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Nursing Care of Adults Exam Practice Tests - 1705 Verified Questions

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Nursing Care of Adults Exam Practice Tests

Course Introduction

This course focuses on the principles and practices of nursing care for adult patients across a variety of healthcare settings. Students will learn to assess, plan, implement, and evaluate individualized care for adults experiencing acute and chronic health conditions. Emphasis is placed on clinical reasoning, collaboration within multidisciplinary teams, cultural competence, and evidence-based interventions to promote optimal health outcomes. The course integrates theoretical knowledge with hands-on clinical experiences, helping students develop critical skills in patient assessment, communication, and patient education.

Recommended Textbook

Introduction to Medical Surgical Nursing 6th Edition by Linton

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1705 Verified Questions

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Page 2

Chapter 1: The Health Care System

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Sample Questions

Q1) The nurse explains that physicians prefer to use e-prescription systems to:

A) Process drug request more efficiently.

B) Prevent drug duplications.

C) Use less expensive drugs.

D) Identify contraindications for a drug.

E) Label both the generic and trade names.

Answer: A,B,D

Q2) A resident in a long-term care facility has difficulty swallowing and frequently chokes on food and liquids.Because of the threat of aspiration,the nurse initiates a referral for a swallowing evaluation to a:

A) Physician who specializes in throat disorders

B) Dietitian

C) Nutritionist

D) Speech therapist

Answer: D

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Chapter 2: Patient Care Settings

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Sample Questions

Q1) The nurse is making a list of the members of the rehabilitation team so that the different types of services available to patients may be taught to a group of families.Which of the following lists should be used?

A) Physical therapist, nurse, family members, and personal physician

B) Occupational therapist, dietitian, nurse, and patient

C) Rehabilitation physician, laboratory technician, patient, and family

D) Vocational rehabilitation specialist, patient, and psychiatrist

Answer: A

Q2) A computer programmer who lost both legs is being retained by his employer,who has made arrangements for a ramp and a special desk to accommodate the patient's wheelchair.This is an example of disability level:

A) I

B) II

C) III

D) IV

Answer: B

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Chapter 3: Legal and Ethical Considerations

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Sample Questions

Q1) The LPN/LVN charted that "the patient was drunk and acted in a crazy manner." The team leader has cautioned that such documentation would leave the LPN/LVN open to charges of commission of the intentional tort of:

A) Assault

B) Wrongful publication

C) Defamation of character

D) Invasion of privacy

Answer: C

Q2) The LPN/LVN explains to a patient that health care ethics are based on:

A) Autonomy

B) Fidelity

C) Professionalism

D) Justice

E) Nonmaleficence

Answer: A,B,D,E

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Chapter 4: The Leadership Role of the Licensed Practical

Nurse

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Sample Questions

Q1) The team leader assigns LPN/LVN A to patient care in rooms 123 and 129,explaining some of the special higher level care that these patients will need.Nurse aides G and F are assigned to the rest of the hall,splitting the numbers of patients needing total care versus partial care.Their care duties are discussed in detail.Making assignments according to skill level is an example of:

A) Planning

B) Organizing

C) Evaluating

D) Directing

Q2) When staff members complain about being pulled to other areas to work without prior notice,the leader agrees with their request to develop a more effective system and does so with assistance and input from the entire staff.This is an example of leadership theory:

A) X

B) Y

C) Z

D) Not representative of any theory

Q3) Planning,organizing,directing,and controlling are major functions of

6

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Chapter 5: The Nurse-Patient Relationship

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Q1) The LPN/LVN finds a young man tearfully staring out the window.He says,"I've been in this hospital 23 days out of the last 50.I've lost a lot of pay." To encourage further communication,the nurse's best response would be:

A) "You've lost a lot of work?"

B) "Would you like me to arrange an appointment for you to speak with the social worker?"

C) "How much pay have you lost?"

D) "You are to be discharged at the end of the week, and you can return to work."

Q2) The nurse,as a unique person,brings to each practice-patient relationship qualities such as knowledge,experiences,strengths,and weaknesses.The inclusive term used to describe this phenomenon is:

A) Personhood experiences

B) Physiologic influence

C) Sociologic influence

D) Use of self in nursing

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Chapter 6: Cultural Aspects of Nursing Care

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Sample Questions

Q1) As breakfast trays are served,a Catholic patient asks the nurse to take it away,because a priest is coming to administer Communion.The response by the nurse should be:

A) "You really need this nutrition. I have to leave it for you. Regardless, you must eat."

B) "I will leave the tray in the kitchen. You may call me to bring it back when it is time."

C) "You must eat your breakfast before it gets cold. If the priest comes, tell him to wait for you."

D) "Communion is only another piece of bread, so it will go just fine with your eggs."

Q2) The Orthodox Jewish patient has died at 3 AM on a Wednesday and no family member was present.Before the family arrives,the culturally competent nurse should:

A) Avoid touching the body until an Orthodox Jew arrives.

B) Call the hospital chaplain to come and stay with the body.

C) Place the patient's copy of the Koran at the bedside.

D) Wash the body, and straighten up the room.

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Chapter 7: The Nurse and the Family

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Q1) The nurse counsels a patient that the manner in which a family unit adapts to stress can affect the family's:

A) Ability to communicate and function

B) Health and function

C) Level of affective communication

D) Ability to adapt and function

Q2) The nurse makes a patient referral to community resource,knowing that such a resource can:

A) Provide helpful literature.

B) Offer ongoing and consistent assistance.

C) Reassure the family members that they are not alone.

D) Offer a variety of free services.

E) Organize a support group.

