Issuu

Nursing Concepts and Practice

Solved Exam Questions

Course Introduction

Nursing Concepts and Practice introduces students to the foundational principles essential for effective nursing care. The course explores key concepts such as patient-centered care, professional communication, ethical and legal issues, health promotion, and clinical decision-making. Through a combination of theoretical instruction and practical experiences, students develop core skills in assessment, planning, implementation, and evaluation of patient needs across diverse populations and healthcare settings. Emphasis is placed on critical thinking, evidence-based practice, teamwork, and the integration of holistic care to ensure safe and effective outcomes throughout the lifespan.

Recommended Textbook

Medical Surgical Nursing 7th Edition by

Donna D. Ignatavicius

Available Study Resources on Quizplus

76 Chapters

2258 Verified Questions

2258 Flashcards

Source URL: https://quizplus.com/study-set/1943 Page 2

Chapter 1: Introduction to Medical-Surgical Nursing

Available Study Resources on Quizplus for this Chatper

20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/38686

Sample Questions

Q1) An emergency department (ED)nurse gives report on a client who is being transferred to the medical-surgical floor.Because of an identified risk for suicide,the ED nurse suggests that the floor nurse contact a sitter and behavioral health.This statement represents which part of the SBAR hand-off?

A) Situation

B) Background

C) Assessment

D) Recommendation

Answer: D

Q2) The Institute for Healthcare Improvement (IHI)identified interventions to save client lives.Which actions are within the scope of nursing practice to improve quality of care?

A) Insert a central line to give intravenous fluid to a dehydrated client.

B) Use sterile technique when changing dressings on a new surgical site.

C) Intubate a client whose oxygen saturation is 92%.

D) Prescribe aspirin for a client who presents with an acute myocardial infarction

Answer: B

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

Chapter 2: Introduction to Complementary and Alternative Therapies

Available Study Resources on Quizplus for this Chatper

21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/38687

Sample Questions

Q1) A client is experiencing nausea and vomiting from chemotherapy.Which alternative or complementary therapy would be best for the nurse to explore with the client?

A) Meditation

B) Imagery

C) Yoga

D) Music therapy

Answer: B

Q2) A client tells the nurse that he or she is considering using herbal supplements.What is the nurse's best response?

A) "Herbs are not classified as drugs in the United States, so there is no contraindication to using them."

B) "Herbs have pharmacologic effects on the body and can interact with some prescription medications."

C) "It is never permissible to use herbal supplements with prescription medications."

D) "I will refer you to an herbalist, who can help you decide which medications you can take."

Answer: B

To view all questions and flashcards with answers, click on the resource link above. Page 4

Chapter 3: Common Health Problems of Older Adults

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/38688

Sample Questions

Q1) An older adult client's spouse has died,and the family expresses concern that the client has lost weight recently and now refuses to attend the annual family reunion.The nurse should assess this client further for what clinical condition?

A) Psychosis

B) Depression

C) Dementia

D) Delirium

Answer: B

Q2) A client with Alzheimer's disease has been hospitalized for dehydration.In making an assessment,the nurse notes the presence of a cluster of bruises on the client's buttocks.What is the nurse's priority action?

A) Call the local police to report a crime.

B) Notify the client's physician and social worker.

C) Confront the client's caregiver with the suspicions.

D) Alert security to prevent visits by the client's caregiver.

Answer: B

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

Chapter 4: Cultural Aspects of Health and Illness

Available Study Resources on Quizplus for this Chatper

13 Verified Questions

13 Flashcards

Source URL: https://quizplus.com/quiz/38689

Sample Questions

Q1) A nurse is working with a new group of immigrants and wants to learn more about their culture.Which method of cultural assessment should the nurse perform to gain a long-term understanding of this culture?

A) Interview a client.

B) Observe a group.

C) Participate in the community.

D) Visit a group of clients.

Q2) The client expresses distress over missing religious services while in the hospital.What is the nurse's best action?

A) Tell the client that he or she shouldn't worry about it right now.

B) Ask the client's spouse or family member to pray with the client.

C) Ask the hospital's professional chaplain to talk to the client.

D) Encourage the client to reschedule procedures for another day.

Q3) A nurse is caring for a lesbian client.What is a priority assessment question for this client?

A) "When was your last complete physical examination?"

B) "How much alcohol do you consume?"

C) "Do you smoke?"

D) "Do you use recreational drugs?"

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

Page 6

Chapter 5: Pain: The Fifth Vital Sign

Available Study Resources on Quizplus for this Chatper

38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/38690

Sample Questions

Q1) Which is most indicative of pain in an older client who is confused?

A) Decreased blood pressure

B) Screaming

C) Facial grimace

D) Restlessness

E) Crying

F) Decreased respirations

Q2) Which client would the nurse suggest should try subcutaneous opioid analgesia for pain management?

A) Client who has had a surgical procedure

B) Client with back pain who likes to walk

C) Client with cancer who is nauseous

D) Client experiencing acute chest pain

Q3) Which statement made by a nurse represents the need for further education regarding pain management in older adult clients?

A) "Older adults are at greatest risk for undertreated pain."

B) "Older adults tend to report pain less often than younger adults."

C) "Older clients usually have more experience with pain than younger clients."

D) "Older clients have a different pain mechanism and do not feel it as much."

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

Page 7

Chapter 6: Genetic Concepts for Medical-Surgical Nursing

Available Study Resources on Quizplus for this Chatper

24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/38691

Sample Questions

Q1) In the hospital,the nurse is caring for a client of Asian descent who was just started on warfarin (Coumadin).What would be the best plan of care for the client?

A) Start warfarin at a high dose to decrease the chance for further clotting problems.

B) Monitor international normalized ratio (INR) once a day in the hospital.

C) Teach the client to frequently check for any bruising.

D) Initiate fall precautions and strict activity limitations.

E) Start warfarin at a lower-than-normal dose owing to slower metabolism of the drug.

Q2) Which disorder presents a need for predisposition genetic testing?

A) Huntington disease

B) Sickle cell disease

C) Hemophilia

D) Breast cancer

Q3) Which client needs to undergo carrier genetic testing?

A) A middle-aged man whose father died at age 48 of colorectal cancer

B) A young woman who has all the symptoms of rheumatoid arthritis

C) A middle-aged woman whose mother died at age 52 of breast cancer

D) A young woman of Eastern European Jewish ancestry

To view all questions and flashcards with answers, click on the resource link above. Page 8

Chapter 7: Evidence-Based Practice in Medical-Surgical Nursing

Available Study Resources on Quizplus for this Chatper

12 Verified Questions

12 Flashcards

Source URL: https://quizplus.com/quiz/38692

Sample Questions

Q1) The nurse is looking for the best interventions for postoperative pain control.When are the facility's policies and procedures an appropriate source of evidence?

A) When policies are based on high-quality clinical practice guidelines

B) When evidence is derived from a valid and reliable quantitative research study

C) When procedures originated from opinions of the facility's chief surgeon

D) When evidence is founded on recommendations from experienced nurses

Q2) The nurse is developing a clinical question in a PICOT format.What components are included in the question?

A) Population

B) Comparison

C) Observation

D) Intervention

E) Technique

To view all questions and flashcards with answers, click on the resource link above. Page 9

Chapter 8: Rehabilitation Concepts for Chronic and Disabling Health Problems

Available Study Resources on Quizplus for this Chatper

28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/38693

Sample Questions

Q1) The nurse is caring for a client with left-sided weakness.Which gait-training techniques will the physical therapist and the nurse use when assisting the client to walk with a cane?

A) Place the cane in the client's left hand.

B) Hold the cane with the client's stronger hand.

C) Move the cane forward, followed by legs stepping forward.

D) Take one step forward, followed by the cane moving forward.

E) Step forward with the stronger leg, then the weaker leg.

F) Move the weaker leg one step forward, followed by the stronger leg.

Q2) The nurse is providing education for a client at risk for urinary tract infection.Which beverage should the nurse encourage the client to drink?

A) Carbonated beverages

B) Citric juices

C) Milk

D) Tomato juice

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

Chapter 9: End-Of-Life Care

Available Study Resources on Quizplus for this Chatper

24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/38694

Sample Questions

Q1) An older client was admitted to hospice owing to impending death in approximately 6 weeks.After 2 months,the family remains at the bedside but is becoming increasingly impatient and irritable.What is the best nursing intervention?

A) Ask the family to leave and not return until they are calmer.

B) Sit with the family and listen to their concerns and fears.

C) Tell the family members not to worry, the client will die soon.

D) Consult the chaplain to come and pray with the client's family.

Q2) The nurse is providing care for a dying client.The nurse would place highest priority on treating which symptoms?

A) Anorexia

B) Weight loss

C) Pain

D) Agitation

E) Nausea

F) Hair loss

G) Dyspnea

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

Chapter 10: Concepts of Emergency and Trauma Nursing

Available Study Resources on Quizplus for this Chatper

25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/38695

Sample Questions

Q1) A client in the emergency department has died from a suspected homicide.What is the nurse's priority intervention?

A) Remove all tubes and wires in preparation for the medical examiner.

B) Limit the number of visitors to minimize the family's trauma.

C) Consult the bereavement committee to follow up with the grieving family.

D) Communicate the client's death to the family in a simple and concrete manner.

Q2) A client has been injured in a stabbing incident.Assessment reveals the following: Blood pressure: 80/60 mm Hg

Heart rate: 140 beats/min

Respiratory rate: 35 breaths/min

Bleeding from stabbing wound site

Client is lethargic

Based on these assessment data,to which trauma center should the nurse ensure transport of the client?

A) Level I

B) Level II

C) Level III

D) Level IV

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

Chapter 11: Care of Patients With Common Environmental Emergencies

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/38696

Sample Questions

Q1) The nurse working at a first aid booth during a summer marathon sees several runners.Which runner should be seen first? A runner who:

A) Has fallen several times

B) Is fatigued

C) Thinks he has the flu

D) Has tachypnea

Q2) A community nurse assesses a client,who has an allergy to bees,after a bee sting.The client's lips are swollen,and wheezes are audible.What is the priority action of the nurse?

