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Nursing Concepts and Interventions Practice Exam - 1998 Verified Questions

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Nursing Concepts and Interventions Practice Exam

Course Introduction

This course provides an in-depth exploration of foundational nursing concepts and evidence-based interventions central to professional practice. Students will examine the principles of holistic care, communication, safety, critical thinking, and cultural competence as they relate to patient assessment and care planning. Emphasis is placed on developing the skills necessary for effective patient-centered interventions across the lifespan, including health promotion, disease prevention, and management of acute and chronic conditions. Through a combination of theoretical instruction and practical application, students will gain the knowledge and competencies required to deliver high-quality, compassionate nursing care in diverse healthcare settings.

Recommended Textbook

Medical Surgical Nursing 10th Edition by Lewis

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68 Chapters

1998 Verified Questions

1998 Flashcards

Source URL: https://quizplus.com/study-set/1279 Page 2

Chapter 1: Professional Nursing Practice

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/25336

Sample Questions

Q1) Which task is appropriate for the nurse to delegate to a licensed practical/vocational nurse (LPN/LVN)?

A)Complete the initial admission assessment and plan of care.

B)Document teaching completed before a diagnostic procedure.

C)Instruct a patient about low-fat, reduced sodium dietary restrictions.

D)Obtain bedside blood glucose on a patient before insulin administration.

Answer: D

Q2) A nurse asks the patient if pain was relieved after receiving medication. What is the purpose of the evaluation phase of the nursing process?

A)To determine if interventions have been effective in meeting patient outcomes

B)To document the nursing care plan in the progress notes of the medical record

C)To decide whether the patient's health problems have been completely resolved

D)To establish if the patient agrees that the nursing care provided was satisfactory

Answer: A

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3

Chapter 2: Health Disparities and Culturally Competent Care

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18 Verified Questions

18 Flashcards

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Sample Questions

Q1) A staff nurse expresses frustration that a Native American patient always has several family members at the bedside. Which action by the charge nurse is most appropriate?

A)Remind the nurse that family support is important to this family and patient.

B)Have the nurse explain to the family that too many visitors will tire the patient.

C)Suggest that the nurse ask family members to leave the room during patient care.

D)Ask about the nurse's personal beliefs about family support during hospitalization.

Answer: D

Q2) The nurse is performing an admission assessment for a non-English-speaking patient who is from China. Which actions could the nurse take to enhance communication ?

A)Use an electronic translation application.

B)Use a telephone-based medical interpreter.

C)Wait until an agency interpreter is available.

D)Ask the patient's teenage daughter to interpret.

E)Use exaggerated gestures to convey information.

Answer: A,B,C

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Chapter 3: Health History and Physical Examination

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) When assessing for formation of a possible blood clot in the lower leg of a patient,which action should the nurse take first?

A)Visually inspect the leg.

B)Feel for the temperature of the leg.

C)Check the patient's pedal pulses using the fingertips.

D)Compress the nail beds to determine capillary refill time.

Answer: A

Q2) During the health history interview,a patient tells the nurse about periodic fainting spells. Which question by the nurse will best elicit any associated clinical manifestations?

A)"How frequently do you have the fainting spells?"

B)"Where are you when you have the fainting spells?"

C)"Do the spells tend to occur at any special time of day?"

D)"Do you have any other symptoms along with the spells?"

Answer: D

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5

Chapter 4: Patient and Caregiver Teaching

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Sample Questions

Q1) A patient is diagnosed with heart failure after being admitted to the hospital for shortness of breath and fatigue. Which teaching strategy,if implemented by the nurse,is most likely to be effective?

A)Assure the patient that the nurse is an expert on management of heart failure.

B)Teach the patient at each meal about the amounts of sodium in various foods.

C)Discuss the importance of medication control in maintenance of long-term health.

D)Refer the patient to a home health nurse for instructions on diet and fluid restrictions.

Q2) The nurse considers a nursing diagnosis of ineffective health maintenance related to low motivation for a patient with diabetes. Which finding would the nurse most likely use to support this nursing diagnosis?

A)The patient does not perform capillary blood glucose tests as directed.

B)The patient occasionally forgets to take the daily prescribed medication.

C)The patient states that dietary changes have not made any difference at all.

D)The patient cannot identify signs or symptoms of high and low blood glucose.

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6

Chapter 5: Chronic Illness and Older Adults

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Sample Questions

Q1) The nurse performs a comprehensive assessment of an older patient who is considering admission to an assisted living facility. Which question is the most important for the nurse to ask?

A)"Have you had any recent infections?"

B)"How frequently do you see a doctor?"

C)"Do you have a history of heart disease?"

D)"Are you able to prepare your own meals?"

Q2) The nurse assesses an older patient who takes diuretics and has a possible urinary tract infection (UTI). Which action should the nurse take first?

A)Palpate over the suprapubic area.

B)Inspect for abdominal distention.

C)Question the patient about hematuria.

D)Request the patient empty the bladder.

Q3) The nurse is admitting an acutely ill,older patient to the hospital. Which action should the nurse take?

A)Speak slowly and loudly while facing the patient.

B)Obtain a detailed medical history from the patient.

C)Perform the physical assessment before interviewing the patient.

D)Ask a family member to go home and retrieve the patient's cane.

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Page 7

Chapter 6: Stress and Stress Management

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Sample Questions

Q1) An obese female patient who had enjoyed active outdoor activities is stressed because osteoarthritis in her hips now limits her activity. Which action by the nurse will best assist the patient to cope with this situation?

A)Have the patient practice frequent relaxation breathing.

B)Ask the patient what outdoor activities she misses the most.

C)Teach the patient to use imagery for reducing pain and stress.

D)Encourage the patient to consider weight loss to improve symptoms.

Q2) A nurse prepares an adult patient with a severe burn injury for a dressing change. The nurse knows that this is a painful procedure and wants to try providing music to help the patient relax. Which action is best for the nurse to take?

A)Use music composed by Mozart.

B)Play music that does not have words.

C)Ask the patient about music preferences.

D)Select music that has 60 to 80 beats/minute.

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Chapter 7: Sleep and Sleep Disorders

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11 Verified Questions

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Sample Questions

Q1) What is the first action the nurse should take in addressing a patient's concerns about insomnia and daytime fatigue?

A)Question the patient about the use of over-the-counter sleep aids.

B)Suggest that the patient decrease intake of caffeinated beverages.

C)Advise the patient to get out of bed if unable to fall asleep in 10 to 20 minutes.

D)Recommend that the patient use any prescribed sleep aids for only 2 to 3 weeks.

Q2) Which action should the nurse manager promote as an evidence-based practice to support alertness for night shift nurses?

A)Arrange for older staff members to work most night shifts.

B)Provide a sleeping area for staff to use for napping at night.

C)Post reminders about the relationship of sleep and alertness.

D)Schedule nursing staff to rotate day and night shifts monthly.

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Chapter 8: Pain

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26 Verified Questions

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Sample Questions

Q1) Which nursing action could the nurse delegate to unlicensed assistive personnel (UAP)when caring for a patient who is using a fentanyl (Duragesic)patch and a heating pad for treatment of chronic back pain?

A)Check the skin under the heating pad.

B)Count the respiratory rate every 2 hours.

C)Ask the patient whether pain control is effective.

D)Monitor sedation using the sedation assessment scale.

Q2) The nurse on a surgical inpatient unit is caring for several patients. Which patient should the nurse assess first?

A)Patient with postoperative pain who received morphine sulfate IV 15 minutes ago

B)Patient who received hydromorphone (Dilaudid) 1 hour ago and is currently asleep

C)Patient who was treated for pain just prior to return from the postanesthesia care unit

D)Patient with neuropathic pain who is scheduled to receive a dose of hydrocodone (Lortab) now

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Chapter 9: Palliative Care at End of Life

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Sample Questions

Q1) The nurse is caring for an adolescent patient who is dying. The patient's parents are interested in organ donation and ask the nurse how the health care providers determine brain death. Which response by the nurse accurately describes brain death determination?

A)"If CPR does not restore a heartbeat, the brain cannot function."

B)"Brain death has occurred if there is not any breathing or brainstem reflexes."

