Medical-Surgical Nursing Pre-Test Questions
Course Introduction
Medical-Surgical Nursing is a comprehensive course that focuses on the care of adult patients experiencing a wide range of acute and chronic medical conditions, as well as those undergoing surgical procedures. The course emphasizes the development of critical thinking, clinical reasoning, and evidence-based practice skills essential for assessing, planning, implementing, and evaluating nursing interventions. Students will explore pathophysiology, pharmacology, patient safety, perioperative care, fluid and electrolyte management, infection control, pain management, and rehabilitation. The course also covers patient education, interdisciplinary collaboration, and ethical considerations, preparing students to deliver holistic, patient-centered care in diverse healthcare settings.
Recommended Textbook
Medical Surgical Nursing 2nd Edition by Kathleen
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67 Chapters
1995 Verified Questions
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S. Osborn
Page 2
Chapter 1: Preparation for Practice
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Sample Questions
Q1) A group of nurse managers wishes to develop more expert nurses in the hospital. Which activities should they plan?. Select all that apply.
A) Encourage the development of critical thinking skills.
B) Require that all nurses go back to school for an advanced degree.
C) Schedule sessions that will allow nurses to reflect on the care provided over a specific period of time.
D) Encourage examination of alternate solutions to common nursing problems.
E) Encourage strict adherence to all unit protocols.
Answer: A,C,D
Q2) The nurse, instructing a patient newly diagnosed with type 2 diabetes, reminds the patient about the need for an annual dilated retinal eye examination and annual urine tests to measure protein levels. The nurse is functioning within which role with this patient?
A) Educator
B) Researcher
C) Advocate
D) Leader
Answer: A
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Chapter 2: Legal, Ethical, and Regulatory Aspects of Health
Care Delivery
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Sample Questions
Q1) A patient cries quietly while undergoing a painful treatment. The nurse realizes that although the treatment is painful, it is necessary for the patient's healing and recovery. Which ethical principle does this situation exemplify?
A) Paternalism
B) Nonmaleficence
C) Veracity
D) Respect for others
Answer: B
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) The nurse, critiquing a quantitative research study, is particularly interested in information obtained in stage 3 of the critique. This information would most likely include which information?
A) How the findings of the study are related to the theoretical framework
B) Whether the study can be replicated
C) The major strengths of the study
D) How ethical issues were handled
Answer: A
Q2) While critiquing a quantitative research study, the nurse is curious about the sample size. Which is appropriate?. Select all that apply.
A) Does the study describe the population about whom results will be generalized?
B) Are inclusion and exclusion criteria identified?
C) Is the sample size appropriate to meet assumptions of the statistical tests?
D) How are the rights of the participants protected?
E) Is the sample representative of the population?
Answer: A,B,C,E
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Chapter 4: Nursing Care Delivery Systems
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Sample Questions
Q1) The nurse administrator is considering employing an advanced practice nurse. The administrator would refer to which documents to determine this nurse's role in the hospital's nursing care delivery model?
A) The State Board of Nursing scope of practice information
B) The job description for the advanced practice nurse
C) The Joint Commission standards for nursing practice
D) The curriculum of the advanced practice nurse's educational program
Q2) The nurse's chief function is to collaboratively plan, coordinate, and evaluate services in a cost-effective manner. The nurse fulfills which role within the care delivery system?
A) Nurse practitioner
B) Clinical nurse specialist
C) Clinical nurse leader
D) Case manager
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Chapter 5: Nursing Process and Documentation
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Sample Questions
Q1) The nurse is caring for a 70-year-old patient who was just admitted to an inpatient rehabilitation center. The patient had required total parenteral nutrition for several days, but recently resumed and is tolerating a regular diet. She has another 4 days left in a course of intravenous antibiotics to complete treatment of a positive central line culture. Which nursing action, required in the care of this patient, is considered a dependent role function?
A) Requesting that the health care provider order a consult because the patient states that her dentures no longer fit properly and she has trouble chewing
B) Asking the nursing assistant to demonstrate to the patient how to operate the call system
C) Interviewing the patient to assess whether she needs assistance with getting out of bed
D) Administering the antibiotics prescribed by the health care provider
Q2) Which aspect of critical thinking would the nurse use when making a nursing diagnosis?
A) Making decisions about an action
B) Identifying potential and actual problems
C) Increasing the likelihood of obtaining good results
D) Getting a better understanding of someone else
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Chapter 6: Health Assessment
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Q1) The nurse has completed the collection and analysis of data from a patient assessment. What is the nurse's next action?
A) Evaluate outcomes from care.
B) Plan care.
C) Determine patient care goals.
D) Formulate nursing diagnoses.
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) The nurse works in a geneticist's office and is educating a new employee about human cells. Which statement by the employee indicates an understanding of the information?. Select all that apply.
A) "Every human cell has 23 pairs of chromosomes and a total of 46 chromosomes."
B) "Genes are found in the nucleus of all cells."
C) "Each human cell contains mitochondria."
D) "The 22<sup>nd</sup> pair of chromosomes determines the person's gender."
E) "All human cells function in the same way regardless of their location."
Q2) At the conclusion of genetic testing, a patient learns that he has a predisposition for developing cardiovascular disease at a young age. Which instruction should the nurse provide this patient?
A) "This information can help guide you to make lifestyle changes to reduce your chances of developing cardiovascular disease."
B) "At least you know now that you will need cardiac bypass surgery."
C) "As you are likely to develop the disease early in life, enjoy your life as much as possible now."
D) "I would not place too much emphasis on these test results, as most of the time they are inconclusive."
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Chapter 8: Nutrition
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Sample Questions
Q1) The nurse is providing care to a patient in the burn unit. What should the nurse do to ensure an adequate nutritional status for this patient?. Select all that apply.
A) Plan for a parenteral nutrition access site.
B) Ensure that 5 g/kg of protein are provided daily.
C) Keep the patient NPO.
D) Report daily weights to avoid a weight loss of >10%.
E) Ensure the patient receives a minimum of 35 to 40 calories/kg of body weight each day.
Q2) The nurse is caring for an elderly patient who recently experienced a cerebral vascular accident (CVA, or stroke). The nurse will evaluate which assessment findings as indicating dysphagia?. Select all that apply.
A) Drooling
B) Slurred speech
C) Pocketing of food in the cheeks
D) Anorexia
E) Frequent throat clearing
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Chapter 9: The Biophysical and Psychosocial Aspects of Nursing
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Q1) A patient refuses to learn how to give himself insulin injections because he gave his father insulin injections and "he died anyway." How can the nurse best facilitate this patient's learning?
A) Provide a diagram of body areas where insulin injections should be given.
B) Talk with the patient about his father's illness and how the insulin injections will help him control his own illness.
