be needed.
C)The examination includes checking the pupil's reaction to a bright light.
D)Medications to dilate the pupil will be used before testing for glaucoma.
Q3) The nurse is preparing a client in the eye clinic for refractometry. Which of the following information should the nurse include in client teaching?
A)"You will need to wear sunglasses for a few hours after the exam."
B)"The surface of your eye will be numb while the doctor does the exam."
C)"You should not take any of your eye medicines before the examination."
D)"The doctor will shine a bright light into your eye during the examination."
Page 25
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Chapter 24: Nursing Management Visual and Auditory
Problems
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Sample Questions
Q1) The nurse is caring for a client with an acute attack of Ménière's disease. Which of the following actions carried out by a family member that is visiting the client should the nurse intervene?
A)Raises the side rails on the bed
B)Turns on the client's television
C)Turns the client to the right side
D)Places an emesis basin at the bedside
Q2) The nurse is admitting a client with a head injury after a motor vehicle accident who has shortness of breath and severe eye pain. Which of the following actions should the nurse take first?
A)Elevate the head to 45 degrees.
B)Administer the ordered analgesic.
C)Check the client's oxygen saturation.
D)Examine the eye for evidence of trauma.
Q3) Which of the following actions is an example of an approach magnification?
A)Using a telescopic lens
B)Sitting closer to a television while watching it
C)Using a black-tipped felt marker when writing
D)Reading books with large-type print
Page 26
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Chapter 25: Nursing Assessment Integumentary System
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Sample Questions
Q1) The nurse is caring for a client who reports chronic itching of the ankles and cannot keep from continuously scratching them. The nurse will plan to implement interventions to decrease the risk for which of the following conditions?
A)Skin atrophy
B)Lichenification
C)Skin varicosity
D)Keloid formation
Q2) The nurse is caring for a client in the dermatology clinic who is scheduled for removal of a 15-mm multicoloured and irregular mole from the upper back. Which of the following biopsies would the nurse teach to this client?
A)Shave
B)Punch
C)Incisional
D)Excisional
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Chapter 26: Nursing Management Integumentary
Problems
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24 Verified Questions
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Sample Questions
Q1) The nurse is assessing a client who has just arrived in the postanaesthesia recovery area (PACU) after a blepharoplasty. Which of the following assessment data is a priority?
A)The client complains of incisional pain.
B)The client's heart rate is 110 beats/minute.
C)The client is unable to detect when the eyelids are touched.
D)The skin around the incision is pale and cold when palpated.
Q2) The nurse is caring for a client in the dermatology clinic who has a small, slow-growing papule with ulceration and a depression in the centre of the lesion on the right cheek. Which of the following nursing interventions will the nurse anticipate performing for this client?
A)Prepare the client for a biopsy.
B)Teach about the use of corticosteroid creams.
C)Educate the client about use of tretinoin (Retin-A).
D)Discuss the need for topical application of antibiotics.
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28
Chapter 27: Nursing Management Burns
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Sample Questions
Q1) The nurse notes a bright red skin colour for a client who was found unconscious from smoke inhalation in a burning house. Which of the following actions should the nurse take first?
A)Insert two large-bore IV lines.
B)Check the client's orientation.
C)Place the client on 100% oxygen using a non-rebreather mask.
D)Assess for singed nasal hair and dark oral mucous membranes.
Q2) The nurse is assessing a client who spilled hot oil on the right leg and foot and notes that the skin is red, swollen, and covered with large blisters. The client states that they are very painful. Which of the following burn descriptions should the nurse document?
A)Full-thickness skin destruction
B)Deep full-thickness skin destruction
C)Deep partial-thickness skin destruction
D)Superficial partial-thickness skin destruction
Q3) The nurse is admitting a client with burns over 30% of total body surface area (TBSA) and who weighs 70 kg. Using the Parkland formula, calculate the volume of lactated Ringer's solution that the nursing staff will administer during the first 24 hours.
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29
Chapter 28: Nursing Assessment Respiratory System
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3293
Sample Questions
Q1) The nurse is preparing a client with a right-sided pleural effusion for a thoracentesis. Which of the following positions should the nurse position the client?
A)Supine with the head of the bed elevated 45 degrees
B)In the Trendelenburg position with both arms extended
C)On the left side with the right arm extended above the head
D)Sitting upright with the arms supported on an over bed table
Q2) The nurse is admitting a client to the emergency department who has sudden onset shortness of breath and diagnosed with a possible pulmonary embolus. To confirm the diagnosis, which of the following diagnostic measures should the nurse anticipate?
A)Positron emission tomography (PET) scan
B)Chest x-ray
C)Bronchoscopy
D)Spiral computed tomography (CT) scan
Q3) Which of the following lung structures has the most generations?
A)Segmental bronchi
B)Subsegmental bronchi
C)Bronchioles
D)Alveoli
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Chapter 29: Nursing Management Upper Respiratory Problems
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3294
Sample Questions
Q1) The nurse is teaching a client with laryngeal cancer about radiation therapy. Which of the following client statements indicate that the teaching has been effective?
A)"I will need to buy a water bottle to carry with me."
B)"I should not use any lotions on my neck and throat."
C)"Until the radiation is complete, I may have diarrhea."
D)"Alcohol-based mouthwashes will help clean oral ulcers."
Q2) The nurse is caring for a client with a tracheostomy tube and is inflating the cuff to the appropriate level. Which of the following actions is best for the nurse to implement?
A)Check the pilot balloon after inflation to ensure that it is firm.
B)Use a manometer to ensure cuff pressure is at an appropriate level.
