Nursing Care of Adults Exam Practice Tests
Course Introduction
This course focuses on the principles and practices of nursing care for adult patients across the health-illness continuum. Students will develop foundational clinical competencies in assessment, planning, implementation, and evaluation of care for adults experiencing a variety of acute and chronic health conditions. The curriculum emphasizes evidence-based practice, patient safety, critical thinking, interdisciplinary collaboration, ethical and legal considerations, and cultural competence. Through didactic instruction, laboratory activities, and clinical experiences, students learn to deliver holistic and patient-centered nursing interventions that promote optimal health outcomes and quality of life for adult populations.
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) The nurse assures the parents of a newborn with a congenital heart defect that the home care for their child is eased and supported by: (Select all that apply.)
A) Availability of smaller and more compact equipment
B) Specialized DRGs for home care of children
C) Medicaid-funded home care services
D) Home care services funded by private insurance
E) Grants and stipends from various drug manufacturers
Answer: A,B,C,D
Q2) A 2003 report from the Institute of Medicine (IOM),"Health Professions Education: A Bridge to Quality," outlined:
A) Specific software technology to increase efficiency in health care
B) Evaluation tool to evaluate the quality of health care
C) Recommendations for curriculum changes in professional health care schools
D) Five core competencies for health care professionals
Answer: D
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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) A patient with multiple sclerosis must be fed,bathed,and dressed.The nurse assesses the patient to be:
A) Disabled
B) Disadvantaged
C) Handicapped
D) Impaired
Answer: D
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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 has trimmed the toenails of a patient with diabetes too short,which resulted in a toe amputation from infections.This LPN/LVN is guilty of:
A) Unintentional tort
B) Intentional tort
C) Negligence
D) Malpractice
Answer: D
Q2) Prioritize the steps in solving an ethical dilemma.
A) Evaluate the outcome.
B) Plan an approach.
C) Visualize the consequences.
D) Take action.
E) Identify the problem.
Answer: E,B,C,D,A
Q3) The values that direct human behavior and are concerned with defining right from wrong are known as ____________________.
Answer: Ethics
An individual's ability to define right from wrong is based on a value system called ethics.
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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) The LPN/LVN in charge of two units on the evening shift notices that two of the nursing assistants (NAs)are constantly bickering.This appears to be interfering with patient care time.Both units are extremely busy with care needs.The solution that reflects the process of accommodation is:
A) Their issues are trivial and do not affect patient care actions. No time is presently available for extended discussions. Send one of the NAs to another area, and allow time for both to defuse. Good patient care in an expedient manner is the priority at this time.
B) Call the supervisor to send the arguing dissenters home.
C) Call the dissenters into the office. Listen to their concerns, and make a decision about the resolution of their trivial matters.
D) Allow the NAs to leave the building and settle their differences before they come back. Make no notation of their absence on their timesheets or in the report.
Q2) An LPN/LVN took the responsibility of working with the equipment company representative to learn about some new equipment coming to the facility.The LPN/LVN then developed and presented in-service teaching to the rest of the staff.This LPN/LVN is managing under management theory ____________________.
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Chapter 5: The Nurse-Patient Relationship
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) On returning to the nurse's station,the licensed practical/vocational nurse (LPN/LVN)discovers that the daughter of a frail but competent resident is reading her mother's chart.The woman says,"I am entitled to see my mother's medical record." The nurse's best response would be:
A) "What is it that you believe you need to know? Give me the chart."
B) "You must understand that only your mother has the right to read the contents of her medical record. Please give me the chart."
C) "Although the chart itself is not available to you to read, I would be glad to try and answer any questions you have. May I have the chart, please?"
D) "Reading that chart is a very serious violation of your mother's privacy. I cannot allow you to see it. Please put the chart down."
Q2) When the dying patient says,"There is no God.There is no afterlife.When it's over,it's over." The most therapeutic response would be:
A) "You must feel very lonely."
B) "Of course there is a God, and He loves you very much."
C) "Why do you think there is no God?"
D) "You are absolutely right. I think that, too."
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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) To help with effective planning for the delivery of transcultural nursing care,the nurse selects an approach that asks the:
A) Facility's chaplain if anything special should be included in the care plan.
B) Patient if any special foods, symbols, or practices should be respected and whether they should be included in the health care plan.
C) Family if anything special exists in the patient's culture or religion that should be included in care planning.
D) Other staff if they have ever had this type of patient before and how they modified the care plan.
Q2) The nurse should make her care plan to include considerations of cultural similarities that are:
A) Family, educational background, and economic level should all be considered.
B) Subtle communication involving languages should be considered.
C) Families have strong patriarchal leaders.
D) Culture is learned, shared, and expressed similarly among members.
Q3) The process in which children mature and take on the values of their families and their society is called ____________________.
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8
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) According to the latest Census Bureau report,most families in the United States are:
A) Nontraditional
B) Blended
C) Multigenerational
D) Traditional
Q2) When assessing the coping measures of families under stress,the first priority of the nurse should be to:
A) Determine the type of coping mechanisms used by the family in the past.
B) Consider the relationship of the family members.
C) Relieve the anxiety and fear of the family members.
D) Determine what stressors the family is currently experiencing.
Q3) The patient,a 36-year-old mother of four children,is crying.She relates to you that her best friend just told her,"You are a good mother and you do everything perfectly,but I don't think you enjoy it." The nurse assesses that the patient has taken the role of:
A) Caretaker
B) Martyr
C) Contributor
D) Harmonizer
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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 nurse explains that by adopting the "sick role," the person who is ill is: (Select all that apply.)