C)"Brain death has occurred if a person has flaccid muscles and does not awaken."

D)"If respiratory efforts cease and no apical pulse is audible, brain death is present."

Q2) Which action is most important for the nurse to take to ensure culturally competent care for an alert,terminally ill Filipino patient?

A)Let the family decide how to tell the patient about the terminal diagnosis.

B)Ask the patient and family about their preferences for care during this time.

C)Obtain information from Filipino staff members about possible cultural needs.

D)Remind family members that dying patients prefer to have someone at the bedside.

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11

Chapter 10: Substance Use Disorders

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25 Verified Questions

25 Flashcards

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Sample Questions

Q1) A patient is admitted to the emergency department for treatment of a possible opioid overdose. Rank the nursing activities in the correct order from first activity to last activity. (Put a comma and a space between each answer choice [A,B,C,D,E]).

A)Initiate IV access.

B)Take a health history.

C)Administer naloxone

D)Obtain a toxicology screen

E)Provide respiratory support with a bag-valve mask.

Q2) An alcohol-intoxicated patient with a penetrating wound to the abdomen is undergoing emergency surgery. What will the nurse expect the patient to need during the perioperative period?

A)An increased dose of the general anesthetic medication

B)Interventions to prevent withdrawal symptoms within 2 hours

C)Frequent monitoring for bleeding and respiratory complications

D)Stimulation every hour to prevent prolonged postoperative sedation

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Chapter 11: Inflammation and Wound Healing

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22 Verified Questions

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Sample Questions

Q1) The nurse will perform which action when doing a wet-to-dry dressing change on a patient's stage III sacral pressure ulcer?

A)Administer prescribed PRN hydrocodone 30 minutes before the change.

B)Pour sterile saline onto the new dry dressings after the wound has been packed.

C)Apply antimicrobial ointment before repacking the wound with moist dressings.

D)Soak the old dressings with sterile saline 30 minutes before the dressing change

Q2) The nurse notes that a patient's open abdominal wound widens as it extends deeper into the abdomen. How would the nurse document this characteristic?

A)Eschar

B)Slough

C)Maceration

D)Undermining

Q3) The nurse should plan to use a wet-to-dry dressing for which patient?

A)A patient who has a pressure ulcer with pink granulation tissue

B)A patient who has a surgical incision with pink, approximated edges

C)A patient who has a full-thickness burn filled with dry, black material

D)A patient who has a wound with purulent drainage and dry brown areas

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Chapter 12: Genetics and Genomics

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7 Verified Questions

7 Flashcards

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Sample Questions

Q1) The sister of a patient diagnosed with BRCA gene-related breast cancer asks the nurse,"Do you think I should be tested for the gene?" Which response by the nurse is most appropriate?

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

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

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

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

Q2) When caring for a young adult patient who has abnormalities in the cytochrome P450 (CYP 450)gene,which action will the nurse include in the patient's plan of care?

A)Teach that some medications may not work effectively.

B)Teach about genetic risk for cystic fibrosis in any children.

C)Encourage scheduling screening mammograms starting at age 30.

D)Encourage the patient to watch for early symptoms of heart disease.

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Chapter 13: Altered Immune Responses and Transplantation

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26 Verified Questions

26 Flashcards

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Sample Questions

Q1) Immediately after the nurse administers an intracutaneous injection of an allergen on the forearm,the patient complains of itching at the site,weakness,and dizziness. What action should the nurse take first?

A)Apply antiinflammatory cream.

B)Place a tourniquet above the site.

C)Administer subcutaneous epinephrine.

D)Reschedule the patient's other allergen tests.

Q2) A patient who is receiving an IV antibiotic develops wheezes and dyspnea. In which order should the nurse implement these prescribed actions? (Put a comma and a space between each answer choice [A,B,C,D,E]).

A)Discontinue the antibiotic.

B)Give diphenhydramine IV.

C)Inject epinephrine IM or IV.

D)Prepare an infusion of dopamine.

E)Provide 100% oxygen using a nonrebreather mask.

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Page 15

Chapter 14: Infection and Human Immunodeficiency Virus

Infection

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26 Verified Questions

26 Flashcards

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Sample Questions

Q1) A patient treated for human immunodeficiency virus (HIV)infection for 6 years has developed fat redistribution to the trunk with wasting of the arms,legs,and face. What recommendation will the nurse give to the patient?

A)Review foods that are higher in protein.

B)Teach about the benefits of daily exercise.

C)Discuss a change in antiretroviral therapy.

D)Talk about treatment with antifungal agents.

Q2) The nurse is caring for a patient who is human immunodeficiency virus (HIV)positive and taking antiretroviral therapy (ART). Which information is most important for the nurse to address when planning care?

A)The patient complains of feeling "constantly tired."

B)The patient can't explain the effects of indinavir (Crixivan).

C)The patient reports missing some doses of zidovudine (AZT).

D)The patient reports having no side effects from the medications.

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Chapter 15: Cancer

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43 Verified Questions

43 Flashcards

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Sample Questions

Q1) The nurse is caring for a patient receiving intravesical bladder chemotherapy. The nurse should monitor for which adverse effect?

A)Nausea

B)Alopecia

C)Hematuria

D)Xerostomia

Q2) The nurse should suggest which food choice when providing dietary teaching for a patient scheduled to receive external-beam radiation for abdominal cancer?

A)Fruit salad

B)Baked chicken

C)Creamed broccoli

D)Toasted wheat bread

Q3) A patient who is diagnosed with cervical cancer classified as Tis,N0,M0 asks the nurse what the letters and numbers mean. Which response by the nurse is accurate?

A)"The cancer involves only the cervix."

B)"The cancer cells look like normal cells."

C)"Further testing is needed to determine the spread of the cancer."

D)"It is difficult to determine the original site of the cervical cancer."

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37 Verified Questions

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Sample Questions

Q1) A patient with renal failure who arrives for outpatient hemodialysis is unresponsive to questions and has decreased deep tendon reflexes. Family members report that the patient has been taking aluminum hydroxide/magnesium hydroxide suspension (Maalox)at home for indigestion. Which action should the nurse take first?

A)Notify the patient's health care provider.

B)Obtain an order to draw a potassium level.

C)Review the last magnesium level on the patient's chart.

D)Teach the patient about magnesium-containing antacids.

Q2) The nurse is caring for a patient who has a central venous access device (CVAD). Which action by the nurse is appropriate?

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

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

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

D)Position the patient's face toward the CVAD during injection cap changes.

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Chapter 17: Preoperative Care

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Sample Questions

Q1) A patient who has diabetes and uses insulin to control blood glucose has been NPO since midnight before having a knee replacement surgery. Which action should the nurse take?

A)Withhold the usual scheduled insulin dose because the patient is NPO.

B)Obtain a blood glucose measurement before any insulin administration.

C)Give the patient the usual insulin dose because stress will increase the blood glucose.

D)Give half the usual dose of insulin because there will be no oral intake before surgery.

Q2) The surgical unit nurse has just received a patient with a history of smoking from the postanesthesia care unit. Which action is most important at this time?

A)Auscultate for adventitious breath sounds.

B)Obtain the blood pressure and temperature.

C)Remind the patient about harmful effects of smoking.

D)Ask the health care provider to prescribe a nicotine patch.

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Chapter 18: Intraoperative Care

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18 Verified Questions

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Sample Questions

Q1) Which data identified during the preoperative assessment alerts the nurse that special protection techniques should be implemented during surgery?

A)Stated allergy to cats and dogs

B)History of spinal and hip arthritis

C)Verbalization of anxiety by the patient

D)Having a sip of water 3 hours previously

Q2) Which action should the perioperative nurse take to best protect the patient from burn injury during surgery?

A)Ensure correct placement of the grounding pad.

B)Check emergency sprinklers in the operating room.

C)Verify that a fire extinguisher is available during surgery.

D)Confirm that all electrosurgical equipment is working properly.

Q3) A patient in surgery receives a neuromuscular blocking agent as an adjunct to general anesthesia. While in the postanesthesia care unit (PACU),what assessment finding is most important for the nurse to report?