Q3) The nurse assesses that the patient comes from an extended family because it has:

A) Multiple wage earners

B) Three generations living together

C) Children from previous marriages

D) Parents of different ethnic origins

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9

Chapter 8: Health and Illness

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Sample Questions

Q1) During the initial gathering of data,the patient reveals a weight loss of 17 pounds since the death of his spouse 5 weeks earlier.He says that he is not sleeping and has no appetite.Using Maslow's "Hierarchy of Needs," the nurse assesses that the unmet needs are in the category of:

A) Physiologic

B) Safety and security

C) Love and belonging

D) Self-actualization

Q2) The nurse points out that the current view of health:

A) Promotes the highest quality of life possible, both mentally and socially.

B) Includes mental, physical, social, and emotional adaptation to the environment.

C) Includes the basic physiologic needs and self-actualization.

D) Relies on alternative therapies for the treatment and cure of diseases.

Q3) The nurse explains that the health-illness continuum is based on:

A) Prevention of acute illness

B) Individual response to health or illness

C) Promotion of health and wellness

D) Variation in degree of health or illness

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Chapter 9: Nutrition

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Sample Questions

Q1) The three areas of the gastrointestinal system in which the digestion of food occurs include the mouth,stomach,and:

A) Large intestine

B) Small intestine

C) Pancreas

D) Pharynx

Q2) Elements required for enzyme regulation and maintenance of osmotic pressure are:

A) Proteins

B) Minerals

C) Carbohydrates

D) Amino acids

Q3) The standard peripheral parenteral nutrition intravenous (IV)therapy usually infuses:

A) 50% glucose

B) 5% glucose

C) 0.9% sodium chloride

D) Sterile water

Q4) Cysteine,proline,isoleucine,valine,tryptophan,phenylalanine,methionine,and histidine are all classified as ______________________________.

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Chapter 10: Developmental Processes

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Sample Questions

Q1) Which intervention is directed toward reducing the most common cause of death among young adults?

A) Teaching early warning signs of cancer

B) Encouraging cardiovascular fitness

C) Teaching principles of safe sex

D) Promotion of safe driving practices

Q2) When a single 48-year-old woman who has not had a regular menstrual period for the last 6 months tells the nurse about vaginal spotting she has been experiencing for the last several days,the nurse urges her to seek medical attention because the bleeding may indicate:

A) Miscarriage

B) Endometrial cancer

C) Severe vaginitis

D) Resumption of menses

Q3) The nurse cautions that most health problems in the young adult are related to:

A) Stress

B) Smoking

C) Alcohol consumption

D) Fatigue

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Page 12

Chapter 11: The Older Patient

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Sample Questions

Q1) According to Butler,a well-known gerontologist,ageism:

A) Dehumanizes the older individual.

B) Is based on the biologic theory of aging.

C) Is based on natural and purposeful occurrences.

D) Continues to change as the population ages.

Q2) The nurse assesses a major sign of renal changes related to age,which is:

A) Hematuria

B) Nocturia

C) Urgency incontinence

D) Renal calculi

Q3) The nurse cautions family members that the final developmental stage is ego integrity.According to Erikson,if this stage is not mastered,the older adult will:

A) Have to repeat a previous stage.

B) Experience despair.

C) Be unable to advance past his or her present stage.

D) Experience disappointment.

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Chapter 12: The Nursing Process and Critical Thinking

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Sample Questions

Q1) The five steps of the nursing process,in the correct order,are:

A) Data collection, nursing diagnosis, planning, intervention, and evaluation.

B) Assessment, planning, documentation, intervention, and evaluation.

C) Data collection, diagnosis, assessment, planning, and evaluation.

D) History, physical, diagnosis, intervention, and evaluation.

Q2) The documentation entry that reflects objective data is:

A) An area of erythema is noted on the upper right extremity, measuring approximately 1 ´ 4 inches.

B) Patient complains of pain in the right left quadrant (RLQ) of the abdomen and rates it 5 on a pain scale of 1 to 10.

C) Family states that the patient does not sleep at night and wanders around the house.

D) Medical reveals a history of drug abuse.

Q3) 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

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Chapter 13: Inflammation, infection, and Immunity

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Sample Questions

Q1) The nurse is bathing a patient who is immunodeficient and suffering from a Cryptococcus infestation.The organism is classified as a:

A) Bacterium

B) Virus

C) Fungus

D) Protozoa

Q2) 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

Q3) Prioritize the events of an antibody-mediated immunity response.

A)Antibodies seek out and bind with specific antigen.

B)Antigen binds to a B lymphocyte.

C)Circulating antibody-antigen complexes are destroyed.

D)Antibodies are produced.

E)Antibodies are replenished.

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Chapter 14: Fluids and Electrolytes

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Sample Questions

Q1) The nurse would anticipate in a patient with respiratory acidosis that the blood pH reading would be lower than ____________________.

Q2) The nurse explains that fluids carrying nutrients and wastes on a random basis throughout the body are carried primarily by:

A) Filtrates

B) Extracellular fluid

C) Intracellular fluid

D) Osmolytes

Q3) The nurse assesses deep-rapid respirations in a patient with metabolic acidosis to be an indicator of the homeostatic system at work to reduce the ____________________ level.

Q4) 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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Sample Questions

Q1) The nurse applying heat to an injured hip of a patient is careful not to leave the heat on longer than:

A) 15 minutes

B) 20 minutes

C) 30 minutes

D) 1 hour

Q2) The nurse is administering morphine IM,ordered for a patient reporting severe pain.To evaluate the patient's response to this drug,the nurse will assess primarily for:

A) Cardiac rhythms for tachycardia

B) Respiratory rate for tachypnea

C) Increased bowel sounds in the gastrointestinal (GI) system.

D) Sedative effects in the neurologic system.