A) Exempt from usual roles
B) Seeking attention
C) Expected to get well
D) Actively seeking remedy
E) Using illness as excuse for failure
Q2) The home health nurse helps a patient who is chronically ill with congestive heart failure to reorder time by:
A) Encouraging the patient to get up earlier or to go to sleep later
B) Developing a daily schedule that allows time for activities, as well as for medical regimens
C) Giving up time-consuming activities such as watching television or answering e-mail messages
D) Encouraging the patient to complete only one task a day
Q3) The nurse describes yoga as an alternative therapy that creates a __________________ intervention.
Q4) The term that the nurse uses to refer to persons who fail to maintain treatment protocols is ____________________.
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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 function of protein in the body is to:
A) Provide the main source of energy.
B) Serve as a catalyst for fat catabolism.
C) Slow the rate of digestion and absorption of nutrients.
D) Furnish amino acids to build and repair tissue.
Q2) Most of the lipids taken into the body are absorbed from the intestinal mucosa into the:
A) Lymphatic system
B) Blood
C) Large intestine
D) Liver
Q3) 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
Q4) The nurse calculates the needed kilocalories (kcal)for a 150-pound moderately active person to be ____________________.
Q5) The nurse points out that the cellulose found in celery and lettuce is a source of
11
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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 assesses a positive resolution of the developmental task of old age when a resident in a long-term care facility says:
A) "I love my children. I could have done more for them."
B) "I am too young to be in a place like this."
C) "I miss my friends and wife. I'm ready to go."
D) "I've enjoyed the ride!"
Q2) By the age of 35,young adults should think about:
A) Leaving home and establishing their own lives.
B) Establishing career goals.
C) New career paths.
D) Health promotion for the prevention of chronic disease.
Q3) When planning care,the nurse takes into consideration that developmental tasks are:
A) All the activities performed throughout life
B) Activities learned primarily in the middle years of life
C) Things to be learned and accomplished in each stage of life
D) All actions taken when confronted with specific problems
Q4) The nurse assesses that the 22-year-old woman who is totally committed to her career and who does not date or socialize is experiencing the Eriksonian crises of
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Chapter 11: The Older Patient
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/9188
Sample Questions
Q1) A 77-year-old recently admitted to a long-term care facility refuses to join in activities or go to the dining room for meals.This behavior may indicate that the patient is:
A) Stubborn
B) Depressed
C) Afraid
D) Tired
Q2) 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
Q3) Chemosensory changes that are observed in the older adult:
A) Are directly related to the aging process.
B) Are most often caused by disease.
C) Begin in the fifth decade of life.
D) Affect more women than men.
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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) Characteristics of critical thinking include:
A) Interpretation, analysis, and evaluation
B) Patient-centered criteria and problem solving
C) Realistic outcomes and frequent evaluation
D) Data gathering and assessment
Q2) The nurse notes the previous 24-hour urine output was 950 ml,well below the normal of 1500 ml.An effective nursing order to remedy the impending dehydration would be to:
A) Offer more fluids daily.
B) Offer 8 ounces of juice or tea at 0800 (8 AM), 1200 (12 noon), 1600 (4 PM), and 2000 (8 PM).
C) Request extra fluid on a diet tray from the kitchen.
D) Place a large water pitcher at the bedside during each shift.
Q3) Evidence-based practice supports effective nursing care through: (Select all that apply.)
A) Research on nursing care topics
B) Directives from the Boards of Nursing
C) Summation of studies
D) Recommendations for nursing care
E) Funding research
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Page 14
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 nurse explains that although some drugs reduce inflammation,they also hinder the body's immune response.Examples of such drugs are:
A) Antihistamines and salicylates
B) Bronchodilators and corticosteroids
C) Cardiotonic and anticholinergics
D) Diuretics and sedatives
Q2) The daughter of an 89-year-old resident in a long-term care facility asks if she may give her father an over-the-counter (OTC)antihistamine that she uses for seasonal allergy.The nurse's most appropriate response would be:
A) "Yes. OTCs are mild and very helpful."
B) "No. Many antihistamines cause confusion in the older adult."
C) "Yes. The drug might energize him so he won't be so drowsy."
D) "No. Allergic symptoms should be allowed to run their course."
Q3) The home health nurse recommends air conditioner duct cleaning as a precaution against diseases caused by:
A) Bacteria
B) Viruses
C) Fungi
D) Protozoa
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Page 15
Chapter 14: Fluids and Electrolytes
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse instructs a family that the blood being brought by the incoming capillaries into the kidney,which contains nitrogenous substances to be excreted as waste,involves the process of:
A) Active transport
B) Diffusion
C) Filtration
D) Osmosis
Q2) The nurse assists a patient with dyspnea to sit in a high Fowler position.This position allows gravity to help move oxygen from the pulmonary capillaries into the blood by a process known as:
A) Active transport
B) Diffusion
C) Filtration
D) Osmosis
Q3) 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
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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 notified when the patient,newly admitted with liver and gallbladder disease,complains of pain in the right middle back and asks for some pain medication.As the basis for the assessment,the nurse uses knowledge of pain to determine that the patient:
A) Is just complaining to see whether the staff will give out pain medications.
B) Has referred pain sensations. The nurse should follow orders for administering pain medication.
C) Has an injury on the back from an unknown cause that needs immediate assessment.
D) Is a chronic complainer with anxieties about his condition.