C)Check the amount of cuff pressure ordered by the health care provider.
D)Fill the balloon until minimal air leakage around the cuff is auscultated.
Q3) Which of the following nursing actions should the nurse perform when suctioning a tracheostomy?
A)Insert tube 13-15 cm while suctioning.
B)Withdraw catheter in a straight time while applying intermittent suction.
C)Limit suction time to 10 seconds.
D)Oxygenate the client once all suctioning is completed.
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Chapter 30: Nursing Management Lower Respiratory
Problems
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/3295
Sample Questions
Q1) The nurse is caring for a client with a pleural effusion who is scheduled for a thoracentesis. Which of the following actions should the nurse implement prior to the procedure?
A)Start a peripheral intravenous line to administer the necessary sedative drugs.
B)Position the client sitting upright on the edge of the bed and leaning forward.
C)Remove the water pitcher and remind the client not to eat or drink anything for 6 hours.
D)Instruct the client about the importance of incentive spirometer use after the procedure.
Q2) The nurse is teaching a client who is receiving standard multidrug therapy for tuberculosis (TB) about possible toxic effects of the antitubercular medications. Which of the following findings should the nurse instruct the client to report to the healthcareprovider?
A)Yellow-tinged skin
B)Changes in hearing
C)Orange-coloured sputum
D)Thickening of the fingernails
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Chapter 31: Nursing Management Obstructive Pulmonary Diseases
Available Study Resources on Quizplus for this Chatper
42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3296
Sample Questions
Q1) The nurse is evaluating the effectiveness of therapy for a client with cor pulmonale. Which of the following findings should the nurse assess for in the client?
A)Elevated temperature
B)Clubbing of the fingers
C)Jugular vein distension
D)Complaints of chest pain
Q2) The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) about exercise. Which of the following information should the nurse include?
A)"Stop exercising if you start to feel short of breath."
B)"Use the bronchodilator before you start to exercise."
C)"Breathe in and out through the mouth while you exercise."
D)"Upper body exercise should be avoided to prevent dyspnea."
Q3) Which of the following information should the nurse teach a client with COPD?
A)To exercise immediately before a meal.
B)To eat a high-calorie, low-protein diet.
C)To have 5 or 6 small meals a day.
D)Avoid foods that are cooked in a microwave.
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Page 33
Chapter 32: Nursing Assessment Hematological System
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3297
Sample Questions
Q1) The nurse is caring for a client who had an intraoperative hemorrhage 12 hours ago. Which of the following laboratory results should the nurse anticipate?
A)Hematocrit of 45%
B)Hemoglobin of 132 g/L
C)Decreased white blood cell (WBC) count
D)Elevated reticulocyte count
Q2) The nurse is caring for a newly admitted client whose complete blood count (CBC) shows a "shift to the left." Which of the following assessments should the nurse monitor in the plan of care?
A)Cool extremities
B)Pallor and weakness
C)Elevated temperature
D)Low oxygen saturation
Q3) The nurse is reviewing laboratory data for an older-adult client. Which of the following results should be of most concern?
A)White blood cell (WBC) count of 3.5 * 10<sup>9</sup>/L
B)Hematocrit of 37%
C)Platelet count of 400 * 10<sup>9</sup>/L
D)Hemoglobin of 118 g/L
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Page 34
Chapter 33: Nursing Management Hematological Problems
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/3298
Sample Questions
Q1) All of these clients call the outpatient clinic and ask to make an appointment as soon as possible. Which of the following clients should the nurse schedule to be seen first?
A)19-year-old with no previous health problems who has a nontender lump in the axilla
B)46-year-old with sickle cell anemia who says "that my eyes always look sort of yellow"
C)21-year-old with hemophilia who wants to learn how to self-administer factor VII replacement
D)50-year-old with early-stage chronic lymphocytic leukemia who has complaints of chronic fatigue
Q2) Which of the following laboratory tests should the nurse use to determine whether the prescribed filgrastim is effective in the treatment of a client who is receiving chemotherapy for acute lymphocytic leukemia?
A)Platelet count
B)Reticulocyte count
C)Total lymphocyte count
D)Absolute neutrophil count
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Chapter 34: Nursing Assessment Cardiovascular System
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/3299
Sample Questions
Q1) The nurse hears a murmur between the S1 and S2 heart sounds at the client's left 5th intercostal space and midclavicular line. How should the nurse record this information?
A)"Systolic murmur heard at mitral area."
B)"Diastolic murmur heard at aortic area."
C)"Systolic murmur heard at Erb's point."
D)"Diastolic murmur heard at tricuspid area."
Q2) The standard policy on the cardiac unit states, "Notify the health care provider for mean arterial pressure (MAP) less than 70 mm Hg." Which of the following clients should the nurse report to the health care provider?
A)Postoperative client with a BP of 116/42
B)Newly admitted client with a BP of 122/60
C)Client with left ventricular failure who has a BP of 110/70
D)Client with a myocardial infarction who has a BP of 114/50
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Chapter 35: Nursing Management Hypertension
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3300
Sample Questions
Q1) When a client with hypertension who has a new prescription for atenolol returns to the health clinic after 2 weeks for a follow-up visit, the BP is unchanged from the previous visit. Which of the following actions should the nurse take first?
A)Provide information about the use of multiple drugs to treat hypertension.
B)Teach the client about the reasons for a possible change in drug therapy.
C)Remind the client that lifestyle changes also are important in BP control.
D)Ask the client about whether the medication is actually being taken.
Q2) The nurse has just finished teaching a client who is hypertensive about the newly prescribed quinapril. Which of the following client statements indicates that more teaching is needed?
