Medical-Surgical Nursing Pre-Test Questions
Course Introduction
Medical-Surgical Nursing is a foundational course that prepares students to care for adult patients with a variety of acute and chronic medical conditions. The course emphasizes the application of the nursing process, critical thinking, and evidence-based practice in clinical decision-making. Students will develop competencies in patient assessment, planning, implementation, and evaluation of care across multiple body systems in both preoperative and postoperative settings. Key topics include the management of fluid and electrolyte balance, pain, infection, perioperative care, cardiovascular, respiratory, gastrointestinal, musculoskeletal, and endocrine disorders. Through lectures, simulations, and clinical experiences, students will learn to collaborate with interprofessional teams and provide holistic, patient-centered care that promotes health, recovery, and optimal quality of life.
Recommended Textbook
Medical Surgical Nursing 2nd Edition by Kathleen S. Osborn
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67 Chapters
1995 Verified Questions
1995 Flashcards
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Page 2
Chapter 1: Preparation for Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A nurse practitioner (NP) has joined a practice focusing on family medicine. Which roles would the nurse fulfill in this practice?. Select all that apply.
A) Developing a comprehensive education program for clinic patients
B) Working with individual patients to promote their wellness
C) Discussing how to prevent illness with patients during regular visits
D) Managing the business office of the clinic
E) Providing expert care to younger patients while the clinic physicians care for older patients
Answer: A,B,C
Q2) The nurse manager of a care area asks that a new intravenous-therapy monitoring device not be used for any patients until the entire staff has received appropriate instruction on its use. The nurse manager is demonstrating which component of caring?
A) Comportment
B) Confidence
C) Conscience
D) Commitment
Answer: D
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Page 3
Chapter 2: Legal, Ethical, and Regulatory Aspects of Health
Care Delivery
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Sample Questions
Q1) A patient tells the nurse that her primary care provider wants her to see a specialist, but the specialist is out of the network and her deductible will be higher. The nurse realizes the patient is a member of which type of health care organization?
A) Medicare
B) Health maintenance organization (HMO)
C) Independent practice association (IPA)
D) Preferred provider organization (PPO)
Answer: D
Q2) The nurse is a member of a committee that is studying the frequency of medication errors. Other committee members include a health care provider, pharmacist, pharmacy technician, and nurse manager. The nurse is most likely participating in which specific type of quality process?
A) Total quality management
B) Continuous quality improvement
C) Quality improvement
D) Quality assurance
Answer: B
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Chapter 3: Research Foundations for Nursing Practice
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Sample Questions
Q1) Even though the nurses in a patient care area have been asked to collect data while conducting patient care, several nurses do the data collection only if time is available. Which research problem criteria does the inconsistent collection of data exemplify?
A) Feasible to address
B) Researchable
C) Of interest to the researcher
D) Significant to nursing
Answer: A
Q2) A nurse notices a particular nursing intervention is not successful in helping patients achieve their health care goals and decides to study the issue. What should the nurse do first?
A) Identify the problem.
B) Design the sampling plan.
C) Conduct a literature review.
D) Conduct a pilot study.
Answer: A
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Chapter 4: Nursing Care Delivery Systems
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Sample Questions
Q1) A hospital utilizes the functional nursing care delivery system, and patient satisfaction scores have been falling in each quarter of the past year. What is a likely reason for this decrease?. Select all that apply.
A) Utilization of advanced practice nurses on the unit
B) Efficient nursing staff
C) Lack of confidence in the caregivers
D) Lower health care costs
E) Fragmentation of the nursing care
Q2) A nurse executive is writing the job description for the hospital's newly created case manager position. Which job responsibilities should the executive include?. Select all that apply.
A) Collaborating across disciplines to plan patient care
B) Coordinating care to increase cost-effectiveness
C) Developing nursing service work schedules
D) Reducing fragmentation of care
E) Determining when the patient can be discharged from the facility
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Chapter 5: Nursing Process and Documentation
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Sample Questions
Q1) The nurse is providing care for a patient who is unhappy with the health care provider's care. The patient signs the Against Medical Advice (AMA) form and leaves the hospital against medical advice. What should the nurse include in the documentation of this event in the patient's medical record or on the AMA form?. Select all that apply.
A) Documentation that the patient was informed that he or she cannot come back to the hospital
B) Documentation that the patient was informed that he or she was leaving against medical advice
C) Documentation that the risks of leaving against medical advice were explained to the patient
D) Documentation of any discharge instructions given to the patient
E) Documentation indicating an incident report has been completed
Q2) A nursing unit has changed its documentation system to documenting by exception. How will this system save time?
A) It eliminates lengthy or repetitive documentation.
B) It allows flexibility and description in the documentation.
C) It allows the reader to easily locate information about a specific problem.
D) It allows for quick and easy retrieval of information.
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7
Chapter 6: Health Assessment
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Sample Questions
Q1) The nurse notices a patient has a strong, foul body odor. The patient tells the nurse he has trouble getting in and out of the bathtub. Which areas of the physical assessment does this information address?
A) Behavior and pain
B) Nutritional assessment, mental status, and behavior
C) Physical appearance, height, and weight
D) Functional assessment, physical appearance, and mobility
Q2) Using critical thinking, the nurse assesses that a patient is not a reliable historian. How should the nurse proceed?
A) Stop the assessment because all data is invalid.
B) Document that the patient is not answering questions truthfully.
C) Ask different questions to assess the same information.
D) Document the information just as the patient reports it.
Q3) A 54-year-old patient reports that she smokes a pack and a half of cigarettes daily and has been smoking since she was 16 years old. The nurse would record a smoking history of ______ pack-years.
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Chapter 7: Genetics
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Sample Questions
Q1) A baby is born with a genetic disorder that did not affect either of the parents. What would the nurse deduce about this situation?
A) The mother is the carrier of the disorder.
B) The father is the carrier of the disorder.
C) The father is not the biological father of the baby.
D) Both parents are carriers of the disorder.
Q2) The nurse is conducting a class for expectant parents who need genetic counseling. Which statement by a parent would indicate the need for further education?
A) "The reason men and women are so different from one another is that none of their chromosomes are alike."
B) "Half of the sets of chromosomes come from the mother and the other half come from the father."
C) "The 23<sup>rd</sup> pair of chromosomes will determine if our child will be male or female."
D) "One Y chromosome and one X chromosome will produce a male child."
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Chapter 8: Nutrition
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Sample Questions
Q1) A patient is postoperative from kidney transplant. What nutritional care is appropriate for this patient?. Select all that apply.
A) Begin the introduction of previously restricted foods.
B) Meet the demands of any existing hypermetabolic process.
C) Correct any preexisting deficiencies.
D) Provide necessary support to promote wound healing.
E) Restrict calories to prevent the postoperative weight gain common with this procedure.
Q2) An elderly patient is admitted after being found alone in the home with no food available. Severe malnutrition is diagnosed and refeeding has been instituted. The nurse should plan to monitor this patient for which complications of this therapy?. Select all that apply.
A) Hypernatremia
B) Low potassium levels
C) Prolongation of the PR interval
D) Edema
E) Pulmonary crackles
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Chapter 9: The Biophysical and Psychosocial Aspects of Nursing
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Sample Questions
Q1) The nurse is developing a care plan to help a patient deal with the stress associated with a chronic illness. Which interventions should the nurse include?. Select all that apply. A) Remind the patient daily how lucky he is to have help available for dealing with his stressors.
B) Allow the patient to make as many personal care decisions as possible.
C) Assist the patient with gathering education about the disease process.
D) Assist the patient in developing positive coping mechanisms.
E) Avoid discussing the disease with the patient.