Q3) The nurse explains to a patient who is to undergo a hip replacement that his postoperative pain will be greatly reduced by:

A) Femoral nerve blocks

B) Extremely deep general anesthesia

C) Practicing leg lifting exercises before surgery

D) Placing an analgesic patch directly over the incision

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17

Chapter 16: First Aid, emergency Care, and Disaster Management

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Sample Questions

Q1) The patient visits the industrial nurse after an accident on the factory floor,which has amputated three toes.Effective nursing intervention for the amputated toes would be:

A) Rinsing with normal saline and placing on a sterile towel.

B) Placing toes as they are on ice in a sterile container.

C) Placing the unwrapped toes in a saline bath.

D) Placing the saline-wrapped toes in a plastic bag in a saline bath.

Q2) When the nurse notes paradoxical respiration in a patient in the emergency department who fell off some scaffolding,the nurse applies ____________________ to the ribs.

Q3) A patient is brought to the emergency department having had a rock chip imbed in the right eye.The nurse's initial action should be to:

A) Turn the patient to the left side and prepare to remove the chip.

B) Flush the right eye with normal saline.

C) Keep the patient flat.

D) Cover both eyes.

Q4) Assessment of a burn victim leads the nurse to suspect an inhalation injury.The observation that would indicate such an injury would be ____________________.

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Chapter 17: Surgical Care

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Sample Questions

Q1) To best prevent deep vein thrombosis (DVT)in the postoperative patient,the nurse plans to ensure that the patient:

A) Splints the incision.

B) Coughs and deep-breathes every 2 hours.

C) Regularly removes antiembolism stockings.

D) Ambulates frequently.

Q2) The postoperative patient who has no previous medical conditions is difficult to arouse when transferred to the surgical unit from the postanesthesia care unit.The nurse monitors the pulse oximeter and gets a reading of 85%.The nurse's next action should be to:

A) Assess the pulse oximeter reading again in 1 hour.

B) Arouse the patient, have him cough, and encourage deep breathing.

C) Administer a dose of pain medication.

D) Suction fluid from the oral cavity.

Q3) The nurse discovers on the preoperative assessment that the patient has a condition that would require increased amounts of general anesthesia.The condition is

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Chapter 18: Intravenous Therapy

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Sample Questions

Q1) An IV administration of doxycyclin (Vibramycin)has extravagated.After stopping the IV,the nurse should:

A) Notify the physician, and restart the IV in another site.

B) Restart the IV at another site, and document the extravasation.

C) Flush NS through cannula at the insertion site.

D) Discard the IV tubing and the IV bag.

Q2) In an assessment of a patient who has been receiving intravenous (IV)fluids for the last 6 hours,the nurse finds that the pulse is now bounding,the blood pressure is more than 15 mm Hg higher than the last reading,and pedal edema has developed.The nurse evaluates these signs as associated with:

A) Infiltration of the IV site

B) Vascular fluid volume excess

C) Pulmonary air embolism

D) Phlebitis of the leg veins

Q3) When removing a central catheter,the nurse should instruct the patient to:

A) Lean forward and cough.

B) Take a deep breath and bear down.

C) Breathe deeply through the mouth.

D) Lie on the right side.

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Page 20

Chapter 19: Shock

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Sample Questions

Q1) Nursing interventions to help the patient cope with decreased cardiac output include which one of the following?

A) Dovetailing nursing care tasks allows rest periods for the patient.

B) Maintaining enough cover prevents the patient from shivering.

C) Turning, coughing, deep-breathing, and ambulating the patient every 2 hours reduce the risk of embolism.

D) Administering analgesics cautiously.

Q2) The nurse explains that the use of medical antishock trousers (MAST)garment compress the legs and abdomen to:

A) Help restore cellular perfusion.

B) Decrease internal hemorrhage.

C) Cool the patient to create less metabolic demand.

D) Apply pressure during the systole phase and relax pressure during the diastole phase.

Q3) 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

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Chapter 20: Falls

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Sample Questions

Q1) In reviewing a patient's medication administration record,the nurse is aware that some medications are considered to be chemical restraints.Of the following medications,the nurse recognizes the chemical restraint to be:

A) Warfarin (Coumadin)

B) Alprazolam (Xanax)

C) Isosorbide (Isordil)

D) Ibuprofen (Motrin)

Q2) When caring for a patient who requires wrist restraints,the nurse should remove and release the restraints once every:

A) 8 hours for at least 30 minutes

B) 4 hours for at least 15 minutes

C) 2 hours for at least 10 minutes

D) 1 hour for at least 5 minutes

Q3) The nurse is aware that the patient at greatest risk for injury from falls is the:

A) Toddler

B) Teenager

C) Middle-aged adult

D) Older adult

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22

Chapter 21: Immobility

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Sample Questions

Q1) The most effective intervention to prevent constipation in a patient who recently suffered a fractured femur and is currently in traction is to:

A) Get the patient up and to the bathroom at least twice each day.

B) Administer enemas each day until the patient has a bowel movement.

C) Administer pain medication to prevent pain during defecation.

D) Encourage a high-fiber diet and increased amounts of fluids.

Q2) A discharge order for the patient with left-sided weakness after having a stroke is to teach the patient to perform range-of-motion exercises on the affected extremities.The patient asks why she needs to do range-of-motion exercises.The nurse's best response would be:

A) "Because the physician has ordered it."

B) "You will regain full use of your arm and leg if you will do the exercised correctly."

C) "They prevent the muscles and tendons from shortening and becoming unmovable."

D) "It will give you something to do since you can't work anymore."

Q3) The home health nurse instructs a family about boosting the patient in bed so that a ____________________ type of skin injury will not occur.

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23

Chapter 22: Confusion

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Q1) In assessing a patient for the possibility of confusion,the nurse should keep in mind that the two major types of confusion are:

A) Acute and chronic senility

B) Temporary and permanent confusion

C) Delirium and dementia

D) Senility and senile dementia

Q2) 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)____________________.

