

Medical Surgical Nursing
Question Bank
Course Introduction
Medical Surgical Nursing is a comprehensive course designed to equip students with the foundational knowledge and clinical skills necessary to care for adult patients with diverse medical and surgical conditions. Through an integration of theory and evidence-based practice, students learn assessment techniques, patient-centered care planning, and implementation of appropriate nursing interventions across a variety of acute and chronic health scenarios. The course emphasizes critical thinking, clinical judgment, patient safety, and effective collaboration within the interdisciplinary healthcare team, preparing students to address complex health challenges and promote optimal health outcomes in hospital and community settings.
Recommended Textbook
Introduction to Medical Surgical Nursing 5th Edition by Linton
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56 Chapters
1705 Verified Questions
1705 Flashcards
Source URL: https://quizplus.com/study-set/497

Page 2
Chapter 1: The Health Care System
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/9178
Sample Questions
Q1) A voluntary health care agency is one that:
A) Is supported by tax dollars.
B) Is governed by boards made up of community members.
C) Receives no fee for its services.
D) Uses volunteers as health care providers.
Answer: B
Q2) A nurse could best refer an unemployed 42-year-old patient with renal failure who has lost his job-related private insurance to which health care plan for his medical care?
A) Medicare
B) Medicaid
C) Public health facility
D) Community-based outpatient clinic
Answer: B
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3

Chapter 2: Patient Care Settings
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The home health nurse,while in the home to change a decubitus dressing,notices that the wound has a musky odor and is weepier than the last visit,2 days earlier.Prioritize these nursing interventions for this situation:
A) Contact the case manager.
B) Assess the patient's entire skin, vital signs, and be prepared to describe the wound findings.
C) Cleanse the decubitus area well, and redress the wound.
D) Chart the appearance of the decubitus completely.
E) Assess the patient's mobility.
Answer: B,C,E,D,A
Q2) The nurse describes community health nursing by using the example of:
A) Visiting patients in their home after hospital discharge to assess their personal health status.
B) Asking a nursing assistant (NA) to identify the health services most needed in the patient's personal life.
C) Meeting with residents of low-income housing to identify their health care needs.
D) Developing a hospital-based home health care service.
Answer: C
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Chapter 3: Legal and Ethical Considerations
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/9180
Sample Questions
Q1) The LPN/LVN acquiring a signature on a surgical informed consent document must ensure that the:
A) Patient is not sedated.
B) Physician is present.
C) Family member is a witness.
D) Signature is in ink.
Answer: A
Q2) A good friend of the licensed practical/vocational nurse (LPN/LVN)confides that she is in a serious romantic relationship with a man the LPN/LVN had as a patient when he was diagnosed with the human immunodeficiency virus (HIV).The policies of the Health Insurance Portability and Accountability Act (HIPAA)prevent the nurse from warning her friend.This situation is a moral:
A) Dilemma
B) Uncertainty
C) Distress
D) Outrage
Answer: C
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Page 5

Chapter 4: The Leadership Role of the Licensed Practical
Nurse
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A case conference is called to plan for a patient who has caused stress in the staff with constant calls and trivial requests.The nurse leader expresses personal views,leads the discussion about approaches to the problem,and then makes the decision for care based on the discussion.This leadership style is an example of:
A) Autocratic
B) Democratic
C) Laissez-faire
D) Participative
Q2) When staff members complain about being pulled to other areas to work without prior notice,the leader agrees with their request to develop a more effective system and does so with assistance and input from the entire staff.This is an example of leadership theory:
A) X
B) Y
C) Z
D) Not representative of any theory
Q3) Planning,organizing,directing,and controlling are major functions of
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Chapter 5: The Nurse-Patient Relationship
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/9182
Sample Questions
Q1) Which would be the most appropriate greeting to Mrs.Brown,a newly admitted 80-year-old with hemiplegia who is fully alert?
A) "Good morning, Mrs. Brown. My name is Ann, and I am your nurse today."
B) "I am your nurse. Today is bath day. You will get yours right after breakfast."
C) "Hello there, sweetie. We need to get to work on getting your breakfast so we can get your shower."
D) "My name is Ann. You are my patient today."
Q2) The LPN/LVN finds a young man tearfully staring out the window.He says,"I've been in this hospital 23 days out of the last 50.I've lost a lot of pay." To encourage further communication,the nurse's best response would be:
A) "You've lost a lot of work?"
B) "Would you like me to arrange an appointment for you to speak with the social worker?"
C) "How much pay have you lost?"
D) "You are to be discharged at the end of the week, and you can return to work."
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Chapter 6: Cultural Aspects of Nursing Care
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/9183
Sample Questions
Q1) At the request of the family,the instructor makes an assignment change for a black male student who had been assigned to take care of a postpartum Muslim woman.The culturally competent nurse is aware that the request by the family was made because:
A) Muslim culture does not allow black practitioners to care for women.
B) Muslim culture prefers that women health care providers care for Muslim women.
C) The husband will be present, and he will object.
D) After childbirth, all care must be performed by women.
Q2) Transcultural nursing care is expected for every patient.To provide this type of care,the nurse needs to understand the practices of the predominant cultures of those groups in the health care geographic area that would require the nurse to be aware that:
A) Culture influences beliefs about health, illness, and health practices.
B) All members of an ethnic group have the same beliefs about health practices.
C) A patient's culture rather than individual assessments can be the basis of care.
D) Members of subcultures must be encouraged by nurses to adopt the dominant culture.
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Chapter 7: The Nurse and the Family
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9184
Sample Questions
Q1) For the past three evenings,shortly after their arrival in the hospital unit,the parents of a 14-year-old daughter begin to argue about the cost of the hospitalization and the time required to come to the hospital.The patient begins to cry and complains about her abdominal pain.The nurse assesses that the patient is assuming the role of:
A) Caretaker
B) Martyr
C) Blocker
D) Scapegoat
Q2) The patient states that her 5-year-old is always running up to relatives and friends and wants to give them a big hug and kiss.The patient asks if her daughter is appropriate in her actions.Based on the concepts of functional communication,the most appropriate reply would be:
A) "Your daughter's actions are definitely dysfunctional."
B) "Your daughter is just being a 'little girl' and will outgrow being so affectionate."
C) "Your daughter is going through a normal developmental phase."
D) "Does your mother-in-law show signs of affection toward your daughter?"
Q3) The nurse includes the family in patient care to maintain the family's

