Nursing Fundamentals
Final Exam Questions
Course Introduction
Nursing Fundamentals provides an essential foundation for students beginning their journey in the nursing profession. This course covers core concepts such as the nursing process, patient safety, health assessment, basic patient care skills, infection control, and effective communication with patients and other healthcare team members. Emphasis is placed on understanding the roles and responsibilities of a nurse, ethical and legal considerations in nursing practice, and the development of critical thinking and problem-solving abilities. Through a combination of classroom instruction, skills lab practice, and clinical experiences, students gain the knowledge and confidence needed to deliver compassionate, evidence-based care in a variety of healthcare settings.
Recommended Textbook
Medical Surgical Nursing 2nd Edition by Kathleen S. Osborn
Available Study Resources on Quizplus
67 Chapters
1995 Verified Questions
1995 Flashcards
Source URL: https://quizplus.com/study-set/3943 Page 2
Chapter 1: Preparation for Practice
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78657
Sample Questions
Q1) After receiving a report, the nurse reviews all the activities that must be completed for a group of patients. This nurse is demonstrating which characteristic of a competent nurse?
A) Matching an actual case with a textbook case
B) Planning and analyzing care needs
C) Establishing role boundaries
D) Seeing the big picture of the clinical situation
Answer: B
Q2) A patient is admitted to a patient care area. The nurse has never provided care to a patient from this patient's culture before and is concerned. How should the nurse proceed?
A) Briefly review the patient's culture and its expectations of health care providers.
B) Have another nurse provide care to this patient.
C) Approach the care of this patient as with any other patient admitted to the care area.
D) Locate an interpreter to assist with communication.
Answer: A
To view all questions and flashcards with answers, click on the resource link above.
3
Chapter 2: Legal, Ethical, and Regulatory Aspects of Health
Care Delivery
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78656
Sample Questions
Q1) A patient tells the nurse manager that he is going to charge a nurse with battery for actions that occurred in the emergency department. Which characteristics of battery should the manager consider when formulating a response?. Select all that apply.
A) For battery to occur, actual contact must be made.
B) Battery could not have occurred unless the patient specifically told the nurse not to touch him just before the contact occurred.
C) Battery can occur even if the patient is not touched.
D) For the patient to prove battery, an injury must have occurred.
E) It will be difficult for the patient to prove battery occurred because he gave consent for treatment.
Answer: A,C,E
To view all questions and flashcards with answers, click on the resource link above.
4
Chapter 3: Research Foundations for Nursing Practice
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78655
Sample Questions
Q1) A nurse notices a particular nursing intervention is not successful in helping patients achieve their health care goals and decides to study the issue. What should the nurse do first?
A) Identify the problem.
B) Design the sampling plan.
C) Conduct a literature review.
D) Conduct a pilot study.
Answer: A
Q2) The nurse is analyzing a phenomenological research study. Which data would the nurse evaluate as matching this study design?. Select all that apply.
A) Waiting to have a procedure done is more stressful than the actual procedure.
B) A patient's blood pressure is 150/90 after ambulating 10 feet.
C) A patient's urine output after ingesting 240 mL of water is 100 mL.
D) Ten mothers in the same housing community desire a centrally located day care facility.
E) Breast cancer survivors are more likely than others to participate in efforts to raise money for breast cancer research.
Answer: A,E
To view all questions and flashcards with answers, click on the resource link above. Page 5
Chapter 4: Nursing Care Delivery Systems
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78654
Sample Questions
Q1) Which scenario is an example of correct delegation?
A) The nurse asks the unlicensed assistant to bathe a patient before surgery.
B) The nurse asks the unlicensed assistant if a patient tolerated ambulating in the hall.
C) The nurse instructs the unlicensed assistant to check the patient's lung sounds for crackles.
D) The nurse asks the unlicensed assistant to see if the patient's hourly urine output is adequate.
Q2) The nurse is providing care to patients for whom she has 24-hour accountability and responsibility. How would the nurse describe this care delivery system?
A) Team nursing
B) Functional nursing
C) Case method
D) Primary nursing
To view all questions and flashcards with answers, click on the resource link above.
6
Chapter 5: Nursing Process and Documentation
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78653
Sample Questions
Q1) The nurse is caring for a 70-year-old patient who was just admitted to an inpatient rehabilitation center. The patient had required total parenteral nutrition for several days, but recently resumed and is tolerating a regular diet. She has another 4 days left in a course of intravenous antibiotics to complete treatment of a positive central line culture. Which nursing action, required in the care of this patient, is considered a dependent role function?
A) Requesting that the health care provider order a consult because the patient states that her dentures no longer fit properly and she has trouble chewing
B) Asking the nursing assistant to demonstrate to the patient how to operate the call system
C) Interviewing the patient to assess whether she needs assistance with getting out of bed
D) Administering the antibiotics prescribed by the health care provider
Q2) Which aspect of critical thinking would the nurse use when making a nursing diagnosis?
A) Making decisions about an action
B) Identifying potential and actual problems
C) Increasing the likelihood of obtaining good results
D) Getting a better understanding of someone else
To view all questions and flashcards with answers, click on the resource link above. Page 7
Chapter 6: Health Assessment
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78652
Sample Questions
Q1) A patient comes to the emergency department and states, "I am having chest pain and I feel short of breath." How is the data the patient has just given the nurse classified?
A) Nonspecific
B) Objective
C) Factual
D) Subjective
Q2) While performing percussion in a physical examination, the nurse elicits dullness. Which structure is the nurse likely percussing?. Select all that apply.
A) Intestines
B) Lungs
C) Pelvic bone
D) Liver
E) Kidney
Q3) A 54-year-old patient reports that she smokes a pack and a half of cigarettes daily and has been smoking since she was 16 years old. The nurse would record a smoking history of ______ pack-years.
To view all questions and flashcards with answers, click on the resource link above. Page 8
Chapter 7: Genetics
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78651
Sample Questions
Q1) A patient planning to be married tells the nurse that she has a strong family history of Huntington's chorea but does not plan to let her fiancé know. How should the nurse respond?
A) "Is there any reason you do not want your fiancé to know about your genetic illness?"
B) "It is probably best that he is not aware of the disease."
C) "Are you afraid he will not want to marry you if he knows?"
D) "There are worse disease processes than Huntington's chorea."
Q2) A patient is having difficulty achieving adequate anticoagulation with prescribed doses of warfarin. What information should the nurse offer this patient?
A) "Some people metabolize medications differently because of their genetic makeup."
B) "You are probably not taking the medication correctly."
C) "There must be something you are eating that is interfering with the drug."
D) "Something in your lifestyle is interfering with the action of the medication."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 8: Nutrition
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78650
Sample Questions
Q1) A patient is postoperative from kidney transplant. What nutritional care is appropriate for this patient?. Select all that apply.
A) Begin the introduction of previously restricted foods.
B) Meet the demands of any existing hypermetabolic process.
C) Correct any preexisting deficiencies.
D) Provide necessary support to promote wound healing.
E) Restrict calories to prevent the postoperative weight gain common with this procedure.
Q2) A patient with a nasogastric tube for intermittent enteral feedings has been coughing. Which intervention should the nurse perform prior to using the tube?
A) Reassess for tube placement.
B) Give the next feeding more slowly.
C) Flush the tube with sterile water prior to giving the next feeding.
D) Place the head of the bed at a 10-degree angle.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 9: The Biophysical and Psychosocial Aspects of Nursing
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78649
Sample Questions
Q1) A patient is admitted after being bitten by a dog and tells the nurse he feels fine except for the bite. The nurse assesses that this patient is functioning within which phase of the general adaptation syndrome?
A) Transaction
B) Resistance
C) Alarm
D) Exhaustion
Q2) A patient newly diagnosed with prostate cancer tells the nurse that his wife died a few weeks ago and he does not know how he is going to deal with this new health problem. What can the nurse do to help this patient?
