Nursing Fundamentals Practice Exam
Course Introduction
Nursing Fundamentals introduces students to the essential concepts, skills, and professional behaviors required in the practice of nursing. The course covers foundational topics such as patient safety, infection control, basic anatomy and physiology, communication techniques, vital sign assessment, and documentation. Emphasis is placed on the nursing process, ethical responsibilities, patient-centered care, and the development of critical thinking skills necessary for effective clinical decision-making. Through a combination of theoretical instruction and hands-on practice, students gain the confidence and competence needed to provide basic care and support to diverse patient populations in a variety of healthcare settings.
Recommended Textbook
Medical Surgical Nursing in Canada 4th Edition by Lewis
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72 Chapters
1844 Verified Questions
1844 Flashcards
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Chapter 1: Introduction to Medical-Surgical Nursing
Practice in Canada
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3266
Sample Questions
Q1) Which of the following refers to a situation that results in unintended harm to the client and is related to the care or services provided rather than the client's medical condition?
A)Negligence
B)Adverse event
C)Incident report
D)Nonmaleficence
Answer: B
Q2) The nurse is caring for a critically ill client in the intensive care unit and plans an A)Dependent
B)Cooperative
C)Independent
D)Collaborative
Answer: D
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Page 3
Chapter 2: Cultural Competence and Health Equity in Nursing Care
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) While talking with the nursing supervisor, a staff nurse expresses frustration that an Indigenous client always has several family members at the bedside. Which of the following actions is the most appropriate action for the nursing supervisor in this situation?
A)Remind the nurse that family support is important to this family and client.
B)Have the nurse explain to the family that too many visitors will tire the client.
C)Suggest that the nurse ask family members to leave the room during client care.
D)Ask about the nurse's personal beliefs about family support during hospitalization.
Answer: D
Q2) According to the ABC(DE)s of cultural competence, awareness of and sensitivity to cultural values is in which of the following domains?
A)Skills domain
B)Affective domain
C)Knowledge domain
D)Behavioural domain
Answer: B
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4
Chapter 3: Health History and Physical Examination
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) When admitting a client who has just arrived on the medical unit with severe abdominal pain, what should the nurse do first?
A)Complete only basic demographic data before addressing the client's abdominal pain.
B)Medicate the client for the abdominal pain before attending to the health history and examination.
C)Inform the client that the abdominal pain will be treated as soon as the health history is completed.
D)Take the initial vital signs and then deal with the abdominal pain before completing the health history.
Answer: D
Q2) As the nurse assesses the client's neck, the client says, "My neck is so stiff I can hardly move it." This client statement indicates the nurse should perform which of the following assessments?
A)Focused
B)Screening
C)Emergency
D)Comprehensive
Answer: A
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Chapter 4: Patient and Caregiver Teaching
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse is planning a teaching session for a client who needs to improve skills in being more assertive. Which of the following is the most effective teaching strategy for this client?
A)Role playing
B)Peer teaching
C)Printed materials
D)Lecture-discussion
Q2) The nurse is caring for a client with diabetes and develops a nursing diagnosis of ineffective health management related to insufficient knowledge of therapeutic regimen (resulting in low motivation). Which of the following client actions is the basis for thisnursing diagnosis?
A)Does not perform capillary blood glucose tests as directed.
B)Occasionally forgets to take the daily prescribed medication.
C)Says that dietary intake does not seem to impact fatigue level.
D)Cannot identify signs or symptoms of high and low blood glucose.
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6
Chapter 5: Chronic Illness
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which of the following factors has a major impact on the development of chronic illness?
A)Poverty
B)Social stability
C)Urban dwelling
D)High school diploma
Q2) The nurse is caring for a client with type 2 diabetes who has been hospitalized with severe hyperglycemia. Which of the following topics will be most important to include in discharge teaching?
A)Effect of endogenous insulin on transportation of glucose into cells
B)Function of the liver in formation of glycogen and gluconeogenesis
C)Impact of the client's family history on likelihood of developing diabetes
D)Symptoms indicating that the client should contact the health care provider
Q3) Which of the following types of cancers has a genetic predisposition to its occurrence?
A)Lung
B)Breast
C)Cervix
D)Testicles
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Page 7
Chapter 6: Community-Based Nursing and Home Care
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) Afamily caregiver tells the home health nurse, "I feel like I can never get away to do anything for myself." Which action is the most appropriate for the nurse to take?
A)Assist the caregiver in finding respite services.
B)Assure the caregiver that the work is appreciated.
C)Teach the caregiver that family members provide excellent client care.
D)Encourage the caregiver to discuss feelings openly with the nurse as needed.
Q2) When the home health nurse is caring for a client who needs to relearn self-care skills such as dressing and self-feeding, which referral will be best?
A)Dietitian
B)Speech therapist
C)Physical therapist
D)Occupational therapist
Q3) Which of the following statements is true in relation to nursing-sensitive outcomes?
A)Only used to evaluate client care.
B)Are outside of the nurses' scope of practice.
C)Have no influence on health care budgets.
D)Require empirical evidence.
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8
Chapter 7: Older Adults
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse is admitting an older-adult client who is hospitalized with an acute illness. Which of the following interventions should the nurse do first?
A)Orientate the client to their room.
B)Administer the prescribed PRN sedative medication.
C)Ask the health care provider to order a vest restraint.
D)Place the client in a "geri chair" near the nurse's station for observation.
Q2) Which nursing actions will the nurse take to assess for possible malnutrition in an older-adult client? (Select all that apply.)
A)Observe for depression.
B)Review laboratory results.
C)Assess teeth and oral mucosa.
D)Ask about transportation needs.
E)Determine food likes and dislikes.
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9
Chapter 8: Stress and Stress Management
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) The nurse is preparing a health-promotion session on meditation for older adults at a community centre. Which of the following points should the nurse include in the session?
A)Have clients bring earphones to the session.
B)Breathing pattern to slowly increase speed.
C)Allow a 10-20 minute time frame for meditation.
D)Practise two to three times per week.
Q2) The nurse is assisting with a breast biopsy for an alert client who has a lump in the right breast. Which relaxation technique will be best to use at this time?
A)Massage
B)Meditation
C)Guided imagery
D)Relaxation breathing
Q3) When choosing music to help relax a client who is having a painful dressing change, which action is best for the nurse to take?
A)Use music composed by Mozart.
B)Ask the client about music preferences.
C)Select music that has 60-80 beats/minute.
D)Encourage the client to use music without words.
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Page 10
Chapter 9: Sleep and Sleep Disorders
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) After the nurse has taught a client about the use of extended-release zopiclone for insomnia, which client statement indicates a need for further teaching?
A)"I will take the medication an hour before bedtime."
B)"I should take the medication on an empty stomach."
C)"I should not take this medication unless I can sleep for at least 6 hours."
D)"I will schedule activities that require mental alertness for later in the day."
Q2) Which information will the nurse plan to include when teaching a client with narcolepsy about management of the disorder?
A)Stimulant drugs should be used for only a short time because of the risk for abuse.
B)Driving an automobile may be possible with appropriate treatment of narcolepsy.
C)Changes in sleep hygiene are ineffective in improving sleep quality in narcolepsy.
D)Antidepressant drugs are prescribed to treat the depression caused by the disorder.
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11
Chapter 10: Pain
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse visits a hospice client and assesses a respiratory rate of 8 breaths/minute and the client states "I am having severe pain." Which of the following interventions should the nurse implement at this time?
A)Inform the client that increasing the morphine will cause the respiratory drive to fail.
B)Administer a nonopioid analgesic, such as a nonsteroidal anti-inflammatory drug (NSAID), to improve client pain control.
