Nursing Fundamentals Review
Questions
Course Introduction
Nursing Fundamentals introduces students to the essential principles, skills, and values underlying professional nursing practice. The course covers core topics including the nursing process, patient-centered care, basic health assessments, vital signs monitoring, infection control, medication administration, communication techniques, safety measures, and ethical and legal responsibilities in healthcare. Emphasis is placed on developing critical thinking, effective teamwork, and compassionate care to support patients physical, psychological, and social well-being. Through a combination of theoretical knowledge and hands-on clinical experiences, students gain a strong foundation for advancing in nursing education and practice.
Recommended Textbook
Medical Surgical Nursing 7th Edition by
Donna D. Ignatavicius
Available Study Resources on Quizplus
76 Chapters
2258 Verified Questions
2258 Flashcards
Source URL: https://quizplus.com/study-set/1943 Page 2
Chapter 1: Introduction to Medical-Surgical Nursing
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/38686
Sample Questions
Q1) Which settings would require maximum implementation of the nurse supervisor role?
A) Acute care setting
B) Home care setting
C) Skilled nursing facility
D) Assisted-living facility
E) Rehabilitation facility
F) None of the above
Answer: A,B,C,D,E
Q2) The physician prescribes warfarin (Coumadin)15 mg daily.The nurse notes that this is three times the normal dose for this client based on the client's medication profile and laboratory work.What does the nurse do first?
A) Give the dose and document the concern.
B) Call the pharmacy for a consultation.
C) Call the physician to question the order.
D) Hold the medication for that day.
Answer: C
To view all questions and flashcards with answers, click on the resource link above. Page 3
Chapter 2: Introduction to Complementary and Alternative Therapies
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/38687
Sample Questions
Q1) A nurse is assisting a client in preparing for surgery by using progressive muscle relaxation.Which rationale best supports the use of this therapy at this time?
A) It rebalances or repatterns a person's energy field.
B) It improves flexibility and assists with positioning during surgery.
C) It applies pressure, releasing congestion and promoting energy flow.
D) It uses intentional tensing and releasing of successive muscle groups.
Answer: D
Q2) The nurse is working in the community and completes home visits with older adult clients.Which statement by a client demonstrates a need for further instruction about the use of complementary and alternative therapies?
A) "My doctor monitors my kidney function since I started taking calcium."
B) "I always talk to my doctor first before starting an herbal preparation."
C) "I heard that St. John's wort is good for any type of depression."
D) "I may start a Tai Chi program to help with my mobility and lift my spirits."
Answer: C
To view all questions and flashcards with answers, click on the resource link above.
Page 4
Chapter 3: Common Health Problems of Older Adults
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/38688
Sample Questions
Q1) An older adult client presents with signs and symptoms related to digoxin toxicity.Which age-related change may have contributed to this problem?
A) Increased total body water
B) Decreased renal blood flow
C) Increased gastrointestinal motility
D) Decreased ratio of adipose tissue to lean body mass
Answer: B
Q2) A nurse is assessing a client at risk for dehydration.Which statement by the client indicates that more education by the nurse is required?
A) "I try to limit coffee to one cup in the morning and one cup in the early evening."
B) "During the day I drink at least six to seven glasses of water."
C) "Alcohol causes me to frequently urinate so I cut it out of my diet."
D) "I stop drinking fluids in the afternoon to avoid bathroom trips at night."
Answer: D
To view all questions and flashcards with answers, click on the resource link above.
Chapter 4: Cultural Aspects of Health and Illness
Available Study Resources on Quizplus for this Chatper
13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/38689
Sample Questions
Q1) The nurse is caring for a homeless client after surgery.Which statement by the nurse indicates the best understanding of this special population?
A) "When you receive your prescription, fill the medication at the nearest pharmacy."
B) "To prevent the risk of infection, you need to bathe daily and keep the incision clean."
C) "Tell me about your home situation and access to food and medications."
D) "To help with healing, be sure to eat meals high in protein and low in fat and cholesterol."
Q2) A nurse is working with a new group of immigrants and wants to learn more about their culture.Which method of cultural assessment should the nurse perform to gain a long-term understanding of this culture?
A) Interview a client.
B) Observe a group.
C) Participate in the community.
D) Visit a group of clients.
To view all questions and flashcards with answers, click on the resource link above.
6
Chapter 5: Pain: The Fifth Vital Sign
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/38690
Sample Questions
Q1) The nurse is caring for a client who was medicated for pain 1 hour ago.The client states that the medication is not working and the pain is still present.What is the first action that the nurse will take?
A) Assess the client to determine a pain score.
B) Believe the client's report of pain.
C) Wait until it is time for the next pain medication dose.
D) Teach the client how to use guided imagery.
Q2) The nurse assesses several postoperative clients receiving patient-controlled epidural analgesia (PCEA).Which client does the nurse prioritize to assess first?
A) Client receiving bupivacaine (Marcaine) describing "inability to move legs"
B) Client receiving fentanyl (Sublimaze) describing "itchy arms"
C) Client receiving hydromorphone (Dilaudid) describing "full feeling"
D) Client receiving morphine describing "difficulty staying awake"
Q3) When is the nurse correct in decreasing the dose of pain medication in a client with end-stage cancer?
A) The spouse is worried that the client may become addicted.
B) The client wants to remain alert during the visit of a long-time friend.
C) The client has lost considerable weight and does not want to eat.
D) The client is becoming combative at night.
To view all questions and flashcards with answers, click on the resource link above.
Page 7
Chapter 6: Genetic Concepts for Medical-Surgical Nursing
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/38691
Sample Questions
Q1) In the hospital,the nurse is caring for a client of Asian descent who was just started on warfarin (Coumadin).What would be the best plan of care for the client?
A) Start warfarin at a high dose to decrease the chance for further clotting problems.
B) Monitor international normalized ratio (INR) once a day in the hospital.
C) Teach the client to frequently check for any bruising.
D) Initiate fall precautions and strict activity limitations.
E) Start warfarin at a lower-than-normal dose owing to slower metabolism of the drug.
Q2) Which response is accurate regarding a client who has type O blood? The client has:
A) A genotype of AO
B) A genotype of OO
C) Heterozygous alleles
D) A different genotype and phenotype
To view all questions and flashcards with answers, click on the resource link above.
8
Chapter 7: Evidence-Based Practice in Medical-Surgical Nursing
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/38692
Sample Questions
Q1) The cardiac nurse wants to know about the best practices to prevent pneumonia after open-heart surgery.What does the nurse do first?
A) Critically appraise relevant evidence.
B) Implement acceptable recommendations.
C) Ask clinical experts for their opinions.
D) Search for evidence to answer the question.
Q2) The nurse is assessing the following PICO(T)question: In a 60-year-old woman with osteoarthritis,can a COX-2 inhibitor decrease the risk of gastrointestinal bleeding compared with other NSAIDs? What is the comparison component in this question?
A) Osteoarthritis
B) COX-2 inhibitor
C) NSAIDs
D) Gastrointestinal bleeding
Q3) The nurse researcher is evaluating clinical questions.Which is a qualitative question?
A) What factors affect clients' responses to postoperative pain?
B) Do wound vacuum systems improve surgical wound healing time?
C) What are the effects of hourly rounding on client fall rates?
D) Do chlorhexidine swabs decrease central line site infections?
To view all questions and flashcards with answers, click on the resource link above. Page 9
Chapter 8: Rehabilitation Concepts for Chronic and Disabling Health Problems
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/38693
Sample Questions
Q1) The nurse is providing education for a client at risk for urinary tract infection.Which beverage should the nurse encourage the client to drink?
A) Carbonated beverages
B) Citric juices
C) Milk
D) Tomato juice
Q2) The rehabilitation nurse is caring for an obese client with new bilateral leg amputations.The nurse is planning to move the client from the bed to the chair.What is the best approach?
A) Use the bear-hug method to transfer the client safely.
B) Ask several members of the health care team to assist.
C) Utilize the facility's mechanical lift to move the client.
D) Consult physical therapy before performing all transfers.
Q3) The nurse is caring for a client with a spinal cord injury at level T3.How will the nurse assist the client with bladder dysfunction?
A) Insert an indwelling urinary catheter.
B) Stroke the medial aspect of the thigh.
C) Use the Credé maneuver every 3 hours.
D) Apply a Texas catheter with leg bag.
Page 10
To view all questions and flashcards with answers, click on the resource link above.
Chapter 9: End-Of-Life Care
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/38694
Sample Questions
Q1) The health care provider suggests inpatient hospice for a client.The family members are concerned that their loved one will receive only custodial care.What is the nurse's best response?
A) "The goal of palliative care is to provide the greatest degree of comfort possible and help the dying person enjoy whatever time is left."
B) "Palliative care will release you from the burden of having to care for someone in the home. It does not mean that curative treatment will stop."
C) "A palliative care facility is like a nursing home and costs less than a hospital because only pain medications are given."
D) "Your relative is unaware of her surroundings and will not notice the difference between her home and a palliative care facility."
Q2) A client who is near death appears to be having difficulty breathing.What is the nurse's highest-priority intervention?
A) Teach the family how to perform nasotracheal suctioning.
B) Request that the physician order morphine sulfate.
C) Document the finding in the client's chart.
D) Call a respiratory therapist to intubate the client.
To view all questions and flashcards with answers, click on the resource link above.
Page 11
Chapter 10: Concepts of Emergency and Trauma Nursing
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/38695
Sample Questions
Q1) While assessing a client in the emergency department,the nurse identifies that the client has been raped.Which health care team member should the nurse collaborate with when planning this client's care?
