Nursing Concepts and Practice
Mock Exam
Course Introduction
Nursing Concepts and Practice is an essential course that introduces students to the foundational principles and core competencies required in the nursing profession. Emphasizing both theoretical knowledge and practical skills, the course covers topics such as the nursing process, patient assessment, therapeutic communication, ethical and legal considerations, and evidence-based practice. Through a combination of classroom learning, laboratory simulations, and clinical experiences, students learn to provide holistic and safe patient care across the lifespan. The course also explores interdisciplinary collaboration, patient advocacy, and cultural sensitivity, preparing students to deliver compassionate and effective nursing care in diverse healthcare settings.
Recommended Textbook
Medical Surgical Nursing 2nd Edition by
Kathleen S. Osborn
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67 Chapters
1995 Verified Questions
1995 Flashcards
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Page 2
Chapter 1: Preparation for Practice
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20 Verified Questions
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Sample Questions
Q1) A nurse would like to teach nursing in a technical school. The nurse should pursue which educational preparation?. Select all that apply.
A) Associate degree
B) Baccalaureate degree
C) Preparation as a clinical nurse specialist
D) Master's degree
E) Doctoral preparation
Answer: D,E
Q2) The nurse observes a lack of urine output in a patient recovering from bladder surgery. Prior to notifying the health care provider, the nurse gently irrigates the tubing and dislodges a small blood clot. Immediately the urine begins to flow. This nurse's intervention demonstrates which level of clinical nursing practice?
A) Novice
B) Competent
C) Advanced beginner
D) Expert
Answer: D
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Page 3
Chapter 2: Legal, Ethical, and Regulatory Aspects of Health
Care Delivery
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Sample Questions
Q1) At the end of a scheduled work shift, the nurse asks each of his patients if there was anything he could have done to make their day more comfortable. The nurse is most likely participating in which process?
A) Quality improvement
B) Self-assessment
C) Continuous quality improvement study
D) Departmental assessment
Answer: A
Q2) A patient tells the nurse that if he does not wake up after surgery, his friend should be contacted because the friend knows what should be done concerning his health care needs. After referring to the patient's medical record, the nurse realizes that the friend has which relationship with the patient?
A) The patient's best friend
B) The patient's health care power of attorney
C) The patient's next-door neighbor
D) The patient's brother
Answer: B
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4
Chapter 3: Research Foundations for Nursing Practice
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Sample Questions
Q1) While conducting a research study, the researcher creates a table of new health data based on patient responses. Which action by the researcher is correct?
A) Asking the patients' nurses if the data appears to be correct and then document it was validated
B) Validating the data with laboratory results in the patients' medical records that are not part of the study
C) Gaining permission from the patients to use the data and discussing who will receive it
D) Sharing the data with the patients' health care providers to improve care
Answer: C
Q2) The nurse is implementing stage 2 of a critique of a quantitative research study. In this stage, the nurse will perform which action?
A) Study the findings.
B) Summarize the quality of the study.
C) Review the purpose of the research.
D) Focus on the conduct of the research.
Answer: D
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Chapter 4: Nursing Care Delivery Systems
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Sample Questions
Q1) The nurse is considering returning to school to become a clinical nurse leader (CNL). The nurse would prepare for which characteristics of the new position?. Select all that apply.
A) Spending the majority of time away from the bedside educating other nurses
B) Having patient safety as a focus of the work
C) Serving as the director of nursing services
D) Having quality improvement as a focus of the work
E) Helping to coordinate the care provided by unit nurses
Q2) A state has experienced an economic downturn and a shortage of registered nurses. Which nursing care delivery model would hospital administrators be likely to avoid?
A) Case method
B) Team nursing
C) Primary care nursing
D) Functional nursing
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6
Chapter 5: Nursing Process and Documentation
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Sample Questions
Q1) Which aspect of critical thinking would the nurse use when making a nursing diagnosis?
A) Making decisions about an action
B) Identifying potential and actual problems
C) Increasing the likelihood of obtaining good results
D) Getting a better understanding of someone else
Q2) A nursing unit has changed its documentation system to documenting by exception. How will this system save time?
A) It eliminates lengthy or repetitive documentation.
B) It allows flexibility and description in the documentation.
C) It allows the reader to easily locate information about a specific problem.
D) It allows for quick and easy retrieval of information.
Q3) The nurse is using the Kardex to plan a patient's care. What information would the nurse expect to find in this document?. Select all that apply.
A) Nursing notes from the previous shift
B) Schedule of diagnostic tests
C) Level of activity
D) Diet
E) IV therapy
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Page 7
Chapter 6: Health Assessment
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Sample Questions
Q1) While performing percussion in a physical examination, the nurse elicits dullness. Which structure is the nurse likely percussing?. Select all that apply.
A) Intestines
B) Lungs
C) Pelvic bone
D) Liver
E) Kidney
Q2) The nurse has completed the collection and analysis of data from a patient assessment. What is the nurse's next action?
A) Evaluate outcomes from care.
B) Plan care.
C) Determine patient care goals.
D) Formulate nursing diagnoses.
Q3) Using critical thinking, the nurse assesses that a patient is not a reliable historian. How should the nurse proceed?
A) Stop the assessment because all data is invalid.
B) Document that the patient is not answering questions truthfully.
C) Ask different questions to assess the same information.
D) Document the information just as the patient reports it.
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Page 8
Chapter 7: Genetics
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Sample Questions
Q1) A patient tells the nurse that she does not want to pass on a genetic disorder to any future children. What is the nurse's most accurate response?
A) "A complete genetic study could help guide you in your decision making."
B) "I suppose, then, that you are not going to have any children."
C) "Adoption is always a possibility."
D) "Just because the disease is genetic doesn't mean your children will inherit it."
Q2) A patient planning to have genetic testing prior to having children tells the nurse that she is fearful that people will learn about the testing and the results. How should the nurse respond to this concern?
A) "The results of the tests are confidential, and no one can see them without your permission."
B) "Most insurance companies will want the results before paying for the tests."
C) "The results will be available to anyone who reviews your medical record."
D) "The doctor will most likely use the results when planning care and treatment for other patients with the same genetic disorder."
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9
Chapter 8: Nutrition
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Sample Questions
Q1) The nurse is reviewing written material on nutrition that is being distributed at a senior citizens center. The nurse recognizes that which statement does not accurately reflect the Dietary Guidelines for Americans, 2010 Edition and should be revised?
A) Half of all grains should be consumed as whole grains.
B) Sodium intake should be less than 1,500 mg daily.
C) Use oils to replace solid fats where possible.
D) Saturated fats should account for no more than 30% of daily calories.
Q2) A patient is being weaned from parenteral nutrition. Which intervention would support the weaning process?
A) Discontinue parenteral nutrition and begin enteral nutrition.
B) Reduce the rate according to protocol.
C) Discontinue the nutrition and provide regular meals.
D) Discontinue parenteral nutrition and begin peripheral nutrition with dextrose 20%.
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Chapter 9: The Biophysical and Psychosocial Aspects of Nursing
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Sample Questions
Q1) The nurse is caring for a burn patient. Because of the amount of stress the patient is experiencing, the nurse realizes that the patient would benefit from which intervention?
A) An increase in activity
B) An increased supply of protein
C) Fluid restriction
D) Antinausea medication
Q2) A patient is admitted after being bitten by a dog and tells the nurse he feels fine except for the bite. The nurse assesses that this patient is functioning within which phase of the general adaptation syndrome?