Q3) The nurse will focus nursing care support for a patient with mild cognitive impairment (MCI)on:

A) Reorienting the patient to the physical environment.

B) Developing strategies to improve memory.

C) Assisting with dressing and eating.

D) Establishing toileting schedules.

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24

Chapter 23: Incontinence

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Sample Questions

Q1) The patient tells the nurse that his bowel movements normally occur every morning after breakfast.The nurse understands that this is due to:

A) Fecal overflow

B) Gastrocolic reflex

C) Autonomic dysreflexia

D) Lack of sphincter control

Q2) The patient who is scheduled for an urodynamic test asks the nurse why he is having this test.The nurse's best response would be:

A) "To test the capacity of the bladder."

B) "To see how much urine is left in the bladder after you have voided."

C) "To test the function of the nerves and muscles of the bladder."

D) "To detect involuntary passage of urine."

Q3) The patient who is scheduled for a postvoid residual (PVR)test should be instructed by the nurse to:

A) Call the nurse immediately after voiding.

B) After voiding, wait 10 minutes and void again.

C) Void into a flow meter.

D) Avoid fluid intake for 8 hours before the test.

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25

Chapter

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Sample Questions

Q1) The nurse is assessing a patient who is terminally ill for clinical signs of impending death.When assessing the patient's respirations,the nurse would expect:

A) Deep, clear breath sounds

B) Noisy, wet-sounding respirations

C) Even, unlabored respirations

D) Shallow, clear breath sounds

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) The Omnibus Reconciliation Act of 1990 requires that institutions must provide written information to patients concerning their rights to:

A) Donate organs

B) Accept or refuse treatment

C) Have an autopsy

D) Physician-assisted suicide

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Chapter 25: The Patient With Cancer

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Q1) When the nurse sees that an intravenous (IV)vesicant cancer drug has extravasated,the nurse should:

A) Place a warm compress on the area.

B) Chill the area with an ice pack.

C) Raise the patient's arm above the level of the heart.

D) Stop the infusion.

E) Notify the charge nurse.

Q2) The family is concerned about the possibility of addiction as a result of the frequent doses of Roxanol.The nurse's best response is:

A) "At this stage, addiction is the least of our worries."

B) "This is a low-dose drug, and it controls pain without the problems of addiction."

C) "Addiction is rare, but we have drugs that can counteract the effect of this narcotic."

D) "You may want to share your concerns with the physician. He can order another drug that is not addictive."

Q3) The nurse clarifies that cells that change from their tissues of origin and have multiple nuclei are categorized as ____________________.

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27

Chapter 26: The Patient With an Ostomy

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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) The nurse cautions that some adhesive pouch material used to hold the appliance in place may cause:

A) Melting of the pouch

B) Excoriation of the stoma

C) Allergic reaction

D) Unpleasant odor

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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Sample Questions

Q1) When a patient falls to the floor in a generalized seizure,the nurse should:

A) Cradle the head to prevent injury.

B) Insert an object between the teeth to prevent the patient from biting the tongue.

C) Manually restrain the limbs.

D) Keep the patient on his or her back to prevent aspiration.

Q2) The nurse explains that the neural synapse refers to the:

A) Length of time it takes for afferent neurons to carry impulses to the central nervous system (CNS)

B) Length of time it takes for efferent neurons to carry impulses to the motor neurons

C) Space between the axons and the dendrites of a neuron

D) Space between the axons of one neuron and the dendrites of the next

Q3) The nurse caring for a 90-year-old patient with a closed head injury would immediately report:

A) Blood pressure change from 147/72 to 176/70 mm Hg

B) Respiration rate increase from 14 to 18 breaths/min

C) Slow pupillary reaction bilaterally

D) Temperature decrease from 100.2° to 97.6° F

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Chapter 28: Cerebrovascular Accident

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34 Flashcards

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Sample Questions

Q1) The patient in the rehabilitation phase after a CVA accidentally knocks the adapted plate from the table and bursts into tears after failing to feed himself.The nurse's best response would be:

A) "Don't cry. You'll be mastering eating in no time."

B) "I don't believe crying will help. Let's try drinking from a special cup."

C) "Bless your heart! Let me get a new meal and feed you."

D) "Learning new skills is hard. Let's see what may have caused the trouble."

Q2) The nurse prepares a list of home modifications that will support rehabilitation for a patient who had a stroke.These include:

A) Raised commode seat

B) Provision of a seat in the shower

C) Availability of soft, low chairs

D) Bathtub hand rails

E) Bright colored scatter rugs

Q3) The nurse recognizes that the acute phase of a CVA has ended when:

A) 48 hours has passed from its onset.

B) Patient begins to respond verbally.

C) BP drops.

D) Vital signs and neurologic signs stabilize.

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Page 30

Chapter 29: Spinal Cord Injury

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34 Verified Questions

34 Flashcards

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Sample Questions

Q1) After spinal shock has been resolved,the indwelling catheter is removed.The nurse tells the patient to expect the bladder to empty by:

A) Manual expression (Credé method)

B) Spontaneous reflexive action

C) Normal voluntary control

D) Self-catheterization

Q2) When the nurse recognizes autonomic dysreflexia in the patient with a SCI,the immediate intervention should be to:

A) Flex the patient's legs using the knee gatch of the bed.

B) Cool the patient with alcohol solution.

C) Raise the head of the bed to at least 45 degrees.

D) Administer oxygen per mask.

Q3) The nurse notes that no urinary output has occurred in a patient who underwent a laminectomy 2 hours earlier.The nurse should:

A) Continue to monitor.

B) Inform the charge nurse.

C) Perform intermittent catheterizations.

D) Turn the patient to the right side.