A) Emergency medicine physician
B) Case manager
C) Forensic nurse examiner
D) Psychiatric crisis nurse
Q2) The nurse is triaging clients in the emergency department.Which client should be considered urgent?
A) 20-year-old female with a chest stab wound and tachycardia
B) 45 year-old homeless man with a skin rash and sore throat
C) 75-year-old female with a cough and of temperature of 102° F
D) 50-year-old male with new-onset confusion and slurred speech
Q3) An unresponsive client with poor ventilator effort and a pulse rate of 120 beats/min arrives at the emergency department.What should the nurse do first?
A) Place the client on a non-rebreather mask.
B) Begin bag-valve-mask ventilation.
C) Initiate cardiopulmonary resuscitation.
D) Prepare for chest tube insertion.
To view all questions and flashcards with answers, click on the resource link above.
Page 12
Chapter 11: Care of Patients With Common Environmental Emergencies
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/38696
Sample Questions
Q1) An emergency department nurse moves to a new city,where heat-related illnesses are common.Which clients should the nurse anticipate as at higher risk for heat-related illness?
A) Homeless individuals
B) Illicit drug users
C) Whites
D) Hockey players
E) Older adults
F) Put down golf clubs or gardening tools.
Q2) The nurse is assessing a client recently bitten by a coral snake.Which assessment is the priority?
A) Peripheral edema and swelling
B) Evaluation of clotting times
C) Respiratory rate and depth
D) Electrocardiogram rhythm
To view all questions and flashcards with answers, click on the resource link above.
13
Chapter 12: Concepts of Emergency and Disaster
Preparedness
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/38697
Sample Questions
Q1) The nurse working with survivors of a disaster wants to assess them for post-traumatic stress disorder.For which clients does the nurse perform further assessment before administering the Impact of Event Scale-Revised?
A) Older adult survivor with minor injuries
B) Woman who lost both her children
C) Middle-aged victim with multiple medical problems
D) Young adult who had serious orthopedic injuries
E) Older adolescent who had a traumatic brain injury
Q2) An accident has occurred near the hospital,and a victim is brought to the emergency department with severe chest pain,a pulse of 120 beats/min,blood pressure of 100/60 mm Hg,and a respiratory rate of 28 breaths/min.The nurse assesses shortness of breath and diaphoresis.Which color tag does the nurse use when triaging this client?
A) Red
B) Yellow
C) Green
D) Black
To view all questions and flashcards with answers, click on the resource link above.
14
Chapter 13: Assessment and Care of Patients With Fluid and Electrolyte Imbalances
Available Study Resources on Quizplus for this Chatper
44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/38698
Sample Questions
Q1) Which ethnic groups should the nurse screen specifically for hypocalcemia?
A) Whites
B) Blacks
C) Asians
D) Hispanics
E) American Indians
Q2) Which client statement indicates the need for more teaching regarding identification of the early manifestations of hypokalemia?
A) "I have been weighing myself every day."
B) "When I am constipated, I drink more fluids."
C) "When my muscles feel weak, I eat a banana."
D) "I check my pulse each morning and each night."
Q3) A nurse is assessing clients for fluid and electrolyte imbalances.Which client is at greatest risk for developing hyponatremia?
A) Client who is NPO receiving intravenous D<sub>5</sub>W
B) Client taking a sulfonamide antibiotic
C) Client taking ibuprofen (Motrin)
D) Client taking digoxin (Lanoxin)
To view all questions and flashcards with answers, click on the resource link above. Page 15
Chapter 14: Assessment and Care of Patients With Acid-Base Imbalances
Available Study Resources on Quizplus for this Chatper
44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/38699
Sample Questions
Q1) A client is being discharged from the emergency department with several broken ribs.For which acid-base imbalance does the nurse provide discharge teaching?
A) Respiratory alkalosis from anxiety and hyperventilation
B) Respiratory acidosis from inadequate ventilation
C) Metabolic acidosis from calcium loss from broken bones
D) Metabolic alkalosis from taking base-containing analgesics
Q2) A client who was malnourished is being discharged.The nurse evaluates that teaching to decrease risk for the development of metabolic acidosis has been effective when the client states,"I will:
A) Increase my milk intake to at least three glasses daily."
B) Be sure to eat three well-balanced meals and a snack daily."
C) Avoid taking pain medication and antihistamines together."
D) Not add salt to food when cooking or during meals."
Q3) The nurse expects to find renal compensation for an acid-base imbalance in which situation?
A) Mild to moderate dehydration in a middle-aged client who jogged for 2 hours
B) Acute asthma attack with wheezing of 6 hours' duration in an older man
C) Food poisoning with vomiting for 12 hours in a middle-aged woman
D) Hypoxemia for 4 days from pneumonia in an adult woman
Page 16
To view all questions and flashcards with answers, click on the resource link above.
Chapter 15: Infusion Therapy
Available Study Resources on Quizplus for this Chatper
49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/38700
Sample Questions
Q1) The nurse is caring for a client with a radial arterial catheter.Which assessment takes priority?
A) Amount of pressure in fluid container
B) Date of catheter tubing change
C) Checking for heparin in infusion container
D) Presence of an ulnar pulse
Q2) A client is to receive 10 days of antibiotic therapy for urosepsis.The nurse plans to insert which type of intravenous catheter?
A) Hickman
B) Midline
C) Nontunneled central
D) Short peripheral
Q3) In examining a peripheral IV site,the nurse observes a red streak along the length of the vein,and the vein feels hard and cordlike.What action by the nurse takes priority?
A) Applying continuous heat
B) Continuing to monitor site
C) Elevating the extremity
D) Removing the catheter
To view all questions and flashcards with answers, click on the resource link above.
Chapter 16: Care of Preoperative Patients
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/38701
Sample Questions
Q1) The nurse is assessing a client before surgery.Which assessments contraindicate the client having surgery as scheduled?
A) Potassium level of 2.8 mEq/L
B) International normalized ratio (INR) of 4
C) Prothrombin time (PTT) of 30 seconds
D) Calcium level of 8.8 mEq/dL
E) Positive pregnancy test
F) Platelet count of 150,000
Q2) A client is brought to the emergency department (ED)after a motorcycle accident.The client has suffered a ruptured spleen.What is the immediate priority?
A) Emergent surgery to control bleeding
B) Aggressive pain control
C) Calling the family members
D) Assessment of neurologic status
Q3) Which action is most appropriate during a preoperative chart review?
A) Ensure that the consent form is signed, dated, and witnessed.
B) Call the surgeon if the client has any food allergies.
C) Make sure all marks are washed off the surgical site.
D) Make sure the client understands the procedure.
To view all questions and flashcards with answers, click on the resource link above.
Page 18
Chapter 17: Care of Intraoperative Patients
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/38702
Sample Questions
Q1) Which action indicates to the operating room supervisor that the scrub nurse requires additional teaching about sterile technique?
A) A small amount of sterile saline is poured out before it is poured into the basin.
B) The nurse disposes of any equipment packages that are in poor condition.
C) Sterile surgical supplies are placed in the center of the sterile field.
D) The sterile saline bottle cap is placed in the center of the sterile field.
Q2) The nurse is assisting a client to the operating bed and notes that the client is hyperventilating and cannot keep still.The client states,"I am really very anxious right now." What is the nurse's best action?
A) Call the chaplain to calm the client down.
B) Tell the client you will stay with him or her.
C) Inform the surgeon so the procedure can be cancelled.
D) Inform the anesthesiologist and suggest antianxiety medication.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 18: Care of Postoperative Patients
Available Study Resources on Quizplus for this Chatper
46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/38703
Sample Questions
Q1) The nurse assesses clients in the postanesthesia care unit (PACU).Which client does the nurse intervene for first?
A) Client with a respiratory rate of 12 breaths/min
B) Client with an oxygen saturation of 92%
C) Client who is reporting pain (5 out of 10)
D) Client with audible stridor
Q2) One hour after admission to the postanesthesia care unit (PACU),the postoperative client has become very restless.What is the nurse's first action?
A) Assess for bladder distention.
B) Assess the oxygen saturation level.
C) Call the surgeon to assess the client.
D) Administer pain medication as ordered.
Q3) A client reports pain 8 hours after surgery.The client has already received an opioid within the past 2 hours.What is the nurse's best action?
A) Assess the pain further.
B) Administer naloxone (Narcan).
C) Call the surgeon.
D) Document the finding.
To view all questions and flashcards with answers, click on the resource link above. Page 20
Chapter 19: Inflammation and the Immune Response
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/38704
Sample Questions
Q1) A client has been diagnosed with a deficiency of complement proteins.Which assessment is the item of highest priority for the nurse to perform?
A) Joint stiffness and range of motion
B) Enlarged lymph nodes and night sweats
C) Rhinorrhea and conjunctivitis
D) Lung sounds, cough, and oxygen saturation
Q2) The nurse is teaching a class about the immune system.The nurse asks the class to list various functions of antibodies.Which class responses does the nurse evaluate as indicating a good understanding?
A) "They release chemicals to cause blood vessels to dilate."
B) "They deactivate toxins that are released in an infection."
C) "They tag bacteria so the macrophages know to eat them up."
D) "They cause the person to have a fever."
E) "They tell cells to make collagen for scar tissue."
F) "They turn on the complement system."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 20: Care of Patients With Arthritis and Other
Connective Tissue Diseases
Available Study Resources on Quizplus for this Chatper
47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/38705
Sample Questions
Q1) What interventions does the nurse recommend for a client who is to be discharged home following total hip replacement surgery?