A) Transaction
B) Resistance
C) Alarm
D) Exhaustion
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11
Chapter 10: The Aging Process
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Sample Questions
Q1) An elderly patient tells the nurse that her son cashes her Social Security checks but tells her he does not have enough money to buy her medications. The nurse should investigate this statement because it could reflect which situation?
A) Physical abuse
B) Financial exploitation
C) Emotional abuse
D) Neglect
Q2) A 75-year-old female has been brought to the emergency department. She tells the nurse that her son, who has taken care of her, said he would "be right back," but she has not seen him for weeks. The nurse is concerned that the patient is describing which possible situation?
A) Neglect
B) Physical abuse
C) Abandonment
D) Self-neglect
Q3) A nurse researcher is preparing to study a group of older adults and their response to a nursing intervention. To meet the legal definition of older adult, the study group should include persons _______ years of age or older.
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Chapter 11: Caring for the Patient at End of Life
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Sample Questions
Q1) The nurse is planning palliative care for a patient with severe atherosclerotic disease. What is the highest priority for this patient?
A) Tolerance of physical activity
B) Use of available financial resources
C) Redesigning the patient's home to support assistive devices
D) Pain and symptom management
Q2) While preparing for the discharge of an elderly, terminally ill patient, the family asks for information concerning the most appropriate time to become involved with a hospice agency. Which action by the nurse is most appropriate?
A) Assist the family in making contact with a hospice agency at this time.
B) Estimate the patient's life expectancy to gauge when contact with hospice should be made.
C) Encourage the family to "hold off" making the contact until death is very close.
D) Determine what expectations the family has of the hospice agency.
Q3) A patient is prescribed an intravenous midazolam drip at a rate of 1-5 mg/hr, titrated to symptom relief. The nurse would start this drip at ______ mg/hr.
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Chapter 12: Pain Assessment and Management
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Sample Questions
Q1) A patient with a history of chronic pain tells the nurse, "I do a variety of things to make my body produce its own pain reliever." How should the nurse evaluate this statement?
A) This is a common denial technique.
B) The patient is trying to appear to be a pain expert.
C) This statement offers the nurse a reason to reduce the amount of pain medication prescribed.
D) The patient is taking advantage of the body's ability to make endorphins.
Q2) A nurse in the emergency department is caring for a patient with a fractured tibia and fibula who admits to regular heroin use. Which factor should be used to determine the presence of pain and need for pain medication?
A) The patient has taken an opiate already today.
B) The shift report indicates the patient has been sleeping on and off.
C) The patient is angry about being in the hospital.
D) The patient reports pain in the leg of an intensity of 10 out of 10 on the numeric rating scale.
Q3) A patient who had abdominal surgery this morning is receiving opioid pain medication on a routine basis. The nurse would hold the medication if the patient's respirations fall below _____ per minute.
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14
Chapter 13: Substance Abuse Assessment and Management
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Sample Questions
Q1) The nurse manager is concerned that a staff nurse is demonstrating signs of substance abuse. Which behaviors did the manager observe in the staff nurse?. Select all that apply.
A) Calling for days off or illness before scheduled days off
B) Using the bathroom frequently
C) Offering to give medication to patients not assigned to the nurse
D) Volunteering to transfer a patient to the intensive care unit
E) Following up with nursing assistants on patient care needs
Q2) The nurse is concerned about possible substance abuse by a coworker. Which behavior warrants further investigation?
A) The coworker frequently wastes medications.
B) The coworker frequently requests the largest patient care assignment for the shift.
C) The coworker prefers not to be the "medication nurse" on the shift.
D) The coworker declines to take scheduled breaks.
Q3) A patient withdrawing from alcohol addiction has an order for diazepam (Valium), 10 mg every 4 hours for four doses, then 5 mg every 4 hours for four doses. The drug comes in a concentration of 5 mg/mL. The patient is given a total of ______ mL.
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Page 15
Chapter 14: Infectious Process and Prophylaxis
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient in droplet precautions. What protective gear should the nurse wear when providing care to this patient?
A) Head covering and gown
B) Shoe covering and gown
C) Gloves only
D) Mask and eye protection or face shield
Q2) A patient who was diagnosed with an infection is prescribed a macrolide antibiotic. What should the nurse instruct the patient about taking this medication?
A) Take the medication on a full stomach.
B) Take the medication with a glass of milk.
C) Take the medication on an empty stomach.
D) Take the medication with a full glass of juice.
Q3) A school district is not requiring vaccinations for children who are starting school. The nurse realizes that this action could have which effect?
A) Healthier children
B) A reduction in the number of colds and flu in the school
C) A decrease in school costs
D) An epidemic of an illness that could have been avoided with a vaccination
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Chapter 15: Fluids, Electrolytes and Acid-Base Imbalance
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24 Verified Questions
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Sample Questions
Q1) The nurse is planning care for a patient with fluid volume overload and hyponatremia. Which intervention should be included in this patient's plan of care?
A) Restrict fluids.
B) Administer intravenous fluids.
C) Provide Kayexalate.
D) Administer intravenous normal saline with furosemide.
Q2) When analyzing an arterial blood gas report of a patient with COPD and respiratory acidosis, the nurse anticipates that compensation will develop through which mechanism?
A) The kidneys retain bicarbonate.
B) The kidneys excrete bicarbonate.
C) The lungs will retain carbon dioxide.
D) The lungs will excrete carbon dioxide.
Q3) A patient with a history of stomach ulcers is diagnosed with hypophosphatemia. Which intervention should the nurse include in this patient's plan of care?
A) Request a dietitian consult to select foods high in phosphorous.
B) Provide aluminum hydroxide antacids as prescribed.
C) Instruct the patient to avoid poultry, peanuts, and seeds.
D) Instruct the patient to avoid the intake of sodium phosphate.
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Page 17
Chapter 16: Fluid and Blood Infusion Therapy
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Sample Questions
Q1) The nurse has chosen the nursing diagnosis Risk of Injury for a patient who will likely need several blood transfusions to treat gastrointestinal bleeding. What rationale would the nurse provide for this choice?. Select all that apply.
A) There is a risk of dehydration.
B) The patient has a risk of iron overload.
C) There is risk of hemolysis of red blood cells.
D) There is a risk for social isolation.
E) There is a risk for hearing loss.
Q2) The patient asks why the physician ordered only red blood cells (packed RBCs) instead of the entire unit of whole blood. What rationale should the nurse provide?
A) RBCs are useful for patients who are experiencing a depletion of clotting factors.
B) It is the only blood that is left in the blood bank.
C) It is an optimal method of transfusing only the specific component needed by the patient.
D) RBCs are useful in preventing transfusion reactions.
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18
Chapter 17: Preoperative Nursing
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Sample Questions
Q1) A patient asks the nurse about the possibility of donating blood for his upcoming surgery. Which information should the nurse provide?. Select all that apply.
A) "You must have approval from your surgeon."
B) "You must have a hemoglobin level of at least 14 g/dL to donate blood to yourself."
C) "As long as you are still in good health, this plan can be considered."
D) "Because you have an intermittent fever, this donation is not possible."
E) "This is a type of directed donation that is not recommended."
Q2) An elderly patient is being prepared for orthopedic surgery. The nurse realizes this patient is at risk for which complication?
A) Decreased tolerance of general anesthesia
B) Prolonged effects of anesthesia because of herbal supplements
C) Wound dehiscence
D) Increased hypotensive effects of anesthesia
Q3) A patient has postponed an elective surgical procedure. The nurse would advise the patient that a new preoperative health assessment will be necessary if the original assessment document is over _____ days old.
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Chapter 18: Intraoperative Nursing
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Sample Questions
Q1) The certified nurse anesthetist has administered succinylcholine to a patient during surgery. The surgery has ended and the patient is awakening. The nurse would evaluate which findings as indicating recovery from this agent?. Select all that apply.
