Medical-Surgical Nursing Question Bank
Course Introduction
Medical-Surgical Nursing is a comprehensive course that focuses on the essential principles and practices required for the care of adult patients experiencing a wide range of medical and surgical conditions. The course covers the physiological, psychological, and pathophysiological processes underlying various diseases, diagnostic procedures, and therapeutic interventions. Emphasis is placed on clinical reasoning, evidence-based practice, patient safety, health assessment, perioperative care, pharmacological management, and multidisciplinary collaboration. Students learn to apply nursing processes and critical thinking skills in providing holistic and individualized care to patients within acute and chronic care settings, preparing them for diverse roles in clinical environments.
Recommended Textbook
Medical Surgical Nursing Critical Thinking for Person Centred Care 3rd Edition by
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52 Chapters
1083 Verified Questions
1083 Flashcards
Source URL: https://quizplus.com/study-set/2398
Page 2
Priscilla Lemone
Chapter 1: Medical-Surgical Nursing in the Twenty-First Century
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47623
Sample Questions
Q1) The nurse is implementing a plan of care for a person. After providing care, what should the nurse do as the final step in the process?
A)Document.
B)Reassess the person.
C)Set daily priorities of care.
D)Provide a verbal handover report.
Answer: A
Q2) The nurse is creating outcome criteria for the nursing diagnoses for a person. Which of the following would the nurse include when creating the criteria? They should be written:
A)to address the person, be time-specific and measurable.
B)as achievable nursing goals.
C)as verifiable statements.
D)as psychomotor actions.
Answer: A
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Page 3
Chapter 2: Health and Illness in Adults
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/47625
Sample Questions
Q1) During a nursing assessment, the nurse questions the person about smoking, alcohol use and exercise patterns. The nurse is assessing for which determinants of health?
A) Cognitive abilities and educational level.
B) Socioeconomic background.
C) Race, ethnicity and cultural background.
D) Lifestyle and environment.
Answer: D
Q2) A young adult says, 'I can' depend on my family for a place to live.' The nurse realises this person is describing which family feature?
A)Interdependence.
B)Maintaining boundaries.
C)Performing family tasks.
D)Adapting to change.
Answer: B
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Chapter 3: Nursing Care of People Having Surgery
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/47627
Sample Questions
Q1) A person is scheduled for removal of a cataract. The nurse realises this person's procedure is classified as being:
A)minor diagnostic.
B)minor elective.
C)major constructive.
D)major elective.
Answer: B
Q2) A person is being positioned for a hip replacement procedure. In which of the following positions will this person most likely be placed?
A)Lateral chest.
B)Supine.
C)Lithotomy.
D)Prone.
Answer: A
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Chapter 4: Nursing Care of People Experiencing Loss, Grief, and Death
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/47628
Sample Questions
Q1) A preoperative person says to the nurse, 'I hope I wake up after surgery; I don't know what my family would do if I died.' This person is demonstrating which nursing diagnosis?
A)Death anxiety.
B)Chronic sorrow.
C)Coping.
D)Anticipatory grieving.
Q2) A person who had a below-the-knee amputation two months ago is seen walking with a new limb prosthesis and returning to work. Which describes this person's emotional state? The person:
A)has completed the work of mourning the loss of his leg.
B)is in denial.
C)is having difficulty manifesting grief.
D)is attempting to postpone the reality of the loss of his limb.
Q3) A man who recently lost his spouse states, 'I just can't cry for my wife.' What is the husband at risk of developing?
A)Psychological issues.
B)Depression.
C)Ambivalence.
D)Somatic symptoms.
Page 6
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Chapter 5: Nursing Care of People With Problems of Substance Misuse
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47629
Sample Questions
Q1) A person recalls 'feeling funny' after taking a few sips of a drink at a night club and later remembers that she was raped. Which drug should the nurse suspect this person had been given?
A)Benzodiazepine.
B)Ecstasy.
C)Cannabis.
D)Cocaine.
Q2) The family of a person with a crystal methamphetamine addiction is concerned because the person is excessively fatigued, sleeping, and has a voracious appetite. How should the nurse respond to these concerns?
A)'This is normal while withdrawing from this drug.'
B)'Give the person hot black coffee to keep him awake.'
C)'Try to keep the person awake and take him to an emergency room if sleeping continues.'
D)'Prevent the person from eating.'
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Chapter 6: Nursing Care of People Experiencing Disasters
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/47630
Sample Questions
Q1) What does care of persons experiencing blast injuries typically focus on?
A)Psychological shock
B)Lung injuries
C)Ear and hearing trauma
D)Head injuries
Q2) A person comes into the clinic with the onset of itching after opening a letter received about a week ago that contained quite a bit of white powder. It is suspected that this person has had an anthrax exposure. Which medication can the nurse anticipate that this person will most likely be prescribed?
A)Doxycycline
B)Amphotericin
C)Methylprednisolone
D)Interferon
Q3) Which of the following is a conventional weapon?
A)Radiological bomb
B)Anthrax attack
C)Car bomb
D)Sarin attack
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Chapter 7: Genetic Implications of Adult Health Nursing
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/47631
Sample Questions
Q1) A 42-year-old pregnant woman asks the nurse if her baby will be born with Down syndrome. The nurse realises that a baby with this chromosomal abnormality would have which of the following?
A)An extra chromosome.
B)23 pairs of chromosomes.
C)A missing chromosome.
D)A sex chromosome abnormality.
Q2) A baby is born with a genetic disorder. Neither parent has a history of this disorder. The nurse realises that the cause of this disorder could be which of the following?
A)An autosomal dominant condition.
B)Penetrance.
C)A spontaneous new mutation.