A)Lethargy

B)Complaint of nausea

C)Disorientation to time

D)Weak chest movement

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Page 20

Chapter 19: Postoperative Care

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Sample Questions

Q1) A postoperative patient has not voided for 8 hours after return to the clinical unit. Which action should the nurse take first?

A)Perform a bladder scan.

B)Insert a straight catheter.

C)Encourage increased oral fluid intake.

D)Assist the patient to ambulate to the bathroom.

Q2) A patient who has begun to awaken after 30 minutes in the postanesthesia care unit (PACU)is restless and shouting at the nurse. The patient's oxygen saturation is 96%,and recent laboratory results are all normal. Which action by the nurse is most appropriate?

A)Increase the IV fluid rate.

B)Assess for bladder distention.

C)Notify the anesthesia care provider (ACP).

D)Demonstrate the use of the nurse call bell button.

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Chapter 20: Assessment of Visual and Auditory Systems

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25 Verified Questions

25 Flashcards

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Sample Questions

Q1) When the patient turns his head quickly during the admission assessment,the nurse observes nystagmus. What is the indicated nursing action?

A)Assess the patient with a Rinne test.

B)Place a fall-risk bracelet on the patient.

C)Ask the patient to watch the mouths of staff when they are speaking.

D)Remind unlicensed assistive personnel to speak loudly to the patient.

Q2) A patient complains of dizziness when bending over and of nausea and dizziness associated with physical activities. The nurse will plan to teach the patient about A)tympanometry.

B)rotary chair testing.

C)pure-tone audiometry.

D)bone-conduction testing.

Q3) Which assessment finding alerts the nurse to provide patient teaching about cataract development?

A)History of hyperthyroidism

B)Unequal pupil size and shape

C)Blurred vision and light sensitivity

D)Loss of peripheral vision in both eyes

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Chapter 21: Visual and Auditory Problems

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Sample Questions

Q1) Unlicensed assistive personnel (UAP)perform all the following actions when caring for a patient with Ménière's disease who is experiencing an acute attack. Which action by UAP indicates that the nurse should intervene?

A)UAP raise the side rails on the bed.

B)UAP turn on the patient's television.

C)UAP place an emesis basin at the bedside.

D)UAP helps the patient turn to the right side.

Q2) Which nursing activity is appropriate for the registered nurse (RN)working in the eye clinic to delegate to experienced unlicensed assistive personnel (UAP)?

A)Instilling antiviral drops for a patient with a corneal ulcer

B)Application of a warm compress to a patient's hordeolum

C)Instruction about hand washing for a patient with herpes keratitis

D)Looking for eye irritation in a patient with possible conjunctivitis

Q3) Which statement by a patient with bacterial conjunctivitis indicates a need for further teaching?

A)"I will wash my hands often during the day."

B)"I will remove my contact lenses at bedtime."

C)"I will not share towels with my friends or family."

D)"I will monitor my family for eye redness or drainage."

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Page 23

Chapter 22: Assessment of Integumentary System

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Sample Questions

Q1) Which integumentary assessment data from an older patient admitted with bacterial pneumonia is of concern to the nurse?

A)Brown macules on extremities

B)Reports a history of allergic rashes

C)Skin wrinkled with tenting on both hands

D)Longitudinal nail ridges and sparse scalp hair

Q2) A patient in the dermatology clinic is scheduled for removal of a 15-mm multicolored and irregular mole from the upper back. The nurse should prepare the patient for which type of biopsy?

A)Shave biopsy

B)Punch biopsy

C)Incisional biopsy

D)Excisional biopsy

Q3) The nurse notes darker skin pigmentation in the skinfolds of a middle-aged patient who has a body mass index of 40 kg/m². What is the nurse's appropriate action?

A)Discuss the use of drying agents to minimize infection risk.

B)Instruct the patient about the use of mild soap to clean skinfolds.

C)Teach the patient about treating fungal infections in the skinfolds.

D)Ask the patient about a personal or family history of type 2 diabetes.

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Page 24

Chapter 23: Integumentary Problems

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Sample Questions

Q1) The nurse is interviewing a patient with contact dermatitis. Which finding indicates a need for patient teaching?

A)The patient applies corticosteroid cream to pruritic areas.

B)The patient adds oilated oatmeal to the bath water every day.

C)The patient uses bacitracin-neomycin-polymyxin on minor abrasions.

D)The patient takes diphenhydramine at night if persistent itching occurs.

Q2) When assessing a new patient at the outpatient clinic,the nurse notes dry,scaly skin; thin hair; and thick,brittle nails. What is the nurse's most important action?

A)Instruct the patient about the importance of nutrition for skin health.

B)Make a referral to a podiatrist so that the nails can be safely trimmed.

C)Consult with the health care provider about the need for further diagnostic testing.

D)Teach the patient about using moisturizing creams and lotions to decrease dry skin.

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25

Chapter 24: Burns

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Sample Questions

Q1) Which patient should the nurse assess first?

A)A patient with burns who is complaining of level 8 (0 to 10 scale) pain

B)A patient with smoke inhalation who has wheezes and altered mental status

C)A patient with full-thickness leg burns who is scheduled for a dressing change

D)A patient with partial thickness burns who is receiving IV fluids at 500 mL/hr

Q2) A young adult patient who is in the rehabilitation phase after having deep partial-thickness face and neck burns has a nursing diagnosis of disturbed body image. Which statement by the patient best indicates that the problem is resolving?

A)"I'm glad the scars are only temporary."

B)"I will avoid using a pillow, so my neck will be OK."

C)"Do you think dark beige makeup will cover this scar?"

D)"I don't think my boyfriend will want to look at me now."

Q3) During the emergent phase of burn care,which assessment will be most useful in determining whether the patient is receiving adequate fluid infusion?

A)Check skin turgor.

B)Monitor daily weight.

C)Assess mucous membranes.

D)Measure hourly urine output.

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26

Chapter 25: Assessment of Respiratory System

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Sample Questions

Q1) The nurse completes a shift assessment on a patient admitted in the early phase of heart failure. When auscultating the patient's lungs,which finding would the nurse most likely hear?

A)Continuous rumbling, snoring, or rattling sounds mainly on expiration

B)Continuous high-pitched musical sounds on inspiration and expiration

C)Discontinuous, high-pitched sounds of short duration during inspiration

D)A series of long-duration, discontinuous, low-pitched sounds during inspiration

Q2) The nurse prepares a patient with a left-sided pleural effusion for a thoracentesis. How should the nurse position the patient?

A)High-Fowler's position with the left arm extended

B)Supine with the head of the bed elevated 30 degrees

C)On the right side with the left arm extended above the head

D)Sitting upright with the arms supported on an over bed table

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Chapter 26: Upper Respiratory Problems

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Sample Questions

Q1) The nurse assumes care of a patient who just returned from surgery for a total laryngectomy and radical neck dissection and notes the following problems. In which order should the nurse address the problems? (Put a comma and a space between each answer choice [A,B,C,D].)

A)The patient is in a side-lying position with the head of the bed flat.

B)The patient is coughing blood-tinged secretions from the tracheostomy.

C)The nasogastric (NG) tube is disconnected from suction and clamped off.

D)The wound drain in the neck incision contains 200 mL of bloody drainage.

Q2) Which action should the nurse take first when a patient develops epistaxis?

A)Pack the affected nare tightly with an epistaxis balloon.

B)Apply squeezing pressure to the nostrils for 10 minutes.

C)Obtain silver nitrate that may be needed for cauterization.

D)Instill a vasoconstrictor medication into the affected nare.

Q3) A patient with a tracheostomy has a new order for a fenestrated tracheostomy tube. Which action should the nurse include in the plan of care in collaboration with the speech therapist?

A)Leave the tracheostomy inner cannula inserted at all times.

B)Place the decannulation cap in the tube before cuff deflation.

C)Assess the ability to swallow before using the fenestrated tube.

D)Inflate the tracheostomy cuff during use of the fenestrated tube.

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Chapter 27: Lower Respiratory Problems

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51 Verified Questions

51 Flashcards

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Sample Questions

Q1) The nurse is caring for a patient who has a right-sided chest tube after a right lower lobectomy. Which nursing action can the nurse delegate to the unlicensed assistive personnel (UAP)?