Q2) While conducting an assessment, the nurse asks the patient to rate her pain, with 1 being no pain and 10 being the worst pain she ever experienced. The nurse is utilizing which therapeutic communication technique?
A) Focusing
B) Encouraging comparison
C) Offering self
D) Accepting
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11
Chapter 10: The Aging Process
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Sample Questions
Q1) An elderly patient tells the nurse that her daughter bought her a system that will call for help if she falls. The nurse realizes this patient is describing which technology?
A) Direct dial to the local ambulance company
B) Computerized communication
C) A home alarm system
D) Continuous body monitoring
Q2) A patient reports difficulty hearing when talking to family members on the telephone. Which technologies should the nurse consider when replying to this patient?. Select all that apply.
A) TTY telephones
B) Voice over Internet Protocol (VOIP)
C) Videoconferencing
D) Analog rather than digital telephone
E) Special telephone with higher volume
Q3) A nurse researcher is preparing to study a group of older adults and their response to a nursing intervention. To meet the legal definition of older adult, the study group should include persons _______ years of age or older.
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Chapter 11: Caring for the Patient at End of Life
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Sample Questions
Q1) A terminally ill patient is receiving palliative care. How would the nurse explain the purpose of this type of care to the family?
A) "Palliative care is designed to alleviate suffering and promote quality of life."
B) "Palliative care reduces pain and prevents medical complications."
C) "Palliative care's purpose is to control the side effects of illness while postponing death."
D) "Palliative care involves withdrawing all medical care to allow natural death."
Q2) A patient is very near the end of life. Which nursing interventions are indicated to assist the family during their grieving process?. Select all that apply.
A) Teach the family about the normal events that occur just prior to death.
B) Remove as much monitoring equipment from the patient and the room as is possible.
C) Support the family's use of cultural and religious customs.
D) Avoid using harsh terms such as "death" or "dying" when describing the situation.
E) Limit the number of people at the bedside to no more than two or three.
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Chapter 12: Pain Assessment and Management
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Sample Questions
Q1) The nurse is caring for a patient with prostate cancer with metastasis to S-1 and the adjacent nerve root. The patient complains of unrelenting pain. When collaborating with the provider, the nurse would advocate for which example of balanced analgesia?
A) Use escalating doses of an opioid analgesic per the third step of the World Health Organization (WHO) analgesic ladder.
B) Use an opioid around the clock rather than on an as-needed (prn) basis.
C) Begin with the first step of the analgesic ladder as described by the World Health Organization (WHO), and then evaluate the client's response.
D) Use an opioid for background pain and gabapentin (Neurontin) for the neuropathic pain.
Q2) A patient who is receiving pain medication around the clock complains of an acute exacerbation of pain. What should the nurse do to help this patient?
A) Provide the medication ordered for breakthrough pain.
B) Talk the patient through the pain.
C) Encourage the patient to ignore the pain.
D) Give the patient a nonsteroidal anti-inflammatory drug (NSAID).
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Chapter 13: Substance Abuse Assessment and Management
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Sample Questions
Q1) A patient admitted with seizures is diagnosed with a perforated nasal septum. The nurse realizes that this patient most likely has abused which substance?
A) Cocaine
B) Marijuana
C) Alcohol
D) Barbiturates
Q2) A patient tells the nurse that he gets off cocaine for a while and then in a few months finds himself "hanging out in the same places" where he knows he can easily get drugs. How should the nurse respond?
A) "This will happen for the rest of your life. There isn't anything you can do to change it."
B) "This is drug-seeking behavior and is a response to a craving. What can you do instead of going to the places where you can get drugs?"
C) "This is because you are an addict and need the drugs."
D) "Have you considered using a less addictive type of drug instead of the kind you used to use?"
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Chapter 14: Infectious Process and Prophylaxis
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Sample Questions
Q1) A school district is not requiring vaccinations for children who are starting school. The nurse realizes that this action could have which effect?
A) Healthier children
B) A reduction in the number of colds and flu in the school
C) A decrease in school costs
D) An epidemic of an illness that could have been avoided with a vaccination
Q2) The nurse is caring for a patient in droplet precautions. What protective gear should the nurse wear when providing care to this patient?
A) Head covering and gown
B) Shoe covering and gown
C) Gloves only
D) Mask and eye protection or face shield
Q3) The nurse is instructing a patient on ways to prevent the onset of infection. What should be included in these instructions?
A) Wash hands after using disposable tissues for nasal secretions.
B) Reduce animal protein in the diet.
C) Take prescribed antibiotics until symptoms subside.
D) There is no need to limit interactions with people or crowds.
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Chapter 15: Fluids, Electrolytes and Acid-Base Imbalance
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Sample Questions
Q1) A postoperative patient is diagnosed with fluid volume overload. Which assessment would the nurse attribute to this diagnosis?
A) The patient has poor skin turgor.
B) The patient has decreased urine output.
C) The patient reports sleeping on two pillows.
D) The patient's laboratory testing reveals concentrated hemoglobin and hematocrit levels.
Q2) An elderly postoperative patient is demonstrating lethargy, confusion, and a respiratory rate of 8 per minute. The nurse sees that the last dose of pain medication administered via a patient-controlled anesthesia (PCA) pump was less than 30 minutes ago. This patient is most likely experiencing which acid-base disorder?
A) Respiratory acidosis
B) Metabolic acidosis
C) Respiratory alkalosis
D) Metabolic alkalosis
Q3) A clinic patient is short of breath and has ankle edema. Today's weight is 8 pounds heavier that last week's weight. The nurse determines that the patient could have retained ______ pints of fluid.
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Chapter 16: Fluid and Blood Infusion Therapy
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Sample Questions
Q1) A patient's peripheral intravenous catheter has infiltrated several times during an 8-hour shift. The nurse realizes that the patient needs a central venous access device. Which intravascular devices could a properly trained nurse insert under the guidelines of the infusion nursing standards of practice?. Select all that apply.
A) A triple-lumen catheter
B) A peripherally inserted central catheter
C) A tunneled noncuffed catheter
D) An implanted port
E) A midline catheter
Q2) The nurse inspects the intravenous catheter after removal. Documentation would include which information?. Select all that apply.
A) Length of catheter
B) Condition of access caps
C) Type of catheter
D) Condition of catheter
E) Size of catheter
Q3) A patient has received a unit of packed red blood cells. If the patient is not bleeding, the nurse would expect that the hematocrit would rise _____ %.
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Chapter 17: Preoperative Nursing
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Sample Questions
Q1) Prior to surgery, the nurse instructed the patient on exercises that should be done prior to and after surgery. The patient is currently recovering from surgery and is experiencing a deep vein thrombosis. Which preoperative exercise instruction was not adequate for this patient?
A) Leg exercises
B) Deep breathing and coughing
C) Use of incentive spirometry
D) Splinting when coughing
Q2) The patient who is preparing for surgery asks the nurse to keep his glasses in place until he is under anesthesia. Which statement by the nurse demonstrates accurate, therapeutic communication?
A) "I will contact the surgery department to discuss your requests."
B) "You cannot keep your glasses on."
C) "The policies in the surgery unit will not allow it."
D) "Certainly, you can keep them for that time."
Q3) A patient has postponed an elective surgical procedure. The nurse would advise the patient that a new preoperative health assessment will be necessary if the original assessment document is over _____ days old.
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Chapter 18: Intraoperative Nursing
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Sample Questions
Q1) At the conclusion of a surgical procedure, it has been determined that one sponge is missing. How should the nurse manage this situation?
A) Ask housekeeping personnel to look for the missing sponge while preparing the surgical suite for the next procedure.