A) Tell the patient that it seems overwhelming now, but everything is going to work out all right.
B) Suggest that the patient talk with a spiritual counselor.
C) Listen quietly while the patient talks.
D) Talk with the patient about his support systems and what he can do to maintain stability.
To view all questions and flashcards with answers, click on the resource link above.
11
Chapter 10: The Aging Process
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78648
Sample Questions
Q1) Upon discharge from the hospital, a patient is going home and will need medication injected weekly, assistance with meal preparation, and minor assistance with activities of daily living. The nurse would identify which community-based care service as appropriate for this patient?
A) Home care
B) Hospice care
C) Ambulatory surgical care
D) Long-term care
Q2) A 70-year-old patient has been taking over-the-counter cimetidine for a number of years to treat reflux disease. The nurse would closely assess this patient for which adverse responses?. Select all that apply.
A) Gastrointestinal bleeding
B) Depression
C) Double vision
D) Confusion
E) Fluid retention
Q3) A nurse researcher is preparing to study a group of older adults and their response to a nursing intervention. To meet the legal definition of older adult, the study group should include persons _______ years of age or older.
To view all questions and flashcards with answers, click on the resource link above.
Page 12
Chapter 11: Caring for the Patient at End of Life
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78647
Sample Questions
Q1) While preparing for the discharge of an elderly, terminally ill patient, the family asks for information concerning the most appropriate time to become involved with a hospice agency. Which action by the nurse is most appropriate?
A) Assist the family in making contact with a hospice agency at this time.
B) Estimate the patient's life expectancy to gauge when contact with hospice should be made.
C) Encourage the family to "hold off" making the contact until death is very close.
D) Determine what expectations the family has of the hospice agency.
Q2) The medical team has proposed a new therapy for a patient who is terminally ill. The nurse should ensure that the patient and family understand which aspects of the therapy before they make a decision about its implementation?. Select all that apply.
A) The goals of the treatment
B) The likelihood that the goals of therapy will be met
C) The treatment burden
D) Predicted quality of life after the treatment
E) Implications for the health care community
To view all questions and flashcards with answers, click on the resource link above.
13
Chapter 12: Pain Assessment and Management
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78646
Sample Questions
Q1) When carrying out the order for morphine 2 mg IV every 3 hours prn, the nurse recognizes that which intervention is most appropriate?
A) The nurse should wait until the previous dose of morphine has worn off before administering more.
B) For best results, the patient should receive the morphine every 3 hours.
C) The nurse should assess pain every hour and routinely offer the drug.
D) The nurse should wait until the patient requests the morphine to administer the drug.
Q2) A patient who had abdominal surgery this morning is receiving opioid pain medication on a routine basis. The nurse would hold the medication if the patient's respirations fall below _____ per minute.
Q3) The nurse is assessing a patient who is unable to supply a self-report of pain. What should the nurse do to assess the patient's pain?
A) Use a surrogate pain rating from the family or caregiver.
B) Document that the client cannot scale the pain.
C) Document the client's pain using a numeric rating scale.
D) Use the McGill pain questionnaire to assess the pain.
To view all questions and flashcards with answers, click on the resource link above. Page 14
Chapter 13: Substance Abuse Assessment and Management
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/78645
Sample Questions
Q1) A patient admitted with seizures is diagnosed with a perforated nasal septum. The nurse realizes that this patient most likely has abused which substance?
A) Cocaine
B) Marijuana
C) Alcohol
D) Barbiturates
Q2) A community pharmacist calls the clinic and reports that a patient has asked for pain medication refills early for the last 2 months. What action should be taken by the nurse?
A) Notify the health care provider that the patient has lost control of his or her consumption of medication.
B) Tell the pharmacist to refill the prescriptions early.
C) Ask the pharmacist if the patient has received medications early from any other provider.
D) Notify the health care provider of the patient's request.
Q3) A loading dose of magnesium sulfate 4 g is ordered for a patient. The concentration available is 4 g/250 mL to be given over 30 minutes. The IV pump rate will be set at _______ mL/h.
To view all questions and flashcards with answers, click on the resource link above. Page 15
Chapter 14: Infectious Process and Prophylaxis
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/78644
Sample Questions
Q1) A school district is not requiring vaccinations for children who are starting school. The nurse realizes that this action could have which effect?
A) Healthier children
B) A reduction in the number of colds and flu in the school
C) A decrease in school costs
D) An epidemic of an illness that could have been avoided with a vaccination
Q2) The nurse is caring for a patient in droplet precautions. What protective gear should the nurse wear when providing care to this patient?
A) Head covering and gown
B) Shoe covering and gown
C) Gloves only
D) Mask and eye protection or face shield
Q3) When caring for a patient with an infection, the nurse uses a stethoscope that remains in the patient's room. At which point is the nurse interrupting the chain of infection?
A) The reservoir
B) Portal of exit
C) Mode of transmission
D) Susceptible host
To view all questions and flashcards with answers, click on the resource link above.
Page 16
Chapter 15: Fluids, Electrolytes and Acid-Base Imbalance
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/78643
Sample Questions
Q1) A patient prescribed spironolactone is demonstrating ECG changes and complaining of muscle weakness. The nurse realizes this patient is exhibiting signs of which imbalance?
A) Hyperkalemia
B) Hypokalemia
C) Hypercalcemia
D) Hypocalcemia
Q2) A patient with a history of stomach ulcers is diagnosed with hypophosphatemia. Which intervention should the nurse include in this patient's plan of care?
A) Request a dietitian consult to select foods high in phosphorous.
B) Provide aluminum hydroxide antacids as prescribed.
C) Instruct the patient to avoid poultry, peanuts, and seeds.
D) Instruct the patient to avoid the intake of sodium phosphate.
Q3) A patient is diagnosed with severe hyponatremia. The nurse realizes this patient will mostly likely need which precautions implemented?
A) Seizure precautions
B) Infection precautions
C) Neutropenic precautions
D) High-risk fall precautions
To view all questions and flashcards with answers, click on the resource link above.
Page 17
Chapter 16: Fluid and Blood Infusion Therapy
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/78642
Sample Questions
Q1) A unit of packed red blood cells was ordered for a patient. Twenty minutes after the blood began infusing, the patient developed dyspnea, chest pain, bloody urine, and a decrease in blood pressure. The nurse would characterize this as which type of transfusion reaction?
A) Allergic
B) Febrile nonhemolytic
C) Delayed hemolytic
D) Acute hemolytic
Q2) The alarm of a patient's infusion delivery system is sounding. The nurse should assess for which conditions?. Select all that apply.
A) Air in the line
B) Occlusion of the tubing
C) Infusion complete
D) Wrong fluid being infused
E) Free flow
Q3) A patient has received a unit of packed red blood cells. If the patient is not bleeding, the nurse would expect that the hematocrit would rise _____ %.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 17: Preoperative Nursing
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/78641
Sample Questions
Q1) The nurse takes an informed consent document to the patient's room in preparation for an emergency surgical procedure. The patient states, "Doc said he would tell me all about the surgery when he gets here. Do you know what they are going to do?" What is the nurse's best response?
A) "Let's wait on signing this until your physician has talked to you."
B) "Let me go get a medical surgical textbook so I can use the pictures to explain the procedure."
C) "I am not certain; let me call the nursing supervisor to explain it to you."
D) "Go ahead and sign this so we will have that part done when the physician gets here."
Q2) The nurse wonders if a patient's outcome would be better if the patient stopped smoking 3 weeks or 2 months before surgery. This is an example of which concept?
A) A question to ask the patient
B) The nurse's ability to think critically
C) A question to ask the health care provider
D) A potential nursing research question
To view all questions and flashcards with answers, click on the resource link above. Page 19
Chapter 18: Intraoperative Nursing
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78640
Sample Questions
Q1) At the conclusion of a surgical procedure, it has been determined that one sponge is missing. How should the nurse manage this situation?