C)Tell the client that additional morphine can be administered when the respirations are 12.
D)Titrate the prescribed morphine dose upward until the client indicates adequate pain relief.
Q2) The nurse is caring for a client who has just started taking sustained-release morphine sulphate for chronic pain and is nausea with abdominal fullness. Which of the following interventions is the most appropriate for the nurse to implement?
A)Administer the ordered antiemetic medication.
B)Tell the client that the nausea will subside in about a week.
C)Order the client a clear liquid diet until the nausea decreases.
D)Consult with the health care provider about using a different opioid.
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Page 12
Chapter 11: Substance Use
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3276
Sample Questions
Q1) A young adult client arrives at the emergency department with severe chest pain and agitation. Which of the following actions should the nurse take first?
A)Give the PRN naloxone IV.
B)Ask about any use of stimulant drugs.
C)Assess orientation to person, place, and time.
D)Check blood pressure, pulse, and respirations.
Q2) The nurse is caring for a client who smokes a pack of cigarettes daily and has been admitted to the hospital for surgery. In anticipation of nicotine withdrawal, which of the following goals should the nurse include when planning postoperative care?
A)Improve sleep.
B)Enhance appetite.
C)Decrease diarrhea.
D)Prevent sore throat.
Q3) Suicide is an overdose effect of which of the following substances?
A)Alcohol
B)Inhalants
C)Opioids
D)Hallucinogens
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13
Chapter 12: Complementary and Alternative Therapies
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3277
Sample Questions
Q1) Which of the following actions if implemented by the nurse indicates that further education about complementary and alternative therapy is required?
A)Massaging the legs of a client who has a left foot stasis ulcer.
B)Assessing a capillary blood glucose level for a client taking aloe.
C)Recommending the use of acupressure to a client with tension headaches.
D)Teaching family members how to provide a hand massage to a client.
Q2) Which of the following information should the nurse include when discussing the use of herbal remedies with a client who uses a variety of herbs for health maintenance?
A)Herbs should be purchased only from manufacturers with a history of quality control.
B)Most herbs are toxic and carcinogenic and should be used only when proven effective.
C)Herbs are no better than conventional drugs in maintaining health and may be less safe.
D)Frequent medical evaluation is required during the use of herbs to avoid adverse effects.
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14
Chapter 13: Palliative Care at the End of Life
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The nurse is caring for a client who has been diagnosed with metastatic cancer and plans a trip across the country "to settle some issues with my sisters and brothers." Which of the responses should the nurse recognize that the client is manifesting?
A)Restlessness
B)Yearning and protest
C)Anxiety about unfinished business
D)Fear of the meaninglessness of one's life
Q2) The spouse of a client with terminal lung cancer visits daily and cheerfully talks with the client about vacation plans for the next year. When the nurse asks about any concerns, the spouse says, "I'm busy at work, but otherwise things are fine." Which of thefollowing nursing diagnoses is appropriate?
A)Ineffective denial related to threat of unpleasant reality
B)Anxiety related to threat to current status
C)Caregiver role strain related to inexperience with caregiving
D)Hopelessness related to chronic stress
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15
Chapter 14: Inflammation and Wound Healing
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/3279
Sample Questions
Q1) A client's temperature has been 38.8°C (101.8°F) for several days. The client's normal caloric intake to meet nutritional needs is 2 000 calories per day. Knowing that the metabolic rate increases 13% for every 1°C (33.8°F) increase in temperature above 37.8°C (100°F) in body temperature, calculate the total calories the client should receive each day.
Q2) Which of the following nursing actions is most likely to detect early signs of infection in a client who is taking immuno-suppressive medications?
A)Monitor white blood cell count.
B)Check the skin for areas of redness.
C)Check the temperature every 2 hours.
D)Ask about fatigue or feelings of malaise.
Q3) The nurse is caring for a client with diabetes who had abdominal surgery one week ago, and obtains the following data. Which of these findings should be reported immediately to the health care provider?
A)Blood glucose 7.6 mmol/L
B)Oral temperature 38.3°C (100.9°F)
C)Client has increased incisional pain
D)New 5-cm separation of the proximal wound edges
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Chapter 15: Genetics
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) The nurse is counselling a couple in which the man has an autosomal recessive disorder, and the woman has no gene for the disorder. The nurse uses Punnett squares to show the couple that the probability of their having a child with the disorder is whichofthefollowing percentages?
A)0%
B) 25%
C)50%
D) 75%
Q2) When taking a family history in the genetic clinic, the nurse will ask information about how many generations in the past?
A)2
B)3
C)4
D)5
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17
Chapter 16: Altered Immune Response and Transplantation
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) Which of the following adverse reactions should the nurse monitor when a client is undergoing plasmapheresis?
A)Shortness of breath
B)High blood pressure
C)Transfusion reactions
D)Hypotension and paresthesia
Q2) The nurse is caring for a client who has experienced Goodpasture's syndrome. Which of the following adverse effects should the nurse be aware of?
A)Thrombocytopenia
B)Leukopenia
C)Angioedema
D)Pulmonary hemorrhage
Q3) Which of the following adverse effects is related to cyclosporine administration?
A)Nephrotoxicity
B)Aseptic necrosis
C)Peptic ulcer
D)Leukopenia
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Chapter 17: Infection and Human Immunodeficiency Virus
Infection
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3282
Sample Questions
Q1) A client who has been treated for HIV infection for 7 years has developed fat redistribution to the trunk, with wasting of the arms, legs, and face. Which of the following topics should the nurse include in the client teaching plan?
A)The benefits of daily exercise
B)Foods that are higher in protein
C)Treatment with antifungal agents
D)A change in antiretroviral therapy
Q2) Which of the following clients will the nurse working in an HIV testing and treatment clinic anticipate teaching about antiretroviral therapy (ART)?
A)A client who is currently HIV negative but has unprotected sex with multiple partners
B)A client who was infected with HIV 15 years ago and now has a CD4+ count of 840/µL
C)An HIV-positive client with a CD4+ count of 120/µL who drinks a fifth of whiskey daily
D)A client who tested positive for HIV 2 years ago and has cytomegalovirus (CMV) disease
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19
Chapter 18: Cancer
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) When reviewing the chart for a client with cervical cancer, the nurse notes that the cancer is staged as Tis, N0, M0. Which of the following statements is accurate related to this staging?
A)The cancer is localized to the cervix.
B)The cancer cells are well differentiated.
C)Further testing is needed to determine the spread of the cancer.
D)It is difficult to determine the original site of the cervical cancer.
Q2) The nurse obtains information about a hospitalized client who is receiving chemotherapy for cancer of the colon. Which of the following information about the client is most indicative of a need for a change in therapy?
A)Poor oral intake
B)Increase in carcinoembryonic antigen
C)Frequent loose stools
D)Complaints of nausea
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Chapter 19: Fluid
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse is caring for a client recently admitted with small cell carcinoma of the lung and the syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following assessments should the nurse carefully monitor?
A)Increased total urinary output
B)Elevation of serum hematocrit
C)Decreased serum sodium level
D)Rapid and unexpected weight loss
Q2) The nurse is caring for a postoperative client who is receiving nasogastric suction and is anxious with incisional pain. The client's respiratory rate is 32 breaths/minute and the arterial blood gases (ABGs) indicate respiratory alkalosis. Which of thefollowing actions should the nurse take first?
A)Discontinue the nasogastric suctions for a few hours.
B)Notify the health care provider about the ABG results.
C)Teach the client about the need to take slow, deep breaths.
