Medical-Surgical Nursing Practice Questions
Course Introduction
Medical-Surgical Nursing is a foundational course that focuses on the care of adult patients experiencing a wide range of acute and chronic health conditions. The curriculum emphasizes the development of critical thinking and clinical decision-making skills necessary for safe and effective patient care. Students learn the principles of nursing management related to various body systems, preoperative and postoperative care, and the coordination of interdisciplinary care. The course incorporates evidence-based practices, patient education, and cultural competence, preparing students to address complex patient needs in hospital and community settings.
Recommended Textbook
Evolve Resources for Medical Surgical Nursing 7th Edition by Sharon L. Lewis
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69 Chapters
1786 Verified Questions
1786 Flashcards
Source URL: https://quizplus.com/study-set/1549
Page 2
Chapter 1: Nursing Practice Today
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/30591
Sample Questions
Q1) An example of a correctly written nursing diagnosis statement is
A) altered tissue perfusion related to heart failure.
B) ineffective coping related to response to biopsy test results.
C) altered urinary elimination related to urinary tract infection.
D) risk for impaired tissue integrity related to sacral redness.
Answer: B
Q2) Which of these tasks is appropriate for the registered nurse to delegate to a licensed practical nurse?
A) Documenting patient teaching about a routine surgical procedure
B) Administering an oral pain medication to a patient
C) Teaching a patient how to self-administer insulin
D) Completing the initial admission assessment and plan of care
Answer: B
Q3) When providing patient care using evidence-based practice, the nurse uses
A) clinical judgment based on experience.
B) evidence from a clinical research study.
C) evidence-based guidelines coupled with clinical expertise.
D) evaluation of data showing that the patient outcomes are met.
Answer: C
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Page 3
Chapter 2: Health Disparities
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5 Verified Questions
5 Flashcards
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Sample Questions
Q1) Which information will the nurse need to collect when assessing the health status of a community?
A) Average income of community members
B) Morning traffic patterns in the community
C) Occupations of individuals in the community
D) Median life expectancy for the community
Answer: D
Q2) When interviewing a patient about health history, the nurse obtains information about all these areas. When developing a plan to promote the patient's health, the nurse's primary focus will be the patient's
A) family history of diabetes.
B) refined carbohydrate intake.
C) Hispanic/Latino ethnicity.
D) age and gender.
Answer: B
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Chapter 3: Culturally Competent Care
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) If an interpreter is not available when a patient speaks a language different from the nurse's language, it is appropriate for the nurse to
A) use specific medical terms in the Latin form.
B) talk slowly so that each word is clearly heard.
C) repeat important words so that the patient recognizes their importance.
D) use gestures to demonstrate what is to be communicated to the patient.
Answer: D
Q2) The best example of culturally appropriate nursing care when caring for a newly admitted patient is
A) asking permission before touching a patient during the physical assessment.
B) having family members provide most of the patient's personal care.
C) maintaining a personal space of at least 2 feet when assessing the patient.
D) considering the patient's ethnicity as the most important factor in planning care.
Answer: A
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Chapter 4: Health History and Physical Examination
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Adaptations used by the nurse when performing a physical examination on an 86-year-old patient will include
A) avoiding the use of touch as much as possible.
B) organizing the sequence to minimize position changes.
C) using slightly more pressure for palpation of the liver.
D) speaking slowly when directing the patient.
Q2) Immediate surgery is planned for a patient with acute abdominal pain. The question used by the nurse that will elicit the most complete information about the patient's coping-stress tolerance pattern is
A) "What do you think caused this abdominal pain?"
B) "Are there any other major problems that are a concern right now?"
C) "How do you feel about yourself and your hospitalization?"
D) "Can you tell me how intense your pain is now?"
Q3) A patient having difficulty breathing is admitted to the hospital. The best approach for the nurse to use to obtain a complete health history is to
A) use the health care provider's medical history to obtain subjective data.
B) obtain subjective data about the patient from family members.
C) delay subjective data collection and focus only on the physical examination.
D) schedule several short sessions with the patient to gather subjective data.
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Page 6
Chapter 5: Patient and Family Teaching
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) When the nurse is planning teaching for a patient who needs to improve skills in being more assertive, the most effective teaching strategy will be
A) lecture-discussion.
B) role playing.
C) peer teaching.
D) printed materials.
Q2) A postoperative patient says it hurts too much to deep breathe and cough every 2 hours and refuses to carry out the activity. The best initial action by the nurse is to A) explain how coughing and deep breathing will decrease the risk of complications.
B) respect the patient's wishes and assist the patient to turn side-to-side more frequently.
C) enlist the help of the health care provider in reinforcing the need to cough and deep breathe.
D) document the patient's refusal to cough and deep breathe in the patient's chart.
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Chapter 6: Older Adults
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) To help prevent drug-drug interactions in an older adult patient taking many medications, the most appropriate instruction by the nurse is,
A) "Do not take any over-the-counter (OTC) drugs with your prescription drugs."
B) "Be sure to have all of your prescriptions filled at the same pharmacy."
C) "Bring all the medications, supplements, and herbs that you use to every health care appointment."
D) "Use a medication reminder system so that you won't forget to take your medications as scheduled."
Q2) A confused and agitated 76-year-old patient with a broken arm is brought to the emergency department by a family member. To determine whether elder abuse is the cause of the patient's injury, the nurse should
A) have the family member stay in the waiting area while the patient is assessed.
B) ask the patient how the injury occurred and observe the family member's reaction.
C) make a referral for a home assessment visit by the home health nurse.
D) notify an elder protective services agency about the possible abuse.
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8
Chapter 7: Community-Based Nursing and Home Care
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) A 78-year-old patient hospitalized for surgical repair of a fractured hip has recovered from the surgery but continues to have a nursing diagnosis of impaired physical mobility related to decreased muscle strength. The nurse will anticipate transferring the patient to
A) an acute care setting.
B) a transitional care setting.
C) a residential care facility.
D) an intermediate care facility.
Q2) Which of these patients being discharged by the acute care nurse meets the requirements for Medicare reimbursement for home health services?
A) A 65-year-old patient with multiple sclerosis and severe weakness who requires sacral dressing changes
B) A 68-year-old diabetic patient who is unable to drive and needs teaching about a diabetic diet and lifestyle
C) A 70-year-old who receives daily intravenous antibiotics for an infected leg wound
D) A 71-year-old who needs weekly blood sampling for monitoring of prothrombin times
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Chapter 8: Complementary and Alternative Therapies
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) While obtaining a health history of a patient who has a large infected wound to the foot, the nurse learns that the patient has taken goldenseal to boost immune function rather than taking antibiotics for the infection. Which action by the nurse is initially most appropriate?
A) Instruct the patient about reasons for antibiotic use with infection
B) Tell the patient that the doctor is likely to prescribe antibiotics
C) Ask the patient, "How do you feel about using both antibiotics and natural remedies?"
D) Tell the patient that studies of goldenseal show that it is not effective in treating infection.
Q2) Which information obtained by the nurse when admitting a patient with osteoarthritis indicates a need for patient teaching?
A) The patient gets information about herbal therapies from a health food store employee.
B) The patient takes glucosamine daily to prevent knee and hip pain.
C) The patient attends a weekly yoga class to improve flexibility and balance.
D) The patient states that prayer helps to improve the knee pain and function.
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10
Chapter 9: Stress and Stress Management
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9 Verified Questions
9 Flashcards
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Sample Questions
Q1) An overweight patient who enjoys active outdoor activities develops arthritis in the knees. To help the patient cope with the diagnosis, the most helpful intervention by the nurse is to
A) ask the patient to discuss feelings about the diagnosis.
B) encourage the patient to think about how weight loss might improve symptoms.
C) teach the patient how to use imagery to decrease pain and decrease stress.
D) have the patient practice frequent relaxation breathing.
Q2) A hospitalized patient is very anxious about missing work and is afraid of being fired because of this illness. An appropriate nursing diagnosis for the patient is
A) insomnia related to anxiety about work.
B) ineffective denial related to lack of effective coping resources.
C) risk for strain of the caregiver role related to lack of family support.
D) complicated grieving related to prolonged stressful situation.
Q3) When assessing patients for the possible health impact of stressors, the most important information to obtain is
A) the importance of religious influences for the patient.