A) The patient can hold the head up.
B) The patient has a strong hand grasp.
C) The patient is still sleepy.
D) The patient is breathing with only minimal stimulation by the nurse.
E) The patient's pupils react to light.
Q2) The surgical team is participating in a surgical time-out. What activities are part of this procedure?. Select all that apply.
A) Verification that the correct patient is prepared for surgery
B) Announcement of the name of the surgical procedure planned
C) A pause to allow last-minute preparation of the surgical suite
D) Determination of the body side on which the surgery will occur
E) Final surgical hand scrub
Q3) The certified nurse anesthetist suspects a patient is experiencing malignant hyperthermia and will administer dantrolene sodium 3 mg/kg IV. The patient's documented weight is 143 pounds. The nurse will administer _____ mg in the first bolus.
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Chapter 19: Postoperative Nursing
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Sample Questions
Q1) The recovery room nurse has just received a patient whose abdominal drain has an excessive amount of sanguineous drainage. The nurse contacts the physician without delay, recognizing that the drainage could indicate which critical situation?
A) A major wound infection
B) Need for further assessment
C) A potential respiratory crisis
D) Need to return immediately to surgery
Q2) Which finding would the PACU nurse evaluate as indicating the patient is progressing toward maintaining his own airway?
A) The patient snores while breathing.
B) The patient is "fighting" the oral airway.
C) The patient requires suctioning every 15 minutes.
D) The patient's oxygen saturation is below 90% on room air.
Q3) A child who weighs 30 kg is in the PACU. The nurse would collaborate with the child's health care provider if the child's urine output was less than ______ mL per hour.
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Chapter 20: Nursing Assessment of the Patient With
Neurological Disorders
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Sample Questions
Q1) The nurse recognizes that which assessment observation of a comatose patient has the greatest implications?
A) Both arms are extended and adducted, with the palms facing down.
B) Fasciculational twitching occurs in the small muscle groups of both arms.
C) Muscles of the entire upper extremities are flaccid bilaterally.
D) Arms, wrist, and fingers are flexed and adducted.
Q2) The nurse observes a patient who has a lack of coordination, clumsy movements, and an unbalanced gait. How would the nurse document this observation?
A) As flaccidity
B) As paralysis
C) As hemiparesis
D) As ataxia
Q3) The patient's vision is recorded as 20/
50. The nurse is measuring what this patient can see as compared to what a normal eye can see at _______ feet.
Q4) The nurse assesses that a patient is able move her left arm but uses her right arm to assist. The nurse would assign the affected muscle group a strength grade of ______.
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Chapter
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Sample Questions
Q1) A patient at risk for increased intracranial pressure (ICP) is likely to experience involuntary compensatory mechanisms. The nurse would monitor this patient for signs of which involuntary compensation?. Select all that apply.
A) Vasoconstriction of cardiac vessels
B) Vasodilation of the cerebral vessels
C) Decreased production of cerebral spinal fluid (CSF)
D) Decreased metabolic energy needs
E) Increased absorption of cerebral spinal fluid (CSF)
Q2) Decerebrate posturing is present in an unconscious patient following a motor vehicle accident. The nurse expects to see which position?
A) The arms and legs are hyperextended, and arms are hyperpronated.
B) The arms are folded over the chest and spasms are rhythmic.
C) The arms are pulled inward and the head is turned to the side.
D) The arms and legs have tonic-clonic seizure activity.
Q3) A nurse is providing care to a patient with increased intracranial pressure following a closed head injury. The nurse would determine that adequate cerebral perfusion pressure exists if the CPP is at least ____.
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Page 23
Chapter 22: Caring for the Patient With Cerebral Vascular Disorders
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Sample Questions
Q1) A patient with a family history of cavernous malformation presents to the emergency department following a seizure. The nurse anticipates which diagnostic testing?
A) Angiography
B) CT scan
C) Skull series X-ray
D) MRI scan
Q2) An emergency department nurse is caring for a patient who has been diagnosed with an evolving ischemic stroke. The nurse anticipates preparing the patient and family for which initial medical intervention?
A) Craniotomy
B) Administration of t-PA (tissue plasminogen activator)
C) Full-body X-ray series
D) Watchful waiting over the next 24 hours
Q3) The nurse is monitoring a patient who has had a subarachnoid bleed. The nurse plans care based on the knowledge that the risk for cerebral vasospasm is highest in Fisher grade _______ aneurysms.
Q4) A patient has been admitted with stroke-like symptoms. The nurse would report a serum potassium level of less than _____mEq/L as below the desired level.
Page 24
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Chapter 23: Caring for the Patient With Chronic and Degenerative Neurological Disorders
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Sample Questions
Q1) The nurse is caring for a patient with amyotrophic lateral sclerosis (ALS). The nurse plans care based on which understanding of the patient's prognosis?
A) The disease progresses slowly and is fatal.
B) The disease will progress over many years but the patient's quality of life will be good.
C) The disease progresses rapidly but can be halted by drug therapy.
D) The disease will progress slowly and can be controlled by medication.
Q2) A patient with Alzheimer's disease has lost 5 pounds over the past month. What is the best nursing intervention to address this weight loss?
A) Provide a high-fiber diet.
B) Recommend referral to a nutritionist for tube feeding.
C) Make sure the patient is put on a mechanical soft diet.
D) Give the patient food choices from which to select.
Q3) Once amyotrophic lateral sclerosis (ALS) is diagnosed, what is the priority nursing activity?
A) Support the patient and family to meet physical and psychosocial needs.
B) Monitor for infection.
C) Assist the patient to avoid complications.
D) Assist the patient to adapt to the disease.
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Chapter 24: Caring for the Patient With Spinal Cord Injuries
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Sample Questions
Q1) The nurse is preparing to discuss discharge planning with a patient who is hemiplegic as a result of a diving accident and with the patient's wife, who will be his primary caregiver. Which statement by the nurse would specifically address the needs of the caregiving wife?
A) "We will begin bowel and bladder training in 2 weeks."
B) "You will experience some role changes in your relationship."
C) "The vocational rehabilitation company will contact you next week to set up your schedule."
D) "You should plan respite time away from your husband every week."
Q2) Prehospital emergency personnel have placed a patient in a head brace and on a backboard after a motor vehicle accident. The nurse would advocate for the patient to be removed from this immobilization at what time?
A) As soon as the patient arrives in the emergency department
B) As soon as assessment is completed and a treatment plan is established
C) As soon as a cross-table lateral cervical spine X-ray is taken
D) As soon as the patient is admitted to the neurological intensive care unit
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Chapter 25: Nursing Assessment of the Patient With
Respiratory Disorders
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Sample Questions
Q1) During a bronchoscopy, the nurse is to initially give 1.5 mg of Versed in 2 minutes. Based on a concentration of 5 mg/mL, the nurse will draw up a total of ______ mL for the two doses.
Standard Text: 1.5 mg of midazolam hydrochloride (Versed) and
Q2) After auscultating a patient's chest, the nurse reports the findings to the preceptor. Which statement would indicate the need for immediate reassessment by the preceptor?
A) "I heard coarse crackles earlier, but now they sound finer."
B) "I heard wheezing earlier, but now I don't hear it."
C) "There are coarse crackles that clear with coughing."
D) "The patient was clear, but now there are scattered wheezes bilaterally."
Q3) The nurse wants to assess the apex of a patient's right lung. In which location should the nurse place the stethoscope?