B) Ask the surgeon to recount the sponges along with the nurse.
C) Refer to AORN standards for guidance.
D) Call the nursing supervisor to report the missing sponge.
Q2) The surgical team is assembled and is preparing to conduct a procedure on a patient. Which health care professional is responsible for the overall functioning of the surgical team?
A) Surgeon
B) Circulating nurse
C) Scrub nurse
D) Registered nurse first assistant
Q3) The certified nurse anesthetist suspects a patient is experiencing malignant hyperthermia and will administer dantrolene sodium 3 mg/kg IV. The patient's documented weight is 143 pounds. The nurse will administer _____ mg in the first bolus.
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Chapter 19: Postoperative Nursing
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Sample Questions
Q1) A patient has just arrived in the recovery room. As part of the evaluation for determining discharge from the postanesthesia recovery unit, what will be the nurse's next action?
A) Assess the patient's respirations, oxygen saturation, consciousness, circulation, and activity.
B) Assess whether the patient wants the family in the recovery room.
C) Assess the patient for pain.
D) Take the patient's temperature.
Q2) The nurse is caring for a patient recovering from surgery conducted in the previous 24 hours. What should the nurse do to assist this patient with pain control?
A) Administer prescribed analgesics around the clock.
B) Administer prescribed analgesics when the patient requests something for pain.
C) Assist the patient to a more comfortable position to reduce the amount of pain.
D) Offer the patient a back rub to reduce the amount of pain.
Q3) A child who weighs 30 kg is in the PACU. The nurse would collaborate with the child's health care provider if the child's urine output was less than ______ mL per hour.
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21
Chapter 20: Nursing Assessment of the Patient With
Neurological Disorders
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Sample Questions
Q1) The patient has upper motor neuron injuries. The nurse anticipates that what type of reflex is present?
A) Pathologic
B) Increased
C) Normal
D) Exaggerated
Q2) When the nurse assesses the patient's abdominal superficial reflexes, the umbilicus moves in the direction of the skin stimulated. How would the nurse document this observation?
A) An absence of response
B) A questionable response
C) A negative (-) response
D) A present (+) response
Q3) A patient was admitted to the emergency department after falling at work. The nurse assesses that the patient's left pupil has a slightly oval shape. What nursing action is indicated?
A) Notify the physician immediately.
B) Document this finding as anisocoria.
C) Document a normal finding
D) Plan to reassess the pupils in a darker room.
Page 22
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Chapter 21: Caring for the Patient With an Acute Brain or Cranial Nerve Disorder
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Sample Questions
Q1) The patient was an unrestrained front-seat passenger in a motor vehicle crash and struck his forehead on the inside of the windshield. Diagnostic testing in the emergency department reveals coup-contrecoup injury. The nurse identifies which area as the contrecoup injury?
A) The frontal area of the brain
B) The posterior or occipital part of the brain
C) Both the anterior and posterior areas of the brain
D) The midpoint of the brainstem
Q2) The nurse is planning a community education session regarding prevention of traumatic brain injury (TBI). The nurse would discuss which risk factors?. Select all that apply.
A) Age over 65
B) Male gender
C) Age under 18
D) High alcohol intake
E) Serving in the military
Q3) A nurse is providing care to a patient with increased intracranial pressure following a closed head injury. The nurse would determine that adequate cerebral perfusion pressure exists if the CPP is at least ____.
Page 23
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Chapter 22: Caring for the Patient With Cerebral Vascular Disorders
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Sample Questions
Q1) A 27-year-old male arrives at the emergency department reporting a sudden severe-onset headache. Diagnostic studies confirm he is experiencing an intracerebral hemorrhage. The nurse recognizes which risk factor for this condition in the patient's history?
A) The patient reports having a sprained ankle last week, for which he took ibuprofen.
B) The patient reports smoking a pack of cigarettes a day since he was 16 years old.
C) The patient is 27 years old.
D) The patient is male.
Q2) A patient with a family history of cavernous malformation presents to the emergency department following a seizure. The nurse anticipates which diagnostic testing?
A) Angiography
B) CT scan
C) Skull series X-ray
D) MRI scan
Q3) A patient has been admitted with stroke-like symptoms. The nurse would report a serum potassium level of less than _____mEq/L as below the desired level.
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Page 24
Chapter 23: Caring for the Patient With Chronic and Degenerative Neurological Disorders
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Sample Questions
Q1) A nurse working in a fertility clinic reviews the health history of a patient whose father had Huntington's disease. What initial statement by the nurse would best address this patient's risk factors?
A) "What do you know about testing for this disease?"
B) "Have you ever been tested for this disease?"
C) "Are you sure you want to have children?"
D) "Your child has a 50% chance of getting this disease."
Q2) The nurse notes tremors and muscle rigidity in an older adult patient diagnosed with Parkinson's disease. Which medication would the nurse expect to administer to combat these symptoms?
A) Benztropine (Cogentin)
B) Dantrolene (Dantrium)
C) Riluzole (Rilutek)
D) Nitroglycerin (Nitro-bid)
Q3) Once amyotrophic lateral sclerosis (ALS) is diagnosed, what is the priority nursing activity?
A) Support the patient and family to meet physical and psychosocial needs.
B) Monitor for infection.
C) Assist the patient to avoid complications.
D) Assist the patient to adapt to the disease.
Page 25
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Chapter 24: Caring for the Patient With Spinal Cord Injuries
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Sample Questions
Q1) The nurse suspects that a patient with spinal cord injury (SCI) is experiencing autonomic dysreflexia. The nurse elevates the head of the bed and removes the patient's compression stockings while searching for the cause of this response. Performing these interventions helps to avoid which very dangerous complication of autonomic dysreflexia?
A) Hypoxia
B) Bradycardia
C) Elevated blood pressure
D) Tachycardia
Q2) The nurse is assessing the psychosocial status of a patient who experienced a spinal cord injury. What would provide the best subjective evidence of the patient's state of mind?
A) The nurse asks the patient to identify members of his support system.
B) The patient says, "I would enjoy some fast food for lunch."
C) The nurse enters the room and finds the patient crying.
D) The patient tells the nurse he was once treated for depression.
Q3) The health care provider orders 15 mg IV of ketorolac (Toradol) for a patient who has recently undergone a spinal fusion. The nurse has a 5 milliliter (mL) ampule containing 60 mg of ketorolac. The nurse withdraws ______ mL of ketorolac from the ampule.
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Page 26
Chapter 25: Nursing Assessment of the Patient With
Respiratory Disorders
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Sample Questions
Q1) A patient from Southeast Asia presents to the clinic with complaints of shortness of breath. The patient says, "I tried to coin my wind illness, but it did not work." Which assessment finding would the nurse expect?
A) The patient is wearing an amulet shaped like a dragon.
B) The patient has burns on the inside of the nose and mouth.
C) The patient is pale from blood loss.
D) The patient has small scrapes across the back and chest.
Q2) The nurse wants to assess the apex of a patient's right lung. In which location should the nurse place the stethoscope?
A) Intercostal space, sixth rib near the sternum
B) Intercostal space, fourth rib near the axillary line
C) Below the scapula
D) Near the right clavicle
Q3) A patient is diagnosed with a low iron count. The nurse would be alert for which finding associated with this condition?
A) Increased carbon dioxide in the blood
B) Nausea
C) Anxiety
D) Poor tissue oxygenation
Page 27
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Chapter 26: Caring for the Patient With Upper Airway Disorders
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Sample Questions
Q1) A patient who is scheduled for a partial laryngectomy asks if he will still be able to talk after the surgery. What are appropriate nursing responses to this patient?. Select all that apply.
A) "No, you will not."