D)An X-linked dominant condition.
Q3) Which of the following is true about Down syndrome?
A)The risk increases with increasing maternal age.
B)It causes a severe clotting defect.
C)Paternal age has no effect on the risk.
D)It inevitably results in miscarriage in early pregnancy.
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Chapter 8: Nursing Care of People in Pain
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47632
Sample Questions
Q1) A person with chronic pain tells the nurse that he 'rarely sleeps more than a couple of hours a night.' What is the person at risk of developing?
A)Depression.
B)Drug tolerance.
C)Complex regional pain syndrome.
D)High pain tolerance.
Q2) A person with a history of chronic pain tells the nurse, 'I do a variety of things to make my body produce its own pain reliever.' The nurse realises that this person is describing which of the following?
A)The body's ability to make endorphins.
B)A belief in complementary therapies.
C)A theory of denial.
D)A rationale to reassess the amount of pain medication prescribed.
Q3) A 47-year-old woman has a history of scoliosis and lower back pain. Which type of pain is this person most likely experiencing?
A)Recurrent acute pain.
B)Referred pain.
C)Ongoing time-limited pain.
D)Chronic nonmalignant pain.
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Page 10
Chapter 9: Nursing Care of People With Altered Fluid,
Electrolyte, Acid-Based Balance
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/47633
Sample Questions
Q1) The nurse assesses a person's recent weight loss as being 10 kilograms. How many litres of fluid did this person lose? ____________
Q2) The nurse is reviewing a person's blood pH level. Which body system helps regulate blood pH?
A)Musculoskeletal
B)Renal
C)Neurological
D)Gastrointestinal
Q3) A postoperative person is diagnosed with a fluid volume excess. Which of the following should the nurse expect to observe in this person?
A)Increased haemoglobin and haematocrit levels
B)Distended neck veins
C)Orthostatic hypotension
D)Oliguria
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11
Chapter 10: Nursing Care of People Experiencing Trauma and Shock
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47634
Sample Questions
Q1) A trauma person has multiple injuries and has lost approximately 40 per cent of circulating blood volume. This person is in which stage of shock?
A)Stage I.
B)Stage II.
C)Stage III.
D)Stage IV.
Q2) A nurse is caring for a person in hypovolemic shock. Which type of blood product should the nurse plan to administer?
A)Lipids.
B)Plasma.
C)Whole blood.
D)Platelets.
Q3) A person in shock is prescribed a vasopressor medication. Which of the following would the nurse most likely administer to this person?
A)Nitroglycerin.
B)Dopamine.
C)Nitroprusside (Nipride).
D)Isoprenaline (Isuprel).
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Chapter 11: Nursing Care of People With Infections
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/47635
Sample Questions
Q1) A person asks the nurse, 'What's going to happen to me now that my spleen is gone?'
What is an appropriate nursing response?
A)'Your liver and bone marrow will assume its functions'.
B)'You will have to avoid getting colds and flu'.
C)'Your spleen doesn't do much, so you will not miss it'.
D)'Your stomach will assume its functioning'.
Q2) A person who has never experienced a reaction to a bee sting comes into the emergency department with intense oedema and redness at the site of the sting. The nurse realises that this person is demonstrating which of the following?
A)Circulation of oesinophils
B)Increased production of monocytes
C)Mobilisation of lymphocytic memory T cells
D)Activation of basophils
Q3) A person has been vaccinated against measles. This is an example of which type of immunity?
A)Passive artificial
B)Active artificial
C)Active natural
D)Passive natural
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Page 13
Chapter 12: Nursing Care of People With Altered Immunity
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/47636
Sample Questions
Q1) An HIV-positive person comes into the clinic complaining of increasing pain in his feet and legs. The nurse realises that this person is demonstrating a(n):
A)reaction to the antiviral medications.
B)nervous system manifestation of the disease.
C)secondary peripheral vascular disease.
D)minor opportunistic infection of the lower limbs.
Q2) The nurse is preparing to instruct a class of younger adults about ways to achieve safer sex. What should be included in the nurses presentation? Select all that apply.
A) Avoid sexual activity until both partners are found to be HIV-negative for two tests.
B) Only use oil-based lubricants with condoms.
C) Get tested for HIV if entering into a new monogamous relationship and have the test repeated in 6 months.
D) Avoid spermicidal agents.
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14
Chapter 13: Nursing Care of People With Cancer
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/47637
Sample Questions
Q1) Which of the following is a characteristic of a benign neoplasm?
A)Encapsulated
B)Rapid growth
C)Difficult to remove
D)Can recur
Q2) A person is receiving bleomycin as part of his chemotherapy cancer treatment. Which of the following should the nurse do prior to his treatment?
A)Teach oral care for stomatitis.
B)Assess respiratory status and check for rales.
C)Assess for diarrhoea.
D)Evaluate for motor weakness.
Q3) A person who was treated for bladder cancer 15 years ago tells the nurse, 'I live each day like it is my last yet plan for the future.' The nurse realises that this person is demonstrating which phase of cancer survival?
A)Rehabilitation
B)Permanent survival
C)Watchful waiting
D)Extended survival
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15
Chapter 14: A Person-Centred Approach to Assessing the
Integumentary System
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/47638
Sample Questions
Q1) A person has jaundice. The nurse would expect which change in laboratory test results to be consistent with jaundice?
A)High levels of serum creatinine
B)Decreased red blood cell count
C)Increased serum bilirubin
D)Low levels of serum albumin
Q2) During the assessment of an older adult's integumentary status, the nurse notes liver spots on the person's hands. What is this finding due to?
