Medical-Surgical Nursing Solved Exam Questions

Course Introduction

Medical-Surgical Nursing is a foundational course designed to equip students with the knowledge and skills necessary to care for adult patients with a wide range of acute and chronic health conditions. Emphasizing evidence-based practice, the course covers pathophysiology, assessment, and management of common medical-surgical problems, including cardiovascular, respiratory, gastrointestinal, musculoskeletal, and endocrine disorders. Students learn to apply the nursing process, prioritize patient care, implement safety and infection control measures, and collaborate within interdisciplinary healthcare teams. The course also addresses concepts related to perioperative care, pain management, pharmacology, patient education, and caring for culturally diverse populations, preparing students for critical clinical decision-making in various healthcare settings.

Recommended Textbook

Medical Surgical Nursing in Canada 4th Edition by Lewis

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72 Chapters

1844 Verified Questions

1844 Flashcards

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Chapter 1: Introduction to Medical-Surgical Nursing

Practice in Canada

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16 Verified Questions

16 Flashcards

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

Sample Questions

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

A)Clinical judgement based on experience

B)Evidence from a clinical research study

C)The best available evidence to guide clinical expertise

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

Answer: C

Q2) Which of the following represents a nursing activity that is carried out during the evaluation phase of the nursing process?

A)Determining if interventions have been effective in meeting client outcomes.

B)Documenting the nursing care plan in the progress notes in the medical record.

C)Deciding whether the client's health problems have been completely resolved.

D)Asking the client to evaluate whether the nursing care provided was satisfactory.

Answer: A

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Chapter 2: Cultural Competence and Health Equity in Nursing Care

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17 Verified Questions

17 Flashcards

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Sample Questions

Q1) Which of the following question formats is the most appropriate for the nurse to ask when communicating with a client that has limited English proficiency?

A)Are you tired and in discomfort?

B)You have taken your pills right?

C)Are you alright?

D)Are you in pain?

Answer: D

Q2) Which of the following statements is true related to immigrants to Canada?

A)Decreased risk of social exclusion related to Canada's multicultural population.

B)New immigrants tend to be in overall better health than the resident population.

C)Health status of immigrants is not related to length of time in Canada.

D)Unemployment is not associated with poorer health outcomes for immigrants.

Answer: B

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Chapter 3: Health History and Physical Examination

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) The nurse records the following general survey of a client: "The client is a 68-year-old Indigenous male accompanied by his wife and two daughters. Alert and oriented. Does not make eye contact with the nurse and responds slowly, but appropriately, to questions. No apparent disabilities or distinguishing features." Which of the following areas does the nurse need to assess to complete the general survey?

A)Body movements

B)Intake and output

C)Reasons for contact with the health care system

D)Comments of family members about his condition

Answer: A

Q2) The nurse is completing a neurological assessment on an adult client. Which of the following assessments should the nurse include when assessing the client's coordination? (Select all that apply.)

A)Toe walk

B)Finger to nose

C)Drift

D)Romberg

E)Heel to opposite shin

Answer: B, D, E

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Chapter 4: Patient and Caregiver Teaching

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) Aclient with newly diagnosed breast cancer has a nursing diagnosis of deficient knowledge related to insufficient information (about breast cancer). When the nurse is planning teaching for the client, which is the most important initial learning goal?

A)The client will select the most appropriate breast cancer therapy.

B)The client will state ways of preventing the recurrence of the tumour.

C)The client will demonstrate coping skills needed to manage the disease.

D)The client will choose methods to minimize adverse effects of treatment.

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

A)Instruct about the increased risk for cardiovascular disease.

B)Provide detailed information about dietary control of glucose.

C)Teach glucose self-monitoring and medication administration.

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

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Chapter 5: Chronic Illness

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18 Verified Questions

18 Flashcards

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Sample Questions

Q1) What is the average life expectancy in Canada?

A)60 years

B)70 years

C)80 years

D)90 years

Q2) According to the World Health Organization's ICF Bio-Psycho-Social Model, which of the following factors is an environmental contextual factor?

A)Social background

B)Behaviour pattern

C)Social attitudes

D)Coping style

Q3) Which of the following models calls for a political response to disability?

A)Social

B)Medical

C)Activist

D)Collaborative

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Page 7

Chapter 6: Community-Based Nursing and Home Care

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11 Verified Questions

11 Flashcards

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Sample Questions

Q1) Aclient who was in an automobile accident is assigned a nurse as a case manager. Which of the following responsibilities is required of the nurse in this role?

A)Care for the client during hospitalization for the injuries.

B)Assist the client with home care activities during recovery.

C)Coordinate the services that the client receives in the hospital and at home.

D)Determine the types of medical care the client needs for optimal rehabilitation.

Q2) An older-adult client who lives alone was hospitalized for a fractured hip and has recovered from the surgery but needs to continue to work to improve mobility. Which of the following settings would the nurse anticipate that the client be transferred to?

A)Another acute care setting

B)A transitional care setting

C)A residential care facility

D)Their own home with home health nursing

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Chapter 7: Older Adults

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) The nurse is visiting a homeless shelter for older adults to provide a health-promotion activity. Which of the following factors are associated with adult homelessness? (Select all that apply.)

A)Low income

B)Reduced cognitive capacity

C)Decreased health problems

D)Abundance of affordable housing

E)Living alone

Q2) The nurse suspects that elder abuse may be occurring when a frail older-adult client with a broken arm is brought to the emergency department by a family member. Which of these actions should the nurse take first?

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

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

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

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

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Chapter 8: Stress and Stress Management

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10 Verified Questions

10 Flashcards

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Sample Questions

Q1) Ahospitalized client who is usually well organized and calm is receiving diabetic teaching after being newly diagnosed with diabetes. The client is forgetful, irritable, and has poor concentration. Which action should the nurse take?

A)Ask the health care provider for a psychiatric referral.

B)Administer the PRN sedative medication every 4 hours.

C)Suggest the use of a home caregiver to the client's family.

D)Plan to reinforce and repeat teaching about diabetes management.

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

A)Anxiety

B)Defensive coping

C)Ineffective denial

D)Risk prone-health behaviour

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Chapter 9: Sleep and Sleep Disorders

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11 Verified Questions

11 Flashcards

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Sample Questions

Q1) After the nurse has taught a client about the use of extended-release zopiclone for insomnia, which client statement indicates a need for further teaching?

A)"I will take the medication an hour before bedtime."

B)"I should take the medication on an empty stomach."

C)"I should not take this medication unless I can sleep for at least 6 hours."

D)"I will schedule activities that require mental alertness for later in the day."

Q2) The nurse is caring for a client who has sleep deprivation and teaching about the effects that lack of sleep can have on the body. Which of the following information would be included in the teaching plan for this client? (Select all that apply.)

A)Decreased insulin resistance

B)Increased growth hormone

C)Increased risk of type 2 diabetes

D)Irritability, moodiness

E)Increased risk of gastro-esophageal reflux disease (GERD)

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Chapter 10: Pain

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23 Verified Questions

23 Flashcards

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Sample Questions

Q1) The nurse is caring for a client who is taking an opioid for postoperative pain. Which of the following interventions should the nurse include in the clients plan of care to manage possible adverse effects of opioids?

A)Ensure the medication is given PRN only.

B)Administer the prescribed stool softener OD.

C)Ensure the administration route maximizes drug concentration at the site of the adverse effect.

D)Request a prescription for a different classification of medication.

