Medical-Surgical Nursing Practice Questions - 1844 Verified Questions

Medical-Surgical Nursing Practice Questions

Course Introduction

Medical-Surgical Nursing is a foundational course that introduces students to the concepts, roles, and responsibilities of nursing care for adult patients with diverse medical and surgical conditions. The course emphasizes critical thinking, clinical reasoning, and evidence-based practice in the assessment, planning, implementation, and evaluation of nursing care. Students will explore disease processes, perioperative care, pain management, pharmacology, and patient education, while developing skills for monitoring, intervention, collaboration, and advocacy in both acute and chronic care settings. The course prepares students for clinical practice by integrating theory with hands-on experiences, focusing on patient safety, ethical considerations, and holistic care approaches.

Recommended Textbook

Medical Surgical Nursing in Canada 4th Edition by Lewis

Available Study Resources on Quizplus

72 Chapters

1844 Verified Questions

1844 Flashcards

Source URL: https://quizplus.com/study-set/220

Page 2

Chapter 1: Introduction to Medical-Surgical Nursing

Practice in Canada

Available Study Resources on Quizplus for this Chatper

16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/3266

Sample Questions

Q1) When caring for clients using evidence-informed practice, which of the following does the nurse use?

A)Clinical judgement based on experience

B)Evidence from a clinical research study

C)The best available evidence to guide clinical expertise

D)Evaluation of data showing that the client outcomes are met

Answer: C

Q2) Which of the following would the nurse perform during the assessment phase of the nursing process?

A)Obtains data with which to diagnose client problems.

B)Uses client data to develop priority nursing diagnoses.

C)Teaches interventions to relieve client health problems.

D)Assists the client to identify realistic outcomes to health problems.

Answer: A

To view all questions and flashcards with answers, click on the resource link above. Page 3

Chapter 2: Cultural Competence and Health Equity in Nursing Care

Available Study Resources on Quizplus for this Chatper

17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/3267

Sample Questions

Q1) Afamily member of an elderly Hispanic client admitted to the hospital tells the nurse that the client has traditional beliefs about health and illness. Which of the following actions is most appropriate for the nurse in this situation?

A)Avoid asking any questions unless the client initiates conversation.

B)Ask the client whether it is important that cultural healers are contacted.

C)Explain the usual hospital routines for meal times, care, and family visits.

D)Obtain further information about the client's cultural beliefs from the daughter.

Answer: B

Q2) 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

To view all questions and flashcards with answers, click on the resource link above. Page 4

Chapter 3: Health History and Physical Examination

Available Study Resources on Quizplus for this Chatper

15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/3268

Sample Questions

Q1) When the nurse is planning for the physical examination of an alert older-adult client, which of the following adaptations to the examination technique should be considered?

A)Speaking slowly when directing the client.

B)Avoiding the use of touch as much as possible.

C)Using slightly more pressure for palpation of the liver.

D)Organizing the sequence to minimize position changes.

Answer: D

Q2) During the health history interview, a client tells the nurse about periodic fainting spells. Which question by the nurse will be most helpful in determining the setting in which the fainting spells occur?

A)"How frequently do you have the fainting spells?"

B)"Where are you when you have the fainting spells?"

C)"Do the spells tend to occur at any special time of day?"

D)"Do you have any other symptoms along with the spells?"

Answer: B

To view all questions and flashcards with answers, click on the resource link above.

Chapter 4: Patient and Caregiver Teaching

Available Study Resources on Quizplus for this Chatper

19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/3269

Sample Questions

Q1) A young adult client tells the nurse, "I enjoy smoking and have no plans to quit." Which stage of the Transtheoretical Model of Health Behaviour Change does this example portray?

A)Contemplation

B)Precontemplation

C)Preparation

D)Maintenance

Q2) Aclient admitted to the hospital with hyperglycemia and newly diagnosed diabetes mellitus is scheduled for discharge the second day after admission. When implementing client teaching, which is the best action for the nurse to take?

A)Instruct about the increased risk for cardiovascular disease.

B)Provide detailed information about dietary control of glucose.

C)Teach glucose self-monitoring and medication administration.

D)Give information about the effects of exercise on glucose control.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 5: Chronic Illness

Available Study Resources on Quizplus for this Chatper

18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/3270

Sample Questions

Q1) Which of the following models view disability as directly caused by disease or trauma?

A)Social

B)Nursing

C)Medical

D)Collaborative

Q2) Which of these clients assigned to the nurse is most likely to need planning for long-term nursing management?

A)22-year-old with appendicitis who has had an emergency appendectomy

B)56-year-old with bilateral knee osteoarthritis who weighs 159 kg

C)34-year-old with cholecystitis who has had a laparoscopic cholecystectomy

D)62-year-old with acute sinusitis who will require antibiotic therapy for 5 days

Q3) Which of the following types of cancers has a genetic predisposition to its occurrence?

A)Lung

B)Breast

C)Cervix

D)Testicles

To view all questions and flashcards with answers, click on the resource link above.

Chapter 6: Community-Based Nursing and Home Care

Available Study Resources on Quizplus for this Chatper

11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/3271

Sample Questions

Q1) Which of the following statements represent a current trend in home health nursing?

A)Increased numbers of registered nurses are being employed as home health nurses.

B)Decreased numbers of licensed practical nurses are being employed as home health nurses.

C)There are more employment opportunities for newly graduated nurses.

D)That a minimum of two years of acute care experience is required before employment as a home health nurse.

Q2) Which of these clients should the nurse refer for home health care services?

A)A 71-year-old with dementia who needs 24-hour care to prevent injury

B)An 82-year-old whose family has asked for help to organize pills into a pill box

C)A 67-year-old who requires assistance with shopping, housework, and cooking

D)A 79-year-old with terminal cancer who needs hospice palliative

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

To view all questions and flashcards with answers, click on the resource link above. Page 8

Chapter 7: Older Adults

Available Study Resources on Quizplus for this Chatper

19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/3272

Sample Questions

Q1) The nurse suspects that elder abuse may be occurring when a frail older-adult client with a broken arm is brought to the emergency department by a family member. Which of these actions should the nurse take first?

A)Notify an elder protective services agency about the possible abuse.

B)Make a referral for a home assessment visit by the home health nurse.

C)Have the family member stay in the waiting area while the client is assessed.

D)Ask the client how the injury occurred and observe the family member's reaction.

Q2) The nurse is teaching an older-adult female client about her new medications and the client replies that she "just can't remember all that information anymore." Which of the following changes may interfere with the clients' ability to learn about the new medications?

A)Intellectual ability declines with age.

B)All mental abilities slow as individuals age.

C)Declining physical health can impair cognitive function.

D)Impaired vocabulary and verbal function decrease reasoning with age.

To view all questions and flashcards with answers, click on the resource link above. Page 9

Chapter 8: Stress and Stress Management

Available Study Resources on Quizplus for this Chatper

10 Verified Questions

10 Flashcards

Source URL: https://quizplus.com/quiz/3273

Sample Questions

Q1) 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."

Q2) The nurse is caring for a client who has been hospitalized following a heart attack and tells the nurse, "I didn't sleep last night because I worried about missing work and losing my insurance coverage." Which nursing diagnosis is appropriate to includeintheplan of care?

A)Anxiety

B)Defensive coping

C)Ineffective denial

D)Risk prone-health behaviour

To view all questions and flashcards with answers, click on the resource link above.