A) Continuous passive motion machine
B) Elevated toilet seat
C) Walker
D) Crutches
E) TED hose
F) Heating pad
Q2) The nurse is caring for a pregnant client who is taking Humira (adalimumab)to control symptoms of rheumatoid arthritis.The client mentions the pain and inconvenience of the subcutaneous injections and asks,"While I'm pregnant,can I take this drug by mouth instead?" What is the nurse's best response?
A) "I will ask the physician to write a prescription for you today."
B) "Humira takes much longer to work when it is given orally."
C) "Humira can be given only by subcutaneous injection."
D) "You can switch from Humira to oral leflunomide (Arava)."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 21: Care of Clients With Hiv Disease and Other Immune Deficiencies
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/38706
Sample Questions
Q1) A client verbalizes a fear of contracting HIV because she has a history of intravenous substance abuse.What instructions does the nurse provide to the client to help minimize this risk?
A) "Boil all needles and syringes for at least 20 minutes before using them again and be sure not to share them."
B) "Rinse used needles and syringes with water followed by laundry bleach after using them."
C) "Rinse used needles and syringes with rubbing alcohol before and after using them."
D) "Run all needles and syringes through the dishwasher with an extra rinse cycle before using them again."
Q2) The nurse is caring for a young woman at the primary health care clinic.Which assessment finding leads the nurse to question the client about risk factors for HIV?
A) Six vaginal yeast infections in the last 12 months
B) Unable to become pregnant for the last 2 years
C) Severe cramping and irregular periods
D) Very heavy periods and breakthrough bleeding
To view all questions and flashcards with answers, click on the resource link above. Page 23
Hypersensitivity Allergyand Autoimmunity
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/38707
Sample Questions
Q1) A client has received diphenhydramine (Benadryl)and is currently oriented but drowsy.What is the best action for the nurse to take?
A) Perform a neurologic assessment every 2 hours.
B) Document the response and continue to monitor.
C) Prepare to administer epinephrine subcutaneously.
D) Have the nursing assistant stimulate the client every hour.
Q2) Which characteristic is common to all types of hypersensitivity reactions?
A) Decreased inflammatory responses
B) Presence of tissue-damaging reactions
C) Enhanced natural killer cell activity
D) Inability to recognize extraneous cells
Q3) Which client characteristic places her or him at high risk for latex hypersensitivity?
A) Allergy to shellfish
B) History of spina bifida
C) Total hip replacement
D) Taking oral contraceptives
To view all questions and flashcards with answers, click on the resource link above.
Chapter 23: Cancer Development
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/38708
Sample Questions
Q1) The nurse correlates the role of suppressor genes in cancer development with which action?
A) The presence of suppressor genes increases risks for gene damage by carcinogens.
B) People with a greater number of suppressor genes are at increased risk for getting cancer.
C) Suppressor genes enhance immune function, suppressing cancer development.
D) Suppressor genes limit cell division, reducing risks for developing cancer.
Q2) In preparing a community teaching program,which information does the nurse plan to present to address secondary cancer prevention?
A) Receiving cancer treatment with chemotherapy
B) Annual measurement of prostate-specific antigen levels
C) Avoiding known cancer-causing substances or conditions
D) Having adolescent children receive the Gardasil vaccination
Q3) The nurse correlates "initiation" in cancer development with which action?
A) Inflicting mutations that lead to excessive cell division
B) Increasing the capacity of the transformed cell for error-free DNA repair
C) Stimulating contact inhibition in cells damaged by a carcinogen
D) Making cancer cells appear more normal to escape immune surveillance
To view all questions and flashcards with answers, click on the resource link above.
25
Chapter 24: Care of Patients With Cancer
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/38709
Sample Questions
Q1) A client is hospitalized for chemotherapy.The registered nurse intervenes when observing which action by the nursing assistant?
A) Allowing the client to rest instead of making him or her perform oral hygiene
B) Helping the client wash the groin and axillary areas every 12 hours
C) Cutting food and opening food packages when the client's meal tray arrives
D) Reminding the client to use the incentive spirometer every hour while awake
Q2) A client's spouse reports that the last time the client received lorazepam (Ativan)before receiving chemotherapy,the client was extremely drowsy and didn't remember the trip home.Which is the nurse's best action?
A) Hold the dose of lorazepam for this round of chemotherapy.
B) Explain that this is a normal response to the drug.
C) Perform a Mini-Mental State Examination.
D) Document the response in the client's chart.
Q3) A client has bone cancer.What intervention does the nurse implement as a priority for this client?
A) Using a lift sheet when repositioning the client
B) Positioning the client's heels to keep them from touching the mattress
C) Providing small, frequent meals rich in calcium and phosphorus
D) Applying pressure for 5 minutes after intramuscular injections
To view all questions and flashcards with answers, click on the resource link above.
Page 26
Chapter 25: Care of Patients With Infection
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/38710
Sample Questions
Q1) An older adult client is admitted with an infection.On assessment,the nurse finds the client slightly confused.Vital signs are as follows: temperature 99.2° F (37.3° C),blood pressure 100/60 mm Hg,pulse 100,and respiratory rate 20.Which action by the nurse is most appropriate?
A) Perform a Mini-Mental Status Examination.
B) Assess the client for other signs of infection.
C) Document the findings and continue to monitor.
D) Assess the client's pain level and treat if needed.
Q2) A client is admitted with infection and a high fever.Which assessments by the nurse take priority?
A) Blood pressure
B) Mental status
C) Pulse quality
D) Respiratory effort
E) Skin turgor
F) Bowel sounds
To view all questions and flashcards with answers, click on the resource link above.
Chapter 26: Assessment of the Skin,hair,and Nails
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/38711
Sample Questions
Q1) A client comes to the clinic reporting pain and itching from blisters on both arms.This finding indicates an abnormality in which layer of the skin?
A) Adipose tissue
B) Dermis
C) Epidermis
D) Stratum corneum
Q2) On assessing a client's lower extremities,the nurse notices that one leg is pale and cooler to the touch.Which assessment does the nurse perform next?
A) Ask about a family history of skin disorders.
B) Palpate the client's pedal pulses bilaterally.
C) Check for the presence of Homans' sign.
D) Assess the client's skin for adequate skin turgor.
Q3) A client is admitted with inflamed soft tissue folds around his nail plates.Which question by the nurse elicits the most useful information about the possible condition?
A) "What do you do for a living?"
B) "Do you keep your nails manicured?"
C) "Do you have diabetes?"
D) "Have you had any fungal nail infections?"
To view all questions and flashcards with answers, click on the resource link above.
Chapter 27: Care of Patients With Skin Problems
Available Study Resources on Quizplus for this Chatper
53 Verified Questions
53 Flashcards
Source URL: https://quizplus.com/quiz/38712
Sample Questions
Q1) When changing the dressing on a partial-thickness wound,a nurse observes small,pale pink bumps within the wound bed.Which action by the nurse is best?
A) Remove the bumps with a sterile scalpel.
B) Document and continue the current treatment.
C) Clean the wound vigorously to remove the bumps.
D) Culture the wound and place the client in isolation.
Q2) A client has been identified as being at risk for formation of pressure ulcers.Which dietary choices by the client indicate a good understanding of teaching related to this condition?
A) Low-fat diet with whole grains and cereals and vitamin supplements
B) High-protein diet with vitamins and mineral supplements
C) Vegetarian diet with nutritional supplements and fish oil capsules
D) Low-fat, low-cholesterol, high-fiber, low-carbohydrate diet
Q3) Which question does the nurse ask to identify a possible trigger for worsening of a client's psoriatic lesions?
A) "Have you eaten a large amount of chocolate lately?"
B) "Have you been under a lot of stress lately?"
C) "Have you used a public shower recently?"
D) "Have you been out of the country recently?"
To view all questions and flashcards with answers, click on the resource link above.
Page 29
Chapter 28: Care of Patients With Burns
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/38713
Sample Questions
Q1) An older adult client with burns has a white blood cell count of 10,000/mm<sup>3</sup>.The client is afebrile with a heart rate of 110 beats/min,a respiratory rate of 20 breaths/min,and blood pressure of 112/68 mm Hg.The client's wound is pale,and edema is noted in the surrounding tissues.Which intervention by the nurse is most appropriate?
A) Assess the client's skin for signs of adequate perfusion.
B) Calculate intake and output ratio for the last 24 hours.
C) Prepare to obtain blood and wound cultures.
D) Place the client in an isolation room.
Q2) On assessment,the nurse notes that a client has burns inside the mouth and is wheezing.Several hours later,the wheezing is no longer heard.What is the nurse's next action?
A) Document the findings and reassess in 1 hour.
B) Loosen any constrictive dressings on the chest.
C) Raise the head of the bed to a semi-Fowler's position.
D) Gather appropriate equipment and prepare for intubation.
Q3) A client who weighs 90 kg and had a 50% burn injury at 10 AM arrives at the hospital at noon.Using the Parkland formula,calculate the rate that the nurse should use to deliver fluid when the IV is started at noon.
To view all questions and flashcards with answers, click on the resource link above.
Page 30
Chapter 29: Assessment of the Respiratory System
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/38714
Sample Questions
Q1) A client is scheduled to undergo a thoracentesis.What is the nurse's priority intervention?
A) Measure oxygen saturation before and after a 12-minute walk.
B) Verify that the client understands all possible complications.
C) Explain the procedure in detail to the client and the family.
D) Verify that informed consent has been given by the client.
Q2) When assessing a client's respiratory status,which information is of highest priority for the nurse to obtain?