A) Intercostal space, sixth rib near the sternum
B) Intercostal space, fourth rib near the axillary line
C) Below the scapula
D) Near the right clavicle
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Chapter 26: Caring for the Patient With Upper Airway Disorders
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Sample Questions
Q1) When planning care for a patient with a partial airway obstruction, which nursing intervention has the greatest priority?
A) Keeping the patient calm and relaxed
B) Providing pain medication around the clock
C) Ensuring the resuscitation team is on standby
D) Ensuring advanced airway equipment is at the bedside
Q2) The nurse is discussing common childhood illnesses with staff members of a day care center. The nurse determines that learning has taken place when a staff member makes which statement?
A) "Pharyngitis is not usually caused by bacteria, so I do not have to be concerned with getting it."
B) "Because the provider may not know for sure if the pharyngitis is caused by Streptococcus, antibiotics should be prescribed."
C) "Even though the child may have a fever and a sore throat, antibiotics may not be necessary."
D) "If a child has influenza, antibiotics are necessary to prevent pharyngitis."
Q3) The nurse, suctioning a patient's tracheostomy, plans for each suctioning attempt to last no longer than _____ seconds.
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Chapter 27: Caring for the Patient With Lower Airway Disorders
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78631
Sample Questions
Q1) A patient with chronic obstructive pulmonary disease (COPD) tells the nurse that he does not always wear the prescribed oxygen at home because it is cumbersome and he is rarely short of breath. What is the nurse's best response to this patient?
A) "Wearing the oxygen will help keep your blood oxygen saturation levels up so your heart does not have to work as hard and will not become enlarged."
B) "You really should wear it at least while sleeping."
C) "You do seem to be doing fine without it."
D) "Keep the oxygen at home and if you become short of breath, you know to put it on until you are able to breathe normally again."
Q2) When preparing a patient for a pulmonary function test, which instruction should the nurse provide?
A) "Expect to be sedated for the test."
B) "Antinausea medication will be provided prior to the test."
C) "You will wear a nose clip during the test."
D) "You will be given oxygen for a while after the test."
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Page 29
Chapter 28: Caring for the Patient With Complex
Respiratory Disorders
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78630
Sample Questions
Q1) A patient presents to the emergency department complaining of sudden onset of increased weakness and tingling of the lower extremities that has progressed to the upper arms. The patient is diagnosed with Guillain-Barré syndrome. The patient's respiratory rate is 8; blood pressure is 86/
A) High pH
B) High PaCO<sub>2</sub>
C) High HCO<sub>3</sub>
D) Low PaCO<sub>2</sub>
48. The patient is being prepared for intubation. What would the nurse anticipate the blood gases to reveal?
Q2) A patient presents with PaO<sub>2 </sub>of 54 mmHg and an arterial oxygen saturation of 80%. The nurse assesses for which most likely cause of this type of acute respiratory failure?
A) Cervical spinal cord injury
B) Pneumothorax
C) Obesity
D) Oversedation
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Chapter 29: Nursing Assessment of the Patient With
Cardiovascular Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78629
Sample Questions
Q1) A review of the medical record reveals that a patient has been diagnosed with paroxysmal nocturnal dyspnea (PND). Which questions would the nurse ask to assess the status of this condition?. Select all that apply.
A) "How often do you get up to go to the bathroom at night?"
B) "Are you still waking up at night because you are short of breath?"
C) "How long after you go to bed do you start having trouble breathing?"
D) "Do you still have to sleep on three pillows at night?"
E) "Are you still having palpitations at night?"
Q2) The nurse is conducting a physical examination of a patient's heart. Where will the nurse place the stethoscope to best assess the S1 heart sound?
A) Left midclavicular line at the fifth intercostal space
B) Left sternal border at the fifth intercostal space
C) Right midclavicular line at the fifth intercostal space
D) Right sternal border at the third intercostal space
Q3) When assessing the adult heart, the nurse expects to hear which heart sounds?
A) S1, then S2
B) S2, then S3
C) S3, then S4
D) S2, then S1
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Chapter 30: Car-Ing for the Patient With Dysrhythmias
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78628
Sample Questions
Q1) The nurse count
3.5 large squares between two R waves on the patient's cardiac monitor tracing. The nurse calculates the patient's heart rate as _______ beats per minute. (Round to the nearest whole beat.)
Q2) A patient received an implantable cardioverter-defibrillator (ICD). The nurse would include which instruction during discharge teaching for this patient?
A) "If a family member is in direct contact with you when the ICD discharges, he or she may experience a shock or tingling sensation."
B) "You can activate the ICD whenever you feel a change in your heart rhythm."
C) "The batteries of the ICD won't need to be replaced if the ICD never shocks the heart."
D) "There should be no discomfort if the ICD discharges. You probably won't notice it."
Q3) A nurse analyzing a patient's cardiac monitor tracing counts 12 large squares between two events. The nurse calculates the time interval between these events at _______ second(s).
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Chapter 31: Hemodynamic Monitoring
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78627
Sample Questions
Q1) A critically ill patient is admitted for the treatment of pneumonia and is receiving mechanical ventilation. The central venous pressure (CVP) is 15, and the pulmonary arterial pressure (PAP) is 55/
A) Both pressures are low because the patient has increased fluid volume and may be septic from the pneumonia.
B) The CVP is low because the patient has increased fluid volume, and the high PAP indicates increased pressure in the lungs.
C) Both pressures are high, indicating that the patient has increased pressure in the lungs and a high fluid volume.
35. What evaluation can the nurse make from this data?
D) The CVP is high, indicating increased fluid volume, and the low PAP indicates impending heart failure.
Q2) The nurse would discard any cardiac output measurement obtained from a pulmonary artery catheter if the measurement was questionable based on the curve or if two measurements differed by _____ %.
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Chapter 32: Caring for the Patient With Coronary Artery Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78626
Sample Questions
Q1) The nurse, caring for a patient with myocardial damage, would expect which change on the ECG tracing?
A) ST segment elevation
B) Loss of P waves
C) Bradycardia
D) Widening of the QRS complex
Q2) Nursing care of the patient after thrombolytic therapy focuses on the assessment of which common complication?
A) Bleeding
B) Reperfusion chest pain
C) Lethargy
D) Heart block
Q3) After a percutaneous coronary intervention (PCI), a patient develops a pseudoaneurysm. The nurse would anticipate conservative management if testing proves the pseudoaneurysm to be less than ______ centimeters in diameter as long as the patient is asymptomatic.
Q4) A patient's activity is progressing after an acute myocardial infarction (AMI). The nurse would determine that the patient is deconditioned if getting up in a chair decreases systolic blood pressure by _______ mmHg or more.
Page 34
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Chapter 33: Caring for the Patient With Cardiac
Inflammatory Disorders
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78625
Sample Questions
Q1) Which nursing diagnosis will the nurse include as the priority in the care plan of a patient diagnosed with hypertrophic cardiomyopathy (HCM)?
A) Risk for Activity Intolerance
B) Ineffective Airway Clearance
C) Imbalanced Nutrition: More than Body Requirements
D) Ineffective Individual Coping
Q2) Cardiac tamponade is suspected in a patient diagnosed with pericarditis. What assessment data would assist the nurse in determining the presence of this complication?
A) Changes in systolic blood pressure during inspiration
B) Arterial blood gases
C) The rhythm of the pulse in relation to inspiration and expiration
D) A cardiac murmur that occurs during systole
Q3) The nurse is assessing a patient diagnosed with dilated cardiomyopathy for progression of the disease. The nurse would focus questioning on which most common symptom?