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9

Chapter 8: Health and Illness
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9185
Sample Questions
Q1) The alarm reaction stage,resistance stage,and exhaustion stage are the three stages of the:
A) Local adaptation syndrome
B) General adaptation syndrome
C) Total adaptation syndrome
D) Absolute adaptation syndrome
Q2) The common cold,appendicitis,and urinary tract infections are examples of what type of illness?
A) Chronic
B) Disabling
C) Emergency
D) Acute
Q3) The nurse emphasizes that the major advantage of using Maslow's "Hierarchy of Needs" when planning nursing care for patients is to:
A) Establish a nursing diagnosis.
B) Improve problem-solving techniques.
C) Prioritize patient care.
D) Establish priorities of care.
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Chapter 9: Nutrition
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/9186
Sample Questions
Q1) The three areas of the gastrointestinal system in which the digestion of food occurs include the mouth,stomach,and:
A) Large intestine
B) Small intestine
C) Pancreas
D) Pharynx
Q2) The villi absorb the nutrients from the small intestine into the:
A) Large intestine
B) Blood and liver
C) Gallbladder and liver
D) Lymph and kidneys
Q3) In the body,carbohydrates are primarily converted to:
A) Glucose
B) Amino acids
C) Adipose tissue
D) Fatty acids
Q4) The nurse calculates the needed kilocalories (kcal)for a 150-pound moderately active person to be ____________________.
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Chapter 10: Developmental Processes
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9187
Sample Questions
Q1) The nurse counsels an 18-year-old that because she has been sexually active since the age of 15,she should get a:
A) Mammogram
B) Digital rectal examination
C) Papanicolaou (Pap) smear
D) Pregnancy test
Q2) Of all the behaviors assessed in a 52-year-old man,the behavior that the nurse would assess as incongruent with middle-aged developmental tasks is his refusal to:
A) Work more than 50 hours a week.
B) Give up time with his grandchildren.
C) Stop his semiweekly golf game.
D) Make preparations for retirement.
Q3) The term sandwich generation is used to describe:
A) Young adults who tend to eat on the run
B) Middle-aged adults caring for both children and parents
C) Single-parent households
D) Older adults who are in transition from independent to assisted living
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12

Chapter 11: The Older Patient
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/9188
Sample Questions
Q1) The nurse in a long-term care facility takes extra precaution in the approach to nursing care because the older adult is more prone to respiratory infection because of:
A) Decreased ciliary action
B) Decreased physical activity
C) Inadequate hydration
D) Poor personal hygiene
Q2) Considering the gastrointestinal (GI)changes that take place in the geriatric patient,the assessment with the greatest priority to report is:
A) 24-hour urinary output of 1450 ml
B) 24-hour dietary intake of 75% of meals
C) Last bowel movement 4 days ago
D) Weight loss of 2 pounds since admission 2 months ago
Q3) In planning activities to improve short-term memory for an older adult patient experiencing memory deficits,the nurse would:
A) Maintain the same daily schedule.
B) Rehearse memory training.
C) Provide a varied and stimulating daily schedule.
D) Conduct deep-breathing exercises.
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13

Chapter 12: The Nursing Process and Critical Thinking
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9189
Sample Questions
Q1) An example of a complete nursing diagnosis is:
A) Peripheral neurovascular dysfunction
B) Peripheral neurovascular dysfunction exhibited by patient complaint
C) Peripheral neurovascular dysfunction related to decreased sensation, exhibited by the statement, "My feet are tingling."
D) Peripheral neurovascular dysfunction exhibited by patient statement
Q2) The nurse assisting with prioritizing nursing diagnoses would select which of the following as the highest priority?
A) Impaired adjustment
B) Acute pain
C) Risk for imbalanced body temperature
D) Ineffective airway clearance
Q3) The nursing process is based on:
A) Medical diagnosis of the patient
B) Identified physiologic and psychologic needs of the patient
C) Standards of nursing care provided by the American Nurses' Association
D) Orders of the primary care provider
Q4) The nurse who exhibits an open minded,professionally curious,mature and self confident approach to care would be considered a ________________
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Chapter 13: Inflammation, Infection, and Immunity
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9190
Sample Questions
Q1) The patient in early labor says to the nurse,"I will pass on protection from diseases,and the baby will not ever need any shots." The best response by the nurse should be:
A) "Babies are born with innate (natural) immunity at birth."
B) "Babies are born with immunoglobulin E (IgE), an antibody that crosses the placenta, but it only briefly protects the baby."
C) "Yes, immediate antibody immunity from the mother is the first line of defense against disease for babies."
D) "Yes, the mother passes on cell-mediated immunity."
Q2) The organs involved in immunity include the tonsils,spleen,lymph nodes,and: A) Liver
B) Lungs
C) Periosteum
D) Pancreas
Q3) Persons with human immunodeficiency virus (HIV)have acquired Pneumocystis jiroveci (PCP),a serious pulmonary infection caused by ____________________.
Q4) The nurse reminds the patient who is to undergo hyperbaric oxygen therapy that the clothing worn into the chamber must be made of ____________________.
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Page 15

Chapter 14: Fluids and Electrolytes
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9191
Sample Questions
Q1) The nurse would anticipate in a patient with respiratory acidosis that the blood pH reading would be lower than ____________________.
Q2) Because the patient is hypovolemic,the nurse anticipates that treatment will be focused on:
A) Extracellular fluid deficit and limiting drinking water
B) Hypertonic intracellular deficit and limiting water intake
C) Extracellular fluid deficit and encouraging fluid intake
D) Circulatory system hormone deficit and limiting water intake
Q3) Both the intracellular and extracellular fluids are made up of many different electrolytes,but the most abundant intracellular positively charged electrolyte is:
A) Calcium
B) Chloride
C) K+
D) Sodium
Q4) The nurse assesses that the patient with congestive heart failure who is being treated with a diuretic has lost 4.4 pounds in 1 day.This weight loss is equivalent to the loss of ____________________ of fluid.
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Chapter 15: Pain Management
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9192
Sample Questions
Q1) The nurse is teaching a patient how to use a transcutaneous electrical nerve stimulation (TENS)unit and how it works.Appropriate information for this patient would be:
A) "The stimulation of the skin seeks to localize the acute pain and will last for several minutes after the unit is applied."
B) "This unit stimulates both the skin and the underlying tissues to decrease the intensity of the pain."
C) "The mechanism for use of this unit is well known and can be read."
D) "During those days when using the TENS unit, no analgesic can be given."
Q2) The nurse has assessed that prolonged and unrelieved pain will:
A) Release endorphins
B) Lower the pain threshold
C) Stimulate gate control
D) Lower the blood pressure
Q3) The nurse explains that afferent pathways are activated by pain receptors called
Q4) ____________________ and ____________________ are natural opioid-like substances that block pain perception.
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Page 17