A)"The medication may not work as well if I take any Aspirin."
B)"My health care provider may order a blood potassium level occasionally."
C)"I will call my health care provider if I notice that I have a frequent cough."
D)"I won't worry if I have a little swelling around my lips and face."
Q3) The nurse obtains a blood pressure of 180/75 mm Hg for a client. What is the client's mean arterial pressure (MAP)?
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Chapter 36: Nursing Management Coronary Artery Disease
and Acute Coronary Syndrome
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/3301
Sample Questions
Q1) The nurse is caring for a client with hyperlipidemia who has a new prescription for colestipol. Which of the following nursing actions is best when giving the medication?
A)Administer the medication at the client's bedtime.
B)Have the client take this medication with an Aspirin.
C)Encourage the client to take the colestipol with a sip of water.
D)Give the client's other medications 2 hours after the colestipol.
Q2) The nurse is caring for a client with a non-ST-segment-elevation myocardial infarction (NSTEMI) who is receiving heparin. Which of the following information explains the purpose of the heparin?
A)Platelet aggregation is enhanced by IV heparin infusion.
B)Heparin will dissolve the clot that is blocking blood flow to the heart.
C)Coronary artery plaque size and adherence are decreased with heparin.
D)Heparin will prevent the development of new clots in the coronary arteries.
Q3) Which of the following causes is the most common cause for sudden cardiac death?
A)Ventricular tachycardia
B)Aortic stenosis
C)Hypertrophic cardiomyopathy
D)Angina
Page 38
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Chapter 37: Nursing Management Heart Failure
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3302
Sample Questions
Q1) The nurse is conducting a health history on a client with heart failure. Which of the following conditions in the client's health history is a precipitating cause of heart failure?
A)Hyperthyroidism
B)Anemia
C)Hypovolemia
D)Diabetes
Q2) The home health nurse is visiting a client with chronic heart failure who has prescriptions for a diuretic, an ACE-inhibitor, and a low-sodium diet and tells the nurse about a 2.3 kg weight gain in the last 3 days. Which of the following actions shouldthenurse do first?
A)Ask the client to recall the dietary intake for the last 3 days.
B)Question the client about the use of the prescribed medications.
C)Assess the client for clinical manifestations of acute heart failure.
D)Teach the client about the importance of dietary sodium restrictions.
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Chapter 38: Nursing Management Dysrhythmias
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/3303
Sample Questions
Q1) When analyzing the waveforms of a client's electrocardiogram (ECG), the nurse will need to investigate further upon assessing which of the following findings?
A)T wave of 0.16 second
B)P-R interval of 0.18 second
C)Q-T interval of 0.34 second
D)QRS interval of 0.14 second
Q2) The nurse is interpreting an ECG strip to determine whether there is a delay in impulse conduction through the atria. Which of the following components of an ECG strip should the nurse measure?
A)P wave
B)P-R interval
C)Q-T interval
D)QRS complex
Q3) The nurse is analyzing an electrocardiographic rhythm strip of a client with a regular cardiac rhythm and finds there are 25 small blocks from one R wave to the next. The nurse calculates the client's heart rate as beats per minute.
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Chapter 39: Nursing Management Inflammatory and
Structural Heart Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/3304
Sample Questions
Q1) The nurse is caring for a client with rheumatic fever who has subcutaneous nodules, erythema marginatum, and polyarthritis. Which of the following nursing diagnoses best reflects these findings?
A)Activity intolerance related to physical deconditioning (arthralgia)
B)Risk for infection as evidenced by immunosupression
C)Chronic pain related to injury agent (permanent joint fixation)
D)Risk for impaired skin integrity evidenced by pressure over bony prominence
Q2) The nurse is taking a health history from a 24-year-old client with hypertrophic cardiomyopathy (HC). Which of the following information obtained by the nurse is most relevant?
A)The client reports using cocaine once at age 16.
B)The client has a history of a recent upper respiratory infection.
C)The client's 29-year-old brother had a sudden cardiac arrest.
D)The client has a family history of coronary artery disease.
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Chapter 40: Nursing Management Vascular Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/3305
Sample Questions
Q1) Which of the following actions by a nurse who is administering fondaparinux to a client with venous thrombo-embolism (VTE) indicates that more education about the medication is needed?
A)The nurse avoids rubbing the injection site after giving the medication.
B)The nurse injects the medication into the abdominal subcutaneous tissue.
C)The nurse fails to assess the partial thromboplastin time (PTT) before administration of the medication.
D)The nurse ejects the air bubble in the syringe before administering the medication.
Q2) The nurse has initiated discharge teaching for a client who is to be maintained on warfarin following hospitalization for venous thrombo-embolism (VTE). Which of the following client statements indicates that additional teaching is required?
A)"I should reduce the amount of green, leafy vegetables that I eat."
B)"I should wear a Medic Alert bracelet stating that I take warfarin."
C)"I will need to have blood tests routinely to monitor the effects of the warfarin."
D)"I will check with my health care provider before I begin or stop any medication."
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42
Chapter 41: Nursing Assessment Gastro-intestinal System
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3306
Sample Questions
Q1) The nurse is caring for a client who has a history of a total gastrectomy. Which of the following clinical manifestations should the nurse monitor in the client?
A)Constipation
B)Dehydration
C)Elevated total cholesterol
D)Cobalamin deficiency
Q2) The nurse is caring for a client who has just had a colonoscopy. Which of the following symptoms should alert the nurse that a perforation has occurred? (Select all that apply.)