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Chapter 30: Acute Respiratory Disorders

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33 Verified Questions

33 Flashcards

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Sample Questions

Q1) When a patient complains of tachypnea,the nurse explains that the breathing pattern has altered because the:

A) Increased pH levels stimulate chemoreceptors in the aorta and carotid arteries, which stimulates the phrenic nerve.

B) Decreased oxygen level signals the phrenic nerve to alter the respiration rate.

C) Muscles of respiration respond to the stimulus.

D) Brain has become hypoxic and causes an alteration in the respiration rate.

E) Deflated lung tissue results in an altered respiration rate.

Q2) A home health nurse who is caring for an 88-year-old patient with severe hypertension in addition to a respiratory problem notices several drugs on the bedside table.The medication that the nurse would suggest the patient should avoid is:

A) Aspirin

B) Antitussive

C) Expectorant

D) Decongestant

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Chapter 31: Chronic Respiratory Disorders

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32 Verified Questions

32 Flashcards

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Sample Questions

Q1) The nurse instructs the patient who is taking rifampin as a result of an exposure to TB that side effects of this drug may cause:

A) Extreme drowsiness

B) Illness if aged cheese or smoked meats are consumed

C) Body fluids to become red-orange

D) Oral contraceptive pills to become ineffective

Q2) The nurse recognizes that a rising level of partial pressure of carbon dioxide (CO?)in arterial blood (PaCO?)in a patient with COPD means that:

A) More arterial O? is available than is needed.

B) The ventilation-perfusion ratio is becoming balanced.

C) Respiratory acidosis has begun.

D) The anticholinergic medications are effective.

Q3) The nurse reviews the signs and symptoms characteristic of the patient with chronic blue bloater bronchitis,which are:

A) Productive cough

B) Peripheral edema

C) Discolored teeth

D) Exertional dyspnea

E) Elevated red blood cell count

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Page 33

Chapter 32: Hematologic Disorders

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Sample Questions

Q1) When the patient with a platelet count of 20,000/mm³ receives 1 unit of platelets,the platelet count should rise to:

A) 25,000 to 30,000/mm3

B) 35,000 to 40,000/mm3

C) 45,000 to 50,000/mm3

D) 55,000 to 100,000/mm3

Q2) The nurse explains that sickle cell crisis occurs when the sickle-shaped red blood cells:

A) Rupture

B) Produce hemoglobin S

C) Interfere with blood production

D) Obstruct major arteries

Q3) The nurse caring for a patient receiving a transfusion assesses that the patient is wheezing and is complaining of back pain.After the nurse stops the transfusion,the nurse should:

A) Discontinue the intravenous (IV) transfusion.

B) Notify the charge nurse.

C) Administer heparin.

D) Raise the patient's head.

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Page 34

Chapter 33: Immunologic Disorders

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31 Verified Questions

31 Flashcards

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Sample Questions

Q1) The nurse is preparing a patient for a liver-spleen scan.Which of the following interventions is most important before the procedure?

A) Prepare the biopsy site with a clean field.

B) Check for any allergies to contrast media.

C) Explain the procedure to the patient's family.

D) Have the patient eat a complete regular diet.

Q2) In preparing discharge plans for a patient with SLE,the nurse must include:

A) Need to consume 2 L of fluid daily

B) Close monitoring of daily blood glucose level

C) Use of daily sunscreens with a sun protection factor (SPF) higher than 15

D) Careful concern for certain food allergies

Q3) The nurse uses a picture to show the histamine-releasing mast cells that are:

A) Circulating in the blood

B) Circulating in the lymph

C) Attached to organ tissue

D) Embedded in the bone marrow

Q4) The nurse explains that early in life,lymphocytes migrate from the marrow of the bones to the ________________,in which they mature into T cells.

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Page 35

Chapter 34: Human Immunodeficiency Virus and Acquired

Immunodeficiency Syndrome

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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) Before the initiation of any anti-HIV drug protocol,the patient is assessed for the willingness to:

A) Give up sexual activity for several months.

B) Follow the strict dietary guidelines.

C) Comply with drug protocol.

D) Involve the partner in a support program.

Q3) If the first ELISA is positive,then:

A) The diagnosis of AIDS is confirmed.

B) The test is repeated in 6 to 8 months.

C) Another blood sample must be obtained for testing.

D) A Western blot test is performed on the same sample.

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Chapter 35: Cardiac Disorders

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Sample Questions

Q1) The nurse records a "1" for the pulse quality of the pedal pulse.This means that the pulse is:

A) Absent

B) Normal

C) Thready

D) Forceful

Q2) The nurse urges the 50-year-old overweight executive who had an MI 3 months earlier to take up some conditioning exercises for 30 minutes a day to:

A) Lose weight.

B) Improve function of the left ventricle.

C) Decrease arterial stiffening.

D) Decrease cholesterol levels

E) Improve cardiac dysrhythmia.

Q3) A 49-year-old patient has multiple risk factors for coronary artery disease.A modifiable risk factor that the patient can focus on is:

A) Family history

B) Age

C) Smoking

D) Male gender

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Page 37

Chapter 36: Vascular Disorders

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Sample Questions

Q1) While performing an intake examination on a patient with PVD,the nurse identifies a factor that aggravates vascular disease,which is that the patient:

A) Rides a bicycle to work.

B) Drinks red wine every day.

C) Is employed as an air traffic controller.

D) Eats chocolate candy every day.

Q2) The nurse cautions the patient with PVD that his continued smoking causes detrimental vasoconstriction for up to ____ after only one cigarette.