A) Elevate the site and notify the client's next of kin.

B) Remove the stinger with tweezers and encourage rest.

C) Administer diphenhydramine (Benadryl) and apply ice.

D) Administer an EpiPen from the first aid kit and call 911.

Q3) The nurse is planning care for a client admitted with a snakebite to the right leg.With whom should the nurse collaborate?

A) The facility's neurologist

B) The regional poison control center

C) The physical therapy department

D) A herpetologist (snake specialist)

Page 13

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

Chapter 12: Concepts of Emergency and Disaster

Preparedness

Available Study Resources on Quizplus for this Chatper

31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/38697

Sample Questions

Q1) A nursing instructor is debriefing students who participated in a community-wide disaster drill.Several students are upset with the black-tagged triage category.Which statement by the nursing instructor is best?

A) "To do the greatest good for the greatest number of people, it is necessary to sacrifice some."

B) "Not everyone will survive a disaster, so it is best to identify those people early and move on."

C) "In a disaster, extensive resources are not used for one person at the expense of many others."

D) "With black tags, volunteers can identify those who are dying and can give them comfort care."

Q2) A client is receiving follow-up care after surviving a tornado.The client reports insomnia and the nurse notes that the client jumped as the nurse entered the room.Which action by the nurse is most appropriate?

A) Document findings on the client's chart and inform the physician.

B) Perform additional assessments for post-traumatic stress disorder.

C) Educate the client on nonpharmaceutical methods to promote sleep.

D) Plan to initiate a referral to a psychologist experienced in survivor issues.

To view all questions and flashcards with answers, click on the resource link above. Page 14

Chapter 13: Assessment and Care of Patients With Fluid and Electrolyte Imbalances

Available Study Resources on Quizplus for this Chatper

44 Verified Questions

44 Flashcards

Source URL: https://quizplus.com/quiz/38698

Sample Questions

Q1) Which ethnic groups should the nurse screen specifically for hypocalcemia?

A) Whites

B) Blacks

C) Asians

D) Hispanics

E) American Indians

Q2) A client has hypokalemia.Which question by the nurse obtains the most information on a possible cause?

A) "Do you use sugar substitutes?"

B) "Do you use diuretics or laxatives?"

C) "Do you have any kidney disease?"

D) "Have your bowel habits changed recently?"

Q3) The nurse notes that the handgrip of the client with hypokalemia has diminished since the previous assessment one hour ago.Which intervention by the nurse is the priority?

A) Assess the client's respiratory rate, rhythm, and depth.

B) Measure the client's pulse and blood pressure.

C) Document findings and monitor the client.

D) Call the health care provider.

Page 15

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

Chapter 14: Assessment and Care of Patients With

Acid-Base Imbalances

Available Study Resources on Quizplus for this Chatper

44 Verified Questions

44 Flashcards

Source URL: https://quizplus.com/quiz/38699

Sample Questions

Q1) A client has the following arterial blood results: pH 7.12,HCO3- 22 mEq/L,PCO2 65 mm Hg,PO2 56 mm Hg.The nurse correlates these values with which clinical situation?

A) Diabetic ketoacidosis in a person with emphysema

B) Tracheal obstruction related to aspiration of a hot dog

C) Anxiety-induced hyperventilation in an adolescent

D) Diarrhea for 36 hours in an older, frail woman

Q2) A client has been placed on a ventilator.The physician has ordered that the ventilator be set to deliver a respiratory rate set of 28 breaths/min.The nurse questions the order,citing concerns about which acid-base problem?

A) Acid deficit: alkalosis

B) Base excess: alkalosis

C) Acid excess: acidosis

D) Base deficit: acidosis

Q3) The nurse monitors for which acid-base imbalance in a client who has hypoxemia?

A) Reduced carbon dioxide production leading to alkalosis

B) Reduced carbon dioxide retention leading to alkalosis

C) Excess carbon dioxide production leading to acidosis

D) Excess carbon dioxide retention leading to acidosis

To view all questions and flashcards with answers, click on the resource link above. Page 16

Chapter 15: Infusion Therapy

Available Study Resources on Quizplus for this Chatper

49 Verified Questions

49 Flashcards

Source URL: https://quizplus.com/quiz/38700

Sample Questions

Q1) Five days after the start of intraperitoneal therapy,the client reports abdominal pain and "feeling warm." The nurse prepares to assess the client further for evidence of which condition?

A) Allergic reaction

B) Bowel obstruction

C) Catheter lumen occlusion

D) Infection

Q2) The nurse has just performed an IV start on a client.After the catheter has been threaded its full length in the client's vein,which action does the nurse perform next?

A) Secure the IV with a securement device or tape.

B) Dispose of the IV needle in the sharps container.

C) Engage the safety mechanism of the IV catheter

D) Note the date and time of the dressing application over the insertion site.

Q3) Which assessment finding for a client with a peripherally inserted central catheter (PICC)line requires immediate attention?

A) Initial dressing over site is 3 days old.

B) Line has been in for 4 weeks.

C) A securement device is absent.

D) Upper extremity swelling is noted.

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

Page 17

Chapter 16: Care of Preoperative Patients

Available Study Resources on Quizplus for this Chatper

27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/38701

Sample Questions

Q1) What recently learned information about a client who is scheduled to have surgery within the next 2 hours is the nurse certain to communicate to the surgical team?

A) An allergy to cats

B) Hearing problem

C) Consumption of a glass of wine 12 hours ago

D) Taking 2000 mg of vitamin C each day

Q2) When examining an adult client's preoperative laboratory results,the nurse notes that the potassium level is 2.9 mEq/mL.What is the nurse's priority action?

A) Document the finding.

B) Alter the client's diet to include fruit.

C) Increase the IV flow rate.

D) Notify the surgeon.

Q3) Which medications does the nurse correctly administer preoperatively?

A) Hydroxyzine (Atarax, Vistaril) for sedation

B) Lorazepam (Ativan) for anxiety

C) Hydromorphone (Dilaudid) to decrease postoperative secretions

D) Metoclopramide (Reglan) to increase stomach emptying

E) Aspirin to decrease blood clotting postoperatively

F) Cimetidine (Tagamet) to prevent infection

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

Page 18

Chapter 17: Care of Intraoperative Patients

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/38702

Sample Questions

Q1) Before undergoing general anesthesia,the client states,"My brother and my father had bad reactions to anesthesia.I hope that doesn't happen to me!" What are the nurse's best actions?

A) Hook up leads to a temporary pacemaker.

B) Have a nasogastric tube ready for insertion.

C) Assess the client's chest x-ray before surgery.

D) Have a cooling blanket ready.

E) Obtain a chest tube insertion kit.

F) Have a Foley catheter kit ready.

G) Provide an emergency tracheostomy kit at the bedside.

H) Inform the anesthesiologist and the surgeon of the client's statement.

Q2) What is the priority action for the scrub person at the conclusion of a surgical procedure?

A) Assist with transferring the client to the postanesthesia care unit.

B) Document the procedure in the client's medical record.

C) Set up the sterile field and drape the client appropriately.

D) Document how many sponges and sharps have been utilized.

To view all questions and flashcards with answers, click on the resource link above. Page 19

Chapter 18: Care of Postoperative Patients

Available Study Resources on Quizplus for this Chatper

46 Verified Questions

46 Flashcards

Source URL: https://quizplus.com/quiz/38703

Sample Questions

Q1) The nurse is caring for a client who had surgery 24 hours ago.He is alert and oriented when awakened and reports pain,but goes back to sleep when not being stimulated.He is on patient-controlled analgesia (PCA).What is the nurse's next action?

A) Push the PCA control for the client.

B) Discontinue the PCA immediately.

C) Assess the client's respiratory status.

D) Keep the client awake as much as possible.

Q2) The nurse is caring for several clients on the postoperative unit.Which client does the nurse determine has the highest risk of respiratory complications after general anesthesia?

A) Older woman taking a calcium channel blocker for hypertension

B) Middle-aged man with a deviated nasal septum

C) Middle-aged woman taking St. John's wort daily for depression

D) Young adult with a body mass index of 40

Q3) A client is receiving morphine via patient-controlled analgesia (PCA)pump.Morphine is available in a 5-mg/mL solution.The basal rate is 0.8 mg/hr.What is the total volume the client will receive in 24 hours? _________ mL

To view all questions and flashcards with answers, click on the resource link above. Page 20

Chapter 19: Inflammation and the Immune Response

Available Study Resources on Quizplus for this Chatper

30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/38704

Sample Questions

Q1) The nurse is assessing a client who has a wound on the left calf.Drainage is coming from the wound.What does the nurse tell the client about this finding?

A) "Exudate or drainage is a natural occurrence with inflammation."

B) "Exudate or drainage means the wound is infected."

C) "Drainage from a wound is never a good sign."

D) "All wounds result in bleeding and pus formation."

Q2) A client who has an extensive burn injury develops inflammation that covers the entire body.What is the nurse's best action?

A) Notify the health care provider immediately.

B) Document the assessment.

C) Take the client's temperature.

D) Ask for an order for antibiotic therapy.

Q3) The nurse is providing discharge teaching for a client following a liver transplant.Which statement by the client indicates that additional teaching is needed?

A) "If I develop an infection, I should stop taking the steroid preparation."

B) "If I have tenderness in my abdomen, I will call the physician."

C) "I should avoid people who are ill or who have an infection."

D) "Cyclosporine (Sandimmune) won't work as well if I change the routine."

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

Chapter 20: Care of Patients With Arthritis and Other

Connective Tissue Diseases

Available Study Resources on Quizplus for this Chatper

47 Verified Questions

47 Flashcards

Source URL: https://quizplus.com/quiz/38705

Sample Questions

Q1) The nurse is teaching a community health class about health promotion techniques.Which statement by a student indicates a strategy to help prevent the development of osteoarthritis?

A) "I will keep my BMI under 24."

B) "I will switch to low-tar cigarettes."

C) "I will start jogging twice a week."

D) "I will have a family tree done."