B) "You will have to ask your physician."
C) "Yes, but it might sound a little different."
D) "You will be able to talk, but with an electronic device."
E) "Speech is usually preserved, but we will know better after surgery."
Q2) A patient being seen for a cough tells the nurse, "After I leave here, I need to get to the dentist. My upper teeth are hurting and I don't know why." Which nursing action is indicated?
A) End the visit so the patient can get to the dentist.
B) Assess the patient for a sinus infection.
C) Reschedule the appointment for another time.
D) Tell the patient there is nothing wrong with his teeth.
Q3) Which individual is most at risk for head and neck cancer?
A) A young female infected with human papillomavirus
B) A male with a 15-year history of smoking and alcohol use
C) A young male who has used smokeless tobacco for 2 years
Page 28
D) An older male with a history of preferring "meat and potatoes"
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Chapter 27: Caring for the Patient With Lower Airway Disorders
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Source URL: https://quizplus.com/quiz/78631
Sample Questions
Q1) A patient tells the nurse she had the bacilli Calmette-Guérin (BCG) vaccination as a child because her mother had tuberculosis. How will this patient be screened for tuberculosis?
A) Two-step Mantoux test
B) PPD test
C) Sputum tests
D) Chest X-ray
Q2) A child with recurrent respiratory infection is being evaluated for cystic fibrosis. The nurse explains to the parents that diagnosis is based on history and two sweat chloride tests equal to or over ______ mEq/L.
Q3) The nurse is discussing the long-term care of a child with cystic fibrosis (CF) with the parents. Which goals should the nurse include in this plan?. Select all that apply.
A) Prevention of infection
B) Improvement of nutrition
C) Making the child's life as normal as possible
D) Maintaining antibiotic therapy to cure the disease
E) Preventing common neurologic complications
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Page 29
Chapter 28: Caring for the Patient With Complex
Respiratory Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78630
Sample Questions
Q1) The nurse is giving a report to the oncoming ICU shift for the most recent admission. The nurse indicates the patient is hypotensive, has an S<sub>3</sub> heart sound, has crackles, has pink frothy sputum, and the skin is diaphoretic and cool. The oncoming shift recognizes which differences between cardiogenic pulmonary edema (CPE) and noncardiogenic pulmonary edema (NCPE)?
A) NCPE patients are hypotensive, have an S<sub>3</sub> heart sound, and have a cough.
B) CPE patients are hypotensive, have an S<sub>3</sub> heart sound, and have dry skin.
C) NCPE patients are hypertensive, have bounding pulses, and have jugular vein distension (JVD).
D) CPE patients are hypotensive, have an S<sub>3</sub> heart sound, and are cool and diaphoretic.
Q2) Which patient should the nurse assess first?
A) Patient with a chest tube complaining of difficulty breathing
B) Patient with a tracheostomy who is on oxygen via trach mask
C) Patient preparing for discharge following a lengthy hospital stay for ARDS
D) Patient complaining of incisional pain
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Page 30
Chapter 29: Nursing Assessment of the Patient With
Cardiovascular Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78629
Sample Questions
Q1) A review of the medical record reveals that a patient has been diagnosed with paroxysmal nocturnal dyspnea (PND). Which questions would the nurse ask to assess the status of this condition?. Select all that apply.
A) "How often do you get up to go to the bathroom at night?"
B) "Are you still waking up at night because you are short of breath?"
C) "How long after you go to bed do you start having trouble breathing?"
D) "Do you still have to sleep on three pillows at night?"
E) "Are you still having palpitations at night?"
Q2) When palpating a thrill on the precordium, the nurse recognizes that this sign is associated with which cardiac condition?
A) Severe valve stenosis
B) Cardiomyopathy
C) Stenosis of the carotid arteries
D) Aortic aneurysm
Q3) A patient has mild pitting edema over the lower legs. A ¼-inch indentation remains in the tissue after the nurse depresses it with a finger. The nurse would document this finding as + _______ pitting edema.
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Page 31
Chapter 30: Car-Ing for the Patient With Dysrhythmias
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78628
Sample Questions
Q1) A patient's electrocardiogram reveals occasional premature ventricular contractions (PVCs). The nurse manager evaluates that the newly licensed nurse understands the implications of this finding when the nurse makes which statement?
A) "PVCs are insignificant in people with no history of heart disease."
B) "PVCs typically have no pattern."
C) "The frequency of PVCs is not associated with specific events."
D) "The incidence of PVCs has no relevance to the patient having had a myocardial infarction."
Q2) Which is the priority nursing intervention for a patient with a junctional escape rhythm?
A) Assess the patient for symptoms associated with this rhythm.
B) Contact the physician immediately for emergency orders.
C) Eliminate caffeine from the diet.
D) Prepare for a pacemaker insertion.
Q3) A nurse analyzing a patient's cardiac monitor tracing counts 12 large squares between two events. The nurse calculates the time interval between these events at _______ second(s).
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32
Chapter 31: Hemodynamic Monitoring
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78627
Sample Questions
Q1) When comparing arterial, central venous, and pulmonary arterial pressures, the nurse keeps which factor in mind?
A) It is not a good idea to measure the patient's blood pressure from the arterial waveform tracing.
B) The pressures in the superior and inferior vena cava are lower than the pressure in the right atrium of the heart.
C) The normal pressure in the right atrium of the heart is very low, 4 to 6 mmHg.
D) The small vessels of the pulmonary arteries are under more pressure than systemic arterial blood pressure.
Q2) Which actions would the nurse take when removing a radial artery catheter?. Select all that apply.
A) Don a sterile gown, sterile gloves, and eye protection.
B) Send the tip of the catheter to the laboratory for culture and sensitivity.
C) Remove the dressing.
D) Apply direct pressure to the insertion site after the catheter is removed.
E) Plan frequent observation of the site after removal of the catheter.
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33
Chapter 32: Caring for the Patient With Coronary Artery Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78626
Sample Questions
Q1) Fifteen hours after admission, a patient's CK-MB level is markedly increased. What does this indicate to the treatment team?
A) Cellular necrosis of myocardial tissue has occurred.
B) Lactic acid is present.
C) Thrombolytic therapy is indicated.
D) Cardiac function has returned to normal.
Q2) Which laboratory test result would the nurse evaluate as indicating increased risk of coronary artery disease (CAD)?
A) Elevated homocysteine
B) Elevated creatinine
C) Elevated high-density lipoprotein (HDL)
D) Elevated INR
Q3) The nurse would suspect conversion of a patient's stable angina to unstable angina if the patient reports angina lasting over _______ minutes at rest.
Q4) A patient's activity is progressing after an acute myocardial infarction (AMI). The nurse would determine that the patient is deconditioned if getting up in a chair decreases systolic blood pressure by _______ mmHg or more.
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Chapter 33: Caring for the Patient With Cardiac
Inflammatory Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78625
Sample Questions
Q1) The nurse calls a patient 2 days before an outpatient procedure to discuss preprocedure preparation. The procedure is being done to track the progression of the patient's valvular disease. Which testing is likely scheduled?
A) Chest x-ray
B) An electrocardiogram
C) Transesophageal echocardiography (TEE)
D) Cardiac catheterization
Q2) Diagnostic testing reveals that an adult patient has a stenotic mitral valve. How would the nurse explain this diagnosis to the patient?
A) "One of the valves of your heart does not open well enough."
B) "You have a leaky valve in your heart."
C) "The valves in your heart were not formed correctly before you were born."
D) "One of the valves in your heart is stuck in the open position."
Q3) The nurse, caring for a patient diagnosed with cardiac tamponade, prepares to participate in which initial treatment?