C) Ask the patient if he prefers to read about how to administer the injections.
D) Leave a needleless syringe at the patient's bedside for him to practice with.
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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Chapter 10: The Aging Process
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Sample Questions
Q1) A nurse researcher is preparing to study a group of older adults and their response to a nursing intervention. To meet the legal definition of older adult, the study group should include persons _______ years of age or older.
Q2) Which situations would the nurse identify as supporting the activity theory of aging?. Select all that apply.
A) An 82-year-old patient continues to live at home and care for her own lawn.
B) A 70-year-old patient who can no longer travel independently joins a group that goes on sightseeing bus trips together.
C) A 65-year-old patient moves to a senior retirement community.
D) A 72-year-old patient does not socialize anymore, preferring to stay at home and watch television.
E) A 74-year-old patient refuses to retire from work.
Q3) A hospitalized 72-year-old patient wants to know where her digoxin pill is because she always takes it for her heart. How should the nurse respond?
A) "Digoxin is a bad medication to take."
B) "The health care provider will likely order a different heart medication."
C) "Digoxin doesn't work as well as it used to."
D) "Digoxin is no longer manufactured."
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Chapter 11: Caring for the Patient at End of Life
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Sample Questions
Q1) A terminal patient with a fulminating leg wound needs surgery, yet it is unlikely the patient will survive the procedure. The nurse could ethically support which action by the health care team?
A) Explaining that the surgery is needed and every effort will be done to keep the patient alive
B) Deciding not to conduct the surgery and determining if there are other treatment approaches
C) Telling the patient that offering surgery was an error and that treatment will be done with medications and therapy
D) Conducting the surgery without telling the patient that survival is unlikely.
Q2) A patient is experiencing delirium. Which group of medications should the nurse consider administering to help reduce delirium?
A) Neuroleptics
B) Benzodiazapines
C) NSAIDs (nonsteroidal anti-inflammatory drugs)
D) Opioids
Q3) A patient is prescribed an intravenous midazolam drip at a rate of 1-5 mg/hr, titrated to symptom relief. The nurse would start this drip at ______ mg/hr.
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Chapter 12: Pain Assessment and Management
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Sample Questions
Q1) A patient is seen resting quietly; however, when the nurse enters the room, the patient grimaces and asks for more pain medication. What should the nurse do?
A) Tell the patient that medication cannot be provided at this time and leave the room.
B) Assess the level of pain and provide the requested pain medication.
C) Confront the patient and ask about the sudden demonstration of pain.
D) Refuse the medication and document that the patient appears to be faking the need for pain medication.
Q2) A patient tells the nurse that putting a small pillow under the knee and rubbing the thigh helps reduce hip pain. How would the nurse interpret this statement?
A) As a way to deny the presence of the hip pain
B) As demonstrating fear of taking pain medication
C) As a way to hide a previous pain medication addiction
D) As a nonpharmacologic method to reduce the hip pain
Q3) A patient who had abdominal surgery this morning is receiving opioid pain medication on a routine basis. The nurse would hold the medication if the patient's respirations fall below _____ per minute.
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Page 14
Chapter 13: Substance Abuse Assessment and Management
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Sample Questions
Q1) A patient is brought to the emergency department with a gunshot wound inflicted while attempting to steal beer from a convenience store. Which statement by the patient would reflect a sociocultural influence on the patient's behavior?
A) "My dad was killed while driving drunk before I was even born."
B) "I didn't take anything out of that store. The manager is just trying to pin something on me."
C) "There was lots of beer in that store. I didn't see how taking one six-pack would hurt anything."
D) "I can't have fun at a party without beer."
Q2) The nurse is concerned about possible substance abuse by a coworker. Which behavior warrants further investigation?
A) The coworker frequently wastes medications.
B) The coworker frequently requests the largest patient care assignment for the shift.
C) The coworker prefers not to be the "medication nurse" on the shift.
D) The coworker declines to take scheduled breaks.
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Page 15
Chapter 14: Infectious Process and Prophylaxis
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Sample Questions
Q1) Which finding would indicate that a patient is experiencing a systemic reaction associated with an inflammatory response?
A) Fever
B) Erythema
C) Edema
D) Pain
Q2) A patient with methicillin-resistant Staphylococcus aureus (MRSA) is no longer responding to the medication vancomycin (Vancocin). The nurse realizes that this patient is most likely demonstrating which condition?
A) A superinfection
B) VISA
C) VRE
D) PRSP
Q3) Linezolid (Zyvox) 600 mg BID, IV has been ordered for a patient. The nurse receives 600 mg/300 mL with direction to give over 120 minutes. An IV line labeled 15 drops per mL is available. The drop rate will be ______ drops/minute.
Q4) The nurse is performing hand hygiene with an alcohol-based product. The nurse should rub the hands together for at least ______ seconds.
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Page 16
Chapter 15: Fluids, Electrolytes and Acid-Base Imbalance
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Q1) 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.
Q2) When caring for an elderly patient who is intermittently confused, what is the nurse's primary concern regarding fluid and electrolytes?
A) Risk of dehydration
B) Risk of kidney damage
C) Risk of stroke
D) Risk of bleeding
Q3) A patient is diagnosed with hypokalemia. Which medication order would the nurse anticipate?
A) Potassium 40 mEq IV push
B) Potassium 40 mEq added to the next liter of IV fluids
C) Potassium 40 mEq by rectal suppository
D) Potassium 40 mEq IM
Q4) The nurse would assess for dehydration if the patient's urine specific gravity is higher than ________.
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Chapter 16: Fluid and Blood Infusion Therapy
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Q1) Which nursing diagnosis would the nurse include in the plan of care for a patient with a catheter embolism?
A) Ineffective Coping
B) Fluid Volume Deficit
C) Impaired Skin Integrity
D) Alteration in Comfort
Q2) A patient admitted 14 hours ago following a motorcycle accident has received 20 units of blood due to massive hemorrhage. Nursing assessment for which complications is essential?. Select all that apply.
A) Coagulation imbalances
B) Acid-base imbalance
C) Hypocalcemia
D) Elevated blood ammonia titers
E) Hypokalemia
Q3) The nurse is planning to administer 10 units of platelets to a patient with thrombocytopenia. The nurse plans to have a platelet count drawn within _______ minutes of the end of the transfusion.
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18
Chapter 17: Preoperative Nursing
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Q1) During preoperative assessment, the patient says, "My surgery must be minor because it's being done on an outpatient basis." How should the nurse respond?
A) "Every surgical procedure is serious, and I will make sure you have the information you need for a successful recovery."
B) "You are right."
C) "If it were more serious, you would be admitted to the hospital."