Q2) The nurse is caring for a female client who has a history of chronic fatigue syndrome.Which finding is the nurse surprised to see in the client's record?

A) Hemoglobin, 7.2 g/dL

B) Serum creatinine, 0.9 mg/dL

C) Multiple tender lymph nodes

D) Newly red, swollen, warm knee

Q3) A client is receiving warfarin (Coumadin)daily following total hip replacement surgery.Which laboratory value requires intervention by the nurse?

A) Potassium (K+), 4.2 mEq/L

B) International normalized ratio (INR), 5.1

C) Prothrombin time (PT), 13.4 seconds

D) Hemoglobin (Hg), 16 g/dL

Page 22

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

Chapter 21: Care of Clients With Hiv Disease and Other Immune Deficiencies

Available Study Resources on Quizplus for this Chatper

32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/38706

Sample Questions

Q1) A client with HIV who is taking highly active antiretroviral therapy (HAART)medications is in radiology waiting for a chest x-ray when medications are due.What action by the nurse is best?

A) Call radiology to see when the client will be brought back to the nursing unit.

B) Send the nursing assistant to radiology to bring the client back to the nursing unit.

C) Take the client's medications to radiology and administer them there if possible.

D) Stagger the next dose of the medication if the current dose is given late.

Q2) The nurse is teaching a client who has AIDS how to avoid infection at home.Which statement indicates that additional teaching is needed?

A) "I will wash my hands whenever I get home from work."

B) "I will make sure to have my own tube of toothpaste at home."

C) "I will run my toothbrush through the dishwasher every evening."

D) "I will be sure to eat lots of fresh fruits and vegetables every day."

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

Page 23

Hypersensitivity Allergyand Autoimmunity

Available Study Resources on Quizplus for this Chatper

22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/38707

Sample Questions

Q1) What is most important for the nurse to teach the client with allergic rhinitis and glaucoma?

A) "If your heartbeat increases, be sure to contact your health care provider."

B) "Avoid allergy drugs containing pseudoephedrine or phenylephrine."

C) "Be sure to drink plenty of water with antihistamines."

D) "You should use an eye-moistening agent such as Restasis."

Q2) A client is hospitalized with Goodpasture's syndrome.Which intervention by the nurse takes priority?

A) Monitor urine output and renal function tests.

B) Teach the client to manage peritoneal dialysis.

C) Administer antibiotics strictly on time.

D) Have separate IV access for immune globulin (IVIG) administration.

Q3) A nurse is planning care for a client with Sjögren's syndrome.At what point does the nurse determine that priority outcomes have been met?

A) The client states that he or she is not as fatigued as previously.

B) The client dresses attractively despite gaining a large amount of weight.

C) The oral mucosa is intact and no systemic signs of infection are present.

D) The client is able to complete activities of daily living with minimal shortness of breath.

Page 24

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

Chapter 23: Cancer Development

Available Study Resources on Quizplus for this Chatper

28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/38708

Sample Questions

Q1) The nurse assesses which client most carefully for cancer development?

A) Young man receiving radiation therapy for a brain tumor

B) Young adult woman who recently had postpartum hemorrhage

C) Adolescent male recently diagnosed with acquired immune deficiency syndrome (AIDS)

D) Older woman undergoing chemotherapy for bowel cancer

Q2) Which comment made by a client with breast cancer indicates a need for clarification regarding cancer causes and prevention?

A) "I will eat a low-fat, high-fiber diet from now on."

B) "Probably nothing I did or didn't do caused this cancer."

C) "I hope my daughter doesn't develop breast cancer."

D) "Regular mammograms on my other breast will prevent cancer."

Q3) The nurse is counseling a client who smokes and drinks heavily about cancer risk.The client is adamant that he or she will never stop smoking.Which question by the nurse is most appropriate?

A) "Would you be willing to stop drinking alcohol?"

B) "Have you ever tried the nicotine patch?"

C) "Why are you so determined to continue smoking?"

D) "Do you understand that smoking is the leading cause of cancer?"

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

Page 25

Chapter 24: Care of Patients With Cancer

Available Study Resources on Quizplus for this Chatper

33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/38709

Sample Questions

Q1) A client is hospitalized for chemotherapy.The registered nurse intervenes when observing which action by the nursing assistant?

A) Allowing the client to rest instead of making him or her perform oral hygiene

B) Helping the client wash the groin and axillary areas every 12 hours

C) Cutting food and opening food packages when the client's meal tray arrives

D) Reminding the client to use the incentive spirometer every hour while awake

Q2) A client with chemotherapy-induced bone marrow suppression has received filgrastim (Neupogen).Which laboratory finding indicates that this therapy is effective for the client?

A) Hematocrit is 28%.

B) Hematocrit is 38%.

C) Segmented neutrophil count is 2500/mm3.

D) Segmented neutrophil count is 3500/mm3.

Q3) A client is receiving a chemotherapeutic agent intravenously through a peripheral line.What is the nurse's first action when the client reports burning at the site?

A) Check for a blood return.

B) Slow the rate of infusion.

C) Discontinue the infusion.

D) Apply a cold compress.

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

Page 26

Chapter 25: Care of Patients With Infection

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/38710

Sample Questions

Q1) A client is being treated at home for vancomycin-resistant Enterococcus (VRE).The client and the family are worried about spreading the infection.Which action by the nurse is best?

A) Instruct the client to use a separate bathroom.

B) Encourage the family to stay 3 feet away from the client.

C) Tell the client to cough into tissues and dispose of them immediately.

D) Teach the family ways to increase their immune system functioning.

Q2) The new nurse is caring for a client with a high temperature.Which action by the nurse warrants intervention by the new nurse's preceptor?

A) Sponging the client while monitoring for shivering

B) Applying cool packs to the client's axillae and groin

C) Monitoring the client's temperature more often than ordered

D) Obtaining a fan from central supply for the client's room

Q3) A client has been admitted for the second time to treat tuberculosis (TB).Which referral does the nurse initiate as a priority?

A) Social worker to see if the client can afford the medications

B) Visiting nurses to arrange directly observed therapy on dismissal

C) Psychiatric nurse liaison to assess reasons for noncompliance

D) Infection control nurse to arrange testing for drug resistance

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

Page 27

Chapter 26: Assessment of the Skin,hair,and Nails

Available Study Resources on Quizplus for this Chatper

18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/38711

Sample Questions

Q1) The nurse observes yellow-tinged sclera on a client with dark skin.Based on this observation,what is the nurse's best action?

Evaluate the client further for hepatitis.

Q2) A client asks the nurse if a Wood's light examination is painful.Which response by the nurse is accurate?

A) "A local anesthetic will be used to prevent pain."

B) "The pain lasts only a few seconds."

C) "Some clients feel a pressure-like sensation."

D) "The examination does not cause discomfort."

Q3) The nurse reads in the chart that a client has a fine,macular rash on the lower extremities.The nurse inspects the client's skin,looking for lesions that can be described with which term?

A) Flat

B) Raised

C) Rough

D) Blood-filled

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

Chapter 27: Care of Patients With Skin Problems

Available Study Resources on Quizplus for this Chatper

53 Verified Questions

53 Flashcards

Source URL: https://quizplus.com/quiz/38712

Sample Questions

Q1) A client has a chronic wound that is being treated with a vacuum-assisted wound closure (VAC)device.Which intervention by the nurse takes priority?

A) Provide pain medication as needed.

B) Assess the VAC every 2 hours for bleeding.

C) Check the integrity of the dressing seal every 4 hours.

D) Document the wound size with each dressing change.

Q2) A client has been identified as being at risk for formation of pressure ulcers.Which dietary choices by the client indicate a good understanding of teaching related to this condition?

A) Low-fat diet with whole grains and cereals and vitamin supplements

B) High-protein diet with vitamins and mineral supplements

C) Vegetarian diet with nutritional supplements and fish oil capsules

D) Low-fat, low-cholesterol, high-fiber, low-carbohydrate diet

Q3) The nurse is teaching a community group of older adults about skin problems.Which intervention by the nurse is most important?

A) Encourage them to get Zostavax.

B) Instruct them to monitor skin dryness.

C) Teach them how to moisturize skin.

D) Discuss how skin disorders are spread.

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

Page 29

Chapter 28: Care of Patients With Burns

Available Study Resources on Quizplus for this Chatper

38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/38713

Sample Questions

Q1) Which nursing intervention is likely to be most helpful in providing adequate nutrition while a client is recovering from a thermal burn injury?

A) Allowing the client to eat whenever he or she wants

B) Beginning parenteral nutrition high in calories

C) Including 3000 kcal/day of calories with meals

D) Providing a low-protein, high-fat diet

Q2) A client who suffered burns in a house fire reports a headache and is not consistently oriented to time.Which intervention by the nurse is most appropriate?

A) Increase the client's oxygen and obtain blood gases.

B) Draw blood for a carboxyhemoglobin level.

C) Increase the client's intravenous fluid rate.

D) Perform a thorough Mini-Mental Status Examination.

Q3) Which intervention by the nurse is most appropriate to reduce a client's pain after a burn injury?

A) Administering morphine sulfate 4 mg intravenously

B) Administering morphine sulfate 4 mg intramuscularly

C) Applying ice to the burned area for 20 minutes

D) Avoiding tactile stimulation near the burned area

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

Page 30

Chapter 29: Assessment of the Respiratory System

Available Study Resources on Quizplus for this Chatper

20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/38714

Sample Questions

Q1) When assessing a client's respiratory status,which information is of highest priority for the nurse to obtain?

A) Average daily fluid intake

B) Neck circumference

C) Height and weight

D) Occupation and hobbies

Q2) The nurse observes that a client's anteroposterior (AP)chest diameter is the same as his lateral chest diameter.What is the nurse's most important question for the client in response to this finding?

A) No questions are needed regarding this normal finding.

B) "Do you have any chronic breathing problems?"

C) "How often do you perform aerobic exercise?"

D) "What is your occupation and what are your hobbies?"

Q3) The nurse is assessing a client's breath sounds.Which assessment finding has been correctly linked to the nurse's primary intervention?

A) Hollow sounds heard over trachea; increase oxygen flow rate.