Q2) The patient with an extensive abdominal operation is assessed by the nurse as having predictable pain.Analgesics for this patient will be most effective when administered:
A) As needed (PRN)
B) Once a day
C) Twice a day
D) Around the clock
Q3) ____________________ 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) Assessment of a burn victim leads the nurse to suspect an inhalation injury.The observation that would indicate such an injury would be ____________________.
Q2) A hospital visitor cuts herself on the arm and is bleeding profusely.The nurse's immediate treatment for this condition is to:
A) Call any physician, and immediately send the visitor to the emergency department.
B) Apply direct pressure to the arm with sterile dressing.
C) Take the visitor's BP and pulse.
D) Immobilize the injured arm, and send the visitor immediately to the emergency department.
Q3) The nurse comes upon a traffic accident.One passenger is lying on the ground by an open door.The nurse stops and begins immediate nursing interventions by proceeding with assessing for:
A) Uncontrolled bleeding
B) Airway, breathing, and circulation (ABC)
C) Abdominal deep wounds
D) Level of consciousness (LOC) and orientation
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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) The nurse modifies postoperative care for a patient who has had cataract surgery from that given most general surgical patients as follows:
A) Early ambulation is not necessary.
B) Remove dressing immediately
C) Omit instructions relative to coughing.
D) Omit use of incentive spirometer for deep breathing.
Q2) To prevent the effects of postoperative immobility on the gastrointestinal system,the nurse suggests that the patient:
A) Avoid taking antibiotics.
B) Increase her fluid intake.
C) Avoid high-fiber foods.
D) Limit her activity for the first 3 to 4 days.
Q3) The patient scheduled for a liver biopsy has given the nurse a list of medications routinely taken at home.The nurse should be concerned about the:
A) Aspirin
B) Multivitamin
C) Furosemide
D) Acetaminophen
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19
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 transcribing orders should clarify the order of:
A) Potassium chloride, 80 mEq in 1000 ml D<sub>5</sub>W in 24 hours
B) Potassium chloride, 40 mEq IV in 10 ml D<sub>5</sub>W IV push
C) Potassium chloride, 50 mEq in 500 ml D<sub>5</sub>W in 4 hours
D) Potassium chloride, 80 mEq in 1000 ml D<sub>5</sub>W in 12 hours
Q2) The nurse is to give an IV push drug through a peripheral intermittent device.The nurse would: (Place these options in the correct sequence.)
A) Clear the device with NS.
B) Flush the device with NS only or a combination of NS and heparin.
C) Check placement of the device.
D) Slowly administer the drug through the device.
E) Check the concentration of the drug.
Q3) Using an IV infusion system that delivers 60 drops/ml,the nurse hangs a 500-ml bag of normal saline (NS)at 8 AM.The physician has ordered a rate of 20 ml/hr.The nurse will set the roller clamp to deliver:
A) 10 gtts/min
B) 20 gtts/min
C) 25 gtts/min
D) 30 gtts/min
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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) An older Japanese patient in progressive shock lingers on the verge of death.In general,the patient's cultural background dictates that the medical team should:
A) Allow any and all cultural rituals at the bedside.
B) Encourage the family to talk to the patient who can be comforted by their familiar voices.
C) Restrict the ministrations of the folk healer.
D) Suggest that small children not see the patient.
Q2) The nurse reviews the four types of shock,which are:
A) Multiple organ, cardiogenic, renal, and anaphylactic
B) Cardiogenic, renal, hypovolemic, and septic
C) Renal, hypervolemic, obstructive shock, and neurogenic
D) Hypovolemic, cardiogenic, obstructive shock, and vasogenic
Q3) The nurse explains that the minimal acceptable hourly urine output for the patient in shock who weighs 220 pounds is ____________________.
Q4) The nurse explains that pericardial tamponade and pulmonary embolus can place the patient at risk for ______________ shock.
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Page 21
Chapter 20: Falls
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9197
Sample Questions
Q1) The nurse is aware that many residents in a long-term care facility refuse to wear the hip protector garment and use,as their excuse,that the garment is:
A) Uncomfortable
B) Too expensive
C) Degrading
D) Too easily soiled
Q2) After a patient has fallen,the most appropriate nursing intervention is to:
A) Apply a vest restraint.
B) Have the patient begin ambulating as soon as possible.
C) Administer haloperidol (Haldol) as prescribed or as needed (PRN).
D) Apply wrist restraints.
Q3) The nurse explains that the older adults account for a large percentage of the total deaths resulting from falls.This percentage is:
A) 13%
B) 27%
C) 40%
D) 72%
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Chapter 21: Immobility
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9198
Sample Questions
Q1) When a bacteria is localized at the site of a Stage III pressure ulcer,it is said to be_____________.
Q2) When planning the care of a patient who is immobile,the nurse should remember that the patient will be at risk for urinary tract infection because the:
A) Urine will pool in the bladder when the patient remains in a supine position.
B) Patient is likely to have urinary incontinence.
C) Patient's appetite may be decreased.
D) Patient may not be able to move quickly enough to get to the bathroom.
Q3) On a newly discovered pressure ulcer,the nurse should document which of the following? (Select all that apply.)
A) Precise measurement of the ulcer
B) Location of the wound and its description
C) Color of the ulcer
D) Amount and characteristics of the drainage
E) Probable cause of the ulcer
Q4) The nurse evaluates the effectiveness of the treatment for a stage III pressure ulcer as satisfactory when the bed of the ulcer is pink,indicating the presence of _________________________,which is an indicator of tissue perfusion.
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Page 23
Chapter 22: Confusion
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Sample Questions
Q1) The nurse caring for the patient with dementia notices that the patient stays awake most of the night.The nurse's most appropriate action would be to:
A) Give a prescribed sleeping medication.