A)Patchy areas of keloid scarring
B)Reduced vitamin D production
C)Decreased blood perfusion of the upper limbs
D)Hyperplasia of melanocytes in sun-exposed areas
Q3) The nurse is planning to document the appearance of herpetic lesions found over a person's nose and mouth region. Which of the following terms would the nurse most likely use to describe this finding?
A)Nodular
B)Ulcerated
C)Bullous
D)Pigmented
Page 16
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Chapter 15: Nursing Care of People With Integumentary Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47639
Sample Questions
Q1) An adult person is diagnosed with advanced malignant melanoma. What should the nurse realise about this diagnosis?
A)The prognosis is uncertain.
B)The prognosis is poor because of the person's age.
C)Chemotherapy and radiation will be prescribed.
D)A complete cure will occur once the primary lesion is excised.
Q2) A person with a history of pruritus reports an improvement after taking the allergy medication as prescribed. To what should the nurse attribute the improvement of this person's condition?
A) The allergy medicine is causing a placebo effect.
B)The allergies are causing a Distraction from the itching.
C)The medication is reducing histamine release.
D)Another medication is affecting the pruritus.
Q3) An older person is concerned about a painful rash located on the left side of the upper chest. What should the nurse realise this person is experiencing?
A)Shingles.
B)Herpes simplex.
C)Condylomata acuminata.
D)Verruca vulgaris.
Page 17
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Chapter 16: Nursing Care of People With Burns
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47640
Sample Questions
Q1) A person with a major burn has dead skin and eschar. What should the nurse use to clean this wound?
A)Iodine solution.
B)Silver sulfadiazine.
C)A mild, antimicrobial soap.
D)Chlorhexidine.
Q2) The family of a person with full-thickness burns asks why the 'scabs are being cut off' the person's leg. How should the nurse respond to the family?
A)'The scabs are removed to check for blood flow to the burned area.'
B)'The scabs are old burned tissue that needs to be removed to promote healing.'
C)'I'll ask the doctor to come and talk with you about the treatment plan.'
D)'The person asked for the scabs to be removed.'
Q3) A person with a full-thickness burn to the left thigh and left forearm is treated with silver sulfadiazine (SSD)cream. What is the purpose of this medication?
A)Wound debridement.
B)Local analgesia.
C)Skin moisturisation.
D)Antimicrobial protection.
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18
Chapter 17: A Person-Centred Approach to Assessing the Endocrine System
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/47641
Sample Questions
Q1) A person is admitted to hospital with dehydration and excessive urination. Which hormone should the nurse suspect as causing this person's health issue?
A)Luteinising hormone (LH).
B)Antidiuretic hormone (ADH).
C)Thyroid-stimulating hormone (TSH).
D)Parathyroid hormone (PTH).
Q2) A person prescribed phenytoin (Dilantin)for a seizure disorder is having a serum T3 and T4 level drawn. What is the possible impact of this medication on the test results?
A)Falsely elevated.
B)Normal.
C)Pending parathyroid hormone disease.
D)Falsely reduced.
Q3) A person's water deprivation test showed no changes in urine osmolality. This finding is consistent with which condition?
A)Cushing's syndrome.
B)Diabetes insipidus.
C)Addison's disease.
D)None. No pathology is present.
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Chapter 18: Nursing Care of People With Endocrine Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47642
Sample Questions
Q1) Which laboratory data would be used to diagnose a person with Grave's disease?
A)Increased serum thyroid-stimulating hormone.
B)Increased serum thyroid antibodies.
C)Decreased radioactive iodine uptake.
D)Decreased serum thyroxine.
Q2) Which manifestation should the nurse expect to assess in a person with hypoparathyroidism?
A)Peptic ulcers.
B)Paraesthesia.
C)Hypertension.
D)Weight loss.
Q3) A person is scheduled for a thyroidectomy. What should the nurse include when providing preoperative teaching?
A)Remind the person to avoid iodine and salt.
B)Review scar expectations and how the use of plastic surgery is often helpful.
C)Explain how the bed will need to be flat after surgery.
D)Instruct about how to support the neck with the hands while coughing.
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Page 20
Chapter 19: Nursing Care of People With Diabetes Mellitus
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47643
Sample Questions
Q1) The nurse determines that a person has evidence of peripheral vascular disease associated with diabetes. What did the nurse most likely ascertain to make this clinical decision?
A)Even hair distribution on legs.
B)Feet warm and dry bilaterally.
C)Intermittent claudication of the lower legs.
D)Intact skin between toes.
Q2) The nurse is instructing a person with type 1 diabetes about care during sick days. What should be included in these instructions?
A)Monitor blood glucose level at least every eight hours.
B)Administer one-half of the prescribed insulin dose.
C)Restrict fluid intake.
D)Self-administer insulin dose as prescribed.
Q3) A person with diabetes is unable to lose weight despite careful dieting and consuming only sugar-free soft drinks. How should the nurse respond to this person?
A)'How much water are you drinking every day?'
B)'Sugar-free drinks still have some calories.'
C)'Are you sure you are buying only sugar-free items?'
D)'It is very difficult to stick to a weight loss diet.'
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Page 21
Chapter 20: A Person-Centred Approach to Assessing the
Gastrointestinal
System
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47644
Sample Questions
Q1) A person learns that he has an 'incompetent pyloric sphincter.' What could this person experience?
A)Reduced saliva production
B)Difficulty swallowing solids
C)Pain with digestion of carbohydrates
D)Inconsistent gastric emptying
Q2) A person with diabetes tells the nurse that she eats a sweet potato each day because it 'naturally lowers blood sugar levels.' In addition to this information, which vitamin is this person ingesting on a daily basis?