B) Crackles heard in bases; have the client cough forcefully.

C) Wheezes heard in central areas; administer inhaled bronchodilator.

D) Vesicular sounds heard over the periphery; have the client breathe deeply.

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

Page 31

Chapter 30: Care of Patients Requiring Oxygen Therapy or Tracheostomy

Available Study Resources on Quizplus for this Chatper

27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/38715

Sample Questions

Q1) A client has a new tracheostomy and is receiving 60% oxygen via tracheostomy collar.Which assessment finding requires immediate action by the nurse?

A) Constant, nonproductive coughing

B) Blood-tinged sputum

C) Rhonchi in upper lobes

D) Dry mucous membranes

Q2) The nurse observes a nursing student suctioning a client.Which intervention by the student nurse requires the supervising nurse to intervene?

A) Checking oxygen saturation post suctioning

B) Hyperoxygenating the client after removal of the catheter

C) Applying intermittent suction during catheter removal

D) Applying suction when the catheter is inserted

Q3) The nurse assesses a client who is receiving oxygen via a partial rebreather mask.Which assessment finding does the nurse intervene to correct?

A) The bag is two thirds inflated during inhalation.

B) The client's pulse oximetry reading is 93%.

C) The oxygen flow rate is 2 L/min.

D) The arterial oxygen level is 90%.

To view all questions and flashcards with answers, click on the resource link above. Page 32

Chapter 31: Care of Patients With Noninfectious Upper

Respiratory

Problems

Available Study Resources on Quizplus for this Chatper

22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/38716

Sample Questions

Q1) A client develops posterior nasal bleeding and has packing inserted.What is the nurse's priority action?

A) Assess the client's pain level.

B) Keep the client's head elevated.

C) Teach the client about the causes of nasal bleeding.

D) Make sure the string is taped to the client's cheek.

Q2) The nurse is assessing a client who is 6 hours post surgery for a nasal fracture.The client has facial pain (5 out of 10)and nasal packing in place.What actions by the nurse are most appropriate at this time?

A) Observe for clear drainage.

B) Observe for bleeding.

C) Observe the client for frequent swallowing.

D) Ask the client to open his or her mouth.

E) Administer a nasal steroid to decrease edema.

F) Change the nasal packing.

G) Administer pain medication.

H) Place the client in Trendelenburg position.

To view all questions and flashcards with answers, click on the resource link above. Page 33

Chapter 32: Care of Patients With Noninfectious Lower

Respiratory

Problems

Available Study Resources on Quizplus for this Chatper

50 Verified Questions

50 Flashcards

Source URL: https://quizplus.com/quiz/38717

Sample Questions

Q1) A client is demonstrating diaphragmatic breathing for the nurse.Which action by the client shows adequate understanding of this breathing technique?

A) Lying on his or her side with knees bent

B) Having his or her hands on the abdomen

C) Having his or her hands over the head

D) Lying in the prone position

Q2) The nurse is teaching a client with asthma how to avoid attacks.What information does the nurse give the client?

A) "You should not dust your furniture."

B) "Stay inside as much as possible."

C) "Stay away from people who are sick."

D) "Do not go out in the fall."

E) "Stay out of the snow."

F) "Do not take aspirin."

Q3) Which nursing intervention is an example of primary prevention for lung cancer?

A) Teaching clients with lung cancer how to cough and deep breathe

B) Teaching clients with lung cancer to avoid infection

C) Teaching clients about prophylactic antibiotics

D) Teaching people about smoking and secondhand smoke

Page 34

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

Chapter 33: Care of Patients With Infectious Respiratory Problems

Available Study Resources on Quizplus for this Chatper

36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/38718

Sample Questions

Q1) The nurse is caring for a client with recurrent bacterial pharyngitis.Which is the nurse's highest priority intervention?

A) Assess for symptoms of human immune deficiency virus (HIV).

B) Ask about exposure to allergens.

C) Perform nasal cultures.

D) Teach the client about antibiotic therapy.

Q2) Which client does the nurse caution to avoid taking over-the-counter decongestants for manifestations of a cold or flu?

A) Young man with a latex allergy

B) Middle-aged woman with hypertension

C) Teenage woman who is taking oral contraceptives

D) Older man who has had type 1 diabetes mellitus for 20 years

Q3) A client is worried about contracting influenza.What is the nurse's best response to the client?

A) "Flu is no longer a prevalent problem."

B) "Did you receive a flu vaccine this year?"

C) "Current flu strains are generally mild."

D) "If you develop symptoms, antibiotics will cure you."

To view all questions and flashcards with answers, click on the resource link above. Page 35

Chapter 34: Care of Critically Ill Patients With Respiratory Problems

Available Study Resources on Quizplus for this Chatper

38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/38719

Sample Questions

Q1) The nurse is caring for a client on a ventilator when the high-pressure alarm sounds.What actions are most appropriate?

A) Assess the tubing for kinks.

B) Assess whether the tubing has become disconnected.

C) Determine the need for suctioning.

D) Call the health care provider.

E) Call the Rapid Response Team.

F) Auscultate the client's lungs.

Q2) The nurse is caring for a client receiving heparin and warfarin therapy for a pulmonary embolus.The client's international normalized ratio (INR)is 2.0.What is the nurse's best action?

A) Increase the heparin dose.

B) Increase the warfarin dose.

C) Continue the current therapy.

D) Discontinue the heparin.

Q3) Which assessment finding of a client requires the nurse's immediate action?

A) Being intubated for 4 days

B) Uneven breath sounds

C) Wheezing on auscultation

D) Having the endotracheal (ET) tube taped to the lower jaw

Page 36

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

Chapter 35: Assessment of the Cardiovascular System

Available Study Resources on Quizplus for this Chatper

32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/38720

Sample Questions

Q1) The nurse is assessing a client newly admitted to the medical unit.Which statement made by the client alerts the nurse to the presence of edema?

A) "I wake up to go to the bathroom at night."

B) "My shoes fit tighter by the end of the day."

C) "I seem to be feeling more anxious lately."

D) "I drink at least eight glasses of water a day."

Q2) The nurse is assessing a client following a myocardial infarction.The client is hypotensive.What additional assessment finding does the nurse expect?

A) Heart rate of 120 beats/min

B) Cool, clammy skin

C) Oxygen saturation of 90%

D) Respiratory rate of 8 breaths/min

Q3) The nurse is caring for a client with coronary artery disease.What assessment finding does the nurse expect if the client's mean arterial blood pressure decreases below 60 mm Hg?

A) Increased cardiac output

B) Hypertension

C) Chest pain

D) Decreased heart rate

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

Page 37

Chapter 36: Care of Patients With Dysrhythmias

Available Study Resources on Quizplus for this Chatper

37 Verified Questions

37 Flashcards

Source URL: https://quizplus.com/quiz/38721

Sample Questions

Q1) The nurse is recovering a client after insertion of an implantable cardioverter-defibrillator (ICD).What complication must the nurse intervene for immediately?

A) 2/4 bilateral peripheral edema

B) Heart rate of 56 beats/min

C) Temperature of 96° F (35.5° C)

D) Muffled heart sounds

Q2) The client's heart rate increases slightly during inspiration and decreases slightly during expiration.What action does the nurse take?

A) Evaluate for a respirator disorder.

B) Assess the client for chest pain.

C) Document the finding in the chart.

D) Administer antidysrhythmic drugs.

Q3) A client's electrocardiograph (ECG)tracing shows a run of sustained ventricular tachycardia.What is the nurse's first action?

A) Assess airway, breathing, and level of consciousness.

B) Administer an amiodarone bolus followed by a drip.

C) Cardiovert the client with a biphasic defibrillator.

D) Begin cardiopulmonary resuscitation (CPR).

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

Page 38

Chapter 37: Care of Patients With Cardiac Problems

Available Study Resources on Quizplus for this Chatper

41 Verified Questions

41 Flashcards

Source URL: https://quizplus.com/quiz/38722

Sample Questions

Q1) The nurse is evaluating the laboratory results for a client with heart failure.What results does the nurse expect?

A) Hematocrit (Hct), 32.8%

B) Serum sodium, 130 mEq/L

C) Serum potassium, 4.0 mEq/L

D) Serum creatinine, 1.0 mg/dL

E) Proteinuria

F) Microalbuminuria

Q2) A client is admitted with early-stage heart failure.Which assessment finding does the nurse expect?

A) A decrease in blood pressure and urine output

B) An increase in creatinine and extremity edema

C) An increase in heart rate and respiratory rate

D) A decrease in respirations and oxygen saturation

Q3) A client with heart failure is experiencing acute shortness of breath.What is the nurse's priority action?

A) Place the client in a high Fowler's position.

B) Perform nasotracheal suctioning of the client.

C) Auscultate the client's heart and lung sounds.

D) Place the client on a 1000 mL fluid restriction.

To view all questions and flashcards with answers, click on the resource link above. Page 39

Chapter 38: Care of Patients With Vascular Problems

Available Study Resources on Quizplus for this Chatper

42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/38723

Sample Questions

Q1) The nurse is reviewing the menu selections of a client who has ordered a low-cholesterol diet.What meal items does the nurse question?

A) Vegetarian wrap

B) Cheesesteak sandwich

C) Fruit salad with yogurt

D) Grilled fish sandwich

Q2) A nurse is recovering a client who has undergone surgical repair of an abdominal aortic aneurysm (AAA).The client develops coolness of the extremities and reports a bloated feeling in the abdomen.What is the nurse's best action?

A) Measure the abdominal girth and check pulses.

B) Raise the head of the bed to 90 degrees.

C) Assess cardiac output and blood pressure.

D) Auscultate and then palpate the abdomen.

Q3) The nurse is educating a client before a right leg atherectomy.What priority education does the nurse provide?

A) "You may use the bathroom after the procedure."

B) "You will be sedated for 6 hours after the procedure."

C) "You will not need to take a daily aspirin anymore."

D) "You may be on heparin during the procedure."