A)Document the amount of drainage every 8 hours.

B)Obtain samples of drainage for culture from the system.

C)Assess patient pain level associated with the chest tube.

D)Check the water-seal chamber for the correct fluid level.

Q2) The nurse is caring for a patient who has just had a thoracentesis. Which assessment information obtained by the nurse is a priority to communicate to the health care provider?

A)O2 saturation is 88%.

B)Blood pressure is 155/90 mm Hg.

C)Pain level is 5 (on 0 to 10 scale) with a deep breath.

D)Respiratory rate is 24 breaths/minute when lying flat.

Q3) Which action should the nurse plan to prevent aspiration in a high-risk patient?

A)Turn and reposition an immobile patient at least every 2 hours.

B)Place a patient with altered consciousness in a side-lying position.

C)Insert a nasogastric tube for feeding a patient with high calorie needs.

D)Monitor respiratory symptoms in a patient who is immunosuppressed.

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Page 29

Chapter 28: Obstructive Pulmonary Diseases

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44 Verified Questions

44 Flashcards

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Sample Questions

Q1) The nurse interviews a patient with a new diagnosis of chronic obstructive pulmonary disease (COPD). Which information is most specific in confirming a diagnosis of chronic bronchitis?

A)The patient tells the nurse about a family history of bronchitis.

B)The patient indicates a 30 pack-year cigarette smoking history.

C)The patient reports a productive cough for 3 months every winter.

D)The patient denies having respiratory problems until the past 12 months.

Q2) The nurse is caring for a patient with cor pulmonale. The nurse should monitor the patient for which expected finding?

A)Chest pain

B)Finger clubbing

C)Peripheral edema

D)Elevated temperature

Q3) Postural drainage with percussion and vibration is ordered twice daily for a patient with chronic bronchitis. Which intervention should the nurse include in the plan of care?

A)Schedule the procedure 1 hour after the patient eats.

B)Maintain the patient in the lateral position for 20 minutes.

C)Give the prescribed albuterol (Ventolin HFA) before the therapy.

D)Perform percussion before assisting the patient to the drainage position.

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Page 30

Chapter 29: Assessment of Hematologic System

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Sample Questions

Q1) The health care provider's progress note for a patient states that the complete blood count (CBC)shows a "shift to the left." Which assessment finding will the nurse expect?

A)Cool extremities

B)Pallor and weakness

C)Elevated temperature

D)Low oxygen saturation

Q2) The nurse reviews the laboratory test results of a patient admitted with abdominal pain. Which information will be most important for the nurse to communicate to the health care provider?

A)Monocytes 4%

B)Hemoglobin 13.6 g/dL

C)Platelet count 168,000/µL

D)White blood cell (WBC) count 15,500/µL

Q3) The nurse assesses a patient with pernicious anemia. Which assessment finding would the nurse expect?

A)Yellow-tinged sclerae

B)Shiny, smooth tongue

C)Numbness of the extremities

D)Gum bleeding and tenderness

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Page 31

Chapter 30: Hematologic Problems

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48 Verified Questions

48 Flashcards

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Sample Questions

Q1) Which patient requires the most rapid assessment and care by the emergency department nurse?

A)The patient with hemochromatosis who reports abdominal pain

B)The patient with neutropenia who has a temperature of 101.8° F

C)The patient with thrombocytopenia who has oozing gums after a tooth extraction

D)The patient with sickle cell anemia who has had nausea and diarrhea for 24 hours

Q2) An expected action by the nurse caring for a patient who has an acute exacerbation of polycythemia vera is to

A)place the patient on bed rest.

B)administer iron supplements.

C)avoid use of aspirin products.

D)monitor fluid intake and output.

Q3) A patient with septicemia develops prolonged bleeding from venipuncture sites and blood in the stools. Which action is most important for the nurse to take?

A)Avoid other venipunctures.

B)Apply dressings to the sites.

C)Notify the health care provider.

D)Give prescribed proton-pump inhibitors.

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Chapter 31: Assessment of Cardiovascular System

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Sample Questions

Q1) While listening at the mitral area,the nurse notes abnormal heart sounds at the patient's fifth intercostal space,midclavicular line. After listening to the audio clip,describe how the nurse will document the assessment finding.

A)S3 gallop heard at the aortic area

B)Systolic murmur noted at mitral area

C)Diastolic murmur noted at tricuspid area

D)Pericardial friction rub heard at the apex

Q2) When the nurse is monitoring a patient who is undergoing exercise (stress)testing on a treadmill,which assessment finding requires the most rapid action by the nurse?

A)Patient complaint of feeling tired

B)Sinus tachycardia at a rate of 110 beats/min

C)Inversion of T waves on the electrocardiogram

D)Blood pressure (BP) increase from 134/68 to 150/80 mm Hg

Q3) To auscultate for S3 or S4 gallops in the mitral area,the nurse listens with the A)diaphragm of the stethoscope with the patient lying flat.

B)bell of the stethoscope with the patient in the left lateral position.

C)diaphragm of the stethoscope with the patient in a supine position.

D)bell of the stethoscope with the patient sitting and leaning forward.

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Chapter 32: Hypertension

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Sample Questions

Q1) An older patient has been diagnosed with possible white coat hypertension. Which planned action by the nurse best addresses the suspected cause of the hypertension?

A)Instruct the patient about the need to decrease stress levels.

B)Teach the patient how to self-monitor and record BPs at home.

C)Schedule the patient for regular blood pressure (BP) checks in the clinic.

D)Inform the patient and caregiver that major dietary changes will be needed.

Q2) The nurse obtains the following information from a patient newly diagnosed with prehypertension. Which finding is most important to address with the patient?

A)Low dietary fiber intake

B)No regular physical exercise

C)Drinks a beer with dinner every night

D)Weight is 5 pounds above ideal weight

Q3) Which blood pressure (BP)finding by the nurse indicates that no changes in therapy are needed for a 48-yr-old patient with newly diagnosed hypertension?

A)98/56 mm Hg

B)128/76 mm Hg

C)128/92 mm Hg

D)142/78 mm Hg

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Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome

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43 Verified Questions

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Sample Questions

Q1) Three days after experiencing a myocardial infarction (MI),a patient who is scheduled for discharge asks for assistance with hygiene activities,saying,"I am too nervous about my heart to be alone while I get washed up." Based on this information,which nursing diagnosis is appropriate?

A)Activity intolerance related to weakness

B)Anxiety related to change in health status

C)Denial related to lack of acceptance of the MI

D)Altered body image related to cardiac disease

Q2) The nurse is caring for a patient who was admitted to the coronary care unit following an acute myocardial infarction (AMI)and percutaneous coronary intervention the previous day. Teaching for this patient would include

A)when cardiac rehabilitation will begin.

B)the typical emotional responses to AMI.

C)information regarding discharge medications.

D)the pathophysiology of coronary artery disease.

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Chapter 34: Heart Failure

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Sample Questions

Q1) The nurse is caring for a patient who is receiving IV furosemide (Lasix)and morphine for the treatment of acute decompensated heart failure (ADHF)with severe orthopnea. Which clinical finding is the best indicator that the treatment has been effective?

A)Weight loss of 2 lb in 24 hours

B)Hourly urine output greater than 60 mL

C)Reduction in patient complaints of chest pain

D)Reduced dyspnea with the head of bed at 30 degrees

Q2) A patient has recently started on digoxin (Lanoxin)in addition to furosemide (Lasix)and captopril for the management of heart failure. Which assessment finding by the home health nurse is a priority to communicate to the health care provider?

A)Presence of 1+ to 2+ edema in the feet and ankles

B)Palpable liver edge 2 cm below the ribs on the right side

C)Serum potassium level 3.0 mEq/L after 1 week of therapy

D)Weight increase from 120 pounds to 122 pounds over 3 days

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Chapter 35: Dysrhythmias

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Sample Questions

Q1) When analyzing an electrocardiographic (ECG)rhythm strip of a patient with a regular heart rhythm,the nurse counts 30 small blocks from one R wave to the next. The nurse calculates the patient's heart rate as ____.

Q2) Which action should the nurse perform when preparing a patient with supraventricular tachycardia for cardioversion who is alert and has a blood pressure of 110/66 mm Hg?