A)Malaise
B)Abdominal distension
C)Hypertension
D)Bradycardia
E)Tenesmus
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Chapter 42: Nursing Management Nutritional Problems
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3307
Sample Questions
Q1) Which of the following actions should the nurse take first in order to improve calorie and protein intake for a client who eats only about 50% of each meal because of "feeling too tired to eat much"?
A)Teach the client about the importance of good nutrition.
B)Serve multiple small feedings of high-calorie, high-protein foods.
C)Obtain an order for enteral feedings of liquid nutritional supplements.
D)Consult with the health care provider about providing parenteral nutrition (PN).
Q2) The nurse is caring for a client and notes that the peripheral parenteral nutrition (PN) bag has only 20 mL left and a new PN bag has not yet arrived from the pharmacy. Which of the following interventions is priority?
A)Monitor the client's capillary blood glucose until a new PN bag is hung.
B)Flush the peripheral line with saline and wait until the new PN bag is available.
C)Infuse 5% dextrose in water until the new PN bag is delivered from the pharmacy.
D)Decrease the rate of the current PN infusion to 10 mL/hour until the new bag arrives.
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44
Chapter 43: Nursing Management Obesity
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/3308
Sample Questions
Q1) Which of the following clients in the clinic should the nurse plan to teach about risks associated with obesity?
A)Client who has a BMI of 18 kg/m2
B)Client with a waist circumference 86 cm
C)Client who has a body mass index (BMI) of 24 kg/m2
D)Client whose waist measures 75 cm and hips measure 85 cm
Q2) Which of the following assessments should the nurse do to help determine if an obese client seen in the clinic has metabolic syndrome?
A)Take the client's apical pulse.
B)Check the client's blood pressure.
C)Ask the client about dietary intake.
D)Dipstick the client's urine for protein.
Q3) The nurse obtains these assessment data for a client who has been taking orlistat for several months as part of a weight loss program. Which of the following findings is most important to report to the health care provider?
A)The client frequently has liquid stools.
B)The client is pale and has many bruises.
C)The client is experiencing a plateau in weight loss.
D)The client complains of abdominal bloating after meals.
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Page 45
Chapter 44: Nursing Management Upper Gastro-intestinal
Problems
Available Study Resources on Quizplus for this Chatper
42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3309
Sample Questions
Q1) Which of the following information about a client who has just been admitted to the hospital with nausea and vomiting requires the most rapid intervention by the nurse?
A)The client has taken only sips of water.
B)The client is lethargic and difficult to arouse.
C)The client's chart indicates a recent resection of the small intestine.
D)The client has been vomiting several times a day for the last 4 days.
Q2) The nurse is counselling a client with a family history of stomach cancer about risk factors. Which of the following is a risk factor for the development of stomach cancer?
A)Type A blood
B)Chronic abdominal distension
C)Long-term use of H2 blocking medications
D)Exposure to emotionally or physically stressful situations
Q3) Which of the following information should the nurse plan to teach to a client with newly diagnosed achalasia?
A)A liquid or blenderized diet will be necessary.
B)Drinking fluids with meals should be avoided.
C)Endoscopic procedures may be used for treatment.
D)Lying down and resting after meals is recommended.
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Chapter 45: Nursing Management Lower Gastro-intestinal
Problems
Available Study Resources on Quizplus for this Chatper
46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/3310
Sample Questions
Q1) The nurse is caring for a client who has blunt abdominal trauma after an automobile accident and severe pain. A peritoneal lavage returns brown drainage with fecal material. Which of the following actions should the nurse plan to take next?
A)Auscultate the bowel sounds.
B)Prepare the client for surgery.
C)Check the client's oral temperature.
D)Obtain information about the accident.
Q2) The nurse is providing discharge teaching for a client who has had a herniorrhaphy to repair an incarcerated inguinal hernia. Which of the following information should be included in the teaching?
A)Encourage the client to cough.
B)Provide sitz baths several times daily.
C)Avoid use of acetaminophen for pain.
D)Apply a scrotal support and encourage deep breathing.
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Chapter 46: Nursing Management Liver
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/3311
Sample Questions
Q1) The nurse is caring for a client who has advanced cirrhosis and is receiving lactulose. Which of the following findings by the nurse indicates that the medication is effective?
A)The client is alert and oriented.
B)The client denies nausea or anorexia.
C)The client's bilirubin level decreases.
D)The client has at least one stool daily.
Q2) Which of the following data obtained by the nurse during the assessment of a client with cirrhosis is of most concern?
A)The client's hands flap back and forth when the arms are extended.
B)The client has ascites and a 2-kg weight gain from the previous day.
C)The client's skin has multiple spider-shaped blood vessels on the abdomen.
D)The client complains of right upper-quadrant pain with abdominal palpation.
Q3) The nurse is admitting a client with acute cholecystitis. Which of the following findings is most important for the nurse to report to the health care provider?
A)The client's urine is bright yellow.
B)The client's stools are clay coloured.
C)The client complains of chronic heartburn.
D)The client has an increase in pain after eating.
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Chapter 47: Nursing Assessment Urinary System
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3312
Sample Questions
Q1) The nurse is reviewing the result of a client's creatinine clearance test which is 60 mL/minute. Which of the following values is the client's glomerular filtration rate (GFR) in mL/minute?
A)30
B)60
C) 120
D) 240
Q2) Acreatinine clearance test is ordered for a hospitalized client with possible renal insufficiency. Which of the following equipment will the nurse need to obtain?
A)Sterile specimen cup
B)Large container for urine
C)Foley catheter and drainage bag
D)Towelettes for perineal cleaning
Q3) For which of the following purposes does the nurse use auscultation during assessment of the urinary system?