B) Tell the patient that it is nighttime, and that she must go to sleep.
C) Check the patient's record to see whether she is sleeping during the day.
D) Put the patient to bed, and put the side rails up.
Q2) When teaching family members to care for the patient with dementia,the nurse must be sure that they understand two important concepts,which are that the patient usually:
A) Forgets things relatively quickly and is usually unable to learn new things.
B) Can remember new tasks but will forget any previously taught tasks.
C) Cannot learn new information but will probably remember anything you ask about the past.
D) Responds well to reality orientation and needs to have a flexible schedule.
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 Flashcards
Source URL: https://quizplus.com/quiz/9200
Sample Questions
Q1) The nurse instructs a patient that diarrhea can be caused by the inclusion in the diet of such foods as:
A) Cheese
B) Cabbage
C) Rice
D) Yogurt
Q2) The nurse can evaluate a positive bladder emptying if the postvoid catheterization is less than: (in milliliters)
A) 125
B) 100
C) 75
D) 50
Q3) The patient who is having problems with fecal incontinence may benefit from a change in his diet.The nurse should encourage the patient to include:
A) Raw fruits and vegetables
B) Potatoes and bread
C) Coffee and tea
D) Prune and grape juice
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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) When planning the care of a patient who is terminally ill,the nurse must include the prevention of pain and relief from discomfort.When administering pain medication,the nurse must keep in mind that:
A) Narcotics have the potential for addiction.
B) Pain medication must be given before the pain becomes unbearable.
C) Pain medication should be given no more often than every 6 hours.
D) Narcotics must be given as needed (PRN) only.
Q2) The nurse understands that "chemical code only" means in the event the patient suffers respiratory or cardiac arrest,the physician will:
A) Use medications for resuscitation without CPR.
B) Use medications and CPR.
C) Use CPR only.
D) Use no means of resuscitation.
Q3) After the death of a patient,the nurse should position the body:
A) Prone
B) Supine
C) On the side
D) In Fowler position
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Chapter 25: The Patient with Cancer
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Sample Questions
Q1) The nurse cautions a group of middle-aged persons that conditions that promote the formation of malignant cells are: (Select all that apply.)
A) Childbearing
B) Increasing age
C) Hormonal changes
D) Chronic irritation of tissue
E) Diet
Q2) When the patient with newly diagnosed with cancer says,"I feel like I've lost my future.I feel so much harm has been done to me that I'm overwhelmed," the nurse recognizes that this attitude will most likely lead the patient to coping strategies that are:
A) Avoidant
B) Problem solving
C) Approach oriented
D) Confrontational
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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Page 27
Chapter 26: The Patient with an Ostomy
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) The best nursing strategy for encouraging ostomy patient self-care would be to:
A) Plan to change the pouch when family members will be present, have the patient watch, and listen to the procedure.
B) Frequently tell the patient that if he or she does not learn stoma self-care, no one is going to do it for them.
C) Encourage the patient to watch the stoma care procedure, gradually encouraging participation.
D) Shield the patient from sight of the stoma until the patient actually asks to see it.
Q2) Because the colostomy patient continues to worry about odor,the nurse can allay those concerns by explaining that odor can be diminished by:
A) Piercing the top of the appliance bag with a pin to allow gas to escape
B) Rinsing the pouch in a vinegar solution
C) Wearing tight-fitting underwear
D) Improving personal hygiene
Q3) When the patient complains of urine crystals forming on the urostomy stoma,the home health nurse recommends dissolving them with a pad saturated with
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Chapter 27: Neurologic Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9204
Sample Questions
Q1) A patient who has a pacemaker might be ineligible for:
A) Computed tomography (CT)
B) Electromyography (EMG)
C) Magnetic resonance imaging (MRI)
D) Electroencephalography (EEG)
Q2) In caring for the patient after a craniotomy,the nurse can help reduce ICP by:
A) Keeping the patient flat in bed.
B) Elevating the head of the bed 30 degrees.
C) Closely monitoring the IV rate.
D) Turning the patient to the right side.
Q3) The nurse organizes the plan of care with regard to normal brain alterations associated with age,which are: (Select all that apply.)
A) Decrease in brain weight
B) Pigmentation of brain with lipofuscin
C) Present of amyloid
D) Tiny clot formation
E) Tangled nerve fibers
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Chapter 28: Cerebrovascular Accident
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/9205
Sample Questions
Q1) 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
Q2) The nurse explains that a lacunar stroke differs from an ischemic CVA in that a lacunar CVA: (Select all that apply.)
A) Causes a great deal of pain.
B) Alters the personality.
C) Affects small arteries.
D) Nearly always results in blindness.
E) Produces a large amount of neurologic damage.
Q3) The nurse explains that a lumbar puncture is most helpful as a diagnostic tool for a new patient who has had a CVA because it can help determine if the stroke:
A) Is lacunar
B) Is hemorrhagic or embolic
C) Is complete or in evolution
D) Will result in paralysis
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Chapter 29: Spinal Cord Injury
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/9206
Sample Questions
Q1) Which assessment would indicate the resolution of spinal shock?
A) Extension and rigidity in affected limbs
B) Spastic involuntary movements in affected limbs
C) Tingling and burning in affected limbs
D) Voluntary purposeful movements of affected limbs
Q2) A distressed family member asks about the purpose of the Gardner-Wells tongs.The most helpful explanation by the nurse would be that the Gardner-Wells tongs:
A) Compress the cervical vertebrae.