Q2) Aclient with chronic abdominal pain has learned to control the pain with the use of imagery and hypnosis. A family member asks the nurse how these techniques work. Which of the following reasons provide the basis for the nurse's response in relation totheeffectiveness of these strategies?

A)Impact the cognitive and affective components of pain.

B)Increase the modulating effect of the efferent pathways.

C)Prevent transmission of nociceptive stimuli to the cortex.

D)Slow the release of transmitter chemicals in the dorsal horn.

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Chapter 11: Substance Use

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) Aclient with a history of heavy alcohol use is seen at the clinic with acute gastritis. Which statement by the client indicates that the client is in the contemplation stage of change?

A)"I am older and wiser now, and I know I can change my drinking behaviour."

B)"Alcohol has never bothered my stomach. I think it's likely that I have the flu."

C)"I think my drinking is affecting my stomach, but maybe some drugs will help."

D)"People say that I drink too much, but I really feel pretty good most of the time."

Q2) Aclient who smokes a pack of cigarettes daily develops tachycardia and irritability on the second day after abdominal surgery. Which of the following actions should the nurse implement first?

A)Escort the client outside where smoking is allowed.

B)Request a prescription for a nicotine replacement agent.

C)Move the client to a private room and allow smoking.

D)Tell the client that this is a good time to quit smoking.

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Chapter 12: Complementary and Alternative Therapies

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11 Verified Questions

11 Flashcards

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Sample Questions

Q1) Which of the following data obtained by the nurse during the preoperative assessment of a client requires further assessment?

A)The client uses several herbal remedies routinely.

B)The client recently visited a chiropractor for back pain.

C)The client has used acupressure to relieve postoperative nausea in the past.

D)The client expresses a wish to use acupuncture for postoperative pain control.

Q2) Aclient who has nausea associated with chemotherapy asks the nurse whether there are any complementary and alternative therapies that might be effective. Which of the following should the nurse discuss with this client?

A)Green tea

B)Acupuncture

C)Black cohosh

D)Chiropractic therapy

Q3) Which of the following terms is used to describe the study of health as related to a connection between a deity and the human body?

A)Distant healing

B)Petitionary prayer

C)Theosomatic medicine

D)Spiritual healing

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Page 14

Chapter 13: Palliative Care at the End of Life

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) The nurse is caring for a terminally ill client who has 20-second periods of apnea followed by periods of deep and rapid breathing. Which of the following terms should the nurse use to document this finding?

A)Agonal breathing

B)Apneustic breathing

C)Death rattle respirations

D)Cheyne-Stokes respirations

Q2) Aclient who is very close to death is very restless and keeps repeating, "I am not ready to die." Which of the following actions should the nurse take?

A)Remind the client that no one feels ready for death.

B)Sit at the bedside and ask if there is anything the client needs.

C)Insist that family members remain at the bedside with the client.

D)Tell the client that everything possible is being done to delay death.

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Chapter 14: Inflammation and Wound Healing

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21 Verified Questions

21 Flashcards

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Sample Questions

Q1) The nurse is planning care for a client and is preparing to complete a wet-to-dry dressing. Which of the following wound descriptions is appropriate for using this type of dressing?

A)Pressure injury with pink granulation tissue

B)Surgical incision with pink, approximated edges

C)Full-thickness burn filled with dry, black material

D)Wound with purulent drainage and dry brown areas

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

A)1

B)2

C)3

D)4

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

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Page 16

Chapter 15: Genetics

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11 Verified Questions

11 Flashcards

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Sample Questions

Q1) The nurse is counselling a couple in which the man has an autosomal recessive disorder, and the woman has no gene for the disorder. The nurse uses Punnett squares to show the couple that the probability of their having a child with the disorder is whichofthefollowing percentages?

A)0%

B) 25%

C)50%

D) 75%

Q2) Aclient whose mother has diagnosed with BRCA gene-related breast cancer asks the nurse, "Do you think I should be tested for the gene?" Which of the following responses by the nurse is most appropriate?

A)"In most cases, breast cancer is not caused by the BRCA gene."

B)"It depends on how you will feel if the test is positive for the BRCA gene."

C)"There are many things to consider before deciding to have genetic testing."

D)"You should decide first whether you are willing to have a double mastectomy."

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Chapter 16: Altered Immune Response and Transplantation

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27 Verified Questions

27 Flashcards

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Sample Questions

Q1) Immediately after the nurse administers an intradermal injection of an allergen on the forearm, a client complains of itching at the site and of weakness and dizziness. Which of the following actions is priority for the nurse to implement?

A)Remind the client to remain calm.

B)Administer subcutaneous epinephrine.

C)Apply a tourniquet above the injection site.

D)Rub a local anti-inflammatory cream on the site.

Q2) The nurse is completing an assessment and health history with a client. Which of the following statements made by the client should alert the nurse to a possible immunodeficiency disorder?

A)"I take one baby Aspirin every day to prevent stroke."

B)"I usually eat eggs or meat for at least two meals a day."

C)"I had my spleen removed many years ago after a car accident."

D)"I had a chest x-ray 6 months ago when I had walking pneumonia."

Q3) Chickenpox is an example of which of the following types of immunities?

A)Innate

B)Natural active

C)Artificial

D)Cell-mediated

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Page 18

Chapter 17: Infection and Human Immunodeficiency Virus

Infection

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) A young adult who uses injectable illegal drugs asks the nurse about preventing AIDS. Which of the following information should the nurse inform the client is the best way to reduce the risk of HIV infection from drug use?

A)Participate in a needle-exchange program.

B)Clean drug injection equipment before use.

C)Ask those who share equipment to be tested for HIV.

D)Avoid sexual intercourse when using injectable drugs.

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

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

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

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

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

Q3) Replication of HIV is enhanced when the client is taking which of the following herbs?

A)Echinacea

B)St. John's wort

C)Fish oil

D)Saw palmetto

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Chapter 18: Cancer

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36 Verified Questions

36 Flashcards

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Sample Questions

Q1) The nurse is caring for a client with Hodgkin's lymphoma who is undergoing external radiation therapy and tells the nurse, "I am so tired I can hardly get out of bed in the morning." Which of the following interventions should the nurse implement?

A)Minimize activity until the treatment is completed.

B)Exercise vigorously when fatigue is not as noticeable.

C)Establish a time to take a short walk almost every day.

D)Consult with a psychiatrist for treatment of depression.

Q2) The nurse obtains information about a hospitalized client who is receiving chemotherapy for cancer of the colon. Which of the following information about the client is most indicative of a need for a change in therapy?

A)Poor oral intake

B)Increase in carcinoembryonic antigen

C)Frequent loose stools

D)Complaints of nausea

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Chapter 19: Fluid

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33 Verified Questions

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Sample Questions

Q1) The nurse is caring for a client who has been hospitalized for 2 days and is receiving normal saline IV at 100 mL/hour, has a nasogastric tube to low suction, and is NPO. Which of the following assessment findings by the nurse is the priority to reporttothehealth care provider?

A)Serum sodium level of 138 mmol/L

B)Gradually decreasing level of consciousness (LOC)

C)Oral temperature of 37.8°C (100°F) with bibasilar lung crackles

D)Weight gain of 1 kg above the admission weight

Q2) Which of the following actions would the nurse include in the plan of care for a client who has a central venous access device (CVAD)?

A)Avoid using friction when cleaning around the CVAD insertion site.

B)Use the push-pause method to flush the CVAD after giving medications.

C)Obtain an order from the health care provider to change CVAD dressing.

D)Have the client turn the head toward the CAVD during injection cap changes.