Chapter 9: Sleep and Sleep Disorders

Available Study Resources on Quizplus for this Chatper

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.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 10: Pain

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3275

Sample Questions

Q1) The nurse is caring for a client who has just started taking sustained-release morphine sulphate for chronic pain and is nausea with abdominal fullness. Which of the following interventions is the most appropriate for the nurse to implement?

A)Administer the ordered antiemetic medication.

B)Tell the client that the nausea will subside in about a week.

C)Order the client a clear liquid diet until the nausea decreases.

D)Consult with the health care provider about using a different opioid.

Q2) The nurse is caring for a client with diabetes who has chronic burning leg pain even when taking oxycodone twice daily. Which of the following prescribed medications is the most appropriate choice for the nurse to administer as an adjuvant to decrease theclient's pain?

A)Acetylsalicylic acid

B)Dextroamphetamine

C)Amitriptyline

D)Acetaminophen

To view all questions and flashcards with answers, click on the resource link above.

12

Chapter 11: Substance Use

Available Study Resources on Quizplus for this Chatper

22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/3276

Sample Questions

Q1) The nurse is caring for a young adult who has a cocaine addiction. Which of the following routes of cocaine administration results in the fastest absorption and the highest "rush"?

A)Smoking

B)Buccal

C)Oral

D)Intranasal

Q2) A client who is disoriented and agitated comes to the emergency department after using methamphetamine. Vital signs are blood pressure 162/98, heart rate 142 and irregular, and respirations 32. Which of the following actions is priority for the nurse toimplement?

A)Reorient the client at frequent intervals.

B)Monitor the client's ECG and vital signs.

C)Keep the client in a quiet and darkened room.

D)Obtain a health history including prior drug use.

Q3) Suicide is an overdose effect of which of the following substances?

A)Alcohol

B)Inhalants

C)Opioids

D)Hallucinogens

To view all questions and flashcards with answers, click on the resource link above. Page 13

Chapter 12: Complementary and Alternative Therapies

Available Study Resources on Quizplus for this Chatper

11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/3277

Sample Questions

Q1) 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

Q2) The nurse is caring for a client who is experiencing extreme postoperative nausea. Which of the following therapies should the nurse recommend for this client?

A)Acupuncture

B)Aromatherapy

C)St. John's wort

D)Magnetic therapy

To view all questions and flashcards with answers, click on the resource link above. Page 14

Chapter 13: Palliative Care at the End of Life

Available Study Resources on Quizplus for this Chatper

15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/3278

Sample Questions

Q1) The nurse is providing hospice care to a client who is manifesting a decrease in all body system functions except for a heart rate of 124 and a respiratory rate of 28. Which of the following is the basis for the nurses' response about these symptoms?

A)They will continue to increase until death finally occurs.

B)They are a normal response before these functions decrease.

C)They indicate a reflex response to the slowing of other body systems.

D)They may be associated with an improvement in the client's condition.

Q2) The nurse is caring for a terminally ill client who has 20-second periods of apnea followed by periods of deep and rapid breathing. Which of the following terms should the nurse use to document this finding?

A)Agonal breathing

B)Apneustic breathing

C)Death rattle respirations

D)Cheyne-Stokes respirations

To view all questions and flashcards with answers, click on the resource link above.

Chapter 14: Inflammation and Wound Healing

Available Study Resources on Quizplus for this Chatper

21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/3279

Sample Questions

Q1) 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

Q2) Aclient is admitted to the hospital with a pressure injury on the left buttock. The nurse notes that the base of the wound is yellow and involves subcutaneous tissue. Which of the following pressure injury wound stages should the nurse document?

A)1

B)2

C)3

D)4

Q3) A client's temperature has been 38.8°C (101.8°F) for several days. The client's normal caloric intake to meet nutritional needs is 2 000 calories per day. Knowing that the metabolic rate increases 13% for every 1°C (33.8°F) increase in temperature above 37.8°C (100°F) in body temperature, calculate the total calories the client should receive each day.

To view all questions and flashcards with answers, click on the resource link above.

Page 16

Chapter 15: Genetics

Available Study Resources on Quizplus for this Chatper

11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/3280

Sample Questions

Q1) 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

Q2) The nurse is counselling a couple in which the man has an autosomal recessive disorder, and the woman has no gene for the disorder. The nurse uses Punnett squares to show the couple that the probability of their having a child with the disorder is whichofthefollowing percentages?

A)0%

B) 25%

C)50%

D) 75%

To view all questions and flashcards with answers, click on the resource link above. Page 17

Chapter 16: Altered Immune Response and Transplantation

Available Study Resources on Quizplus for this Chatper

27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/3281

Sample Questions

Q1) The nurse is caring for a client who had a bone marrow transplant for treatment of leukemia and has developed a skin rash 10 days after the transplant. The nurse recognizes this reaction as an indication of which of the following?

A)Donor T cells are attacking the client's skin cells.

B)The client's antibodies are rejecting the donor bone marrow.

C)The client is experiencing a delayed hypersensitivity reaction.

D)The client will need treatment to prevent hyperacute rejection.

Q2) Which of the following adverse reactions should the nurse monitor when a client is undergoing plasmapheresis?

A)Shortness of breath

B)High blood pressure

C)Transfusion reactions

D)Hypotension and paresthesia

Q3) Which of the following adverse effects is related to cyclosporine administration?

A)Nephrotoxicity

B)Aseptic necrosis

C)Peptic ulcer

D)Leukopenia

To view all questions and flashcards with answers, click on the resource link above.

Chapter 17: Infection and Human Immunodeficiency Virus

Infection

Available Study Resources on Quizplus for this Chatper

22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/3282

Sample Questions

Q1) Replication of HIV is enhanced when the client is taking which of the following herbs?

A)Echinacea

B)St. John's wort

C)Fish oil

D)Saw palmetto

Q2) Which information about an HIV-positive client who is taking antiretroviral medications is most important for the nurse to address when planning care?

A)The client's blood glucose level is 168 mg/dL.

B)The client complains of feeling "constantly tired."

C)The client is unable to state the adverse effects of the medications.

D)The client states "sometimes I miss a dose of zidovudine (AZT)."

Q3) Ten years after seroconversion, an HIV-infected client has a CD4+ cell count of 800 cells per microlitre and an undetectable viral load. Which of the following actions is the priority nursing intervention at this time?

A)Monitor for symptoms of AIDS.

B)Teach about the effects of antiretroviral agents.

C)Encourage adequate nutrition, exercise, and sleep.

D)Discuss likelihood of increased opportunistic infections.

To view all questions and flashcards with answers, click on the resource link above. Page 19

Chapter 18: Cancer

Available Study Resources on Quizplus for this Chatper

36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/3283

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) Which statement by a client who is scheduled for a needle biopsy of the prostate indicates that the nurse's teaching about the purpose of the biopsy has been effective?

A)"The biopsy will remove the cancer in my prostate gland."

B)"The biopsy will determine how much longer I have to live."

C)"The biopsy will help decide the treatment for my enlarged prostate."

D)"The biopsy will indicate whether the cancer has spread to other organs."

To view all questions and flashcards with answers, click on the resource link above.

Page 20

Chapter 19: Fluid

Available Study Resources on Quizplus for this Chatper

33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/3284

Sample Questions

Q1) The nurse is caring for an alert and oriented older-adult client with a history of dehydration. Which of the following information should the home health nurse teach the client as to when to increase fluid intake?

A)In the late evening hours

B)If the oral mucosa feels dry

C)When the client feels thirsty

D)As soon as changes in level of consciousness (LOC) occur

Q2) Which assessment finding about a client who has a serum calcium level of 1.58 mmol/L is most important for the nurse to immediately report to the health care provider?