B) Immobilize the head.
C) Allow the patient to be moved out of bed.
D) Align the cervical vertebrae.
Q3) Before taking a magnetic resonance image (MRI),the patient asks why metal objects and the MRI machine are such concerns.The nurse's best explanation is that the MRI machine will: (Select all that apply.)
A) Cause metal objects to spark, similar to a microwave
B) Deactivate the battery in a pacemaker
C) Cause metal to heat up and burn the patient
D) Not transmit clear data if metal is present
E) Attract any metal into the MRI chamber
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Page 31
Chapter 30: Acute Respiratory Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9207
Sample Questions
Q1) To enhance gas exchange,the nurse would position a patient who had a left pneumonectomy in the morning:
A) On the right side
B) On the left side
C) In a semi-Fowler position
D) In a flat position with a small pillow
Q2) 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.
Q3) A 90-year-old patient complains to the nurse of shortness of breath after walking up a flight of stairs.The nurse explains that this problem is a result of age-related changes,such as a(n):
A) Flexible rib cage
B) High-arched diaphragm
C) Increased chest movement
D) Enlarged bronchioles
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Page 32
Chapter 31: Chronic Respiratory Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9208
Sample Questions
Q1) In assessing for major sources of infection in a patient with COPD,the nurse focuses on:
A) Stasis of respiratory secretions
B) Low body weight
C) Episodes of postural hypotension
D) Delayed antigen-antibody response
Q2) The patient with COPD asks the nurse if nicotine patches are effective for smoking cessation.The nurse's best response would be:
A) "No. Only about 25% are successful."
B) "Yes. The success rate is between 50% and 60%."
C) "No. Prescriptions such as Wellbutrin are 90% effective."
D) "Yes. Individual success has been obtained with combination of patches and gum."
Q3) The theophylline blood level is 13 mcg/ml.Which intervention is the most appropriate in light of this finding?
A) Administer the next dose of theophylline as ordered.
B) Skip the next dose, and then resume.
C) Call the charge nurse or physician.
D) Take the patient's blood pressure immediately.
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Chapter 32: Hematologic Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9209
Sample Questions
Q1) The rationale for administering injections of vitamin B12 to patients with pernicious anemia is that:
A) The patient's body does not normally manufacture enough vitamin B12.
B) The patient may lack the intrinsic factor necessary for vitamin B12 absorption.
C) Vitamin B<sub>12</sub> is found in very small quantities in the patient's body.
D) Vitamin B<sub>12</sub> is a mineral necessary to aid in the formation of strong bones.
Q2) 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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34
Chapter 33: Immunologic Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/9210
Sample Questions
Q1) The laboratory results for a patient with acute leukemia that should alert the nurse to the fact that the drug protocols are not effective is:
A) Decreased prothrombin time.
B) Platelet count lower than 50,000/mm3.
C) Negative Western blot.
D) Neutrophils 50% to 62%.
Q2) The observation by the nurse that would indicate a patient's acceptance of the diagnosis of acute leukemia is that the patient:
A) Plans a 14-day cruise in 2 weeks.
B) States that he will be fine in a few months
C) Asks for educational material about acute leukemia.
D) Rests after a chemotherapy session.
Q3) The nurse explains that the inflammatory process has four distinct stages,which are: (Select all that apply.)
A) Dolor
B) Rubor
C) Tumor
D) Calor
E) Rumor
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Chapter 34: Human Immunodeficiency Virus and Acquired
Immunodeficiency Syndrome
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9211
Sample Questions
Q1) The patient with HIV complains to the home health nurse that he has been having watery diarrhea for the last 10 days.Because the nurse suspects toxoplasmosis,a significant question for the nurse to ask would be:
A) "Have you stopped taking your antiviral medication?"
B) "Have you been drinking alcohol?"
C) "Have you been eating aged cheese or organ meats?"
D) "Do you have a cat?"
Q2) In designing a teaching plan for a patient with AIDS,relative to food preparation precautions,the nurse would include the need to: (Select all that apply.)
A) Check expiration dates on frozen foods.
B) Leave produce unwashed to preserve protective spray.
C) Drink a small glass of red wine before each meal to stimulate the appetite.
D) Eat three large, well-balanced meals daily.
E) Avoid leftovers.
Q3) The nurse explains that the enzyme reverse transcriptase transcribes:
A) DNA to mimic CD4 cells
B) T4-helper cells to RNA
C) HIV RNA to HIV DNA
D) T4 cells to HIV virons
Page 36
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Chapter 35: Cardiac Disorders
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/9212
Sample Questions
Q1) A stress test is scheduled for a 41-year-old patient.To prepare for the examination,the nurse should:
A) Have the patient sign a consent form.
B) Give the patient a special heart diet.
C) Prepare the patient for sedation.
D) Remove all metal objects.
Q2) An important teaching point for a patient with mitral stenosis is to:
A) Obtain a place on the heart transplant list.
B) Balance activity with oxygen supply.
C) Increase daily fluid intake to over 2000 ml.
D) Have an annual electrocardiogram.
Q3) The nurse explains that factors that affect stroke volume are: (Select all that apply.)
A) Contractility
B) Climate
C) Age
D) Preload
E) Afterload
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Chapter 36: Vascular Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/9213
Sample Questions
Q1) The nurse cautions a patient that one of the characteristics of a venous stasis ulcer is:
A) Painlessness
B) Poikilothermy
C) Pale color
D) Location near the groin
Q2) The nurse who suspects a circulatory disorder in one leg should compare it with the other for the assessment of: (Select all that apply.)