A) 10 minutes

B) 20 minutes

C) 30 minutes

D) 1 hour

Q3) The nurse records the assessment of stasis dermatitis on an intake assessment for a patient with peripheral vascular disease (PVD).This assessment indicates the presence of:

A) Brownish skin discoloration on lower legs

B) Ulceration on medial surface of lower legs

C) Edema in lower legs

D) Purple rash on medial surface of lower legs

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Page 38

Chapter 37: Hypertension

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Sample Questions

Q1) To use less sodium in the diet,the nurse recommends the use of spices and:

A) Catsup

B) Garlic

C) Soy sauce

D) Cheese

Q2) An obese 38-year-old African-American patient with diabetes is being evaluated for the use of propranolol (Inderal)in controlling his hypertension.The nurse points out that a contraindication for that drug's use in this patient would be his:

A) Race

B) Age

C) Diabetes

D) Weight

Q3) The nurse points out the Dietary Approaches to Stop Hypertension (DASH)diet uses as its source of protein and fat which one of the following?

A) Lean red meat

B) Whole grains

C) Low fiber

D) Sugar

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Chapter 38: Digestive Tract Disorders

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Sample Questions

Q1) After abdominal surgery,the patient must cough and take deep breaths.How can the nurse best achieve this with this patient?

A) Withhold analgesics until the patient performs this task.

B) Help the patient splint the incision with a pillow.

C) Explain that pneumonia occurs if deep breathing is not carried out every 4 hours.

D) Ambulate the patient 40 feet to increase his need for oxygen.

Q2) The nurse caring for a patient with achalasia can help the patient reduce swallowing difficulty by:

A) Identify foods that cause the problem.

B) Experiment with different eating positions.

C) Elevate the head of the bed at night.

D) Suggest eating more rapidly.

E) Offer small bites of fresh vegetables.

Q3) While the patient is on TPN feedings,the nurse will include in the care plan to:

A) Monitor for hyperglycemia.

B) Assess temperature.

C) Change subclavian dressing with clean procedure.

D) Monitor for hypoglycemia.

E) Assess intake and output.

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Page 40

Chapter 39: Disorders of the Liver, gallbladder, and Pancreas

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Sample Questions

Q1) The nursing measure that takes priority in relation to the care of a patient with an gastroesophageal balloon tube is to:

A) Deflate the balloon periodically.

B) Advance the tube as instructed.

C) Monitor respirator status.

D) Withhold medications that could decrease restlessness.

Q2) The nurse reports the observation that would indicate blocked flow of bile from the liver to the intestine,which is:

A) Clay-colored stools

B) Jaundice

C) High blood pressure

D) Tachycardia

Q3) The nurse is alert to another chronic condition related to the presence of chronic pancreatitis,which is:

A) Chronic obstructive pulmonary disease (COPD)

B) Urinary tract infection (UTI)

C) Diabetes mellitus (DM)

D) Arteriosclerotic heart disease (ASD)

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Chapter 40: Urologic Disorders

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Sample Questions

Q1) The nurse is aware that if the kidney is adequately functioning,the osmolality of the urine will be:

A) Equal to the osmolality of the serum

B) Approximately one-half of the serum

C) In a ratio of 10:1 with the serum

D) Equal to the excretion of urea

Q2) The home health patient who has cystitis has been placed on the drug,phenazopyridine (Pyridium),and should be cautioned about:

A) Staying out of the heat

B) Nausea

C) Staining of clothing

D) Skin rash

Q3) Erythropoietin is a hormone produced by the kidney.When the patient in chronic renal failure has a deficiency of erythropoietin,it will result in:

A) Diminished immunologic function with fewer white blood cells

B) Elevated lipid levels in the bloodstream, contributing to accelerated atherosclerosis

C) Anemia as a result of the diminished number of red blood cells being produced

D) Hypertension as a result of the increased, concentrated blood volume

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Page 42

Chapter 41: Connective Tissue Disorders

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Sample Questions

Q1) The diagnostic test result that the nurse would expect for a patient with polymyositis is:

A) Muscle biopsy, positive for muscle degeneration

B) Positive antinuclear antibody (ANA) blood test

C) Positive 24-hour urine test for urate crystals

D) Urate crystals in the synovial fluid

Q2) For the osteoporotic patient taking alendronate (Fosamax),the nurse would stress that the drug requires that the patient:

A) Take the drug after breakfast.

B) Avoid the use of supplemental vitamin D.

C) Decrease fluid intake.

D) Sit or stand for 30 minutes after administration.

Q3) The anonym CREST represents the five characteristic signs of progressive systemic sclerosis,which are:

A) Calcinosis

B) Rash

C) Esophageal dysfunction

D) Sore joints

E) Telangiectasis

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Chapter 42: Fractures

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Sample Questions

Q1) When an older woman falls down at church and immediately complains of severe pain in her left hip,the choir director recognizes the cardinal sign of a fractured hip when he sees:

A) Shortened left leg when compared with the right

B) Downward curled toes

C) Internal rotation of the left leg

D) Hematoma on the left hip

Q2) The nurse would teach the older patient with a newly casted Colles fracture to:

A) Apply cool compresses to the cast.

B) Let the hand and arm dangle to increase the drainage.

C) Keep the hand immobile to reduce swelling.

D) Move the shoulders to reduce contractures.

Q3) A fracture that occurs because of osteoporosis is classified as a

fracture.

Q4) 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.

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Chapter 43: Amputations

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Sample Questions

Q1) The 80-year-old man with diabetes has had vascular problems with his feet and lower legs for 10 years and is scheduled for a left below-the-knee amputation.The remark by the patient that indicates an understanding of the procedure is:

A) "I am glad this amputation will end my diabetic problems."

B) "After they have hacked my leg, I won't be able to drive."

C) "If this heals well, how long until I get a prosthesis?"

D) "I hate that my left knee is going to be useless without a foot."

Q2) During the admission of a patient scheduled for an amputation,the patient relates that she is a practicing Orthodox Jew.The nurse should make arrangements for:

A) A veil to cover the amputated part.