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Chapter 20: Nursing Management Preoperative Care

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22 Verified Questions

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Sample Questions

Q1) The nurse is interviewing a client who is to have outpatient surgery using a general anaesthetic. Which of the following information is most important to communicate to the surgeon and anaesthesiologist before surgery?

A)The client drinks three or four cups of coffee every morning before going to work.

B)The client takes a baby Aspirin daily but stopped taking aspirin 2 weeks ago.

C)The client drank 120 mL of apple juice 3 hours before coming to the hospital.

D)The client's father died after receiving general anaesthesia for abdominal surgery.

Q2) The nurse is preparing a client for abdominal surgery who takes a diuretic and a ?-blocker pill to control blood pressure. Which of the following client information is most important for the nurse to communicate to the health care provider before surgery?

A)Pulse rate 59 beats/minute

B)Hematocrit 35%

C)Blood pressure 142/78 mm Hg

D)Serum potassium 3.3 mmol/L

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Chapter 21: Nursing Management Intraoperative Care

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) The nurse is caring for a client before surgery who has a question about the preoperative medication. Which of the following people will the nurse communicate this information to?

A)Scrub nurse

B)Anaesthesiologist

C)Circulating nurse

D)Registered nurse first assistant (RNFA)

Q2) Data that were obtained during the perioperative nurse is assessing a client in the preoperative holding area. Which of the following findings would indicate a need for special protection techniques during surgery?

A)A stated allergy to cats and dogs

B)A history of spinal and hip arthritis

C)Verbalization of anxiety by the client

D)Having a sip of water 2 hours previously

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Chapter 22: Nursing Management Postoperative Care

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21 Verified Questions

21 Flashcards

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Sample Questions

Q1) After a new nurse has been oriented to the postanaesthesia care unit (PACU), the charge nurse will evaluate that the orientation has been successful when the new nurse does which of the following actions?

A)Places a client in the Trendelenburg position when the blood pressure (BP) drops.

B)Assists a client to the prone position when the client is nauseated.

C)Turns an unconscious client to the side when the client arrives in the PACU.

D)Positions a newly admitted unconscious client supine with the head elevated.

Q2) After removal of the nasogastric (NG) tube on the second postoperative day, the client is placed on a clear liquid diet. Four hours later, the client complains of sharp, cramping gas pains. Which of the following actions should the nurse take?

A)Reinsert the NG tube.

B)Give the PRN IV opioid.

C)Assist the client to ambulate.

D)Place the client on NPO status.

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Chapter 23: Nursing Assessment Visual and Auditory Systems

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23 Verified Questions

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Sample Questions

Q1) The nurse is performing an eye examination on a client and is assessing for accommodation. Which of the following actions should the nurse implement?

A)Cover one eye for 1 minute and note the pupil reaction when the cover is removed.

B)Shine a light into the client's eye and assess the pupil response in the opposite eye.

C)Observe the pupils when the client focuses on a close object and then on a distant object.

D)Touch the client's pupil with a small piece of sterile cotton and watch for a blink reaction.

Q2) Which assessment information obtained by the nurse when performing an eye examination for an older-adult client indicates that more extensive examination of the eyes is needed?

A)The client's sclerae are light yellow in colour.

B)The client complains of persistent photophobia.

C)The pupil recovers slowly after being stimulated by a penlight.

D)There is a whitish gray ring encircling the periphery of the iris.

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Chapter 24: Nursing Management Visual and Auditory

Problems

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Sample Questions

Q1) Which of the following nursing diagnoses is priority when caring for a client who is experiencing an acute attack of Ménière's disease?

A)Risk for falls as evidenced by impaired balance

B)Impaired verbal communication related to vulnerability (tinnitus)

C)Bathing self-care deficit related to weakness (vertigo)

D)Imbalanced nutrition: less than body requirements related to insufficient dietary intake (nausea)

Q2) The nurse is caring for a client with chronic otitis media. Which of the following findings should the nurse expect to assess? (Select all that apply.)

A)Pinked-tinged exudate

B)Pain

C)Nausea

D)Dizziness

E)Hearing loss

Q3) Which of the following actions is an example of an approach magnification?

A)Using a telescopic lens

B)Sitting closer to a television while watching it

C)Using a black-tipped felt marker when writing

D)Reading books with large-type print

Page 26

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Chapter 25: Nursing Assessment Integumentary System

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Sample Questions

Q1) The nurse is caring for a client who reports chronic itching of the ankles and cannot keep from continuously scratching them. The nurse will plan to implement interventions to decrease the risk for which of the following conditions?

A)Skin atrophy

B)Lichenification

C)Skin varicosity

D)Keloid formation

Q2) The nurse is caring for a client who has several angiomas on their legs. Which of the following actions should the nurse take next?

A)Assess the client for evidence of liver disease.

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

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

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

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Chapter 26: Nursing Management Integumentary

Problems

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Sample Questions

Q1) The health care provider diagnoses impetigo for a client who has crusty vesicopustular lesions on the lower face. Which of the following topics would the nurse include in the teaching plan for this client?

A)Avoidance of antibiotic ointments on the lesions

B)How to clean the infected areas with soap and water

C)Use of petroleum jelly (Vaseline) to soften crusty areas

D)Appropriate use of alcohol-based cleansers on the lesions

Q2) The nurse is caring for a client with a urinary tract infection and has been prescribed ciprofloxacin. Which of the following information should the nurse include when teaching this client?

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

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

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

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

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Chapter 27: Nursing Management Burns

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Sample Questions

Q1) The nurse notes a bright red skin colour for a client who was found unconscious from smoke inhalation in a burning house. Which of the following actions should the nurse take first?

A)Insert two large-bore IV lines.

B)Check the client's orientation.

C)Place the client on 100% oxygen using a non-rebreather mask.

D)Assess for singed nasal hair and dark oral mucous membranes.

Q2) The nurse is caring for a client who has burns over 30% of the body surface. Which of the following events indicates that the client has moved from the emergent to the acute phase of the burn injury?

A)White blood cell levels decrease.

B)Blisters and edema have subsided.

C)The client has large quantities of pale urine.

D)The client has been hospitalized for 48 hours.

Q3) The nurse is estimating the extent of a burn using the rule of nines for a client who has been admitted with deep partial-thickness burns of the posterior trunk and right arm. What percentage of the client's total body surface area (TBSA) has been injured?

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Chapter 28: Nursing Assessment Respiratory System

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Sample Questions

Q1) The nurse is assessing the respiratory system of an older-adult client. Which of the following findings indicate that the nurse should take immediate action?

A)The chest appears barrel shaped.

B)The client has a weak cough effort.

C)Crackles are heard from the lung bases to the midline.

D)Hyperresonance is present across both sides of the chest.

Q2) The nurse is analyzing the results of a client's arterial blood gases (ABGs). Which of the following findings require the most immediate action?

A)The arterial oxygen saturation (SaO2) is 92%.

B)The partial pressure of oxygen in arterial blood (PaO2) is 59 mm Hg.

C)The partial pressure of CO2 in arterial blood (PaCO2) is 31 mm Hg.

D)The bicarbonate level (HCO3-) is 29 mmol/L.

Q3) Which of the following lung structures has the most generations?

A)Segmental bronchi

B)Subsegmental bronchi

C)Bronchioles

D)Alveoli

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Chapter 29: Nursing Management Upper Respiratory

Problems

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3294

Sample Questions

Q1) An RN is observing a nursing student who is suctioning a hospitalized client with a tracheostomy in place. Which of the following actions by the student requires the RN to intervene?