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

Page 40

Chapter 39: Care of Patients With Shock

Available Study Resources on Quizplus for this Chatper

27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/38724

Sample Questions

Q1) The nurse is assessing a client at risk for shock.The client's systolic blood pressure is 20 mm Hg lower than baseline.Which intervention does the nurse perform first?

A) Increase the IV fluid rate.

B) Administer oxygen.

C) Notify the health care provider.

D) Place the client in high Fowler's position.

Q2) The nurse is planning care for a client with late-phase septic shock.All of the following treatments have been prescribed.Which prescription does the nurse question?

A) Enoxaparin (Lovenox) 40 mg subcutaneous twice daily

B) Transfusion of 2 units of fresh frozen plasma

C) Regular insulin intravenous drip per protocol

D) Cefazolin (Ancef) 1 g IV every 6 hours

Q3) The nurse is assessing clients in the emergency department.Which client is at highest risk for developing septic shock?

A) 25-year-old man who has irritable bowel syndrome

B) 37-year-old woman who is 20% above ideal body weight

C) 68-year-old woman who is being treated with chemotherapy

D) 82-year-old man taking beta blockers for hypertension

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

Chapter 40: Care of Patients With Acute Coronary Syndromes

Available Study Resources on Quizplus for this Chatper

29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/38725

Sample Questions

Q1) The nurse is assessing a client who has a history of stable angina.The client describes a recent increase in the number of attacks and in the intensity of the pain.Which question does the nurse ask to assess the client's change in condition?

A) "How many cigarettes do you smoke daily?"

B) "Do you have pain when you are resting?"

C) "Do you have abdominal pain or nausea?"

D) "How frequently are you having chest pain?"

Q2) The nurse is providing care for a client admitted to the hospital with reports of chest pain.After receiving a total of three nitroglycerin sublingual tablets,the client states,"The pain has not gotten any better." What does the nurse do next?

A) Place the client in a semi-Fowler's position.

B) Administer intravenous nitroglycerin.

C) Begin supplemental oxygen at 2 L/min.

D) Notify the health care provider.

To view all questions and flashcards with answers, click on the resource link above. Page 42

Chapter 41: Assessment of the Hematologic System

Available Study Resources on Quizplus for this Chatper

26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/38726

Sample Questions

Q1) The nurse is caring for a client who had a bone marrow aspiration.The client begins to bleed from the aspiration site.Which action does the nurse perform?

A) Apply external pressure to the site.

B) Elevate the extremities.

C) Cover the site with a dressing.

D) Immobilize the leg.

Q2) The nurse is administering a prescribed fibrinolytic to a client who is having a myocardial infarction (MI).Which adverse effect does the nurse monitor for?

A) Bleeding

B) Orthostatic hypotension

C) Deep vein thrombosis

D) Nausea and vomiting

Q3) The nurse is caring for four clients with hematologic-type problems.Which client does the nurse prioritize to see first?

A) 18-year-old female with decreased protein levels

B) 36-year-old male with increased lymphocytes

C) 60-year-old female with decreased erythropoietin

D) 82-year-old male with an increased thromboxane level

To view all questions and flashcards with answers, click on the resource link above. Page 43

Chapter 42: Care of Patients With Hematologic Problems

Available Study Resources on Quizplus for this Chatper

30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/38727

Sample Questions

Q1) The registered nurse is assigning a practical nurse to care for a client who has leukemia.Which instruction does the registered nurse provide to the practical nurse when delegating this client's care?

A) Evaluate the amount of protein the client eats.

B) Assess the client's roommate for symptoms of infection.

C) Perform effective hand hygiene frequently.

D) Wear a mask when entering the room.

Q2) A client who has sickle cell anemia is admitted to the hospital.The client reports severe pain.Which action does the nurse take first?

A) Administer one unit of packed red blood cells.

B) Administer prescribed hydroxyurea (Droxia).

C) Begin intravenous fluids at 250 mL/hr.

D) Prepare for bone marrow transplantation.

Q3) The nurse is teaching a client who has myelodysplastic syndrome.Which instruction does the nurse include in this client's teaching?

A) "Rise slowly when getting out of bed."

B) "Drink at least 3 liters of liquids per day."

C) "Wear gloves and socks outdoors in cool weather."

D) "Use a soft-bristled toothbrush."

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

Page 44

Chapter 43: Assessment of the Nervous System

Available Study Resources on Quizplus for this Chatper

28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/38728

Sample Questions

Q1) The nurse is assessing a client with a frontal lobe brain injury.Which clinical manifestation does the nurse expect to see?

A) Inability to interpret taste sensations

B) Inability to interpret sound

C) Impaired judgment

D) Impaired learning

Q2) The nurse is evaluating a client's physical assessment with the medical history and treatment plan.The nurse notes that the client's right pupil appears dilated,with a sluggish pupillary response to light.Which disorder and related treatment does this physical finding correlate with?

A) Coronary artery disease and beta blockers

B) Diabetes mellitus and oral glycemic reducing agents

C) Glaucoma and intraocular pressure-reducing eyedrops

D) Myopia and corrective laser surgery

Q3) Immediately after a lumbar puncture,the client begins to vomit and an IV is started with normal saline (0.9% NS).The provider orders a 200-mL bolus over 15 minutes.Using an infusion pump that delivers mL/hr,the rate at which the nurse sets the pump is _____ mL.

To view all questions and flashcards with answers, click on the resource link above. Page 45

Chapter 44: Care of Patients With Problems of the Central

Nervous System: the Brain

Available Study Resources on Quizplus for this Chatper

28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/38729

Sample Questions

Q1) The nurse is reviewing a client's prescription for sumatriptan succinate (Imitrex).Which condition in this client's medical history does the nurse report to the health care provider?

A) Bronchial asthma

B) Gonorrhea

C) Prinzmetal's angina

D) Chronic kidney disease

Q2) A client is prescribed levetiracetam (Keppra).Which laboratory tests does the nurse monitor for potential adverse effects of this medication?

A) Serum electrolyte levels

B) Kidney function tests

C) Complete blood cell count

D) Antinuclear antibodies

Q3) The nurse is caring for a client with Parkinson's disease.Which intervention does the nurse implement to prevent respiratory complications in the client?

A) Keep an oral airway at the bedside.

B) Ensure fluid intake of at least 3 L/day.

C) Teach the client pursed-lip breathing techniques.

D) Maintain the head of the bed at 30 degrees or greater.

Page 46

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

Chapter 45: Care of Patients With Problems of the Central Nervous

System: the Spinal Cord

Available Study Resources on Quizplus for this Chatper

30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/38730

Sample Questions

Q1) The nurse is providing health education at a community center.Which instruction does the nurse include as part of client education for the prevention of low back pain?

A) "Participate in a regular exercise program."

B) "Purchase a soft mattress for sleeping comfort."

C) "Wear high-heeled shoes only for special occasions."

D) "Keep your weight within 20% of your ideal body weight."

Q2) The nurse is assessing a client with an early onset of multiple sclerosis (MS).Which clinical manifestation does the nurse expect to see?

A) Hyperresponsive reflexes

B) Excessive somnolence

C) Nystagmus

D) Heat intolerance

Q3) A client who has a herniated disk is being discharged after a percutaneous endoscopic discectomy.Which postprocedure instructions does the nurse provide before discharge?

A) "You should begin an exercise routine which includes walking every day."

B) "You must sleep in a supine position until the bandage is removed."

C) "You may feel numbness or tingling in the legs for 24 hours."

D) "You will need to wear a lumbar brace for 1 week."

Page 47

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

Chapter 46: Care of Patients With Problems of the

Peripheral Nervous

System

Available Study Resources on Quizplus for this Chatper

28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/38731

Sample Questions

Q1) The nurse is preparing to send a cerebrospinal fluid sample to the laboratory.Which actions does the nurse implement during this procedure?

A) Use Standard Precautions.

B) Wear sterile gloves when handling the specimen.

C) Place the specimen on ice.

D) Send the specimen in a sealed bag displaying a biohazard symbol.

E) Confirm the specimen label with the client's identification band.

Q2) The intensive care nurse is caring for a client who has Guillain-Barré syndrome.The nurse notes that the client's vital capacity has declined to 12 mL/kg,and the client is having difficulty clearing secretions.Which is the nurse's priority action?

A) Place the client in a high Fowler's position.

B) Prepare the client for elective intubation.

C) Administer oxygen via a nasal cannula.

D) Auscultate for breath sounds.

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

Chapter 47: Care of Critically Ill Patients With Neurologic Problems

Available Study Resources on Quizplus for this Chatper

27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/38732

Sample Questions

Q1) The nurse is planning the discharge of a client who has sustained a moderate head injury and is experiencing personality and behavior changes.The client's wife states,"I am concerned about how different he is.What can I do to help with the transition back to our home?" How does the nurse respond?

A) "Be firm and let him know when his behavior is unacceptable."

B) "Minimizing the number of visitors will help stabilize his personality."

C) "Developing a routine will help provide him with a structured environment."

D) "He will return to his normal emotional functioning in 6 to 12 months."

Q2) A client has experienced a stroke resulting in damage to Wernicke's area.Which clinical manifestation does the nurse monitor for?

A) Inability to comprehend spoken words

B) Communication with rote speech only

C) Slurred speech

D) Inability to make sounds

Q3) The nurse is preparing to administer a prescribed dose of intravenous dexamethasone (Decadron)to a client after craniotomy.The pharmacy supplies dexamethasone 40 mcg in 20 mL normal saline to be administered over 15 minutes.The nurse sets the IV pump at a rate of _____ mL/hr.

To view all questions and flashcards with answers, click on the resource link above. Page 49

Chapter 48: Assessment of the Eye and Vision

Available Study Resources on Quizplus for this Chatper

25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/38733

Sample Questions

Q1) An anxious adult client asks why she needs to have intraocular pressure tested every year.What is the best response from the nurse?

A) "Many changes can occur because of aging."

B) "If the pressure is too low, you will be blind."

C) "If the pressure is too high, blood will not flow through the eye."

D) "Loss of vision can occur if the pressure is too high or too low."

Q2) The nurse is educating a client about the instillation of eyedrops.Which client statement indicates the need for additional teaching?