A) Average daily fluid intake
B) Neck circumference
C) Height and weight
D) Occupation and hobbies
Q3) A postoperative client has an oxygen saturation of 96% but is pale and dyspneic and says,"I can't get enough air!" The client's lung sounds are clear.Which action by the nurse is most appropriate?
A) Call the physician and request a hemoglobin and hematocrit level.
B) Notify respiratory therapy and request a breathing treatment.
C) Encourage the client to cough and deep breathe 10 times each hour.
D) Take the client's temperature and give antipyretics if needed.
To view all questions and flashcards with answers, click on the resource link above.
Page 31
Chapter 30: Care of Patients Requiring Oxygen Therapy or Tracheostomy
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/38715
Sample Questions
Q1) A client is to be discharged home on oxygen therapy.What information does the nurse teach the client?
A) "Carry the H cylinder tank on short trips."
B) "Only use the E tank when stationary."
C) "The D or C cylinder can be carried."
D) "Roll the tank gently when transporting."
Q2) A client has a new tracheostomy and is receiving 60% oxygen via tracheostomy collar.Which assessment finding requires immediate action by the nurse?
A) Constant, nonproductive coughing
B) Blood-tinged sputum
C) Rhonchi in upper lobes
D) Dry mucous membranes
Q3) The nurse assesses a client during suctioning.Which finding indicates that the procedure should be stopped?
A) Heart rate increases from 86 to 102 beats/min.
B) Respiratory rate increases from 16 to 20 breaths/min.
C) Blood pressure increases from 110/70 to 120/80 mm Hg.
D) Heart rate decreases from 78 to 40 beats/min.
To view all questions and flashcards with answers, click on the resource link above. Page 32
Chapter 31: Care of Patients With Noninfectious Upper
Respiratory
Problems
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/38716
Sample Questions
Q1) Which statement made by the client who is prescribed "voice rest" therapy for vocal cord polyps indicates the need for more teaching?
A) "I will stay out of rooms and places where people are smoking."
B) "When I speak at all, I will whisper rather than use a normal tone of voice."
C) "For the next several weeks, I will not lift more than 10 pounds."
D) "I will drink at least 3 quarts of water each day and will use stool softeners."
Q2) Which clinical manifestation in a client with paralysis of one vocal cord alerts the nurse to the possibility of aspiration?
A) Oxygen saturation is decreased.
B) Voice is weak and tremulous.
C) The client coughs immediately after swallowing.
D) An audible wheeze is present on exhalation.
Q3) What is the nurse's most important action after a client's gag reflex has returned post rhinoplasty?
A) Teach the client to change position every 2 hours.
B) Tell the client to put heating pads on the face.
C) Instruct the client to lay flat.
D) Have the client drink at least 2500 mL/day.
To view all questions and flashcards with answers, click on the resource link above. Page 33
Chapter 32: Care of Patients With Noninfectious Lower
Respiratory Problems
Available Study Resources on Quizplus for this Chatper
50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/38717
Sample Questions
Q1) A client with chronic obstructive pulmonary disease (COPD)reports social isolation.What does the nurse encourage the client to do?
A) Join a support group for people with COPD.
B) Ask the client's physician for an antianxiety agent.
C) Verbalize his or her thoughts and feelings.
D) Participate in community activities.
Q2) The nurse observes hematuria in a client receiving IV cyclophosphamide (Cytoxan).After notifying the health care provider,what intervention is the nurse's priority?
A) Obtain a urine specimen.
B) Assess laboratory studies.
C) Increase hydration.
D) Stop the medication.
Q3) A client's chest tube is accidentally dislodged.What action by the nurse is best?
A) No action is necessary because the area will reseal itself.
B) Cover the insertion site with a sterile gauze and tape three sides.
C) Obtain a suture kit and prepare for the physician to suture the site.
D) Cover the area with an occlusive dressing.
To view all questions and flashcards with answers, click on the resource link above.
Page 34
Chapter 33: Care of Patients With Infectious Respiratory Problems
Available Study Resources on Quizplus for this Chatper
36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/38718
Sample Questions
Q1) A client who works in a day care facility is admitted to the emergency department.The client is diagnosed with pneumonia,and a sputum culture is taken.Infection with Streptococcus pneumoniae is confirmed.What is the nurse's primary action?
A) Have emergency intubation equipment nearby.
B) Teach the client about the treatment.
C) Isolate the client.
D) Perform chest physiotherapy.
Q2) A client has a peritonsillar abscess.Which priority instruction does the nurse provide to this client?
A) "If you notice an enlarged node on the side of your neck where the abscess is, call your health care provider."
B) "Stay home from work or school until your temperature has been normal for 24 hours."
C) "You may gargle with warm water that has a teaspoon of salt in it as often as you like."
D) "Take the antibiotic for the entire time it is prescribed, not just until you feel better."
To view all questions and flashcards with answers, click on the resource link above.
Page 35
Chapter 34: Care of Critically Ill Patients With Respiratory Problems
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/38719
Sample Questions
Q1) A client is admitted to the emergency department several hours after a motor vehicle crash.The car's driver-side airbag was activated during the accident.Which assessment requires the nurse's immediate intervention?
A) Disorientation
B) Hemoptysis
C) Pulse oximetry reading of 94%
D) Chest pain with movement
Q2) Which symptoms in a client assist the nurse in confirming the diagnosis of pulmonary embolus (PE)?
A) Wheezes throughout lung fields
B) Hemoptysis
C) Sharp chest pain
D) Flattened neck veins
E) Hypotension
F) Pitting edema
Q3) A nurse is making initial rounds on assigned clients at the beginning of the shift.One client is receiving a heparin infusion at 5 mL/hr.The nurse notes that 25,000 units of heparin are mixed in 250 mL of solution.How many units per hour is the client receiving?
__________ units/hr
Page 36
To view all questions and flashcards with answers, click on the resource link above.
Chapter 35: Assessment of the Cardiovascular System
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/38720
Sample Questions
Q1) The nurse is caring for a client with pericarditis.What assessment finding correlates with this disorder?
A) Pericardial friction rub
B) Systolic murmur
C) Ventricular gallop
D) Paradoxical splitting
Q2) The client is scheduled for a resting electrocardiography.Which statement by the client indicates a good understanding of the preprocedure teaching?
A) "I cannot eat or drink before the electrocardiography."
B) "I must lie as still as possible during the procedure."
C) "I am likely to feel warmth as the dye enters the heart."
D) "I will increase my fluid intake on the day of the procedure."
Q3) The nurse is obtaining a client's health history.Which illness alerts the nurse to the possibility of abnormal heart valves?
A) Tuberculosis
B) Recurrent viral pneumonia
C) Rheumatic fever
D) Asthma
To view all questions and flashcards with answers, click on the resource link above.
Chapter 36: Care of Patients With Dysrhythmias
Available Study Resources on Quizplus for this Chatper
37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/38721
Sample Questions
Q1) When analyzing a client's electrocardiograph (ECG)tracing,the nurse observes that not all QRS complexes are preceded by a P wave.What is the nurse's interpretation of this observation?
A) The client has hyperkalemia causing irregular QRS complexes.
B) Ventricular tachycardia is overriding the normal atrial rhythm.
C) The client's chest leads are not making sufficient contact with the skin.
D) Ventricular and atrial depolarizations are initiated from different sites.
Q2) The nurse is caring for a client with chronic atrial fibrillation.Which drug does the nurse expect to administer to prevent a common complication of this condition?
A) Sotalol (Betapace)
B) Warfarin (Coumadin)
C) Atropine (Atropine)
D) Lidocaine (Xylocaine)
Q3) A client's electrocardiograph (ECG)tracing shows a run of sustained ventricular tachycardia.What is the nurse's first action?
A) Assess airway, breathing, and level of consciousness.
B) Administer an amiodarone bolus followed by a drip.
C) Cardiovert the client with a biphasic defibrillator.
D) Begin cardiopulmonary resuscitation (CPR).
To view all questions and flashcards with answers, click on the resource link above.
Page 38
Chapter 37: Care of Patients With Cardiac Problems
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/38722
Sample Questions
Q1) The client who just started taking isosorbide dinitrate (Imdur)reports a headache.What is the nurse's best action?
A) Titrate oxygen to relieve headache.
B) Hold the next dose of Imdur.
C) Instruct the client to drink water.
D) Administer PRN acetaminophen.
Q2) The nurse is assessing a client in an outpatient clinic.Which client statement alerts the nurse to possible left-sided heart failure?
A) "I have been drinking more water than usual."
B) "I have been awakened by the need to urinate at night."
C) "I have to stop halfway up the stairs to catch my breath."
D) "I have experienced blurred vision on several occasions."
Q3) The nurse is caring for a client diagnosed with aortic stenosis.What assessment finding does the nurse expect in this client?
A) Bounding arterial pulse
B) Slow, faint arterial pulse
C) Narrowed pulse pressure
D) Elevated systolic pressure
To view all questions and flashcards with answers, click on the resource link above.
Chapter 38: Care of Patients With Vascular Problems
Available Study Resources on Quizplus for this Chatper
42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/38723
Sample Questions
Q1) The nurse is providing disease management education to a client with Raynaud's disease.What intervention does the nurse suggest to prevent complications of this disease?
A) "Take vasoconstrictive agents when you have symptoms."
B) "Wear warm clothing when exposed to cool temperatures."
C) "Avoid placing alcohol-based lotion on affected extremities."
D) "Check the strength of pulses in your arms and legs daily."