B) how long the patient has been exposed to the stressor.
C) medications that the patient is taking to control anxiety.
D) any family history of stress-related physical illnesses.
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Page 11
Chapter 10: Pain
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) To obtain the most complete assessment data about a patient's chronic pain pattern, the nurse asks the patient
A) "Can you describe where your pain is the worst?"
B) "What is the intensity of your pain on a scale of 0 to 10?"
C) "Would you describe your pain as aching, throbbing, or sharp?"
D) "Can you describe your daily activities in relation to your pain?"
Q2) A patient is receiving morphine sulfate intravenously (IV) for right flank pain associated with a kidney stone in the right ureter. The patient also complains of right inner thigh pain and asks the nurse whether something is wrong with the right leg. In responding to the question, the nurse understands that the patient
A) is experiencing referred pain from the kidney stone.
B) has neuropathic pain from nerve damage caused by inflammation.
C) has acute pain that may be progressing into chronic pain.
D) is experiencing pain perception that has been affected by the morphine received earlier.
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12
Chapter 11: End Of Life and Palliative Care
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) A patient who has been diagnosed with metastatic malignant melanoma and has a poor prognosis plans an extensive trip around the country "to finally see some of the places I've always wanted to visit and to see some family I haven't seen in years." The nurse recognizes that the patient is manifesting the psychosocial response of A) restlessness.
B) saying goodbye.
C) unfinished business.
D) altered decision making.
Q2) Which of these patients is most appropriate for the nurse to refer to hospice care?
A) A 28-year-old with AIDS-related dementia who needs palliative care and pain management
B) A 56-year-old with advanced liver failure whose family members can no longer care for him or her at home
C) 60-year-old with lymphoma whose children are unable to discuss issues related to dying
D) A 72-year-old with chronic severe pain as a result of spinal arthritis and vertebral collapse
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Chapter 12: Addictive Behaviors
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A nurse who is assigned to care for a patient who has been admitted with an opiate overdose tells the nursing supervisor, "This is a waste of my time. The patient will be back on the needle right after being discharged." The most appropriate response by the nursing supervisor is
A) "Your lack of professionalism will make it difficult for you to provide adequate care."
B) "You know we are obligated to provide appropriate care no matter how we feel."
C) "Since you feel so strongly, perhaps you should be assigned to care for a different patient."
D) "It is important to recognize these feelings and then figure out how to deal with them."
Q2) A patient who is admitted to the hospital for treatment of large abscesses of both anterior thighs admits to using fentanyl (Sublimaze) illegally. The nurse will monitor the patient for manifestations of withdrawal such as
A) tachycardia, convulsions, and delirium.
B) diaphoresis, diarrhea, and lacrimation.
C) depression, irritability, and disorientation.
D) gross tremor, hallucinations, and seizures.
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Chapter 13: Inflammation and Wound Healing
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A 24-year-old patient who is receiving antibiotics for an infected leg wound has a temperature of 101.8° F. Which action by the nurse is most appropriate?
A) Check the temperature again in 4 hours.
B) Administer aspirin (Ecotrin) every 4 to 6 hours.
C) Notify the health care provider.
D) Apply a cooling blanket.
Q2) A 76-year-old patient has a large open, infected surgical wound on the abdomen that contains a creamy exudate and small areas of deep pink granulation tissue. The nurse will document the wound as a
A) stage III pressure wound.
B) yellow wound.
C) red wound.
D) full-thickness wound.
Q3) A patient's temperature has been 101° F (38.3° C) for several days. The patient's normal caloric intake to meet nutritional needs is 2000 calories per day. Knowing that the metabolic rate increases 7% for each Fahrenheit degree above 100° in body temperature, calculate the total calories the patient should receive each day.
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Page 15
Chapter 14: Genetics, Altered Immune Responses, and Transplantation
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/30604
Sample Questions
Q1) An older patient at the clinic for an annual examination tells the nurse, "I don't understand why I need to have so many cancer screening tests now. I feel just fine!" The nurse will plan to teach the patient about the
A) decrease in antibody production associated with aging.
B) impact of poor nutrition on immune function in older people.
C) consequences of aging for cell-mediated immunity.
D) incidence of cancer-stimulating infections in older individuals.
Q2) A patient with a severe allergic reaction receives epinephrine 1:10,000 0.5 ml IV. The next action that the nurse should take is to
A) start oxygen at 100% using a non-rebreather mask.
B) administer diphenhydramine (Benadryl) IV.
C) give a dose of cimetidine (Tagamet).
D) prepare an infusion of dopamine (Intropin).
Q3) A patient is admitted to the hospital with acute rejection of a kidney transplant. The nurse will anticipate
A) placement of the patient on the transplant waiting list.
B) insertion of an arteriovenous graft for hemodialysis.
C) administration of immunosuppressant medications.
D) drawing blood for HLA and ABO compatibility matching.
Page 16
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Chapter 15: Infection and Human Immunodeficiency Virus
Infection
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) At the health promotion level of care for HIV infection, which question is most appropriate for the nurse to ask?
A) "Are you having any symptoms such as severe weight loss or confusion?"
B) "Are you experiencing any side effects from the antiretroviral medications?
C) "Do you need any assistance to obtain antiretroviral drugs or other treatments?"
D) "Do you use any injectable drugs or have sexual activity with multiple partners?"
Q2) Interventions such as promotion of nutrition, exercise, and stress reduction should be promoted by the nurse for patients who have HIV infection, primarily because these interventions will
A) promote a feeling of well-being in the patient.
B) prevent transmission of the virus to others.
C) improve the patient's immune function.
D) increase the patient's strength and self-care ability.
Q3) To evaluate the effectiveness of ART, the nurse will schedule the patient for
A) viral load testing.
B) enzyme immunoassay.
C) rapid HIV antibody testing.
D) immunofluorescence assay.
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Chapter 16: Cancer
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A patient who has been told by the health care provider that the cells in a bowel tumor are poorly differentiated asks the nurse what is meant by "poorly differentiated." Which response should the nurse make?
A) "The cells in your tumor do not look very different from normal bowel cells."
B) "The tumor cells have DNA that is different from your normal bowel cells."
C) "Your tumor cells look more like immature fetal cells than normal bowel cells."
D) "The cells in your tumor have mutated from the normal bowel cells."
Q2) Which information obtained by the nurse about a patient with colon cancer who is scheduled for external radiation therapy to the abdomen indicates a need for patient teaching?
A) The patient swims a mile 5 days a week.
B) The patient eats frequently during the day.
C) The patient showers with Dove soap daily.
D) The patient has a history of dental caries.
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Chapter 17: Fluid, Electrolyte, and Acid-Base Imbalances
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) The long-term-care nurse is evaluating the effectiveness of protein supplements on a patient who has low serum total protein level. Which of these data indicate that the patient's condition has improved?
A) Absence of peripheral edema
B) Good skin turgor
C) Hematocrit 28%
D) Blood pressure 110/72 mm Hg
Q2) The nurse working in the emergency department (ED) admits a patient with renal failure and a serum potassium level of 8.0 mEq/L. All these orders are received from the health care provider. Which order will the nurse implement first?
A) Place the patient on a cardiac monitor.
B) Insert a retention catheter.
C) Administer Kayexalate 15 g orally.
D) Give IV furosemide (Lasix) 40 mg.
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19
Chapter 18: Nursing Management: Preoperative Care
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which information about medication use in a preoperative patient is most important to communicate to the health care provider?
A) The patient takes garlic capsules daily but did not take any on the surgical day.
B) The patient took a sedative medication the previous night to assist in falling asleep.
C) The patient uses acetaminophen (Tylenol) as needed for occasional aches and pains.
D) The patient has a history of cocaine use but quit using the drug over 10 years ago.
Q2) The nurse is obtaining the health history for a patient who is scheduled for outpatient knee surgery. Which statement by the patient is most important to report to the health care provider?
A) "I had rheumatic fever when I was 6 years old."
B) "I had bacterial pneumonia 2 years ago."
C) "I have knee pain whenever I walk or jog."
D) "I have a strong family history of breast cancer."
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Chapter 19: Nursing Management: Intraoperative Care
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Data obtained during the perioperative nurse's assessment of a patient in the preoperative holding area that would indicate a need for special protection techniques during surgery include
A) a history of spinal and hip arthritis.