A)Turn the synchronizer switch to the "off" position.

B)Give a sedative before cardioversion is implemented.

C)Set the defibrillator/cardioverter energy to 360 joules.

D)Provide assisted ventilations with a bag-valve-mask device.

Q3) When analyzing the rhythm of a patient's electrocardiogram (ECG),the nurse will need to investigate further upon finding a(n)

A)isoelectric ST segment.

B)PR interval of 0.18 second.

C)QT interval of 0.38 second.

D)QRS interval of 0.14 second.

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Page 37

Chapter 36: Inflammatory and Structural Heart Disorders

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Sample Questions

Q1) While caring for a patient with aortic stenosis,the nurse identifies a nursing diagnosis of acute pain related to decreased coronary blood flow. An appropriate nursing intervention for this patient would be to

A)promote rest to decrease myocardial oxygen demand.

B)teach the patient about the need for anticoagulant therapy.

C)teach the patient to use sublingual nitroglycerin for chest pain.

D)raise the head of the bed 60 degrees to decrease venous return.

Q2) The nurse is caring for a patient with aortic stenosis. Which assessment data obtained by the nurse would be most important to report to the health care provider?

A)The patient complains of chest pressure when ambulating.

B)A loud systolic murmur is heard along the right sternal border.

C)A thrill is palpated at the second intercostal space, right sternal border.

D)The point of maximum impulse (PMI) is at the left midclavicular line.

Q3) When caring for a patient with mitral valve stenosis,it is most important that the nurse assess for

A)diastolic murmur.

B)peripheral edema.

C)shortness of breath on exertion.

D)right upper quadrant tenderness.

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Page 38

Chapter 37: Vascular Disorders

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Sample Questions

Q1) When discussing risk factor modification for a patient who has a 5-cm abdominal aortic aneurysm,the nurse will focus teaching on which patient risk factor?

A)Male gender

B)Turner syndrome

C)Abdominal trauma history

D)Uncontrolled hypertension

Q2) Which action by a new nurse who is giving fondaparinux (Arixtra)to a patient with a lower leg venous thromboembolism (VTE)indicates that more education about the drug is needed?

A)The nurse avoids rubbing the injection site after giving the drug.

B)The nurse injects the drug into the abdominal subcutaneous tissue.

C)The nurse ejects the air bubble from the syringe before giving the drug.

D)The nurse does not check partial thromboplastin time (PTT) before giving the drug.

Q3) When assessing a patient with possible peripheral artery disease (PAD),the nurse obtains a brachial blood pressure (BP)of 147/82 mm Hg and an ankle pressure of 112/74 mm Hg. The nurse calculates the patient's ankle-brachial index (ABI)as ________ (round up to the nearest hundredth).

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Chapter 38: Assessment of Gastrointestinal System

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Sample Questions

Q1) To palpate the liver during a head-to-toe physical assessment,the nurse

A)places one hand on the patient's back and presses upward and inward with the other hand below the patient's right costal margin.

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

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

D)places one hand under the patient's lower ribs and presses the left lower rib cage forward, palpating below the costal margin with the other hand.

Q2) When caring for a patient with a history of a total gastrectomy,the nurse will monitor for A)constipation.

B)dehydration.

C)elevated total serum cholesterol.

D)cobalamin (vitamin B<sub>12</sub>) deficiency.

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Chapter 39: Nutritional Problems

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Sample Questions

Q1) A young adult with extensive facial injuries from a motor vehicle crash is receiving tube feedings through a percutaneous endoscopic gastrostomy (PEG). Which action will the nurse include in the plan of care?

A)Keep the patient positioned on the left side.

B)Check the gastric residual volume every 4 to 6 hours.

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

D)Obtain a daily abdominal radiographs to verify tube placement.

Q2) A 20-yr-old woman is being admitted with electrolyte disorders of unknown etiology. Which assessment finding is most important to report to the health care provider?

A)The patient uses laxatives daily.

B)The patient's knuckles are macerated.

C)The patient has a history of extreme fluctuations.

D)The patient's serum potassium level is 2.9 mEq/L.

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Chapter 40: Obesity

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Sample Questions

Q1) After successfully losing 1 lb weekly for several months,a patient at the clinic has not lost any weight for the past month. The nurse should first

A)review the diet and exercise guidelines with the patient.

B)instruct the patient to weigh and record weights weekly.

C)ask the patient whether there have been any changes in exercise or diet patterns.

D)discuss the possibility that the patient has reached a temporary weight loss plateau.

Q2) A patient is being admitted for bariatric surgery. Which nursing action can the nurse delegate to unlicensed assistive personnel (UAP)?

A)Demonstrate use of the incentive spirometer.

B)Plan methods for turning the patient after surgery.

C)Assist with IV insertion by holding adipose tissue out of the way.

D)Develop strategies to provide privacy and decrease embarrassment.

Q3) Which adult will the nurse plan to teach about risks associated with obesity?

A)Man who has a BMI of 18 kg/m2

B)Man with a 42 in waist and 44 in hips

C)Woman who has a body mass index (BMI) of 24 kg/m2

D)Woman with a waist circumference of 34 inches (86 cm)

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Page 42

Chapter 41: Upper Gastrointestinal Problems

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Sample Questions

Q1) An adult with Escherichia coli O157:H7 food poisoning is admitted to the hospital with bloody diarrhea and dehydration. Which prescribed action will the nurse question?

A)Infuse lactated Ringer's solution at 250 mL/hr.

B)Monitor blood urea nitrogen and creatinine daily.

C)Administer loperamide (Imodium) after each stool.

D)Provide a clear liquid diet and progress diet as tolerated.

Q2) A young adult patient is hospitalized with massive abdominal trauma from a motor vehicle crash. The patient asks the nurse about the purpose of receiving famotidine (Pepcid). The nurse will explain that the medication will

A)decrease nausea and vomiting.

B)inhibit development of stress ulcers.

C)lower the risk for H.pylori infection.

D)prevent aspiration of gastric contents.

Q3) After change-of-shift report,which patient should the nurse assess first?

A)A 42-yr-old patient who has acute gastritis and ongoing epigastric pain

B)A 70-yr-old patient with a hiatal hernia who experiences frequent heartburn

C)A 60-yr-old patient with nausea and vomiting who has dry mucosa and lethargy

D)53-yr-old patient who has dumping syndrome after a recent partial gastrectomy

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Chapter 42: Lower Gastrointestinal Problems

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55 Verified Questions

55 Flashcards

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Sample Questions

Q1) Which nursing action will be included in the plan of care for a 25-yr-old male patient with a new diagnosis of irritable bowel syndrome (IBS)?

A)Encourage the patient to express concerns and ask questions about IBS.

B)Suggest that the patient increase the intake of milk and other dairy products.

C)Teach the patient to avoid using nonsteroidal antiinflammatory drugs (NSAIDs).

D)Teach the patient about the use of alosetron (Lotronex) to reduce IBS symptoms.

Q2) A critically ill patient with sepsis is frequently incontinent of watery stools. What action by the nurse will prevent complications associated with ongoing incontinence?

A)Apply incontinence briefs.

B)Use a fecal management system

C)Insert a rectal tube with a drainage bag.

D)Assist the patient to a commode frequently.

Q3) Which information will the nurse teach a patient with lactose intolerance?

A)Ice cream is relatively low in lactose.

B)Live-culture yogurt is usually tolerated.

C)Heating milk will break down the lactose.

D)Nonfat milk is tolerated better than whole milk.

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Page 44

Chapter 43: Liver, pancreas, and Biliary Tract Problems

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Sample Questions

Q1) During change-of-shift report,the nurse learns about the following four patients. Which patient requires assessment first?

A)A 40-yr-old patient with chronic pancreatitis who has gnawing abdominal pain

B)A 58-yr-old patient who has compensated cirrhosis and is complaining of anorexia

C)A 55-yr-old patient with cirrhosis and ascites who has an oral temperature of 102° F (38.8° C)

D)A 36-yr-old patient recovering from a laparoscopic cholecystectomy who has severe shoulder pain

Q2) A patient is being treated for bleeding esophageal varices with balloon tamponade.