A) Antidysrhythmic drugs and oxygen
B) Oxygen and rest
C) Pericardiocentesis
D) Antibiotics
Page 35
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Chapter 34: Caring for the Patient With Heart Failure
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78624
Sample Questions
Q1) The nurse is providing medication instruction to a patient who has both hypertension and heart failure. The nurse would expect this patient to be prescribed which drug?
A) Cardiac glycoside
B) ACE inhibitor
C) Antidysrhythmic
D) Anticoagulants
Q2) A patient is in hospice with a diagnosis of end-stage heart failure. How would the nurse explain the primary treatment goal for this patient?
A) Provide significant pain medications.
B) Provide comfort and reduce any distressing respiratory symptoms.
C) Keep the patient out of the hospital.
D) Provide information to the family.
Q3) The nurse uses the acronym MAWDS to teach a patient about self-care management for heart failure. Which instruction would this method contain?
A) "You should return to the clinic for monthly follow-up."
B) "Check your weight daily."
C) "Elevate the feet for twenty minutes twice daily."
D) "Avoid large crowds."
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Chapter 35: Caring for the Patient With Peripheral Vascular Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78623
Sample Questions
Q1) A patient presents to the emergency department with complaints of "feeling like something is ripping in my chest" and sudden onset of mid-back pain. The patient has a history of hypertension. What is the top priority in the care of this patient?
A) Contact the patient's family.
B) Facilitate an immediate CT scan.
C) Obtain a surgical history.
D) Provide pain medication.
Q2) The nurse is instructing a patient with hypertension about lifestyle modifications. Which instructions would be appropriate to include?. Select all that apply.
A) Review the DASH diet.
B) Begin a walking program, and progress to 30 minutes 5 to 6 days each week.
C) Plan a weight-lifting regimen.
D) Eliminate dairy products from the diet.
E) Restrict fluid intake.
Q3) The patient's brachial artery systolic pressure is 144 mmHg, and the right ankle systolic pressure is 120 mmHg. The nurse calculates the patient's ankle-brachial index to be ______.
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Page 37
Chapter 36: Nursing Assessment of the Patient With
Gastrointestinal, Renal, or Urinary Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78622
Sample Questions
Q1) Arrange the four parts of abdominal assessment in the order the nurse should follow.
A) Percussion
B) Inspection
C) Palpation
D) Auscultation
Q2) The nurse assesses for a positive Murphy's sign in a patient suspected of having which disorder?
A) Urinary retention
B) Diverticulitis
C) Cholecystitis
D) Renal calculi
Q3) Which assessment finding alerts the nurse to the likelihood that the patient has a distended bladder?
A) Percussion in the middle of the lower abdomen elicits a dull sound.
B) The patient states, "My back is killing me."
C) Percussion over the costovertebral angle produces pain.
D) The patient complains of colicky pain in the side.
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Page 38
Chapter 37: Caring for the Patient With Gastrointestinal Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78621
Sample Questions
Q1) The nurse learns that an elderly patient with ill-fitting dentures has been using an over-the-counter preparation for a gum sore over the last month. What instruction should the nurse give this patient?
A) Make an appointment to see the physician.
B) Continue to use the preparation.
C) Change the preparation.
D) Stop wearing the dentures.
Q2) The nurse recognizes that a patient diagnosed with celiac disease needs further education regarding the disease process when the patient makes which statement?
A) "It's really difficult to maintain my gluten-free lifestyle."
B) "The only way to truly diagnose this disease is through a biopsy of my small intestine."
C) "The trouble I'm having with the enamel on my teeth is a result of this disease."
D) "I treat myself to a ham and cheese on rye with a light beer once a week."
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Chapter 38: Caring for the Patient With Hepatic and Biliary Disorders
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78620
Sample Questions
Q1) The nurse is caring for a patient who has just returned from a humanitarian trip to Central America. The patient is jaundiced and is diagnosed with hepatitis A. The patient is the parent of three school-age children. Which statement by the patient is a priority for follow-up?
A) "I need to get home to take care of my children."
B) "We cared for several very ill people on our trip."
C) "I plan to get a lot of rest in the next few days."
D) "I am likely to recover fully eventually."
Q2) The nurse assesses a patient who has cirrhosis secondary to liver failure. Which finding would require immediate follow-up by the nurse?
A) Asterixis
B) Jaundice
C) Increased abdominal girth
D) Dyspnea
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Chapter 39: Caring for the Patient With Renal and Urinary Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78619
Sample Questions
Q1) A male patient with a urinary stoma says, "I looked at it while you were out of the room. It's not so bad." How should the nurse evaluate this statement?
A) The patient is making progress with coping.
B) The patient is in denial.
C) The patient has not grieved for his body image.
D) The patient is angry.
Q2) The nurse is planning the care of a patient with chronic glomerulonephritis. What should be the goal of treatment for this patient?
A) Maintaining renal function
B) Achieving maximum independence
C) Returning to work as soon as possible
D) Successful lifestyle adaptation
Q3) A patient diagnosed with a symptomatic urinary tract infection (UTI) is prescribed phenazopyridine (Pyridium). Which medication education should the nurse provide?
A) "This medication will make your urine orange or red."
B) "This medication will kill the bacteria in your urine."
C) "Take this medication until the prescription is finished."
D) "Don't worry if your skin turns a yellowish color."
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Chapter 40: Nursing Assessment of the Patient With
Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78618
Sample Questions
Q1) The patient asks why the nurse is asking questions about her mother's obstetrical history. Which rationale for this questioning should the nurse provide?
A) "If your mother smoked while she was pregnant with you, your risk of lung cancer is higher."
B) "Use of medications to prevent miscarriage may have an impact on your health."
C) "The government wants to know for a genetic study."
D) "If your mother had bleeding after delivery, you should avoid aspirin if you become pregnant."
Q2) A young adult male asks the nurse about the recommended frequency of testicular self-exams. How should the nurse respond?
A) "The more frequently exams are performed, the more beneficial they are." 12."
B) "You should have been taught to self-examine starting at age
C) "Not all experts believe that testicular self-examination is necessary or beneficial for young men."
D) "It is essential that you perform this exam each month."
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Chapter 41: Caring for the Patient With Female
Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78617
Sample Questions
Q1) A female patient who is experiencing menopause is "tired of the night sweats." Which activity can the nurse suggest to help this patient?
A) Ensure that the bedroom temperature is cool and limit sleeping attire.
B) Reduce intake of milk and milk products.
C) Suggest talking with the physician about a hysterectomy.
D) Exercise 1 hour before going to sleep.
Q2) The nurse is collecting data during a routine patient admission history and physical. The patient reports she has experienced bleeding between her menstrual periods. What initial action by the nurse is most appropriate?
A) Determine the timing of the bleeding episodes.
B) Determine the amount of bleeding.
C) Assess for the presence of sexually transmitted infections.
D) Review the length of the patient's normal menstrual cycles.
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43
Chapter 42: Caring for the Patient With Male Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78616
Sample Questions
Q1) The nurse is planning instructions for a patient diagnosed with prostatitis. What should be included in these instructions?. Select all that apply.
A) "Increase fluid intake up to 3 liters per day."
B) "Avoid alcohol and caffeine."
C) "Keep in mind that prostatitis does not cause cancer."
D) "Take antibiotics only when symptoms are present."
E) "Withhold voiding for as long as possible."
Q2) A patient has a possible cancer on his penis. The nurse would assess for which risk factors in this patient's history?. Select all that apply.