A) Confusion
B) Cyanosis
C) Dyspnea
D) Peripheral edema
Page 35
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Chapter 34: Caring for the Patient With Heart Failure
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78624
Sample Questions
Q1) A 68-year-old patient is prescribed furosemide (Lasix) for treatment of heart failure. The patient is diabetic, hypertensive, and had hip replacement surgery last year. Which laboratory results should be closely monitored due to the addition of this drug?. Select all that apply.
A) Potassium
B) Glucose
C) Magnesium
D) Bleeding times
E) Thyroid function test
Q2) Which nursing diagnosis would the nurse add to the care plan of a patient diagnosed with acute systolic heart failure?
A) Disturbed Body Image
B) Imbalanced Nutrition: More than Body Requirements
C) Excess Fluid Volume
D) Ineffective Airway Clearance
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36
Chapter 35: Caring for the Patient With Peripheral Vascular Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78623
Sample Questions
Q1) A patient presents to the emergency department with complaints of "feeling like something is ripping in my chest" and sudden onset of mid-back pain. The patient has a history of hypertension. What is the top priority in the care of this patient?
A) Contact the patient's family.
B) Facilitate an immediate CT scan.
C) Obtain a surgical history.
D) Provide pain medication.
Q2) During the abdominal assessment of an elderly patient, the nurse palpates a mass in the mid-abdomen. What actions should the nurse take?. Select all that apply.
A) Percuss the mass.
B) Ask the patient to cough forcefully and reassess.
C) Notify the physician immediately.
D) Auscultate the mass.
E) Ask the patient about any recent pain in the abdomen.
Q3) The patient's brachial artery systolic pressure is 144 mmHg, and the right ankle systolic pressure is 120 mmHg. The nurse calculates the patient's ankle-brachial index to be ______.
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Page 37
Chapter 36: Nursing Assessment of the Patient With
Gastrointestinal, Renal, or Urinary Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78622
Sample Questions
Q1) The nurse recognizes that a patient diagnosed with poorly controlled type 2 diabetes is at risk for developing which gastrointestinal complication?
A) Paralytic ileus
B) Peptic ulcer
C) Gastroparesis
D) Gastric reflux disease
Q2) A nurse preceptor is reviewing the skill of percussing a patient's abdomen with a newly licensed nurse. The preceptor will intervene when the nurse makes which statement?
A) "I will percuss the abdomen using a systematic path."
B) "I anticipate hearing tympany over stool-filled intestines."
C) "Dullness is the expected percussion over the liver."
D) "Percussion is a useful tool for assessing the spleen, kidneys, and liver."
Q3) The nurse evaluates which patient observation as indicating the patient correctly understands the functions of the stomach?
A) "The process of absorption of nutrients begins in my stomach."
B) "My stomach turns food into liquid so it can be digested."
C) "My stomach begins the digestion of carbohydrates."
D) "Sulfuric acid is secreted by the stomach."
Page 38
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Chapter 37: Caring for the Patient With Gastrointestinal Disorders
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78621
Sample Questions
Q1) The nurse is teaching a patient about the major risk factors for peptic ulcer disease (PUD). Which risk factors should the nurse discuss?. Select all that apply.
A) Chronic H. pylori infection
B) Use of aspirin and NSAIDs
C) Cigarette smoking
D) Dietary intake of dairy products
E) Stress
Q2) A patient is being assessed for a possible bowel obstruction. The nurse provides information regarding which diagnostic tests to confirm the presence of an obstruction?. Select all that apply.
A) Barium swallow
B) A CT scan of the abdomen
C) An abdominal X-ray series
D) Serum osmolality
E) CBC with differential
Q3) The physician has ordered metoclopramide (Reglan) 2 mg/kg IVP to be given 30 minutes before the start of chemotherapy. The patient weighs 54 kg. The metoclopramide (Reglan) is dispensed in a 10 mg/10 mL vial. The nurse will administer ________ mL of metoclopramide.
Page 39
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Chapter 38: Caring for the Patient With Hepatic and Biliary Disorders
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78620
Sample Questions
Q1) The nurse is presenting a community education session on the prevention of liver cancer. Which information should the nurse include?
A) "The best way to prevent liver cancer is to catch it early. Liver cancer is easily detected by a physical exam."
B) "The best way to prevent liver cancer is by not drinking alcohol and avoiding high-risk behaviors that increase the chances of contracting hepatitis B and C."
C) "The best way to prevent liver cancer is to avoid public restaurants, as the cleanliness of the restaurant or the care that is taken in the food preparation cannot be predicted."
D) "The best way to prevent liver cancer is to exercise regularly."
Q2) A patient with chronic pancreatitis is taking pancreatic enzymes. Which statement would indicate to the nurse that the patient correctly understands instruction about this medication?
A) "I should take this medication right before bedtime."
B) "This medication is monitored by the lab work."
C) "I take this medication only when my stomach is hurting."
D) "I will take this medication with food."
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Page 40
Chapter 39: Caring for the Patient With Renal and Urinary Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78619
Sample Questions
Q1) A patient who is recovering from spinal surgery had "an accident" while attempting to reach the bathroom to void. Which type of incontinence is this patient most likely experiencing?
A) Functional
B) Urge
C) Stress
D) Overflow
Q2) A patient is admitted with signs of chronic renal failure. Which finding would alert the nurse to possible metabolic acidosis?
A) Kussmaul's respirations
B) Low urine output
C) Muscle cramps
D) Diarrhea
Q3) A patient has been admitted with a possible kidney stone. The nurse would expect the patient's pain to radiate from which area?
A) The middle of the back, between the scapulas
B) Very low in the center of the back
C) The area where the ribs and spine come together
D) The middle of the abdomen, just above the umbilicus
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Chapter 40: Nursing Assessment of the Patient With
Reproductive Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78618
Sample Questions
Q1) The nurse is providing instruction to a patient who has been diagnosed with prostate cancer. Which statement by the patient would indicate understanding of the nurse's instruction?
A) "The prostate gland is where sperm are formed."
B) "The prostate gland is located at the neck of my bladder."
C) "The prostate gland produces semen."
D) "The prostate gland is normally very small, only about a quarter of an inch long."
Q2) A young adult male asks the nurse about the recommended frequency of testicular self-exams. How should the nurse respond?
A) "The more frequently exams are performed, the more beneficial they are." 12."
B) "You should have been taught to self-examine starting at age
C) "Not all experts believe that testicular self-examination is necessary or beneficial for young men."
D) "It is essential that you perform this exam each month."
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Chapter 41: Caring for the Patient With Female
Reproductive Disorders
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78617
Sample Questions
Q1) The nurse is developing a teaching plan for a postmenopausal woman who has stress incontinence secondary to a prolapsed uterus. The nurse would include which interventions in the teaching plan?. Select all that apply.
A) Kegel exercises
B) Increased caffeine intake
C) Use of progesterone supplements
D) Proper perineal care
E) Use of perineal pads
Q2) A patient who has been experiencing the clinical manifestations associated with menopause voices an interest in using alternative and complementary therapies to manage them. What is the best initial response by the nurse?
A) "Alternative and complementary therapies seldom work."
B) "Many women report success with those measures."
C) "What types of therapies are of interest to you?"
D) "Have you discussed this with the health care provider?"
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43
Chapter 42: Caring for the Patient With Male Reproductive Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78616
Sample Questions
Q1) The nurse is giving a presentation on testicular cancer to a community group. What concepts should be included in this presentation?
A) African American men have the highest rate of testicular cancer.
B) The development of testicular cancer is most common in men over the age of C) Farmers may have a higher incidence for the development of testicular cancer than white-collar workers.
D) The mortality rate for men diagnosed with stage I testicular cancer is approximately 20%.