A)Check for ureteral peristalsis.
B)Assess for bladder distension.
C)Identify renal artery or aortic bruits.
D)Determine the position of the kidneys.
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Page 49
Chapter 48: Nursing Management Renal and Urologic
Problems
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/3313
Sample Questions
Q1) The nurse is caring for a client who has bladder cancer and had a cystectomy with creation of an Indiana pouch. Which of the following topics should the nurse include in client teaching?
A)Application of ostomy appliances
B)Catheterization technique and schedule
C)Analgesic use before emptying the pouch
D)Use of barrier products for skin protection
Q2) Which of the following actions should the nurse teach to a client to help prevent the recurrence of renal calculi?
A)Use a filter to strain all urine.
B)Avoid dietary sources of calcium.
C)Drink diuretic fluids such as coffee.
D)Have 2 000-3 000 mL of fluid a day.
Q3) The nurse is caring for a client with renal calculi, gross hematuria, and severe colicky left flank pain. Which of the following actions is priority at this time?
A)Encourage oral fluid intake.
B)Administer prescribed analgesics.
C)Monitor temperature every 4 hours.
D)Give antiemetics as needed for nausea.
Page 50
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Chapter 49: Nursing Management Acute Kidney Injury and Chronic Kidney Disease
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/3314
Sample Questions
Q1) The nurse is caring for a client in the oliguric phase of acute renal failure who has a A)400
B) 800
C)1 000
D) 1 400
Q2) The nurse is caring for a client with a history of benign prostatic hyperplasia (BPH) with acute urinary retention and an elevated blood urea nitrogen (BUN) and creatinine.
Which of the following prescribed therapies should the nurse implement first?
A)Obtain renal ultrasound.
B)Insert retention catheter.
C)Infuse normal saline at 50 mL/hour.
D)Draw blood for complete blood count.
Q3) The nurse is caring for a client who has leg cramps during hemodialysis. Which of the following actions should the nurse implement first?
A)Reposition the client
B)Massage the client's legs
C)Give acetaminophen
D)Infuse a bolus of normal saline
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Chapter 50: Nursing Assessment Endocrine System
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/3315
Sample Questions
Q1) Which of the following information about a client who is scheduled for an oral glucose tolerance test should be reported to the health care provider before starting the test?
A)Occasional orthostatic dizziness.
B)A 5-kg weight gain in the last month.
C)Intake of 1 L of water an hour previously.
D)Oral corticosteroid use for rheumatoid arthritis.
Q2) The nurse is caring for a client who is taking spironolactone. Which of the following parameters should the nurse monitor?
A)Decreased urinary output
B)Evidence of fluid overload.
C)Increased serum sodium levels.
D)Elevated serum potassium levels.
Q3) The nurse is caring for a client who is preparing for a growth hormone stimulation test. Which of the following adverse effects should the nurse monitor for during the test?
A)Bradycardia
B)Hypotension
C)Hyperglycemia
D)Tachypnea
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Page 52
Chapter 51: Nursing Management Endocrine Problems
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/3316
Sample Questions
Q1) The nurse is admitting a client to the hospital who is in an Addisonian crisis. Which of the following client statements support the nursing diagnosis of ineffective self-health management related to lack of knowledge about management of Addison's disease?
A)"I double my dose of hydrocortisone on the days that I go for a run."
B)"I frequently eat at restaurants, and so my food has a lot of added salt."
C)"I had the stomach flu earlier this week and couldn't take the hydrocortisone."
D)"I take twice as much hydrocortisone in the morning as I do in the afternoon."
Q2) Which of the following actions should the nurse take first when caring for a client who has just arrived on the unit after a thyroidectomy?
A)Check the dressing for bleeding.
B)Assess respiratory rate and effort.
C)Take the blood pressure and pulse.
D)Support the client's head with pillows.
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Chapter 52: Nursing Management Diabetes Mellitus
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/3317
Sample Questions
Q1) The nurse is assessing a client for diabetes at a clinic who has a fasting plasma glucose level of 6.7 mmol/L. Which of the following information should the nurse include in the plan of care?
A)Self-monitoring of blood glucose.
B)Use of low doses of regular insulin.
C)Lifestyle changes to lower blood glucose.
D)Effects of oral hypoglycemic medications.
Q2) The nurse is teaching a client with diabetes who rides a bicycle to work every day about morning administration of insulin. Which of the following sites should the nurse tell the client to use to administer the morning insulin?
A)Arm
B)Thigh
C)Buttock
D)Abdomen
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Chapter 53: Nursing Assessment Reproductive System
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/3318
Sample Questions
Q1) When scheduling a pelvic examination and Pap test for a client, which of the following instructions should the nurse include when preparing the client?
A)Shower, but not a tub bath, before the examination
B)Do not have sexual intercourse the day before the Pap test
C)Plan to have the Pap test just after her menstrual period
D)Avoid douching for at least 24 hours before the examination
Q2) The nurse is assessing the sexual-reproductive functional health pattern for a client. Which of the following questions is most useful in determining the client's sexual orientation and risk factors?
A)"Do you have sex with men, women, or both?"
B)"Which gender do you prefer to have sex with?"
C)"What types of sexual activities do you prefer?"
D)"Are you heterosexual, homosexual, or bisexual?"
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Chapter 54: Nursing Management Breast Disorders
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/3319
Sample Questions
Q1) A student nurse prepares a list of teaching topics for a client with a new diagnosis of breast cancer. Which of the following topics indicate that the student needs more education about breast cancer diagnostic testing?