Q2) A client with atherosclerosis is attempting to stop cigarette smoking with the use of a nicotine patch.Which statement by the client indicates a good understanding of smoking cessation education?
A) "Abruptly discontinuing this patch can cause high blood pressure."
B) "Abruptly discontinuing this patch can cause nausea and vomiting."
C) "Smoking while using this patch increases the risk of respiratory infection."
D) "Smoking while using this patch increases the risk of a heart attack."
Q3) The nurse is educating a client before a right leg atherectomy.What priority education does the nurse provide?
A) "You may use the bathroom after the procedure."
B) "You will be sedated for 6 hours after the procedure."
C) "You will not need to take a daily aspirin anymore."
D) "You may be on heparin during the procedure."
To view all questions and flashcards with answers, click on the resource link above. Page 40
Chapter 39: Care of Patients With Shock
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/38724
Sample Questions
Q1) The nurse is assessing a client who has hypovolemic shock.Which laboratory value indicates that the client is at risk for acidosis?
A) Decreased serum creatinine
B) Increased serum lactic acid
C) Increased urine specific gravity
D) Decreased partial pressure of arterial carbon dioxide
Q2) The nurse is planning discharge education for a client who had an exploratory laparotomy.Which nursing statement is appropriate when teaching the client to monitor for early signs of shock?
A) "Monitor how much urine you void and report a decrease in the amount."
B) "Take your temperature daily and report any below-normal body temperatures."
C) "Assess your radial pulse every day and report an irregular rhythm."
D) "Monitor your bowel movements and report ongoing constipation or diarrhea."
Q3) The emergency department nurse is triaging clients.Which client does the nurse assess most carefully for hypovolemic shock?
A) 15-year-old adolescent who plays high school basketball
B) 24-year-old computer specialist who has bulimia
C) 48-year-old truck driver who has a 40-pack-year history of smoking
D) 62-year-old business executive who travels frequently
To view all questions and flashcards with answers, click on the resource link above.
Page 41
Chapter 40: Care of Patients With Acute Coronary Syndromes
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/38725
Sample Questions
Q1) The nurse is planning discharge education for a client after coronary artery bypass graft surgery.Which instruction does the nurse include in this client's teaching?
A) "Remember to drink at least 3 liters of fluid daily."
B) "You should abstain from sexual activity for 6 months."
C) "Take your pulse before, midway through, and after exercising."
D) "Stop taking your antihyperlipidemic medication at this time."
Q2) The nurse is teaching a client who is prescribed a calcium channel blocking agent after a percutaneous transluminal coronary angioplasty (PTCA).Which instruction does the nurse include in this client's teaching?
A) "Change position slowly."
B) "Avoid crossing your legs."
C) "Weigh yourself daily."
D) "Decrease salt intake."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 41: Assessment of the Hematologic System
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/38726
Sample Questions
Q1) The nurse is teaching a client who has undergone a bone marrow biopsy.Which instruction does the nurse give the client?
A) "Wear protective gear when playing contact sports."
B) "Monitor the biopsy site for bruising."
C) "Remain in bed for at least 12 hours."
D) "Use a heating pad for pain at the biopsy site."
Q2) The nurse is assessing a client's susceptibility to rejecting a transplanted kidney.Which result does the nurse recognize as increasing the client's chances of rejection?
A) Decreased T-lymphocyte helper
B) Decreased white blood cell count
C) Increased cytotoxic-cytolytic T cell
D) Increased neutrophil count
Q3) The nurse is assessing a client with numerous areas of bruising.Which question does the nurse ask to determine the cause of this finding?
A) "Do you take aspirin?"
B) "How often do you exercise?"
C) "Are you a vegetarian?"
D) "How often do you take Tylenol?"
To view all questions and flashcards with answers, click on the resource link above.
Page 43
Chapter 42: Care of Patients With Hematologic Problems
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/38727
Sample Questions
Q1) The nurse is preparing a client with leukemia for a peripheral stem cell transfusion.Which information does the nurse provide the client?
A) "Nausea and vomiting are common after the transfusion."
B) "The transfusion will take about 6 hours."
C) "You may have numbness in your fingers and toes."
D) "Your urine may be red for a short time."
Q2) The nurse is teaching a client who was recently diagnosed with thrombocytopenia.Which instruction does the nurse include in this client's discharge teaching?
A) "Drink at least 3 liters of fluid each day."
B) "Use a soft-bristled toothbrush."
C) "Avoid blowing your nose."
D) "Use only aspirin when having pain."
Q3) The nurse is planning discharge teaching for a client who has acute myelogenous leukemia (AML).Which instruction does the nurse include in this client's discharge plan?
A) Avoid contact sports.
B) Refrain from intercourse.
C) Apply heat to any bruised areas.
D) Use aspirin for headaches.
To view all questions and flashcards with answers, click on the resource link above.
Page 44
Chapter 43: Assessment of the Nervous System
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/38728
Sample Questions
Q1) A client is scheduled for a single-photon emission computed tomography test.Which condition in the client's history causes the nurse to contact the provider before the test takes place?
A) Peptic ulcers
B) Smoking history
C) Liver failure
D) Currently breast feeding
Q2) The nurse is planning care for an 83-year-old client with age-related changes to his sensory perception.Which nursing action does the nurse implement to ensure the client's safety?
A) Provide a call button that requires only minimal pressure to activate.
B) Use a clock and a calendar to orient and minimize onset of dementia.
C) Ensure that the path to the bathroom is free from equipment.
D) Admit the client to the room closest to the nursing station.
Q3) The nurse is preparing a client for magnetic resonance angiography.Which question is a priority at this time?
A) "Have you had a recent blood transfusion?"
B) "Do you have allergies to iodine or shellfish?"
C) "Do you have a history of urinary tract infections?"
D) "Do you currently use oral contraceptives?"
To view all questions and flashcards with answers, click on the resource link above. Page 45
Chapter 44: Care of Patients With Problems of the Central
Nervous System: the
Brain
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/38729
Sample Questions
Q1) The nurse is taking the health history of a client suspected of having bacterial meningitis.Which question is most important for the nurse to ask?
A) "Do you live in a crowded residence?"
B) "When was your last tetanus vaccination?"
C) "Have you had any viral infections recently?"
D) "Have you traveled out of the country in the last month?"
Q2) A client diagnosed with the Huntington gene but who has no symptoms asks for options related to family planning.Which is the nurse's best response?
A) "Most clients with the Huntington gene do not pass on Huntington disease to their children."
B) "I understand that they can diagnose this disease in embryos. Therefore you could select a healthy embryo from your fertilized eggs for implantation to avoid passing on Huntington disease."
C) "The need for family planning is limited because one of the hallmarks of Huntington disease is infertility."
D) "Tell me more specifically what information you need about family planning so that I can direct you to the right information or health care provider."
To view all questions and flashcards with answers, click on the resource link above.
Page 46
Chapter 45: Care of Patients With Problems of the Central Nervous
System: the Spinal Cord
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/38730
Sample Questions
Q1) The nurse is providing health education at a community center.Which instruction does the nurse include as part of client education for the prevention of low back pain?
A) "Participate in a regular exercise program."
B) "Purchase a soft mattress for sleeping comfort."
C) "Wear high-heeled shoes only for special occasions."
D) "Keep your weight within 20% of your ideal body weight."
Q2) A client with multiple sclerosis is being treated with fingolimod (Gilenya).Which clinical manifestation alerts the nurse to an adverse effect of this medication?
A) Periorbital edema
B) Black tarry stools
C) Bradycardia
D) Vomiting after meals
Q3) The nurse notes reddened areas over the hips and sacrum of a client with paraplegia from a spinal cord injury.Which action does the nurse implement?
A) Massage the reddened areas with a barrier cream.
B) Perform hip flexion and extension range-of-motion (ROM) exercises.
C) Reposition the client so that the reddened area does not bear weight.
D) Ensure that the client sits in a chair at least once each shift.
To view all questions and flashcards with answers, click on the resource link above. Page 47
Chapter 46: Care of Patients With Problems of the
Peripheral Nervous
System
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/38731
Sample Questions
Q1) A client suspected to have myasthenia gravis is scheduled for the Tensilon (edrophonium chloride)test.Which prescribed medication does the nurse prepare to administer if complications of this test occur?
A) Epinephrine
B) Atropine sulfate
C) Diphenhydramine
D) Neostigmine bromide
Q2) The nurse is assessing a client who had a dissection of all branches of the right trigeminal nerve.When asked to wrinkle his forehead,the client wrinkles only the left side.Which is the nurse's best action?
A) Place the client in high Fowler's position.
B) Document the finding.
C) Assess the corneal reflex.
D) Notify the health care provider.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 47: Care of Critically Ill Patients With Neurologic Problems
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/38732
Sample Questions
Q1) The nurse is teaching bladder training to a client who is incontinent after a stroke.Which instruction does the nurse include in this client's teaching?
A) "Decrease your oral intake of fluids to 1 liter per day."
B) "Use a Foley catheter at night to prevent accidents."
C) "Plan to use the commode every 2 hours during the day."
D) "Hold your bladder as long as possible to restore bladder tone."
Q2) The nurse is assessing a client who had a stroke in the right cerebral hemisphere.Which neurologic deficit does the nurse assess for in this client?
A) Impaired proprioception
B) Aphasia
C) Agraphia
D) Impaired olfaction
Q3) The nurse is caring for a client admitted to the intensive care unit after incurring a basilar skull fracture.Which complication of this injury does the nurse monitor for?