B) verbalization of anxiety by the patient.
C) a stated allergy to cats and dogs.
D) having a sip of water 2 hours previously.
Q2) The nurse recognizes that the use of local anesthesia would be particularly beneficial to a patient when
A) same-day discharge is desirable after surgery.
B) the patient has recently taken food and fluids.
C) the surgical procedure requires major-muscle relaxation.
D) the patient is very apprehensive about having surgery.
Q3) After orienting a new staff member to the scrub nurse role, the charge nurse will know that the education was effective if the new staff member
A) documents all patient care accurately.
B) labels all specimens to send to the lab.
C) keeps both hands above the operating table level.
D) takes the patient to the postanesthesia recovery area.
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Page 21
Chapter 20: Nursing Management: Postoperative Care
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) To promote venous return from the lower extremities for a patient who has had an open cholecystectomy, the nurse will encourage the patient to do which exercises? (Select all that apply.)
A) Dorsiflex and plantar flex the feet
B) Curl the toes with flexion and extension
C) Tighten and relax the abdominal muscles
D) Rotate the ankles, making circles with the feet
E) Flex the hip and knee and rotate the lower leg laterally
F) Press the back of the knee into the bed while lying supine
Q2) During recovery from anesthesia in the PACU, a patient's vital signs for the past hour have been blood pressure 112/82, 110/82, 112/80, 114/82; pulse 76, 78, 78, 80; and respirations 22, 24, 24, 26; her SpO<sub>2</sub> is 90%. The patient is sleepy but awakens easily and is oriented when spoken to. Her surgical dressing is dry and intact. The most appropriate action by the nurse is to
A) place the patient in a side-lying position.
B) encourage the patient to take deep breaths.
C) decrease the rate of the postoperative IV fluids.
D) prepare to transfer the patient from the PACU.
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Chapter 21: Nursing Assessment: Visual and Auditory Systems
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A patient in the eye clinic is scheduled for refractometry. Which information will be included in patient teaching?
A) "You should not take any of your eye medicines before the examination."
B) "The surface of your eye will be numb while the doctor does the exam."
C) "The doctor will shine a bright light into your eye during the examination."
D) "You will need to wear sunglasses for a few hours after the exam."
Q2) When performing an eye examination, the nurse will assess for accommodation by
A) touching the patient's pupil with a small piece of sterile cotton and watching for a blink reaction.
B) observing the pupils when the patient focuses on a close object and then on a distant object.
C) shining a light into the patient's eye and watching the pupil response in the opposite eye.
D) covering one eye for 1 minute and noting the pupil reaction when the cover is removed.
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Chapter 22: Nursing Management: Visual and Auditory
Problems
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) A patient is diagnosed with adult inclusion conjunctivitis (AIC) caused by the Chlamydia trachomatis organism. Which of these actions will be included in the plan of care?
A) Educating about the use of antiviral eyedrops to treat the infection
B) Applying topical corticosteroids to prevent further inflammation
C) Discussing the need for sexually transmitted disease testing
D) Assist with applying for community visual rehabilitation services
Q2) The nurse is assessing a patient who has recently been treated with amoxicillin (Amoxil) for acute otitis media of the right ear. Which assessment data obtained by the nurse is of most concern?
A) The patient complains of "popping" in the ear.
B) The patient has a temperature of 100.6° F.
C) The patient frequently asks the nurse to repeat information.
D) The patient states that the right ear has a feeling of fullness.
Q3) The priority nursing diagnosis for a patient with Ménière's disease who is experiencing an acute attack is
A) risk for falls related to dizziness.
B) impaired verbal communication related to tinnitus.
C) self-care deficit: bathing and hygiene related to vertigo.
Page 24
D) imbalanced nutrition: less than body requirements related to nausea.
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Chapter 23: Nursing Assessment: Integumentary System
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Sample Questions
Q1) During assessment of the patient's skin, the nurse observes a ring of small, raised, blister-like lesions filled with serous fluid on the patient's right temple. The nurse should document the configuration and distribution of these lesions as A) discoid and symmetric.
B) annular and grouped.
C) gyrate and diffuse.
D) linear and zosteriform.
Q2) When examining an 87-year-old home health patient, the nurse notes a musky, sour body odor. Based on this assessment, the most appropriate nursing action is to A) schedule a nursing assistant to help the patient bathe several times weekly.
B) teach the patient to apply a moisturizing body lotion daily.
C) consult with the health care provider to obtain a prescription for a topical antifungal. D) ask about use of prescription and over-the-counter (OTC) skin medications.
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Chapter 24: Nursing Management: Integumentary
Problems
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23 Verified Questions
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Sample Questions
Q1) A patient is diagnosed with squamous cell carcinoma (SCC) of the face. Nursing action that is appropriate is to
A) explain that this is the least deadly type of skin cancer.
B) educate about minimizing sun exposure.
C) teach that recurrence of SCC is rare.
D) instruct about the systemic effects of chemotherapy.
Q2) A fair-skinned 32-year-old patient whose mother recently died from malignant melanoma asks the nurse, "What can I do to prevent malignant melanoma from developing?" The best response by the nurse is that
A) malignant melanoma is a relatively rare type of skin cancer.
B) the patient is at high risk for melanoma because of family history.
C) the avoidance of excessive sun exposure will decrease risk.
D) individuals with fair skin and blue eyes are at increased risk.
Q3) A patient with an enlarging, irregular mole that is 6 mm in diameter is scheduled for outpatient treatment. The nurse should plan on teaching the patient about A) curettage.
B) cryosurgery.
C) punch biopsy.
D) surgical excision.
Page 26
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Chapter 25: Nursing Management: Burns
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Sample Questions
Q1) A patient who was found unconscious in a burning bedroom and has burns to the lower legs is assessed by the nurse in the emergency department. The nurse notes that the patient's face is bright red. Which of these actions should the nurse take first?
A) Elevate the legs on pillows.
B) Place the patient on 100% O<sub>2</sub> using a non-breather mask.
C) Assess for singed nasal hair and dark oral mucous membranes.
D) Insert 2 large-bore IV lines.
Q2) The RN observes all of these actions being taken by a staff nurse who has floated to the unit. Which action requires that the RN intervene?
A) The float nurse obtains burn cultures when the patient has a temperature of 95.2° F.
B) The float nurse calls the health care provider for an insulin order when a nondiabetic patient has an elevated serum glucose.
C) The float nurse administers as-needed fentanyl (Sublimaze) IV to a patient 5 minutes before a dressing change.
D) The float nurse lowers room temperature to 76° F during the dressing change of a patient with large burns.
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Chapter 26: Nursing Assessment: Respiratory System
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) On auscultation of a patient's lungs, the nurse hears short, high-pitched sounds just before the end of inspiration in the right and left lower lobes. The nurse records this finding as
A) abnormal lung sounds in the bases of both lungs.
B) inspiratory wheezes in both lungs.
C) crackles in the right and left lower lobes.
D) pleural friction rub in the right and left lower lobes.
Q2) A patient with chronic hypoxemia (SaO<sub>2</sub> levels of 89%-90%) caused by COPD has just been admitted with increasing shortness of breath. In planning for discharge, which of these actions by the nurse will be most effective in improving compliance with discharge teaching?
A) Have the patient repeat the instructions immediately after the teaching.
B) Arrange for the patient's spouse to be present during the teaching.
C) Accomplish the patient teaching just before the scheduled discharge.
D) Start giving the patient discharge teaching on the day of admission.
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28
Chapter 27: Nursing Management: Upper Respiratory
Problems
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/30617
Sample Questions
Q1) When the nurse is deflating the cuff of a tracheostomy tube to evaluate the patient's ability to swallow, it is important to
A) suction the patient's mouth and trachea before deflation of the cuff.
B) measure the amount of air removed from the cuff during deflation.
C) deflate the cuff during the inhalation phase of the respiratory cycle.
D) clean the inner cannula of the tracheostomy tube before deflation.
Q2) When the nurse removes a nasogastric (NG) tube that has been in place for 7 days, the patient develops a nosebleed. To control the bleeding, the nurse should initially
A) place the patient in a sitting position with the head hyperextended.