D)Give the client the PRN morphine sulphate 4 mg intravenously.
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21
Chapter 20: Nursing Management Preoperative Care
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Aclient arrives at the ambulatory surgery centre for a scheduled outpatient surgery. Which of the following information is of most concern to the nurse?
A)The client has not had outpatient surgery before.
B)The client is planning to drive home after surgery.
C)The client's insurance does not cover the scheduled procedure.
D)The client had a glass of water a few hours before arriving.
Q2) The nurse is preparing a client for surgery. Which of the following information about medication use is most important for the nurse to communicate to the health care provider?
A)The client uses acetaminophen occasionally for aches and pains.
B)The client takes garlic capsules daily but did not take any on the surgical day.
C)The client has a history of cocaine use but quit using the drug over 10 years ago.
D)The client took a sedative medication the previous night to assist in falling asleep.
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Chapter 21: Nursing Management Intraoperative Care
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse is completing an inventory of medications on the unit. Which of the following anaesthesia medications should the nurse expect to observe under refrigeration? (Select all that apply.)
A)Atracurium
B)Pancuronium
C)Rocuronium
D)Neostigmine bromide
E)Succinylcholine
Q2) Data that were obtained during the perioperative nurse is assessing a client in the preoperative holding area. Which of the following findings would indicate a need for special protection techniques during surgery?
A)A stated allergy to cats and dogs
B)A history of spinal and hip arthritis
C)Verbalization of anxiety by the client
D)Having a sip of water 2 hours previously
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23
Chapter 22: Nursing Management Postoperative Care
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The nurse is caring for a client in the PACU and the client's blood pressure has dropped from an admission blood pressure of 138/84 to 100/58 with a pulse change of 68-94. SpO<sub>2</sub> is 98% on 3L of oxygen. In which order should the nurse take these actions?
A)Raise the IV infusion rate.
B)Assess the client's dressing.
C)Increase the oxygen flow rate.
D)Check the client's temperature.
Q2) The nurse is caring for a client in the postoperative period who is on bed rest. Which of the following actions should the nurse implement?
A)Assist the client to the bathroom when required.
B)Implement active ROM exercise every 1-2 hours.
C)Place the client in a chair for 20 minutes TID.
D)Complete passive ROM exercises once per 12 hour shift.
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Chapter 23: Nursing Assessment Visual and Auditory Systems
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse is conducting an auditory assessment with a client. Which of the following findings should the nurse document as normal? (Select all that apply.)
A)Ability to hear low whisper at 30 cm
B)Rinne's test results: bone conduction is better than air conduction
C)Weber's test results- no lateralization
D)Curved cone light reflex
E)Symmetrical location of ears
Q2) The nurse is obtaining a health history from a middle-aged adult client. Which of the following client statements is most important to communicate to the health care provider?
A)"My vision seems blurry now when I read."
B)"I have noticed that my eyes are drier now."
C)"It is hard for me to see when I drive at night."
D)"The peripheral part of my vision is decreased."
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Chapter 24: Nursing Management Visual and Auditory
Problems
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) The nurse is assessing a client with primary open-angle glaucoma (POAG) to evaluate if the treatment has been effective. Which of the following parameters should the nurse assess to determine if there has been improvement?
A)Eye pain
B)Visual field
C)Blurred vision
D)Depth perception
Q2) Which of the following actions should the nurse take when assisting a totally blind client to walk to the bathroom?
A)Take the client by the arm and lead the client slowly to the bathroom.
B)Have the client place a hand on the nurse's shoulder and guide the client.
C)Stay beside the client and describe any obstacles on the path to the bathroom.
D)Walk slightly ahead of the client and allow the client to hold the nurse's elbow.
Q3) Which of the following actions is an example of an approach magnification?
A)Using a telescopic lens
B)Sitting closer to a television while watching it
C)Using a black-tipped felt marker when writing
D)Reading books with large-type print
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Chapter 25: Nursing Assessment Integumentary System
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) The nurse is preparing for a teaching session with older-adult clients. Which of the following changes is an age-related change in the hair?
A)Increased melanocytes
B)Decreased oils
C)Increased density
D)Increased estrogen
Q2) Aclient asks the nurse why a potassium hydroxide test needs to be done. The nurse's response is based upon the knowledge that which of the following is the purpose of this test?
A)Examine a lesion via a biopsy.
B)Obtain fluids from vesicles for assessment.
C)Assess for fungal infection.
D)Scrap exudate from a lesion for microscopic examination.
Q3) The nurse is caring for a client who has several angiomas on their legs. Which of the following actions should the nurse take next?
A)Assess the client for evidence of liver disease.
B)Discuss the adverse effects of sun exposure on the skin.
C)Educate the client about possible skin changes with aging.
D)Suggest that the client make an appointment with a dermatologist.
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Page 27
Chapter 26: Nursing Management Integumentary
Problems
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse is assessing a client who has just arrived in the postanaesthesia recovery area (PACU) after a blepharoplasty. Which of the following assessment data is a priority?
A)The client complains of incisional pain.
B)The client's heart rate is 110 beats/minute.
C)The client is unable to detect when the eyelids are touched.
D)The skin around the incision is pale and cold when palpated.
Q2) After the nurse has finished teaching a client about application of corticosteroid cream to an area of contact dermatitis on the right leg, which of the following client actions indicates that more teaching is needed?
A)The client spreads the cream using a downward motion.
B)The client takes a tepid bath before applying the cream.
C)The client applies a thick layer of the cream to the affected skin.
D)The client covers the area with a dressing after applying the cream.
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Chapter 27: Nursing Management Burns
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29 Verified Questions
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Sample Questions
Q1) The nurse is caring for a client who incurred extensive burn injuries 5 days ago and has been prescribed ranitidine. Which of the following assessments should the nurse use to evaluate the effectiveness of the medication?
A)Bowel sounds
B)Stool frequency
C)Abdominal distention
D)Stools for occult blood
Q2) The nurse is caring for a client who has burns over 30% of the body surface. Which of the following events indicates that the client has moved from the emergent to the acute phase of the burn injury?
A)White blood cell levels decrease.
B)Blisters and edema have subsided.
C)The client has large quantities of pale urine.
D)The client has been hospitalized for 48 hours.
Q3) The nurse is estimating the extent of a burn using the rule of nines for a client who has been admitted with deep partial-thickness burns of the posterior trunk and right arm. What percentage of the client's total body surface area (TBSA) has been injured?
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29
Chapter 28: Nursing Assessment Respiratory System
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3293
Sample Questions
Q1) Which of the following respiratory assessments are not normal? (Select all that apply.)
A)Respirations 23 breaths/minute
B)Outward movement of abdomen during inspiration
C)Increase in vibrations with tactile fremitus
D)Tripod position
E)Symmetrical chest expansion
Q2) The nurse is auscultating a client's lungs and hears short, high-pitched sounds during exhalation in the lower 1/3 of both lungs. Which of the following information should the nurse document?
A)Expiratory crackles at the bases
B)Expiratory wheezes in both lungs
C)Abnormal lung sounds in the bases of both lungs
D)Pleural friction rub in the right and left lower lobes
Q3) Which of the following pH values is abnormal for a pH when assessing blood results of a mixed venous blood sample?
A)7.31
7.35
7.42
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Chapter 29: Nursing Management Upper Respiratory Problems
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3294
Sample Questions
Q1) The nurse is teaching a client with laryngeal cancer about radiation therapy. Which of the following client statements indicate that the teaching has been effective?
A)"I will need to buy a water bottle to carry with me."
B)"I should not use any lotions on my neck and throat."
C)"Until the radiation is complete, I may have diarrhea."