A)A firm, moveable mass is most often breast cancer
B)HER-2 receptor testing
C)Estrogen receptor testing
D)Oncotype DX assay testing
Q2) The nurse is assessing a client with Paget's disease. Which of the following findings should the nurse anticipate that the client may experience? (Select all that apply.)
A)Greenish coloured nipple discharge
B)Itchiness of the breast
C)Increased temperature
D)Nipple ulceration
E)A burning sensation in the breast
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Chapter 55: Nursing Management Sexually Transmitted
Infections
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3320
Sample Questions
Q1) The nurse is caring for a client who is diagnosed with chlamydia and tells the nurse that she is very angry because her husband is her only sexual partner. Which of the following responses should the nurse make first?
A)"You may need professional counselling to help resolve your anger."
B)"It is understandable that you are angry with your husband right now."
C)"Your feelings are justified and you should share them with your husband."
D)"It is important that both you and your husband be treated for the infection."
Q2) Aclient with positive Venereal Disease Research Laboratory (VDRL) and fluorescent treponemal antibody absorption (FAT-ABS) tests has a rash on the palms and the soles of the feet and moist papules in the anal and vulvar area. Which of the following actionsshould the nurse include in the plan of care?
A)Assess for arterial aneurysms.
B)Place the client in a private room.
C)Wear gloves when touching the client.
D)Apply antibiotic ointments to the perineum.
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Page 57
Chapter 56: Nursing Management Female Reproductive Problems
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3321
Sample Questions
Q1) A33-year-old female client who uses oral contraceptives tells the nurse, "I want to have children in a few years." Which of the following responses by the nurse is best?
A)"You may have more difficulty becoming pregnant after about age 35."
B)"You have many years of fertility left, so there is no rush to have children."
C)"You should plan to stop taking oral contraceptives several years before you want to become pregnant."
D)"If you do not have children within the next few years, it will be very difficult for you to become pregnant."
Q2) The nurse is counselling a couple who are interested in intrauterine insemination (IUI) with sperm from a donor and ask the nurse how long the procedure will take. Which of the following time frames is the basis for the nurses' response?
A)About 1 hour
B)2-4 hours
C)At least a full day
D)2-3 days
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Chapter 57: Nursing Management Male Reproductive
Problems
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/3322
Sample Questions
Q1) The nurse is conducting a focused health history for a client with possible testicular cancer. Which of the following topics should the nurse include in the assessment?
A)Sexually transmitted infections (STIs)
B)Testicular trauma
C)Testicular torsion
D)Undescended testicles
Q2) The nurse working in a health clinic receives calls from all these clients. Which of the following clients should be seen by the health care provider first?
A)A 44-year-old man who has perineal pain and a temperature of 38°C (100.4°F)
B)A 66-year-old man who has a painful erection that has lasted over 5 hours
C)A 62-year-old man who has light pink urine after having a transurethral resection of the prostate (TURP) 3 days ago
D)A 23-year-old man who states he had difficulty maintaining an erection last night
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Chapter 58: Nursing Assessment Nervous System
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Sample Questions
Q1) The nurse notes in the client's medical history that the client has a positive Romberg test. Which of the following nursing diagnoses is appropriate?
A)Acute pain related to physical injury agent (hyper-reflexia and spasm)
B)Risk for falls as evidenced by impaired mobility
C)Risk for autonomic dysreflexia as evidenced by spasm
D)Ineffective thermoregulation related to inactivity
Q2) The nurse is performing a focused assessment on a client with a lesion of the left posterior temporal lobe. Which of the following assessments should the nurse complete?
A)Sensation on the left side of the body
B)Voluntary movement on the right side
C)Reasoning and problem-solving abilities
D)Understanding of written and oral language
Q3) The nurse is developing a plan of care for a client with dysfunction of the cerebellum. Which of the following goals of care should the nurse include?
A)Prevent falls.
B)Stabilize mood.
C)Enhance swallowing ability.
D)Improve short-term memory.
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Page 60
Chapter 59: Nursing Management Acute Intracranial
Problems
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/3324
Sample Questions
Q1) The nurse is admitting a client who has a tumour of the right frontal lobe. Which of the following findings should the nurse expect to observe?
A)Judgement changes
B)Expressive aphasia
C)Right-sided weakness
D)Difficulty swallowing
Q2) Which of the following assessment information should the nurse collect to determine whether a client is developing post-concussion syndrome?
A)Muscle resistance
B)Short-term memory
C)Glasgow coma scale
D)Pupil reaction to light
Q3) Which of the following information about a client who is hospitalized after a traumatic brain injury requires the most rapid action by the nurse?
A)Intracranial pressure of 15 mm Hg
B)Cerebro-spinal fluid (CSF) drainage of 15 mL/hour
C)Pressure of oxygen in brain tissue (PbtO<sub>2</sub>) is 14 mm Hg
D)Cardiac monitor shows sinus tachycardia, with a heart rate of 126 beats/minute
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Chapter 60: Nursing Management Stroke
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/3325
Sample Questions
Q1) The nurse is caring for a client with a stroke who has progressive development of neurological deficits with increasing weakness and decreased level of consciousness (LOC). Which of the following nursing diagnoses has the highest priority for the client?
A)Impaired physical mobility related to decrease in muscle strength
B)Risk for injury as evidenced by alteration in cognitive function
C)Risk for impaired skin integrity as evidenced by pressure over bony prominence (immobilty)
D)Risk for aspiration as evidenced by impaired ability to swallow
Q2) The nurse is admitting a client with right-sided weakness that started 90 minutes earlier to the emergency department and all these diagnostic tests are prescribed. Which of the following tests should be done first?