B) apply ice compresses over the patient's nose and cheeks.
C) pinch the soft lower portion of the nose for about 10 to 15 minutes.
D) pack the nares with ribbon gauze to apply pressure to the area.
Q3) The nurse notes all of these findings in a 76-year-old patient who has influenza. Which information will be most important to communicate to the health care provider?
A) Fever of 100.4° F (38° C)
B) Myalgia and persistent headache
C) Diffuse crackles in the lungs
D) Sore throat and frequent cough
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Chapter 28: Nursing Management: Lower Respiratory
Problems
Available Study Resources on Quizplus for this Chatper
47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/30618
Sample Questions
Q1) During assessment of the chest in a patient with pneumococcal pneumonia, the nurse would expect to find
A) hyperresonance on percussion.
B) increased vocal fremitus on palpation.
C) fine crackles in all lobes on auscultation.
D) asymmetric chest expansion on inspection.
Q2) To promote airway clearance in a patient with pneumonia, the nurse instructs the patient to
A) splint the chest when coughing.
B) maintain fluid restrictions.
C) wear the nasal oxygen cannula.
D) try the pursed-lip breathing technique.
Q3) The nurse identifies a nursing diagnosis of ineffective airway clearance for a patient who has incisional pain, a poor cough effort, and scattered rhonchi after having a pneumonectomy. To promote airway clearance, the nurse's first action should be to
A) have the patient use the incentive spirometer.
B) medicate the patient with the ordered morphine.
C) splint the patient's chest during coughing.
D) assist the patient to sit up at the bedside.
Page 30
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Chapter 29: Nursing Management: Obstructive Pulmonary Diseases
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/30619
Sample Questions
Q1) The nurse caring for a patient with CF recognizes that the manifestations of the disease are caused by the pathophysiologic processes of
A) inflammation and fibrosis of lung tissue.
B) altered function of exocrine glands.
C) failure of the mucus-producing goblet cells.
D) thickening and fibrosis of the pleural linings.
Q2) When a patient with COPD is receiving oxygen, the best action by the nurse is to
A) avoid administration of oxygen at a rate of more than 2 L/min.
B) minimize oxygen use to avoid oxygen dependency.
C) administer oxygen according to the patient's level of dyspnea.
D) maintain the pulse oximetry level at 90% or greater.
Q3) The nurse identifies the nursing diagnosis of imbalanced nutrition: less than body requirements for a patient with COPD. An appropriate intervention for this problem is to A) have the patient exercise for 10 minutes before meals.
B) offer high calorie snacks between meals and at bedtime.
C) assist the patient in choosing foods with a lot of texture.
D) increase the patient's intake of fruits and fruit juices.
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Page 31
Chapter 30: Nursing Assessment: Hematologic System
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/30620
Sample Questions
Q1) When reviewing the CBC for a patient admitted with an elevated temperature and flank pain, which information will be most important for the nurse to communicate to the health care provider?
A) Neutrophils 85%
B) Hemoglobin 11.6 g/dl
C) Monocytes 4%
D) Platelets 145,000/ml
Q2) The history and physical for a newly admitted patient states that the CBC shows a "shift to the left." The nurse will plan to monitor the patient for A) elevated temperature.
B) low oxygen saturation.
C) pallor and weakness.
D) cool extremities.
Q3) During physical assessment of a patient, the nurse suspects a chronic, severe iron-deficiency anemia on finding
A) yellow-tinged sclerae.
B) gum bleeding and tenderness.
C) shiny, smooth tongue.
D) numbness of the extremities.
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Chapter 31: Nursing Management: Hematologic Problems
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/30621
Sample Questions
Q1) The nurse suspects the development of heparin-induced thrombocytopenia and thrombosis syndrome (HITTS) when a patient receiving heparin
A) develops a pancytopenia.
B) has a platelet count of 200,000/ml.
C) develops a spiking temperature and chills.
D) has decreasing activated partial thromboplastin times.
Q2) Which nursing intervention will be included in the care plan for a patient with ITP?
A) Use rinses rather than a toothbrush for oral care.
B) Restrict activity to passive and active range of motion.
C) Place patient in a private room.
D) Avoid intramuscular (IM) and subcutaneous injections.
Q3) A patient is admitted to the hospital with idiopathic aplastic anemia. An appropriate collaborative problem for the nurse to identify for the patient is
A) potential complication: hemorrhage.
B) potential complication: neurogenic shock.
C) potential complication: pulmonary edema.
D) potential complication: seizures.
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Page 33
Chapter 32: Nursing Assessment: Cardiovascular System
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/30622
Sample Questions
Q1) Which information obtained by the nurse who is admitting the patient for magnetic resonance imaging (MRI) will be most important to report to the health care provider before the MRI?
A) The patient has a history of coronary artery disease.
B) The patient took all the prescribed cardiac medications today.
C) The patient has an allergy to shellfish and iodine.
D) The patient has a permanent ventricular pacemaker in place.
Q2) The nurse has received the laboratory results for a patient who developed chest pain 2 hours ago and may be having a myocardial infarction. The most important laboratory result to review will be
A) troponins T and I.
B) creatine kinase-MB.
C) LDL cholesterol.
D) C-reactive protein.
Q3) The nurse teaches the patient being evaluated for rhythm disturbances with a Holter monitor to
A) remove the electrodes when taking a shower or tub bath.
B) exercise more than usual while the monitor is in place.
C) keep a diary of daily activities while the monitor is worn.
D) connect the recorder to a telephone transmitter once daily.
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Chapter 33: Nursing Management: Hypertension
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/30623
Sample Questions
Q1) The nurse obtains the following information about hypertension risk factors from a patient with prehypertension. The risk factor that will be most important to address with the patient is that the patient
A) gets no regular aerobic exercise.
B) is 5 pounds over the ideal weight.
C) has a low dietary fiber intake.
D) drinks wine with dinner once a week.
Q2) While caring for a patient admitted with a hypertensive emergency and receiving sodium nitroprusside (Nipride), it will be essential for the nurse to
A) insert an arterial line to obtain BP to ensure accurate BP measurements.
B) assist the patient up in the chair for meals to avoid complications associated with immobility.
C) titrate the rate of IV nitroprusside to avoid too-rapid reduction of BP to normal levels.
D) place the patient on NPO status to prevent aspiration caused by nausea and the associated vomiting.
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Chapter 34: Nursing Management: Coronary Artery Disease
and Acute Coronary Syndrome
Available Study Resources on Quizplus for this Chatper
37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/30624
Sample Questions
Q1) A patient is receiving fibrinolytic therapy 2 hours after developing an AMI. Which assessment information will be of most concern to the nurse?
A) No change in the patient's chest pain
B) A large bruise at the patient's IV insertion site
C) A decrease in ST-segment elevation on the ECG
D) An increase in cardiac enzyme levels since admission
Q2) Which of these nursing interventions included in the plan of care for a patient who had an AMI 3 days ago is most appropriate for the RN to delegate to an experienced LPN/LVN?
A) Administration of the ordered metoprolol (Lopressor) and aspirin
B) Evaluating the patient's response to ambulation in the hallway
C) Teaching the patient about the pathophysiology of heart disease
D) Completing the documentation for a home health nurse referral
Q3) While admitting a patient with an AMI, which action should the nurse carry out first?
A) Assess peripheral pulses.
B) Check the oxygen saturation.
C) Attach the cardiac monitor.
D) Obtain the BP.
To view all questions and flashcards with answers, click on the resource link above. Page 36
Chapter 35: Nursing Management: Heart Failure
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/30625
Sample Questions
Q1) A patient with chronic heart failure who has been following a low-sodium diet tells the nurse at the clinic about a 5-pound weight gain in the last 3 days. The nurse's first action will be to
A) ask the patient to recall the dietary intake for the last 3 days because there may be hidden sources of sodium in the patient's diet.
B) instruct the patient in a low-calorie, low-fat diet because the weight gain has likely been caused by excessive intake of inappropriate foods.
C) assess the patient for clinical manifestations of acute heart failure because an exacerbation of the chronic heart failure may be occurring.
D) educate the patient about the use of diuretic therapy because it is likely that the patient will need medications to reduce the hypervolemia.