Which nursing action will be included in the plan of care?

A)Instruct the patient to cough every hour.

B)Monitor the patient for shortness of breath.

C)Verify the position of the balloon every 4 hours.

D)Deflate the gastric balloon if the patient reports nausea.

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Chapter 44: Assessment of Urinary System

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23 Verified Questions

23 Flashcards

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Sample Questions

Q1) The nurse completing a physical assessment for a newly admitted patient is unable to feel either kidney on palpation. Which action should the nurse take?

A)Obtain a urine specimen to check for hematuria.

B)Document the information on the assessment form.

C)Ask the patient about any history of recent sore throat.

D)Ask the health care provider about scheduling a renal ultrasound.

Q2) The nurse caring for a patient after cystoscopy plans that the patient

A)learns to request narcotics for pain.

B)understands to expect blood-tinged urine.

C)restricts activity to bed rest for 4 to 6 hours.

D)remains NPO for 8 hours to prevent vomiting.

Q3) A 79-yr-old patient has been admitted with benign prostatic hyperplasia. What is most appropriate to include in the nursing plan of care?

A)Limit fluid intake to no more than 1000 mL/day.

B)Leave a light on in the bathroom during the night.

C)Ask the patient to use a urinal so that urine can be measured.

D)Pad the patient's bed to accommodate overflow incontinence.

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46

Chapter 45: Renal and Urologic Problems

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Sample Questions

Q1) A 68-yr-old female patient admitted to the hospital with dehydration is confused and incontinent of urine. Which nursing action should be included in the plan of care?

A)Restrict fluids between meals and after the evening meal.

B)Insert an indwelling catheter until the symptoms have resolved.

C)Assist the patient to the bathroom every 2 hours during the day.

D)Apply absorbent adult incontinence diapers and pads over the bed linens.

Q2) A patient is unable to void after having an open loop resection and fulguration of the bladder. Which nursing action should be implemented?

A)Assist the patient to soak in a 15-minute sitz bath.

B)Restrict oral fluids to equal previous urine volume.

C)Insert a straight urethral catheter and drain the bladder.

D)Teach the patient how to do isometric perineal exercises.

Q3) Which assessment finding is most important to report to the health care provider regarding a patient who has had left-sided extracorporeal shock wave lithotripsy?

A)Blood in urine

B)Left flank bruising

C)Left flank discomfort

D)Decreased urine output

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Chapter 46: Acute Kidney Injury and Chronic Kidney Disease

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Sample Questions

Q1) A licensed practical/vocational nurse (LPN/LVN)is caring for a patient with stage 2 chronic kidney disease. Which observation by the RN requires an intervention?

A)The LPN/LVN administers the erythropoietin subcutaneously.

B)The LPN/LVN assists the patient to ambulate out in the hallway.

C)The LPN/LVN administers the iron supplement and phosphate binder with lunch.

D)The LPN/LVN carries a tray containing low-protein foods into the patient's room.

Q2) Which action by a patient who is using peritoneal dialysis (PD)indicates that the nurse should provide more teaching about PD?

A)The patient leaves the catheter exit site without a dressing.

B)The patient plans 30 to 60 minutes for a dialysate exchange.

C)The patient cleans the catheter while taking a bath each day.

D)The patient slows the inflow rate when experiencing abdominal pain.

Q3) A patient in the oliguric phase after an acute kidney injury has had a 250-mL urine output and an emesis of 100 mL in the past 24 hours. What is the patient's fluid restriction for the next 24 hours?

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Chapter 47: Assessment of Endocrine System

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Sample Questions

Q1) The nurse will plan to teach a patient to minimize physical and emotional stress while the patient is undergoing

A)a water deprivation test.

B)testing for serum T3 and T4 levels.

C)a 24-hour urine test for free cortisol.

D)a radioactive iodine (I-131) uptake test.

Q2) Which additional information will the nurse need to consider when reviewing the laboratory results for a patient's total calcium level?

A)The blood glucose

B)The serum albumin

C)The phosphate level

D)The magnesium level

Q3) A patient has been newly diagnosed with type 2 diabetes mellitus. Which information about the patient will be most useful to the nurse who is helping the patient develop strategies for successful adaptation to this disease?

A)Ideal weight

B)Value system

C)Activity level

D)Visual changes

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Page 49

Chapter 48: Diabetes Mellitus

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Sample Questions

Q1) A patient who has type 1 diabetes plans to swim laps for an hour daily at 1:00 PM. The clinic nurse will plan to teach the patient to

A)check glucose level before, during, and after swimming.

B)delay eating the noon meal until after the swimming class.

C)increase the morning dose of neutral protamine Hagedorn (NPH) insulin.

D)time the morning insulin injection so that the peak occurs while swimming.

Q2) Which patient action indicates good understanding of the nurse's teaching about administration of aspart (NovoLog)insulin?

A)The patient avoids injecting the insulin into the upper abdominal area.

B)The patient cleans the skin with soap and water before insulin administration.

C)The patient stores the insulin in the freezer after administering the prescribed dose.

D)The patient pushes the plunger down while removing the syringe from the injection site.

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Chapter 49: Endocrine Problems

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Sample Questions

Q1) After a patient with a pituitary adenoma has had a hypophysectomy,the nurse will teach about the need for

A)sodium restriction to prevent fluid retention.

B)insulin to maintain normal blood glucose levels.

C)oral corticosteroids to replace endogenous cortisol.

D)chemotherapy to prevent malignant tumor recurrence.

Q2) After receiving change-of-shift report about the following four patients,which patient should the nurse assess first?

A)A 31-yr-old female patient with Cushing syndrome and a blood glucose level of 244 mg/dL

B)A 70-yr-old female patient taking levothyroxine (Synthroid) who has an irregular pulse of 134

C)A 53-yr-old male patient who has Addison's disease and is due for a prescribed dose of hydrocortisone (Solu-Cortef).

D)A 22-yr-old male patient admitted with syndrome of inappropriate antidiuretic hormone (SIADH) who has a serum sodium level of 130 mEq/L

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Chapter 50: Assessment of Reproductive System

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Sample Questions

Q1) The nurse explains to a patient being prepared for colposcopy with a cervical biopsy that the procedure

A)involves dilation of the cervix and biopsy of the tissue lining the uterus.

B)will take place in a same-day surgery center so that local anesthesia can be used.

C)requires that the patient have nothing to eat or drink for 6 hours before the procedure.

D)is similar to a speculum examination of the cervix and should result in little discomfort.

Q2) The nurse will plan to teach a 51-yr-old man who is scheduled for an annual physical examination about a(n)

A)increased risk for testicular cancer.

B)possible changes in erectile function.

C)normal decreases in testosterone level.

D)prostate specific antigen (PSA) testing.

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Chapter 51: Breast Disorders

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Sample Questions

Q1) Which information should the nurse include in teaching a patient who is scheduled for external beam radiation to the breast?

A)The radiation therapy will take a week to complete.

B)Careful skin care in the radiated area will be necessary.

C)Visitors are restricted until the radiation therapy is completed.

D)Wigs may be used until the hair regrows after radiation therapy.

Q2) A 53-yr-old woman who is experiencing menopause is discussing the use of hormone therapy (HT)with the nurse. Which information about the risk of breast cancer will the nurse provide?

A)HT is a safe therapy for menopausal symptoms if there is no family history of BRCA genes.

B)HT does not appear to increase the risk for breast cancer unless there are other risk factors.

C)The patient and her health care provider must weigh the benefits of HT against the risks of breast cancer.

D)Natural herbs are as effective as estrogen in relieving symptoms without increasing the risk of breast cancer.

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Page 53

Chapter 52: Sexually Transmitted Infections

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Sample Questions

Q1) The nurse in the outpatient clinic notes that the following patients have not received the human papillomavirus (HPV)vaccine. Which patients should the nurse plan to teach about benefits of the vaccine ?

A)A 24-yr-old male patient who has a history of genital warts

B)An 18-yr-old male patient who has had one male sexual partner

C)A 38-yr-old female patient who has never been sexually active

D)A 20-yr-old female patient who has a newly diagnosed Chlamydia infection

E)A 30-yr-old female patient whose sexual partner has a history of genital warts

Q2) After the nurse has taught a patient with a newly diagnosed sexually transmitted infection (STI)about expedited partner therapy,which patient statement indicates that the teaching has been effective?