D) "Your insurance plan does not cover inpatient surgical procedures. That's why your surgery is being done on an outpatient basis."
Q2) A patient who has a permanent pacemaker must have surgery to repair a bowel obstruction. Which information should the nurse provide this patient?. Select all that apply.
A) "Because the surgical area is in your abdomen, the fact that you have a pacemaker is not important."
B) "Some changes in medication given during the surgery will be necessary."
C) "Your surgeon will need information about the type of pacemaker."
D) "Your pacemaker will have to be turned off before surgery."
E) "Cardiac monitoring during surgery will be different because you have a pacemaker."
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Page 19
Chapter 18: Intraoperative Nursing
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Q1) The nurse is assigned as the surgical scrub nurse for today's outpatient cases. In addition to regular surgical attire, which equipment will the nurse wear? Select all that apply.
A) Sterile gloves
B) Sterile gown
C) An eye shield
D) A sterile head cover
E) Sterile shoe covers
Q2) The patient is scheduled for an operative procedure that will require placement of an additional IV line, an indwelling urinary catheter, and a nasogastric tube. The nurse should advocate for these lines to be placed at what time?
A) Prior to transferring the patient to the preoperative holding area
B) In the preoperative holding area
C) After general anesthesia has been induced
D) In the postanesthesia recovery room
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 nurse is providing care to a patient who had surgery 5 days ago. Today the patient's right calf is red, warm, swollen, and painful. Which interventions should the nurse implement?. Select all that apply.
A) Measure the circumference of both calves and compare the readings.
B) Place the patient on bed rest.
C) Collaborate with the patient's primary health care provider.
D) Place a pillow under the patient's knee on the affected side.
E) Palpate for pedal pulses bilaterally.
Q2) The nurse is preparing to discharge a patient who has had outpatient surgery. Which criteria would make the patient eligible for discharge?. Select all that apply.
A) Stable vital signs for 1 hour
B) No nausea or dizziness
C) Acceptable level of pain
D) Ability to void
E) Stated readiness to go home
Q3) The PACU nurse is using the postanesthetic scoring system to determine if a patient is ready to be discharged home after a same-day surgery. The nurse would determine the patient to be ready when the score reaches _______.
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Chapter 20: Nursing Assessment of the Patient With
Neurological Disorders
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Q1) The nurse recognizes which observation as a positive Babinski sign?
A) Inability to identify two simultaneous points of pain on the foot
B) Curling of all the toes in response to stroking stimulation
C) Feeling a buzzing sensation in the foot when touched with a tuning fork
D) Dorsiflexion of the great toe, with fanning of the other toes
Q2) The patient's vision is recorded as 20/
50. The nurse is measuring what this patient can see as compared to what a normal eye can see at _______ feet.
Q3) The nurse recognizes that which assessment observation of a comatose patient has the greatest implications?
A) Both arms are extended and adducted, with the palms facing down.
B) Fasciculational twitching occurs in the small muscle groups of both arms.
C) Muscles of the entire upper extremities are flaccid bilaterally.
D) Arms, wrist, and fingers are flexed and adducted.
Q4) The nurse reads that a patient's reflexes are 3+. How does the nurse interpret this score?
A) The reflexes are weaker than normal.
B) The reflexes are normal.
C) The reflexes are stronger than normal.
D) The reflexes are hyperactive.
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Chapter 21: Caring for the Patient With an Acute Brain or Cranial Nerve Disorder
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Q1) 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
Q2) The patient sustains a subdural hematoma after falling. How would the nurse explain this injury to the patient's family?
A) "Bleeding has occurred between the skull and the covering of the brain."
B) "Bleeding has occurred in the center of the brain."
C) "Bleeding has occurred between the layers of the scalp."
D) "Bleeding is occurring between the brain and its covering."
Q3) A nurse is providing care to a patient with increased intracranial pressure following a closed head injury. The nurse would determine that adequate cerebral perfusion pressure exists if the CPP is at least ____.
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Page 23
Chapter 22: Caring for the Patient With Cerebral Vascular Disorders
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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) Which assessment data alerts the nurse to the fact that the patient is at risk for an embolic stroke?
A) Blood sugar of 110 mg
B) Right partial lung lobectomy 6 months ago
C) BP 108/68
D) History of atrial fibrillation
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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Q1) The nurse is caring for a patient with amyotrophic lateral sclerosis (ALS). The nurse plans care based on which understanding of the patient's prognosis?
A) The disease progresses slowly and is fatal.
B) The disease will progress over many years but the patient's quality of life will be good.
C) The disease progresses rapidly but can be halted by drug therapy.
D) The disease will progress slowly and can be controlled by medication.
Q2) The nurse is conducting an informative session about Alzheimer's disease (AD) for a local civic group. The nurse shows an understanding of the disorder by providing which information?
A) In AD, the central nervous system is unpredictably affected, resulting in a loss of communication and motor skills.
B) AD is a form of dementia that is caused by a lack of a brain chemical.
C) AD occurs when the person's own immune system attacks the cells of the body.
D) AD is a disease process that starts by affecting a person's memory and progresses toward the loss of reasoning abilities.
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Chapter 24: Caring for the Patient With Spinal Cord Injuries
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Q1) A patient with a spinal cord injury (SCI) has complete paralysis of the upper extremities and the lower part of the body. The nurse should use which medical term to correctly describe this in documentation?
A) Hemiplegia
B) Paresthesia
C) Paraplegia
D) Tetraplegia
Q2) Prehospital emergency personnel have placed a patient in a head brace and on a backboard after a motor vehicle accident. The nurse would advocate for the patient to be removed from this immobilization at what time?
A) As soon as the patient arrives in the emergency department
B) As soon as assessment is completed and a treatment plan is established
C) As soon as a cross-table lateral cervical spine X-ray is taken
D) As soon as the patient is admitted to the neurological intensive care unit
Q3) The health care provider orders 15 mg IV of ketorolac (Toradol) for a patient who has recently undergone a spinal fusion. The nurse has a 5 milliliter (mL) ampule containing 60 mg of ketorolac. The nurse withdraws ______ mL of ketorolac from the ampule.
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Chapter 25: Nursing Assessment of the Patient With
Respiratory Disorders
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Q1) The patient has respiratory difficulty due to changes in anatomic dead space. The nurse plans interventions based on changes in which physiological process?
A) Beginning of the gas exchange process
B) Neutralizing the air
C) Filtering the air
D) Separating the air
Q2) The nurse knows that the caregiver of a patient with a respiratory illness understands discharge teaching when the caregiver makes which statement?
A) "I can expect to hear adventitious sounds only in the mornings; the rest of the day, breath sounds should be normal."
B) "If I hear extra sounds during a deep breath, I know I am hearing adventitious sounds."