A)Vitamin A
B) Vitamin B<sub>6</sub>
C) Vitamin C
D) Vitamin D
Q3) A person is diagnosed with a vitamin B<sub>12</sub> (cyanocobalamin)deficiency. Which stomach cells are impaired for this person?
A)Zymogenic cells
B)Mucous cells
C)Enteroendocrine cells
D)Parietal cells
Page 22
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Chapter 21: Nursing Care of People With Nutritional Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47645
Sample Questions
Q1) An overweight female states, 'I'm trying to stick to my diet and exercise plan, but my husband tells me that I'm fine the way I am.' What would be an appropriate nursing diagnosis for this person?
A)Chronic low self-esteem
B)Activity intolerance
C)Imbalanced nutrition: more than body requirements
D)Ineffective therapeutic regimen management
Q2) An overweight person tells the nurse, 'Every Monday at work we have croissants. I can't stop myself! Sometimes I eat two!' What is this person describing?
A)Satiety
B)Carbohydrate addiction
C)Appetite stimulation by external cues
D)Metabolic syndrome
Q3) A 33-year-old female states, 'I eat anything I want and just have a laxative for dessert!' What is this person exhibiting?
A)Bulimia
B)Anorexia
C)Distorted body image
D)Binge-eating disorder
Page 23
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Chapter 22: Nursing Care of People With Upper
Gastrointestinal Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47646
Sample Questions
Q1) A person who is in the post-gastric surgery stage for cancer is denying that he has cancer. What should the nurse do?
A)Ask a clinical psychologist to talk with the person.
B)Remind the person of the positive prognosis.
C)Do not argue with the person, but continue to provide emotional support as needed.
D)Explain how many people with cancer live long, productive lives.
Q2) The nurse is assessing a person with gastrointestinal dysfunction who says, 'I was having chest pain so bad last week I thought I was having a heart attack!' The nurse suspects that the person was experiencing which of the following?
A)Lactose intolerance
B)Crohn's disease
C)Stomatitis
D)Hiatal hernia
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Chapter 23: Nursing Care of People With Bowel Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47647
Sample Questions
Q1) The nurse is auscultating a person's abdomen. What would the nurse expect to hear if the person was experiencing the onset of bowel obstruction?
A)Dull bowel sounds
B)Rhonchi
C)High-pitched bowel sounds
D)Friction rubs
Q2) The nurse is preparing to assess a person's abdomen. Place in order the steps the nurse should follow when performing this assessment.
A) Auscultation
B) Inspection
C) Palpation
D) Percussion
Q3) A person is having stool collected for guaiac testing. What is the test looking for in the stool? The presence of:
A)white blood cells.
B)parasites.
C)blood.
D)bacteria.
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Chapter 24: Nursing Care of People With Gallbladder, Liver, and Pancreatic Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47648
Sample Questions
Q1) The nurse recognises that a person is at an increased risk of developing ascites if the person is experiencing which of the following conditions?
A)Hypoalbuminaemia
B)Increased serum sodium
C)Hypotension
D)Decreased serum potassium
Q2) A person comes into the clinic complaining of 'gaining weight only in the stomach.'
This person is exhibiting signs of which condition?
A)Haemolytic jaundice
B)Hepatic encephalopathy
C)Oesophageal varices
D)Portal hypertension
Q3) Which of the following is a risk factor for the development of gallstones?
A)Tobacco smoking
B)Heavy alcohol consumption
C)Pregnancy
D)High-fibre diet
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Page 26
Chapter 25: A Person-Centred Approach to Assessing the Renal System
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/47649
Sample Questions
Q1) While auscultating a person's renal arteries, the nurse hears a 'whooshing' sound. What might this finding be indicative of?
A)Renal artery vasodilation
B)Acute renal failure
C)Renal artery stenosis
D)End-stage renal failure
Q2) The nurse is able to percuss a dull tone over a person's bladder. What is this finding suggestive of?
A)Bladder cancer
B)Urinary retention
C)A normal finding
D)Ureteral blockage
Q3) After stating the need to 'go to the bathroom', a person voids 450 ml of urine. What is this person's urine output considered to be?
A)Low
B)Normal
C)High
D)Diluted
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Chapter 26: Nursing Care of People With Urinary Tract Disorders
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/47650
Sample Questions
Q1) A person is scheduled for a lithotripsy for renal calculi. What is the purpose of a bowel preparation prior to this procedure? To:
A)ensure maximum visualisation of the kidney and the stones.
B)reduce abdominal discomfort.
C)ensure that there is no constipation prior to the procedure.
D)minimise postoperative pain.
Q2) A woman is admitted with an overdistended bladder. Which of the following diagnostic tests can be done to confirm the diagnosis of urinary retention?
A)Cystoscopy.
B)Intravenous pyelography.
C)Bladder scan.
D)Mid-stream urine collection.
Q3) A middle-aged man comes into the clinic for 'frequency' and 'small amounts of urine at a time.' The nurse realises that this person might be experiencing symptoms of which condition?
A)Benign prostatic hypertrophy.
B)Neurogenic bladder.
C)Renal calculi.
D)Pyelonephritis.
Page 28
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Chapter 27: Nursing Care of People With Kidney Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47651
Sample Questions
Q1) An elderly person with decreased renal function is admitted to the hospital with cardiac complications. Which of the following concerns should the nurse have regarding this person's medications?
A)Is the person receiving too much medication because of impaired renal function?
B)What are the costs of the person's medications?
C)What vitamin and mineral supplements is this person taking?
D)Is the person taking the prescribed dosage?
Q2) A person is diagnosed with hypertension caused by polycystic kidney disease. Which of the following might be helpful to control this person's blood pressure?
A)ACE inhibitors.
B) Digoxin.
C)Haemodialysis.
D) Peritoneal dialysis.