A) Phimosis
B) Human papillomavirus (HPV) infection
C) AIDS infection
D) Excessive ultraviolet light exposure
E) Being circumcised
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Chapter 43: Caring for the Patient With Sexually
Transmitted Diseases
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78615
Sample Questions
Q1) A 20-year-old patient has small painful blisters on her labia that developed about 6 days after having sex with her new boyfriend. The nurse would conduct additional assessment for which most likely STI?
A) Syphilis
B) Gonorrhea
C) Chlamydia
D) Genital herpes
Q2) A patient who is febrile and has vaginal drainage has been admitted for treatment of pelvic inflammatory disease (PID). Which interventions would the nurse include in the plan of care for this patient?. Select all that apply.
A) Encourage the patient to assume a side-lying position with knees drawn up.
B) Encourage the patient to ambulate to mobilize trapped intestinal gas.
C) Maintain strict universal precautions.
D) Provide intravenous antibiotics as prescribed.
E) Teach the patient how to use a pain scale.
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45
Chapter 44: Caring for the Patient With Breast Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78614
Sample Questions
Q1) A patient is admitted for Paget's disease of the breast. The nurse completing admission assessment would expect which finding?
A) A mass in the upper outer quadrant of the patient's breast
B) A thickened area of tissue in the axilla
C) Redness of the entire breast
D) A chronic rash on the nipple that is crusty in appearance
Q2) A patient has experienced galactorrhea. Cytology is negative. Which nursing statement is indicated?
A) "It is good that your breast mass is not malignant."
B) "At least you don't have cancer."
C) "Even though this is a good report, more tests will be necessary."
D) "This result means your discharge is probably from a malignant change in your breast."
Q3) A patient presents to the clinic with complaints of breast pain that is continuous. Which assessment is most pertinent?
A) "Are you taking any vitamins?"
B) "Have you had back pain recently?"
C) "Has anyone in your family had breast cancer?"
D) "How old were you when your periods started?"
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Page 46
Chapter 45: Nursing Assessment of the Patient Endocrine Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78613
Sample Questions
Q1) The nurse is preparing to conduct physical assessment of a patient's endocrine system. The nurse will include palpation of which glands in this assessment?. Select all that apply.
A) Adrenal
B) Pancreas
C) Thyroid
D) Pituitary
E) Ovaries
Q2) A 70-year-old woman comes to the emergency department with a history of confusion and increasing depression over the last week. Auscultation of the heart and lungs reveals fine crackles and an S3 heart sound. Among other possible etiologies, the nurse considers which endocrine disorder?
A) Hypothyroidism
B) Graves' disease
C) Diabetes mellitus
D) Deficiency of luteinizing hormone
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Chapter 46: Caring for the Patient With Glandular and Hormonal Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78612
Sample Questions
Q1) The nurse is assessing a female patient who has an abnormally high level of parathyroid hormone. Which assessment findings would be consistent with this diagnosis?. Select all that apply.
A) Muscle weakness
B) Hypercalcemia
C) Diarrhea
D) Weight gain
E) Hypotension
Q2) The nurse is reviewing the laboratory findings for a group of patients. The nurse knows that which set of diagnostic results is consistent with a diagnosis of primary hypothyroidism?
A) Elevated TSH, depressed T3 and T4
B) Elevated TSH, elevated T3 and T4
C) Depressed TSH, elevated T3 and T4
D) Depressed TSH, depressed T3 and T4
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Chapter 47: Caring for the Patient With Diabetes
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78611
Sample Questions
Q1) A patient has been prescribed metformin for treatment of type 2 diabetes. Which teaching would the nurse provide?. Select all that apply.
A) "You are likely to have one or two episodes of hypoglycemia while your body adjusts to this medication."
B) "If you need any diagnostic testing that requires radiocontrast dye, be certain to report that you are taking metformin."
C) "You may have mild stomach upset at first when taking this medication."
D) "Take this medication just before you begin to eat."
E) "You may develop a persistent cough while taking metformin."
Q2) The nurse is caring for a patient who has a diagnosis of diabetes mellitus type 1. Which finding would best indicate that the patient is at risk for developing diabetic ketoacidosis?
A) Reports of anxiety
B) Tremors
C) Nausea and vomiting
D) Extreme hunger
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Chapter 48: Nursing Management of the Patient With
Musculoskeletal Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78610
Sample Questions
Q1) During a physical assessment, the patient walks to the door of the examination room as the nurse watches the patient switch the weight on the feet. The nurse would document assessment of which part of the musculoskeletal status?
A) Knee extension
B) Second-phase gait
C) Hip flexion
D) First-phase gait
Q2) The nurse is assessing a patient's ability to internally rotate the shoulders. Which direction would the nurse provide?
A) "Place your hands behind your lower back."
B) "Raise your arms to shoulder level."
C) "Place both your hands behind your neck with your elbows out to the side."
D) "Raise your arms above your head with your palms facing each other."
Q3) A patient tells the nurse that he has damaged cartilage in his knee. How should the nurse respond to this information?
A) "It will take a few months for the damage to heal."
B) "That is considered a strain and will heal itself in a few weeks."
C) "Exercise will increase the healing time for the cartilage."
D) "Did the doctor talk with you about treatment options?"
Page 50
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Chapter 49: Caring for the Patient With Musculoskeletal Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78609
Sample Questions
Q1) A patient diagnosed with oculopharyngeal muscular dystrophy has been admitted for ankle surgery. What interventions should the nurse plan?
A) Provide eye patches for times when the patient cannot close the eyes.
B) Modify food consistency to allow for easier swallowing.
C) Notify anesthesiology about the patient's history.
D) Monitor for the development of fluid in the lungs.
Q2) A patient states, "I am in such pain. Do you think I might have fibromyalgia?" Which response by the nurse is indicated?
A) "Have you been in pain over 2 months?"
B) "You must stop smoking before a diagnosis of fibromyalgia can be made."
C) "Have you considered having the blood test for fibromyalgia?"
D) "In which areas do you have pain?"
Q3) A male patient, one day postoperative from a total hip replacement, tells the nurse that he does not want to ambulate and will consider it tomorrow. What should the nurse do first to assist this patient?
A) Determine the reason he is resistant to ambulating at this time.
B) Contact the physician.
C) Call additional personnel to assist with ambulation anyway.
D) Document the patient's refusal.
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Chapter 50: Caring for the Patient With Musculoskeletal
Trauma and Surgical Procedures
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78608
Sample Questions
Q1) The nurse is aware that which occupations could put a patient at risk for carpal tunnel syndrome?. Select all that apply.
A) Wheat farmer
B) Store cashier
C) Barber
D) Computer data input specialist
E) Carpenter
Q2) A patient is admitted after traumatic amputation of the left leg just below the knee. This crushing injury occurred at work while the patient was taking a smoking break. The nurse provides care based on which knowledge?. Select all that apply.
A) Crushing injuries are usually suitable for reattachment of the limb.
B) The patient's report of pain in the area of the amputated foot is real.
C) Smoking is a significant risk factor for impaired healing of reattached limbs.
D) The recovery period for a limb reattachment would be similar to that for a surgical amputation.
E) Nerve regeneration to a reattached lower limb usually results in poor function.
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52
Chapter 51: Caring for the Patient With Arthritis and
Connective Tissue Disorders
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78607
Sample Questions
Q1) The nurse is preparing for a community education session on autoimmune disorders. The nurse should review information about which diseases?. Select all that apply.
A) Scleroderma
B) Rheumatoid arthritis (RA)
C) Gouty arthritis
D) Systemic lupus erythematosus (SLE)
E) Reactive arthritis
Q2) The nurse is preparing a flyer on rheumatoid arthritis (RA) for distribution during a community health fair. Which information should the nurse include?. Select all that apply.
A) Rheumatoid arthritis typically affects weight-bearing joints.