A) Color
B) Warmth
C) Muscle strength
D) Pulse quality
E) Hair loss on extremity
Q3) Because of the relationship between as deep-vein thrombosis (DVT)and other vascular problems,the nurse asks a patient with a DVT about the presence of:
A) An aneurysm
B) Rheumatoid arthritis
C) A peptic ulcer
D) Recurring chest pain
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Page 38
Chapter 37: Hypertension
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9214
Sample Questions
Q1) The nurse is aware that patients who have chronic obstructive pulmonary disease (COPD)and asthma are not candidates for treatment with the antihypertensive drug:
A) Propranolol ( Inderal): beta-adrenergic receptor blocker
B) Hydrochlorothiazide (HydroDIURIL): diuretic
C) Diltiazem (Cardizem): calcium antagonist
D) Captopril (Capoten): ACE inhibitor
Q2) A patient is taking hydrochlorothiazide (HydroDIURIL)for hypertension.Dietary teaching would include increasing intake of:
A) Bananas
B) Apple juice
C) Sugar-free foods
D) Low-fat milk
Q3) In a teaching plan for a patient with hypertension,the nurse would include:
A) Stopping medications if side effects occur.
B) Maintaining a diet high in unsaturated fat.
C) Advising no further visits if no other symptoms occur.
D) Encouraging relaxation techniques.
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Chapter 38: Digestive Tract Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9215
Sample Questions
Q1) Stool softeners are prescribed to promote normal elimination of feces.The most appropriate way to ensure effectiveness of this type of drug is:
A) Mouth care
B) Ambulation
C) Adequate fluid intake
D) High-fiber diet
Q2) The TPN feeding is running at 20 ml and is an hour behind schedule.The initial intervention would be:
A) Increase the flow rate to 22 ml/hr (10%), and inform the charge nurse.
B) Reposition the patient to the right side, and lower the head of the bed.
C) Dilute the thick feeding formula with 10 ml of sterile water, and inform the charge nurse.
D) Document the event, and inform the charge nurse.
Q3) A need for further teaching is indicated when a patient with an ileostomy as a remedy for ulcerative colitis says:
A) "I will avoid milk products."
B) "I should select food with less dietary fiber."
C) "I'll miss my martini before dinner."
D) "I will be glad when the surgeon closes this ileostomy."
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Page 40
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) The goal of medical treatment for patients with cirrhosis is to prevent complications and limit cell damage.A major approach is to promote rest.The reason for this is to:
A) Allow time for a transplant.
B) Allow the liver to regenerate.
C) Prevent red cell destruction.
D) Decrease the risk of trauma.
Q2) The complication for which the nurse would monitor after a liver biopsy is:
A) Headache
B) Muscle cramps
C) Bleeding
D) Respiratory distress
Q3) 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
Q4) In assessing a dark-skinned patient for jaundice,the nurse would assess the ____________________ for a yellow color.
Page 41
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Chapter 40: Urologic Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9217
Sample Questions
Q1) The nurse is aware that if a ureter is blocked by a kidney stone,the urine backs up into the kidney causing _________________.
Q2) The nurse caring for a patient with acute glomerulonephritis is aware that the inflammation of the capillary loops in the glomeruli leads to:
A) Moderate-to-high blood pressure
B) Low blood volume with polyuria
C) Irritability and hyperactivity
D) Low levels of BUN and creatinine
Q3) 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
Q4) The major risk of peritoneal dialysis is _____________.
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Page 42
Chapter 41: Connective Tissue Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9218
Sample Questions
Q1) Imbalanced nutrition: Less than body requirements is the nursing diagnosis applicable to the patient with progressive systemic sclerosis (PSS).The nurse selects the most important point to teach,which is:
A) Eat three large meals spaced throughout the day.
B) Schedule rest periods to prevent overtiring.
C) Severe stress can trigger vasospasm.
D) Eat smaller, more frequent meals.
Q2) The home health care nurse suggests to the patient who has had a total hip replacement that to protect the new joint,the patient should:
A) Put an extension on the toilet seat.
B) Keep the legs crossed when at rest.
C) Frequently change positions from side to side.
D) Slowly pull the knee to the chest twice a day to stretch the hip abductors.
Q3) The nurse includes in the teaching plan for a patient with gout the need to be alert for the signs of:
A) Kidney stones
B) Tophi
C) Visual disturbances
D) Facial lesions
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Page 43
Chapter 42: Fractures
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9219
Sample Questions
Q1) The patient who sustained a simple fracture of the left fibula 7 days earlier asks in what stage of bone healing he might be.The nurse replies that at 7 days,the patient would be in the stage of:
A) Hematoma formation
B) Ossification
C) Callus formation
D) Fibrocartilage formation
Q2) In dealing with the weights that are applying traction,the nurse should:
A) Remove them to pull the patient up in bed.
B) Hold them while the patient is changing positions in bed.
C) Hold them for a few minutes if the patient complains of pain.
D) Allow them to hang freely.
Q3) Two days after surgery for a crushed pelvis,the certified nursing assistant (CNA)reports that the patient is complaining of a shortness of breath and is demonstrating signs of confusion and restlessness.The nurse suspects,from these signs alone,that the patient has suffered:
A) Impending shock
B) Fat embolus
C) Anxiety
D) Neurovascular compromise
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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) A closed amputation is usually performed to:
A) Create a weight-bearing residual limb.
B) Alleviate the effects of trauma.
C) Allow infection to heal and drain.
D) Treat a limb with gangrene.