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29
Chapter 28: A Person-Centred Approach to Assessing the Cardiovascular
and Lymphatic
Systems
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47624
Sample Questions
Q1) When assessing the adult heart, which heart sounds does the nurse expect to hear?
A)S1 then S2.
B)S2 then S1.
C)S2 then S3.
D)S3 then S4.
Q2) A common laboratory test related to heart assessment is fasting lipids. Which of the following statements is true regarding this test?
A)Cholesterol levels should be less than 200 mg/dL.
B)HDL is not part of this test.
C)LDL is measured and should be over 130 mg/dL.
D)A normal triglyceride level is 200-300 mg/dL.
Q3) The nurse is caring for a person admitted with an atrial gallop. The nurse realises that which of the following cardiac conditions could result in this assessment finding? (Select all that apply.)
A)Cardiomyopathy.
B)Mitral valve prolapse.
C)Aortic stenosis.
D)Tricuspid regurgitation.
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Chapter 29: Nursing Care of People With Coronary Heart Disease
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Sample Questions
Q1) When listening to heart sounds, the nurse expects to hear S1 and S2. The presence of an additional sound immediately following S2 is called ________, which can result from ________.
A)S3, a stenotic mitral valve.
B)S4, increased resistance to ventricular filling.
C)S4, inflammation of the pericardial sac.
D)S3, myocardial failure.
Q2) What is an important nutritional-metabolic interview question to ask persons who are being evaluated for heart conditions?
A)'What heart medications are you taking?'
B)'Have you experienced chest pain in the last week?'
C)'Have you had a recent weight gain or loss?'
D)'Is there any change in your usual bowel elimination?'
Q3) An older adult is being evaluated for age-related cardiac changes. Common age-related changes include which of the following? (Select all that apply.)
A)Decreased cardiac output.
B)Increased cardiac output.
C)Decreased stroke volume.
D)Decreased blood pressure.
Page 31
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Chapter 30: Nursing Care of People With Cardiac Disorders
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Q1) The term 'pacemaker noncapture' requires the nurse to do the following: (Select all that apply.)
A)assess the person to determine their response to the pacemaker noncapture.
B)contact the doctor and describe what is documented on the ECG strip.
C)document the event by printing an ECG strip and making it part of the person's record.
D)administer glyceryl trinitrate sublingual stat.
Q2) Cardiovascular heart disease (CHD)is a large problem in Australia. Persons with which of the following may require closer evaluation for CHD? (Select all that apply.)
A)Low HDL cholesterol.
B)Physical inactivity.
C)Diabetes.
D)Hypotension.
Q3) A person has a junctional escape rhythm. What is the priority care for this individual?
A)Assess the person for symptoms associated with the rhythm.
B)Prepare for a pacemaker insertion.
C)Eliminate caffeine from the diet.
D)Anticipate the need for cardioversion.
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Page 32
Chapter 31: Nursing Care of People With Vascular and Lymphatic Disorders
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Q1) Which of the following statements by the person is significant when obtaining the health history of a person who is being assessed for possible congestive heart failure?
A)'I am sleepy after I eat lunch each day.'
B)'I feel better with my legs down when I sit up in my favourite chair.'
C)'I break out into a cold sweat when I eat a large meal.'
D)'In order to breathe I have to prop myself up on three pillows to sleep at night.'
Q2) Primary cardiomyopathy is caused by which of the following?
A)Infectious disease
B)Exposure to toxins
C)Idiopathic
D)Nutritional deficiencies
Q3) Which of the following would be the first intervention performed on a patient arriving to the hospital with pulmonary edema?
A)Seek an order to medicate for discomfort.
B)Insert an indwelling catheter.
C)Administer oxygen and attach a pulse oximeter.
D)Monitor the blood glucose level.
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Page 33
Chapter 32: Nursing Care of People With Hematologic Disorders
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Q1) A person with aplastic anemia is demonstrating signs of increased blood cell production. Which of the following should be done to support this person?
A)Encourage exercise to further stimulate blood cell production.
B)Continue with blood transfusions as prescribed.
C)Plan to administer fresh frozen plasma.
D)Plan to discontinue blood transfusions.
Q2) A 17-year-old person with oedematous lymph nodes and headaches is diagnosed with leukaemia. What condition does the person most likely have?
A)Chronic myeloblastic leukaemia (CML)
B)Acute myelogenous leukaemia (AML)
C)Acute lymphoblastic leukaemia (ALL)
D)Chronic lymphocytic leukaemia (CLL)
Q3) Which of the following should be included in the nursing instructions for a patient prone to sickle cell crises?
A)Seek out air conditioning or other ways to keep cool during hot, humid days.
B)Maintain a regular exercise program.
C)Take appropriate actions to keep warm.
D)Ensure an adequate fluid intake.
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Chapter 33: A Person-Centred Approach to Assessing the
Respiratory
System
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Q1) During an assessment, a person begins to cough. The nurse realises that this means what?
A)The person is trying to expel sputum.
B)The person has a cold.
C)Something other than air was entering the larynx.
D)The person has a respiratory infection.
Q2) During the assessment of a person, the nurse locates the approximate position of the larynx. This can be found by identifying which of the following?
A)The Adam's apple
B)The first intercostal space
C)The shoulder joint
D)The midclavicular line
Q3) The nurse percusses hyper-resonance over a person's lungs. What is this finding consistent with?
A)Atelectasis
B)Lobar pneumonia
C)Pleurisy
D)Chronic asthma
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Chapter 34: Nursing Care of People With Upper Respiratory Disorders
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Q1) A middle-aged person is seen in the clinic for a continuing cough after recovering from the flu a few weeks ago. What does the nurse realise that this person might be demonstrating?