A)"I will tell my partner that it is important to be examined at the clinic."

B)"I will have my partner take the antibiotics if any STI symptoms occur."

C)"I will make sure that my partner takes all of the prescribed medication."

D)"I will have my partner use a condom until I have finished the antibiotics."

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54

Chapter 53: Female Reproductive and Genital Problems

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49 Verified Questions

49 Flashcards

Source URL: https://quizplus.com/quiz/25388

Sample Questions

Q1) A healthy 24-yr-old patient who has been vaccinated against human papillomavirus (HPV)has a normal Pap test result. Which information will the nurse include in patient teaching when calling the patient with the results of the Pap test?

A)You can wait until after age 30 before having another Pap test.

B)Pap testing is recommended every 3 years for women your age.

C)No further Pap testing is needed until you decide to become pregnant.

D)Yearly Pap testing is suggested for women with multiple sexual partners.

Q2) A patient has an induced abortion with suction curettage at an ambulatory surgical center. Which instructions will the nurse include when discharging the patient?

A)"Avoid contraceptives until your reexamination."

B)"Heavy vaginal bleeding is expected for 2 weeks."

C)"Abstain from sexual intercourse for the next 2 weeks."

D)"Irregular menstrual periods are expected for a few months."

Q3) The nurse will plan to teach the female patient with genital warts about the A)importance of regular Pap tests.

B)increased risk for endometrial cancer.

C)appropriate use of oral contraceptives.

D)symptoms of pelvic inflammatory disease (PID).

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Chapter 54: Male Reproductive and Genital Problems

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35 Verified Questions

35 Flashcards

Source URL: https://quizplus.com/quiz/25389

Sample Questions

Q1) Several patients call the urology clinic requesting appointments with the health care provider as soon as possible. Which patient will the nurse schedule to be seen first?

A)A 22-yr-old patient who has noticed a firm, nontender lump on his scrotum

B)A 35-yr-old patient who is concerned that his scrotum "feels like a bag of worms"

C)A 40-yr-old patient who has pelvic pain while being treated for chronic prostatitis

D)A 70-yr-old patient who is reporting frequent urinary dribbling after a prostatectomy

Q2) The nurse will inform a patient with cancer of the prostate that side effects of leuprolide (Lupron)may include

A)flushing.

B)dizziness.

C)infection.

D)incontinence.

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Chapter 55: Assessment of Nervous System

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/25390

Sample Questions

Q1) Which equipment will the nurse obtain to assess vibration sense in a patient with diabetes who has peripheral nerve dysfunction?

A)Sharp pin

B)Tuning fork

C)Reflex hammer

D)Calibrated compass

Q2) A patient has a tumor in the cerebellum. The nurse will plan interventions to A)prevent falls.

B)stabilize mood.

C)avoid aspiration.

D)improve memory.

Q3) Which action will the nurse include in the plan of care for a patient with impaired functioning of the left glossopharyngeal nerve (CN IX)and vagus nerve (CN X)?

A)Assist to stand and ambulate.

B)Withhold oral fluids and food.

C)Insert an oropharyngeal airway.

D)Apply artificial tears every hour.

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Chapter 56: Acute Intracranial Problems

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40 Verified Questions

40 Flashcards

Source URL: https://quizplus.com/quiz/25391

Sample Questions

Q1) Which action will the public health nurse take to reduce the incidence of epidemic encephalitis in a community?

A)Teach about prophylactic antibiotics after exposure to encephalitis.

B)Encourage the use of effective insect repellent during mosquito season.

C)Remind patients that most cases of viral encephalitis can be cared for at home.

D)Arrange to screen school-age children for West Nile virus during the school year.

Q2) A patient who has bacterial meningitis is disoriented and anxious. Which nursing action will be included in the plan of care?

A)Encourage family members to remain at the bedside.

B)Apply soft restraints to protect the patient from injury.

C)Keep the room well-lighted to improve patient orientation.

D)Minimize contact with the patient to decrease sensory input.

Q3) An unconscious patient with a traumatic head injury has a blood pressure of 130/76 mm Hg and an intracranial pressure (ICP)of 20 mm Hg. The nurse will calculate the cerebral perfusion pressure (CPP)as ____ mm Hg.

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58

Chapter 57: Stroke

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/25392

Sample Questions

Q1) A female patient who had a stroke 24 hours ago has expressive aphasia. An appropriate nursing intervention to help the patient communicate is to

A)ask questions that the patient can answer with "yes" or "no."

B)develop a list of words that the patient can read and practice reciting.

C)have the patient practice her facial and tongue exercises with a mirror.

D)prevent embarrassing the patient by answering for her if she does not respond.

Q2) When caring for a patient with a new right-sided homonymous hemianopsia resulting from a stroke,which intervention should the nurse include in the plan of care?

A)Apply an eye patch to the right eye.

B)Approach the patient from the right side.

C)Place needed objects on the patient's left side.

D)Teach the patient that the left visual deficit will resolve.

Q3) During the change of shift report,a nurse is told that a patient has an occluded left posterior cerebral artery. The nurse will anticipate that the patient may have A)dysphasia.

B)confusion.

C)visual deficits.

D)poor judgment.

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Chapter 58: Chronic Neurologic Problems

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36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/25393

Sample Questions

Q1) The nurse determines that teaching about management of migraine headaches has been effective when the patient says which of the following?

A)"I can take the (Topamax) as soon as a headache starts."

B)"A glass of wine might help me relax and prevent a headache."

C)"I will lie down someplace dark and quiet when the headaches begin."

D)"I should avoid taking aspirin and sumatriptan (Imitrex) at the same time."

Q2) A patient tells the nurse about using acetaminophen (Tylenol)several times every day for recurrent bilateral headaches. Which action will the nurse plan to take first?

A)Discuss the need to stop taking the acetaminophen.

B)Suggest the use of biofeedback for headache control.

C)Describe the use of botulism toxin (Botox) for headaches.

D)Teach the patient about magnetic resonance imaging (MRI).

Q3) A woman who has multiple sclerosis (MS)asks the nurse about risks associated with pregnancy. Which response by the nurse is accurate?

A)"MS symptoms may be worse after the pregnancy."

B)"Women with MS frequently have premature labor."

C)"MS is associated with an increased risk for congenital defects."

D)"Symptoms of MS are likely to become worse during pregnancy."

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Chapter 59: Dementia and Delirium

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21 Flashcards

Source URL: https://quizplus.com/quiz/25394

Sample Questions

Q1) The nurse is concerned about a postoperative patient's risk for injury during an episode of delirium. The most appropriate action by the nurse is to

A)secure the patient in bed using a soft chest restraint.

B)ask the health care provider to order an antipsychotic drug.

C)instruct family members to remain at the patient's bedside and prevent injury.

D)assign unlicensed assistive personnel (UAP) to stay with and reorient the patient.

Q2) A patient is diagnosed with moderate dementia after multiple strokes. During assessment of the patient,the nurse would expect to find

A)excessive nighttime sleepiness.

B)difficulty eating and swallowing.

C)loss of recent and long-term memory.

D)fluctuating ability to perform simple tasks.

Q3) When administering a mental status examination to a patient with delirium,the nurse should

A)wait until the patient is well-rested.

B)administer an anxiolytic medication.

C)choose a place without distracting stimuli.

D)reorient the patient during the examination.

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Chapter 60: Spinal Cord and Peripheral Nerve Problems

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33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/25395

Sample Questions

Q1) To prevent autonomic hyperreflexia,which nursing action will the home health nurse include in the plan of care for a patient who has paraplegia at the T4 level ?

A)Support selection of a high-protein diet.

B)Discuss options for sexuality and fertility.

C)Assist in planning a prescribed bowel program.

D)Use quad coughing to strengthen cough efforts.

Q2) When caring for a patient who experienced a T2 spinal cord transection 24 hours ago,which collaborative and nursing actions will the nurse include in the plan of care ?