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

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

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

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

Q2) The nurse is deflating the cuff of a tracheostomy tube to evaluate the client's ability to swallow. Which of the following actions should the nurse implement?

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

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

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

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

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

A)Fungal

B)Viral

C)Acute follicular

D)Peritonsillar

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Chapter 30: Nursing Management Lower Respiratory

Problems

Available Study Resources on Quizplus for this Chatper

43 Verified Questions

43 Flashcards

Source URL: https://quizplus.com/quiz/3295

Sample Questions

Q1) The nurse is caring for a client who has incisional pain, a poor cough effort, and scattered rhonchi after a thoracotomy. Which of the following actions should the nurse take first?

A)Assist the client to sit up at the bedside.

B)Splint the client's chest during coughing.

C)Medicate the client with the prescribed morphine.

D)Have the client use the prescribed incentive spirometer.

Q2) The nurse is caring for a client in the emergency department who has an open stab wound to the right chest. Which of the following actions should the nurse implement first?

A)Position the client so that the right chest is dependent.

B)Keep the head of the client's bed at no more than 30 degrees elevation.

C)Tape a nonporous dressing on three sides over the chest wound.

D)Cover the sucking chest wound firmly with an occlusive dressing.

Q3) Which of the following information about a client who has a recent history of A)Chest x-ray shows no upper lobe infiltrates.

B)TB medications have been taken for 6 months.

C)Mantoux testing shows an induration of 10 mm.

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

Page 32

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Chapter 31: Nursing Management Obstructive Pulmonary Diseases

Available Study Resources on Quizplus for this Chatper

42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/3296

Sample Questions

Q1) Which of the following information should the nurse include when teaching the client with asthma about the prescribed medications?

A)Utilize the inhaled corticosteroid when shortness of breath occurs.

B)Inhale slowly and deeply when using the dry-powder inhaler (DPI).

C)Hold your breath for 5 seconds after using the bronchodilator inhaler.

D)Tremors are an expected adverse effect of rapidly acting bronchodilators.

Q2) Which of the following findings by the nurse for a client with a nursing diagnosis of impaired gas exchange will be most useful in evaluating the effectiveness of treatment?

A)Pulse oximetry reading of 91%

B)Absence of wheezes or crackles

C)Decreased use of accessory muscles

D)Respiratory rate of 22 breaths/minute

Q3) Which of the following actions should the nurse anticipate taking first when a client who is experiencing an asthma attack develops bradycardia and a decrease in wheezing?

A)Assist with endotracheal intubation.

B)Document changes in respiratory status.

C)Encourage the client to cough and deep breathe.

D)Administer IV methylprednisolone.

Page 33

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Chapter 32: Nursing Assessment Hematological System

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16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/3297

Sample Questions

Q1) The nurse is reviewing laboratory data for an older-adult client. Which of the following results should be of most concern?

A)White blood cell (WBC) count of 3.5 * 109/L

B)Hematocrit of 37%

C)Platelet count of 400 * 109/L

D)Hemoglobin of 118 g/L

Q2) The nurse is providing discharge teaching to a client who has had an emergency splenectomy following an automobile accident. Which of the following events should the nurse inform the client that they are at an increased risk of developing?

A)Infection

B)Lymphedema

C)Chronic anemia

D)Prolonged bleeding

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Chapter 33: Nursing Management Hematological Problems

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39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/3298

Sample Questions

Q1) Fifteen minutes after a transfusion of packed red blood cells is started, a client has symptoms of back pain and dyspnea and a pulse rate of 124 beats/minute. Which of the following actions should the nurse implement initially?

A)Administer oxygen therapy at a high flow rate.

B)Obtain a urine specimen to send to the laboratory.

C)Notify the health care provider about the symptoms.

D)Disconnect the transfusion and infuse normal saline.

Q2) The nurse has finished teaching a client about taking oral ferrous sulphate. Which of the following client statements indicates that additional instruction is needed?

A)"I will call the doctor if my stools start to turn black."

B)"I will take a stool softener if I feel constipated occasionally."

C)"I should take the iron with orange juice about an hour before eating."

D)"I should increase my fluid and fibre intake while I am taking the iron tablets."

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Chapter 34: Nursing Assessment Cardiovascular System

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/3299

Sample Questions

Q1) To auscultate for S3 or S4 gallops in the mitral area, which of the following should the nurse implement?

A)Use the bell of the stethoscope with the client in the left lateral position.

B)Use the bell of the stethoscope with the client sitting and leaning forward.

C)Use the diaphragm of the stethoscope with the client in a reclining position.

D)Use the diaphragm of the stethoscope with the client lying flat on the left side.

Q2) The nurse is assessing a client who has just arrived in the emergency department and notes a pulse deficit. Which of the following actions should the nurse anticipate for the client?

A)A 2-D echocardiogram

B)A cardiac catheterization

C)Hourly blood pressure checks

D)Electrocardiographic monitoring

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Chapter 35: Nursing Management Hypertension

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23 Verified Questions

23 Flashcards

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

Sample Questions

Q1) When a client with hypertension who has a new prescription for atenolol returns to the health clinic after 2 weeks for a follow-up visit, the BP is unchanged from the previous visit. Which of the following actions should the nurse take first?

A)Provide information about the use of multiple drugs to treat hypertension.

B)Teach the client about the reasons for a possible change in drug therapy.

C)Remind the client that lifestyle changes also are important in BP control.

D)Ask the client about whether the medication is actually being taken.

Q2) The nurse obtains a blood pressure of 180/75 mm Hg for a client. What is the client's mean arterial pressure (MAP)?

Q3) The nurse is teaching a client with stage 1 hypertension about diet modifications that should be implemented. Which of the following diet choices indicates that the teaching has been effective?

A)The client avoids eating nuts or nut butters.

B)The client restricts intake of dietary protein.

C)The client has only one cup of coffee in the morning.

D)The client has a glass of low-fat milk with each meal.

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Chapter 36: Nursing Management Coronary Artery Disease

and Acute Coronary Syndrome

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37 Verified Questions

37 Flashcards

Source URL: https://quizplus.com/quiz/3301

Sample Questions

Q1) The nurse is admitting a client with a myocardial infarction (MI) to the intensive care unit. Which of the following actions should the nurse carry out first?

A)Obtain the blood pressure.

B)Attach the cardiac monitor.

C)Assess the peripheral pulses.

D)Auscultate the breath sounds.

Q2) The nurse is caring for a client with angina who has been prescribed nadolol. Which of the following parameters should the nurse assess to determine whether the drug is effective?

A)Decreased blood pressure and apical pulse rate

B)Fewer complaints of having cold hands and feet

C)Improvement in the quality of the peripheral pulses

D)The ability to do daily activities without chest discomfort

Q3) Which of the following information collected by the nurse who is admitting a client with chest pain suggests that the pain is caused by an acute myocardial infarction?

A)The pain increases with deep breathing.

B)The pain has persisted longer than 30 minutes.

C)The pain worsens when the client raises the arms.

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Chapter 37: Nursing Management Heart Failure

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3302

Sample Questions

Q1) The nurse is caring for a client with Class III status (NYHA) heart failure and type 2 diabetes and the client asks the nurse whether heart transplant is a possible therapy. Which of the following responses by the nurse is best?

A)"Since you have diabetes, you would not be a candidate for a heart transplant."

B)"The choice of a client for a heart transplant depends on many different factors."

C)"Your heart failure has not reached the stage in which heart transplants are considered."

D)"People who have heart transplants are at risk for multiple complications after surgery."