40.
Q2) A patient comes into the emergency department with complaints of an erection that has lasted for more than 4 hours. Which topics should the nurse include in the patient's assessment?
A) Use of medications for erectile dysfunction
B) Substance abuse
C) Blood pressure
D) Number of sexual partners
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Chapter 43: Caring for the Patient With Sexually
Transmitted Diseases
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78615
Sample Questions
Q1) A male patient is "relieved" to learn that he has a sexually transmitted infection (STI) and is not HIV positive. Which response by the nurse would be most appropriate?
A) "Having a sexually transmitted infection does predispose the body to infection with HIV if exposed to the virus."
B) "You are lucky."
C) "I told you not to be concerned."
D) "You would know if you had HIV."
Q2) A patient has been diagnosed with chlamydia. Which statement by the patient would the nurse evaluate as indicating that the goal of expedited partner therapy (EPT) has been met?
A) "My boyfriend has made an appointment to get his medication."
B) "I talked to my boyfriend about what we need to do to prevent reinfection."
C) "I cannot convince my boyfriend to come to the clinic to learn about chlamydia."
D) "Once I have completed treatment, my boyfriend will start taking the medication."
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45
Chapter 44: Caring for the Patient With Breast Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78614
Sample Questions
Q1) A patient had a mastectomy with axillary node dissection and was told she has stage IV breast cancer. The nurse would expect surveillance of which body systems as the most likely areas for metastasis?. Select all that apply.
A) Bone
B) Liver
C) Brain
D) Lung
E) Uterus
Q2) A patient diagnosed with breast cancer wishes to have reconstruction surgery as soon as possible. Which information should the nurse reinforce?
A) "Breast reconstruction works better if it is done as a separate surgery after you have recovered from mastectomy."
B) "Breast reconstruction has to wait until after chemotherapy is completed."
C) "The timing of reconstruction is your personal choice."
D) "You should wait until we are certain your cancer does not recur."
Q3) A patient's genetic studies reveal she is positive for both BRCA1 and BRCA2 mutations. The nurse prepares to care for a patient whose lifetime risk of developing breast cancer is _______%.
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46
Chapter 45: Nursing Assessment of the Patient Endocrine
Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78613
Sample Questions
Q1) A patient is scheduled for a thyroid scan. The nurse should specifically ask the patient about possible allergy to which substance?
A) Penicillin
B) Iodine
C) Citrus fruit
D) Sulfa drugs
Q2) The nurse understands that an alteration in growth hormone can lead to changes in an individual's physical stature. Which finding would cause the nurse to assess for high levels of growth hormone?
A) Acromegaly
B) Dwarfism
C) Hirsutism
D) Gynecomastia
Q3) The nurse is conducting an endocrine assessment on a patient with cognitive impairment. Which nursing action is indicated?
A) Defer palpation of the thyroid.
B) Perform the palpation from in front of the patient.
C) Use standard palpation technique from behind the patient.
D) Have the caretaker hold the patient's head still during the exam.
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Chapter 46: Caring for the Patient With Glandular and Hormonal Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78612
Sample Questions
Q1) Which instruction would be most important for the nurse to give to a patient who is scheduled to have a subtotal thyroidectomy?
A) Report sensations of tingling in toes, fingers, or lips.
B) Report headache immediately.
C) Herbal remedies are appropriate for use postoperatively.
D) Avoid exposure to crowds for several weeks after surgery.
Q2) The nurse is caring for a patient with elevated serum T3 and T4 levels who receives a new prescription for methimazole (Tapazole). Which patient statement indicates understanding of instructions about this medication?
A) "This medication will increase my metabolism."
B) "As long as I take this medication daily, the time of the dose is not important."
C) "This medication will cure my thyroid problem."
D) "I will need regular blood tests while taking this medication."
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Chapter 47: Caring for the Patient With Diabetes
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78611
Sample Questions
Q1) Which of these statements by a patient who has a new diagnosis of diabetes mellitus requires immediate nursing intervention?
A) "I am allergic to eggs."
B) "I will take my lispro insulin 15 minutes before I eat breakfast."
C) "I will adjust the amounts of my premixed insulin according to my food intake."
D) "I will not use detemir insulin in my insulin pump."
Q2) A diabetic patient complains of frequent corns and asks for information about managing the condition. What is the nurse's best response?
A) "Make sure you select shoes that fit correctly."
B) "You can use corn pads to gradually remove the growths."
C) "Corns are best treated by shaving them off."
D) "Apply a generous amount of emollient lotion on and between the toes twice daily."
Q3) The nurse is providing dietary instruction to a patient diagnosed with type 2 diabetes. The nurse includes information on how to reduce dietary intake of cholesterol to no more than _______ mg per day.
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Chapter 48: Nursing Management of the Patient With
Musculoskeletal Disorders
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30 Verified Questions
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Sample Questions
Q1) A patient is newly diagnosed with arthritis of the cervical vertebrae. The nurse plans to assess which type of joint?
A) Spheroidal
B) Synovial
C) Fibrous
D) Cartilaginous
Q2) The nurse has just begun testing range of motion in a patient's right knee when the patient says, "That really hurts." Which interventions should be implemented?. Select all that apply.
A) Continue to try to achieve normal ROM.
B) Stop the test on that joint.
C) Massage the knee for 20 minutes.
D) Call the health care provider.
E) Test ROM in the left knee and compare findings.
Q3) The nurse determines that a patient's shoulder muscle strength is normal when it is graded as _______ or better.
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Chapter 49: Caring for the Patient With Musculoskeletal Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78609
Sample Questions
Q1) A patient is admitted with a purple rash on her eyelids and a slightly red rash on her face and neck. The patient tells the nurse that her muscles "hurt" and she fatigues easily. The nurse would conduct additional assessment for which condition?
A) Mitochondrial myopathy
B) Polymyositis
C) Dermatomyositis
D) Inclusion body myositis
Q2) A patient with a musculoskeletal disorder is prescribed carbamazepine (Tegretol). What medication education should the nurse provide?. Select all that apply.
A) "Take your medication with food."
B) "You may be more sensitive to the sun, so be certain to wear protective clothing or sunscreen."
C) "If mouth ulcers appear, notify the prescriber."
D) "Avoid touching the pill with your fingers."
E) "If fever occurs, notify the prescriber."
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Chapter 50: Caring for the Patient With Musculoskeletal
Trauma and Surgical Procedures
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78608
Sample Questions
Q1) The nurse would be most alert for assessment findings of osteomyelitis in which patients?. Select all that apply.
A) The patient with a compound fracture
B) A patient who required open reduction of a fractured ankle
C) A patient who has a spiral fracture
D) A patient whose fractured radius was repaired with an external fixator device
E) A patient who has a torn anterior cruciate ligament
Q2) The nurse is planning care for a patient who had an above-the-knee amputation 2 days ago. Which position should the nurse include in this patient's plan of care?
A) Sims' position as tolerated
B) Flat in bed
C) High Fowler's position with the stump elevated
D) Sitting in a chair while awake
Q3) A patient is diagnosed with a sprained right ankle. The nurse instructs the patient on which common treatment of sprains?
A) Application of a long leg cast
B) Opioid pain medication
C) Heat, rest, compression, and elevation
D) Rest, ice, compression, and elevation
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Chapter 51: Caring for the Patient With Arthritis and
Connective Tissue Disorders
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78607
Sample Questions
Q1) A patient diagnosed with gouty arthritis is prescribed the drug colchicine to reduce symptoms. Which medication education should the nurse provide?
A) There is a possibility of orthostatic hypotension.
B) A diet with fewer restrictions on purine ingestion may be adopted.