B) Onset generally occurs between 20 and 40 years of age.
C) Rheumatoid arthritis is the most common form of arthritis.
D) Women are more likely to be affected than men.
E) Rheumatoid arthritis appears to have a genetic component.
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Chapter 52: Nursing Management of the Patient With
Immunological and Inflammatory Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/78606
Sample Questions
Q1) The parent of a young patient asks the nurse why the child should receive the measles-mumps-rubella vaccination. What is the nurse's best response?
A) "Your child will develop immunity to these illnesses even without the vaccination, but at a slower rate."
B) "The child can always receive the vaccination later."
C) "Receiving the vaccination will cause your child to develop active acquired immunity, which will protect against the development of these illnesses."
D) "I know the Centers for Disease Control expects everyone to have this vaccination, but you can always refuse."
Q2) A patient is admitted with an autoimmune disorder. The nurse plans care for this patient based on which characteristics of autoimmune disorders?
A) The patient's body does not recognize non-self antigens.
B) The patient's body does not recognize its own tissues.
C) The patient's body does not have enough white blood cells to combat infections.
D) The patient's body overproduces histamine.
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Page 54
Chapter 53: Caring for the Patient With Immune Response Disorders
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78605
Sample Questions
Q1) A patient diagnosed with AIDS complains of nausea, fever, severe diarrhea, and anorexia. Which medication would be the most effective to relieve the anorexia and to stimulate the patient's appetite?
A) Megestrol (Megace)
B) Ciprofloxacin (Cipro)
C) Zidovudine (Retrovir, AZT)
D) Abacavir (Ziagen)
Q2) A patient who tested positive for HIV is started on antiretroviral medication. Which outcome would the nurse evaluate as indicating that the goals of this therapy are being met?. Select all that apply.
A) The patient's HIV RNA level has dropped from 100,000 copies/mL to 45,000 copies/mL.
B) The patient's CD4 + T-cell count is 150 cells/mL.
C) The patient has not developed an opportunistic infection.
D) The patient's viral load reveals that the disease is cured.
E) The patient has lost 10 pounds.
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Page 55
Chapter 54: Caring for the Patient With Inflammatory
Response, Shock, and Severe Sepsis
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/78604
Sample Questions
Q1) A patient who takes a beta adrenergic blocker is at risk of developing shock after an accident. The nurse is aware that the patient's medication use may alter which assessment finding associated with shock?
A) Tachycardia
B) Declining mental status
C) Cyanosis
D) Tachypnea
Q2) A patient was diagnosed with sepsis 5 hours ago. To meet the criteria of the Sepsis Resuscitation Bundle, the nurse and health care team must complete the bundle within ______ hour(s).
Q3) A patient admitted to the emergency department after a traumatic injury is becoming more and more lethargic and hard to arouse. Periods of apnea are increasing. To protect the patient's airway, the nurse should prepare to assist with which intervention?
A) Monitoring oxygen saturation
B) Endotracheal intubation
C) Assessment of breath sounds
D) Asking the patient if it is becoming difficult to breathe
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Chapter 55: Nursing Assessment of the Patient With
Hematological Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/78603
Sample Questions
Q1) The nurse would immediately collaborate with the health care provider if a patient experiences a "shift to the left" in laboratory values. What is the rationale for this collaboration?
A) This shift is an indicator of electrolyte imbalance.
B) This shift is an indicator of disruption of hemostasis.
C) This shift is an indicator of a potential bleeding problem.
D) This shift is an indicator of risk for a severe infection.
Q2) The patient's laboratory testing reveals a decreased red blood cell count. The nurse anticipates further testing to determine if the patient has which disorder?. Select all that apply.
A) Polycythemia vera
B) Bleeding
C) Lack of hormone needed to produce leukocytes
D) Bone marrow suppression
E) Abnormal destruction of erythrocytes
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Page 57
Chapter 56: Caring for the Patient With Blood Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78602
Sample Questions
Q1) Which nursing intervention is appropriate for the patient diagnosed with heparin-induced thrombocytopenia who has the nursing diagnosis of Risk for Bleeding?
A) Avoid invasive procedures, such as rectal temperatures, urinary catheterizations, and parenteral injections.
B) Hold pressure on laboratory testing venipuncture sites for at least 15 mintues.
C) Give enemas to avoid straining during bowel movements.
D) Encourage frequent independent ambulation.
Q2) A child is diagnosed with beta-thalassemia major. What should the nurse teach the child's parents?. Select all that apply.
A) "Monitor transfusion of packed red blood cells as ordered."
B) "Prepare yourselves for the care of a child who is seriously ill."
C) "Prioritize the child's activities to allow for rest."
D) "Your child will always be small, with a petite skeletal frame."
E) "Be alert for allergic reactions to common foods such as peanuts and strawberries."
Q3) A patient has lost 800 mL of blood during surgery. The nurse calculates that the patient has lost _______ mg of iron.
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58
Chapter 57: Caring for the Patient With Cancer
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78601
Sample Questions
Q1) A patient newly diagnosed with prostate cancer says, "I know this kind of cancer spreads to other organs. Which places should I worry about getting it?" The nurse would include which anatomical locations in the response to this question?. Select all that apply.
A) Bowel
B) Lung
C) Liver
D) Bone
E) Brain
Q2) The patient undergoing radiation treatment has developed dry desquamation of the skin over the treatment area. How should the nurse care for this damaged skin?. Select all that apply.
A) Shave the area carefully to remove irritating hair or stubble.
B) Tape a light, absorbent bandage over the area to collect drainage.
C) Have the patient expose the area to 20 minutes of sunlight each day.
D) Cover the area with a hydrophilic moisturizing lotion.
E) Wash the area with lukewarm water only.
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Chapter 58: Nursing Assessment of the Patient With
Integumentary Disorders
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A patient with dark skin has been admitted for treatment of anemia. The nurse would plan which physical assessments for pallor in this patient?. Select all that apply.
A) Assess for areas of vitiligo.
B) Look for an ashen appearance.
C) Inspect the palpebral conjunctiva.
D) Assess the color of the earlobes.
E) Inspect the sclera.
Q2) A patient's skin lesion has been described as a nodule. The nurse expects which findings to be present?. Select all that apply.
A) The margins of the lesion are clearly identifiable.
B) The lesion is pus-filled.
C) The lesion is flat and nonpalpable.
D) The lesion is firm.
E) The lesion is within the dermis.
Q3) How should the nurse conduct the physical examination of a patient's skin?
A) Inspect the skin while the patient is standing up.
B) Be aware of ethnic differences.
C) Examine the least-exposed areas first.
D) Examine only the areas of specific concern.
Page 60
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Chapter 59: Caring for the Patient With Skin Disorders
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78599
Sample Questions
Q1) The nurse is planning care for a patient recently diagnosed with herpes zoster. Which nursing diagnosis will the nurse give highest priority?
A) Acute Pain
B) Ineffective Health Maintenance
C) Anxiety
D) Deficient Knowledge
Q2) The mother of a teenaged female with a severe case of acne expresses concern about her daughter's hygiene habits. Which response by the nurse is most helpful?
A) "Improving facial hygiene is the best way to treat your daughter's acne."
B) "The most important causative factor for acne is poor diet, not inadequate hygiene."
C) "Do you think your daughter is embarrassed by her appearance?"
D) "What are your concerns about her hygiene practices?"
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Chapter 60: Caring for the Patient With Wounds
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78598
Sample Questions
Q1) A patient with very thin, fragile skin has just been resuscitated in the emergency department. During the resuscitation efforts, a dressing was taped over an IV site. How should the nurse remove this dressing?
A) Grasp the tape and pull sharply and quickly.