Chapter 16: First Aid, Emergency Care, and Disaster Management
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9193
Sample Questions
Q1) Standing in a fast-food line,the person in front,while munching on a cookie,begins to cough heavily,takes deep inspirations,and waves his arms around wildly.The nurse should immediately:
A) Start rescue breathing as quickly as possible.
B) Start chest compressions as quickly as possible.
C) Perform the Heimlich maneuver.
D) Do nothing at this point as long air is exchanged.
Q2) The condition that may complicate the assessment of an older adult patient with a suspected head injury is:
A) Sensory deficits
B) Slowed metabolism
C) Preexisting cerebral dysfunction
D) Decreased pulmonary function
Q3) A mother brings in her 2-year-old who has ingested gasoline 1 hour earlier.After initial assessment,the nurse will:
A) Prepare to administer syrup of ipecac.
B) Turn the patient on his or her stomach to induce vomiting.
C) Prepare to administer Milk of Magnesia.
D) Prepare to administer bowel lavage and cathartics.
Page 18
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Chapter 17: Surgical Care
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9194
Sample Questions
Q1) A patient who had a hysterectomy yesterday has not been allowed food or drink by mouth (NPO).The physician has now ordered the patient's diet to be clear liquids.Before administering the diet,the nurse should check for:
A) Feelings of hunger
B) Bowel sounds
C) Positive Homans sign
D) Gag reflex
Q2) A patient who has just undergone a colon resection complains to the nurse that he felt something pop under his dressing while trying to get out of bed.The nurse removes the dressing and finds that dehiscence of the wound has occurred.The nurse's first action should be to:
A) Replace the dressing; dehiscence is normal.
B) Call the physician.
C) Pull the wound edges together, and replace the dressing.
D) Cover the wound with sterile dressings saturated with normal saline.
Q3) The nurse discovers on the preoperative assessment that the patient has a condition that would require increased amounts of general anesthesia.The condition is
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Chapter 18: Intravenous Therapy
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9195
Sample Questions
Q1) The nurse explains to the patient that,in the event of an accidental needle stick,the nurse should adhere to hospital policy,the usual directives of which are: (Select all that apply.)
A) Antibiotics are taken if infection is present.
B) Blood is drawn from both the nurse and the patient.
C) Repeat blood draws are performed 4 weeks after the stick.
D) Obtain the physician's permission to return to work.
E) An incident report is initiated.
Q2) The nurse has a patient with a tunneled central line with a triple-lumen catheter.The insertion site is covered by an occlusive dressing with yesterday's date.The nurse is to give an IV drug through the central line.The nurse would initially:
A) Use any of the three ports for delivery.
B) Change the occlusive dressing.
C) Affirm catheter placement by withdrawing 3 ml of blood.
D) Check dilution of the drug.
Q3) The nurse explains to the patient that the peripheral IV tubing administration set and dressing should be changed every __________ hours.
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Page 20
Chapter 19: Shock
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9196
Sample Questions
Q1) The nurse explains that when shock forces the body into anaerobic metabolism,organ damage is caused by a product of that metabolism,which is
Q2) The nurse explains to a concerned family member about the purpose of some of the interventions for systemic inflammatory response syndrome (SIRS),which is:
A) Applying a MAST garment to promote and conserve body heat.
B) Inserting an IABP to decrease fluid leaking into the extravascular space.
C) Maintaining strict isolation to prevent an overlying bacterial infection.
D) Aggressively treating to support the multiple failing organs.
Q3) The nurse is administering heparin,subcutaneous twice daily,for a patient in cardiogenic shock.The expected action of this drug is as a(n):
A) Inotropic to improve cardiac contractibility
B) Anticoagulant to prevent blood clots
C) Antidysrhythmic to restore normal cardiac contractibility
D) Vasopressor to increase blood pressure
Q4) The nurse explains that pericardial tamponade and pulmonary embolus can place the patient at risk for ______________ shock.
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21

Chapter 20: Falls
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9197
Sample Questions
Q1) Discharge planning for a patient who lives alone and is at high risk for falling should include telling the patient that he:
A) Cannot go home unless someone is with him all the time.
B) Must go to a long-term care facility.
C) Can wear devices around the neck that can signal for help.
D) Needs to be aware of the dangers of living alone.
Q2) A patient with Parkinson disease would be at risk for falling as a result of:
A) Quick movements
B) Unsteady, shuffling gait
C) Hemiparesis
D) Frequent loss of consciousness
Q3) The nurse is teaching the patient methods for getting up after a fall.The nurse instructs the patient to pull up to a sitting position on the floor,shuffle the buttocks to a nearby piece of furniture,pull up on the knees in front of the furniture,and then:
A) Stand up.
B) Place hands on the floor for leverage.
C) Pivot so that the furniture is behind the body.
D) Sit back down.
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22