A)Electrocardiogram (ECG)
B)Complete blood count (CBC)
C)Chest radiograph (chest x-ray)
D)Noncontrast computed tomography (CT) scan
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Chapter 61: Nursing Management Chronic Neurological Problems
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Source URL: https://quizplus.com/quiz/3326
Sample Questions
Q1) The nurse is caring for a client with multiple sclerosis (MS) who is to begin treatment with glatiramer acetate. Which of the following information should the nurse include in client teaching?
A)Recommendation to drink at least 3-4 L of water daily
B)Need to avoid driving or operating heavy machinery
C)How to draw up and administer injections of the medication
D)Use of contraceptive methods other than oral contraceptives
Q2) The nurse is caring for a client with multiple sclerosis (MS) who has urinary retention caused by a flaccid bladder. Which of the following actions should the nurse plan to take?
A)Teach the client how to perform self-catheterization.
B)Decrease the client's fluid intake in the evening.
C)Suggest the use of incontinence briefs for nighttime use only.
D)Assist the client to the commode every 2 hours during the day.
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Chapter 62: Nursing Management Delirium
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16 Flashcards
Source URL: https://quizplus.com/quiz/3327
Sample Questions
Q1) During the morning change-of-shift report at the long-term care facility, the nurse learns that the client with dementia has had sundowning. Which of the following nursing actions should the nurse take while caring for the client?
A)Provide hourly orientation to time of day.
B)Move the client to a quieter room at night.
C)Keep blinds open during the daytime hours.
D)Have the client take a brief mid-morning nap.
Q2) The nurse is caring for a long-term care client with moderate dementia who develops increased restlessness and agitation. Which of the following actions should the nurse implement initially?
A)Reorient the client to time, place, and person.
B)Administer the PRN dose of lorazepam.
C)Assess for factors that might be causing discomfort.
D)Have a nursing assistant stay with the client to ensure safety.
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Chapter 63: Nursing Management Peripheral Nerve and Spinal Cord Problems
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/3328
Sample Questions
Q1) The health care provider prescribes these interventions for a client with possible botulism poisoning. Which of the following prescriptions should the nurse question?
A)Maintain NPO status.
B)Obtain lumbar puncture tray.
C)Give magnesium citrate 240 mL stat.
D)Administer 1 500 mL tap water enema.
Q2) Which of the following actions should the nurse include in the plan of care when caring for a client who is experiencing trigeminal neuralgia?
A)Teach facial and jaw relaxation techniques.
B)Assess intake and output and dietary intake.
C)Apply ice packs for no more than 20 minutes.
D)Spend time at the bedside talking with the client.
Q3) Which of the following nursing actions should the home health nurse include in the plan of care for a client with paraplegia in order to prevent autonomic dysreflexia?
A)Assist with selection of a high protein diet.
B)Use quad coughing to assist cough effort.
C)Discuss options for sexuality and fertility.
D)Teach the purpose of a prescribed bowel program.
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Chapter 64: Nursing Assessment Musculo-skeletal System
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Source URL: https://quizplus.com/quiz/3329
Sample Questions
Q1) The nurse is conducting a musculo-skeletal assessment on an older-adult client. Which of the following are age-related changes in this body system? (Select all that apply.)
A)Decreased bone density
B)Decreased risk for cartilage disruption
C)Increased glycogen stores
D)Decreased elasticity in cartilage
E)Increased muscle cell diameter
Q2) The nurse is assessing a new client in the clinic. Which of the following information about the client's medications should be of most concern?
A)The client takes a daily multivitamin and calcium supplement.
B)The client has migraine headaches that are treated with nonsteroidal anti-inflammatory drugs (NSAIDs).
C)The client has severe asthma and requires frequent therapy with oral steroids.
D)The client takes hormone replacement therapy (HRT) to prevent "hot flashes."
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Chapter 65: Nursing Management Musculo-skeletal
Trauma and Orthopedic Surgery
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/3330
Sample Questions
Q1) Which of the following information obtained by the emergency department nurse when admitting a client with a left femur fracture is most important to report to the health care provider?
A)Bruising of the left thigh
B)Complaints of left thigh pain
C)Outward pointing toes on the left foot
D)Prolonged capillary refill of the left foot
Q2) The nurse is caring for a client in the emergency department who has a soft tissue injury and an open leg fracture. Which of the following actions should the nurse implement first?
A)If dislocation, apply compression bandage.
B)Realignment of the bone(s)
C)Administer tetanus with an open fracture.
D)Apply heat to the affected area.
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Chapter 66: Nursing Management Musculo-skeletal
Problems
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Source URL: https://quizplus.com/quiz/3331
Sample Questions
Q1) Which of the following statements by a client who is scheduled for an above-the-knee amputation for treatment of an osteosarcoma of the right tibia indicates that client teaching is needed?
A)"I did not have this bone cancer until my leg broke a week ago."
B)"I wish that I did not have to have chemotherapy after this surgery."
C)"I know that I will need to participate in physical therapy after surgery."
D)"I will use the patient-controlled analgesia (PCA) to control postoperative pain."
Q2) The nurse is preparing to administer alendronate to a client with osteoporosis. Which of the following actions will the nurse implement initially?
A)Ensure the client has recently eaten.
B)Ask about any leg cramps or hot flashes.
C)Assist the client to sit up at the bedside.
D)Administer the prescribed calcium carbonate.