Q2) The nurse is providing health-promotion teaching related to heart health and is explaining modifiable and nonmodifiable risk factors. Smoking is a modifiable risk factor. After a diagnosis of cardiovascular-related illness, approximately what percentageofclients that were smokers quit?

A)5

B)15

C)25

D)50

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Chapter 38: Nursing Management Dysrhythmias

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27 Verified Questions

27 Flashcards

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

Sample Questions

Q1) The nurse is analyzing an electrocardiographic rhythm strip of a client with a regular cardiac rhythm and finds there are 25 small blocks from one R wave to the next. The nurse calculates the client's heart rate as beats per minute.

Q2) The nurse is caring for a young adult client who had a mandatory electrocardiogram (ECG) before participating on a college swim team and is found to have sinus bradycardia, rate 52. BP is 114/54 mm Hg, and the student denies any health problems. Which of thefollowing actions by the nurse is best?

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

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

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

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

Q3) Aclient has a junctional escape rhythm on the monitor. The nurse will expect the client to have a heart rate of how many beats/minute?

A)20-30

B) 40-60

C)70-80

D) 90-100

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Page 40

Chapter 39: Nursing Management Inflammatory and Structural

Heart Disorders

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/3304

Sample Questions

Q1) The nurse is caring for a client who has had recent cardiac surgery and develops pericarditis, with symptoms of chest pain at a level 6 (0-10 scale) with deep breathing. Which of the following prescribed PRN medications should the nurse administer?

A)Fentanyl 2 mg IV

B)Morphine sulphate 6 mg IV

C)Ibuprofen 800 mg PO

D)Acetaminophen 650 mg PO

Q2) Which of the following findings in a client with infective endocarditis (IE) is most important for the nurse to communicate to the health care provider?

A)Generalized muscle aching

B)Sudden onset left flank pain

C)Janeway's lesions on the palms

D)Temperature 38.1° C

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Chapter 40: Nursing Management Vascular Disorders

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31 Verified Questions

31 Flashcards

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

Sample Questions

Q1) The nurse is providing teaching to a client with chronic venous insufficiency who has a venous ulcer on the right lower leg. Which of the following topics should the nurse include in the teaching plan?

A)Adequate carbohydrate intake

B)Prophylactic antibiotic therapy

C)Application of compression to the leg

D)Methods of keeping the wound area dry

Q2) A client with a venous thrombo-embolism (VTE) is started on enoxaparin and warfarin. The client asks the nurse why two medications are necessary. Which of the following responses by the nurse is accurate?

A)"Administration of two anticoagulants reduces the risk for recurrent venous thrombosis."

B)"Enoxaparin will start to dissolve the clot, and warfarin will prevent any more clots from occurring."

C)"The enoxaparin will work immediately, but the warfarin takes several days to have an effect on coagulation."

D)"Because of the potential for a pulmonary embolism, it is important for you to have more than one anticoagulant."

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Page 42

Chapter 41: Nursing Assessment Gastro-intestinal System

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16 Verified Questions

16 Flashcards

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

Sample Questions

Q1) The nurse is caring for a client who has an obstruction of the common bile duct. Which of the following findings should the nurse monitor in this client?

A)Melena

B)Steatorrhea

C)Decreased serum cholesterol levels

D)Increased serum indirect bilirubin levels

Q2) The nurse is preparing to assess a client's liver. When palpating the liver, which of the following techniques should the nurse implement?

A)Place one hand on the client's back and press upward and inward with the other hand below the client's right costal margin.

B)Place one hand on top of the other and use the upper fingers to apply pressure and the bottom fingers to feel for the liver edge.

C)Press slowly and firmly over the right costal margin with one hand and withdraw the fingers quickly after the liver edge is felt.

D)Place one hand under the client's lower ribs and press the left lower rib cage forward, palpating below the costal margin with the other hand.

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Chapter 42: Nursing Management Nutritional Problems

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3307

Sample Questions

Q1) The nurse is caring for a client who is receiving tube feedings through a percutaneous endoscopic gastrostomy (PEG). Which of the following actions should the nurse include in the plan of care?

A)Keep the client positioned on the left side.

B)Obtain a daily x-ray to verify tube placement.

C)Check the gastric residual volume every 4-6 hours.

D)Avoid giving bolus tube feedings through the PEG tube.

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

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

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

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

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

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

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Chapter 43: Nursing Management Obesity

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19 Verified Questions

19 Flashcards

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

Sample Questions

Q1) The nurse has completed teaching a client about the recommended amounts of foods from different food groups. Which of the following menu selections indicates that the initial instructions about health eating have been understood?

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

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

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

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

Q2) A client who has been successfully losing 0.5 kg weekly for several months is weighed at the clinic and has not lost any weight for the last month. Which of the following actions should the nurse do first?

A)Review the diet and exercise guidelines with the client.

B)Instruct the client to weigh weekly and record the weights.

C)Ask the client whether there have been any changes in exercise or diet patterns.

D)Discuss the possibility that the client has reached a temporary weight loss plateau.

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Chapter 44: Nursing Management Upper Gastro-intestinal

Problems

Available Study Resources on Quizplus for this Chatper

42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/3309

Sample Questions

Q1) The nurse is caring for a client who is receiving chemotherapy and develops a Candida albicans oral infection. Which of the following actions should the nurse anticipate?

A)Hydrogen peroxide rinses

B)The use of antiviral agents

C)Referral to a dentist for professional tooth cleaning

D)Administration of nystatin oral tablets

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

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

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

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

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

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Chapter 45: Nursing Management Lower Gastro-intestinal

Problems

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46 Verified Questions

46 Flashcards

Source URL: https://quizplus.com/quiz/3310

Sample Questions

Q1) A client is brought to the emergency department with a knife impaled in the abdomen following a domestic fight. During the initial assessment of the client, which of the following actions should the nurse implement?

A)Assess the BP and pulse.

B)Remove the knife to assess the wound.

C)Determine the presence of Rovsing sign.

D)Insert a urinary catheter and assess for hematuria.

Q2) The nurse is preparing a 50-year-old client for an annual physical examination. Which of the following diagnostic tests should the nurse teach to the client?

A)Endoscopy

B)Fecal occult blood test

C)Computerized tomography screening

D)Carcinoembryonic antigen (CEA) testing

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Chapter 46: Nursing Management Liver

Available Study Resources on Quizplus for this Chatper

40 Verified Questions

40 Flashcards

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

Sample Questions

Q1) The nurse is caring for a client who is admitted with an abrupt onset of jaundice, nausea, and abnormal liver function studies. Serological testing is negative for viral causes of hepatitis. Which of the following questions by the nurse is best?

A)"Is there any history of IV drug use?"

B)"Are you taking corticosteroids for any reason?"

C)"Do you use any over-the-counter (OTC) drugs?"

D)"Have you recently travelled to a foreign country?"

Q2) The nurse is admitting a client who is homeless and has viral hepatitis with symptoms of severe anorexia and fatigue. Which of the following client goals should have the highest priority when the nurse is developing the plan of care?

A)Increase activity level.

B)Maintain adequate nutrition.

C)Establish a stable home environment.

D)Identify the source of exposure to hepatitis.

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Chapter 47: Nursing Assessment Urinary System

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22 Verified Questions

22 Flashcards

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

Sample Questions

Q1) Which of the following actions should the nurse plan to take first when admitting a client who has a history of neurogenic bladder as a result of a spinal cord injury?

A)Ask about the usual urinary pattern and any measures used for bladder control.

B)Assist the client to the toilet at scheduled times to help ensure bladder emptying.