A)The client is experiencing laryngeal stridor.

B)The client complains of generalized fatigue.

C)The client's bowels have not moved for 4 days.

D)The client has numbness and tingling of the lips.

To view all questions and flashcards with answers, click on the resource link above.

21

Chapter 20: Nursing Management Preoperative Care

Available Study Resources on Quizplus for this Chatper

22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/3285

Sample Questions

Q1) Which of the following topics is most important for the nurse to discuss preoperatively with a client who is scheduled for a colon resection?

A)Care for the surgical incision

B)Medications used during surgery

C)Deep-breathing and coughing techniques

D)Oral antibiotic therapy after discharge home

Q2) The nurse is obtaining the health history for a client who is scheduled for outpatient knee surgery. Which of the following statements by the client is most important for the nurse to report to the health care provider?

A)"I had a heart valve replacement last year."

B)"I had bacterial pneumonia 6 months ago."

C)"I have knee pain whenever I walk or jog."

D)"I have a strong family history of breast cancer."

To view all questions and flashcards with answers, click on the resource link above.

22

Chapter 21: Nursing Management Intraoperative Care

Available Study Resources on Quizplus for this Chatper

19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/3286

Sample Questions

Q1) The nurse is positioning a client in the operating room for a transurethral resection of the prostate. Which of the following client positions should the nurse place this client in?

A)Prone

B)Supine

C)Trendelenburg

D)Lithotomy

Q2) The perioperative nurse is encouraging a family member to remain with a client in the preoperative holding area until the client is taken into the operating room. Which of the following reasons is the primary reason for this encouragement?

A)Ensure proper identification of the client before surgery.

B)Protect client from cross-contamination with other clients.

C)Assist perioperative nurse to obtain a complete client history.

D)Help relieve the stress of surgery for the client and family member.

To view all questions and flashcards with answers, click on the resource link above.

23

Chapter 22: Nursing Management Postoperative Care

Available Study Resources on Quizplus for this Chatper

21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/3287

Sample Questions

Q1) 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

Q2) The nurse is caring for a client in the PACU and the client's blood pressure has dropped from an admission blood pressure of 138/84 to 100/58 with a pulse change of 68-94. SpO₂ is 98% on 3L of oxygen. In which order should the nurse take these actions?

A)Raise the IV infusion rate.

B)Assess the client's dressing.

C)Increase the oxygen flow rate.

D)Check the client's temperature.

To view all questions and flashcards with answers, click on the resource link above. Page 24

Chapter 23: Nursing Assessment Visual and Auditory Systems

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3288

Sample Questions

Q1) 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.

Q2) The nurse is obtaining a nursing history from a client when the client indicates symptoms of dizziness when bending over and nausea and dizziness associated with physical activities. Which of the following topics should the nurse include in this client's teaching plan?

A)Tympanometry

B)Rotary chair testing

C)Pure-tone audiometry

D)Bone-conduction testing

To view all questions and flashcards with answers, click on the resource link above.

Chapter 24: Nursing Management Visual and Auditory

Problems

Available Study Resources on Quizplus for this Chatper

41 Verified Questions

41 Flashcards

Source URL: https://quizplus.com/quiz/3289

Sample Questions

Q1) Which of the following topics will the nurse include in client teaching following outpatient cataract surgery and lens implantation?

A)Use of oral opioids for pain control

B)Administration of antibiotic eye drops

C)Importance of coughing and deep-breathing exercises

D)Need for bed rest for the first 24 hours after the surgery

Q2) A client who had cataract extraction and intraocular lens implantation the previous day calls the eye clinic and gives the nurse all of this information. Which of the following information is the priority to communicate to the health care provider?

A)The client has eye pain rated at a 5 (on a 0-10 scale).

B)The client has questions about the ordered eye drops.

C)The client has poor depth perception when wearing an eye patch.

D)The client complains that the vision has "not improved very much."

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

To view all questions and flashcards with answers, click on the resource link above. Page 26

Chapter 25: Nursing Assessment Integumentary System

Available Study Resources on Quizplus for this Chatper

12 Verified Questions

12 Flashcards

Source URL: https://quizplus.com/quiz/3290

Sample Questions

Q1) The nurse is caring for a client who has several angiomas on their legs. Which of the following actions should the nurse take next?

A)Assess the client for evidence of liver disease.

B)Discuss the adverse effects of sun exposure on the skin.

C)Educate the client about possible skin changes with aging.

D)Suggest that the client make an appointment with a dermatologist.

Q2) 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

To view all questions and flashcards with answers, click on the resource link above.

Chapter 26: Nursing Management Integumentary

Problems

Available Study Resources on Quizplus for this Chatper

24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/3291

Sample Questions

Q1) The nurse is caring for a client with a urinary tract infection and has been prescribed ciprofloxacin. Which of the following information should the nurse include when teaching this client?

A)Use a sunscreen with a high SPF when exposed to the sun.

B)Sun exposure may decrease the effectiveness of the medication.

C)Photosensitivity may result in an artificial-looking tan appearance.

D)Wear sunglasses to avoid eye damage while taking ciprofloxacin.

Q2) The nurse notes darker skin pigmentation in the skin folds of a client who has a body mass index of 40 kg/m2. Which of the following topics would the nurse include in client teaching?

A)Teach the client about the risk for type 2 diabetes.

B)Educate the client about treatment of fungal infection.

C)Discuss the use of drying agents to minimize infection risk.

D)Instruct the client about use of mild soap to clean skin folds.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 27: Nursing Management Burns

Available Study Resources on Quizplus for this Chatper

29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/3292

Sample Questions

Q1) Which of the following frequencies of multiple-dressing method burn treatment dressing changes should the nurse should question?

A)Every 6 hours

B)Every 12 hours

C)Once a day

D)Once a week

Q2) Which of the following actions should the nurse take first when a client arrives in the emergency department with facial and chest burns caused by a house fire?

A)Infuse the ordered IV solution.

B)Auscultate the client's lung sounds.

C)Determine the extent and depth of the burns.

D)Administer the ordered opioid pain medications.

Q3) Which of the following laboratory results requires the most rapid action by the nurse who is caring for a client who suffered a large burn 48 hours ago?

A)Hct 52%

B)BUN 13.8 mmol/L

C)Serum sodium 146 mmol/L

D)Serum potassium 6.2 mmol/L

To view all questions and flashcards with answers, click on the resource link above.

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) Which of the following lung structures has the most generations?

A)Segmental bronchi

B)Subsegmental bronchi

C)Bronchioles

D)Alveoli

Q2) The nurse is admitting a client with acute shortness of breath. Which of the following actions should the nurse take during the initial assessment of the client?

A)Complete a full physical examination to determine the systemic effect of the respiratory distress.

B)Obtain a comprehensive health history to determine the extent of any prior respiratory problems.

C)Delay the physical assessment and ask family members about any history of respiratory problems.

D)Perform a respiratory system assessment and ask specific questions about this episode of respiratory distress.

To view all questions and flashcards with answers, click on the resource link above.

30

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 deflating the cuff of a tracheostomy tube to evaluate the client's ability to swallow. Which of the following actions should the nurse implement?

A)Clean the inner cannula of the tracheostomy tube before deflation.

B)Deflate the cuff during the inhalation phase of the respiratory cycle.

C)Suction the client's mouth and trachea before deflation of the cuff.