C) The pain will diminish, but the joint will remain swollen and red.
D) Vomiting and/or diarrhea are common side effects of this medication.
Q2) The nurse is preparing for a community education session on autoimmune disorders. The nurse should review information about which diseases?. Select all that apply.
A) Scleroderma
B) Rheumatoid arthritis (RA)
C) Gouty arthritis
D) Systemic lupus erythematosus (SLE)
E) Reactive arthritis
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Chapter 52: Nursing Management of the Patient With
Immunological and Inflammatory Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/78606
Sample Questions
Q1) A patient tells the nurse that he's happy that his wife did not "catch" the same cold from which he has recently recovered. The nurse realizes that what most likely occurred in his wife?
A) Release of cytokines
B) Proliferation of CD 8 cells
C) T-helper 1 stimulation to kill unidentified cells
D) T-helper 2 memory of a previous exposure to the same virus that caused the patient's illness
Q2) A patient has a skin infection over the inner aspect of the left thigh. The nurse would anticipate finding enlargement when palpating which lymph nodes?. Select all that apply.
A) Inferior inguinal
B) Superior inguinal
C) Preauricular nodes
D) Supraclavicular nodes
E) Axillary nodes
Q3) The nurse would consider a provisional diagnosis of sepsis as supported by a band count of over ______ % of the total white blood cell count.
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Chapter 53: Caring for the Patient With Immune Response Disorders
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78605
Sample Questions
Q1) The nurse is performing an admission assessment on a patient with AIDS. Which would best evaluate the patient's risk of contracting an opportunistic infection?
A) "What were the results of your last CD<sub>4</sub> and T cells test?"
B) "Have you had any fever, diarrhea, or chills over the last 48 hours?"
C) "Can you identify the signs and symptoms of a possible infection?"
D) "Are you sexually active with persons who also have AIDS?"
Q2) When considering guidelines for teaching about safer sex, how would the nurse rank the risk for HIV transmission from highest to lowest? Click and drag the options below to move them up or down.
A) Heterosexual intercourse between partners using latex condoms
B) Abstinence
C) Monogamous sex between partners who are both EIA and Western Blot negative
D) Anal intercourse between partners using latex condoms
Q3) A patient diagnosed with HIV/AIDS weighed 180 pounds when diagnosed. The patient has had intermittent fever, diarrhea, and anorexia for the last 30 days. The nurse would be concerned that HIV wasting is occurring if the patient has lost more than _______ pounds.
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Page 55
Chapter 54: Caring for the Patient With Inflammatory
Response, Shock, and Severe Sepsis
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31 Verified Questions
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Sample Questions
Q1) A 20-year-old male was seriously wounded in a shooting incident and is not expected to survive the resulting hypovolemic shock. Which nursing statements to the family are indicated?. Select all that apply.
A) "The rules allow only two visitors for 5 minutes."
B) "Your son's color is very gray."
C) "Your son will not be able to talk to you, but he will know you are there."
D) "Your son has a big bandage around his head and his face is swollen and bruised."
E) "We have given your son pain medication for his wounds."
Q2) A 60-year-old woman with multiple traumatic injuries has experienced severe blood loss and is prescribed to receive blood immediately. The nurse realizes that because there is insufficient time for type and crossmatch, the patient could receive which types of blood?. Select all that apply.
A) O-positive
B) AB-positive
C) A-negative
D) O-negative
E) A-positive
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Chapter 55: Nursing Assessment of the Patient With
Hematological Disorders
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The patient is scheduled to have a mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC) drawn. How would the nurse explain the purpose of these tests?
A) "These tests will help us determine if you have cancer in your blood."
B) "We are testing to see if you have an infection."
C) "These tests will help us determine what kind of anemia you have."
D) "We are testing to see if you have anemia."
Q2) A patient is scheduled for a bone marrow aspiration. The nurse would reinforce which teaching about this procedure?
A) Bone marrow fluid will be drawn into a needle.
B) The sample will be taken from a vertebra in the neck.
C) Bone marrow fluid and a piece of bone will be collected.
D) The patient will receive general anesthesia for this procedure.
Q3) A patient's laboratory results reveal a low platelet count. The nurse would assess the patient for which skin finding?
A) Jaundice
B) Petechiae
C) A brown or dark tinge to the skin
D) A flushed appearance
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Chapter 56: Caring for the Patient With Blood Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78602
Sample Questions
Q1) Review of a patient's medical record reveals a diagnosis of anemic hypoxia. Which condition would the nurse suspect was the underlying cause of this diagnosis?
A) Reduced production of erythropoietin
B) Airway obstruction
C) Pneumonia
D) Right-to-left shunt in the heart
Q2) A child is diagnosed with beta-thalassemia major. What should the nurse teach the child's parents?. Select all that apply.
A) "Monitor transfusion of packed red blood cells as ordered."
B) "Prepare yourselves for the care of a child who is seriously ill."
C) "Prioritize the child's activities to allow for rest."
D) "Your child will always be small, with a petite skeletal frame."
E) "Be alert for allergic reactions to common foods such as peanuts and strawberries."
Q3) A patient with anemia of chronic disease is prescribed erythropoietin (Epogen) 50 units per kilogram three times a week. The patient weighs 188 pounds. The home health nurse would be certain that at least _____ units of Epogen are available for this week's doses.
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Chapter 57: Caring for the Patient With Cancer
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78601
Sample Questions
Q1) A patient's gynecologic examination reveals dysplasic changes of the cervix. Which historical information would the nurse interpret as indicating an increased risk that these changes are related to cervical cancer?
A) The patient was treated for human papillomavirus 2 years ago.
B) The patient reports "getting drunk" a few times a year. 22.
C) The patient did not become sexually active until marriage at age
D) The patient reports eating fast food several times a week.
Q2) A patient has been diagnosed with cancer. Which finding in the patient's social history would the nurse evaluate as contributing to cancer development both in the initiation stage and the promotion stage?
A) The patient was exposed to radiation during an industrial accident 5 years ago. 10.
B) The patient has taken vitamin C supplements for many years.
C) The patient's menses began at age
D) The patient reports drinking one or two glasses of wine each week.
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Chapter 58: Nursing Assessment of the Patient With
Integumentary Disorders
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse discovers a vascular lesion on a patient's chest. What should the nurse check to help determine if the lesion is petechiae or telangiectasia?
A) Is the lesion scaly?
B) Is the lesion raised?
C) Does the lesion blanch?
D) Is the lesion painful?
Q2) During completion of a health history, the patient reports being allergic to strawberries. What additional questions should the nurse ask?. Select all that apply.
A) "How long has it been since you ate strawberries?"
B) "What happens when you eat strawberries?"
C) "What treatments do you use to treat this allergic reaction?"
D) "When was your last allergic reaction?"
E) "Are you allergic to any other foods?"
Q3) Which technique would the nurse use to assess a patient's skin turgor?
A) Palpate the skin.
B) Grasp a fold of the patient's skin between the forefinger and thumb.
C) Determine the patient's fluid intake for past 2 hours.
D) Blanch the nail bed.
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Chapter 59: Caring for the Patient With Skin Disorders
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78599
Sample Questions
Q1) A 68-year-old male patient comes into the clinic with a "strange painful rash" on the left side of his upper chest. The nurse would conduct additional assessment for which condition?
A) Herpes zoster
B) Herpes simplex
C) Verruca plana
D) Condylomata acuminata
Q2) A veterinarian comes to the urgent care clinic and says, "I think I was bitten on the hand by something earlier in the week and the area isn't healing." Assessment reveals a painless lesion with a black center. Axillary lymph nodes are enlarged. The nurse suspects cutaneous anthrax. Which actions are indicated?. Select all that apply.