C)Check the client for urinary incontinence every 2 hours to maintain skin integrity.

D)Use intermittent catheterization on a regular schedule to avoid the risk of infection.

Q2) The nurse is caring for a client following an intravenous pyelogram (IVP) and obtains all of the following assessment data. Which of the following findings require immediate action by the nurse?

A)The heart rate is 58 beats/minute.

B)The respiratory rate is 38 breaths/minute.

C)The client complains of a dry mouth.

D)The urine output is 400 mL in the first 2 hours.

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Chapter 48: Nursing Management Renal and Urologic Problems

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39 Verified Questions

39 Flashcards

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

Sample Questions

Q1) The nurse is teaching a client with interstitial cystitis about management of the condition. Which of the following client statements indicate that further instruction is required?

A)"I will have to stop having coffee and orange juice for breakfast."

B)"I should start taking a high potency multiple vitamin every morning."

C)"I will buy some calcium glycerophosphate (Prelief) at the pharmacy."

D)"I should call the doctor about increased bladder pain or odorous urine."

Q2) The nurse is admitting a client with acute glomerulonephritis. Which of the following assessments is most important for the nurse to include?

A)Recent sore throat and fever

B)History of high blood pressure

C)Frequency of bladder infections

D)Family history of kidney stones

Q3) The nurse is assessing a client who has a lower urinary tract infection (UTI). Which of the following symptoms should the nurse ask about initially?

A)Nausea

B)Flank pain

C)Poor urine output

D)Pain with urination

Page 50

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

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36 Verified Questions

36 Flashcards

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

Sample Questions

Q1) The nurse is caring for a client with acute kidney injury who is dehydrated with symptoms of oliguria, anemia, and hyperkalemia. Which of the following prescribed actions should the nurse take first?

A)Insert a urinary retention catheter.

B)Place the client on a cardiac monitor.

C)Administer an erythropoiesis-stimulating agent (ESA).

D)Give sodium polystyrene sulfonate.

Q2) The nurse is caring for a client with stage 2 chronic kidney disease (CKD) who is scheduled for an intravenous pyelogram (IVP). Which of the following prescriptions for the client should the nurse question?

A)NPO for 6 hours before IVP procedure

B)Normal saline 500 mL IV before procedure

C)Ibuprofen 400 mg PO PRN for pain

D)Dulcolax suppository 4 hours before IVP procedure

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Chapter 50: Nursing Assessment Endocrine System

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/3315

Sample Questions

Q1) The nurse is teaching a client how to prepare for an oral glucose tolerance test (OGTT). Which of the following client response indicates that the teaching has been effective?

A)Fast 12 hours before the procedure

B)Clear fluid diet 12 hours prior to the test

C)Drink only full fluids 6 hours before the test

D)No fluid or food restrictions prior to the test

Q2) The nurse is caring for a client who is undergoing a water deprivation test. Which of the following findings is most important for the nurse to communicate to the health care provider?

A)Intense thirst

B)2.3 kg weight loss

C)Orthostatic hypotension

D)No change in urine osmolality

Q3) The regulation of oxytocin during childbirth is an example of which of the following mechanisms?

A)Physiological rhythm

B)Secondary input

C)Loop regulation

D)Positive feedback

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Chapter 51: Nursing Management Endocrine Problems

Available Study Resources on Quizplus for this Chatper

39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/3316

Sample Questions

Q1) The nurse is caring for a client with Graves' disease who has exophthalmos. Which of the following actions shouldbe included in the plan of care?

A)Apply eye patches to protect the cornea from irritation.

B)Place cold packs on the eyes to relieve pain and swelling.

C)Elevate the head of the client's bed to reduce periorbital fluid.

D)Teach the client to blink every few seconds to lubricate the cornea.

Q2) Which of the following assessment findings for a client admitted with Graves' disease requires the most rapid intervention by the nurse?

A)BP 166/100 mm Hg

B)Bilateral exophthalmos

C)Heart rate 136 beats/minute

D)Temperature 40.4°C (104.7°F)

Q3) Aclient is suspected of having a pituitary tumour causing panhypopituitarism. During assessment of the client, which of the following findings should the nurse anticipate?

A)High blood pressure

B)Elevated blood glucose

C)Tachycardia and cardiac palpitations

D)Changes in secondary sex characteristics

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Page 53

Chapter 52: Nursing Management Diabetes Mellitus

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39 Verified Questions

39 Flashcards

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

Sample Questions

Q1) A client with type 2 diabetes that is well-controlled with metformin develops an allergic rash to an antibiotic and the health care provider prescribes prednisone. Which of the following information should the nurse anticipate while the client is takingthe prednisone?

A)A diet higher in calories

B)Administration of insulin

C)Development of acute hypoglycemia

D)Appearance of a rash caused by metformin-prednisone interactions.

Q2) Which of the following questions by the nurse will help identify autonomic neuropathy in a client with diabetes?

A)"Have you observed any recent skin changes?"

B)"Do you notice any bloating feeling after eating?"

C)"Do you need to increase your insulin dosage when you are stressed?"

D)"Have you noticed any painful new ulcerations or sores on your feet?"

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Chapter 53: Nursing Assessment Reproductive System

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18 Verified Questions

18 Flashcards

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

Sample Questions

Q1) The nurse is assessing a client in the Sexual Health Clinic who has a positive Venereal Disease Research Laboratory (VDRL) test, but no chancre is noted. The nurse should plan to send the specimens for which of the following tests?

A)Gram stain

B)Cytological studies

C)Rapid plasma reagin (RPR) agglutination

D)Fluorescent treponemal antibody absorption (FTA-ABS)

Q2) The nurse is assessing a male client who is taking the following medications and tells the nurse that he has had difficulty in achieving an erection. Which of the following medications may cause erectile dysfunction (ED)?

A)Atorvastatin

B)Metformin

C)Propranolol

D)Ranitidine

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Chapter 54: Nursing Management Breast Disorders

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/3319

Sample Questions

Q1) When the nurse is working in the women's health care clinic, which of the following actions is appropriate to take?

A)Educate a healthy 36-year-old about the need for an annual mammogram.

B)Discuss the need for an annual mammography with a 52-year-old.

C)Talk about magnetic resonance imaging (MRI) with a 26-year-old with a BRCA-1 mutation.

D)Teach an active 70-year-old that mammography frequency should be individualized based upon her history.

Q2) The nurse is caring for a client who has had a right mastectomy and the client asks the nurse how long the biannual mammography will have to continue. Which of the following time frames should the nurse inform the client is recommended for mammography postmastectomy?

A)Every 6 months for a year

B)Every 6 months for 2 years

C)Every 6 months for 5 years

D)Every 6 months for life

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Chapter 55: Nursing Management Sexually Transmitted

Infections

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16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/3320

Sample Questions

Q1) The nurse is assessing a female client who being seen in the family medicine clinic for an annual physical exam. Which of the following information should the nurse plan to teach the client about?

A)Testing for chlamydia infection

B)Immunization for herpes simplex

C)The relationship between the herpes virus and cervical cancer

D)The risk of infertility associated with the human papillomavirus (HPV)

Q2) The nurse is counselling a client who is having difficulty in conceiving. Which of the following infections is of most concern to the nurse?

A)Chlamydia

B)Treponema pallidum.

C)Condyloma acuminatum.

D)Herpes simplex virus type 2.

Q3) Which of the following clients should the nurse plan on teaching about the Gardasil vaccine?