B) A rabbi present for the surgery.

C) The amputated part to be buried.

D) A family member present to read the Torah.

Q3) An amputation of a gangrenous limb that is left open for 10 days before closure is classified as a ________________ amputation.

Q4) The nurse clarifies that the precise term for the patient's amputation,which will be through the knee joint,is called ____________________.

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Chapter 44: Pituitary and Adrenal Disorders

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Sample Questions

Q1) The nurse caring for a patient with diabetes insipidus (DI)should be alert for the following and report these signs that indicate a change in condition:

A) Dropping blood pressure

B) Light clear urine

C) Moist mucous membranes

D) Excessive thirst

E) Large urine output

Q2) The mother of a 6-foot,2-inch,16-year-old girl who is being treated for hyperpituitarism says,"I can't stand it that my beautiful daughter is a freak." The nurse's best response is:

A) "Gigantism is treatable."

B) "Her height could help her be a basketball star or a model."

C) "What is it about her height that makes her a freak?"

D) "All parents feel responsible when their children have problems."

Q3) The nurse noting a peaked T-wave on the electrocardiogram (ECG)of a patient with Addison disease recognizes this complex as suggestive of _________________.

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Chapter 45: Thyroid and Parathyroid Disorders

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Sample Questions

Q1) An older patient with hypothyroidism asks why her daily dose of thyroid hormone,which she has taken for 15 years,has been reduced.The nurse's best response would be that the decreased dose is related to:

A) Improved efficacy of the thyroid preparation

B) Age-related reduction in metabolic rate

C) Drug-related hypertrophy of the thyroid

D) Changes in your diet and activity level

Q2) On returning from surgery after undergoing a thyroidectomy,the patient is alarmed about the large tracheostomy tray on the bedside table.When she asks why it is there,the nurse's most reassuring response would be:

A) "We have it there as a precautionary measure in the unlikely event that you have difficulty breathing."

B) "If you start bleeding, we'll be able to take care of it right here at the bedside."

C) "We have to keep it there in case of an emergency and the physician needs it."

D) "It's hospital policy to have it available for persons who are likely to have respiratory arrest."

Q3) Congenital hypothyroidism,if left untreated,will result in _________________.

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Chapter 46: Diabetes Mellitus and Hypoglycemia

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Sample Questions

Q1) The nurse instructs a patient about how insulin affects blood glucose.(Arrange the events in sequence.)

A) Beta cells are stimulated to release insulin.

B) Glucose enters the bloodstream.

C) Glycogen is converted to glucose by alpha cells (glycogenesis).

D) Glycogen is stored in the liver.

E) Insulin transports glucose to muscle cells.

Q2) The nurse stresses that the patient with type 1 diabetes is at risk for cardiovascular disorders because the lack of insulin causes:

A) High glucose levels that irritate and shrink the vessels

B) Inadequate metabolism of proteins, which causes ketosis

C) Increased fatty acid levels

D) Increased metabolism of ketones, which causes hypertension

Q3) A patient who has been diagnosed with endogenous hypoglycemia most likely has:

A) Taken an overdose of hypoglycemic drugs.

B) Been following a very restricted fasting diet or is malnourished.

C) Excessive secretion of insulin or an increase in glucose metabolism.

D) Exercised unwittingly without replenishing needed fluids and nutrients.

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Chapter 47: Female Reproductive Disorders

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29 Flashcards

Source URL: https://quizplus.com/quiz/25277

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:

A) Dimpling

B) Nipple discharge

C) Thickening of tissue

D) Red bruise

E) Dry rash around nipple

Q2) After a culdoscopy,the nurse should instruct the patient to:

A) Clean the incision site daily with hydrogen peroxide.

B) Avoid vaginal intercourse.

C) Return to the clinic for suture removal in 7 days.

D) Use tampons.

Q3) The nurse is aware that a tumor determined to be ER+ indicates that the tumor needs ____________________ for growth.

Q4) After a hysterectomy,the nurse assessing for abnormal bleeding would:

A) Record the number of perineal pads used.

B) Assess vital signs every 8 hours.

C) Place the patient's bed in a high Fowler position.

D) Apply an abdominal binder.

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Chapter 48: Male Reproductive Disorders

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Source URL: https://quizplus.com/quiz/25278

Sample Questions

Q1) A patient has been prescribed flutamide (Eulexin)for the treatment of prostate cancer.The nurse reminds the patient that a side effect might be:

A) Incontinence

B) Insomnia

C) Weight loss

D) Hot flashes

Q2) The nurse who is assessing a young man who is being treated for sterility will inquire whether the young man had any common childhood disease that may be the cause of sterility.Such diseases would include:

A) Mumps

B) Chicken pox

C) Measles

D) Scarlet fever

Q3) A patient's home instructions after a vasectomy should include that:

A) Postoperative care consists of warm Sitz baths.

B) Vasectomies should be seen as usually permanent but sometimes reversible.

C) Sexual intercourse should be delayed for up to 3 months.

D) The surgical procedure may interfere with ejaculation.

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Chapter 49: Sexually Transmitted Infections

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Sample Questions

Q1) The nurse explains that STIs must be reported to the local public health department.The reportable diseases are confirmed cases of:

A) HIV

B) Acquired immunodeficiency syndrome (AIDS)

C) Gonorrhea

D) Chlamydia

E) Viral hepatitis

Q2) A patient with syphilis is seen at the clinic and complains of body aches,pustules,fever,and sore throat.The nurse recognizes that these are symptoms of syphilis at which stage?