C) "Adventitious sounds may be heard during inspiration or expiration because of secretions or inflammation."
D) "I will know I am hearing adventitious breath sounds if I hear any sounds when I listen over the lower chest."
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Chapter 26: Caring for the Patient With Upper Airway Disorders
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Sample Questions
Q1) A patient with nasal trauma has clear, watery fluid dripping from the nose. The nurse performs the halo test, which is positive. What does this positive result indicate?
A) A fracture of the ethmoid or sphenoid sinus
B) The need to suction the patient
C) The presence of cerebrospinal fluid (CSF)
D) A chyle leak
Q2) A patient says, "My nose is always congested, and it just seems to get worse with the nasal spray I've been using." The nurse realizes that this patient is describing which situation?
A) Incorrect administration of the nasal spray
B) An acute sinus infection that needs to be treated with antibiotics
C) Side effect of the nasal spray
D) Rebound nasal congestion
Q3) A patient is being treated for laryngopharyngeal reflux disease. As part of behavioral modification treatment for this disorder, the nurse advises the patient not to eat for at least ______ hours before bedtime.
Q4) The nurse, suctioning a patient's tracheostomy, plans for each suctioning attempt to last no longer than _____ seconds.
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Chapter 27: Caring for the Patient With Lower Airway Disorders
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Sample Questions
Q1) A patient diagnosed with active tuberculosis is in a negative pressure room for respiratory airborne isolation. How long should the nurse maintain the patient in this type of isolation?
A) Until three consecutive sputum specimens for acid fast bacilli are negative
B) Until the Mantoux test (PPD) converts from positive to negative
C) Until the patient has orders for discharge
D) Until the chest X-ray is normal
Q2) Which topics would be appropriate to instruct a patient diagnosed with occupational lung disease?. Select all that apply.
A) Methods to conserve energy and increase rest
B) Restricting fluids due to increased edema
C) Counseling for caregiver role strain from chronic disease management
D) Avoiding air pollutants and cigarette smoke
E) Importance of wearing personal protective equipment against occupational exposure
Q3) The nurse would anticipate alpha-1 antitrypsin (ATT) levels to be drawn on all patients ______ years of age or younger who demonstrate assessment findings of chronic obstructive pulmonary disease.
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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) A patient being mechanically ventilated develops hypotension after the respiratory therapist implements the most recent physician orders. The nurse suspects which ventilator mode might be the cause?
A) PEEP
B) SIMV mode
C) Assist-control mode
D) Pressure-controlled settings
Q2) Which instructions should the nurse include when providing discharge teaching to a patient recovering from acute respiratory distress syndrome (ARDS)?. Select all that apply.
A) "You should avoid smoking and air pollution."
B) "Lifestyle modifications to decrease oxygen demands will be necessary."
C) "It is important for you to restrict fluid intake to avoid congestive failure."
D) "You and your family should get annual influenza immunizations."
E) "You must avoid large gatherings of people."
Q3) Arterial blood gases reveal that a patient's PaO<sub>2</sub> is 84% on room air. The patient's FaO<sub>2</sub>/FiO<sub>2</sub> ratio is ______.
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Page 30
Chapter 29: Nursing Assessment of the Patient With
Cardiovascular Disorders
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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) The nurse is completing a physical assessment on a clinic patient who has been complaining of fatigue and intermittent chest pain over the last several weeks. Upon auscultation of the chest, the nurse hears an S<sub>1</sub>, S<sub>2</sub>, and S<sub>3</sub>. Because of these findings, the nurse's priority will be to assess for which other finding?
A) Absence of bowel sounds
B) Lung sounds for crackles
C) Diminished pulses
D) Sluggish pupil response
Q3) The nurse assesses full and bounding pulses in a patient being assessed for cardiac risk factors. The nurse would document this finding as +_____ pulses.
Page 31
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Chapter 30: Car-Ing for the Patient With Dysrhythmias
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78628
Sample Questions
Q1) The nurse is caring for a patient whose atria do not contract correctly. The nurse would expect this dysfunction to be apparent in which part of the ECG complex?
A) The P wave
B) The U wave
C) The QRS
D) The T wave
Q2) While admitting a patient to the emergency department, the nurse observes the cardiac monitor and identifies the following rhythm: one inverted P wave for every QRS complex and a regular heart rate of 46 beats per minute. How would the nurse interpret this rhythm?
A) Junctional escape rhythm
B) Mobitz II heart block
C) Normal sinus rhythm
D) Complete heart block
Q3) The nurse is analyzing a cardiac monitor tracing. To accurately figure interval times, the nurse counts the smallest squares and multiplies by ________ second(s).
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Chapter 31: Hemodynamic Monitoring
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78627
Sample Questions
Q1) A patient with an arterial line has just been turned and repositioned. After leveling the transducer, what should the nurse do next?
A) Turn the stopcock closest to the patient to the neutral position.
B) Zero the transducer.
C) Increase the arterial line infusion to 5 mL/hour.
D) Prime the transducer system.
Q2) The nurse is in orientation for a new job caring for patients in the intensive care area. Which statement indicates to the preceptor that the new nurse needs more information about hemodynamic monitoring?
A) "Data from hemodynamic monitoring can be used to evaluate the patient's progress."
B) "Hemodynamic monitoring data can help to guide fluid administration and prevent fluid overload."
C) "Hemodynamic monitoring data can be used to aid in the diagnosis of lung disorders."
D) "One drawback of hemodynamic monitoring is that the catheter must go through the heart and into the pulmonary artery."
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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) The nurse would suspect conversion of a patient's stable angina to unstable angina if the patient reports angina lasting over _______ minutes at rest.
Q2) A patient who is recovering from cardiovascular surgery is demonstrating chest tube output of greater than 100 mL per hour. Which nursing interventions are indicated?. Select all that apply.
A) Report to the surgeon.
B) Check the hemoglobin and hematocrit.
C) Administer a blood transfusion.
D) Notify the family.
E) Connect pacemaker wires.
Q3) A patient reports chest pain, nausea, and vomiting off and on for the last 4 days, which the patient interpreted as the flu. Which laboratory tests will provide information about acute cardiac damage for this patient?
A) Troponin I and T
B) Red blood cells
C) CPK-MB
D) Homocysteine and platelets
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Page 34
Chapter 33: Caring for the Patient With Cardiac
Inflammatory Disorders
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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) A patient with mitral regurgitation is instructed to report to the health care provider if it becomes too difficult to perform activities of daily living. What is the nurse's rationale for providing this instruction?
A) Activity intolerance indicates acute respiratory distress.
B) The patient may have experienced a myocardial infarction.
C) These changes indicate that it is time to consider valve replacement.
D) Infective endocarditis is developing.