A)A 50-year-old man who has multiple sexual partners

B)A 23-year-old woman who is pregnant for the first time

C)An 11-year-old female who has never been sexually active

D)A 28-year-old male who is in a monogamous relationship

Page 57

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Chapter 56: Nursing Management Female Reproductive

Problems

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42 Verified Questions

42 Flashcards

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

Sample Questions

Q1) A client who is scheduled for a Pap test tells the nurse that she has had intercourse during the last year with several men. Which of the following information should the nurse teach to the client?

A)Contraceptive use

B)Antibiotic therapy

C)Chlamydia testing

D)Pregnancy testing

Q2) The nurse is caring for a client who has undergone a radical vulvectomy for vulvar carcinoma. Which of the following nursing diagnoses is priority at this time?

A)Bathing self-care deficit related to pain

B)Risk for infection as evidenced by invasive procedure (contamination of the wound with urine and stool)

C)Imbalanced nutrition: less than body requirements related to insufficient dietary intake

D)Risk for ineffective sexual pattern as evidenced by impaired relationship with significant other (disfiguration caused by the surgery)

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Chapter 57: Nursing Management Male Reproductive Problems

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27 Verified Questions

27 Flashcards

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

Sample Questions

Q1) The nurse working in a health clinic receives calls from all these clients. Which of the following clients should be seen by the health care provider first?

A)A 44-year-old man who has perineal pain and a temperature of 38°C (100.4°F)

B)A 66-year-old man who has a painful erection that has lasted over 5 hours

C)A 62-year-old man who has light pink urine after having a transurethral resection of the prostate (TURP) 3 days ago

D)A 23-year-old man who states he had difficulty maintaining an erection last night

Q2) The nurse is caring for a client who had a perineal radical prostatectomy for prostatic cancer. In the immediate postoperative period, which of the following etiologies best relates to the nursing diagnosis of risk for infection?

A)Urinary stasis

B)Urinary incontinence

C)Fecal contamination of the surgical wound

D)Placement of a suprapubic catheter into the bladder

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Chapter 58: Nursing Assessment Nervous System

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Sample Questions

Q1) Propranolol, a ?-adrenergic blocker that inhibits sympathetic nervous system activity, is prescribed for a client. Which of the following assessments should the nurse monitor?

A)Dry mouth

B)Constipation

C)Slowed pulse

D)Urinary retention

Q2) Which of the following equipment should the nurse obtain to assess vibration sense in a client who has peripheral nerve dysfunction?

A)Sharp pin

B)Tuning fork

C)Reflex hammer

D)Calibrated compass

Q3) The nurse is performing a focused assessment on a client with a lesion of the left posterior temporal lobe. Which of the following assessments should the nurse complete?

A)Sensation on the left side of the body

B)Voluntary movement on the right side

C)Reasoning and problem-solving abilities

D)Understanding of written and oral language

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Page 60

Chapter 59: Nursing Management Acute Intracranial

Problems

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Sample Questions

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

A)Hematocrit

B)Blood pressure

C)Oxygen saturation

D)Intracranial pressure

Q2) Which of the following assessment findings should the nurse report immediately to the health care provider when caring for a client with increased intracranial pressure?

A)CPP 38 mm Hg

B)MAP 92 mm Hg

C)PaO2 110 mm Hg

D) BP 140/82

Q3) The nurse is admitting a client who has a tumour of the right frontal lobe. Which of the following findings should the nurse expect to observe?

A)Judgement changes

B)Expressive aphasia

C)Right-sided weakness

D)Difficulty swallowing

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Chapter 60: Nursing Management Stroke

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

Sample Questions

Q1) The nurse identifies the nursing diagnosis of impaired verbal communication for a client with expressive aphasia. Which of the following actions should the nurse implement to help the client communicate?

A)Have the client practice facial and tongue exercises.

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

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

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

Q2) The nurse is admitting a client who began experiencing right-sided arm and leg weakness to the emergency department. In which order should the nurse implement these actions included in the stroke protocol? (Select all that apply.)

A)Obtain CT scan without contrast.

B)Infuse tissue plasminogen activator (tPA).

C)Administer oxygen to keep O2 saturation >95%.

D)Use National Institute of Health Stroke Scale to assess client.

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Chapter 61: Nursing Management Chronic Neurological Problems

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33 Flashcards

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Sample Questions

Q1) Which of the following prescribed interventions will the nurse implement first for a hospitalized client who is experiencing continuous tonic-clonic seizures?

A)Give phenytoin 100 mg IV.

B)Monitor level of consciousness.

C)Obtain computed tomography scan.

D)Administer lorazepam 4 mg IV.

Q2) The nurse is caring for a client with Parkinson's disease who is admitted to the hospital for treatment of an acute infection. Which of the following nursing interventions will be included in the plan of care? (Select all that apply.)

A)Use an elevated toilet seat.

B)Cut client's food into small pieces.

C)Provide high protein foods at each meal.

D)Place an arm chair at the client's bedside.

E)Observe for sudden exacerbation of symptoms.

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Chapter 62: Nursing Management Delirium

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Sample Questions

Q1) The nurse is developing a plan of care for a hospitalized client with moderate dementia. Which of the following interventions should the nurse include?

A)Provide complete personal hygiene care for the client.

B)Remind the client frequently about being in the hospital.

C)Reposition the client frequently to avoid skin breakdown.

D)Place suction at the bedside to decrease the risk for aspiration.

Q2) Which of the following actions should the nurse in the outpatient clinic include in the plan of care for a client with mild cognitive impairment (MCI)?

A)Suggest a move into an assisted-living facility.

B)Schedule the client for annual appointments.

C)Ask family members to supervise the client's daily activities.

D)Discuss the preventive use of acetylcholinesterase medications.

Q3) The nurse is assessing a client who is diagnosed with middle (moderate) dementia as a result of multiple strokes. Which of the following findings should the nurse expect?

A)Excessive nighttime sleepiness

B)Difficulty eating and swallowing

C)Variable ability to perform simple tasks

D)Loss of both recent and remote memory

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Chapter 63: Nursing Management Peripheral Nerve and Spinal Cord Problems

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Sample Questions

Q1) Which of the following nursing interventions is appropriate for a client with a spinal cord injury who is in the anger phase of adjustment?

A)Use firm kindness.

B)Do not allow fixation on the injury.

C)Use simple diagrams to explain the injury.

D)Give cheerful assistance with the activities of daily living.

Q2) The nurse is caring for a client who was admitted 24 hours previously with a C5 spinal cord injury. Which of the following nursing actions has the highest priority?

A)Assessment of respiratory rate and depth

B)Continuous cardiac monitoring for bradycardia

C)Application of pneumatic compression devices to both legs

D)Administration of methylprednisolone infusion

Q3) The nurse is developing a rehabilitation plan for a client with a C6 spinal cord injury. Which of the following goals should the nurse include for this client?

A)Transfer independently to a wheelchair.

B)Drive a car with powered hand controls.

C)Turn and reposition independently when in bed.

D)Push a manual wheelchair on flat, smooth surfaces.

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Chapter 64: Nursing Assessment Musculo-skeletal System

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Sample Questions

Q1) The nurse is assessing a new client in the clinic. Which of the following information about the client's medications should be of most concern?

A)The client takes a daily multivitamin and calcium supplement.

B)The client has migraine headaches that are treated with nonsteroidal anti-inflammatory drugs (NSAIDs).

C)The client has severe asthma and requires frequent therapy with oral steroids.

D)The client takes hormone replacement therapy (HRT) to prevent "hot flashes."

Q2) Which of the following assessments of synovial fluid indicates that the findings are normal?