Chapter 21: Immobility
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9198
Sample Questions
Q1) The care plan of an older adult patient states that the patient should be monitored while in the bathroom because of a history of vasovagal reflex.The nurse knows that she should assess for:
A) Extremely elevated blood pressure after ambulation
B) Nausea and vomiting after a meal
C) Lightheadedness and fainting during defecation
D) Inability to urinate
Q2) When preparing a plan care for an older adult patient,the nurse should consider the common problems associated with immobility.These problems may be classified as:
A) Environmental and intellectual
B) Internal and external
C) Mental and medical
D) Physical and psychosocial
Q3) The home health nurse instructs a family about boosting the patient in bed so that a ____________________ type of skin injury will not occur.
Q4) When a bacteria is localized at the site of a Stage III pressure ulcer,it is said to be_____________.
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Chapter 22: Confusion
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30 Flashcards
Source URL: https://quizplus.com/quiz/9199
Sample Questions
Q1) The patient with delirium repeatedly cries out for her husband.The first intervention by the nurse would be to:
A) Administer Haldol as ordered.
B) Apply restraints so that the patient will not harm herself.
C) Calmly tell the patient that she is in the hospital and that her husband is not there.
D) Call the husband, and tell him that he needs to come and stay with his wife.
Q2) A patient has been admitted with a diagnosis of confusion.The physician's admission note states that he wants to assess for delirium versus dementia.The nurse knows that the main differences are:
A) Delirium usually lasts several years, whereas dementia lasts only a few days.
B) Delirium usually has sudden onset and is reversible, whereas dementia is chronic and irreversible.
C) Dementia is usually caused by medications, whereas delirium is not.
D) Dementia is easily treated with reality orientation, whereas delirium is not.
Q3) When a normally oriented 87-year-old resident in a long-term care facility exhibits acute confusion,the nurse should first assess for a(n)____________________.
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Chapter 23: Incontinence
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/9200
Sample Questions
Q1) The nurse informs the patient that the uroflowmetry diagnostic tool measures:
A) Voiding duration
B) Specific gravity of urine
C) Effectiveness of the detrusor muscle
D) General bladder tone
Q2) The patient with fecal incontinence should be taught the importance of maintaining good skin integrity.The nurse's teaching should focus on teaching the patient to:
A) Cleanse the perianal area thoroughly after each stool.
B) Use a fecal pouch.
C) Change incontinence undergarments once a day.
D) Take an over-the-counter laxative daily.
Q3) Because medical history can be reveal clues to urinary incontinence,the nurse should be sure to ask the patient specifically about:
A) Diabetes mellitus
B) Impetigo
C) Hypotension
D) Trigeminal neuralgia
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25

Chapter 24: Loss,Death,and End-of-Life Care
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9201
Sample Questions
Q1) The nurse is preparing a patient's body after death and discovers the patient's dentures were not in his mouth before death.The nurse should:
A) Insert them gently into the mouth.
B) Give them to the family.
C) Throw them away.
D) Send them to waste management to be disposed of properly.
Q2) The document "Five Wishes" helps a dying person communicate to the family his preferences as to: (Select all that apply.)
A) Who should make decisions.
B) What medical treatment will be acceptable.
C) How to distribute assets such as real estate.
D) Degree of comfort desired.
E) How they wish to be treated.
Q3) When caring for the patient who is experiencing dysfunctional grieving,the nurse's primary goal should be for:
A) Enhancement of self-esteem
B) Resolution of grief
C) Provision of safety measures
D) Prevention of complications
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Page 26

Chapter 25: The Patient with Cancer
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9202
Sample Questions
Q1) The nurse explains that the most common cytologic test,usually performed in outpatient settings,that suggests the probability of a need for further testing for cancer cells is a:
A) Chest x-ray
B) Koch test
C) Papanicolaou (Pap) test
D) Tine test
Q2) The nurse explains that drugs such as cannabinoids,Benadryl,and Vistaril are frequently ordered for patients with cancer who are taking chemotherapy to help:
A) Promote amnesia to dampen the fear.
B) Maintain fluid retention to prevent dehydration.
C) Control nausea, vomiting, and taste disorders caused by the therapy.
D) Control bouts of diarrhea or uncomfortable constipation.
Q3) The nurse counsels that the most common site of cancer in adult women is the:
A) Breast
B) Lung
C) Kidney
D) Uterus
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Chapter 26: The Patient with an Ostomy
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31 Flashcards
Source URL: https://quizplus.com/quiz/9203
Sample Questions
Q1) The nurse instructs the patient to be diligent in cleaning fecal matter from around the stoma because the fecal matter can cause: (Select all that apply.)
A) Fungal infection
B) Bacterial infection
C) Yeast infection
D) Deterioration of the stoma
E) Odor
Q2) In postoperative teaching to a patient who has undergone a ureterostomy,the nurse would include information pertaining to the:
A) Significance of the ureteral catheter for the first week.
B) Appropriate use of karaya gum products.
C) Daily schedule for changing the pouch.
D) Evening schedule for changing the pouch before bedtime.
Q3) To ensure a good fit of the appliance to avoid leakage,the nurse would instruct the patient to:
A) Place the pouch only when lying down.
B) Check pouch placement to ensure a firm seal.
C) Confirm that the pouch fits tightly to the edges of the stoma.
D) Confirm that the pouch covers the entire abdomen.
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Page 28