A) Immediately contact the clinic health care provider with this assessment.
B) Prepare to obtain a culture.
C) Isolate the patient from others in the clinic.
D) Ask the patient about allergy to antibiotics.
E) Ask the patient if any strangers were in the veterinary clinic last week.
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Chapter 60: Caring for the Patient With Wounds
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Sample Questions
Q1) Wound breakdown after healing continues to be an issue with burn victims. Research into which topic would offer the most comprehensive interventions to help diminish this problem?
A) Techniques to reduce wound infection
B) Techniques to increase tensile strength
C) Methods to increase family participation in wound care
D) Methods to increase patient compliance with exercise routines
Q2) A patient with diabetes presents with an ulcer on the end of the great toe. Assessment reveals gangrene extending to the base of the toe. The nurse would evaluate this ulcer as matching criteria for grade ____ on the Wagner Ulcer Grade Classification System.
Q3) The nurse would assess that granulation tissue is developing in a wound when noting which characteristics?. Select all that apply.
A) Beefy red color
B) Blue-gray tinge to the wound bed
C) Small, round nodules in the wound bed
D) Pearly-appearing wound margins
E) Moist tissue
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Chapter 61: Caring for the Patient With Burn Injuries
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34 Verified Questions
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Source URL: https://quizplus.com/quiz/78597
Sample Questions
Q1) The nurse has admitted a patient who sustained a partial-thickness burn injury of 28% of total body surface area (TBSA) and a full-thickness injury of 30% of TBSA. Which American Burn Association (ABA) classification would the nurse assign to this injury?
A) Moderate
B) Major
C) Superficial
D) Minor
Q2) The nurse is admitting a 25-year-old patient to the emergency department with partial-thickness injuries over 20% of the total body surface area, involving both lower legs. According to American Burn Association (ABA) guidelines, the nurse would classify this as which level of burn?
A) Minor
B) Major
C) Moderate
D) Severe
Q3) The nurse is estimating the extent of burns on an adult patient just admitted to the emergency department. The patient has burns on both arms, the anterior trunk, and the right leg. The nurse estimates that _______ % of total body surface area is involved.
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Chapter 62: Nursing Assessment of the Patient With
Sensory Disorders
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Sample Questions
Q1) During the assessment of a patient's fields of gaze, the nurse notices the left eye lags slightly behind the right when moving from the primary position to right upward position. All other movements are symmetrical and smooth. To allow for trending, the nurse would record - ______ for this result.
Q2) Which patient report would the nurse evaluate as indicating that changes in accommodation are occurring?
A) "I have noticed that it is more difficult for me to read signs when I am driving."
B) "I have pain behind my eyes."
C) "I have difficulty reading the newspaper."
D) "I get dizzy when watching television."
Q3) The school nurse is educating middle school students about the connection between noise and hearing loss. Which information should the nurse provide?
A) Hearing loss requires multiple exposures to high noise levels.
B) Rock concerts are considered to produce moderate levels of noise.
C) One exposure to intense "impulse" noise will probably not damage hearing.
D) Noise-induced hearing loss is also referred to as toxic loss.
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Chapter 63: Caring for the Patient With Hearing and Balance Disorders
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33 Verified Questions
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Source URL: https://quizplus.com/quiz/78595
Sample Questions
Q1) A 25-year-old patient has had surgery for a cochlear implant. Which statement by a family member does the nurse evaluate as indicating understanding about this device?
A) "A cochlear implant won't replace normal hearing; it will improve sound perception."
B) "It will be much nicer than a hearing aid, as nothing needs to be worn or will be visible."
C) "The speaking voice will improve too."
D) "These are so easy to use that she will be hearing well very soon."
Q2) The nurse is assessing a 75-year-old patient. Which patient statements would alert the nurse that the patient may have presbycusis?. Select all that apply.
A) "I have lots of earwax in my left ear."
B) "My ears ring all the time."
C) "I have a hard time hearing my granddaughter's voice."
D) "I just can't hear when the room is noisy."
E) "I woke up this morning unable to hear out my left ear."
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Chapter 64: Caring for the Patient With Visual Disorders
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35 Verified Questions
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Source URL: https://quizplus.com/quiz/78594
Sample Questions
Q1) A patient has been diagnosed with primary glaucoma. What information would the nurse provide about this condition?
A) It was probably caused by a congenital anomaly in the structure of the eye.
B) Primary glaucoma is not as serious as other forms of glaucoma.
C) The disorder has no relation to other ocular conditions.
D) This condition is the result of conjunctival infections in childhood.
Q2) The nurse has provided discharge instructions to a patient who had cataract surgery. The nurse is satisfied that the patient understands these instructions when the patient makes which statements?. Select all that apply.
A) "I will ask my wife to tie my shoes for a few days."
B) "I will wear my eye shield all the time."
C) "I should expect to see bright flashes of light as my eye heals."
D) "I will avoid reading at least until my follow-up appointment next week."
E) "I will sleep on my back or on my nonoperative side."
Q3) The nurse is admitting a patient for laser photocoagulation treatment of diabetic retinopathy. The nurse would immediately contact the health care provider if the patient's diastolic blood pressure is above _______ mmHg.
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Chapter 65: Disaster Nursing
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Source URL: https://quizplus.com/quiz/78593
Sample Questions
Q1) The hospital has activated its incident command system (HICS) and is currently triaging patients and determining the extent of injuries and casualties. The nurse would refer calls from the media to which person?
A) The safety and security officer
B) The liaison officer
C) The public information officer
D) The incident commander
Q2) The emergency department nurse manager is working with the physical plant manager to identify decontamination zones as part of the hospital's emergency preparedness plan. Which concepts should be considered in this planning?. Select all that apply.
A) More than one decontamination area should be chosen.
B) The area should be large enough to accommodate three different zones for decontamination.
C) The site and zones should be painted on the hospital parking lot for easy identification at the time of need.
D) The red zone area should be large enough to accommodate triage activities.
E) There should be a method to limit entry to the cold zone.
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Chapter 66: Caring for the Patient in the Emergency Department
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Sample Questions
Q1) A patient being cared for in the emergency department (ED) will require endoscopy to remove a foreign object from the esophagus. Whose responsibility is it to obtain informed consent for this procedure?
A) The admittance clerk
B) The nurse who admitted the patient to the ED
C) The nurse who will assist in the procedure room
D) The health care provider performing the procedure.
Q2) A patient arrives by ambulance to the emergency department. A paramedic is administering a breathing bag to help with the patient's respirations. Which triage level will the nurse assign?
A) Nonurgent
B) Resuscitative
C) Emergent
D) Urgent
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Chapter 67: Caring for the Patient With Multisystem
Trauma
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35 Verified Questions
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Sample Questions
Q1) A patient was hospitalized 36 hours ago after suffering multiple injuries, including flail chest on the right, in an explosion. This morning the patient has moist crackles in the right lung, and the sputum is streaked with blood. The nurse discusses these findings with the health care provider due to concern about the possibility of which injury?
A) Tension pneumothorax
B) Pulmonary contusion
C) Hemothorax
D) Pneumonia
Q2) A 28-year-old woman is admitted to the ED with trauma sustained when a building collapsed. The nurse would why which test was not ordered?
A) International normalized ratio (INR)
B) Blood alcohol
C) Pregnancy
D) Toxicology screen
Q3) The emergency services department of a hospital has adopted a policy of tertiary survey for all admitted trauma patients. The nurse understands that this survey will be done within ______ hours of admission.
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