A) "Squeezing my eye tightly after I put the drops in may force the drops out of my eye too quickly."

B) "If the drops are kept in the refrigerator, I will be able to tell when they are in my eye because they will feel cold."

C) "My sister has the same prescription, so we can use the same bottle of eyedrops."

D) "I will wash my hands before I use these eyedrops."

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

Chapter 49: Care of Patients With Eye and Vision Problems

Available Study Resources on Quizplus for this Chatper

27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/38734

Sample Questions

Q1) An older adult client who has a mature cataract in the right eye states,"Now I have lost the sight in my right eye because I waited too long for treatment." How does the nurse best respond to the client?

A) "Yes, this type of blindness could have been prevented by earlier treatment."

B) "It is fortunate you came for treatment in time to save the sight of your other eye."

C) "Nothing you could have done would have made any difference."

D) "Surgery can still save the sight in your eye with removal of the cataract."

Q2) The nurse is teaching a client about home care after cataract surgery.Which statement indicates that the client requires further teaching?

A) "I am glad that I don't need an eye patch after the surgery."

B) "I will try a cool compress to decrease the swelling around the operated eye."

C) "Dark sunglasses will be necessary when I am in the sun."

D) "Pain, nausea, and vomiting are normal after this surgery."

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

Chapter 50: Assessment of the Ear and Hearing

Available Study Resources on Quizplus for this Chatper

17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/38735

Sample Questions

Q1) A client asks the nurse why there is "waxy yellow stuff" on the cotton swab when he cleans his ears.Which is the nurse's best response?

A) "The yellow ear wax helps transmit sound to your middle ear."

B) "The yellow ear wax indicates that you have an infection in your ears."

C) "The yellow ear wax helps protect and lubricate the inside of your ear canal."

D) "The yellow ear wax builds up when you don't clean your ears often enough."

Q2) The nurse is caring for a client who will undergo electronystagmography testing the following day.Which instruction does the nurse provide for the client?

A) "You should drink only caffeine-free beverages the day of and the day before the test."

B) "Do not chew gum or clean your ears for 24 hours after the test is completed."

C) "You may feel flushed as the contrast dye is injected through your IV for the test."

D) "You will be sedated for the test, so you need someone to drive you home."

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

Chapter 51: Care of Patients With Ear and Hearing Problems

Available Study Resources on Quizplus for this Chatper

25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/38736

Sample Questions

Q1) The nurse is providing discharge instructions for a client who will be going home following tympanoplasty surgery.Which statement by the client indicates that additional teaching is needed?

A) "I will wear earplugs whenever I am in noisy areas."

B) "I will occlude only one nostril when I blow my nose."

C) "I will wait 3 weeks before I resume my aerobics workouts."

D) "I will use a cotton swab to clean drainage from inside my ear."

Q2) The nurse is caring for a client with otitis media and notes purulent drainage in the ear canal during the physical assessment.Which is the nurse's priority intervention?

A) Obtain a specimen of the drainage for culture.

B) Irrigate the ear canal with sterile normal saline.

C)Gently examine the client's ear with an otoscope.

D) Place a cotton ball in the ear canal to absorb the drainage.

Q3) The nurse is caring for a 132-lb client with an ear infection who is to receive amoxicillin,40 mg/kg/day in divided doses every 8 hours.The nurse will administer ____ mg/dose of amoxicillin to the client.

To view all questions and flashcards with answers, click on the resource link above. Page 53

Chapter 52: Assessment of the Musculoskeletal System

Available Study Resources on Quizplus for this Chatper

12 Verified Questions

12 Flashcards

Source URL: https://quizplus.com/quiz/38737

Sample Questions

Q1) A client has cancer and a pacemaker,and suffers from claustrophobia.Which diagnostic test is the best indicator of the client's bone metastasis?

A) Magnetic resonance imaging (MRI)

B) Arthrogram

C) Ultrasound

D) Thallium bone scan

Q2) The nurse is caring for a client who is to have a computed tomography (CT)scan of the leg.Which assessment question does the nurse ask the client before the procedure?

A) "Do you have any metal clips, plates, or pins in your body?"

B) "Have you had anything to eat or drink in the last 6 hours?"

C) "Do you have someone to drive you home after the procedure?"

D) "Do you have any allergies to shrimp, scallops, or other seafood?"

Q3) Which client does the nurse assess first at the start of the nursing shift?

A) Client wanting to know information about a magnetic resonance imaging (MRI) test scheduled in 3 hours

B) Client who is verbalizing mild discomfort after an electromyography (EMG)

C) Client who reports increased pain and swelling after an arthroscopy

D) Client who refuses to drink more fluids after a nuclear medicine scan

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

Chapter 53: Care of Patients With Musculoskeletal Problems

Available Study Resources on Quizplus for this Chatper

29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/38738

Sample Questions

Q1) Which instruction does the nurse include in the discharge teaching plan of a client who has osteoporosis?

A) "Avoid using scatter rugs."

B) "Avoid weight-bearing exercises."

C) "Use a cane when walking outside."

D) "Reduce the amount of protein in your diet."

Q2) An adult client's susceptibility to osteoporosis is caused by which aspect of his or her history?

A) Fractured arm at age 16

B) Active smoking

C) Vitamin D supplements

D) Weight lifting

Q3) When providing care for a client who has had a débridement for osteomyelitis,which intervention is most important for the nurse to implement?

A) Assess the white blood cell count.

B) Assess circulation in the distal extremities.

C) Administer pain medication.

D) Monitor temperature.

To view all questions and flashcards with answers, click on the resource link above. Page 55

Chapter 54: Care of Patients With Musculoskeletal Trauma

Available Study Resources on Quizplus for this Chatper

34 Verified Questions

34 Flashcards

Source URL: https://quizplus.com/quiz/38739

Sample Questions

Q1) A client for whom skeletal traction is planned asks for an explanation regarding the purpose of this type of traction.Which is the nurse's best response?

A) "It aids in realigning the bone."

B) "It prevents low back pain."

C) "It decreases muscle spasms that occur with a fracture."

D) "It prevents injury to the skin as a result of the fracture."

Q2) The home care nurse is visiting a client with diabetes who has a new cast on the arm.On assessment,the nurse finds the client's fingers to be pale,cool,and slightly swollen.Which is the nurse's first intervention?

A) Elevate the arm above the level of the heart.

B) Encourage active and passive range of motion.

C) Apply heat to the affected hand.

D) Place a window or bivalve the cast.

Q3) The nurse is caring for clients with above-knee amputations.Which client does the nurse treat first?

A) Client who reports phantom limb pain

B) Client who reports cramping

C) Client who does not want to move the leg

D) Client with regional pain syndrome

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

Page 56

Chapter 55: Assessment of the Gastrointestinal System

Available Study Resources on Quizplus for this Chatper

21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/38740

Sample Questions

Q1) The nurse finds a positive Blumberg's sign in a client with abdominal pain.Which action does the nurse plan?

A) Have the client be NPO in preparation for surgery.

B) Document this normal finding in the client's record.

C) Immediately auscultate the client's abdomen for bowel sounds.

D) Repeat the maneuver with the client in a supine position, with the knees flexed.

Q2) While a health history is obtained from a client with a new diagnosis of advanced pancreatic cancer,the client begins to cry.Which is the nurse's best response?

A) "I am so sorry for making you cry!"

B) "I will step out for a few minutes until you feel better."

C) "I can see that you are upset about this. It is all right to cry."

D) "I can see that I am upsetting you. Let's move on to something else."

Q3) A client has been taking naproxen (Naprosyn)for several months.Which assessment question is important for the nurse to ask?

A) "Have you experienced any constipation?"

B) "Have you had any stomach pain or indigestion?"

C) "Have you had any difficulty swallowing?"

D) "Have you noticed any weight loss lately?"

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

Chapter 56: Care of Patients With Oral Cavity Problems

Available Study Resources on Quizplus for this Chatper

21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/38741

Sample Questions

Q1) The nurse is caring for a client who has just undergone a partial glossectomy and partial mandibulectomy for oral cancer.Which is the highest priority for this client?

A) Maintenance of the airway

B) Ability to communicate

C) Adequate body image

D) Pain management

Q2) The nurse is performing oral health screenings at a local community center.Which clients are at higher risk for developing oral cancer?

A) Female who has taken oral contraceptives for the last 4 years

B) Adult client with a history of alcoholism

C) Adult client who regularly eats spicy foods

D) Middle-aged male who smokes a pipe

E) Adult client who goes to a tanning salon weekly

F) Client who frequently chews gum

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

Chapter 57: Care of Patients With Esophageal Problems

Available Study Resources on Quizplus for this Chatper

35 Verified Questions

35 Flashcards

Source URL: https://quizplus.com/quiz/38742

Sample Questions

Q1) What is the pH range of the distal esophagus?

A) 1.5 to 2.0

B) 3.0 to 4.5

C) 4.5 to 6.0

D) 6.0 to 7.0

Q2) The nurse notes frank red blood in the drainage container from the nasogastric (NG)tube of a client who is 2 days post-esophagogastrostomy.Which is the nurse's priority intervention?

A) Irrigate the NG tube with cold saline.

B) Document the drainage in the chart.

C) Reposition the tube in the opposite nostril.

D) Assess the client's vital signs and abdomen.

Q3) A client who has undergone a fundoplication wrap for hernia repair has returned from the postanesthesia care unit with a nasogastric tube draining dark brown fluid.Which is the nurse's priority action?

A) Assess the placement of the tube.

B) Document the finding and continue to monitor.

C) Clamp the nasogastric tube for 30 minutes.

D) Irrigate the nasogastric tube with normal saline.

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

Page 59

Chapter 58: Care of Patients With Stomach Disorders

Available Study Resources on Quizplus for this Chatper

29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/38743

Sample Questions

Q1) The nurse is caring for a client who has recently undergone a partial gastrectomy.The client asks the nurse which foods would be best for him to have for breakfast.Which menu items does the nurse recommend for the client?