A) Ask housekeeping personnel to look for the missing sponge while preparing the surgical suite for the next procedure.
B) Ask the surgeon to recount the sponges along with the nurse.
C) Refer to AORN standards for guidance.
D) Call the nursing supervisor to report the missing sponge.
Q2) The nurse would be concerned that a patient may have a latex allergy if the patient reports allergy to which food?
A) Strawberries
B) Eggs
C) Avocados
D) Peanuts
Q3) The certified nurse anesthetist suspects a patient is experiencing malignant hyperthermia and will administer dantrolene sodium 3 mg/kg IV. The patient's documented weight is 143 pounds. The nurse will administer _____ mg in the first bolus.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 19: Postoperative Nursing
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/78639
Sample Questions
Q1) A patient in the PACU is nauseated and has vomited. Which nursing actions are indicated?. Select all that apply.
A) Administer an antiemetic per protocol or order.
B) Raise the head of the patient's bed.
C) Place a cool washcloth on the patient's forehead or neck.
D) Offer the patient a small amount of ice chips.
E) Offer the patient sips of tea or coffee.
Q2) The nurse has just received a patient from the surgical area. After 30 minutes in the recovery area, the patient's vital signs are: pulse 92; blood pressure 110/50; respirations 12; and pulse oximeter 86%. What should be the initial nursing response?
A) Call the physician.
B) Ask another nurse for his or her opinion.
C) Stimulate the patient.
D) Place an oral airway in the patient.
Q3) A child who weighs 30 kg is in the PACU. The nurse would collaborate with the child's health care provider if the child's urine output was less than ______ mL per hour.
To view all questions and flashcards with answers, click on the resource link above.
21
Chapter 20: Nursing Assessment of the Patient With
Neurological Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78638
Sample Questions
Q1) An emergency department (ED) nurse receives a report that an incoming patient has a Glasgow Coma Scale (GCS) score of
A) Treat the patient's pain.
B) Assess the patient's airway, breathing, and circulation.
C) Obtain a complete history from the patient.
D) Triage the patient with the other ED patients.
E) Which is the most appropriate action by the nurse?
Q2) The patient is exhibiting abnormal posturing to stimuli. Which findings would the nurse document as decerebrate posturing?. Select all that apply.
A) The arms are rigidly extended.
B) The toes are pointed downward.
C) The teeth are clenched.
D) The chin is held against the chest.
E) The arms are hypersupinated.
Q3) The patient's vision is recorded as 20/
50. The nurse is measuring what this patient can see as compared to what a normal eye can see at _______ feet.
To view all questions and flashcards with answers, click on the resource link above.
Page 22
Chapter 21: Caring for the Patient With an Acute Brain or Cranial Nerve Disorder
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78637
Sample Questions
Q1) A patient at risk for increased intracranial pressure (ICP) is likely to experience involuntary compensatory mechanisms. The nurse would monitor this patient for signs of which involuntary compensation?. Select all that apply.
A) Vasoconstriction of cardiac vessels
B) Vasodilation of the cerebral vessels
C) Decreased production of cerebral spinal fluid (CSF)
D) Decreased metabolic energy needs
E) Increased absorption of cerebral spinal fluid (CSF)
Q2) The patient was an unrestrained front-seat passenger in a motor vehicle crash and struck his forehead on the inside of the windshield. Diagnostic testing in the emergency department reveals coup-contrecoup injury. The nurse identifies which area as the contrecoup injury?
A) The frontal area of the brain
B) The posterior or occipital part of the brain
C) Both the anterior and posterior areas of the brain
D) The midpoint of the brainstem
Q3) A nurse is providing care to a patient with increased intracranial pressure following a closed head injury. The nurse would determine that adequate cerebral perfusion pressure exists if the CPP is at least ____.
Page 23
To view all questions and flashcards with answers, click on the resource link above.
Chapter 22: Caring for the Patient With Cerebral Vascular Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78636
Sample Questions
Q1) A patient is diagnosed with a lacunar stroke. The patient's daughter says, "If this is a stroke in a small artery, why is my dad's movement so affected?" Which nursing response is indicated?
A) "Lacunar strokes occur in large arteries, not small ones."
B) "Lacunar strokes look small on the scans, but they often happen in areas where lots of motor and sensory tracts are located."
C) "Most of the time with lacunar strokes, we see more sensory effects than those your dad has experienced."
D) "Lacunar strokes occur in small arteries, but the damage seen on scans is massive."
Q2) A patient has undergone repair of a subarachnoid hemorrhage. The nurse should monitor this patient for development of which complications?. Select all that apply.
A) Hypernatremia
B) Hydrocephalus
C) Rebleeding
D) Vasospasm
E) Hemodilution
To view all questions and flashcards with answers, click on the resource link above. Page 24
Chapter 23: Caring for the Patient With Chronic and Degenerative Neurological Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78635
Sample Questions
Q1) A patient with myasthenia gravis is taking pyridostigmine (Mestinon). When teaching about this medication, the nurse should instruct the patient to immediately report which conditions?. Select all that apply.
A) Increased weakness
B) Excessive salivation
C) Fever
D) Tooth pain
E) Increased difficulty swallowing
Q2) The nurse is discussing the future with a patient recently diagnosed with amyotrophic lateral sclerosis (ALS). The patient asks about the possibility of continuing to work at the family's construction business. How should the nurse respond?
A) "Can you do work that is less strenuous?"
B) "Is there a way you can switch over to the office side of the business?"
C) "This is a progressively debilitating disease. You need to think of ways to conserve your energy, not expend it."
D) "Work as long at your job as you feel capable of keeping up with the demands it makes on you."
To view all questions and flashcards with answers, click on the resource link above. Page 25
Chapter 24: Caring for the Patient With Spinal Cord Injuries
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78634
Sample Questions
Q1) A patient was admitted after falling from the roof of a one-story building. Assessment reveals presence of a patellar reflex, but loss of sensation in part of both feet. The nurse would plan for which level of bowel and bladder function?
A) Bladder function only
B) Bowel function only
C) Intact bladder and bowel function
D) Loss of both bladder and bowel function
Q2) Which nursing action is appropriate for turning a patient who sustained a spinal cord injury?
A) This patient should not be turned.
B) Place pillows under the patient's side for support turning the turn.
C) Have the patient grasp the side rail to turn.
D) Logroll the patient.
Q3) Which patient is at highest risk for a spinal cord injury?
A) 18-year-old male with a prior arrest for driving while intoxicated (DWI)
B) 20-year-old female with a history of substance abuse
C) 50-year-old female with osteoporosis
D) 35-year-old male who coaches a soccer team
To view all questions and flashcards with answers, click on the resource link above. Page 26
Chapter 25: Nursing Assessment of the Patient With
Respiratory Disorders
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78633
Sample Questions
Q1) A nurse researcher is planning a study regarding occupational exposure to asbestos and the development of asbestos-related pulmonary disease. The researcher should look to workers from which occupations as commonly having this exposure?. Select all that apply.
A) Firefighters
B) Auto mechanics
C) Those involved in new home construction
D) Teachers
E) Cooks
Q2) A parent has just started using a "red, yellow, green" peak flow meter to monitor his young son's pulmonary disease at home. The parent calls the clinic and reports that the last two results have been in the red zone. What advice should the nurse offer this parent?
A) "Rinse the meter out with warm salt water and repeat the test."
B) "Bring your son and the meter to the clinic for evaluation."
C) "Don't bother using the meter until I can check your technique at next week's appointment."
D) "These are the results we hope to see, so it sounds like you are doing a good job managing your son's illness."
To view all questions and flashcards with answers, click on the resource link above. Page 27
Chapter 26: Caring for the Patient With Upper Airway Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78632
Sample Questions
Q1) During medication instruction about a cough syrup, the nurse says, "This medicine has a really bad taste." The patient replies that she "can't taste anything anyway." Which nursing assessment questions are indicated?. Select all that apply.