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Chapter 36: Nursing Management: Dysrhythmias
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/30626
Sample Questions
Q1) During change-of-shift report, the nurse learns that a patient with a large myocardial infarction has been having frequent PVCs. When monitoring the patient for the effects of PVCs, the nurse will check the patient's A) medications.
B) recent electrolyte values.
C) apical radial heart rate.
D) oxygen saturation.
Q2) A patient with diabetes mellitus is admitted unresponsive to the emergency department (ED). Initial laboratory findings are serum potassium 2.8 mEq/L (2.8 mmol/L), serum sodium 138 mEq/L (138 mmol/L), serum chloride 90 mEq/L (90 mmol/L), and blood glucose 628 mg/dl (34.9 mmol/L). Cardiac monitoring shows multifocal PVCs. The nurse understands that the patient's PVCs are most likely caused by A) hyperglycemia.
B) hypoxemia.
C) dehydration.
D) hypokalemia.
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Chapter 37: Nursing Management: Inflammatory and Structural
Heart Disorders
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/30627
Sample Questions
Q1) While caring for a patient with aortic stenosis, the nurse establishes a nursing diagnosis of pain related to decreased coronary blood flow. An appropriate intervention by the nurse is to
A) promote rest to decrease myocardial oxygen demand.
B) teach the patient to use sublingual nitroglycerin for chest pain.
C) educate the patient about the need for anticoagulant therapy.
D) elevate the head of the bed 40 degrees to decrease venous return.
Q2) During postoperative teaching with a patient who had a mitral valve replacement with a mechanical valve, the nurse instructs the patient regarding
A) the need to avoid high-voltage electrical fields.
B) how to monitor anticoagulation therapy.
C) the need for valve replacement in 7 to 10 years.
D) how to check the radial pulse.
Q3) During the assessment of a patient with IE, the nurse would expect to find
A) substernal chest pain and pressure.
B) splinter hemorrhages of the lips.
C) dyspnea and a dry, hacking cough.
D) a new regurgitant murmur.
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Chapter 38: Nursing Management: Vascular Disorders
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/30628
Sample Questions
Q1) The nurse has identified the collaborative problem of potential complication: pulmonary embolism for a patient with left-calf DVT. Which nursing action is appropriate to include in the plan of care?
A) Maintain bed rest as ordered.
B) Administer oxygen to keep O<sub>2</sub> saturation >90%.
C) Apply compression gradient stockings.
D) Remind the patient to dorsiflex the feet and rotate the ankles.
Q2) After repair of an abdominal aortic aneurysm, the nurse notes that the patient does not have popliteal, posterior tibial, or dorsalis pedis pulses. The legs are cool and mottled. Which action is appropriate for the nurse to take first?
A) Review the preoperative assessment form for data about the pulses.
B) Notify the surgeon and anesthesiologist.
C) Document that the pulses are absent and recheck in 30 minutes.
D) Elevate the lower extremities on pillows.
Q3) When assessing a patient with possible PAD, the nurse obtains a brachial BP of 140/80 and an ankle pressure of 110/70. The nurse calculates the patient's ankle-brachial index (ABI) as ______.
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Chapter 39: Nursing Assessment: Gastrointestinal System
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/30629
Sample Questions
Q1) When listening to a patient's abdomen after the patient has eaten, the nurse will be concerned about
A) high-pitched gurgles.
B) frequent clicking sounds.
C) absent bowel sounds.
D) loud gurgles.
Q2) The RN and NA are caring for a patient who has just returned to the nursing unit after an esophagogastroduodenoscopy (EGD). Which nursing action being done by the NA requires that the RN intervene?
A) The NA positions the patient on the right side.
B) The NA checks the temperature every 30 minutes.
C) The NA offers the patient a glass of water.
D) The NA swabs the patient's mouth with cold water.
Q3) While the nurse is obtaining a nursing history from a patient who is admitted with jaundice, the nurse will be most concerned about which patient statement?
A) "I take a baby aspirin every day to prevent strokes."
B) "I need to take an antacid for indigestion several times a week"
C) "I use acetaminophen (Tylenol) every 4 hours for chronic pain."
D) "I used cough syrup several times a day last week."
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Page 41
Chapter 40: Nursing Management: Nutritional Problems
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/30630
Sample Questions
Q1) A high-calorie, high-protein diet is provided for a patient with a fractured hip and severe protein-calorie depletion, but the patient eats only about 50% of each meal tray and then complains of feeling tired. The nurse will plan to
A) arrange for smaller portions to be served on patient trays.
B) serve multiple small feedings of high-calorie, high-protein foods.
C) give continuous tube feedings of liquid nutritional supplements.
D) administer intravenous feeding with parenteral nutrition solutions.
Q2) All these nursing actions are included in the plan of care for a patient who is malnourished. Which action is appropriate for the nurse to delegate to a nursing assistant?
A) Offer the patient the ordered nutritional supplement between meals.
B) Assess the patient's strength while ambulating the patient in the room.
C) Monitor the patient for skin breakdown over the bony prominences.
D) Assist the patient to choose high-nutrition items from the menu.
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Chapter 41: Nursing Management: Obesity
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/30631
Sample Questions
Q1) In planning preoperative teaching for a patient undergoing a Roux-en-Y gastric bypass as treatment for morbid obesity, the nurse places the highest priority on
A) demonstrating passive range-of-motion exercises to the legs.
B) teaching the patient about the postoperative presence of a NG tube connected to suction.
C) teaching the patient proper coughing and deep-breathing techniques and methods of turning and positioning.
D) discussing the necessary postoperative modifications in lifestyle.
Q2) After discussing appropriate exercise activities with an overweight patient who is starting to exercise as part of a weight-loss program, the nurse will determine that the instructions have been understood when the patient reports
A) playing soccer for an hour on the weekend.
B) running for 10 to 15 minutes 3 times/week.
C) walking for 40 minutes 6 or 7 days a week.
D) lifting weights with friends three times a week.
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Chapter 42: Nursing Management: Upper Gastrointestinal
Problems
Available Study Resources on Quizplus for this Chatper
44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/30632
Sample Questions
Q1) A patient who has recently been experiencing frequent heartburn is seen in the clinic. The nurse will anticipate teaching the patient about A) endoscopy procedures.
B) barium swallow.
C) radionuclide tests.
D) proton pump inhibitors.
Q2) The health care provider prescribes antacids and sucralfate (Carafate) for treatment of a patient's peptic ulcer. The nurse will teach the patient to take A) sucralfate and antacids together 30 minutes before each meal.
B) antacids 30 minutes before the sucralfate.
C) sucralfate at bedtime and antacids before meals.
D) antacids after eating and sucralfate 30 minutes before eating.
Q3) Which information about a patient who has just been admitted to the hospital with nausea and vomiting will require the most rapid intervention by the nurse?
A) The patient has been vomiting several times a day for the last 4 days.
B) The patient is lethargic and difficult to arouse.
C) The patient's chart indicates a recent resection of the small intestine.
D) The patient has taken only sips of water.
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Chapter 43: Nursing Management: Lower Gastrointestinal
Problems
Available Study Resources on Quizplus for this Chatper
46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/30633
Sample Questions
Q1) Sulfasalazine (Azulfidine) is prescribed for a patient who has been diagnosed with ulcerative colitis. The nurse recognizes that teaching about this drug has been effective when the patient says,
A) "The medication will prevent infections that cause the diarrhea."
B) "The medication suppresses the inflammation in my large intestine."
C) "I will need lab tests to be sure that I can still fight infections."
D) "I will take the sulfasalazine as an enema or suppository."
Q2) A patient returns from surgery following an abdominal-perineal resection with a sigmoid colostomy and abdominal and perineal incisions. The colostomy is dressed with petroleum jelly gauze and dry gauze dressings. The perineal incision is partially closed and has two drains attached to Jackson-Pratt suction. On the first postoperative day, the nurse gives the highest priority to
A) teaching about a low-residue diet.
B) monitoring drainage from the stoma.
C) assessing the perineal drainage and incision.
D) encouraging acceptance of the colostomy site.
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45
Chapter 44: Nursing Management: Liver, Pancreas, and Biliary Tract Problems
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/30634
Sample Questions
Q1) When providing discharge instructions to a patient following a laparoscopic cholecystectomy at an outpatient surgical center, the nurse recognizes that teaching has been effective when the patient states,
A) "I should plan to limit my activities and not return to work for 4 to 6 weeks."