D)Insert exactly the same volume of air into the cuff during reinflation.

Q2) An RN is observing a nursing student who is suctioning a hospitalized client with a tracheostomy in place. Which of the following actions by the student requires the RN to intervene?

A)The student preoxygenates the client for 1 minute before suctioning.

B)The student puts on clean gloves and uses a sterile catheter to suction.

C)The student inserts the catheter about 15 cm into the tracheostomy tube.

D)The student applies suction for 10 seconds while withdrawing the catheter.

Q3) Which of the following causes is the most common cause of acute pharyngitis?

A)Fungal

B)Viral

C)Acute follicular

D)Peritonsillar

To view all questions and flashcards with answers, click on the resource link above. Page 31

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 primary pulmonary hypertension (PPH) who is receiving nifedipine. Which of the following findings indicate that the treatment is effective?

A)BP is less than 140/90 mm Hg

B)Client reports decreased exertional dyspnea

C)Heart rate is between 60 and 100 beats/minute

D)Client's chest x-ray indicates clear lung fields

Q2) Which of the following nursing actions is most effective in preventing aspiration pneumonia in clients who are at risk?

A)Turn and reposition immobile clients at least every 2 hours.

B)Place clients with altered consciousness in side-lying positions.

C)Monitor for respiratory symptoms in clients who are immuno-suppressed.

D)Provide for continuous subglottic aspiration in clients receiving enteral feedings.

Q3) Which of the following information about a client who has a recent history of

A)Chest x-ray shows no upper lobe infiltrates.

B)TB medications have been taken for 6 months.

C)Mantoux testing shows an induration of 10 mm.

D)Three sputum smears for acid-fast bacilli are negative.

To view all questions and flashcards with answers, click on the resource link above. Page 32

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 caring for a client who is receiving 35% oxygen via a Venturi mask. To ensure the correct amount of oxygen delivery, it is most important that the nurse implement which of the following actions?

A)Keep the air entrainment ports clean and unobstructed.

B)Give a high enough flow rate to keep the bag from collapsing.

C)Use an appropriate adaptor to ensure adequate oxygen delivery.

D)Drain moisture condensation from the oxygen tubing every hour.

Q2) Which of the following actions should the nurse anticipate taking first when a client who is experiencing an asthma attack develops bradycardia and a decrease in wheezing?

A)Assist with endotracheal intubation.

B)Document changes in respiratory status.

C)Encourage the client to cough and deep breathe.

D)Administer IV methylprednisolone.

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.

Page 33

To view all questions and flashcards with answers, click on the resource link above.

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 evaluating the red cell indices result of a client's laboratory report. Which of the following interpretations is correct related to a low mean corpuscular volume (MCV)?

A)Hypochromic red blood cells (RBCs)

B)Inadequate numbers of RBCs

C)Low hemoglobin in the RBCs

D)Small size of the RBCs

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

To view all questions and flashcards with answers, click on the resource link above.

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) Which of the following menu choices indicate that the client understands the nurse's teaching about best dietary choices for iron-deficiency anemia?

A)Omelette and whole wheat toast

B)Cantaloupe and cottage cheese

C)Strawberry and banana fruit plate

D)Cornmeal muffin and orange juice

Q2) The nurse is teaching a client with a new diagnosis of pernicious anemia about the disorder. Which of the following client statements indicates that the teaching has been effective?

A)"I need to start eating more red meat or liver."

B)"I will stop having a glass of wine with dinner."

C)"I will need to take a proton pump inhibitor like omeprazole."

D)"I would rather use the nasal spray than have to get injections of vitamin B12."

To view all questions and flashcards with answers, click on the resource link above.

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 is caring for a client who is being treated for heart failure. Which of the following laboratory results should the nurse assess to determine the effects of therapy?

A)Myoglobin

B)Homocysteine (Hcy)

C)Low-density lipoprotein (LDL)

D)B-type natriuretic peptide (BNP)

Q2) The nurse is admitting a client for a coronary arteriogram and angiogram. Which of the following information about the client is most important for the nurse to communicate to the health care provider?

A)The client's pedal pulses are +1.

B)The client is allergic to iodine.

C)The client has not eaten anything today.

D)The client had an arteriogram a year ago.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 35: Nursing Management Hypertension

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3300

Sample Questions

Q1) The nurse is reviewing the laboratory test results for a client who has recently been diagnosed with hypertension. Which result is most important to communicate to the health care provider?

A)Serum creatinine of 230 mcmol/L

B)Serum potassium of 3.8 mmol/L

C)Serum hemoglobin of 147 g/L

D)Blood glucose level of 5.3 mmol/L

Q2) The nurse is providing nutritional teaching to a client with hypertension. Which of the following food groups should the nurse tell the client that they should have four to five daily servings of? (Select all that apply.)

A)Whole grains

B)Vegetables

C)Meat, fish, and poultry

D)Fat-free dairy food

E)Fruit

Q3) The nurse obtains a blood pressure of 180/75 mm Hg for a client. What is the client's mean arterial pressure (MAP)?

To view all questions and flashcards with answers, click on the resource link above.

Chapter 36: 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/3301

Sample Questions

Q1) A client with ST segment elevation in several electrocardiographic (ECG) leads is admitted to the emergency department (ED) and diagnosed as havingan ST-segment-elevation myocardial infarction (STEMI). Which of the following questions should the nurse ask to determine whether the client is a candidate for fibrinolytic therapy?

A)"Do you take Aspirin on a daily basis?"

B)"What time did your chest pain begin?"

C)"Is there any family history of heart disease?"

D)"Can you describe the quality of your chest pain?"

Q2) Which of the following information about a client who has been receiving fibrinolytic therapy for an acute myocardial infarction is most important for the nurse to communicate to the health care provider?

A)No change in the client's chest pain

B)A large bruise at the client's IV insertion site

C)A decrease in ST segment elevation on the electrocardiogram (ECG)

D)An increase in cardiac enzyme levels since admission

To view all questions and flashcards with answers, click on the resource link above.

Page 38

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 providing health-promotion teaching related to heart health and is explaining modifiable and nonmodifiable risk factors. Smoking is a modifiable risk factor. After a diagnosis of cardiovascular-related illness, approximately what percentageofclients that were smokers quit?

A)5

B)15

C)25

D)50

Q2) A client with heart failure has a new order for captopril 12.5 mg PO. After administering the first dose and teaching the client about captopril, which statement by the client indicates that teaching has been effective?

A)"I will call for help when I need to get up to use the bathroom."

B)"I will be sure to take the medication after eating something."

C)"I will need to include more high-potassium foods in my diet."

D)"I will expect to feel more short of breath for the next few days."

To view all questions and flashcards with answers, click on the resource link above.

Chapter 38: Nursing Management Dysrhythmias

Available Study Resources on Quizplus for this Chatper

27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/3303

Sample Questions

Q1) The nurse is caring for a client whose cardiac monitor has a pattern of undulations of varying contours and amplitude with no measurable ECG pattern. The client is unconscious and pulseless. Which of the following actions should the nurse take first?

A)Defibrillate at 200 J.

B)Give O2 per bag-valve-mask.

C)Give epinephrine (Adrenalin) IV.

D)Prepare for endotracheal intubation.

Q2) 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.

Q3) The nurse is caring for a young adult client who had a mandatory electrocardiogram (ECG) before participating on a college swim team and is found to have sinus bradycardia, rate 52. BP is 114/54 mm Hg, and the student denies any health problems. Which of thefollowing actions by the nurse is best?