A)A secondary bacterial pneumonia
B)Otitis media
C)Reye's syndrome
D)Tracheobronchitis
Q2) A person with multiple facial and nasal injuries needs a nasogastric tube placed. Which of the following is the appropriate method to place this tube?
A)Through the person's mouth.
B)Through the obstructed nare
C)Through the person's unobstructed nare
D)wait until the oedema in the nares subsides.
Q3) A person is receiving anterior nasal packing for a nose bleed. Which of the following should be included in the instructions for this person?
A)Remove the packing in the morning.
B)The packing will be in place for at least 24 hours and up to 72 hours.
C)The packing will be needed for at least 1 week.
D)The packing will stay in place for 2 to 5 days.
Page 36
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Chapter 35: Nursing Care of People With Ventilation
Disorders
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Q1) A person who is being treated at home for pneumonia is demonstrating signs of increased confusion. What does this information indicate to the nurse? The person:
A)is experiencing an adverse effect of the prescribed medication.
B)has become dehydrated.
C)is improving.
D)could be experiencing a worsening of the pneumonia.
Q2) A person tells the nurse he had the Bacille Calmette-Guérin (BCG)vaccination as a child because his mother had tuberculosis. How should this person be screened for tuberculosis?
A)By a Mantoux skin test
B)With a chest x-ray
C)By both sputum and Mantoux tests
D)By an AFB sputum test
Q3) A person who is diagnosed with primary atypical pneumonia tells the nurse that he 'doesn't feel too sick.' What is the nurse's best response?
A)'You're lucky.'
B)'This type of pneumonia is usually mild in its effects.'
C)'You must be in the recovery phase of the disease.'
D)'As the illness progresses you will get much sicker.'
Page 37
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Chapter 36: Nursing Care of People With Gas Exchange Disorders
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Q1) A person is prescribed a medication to reduce the need for inhaled corticosteroids while controlling asthma symptoms. What category of medication is this?
A)Leukotriene receptor antagonist
B)Mast cell stabiliser
C)Anticholinergic
D)Adrenergic stimulant
Q2) An intubated person is awake and begins to cry. What is the nurse's best action?
A)Wipe the person's tears and leave the person alone.
B)Give a neuromuscular blocking agent.
C)Turn off the lights so that the person can sleep.
D)Explain to the person that the breathing tube is a temporary measure.
Q3) An intubated person is not exhibiting signs of improved oxygenation. What should the nurse do? Select all that apply.
A)Insert an oral airway.
B)Prepare for an emergency tracheotomy.
C)Check the endotracheal tube placement.
D)Assess for the need to suction to clear the airway.
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Page 38
Chapter 37: A Person-Centred Approach to Assessing the
Musculoskeletal
System
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Q1) What is an age-related change in the musculoskeletal system of an older person?
A)Pain when ambulating due to increased bone mass.
B)Decreased bone mass and calcium absorption, which lead to an increased risk of fractures.
C)Vertebrae lengthen and thin, which leads to increased bone production.
D)Difficulty with dexterity after age 50.
Q2) Put the following techniques of a musculoskeletal examination in the proper sequence.
A) Assess muscle mass by first inspecting for obvious increase or decrease in size.
B) Inspect and palpate the bones for any obvious deformity or changes in size, shape, or a painful response.
C) Measure the extremities for length and circumference, and compare limbs bilaterally.
D) Assess gait and posture.
Q3) When would a bone scan most likely be ordered for a person? When:
A)osteosarcoma is suspected.
B)a person complains of a new onset of pain in the area of the bone.
C)a muscle mass near the bone is suspected.
D)lab tests indicate a normal serum calcium level.
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Chapter 38: Nursing Care of People With Musculoskeletal
Trauma
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Q1) What are the signs and symptoms of compartment syndrome? (Select all that apply.)
A)Decreased peripheral pulse.
B)Decrease in pain.
C)Increased draining.
D)Tingling in an extremity.
Q2) When is surgery necessary for persons with fractures? When the fractures:
A)are greenstick.
B)require direct visualisation and repair.
C)cannot be immobilised with a cast.
D)do not heal within the expected timeframe.
Q3) A person has been very slow to recover from a fracture. The doctor has ordered a treatment that will increase the migration of osteoblasts and osteoclasts to the fracture site. What is the treatment?
A)Open visualisation and debridement.
B)Closed reduction and manipulation.
C)Sterile flushing of the fracture.
D)Electrical bone stimulation.
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Chapter 39: Nursing Care of People With Musculoskeletal Disorders
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Q1) A person is diagnosed with Paget's disease and is experiencing mild symptoms. What does the nurse expect will be part of the person's care plan?
A)Indomethacin (Indocin)and ibuprofen (Nurofen)to stop progression of symptoms.
B)Ibuprofen (Nurofen)and hip replacement surgery to prevent further osteoarthritis.
C)Indomethacin (Indocin)for discomfort and calcitonin (Calcimar)to prevent bone formation.
D)Ibuprofen (Nurofen)for discomfort and pamidronate to inhibit bone resorption.
Q2) Impaired physical mobility is a major nursing diagnosis for persons with osteoarthritis (OA). What nursing activity relates to this diagnosis?
A)Assessing the need for continuous narcotic analgesics to prevent pain in activities of daily living.
B)Assessing the range of motion of affected joints in order to plan appropriate interventions.
C)Encouraging taking care of own self-care needs in order to remain more active.
D)Encouraging consistently high activity levels in order to slow down the progression of the condition.
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Chapter 40: A Person-Centred Approach to Assessing the
Nervous System
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Q1) What should the nurse ask the person to do when assessing cranial nerve XII?