A) Blueberry pancakes with maple syrup

B) A half-grapefruit with a blueberry muffin

C) Plain bagel with margarine or butter

D) Raisin bran with milk and artificial sweetener

E) Scrambled eggs with cheese and a slice of bacon

F) One half cup of cottage cheese with canned pears

Q2) The nurse is caring for a client with a history of heart failure and chronic gastritis.The client tells the nurse about taking 2 teaspoons of sodium bicarbonate every night before going to bed to prevent heartburn.Which is the nurse's best response?

A) "You should let the doctor know right away if you develop diarrhea."

B) "I will let your doctor know so a safer antacid can be prescribed for you."

C) "Do not take that with milk, because the combination can cause kidney stones."

D) "Make sure that you mix the sodium bicarbonate with at least 8 ounces of water."

To view all questions and flashcards with answers, click on the resource link above. Page 60

Chapter 59: Care of Patients With Noninflammatory

Intestinal Disorders

Available Study Resources on Quizplus for this Chatper

29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/38744

Sample Questions

Q1) A middle-aged male client has irritable bowel syndrome that has not responded well to diet changes and bulk-forming laxatives.He asks the nurse about the new drug lubiprostone (Amitiza).What information does the nurse provide him?

A) "This drug is investigational right now for irritable bowel syndrome."

B) "Unfortunately, this drug is approved only for use in women."

C) "Lubiprostone works well only in a small fraction of irritable bowel cases."

D) "Let's talk to your health care provider about getting you a trial prescription."

Q2) A client is brought to the emergency department after being shot in the abdomen and is hemorrhaging heavily.Which action by the nurse is the priority?

A) Draw blood for type and crossmatch.

B) Start two large IVs for fluid resuscitation.

C) Obtain vital signs and assess skin perfusion.

D) Assess and maintain a patent airway.

Q3) A client is to receive 12 mg/kg of 5-fluorouracil (5-FU)chemotherapy IV for treatment of colon cancer.The client weighs 132 lb.The client will receive ______ milligrams of 5-FU.

To view all questions and flashcards with answers, click on the resource link above. Page 61

Chapter 60: Care of Patients With Inflammatory Intestinal Disorders

Available Study Resources on Quizplus for this Chatper

36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/38745

Sample Questions

Q1) The nurse has taught self-care measures to a client with an anal fissure.Which action by the client requires the nurse to do additional teaching?

A) Taking warm sitz baths several times daily

B) Administering daily enemas to prevent constipation

C) Using bulk-producing agents to aid elimination

D) Self-administering anti-inflammatory suppositories

Q2) A client with Crohn's disease has a draining fistula.Which finding leads the nurse to intervene most rapidly?

A) Serum potassium of 2.6 mEq/L

B) The client not wanting to eat anything

C) White blood cell count of 8200/mm3

D) The client losing 3 pounds in a week

Q3) The nurse is caring for a client with Crohn's disease who has developed a fistula.Which nursing intervention is the highest priority?

A) Monitor the client's hematocrit and hemoglobin.

B) Position the client to allow gravity drainage of the fistula.

C) Check and record blood glucose levels every 6 hours.

D) Encourage the client to consume a diet high in protein and calories.

To view all questions and flashcards with answers, click on the resource link above. Page 62

Chapter 61: Care of Patients With Liver Problems

Available Study Resources on Quizplus for this Chatper

45 Verified Questions

45 Flashcards

Source URL: https://quizplus.com/quiz/38746

Sample Questions

Q1) A client with an esophagogastric tube suddenly experiences acute respiratory distress.Which is the nurse's first action?

A) Call the health care provider.

B) Cut the balloon ports and remove the tube.

C) Place the client upright and apply oxygen.

D) Reduce the balloon pressure slightly.

Q2) A client has cirrhosis and has developed ascites and edema.Which laboratory value does the nurse correlate with this condition?

A) Blood glucose, 120 mg/dL

B) Serum sodium, 135 mEq/L

C) Serum albumin, 2.1 g/dL

D) Blood urea nitrogen, 18 mg/dL

Q3) A client is diagnosed with hepatitis B.Which information does the nurse include in the teaching plan as a priority?

A) "Avoid drinking any alcohol until the doctor says you can."

B) "You will need aggressive control of your serum lipids."

C) "Once your lab work returns to normal, you can donate blood again."

D) "Wash your hands well after handling meat and shellfish."

To view all questions and flashcards with answers, click on the resource link above. Page 63

Chapter 62: Care of Patients With Problems of the Biliary

System and Pancreas

Available Study Resources on Quizplus for this Chatper

25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/38747

Sample Questions

Q1) The nurse is caring for a client with cholecystitis.Which assessment finding indicates to the nurse that the condition is chronic rather than acute?

A) Abdomen that is hyperresonant to percussion

B) Hyperactive bowel sounds and diarrhea

C) Clay-colored stools and dark amber urine

D) Rebound tenderness in the right upper quadrant

Q2) The nurse is caring for a client with cholecystitis.The client is a poor historian and is unable to tell the nurse when the symptoms started.Which assessment finding indicates to the nurse that the condition is chronic rather than acute?

A) Temperature of 100.1° F (37.8° C)

B) Positive Murphy's sign

C) Light-colored stools

D) Upper abdominal pain after eating

Q3) The nurse is caring for a client with acute pancreatitis.The client's health care provider has ordered gentamicin (Garamycin)3 mg/kg/day in three divided doses.The client weighs 264 lb.The client will receive _______ milligrams/dose of Garamycin.

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

Page 64

Chapter 63: Care of Patients With Malnutrition and Obesity

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/38748

Sample Questions

Q1) Which dietary adjustments does the nurse recommend to an older adult client asking what changes she should institute to prevent or manage constipation?

A) "Increase your calcium intake."

B) "Limit your fluid intake."

C) "Include plenty of fiber."

D) "Take a laxative with every meal."

Q2) The nurse is caring for a client who is a vegan and has developed B12 deficiency.Which foods does the nurse encourage the client to include in the diet?

A) Fortified cereals and tofu

B) Pumpkin seeds and blackstrap molasses

C) Kale, spinach, and whole grain bread

D) Strawberries and sweet red peppers

Q3) Which statement indicates that the client needs additional discharge teaching after gastric bypass surgery?

A) "I hope my type 2 diabetes is cured and I won't need insulin anymore."

B) "As soon as I get home, I'm going to enjoy a nice bowl of fruit."

C) "If I get nauseated, I know I'm eating too much at one time."

D) "I will be sure to report any back, shoulder, or abdominal pain."

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

Chapter 64: Assessment of the Endocrine System

Available Study Resources on Quizplus for this Chatper

20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/38749

Sample Questions

Q1) A client has abnormal calcium levels.Which hormone does the nurse anticipate testing for?

A) Thyroxine (T4)

B) Triiodothyronine (T3)

C) Thyrocalcitonin (calcitonin)

D) Propylthiouracil (PTU)

Q2) The nurse is teaching a client about self-care after menopause.Which teaching topic is the priority?

A) Weight-bearing exercise

B) Skin care

C) Intimacy needs

D) Body image changes

Q3) A client has a deficiency of aldosterone.Which assessment finding does the nurse correlate with this condition?

A) Increased urine output

B) Vasoconstriction

C) Blood glucose, 98 mg/dL

D) Serum sodium, 144 mEq/L

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

Chapter 65: Care of Patients With Pituitary and Adrenal

Gland Problems

Available Study Resources on Quizplus for this Chatper

29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/38750

Sample Questions

Q1) A client just diagnosed with acromegaly is scheduled for a hypophysectomy.Which statement made by the client indicates a need for clarification regarding this treatment?

A) "I will drink whenever I feel thirsty after surgery."

B) "I'm glad no visible incision will result from this surgery."

C) "I hope I can go back to wearing size 8 shoes instead of size 12."

D) "I will wear slip-on shoes after surgery so I don't have to bend over."

Q2) Which serum laboratory values alert the nurse to the possibility of hyperaldosteronism?

A) Sodium, 150 mEq/L

B) Sodium, 130 mEq/L

C) Potassium, 2.5 mEq/L

D) Potassium, 5.0 mEq/L

E) pH, 7.28

F) pH, 7.50

Q3) A client has a hormone deficiency.Which deficiency is the highest priority?

A) Growth hormone

B) Luteinizing hormone

C) Thyroid-stimulating hormone

D) Follicle-stimulating hormone

Page 67

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

Chapter 66: Care of Patients With Problems of the Thyroid and Parathyroid Glands

Available Study Resources on Quizplus for this Chatper

21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/38751

Sample Questions

Q1) A client with hyperthyroidism is taking lithium carbonate.Which finding indicates that the client is having side effects of this therapy?

A) Blurred vision

B) Increased thirst and urination

C) Increased sweating and diarrhea

D) Decreased attention span and insomnia

Q2) A client being treated for hypothyroidism has been admitted for pneumonia.Which activity does the nurse include as a priority in this client's care plan?

A) Monitor the client's IV site every shift.

B) Administer acetaminophen (Tylenol) for fever.

C) Ensure that working suction equipment is in the room.

D) Assess vital signs every 4 hours.

Q3) A client has been diagnosed with hypothyroidism.Which medication is the nurse prepared to administer to treat the client's bradycardia?

A) Atropine sulfate

B) Levothyroxine sodium (Synthroid)

C) Propranolol (Inderal)

D) Epinephrine (Adrenalin)

To view all questions and flashcards with answers, click on the resource link above. Page 68

Chapter 67: Care of Patients With Diabetes Mellitus

Available Study Resources on Quizplus for this Chatper

61 Verified Questions

61 Flashcards

Source URL: https://quizplus.com/quiz/38752

Sample Questions

Q1) A young adult client newly diagnosed with type 1 diabetes mellitus has been taught about self-care.Which statement by the client indicates a good understanding of needed eye examinations?

A) "At my age, I should continue seeing the ophthalmologist as I usually do."

B) "I will see the eye doctor whenever I have a vision problem and yearly after age 40."

C) "My vision will change quickly now. I should see the ophthalmologist twice a year."

D) "Diabetes can cause blindness, so I should see the ophthalmologist yearly."