D)"Alcohol-based mouthwashes will help clean oral ulcers."
Q2) The nurse is deflating the cuff of a tracheostomy tube to evaluate the client's ability to swallow. Which of the following actions should the nurse implement?
A)Clean the inner cannula of the tracheostomy tube before deflation.
B)Deflate the cuff during the inhalation phase of the respiratory cycle.
C)Suction the client's mouth and trachea before deflation of the cuff.
D)Insert exactly the same volume of air into the cuff during reinflation.
Q3) Which of the following causes is the most common cause of acute pharyngitis?
A)Fungal
B)Viral
C)Acute follicular
D)Peritonsillar
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Page 31
Chapter 30: Nursing Management Lower Respiratory
Problems
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/3295
Sample Questions
Q1) The nurse is caring for a client with bacterial pneumonia who has pleurisy. Which of the following actions should the nurse implement to promote airway clearance?
A)Assist the client to splint the chest when coughing.
B)Educate the client about the need for fluid restrictions.
C)Encourage the client to wear the nasal oxygen cannula.
D)Instruct the client on the pursed lip breathing technique.
Q2) The nurse is caring for a client with pneumonia who has symptoms of a sharp pain "whenever I take a deep breath." Which of the following actions should the nurse take next?
A)Listen to the client's lungs.
B)Administer the PRN morphine.
C)Have the client cough forcefully.
D)Notify the client's health care provider.
Q3) Which of the following information about a client who has a recent history of
A)Chest x-ray shows no upper lobe infiltrates.
B)TB medications have been taken for 6 months.
C)Mantoux testing shows an induration of 10 mm.
D)Three sputum smears for acid-fast bacilli are negative.
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Chapter 31: Nursing Management Obstructive Pulmonary
Diseases
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3296
Sample Questions
Q1) The nurse is caring for a client with chronic bronchitis who has a new prescription for a combined fluticasone and salmeterol inhaler and the client asks the nurse the purpose of using two drugs. Which of the following information is the basis for the nurse'sresponse?
A)One drug decreases inflammation, and the other is a bronchodilator.
B)It is a combination of long-acting and slow-acting bronchodilators.
C)The combination of two drugs works more quickly in an acute asthma attack.
D)The two drugs work together to block the effects of histamine on the bronchioles.
Q2) Which of the following actions should be included in the plan of care for a client with
A)Schedule a sweat chloride test.
B)Arrange for a hospice nurse visit.
C)Place the client on a low-sodium diet.
D)Perform chest physiotherapy every 4 hours.
Q3) Which of the following information should the nurse teach a client with COPD?
A)To exercise immediately before a meal.
B)To eat a high-calorie, low-protein diet.
C)To have 5 or 6 small meals a day.
D)Avoid foods that are cooked in a microwave.
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Chapter 32: Nursing Assessment Hematological System
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3297
Sample Questions
Q1) The nurse is caring for a client with a chronic iron-deficiency anemia. Which of the following assessment findings should the nurse anticipate?
A)Yellow-tinged sclerae
B)Shiny, smooth tongue
C)Numbness of the extremities
D)Gum bleeding and tenderness
Q2) The nurse is caring for a client whose complete blood count (CBC) and differential indicate that the client is neutropenic. Which of the following actions should the nurse include in the plan of care?
A)Avoid intramuscular injections.
B)Encourage increased oral fluids.
C)Check temperature every 4 hours.
D)Increase intake of iron-rich foods.
Q3) The nurse is reviewing laboratory data for an older-adult client. Which of the following results should be of most concern?
A)White blood cell (WBC) count of 3.5 * 10<sup>9</sup>/L
B)Hematocrit of 37%
C)Platelet count of 400 * 10<sup>9</sup>/L
D)Hemoglobin of 118 g/L
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Page 34
Chapter 33: Nursing Management Hematological Problems
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/3298
Sample Questions
Q1) The nurse is caring for a client with non-Hodgkin's lymphoma who develops a platelet count of 38 * 109/L during chemotherapy. Which of the following actions should the nurse implement based on this finding?
A)Provide oral hygiene every 2 hours.
B)Check all stools for occult blood.
C)Assess temperature every 4 hours.
D)Encourage fluids to 3 000 mL/day.
Q2) The nurse is caring for a client with acute myelogenous leukemia who is receiving outpatient chemotherapy and develops an absolute neutrophil count of 0.9 * 10<sup>9</sup>/L. Which of the following actions by the nurse in the outpatient clinic is best?
A)Discuss the need for hospital admission to treat the neutropenia.
B)Plan to discontinue the chemotherapy until the neutropenia resolves.
C)Teach the client how to administer filgrastim injections at home.
D)Obtain a high-efficiency particulate air (HEPA) filter for the client for home use.
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Chapter 34: Nursing Assessment Cardiovascular System
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/3299
Sample Questions
Q1) The nurse is assessing a client who was admitted with heart failure and notes that the client has jugular venous distension (JVD) when lying flat in bed. Which of the following actions should the nurse take next?
A)Use a ruler to measure the level of the JVD.
B)Document this finding in the client's record.
C)Observe for JVD with the head at 45 degrees.
D)Have the client perform the Valsalva manoeuvre.
Q2) The nurse is assessing a newly admitted client and notes a thrill along the left sternal border. To obtain more information about the cause of the thrill, which of the following actions should the nurse take next?
A)Auscultate for any cardiac murmurs.
B)Find the point of maximal impulse.
C)Compare the apical and radial pulse rates.
D)Palpate the quality of the peripheral pulses.
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Chapter 35: Nursing Management Hypertension
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse obtains this information from a client with prehypertension. Which of the following findings is most important to address with the client?
A)Low dietary fibre intake
B)No regular aerobic exercise
C)BMI of 23 kg/m²
D)Drinks wine with dinner once a week
Q2) The nurse is caring for a client who has just diagnosed with hypertension and has a new prescription for captopril. Which of the following information is important to include when teaching the client?
A)Check BP daily before taking the medication.
B)Increase fluid intake if dryness of the mouth is a problem.
C)Include high-potassium foods such as bananas in the diet.
D)Change position slowly to help prevent dizziness and falls.
Q3) The nurse obtains a blood pressure of 180/75 mm Hg for a client. What is the client's mean arterial pressure (MAP)?
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Chapter 36: Nursing Management Coronary Artery Disease
and Acute Coronary Syndrome
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) The nurse is admitting a client who has chest pain is to the emergency department and all the following diagnostic tests are prescribed. Which of the following tests should the nurse arrange to be completed first?
A)Electrocardiogram (ECG)
B)Computed tomography (CT) scan
C)Chest x-ray
D)Troponin level
Q2) The nurse is caring for a client with angina who has been prescribed nadolol. Which of the following parameters should the nurse assess to determine whether the drug is effective?
A)Decreased blood pressure and apical pulse rate
B)Fewer complaints of having cold hands and feet
C)Improvement in the quality of the peripheral pulses
D)The ability to do daily activities without chest discomfort
Q3) Which of the following information collected by the nurse who is admitting a client with chest pain suggests that the pain is caused by an acute myocardial infarction?
A)The pain increases with deep breathing.
B)The pain has persisted longer than 30 minutes.
C)The pain worsens when the client raises the arms.
Page 38
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Chapter 37: Nursing Management Heart Failure
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3302
Sample Questions
Q1) The nurse is caring for a client with chronic heart failure. Which of the following conditions is a cause of chronic heart disease?
A)Dysrhythmias
B)Pulmonary embolus
C)Myocarditis
D)Congenital heart disease
Q2) After receiving change-of-shift report, which of the following clients admitted with heart failure should the nurse assess first?