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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) Which statement by a patient with heart failure would indicate to the nurse that the patient does not understand the discharge instructions?
A) "I will increase my activity a little every day."
B) "I will contact the health care provider if I begin gaining weight."
C) "I will eat a low-sodium diet."
D) "I will pick up my new medications in a few days when I get paid."
Q2) A patient with heart failure is sent home on lisinopril (Zestril). Which medication information should the nurse provide?
A) Lisinopril is a beta-blocker drug that will increase the pumping ability of the heart.
B) Lisinopril is an angiotensin II receptor blocker (ARB) that will lower the heart rate.
C) Lisinopril is a calcium channel blocker that could make heart failure worse.
D) Lisinopril is an ACE inhibitor that lowers blood pressure.
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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 has been diagnosed with stage 2 hypertension. What should the nurse teach this patient about managing the disease?. Select all that apply.
A) Take the prescribed medication as directed.
B) Stop taking medication when blood pressure returns to normal limits.
C) Exercise when the weather permits.
D) Two or three glasses of wine with dinner will help to control blood pressure.
E) Eat three balanced meals every day.
Q2) During the abdominal assessment of an elderly patient, the nurse palpates a mass in the mid-abdomen. What actions should the nurse take?. Select all that apply.
A) Percuss the mass.
B) Ask the patient to cough forcefully and reassess.
C) Notify the physician immediately.
D) Auscultate the mass.
E) Ask the patient about any recent pain in the abdomen.
Q3) A patient has the nursing diagnosis Impaired Physical Mobility related to decreased blood flow to the lower extremities. To address this nursing diagnosis, the nurse should instruct the patient to walk for at least 30 minutes at least _______ times a week.
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Page 37
Chapter 36: Nursing Assessment of the Patient With
Gastrointestinal, Renal, or Urinary Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78622
Sample Questions
Q1) It is thought that a patient may be experiencing pancreatitis. Which nursing action would be useful in helping diagnose this disorder?
A) The patient bends the right knee and flexes the right hip, while the nurse flexes the thigh to a right angle and externally and internally rotates the leg.
B) The nurse inquires with radiology when an endoscopy can be scheduled for the patient.
C) The nurse anticipates that the patient's health care provider will order a barium enema.
D) Placing the hand on the lateral surface of the patient's flexed right thigh, the nurse asks the patient to push against the applied resistance.
Q2) When percussing a patient's abdomen to gather assessment data, the nurse must rely most heavily on which ability?
A) Locating the margins of the various abdominal organs
B) Differentiating the various elicited sounds
C) Supplementing the technique with fine finger dexterity
D) Observing subtle variations in the contour of the abdomen
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Chapter 37: Caring for the Patient With Gastrointestinal Disorders
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78621
Sample Questions
Q1) The nurse is developing the postoperative plan of care for a patient recovering from surgery for oral cancer. Which nursing diagnosis has the highest priority?
A) Ineffective Airway Clearance
B) Impaired Verbal Communication
C) Body Image Disturbance
D) Risk for Imbalanced Nutrition: More than Body Requirements
Q2) The nurse would assess for which risk factor in a patient hospitalized for a strangulated intestinal hernia?
A) Abdominal surgery
B) Hyperlipidemia
C) Intestinal infarctions
D) Family history
Q3) 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.
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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 presenting a community education session on the prevention of liver cancer. Which information should the nurse include?
A) "The best way to prevent liver cancer is to catch it early. Liver cancer is easily detected by a physical exam."
B) "The best way to prevent liver cancer is by not drinking alcohol and avoiding high-risk behaviors that increase the chances of contracting hepatitis B and C."
C) "The best way to prevent liver cancer is to avoid public restaurants, as the cleanliness of the restaurant or the care that is taken in the food preparation cannot be predicted."
D) "The best way to prevent liver cancer is to exercise regularly."
Q2) The nurse should include which teaching points when planning discharge for a patient who has a T-tube following a cholecystectomy?. Select all that apply.
A) Keep the skin around the site clean and free from bile drainage.
B) Report drainage of more than 500 mL per day to the health care provider.
C) Primarily maintain a side-lying position to facilitate drainage.
D) Report skin redness or irritation in the drain site area.
E) Pin the drainage tube to clothing to maintain slight traction on the site.
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Chapter 39: Caring for the Patient With Renal and Urinary Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78619
Sample Questions
Q1) A female patient asks the nurse about ways to prevent recurrent cystitis. What is an appropriate nursing response?
A) "Void before and as soon as possible after sexual intercourse."
B) "Clean the perineal area from back to front."
C) "Soak in a bathtub at least once a week."
D) "Wear clean, nylon underpants."
Q2) A patient with a history of renal calculi has been instructed to acidify his urine. The nurse would suggest intake of which foods or fluids?. Select all that apply.
A) Orange juice
B) Cranberries
C) Chocolate
D) Dairy products
E) Water
Q3) Which intervention would be appropriate for a patient with Fluid Volume Excess related to chronic glomerulonephritis?
A) Weigh daily on the same scale.
B) Document energy level.
C) Schedule activities to conserve energy.
D) Assess for signs of infection.
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Chapter 40: Nursing Assessment of the Patient With
Reproductive Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78618
Sample Questions
Q1) A patient with a menstrual cycle of 28 days asks about the timing of ovulation. The nurse would respond that ovulation would most likely occur on which days?
A) 14 to 16
12.
B) 20 to 22
C) 10 to
D) 1 to 2
Q2) A female patient is admitted with a painful swelling in the perineal body. Where would the nurse look to assess this lesion?
A) Between the anus and the fourchette
B) Just lateral to the urethral meatus
C) Just anterior to the clitoris
D) Just anterior to the opening to the vagina
Q3) A patient is having a routine prostate examination. Which is an important part of this examination?
A) "Do you have polyuria in the morning?"
B) "Do you take laxatives or stool softeners?"
C) "Do you have difficulty with urination?"
D) "Do you experience constipation?"
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Chapter 41: Caring for the Patient With Female
Reproductive Disorders
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78617
Sample Questions
Q1) A 32-year-old African American woman has just been diagnosed with uterine fibroid tumors. Which statement would the nurse evaluate as indicating further education is necessary to meet the patient goal of understanding this diagnosis?
A) "These tumors are frequently seen in African American women."
B) "The growth of my tumors is directly linked to my progesterone levels."
C) "The tumors tend to develop slowly."
D) "These tumors are benign."
Q2) The nurse is providing care for a patient with dysfunctional uterine bleeding (DUB). The nurse would reinforce teaching about which procedures as options for managing DUB?. Select all that apply.