A) "How long ago did you first notice your sense of taste has diminished?"
B) "Did you first notice this when you developed the cold you have now?"
C) "Have you noticed that you are having difficulty with your sense of smell as well?"
D) "Have you noticed any weight gain or puffiness around your eyes?"
E) "How many fluids are you drinking on an average day?"
Q2) A patient is receiving anterior nasal packing for a nosebleed. What should be included in the instructions for this patient?
A) "Remove the packing in the morning."
B) "The packing will stay in place for at least 5 days."
C) "Return to the clinic tomorrow afternoon to have the packing removed."
D) "The packing will be removed and new packing inserted in 2 days."
Q3) A patient is being treated for laryngopharyngeal reflux disease. As part of behavioral modification treatment for this disorder, the nurse advises the patient not to eat for at least ______ hours before bedtime.
To view all questions and flashcards with answers, click on the resource link above.
Page 28
Chapter 27: Caring for the Patient With Lower Airway Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78631
Sample Questions
Q1) During pulmonary function tests, a patient with asthma is found to have approximately 500 mL of air moving in and out of the lungs during normal, quiet breathing. How would the nurse document this result?
A) Tidal volume
B) Expiratory reserve volume
C) Residual volume
D) Vital capacity
Q2) A patient presents with findings suggestive of pulmonary embolism. The D-dimer test is negative. How does the nurse interpret this finding?
A) The patient has a pulmonary embolism.
B) Additional testing is necessary, but a pulmonary embolism is unlikely.
C) There is 4% likelihood that the test is incorrect.
D) The test should be repeated in 48 hours.
Q3) A child with recurrent respiratory infection is being evaluated for cystic fibrosis. The nurse explains to the parents that diagnosis is based on history and two sweat chloride tests equal to or over ______ mEq/L.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 28: Caring for the Patient With Complex
Respiratory Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78630
Sample Questions
Q1) A patient being mechanically ventilated is receiving PEEP of 10 cm of H<sub>2</sub>O. The nurse ensures that which intervention is performed for this patient?
A) Closed system suctioning
B) Oral care daily
C) Placement of a nasogastric tube
D) Daily measurement of vital signs
Q2) Which instructions should the nurse include when providing discharge teaching to a patient recovering from acute respiratory distress syndrome (ARDS)?. Select all that apply.
A) "You should avoid smoking and air pollution."
B) "Lifestyle modifications to decrease oxygen demands will be necessary."
C) "It is important for you to restrict fluid intake to avoid congestive failure."
D) "You and your family should get annual influenza immunizations."
E) "You must avoid large gatherings of people."
Q3) A patient who has cardiogenic pulmonary edema is receiving intravenous dopamine at a rate of 195 mcg/min. The patient weighs 65 kg. The nurse would increase surveillance for tachycardia and dysrhythmias if the dopamine rate must be increased to a rate greater than ________ mcg/min.
To view all questions and flashcards with answers, click on the resource link above. Page 30
Chapter 29: Nursing Assessment of the Patient With
Cardiovascular Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78629
Sample Questions
Q1) The patient presents to the emergency department (ED) complaining of chest pain, fatigue, and dyspnea. What is the nurse's priority assessment?
A) Medications
B) Airway and oxygen status
C) Activity tolerance
D) Chest pain
Q2) A patient is admitted to the telemetry unit. Which nursing assessment has the highest priority for further investigation?
A) The patient complains of intermittent chest pain during mild exercise.
B) The patient has a history of urinary retention.
C) The patient complains of fatigue and dyspnea after walking up several flights of stairs.
D) The patient's father has a history of smoking.
Q3) When assessing the adult heart, the nurse expects to hear which heart sounds?
A) S1, then S2
B) S2, then S3
C) S3, then S4
D) S2, then S1
To view all questions and flashcards with answers, click on the resource link above. Page 31
Chapter 30: Car-Ing for the Patient With Dysrhythmias
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78628
Sample Questions
Q1) A patient is having elective synchronized cardioversion. Place the steps of the procedure in the correct order.
A) Verify patency of IV access.
B) Administer sedative per physician prescription.
C) Set cardioverter to "synchronize" mode.
D) Charge the cardioverter to the selected energy level.
E) Ensure that personnel are not in physical contact with the bed or patient.
Q2) Loss of capture has occurred in a patient with a temporary pacemaker. Which nursing actions are required?. Select all that apply.
A) Prepare for cardiac resynchronization therapy (CRT).
B) Assess the patient to determine response to the pacemaker loss of capture.
C) Document the event by printing the ECG strip and placing it on the patient's record.
D) Ask the patient to ambulate to increase cardiac output.
E) Administer nitroglycerin sublingual one dose stat according to physician prescription.
Q3) The nurse is analyzing a cardiac monitor tracing. To accurately figure interval times, the nurse counts the smallest squares and multiplies by ________ second(s).
To view all questions and flashcards with answers, click on the resource link above.
32
Chapter 31: Hemodynamic Monitoring
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78627
Sample Questions
Q1) Which actions are correct when the nurse is performing the Allen's test?. Select all that apply.
A) Occlude the radial artery and, after 15 seconds, occlude the ulnar artery.
B) Ask the patient to hold the hand below waist level for 30 seconds before beginning the test.
C) Release pressure over the ulnar artery first.
D) Hold pressure on the radial artery for 30 seconds before assessing the hand.
E) Consider color return to the hand in 20 seconds as a negative test.
Q2) Which actions would the nurse take when removing a radial artery catheter?. Select all that apply.
A) Don a sterile gown, sterile gloves, and eye protection.
B) Send the tip of the catheter to the laboratory for culture and sensitivity.
C) Remove the dressing.
D) Apply direct pressure to the insertion site after the catheter is removed.
E) Plan frequent observation of the site after removal of the catheter.
Q3) A patient's vital signs are heart rate 82, respirations 22, and blood pressure 90/52. If hemodynamic monitoring reveals the patient's cardiac output to be 5330 mL/min, the nurse would calculate that stroke volume is _____ mL.
To view all questions and flashcards with answers, click on the resource link above.
33
Chapter 32: Caring for the Patient With Coronary Artery Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78626
Sample Questions
Q1) The nurse would recommend closer evaluation for coronary artery disease (CAD) to a patient with which history?. Select all that apply.
A) Diabetes
B) Hyperlipidemia
C) Positive family history
D) Increased C-reactive protein level
E) hypotension
Q2) The nurse would suspect conversion of a patient's stable angina to unstable angina if the patient reports angina lasting over _______ minutes at rest.
Q3) A patient enters the emergency department complaining of chest pain that is radiating down the left arm. The emergent treatment plan for this patient includes which nursing actions?. Select all that apply.
A) Morphine intravenously and oxygen
B) Aspirin 325 mg orally
C) Preparation for open heart surgery
D) Heparin drip at 100 units per hour
E) Foley catheter insertion
To view all questions and flashcards with answers, click on the resource link above.
Page 34
Chapter 33: Caring for the Patient With Cardiac
Inflammatory Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78625
Sample Questions
Q1) The nurse caring for patients on a cardiac unit should plan to see which assigned patient first?
A) A patient with hypertrophic cardiomyopathy who is reporting dyspnea
B) A patient who had a cardiac catheterization and will be ambulating for the first time
C) A patient receiving antibiotics for bacterial endocarditis who is reporting dyspnea and chest pain
D) A patient who is recovering from coronary artery bypass grafting (CABG) surgery with a temperature of 101°F
Q2) A young male athlete is admitted to the hospital after collapsing at football practice. The medical diagnosis is hypertrophic obstructive cardiomyopathy. The nurse expects that which activity recommendation will be necessary?
A) The patient should limit fluid intake while exercising.
B) The patient should stop playing football and other strenuous sports.
C) The patient will need to gradually return to previous levels of exercise.