A)A client who is receiving IV nitroprusside and has a blood pressure (BP) of 100/56
B)A client who is cool and clammy, with new-onset confusion and restlessness
C)A client who had dizziness after receiving the first dose of captopril
D)A client who has crackles in both posterior lung bases and is receiving oxygen
Q3) Which assessment finding in a client admitted with chronic heart failure requires the most rapid action by the nurse?
A)Oxygen saturation of 88%
B)Weight gain of 1 kg
C)Apical pulse rate of 106 beats/minute
D)Urine output of 50 mL over 2 hours
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Chapter 38: Nursing Management Dysrhythmias
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/3303
Sample Questions
Q1) The nurse has received change-of-shift report about the following clients on the telemetry unit. Which of the following clients should the nurse see first?
A)A client with atrial fibrillation, rate 88, who has a new order for warfarin
B)A client with type 1 second-degree atrioventricular (AV) block, rate 60, who is dizzy when ambulating
C)A client who is in a sinus rhythm, rate 98, after having electrical cardioversion 2 hours ago
D)A client whose implantable cardioverter-defibrillator (ICD) fired three times today who has a dose of amiodaronedue
Q2) The nurse is caring for a client who is on the telemetry unit and develops atrial flutter, rate 150, with associated dyspnea and diaphoresis. Which of the following actions that are included in the hospital dysrhythmia protocol should the nurse take first?
A)Obtain a 12-lead electrocardiogram (ECG).
B)Give O2 via nasal cannula at 3-4 L/minute.
C)Take the client's blood pressure and respiratory rate.
D)Notify the health care provider of the change in rhythm.
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Chapter 39: Nursing Management Inflammatory and
Structural Heart Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/3304
Sample Questions
Q1) Which of the following assessment information obtained by the nurse for a client with aortic stenosis is most important to report to the health care provider?
A)The client complains of chest pain associated with ambulation.
B)A loud systolic murmur is audible along the right sternal border.
C)A thrill is palpable at the 2nd intercostal space, right sternal border.
D)The point of maximum impulse (PMI) is at the left midclavicular line.
Q2) The nurse is admitting a client with possible acute pericarditis. Which of the following diagnostic assessments should the nurse plan to teach the client about?
A)Electrolyte levels
B)Echocardiography
C)Daily blood cultures
D)Cardiac catheterization
Q3) Which of the following findings in a client with infective endocarditis (IE) is most important for the nurse to communicate to the health care provider?
A)Generalized muscle aching
B)Sudden onset left flank pain
C)Janeway's lesions on the palms
D)Temperature 38.1° C
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Chapter 40: Nursing Management Vascular Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/3305
Sample Questions
Q1) A client asks the nurse if there are any natural products that would decrease anticoagulant effects. The nurse tells the client that which of the following natural products causes a decrease in anticoagulant effects?
A)Horse chestnut
B)Licorice root
C)Turmeric
D)Green tea
Q2) Which of the following clients admitted to the emergency department should the nurse assess first?
A)62-year-old who has gangrenous ulcers on both feet
B)50-year-old who is complaining of "tearing" chest pain
C)45-year-old who is taking anticoagulants and has bloody stools
D)36-year-old who has right calf tenderness, redness, and swelling
Q3) Which of the following responses by a client that is on anticoagulant therapy indicates the need for further teaching?
A)"I can still have a glass of wine with my dinner"
B)"For pain relief I will take ibuprofen"
C)"I take my pills at two o'clock every day"
D)"I will use an electric razor for shaving"
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Page 42
Chapter 41: Nursing Assessment Gastro-intestinal System
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3306
Sample Questions
Q1) The nurse is caring for a client who has a history of a total gastrectomy. Which of the following clinical manifestations should the nurse monitor in the client?
A)Constipation
B)Dehydration
C)Elevated total cholesterol
D)Cobalamin deficiency
Q2) Which of the following actions by a nursing student when caring for a client who has just returned to the nursing unit after an esophagogastroduodenoscopy (EGD) requires that the RN intervene?
A)Offering the client a glass of water
B)Positioning the client on the right side
C)Checking the vital signs every 30 minutes
D)Swabbing the client's mouth with cold water
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43
Chapter 42: Nursing Management Nutritional Problems
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3307
Sample Questions
Q1) The nurse is caring for a client who is receiving continuous enteral nutrition through a small-bore silicone feeding tube, has a computed tomography (CT) scan ordered, and will have to be placed in a flat position for the scan. Which of the following actionsby the nurse is best?
A)Shut the feeding off 30-60 minutes before the scan.
B)Ask the health care provider to reschedule the CT scan.
C)Connect the feeding tube to continuous suction during the scan.
D)Send the client to CT scan with oral suction in case of aspiration.
Q2) The nurse is admitting a client for electrolyte disorders of unknown etiology. Which of the following findings is most important to report to the health care provider?
A)The client's knuckles are macerated.
B)The client uses laxatives on a daily basis.
C)The client has a history of weight fluctuations.
D)The client's serum potassium level is 2.9 mmol/L.
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44
Chapter 43: Nursing Management Obesity
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/3308
Sample Questions
Q1) Which of the following information should the nurse plan to include in discharge teaching for a client after gastric bypass surgery?
A)Avoid drinking fluids with meals.
B)Choose high-fat foods for at least 30% of intake.
C)Choose foods that are high in fibre to promote bowel function.
D)Development of flabby skin can be prevented by daily exercise.
Q2) The nurse is developing a weight loss plan for a young adult client who is morbidly obese. Which of the following statements by the nurse is most likely to help the client in losing weight on the planned 1 000-calorie diet?
A)"It will be necessary to change lifestyle habits permanently to maintain weight loss."
B)"You will decrease your risk for future health problems such as diabetes by losing weight now."
C)"Most of the weight that you lose during the first weeks of dieting is water weight rather than fat."
D)"You are likely to start to notice changes in how you feel with just a few weeks of diet and exercise."
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45
Chapter 44: Nursing Management Upper Gastro-intestinal
Problems
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3309
Sample Questions
Q1) The nurse is assessing a client who recently has been experiencing frequent heartburn in the clinic. Which of the following information should the nurse include in the teaching plan?
A)Barium swallow
B)Radionuclide tests
C)Endoscopy procedures
D)Proton pump inhibitors
Q2) The nurse is caring for a client who has just arrived on the postoperative unit after having a laparoscopic esophagectomy for treatment of esophageal cancer. Which of the following nursing actions should be included in the postoperative plan of care?
A)Elevate the head of the bed to at least 30 degrees.
B)Reposition the nasogastric (NG) tube if drainage stops or decreases.
C)Notify the doctor immediately about bloody NG drainage.
D)Start oral fluids when the client has active bowel sounds.
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Chapter 45: Nursing Management Lower Gastro-intestinal
Problems
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/3310
Sample Questions
Q1) The nurse is interviewing a 40-year-old client and obtains information about the following client problems. Which of the following information is most important to communicate to the health care provider?
A)The client had an appendectomy at age 17.
B)The client smokes a pack/day of cigarettes.
C)The client has a history of frequent constipation.
D)The client has recently noticed blood in the stools.
Q2) Which of the following nursing actions is most important to include in the plan of care for a client who had an abdominal-perineal resection the previous day?
A)Teach about a low-residue diet.
B)Monitor output from the stoma.
C)Assess the perineal drainage and incision.
D)Encourage acceptance of the colostomy stoma.
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Chapter 46: Nursing Management Liver
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/3311
Sample Questions
Q1) The nurse is planning care for a client with acute severe pancreatitis. Which of the following client outcomes is priority?