A) Primary

B) Secondary

C) Latent

D) Late

Q3) Primary stage syphilis is characterized by:

A) Chancre

B) Alopecia

C) Pruritus

D) Dry skin

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Page 51

Chapter 50: Skin Disorders

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Source URL: https://quizplus.com/quiz/25280

Sample Questions

Q1) Displaying her hands,a patient asks,"Do you think my liver is OK? Look at all these liver spots!" The most appropriate response would be:

A) "The spots could mean something is wrong; I will make a note of it."

B) "The spots are normal aging changes and have nothing to do with your liver."

C) "Have you recently been exposed to hepatitis?"

D) "Don't worry about them. They will fade during the winter."

Q2) The daughter of an older adult patient who has just returned from surgery is distressed about her father's pale,cold hands and feet.The nurse covers the patient with an extra blanket and responds:

A) "Don't be concerned. It is quite cold in the operating room. Your dad will be warm in a minute."

B) "Older patients like your dad get a little shocky during surgery."

C) "When patients have blood loss during surgery, superficial vessels close off temporarily, resulting in cold extremities."

D) "We are watching the disturbed circulation in your dad's hands and feet very carefully."

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Chapter 51: Eye and Vision Disorders

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Sample Questions

Q1) The nurse is aware that the refractive media of the eye is made up of the:

A) Aqueous humor

B) Retina

C) Vitreous humor

D) Cornea

E) Lens

Q2) The nurse explains that the portion of the eye that will make it possible for a person to see in a darkened environment is the:

A) Macula

B) Rods

C) Cones

D) Optic nerve

Q3) A patient in the emergency department complains of severe pain in his eye and is seeing halos around lights and feeling nauseous.The nurse recognizes these symptoms as probable:

A) Open-angle glaucoma

B) Angle-closure glaucoma

C) Cataracts

D) Retinal detachment

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Page 53

Chapter 52: Ear and Hearing Disorders

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Sample Questions

Q1) The patient reports her hearing loss has become more severe over the last 3 months.The clinic nurse makes arrangements for an evaluation for a hearing aid by an:

A) Otologist

B) Otolaryngologist

C) Audiometrist

D) Audiologist

Q2) The nurse assisting with a caloric test notes the specific patient response that indicates that the hearing disorder is a problem in the labyrinth,which is:

A) Blinking

B) Grimacing

C) Headache

D) Nystagmus

Q3) Because the 85-year-old patient has had age-related changes in the cochlea,the nurse will:

A) Speak slowly.

B) Provide assistance with ambulation.

C) Speak in a lower tone.

D) Communicate with the patient in writing.

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Chapter 53: Nose, sinus, and Throat Disorders

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Sample Questions

Q1) The most significant topic in a teaching plan for a patient with frequent episodes of laryngitis should include:

A) Observing voice rest.

B) Reducing smoking.

C) Eating warm foods.

D) Maintaining a consistent environmental temperature.

Q2) A 68-year-old patient tells the nurse that her sense of smell is not as acute as before; her nose is drier,and she occasionally gets a nosebleed.The nurse explains that she may have:

A) An infection

B) Normal age-related changes

C) A nasal defect

D) Allergies that are causing her symptoms

Q3) The nurse is aware that the age-related relaxation of the esophageal sphincter in the 70-year-old patient will cause:

A) Excessive belching

B) Dumping syndrome

C) Tickling sensation, requiring frequent coughing

D) Burning in the throat when lying down

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Page 55

Chapter 54: Psychologic Responses to Illness

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Sample Questions

Q1) The nurse explains that according to Maslow,mentally healthy persons have the characteristics of:

A) Acceptance of self

B) Reality orientation

C) Spontaneity

D) Effective problem-solving skills

E) No need for privacy

Q2) The mother of a 5-year-old patient says that she is just mortified by his rude vocabulary since he has started school.The nurse reminds her that the best response to this behavior is to:

A) Ignore it.

B) Speak to his teacher about it.

C) Praise him when he speaks properly.

D) Talk about it at the parent-teachers association (PTA).

Q3) The example of a positive stressor is:

A) Test anxiety

B) Loss of a job

C) Paying income tax

D) Single motherhood

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Page 56

Chapter 55: Psychiatric Disorders

Available Study Resources on Quizplus for this Chatper

29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/25285

Sample Questions

Q1) A nursing diagnosis that would be appropriate for all patients with an anxiety,a somatoform,or a dissociative disorder would be:

A) Altered nutrition, less than body requirements

B) Disturbed body image

C) Ineffective denial

D) Ineffective coping

Q2) To listen therapeutically to the patient,the nurse should try to:

A) Concentrate on the patient and not think of responses to the patient while he or she is speaking.

B) Determine the cause of the patient's problem while the patient is speaking.

C) Ask the patient why he thinks he feels the way he does.

D) Tell the patient that you have had similar experiences.

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 ____________________.

Q4) When the nurse asks questions like,"What day is today?" or "What time is it now?" the nurse is testing the patient's ____________________.

To view all questions and flashcards with answers, click on the resource link above. Page 57

Chapter 56: Substance-Related Disorders

Available Study Resources on Quizplus for this Chatper

30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/25286

Sample Questions

Q1) The nurse is aware that the alcoholic is at risk for a syndrome related to thiamine deficiency,which is:

A) Fetal alcohol syndrome

B) Wernicke encephalopathy

C) Korsakoff psychosis

D) Alcoholic dementia

Q2) When an alcoholic,who was brought in 12 hours earlier in an intoxicated state,begins to exhibit tremors,has increased blood pressure,and is agitated,the nurse assesses that the patient is in:

A) Major withdrawal

B) Early withdrawal

C) Delirium tremens

D) Minor withdrawal

Q3) The nurse counsels a pregnant cocaine abuser that her cocaine use places the baby at risk for:

A) Severe allergies

B) Neurologic impairments

C) Hearing impairment

D) Higher birth weights

To view all questions and flashcards with answers, click on the resource link above.

Page 58

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