D) Exercise is not related to hypertrophic cardiomyopathy symptomology.
To view all questions and flashcards with answers, click on the resource link above. Page 35
Chapter 34: Caring for the Patient With Heart Failure
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78624
Sample Questions
Q1) A patient is admitted with heart failure. The nurse establishes a nursing diagnosis of Decreased Cardiac Output related to ventricular dysfunction. Which parameter would the nurse evaluate as indicating that cardiac output is sufficient?
A) BP 100/48
B) Daily weight same as the day before
C) CI 1.8 L/min/m<sup>2</sup>
D) PAOP 8 mmHg
Q2) A patient diagnosed with heart failure asks the nurse if the problem is in the right or left side of the heart. Which symptom would indicate to the nurse that left-sided heart failure is occurring?
A) Elevated neck veins
B) Respiration of 36 per minute
C) Dependent edema
D) Right upper quadrant pain
To view all questions and flashcards with answers, click on the resource link above.
Chapter 35: Caring for the Patient With Peripheral Vascular Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78623
Sample Questions
Q1) A patient with peripheral arterial disease has a nursing diagnosis of Ineffective Tissue Perfusion. Which nursing intervention is most appropriate for this nursing diagnosis?
A) Assist the patient in taking hot baths.
B) Do not elevate the patient's legs.
C) Encourage the patient to limit activity.
D) Limit visitors.
Q2) A patient's blood pressure continues to be elevated even though the patient was prescribed an ACE inhibitor for several weeks. What are appropriate nursing interventions?. Select all that apply.
A) Ask if the patient is taking the prescribed medication.
B) Suggest to the physician that a different medication be prescribed.
C) Schedule another blood pressure check in a week.
D) Realize that the patient's anxiety over the diagnosis is affecting treatment.
E) Ask if the patient is experiencing side effects from the medication.
Q3) The patient's brachial artery systolic pressure is 144 mmHg, and the right ankle systolic pressure is 120 mmHg. The nurse calculates the patient's ankle-brachial index to be ______.
To view all questions and flashcards with answers, click on the resource link above.
Page 37
Chapter 36: Nursing Assessment of the Patient With
Gastrointestinal, Renal, or Urinary Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78622
Sample Questions
Q1) The nurse is teaching a patient who has a diagnosis of a kidney stone in the left ureter. The nurse knows the patient understands the instruction when the patient makes which statement?
A) "My kidney stone is in the tube that empties my bladder."
B) "The stone in my kidney is causing my pain."
C) "If my kidney stone keeps moving down the ureter, it will eventually move into my bladder."
D) "The kidney contracts and pushes the stone down my ureter."
Q2) When percussing a patient's abdomen to gather assessment data, the nurse must rely most heavily on which ability?
A) Locating the margins of the various abdominal organs
B) Differentiating the various elicited sounds
C) Supplementing the technique with fine finger dexterity
D) Observing subtle variations in the contour of the abdomen
Q3) Arrange the four parts of abdominal assessment in the order the nurse should follow.
A) Percussion
B) Inspection
C) Palpation
D) Auscultation
Page 38
To view all questions and flashcards with answers, click on the resource link above.
Chapter 37: Caring for the Patient With Gastrointestinal Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78621
Sample Questions
Q1) The nurse is preparing to instruct a patient who is newly diagnosed with gastroesophageal reflux disease (GERD) about dietary considerations. What should the nurse include in these instructions?. Select all that apply.
A) "Avoid peppermint."
B) "Meals should be small and more frequent."
C) "Avoid eating within 4 hours of bedtime."
D) "Be sure to eat at least one citrus fruit per day."
E) "Alcohol should be limited to two drinks per day."
Q2) Acyclovir (Zovirax) ointment has been prescribed for a patient with oral herpes lesions. What should the nurse include when instructing the patient regarding this medication?. Select all that apply.
A) Adverse effects include vomiting and diarrhea.
B) It can reduce the length of the herpes outbreak.
C) It is an antibiotic medication.
D) Repeated usage of the drug will lead to a permanent state of remission.
E) It is most effective when administered intravenously.
To view all questions and flashcards with answers, click on the resource link above. Page 39
Chapter 38: Caring for the Patient With Hepatic and Biliary Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78620
Sample Questions
Q1) The nurse has given a patient instruction about the possible complications of unresolved cholecystitis. Which statements by the patient would indicate correct understanding of the instruction?. Select all that apply.
A) "I could have infected pus stored in my gallbladder."
B) "My gallbladder could rot and cause a big infection in my abdomen."
C) "My gallbladder trouble could become chronic."
D) "My cholesterol could get very high."
E) "My gallbladder could turn inside out into the bile duct."
Q2) The clinic nurse has been providing care for a patient with a long history of cholelithiasis. Which statement by the patient would make the nurse suspicious that the condition has progressed to cholecystitis?. Select all that apply.
A) "I was in terrible pain for 2 hours, but then it went away."
B) "I'm hot and sweating, and then cold and shivering."
C) "The pain's in the same location as when I had appendicitis."
D) "I need an emesis basin; I've vomited four times."
E) "My abdomen and my back both hurt."
To view all questions and flashcards with answers, click on the resource link above. Page 40
Chapter 39: Caring for the Patient With Renal and Urinary Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78619
Sample Questions
Q1) A patient is diagnosed with hypertension caused by polycystic kidney disease. Which intervention might be helpful to control this patient's blood pressure and slow the progression of renal failure?
A) Administration of ACE inhibitors
B) Kidney transplant
C) Hemodialysis
D) Peritoneal dialysis
Q2) Three weeks after being treated for strep throat, a patient comes into the clinic with signs of acute glomerulonephritis. Which symptom will the nurse most likely find upon assessment of this patient?
A) Periorbital edema
B) Hunger
C) Polyuria
D) Anuria
To view all questions and flashcards with answers, click on the resource link above. Page 41
Chapter 40: Nursing Assessment of the Patient With
Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78618
Sample Questions
Q1) A patient presents to the emergency department with swelling and pain in his scrotum. The nurse anticipates dysfunction in which structures?. Select all that apply.
A) Testes
B) Vas deferens
C) Epididymis
D) Seminal vesicle
E) Prostate
Q2) Which precautions should the nurse conducting an assessment of the reproductive system take to avoid the cremasteric reflex?
A) Ask the patient to cough during the exam for inguinal hernia.
B) Ask the patient to breathe in slowly through the nose and out through the mouth.
C) Conduct the examination in a warm room.
D) Lubricate the finger used for the prostate exam.
To view all questions and flashcards with answers, click on the resource link above.
42
Chapter 41: Caring for the Patient With Female
Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78617
Sample Questions
Q1) A 32-year-old African American woman has just been diagnosed with uterine fibroid tumors. Which statement would the nurse evaluate as indicating further education is necessary to meet the patient goal of understanding this diagnosis?
A) "These tumors are frequently seen in African American women."
B) "The growth of my tumors is directly linked to my progesterone levels."
C) "The tumors tend to develop slowly."
D) "These tumors are benign."
Q2) The nurse is collecting data during a routine patient admission history and physical. The patient reports she has experienced bleeding between her menstrual periods. What initial action by the nurse is most appropriate?
A) Determine the timing of the bleeding episodes.
B) Determine the amount of bleeding.
C) Assess for the presence of sexually transmitted infections.
D) Review the length of the patient's normal menstrual cycles.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 42: Caring for the Patient With Male Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78616
Sample Questions
Q1) A patient has been diagnosed with a hydrocele. Which teaching should the nurse provide about this condition?
A) "The swelling in your scrotum is a cyst filled with sperm."
B) "The fluid in your scrotum will probably reabsorb in time."
C) "Be sure to take your entire antibiotic prescription."
D) "It is good that you came in early since this is an emergency situation."
Q2) A female patient asks the nurse for help because her husband has not been able to attain an erection in several months. Which nursing intervention should be performed first?