A)Expressing satisfaction with pain control
B)Developing no ongoing pancreatic problems
C)Maintaining normal respiratory function
D)Having adequate fluid and electrolyte balance
Q2) The nurse is caring for a client with cirrhosis who has 4+ pitting edema of the feet and legs. Which of the following assessments is priority for the nurse to monitor?
A)Hemoglobin
B)Temperature
C)Activity level
D)Albumin
Q3) The nurse is caring for a client who is diagnosed with acute hepatitis B. Which of the following information should the nurse include in the teaching plan?
A)Ways to increase exercise and activity level
B)Self-administration of ?-interferon
C)Adverse effects of nucleoside and nucleotide analogs
D)Measures that will be helpful in improving appetite
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Chapter 47: Nursing Assessment Urinary System
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3312
Sample Questions
Q1) Acreatinine clearance test is ordered for a hospitalized client with possible renal insufficiency. Which of the following equipment will the nurse need to obtain?
A)Sterile specimen cup
B)Large container for urine
C)Foley catheter and drainage bag
D)Towelettes for perineal cleaning
Q2) A client with a possible urinary tract infection (UTI) gives the nurse in the clinic a urine specimen that is a red-orange colour. Which of the following actions should the nurse take first?
A)Notify the client's health care provider.
B)Ask the client about use of any medications.
C)Question the client about any UTI risk factors.
D)Teach about the correct procedure for midstream urine collection.
Q3) For which of the following purposes does the nurse use auscultation during assessment of the urinary system?
A)Check for ureteral peristalsis.
B)Assess for bladder distension.
C)Identify renal artery or aortic bruits.
D)Determine the position of the kidneys.
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Page 49
Chapter 48: Nursing Management Renal and Urologic
Problems
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/3313
Sample Questions
Q1) The nurse is preparing a client with bladder cancer for intravesical chemotherapy. Which of the following information should the nurse teach the client about in preparation for the treatment?
A)Premedicating to prevent nausea
B)Where to obtain wigs and scarves
C)The importance of oral care during treatment
D)The need to empty the bladder before treatment
Q2) The nurse is caring for a client with benign prostatic hyperplasia who has chills, fever, and is vomiting. Which of the following findings by the nurse is most helpful in determining whether the client has an upper urinary tract infection (UTI)?
A)Suprapubic pain
B)Bladder distention
C)Foul-smelling urine
D)Costovertebral tenderness
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Chapter 49: Nursing Management Acute Kidney Injury and Chronic Kidney Disease
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/3314
Sample Questions
Q1) The nurse is caring for a client with hypertension and stage 2 chronic kidney disease (CKD) who is prescribed ramapril. Which of the following laboratory tests should the nurse assess before administration of the medication?
A)Glucose
B)Potassium
C)Creatinine
D)Phosphate
Q2) Two hours after a kidney transplant, the nurse obtains all of the following data when assessing the client. Which information is most important to communicate to the health care provider?
A)The urine output is 900-1 100 mL/hour.
B)The blood urea nitrogen (BUN) and creatinine levels are elevated.
C)The client's central venous pressure (CVP) is decreased.
D)The client has level 8 (on a 10-point scale) incisional pain.
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Chapter 50: Nursing Assessment Endocrine System
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/3315
Sample Questions
Q1) Aclient has a total serum calcium level of 3.3 mmol/L. Which of the following laboratory results should the nurse assess next?
A)Calcitonin
B)Catecholamine
C)Thyroid hormone
D)Parathyroid hormone
Q2) The student nurse is caring for a client with goitre and possible hyperthyroidism. Which of the following actions by the student nurse should cause the nursing instructor to intervene?
A)Palpates the neck to check thyroid size.
B)Checks the blood pressure on both arms.
C)Administers nonmedicated eye drops to the client's eyes.
D)Lowers the thermostat to decrease the temperature in the room.
Q3) The regulation of oxytocin during childbirth is an example of which of the following mechanisms?
A)Physiological rhythm
B)Secondary input
C)Loop regulation
D)Positive feedback
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Chapter 51: Nursing Management Endocrine Problems
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/3316
Sample Questions
Q1) The nurse is caring for a client with possible syndrome of inappropriate antidiuretic hormone (SIADH). The client is confused and reports a headache, muscle cramps, and twitching. Which of the following initial laboratory results should the nurse anticipate?
A)Elevated hematocrit
B)Decreased serum sodium
C)Increased serum chloride
D)Low urine specific gravity
Q2) The nurse is caring for a client with a diagnosis of Cushing's syndrome. Which of the following data should the nurse anticipate finding during the admission assessment?
A)Chronically low blood pressure
B)Bronzed appearance of the skin
C)Decreased axillary and pubic hair
D)Purplish red streaks on the abdomen
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Chapter 52: Nursing Management Diabetes Mellitus
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39 Flashcards
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Sample Questions
Q1) The nurse is caring for a client with type 2 diabetes who has sensory neuropathy of the feet and legs and peripheral arterial disease. Which of the following information will the nurse include in client teaching?
A)Choose flat-soled leather shoes.
B)Set heating pads on a low temperature.
C)Buy callus remover for corns or calluses.
D)Soak the feet in warm water for an hour every day.
Q2) Amitriptyline is prescribed for a diabetic client who has burning foot pain at night. Which of the following information should the nurse include when teaching the client about the new medication?
A)Amitriptyline will decrease the depression caused by your foot pain.
B)Amitriptyline will correct some of the blood vessel changes that cause pain.
C)Amitriptyline will improve sleep and make you less aware of nighttime pain.
D)Amitriptyline will help prevent the transmission of pain impulses to the brain.
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Chapter 53: Nursing Assessment Reproductive System
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18 Flashcards
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Sample Questions
Q1) The nurse is admitting a young adult female client to the emergency department after an automobile accident and is scheduled for abdominal x-rays. Which of the following information is most important to report to the health care provider before the x-raysareobtained?
A)Abdominal pain
B)Positive hCG testing
C)Temperature 38.9°C (102°F)
D)Blood pressure 172/88 mm Hg
Q2) Which information about a female client who wants to start using oral contraceptives is most important to report to the health care provider?
A)The client quit smoking 6 months previously.
B)The client's blood pressure is 164/90 mm Hg.
C)The client has not been vaccinated for rubella.
D)The client has chronic iron-deficiency anemia.
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Chapter 54: Nursing Management Breast Disorders
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/3319
Sample Questions
Q1) Aclient with stage II breast cancer tells the nurse, "I need to decide about what type of surgery to have, but I feel so overwhelmed that I cannot make any decisions yet! What do you think I should do?" Which of the following responses by the nurse is best?
A)"I would have a lumpectomy, but you need to decide what is best for you."
B)"Tell me what you understand about the surgical options that are available."
C)"It would not be appropriate for me to make the decision about your health."
D)"There is no need to make a decision rapidly; you have time to think about this."
Q2) Which of the following statements by a client newly diagnosed with stage I breast cancer indicates to the nurse that client teaching may be needed?
A)"There are several options available for treating the cancer."
B)"I will probably need radiation to the breast after having the surgery."
C)"I can probably have reconstructive surgery at the same time as a mastectomy."
D)"Mastectomy will be the best choice to decrease the chance of cancer recurrence."
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Chapter 55: Nursing Management Sexually Transmitted
Infections
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3320
Sample Questions
Q1) When a client returns to the clinic for follow-up after treatment for gonococcal urethritis, a purulent urethral discharge is still present. When trying to determine the reason for the recurrent infection, which of the following questions is best for the nurse to ask the client?