A) Hysterectomy
B) Watchful waiting
C) Colposcopy
D) Hormonal agents
E) Dilatation and curettage
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Chapter 42: Caring for the Patient With Male Reproductive Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78616
Sample Questions
Q1) A patient seen in the emergency department for priapism is sent to the medical unit. The admitting nurse should anticipate performing which actions as part of the nursing care plan?. Select all that apply.
A) Assess the penis for color changes.
B) Assess the penis for firmness and rigidity.
C) Administer an analgesic as prescribed for pain.
D) Apply ice packs as prescribed.
E) Push oral fluids.
Q2) A 35-year-old male is concerned about his inability to sustain an erection. Which assessment questions would provide specific information about this condition?
A) "What medications, including prescription, over-the-counter, herbal, and street drugs, do you use?"
B) "Are you married?"
C) "What kind of work do you do?"
D) "Did you graduate from college?"
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44
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) The nurse would determine that which patient has a reportable sexually transmitted infection according to Centers for Disease Control and Prevention (CDC) regulations?.
Select all that apply.
A) Patient with bacterial vaginosis
B) Patient with syphilis
C) Patient with gonorrhea
D) Patient with trichomonas
E) Patient with chlamydia.
Q2) A male patient is "relieved" to learn that he has a sexually transmitted infection (STI) and is not HIV positive. Which response by the nurse would be most appropriate?
A) "Having a sexually transmitted infection does predispose the body to infection with HIV if exposed to the virus."
B) "You are lucky."
C) "I told you not to be concerned."
D) "You would know if you had HIV."
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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 diagnosed with breast cancer wishes to have reconstruction surgery as soon as possible. Which information should the nurse reinforce?
A) "Breast reconstruction works better if it is done as a separate surgery after you have recovered from mastectomy."
B) "Breast reconstruction has to wait until after chemotherapy is completed."
C) "The timing of reconstruction is your personal choice."
D) "You should wait until we are certain your cancer does not recur."
Q3) The nurse has provided education to a woman who wishes to use exercise as a way to reduce her breast cancer risk. The nurse would evaluate that teaching has been effective when the woman says, "I am going to start walking for ________ minutes every day."
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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) 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
Q2) A patient presents to the emergency department with reports of suddenly feeling exhausted. The patient reports loss of appetite, inability to sleep, and weight gain of 5 pounds over the last week. Which finding would the nurse evaluate as being least suggestive of an endocrine disorder?
A) Weight gain
B) Inability to sleep.
C) Sudden exhaustion
D) Loss of appetite
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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) A patient with chronic hyperfunction of the adrenal cortex is being assessed. The nurse would attribute which finding to the patient's chronic condition?
A) General feeling of malaise
B) Recent weight loss
C) Hypotension
D) Yellowing of the cornea
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
Q3) An older adult is diagnosed with apathetic thyrotoxicosis. Which nursing diagnosis would the nurse prioritize in this patient's care plan?
A) Anxiety
B) Depression
C) Risk for Injury: Falls
D) Decreased Tissue Perfusion: Peripheral
Page 48
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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) The nurse is planning a presentation to a community group on diabetes mellitus. The nurse should include information about which possible etiology for type 1 diabetes?
A) Inflammatory disorder
B) Infectious disorder
C) Autoimmune disorder
D) Drug-induced disorder
Q2) The nurse is identifying patient demographic groups that are at increased risk for needing insulin to control blood sugar. Which patient groups would the nurse identify?. Select all that apply.
A) Patients who are fasting or malnourished
B) Patients with type 2 diabetes who are diagnosed with an infection
C) Patients with type 2 diabetes who are undergoing surgical procedures
D) Patients with gestational diabetes
E) Patients receiving total parenteral nutrition
Q3) The nurse is providing dietary instruction to a patient diagnosed with type 2 diabetes. The nurse includes information on how to reduce dietary intake of cholesterol to no more than _______ mg per day.
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Chapter 48: Nursing Management of the Patient With
Musculoskeletal Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78610
Sample Questions
Q1) While assessing a patient's left knee for range of motion, the nurse hears clicking. The patient says that at times the knee "locks." The nurse would conduct additional assessment for which condition?
A) Rheumatoid arthritis
B) Fluid in the knee
C) Dislocation
D) Damage to the meniscus
Q2) The nurse wishes to assess the anatomic snuffbox of a patient's wrist. Which instruction should the nurse provide?
A) "Place your hand palm-up on the table."
B) "Make a tight fist as I palpate your wrist."
C) "Extend your thumb fully to the side."
D) "Flex your wrist as much as possible."
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 60-year-old man asks the nurse if he should consume sports drinks while mowing the lawn in the summer to prevent dehydration. What response by the nurse is indicated?
A) "As long as you are drinking fluids, it doesn't really matter what they are."
B) "If you drink only one sports drink a day, there should be no problem."
C) "Let me review your lab results from last week before I reply."
D) "You should drink only water."
Q2) Which instruction should the nurse include when teaching a patient about the medication alendronate (Fosamax)?. Select all that apply.
A) Report new or worsening heartburn and difficult or painful swallowing.
B) Take the medication with orange juice 1 hour after eating.
C) Do not lie down for 30 minutes after taking the medication.
D) Take vitamin C supplements as instructed for bone mineralization.
E) Chew the medication well before swallowing.
Q3) A woman who emigrated from a Third World country has just delivered a baby. The woman says, "In my country, many babies die from polio. I want my baby immunized as soon as possible." The nurse responds, "Your baby will receive the first polio immunization at age _______ months.
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Chapter 50: Caring for the Patient With Musculoskeletal
Trauma and Surgical Procedures
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78608
Sample Questions
Q1) Which statement by an adolescent patient recovering from a sprain would indicate the need for further instruction by the nurse regarding care at home?
A) "I should put a heating pad on my leg as soon as I get home."
B) "I should avoid weight bearing on this leg for a couple days."
C) "I should make sure to keep the Ace bandage on my leg."
D) "I should prop this leg up when I'm sitting in a chair."
Q2) A patient is diagnosed with a compound fracture and is scheduled for immediate surgery. Which nursing diagnosis would have the highest priority in the immediate postoperative period?
A) Impaired Transfer Ability
B) Risk for Post-Trauma Syndrome
C) Risk for Infection
D) Risk for Falls
Q3) Which home care instructions would the nurse provide a patient whose ulnar fracture was treated with an external fixator device?
A) "Notify your health care provider if the pin sites become painful."
B) "Adjust the tension on the pins if they feel too tight."
C) "You may resume tub bathing after your pins have been in place for 5 days."
D) "Try to avoid using the affected arm."
Page 52
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Chapter 51: Caring for the Patient With Arthritis and
Connective Tissue Disorders
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78607
Sample Questions
Q1) A 20-year-old male patient is scheduled for an echocardiogram. The patient says, "I don't understand why this test is necessary when I came in for back and hip pain." The nurse considers which information before responding?