A) Assess the couple's most recent sexual practices.
B) Suggest that she seek psychiatric counseling.
C) Suggest that the couple contact a marriage counselor.
D) Suggest that the husband talk to his physician about a prescription for sildenafil (Viagra).
To view all questions and flashcards with answers, click on the resource link above.
Chapter 43: Caring for the Patient With Sexually
Transmitted Diseases
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78615
Sample Questions
Q1) After the removal of genital warts, a male patient says, "Now I can have sex again." The nurse should provide the patient with which information?
A) How to prevent reinfection now that he is cured of the warts
B) The need to always have female partners douche after having sex
C) The need to wash the genitals well before every sexual encounter
D) The need to always use a condom for sexual activity
Q2) A patient is being treated for secondary syphilis. The nurse would assess for a rash in which areas?. Select all that apply.
A) Palms of the hands
B) Soles of the feet
C) Across the genitals
D) In the axilla
E) On the lower legs
Q3) A patient is prescribed ceftriaxone (Rocephin) 350 mg IM. The nurse reconstitutes a 500 mg vial of ceftriaxone powder with 1.8 mL of diluent to achieve a concentration of 250 mg/mL. The nurse will administer _______ mL for the total dose.
To view all questions and flashcards with answers, click on the resource link above.
Page 45
Chapter 44: Caring for the Patient With Breast Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78614
Sample Questions
Q1) Which information should the nurse include in medication teaching for the patient prescribed clindamycin for mastitis?
A) "Let the prescriber know if you develop diarrhea."
B) "This medication may cause insomnia."
C) "You may experience dizziness while taking clindamycin."
D) "You may notice that your urine is a greenish-yellow color while taking this drug."
Q2) Which statement would the nurse evaluate as indicating the patient needs further education about mastitis and breastfeeding?
A) "If I wear a plastic-backed breast pad, I can continue to breastfeed."
B) "If I develop discharge from the mastitis, I should avoid feeding the baby on that side."
C) "My breast milk will help protect the baby from infection from my mastitis."
D) "If the baby is not emptying my breast, I should use a breast pump after feeding."
Q3) The nurse has provided education to a woman who wishes to use exercise as a way to reduce her breast cancer risk. The nurse would evaluate that teaching has been effective when the woman says, "I am going to start walking for ________ minutes every day."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 45: Nursing Assessment of the Patient Endocrine
Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78613
Sample Questions
Q1) An older adult female has been given instructions concerning an endocrine assessment the nurse will be conducting. Which statement by the patient would indicate that further instruction is necessary?
A) "Because I am already past menopause, there will be no need for a breast exam in this assessment."
B) "The nurse will look at my skin, nails, and hair."
C) "I'll be sure to let the nurse know that diabetes runs in my family."
D) "The nurse will palpate my throat in the front."
Q2) A patient has not eaten in 12 hours, and the blood sugar is low. The patient's endocrine system has suppressed the production of insulin. Which form of endocrine communication does this condition represent?
A) Positive feedback
B) Unregulated response
C) Free steroidal influence
D) Negative feedback
To view all questions and flashcards with answers, click on the resource link above.
Chapter 46: Caring for the Patient With Glandular and Hormonal Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78612
Sample Questions
Q1) The patient is being treated for hypothyroidism. Under which circumstances would the nurse monitor this patient for development of myxedema crisis?. Select all that apply.
A) The patient is injured in an automobile accident.
B) The patient develops a urinary tract infection.
C) The patient accidentally doubled the dose of thyroid replacement medications today.
D) The patient must have surgery for a ruptured appendix.
E) The patient's husband just filed for divorce.
Q2) Which interventions would the nurse plan to address the nursing diagnosis Risk for Impaired Skin Integrity for a patient with hypothyroidism?. Select all that apply.
A) Wash daily with antibacterial soap.
B) Apply emollient skin lotion liberally at least twice daily.
C) Use astringent wipes to reduce itching.
D) Assess the need for an alternating air mattress daily.
E) Clean areas between skin folds with alcohol to prevent a yeast infection.
To view all questions and flashcards with answers, click on the resource link above.
Page 48
Chapter 47: Caring for the Patient With Diabetes
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78611
Sample Questions
Q1) The nurse is identifying patient demographic groups that are at increased risk for needing insulin to control blood sugar. Which patient groups would the nurse identify?. Select all that apply.
A) Patients who are fasting or malnourished
B) Patients with type 2 diabetes who are diagnosed with an infection
C) Patients with type 2 diabetes who are undergoing surgical procedures
D) Patients with gestational diabetes
E) Patients receiving total parenteral nutrition
Q2) Genetic testing indicates that a child has DR3 and DR4 antigens on chromosome 6 of the human leukocyte antigen system. Which statement by the parents would indicate the nurse should reinforce teaching about these test results?
A) "Our son has a genetic immunity disorder."
B) "These results mean our son has diabetes."
C) "These markers are present in 95% of people with type 1 diabetes."
D) "These results are associated with increased susceptibility to diabetes."
Q3) The nurse is providing dietary instruction to a patient diagnosed with type 2 diabetes. The nurse includes information on how to reduce dietary intake of cholesterol to no more than _______ mg per day.
To view all questions and flashcards with answers, click on the resource link above. Page 49
Chapter 48: Nursing Management of the Patient With
Musculoskeletal Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78610
Sample Questions
Q1) While assessing a patient's hands, the nurse notes that the patient is unable to fully extend the ring or fifth finger. The nurse would suspect which condition?
A) Dupuytren's contracture
B) Bouchard's nodes
C) Swan neck deformity
D) Heberden's nodes
Q2) During an assessment of the feet, the nurse asks the patient to sit, feet dangling, and point the toes toward the nose. The nurse is assessing which movement?
A) Plantar flexion
B) Dorsiflexion
C) Eversion
D) Inversion
Q3) A patient recovering from hip replacement surgery is prescribed a pillow between the legs. The nurse explains that the pillow will facilitate which positioning?
A) Adduction
B) Abduction
C) Extension
D) Flexion
To view all questions and flashcards with answers, click on the resource link above. Page 50
Chapter 49: Caring for the Patient With Musculoskeletal Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78609
Sample Questions
Q1) An 82-year-old woman with fibromyalgia reports that she is not sleeping well at night. The nurse realizes that this patient is at particular risk for which complication of fibromyalgia?
A) Falling
B) Point tenderness
C) Becoming addicted to pain medications
D) Respiratory difficulties
Q2) The nurse is instructing a patient on foods high in calcium. The nurse knows the teaching was effective when the patient chooses which foods for a meal?. Select all that apply.
A) Chicken
B) Kale
C) Bananas
D) Salmon
E) Low-fat milk
Q3) A woman who emigrated from a Third World country has just delivered a baby. The woman says, "In my country, many babies die from polio. I want my baby immunized as soon as possible." The nurse responds, "Your baby will receive the first polio immunization at age _______ months.
Page 51
To view all questions and flashcards with answers, click on the resource link above.
Chapter 50: Caring for the Patient With Musculoskeletal
Trauma and Surgical Procedures
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78608
Sample Questions
Q1) The patient is diagnosed with an oblique fracture of the left femur. The nurse understands that the process of bone healing occurs in phases. Place in order the phases of the bone healing process.
A) Reparative phase
B) Initial injury (fracture)
C) Inflammatory phase
D) Remodeling phase
Q2) The nurse would be most alert for assessment findings of osteomyelitis in which patients?. Select all that apply.
A) The patient with a compound fracture
B) A patient who required open reduction of a fractured ankle
C) A patient who has a spiral fracture
D) A patient whose fractured radius was repaired with an external fixator device
E) A patient who has a torn anterior cruciate ligament
To view all questions and flashcards with answers, click on the resource link above.
Chapter 51: Caring for the Patient With Arthritis and
Connective Tissue Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78607
Sample Questions
Q1) A patient is experiencing symptoms typical of gout in the right foot. The nurse would prepare the patient for which diagnostic examinations?. Select all that apply.