Q2) The nurse excitedly tells the patient about the myoelectrically controlled prosthesis,the movement of which is controlled by:
A) Patient's muscle movement and the prosthesis
B) Battery-operated muscles implanted in the prosthesis
C) Motion-sensing mechanism that swings the prosthesis forward
D) Internal computer chip in the prosthesis
Q3) The nurse includes in postoperative care for a patient with replantation of the right thumb the implementations of:
A) Decreasing the temperature of the room to 70° F.
B) Elevating the hand, but keeping it below the level of the heart.
C) Offering coffee, tea, or cola to help increase fluid intake.
D) Placing an antiembolus sleeve on the right arm.
Q4) An amputation of a gangrenous limb that is left open for 10 days before closure is classified as a ________________ amputation.
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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 Addison disease suspects adrenal crisis when the patient exhibits:
A) Hypertension and abdominal pain
B) Confusion and tachycardia
C) Bradycardia and nausea
D) Widening pulse pressure and shortness of breath
Q2) Two days after a hypophysectomy the patient complains of a headache and nuchal rigidity.Based on these assessments the nurse should:
A) Medicate with the prescribed analgesic.
B) Report suspected meningitis to the head nurse.
C) Closely monitor the patient's blood pressure,
D) Elevate the head of the bed to 45 degrees
Q3) The nurse clarifies that the drug,octreotide (Sandostatin),is a treatment for acromegaly and will:
A) Reverse the effects of acromegaly.
B) Be given on a daily basis by injection.
C) Increase insulin secretion causing hypoglycemia.
D) Suppress the growth hormone.
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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) Food such as soybeans,turnips and rutabagas can have an effect on persons with a thyroid disorder by:
A) Suppressing thyroid hormone
B) Decreasing the hypothermia of the person with hypothyroidism
C) Supplementing the diet of a person with hypothyroidism
D) Counteracting the effect of iodide therapy
Q2) When the patient starts taking a saturated solution of potassium iodide (SSKI),the nurse should instruct the patient to:
A) Sip medication through a straw to prevent tooth staining.
B) Double the dose if a dose is missed.
C) Expect excessive salivation.
D) Take before meals.
Q3) The nurse taking the blood pressure of a patient who had a total thyroidectomy 2 days earlier notes that the patient's hand goes into a carpopedal spasm; the nurse recognizes this movement as an indication of:
A) Hyperkalemia, called the Allen sign
B) Hypernatremia, called the Hogan sign
C) Hypocalcemia, called the Trousseau sign
D) Hypokalemia, called the Chvostek sign
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Page 47
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) When the patient with type 1 diabetes asks why his 7 AM insulin has been changed from NPH insulin to 70/30 premixed insulin,the nurse explains that 70/30 insulin mixture:
A) Is absorbed more rapidly into the bloodstream.
B) Has no peak action time and lasts all day.
C) Makes insulin administration easier and safer.
D) Give a bolus of rapid-acting insulin to prevent hyperglycemia after breakfast.
Q2) A patient has come into the emergency department accompanied by a friend who states that the patient had been acting very strange and seems confused.The friend states that the patient has diabetes and takes insulin.The nurse assesses for signs of hypoglycemia which are:
A) Slow pulse rate and low blood pressure
B) Irritability, anxiety, confusion, and dizziness
C) Flushing, anger, and forgetfulness
D) Sleepiness, edema, and sluggishness
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) The nurse teaching a seminar on breast cancer lists the signs that would alert a woman to the possibility of a tumor.Those signs include: (Select all that apply.)
A) Dimpling
B) Nipple discharge
C) Thickening of tissue
D) Red bruise
E) Dry rash around nipple
Q2) A female student,seen in the campus clinic,states that she uses feminine hygiene douches every day and after intercourse.The best response from the nurse would be:
A) "Douching has been used as an effective means of birth control for years."
B) "Commercially prepared douches will neutralize the female vaginal tract."
C) "Douching should only be done when ordered by a physician or nurse practitioner."
D) "Douching protects the vaginal tract from microorganisms."
Q3) The nurse is aware that a tumor determined to be ER+ indicates that the tumor needs ____________________ for growth.
Q4) Because small nonnodal metastases may be present,______________ is recommended after a lumpectomy.
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Chapter 48: Male Reproductive Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9225
Sample Questions
Q1) After an accident at a track meet,a young male runner is brought to the emergency department complaining of intense pain in his scrotum and nausea and vomiting.Based on these initial findings,the nurse suspects:
A) Cryptorchidism
B) Testicular torsion
C) Varicocele
D) Epididymitis
Q2) The nurse must be sensitive when performing the initial assessment on a man with a reproductive disorder and should use interview techniques that: (Select all that apply.)
A) Use open-ended questions.
B) Pin the patient down for truthful and specific information.
C) Leave sensitive questions until later in the interview.
D) Share her or his professional opinion.
E) Start most questions with "why."
Q3) 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.
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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 giving instruction to a patient with a STI says,"I am supposed to tell you about STIs,but you probably know more about them than I do." This nurse is:
A) Admitting her own ignorance about STIs.
B) Trying to get the patient's attention.
C) Referencing current statistics.
D) Making a judgmental statement.
Q2) The patient who is using imiquimod (Aldara)for genital warts asks the outpatient clinic nurse how long she must use the medication.The nurse replies that she must apply the medication for _____________ weeks.
A) 2
B) 4
C) 8
D) 16
Q3) A health educator,giving a presentation on how to use condoms correctly,would include instruction that:
A) Condoms are 100% effective when used correctly.
B) The effectiveness of condoms deteriorates in heat.