B) "I can expect some reddish yellow drainage from the incisions for a few days."
C) "I can remove the bandages on my incisions tomorrow and take a shower."
D) "I will always need to maintain a low-fat diet since I no longer have a gallbladder."
Q2) A patient who is admitted to the hospital with a sudden onset of severe right upper-quadrant pain that radiates to the right shoulder is diagnosed with cholecystitis. Which assessment information will be most important for the nurse to report to the health care provider?
A) The patient has an increase in pain after eating.
B) The patient needs 4 mg of morphine for pain relief.
C) The patient's stools are clay colored.
D) The patient's urine is bright yellow.
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Page 46
Chapter 45: Nursing Assessment: Urinary System
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/30635
Sample Questions
Q1) The nurse informs the patient undergoing cystoscopy that following the procedure, the patient
A) should ask for the ordered narcotics as necessary for pain.
B) will be NPO for 8 hours to prevent nausea and vomiting.
C) may experience blood-tinged urine and urinary frequency.
D) is expected to be on strict bed rest for about 4 to 6 hours.
Q2) While assessing a patient's urinary system, the nurse cannot palpate either kidney. Which action should the nurse take next?
A) Ask the patient about any history of recent sore throat.
B) Obtain a urine specimen to check for hematuria.
C) Ask the health care provider about scheduling a renal ultrasound.
D) Document the information on the assessment form.
Q3) A 20-year-old patient who is employed as a hairdresser and has a 10 pack-year history of cigarette smoking is scheduled for an annual physical examination. The nurse will plan to teach the patient about the increased risk for
A) bladder cancer.
B) renal failure.
C) pyelonephritis.
D) kidney stones.
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Page 47
Chapter 46: Nursing Management: Renal and Urologic Problems
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/30636
Sample Questions
Q1) To relieve the symptoms of a lower UTI for which the patient is taking prescribed antibiotics, the nurse suggests that the patient use the OTC urinary analgesic phenazopyridine (Pyridium) but cautions the patient that this preparation
A) contains methylene blue, which turns the urine blue or green.
B) should be taken on an empty stomach for maximum effect.
C) causes the urine to turn reddish orange and can stain underclothing.
D) frequently causes allergic reactions and should be stopped if a rash occurs.
Q2) A patient who is diagnosed with nephrotic syndrome has 3+ ankle and leg edema and ascites. Which nursing diagnosis is a priority for the patient?
A) Fluid-volume excess related to low serum protein levels
B) Altered nutrition: less than required related to protein restriction
C) Activity intolerance related to increased weight and fatigue
D) Disturbed body image related to peripheral edema and ascites
Q3) To prevent the recurrence of renal calculi, the nurse teaches the patient to
A) avoid all sources of dietary calcium.
B) drink diuretic fluids such as coffee.
C) drink 2000 to 3000 ml of fluid a day.
D) use a filter to strain all urine.
To view all questions and flashcards with answers, click on the resource link above. Page 48
Chapter 47: Nursing Management: Acute Renal Failure and Chronic Kidney Disease
Available Study Resources on Quizplus for this Chatper
36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/30637
Sample Questions
Q1) A patient in the oliguric phase of acute renal failure has a 24-hour fluid output of 150 ml emesis and 250 ml urine. The nurse plans a fluid replacement for the following day of ___ ml.
A) 400
B) 800
C) 1000
D) 1400
Q2) To monitor for corticosteroid-related complications after a kidney transplant, the nurse teaches the patient to report
A) pain at the donor kidney site.
B) dizziness with position change.
C) pain in the hips, knees, and other joints.
D) changes in the character of the urine.
Q3) In preparation for hemodialysis, a patient has an AV native fistula created in the left forearm. When caring for the fistula postoperatively, the nurse should
A) check the fistula site for a bruit and thrill.
B) assess the rate and quality of the left radial pulse.
C) compare blood pressures in the left and right arms.
D) irrigate the fistula site daily with low-dose heparin.
Page 49
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Chapter 48: Nursing Assessment: Endocrine System
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/30638
Sample Questions
Q1) During a physical examination, the nurse finds that a patient's thyroid gland cannot be palpated. The most appropriate action by the nurse is to A) document that the thyroid was nonpalpable.
B) notify the health care provider about the finding.
C) teach the patient about the purpose of thyroid-stimulating hormone (TSH) testing. D) palpate the patient's neck more deeply.
Q2) When a patient is taking spironolactone (Aldactone), a drug that blocks the action of aldosterone on the kidney, the nurse will monitor for A) decreased urinary output.
B) increased serum sodium levels.
C) evidence of fluid overload. D) elevated serum potassium levels.
Q3) When caring for a patient who has just had a parathyroidectomy, the nurse will plan to monitor the patient for A) low serum calcium level. B) low magnesium level. C) increased levels of active vitamin D. D) increased levels of calcitonin.
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Chapter 49: Nursing Management: Diabetes Mellitus
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/30639
Sample Questions
Q1) A patient with type 2 diabetes that is controlled with diet and metformin (Glucophage) also has severe rheumatoid arthritis (RA). During an acute exacerbation of the patient's arthritis, the health care provider prescribes prednisone (Deltasone) to control inflammation. The nurse will anticipate that the patient may
A) require administration of insulin while taking prednisone.
B) develop acute hypoglycemia during the RA exacerbation.
C) have rashes caused by metformin-prednisone interactions.
D) need a diet higher in calories while receiving prednisone.
Q2) The health care provider orders oral glucose tolerance testing for a patient seen in the clinic. Which information from the patient's health history is most important for the nurse to communicate to the health care provider?
A) The patient had a viral illness 2 months ago.
B) The patient uses oral contraceptives.
C) The patient runs several days a week.
D) The patient has a family history of diabetes.
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Chapter 50: Nursing Management: Endocrine Problems
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/30640
Sample Questions
Q1) A patient with suspected acromegaly is seen at the clinic. To assist in making the diagnosis, which question should the nurse ask?
A) "Have you had a recent head injury?"
B) "Do you have to wear larger shoes now?"
C) "Is there any family history of acromegaly?"
D) "Are you experiencing tremors or anxiety?"
Q2) Which information obtained when caring for a patient who has just been admitted for evaluation of diabetes insipidus will be of greatest concern to the nurse?
A) The patient has a urine output of 800 ml/hr.
B) The patient's urine specific gravity is 1.003.
C) The patient had a recent head injury.
D) The patient is confused and lethargic.
Q3) A patient with Cushing syndrome returns to the surgical unit following an adrenalectomy. During the initial postoperative period, the nurse gives the highest priority to
A) monitoring for infection.
B) protecting the patient's skin.
C) maintaining fluid and electrolyte status.
D) preventing severe emotional disturbances.
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Page 52
Chapter 51: Nursing Assessment: Reproductive System
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/30641
Sample Questions
Q1) A 42-year-old man who is taking all of the following medications tells the nurse that he has not been able to function sexually for about a year. The nurse will anticipate teaching the patient about a change in which medication?
A) Propranolol (Inderal) for high blood pressure
B) Atorvastatin (Lipitor) for hyperlipidemia
C) Metformin (Glucophage) for type 2 diabetes
D) Ranitidine (Zantac) for gastroesophageal reflux
Q2) When scheduling a pelvic examination and Pap smear for a patient, the nurse instructs the patient that she should
A) plan to have the Pap smear just after her menstrual period.
B) shower, but not take a tub bath, before the examination.
C) not douche for at least 24 hours before the examination.
D) not have sexual intercourse the day before the Pap smear.
Q3) When caring for a patient with an enlarged prostate gland, the nurse monitors the patient for
A) penile discharge.
B) urinary problems
C) constipation.
D) low back pain.
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Page 53
Chapter 52: Nursing Management: Breast Disorders
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/30642
Sample Questions
Q1) A patient with a breast biopsy positive for cancer is to undergo lymphatic mapping and sentinel lymph node dissection (SLND). The nurse explains that this procedure
A) can identify specific lymph nodes that have malignant cells, so only involved nodes need to be excised.
B) reduces the need for extensive lymph node dissection for pathologic examination.
C) eliminates the need for excision of more than one lymph node for staging of breast cancer.