Chapter 27: Neurologic Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9204
Sample Questions
Q1) The nurse should assess the patient scheduled for an angiogram for:
A) Dizziness
B) Allergy to shrimp
C) Increased BP
D) Irregular heartbeat
Q2) The patient with meningitis who has a positive Brudzinski sign will:
A) Flex the hips when the neck is flexed by the nurse.
B) Will not be able to extend the flexed leg fully because of hamstring pain.
C) Resist efforts of the nurse to flex his or her neck.
D) Flex the big toe upward and fan out the other toes.
Q3) The nurse assessing the level of consciousness in a patient will perform the following: (Arrange in order from the simplest to the most complex.)
A) Apply pressure to the nail bed.
B) Shake the patient.
C) Touch the patient.
D) Call the patient's name.
E) Approach the patient.
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Chapter 28: Cerebrovascular Accident
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/9205
Sample Questions
Q1) The nurse prepares a list of home modifications that will support rehabilitation for a patient who had a stroke.These include: (Select all that apply.)
A) Raised commode seat
B) Provision of a seat in the shower
C) Availability of soft, low chairs
D) Bathtub hand rails
E) Bright colored scatter rugs
Q2) The nurse selects the most effective intervention for best support of regular bowel elimination and the prevention of constipation,which is:
A) Limit fluid intake from 32 to 50 ounces daily to compact the stool.
B) Administer small soapsuds enema every other day to cleanse the bowel.
C) Give stool softeners daily, establishing a consistent time to attempt elimination.
D) Administer a strong laxative on a daily basis to encourage evacuation.
Q3) Immediately after a CVA,a major nursing priority is ensuring:
A) Preservation of motor function
B) Airway maintenance
C) Adequate hydration
D) Control of elimination
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Chapter 29: Spinal Cord Injury
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/9206
Sample Questions
Q1) When recording the findings of muscle strength,the nurse records a "2" for the right arm.This means that the muscles of the arm show:
A) Weak contraction
B) Muscle movement when supported
C) Active muscle movement without support
D) Full, active range-of-motion (ROM) exercises against resistance
Q2) The nurse explains that the spinal cord extends from the brainstem to the level of which vertebra?
A) Last thoracic
B) Second lumbar
C) First sacral
D) Coccygeal
Q3) The nurse explains that the major advantage of the halo device over the Gardner-Wells tongs is that the halo device:
A) Separates the cervical vertebrae.
B) Allows the patient out of bed.
C) Aligns the cervical spine.
D) Relieves pain.
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Chapter 30: Acute Respiratory Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9207
Sample Questions
Q1) A patient with acute bronchitis is being discharged with a prescription for an antimicrobial medication to be taken for the next 14 days.In the discharge teaching,the nurse will stress:
A) Take the drug on an empty stomach before meals.
B) Complete the entire course as prescribed.
C) Maintain a thorough oral hygiene regimen.
D) Maintain a daily fluid intake of 500 ml.
Q2) A worried patient asks the nurse to explain the advantage of a fluoroscopy.The best response would be that a fluoroscopy:
A) Shows respiratory function in motion.
B) Helps the physician evaluate ventilation-perfusion ratio.
C) Allows the physician to take tissue samples.
D) Facilitates the removal of fluid from the bronchi.
Q3) The nursing intervention that would be inappropriate in the immediate postprocedure care of a patient who has had a fiber-optic bronchoscopy would be to:
A) Place the patient in a semi-Fowler position.
B) Offer fluids to assess swallowing ability.
C) Assess for diminished breath sounds.
D) Assess for stridor.
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Page 32

Chapter 31: Chronic Respiratory Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9208
Sample Questions
Q1) The nurse assesses wheezes in a patient with asthma and realizes that these breath sounds are a result of:
A) Increased thickness of respiratory secretions
B) Use of accessory muscles of respiration
C) Tachypnea and tachycardia
D) Movement of air through narrowed airways
Q2) The nurse explains to a family how the asthma attack progresses by using a progressive list of pathologic events: (Place the options in the correct sequence.)
A) Bronchoconstriction
B) Ventilation-perfusion mismatch
C) Production of mucous plugs
D) Hypoxemia with compensatory hyperventilation
E) Triggering of inflammatory process
Q3) The patient with CF furiously refuses any more manual chest physiotherapeutic treatment.The nurse could suggest which alternative?
A) Flutter mucus device
B) Increase ambulation to 1 to 2 hours a day
C) Steam inhalator several times a day
D) Drinking 3 quarts of fluid per day
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Page 33

Chapter 32: Hematologic Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9209
Sample Questions
Q1) The nurse caring for a patient who is having radiation treatment for cancer is alert to the threat of thrombocytopenia ______ days after the start of radiation.
A) 2
B) 5
C) 9
D) 12
Q2) A major focus in a teaching plan for a teenager with sickle cell anemia would be:
A) Limit tobacco use to no more than two cigarettes a day.
B) Eat foods high in iron and vitamin B.
C) Maintain environmental temperature at 65° to 68° F.
D) Maintain adequate hydration.
Q3) In preparing discharge plans for a patient recently diagnosed with pernicious anemia,the nurse must include information regarding:
A) Adding daily high-fat, low-fiber supplements.
B) Adding a rigorous daily workout.
C) Avoiding prolonged exposure to direct sunlight.
D) Providing sufficient rest periods throughout the day.
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Chapter 33: Immunologic Disorders
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/9210
Sample Questions
Q1) In preparing discharge plans for a patient with SLE,the nurse must include:
A) Need to consume 2 L of fluid daily
B) Close monitoring of daily blood glucose level
C) Use of daily sunscreens with a sun protection factor (SPF) higher than 15
D) Careful concern for certain food allergies
Q2) When the skin test shows a redness and swelling a few days after injection,the nurse assesses this as a hypersensitivity reaction of type:
A) I
B) II
C) III
D) IV
Q3) The nurse explains that the inflammatory response is initiated by immunoglobulin E (IgE)and the:
A) Eosinophils
B) Lymphocytes
C) Basophils
D) Neutrophils
Q4) Cells in the bone marrow that are capable of developing into RBCs,WBCs,or platelets are the ___________ cells.
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Chapter 34: Human Immunodeficiency Virus and Acquired
Immunodeficiency Syndrome
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9211
Sample Questions
Q1) Before the initiation of any anti-HIV drug protocol,the patient is assessed for the willingness to:
A) Give up sexual activity for several months.
B) Follow the strict dietary guidelines.
C) Comply with drug protocol.
D) Involve the partner in a support program.
Q2) The factors that may explain the increase in HIV infections in persons over the age of 50 years include the fact that older persons: (Select all that apply.)
A) Are usually not questioned by health professionals about sex or drug abuse.
B) Are more promiscuous in earlier years.
C) Are less likely to seek HIV screening.
D) Mistake HIV symptoms as part of the discomforts of increased age.
E) Are less likely to use condoms.
Q3) To avoid the exposure to bacillary angiomatosis (BA),the nurse advises the patient with HIV to avoid:
A) Cats
B) Large crowds of people
C) Consuming unwashed fruits
D) Exposure to mosquito bites