C) Any style and material of condom is safe to use.
D) Use of petroleum jelly will ease application.
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Page 51
Chapter 50: Skin Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9227
Sample Questions
Q1) The implementation that the nurse may perform for a patient with pruritus without a physician's order is to:
A) Apply topical corticosteroids to affected areas.
B) Administer an antihistamine.
C) Apply lubricant to unbroken skin.
D) Bathe the patient in an oatmeal bath.
Q2) An excited mother of a teenage boy with severe acne furiously reports to the nurse,"I've told him a thousand times he should bathe more often! I've kept after him about all that junk food he eats.I jump on him when I see him squeezing his zits.I tried to get him to scrub his face three times a day!" The complaint the nurse recognizes as a true statement about the cause of acne is:
A) Poor personal hygiene
B) Ingestion of junk food
C) Squeezing lesions
D) Need for facial scrubs
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Chapter 51: Eye and Vision Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9228
Sample Questions
Q1) The nurse explains that the correct term to use for a patient with a vision disorder is:
A) Blind
B) Handicapped
C) Partially blind
D) Visually impaired
Q2) The nurse is aware that the refractive media of the eye is made up of the: (Select all that apply.)
A) Aqueous humor
B) Retina
C) Vitreous humor
D) Cornea
E) Lens
Q3) Implementations that are appropriate in the care plan for a visually impaired person include:
A) Leaving the bed in the highest position.
B) Keeping the door closed.
C) Announcing your presence when you enter and leave the room.
D) Leaving the radio on all the time to help the patient know the time of day.
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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) A patient with diabetes says that he needs a hearing aid because he cannot hear well and everything sounds garbled and distant.The nurse's most informative response would be that a hearing aid may not help him because he probably has:
A) Mixed hearing loss
B) Conductive hearing loss
C) Central hearing loss
D) Sensorineural hearing loss
Q2) Because the 94-year-old patient is receiving gentamicin sulfate (Garamycin)in a continuous intravenous (IV)infusion,the nurse will add to the nursing care plan the diagnosis,"Risk for injury" and will make implementation of:
A) Pulling side rails in place.
B) Assisting with ambulation.
C) Measuring intake and output.
D) Providing for a possible seizure.
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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Page 54
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) For a patient having a supraglottic laryngectomy,one major postoperative difficulty is:
A) Teaching the patient to use an assistive device to speak.
B) Coughing without letting food escape through the tracheostomy.
C) Taking care of the tracheostomy, because the patient will always have to have one.
D) Teaching the patient to swallow without aspiration.
Q2) The nurse taking a specimen from a throat culture would: (Choose the appropriate actions and place them in the correct sequence.)
A) Depress the tongue with a tongue blade.
B) Place the applicator in a culture tube.
C) Ask the patient to cough deeply.
D) Ask the patient to tilt the head back.
E) Swab the back of the throat and tonsils.
Q3) The nursing concern that takes priority in the care of a patient after a laryngectomy is:
A) Encouraging nutrition.
B) Avoiding infection.
C) Establishing a communication system.
D) Ensuring adequate fluid intake.
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Page 55
Chapter 54: Psychologic Responses to Illness
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Sample Questions
Q1) In planning care for a native-American patient who is taking herbal remedies and nutritional supplements,the nurse should inform the patient that:
A) Herbs and vitamins are not helpful.
B) If herbs and vitamins are not harmful, then they will be integrated into the plan of care.
C) Medical research has shown that such alternative remedies are a waste of money.
D) In the hospital, no physician will prescribe anything other than accepted medical protocols.
Q2) The nurse gives an example of a person who is attempting to maintain homeostasis as the newcomer who:
A) Joins a local church.
B) Buys a new car.
C) Stays in his or her apartment watching television.
D) Spends hours writing e-mail messages to old friends.
Q3) The student nurse who was terrified of giving an injection now gives many injections every shift.The change in the nurse is the result of ____________________.
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Chapter 55: Psychiatric Disorders
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29 Verified Questions
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Source URL: https://quizplus.com/quiz/9232
Sample Questions
Q1) A patient admitted with a conversion disorder after an automobile accident insists he is paralyzed,although no physical cause for his paraplegia can be found.When the patient asks the nurse to push him to his room,the nurse's best response would be:
A) "There is nothing wrong with your arms. Roll yourself to your room."
B) "I will help you to walk to your room. I know you can walk."
C) "Let me lift the foot rests so you can move your chair with your feet."
D) "OK. I am going that way myself."
Q2) The nurse speaking to a patient who is depressed says,"So what you are saying is that you are feeling very sad today." This would be an example of:
A) Listening
B) Sharing observations
C) Clarifying
D) Being available
Q3) When the patient asks the nurse to touch him,the nurse asks why he needs this.The patient replies,"I just need to know that I am real." The nurse assesses that response as a primary sign of ____________________.
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Chapter 56: Substance-Related Disorders
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Sample Questions
Q1) A urine drug screen is ordered for a patient suspected of a driving while intoxicated (DWI).The nurse explains that the drugs that are being screened can include:
A) Lysergic acid diethylamide (LSD), Valium, and Percocet.
B) Crack, heroin, and nonsteroidal antiinflammatory drugs (NSAIDs).
C) Marijuana, amphetamines, and Elavil.
D) Librium, cocaine, and Zoloft.
Q2) The nurse documents signs of Wernicke encephalopathy in a patient with long-term alcoholism.These signs include: (Select all that apply.)
A) Confabulation
B) Ataxia
C) Delirium
D) Decreasing level of consciousness
E) Projectile vomiting
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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