D) will confirm the absence of tumor spread if the sentinel lymph node is negative for malignant changes.
Q2) Which of these nursing interventions for the patient who has had right-sided breast-conservation surgery and an axillary lymph node dissection is appropriate to assign to an LPN/LVN?
A) Administering an analgesic 30 minutes before the scheduled arm exercises
B) Teaching the patient how to avoid injury to the right arm
C) Assessment of the patient's range of motion for the right arm
D) Evaluation of the patient's understanding of discharge instructions about drain care
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Chapter 53: Nursing Management: Sexually Transmitted Diseases
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/30643
Sample Questions
Q1) When a patient returns to the clinic for follow-up after treatment for nongonococcal urethritis, a purulent urethral discharge is still present. When trying to determine the reason for the recurrent infection, which question is most appropriate for the nurse to ask the patient?
A) "Have you noticed an increase in pain or burning?"
B) "Did you drink at least 2 quarts of fluids every day?"
C) "Were your sexual partners treated with antibiotics?"
D) "Do you wash your hands after using the bathroom?"
Q2) A man seeks care at the health clinic because he has developed a profuse, purulent urethral discharge with painful urination. During assessment of the patient, it is most important that the nurse gather information related to A) sexual contacts.
B) a history of previous similar symptoms.
C) condom use.
D) a history of bladder infections or orchitis.
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Chapter 54: Nursing Management: Female Reproductive Problems
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/30644
Sample Questions
Q1) Six months after being sexually assaulted, a woman tells the nurse that she has nightmares about the incident and develops acute anxiety if she finds herself alone in situations where several men are present. The most appropriate nursing diagnosis for the patient is
A) sleep deprivation related to frightening dreams.
B) ineffective coping related to inability to resolve rape incident.
C) anxiety related to effects of being raped.
D) rape-trauma syndrome related to rape experience.
Q2) When caring for a patient recently diagnosed with polycystic ovary syndrome, it is most important for the nurse to teach the patient
A) ways to reduce the occurrence of acne.
B) how to decrease facial hair growth.
C) methods to maintain appropriate weight.
D) reasons for a total hysterectomy.
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Chapter 55: Nursing Management: Male Reproductive Problems
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/30645
Sample Questions
Q1) A 53-year-old man tells the nurse he has not been able to function sexually for several years but is now interested in using Viagra (sildenafil). In responding to the patient's interest, the nurse
A) questions the patient about any prescription drugs he is taking.
B) tells the patient that Viagra is an appropriate treatment for only a few types of ED.
C) asks the patient about any previous treatment for hydrocele.
D) reassures the patient that a gradual decline in erectile function is common with aging.
Q2) A patient undergoing a TURP returns from surgery with a three-way urinary catheter with continuous bladder irrigation in place. The nurse observes that the urine output has decreased and the urine is clear red with multiple clots. The patient is complaining of painful bladder spasms. The most appropriate action by the nurse is to
A) administer the ordered IV morphine sulfate, 4 mg.
B) increase the flow rate of the continuous bladder irrigation.
C) give the ordered the belladonna and opium suppository.
D) manually instill 50 ml of saline and try to remove the clots.
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Chapter 56: Nursing Assessment: Nervous System
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/30646
Sample Questions
Q1) When interviewing an acutely confused patient with a head injury, which of these questions will provide the most useful information?
A) "Have you ever been hospitalized for a neurologic problem?"
B) "Do you have any pain at the present time?"
C) "What have you had to eat in the last 24 hours?"
D) "Can you describe you usual pattern for coping with injury?"
Q2) When developing a plan of care for a patient with dysfunction of the cerebellum, the nurse will include interventions to
A) improve short-term memory.
B) stabilize mood.
C) prevent falls.
D) enhance the ability to swallow.
Q3) When reviewing the results of a patient's cerebrospinal fluid analysis, the nurse will notify the health care provider about A) pH of 7.35.
B) white blood cell count (WBC) of 4/ml (0.004/L).
C) protein 30 mg/dl (0.30 g/L).
D) glucose 30 mg/dl (1.7 mmol/L).
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Chapter 57: Nursing Management: Acute Intracranial Problems
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The charge nurse observes an inexperienced staff nurse who is caring for a patient who has had a craniotomy for a brain tumor. Which action by the inexperienced nurse requires the charge nurse to intervene?
A) The staff nurse has the patient deep-breathe and cough.
B) The staff nurse assesses neurologic status every hour.
C) The staff nurse elevates the head of the bed to 30 degrees.
D) The staff nurse administers an analgesic before turning the patient.
Q2) Which of these patients is most appropriate for the intensive care unit (ICU) charge nurse to assign to an RN who has floated from the medical unit?
A) A 23-year-old patient who had a skull fracture and craniotomy the previous day
B) A 30-year-old patient who has an ICP monitor in place after a head injury a week ago
C) A 44-year-old patient receiving IV antibiotics for meningococcal meningitis
D) A 61-year-old patient who has increased ICP and is receiving hyperventilation therapy
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Chapter 58: Nursing Management: Stroke
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/30648
Sample Questions
Q1) A patient with a history of several transient ischemic attacks (TIAs) arrives in the emergency room with hemiparesis and dysarthria that started 2 hours previously. The nurse anticipates the need to prepare the patient for
A) intravenous heparin administration.
B) transluminal angioplasty.
C) surgical endarterectomy.
D) tissue plasminogen activator (tPA) infusion.
Q2) A patient with a stroke has progressive development of neurologic deficits with increasing weakness and decreased level of consciousness (LOC). The priority nursing diagnosis for the patient is
A) risk for impaired skin integrity related to immobility.
B) disturbed sensory perception related to brain injury.
C) risk for aspiration related to inability to protect airway.
D) impaired physical mobility related to weakness.
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Chapter 59: Nursing Management: Chronic Neurologic Problems
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) When a patient is being evaluated for new onset cluster-type headaches, the nurse will anticipate
A) scheduling a magnetic resonance imaging (MRI) of the brain.
B) teaching the patient about electromyelography (EMG).
C) obtaining a detailed patient history.
D) arranging for a cerebral angiogram.
Q2) When obtaining a health history and physical assessment for a patient with possible multiple sclerosis (MS), the nurse should
A) confirm patient information with family members.
B) ask about a recent history of temperature spikes.
C) question the patient about any leg weakness or spasm.
D) determine whether hypersexuality has caused problems.
Q3) A patient with multiple sclerosis (MS) has a nursing diagnosis of urinary retention related to sensorimotor deficits. An appropriate nursing intervention for this problem is to
A) decrease fluid intake in the evening.
B) teach the patient how to use the Credé method.
C) suggest the use of incontinence briefs for nighttime use only.
D) assist the patient to the commode every 2 hours during the day.
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Chapter 60: Nursing Management: Alzheimers Disease and Dementia
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/30650
Sample Questions
Q1) A long-term care patient with moderate dementia develops increased restlessness and agitation. The nurse's initial action should be to
A) administer the PRN dose of lorazepam (Ativan).
B) reorient the patient to time and place.
C) assess the patient for anything that might be causing discomfort.
D) have a nursing assistant stay with the patient to ensure safety.
Q2) A patient with Alzheimer's disease (AD) is hospitalized with a urinary tract infection. The spouse tells the nurse, "I am just exhausted from the constant care and worry. We don't have any children and we can't afford a nursing home. I don't know what to do." The most appropriate nursing diagnosis for the spouse is
A) anxiety related to limited financial resources.
B) ineffective health maintenance related to stress.
C) caregiver role strain related to limited resources for caregiving.
D) social isolation related to unrelieved caregiving responsibilities.
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Chapter 61: Nursing Management: Peripheral Nerve and Spinal Cord Problems
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) When teaching patients who are at risk for Bell's palsy because of previous herpes simplex infection, which information should the nurse include?
A) "You should call the doctor if pain or herpes lesions occur near the ear."
B) "Treatment of herpes with antiviral agents will prevent development of Bell's palsy."
C) "Medications to treat Bell's palsy work only if started before paralysis onset."
D) "You may be able to prevent Bell's palsy by doing facial exercises regularly."
Q2) A patient arrives at an urgent care center with a deep puncture wound after stepping on a nail that was embedded in some old lumber in a field. The patient reports having had a tetanus booster 7 years ago. The nurse will anticipate
A) IV infusion of tetanus immune globulin (TIG).