A) Aspiration
B) Hemorrhage
C) Pulmonary embolus
D) Myocardial infarction
To view all questions and flashcards with answers, click on the resource link above. Page 49
Chapter 48: Assessment of the Eye and Vision
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/38733
Sample Questions
Q1) A client relates that the vision in the left eye is greatly decreased from the day before.What does the nurse do first?
A) Assess current medications.
B) Patch the left eye.
C) Notify the ophthalmologist.
D) Perform an in-depth interview.
Q2) A client has paralysis of the right medial rectus muscle of the right eye.Which assessment finding assists the nurse in validating this diagnosis?
A) Client is unable to turn the eye in toward the nose.
B) Client is unable to lift the upper eyelid.
C) Client cannot look downward.
D) Client cannot look upward.
Q3) Which teaching is essential for a client who is going to have intraocular pressure measurement with a slit lamp?
A) "The test causes temporary blindness."
B) "The test is quick and a local anesthetic is used."
C) "The test does cause a little pain, but it is over quickly."
D) "The test causes some tearing, but no pain."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 49: Care of Patients With Eye and Vision Problems
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/38734
Sample Questions
Q1) A client is using an ophthalmic beta-blocking agent for the treatment of glaucoma.Which instruction does the nurse give to the client to prevent orthostatic hypotension?
A) "Change positions quickly after administering the drops."
B) "Take your pulse at least four times daily."
C) "Apply pressure to the inside corner of your eye when administering the drops."
D) "Lay down for 10 minutes after administering the drops."
Q2) A client is having intraocular pressure measured for both eyes.Which response by the client best indicates that the client understands why this is necessary every year?
A) "Elevated eye pressure can cause high blood pressure."
B) "If eye pressure is too high, your eyes will dry out."
C) "Elevated eye pressure can press on blood vessels in the eye."
D) "Increased eye pressure causes the tear ducts to become blocked."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 50: Assessment of the Ear and Hearing
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/38735
Sample Questions
Q1) The nurse is performing an ear assessment on an older adult.Which assessment finding does the nurse document in the client's chart as an expected age-related change?
A) Coarse hair is seen in the auditory canal.
B) Tympanic membrane is intact and bulging.
C) Impacted cerumen is present in the auditory canal.
D) Small, painless nodules are noted on the helix of the pinna.
Q2) A client is being taught how to safely irrigate ears to remove cerumen.What is the correct order of self-ear irrigation? (Separate letters by a comma and space as follows: a,b,c,d.)
A) Fill the syringe with lukewarm water.
B) Hold the head at a 30-degree angle.
C) Insert the tip of the syringe carefully into the ear canal and aim toward the canal roof.
D) Tilt the head at a 90-degree angle to remove excess fluid.
E) Use one hand to hold the syringe and the other to push the plunger.
F) Repeat the procedure on the opposite ear.
G) Continue the procedure until at least a cup of fluid has flowed into and out of the ear.
H) The ear should fill with fluid and the water will flow out with cerumen.
To view all questions and flashcards with answers, click on the resource link above.
52
Chapter 51: Care of Patients With Ear and Hearing Problems
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/38736
Sample Questions
Q1) The nurse is caring for a newly deaf client who is learning to read lips.Which client statement indicates that additional teaching is needed?
A) "After I practice lip reading for a while, I won't need to worry about using sign language anymore."
B) "I will have a harder time lip reading when I am not familiar with the topic of the conversation."
C) "Focusing so much on lip reading will make me tired, so I will try to keep conversations short."
D) "I may not be able to lip read very well when the other person has a beard or when light in the room is inadequate."
Q2) The nurse is assessing several clients with hearing loss.Which client does the nurse recommend should investigate hearing aids?
A) Client who has smoked two packs of cigarettes a day for 30 years
B) Client who had chronic middle ear infections during childhood
C) Client with constant tinnitus that becomes worse at night
D) Client who worked as a security guard at rock concerts for 10 years
To view all questions and flashcards with answers, click on the resource link above.
Chapter 52: Assessment of the Musculoskeletal System
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/38737
Sample Questions
Q1) The nurse is caring for a client who is to have a computed tomography (CT)scan of the leg.Which assessment question does the nurse ask the client before the procedure?
A) "Do you have any metal clips, plates, or pins in your body?"
B) "Have you had anything to eat or drink in the last 6 hours?"
C) "Do you have someone to drive you home after the procedure?"
D) "Do you have any allergies to shrimp, scallops, or other seafood?"
Q2) The nurse is assessing a client who reports severe knee pain after a fall.Which question does the nurse ask to determine the radiation of the pain?
A) "What makes the pain better or worse?"
B) "Are you able to bear any weight on the knee at all?"
C) "Does the pain move to another area from your knee?"
D) "How would you rate the pain on a scale of 1 to 10?"
Q3) Which instruction does the nurse give to the client before he or she has electromyography (EMG)?
A) "Make sure that you have someone to drive you home after the test."
B) "Do not eat or drink anything for at least 6 hours before the test."
C) "You will have to avoid heavy lifting for 24 hours following the test."
D) "Do not take your cyclobenzaprine (Flexeril) on the 2 days before the test."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 53: Care of Patients With Musculoskeletal Problems
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/38738
Sample Questions
Q1) An adult client's susceptibility to osteoporosis is caused by which aspect of his or her history?
A) Fractured arm at age 16
B) Active smoking
C) Vitamin D supplements
D) Weight lifting
Q2) Which nursing intervention is most effective in preventing transfer of an organism from the wound of a client with osteomyelitis to other clients?
A) Contact Precautions
B) Restriction of visitors
C) Irrigating the wound as needed
D) Leaving the wound open to air
Q3) Which instruction is most important for the RN to provide to the nursing assistant assigned to care for a client with primary osteoporosis?
A) "Clean up clutter in the room."
B) "Encourage the client to bathe herself or himself."
C) "Monitor urinary output."
D) "Perform passive range-of-motion exercises."
To view all questions and flashcards with answers, click on the resource link above. Page 55
Chapter 54: Care of Patients With Musculoskeletal Trauma
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/38739
Sample Questions
Q1) The nurse is performing an assessment on a client admitted with a fractured left humerus.When the client moves the extremity,the nurse notes the presence of a grating sound.Which is the nurse's best intervention?
A) Immobilize the arm.
B) Perform range of motion.
C) Monitor for other signs of infection.
D) Administer steroids.
Q2) A client has a fractured tibia and is asking the nurse about external fixation.What are some advantages for the use of external fixation for the immobilization of fractures?
A) Leads to minimal blood loss
B) Allows for early ambulation
C) Decreases the risk of infection
D) Increases blood supply to tissues
E) Provides visualization of bone ends
F) Promotes healing
To view all questions and flashcards with answers, click on the resource link above.
Chapter 55: Assessment of the Gastrointestinal System
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/38740
Sample Questions
Q1) The nurse performs percussion of a client's abdomen.Which findings may the nurse determine with this assessment technique?
A) Hepatomegaly
B) Kidney stones
C) Ascites
D) Large mass below the liver
E) Biliary colic
F) Ileus
Q2) A client has been taking naproxen (Naprosyn)for several months.Which assessment question is important for the nurse to ask?
A) "Have you experienced any constipation?"
B) "Have you had any stomach pain or indigestion?"
C) "Have you had any difficulty swallowing?"
D) "Have you noticed any weight loss lately?"
Q3) Which question best assists the nurse in assessing a client with acute diarrhea?
A) "Have you traveled outside the country recently?"
B) "Have you had a colonoscopy lately?"
C) "Do you have any trouble swallowing?"
D) "Do you have any allergies?"
To view all questions and flashcards with answers, click on the resource link above.
Page 57
Chapter 56: Care of Patients With Oral Cavity Problems
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/38741
Sample Questions
Q1) The nurse is caring for a client with stomatitis.Which items reported during the history of the client may contribute to the reoccurrence of this condition?
A) Drinking two glasses of wine nightly
B) Smoking three cigarettes each day
C) Vitamin A deficiency
D) Drinking four cups of coffee daily
E) Fruits and nuts as the mainstay of the diet
F) Vitamin C deficiency
Q2) The nurse is assessing a client during a routine physical examination.Which statement made by the client concerning the risk of oral cancer indicates that further teaching is needed?
A) "I will brush my teeth and floss regularly."
B) "I will begin a smoking cessation program."
C) "I can still use chewing tobacco since I stopped smoking."
D) "I will limit my intake of alcoholic beverages."
To view all questions and flashcards with answers, click on the resource link above.
58
Chapter 57: Care of Patients With Esophageal Problems
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/38742
Sample Questions
Q1) A client is admitted to the cardiac monitoring unit for a suspected myocardial infarction.The client reports long-standing nighttime reflux,and the health care provider orders nizatidine (Axid)150 mg twice a day.Which action by the nurse is most appropriate?
A) Consult with the health care provider because the dose is too high.
B) Check the client's kidney function tests before administering the drug.
C) Ask the pharmacist to recommend another histamine receptor agonist.
D) Give the medication as ordered and monitor for effectiveness.
Q2) A client with esophageal cancer is receiving radiation therapy.Which finding alerts the nurse to a possible complication in this client?
A) Redness of the skin at the site of radiation
B) Worsening of dysphagia or odynophagia
C) Development of nausea or vomiting
D) A profound feeling of tiredness
Q3) A client has esophageal cancer.Which intervention by the nurse takes priority?
A) Maintaining nutritional intake
B) Allowing grieving
C) Preventing aspiration
D) Managing pain relief
To view all questions and flashcards with answers, click on the resource link above.