A) Cardiac pain often refers to the back.
B) Ankylosing spondylitis also affects the heart.
C) The patient likely has septic arthritis, which can be caused by congenital heart disorders.
D) Young males often develop back pain as a sign of dissecting aortic aneurysm.
Q2) A patient says, "My physician thinks I may have psoriatic arthritis, but there is nothing wrong with my skin." How should the nurse respond?
A) "You must have a subclinical case of psoriasis."
B) "You will probably develop skin eruptions in a few years."
C) "Not all people with psoriatic arthritis also have psoriasis."
D) "There are other arthritis conditions that have similar laboratory values, so additional testing will be likely."
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Page 53
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 nurse is having difficulty palpating a patient's inguinal lymph nodes. How does the nurse interpret this finding?
A) The patient has a systemic infection and needs further assessment.
B) The patient will develop lymph edema in the coming years.
C) The inguinal lymph nodes are not functioning properly.
D) Lymph is draining appropriately without evidence of infection or inflammation.
Q2) Which lymph node assessment findings would increase the nurse's concern that a patient has a malignancy?. Select all that apply.
A) The node is tender.
B) The node is hard.
C) The node is irregularly shaped.
D) The node is freely movable.
E) The node is easily palpable.
Q3) The nurse would consider a provisional diagnosis of sepsis as supported by a band count of over ______ % of the total white blood cell count.
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Chapter 53: Caring for the Patient With Immune Response Disorders
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78605
Sample Questions
Q1) A patient diagnosed with HIV/AIDS has developed pneumonia and is bedbound. Which nursing interventions should be planned?. Select all that apply.
A) Maintain fluid intake of 3 liters daily unless contraindicated.
B) Suction the oral cavity, but avoid tracheal suctioning.
C) Elevate the head of the patient's bed at least 30 degrees.
D) Turn the patient every 2 hours.
E) Provide for periods of uninterrupted rest.
Q2) The nurse is instructing a patient diagnosed with AIDS regarding food choices that will increase caloric intake. Which meal choice would indicate that the patient understands the dietary instruction?
A) Spaghetti and meat sauce, raisin salad, whole-grain roll with butter, vanilla milkshake (with Ensure), and a piece of pecan pie
B) Baked chicken (thigh), cabbage, small green salad, slice of white bread, dried prunes, and a soda
C) Red beans and rice, slaw, tomato, crackers, chocolate pudding, and iced tea
D) Vegetable soup, small piece of cornbread, banana pudding, and water
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Chapter 54: Caring for the Patient With Inflammatory
Response, Shock, and Severe Sepsis
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/78604
Sample Questions
Q1) A patient who was stabbed in the abdomen has received fluid resuscitation of 2 liters over the last hour. Which finding would the nurse evaluate as indicating this intervention has been ineffective?
A) Patient complaints of abdominal pain
B) Patient's request to see a priest
C) Urine output of 45 mL for this hour
D) Heart rate 142 and regular
Q2) A 20-year-old male was seriously wounded in a shooting incident and is not expected to survive the resulting hypovolemic shock. Which nursing statements to the family are indicated?. Select all that apply.
A) "The rules allow only two visitors for 5 minutes."
B) "Your son's color is very gray."
C) "Your son will not be able to talk to you, but he will know you are there."
D) "Your son has a big bandage around his head and his face is swollen and bruised."
E) "We have given your son pain medication for his wounds."
Q3) 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).
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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) Which patient statements would the nurse document as part of the chief complaint?. Select all that apply.
A) "My father had sickle cell anemia."
B) "All I want to do is sleep. I am tired all the time."
C) "I get short of breath so easily."
D) "I lived in a city where there was a lot of pollution when I was a child."
E) "I can't seem to recover from the cold I had last month."
Q2) A patient's laboratory results reveal a low platelet count. The nurse would assess the patient for which skin finding?
A) Jaundice
B) Petechiae
C) A brown or dark tinge to the skin
D) A flushed appearance
Q3) A patient's mean corpuscular volume (MCV) is low. How would the nurse explain this finding to the patient?
A) "Your red blood cells do not have enough hemoglobin."
B) "Your red blood cells are not consistent in size."
C) "Your hematocrit is low."
D) "Your red blood cells are small."
Page 57
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Chapter 56: Caring for the Patient With Blood Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78602
Sample Questions
Q1) The nurse preparing to provide care to a patient with thrombocytopenia would review the administration instructions for which category of medications?
A) Vitamin supplements
B) Erythropoietic agents
C) Immune-suppressive medications
D) Parenteral iron supplementation
Q2) A patient is prescribed desmopressin as treatment for von Willebrand's disease. Which nursing interventions are indicated for this patient?
A) Reduce sources of calcium in the diet.
B) Decrease fluid intake.
C) Monitor for development of gout.
D) Monitor for infection.
Q3) A patient has lost 800 mL of blood during surgery. The nurse calculates that the patient has lost _______ mg of iron.
Q4) A patient with anemia of chronic disease is prescribed erythropoietin (Epogen) 50 units per kilogram three times a week. The patient weighs 188 pounds. The home health nurse would be certain that at least _____ units of Epogen are available for this week's doses.
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Page 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 diagnosed with cancer and scheduled to begin biotherapy asks the nurse how the therapy will treat the cancer. How should the nurse respond?
A) "It changes the body processes that caused the cancer by enhancing your own immunity."
B) "It uses radiation implanted into the cancerous organ."
C) "It uses laser therapy to remove the cancer."
D) "It causes the blood flow to the tumor to be interrupted."
Q2) A patient diagnosed with cancer is admitted with a weight loss of 25 lbs. over the last month as well as progressive anorexia and muscle wasting. The nurse would plan care around which condition?
A) Anorexia-cachexia syndrome
B) Syndrome of inappropriate antidiuretic hormone (SIADH)
C) Superior vena cava syndrome (SVC)
D) Sepsis
Q3) The TNM classification system is being used to stage a patient's cancer. The nurse would plan to care for a patient with an advanced lesion spreading into adjacent organs if the primary tumor size (T) classification is T_____.
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Chapter 58: Nursing Assessment of the Patient With
Integumentary Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78600
Sample Questions
Q1) 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.
Q2) 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.
Q3) Which information would the nurse identify as a patient's chief complaint about a skin disorder?
A) "My rash first started a week ago."
B) "I have a rash on my arm."
C) "I put some ointment on this rash, but it did not help."
D) "My son had a similar rash last month."
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Chapter 59: Caring for the Patient With Skin Disorders
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78599
Sample Questions
Q1) A patient diagnosed with psoriasis is being treated with topical corticosteroids. How should the nurse instruct the patient to apply the medication?