A) MRI of the affected foot
B) Joint aspiration
C) Serum uric acid level
D) CT of the affected foot
E) X-ray of the affected foot
Q2) A patient diagnosed with reactive arthritis says, "I know this condition came from an infection. Can I give it to my family?" How should the nurse respond?
A) "You will be contagious until you have been on the prescribed antibiotics for 3 to 4 days."
B) "If your family was going to catch this, they probably already have."
C) "Your arthritis was caused by an infection that you might be able to pass on to your family, but you cannot give them arthritis."
D) "The kind of infection that causes this arthritis is not communicable."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 52: Nursing Management of the Patient With
Immunological and Inflammatory Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/78606
Sample Questions
Q1) A patient has a skin infection over the inner aspect of the left thigh. The nurse would anticipate finding enlargement when palpating which lymph nodes?. Select all that apply.
A) Inferior inguinal
B) Superior inguinal
C) Preauricular nodes
D) Supraclavicular nodes
E) Axillary nodes
Q2) A patient tells the nurse that he is 65 years old and has not had a cold or any other type of infection for at least 30 years. Which assumption can the nurse make about this patient's immune system?
A) The patient's lymph nodes must be engorged with bacteria.
B) The patient must have intact and functioning MHC receptors.
C) The patient has rapidly proliferating white blood cells.
D) The patient's spleen is probably enlarged.
Q3) The nurse would consider a provisional diagnosis of sepsis as supported by a band count of over ______ % of the total white blood cell count.
To view all questions and flashcards with answers, click on the resource link above.
Page 54
Chapter 53: Caring for the Patient With Immune Response Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78605
Sample Questions
Q1) A patient develops a fever, rash, joint and muscle pain, and swollen lymph nodes after receiving a sulfonamide for a urinary tract infection (UTI). The nurse anticipates providing care for which condition?
A) Serum sickness
B) Worsening of the infection
C) Respiratory involvement from systemic release of pathogens
D) Subacute rheumatoid arthritis from increased serum uric acid
Q2) A patient is diagnosed with valvular heart disease after having strep throat. The nurse would explain that this condition is the result of which pathophysiology?
A) Molecular mimicry
B) Release of hidden antigens into the circulation
C) Biologic changes that caused self-antigens to produce autoantibodies
D) An autoimmune response by slow-growing mycobacteria
Q3) A patient diagnosed with HIV/AIDS weighed 180 pounds when diagnosed. The patient has had intermittent fever, diarrhea, and anorexia for the last 30 days. The nurse would be concerned that HIV wasting is occurring if the patient has lost more than _______ pounds.
To view all questions and flashcards with answers, click on the resource link above.
Page 55
Chapter 54: Caring for the Patient With Inflammatory
Response, Shock, and Severe Sepsis
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/78604
Sample Questions
Q1) A patient diagnosed with shock is prescribed dobutamine (Dobutrex). The nurse would evaluate which finding as indicating the medication has had the desired effect?
A) Increased cardiac output
B) Decreased temperature
C) Decreased respiratory rate
D) Decreased blood pressure
Q2) A patient was diagnosed with sepsis 5 hours ago. To meet the criteria of the Sepsis Resuscitation Bundle, the nurse and health care team must complete the bundle within ______ hour(s).
Q3) A patient with sepsis has been ordered IV dopamine. Which assessment findings should the nurse discuss with the prescriber prior to administering this medication?. Select all that apply.
A) The patient's heart rate has dropped from 100 bpm to 80 bpm.
B) The patient's urinary output is 20 mL in the last hour.
C) Epinephrine has not yet been given.
D) The patient does not yet have a central line.
E) The patient's mean arterial pressure is 58 mmHg.
To view all questions and flashcards with answers, click on the resource link above.
Page 56
Chapter 55: Nursing Assessment of the Patient With
Hematological Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/78603
Sample Questions
Q1) What phrases would the nurse use to describe red blood cells?. Select all that apply.
A) Are formed from monoblasts
B) Maintain the chemical integrity of hemoglobin
C) Have a life span of approximately 90 days
D) Carry oxygen to tissues
E) Assume a rigid disk shape when filled with hemoglobin
Q2) How would the nurse explain primary and secondary hemostasis to the parents of a child newly diagnosed with a platelet disorder?. Select all that apply.
A) "During primary hemostasis, the vessels around the injured area constrict to reduce blood loss."
B) "The clot that forms in the injured vessel becomes more stable during secondary hemostasis."
C) "Normally a soft plug or clot is formed early in primary hemostasis."
D) "Normally, the coagulation cascade is started in primary hemostasis."
E) "Platelets play a role in primary hemostasis."
To view all questions and flashcards with answers, click on the resource link above. Page 57
Chapter 56: Caring for the Patient With Blood Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78602
Sample Questions
Q1) A patient has been diagnosed with disseminated intravascular coagulation (DIC). The patient's condition has not improved after administration of fresh frozen plasma and platelets. Which therapy does the nurse anticipate?
A) Administration of heparin
B) Rapid infusion of intravenous normal saline
C) Bone marrow transplant
D) Surgical removal of the spleen
Q2) A patient has lost 800 mL of blood during surgery. The nurse calculates that the patient has lost _______ mg of iron.
Q3) A patient is being discharged after treatment for thrombocytopenia. Which topics should the nurse consider when developing discharge instructions?. Select all that apply.
A) Ensuring safety in the home environment
B) Recognizing the signs of cutaneous bleeding
C) Alerting the community pharmacist about the patient's condition
D) Reducing alcohol consumption and increasing thiazide medications
E) Developing a plan for physical exercise
To view all questions and flashcards with answers, click on the resource link above.
Chapter 57: Caring for the Patient With Cancer
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78601
Sample Questions
Q1) The nurse is caring for a 78-year-old male with Hodgkin's disease who has received both chemotherapy and radiation. He was admitted to the hospital to evaluate an unexplained increasing fatigue and inability to care for himself. What nursing interventions are indicated?. Select all that apply.
A) Limiting oral intake
B) Spacing activities to allow for periods of rest
C) Suggesting a consult with a nutritionist
D) Assessing hemoglobin and hematocrit
E) Encouraging the patient to move about in bed every hour.
Q2) Biopsy of a skin lesion reveals anaplastic changes. The nurse would prepare this patient for which intervention?
A) Careful monitoring to ensure the cells do not develop into cancer
B) Chemotherapy for skin cancer
C) Removal of the anaplastic cells
D) Medication to reverse the anaplasia
Q3) The TNM classification system is being used to stage a patient's cancer. The nurse would plan to care for a patient with an advanced lesion spreading into adjacent organs if the primary tumor size (T) classification is T_____.
To view all questions and flashcards with answers, click on the resource link above.
Page 59
Chapter 58: Nursing Assessment of the Patient With
Integumentary Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78600
Sample Questions
Q1) The nurse discovers a vascular lesion on a patient's chest. What should the nurse check to help determine if the lesion is petechiae or telangiectasia?
A) Is the lesion scaly?
B) Is the lesion raised?
C) Does the lesion blanch?
D) Is the lesion painful?
Q2) A patient has been admitted with damage to the skin over both lower legs. The nurse immediately institutes measures to help prevent infection. The nurse's rationale for this action relates to damage of which cells?. Select all that apply.
A) Merkel's cells
B) Langerhans' cells
C) Dermal dendrocytes
D) Keratinocytes
E) Melanocytes
Q3) A patient is admitted with edematous lower extremities. The nurse palpates the patient's skin and finds that when pressure is applied, a deep indentation occurs and lasts for a short time. The nurse would document this finding as ____ + pitting edema.
To view all questions and flashcards with answers, click on the resource link above.
Page 60
Chapter 59: Caring for the Patient With Skin Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78599
Sample Questions
Q1) The nurse is preparing a teaching plan for a group of community teenagers about acne. Which information should be included in this teaching plan?. Select all that apply.