A)Allow the student to participate on the swim team.

B)Refer the student to a cardiologist for further assessment.

C)Obtain more detailed information about the student's health history.

D)Tell the student to stop swimming immediately if any dyspnea occurs.

To view all questions and flashcards with answers, click on the resource link above. Page 40

Chapter 39: 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/3304

Sample Questions

Q1) The nurse is providing discharge teaching for a client with mitral valve prolapse (MVP) without valvular regurgitation. Which of the following client statements indicate that teaching has been effective?

A)Plan to take antibiotics before any dental appointments

B)Limit physical activity to avoid stressing the heart valves.

C)Take one Aspirin a day to prevent embolization from the valve.

D)Avoid use of over-the-counter (OTC) medications that contain stimulant drugs.

Q2) The nurse is obtaining a health history from a client with a prosthetic mitral valve who has symptoms of infective endocarditis (IE). Which of the following questions by the nurse is best?

A)"Have you been to the dentist lately?"

B)"Do you have a history of a heart attack?"

C)"Is there a family history of endocarditis?"

D)"Have you had any recent immunizations?"

To view all questions and flashcards with answers, click on the resource link above.

Chapter 40: Nursing Management Vascular Disorders

Available Study Resources on Quizplus for this Chatper

31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/3305

Sample Questions

Q1) 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."

Q2) The nurse notes bruising and discoloration of the right leg of a client that has just arrived in the recovery unit from having vein ligation surgery. Which of the following interventions is priority?

A)Place the client in the Trendelenburg position.

B)Contact the health care provider.

C)Elevate the bed at the knee and put pillows under the feet.

D)Elevate the legs 15 degrees to limit edema.

To view all questions and flashcards with answers, click on the resource link above.

42

Chapter 41: Nursing Assessment Gastro-intestinal System

Available Study Resources on Quizplus for this Chatper

16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/3306

Sample Questions

Q1) Which of the following information collected by the nurse when caring for a client who has just arrived in the recovery area after an esophagogastroduodenoscopy (EGD) is most important to communicate to the health care provider?

A)The client is very sleepy.

B)The oral temperature is 38.7°C (101.7°F).

C)The apical pulse is 104 beats/minute.

D)The client complains of a sore throat.

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

To view all questions and flashcards with answers, click on the resource link above.

43

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) The nurse receives change-of-shift report about the following four clients. Which of the following clients should the nurse assess first?

A)A client who has malnutrition associated with 4+ generalized pitting edema

B)A client whose parenteral nutrition has 10 mL of solution left in the infusion bag

C)A client whose gastrostomy tube is plugged after crushed medications were given through the tube

D)A client who is receiving continuous enteral feedings and has new-onset crackles throughout the lungs

Q2) During a busy day, the nurse admits all of the following clients to the medical-surgical unit. Which clients are most important to refer to the dietitian for a complete nutritional assessment? (Select all that apply.)

A)A 24-year-old who has a history of weight gains and losses

B)A 53-year-old who complains of intermittent nausea for the past 2 days

C)A 66-year-old who is admitted for debridement of an infected surgical wound

D)A 45-year-old admitted with chest pain and possible myocardial infarction (MI)

E)A 32-year-old with rheumatoid arthritis who takes prednisone daily

To view all questions and flashcards with answers, click on the resource link above. Page 44

Chapter 43: Nursing Management Obesity

Available Study Resources on Quizplus for this Chatper

19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/3308

Sample Questions

Q1) The nurse is collaborating with an obese client who is enrolled in a behaviour modification program. Which of the following nursing actions is best?

A)Having the client write down the caloric intake of each meal

B)Asking the client about situations that tend to increase appetite

C)Encouraging the client to eat small amounts throughout the day rather than having scheduled meals

D)Suggesting that the client have a reward, such as a piece of sugarless candy, after achieving a weight-loss goal

Q2) The nurse has completed teaching a client about the recommended amounts of foods from different food groups. Which of the following menu selections indicates that the initial instructions about health eating have been understood?

A)90 mL of pork roast, a cup of corn, tomatoes, and 125 mL rice

B)A chicken breast and a cup of tossed salad with nonfat dressing

C)A 180 mL can of tuna mixed with nonfat mayonnaise and chopped celery

D)90 mL of roast beef, 60 mL of low-fat cheese, and a half-cup of carrot sticks

To view all questions and flashcards with answers, click on the resource link above.

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) The nurse is caring for a client with recurring heartburn who receives a new prescription for esomeprazole. Which of the following information should the nurse include when teaching the client about this medication?

A)It neutralizes stomach acid and provides relief of symptoms in a few minutes.

B)It reduces the reflux of gastric acid by increasing the rate of gastric emptying.

C)It coats and protects the lining of the stomach and esophagus from gastric acid.

D)It treats gastro-esophageal reflux disease by decreasing stomach acid production.

Q2) The nurse is caring for an older-adult client who has diagnosed with esophageal cancer and the client tells the nurse, "I know that my chances are not very good, but I do not feel ready to die yet." Which of the following responses by the nurse is best?

A)"You may have quite a few years still left to live."

B)"Thinking about dying will only make you feel worse."

C)"Having this new diagnosis must be very hard for you."

D)"It is important that you be realistic about your prognosis."

To view all questions and flashcards with answers, click on the resource link above. Page 46

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 had a total proctocolectomy and permanent ileostomy who tells the nurse, "I cannot bear to even look at the stoma. I do not think I can manage all these changes." Which of the following actions is best?

A)Develop a detailed written plan for ostomy care for the client.

B)Ask the client more about the concerns with stoma management.

C)Reassure the client that care for the ileostomy will become easier.

D)Postpone any client teaching until the client adjusts to the ileostomy.

Q2) The nurse is caring for a client with Crohn's disease who develops a fever and symptoms of a urinary tract infection (UTI) with tan, fecal-smelling urine. Which of the following information should the nurse teach the client?

A)To clean the perianal area carefully after any stools

B)About fistula formation between the bowel and bladder

C)To empty the bladder before and after sexual intercourse

D)About the effects of corticosteroid use on immune function

To view all questions and flashcards with answers, click on the resource link above.

Chapter 46: Nursing Management Liver

Available Study Resources on Quizplus for this Chatper

40 Verified Questions

40 Flashcards

Source URL: https://quizplus.com/quiz/3311

Sample Questions

Q1) Which of the following clients should alert the nurse that screening for hepatitis C should be done?

A)The client eats frequent meals in fast-food restaurants.

B)The client recently travelled to an undeveloped country.

C)The client had a blood transfusion after surgery in 1998.

D)The client reports a one-time use of IV drugs 20 years ago.

Q2) Which of the following findings in a blood specimen indicates that the administration of hepatitis B vaccine to a client has been effective?

A)HBsAg

B)Anti-HBs

C)Anti-HBc IgG

D)Anti-HBc IgM

Q3) Which of the following actions should be included in the plan of care for a client who has recently been diagnosed with asymptomatic non-alcoholic fatty liver disease (NAFLD)?

A)Teach symptoms of variceal bleeding.

B)Discuss the need to increase caloric intake.

C)Review the client's current medication list.

D)Draw blood for hepatitis serology testing.

To view all questions and flashcards with answers, click on the resource link above.

Page 48

Chapter 47: Nursing Assessment Urinary System

Available Study Resources on Quizplus for this Chatper

22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/3312

Sample Questions

Q1) Which of the following techniques should the nurse use to assess the flank area of a client with pyelonephritis for tenderness?

A)Push gently into the two lowest intercostal spaces.