Page 59
Chapter 58: Care of Patients With Stomach Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/38743
Sample Questions
Q1) The nurse is caring for a client with peptic ulcer disease.The client vomits a large amount of undigested food after breakfast.Which intervention does the nurse prepare to provide for the client?
A) Administer a soap suds cleansing enema.
B) Change the client's diet to clear liquids only.
C) Insert a nasogastric (NG) tube to low intermittent suction.
D) Administer prochlorperazine (Compazine) 10 mg IM.
Q2) An older client is admitted to the hospital with acute gastritis.The health care provider orders magnesium hydroxide (Mylanta)1 hour and 3 hours after meals and at bedtime.Which action by the nurse is most appropriate?
A) Check the client's renal function studies before giving the drug.
B) Call the health care provider and ask for a different antacid for the client.
C) Assess the client's pain and treat pain if present.
D) Assist the client in ordering bland food from the menu.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 59: Care of Patients With Noninflammatory
Intestinal Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/38744
Sample Questions
Q1) A client is to receive 12 mg/kg of 5-fluorouracil (5-FU)chemotherapy IV for treatment of colon cancer.The client weighs 132 lb.The client will receive ______ milligrams of 5-FU.
Q2) The nurse is caring for a client who has undergone removal of a benign colonic polyp.The client asks the nurse why a follow-up colonoscopy is necessary.Which is the nurse's best response?
A) "You are at risk for developing more polyps in the future."
B) "You may have other cancerous lesions that could not be seen right now."
C) "The doctor can remove only a few of the polyps during each colonoscopy."
D) "This test will ensure that you have healed where the polyp was removed."
Q3) A middle-aged male client has irritable bowel syndrome that has not responded well to diet changes and bulk-forming laxatives.He asks the nurse about the new drug lubiprostone (Amitiza).What information does the nurse provide him?
A) "This drug is investigational right now for irritable bowel syndrome."
B) "Unfortunately, this drug is approved only for use in women."
C) "Lubiprostone works well only in a small fraction of irritable bowel cases."
D) "Let's talk to your health care provider about getting you a trial prescription."
To view all questions and flashcards with answers, click on the resource link above.
Page 61
Chapter 60: Care of Patients With Inflammatory Intestinal Disorders
Available Study Resources on Quizplus for this Chatper
36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/38745
Sample Questions
Q1) The nurse is caring for a client who has acute viral gastroenteritis.Which dietary instruction does the nurse provide to the client?
A) "Drink plenty of fluids to prevent dehydration."
B) "You can have only clear liquids to drink."
C) "Milk products will give you extra protein."
D) "You can have sips of cola or tea to relieve nausea."
Q2) The nurse reviews a health teaching for a client with Crohn's disease.Which instruction does the nurse provide for the client?
A) "You should have a colonoscopy every few years."
B) "You should eat a diet that is high in protein and fiber."
C) "You should avoid heavy lifting and tight-fitting clothes."
D) "You should take the Asacol whenever you have loose stools."
Q3) The nurse is caring for a client with Giardia lamblia infection.Which medication does the nurse anticipate teaching the client about?
A) Metronidazole (Flagyl)
B) Ciprofloxacin (Cipro)
C) Sulfasalazine (Azulfidine)
D) Ceftriaxone (Rocephin)
To view all questions and flashcards with answers, click on the resource link above. Page 62
Chapter 61: Care of Patients With Liver Problems
Available Study Resources on Quizplus for this Chatper
45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/38746
Sample Questions
Q1) A client has liver cancer.Which statement by the client about treatment options demonstrates an accurate understanding?
A) "I guess it's a good thing that surgery is usually so successful."
B) "I choose hepatic arterial infusion of chemo to limit side effects."
C) "Because I have only local metastases, I am thinking about transplant."
D) "This disease is so rare, no wonder no good treatments are available."
Q2) A client who underwent liver transplantation 2 weeks ago reports a temperature of 101° F (38.3° C)and right flank pain.Which is the nurse's best response?
A) "The anti-rejection drugs you are taking made you susceptible to infection."
B) "You should go to the hospital immediately to have your new liver checked out."
C) "You should take an additional dose of cyclosporine today."
D) "Take acetaminophen (Tylenol) every 4 hours until you feel better."
Q3) A client just had a paracentesis.Which nursing intervention is a priority for this client?
A) Monitor urine output.
B) Maintain bedrest as per protocol.
C) Position the client flat in bed.
D) Secure the trocar to the abdomen with tape.
To view all questions and flashcards with answers, click on the resource link above. Page 63
Chapter 62: Care of Patients With Problems of the Biliary System
and Pancreas
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/38747
Sample Questions
Q1) The nurse is caring for a female client with cholelithiasis.Which assessment findings from the client's history and physical examination may have contributed to development of the condition?
A) Body mass index (BMI) of 46
B) Vegetarian diet
C) Drinking 4 ounces of red wine nightly
D) Pregnant with twins
E) History of metabolic syndrome
F) Glycosylated hemoglobin level of 15%
Q2) The nurse is caring for a client who has just undergone traditional cholecystectomy surgery and has a Jackson-Pratt (JP)drain in place.The nurse notes serosanguineous drainage present in the drain.Which is the nurse's priority action?
A) Gently milk the drain tubing.
B) Notify the surgeon immediately.
C) Document the finding in the client's chart.
D) Irrigate the drain with sterile normal saline.
To view all questions and flashcards with answers, click on the resource link above.
64
Chapter 63: Care of Patients With Malnutrition and Obesity
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/38748
Sample Questions
Q1) The nurse is caring for a client who is a vegan and has developed B<sub>12</sub> deficiency.Which foods does the nurse encourage the client to include in the diet?
A) Fortified cereals and tofu
B) Pumpkin seeds and blackstrap molasses
C) Kale, spinach, and whole grain bread
D) Strawberries and sweet red peppers
Q2) Which dietary adjustments does the nurse recommend to an older adult client asking what changes she should institute to prevent or manage constipation?
A) "Increase your calcium intake."
B) "Limit your fluid intake."
C) "Include plenty of fiber."
D) "Take a laxative with every meal."
Q3) The new nursing supervisor at a long-term care facility is concerned about the number of residents who appear malnourished.Which action by the nurse is best?
A) Institute daily weighing for at-risk or underweight residents.
B) Provide a supply of easy to access high-calorie snacks.
C) Ask dining room personnel about residents coughing at meals.
D) Assess the residents' opinions on the quality of food served.
To view all questions and flashcards with answers, click on the resource link above. Page 65
Chapter 64: Assessment of the Endocrine System
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/38749
Sample Questions
Q1) The nurse is teaching a client about self-care after menopause.Which teaching topic is the priority?
A) Weight-bearing exercise
B) Skin care
C) Intimacy needs
D) Body image changes
Q2) A client is taking a drug that blocks a hormone's receptor site.What is the effect on the client's hormone response?
A) Greater hormone metabolism
B) Decreased hormone activity
C) Increased hormone activity
D) Unchanged hormone response
Q3) Which situation or condition is likely to result in increased production of thyroid hormones?
A) Starvation
B) Dehydration
C) Adequate sleep
D) Cold environmental temperature
To view all questions and flashcards with answers, click on the resource link above.
66
Chapter 65: Care of Patients With Pituitary and Adrenal
Gland Problems
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/38750
Sample Questions
Q1) Which conditions may cause hypopituitarism?
A) Benign pituitary tumors
B) Diplopia
C) Anorexia nervosa
D) Hypotension
E) Shock
F) Weight gain
Q2) A female client has a decrease in all pituitary hormones.Which assessment question by the nurse elicits the best information?
A) "Do you have any biological children?"
B) "Do you have a decreased sex drive?"
C) "Have you noticed increased facial hair?"
D) "Are you more intolerant of heat?"
Q3) A client has received vasopressin (DDAVP)for diabetes insipidus.Which assessment finding indicates a therapeutic response to this therapy?
A) Urine output is increased; specific gravity is increased.
B) Urine output is increased; specific gravity is decreased.
C) Urine output is decreased; specific gravity is increased.
D) Urine output is decreased; specific gravity is decreased.
Page 67
To view all questions and flashcards with answers, click on the resource link above.
Chapter 66: Care of Patients With Problems of the Thyroid and Parathyroid Glands
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/38751
Sample Questions
Q1) A client with hyperthyroidism is taking lithium carbonate.Which finding indicates that the client is having side effects of this therapy?
A) Blurred vision
B) Increased thirst and urination
C) Increased sweating and diarrhea
D) Decreased attention span and insomnia
Q2) On the second postoperative day after a subtotal thyroidectomy,the client tells the nurse that he feels numbness and tingling around his mouth.Which is the nurse's priority intervention?
A) Offer mouth care.
B) Loosen the dressing.
C) Assess Chvostek's sign.
D) Assess the client hourly.
Q3) Which dietary modification does the nurse provide for a client with hyperthyroidism?
A) Decreased calories and proteins and increased carbohydrates
B) Elimination of carbohydrates and increased proteins and fats
C) Increased calories, proteins, and carbohydrates
D) Supplemental vitamins and reduction of calories
To view all questions and flashcards with answers, click on the resource link above. Page 68
Chapter 67: Care of Patients With Diabetes Mellitus
Available Study Resources on Quizplus for this Chatper
61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/38752
Sample Questions
Q1) The nurse has given a client an injection of glucagon.Which action does the nurse take next?
A) Apply pressure to the injection site.
B) Position the client on his or her side.
C) Have a padded tongue blade available.
D) Elevate the head of the bed.