Q2) A client's father has type 1 diabetes mellitus.The client asks if she is in danger of developing the disease as well.Which is the nurse's best response?

A) "Your risk of diabetes is higher than that of the general population, but it may not occur."

B) "No genetic risk is associated with the development of type 1 diabetes."

C) "The risk for becoming diabetic is 50% because of how it is inherited."

D) "Female children do not inherit diabetes, but male children will."

To view all questions and flashcards with answers, click on the resource link above. Page 69

Chapter 68: Assessment of the Renalurinary System

Available Study Resources on Quizplus for this Chatper

22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/38753

Sample Questions

Q1) Which condition is associated with oversecretion of renin?

A) Alzheimer's disease

B) Hypertension

C) Diabetes mellitus

D) Diabetes insipidus

Q2) Which results are normal in a urinalysis?

A) pH, 6

B) Specific gravity, 1.015

C) Protein, 1.2 mg/dL

D) Glucose, negative

E) Nitrate, small

F) Leukocyte esterase, positive

Q3) The nurse is reviewing a client's laboratory test results and notes a blood urea nitrogen (BUN)of 35 mg/dL and a creatinine of 1.0 mg/dL.What new order does the nurse anticipate?

A) Increase the client's IV fluids.

B) Prepare the client for dialysis.

C) Place the client on a fluid restriction.

D) Obtain urine for culture and sensitivity.

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

Chapter 69: Care of Patients With Urinary Problems

Available Study Resources on Quizplus for this Chatper

36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/38754

Sample Questions

Q1) A confused client is hospitalized for possible pneumonia and is admitted from the emergency department with an indwelling catheter in place.During interdisciplinary rounds the following day,what question by the nurse takes priority?

A) "Do you want daily weights on this client?"

B) "Will the client be able to return home?"

C) "Can we discontinue the in-dwelling catheter?"

D) "Should we get another chest x-ray today?"

Q2) Which personal factor places a client at risk for bladder cancer?

A) Working in a lumber yard for 10 years

B) 50-pack-year cigarette smoking history

C) Numerous episodes of bacterial cystitis

D) History of sexually transmitted diseases

Q3) A client has functional urinary incontinence.Which instruction by the nurse to the client and family helps meet an expected outcome for this condition?

A) "You must clean around your catheter daily with soap and water."

B) "Wash the vaginal weights with a 10% bleach solution after each use."

C) "Operations to repair your bladder are available, and you can consider these."

D) "Buy slacks with elastic waistbands that are easy to pull down."

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

Chapter 70: Care of Patients With Renal Disorders

Available Study Resources on Quizplus for this Chatper

25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/38755

Sample Questions

Q1) An older client is hospitalized with suspected heart failure.After 2 days of treatment,the client is not improving.Which laboratory value does the nurse report to the provider?

A) Potassium, 3.7 mEq/L

B) Sodium, 144 mEq/L

C) Glomerular filtration rate, 55 mL/min

D) Creatinine, 0.9 mg/dL

Q2) In assessing a client 6 hours after a radical nephrectomy for renal cell carcinoma,the nurse notes that the client's blood pressure has decreased from 134/90 to 100/56 mm Hg and urine output is 20 mL for this past hour.Which is the nurse's best action?

A) Position the client so that the remaining kidney is not dependent.

B) Measure the specific gravity of the client's urine.

C) Document the findings in the client's record.

D) Assess the pulse rate and quality, and then notify the provider.

Q3) A client has nephrotic syndrome.Which finding shows that therapy is effective?

A) Serum albumin level, 2.8 g/dL

B) Serum albumin level, 4 g/dL

C) Urine protein level, 3.7 g/24 hr

D) Potassium, 4.2 mEq/L

To view all questions and flashcards with answers, click on the resource link above. Page 72

Chapter 71: Care of Patients With Acute Kidney Injury and Chronic Kidney Disease

Available Study Resources on Quizplus for this Chatper

44 Verified Questions

44 Flashcards

Source URL: https://quizplus.com/quiz/38756

Sample Questions

Q1) A client is receiving continuous arteriovenous hemofiltration (CAVH).Which laboratory value does the nurse monitor most closely?

A) Hemoglobin

B) Glomerular filtration rate

C) Sodium

D) White blood cells

Q2) A client with chronic kidney disease states that he will be going to the dentist for a planned tooth extraction.Which is the nurse's best response?

A) "Rinse your mouth with an antiseptic solution after the procedure."

B) "Kidney disease is probably what caused your dental decay."

C) "You should receive prophylactic antibiotics before any dental procedure."

D) "You may take any medication for pain that the dentist prescribes."

Q3) Which response by a client indicates an understanding of measures to facilitate the flow of peritoneal dialysate fluid?

A) "I will take my stool softeners every day."

B) "I will keep the drainage bag at the level of my abdomen."

C) "Flushing the catheter is needed with each exchange."

D) "Warmed dialysate infusion increases the speed of flow."

To view all questions and flashcards with answers, click on the resource link above. Page 73

Chapter 72: Assessment of the Reproductive System

Available Study Resources on Quizplus for this Chatper

21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/38757

Sample Questions

Q1) The nurse is counseling a mother who wants her teenage daughter to have a Pap smear and pelvic examination.Which statement by the nurse is most accurate?

A) "If your daughter is over 18, she needs a pelvic examination and Pap smear."

B) "A teenager does not need this examination unless she is sexually active."

C) "Teach her to have her first examination by the age of 21 at the latest."

D) "It is not needed unless you are worried about sexually transmitted diseases."

Q2) A client is scheduled for an ultrasound to evaluate for possible uterine fibroids.Which instruction by the nurse is most appropriate?

A) "Do not eat or drink anything after midnight."

B) "Take these laxatives the morning of the test."

C) "Do not urinate an hour before the test; a full bladder will give best results."

D) "Have a designated driver because you will be sleepy from the anesthesia."

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

Chapter 73: Care of Patients With Breast Disorders

Available Study Resources on Quizplus for this Chatper

25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/38758

Sample Questions

Q1) When performing a clinical breast examination on a client,the nurse palpates a thickened area where the skin folds under the breast.Which is the nurse's best action?

A) Proceed with the examination.

B) Determine whether the thickness is bilateral.

C) Ask how long the thickness has been present.

D) Change the client's position and re-assess.

Q2) Which client does the nurse encourage to seek genetic counseling regarding her risk for BRCA1 or BCRA2 gene mutation-related breast cancer?

A) Woman whose father had lung cancer and mother had leukemia

B) Woman whose sister has breast cancer and mother has ovarian cancer

C) Woman whose fraternal twin sister has breast cancer

D) Older woman who has bilateral benign breast disease

Q3) A client had a mastectomy nearly a year ago and is distressed over continued tingling and burning in the ipsilateral arm.What orders does the nurse prepare to implement?

A) Teach the client about gabapentin (Neurontin).

B) Demonstrate the use of heat therapy to the axilla.

C) Discuss ways to prevent constipation with pain meds.

D) Reassure the client that this will disappear shortly.

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

Page 75

Chapter 74: Care of Patients With Gynecologic Problems

Available Study Resources on Quizplus for this Chatper

29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/38759

Sample Questions

Q1) A 48-year-old woman reports to the nurse about new "flooding" with her periods.Which other complaint is the nurse prepared to investigate more thoroughly?

A) Hot flashes and sweating episodes

B) Fatigue during typical activity

C) More frequent periods than usual

D) Abdominal cramping with periods

Q2) A client has returned to the nursing unit after a total abdominal hysterectomy.The nurse auscultates the client's abdomen and does not hear bowel sounds.Which is the nurse's priority intervention?

A) Document the finding in the chart.

B) Position the client on the right side.

C) Irrigate the nasogastric tube.

D) Measure abdominal girth.

Q3) Which intervention is essential for the nurse to perform for a client who had a total abdominal hysterectomy?

A) Instruct the client on a low-fat diet.

B) Monitor for the onset of menopause.

C) Assess for problems with intercourse.

D) Teach exercises to prevent incontinence.

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

Page 76

Chapter 75: Care of Male Patients With Reproductive Problems

Available Study Resources on Quizplus for this Chatper

31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/38760

Sample Questions

Q1) A client is taking goserelin (Zoladex).What periodic assessment does the nurse plan for this client?

A) Weight and abdominal girth

B) Pulmonary function tests

C) Bone density testing

D) Abdominal ultrasound

Q2) A client who was treated 1 year ago for testicular cancer now has an elevated serum alpha-fetoprotein level.Which topic is most important for the nurse to teach this client about?

A) Sperm banking options

B) Effects of chemotherapy

C) Hospice philosophy

D) Importance of yearly monitoring

Q3) A client is scheduled for a penectomy for penile cancer.Which action by the nurse is most important?

A) Teaching the client to sit when he urinates

B) Demonstrating dressing changes and wound cleaning

C) Assessing the client's psychosocial status and support

D) Explaining the purpose of the in-dwelling catheter

Page 77

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

Chapter 76: Care of Patients With Sexually Transmitted Disease

Available Study Resources on Quizplus for this Chatper

24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/38761

Sample Questions

Q1) Which statement made by a client about condom use indicates a need for clarification?

A) "I will use a new condom each time I have intercourse."

B) "I will use an oil-based lubricant whenever I have intercourse."

C) "I will always use a latex condom rather than a natural membrane condom."

D) "I will keep the condom on until I have withdrawn from the vagina."

Q2) A client has just been diagnosed with a recurrence of genital herpes simplex.She asks how this is possible because she has not had sex since she was diagnosed and treated 1 year ago.Which is the nurse's best response?

A) "Sometimes one course of therapy is not enough to eradicate the disease."

B) "The disease can be controlled but is never cured, and outbreaks are common."

C) "Did you take the medication exactly the way it was prescribed for you?"

D) "If you have more than one sex partner, you may have more than one strain."

Q3) A client weighing 110 lb is admitted with acute pelvic inflammatory disease.The client is ordered to receive an initial dose of gentamicin (Garamycin),2 mg/kg.The client will receive an initial dose of gentamicin of ____ milligrams.

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