Page 36
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Chapter 35: Cardiac Disorders
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/9212
Sample Questions
Q1) The nurse records the finding of a normal sinus rhythm (NSR)when the P,Q,R,S,and T are all present in the electrocardiographic complex,as well as a(n):
A) Rate of 82
B) PR interval of 0.36 second
C) QRS complex of 0.16 second
D) Inverted T
Q2) A dopamine infusion is being administered to a patient with shock.The nurse should be alert for:
A) Sharp spike in blood pressure
B) Tremor of the hands
C) Increasing urinary output
D) Hyperirritability of the patient
Q3) The nurse explains that cardiac rehabilitation lasts from the end of acute care to the return to home and beyond.This service includes:
A) One-on-one individualized care
B) Focus on the patient, rather than the family
C) Telemetry-monitored exercise
D) Rejection from the program for noncompliance
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Chapter 36: Vascular Disorders
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/9213
Sample Questions
Q1) A patient has returned from a vein ligation and stripping.Nursing care would include instructions to:
A) Dangle the legs to prevent edema.
B) Cross the legs to apply pressure.
C) Wear compression stockings to promote circulation.
D) Remove the drain after 24 hours.
Q2) When the patient inquires how something as simple as walking could help his venous vascular disorder,the nurse explains that walking will:
A) Improve the strength of the vascular walls.
B) Boost venous circulation through leg muscle activity.
C) Increase cardiac output.
D) Clear plaques from the veins.
Q3) The patient performing Buerger-Allen Exercises will not:
A) Lie on the stomach.
B) Raise legs for 2 minutes until they blanch.
C) Lower the legs until the color returns.
D) Keep legs flat for 5 minutes and then repeat the exercise.
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Chapter 37: Hypertension
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9214
Sample Questions
Q1) A patient who has been taking methyldopa (Aldomet)for his hypertension reports to the emergency department with a severe headache,blurred vision,and a blood pressure reading of 200/94 mm Hg.The nurse would suspect:
A) Hyperglycemia
B) Ineffective coping with sedation
C) Abrupt cessation of medication
D) Sexual dysfunction
Q2) A patient inquires if his blood pressure is normal.The nurse responds that normal blood pressure is defined as less than:
A) 144/90 mm Hg
B) 138/86 mm Hg
C) 126/82 mm Hg
D) 118/65 mm Hg
Q3) The nurse questions the patient with hypertension about the symptoms of headache because hypertension headaches characteristically occur as:
A) Frontal in the afternoon
B) Temporal on exertion
C) Occipital on arising
D) Frontal at night
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Chapter 38: Digestive Tract Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9215
Sample Questions
Q1) The home health nurse suggests dietary changes to an older woman to help prevent constipation,which include: (Select all that apply.)
A) Addition of whole-grain cereal
B) Cessation of laxative use
C) Increase in liquid intake
D) Increase in sugar intake
E) Eating fresh vegetables
Q2) The patient inquires if this newer type of gastric analysis is going to require passage through a nasogastric tube.The nurse replies:
A) "Yes, but just for the instillation of the dye."
B) "No. You take a dye orally, which will be excreted in the urine in approximately 2 hours."
C) "Yes. You will take the dye orally, and then several gastric withdrawals through the tube will show the dye."
D) "Yes. Only one withdrawal will be made through the tube, which will be treated with dye and read in approximately 2 hours."
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Chapter 39: Disorders of the Liver, Gallbladder, and
Pancreas
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9216
Sample Questions
Q1) In planning the care for the patient with pancreatitis,the nurse assigns the highest priority to:
A) Patient claims satisfaction with pain control.
B) Patient states an understanding of medications needed on discharge.
C) Patient's activity level tolerance shows an increase.
D) Patient can maintain a normal bowel pattern.
Q2) The nurse will evaluate whether the dietary teaching is successful when the patient on a low-sodium diet selects:
A) Bologna sandwich with tomato juice
B) Hot dog on a bun with pickle relish and skim milk
C) Baked chicken, white rice, and apple juice
D) Peanut butter and jelly sandwich with tomato soup
Q3) The nurse explains that pruritus in the patient with hepatitis is related to:
A) Decreased fat intake
B) Poor appetite and therefore poor protein intake
C) Accumulation of bile salts under the skin
D) Altered urinary output of bile
Q4) The nurse reminds the patient with liver disease that the level of ____________________ in the blood is an indicator of the how well the liver is functioning.
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Chapter 40: Urologic Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9217
Sample Questions
Q1) The nurse is collecting data from a hospital patient who has been admitted with pyelonephritis.He is acutely ill with a high fever,chills,nausea,and vomiting.He also has severe pain in the flank area.The primary goal of his treatment is to:
A) Provide adequate nutrition with a stable body weight.
B) Provide adequate hydration with pulse and blood pressure within patient norms.
C) Give pain relief with analgesics and antispasmodics.
D) Prevent further damage to his kidneys that could lead to renal failure.
Q2) A family member of a patient who has returned to the special unit after renal transplantation is alarmed by blood in the urine of the patient.The nurse's best explanation would be that the hematuria is:
A) Related to the immunosuppressant drugs taken before transplantation
B) A normal postoperative expectation
C) Not blood but dye injected during surgery
D) A small vessel that may be bleeding but will coagulate as urine flow increases
Q3) The major risk of peritoneal dialysis is _____________.
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Chapter 41: Connective Tissue Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9218
Sample Questions
Q1) The nurse questions an older patient about the age-related changes she has experienced in her connective tissue,which have lessened her mobility.These changes most commonly include: (Select all that apply.)
A) Loss of bone, which may cause fragile bones
B) Thickening of the tendons, causing loss of strength
C) Bony deposits in the joints, causing pain and altered movement
D) Hardening of cartilage, causing more friction in joints
E) Diminished energy, causing decreased activity
Q2) The nurse clarifies that a connective tissue disease is one that affects:
A) Bones, ligaments, cartilage, and tendons
B) Bones, ligaments, and tendons
C) Spurs, ligaments, cartilage, and tendons
D) Tendons, cartilage, and tophi
Q3) The nurse explains that connective tissue function:
A) Helps provide a source of storage for calcium.
B) Stores hormones in the pores of bone tissue.
C) Controls the distribution of minerals.
D) Provides protection to body parts.
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43