Q2) To reduce complications of diabetes,the nurse teaches a client with normal kidney function to modify intake of which nutritional group?
A) Fats
B) Fiber
C) Proteins
D) Carbohydrates
Q3) A client with a history of diabetes mellitus has new onset of microalbuminuria.Which component of the diet must the client reduce?
A) Percentage of total calories derived from carbohydrates
B) Percentage of total calories derived from proteins
C) Percentage of total calories derived from fats
D) Total caloric intake
To view all questions and flashcards with answers, click on the resource link above.
69
Chapter 68: Assessment of the Renalurinary System
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/38753
Sample Questions
Q1) The nursing assistant is using a bladder scanner on a client.Which action by the nursing assistant requires further education on the use of this device?
A) Consistently choosing the female icon for all female clients
B) Consistently choosing the male icon for all male clients
C) Applying ultrasound gel to the scanning head and removing it when finished
D) Taking at least two readings by using the aiming icon to place the scanning head.
Q2) The nurse is palpating a client's kidneys.The client's right kidney is easily palpated,but the nurse cannot palpate the left kidney.What is the nurse's interpretation of this finding?
A) The problem involves the right kidney.
B) The problem involves the left kidney.
C) Both kidneys are in the normal position.
D) The client is at increased risk for kidney impairment.
Q3) Which condition is associated with oversecretion of renin?
A) Alzheimer's disease
B) Hypertension
C) Diabetes mellitus
D) Diabetes insipidus
To view all questions and flashcards with answers, click on the resource link above.
Chapter 69: Care of Patients With Urinary Problems
Available Study Resources on Quizplus for this Chatper
36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/38754
Sample Questions
Q1) A client is scheduled to undergo the surgical creation of an ileal conduit.He expresses his anxiety and fear regarding the procedure.Which is an appropriate response from the nurse?
A) "Do you think something for your nerves would be helpful?"
B) "Would you like to discuss the procedure with your doctor once more?"
C) "Are you ready for your sleeping medication now?"
D) "Would you like to speak with someone who has an ileal conduit?"
Q2) Which type of incontinence is most common after a difficult vaginal delivery?
A) Stress
B) Urge
C) Reflex
D) Overflow
Q3) A client who has undergone a nephrolithotomy procedure 24 hours ago now has a fever of 101° F (38.3° C).What is the nurse's priority intervention?
A) Apply a cooling blanket.
B) Strain the client's urine.
C) Notify the health care provider.
D) Document the finding in the client's chart.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 70: Care of Patients With Renal Disorders
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/38755
Sample Questions
Q1) The visiting nurse has many clients who are African American.Which intervention is most important for the nurse to accomplish when seeing these clients?
A) Weigh the clients and compare their weights.
B) Assess the clients' blood pressure.
C) Observe the clients for any signs of abuse.
D) Ask the clients about their medications.
Q2) A client returned to the nursing unit after having a nephrostomy performed.Over the next 6 hours,drainage in the tube has gone from 40 mL/hr to 12 mL over the last hour.Which intervention by the nurse is most appropriate?
A) Document the finding in the client's record.
B) Evaluate the tube as working in the hand-off report.
C) Clamp the tube in preparation for removing it.
D) Assess the client's abdomen and vital signs.
Q3) The nurse completes which assessment in a client with acute glomerulonephritis and periorbital edema?
A) Auscultating breath sounds
B) Checking blood glucose levels
C) Measuring deep tendon reflexes
D) Testing urine for protein
To view all questions and flashcards with answers, click on the resource link above.
Page 72
Chapter 71: Care of Patients With Acute Kidney Injury and Chronic Kidney Disease
Available Study Resources on Quizplus for this Chatper
44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/38756
Sample Questions
Q1) During a hot summer day,an older adult client tells the clinic nurse,"I am not drinking or voiding that much these days." The nurse notes a heart rate of 100 beats/min and a blood pressure of 90/60 mm Hg.Which action does the nurse take first?
A) Give the client something to drink.
B) Insert an intravenous catheter.
C) Teach the client to drink 2 to 3 liters a day.
D) Perform a bladder scan to assess urine volume.
Q2) Assessment findings reveal that a client with chronic kidney disease is refusing to take prescribed medications because of the "cost." The client also is having difficulty performing activities of daily living and prefers to sleep most of the day.To which health care team member does the nurse refer the client?
A) Home health aide
B) Physical therapist
C) Psychiatric nurse practitioner
D) Physician
To view all questions and flashcards with answers, click on the resource link above.
Chapter 72: Assessment of the Reproductive System
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/38757
Sample Questions
Q1) The nurse is working with a client who is recovering after a cervical biopsy.Which statement by the client indicates a need for further instruction?
A) "I can resume vaginal intercourse after 6 weeks."
B) "I should report heavy bleeding to the health care provider."
C) "I must not lift heavy objects for about 2 weeks."
D) "I will use the antiseptic rinse on a regular basis."
Q2) The nurse is teaching high school girls about the female reproductive tract.Which statements by the nurse are accurate?
A) The vagina has an acidic environment.
B) The cervix is where the Pap smear is taken from.
C) The ovum is fertilized in the uterus.
D) Ovaries produce sex steroid hormones.
E) The breasts contain fat tissue.
Q3) An African-American client has a prostate-specific antigen (PSA)of 12 ng/mL.Which action by the nurse is best?
A) Remind the client to repeat the test in 1 year.
B) Prepare the client for further diagnostic testing.
C) Ask if the client ejaculated within 48 hours of the test.
D) Assess the client for alcohol and tobacco use.
To view all questions and flashcards with answers, click on the resource link above.
Page 74
Chapter 73: Care of Patients With Breast Disorders
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/38758
Sample Questions
Q1) A client with a history of breast cancer is admitted through the emergency department with shortness of breath,weakness,fatigue,and new lower extremity edema.The client's oxygen saturation is 88%.After stabilizing the client,which action by the nurse is most important?
A) Obtain a list of the client's medications.
B) Orient her to her room and surroundings.
C) Place the client on intake and output.
D) Assess the client's family cardiac history.
Q2) A client had a mastectomy and axillary node dissection.The nurse empties sanguineous drainage from the client's incisional Jackson-Pratt drain on the first postoperative day.Which other action regarding the drain is of high priority for the nurse?
A) Flushing the tubing with urokinase to ensure patency
B) Compressing and closing the drain to ensure suction
C) Advancing the tubinginch from the insertion site
D) Clamping the drain for 2 hours and releasing it for 2 hours
To view all questions and flashcards with answers, click on the resource link above.
75
Chapter 74: Care of Patients With Gynecologic Problems
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/38759
Sample Questions
Q1) A woman has been told she has cervical polyps.Which statement by the client indicates a good understanding of the teaching the nurse provided?
A) "I hope my polyp doesn't turn cancerous like colon polyps can."
B) "These can be removed easily in the doctor's office with little pain."
C) "I will need to have more frequent screening for cervical cancer."
D) "I will need to finish all my medication before having sex again."
Q2) A client has recently undergone an anterior colporrhaphy.Which is the most important discharge instruction that the nurse can provide?
A) "Avoid sexual intercourse for 2 weeks."
B) "Call us for fever and pain that does not improve."
C) "Sutures will need to be removed in 2 weeks."
D) "An ice pack on your incision will help the pain."
Q3) Why are the death rates from ovarian cancer so high?
A) The causative oncovirus is resistant to chemotherapy and to radiation.
B) No symptoms are obvious during the early stages of this disorder.
C) Radiation therapy is ineffective because the ovaries are located deep in the pelvis.
D) Ovarian cancer occurs mostly in women over the age of 70 who have other health problems.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 75: Care of Male Patients With Reproductive Problems
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/38760
Sample Questions
Q1) Which client statement indicates understanding about post-orchiectomy care for testicular cancer?
A) "I will avoid contact sports to prevent injury and development of cancer in my remaining testis."
B) "I will always use a condom because I am at increased risk for acquiring a sexually transmitted disease."
C) "I will wear an athletic supporter and cup to prevent testicular cancer in my remaining testicle."
D) "I will continue to perform testicular self-examination (TSE) monthly on my remaining testicle."
Q2) Which statement indicates that a client understands the most appropriate time of day to take an alpha blocker drug for treatment of benign prostatic hyperplasia (BPH)?
A) "I'll take my medication at bedtime."
B) "As soon as I get up, I will take my medication."
C) "I will take my medication with food or milk."
D) "I'll take my medication on an empty stomach."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 76: Care of Patients With Sexually Transmitted Disease
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/38761
Sample Questions
Q1) A female client is diagnosed with human papilloma virus (HPV)infection.Which intervention by the nurse takes priority?
A) Instruct the client on using podofilox (Condylox) cream.
B) Prepare the client for a Pap test and HPV DNA testing.
C) Teach the client to take all medications until they are gone.
D) Encourage the client to drink 8 to 10 glasses of water daily.
Q2) A client was diagnosed with chancroid.Which manifestation does the nurse associate with this condition?
A) Vaginal discharge
B) High fever
C) History of ectopic pregnancies
D) Genital ulcers
Q3) A client has just been diagnosed with a recurrence of genital herpes simplex.She asks how this is possible because she has not had sex since she was diagnosed and treated 1 year ago.Which is the nurse's best response?
A) "Sometimes one course of therapy is not enough to eradicate the disease."
B) "The disease can be controlled but is never cured, and outbreaks are common."
C) "Did you take the medication exactly the way it was prescribed for you?"
D) "If you have more than one sex partner, you may have more than one strain."
Page 78
To view all questions and flashcards with answers, click on the resource link above.