A)Transparent and colourless

B)Reddish pink fluid

C)Grey, thin fluid

D)Whitish yellow fluid

Q3) The nurse is preparing to assess a client's musculo-skeletal system. Which of the following actions should the nurse do first?

A)Feel for the presence of crepitus during joint movement.

B)Have the client move the extremities against resistance.

C)Observe the client's body build and muscle configuration.

D)Check active and passive range of motion for the extremities.

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Page 66

Chapter 65: Nursing Management Musculo-skeletal

Trauma and Orthopedic Surgery

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40 Verified Questions

40 Flashcards

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

Sample Questions

Q1) The nurse is caring for a client with a left femur fracture who has a hip spica cast applied. Which of the following nursing interventions should be included in the plan of care?

A)Avoid placing the client in the prone position.

B)Use the cast support bar to reposition the client.

C)Ask the client about any abdominal discomfort or nausea.

D)Discuss the reasons for remaining on bed rest for several weeks.

Q2) The nurse is caring for a client in the emergency department following a motor vehicle accident who has massive right lower leg swelling. Which of the following actions will the nurse take first?

A)Elevate the leg on pillows.

B)Apply a compression bandage.

C)Check leg pulses and sensation.

D)Place ice packs on the lower leg.

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Chapter 66: Nursing Management Musculo-skeletal

Problems

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19 Verified Questions

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

Sample Questions

Q1) The home care nurse is caring for a client who has chronic osteomyelitis of the left femur who is being managed at home with administration of IV antibiotics. Which of the following findings would indicate to the nurse that a nursing diagnosis of ineffective health maintenance is appropriate for this client?

A)Takes and records the oral temperature twice a day

B)Is unable to plantar flex the foot on the affected side

C)Uses crutches to avoid weight bearing on the affected leg

D)Is irritable and frustrated with the length of treatment required

Q2) Which of the following statements by a client who is scheduled for an above-the-knee amputation for treatment of an osteosarcoma of the right tibia indicates that client teaching is needed?

A)"I did not have this bone cancer until my leg broke a week ago."

B)"I wish that I did not have to have chemotherapy after this surgery."

C)"I know that I will need to participate in physical therapy after surgery."

D)"I will use the patient-controlled analgesia (PCA) to control postoperative pain."

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Page 68

Chapter 67: Nursing Management Arthritis and Connective

Tissue Diseases

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42 Verified Questions

42 Flashcards

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

Sample Questions

Q1) Which of the following information should the nurse include when teaching a client with newly diagnosed ankylosing spondylitis (AS) about the management of the condition?

A)Exercise by taking long walks.

B)Do daily deep-breathing exercises.

C)Sleep on the side with hips flexed.

D)Take frequent naps during the day.

Q2) Aclient who has rheumatoid arthritis is seen in the outpatient clinic and the nurse notes that rheumatoid nodules are present on the client's elbows. Which of the following actions should the nurse take?

A)Draw blood for rheumatoid factor analysis.

B)Teach the client about injection of the nodule.

C)Assess the nodules for skin breakdown or infection.

D)Discuss the need for surgical removal of the nodule.

Q3) Which of the following actions should the nurse implement for a client with septic arthritis?

A)Hot compress on affected area tid

B)Active ROM exercises qid

C)Monitor BP q4h

D)Passive ROM exercises bid

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Chapter 68: Nursing Management Critical Care

Environment

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37 Verified Questions

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Sample Questions

Q1) Which of the following actions should the nurse do to inflate the cuff of an endotracheal tube (ET) when the client is on mechanical ventilation?

A)Inflate the cuff until the pilot balloon is firm.

B)Inflate the cuff with a minimum of 10 mL of air.

C)Inject air into the cuff until a manometer shows 15 mm Hg pressure.

D)Inject air into the cuff until a slight leak is heard only at peak inflation.

Q2) The intensive care unit nurse educator is teaching a new staff nurse about hemodynamic monitoring. Which of the following actions indicates that the teaching has been effective?

A)Positions the zero-reference stopcock line level with the phlebostatic axis

B)Balances and calibrates the hemodynamic monitoring equipment every hour

C)Rechecks the location of the phlebostatic axis when changing the client's position

D)Ensures that the client is lying supine with the head of the bed flat for all readings

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

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Chapter 69: Nursing Management Shock

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25 Verified Questions

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

Sample Questions

Q1) The health care provider prescribes the following actions for a client who has possible septic shock with a BP of 70/42 mm Hg and oxygen saturation of 90%. In which order will the nurse implement the actions?

A)Obtain blood and urine cultures.

B)Give vancomycin 1 g IV.

C)Infuse vasopressin 0.01 units/minute.

D)Administer normal saline 1 000 mL over 30 minutes.

E)Titrate oxygen administration to keep O2 saturation >95%.

Q2) Which of the following information obtained by the nurse when caring for a client who has cardiogenic shock indicates that the client may be developing multiple organ dysfunction syndrome (MODS)?

A)The client's serum creatinine level is elevated.

B)The client complains of intermittent chest pressure.

C)The client has crackles throughout both lung fields.

D)The client's extremities are cool and pulses are weak.

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Chapter 70: Nursing Management Respiratory Failure and

Acute Respiratory Distress Syndrome

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Sample Questions

Q1) Chest physiotherapy is indicated for which of the following clients?

A)Takes a bronchodilator

B)Produces 40 mL of sputum per 24 hours

C)Has an increased PCO2 level

D)Is taking vancomycin

Q2) The nurse is caring for a client with acute respiratory distress syndrome (ARDS) who is intubated, receiving mechanical ventilation and has developed a pneumothorax.

Which of the following actions will the nurse anticipate taking?

A)Lower the positive end-expiratory pressure (PEEP).

B)Increase the fraction of inspired oxygen (FIO2).

C)Suction more frequently.

D)Increase the tidal volume.

Q3) The nurse is admitting a client with chronic obstructive pulmonary disease (COPD) who has shortness of breath and dyspnea. Which of the following assessment findings is most important to report to the health care provider?

A)The client has bibasilar lung crackles.

B)The client is sitting in the tripod position.

C)The client's respiratory rate has decreased from 30 to 10 breaths/minute.

D)The client's pulse oximetry indicates an O2 saturation of 91%.

Page 72

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Chapter 71: Nursing Management Emergency Care Situations

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

Sample Questions

Q1) The nurse is conducting a primary survey on a client in the emergency department and notes motor posturing. Which of the following actions should the nurse implement immediately?

A)Hyperventilate the client.

B)Decrease the IV fluid rate.

C)Prepare for intubation.

D)Continue with the triage assessment.

Q2) The nurse is rewarming a client who arrived in the emergency department (ED) with a temperature of 29°C (84.2°F) and no audible pulse. Which of the following temperatures should the nurse rewarm the client to, prior to a pronouncement of death?

A)30C (86F)

B) 32°C (89.6°F)

C)34C (93.2F)

D) 36C (96.8F)

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Chapter 72: Emergency Management and Disaster Planning

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

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Q1) Anurse is developing policy related to emergency management and basis the set-up of the hospital incident command policy on the knowledge that the primary function of the incident command centre is which of the following functions?

A)Complete a register with the names of all individuals involved.

B)Provide information to keep the media informed of the event.

C)Provide a central point for decision making.

D)Organize the efforts of all of the first responders to avoid duplication.

Q2) The nurse in the emergency department is involved in triaging clients during a mass casualty incident. During this situation, which of the following is the triage time frame?

A)15 seconds

B)30 seconds

C)1 minute

D)2 minutes

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