B)Palpate along both sides of the lumbar vertebral column.

C)Position one hand flat at the costovertebral angle (CVA) and strike it with the other fist.

D)Use two fingers to percuss the area between the iliac crest and ribs along the midaxillary line.

Q2) A client with a possible urinary tract infection (UTI) gives the nurse in the clinic a urine specimen that is a red-orange colour. Which of the following actions should the nurse take first?

A)Notify the client's health care provider.

B)Ask the client about use of any medications.

C)Question the client about any UTI risk factors.

D)Teach about the correct procedure for midstream urine collection.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 48: Nursing Management Renal and Urologic

Problems

Available Study Resources on Quizplus for this Chatper

39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/3313

Sample Questions

Q1) A client who has had a transurethral resection with fulguration for bladder cancer 3 days previously calls the nurse at the urology clinic. Which of the following information given by the client is most important to report to the health care provider?

A)The client is using opioids for pain.

B)The client has noticed clots in the urine.

C)The client is very anxious about the cancer.

D)The client is taking a 15-minute sitz bath twice a day.

Q2) The nurse observes an unregulated care provider (UCP) taking the following actions when caring for a client with a retention catheter. Which of the following actions require the nurse to intervene with client care?

A)Taping the catheter to the skin on the client's upper inner thigh

B)Cleaning around the client's urinary meatus with soap and water

C)Using an alcohol-based hand cleaner before performing catheter care

D)Disconnecting the catheter from the drainage tube to obtain a specimen

To view all questions and flashcards with answers, click on the resource link above.

Chapter 49: Nursing Management Acute Kidney Injury and Chronic Kidney Disease

Available Study Resources on Quizplus for this Chatper

36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/3314

Sample Questions

Q1) The nurse is caring for a client who has had an insertion of an arteriovenous graft (AVG) in the right forearm and has symptoms of pain and coldness of the right fingers.

Which of the following actions should the nurse take?

A)Elevate the client's arm above the level of the heart.

B)Report the client's symptoms to the health care provider.

C)Remind the client about the need to take a daily low-dose Aspirin tablet.

D)Educate the client about the normal vascular response after AVG insertion.

Q2) Which of the following actions by a client who is using peritoneal dialysis (PD) indicates that the nurse should provide more teaching about PD?

A)The client slows the inflow rate when experiencing pain.

B)The client leaves the catheter exit site without a dressing.

C)The client plans 30-60 minutes for a dialysate exchange.

D)The client cleans the catheter while taking a bath every day.

Q3) 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

To view all questions and flashcards with answers, click on the resource link above. Page 51

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) The nurse is caring for a client who is scheduled for a 24-hour urine collection for 17-ketosteroids. Which of the following actions should the nurse implement?

A)Keep the specimen on ice

B)Insert a retention catheter

C)Have the client void and save that specimen to start the collection

D)Encourage the client to drink 2-3 L of fluid during the 24 hours

Q2) The student nurse is caring for a client with goitre and possible hyperthyroidism. Which of the following actions by the student nurse should cause the nursing instructor to intervene?

A)Palpates the neck to check thyroid size.

B)Checks the blood pressure on both arms.

C)Administers nonmedicated eye drops to the client's eyes.

D)Lowers the thermostat to decrease the temperature in the room.

Q3) When reviewing the laboratory results for a client's total calcium level, which of the following information should the nurse consider?

A)The blood glucose is elevated.

B)The phosphate level is normal.

C)The serum albumin level is low.

D)The magnesium level is normal.

To view all questions and flashcards with answers, click on the resource link above.

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 providing preoperative teaching for a client scheduled for a hypophysectomy for treatment of a pituitary adenoma. Which of the following instructions should the nurse include in client teaching?

A)Cough and deep breathe every 2 hours postoperatively

B)Bed rest for the first 24 hours after the surgery

C)Be positioned flat with sandbags at the head postoperatively

D)Have a NG tube after the surgery

Q2) The nurse is caring for a client with hypothyroidism who is receiving a hypertonic saline IV solution to counteract hyponatremia. The nurse will expect the saline solution to be administered until the client's serum sodium reaches which of the followinglevels?

A)112 mmol/L

B)120 mmol/L

C)132 mmol/L

D)168 mmol/L

To view all questions and flashcards with answers, click on the resource link above.

Chapter 52: Nursing Management Diabetes Mellitus

Available Study Resources on Quizplus for this Chatper

39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/3317

Sample Questions

Q1) The nurse obtains the following information about a client before administration of metformin. Which of the following findings indicate a need to contact the health care provider before giving the metformin?

A)The client's blood glucose level is 9.2 mmol/L.

B)The client's blood urea nitrogen (BUN) level is 21.4 mmol/L.

C)The client is scheduled for a chest x-ray in an hour.

D)The client has gained 1 kg since yesterday.

Q2) The nurse is caring for a client with diabetes who received 34 units of NPH insulin at 7:00 18. The nurse is caring for a client with diabetes who received 34 units of NPH insulin at7:00 A.M. and is away from the nursing unit, awaiting diagnostic testing when lunch trays are distributed. Which of the following actions is best to prevent hypoglycemia?

A)Save the lunch tray to be provided upon the client's return to the unit.

B)Call the diagnostic testing area and ask that a 5% dextrose IV be started.

C)Ensure that the client drinks a glass of orange juice at noon in the diagnostic testing area.

D)Request that the client be returned to the unit to eat lunch if testing will not be completed promptly.

To view all questions and flashcards with answers, click on the resource link above.

54

Chapter 53: Nursing Assessment Reproductive System

Available Study Resources on Quizplus for this Chatper

18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/3318

Sample Questions

Q1) Which information about a female client who wants to start using oral contraceptives is most important to report to the health care provider?

A)The client quit smoking 6 months previously.

B)The client's blood pressure is 164/90 mm Hg.

C)The client has not been vaccinated for rubella.

D)The client has chronic iron-deficiency anemia.

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?"

Q3) Which of the following questions should the nurse ask when assessing a client who has a history of benign prostatic hyperplasia (BPH)?

A)"Have you noticed any unusual discharge from your penis?"

B)"Has there been any change in your sex life in the last year?"

C)"Do you find it hard to initiate your urinary stream?"

D)"Have you been experiencing any difficulty in achieving an erection?"

To view all questions and flashcards with answers, click on the resource link above.

Page 55

Chapter 54: Nursing Management Breast Disorders

Available Study Resources on Quizplus for this Chatper

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 conducting a breast assessment on a female client. Which of the following findings is most indicative of a need for further evaluation?

A)Bilateral nodules that are tender with palpation

B)A nodule that is 1 cm in size, painless, and firm

C)A lump that increases in size before the menstrual period

D)A lump that is small, mobile, and has a rubbery consistency

To view all questions and flashcards with answers, click on the resource link above.

Chapter 55: Nursing Management Sexually Transmitted

Infections

Available Study Resources on Quizplus for this Chatper

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 who has blood drawn for an insurance screening has a positive Venereal Disease Research Laboratory (VDRL) test. Which of the following actions should the nurse take next?

A)Ask the client about past treatment for syphilis.

B)Discuss the need for blood and spinal fluid cultures.

C)Obtain a specimen for fluorescent treponemal antibody absorption (FAT-ABS) testing.

D)Assess for the presence of chancres, flulike symptoms, or a bilateral rash on the trunk.