B) Rub the sides of the tape until it loosens.
C) Hold the skin down and gently pull the tape off.
D) Allow the tape to loosen over several days and remove it in sections.
Q2) A patient who has a slowly healing wound from a traumatic injury is prescribed an arginine supplement. What information would the nurse provide about this supplement?.
Select all that apply.
A) Arginine helps to build collagen for wound healing.
B) Arginine will help build blood supply to the injured area.
C) Arginine helps support the immune system.
D) Arginine is essential for coagulation.
E) Arginine decreases bacterial proliferation.
Q3) A patient with diabetes presents with an ulcer on the end of the great toe. Assessment reveals gangrene extending to the base of the toe. The nurse would evaluate this ulcer as matching criteria for grade ____ on the Wagner Ulcer Grade Classification System.
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Page 62
Chapter 61: Caring for the Patient With Burn Injuries
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78597
Sample Questions
Q1) During the immediate postburn period, the nurse conducts a rapid but thorough assessment. Which finding indicates a potential complication?
A) Coughing
B) Presence of eschar
C) Urine output of 30 mL in the hour since the burn occurred
D) Edema in the burned area
Q2) During the acute period of burn care, a focus of care is to promote healing of full-thickness burn wounds. Which nursing interventions are necessary before this healing can begin?
A) Administration of diuretics to reduce edema in the wound bed
B) Pharmacologic and nonpharmacologic methods to achieve pain-free status
C) Debridement and cleansing to rid the wound bed of eschar
D) Nutritional support to return the patient to preburn weight
Q3) A patient who sustained a burn injury over 65% of the body is in the acute phase of care. The patient's preburn weight was 165 pounds. The nurse would work with the patient to achieve intake of ________ calories each day.
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63
Chapter 62: Nursing Assessment of the Patient With
Sensory Disorders
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20 Verified Questions
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Sample Questions
Q1) The school nurse is educating middle school students about the connection between noise and hearing loss. Which information should the nurse provide?
A) Hearing loss requires multiple exposures to high noise levels.
B) Rock concerts are considered to produce moderate levels of noise.
C) One exposure to intense "impulse" noise will probably not damage hearing.
D) Noise-induced hearing loss is also referred to as toxic loss.
Q2) The nurse is testing a patient for visual tropia. Which actions are steps in this test?.
Select all that apply.
A) Have the patient remove corrective lenses.
B) Sit in front of the patient.
C) Have the patient stare at an object about 20 feet behind the nurse.
D) Cover one of the patient's eyes.
E) Record eye movement toward the nose as exotropia.
Q3) Which patient statement would the nurse evaluate as indicating that the patient has otalgia?
A) "I fainted when I saw blood on my hand."
B) "My ears ring all of the time."
C) "I feel dizzy most of the time."
D) "When I got up this morning, my ear was hurting."
Page 64
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Chapter 63: Caring for the Patient With Hearing and Balance Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78595
Sample Questions
Q1) The nurse is holding a community educational session for parents of toddlers. Which guidelines should the nurse discuss to promote healthy ears and hearing in these children?. Select all that apply.
A) Clean the child's ear canal with the finger.
B) Avoid taking the child to places where the noise level is high.
C) Teach the child the importance of wearing a helmet when riding a bike.
D) Rinse the child's hair with a weak saltwater solution after shampooing.
E) When flying, give the child something to drink during landings.
Q2) A 25-year-old patient has had surgery for a cochlear implant. Which statement by a family member does the nurse evaluate as indicating understanding about this device?
A) "A cochlear implant won't replace normal hearing; it will improve sound perception."
B) "It will be much nicer than a hearing aid, as nothing needs to be worn or will be visible."
C) "The speaking voice will improve too."
D) "These are so easy to use that she will be hearing well very soon."
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Chapter 64: Caring for the Patient With Visual Disorders
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78594
Sample Questions
Q1) The nurse is performing the corneal light reflex as part of an eye assessment. Which actions are necessary?. Select all that apply.
A) Shine a penlight into the patient's eyes.
B) Observe the location of a light reflection in the patient's pupils.
C) Touch the cornea lightly with a cotton wisp.
D) Observe for blinking.
E) Look for a whitening of the red reflex.
Q2) The nurse has provided discharge instructions to a patient who had cataract surgery. The nurse is satisfied that the patient understands these instructions when the patient makes which statements?. Select all that apply.
A) "I will ask my wife to tie my shoes for a few days."
B) "I will wear my eye shield all the time."
C) "I should expect to see bright flashes of light as my eye heals."
D) "I will avoid reading at least until my follow-up appointment next week."
E) "I will sleep on my back or on my nonoperative side."
Q3) The nurse is admitting a patient for laser photocoagulation treatment of diabetic retinopathy. The nurse would immediately contact the health care provider if the patient's diastolic blood pressure is above _______ mmHg.
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66
Chapter 65: Disaster Nursing
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78593
Sample Questions
Q1) The nurse manager is working on a committee to revise a hospital's emergency preparedness plan. What is the first step of this work?
A) Conduct a hazard risk analysis.
B) Write a basic plan that can be expanded as time permits.
C) Describe functional annexes.
D) Develop hazard-specific annexes.
Q2) The nurse is interested in learning how to become a disaster relief nurse. What should the nurse consider prior to joining the Disaster Medical Assistance Team (DMAT) program?
A) The nurse must be licensed to practice nursing in the state of the disaster.
B) The nurse must provide and pay for his or her own personal gear, including a sleeping bag.
C) The nurse must be willing to be a volunteer, as the positions are unpaid.
D) The nurse must be willing to pay for his or her own travel to the disaster region.
Q3) A patient has been prescribed 400 mg ciprofloxacin IV for anthrax prophylaxis. The pharmacy has sent a 1 gram vial of ciprofloxacin to the nursing unit to be diluted with 10 mL of sodium chloride. The nurse should administer ____ mL.
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Chapter 66: Caring for the Patient in the Emergency Department
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78592
Sample Questions
Q1) Which statements by an emergency department nurse reflect poor compliance with the "A" portion of the diversity practice model?Select all that apply.
A) "If patients are going to live in the U.S., they should at least attempt to learn English."
B) "Her clothes are dirty, so I bet she doesn't have any insurance."
C) "This patient is weird. He has all kinds of marks on his skin and says they will make him feel better."
D) "You know how it is with these young mothers; they never follow instructions on how to prevent their kids from getting ear infections."
E) "Oh no, another old man with influenza. You take care of him. They all stink."
Q2) A patient being cared for in the emergency department (ED) will require endoscopy to remove a foreign object from the esophagus. Whose responsibility is it to obtain informed consent for this procedure?
A) The admittance clerk
B) The nurse who admitted the patient to the ED
C) The nurse who will assist in the procedure room
D) The health care provider performing the procedure.
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Chapter 67: Caring for the Patient With Multisystem
Trauma
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78591
Sample Questions
Q1) A patient was brought to the ED after falling from a tree. The patient has an open femur fracture and is bleeding from several lacerations across the abdomen and chest. The patient cannot remember what happened, the skin is cool and pale, and the femoral pulses are weak. Which nursing interventions are necessary? Select all that apply.
A) Notify the health care provider immediately.
B) Start two large-bore IV lines if not already in place.
C) Apply pressure to bleeding wounds.
D) Apply a splint to the injured leg.
E) Place the patient on oxygen.
Q2) The mechanism of a patient's injury suggests that the patient may have suffered a basilar skull fracture. The nurse would assess for which findings?Select all that apply.
A) Battle's sign
B) Hyphema
C) Raccoon eyes
D) Rigid extension of the forearms
E) Anasarca
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