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68
Chapter 67: Nursing Management Arthritis and Connective
Tissue Diseases
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3332
Sample Questions
Q1) Aclient who has rheumatoid arthritis is seen in the outpatient clinic and the nurse notes that rheumatoid nodules are present on the client's elbows. Which of the following actions should the nurse take?
A)Draw blood for rheumatoid factor analysis.
B)Teach the client about injection of the nodule.
C)Assess the nodules for skin breakdown or infection.
D)Discuss the need for surgical removal of the nodule.
Q2) The home health nurse is visiting a client who has rheumatoid arthritis (RA) and tells the nurse about having chronically dry eyes. Which of the following actions by the nurse is most appropriate?
A)Reassure the client that dry eyes are a common problem with RA.
B)Teach the client more about adverse effects of the RA medications.
C)Suggest that the client start using over-the-counter (OTC) artificial tears.
D)Ask the health care provider about lowering the methotrexate dose.
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Chapter 68: Nursing Management Critical Care
Environment
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37 Verified Questions
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Source URL: https://quizplus.com/quiz/3333
Sample Questions
Q1) The nurse is caring for a client with a left radial arterial line. Which of the following assessments indicates a need for the nurse to take action?
A)The left hand is cooler than the right hand.
B)The mean arterial pressure (MAP) is 75 mm Hg.
C)The system is delivering only 3 mL of flush solution per hour.
D)The flush bag and tubing were last changed 3 days previously.
Q2) The nurse is caring for a client with pulmonary hypertension. Which of the following parameters should the nurse monitor as an index of right ventricular afterload?
A)Mean arterial pressure (MAP)
B)Central venous pressure (CVP)
C)Pulmonary vascular resistance (PVR)
D)Pulmonary artery wedge pressure (PAWP)
Q3) The nurse is assisting with insertion of a pulmonary artery (PA) catheter in a client. Which of the following data identifies that the catheter is correctly placed?
A)Monitor shows a typical PAOP tracing.
B)PA waveform is observed on the monitor.
C)Systemic arterial pressure tracing appears on the monitor.
D)Catheter has been inserted to the 22-cm marking on the line.
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Chapter 69: Nursing Management Shock
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25 Flashcards
Source URL: https://quizplus.com/quiz/3334
Sample Questions
Q1) The nurse is caring for a client who has septic shock. Which of the following assessment findings is most important for the nurse to report to the health care provider?
A)BP 92/56 mm Hg
B)Skin cool and clammy
C)Apical pulse 118 beats/minute
D)Arterial oxygen saturation 91%
Q2) During change-of-shift report, the nurse learns that a client has been admitted with dehydration and hypotension after having vomiting and diarrhea for 3 days. Which of the following findings is most important for the nurse to report to the health careprovider?
A)Decreased bowel sounds
B)Apical pulse 110 beats/minute
C)Pale, cool, and dry extremities
D)New onset of confusion and agitation
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Chapter 70: Nursing Management Respiratory Failure and
Acute Respiratory Distress Syndrome
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3335
Sample Questions
Q1) The nurse is assessing a client with chronic lung disease and finds a sudden onset of agitation and confusion. Which of the following actions should the nurse take first?
A)Check pupil reaction to light.
B)Notify the health care provider.
C)Attempt to calm and reassure the client.
D)Assess oxygenation using pulse oximetry.
Q2) The nurse obtains the vital signs for a client admitted 2 days ago with gram-negative sepsis: temperature 38.4°C (101.1°F), blood pressure 90/56 mm Hg, pulse 92 beats/minute, respirations 34/minute. Which of the following actions should the nurse take next?
A)Administer the scheduled IV antibiotic.
B)Give the PRN acetaminophen 650 mg.
C)Obtain oxygen saturation using pulse oximetry.
D)Notify the health care provider of the client's vital signs.
Q3) Chest physiotherapy is indicated for which of the following clients?
A)Takes a bronchodilator
B)Produces 40 mL of sputum per 24 hours
C)Has an increased PCO<sub>2</sub> level
D)Is taking vancomycin
Page 72
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Chapter 71: Nursing Management Emergency Care Situations
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Source URL: https://quizplus.com/quiz/3336
Sample Questions
Q1) A client's family members are in the client room when the client has a cardiac arrest and emergency personnel start resuscitation measures. Which of the following actions should the nurse take first?
A)Have the family wait outside the client room with a designated staff member to provide emotional support.
B)Keep the family in the room and assign a member of the team to explain the care given and answer questions.
C)Ask the family members about whether they would prefer to remain in the client room or wait outside the room.
D)Advise the family members that clients are comforted by having family members present during resuscitation efforts.
Q2) The nurse is conducting a primary survey on a client in the emergency department and notes motor posturing. Which of the following actions should the nurse implement immediately?
A)Hyperventilate the client.
B)Decrease the IV fluid rate.
C)Prepare for intubation.
D)Continue with the triage assessment.
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Chapter 72: Emergency Management and Disaster Planning
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Source URL: https://quizplus.com/quiz/3337
Sample Questions
Q1) Anurse is conducting emergency preparedness education in the community. Which of the following amounts of drinking water should the nurse indicate to the group is required for a family of 4?
A)8 L
B)12 L
C)24 L
D)32 L
Q2) Which of the following levels/agencies is accountability for emergency planning and response in Canada?
A)Municipal government
B)Provincial government
C)Federal government
D)Health Canada
Q3) The Canadian Red Cross advises individuals to be self-sufficient in case of an emergency and this includes being able to provide for one's needs for approximately how many hours?
A)12 hours
B)24 hours
C)48 hours
D)72 hours
Page 74
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