B) initiation of the tetanus-diphtheria immunization series.
C) intradermal injection of an immune globulin test dose.
D) administration of the tetanus-diphtheria (Td) toxoid booster.
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Page 63
Chapter 62: Nursing Assessment: Musculoskeletal System
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) Which information obtained during the nurse's assessment of the patient's nutritional-metabolic pattern may indicate the risk for musculoskeletal problems?
A) The patient is 5 ft 2 in and weighs 180 lb.
B) The patient prefers whole milk to nonfat milk.
C) The patient dislikes fruits and vegetables.
D) The patient takes a multivitamin daily.
Q2) When the nurse is assessing a new patient in the clinic, which information about the patient's medications will be of most concern?
A) The patient takes hormone replacement therapy (HRT) to prevent "hot flashes."
B) The patient takes a daily multivitamin and calcium supplement.
C) The patient has severe asthma and requires frequent therapy with steroids.
D) The patient has migraine headaches which are treated with NSAIDs.
Q3) A patient with kyphosis is scheduled for dual-energy x-ray absorptiometry (DEXA) testing. The nurse will plan to
A) start an intravenous line.
B) screen the patient for shellfish allergies.
C) teach the patient that DEXA is noninvasive.
D) give an oral sedative.
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64
Chapter 63: Nursing Management: Musculoskeletal
Trauma and Orthopedic Surgery
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/30653
Sample Questions
Q1) A patient arrives in the emergency department with ankle swelling and severe pain after twisting the ankle playing soccer. All of the following orders are written by the health care provider. Which one will the nurse act on first?
A) Administer naproxen (Naprosyn) 500 mg PO.
B) Wrap the ankle and apply an ice pack.
C) Give acetaminophen with codeine (Tylenol #3).
D) Take the patient to the radiology department for x-rays.
Q2) Following the application of a hip spica cast for a patient with a fracture of the proximal third of the left femur, an appropriate nursing intervention is to
A) use the cast support bar to reposition the patient every 2 to 3 hours.
B) ask the patient about any abdominal discomfort or nausea.
C) discuss the reasons for remaining on bed rest for several weeks.
D) promote drying of the cast by placing the patient in a prone position every 4 hours.
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65
Chapter 64: Nursing Management: Musculoskeletal Problems
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A patient is hospitalized for initiation of regional antibiotic perfusion for acute osteomyelitis of the right femur. Which intervention will be included in the plan of care?
A) Frequent weight-bearing exercise
B) Immobilization of the right leg
C) Avoid administration of NSAIDs
D) Support right leg in a flexed position
Q2) After teaching a patient with a bunion about how to prevent further problems, the nurse will determine that more teaching is needed if the patient says,
A) "I will wear soft slippers whenever possible."
B) "I will throw away my high heel shoes."
C) "I will use the bunion pad to relieve the pain."
D) "I will take ibuprofen (Motrin) when I need it."
Q3) An assessment finding that alerts the nurse to the presence of osteoporosis in a middle-aged patient is
A) the presence of bowed legs.
B) measurable loss of height.
C) an aversion to dairy products.
D) statements about frequent falls.
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Chapter 65: Nursing Management: Arthritis and Connective
Tissue Diseases
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/30655
Sample Questions
Q1) A patient has systemic sclerosis manifested by the CREST syndrome. During assessment of the patient, the nurse would expect to find
A) bony ankylosis of the small joints in the feet.
B) a recent history of significant weight gain.
C) burning, itching, and photosensitivity of the eyes.
D) a history of numbness and tingling in the fingers.
Q2) A home health patient with rheumatoid arthritis (RA) complains to the nurse about having chronically dry eyes and a dry mouth. Which action by the nurse is most appropriate?
A) Have the patient withhold the daily methotrexate (Rheumatrex) until talking with the health care provider.
B) Reassure the patient that dry eyes and mouth are very common with RA.
C) Teach the patient to use an antiseptic mouth wash tid.
D) Suggest that the patient start using over-the-counter (OTC) artificial tears.
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Chapter 66: Nursing Management: Critical Care
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/30656
Sample Questions
Q1) A patient with chronic obstructive pulmonary disease (COPD) is in acute respiratory failure and has been placed on mechanical ventilation. Four hours after mechanical ventilation is initiated, the patient's ABG results include a pH of 7.50, PaO<sub>2</sub> of 80 mm Hg, PaCO<sub>2</sub> of 29 mm Hg, and HCO<sub>3</sub>- of 23 mEq/L (23 mmol/L). The nurse will anticipate the need to
A) increase the FIO2.
B) increase the tidal volume (VT).
C) decrease the respiratory rate.
D) leave the ventilator on the current settings.
Q2) To inflate the cuff of an endotracheal tube (ET) when the patient is on mechanical ventilation, the nurse
A) uses the minimal occluding volume technique by inflating the cuff with 10 ml of air.
B) injects air into the cuff until a manometer indicates a pressure of 15 mm Hg.
C) injects air into the cuff until no leak is heard at the peak inspiratory pressure.
D) inflates the cuff until the pilot balloon cannot be easily compressed with the fingers.
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Chapter 67: Nursing Management: Shock, Systemic
Inflammatory Response Syndrome, and Multiple Organ
Dysfunction Syndrome
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/30657
Sample Questions
Q1) The triage nurse receives a call from a community member who is driving an unconscious friend with multiple injuries after a motorcycle accident to the hospital. The caller states that they will be arriving in 1 minute. In preparation for the patient's arrival, the nurse will obtain
A) a liter of lactated Ringer's solution.
B) 500 ml of 5% albumin.
C) two 14-gauge IV catheters.
D) a retention catheter.
Q2) A patient with hypovolemic shock has a urinary output of 15 ml/hr. The nurse understands that the compensatory physiologic mechanism that leads to altered urinary output is
A) activation of the sympathetic nervous system (SNS), causing vasodilation of the renal arteries.
B) stimulation of cardiac b-adrenergic receptors, leading to increased cardiac output.
C) release of aldosterone and antidiuretic hormone (ADH), which cause sodium and water retention.
D) movement of interstitial fluid to the intravascular space, increasing renal blood flow.
Page 69
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Chapter 68: Nursing Management: Respiratory Failure and
Acute Respiratory Distress Syndrome
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24 Verified Questions
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Sample Questions
Q1) After prolonged cardiopulmonary bypass, a patient develops increasing shortness of breath and hypoxemia. To determine whether the patient has acute respiratory distress syndrome (ARDS) or pulmonary edema caused by left ventricular failure, the nurse will anticipate assisting with
A) positioning the patient for a chest radiograph.
B) drawing blood for arterial blood gases.
C) obtaining a ventilation-perfusion scan.
D) inserting a pulmonary artery catheter.
Q2) A patient with hypercapnic respiratory failure has a respiratory rate of 8 and an SpO<sub>2</sub> of 89%. The patient is increasingly lethargic. Which collaborative intervention will the nurse anticipate?
A) Administration of 100% oxygen by non-rebreather mask
B) Endotracheal intubation and positive pressure ventilation
C) Insertion of a mini-tracheostomy with frequent suctioning
D) Initiation of bilevel positive pressure ventilation (BiPAP)
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Page 70
Chapter 69: Nursing Management: Emergency and Disaster Nursing
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/30659
Sample Questions
Q1) Four victims of an automobile crash are brought by ambulance to the emergency department (emergency department). The triage nurse determines that the victim who has the highest priority for treatment is the one with
A) severe bleeding of facial and head lacerations.
B) an open femur fracture with profuse bleeding.
C) a sucking chest wound.
D) absence of peripheral pulses.
Q2) When caring for a patient with head and neck trauma after a motorcycle accident, the emergency department nurse's first action should be to
A) suction the mouth and oropharynx.
B) immobilize the cervical spine.
C) administer supplemental oxygen.
D) obtain venous access.
Q3) These four patients arrive in the emergency department after a motor-vehicle crash. In which order should they been assessed?
A) A 22-year-old with fractures of the face and jaw
B) A 30-year-old with a misaligned right leg
C) A 45-year-old complaining of 6/10 abdominal pain
D) A 72-year-old with palpitations and chest pain
Page 71
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