Chapter 42: Fractures
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9219
Sample Questions
Q1) Delayed union of a fracture can be attributed to: (Select all that apply.)
A) Inadequate immobilization
B) Hormone replacement therapy
C) Long-term use of corticosteroids
D) Infection
E) Poor nutrition
Q2) The patient has just had a plaster of Paris upper extremity cast placed because of a fractured radius.The statement indicating that the patient understands the discharge teaching related to cast care is:
A) "When I get home, I will remove some of the padding if it feels tight so my fingers don't swell."
B) "When I get home, I will wrap the cast in plastic so it will conserve the heat."
C) "When I get home, I will use a spoon handle to scratch inside if my arm itches."
D) "When I get home, I am going to rest in bed with my arm elevated above my heart."
Q3) A fracture that occurs because of osteoporosis is classified as a _____________ fracture.
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Chapter 43: Amputations
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9220
Sample Questions
Q1) Preoperative exercises for a patient undergoing a lower-extremity amputation include ____________________ training.
A) Upper body
B) Lower body
C) Upper thigh
D) Head and neck
Q2) During the admission of a patient scheduled for an amputation,the patient relates that she is a practicing Orthodox Jew.The nurse should make arrangements for:
A) A veil to cover the amputated part.
B) A rabbi present for the surgery.
C) The amputated part to be buried.
D) A family member present to read the Torah.
Q3) Because of the anticoagulant in the saliva of leeches,they are used to treat which one of the following in the patient who has undergone replantation of a body part?
A) Inadequate arterial blood flow
B) Venous insufficiency
C) Venous congestion
D) Increased arterial blood flow
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Chapter 44: Pituitary and Adrenal Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9221
Sample Questions
Q1) The nurse caring for a patient with diabetes insipidus (DI)should be alert for the following and report these signs that indicate a change in condition: (Select all that apply.)
A) Dropping blood pressure
B) Light clear urine
C) Moist mucous membranes
D) Excessive thirst
E) Large urine output
Q2) The care of a patient who underwent a hypophysectomy,during which the entire pituitary was removed,would include:
A) Maintaining strict intake and output fluids.
B) Keeping the patient flat in bed for the first 24 hours.
C) Withholding analgesics to assess the level of consciousness.
D) Providing mouth care with thorough cleansing of the oral cavity.
Q3) Discharge planning for the patient who underwent a hypophysectomy would be focused on:
A) Finding a support group
B) Nutritional maintenance
C) Education on self-care
D) Self-image improvement
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Chapter 45: Thyroid and Parathyroid Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/9222
Sample Questions
Q1) An appropriate nursing diagnosis for the patient recently diagnosed with hyperthyroidism would be:
A) Hypothermia, related to increased metabolic processes
B) Constipation, related to increased hormonal stimulation
C) Disturbed body image, related to weight gain
D) Disturbed sleep pattern, related to metabolic disturbance
Q2) The nurse recommends the use of salt that is iodized because iodized salt:
A) Can prevent the development of goiter in adults and cretinism in infants.
B) Can help prevent hypothyroidism.
C) Is instrumental in preventing tumors of the parathyroid gland.
D) Works as an important component of thyroid replacement therapy.
Q3) Congenital hypothyroidism,if left untreated,will result in _________________.
Q4) To assess for hemorrhage in a post thyroidectomy patient the nurse should:
A) Assess upper chest for the patient positioned in high Fowler position.
B) Turn the patient to the side to check; the patient must be kept flat in the bed.
C) Lift up the neck dressing to assess for excessive bleeding.
D) Examine behind patient's neck and upper back to assess for hemorrhage.
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Chapter 46: Diabetes Mellitus and Hypoglycemia
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9223
Sample Questions
Q1) The nurse tells a patient that the functional causes of hypoglycemia include: (Select all that apply.)
A) Dumping syndrome
B) Overdose of insulin
C) Addison disease
D) Prolonged muscular exercise
E) Chronic alcoholism
Q2) When a patient newly diagnosed with type 2 diabetes mellitus asks the nurse why she has to take a pill instead of insulin,the nurse replies that in type 2 diabetes mellitus,the body makes insulin but:
A) Overweight and underactive people cannot simply use the insulin produced.
B) Metabolism is slowed in some people so they have to take a pill to speed up their metabolism.
C) Sometimes the autoimmune system works against the action of the insulin.
D) The cells become resistant to the action of insulin. Pills are given to increase the sensitivity.
Q3) The nurse reminds the patient with type I diabetes to rotate the insulin injection sites to prevent ___________________________.
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Chapter 47: Female Reproductive Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9224
Sample Questions
Q1) A patient makes an appointment with her gynecologist because she is having difficulty conceiving.The laboratory test that the nurse anticipates the physician to order is:
A) Complete blood count
B) Progesterone level
C) Prothrombin time
D) Erythrocyte count
Q2) When the nurse read that the patient's breast tumor is a stage II,the nurse realizes that the tumor is:
A) Is smaller than 2 cm, with no positive lymph node involvement and no metastasis evident.
B) Measures between 2 and 5 cm, with no positive lymph node involvement and no metastasis evident.
C) Is larger than 5 cm, with no positive lymph node involvement and no metastasis evident.
D) Measures between 2 and 5 cm, with positive axillary lymph node involvement and metastasis evident.
Q3) The nurse is aware that a tumor determined to be ER+ indicates that the tumor needs ____________________ for growth.
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Page 49

Chapter 48: Male Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9225
Sample Questions
Q1) A patient with a spinal cord injury complains to the nurse of the inability to experience an erection.The nurse explains,"The _______________ component of the nervous system has been affected by your injury."
A) Sympathetic
B) Somatic
C) Parasympathetic
D) Cerebral cortex
Q2) When a significant elevation in the human chorionic gonadotropin (hCG)level is noted on the laboratory report,the nurse is aware that this is a marker for ____________________ cancer.
Q3) A male student comes to the campus clinic complaining of painful scrotal edema,nausea,vomiting,chills,and fever.The nurse recognizes these signs and symptoms as being associated with:
A) Orchitis
B) Epididymitis
C) Urethritis
D) Cystitis
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Chapter 49: Sexually Transmitted Infections
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/9226
Sample Questions
Q1) The nurse recognizes that the patient with an STI may not cooperate in reporting sexual contacts because of fear of: (Select all that apply.)
A) Judgment by health care workers
B) Identifying self as infected
C) Rejection by contacts
D) Infecting others
E) Reprisal from identified contacts
Q2) The nurse who is caring for a patient who is taking acyclovir (Zovirax)is alert for the side effects of this drug,which include:
A) Fever and bone marrow suppression
B) Vaginal burning and skin irritation
C) Dizziness, headache, and nausea
D) Leukopenia and peripheral neuropathy
Q3) The nurse instructs the patient with a chlamydial infection that because of the disease,the patient is at greater risk for:
A) HIV, if exposed to it
B) Urinary infections
C) Hepatitis B, if exposed to it
D) Opportunistic bacterial infections
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Page 51