A)"Did you take the prescribed antibiotic for a week?"
B)"Did you drink at least 2 quarts of fluids every day?"
C)"Were your sexual partners treated with antibiotics?"
D)"Do you wash your hands after using the bathroom?"
Q2) Aclient with gonorrhea is treated with a single IM dose of ceftriaxone and is given a prescription for doxycycline 100 mg bid for 7 days. Which of the following explanations should the nurse tell the client about this combination of antibiotics?
A)Prevent reinfection during treatment
B)Treat any coexisting chlamydial infection
C)Eradicate resistant strains of N. gonorrhoeae
D)Prevent the development of resistant organisms
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Page 57
Chapter 56: Nursing Management Female Reproductive
Problems
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3321
Sample Questions
Q1) An 18-year-old visits the health clinic for a routine check-up. To determine whether a Pap test is needed, which of the following questions should the nurse ask?
A)"Do you use any illegal substances?"
B)"Have you ever had sexual intercourse?"
C)"How old were you when your menstrual periods started?"
D)"Do you have any cramping with your menstrual periods?"
Q2) A client who is 45 years of age tells the nurse that she has not had a menstrual period for 3 months and asks whether she is going into menopause. Which of the following responses is best by the nurse?
A)"Have you thought about using hormone therapy?"
B)"Most women feel a little depressed about entering menopause."
C)"What was your menstrual pattern before your periods stopped?"
D)"Since you are in your mid-40s, it is likely that you are menopausal."
Q3) A 32-year-old client has minor changes on her Pap test. Which of the following actions should the nurse take?
A)Teach the client about colposcopy.
B)Teach the client about punch biopsy.
C)Schedule another Pap test in 4 months.
D)Administer the human papilloma virus (HPV) vaccine.
Page 58
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Chapter 57: Nursing Management Male Reproductive
Problems
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/3322
Sample Questions
Q1) The nurse is preparing a teaching plan for a client with symptomatic benign prostatic hyperplasia (BPH) who is scheduled for photovaporization of the prostate (PVP) at an outpatient surgical centre. Which of the following information should the nurse include in the teaching plan?
A)How to care for an in-dwelling urinary catheter?
B)The urine will appear bloody for several days.
C)Complications associated with urethral stenting
D)Symptom improvement will occur in 2-3 weeks.
Q2) A51-year-old male client is scheduled for an annual physical exam at the outpatient clinic. Which of the following diagnostic tests should the nurse plan to teach to the client?
A)Urinalysis collection
B)Uroflowmetry studies
C)Digital rectal exam (DRE)
D)Transrectal ultrasound scanning (TRUS)
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Chapter 58: Nursing Assessment Nervous System
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/3323
Sample Questions
Q1) Propranolol, a ?-adrenergic blocker that inhibits sympathetic nervous system activity, is prescribed for a client. Which of the following assessments should the nurse monitor?
A)Dry mouth
B)Constipation
C)Slowed pulse
D)Urinary retention
Q2) The nurse is completing a neurological assessment with a client. Which of the following assessments is the most sensitive indicator of a change in neurological status?
A)Level of consciousness
B)Cognition and thought content
C)Mood and affect
D)General appearance and behaviour
Q3) When caring for a client who has had cerebral angiography, which of the following nursing actions should be included in the plan of care?
A)Ask about headache and photophobia.
B)Keep client NPO until gag reflex returns.
C)Check pulse and blood pressure frequently.
D)Assess orientation to person, place, and time.
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Chapter 59: Nursing Management Acute Intracranial
Problems
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/3324
Sample Questions
Q1) The nurse is caring for a client following a craniectomy and left anterior fossae incision who has a nursing diagnosis of impaired physical mobility related to decreased level of consciousness and weakness. Which of the following is an appropriate nursingintervention?
A)Position the bed flat and log roll the client.
B)Cluster nursing activities to allow longer rest periods.
C)Turn and reposition the client side to side every 2 hours.
D)Perform range-of-motion (ROM) exercises every 4 hours.
Q2) The nurse is assessing a client who is unconscious and applies a painful stimulus to the nail beds. The client responds with internal rotation, adduction, and flexion of the arms. Which of the following terms should the nurse use when documenting the findings?
A)Flexion withdrawal
B)Localization of pain
C)Decorticate posturing
D)Decerebrate posturing
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Chapter 60: Nursing Management Stroke
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/3325
Sample Questions
Q1) Aclient with a history of several transient ischemic attacks (TIAs) arrives in the emergency department with hemiparesis and dysarthria that started 2 hours previously. Which of the following procedures should the nurse anticipate?
A)Surgical endarterectomy
B)Transluminal angioplasty
C)Intravenous heparin administration
D)Tissue plasminogen activator (tPA) infusion
Q2) The nurse is caring for a client who had a stroke affecting the right hemisphere of the brain. Which of the following nursing diagnoses is appropriate based on knowledge of the effects of right brain damage?
A)Impaired physical mobility related to decrease in muscle control (right hemiplegia).
B)Risk for injury as evidenced by alteration in cognitive functioning
C)Impaired verbal communication related to environmental barrier (impaired speech)
D)Ineffective coping related to insufficient sense of control (depression and distress about disability).
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Chapter 61: Nursing Management Chronic Neurological Problems
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/3326
Sample Questions
Q1) The nurse is caring for a client with Parkinson's disease who is admitted to the hospital for treatment of an acute infection. Which of the following nursing interventions will be included in the plan of care? (Select all that apply.)
A)Use an elevated toilet seat.
B)Cut client's food into small pieces.
C)Provide high protein foods at each meal.
D)Place an arm chair at the client's bedside.
E)Observe for sudden exacerbation of symptoms.
Q2) Which of the following prescribed interventions will the nurse implement first for a hospitalized client who is experiencing continuous tonic-clonic seizures?
A)Give phenytoin 100 mg IV.
B)Monitor level of consciousness.
C)Obtain computed tomography scan.
D)Administer lorazepam 4 mg IV.
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Chapter 62: Nursing Management Delirium
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3327
Sample Questions
Q1) The nurse is caring for a client with dementia with lewy bodies (DLB). Which of the following complications is the client most at risk for developing related to DLB?
A)Stroke
B)Pneumonia
C)Myocardial infarction
D)Urinary tract infection
Q2) Which of the following actions is most appropriate for the nurse to implement to protect a client from injury during an episode of delirium?
A)Secure the client in bed using a soft chest restraint.
B)Ask the health care provider about ordering an antipsychotic drug.
C)Instruct family members to remain with the client and prevent injury.
D)Assign a nursing assistant to stay with the client and offer frequent reorientation.
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64
Chapter 63: Nursing Management Peripheral Nerve and Spinal Cord Problems
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/3328
Sample Questions
Q1) Which of the following actions should the nurse include in the plan of care when caring for a client who is experiencing trigeminal neuralgia?
A)Teach facial and jaw relaxation techniques.
B)Assess intake and output and dietary intake.
C)Apply ice packs for no more than 20 minutes.
D)Spend time at the bedside talking with the client.
Q2) The nurse is caring for a client with a T2 spinal cord injury who tells the nurse, "I feel awful today. My head is throbbing, and I feel sick to my stomach." Which of the following actions should the nurse take first?
A)Assess for a fecal impaction.
B)Give the prescribed antiemetic.
C)Check the blood pressure (BP).
D)Notify the health care provider.
Q3) Which of the following actions should the nurse take when assessing a client with trigeminal neuralgia?
A)Examine the mouth and teeth thoroughly.
B)Have the client clench and relax the jaw and eyes.
C)Identify trigger zones by lightly touching the affected side.