A)Urinary catheter care

B)Nasogastric (NG) tube feeding

C)Continuous cardiac monitoring

D)Administration of H2 receptor blockers

E)Maintenance of a warm room temperature

Q3) A patient with neurogenic shock after a spinal cord injury is to receive lactated Ringer's solution 400 mL over 20 minutes. When setting the IV pump to deliver the IV fluid,the nurse will set the rate at how many milliliters per hour?

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Chapter 61: Assessment of Musculoskeletal System

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15 Flashcards

Source URL: https://quizplus.com/quiz/25396

Sample Questions

Q1) Which information in a 67-yr-old woman's health history will alert the nurse to the need for a more focused assessment of the musculoskeletal system?

A)The patient sprained her ankle at age 13.

B)The patient's mother became shorter with aging.

C)The patient takes ibuprofen for occasional headaches.

D)The patient's father died of complications of miliary tuberculosis.

Q2) Which action can the nurse delegate to unlicensed assistive personnel (UAP)who are working in the orthopedic clinic?

A)Grade leg muscle strength for a patient with back pain.

B)Obtain blood sample for uric acid from a patient with gout.

C)Perform straight-leg-raise testing for a patient with sciatica.

D)Check for knee joint crepitation before arthroscopic surgery.

Q3) A patient with left knee pain is diagnosed with bursitis. The nurse will explain that bursitis is an inflammation of

A)a fluid-filled sac found at some joints.

B)a synovial membrane that lines the joint.

C)the connective tissue joining bones within a joint.

D)the fibrocartilage that acts as a shock absorber in the knee.

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63

Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery

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47 Flashcards

Source URL: https://quizplus.com/quiz/25397

Sample Questions

Q1) The day after a having a right below-the-knee amputation,a patient complains of pain in the missing right foot. Which action is most important for the nurse to take?

A)Explain the reasons for the pain.

B)Administer prescribed analgesics.

C)Reposition the patient to assure good alignment.

D)Inform the patient that this pain will diminish over time.

Q2) A patient who is to have no weight bearing on the left leg is learning to walk using crutches. Which observation by the nurse indicates the patient can safely ambulate independently?

A)The patient moves the right crutch with the right leg and then the left crutch with the left leg.

B)The patient advances the left leg and both crutches together and then advances the right leg.

C)The patient uses the bedside chair to assist in balance as needed when ambulating in the room.

D)The patient keeps the padded area of the crutch firmly in the axillary area when ambulating.

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Page 64

Chapter 63: Musculoskeletal Problems

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/25398

Sample Questions

Q1) After laminectomy with a spinal fusion to treat a herniated disc,a patient reports numbness and tingling of the right lower leg. The first action the nurse should take is to

A)report the patient's complaint to the surgeon.

B)check the chart for preoperative assessment data.

C)check the vital signs for indications of hemorrhage.

D)turn the patient to the left to relieve pressure on the right leg.

Q2) Which actions will the nurse include in the plan of care for a patient with metastatic bone cancer of the left femur ?

A)Monitor serum calcium.

B)Teach about the need for strict bed rest.

C)Discontinue use of sustained-release opioids.

D)Support the left leg when repositioning the patient.

E)Support family and patient as they discuss the prognosis.

Q3) When administering alendronate (Fosamax)to a patient with osteoporosis,the nurse will

A)ask about any leg cramps or hot flashes.

B)assist the patient to sit up at the bedside.

C)be sure that the patient has recently eaten.

D)administer the ordered calcium carbonate.

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Page 65

Chapter 64: Arthritis and Connective Tissue Diseases

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47 Verified Questions

47 Flashcards

Source URL: https://quizplus.com/quiz/25399

Sample Questions

Q1) A 25-yr-old female patient with systemic lupus erythematosus (SLE)who has a facial rash and alopecia tells the nurse,"I never leave my house because I hate the way I look." The nurse will plan interventions with the patient to address the nursing diagnosis of A)social isolation.

B)activity intolerance.

C)impaired skin integrity.

D)impaired social interaction.

Q2) Which finding for a patient who is taking hydroxychloroquine (Plaquenil)to treat rheumatoid arthritis is likely to be an adverse effect of the medication?

A)Blurred vision

B)Joint tenderness

C)Abdominal cramping

D)Elevated blood pressure

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Chapter 65: Critical Care

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40 Verified Questions

40 Flashcards

Source URL: https://quizplus.com/quiz/25400

Sample Questions

Q1) The nurse is caring for a patient who has an intraaortic balloon pump (IABP)after a massive heart attack. When assessing the patient,the nurse notices blood backing up into the IABP catheter. In which order should the nurse take the following actions? (Put a comma and a space between each answer choice [A,B,C,D].)

A)Confirm that the IABP console has turned off.

B)Assess the patient's vital signs and orientation.

C)Obtain supplies for insertion of a new IABP catheter.

D)Notify the health care provider of the IABP malfunction.

Q2) After change-of-shift report,which patient should the progressive care nurse assess first?

A)Patient who was extubated this morning and has a temperature of 101.4°F (38.6°C)

B)Patient with bilevel positive airway pressure (BiPAP) for obstructive sleep apnea and a respiratory rate of 16

C)Patient with arterial pressure monitoring who is 2 hours post-percutaneous coronary intervention and needs to void

D)Patient who is receiving IV heparin for a venous thromboembolism and has a partial thromboplastin time (PTT) of 101 sec

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Chapter 66: Shock, sepsis, and Multiple Organ Dysfunction Syndrome

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/25401

Sample Questions

Q1) A 198-lb patient is to receive a dobutamine infusion at 5 mcg/kg/min. The label on the infusion bag states: dobutamine 250 mg in 250 mL of normal saline. When setting the infusion pump,the nurse will set the infusion rate at how many milliliters per hour?

Q2) Which finding is the best indicator that the fluid resuscitation for a 90-kg patient with hypovolemic shock has been effective?

A)Hemoglobin is within normal limits.

B)Urine output is 65 mL over the past hour.

C)Central venous pressure (CVP) is normal.

D)Mean arterial pressure (MAP) is 72 mm Hg.

Q3) A nurse is assessing a patient who is receiving a nitroprusside infusion to treat cardiogenic shock. Which finding indicates that the drug is effective?

A)No new heart murmurs

B)Decreased troponin level

C)Warm, pink, and dry skin

D)Blood pressure of 92/40 mm Hg

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Page 68

Chapter 67: Acute Respiratory Failure and Acute

Respiratory Distress Syndrome

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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/25402

Sample Questions

Q1) After receiving change-of-shift report on a medical unit,which patient should the nurse assess first?

A)A patient with cystic fibrosis who has thick, green-colored sputum

B)A patient with pneumonia who has crackles bilaterally in the lung bases

C)A patient with emphysema who has an oxygen saturation of 90% to 92%

D)A patient with septicemia who has intercostal and suprasternal retractions

Q2) A patient with respiratory failure has a respiratory rate of 6 breaths/min and an oxygen saturation (SpO<sub>2</sub>)of 88%. The patient is increasingly lethargic. Which intervention will the nurse anticipate?

A)Administration of 100% O<sub>2</sub> by non-rebreather mask

B)Endotracheal intubation and positive pressure ventilation

C)Insertion of a mini-tracheostomy with frequent suctioning

D)Initiation of continuous positive pressure ventilation (CPAP)

Q3) A nurse is caring for an obese patient with right lower lobe pneumonia. Which position will be best to improve gas exchange?

A)On the left side

B)On the right side

C)In the tripod position

D)In the high-Fowler's position

Page 69

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Chapter 68: Emergency and Disaster Nursing

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/25403

Sample Questions

Q1) When planning the response to the potential use of smallpox as a biological weapon,the emergency department (ED)nurse manager will plan to obtain adequate quantities of A)vaccine.

B)atropine.

C)antibiotics.

D)whole blood.

Q2) A patient with hypotension and an elevated temperature after working outside on a hot day is treated in the emergency department (ED). The nurse determines that discharge teaching has been effective when the patient makes which statement?

A)"I'll take salt tablets when I work outdoors in the summer."

B)"I should take acetaminophen (Tylenol) if I start to feel too warm."

C)"I need to drink extra fluids when working outside in hot weather."

D)"I'll move to a cool environment if I notice that I'm feeling confused"

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