To view all questions and flashcards with answers, click on the resource link above. Page 57

Chapter 56: Nursing Management Female Reproductive Problems

Available Study Resources on Quizplus for this Chatper

42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/3321

Sample Questions

Q1) The nurse is conducting a health history on a client who is pregnant and wants to know if she is too far along in her pregnancy to use drug therapy to induce a medical abortion. Which of the following time frames for the use of drug therapy to induce abortionis the basis of the nurse'response?

A)14 days gestation

B)35 days gestation

C)49 days gestation

D)90 days gestation

Q2) The nurse is teaching a client about ways to prevent primary dysmenorrhea. Which of the following information should the nurse provide to the client?

A)Avoid aerobic exercise during her menstrual period.

B)Use cold packs on the abdomen and back for pain relief.

C)Talk with health care provider about antidepressant therapy.

D)Start taking nonsteroidal anti-inflammatory drugs (NSAIDs) regularly when menstrual period starts.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 57: Nursing Management Male Reproductive Problems

Available Study Resources on Quizplus for this Chatper

27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/3322

Sample Questions

Q1) The nurse has completed discharge teaching for a client who had a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH). Which of the following client statements indicate that additional instruction is required?

A)"I will avoid driving until I get approval from my doctor."

B)"I should call the doctor if I have any incontinence at home."

C)"I will increase fibre and fluids in my diet to prevent constipation."

D)"I should continue to schedule yearly appointments for prostate exams."

Q2) 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

To view all questions and flashcards with answers, click on the resource link above.

Chapter 58: Nursing Assessment Nervous System

Available Study Resources on Quizplus for this Chatper

20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/3323

Sample Questions

Q1) Which of the following information about an older-adult client is most important for the admitting nurse to report to the client's health care provider?

A)Triceps reflex response graded at 1/5

B)Recent unintended weight loss of 9.1 kg

C)Client complaint of chronic difficulty in falling asleep

D)Orthostatic drop in systolic blood pressure of 10 mm Hg

Q2) After reviewing a client's cerebro-spinal fluid analysis, which of the following results is most important for the nurse to communicate to the health care provider?

A)Specific gravity 1.007

B)Protein 6.5 g/L

C)White blood cell (WBC) count 5 * 10⁹/L

D)Glucose 2.5 mmol/L

Q3) Which of the following actions should the nurse implement to assess the functioning of the trigeminal and facial nerves (CN V and VII) in a client?

A)Apply a cotton wisp strand to the cornea.

B)Have the client read a magazine or book.

C)Shine a bright light into the client's pupil.

D)Check for unilateral drooping of the eyelids.

To view all questions and flashcards with answers, click on the resource link above. Page 60

Chapter 59: Nursing Management Acute Intracranial

Problems

Available Study Resources on Quizplus for this Chatper

36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/3324

Sample Questions

Q1) Which of the following parameters is best for the nurse to monitor to determine whether the prescribed IV mannitol has been effective for an unconscious client?

A)Hematocrit

B)Blood pressure

C)Oxygen saturation

D)Intracranial pressure

Q2) The charge nurse observes an inexperienced staff nurse who is caring for a client who has had a craniotomy for a brain tumour. Which of the following actions by the inexperienced nurse requires the charge nurse to intervene?

A)The staff nurse suctions the client every 2 hours.

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 a mild analgesic before turning the client.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 60: Nursing Management Stroke

Available Study Resources on Quizplus for this Chatper

29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/3325

Sample Questions

Q1) A client who has a history of a transient ischemic attack (TIA) has an order for Aspirin 160 mg daily. When the nurse is administering the medications, the client says, "I don't need the Aspirin today. I don't have any aches or pains." Which of the followingactions should the nurse take?

A)Document that the Aspirin was refused by the client.

B)Tell the client that the Aspirin is used to prevent aches.

C)Explain that the Aspirin is ordered to decrease stroke risk.

D)Call the health care provider to clarify the medication order.

Q2) The nurse identifies the nursing diagnosis of impaired verbal communication for a client with expressive aphasia. Which of the following actions should the nurse implement to help the client communicate?

A)Have the client practice facial and tongue exercises.

B)Ask simple questions that the client can answer with "yes" or "no."

C)Develop a list of words that the client can read and practice reciting.

D)Prevent embarrassing the client by changing the subject if the client does not respond.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 61: Nursing Management Chronic Neurological Problems

Available Study Resources on Quizplus for this Chatper

33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/3326

Sample Questions

Q1) The nurse is teaching a client with Parkinson's disease preventive measures to reduce the risk of a fall. Which of the following instructions should the nurse include in the teaching session?

A)Point the toes downward when stepping.

B)Take two steps backward and three steps forward.

C)Rock from front to back when walking.

D)Drop rice kernels and step over them.

Q2) The nurse witnesses a client with a seizure disorder as the client suddenly jerks the arms and legs, falls to the floor, and regains consciousness immediately. Which of the following actions is priority for the nurse to take initially?

A)Assess the client for a possible head injury.

B)Give the scheduled dose of divalproex.

C)Document the timing and description of the seizure.

D)Notify the client's health care provider about the seizure.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 62: Nursing Management Delirium

Available Study Resources on Quizplus for this Chatper

16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/3327

Sample Questions

Q1) The nurse is teaching the children of a client who is being evaluated for Alzheimer's disease (AD) about the disorder. Which of the following information should the nurse include?

A)The most important risk factor for AD is a family history of the disorder.

B)New drugs have been shown to reverse AD dramatically in some clients.

C)A diagnosis of AD can be made only when other causes of dementia have been ruled out.

D)The presence of brain atrophy detected by MRI confirms the diagnosis of AD in clients with dementia.

Q2) The nurse is caring for a client with dementia with lewy bodies (DLB). Which of the following complications is the client most at risk for developing related to DLB?

A)Stroke

B)Pneumonia

C)Myocardial infarction

D)Urinary tract infection

To view all questions and flashcards with answers, click on the resource link above.

64

Chapter 63: Nursing Management Peripheral Nerve and Spinal Cord Problems

Available Study Resources on Quizplus for this Chatper

29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/3328

Sample Questions

Q1) The nurse is teaching a client who is at risk for Bell's palsy because of previous herpes simplex infection. Which of the following information should the nurse include?

A)"Call the doctor if pain or herpes lesions occur near the ear."

B)"Treatment of herpes with antiviral agents prevents Bell's palsy."

C)"You may be able to prevent Bell's palsy by doing facial exercises regularly."

D)"Medications to treat Bell's palsy work only if started before paralysis onset."

Q2) The nurse is caring for a client who has numbness and weakness of both feet and who is hospitalized with Guillain-Barré syndrome. Which of the following information should the nurse include in the client's plan of care?

A)Intubation and mechanical ventilation

B)Administration of IV corticosteroid drugs

C)Insertion of a nasogastric (NG) feeding tube

D)IV infusion of high dose immunoglobulin (IVIG)

To view all questions and flashcards with answers, click on the resource link above.

65

Chapter 64: Nursing Assessment Musculo-skeletal System

Available Study Resources on Quizplus for this Chatper

16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/3329

Sample Questions

Q1) The nurse is assessing a client in the clinic who has knee pain following an arthroscopic procedure 7 days previously and has just had an arthrocentesis. Which of the following findings should be of most concern to the nurse?

A)Scant thin fluid

B)Sanguineous fluid

C)Straw-coloured fluid

D)Purulent appearing fluid

Q2) The nurse obtains this information when assessing an older-adult client in the outpatient clinic. Which of the following findings is of highest priority when the nurse is planning care for the client?