A) Avoid wearing makeup to reduce acne outbreak.
B) Keep hair clean with frequent shampoos.
C) Avoid eating chocolate.
D) Wearing a cap or hat may increase acne on the forehead.
E) Open pimples when they develop.
Q2) A patient asks the nurse about possible options regarding treatment for a malignant melanoma lesion on the arm. Which response by the nurse would be most accurate?
A) "The preferred method of treatment is to remove all the cancer surgically."
B) "An anticancer cream will be used to dissolve the lesion."
C) "Radiation to the skin lesion will be the first method of treatment."
D) "Intravenous chemotherapy will be the initial method of treatment."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 60: Caring for the Patient With Wounds
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78598
Sample Questions
Q1) A patient has a pressure ulcer on the ear where an oxygen cannula has been in place. The ulcer is shallow and long and has a black wound bed. How would the nurse stage this ulcer?
A) Stage II
B) Stage III
C) Stage IV
D) Unstageable
Q2) A patient injured in an accident has a large open leg wound that will require hospitalization for several days. The patient states he has just completed a course of steroid therapy. The nurse will include additional monitoring for which condition in the plan of care?
A) Delayed wound healing
B) Increased risk of thromboembolism
C) Increased tendency to bleed excessively
D) Increased pain at the wound site
Q3) The nurse has used the Braden Risk Assessment Scale to assess three newly admitted patients. The scores are 11, 15, and 17. The nurse prioritizes pressure ulcer prevention for the patient whose score is
To view all questions and flashcards with answers, click on the resource link above. Page 62
Chapter 61: Caring for the Patient With Burn Injuries
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78597
Sample Questions
Q1) The nurse would anticipate which laboratory result drawn 10 hours after a patient experienced a major burn injury?
A) Potassium level of 3.0 mEq/L
B) Platelets 450,000 uL
C) Hematocrit of 48%
D) Sodium 138 mEq/L
Q2) Which information will the nurse collect to assist in the classification of a burn injury as minor, moderate, or major?. Select all that apply.
A) Location of the burns on the body
B) The history of the event and location where the injury occurred
C) Any concurrent injuries
D) The time the injury occurred
E) The causative agent
Q3) The nurse is estimating the extent of burns on an adult patient just admitted to the emergency department. The patient has burns on both arms, the anterior trunk, and the right leg. The nurse estimates that _______ % of total body surface area is involved.
To view all questions and flashcards with answers, click on the resource link above.
63
Chapter 62: Nursing Assessment of the Patient With
Sensory Disorders
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78596
Sample Questions
Q1) Review of patient's medical record reveals the notation, "CF at 6 feet on R." How should the nurse interpret this information?
A) The patient can discriminate light perception only and only at less than 6 feet.
B) The patient's vision is normal.
C) The patient can see hand motion.
D) The patient can count the nurse's fingers at the distance of 6 feet.
Q2) Which patient report would the nurse evaluate as indicating that changes in accommodation are occurring?
A) "I have noticed that it is more difficult for me to read signs when I am driving."
B) "I have pain behind my eyes."
C) "I have difficulty reading the newspaper."
D) "I get dizzy when watching television."
Q3) During the assessment of a patient's fields of gaze, the nurse notices the left eye lags slightly behind the right when moving from the primary position to right upward position. All other movements are symmetrical and smooth. To allow for trending, the nurse would record - ______ for this result.
To view all questions and flashcards with answers, click on the resource link above. Page 64
Chapter 63: Caring for the Patient With Hearing and Balance Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78595
Sample Questions
Q1) A patient is diagnosed with otosclerosis. The nurse plans interventions related to which type of hearing loss?
A) Sensorineural
B) Mixed
C) Conductive
D) Cochlear
Q2) A patient diagnosed with swimmer's ear says, "I haven't been swimming in 2 years." How should the nurse respond to this statement?. Select all that apply.
A) "Let me recheck your chart to be certain I did not misinterpret the diagnosis."
B) "You must have gotten lots of water in your ear while showering."
C) "Swimmer's ear is usually a bacterial infection."
D) "Swimmer's ear can be caused by wearing ear plugs, earphones, or earbuds."
E) "Swimmer's ear is the common name for otitis externa, which has many causes."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 64: Caring for the Patient With Visual Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78594
Sample Questions
Q1) Which patient statement would the nurse evaluate as indicating problems with accommodation?
A) "I feel blinded by sunlight."
B) "I can't tell the difference between colors as well as I once did."
C) "I have trouble seeing at night."
D) "I am having trouble reading the newspaper."
Q2) A patient has just returned from surgery for removal of a cataract. Which nursing interventions are indicated?. Select all that apply.
A) Position the patient with the head of the bed up at 30 degrees.
B) Have the patient lie on the affected side.
C) Assess the operative eye for drainage.
D) Keep the eye patch in place.
E) Monitor the patient's pain level.
Q3) The nurse is admitting a patient for laser photocoagulation treatment of diabetic retinopathy. The nurse would immediately contact the health care provider if the patient's diastolic blood pressure is above _______ mmHg.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 65: Disaster Nursing
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78593
Sample Questions
Q1) A patient is brought into the emergency department after an acute exposure to radiation from the local atomic power plant. The patient has skin burns on the face, arms, and neck. The nurse implements which priority intervention?
A) Prepare to administer a blood transfusion.
B) Determine amount of radiologic exposure.
C) Begin antibiotic therapy.
D) Provide support for the onset of hypotension and diarrhea.
Q2) Facilitators of a critical incident stress debriefing are instructing the nurses on ways to cope with the stress created by providing disaster care. The nurses are participating in which phase of the debriefing session?
A) Reaction
B) Reentry
C) Fact
D) Teaching
Q3) The nurse manager has determined that critical incident stress debriefing (CISD) is necessary for staff members who provided care after a multivehicle accident that resulted in serious injury to 10 children and 8 adults. The manager should ensure that this session starts within ______ hours of the incident.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 66: Caring for the Patient in the Emergency Department
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78592
Sample Questions
Q1) Which patient statement would the nurse evaluate as reflecting the current trend in use of the emergency department? Select all that apply.
A) "I had to wait for 3 hours to be seen for my head cold."
B) "My dad had to stay in the ED overnight until a bed was available in the intensive care unit."
C) "I wanted to go to an ED across town, but they aren't accepting any ambulance patients right now."
D) "The lady in the office told me I should go somewhere else for care, but I am just too sick."
E) "The waiting room is packed with people who are sneezing and coughing."
Q2) The nurse is planning to conduct research on the top 10 most common reasons for visiting the emergency department. Which chief complaints would the nurse include in this work?. Select all that apply.
A) "I have had stomach pain for the last 2 hours."
B) "I have been vomiting since I ate a chicken salad sandwich for lunch."
C) "I hit a curb and the airbag in my car deployed."
D) "I cut my hand when a glass broke as I was washing dishes."
E) "I have a terrible headache."
To view all questions and flashcards with answers, click on the resource link above. Page 68
Chapter 67: Caring for the Patient With Multisystem
Trauma
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78591
Sample Questions
Q1) A patient was hospitalized 36 hours ago after suffering multiple injuries, including flail chest on the right, in an explosion. This morning the patient has moist crackles in the right lung, and the sputum is streaked with blood. The nurse discusses these findings with the health care provider due to concern about the possibility of which injury?
A) Tension pneumothorax
B) Pulmonary contusion
C) Hemothorax
D) Pneumonia
Q2) A trauma patient who experienced blunt cardiac injury from a steering wheel should be assessed for cardiac tamponade. The nurse would assess for which clinical manifestations? Select all that apply.
A) Neck vein distention
B) Presence of an S3 heart sound
C) Muffled heart sounds
D) Bounding pulse
E) Hypotension
To view all questions and flashcards with answers, click on the resource link above.
69