D)Gently palpate the face to compare skin temperature bilaterally.
Page 65
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Chapter 64: Nursing Assessment Musculo-skeletal System
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3329
Sample Questions
Q1) While testing the client's muscle strength, the nurse finds that the client can flex the arms when no resistance is applied but is unable to flex when the nurse applies lightresistance. The nurse should document the client's muscle strength as level A)1
B)2
C)3
D)4
Q2) The nurse is assessing a new client in the clinic. Which of the following information about the client's medications should be of most concern?
A)The client takes a daily multivitamin and calcium supplement.
B)The client has migraine headaches that are treated with nonsteroidal anti-inflammatory drugs (NSAIDs).
C)The client has severe asthma and requires frequent therapy with oral steroids.
D)The client takes hormone replacement therapy (HRT) to prevent "hot flashes."
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Chapter 65: Nursing Management Musculo-skeletal
Trauma and Orthopedic Surgery
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/3330
Sample Questions
Q1) The nurse is caring for a client who is on bed rest after having a complex pelvic fracture. Which of the following assessment findings is most important to report to the health care provider?
A)The client states that the pelvis feels unstable.
B)Abdominal distention is present and bowel tones are absent.
C)There are ecchymoses on the abdomen and hips.
D)The client complains of pelvic pain with palpation.
Q2) The nurse is developing a care plan for a client with an open reduction and internal fixation (ORIF) of an open, displaced fracture of the tibia. Which of the following nursing diagnoses is priority?
A)Activity intolerance related to physical deconditioning
B)Risk for constipation as evidenced by electrolyte imbalance
C)Risk for impaired skin integrity as evidenced by pressure over bony prominence
D)Risk for infection as evidenced by invasive procedure
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Chapter 66: Nursing Management Musculo-skeletal
Problems
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/3331
Sample Questions
Q1) The nurse is preparing to administer alendronate to a client with osteoporosis. Which of the following actions will the nurse implement initially?
A)Ensure the client has recently eaten.
B)Ask about any leg cramps or hot flashes.
C)Assist the client to sit up at the bedside.
D)Administer the prescribed calcium carbonate.
Q2) The nurse is teaching a client whose work involves lifting and has a history of chronic back pain about proper body mechanics. Which of the following client statements indicates that the teaching has been effective?
A)"I plan to start doing exercises to strengthen the muscles of my back."
B)"I will try to sleep with my hips and knees extended to prevent back strain."
C)"I can tell my boss that I need to change to a job where I can work at a desk."
D)"I will keep my back straight when I need to lift anything higher than my waist."
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68
Chapter 67: Nursing Management Arthritis and Connective
Tissue Diseases
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3332
Sample Questions
Q1) Which of the following assessment findings about a client who has been using naproxen for 3 weeks to treat osteoarthritis is most important for the nurse to report to the health care provider?
A)The client has dark-coloured stools.
B)The client's pain has not improved.
C)The client is using capsaicin cream.
D)The client has gained 3 pounds over 3 weeks.
Q2) Aclient who has rheumatoid arthritis is seen in the outpatient clinic and the nurse notes that rheumatoid nodules are present on the client's elbows. Which of the following actions should the nurse take?
A)Draw blood for rheumatoid factor analysis.
B)Teach the client about injection of the nodule.
C)Assess the nodules for skin breakdown or infection.
D)Discuss the need for surgical removal of the nodule.
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Chapter 68: Nursing Management Critical Care
Environment
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) While family members are visiting, a client has a cardiac arrest and is being resuscitated. Which of the following actions by the nurse is best?
A)Ask family members if they wish to remain in the room during the resuscitation.
B)Explain to family members that watching the resuscitation will be very stressful.
C)Assign a staff member to wait with family members just outside the client room.
D)Escort family members quickly out of the client room and then remain with them.
Q2) The nurse is caring for a client with severe heart failure who has a ventricular assist device (VAD) implanted and is waiting for cardiac transplantation. Which of the following actions should the nurse include in the plan of care?
A)Administer of immuno-suppressive medications.
B)Monitor the surgical incision for signs of infection.
C)Teach the client the reason for continuous bed rest.
D)Prepare the client to have the VAD in place permanently.
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Chapter 69: Nursing Management Shock
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/3334
Sample Questions
Q1) Which of the following findings is the best indicator that the fluid resuscitation for a client with hypovolemic shock has been successful?
A)Hemoglobin is within normal limits.
B)Urine output is 60 mL over the last hour.
C)Pulmonary artery occlusive pressure (PAOP) is normal.
D)Mean arterial pressure (MAP) is 65 mm Hg.
Q2) The emergency department (ED) receives notification that a client who has just been in an automobile accident is being transported to your facility with anticipated arrival in 1 minute. Which of the following should the nurse obtain in preparation for the client's arrival?
A)500 mL of 5% albumin
B)Lactated Ringer's solution
C)Two 14-gauge IV catheters
D)Dopamine infusion
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Chapter 70: Nursing Management Respiratory Failure and
Acute Respiratory Distress Syndrome
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3335
Sample Questions
Q1) To evaluate the effectiveness of prescribed therapies for a client with ventilatory failure, which of the following diagnostic tests will be most useful to the nurse?
A)Chest x-rays
B)Pulse oximetry
C)Arterial blood gas (ABG) analysis
D)Pulmonary artery pressure monitoring
Q2) The nurse is admitting a client with chronic obstructive pulmonary disease (COPD) who has shortness of breath and dyspnea. Which of the following assessment findings is most important to report to the health care provider?
A)The client has bibasilar lung crackles.
B)The client is sitting in the tripod position.
C)The client's respiratory rate has decreased from 30 to 10 breaths/minute.
D)The client's pulse oximetry indicates an O<sub>2</sub> saturation of 91%.
Q3) Chest physiotherapy is indicated for which of the following clients?
A)Takes a bronchodilator
B)Produces 40 mL of sputum per 24 hours
C)Has an increased PCO<sub>2</sub> level
D)Is taking vancomycin
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Chapter 71: Nursing Management Emergency Care Situations
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/3336
Sample Questions
Q1) The nurse is conducting a primary survey of a client with multiple traumatic injuries and observes that the client's right pedal pulses are absent and the leg is swollen. Which of the following actions will the nurse take next?
A)Assess further for a cause of the decreased circulation.
B)Send blood to the lab for a complete blood count (CBC).
C)Finish the airway, breathing, circulation, disability survey.
D)Initiate isotonic fluid infusion through two large-bore IV lines.
Q2) Gastric lavage and administration of activated charcoal are prescribed for an unconscious client who has been admitted to the emergency department (ED) after ingesting 30 diazepam tablets. Which of the following actions will the nurse plan to take first?
A)Administer activated charcoal.
B)Insert a large-bore orogastric tube.
C)Prepare a 60-mL syringe with saline.
D)Assist with intubation of the client.
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Chapter 72: Emergency Management and Disaster Planning
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/3337
Sample Questions
Q1) Which of the following routes is the least lethal route for the spread of anthrax (Bacillus anthracis)?
A)Inhalation
B)Ingestion
C)Cutaneous
D)Injection
Q2) The incident management system (IMS) used in Canada is based upon the incident command system that was developed as a result of which of the following disasters?
A)The tsunami off the coast of Tahiti
B)Wildfires in California
C)Floods in Saskatchewan
D)Drought in Alberta
Q3) Which of the following statements is true in relation to a disaster, whether natural or man-made?
A)Negatively affects society
B)Requires a rapid and skilled response to action
C)Is managed by a community's existing resources
D)Requires urgent intervention to avoid worsening of the situation
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