A) Apply the medication in a thin layer.
B) Avoid rubbing the medication into the skin.
C) Dry the skin thoroughly before applying the medication.
D) Continue the medication even if lesions worsen, because it is only a temporary reaction.
Q2) A female patient is prescribed isotretinoin (Accutane). Which information should the nurse provide when teaching about the medication?. Select all that apply.
A) Avoid prolonged exposure to sunlight.
B) Avoid the use of vitamin A supplements.
C) The medication may cause intolerance to contact lenses.
D) Take the pills on an empty stomach to avoid nausea and vomiting.
E) Pregnancy prevention is essential.
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Chapter 60: Caring for the Patient With Wounds
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35 Verified Questions
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Sample Questions
Q1) A patient's abdominal wound has been leaking serosanguineous drainage in increasing amounts for the last 2 days. Today, when the nurse removed the dressing, the incision was open and a loop of bowel was visible. What should the nurse do prior to notifying the surgeon?
A) Replace the old dressing and tape it securely.
B) Have the patient cough to assess for protrusion of the bowel.
C) Cover the incision with a sterile saline-moistened dressing.
D) Ask the patient if the incision has felt different today.
Q2) The nurse is caring for a young patient with a large wound on the arm from necrotizing fasciitis. Which statement should the nurse make to support the patient's psychological adjustment to the wound?
A) "I think this wound makes you look dashing."
B) "What is the best time for you to have your dressing changed?"
C) "I told your mother that she probably shouldn't look at the wound yet."
D) "Let's let your family participate in the next dressing change."
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) Which information will the nurse collect to assist in the classification of a burn injury as minor, moderate, or major?. Select all that apply.
A) Location of the burns on the body
B) The history of the event and location where the injury occurred
C) Any concurrent injuries
D) The time the injury occurred
E) The causative agent
Q2) The nurse is admitting a 50-year-old female who was involved in a car accident and whose only injuries were burns over 50% of her body. Identify the highest-priority nursing diagnosis for this patient.
A) Acute Pain
B) Coping: Family, Compromised
C) Disturbed Body Image
D) Deficient Fluid Volume
Q3) An adult patient who weighs 220 pounds has been burned over 70% of the body. Using the Parkland/Baxter formula, the nurse would anticipate administering ______ mL of fluid in the second 8 hours after the patient was burned.
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Chapter 62: Nursing Assessment of the Patient With
Sensory
Disorders
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Review of patient's medical record reveals the notation, "CF at 6 feet on R." How should the nurse interpret this information?
A) The patient can discriminate light perception only and only at less than 6 feet.
B) The patient's vision is normal.
C) The patient can see hand motion.
D) The patient can count the nurse's fingers at the distance of 6 feet.
Q2) A nurse is preparing to conduct the Weber test. Which nursing actions are indicated?. Select all that apply.
A) Have the patient close the eyes.
B) Place an ear protection device on the patient.
C) Place a tuning fork in the middle of the top of the patient's head.
D) Ask the patient to indicate when a sound ends.
E) Assess for lateralization of sound.
Q3) During the assessment of a patient's fields of gaze, the nurse notices the left eye lags slightly behind the right when moving from the primary position to right upward position. All other movements are symmetrical and smooth. To allow for trending, the nurse would record - ______ for this result.
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Page 64
Chapter 63: Caring for the Patient With Hearing and Balance Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78595
Sample Questions
Q1) A patient is diagnosed with otosclerosis. The nurse plans interventions related to which type of hearing loss?
A) Sensorineural
B) Mixed
C) Conductive
D) Cochlear
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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65
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) A patient is prescribed ranibuizumag (Lucentisz) as treatment for age-related macular degeneration. The nurse would assess this patient for which expected adverse reaction?
A) Sudden increase in urine output
B) Petechiae across the patient's chest
C) Thickened bronchial secretions
D) Photophobia
Q2) A patient with a corneal abrasion is being discharged after treatment with fluorescein and proparacaine drops. Looking in the mirror, the patient says, "My eye is yellow! What happened?" How should the nurse respond?
A) "Unfortunately, corneal abrasion treatment can cause discoloration of the eye for several weeks."
B) "The color helps us see the abrasion and will be washed away by your normal tears."
C) "I have not seen this reaction before. I will contact the health care provider."
D) "When you get home, put a hot compress on the eye. If the color doesn't clear in an hour, call us back."
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Chapter 65: Disaster Nursing
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78593
Sample Questions
Q1) A patient tells the nurse that he thought that he would feel better because it has been a few days since his radiation exposure, but he still feels weak and tired. What is the nurse's best response to this patient?
A) "Increasing your activity will help with the feelings of fatigue."
B) "After your strength returns, you might have diarrhea."
C) "This means that your body is healing."
D) "The weak and tired feelings will continue for a while longer."
Q2) Which information would the nurse expect to be part of an effective initial disaster preparedness plan for a major metropolitan hospital?
A) Expect early notification of the numbers, types, and severities of casualties that can be expected.
B) The most seriously wounded victims can be expected to arrive first.
C) The initial response will be conducted by in-house staff.
D) Triage and decontamination will be conducted in the field before transport.
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) The emergency department (ED) nurses are planning a community education program during Summer Safety Week at the hospital. Including which topic in this program would support the Emergency Nurses Association (ENA) initiatives?
A) Clean House: Eliminate Winter Pathogens Just in Time for Spring!
B) Bicycles and Helmets: Friends for Life!
C) Recycle Your Clothing: Help a Friend in Need!
D) Get Out and Walk!
Q2) A patient has returned to the emergency department (ED) numerous times over the past 3 months. The patient has newly diagnosed diabetes and cannot afford testing supplies. Which ED nurse referral is indicated?
A) Nurse educator
B) Emergency nurse practitioner (ENP)
C) Emergency clinical nurse specialist (ECNS)
D) Case manager
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68
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 is brought to the emergency department with a penetrating wound to the neck. The patient is dyspneic and cyanotic, and has evidence of subcutaneous emphysema. Which intervention does the nurse prioritize?
A) Intubation
B) Notification of next of kin
C) X-ray of the cervical spine
D) Administration of an IV beta blocker
Q2) The nurse providing care to a patient with multiple trauma is suspicious that intimate partner violence (IPV) may be the source of the injury. Which findings would increase the nurse's concern?Select all that apply.
A) This is the patient's fourth ED visit this year for injuries.
B) The patient's partner will not leave the room.
C) The partner is quiet and concerned.
D) The patient says, "I fell because I am so clumsy."
E) The injuries do not match the history given.
Q3) A patient drove himself to the ED after falling from the roof of his one-story home. The nurse assesses the patient, considering that the fall was probably from about _____ feet.
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