A)Shrug the shoulders and turn his or her head against resistance.
B) Stick out the tongue and move it from side-to-side.
C)Stand on one foot with his or her eyes closed.
D)Swallow a sip of water.
Q2) A person is brought to the Emergency Department by the rescue squad. The person was thrown from a vehicle. There was questionable consciousness on the way to the hospital. What neurological tests does the nurse expect to see ordered?
A)Magnetic resonance imaging (MRI)and computed tomography (CT).
B)Magnetic resonance imaging (MRI)and positron emission tomography (PET).
C)X-rays of the skull and spine and computed tomography (CT).
D)Computed tomography (CT)and myelogram.
Q3) How would the nurse describe Alzheimer's disease to a community group? It: (Select all of the following that apply.)
A)Alzheimer's disease tends to run in families.
B)Alzheimer's disease is caused by a prion.
C)Alzheimer's disease increases in incidence with age.
D)Alzheimer's disease has a short duration.
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Chapter 41: Nursing Care of People With Intracranial Disorders
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Q1) The person has a tonic-clonic seizure. What is the priority for nursing care during the seizure?
A)Protect the person from injury.
B)Hold the person tightly.
C)Insert a bite block to prevent the person from biting their tongue.
D)Perform neurological observations to determine the severity of the seizure.
Q2) The nurse is caring for a person on a medical unit who begins a tonic-clonic seizure. The seizure stops after a few minutes, but begins again after another minute. This pattern continues, in which the person is having repeated tonic-clonic seizures, and has lasted for more than 10 minutes. Place the following nursing actions into order from highest priority to lowest:
A) Hang an IV of normal saline to keep a vein open.
B) Call a respiratory physiotherapist stat.
C) Call the doctor stat.
D) Initiate oxygen via the nasal cannula at the bedside.
Q3) The person is hit by a cricket ball. This is an example of what type of injury?
A)A deceleration injury.
B)A deformation head injury.
C)An acceleration injury.
D)An acceleration-deceleration injury.
Page 43
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Chapter 42: Nursing Care of People With Cerebrovascular and Spinal Cord Disorders
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Q1) While caring for the person with a spinal cord injury (SCI), the nurse elevates the head of the bed, removes TED stockings and continues to assess vital signs every 2-3 minutes, while searching for the cause in order to prevent loss of consciousness or death. By practicing these interventions, the nurse is avoiding the most dangerous complication of autonomic dysreflexia, which is:
A)tachycardia.
B)elevated blood pressure.
C)peripheral vascular shutdown.
D)bradypnoea.
Q2) The person is exhibiting left-sided hemianopia (loss of visual field)following a stroke (CVA). What is the priority of nursing care? To:
A)train the person to scan the right side of the body.
B)explain that the person must pay more attention to objects in front of them.
C)teach the person to scan his or her surroundings.
D)train the person to scan the left side of his or her body.
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Chapter 43: Nursing Care of People With Neurologic Disorders
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Q1) Huntington's disease has no cure and causes progressive chorea, speech problems, and dementia. When teaching the newly-diagnosed person about the disease, the person asks the nurse whether it can be passed on to future children. What is the nurse's best response?
A)'Your sons have a 50% chance of inheriting the gene.'
B)'There may be genetic concerns that should be discussed with the doctor.'
C)'The disease is passed on genetically in 75% of offspring.'
D)'Your children will not be affected by the disease.'
Q2) The nurse is having a conversation with an older adult with Parkinson's disease. Which of the following would this person most likely exhibit during a conversation with the nurse?
A)Bubbly, spirited discussion.
B)Difficulty in maintaining a coherent conversation.
C)Angry, loud talk.
D)A low-pitched, monotone voice.
Q3) How is tetanus completely preventable?
A)Passive immunisation.
B)Complete cleansing of all contaminated skin wounds.
C)Administering antibiotics immediately after a dog bite.
D)Active immunisation.
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Chapter 44: A Person-Centred Approach to Assessing the
Eye and Ear
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Q1) After repeated attempts, a person standing at a distance of 6 metres is able to read all of the letters on the Snellen chart without difficulty. How should the nurse document this person's vision?
A)Normal vision
B)Visual impairments
C)Normal 6/6 vision
D)Impaired depth perception
Q2) A person who is recovering from a stroke is demonstrating vision changes. Why is this occurring?
A)The stroke occurred in the optic region of the person's brain.
B)The stroke has damaged the person's retina.
C)The person is unable to talk because of the stroke.
D)The person is experiencing another stroke.
Q3) During a Weber test, an older person is found to have increased hearing in the right ear. With what is this finding consistent?
A)Sensorineural hearing loss in the right ear
B)Conductive hearing loss in the left ear
C)Possible buildup of cerumen or otitis media in the right ear
D)Perforated left ear drum
Page 46
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Chapter 45: Nursing Care of People With Eye and Ear Disorders
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Q1) The nurse is instructing a person who has a hearing and balance disorder. What should be included in these instructions? Select all that apply.
A)Turn the whole body, rather than just the head.
B)Change positions slowly.
C)Stand very still with the onset of vertigo.
D)Take anti-vertigo medication when lying down.
Q2) A person who is an avid reader is diagnosed with exudative macular degeneration. What should the nurse suggest to this person?
A)Listen to music instead of reading.
B)Watch more television.
C)Obtain audio books.
D)Find another activity that does not require reading.
Q3) A person is experiencing a severe episode of Ménière's disease. Which medication may help to reduce the sensations of spinning and nausea?