Chapter 50: Skin Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9227
Sample Questions
Q1) The nurse organizes the nursing care plan on the nursing diagnosis of "Acute pain,related to postherpetic neuralgia." The least appropriate implementation would be to:
A) Give antiviral medication as prescribed.
B) Generously administer pain medication.
C) Offer guided imagery or distraction techniques.
D) Have the patient ambulate several times daily.
Q2) Displaying her hands,a patient asks,"Do you think my liver is OK? Look at all these liver spots!" The most appropriate response would be:
A) "The spots could mean something is wrong; I will make a note of it."
B) "The spots are normal aging changes and have nothing to do with your liver."
C) "Have you recently been exposed to hepatitis?"
D) "Don't worry about them. They will fade during the winter."
Q3) The assessment by the emergency department nurse most indicative that a burn patient might be at risk for respiratory impairment is:
A) Burns on the face and neck
B) Respiration of 18 breaths/min
C) Flaring nares
D) Sooty sputum
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Page 52

Chapter 51: Eye and Vision Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9228
Sample Questions
Q1) The nurse explains to a patient with retinal detachment that the surgical implementation that is most effective is:
A) Removing the lens
B) Macular bonding
C) Lasik surgery
D) Scleral buckling
Q2) The nurse assesses an 80-year-old patient for age-related changes to the eye,which are: (Select all that apply.)
A) Decreased tear production
B) Eyeball sunk deep in orbit
C) Hyperopia
D) Eye lashes diminished
E) Arcus senilis
Q3) The patient with glaucoma who is taking a beta-adrenergic blocking agent,timolol (Timoptic),should be monitored for:
A) Wheezing
B) Hypertension
C) Sudden eye pain
D) Blurred vision
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Page 53

Chapter 52: Ear and Hearing Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9229
Sample Questions
Q1) On an intake physical examination,the patient reports that he has been taking 10 aspirin tablets a day for his arthritis.Based on this information the nurse should ask:
A) "Can you hear high pitched sounds?"
B) "Have you noticed deafness in just one ear?"
C) "Do you have ringing in your ears?"
D) "Do you experience dizziness when you stand?"
Q2) In planning care for a child who has been diagnosed with a hearing impairment and considering the impact of a hearing deficit,the nursing diagnosis that would be appropriate would be:
A) Risk for injury, related to hearing impairment
B) Risk for social isolation, related to hearing impairment
C) Knowledge deficit, related to hearing impairment
D) Anxiety, related to hearing impairment
Q3) A significant instruction to a patient being discharged after ear surgery is to:
A) Use stool softeners with caution.
B) Assume your usual activities.
C) Avoid blowing your nose.
D) Shampoo your hair with baby shampoo.
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Chapter 53: Nose, Sinus, and Throat Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9230
Sample Questions
Q1) The patient comes into the clinic complaining of waking up with a dry mouth and nose and asks if the dryness has caused the colds she has had in the last few months.The nurse suggests that the patient:
A) Use a humidifier at home.
B) Get a throat culture.
C) Get a nose culture.
D) Request an antibiotic.
Q2) A patient who has cancer of the larynx has been told that he needs a total laryngectomy.To help the patient cope with the loss of his voice,the nurse would consider:
A) Offering to have a volunteer from a local laryngectomy organization visit the patient.
B) Explaining in detail the available vocalization aids and techniques.
C) Explaining to the patient what will happen directly after the surgery.
D) Notifying the hospital chaplain of the patient's needs.
Q3) An appropriate nursing diagnosis for the patient who has had nose surgery is:
A) Risk for imbalanced body temperature
B) Social isolation
C) Decreased cardiac output
D) Risk for activity intolerance
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Page 55

Chapter 54: Psychologic Responses to Illness
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/9231
Sample Questions
Q1) The older Italian woman has an egg yolk in a bowl under her bed that she believes is absorbing the evil of her illness and making her feel better.The nurse should:
A) Move the egg yolk out of the way to the bathroom.
B) Replace the egg yolk with a hard-boiled egg.
C) Remove the egg for sanitary purposes.
D) Include maintenance of the egg in the nursing care plan.
Q2) The nurse explains that the difference between fear and anxiety is that fear is a(n):
A) Useless emotion
B) Ineffective coping strategy
C) Irrational feeling
D) Response to a specific threat
Q3) The goal of nursing care for the patient with a chronic illness is to:
A) Find the cause of the illness.
B) Tell the patient that he or she will learn to live with the illness.
C) Help the patient manage the illness.
D) Give the patient web sites that have information about the illness.
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Chapter 55: Psychiatric Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9232
Sample Questions
Q1) The combination of medications that could be used to treat an anxiety disorder is:
A) Librium and Xanax
B) Effexor and Ativan
C) Effexor and Haldol
D) Klonopin and Valium
Q2) When performing a mental status examination,the nurse notes that the patient keeps repeating,"I didn't do it.I didn't do it.I didn't do it." This response would be an example of which one of the components of the mental status examination?
A) Appearance
B) Mood and affect
C) Thought content
D) Memory and attention
Q3) The nurse reminds the family of a patient who experiences delirium that some common causes are:
A) Overuse of steroids
B) Liver abnormalities
C) Parkinson disease
D) Neoplasms
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Chapter 56: Substance-Related Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9233
Sample Questions
Q1) The nurse counsels a pregnant cocaine abuser that her cocaine use places the baby at risk for:
A) Severe allergies
B) Neurologic impairments
C) Hearing impairment
D) Higher birth weights
Q2) The nurse clarifies that when a urine sample is needed for screening in a case of DWI or other crime,the specimen should: (Select all that apply.)
A) Be collected and witnessed by a staff member of the same gender.
B) Be documented with a chain-of-custody form and signed by all who handle the specimen.
C) Be kept under secure conditions if temporary storage is necessary.
D) Never be out of sight until someone from law enforcement takes it.
E) Be placed in a specially marked container.
Q3) A nursing diagnosis that is appropriate for a patient with substance abuse is:
A) Anxiety
B) Chronic or situational low self-esteem
C) Risk for delayed development
D) Acute confusion
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