A)Symmetrical joint swelling of fingers

B)Decreased right knee range of motion

C)History of recent loss of balance and fall

D)Complaint of left hip aching when jogging

To view all questions and flashcards with answers, click on the resource link above.

Chapter 65: Nursing Management Musculo-skeletal

Trauma and Orthopedic Surgery

Available Study Resources on Quizplus for this Chatper

40 Verified Questions

40 Flashcards

Source URL: https://quizplus.com/quiz/3330

Sample Questions

Q1) The nurse is caring for a client who is a baseball pitcher and had an arthroscopic repair of a rotator cuff injury performed in same-day surgery. Which of the following information should be included in the client's postoperative teaching plan?

A)"You have an appointment with a physical therapist for tomorrow."

B)"You can still play baseball but you will not be able to return to pitching."

C)"The doctor will use the drop-arm test to determine the success of surgery."

D)"Leave the shoulder immobilizer on for the first few days to minimize pain."

Q2) The nurse is caring for a client with Buck's traction who had an intracapsular fracture of the left femur. Which of the following actions should the nurse take in order to evaluate the effectiveness of Buck's traction?

A)Assess for hip contractures.

B)Monitor for hip dislocation.

C)Check the peripheral pulses.

D)Ask about left hip pain level.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 66: Nursing Management Musculo-skeletal

Problems

Available Study Resources on Quizplus for this Chatper

19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/3331

Sample Questions

Q1) 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.

Q2) The nurse is teaching a client with a bunion about how to prevent further problems.

Which of the following client statements indicates that more teaching is required?

A)"I will throw away my high heel shoes."

B)"I will use the bunion pad to relieve the pain."

C)"I will need to wear open sandals at all times."

D)"I will take ibuprofen when I need it."

Q3) Which of the following assessment findings should alert the nurse to the presence of osteoporosis in an adult client?

A)Measurable loss of height

B)Presence of bowed legs

C)Aversion to dairy products

D)Statements about frequent falls

To view all questions and flashcards with answers, click on the resource link above. Page 68

Chapter 67: Nursing Management Arthritis and Connective

Tissue Diseases

Available Study Resources on Quizplus for this Chatper

42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/3332

Sample Questions

Q1) The nurse is caring for a client with an exacerbation of rheumatoid arthritis (RA) and is taking prednisone 40 mg daily. Which of these assessment data obtained by the nurse indicate that the client is experiencing an adverse effect of the medication?

A)The client's blood glucose is 9.2 mmol/L.

B)The client has no improvement in symptoms.

C)The client has experienced a recent 2.5 kg weight loss.

D)The client's erythrocyte sedimentation rate (ESR) has increased.

Q2) Which of the following information should the nurse include when teaching a client with newly diagnosed ankylosing spondylitis (AS) about the management of the condition?

A)Exercise by taking long walks.

B)Do daily deep-breathing exercises.

C)Sleep on the side with hips flexed.

D)Take frequent naps during the day.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 68: Nursing Management Critical Care

Environment

Available Study Resources on Quizplus for this Chatper

37 Verified Questions

37 Flashcards

Source URL: https://quizplus.com/quiz/3333

Sample Questions

Q1) The nurse is caring for a client with severe heart failure who has a ventricular assist device (VAD) implanted and is waiting for cardiac transplantation. Which of the following actions should the nurse include in the plan of care?

A)Administer of immuno-suppressive medications.

B)Monitor the surgical incision for signs of infection.

C)Teach the client the reason for continuous bed rest.

D)Prepare the client to have the VAD in place permanently.

Q2) The nurse is caring for the client with a pulmonary artery pressure catheter and notes that the PA waveform indicates that the catheter is in the wedged position. Which of the following actions should the nurse take?

A)Inflate the PA balloon.

B)Change the flush system.

C)Zero balance the transducer.

D)Notify the health care provider.

Q3) A client's vital signs are pulse 80, respirations 24, BP of 124/60 mm Hg, and cardiac output is 4.8 L/minute. What is the client's stroke volume?

To view all questions and flashcards with answers, click on the resource link above.

Page 70

Chapter 69: Nursing Management Shock

Available Study Resources on Quizplus for this Chatper

25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/3334

Sample Questions

Q1) The nurse is caring for a client with septic shock who has had a urine output of 20 mL/hour for the past 3 hours. The pulse rate is 120 and the central venous pressure and pulmonary artery wedge pressure are low. Which of the following orders by the healthcare provider should the nurse question?

A)Administer furosemide 40 mg IV.

B)Increase normal saline infusion to 150 mL/hour.

C)Administer hydrocortisone 100 mg IV.

D)Administer dopamine 5 mcg/kg/minute IV.

Q2) The nurse is caring for a client with shock of unknown etiology whose hemodynamic monitoring indicates BP 92/54, pulse 64, and an elevated pulmonary artery wedge pressure. Which of the following prescribed interventions should the nurse question?

A)Infuse normal saline at 250 mL/hour.

B)Keep head of bed elevated to 30 degrees.

C)Give nitroprusside unless systolic BP <90 mm Hg.

D)Administer dobutamine to keep systolic BP >90 mm Hg.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 70: Nursing Management Respiratory Failure and

Acute Respiratory Distress Syndrome

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3335

Sample Questions

Q1) The nurse is admitting a client who is in possible respiratory failure with a high PaCO₂. Which of the following assessment information will be of most concern to the nurse?

A)The client is somnolent.

B)The client's SpO₂ is 90%.

C)The client complains of weakness.

D)The client's blood pressure is 162/94 mmHg.

Q2) The nurse is caring for a client with hypoxemia and a PaO₂/FiO₂ ratio of 170 while being administered oxygen 8 L/minute via mask. Which of the following information is accurate in relation to the client's situation?

A)Is at risk for ARDS

B)Also has an increased PaCO₂ level

C)Should be prepared for mechanical ventilation

D)Requires packed red cells as soon as possible

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 PCO₂ level

D)Is taking vancomycin

To view all questions and flashcards with answers, click on the resource link above. Page 72

Chapter 71: Nursing Management Emergency Care Situations

Available Study Resources on Quizplus for this Chatper

24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/3336

Sample Questions

Q1) The nurse is rewarming a client who arrived in the emergency department (ED) with a temperature of 29°C (84.2°F) and no audible pulse. Which of the following temperatures should the nurse rewarm the client to, prior to a pronouncement of death?

A)30C (86F)

B) 32°C (89.6°F)

C)34C (93.2F)

D) 36C (96.8F)

Q2) The nurse is caring for a client that has sustained a black widow spider bite. Which of the following times should the nurse be aware of that the symptoms usually peak?

A)30 minutes

B)2-3 hours

C)5-6 hours

D)9-10 hours

To view all questions and flashcards with answers, click on the resource link above. Page 73

Chapter 72: Emergency Management and Disaster Planning

Available Study Resources on Quizplus for this Chatper

24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/3337

Sample Questions

Q1) Which of the following government agencies is responsible for providing safe drinking water and supportive medical services during a national disaster?

A)Health Canada

B)Public Safety Canada

C)Department of National Defence

D)Canadian Red Cross

Q2) Which of the following terms is used to describe a communicable disease that occurs among a cluster of individuals?

A)Epidemic

B)Outbreak

C)Pandemic

D)Mitigation

Q3) Which of the following routes is the least lethal route for the spread of anthrax (Bacillus anthracis)?

A)Inhalation

B)Ingestion

C)Cutaneous

D)Injection

To view all questions and flashcards with answers, click on the resource link above. Page 74