A)Hydrochlorothiazide (Dithiazide)
B)Diazepam (Valium)
C)Amoxicillin (Amoxil)
D)Prochlorperazine (Stemetil)
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Chapter 46: A Person-Centred Approach to Assessing the
Male and Female Reproductive Systems
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Q1) A woman tells the nurse that she has been taking multivitamin and mineral supplements to 'increase the production of eggs' so that she can get pregnant. The nurse understands that the woman will initially need education related to what topic?
A)Proper use of multivitamins and mineral supplements
B)Anatomy and physiology of the female reproductive system
C)Effective ways to increase the production of ova
D)Better ways to increase the chance of pregnancy
Q2) The nurse is preparing to examine a man's reproductive organs. Which of the following should the nurse do in preparation for this examination? Select all that apply.
A)Ask the man to lie down on the exam table.
B)Arrange for a private examination room.
C)Use clean hands for the examination.
D)Ask the man to empty his bladder.
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Chapter 47: Nursing Care of Men With Reproductive System and
Breast Disorders
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Q1) A man who is being treated for epididymitis stops taking his antibiotics. What is this man at risk of developing?
A)Testicular torsion
B)Orchitis
C)Priapism
D)Varicocele
Q2) A 40-year-old man is diagnosed with epididymitis. What are the most likely causes for this condition? Select all that apply.
A)Gonorrhoea
B)Recurrent urinary tract infections
C)Unprotected anal intercourse
D)Priapism
Q3) A man comes into the emergency department with complaints of an erection that has lasted for more than 4 hours. What should the nurse include in the man's assessment?
A)Substance abuse
B)Frequency of recent sexual activity
C)Levels of alcohol consumption
D)Use of medications for erectile dysfunction
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Chapter 48: Nursing Care of Women With Reproductive
System and Breast Disorders
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Q1) A woman is concerned about developing ovarian cancer because an extended family member had the disease. Which factor will help reduce the risk of this woman developing the disease?
A)Never breastfed
B)Had a first child at the age of 20
C)Did not start menstruating until age 10
D)Has never used oral contraceptives
Q2) A 42-year-old woman is diagnosed with a breast cyst. What treatment should be anticipated for this woman?
A)Reduce alcohol intake.
B)A surgical biopsy is needed to rule out cancer.
C)Reschedule mammograms for every 2 years.
D)Apply warm compresses to the cyst.
Q3) A 25-year-old woman is diagnosed with endometriosis. What should the nurse include when teaching the woman about this disorder?(Select all that apply.
A)If children are desired, pregnancy should occur before the disease progresses.
B)Laser ablation and birth control pills are the treatments for this condition.
C)It can be treated with minimal long-term effects.
D)The condition will improve over time.
Page 50
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Chapter 49: Nursing Care of People With Sexually
Transmitted Infections
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Q1) A woman says that she has been using 'the medication for a yeast infection' but it is not 'getting any better.' The nurse suspects that which of the following relates to this female? The woman:
A)needs to continue using the medication for a much longer period of time.
B)might be using a medication that is not appropriate for the cause.
C)is not using the medication correctly.
D)is not washing her hands before applying the medication.
Q2) A woman is seen for a new onset of blisters on the labia majora. What is this woman experiencing?
A)First episode of a herpes virus infection.
B)Latency period of the herpes virus infection.
C)An adverse reaction to her current birth control methods.
D)Prodromal symptoms of the herpes virus.
Q3) A person who was just diagnosed with syphilis is allergic to penicillin. What is the medication of choice for this person?
A)Doxycycline (Doxyhexal).
B)Erythromycin (E-Mycin).
C)Minocycline (Akamin).
D)Cephalexin.
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Chapter 50: Mental Healthcare in the Australian Context
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Q1) What does Australian legislation encompass within the concept of the meaning of mental illness? People may be deemed mentally ill if they:
A)have developmental disability of the mind.
B)engage in antisocial behaviour.
C)experience serious disturbances of mood.
D)take excessive alcohol or any other drug.
Q2) What does the concept of Recovery mean in the context of mental health nursing? The person: 7)_______
A)is fully rehabilitated.
B)establishes a new and valued sense of identity, role and purpose.
C)is no longer a threat to others.
D)is cured of mental illness.
Q3) What is a symptom of mania?
A)Sleeping more than usual
B)Spending too much money
C)Eating more or less than usual
D)Feelings of helplessness
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Chapter 51: Community Care
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Q1) A 79-year-old person is planning to have a laminectomy. In which of the following healthcare settings is this person most likely going to have this procedure? A(an):
A)day surgery hospital
B)acute care hospital
C)rehabilitation hospital
D)outpatient clinic
Q2) Prevalence of which condition continues to increase in the Australian community?
A)Hypotension
B)Stomach cancer
C)Diabetes
D)Hypothyroidism
Q3) What is the focus of community nursing care for the person in acute and post-acute care?
A)Quality of life
B)Restoration of health and functional wellbeing
C)Education for a healthy lifestyle, and illness and injury prevention
D)Management of acute symptoms
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Chapter 52: Nursing Care of Clients in Regional, Rural and Remote Areas of Australia
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Q1) Which of the following is correct about the health of Indigenous Australians?
A)Indigenous Australians living in cities have poorer health outcomes than Indigenous Australians living in country towns.
B)The health outcomes of Indigenous Australians are similar to those of non-Indigenous Australians.
C)The health outcomes of Indigenous Australians in cities are better than those of non-Indigenous Australians living in cities.
D)The lower life expectancy of Indigenous Australians in remote areas is more suggestive of their Indigenous status rather than their locality.
Q2) Which of the following statements relates to remote area healthcare? Select all that apply.
A)Doctors make up a large proportion of remote area health workers.
B)Many health services are often not available or intermittently available.
C)Health services are delivered predominantly on a needs basis.
D)Remote area nurses are often independent practitioners.
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