Nursing Fundamentals Solved
Exam Questions
Course Introduction
Nursing Fundamentals introduces students to the essential concepts, skills, and values necessary for entry-level nursing practice. This course covers foundational topics such as the nursing process, patient care techniques, vital sign assessment, infection control, documentation, and effective communication within healthcare teams. Students gain practical experience through laboratory and clinical components, developing critical thinking, empathy, and professionalism required to provide safe, holistic, and evidence-based care across diverse healthcare settings.
Recommended Textbook
Medical Surgical Nursing 10th Edition by Lewis
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68 Chapters
1998 Verified Questions
1998 Flashcards
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Chapter 1: Professional Nursing Practice
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which nursing diagnosis statement is written correctly?
A)Altered tissue perfusion related to heart failure
B)Risk for impaired tissue integrity related to sacral redness
C)Ineffective coping related to response to biopsy test results
D)Altered urinary elimination related to urinary tract infection
Answer: C
Q2) A nurse asks the patient if pain was relieved after receiving medication. What is the purpose of the evaluation phase of the nursing process?
A)To determine if interventions have been effective in meeting patient outcomes
B)To document the nursing care plan in the progress notes of the medical record
C)To decide whether the patient's health problems have been completely resolved
D)To establish if the patient agrees that the nursing care provided was satisfactory
Answer: A
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3
Chapter 2: Health Disparities and Culturally Competent Care
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse plans care for a hospitalized patient who uses culturally based treatments. Which action by the nurse is best?
A)Encourage the use of diagnostic procedures.
B)Coordinate the use of folk treatments with ordered medical therapies.
C)Ask the patient to discontinue the cultural treatments during hospitalization.
D)Teach the patient that folk remedies will interfere with orders by the health care provider.
Answer: B
Q2) The nurse performs a cultural assessment with a patient from a different culture. Which action by the nurse should be taken first?
A)Request an interpreter before interviewing the patient.
B)Wait until a family member is available to help with the assessment.
C)Ask the patient about any affiliation with a particular cultural group.
D)Tell the patient what the nurse already knows about the patient's culture. Answer: C
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4
Chapter 3: Health History and Physical Examination
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The nurse plans to complete a physical examination of an alert,older patient. Which adaptations to the examination technique should the nurse include?
A)Avoid the use of touch as much as possible.
B)Use slightly more pressure for palpation of the liver.
C)Speak softly and slowly when talking with the patient.
D)Organize the sequence to minimize the position changes.
Answer: D
Q2) The registered nurse (RN)cares for a patient who was admitted a few hours previously with back pain after falling. Which action can the RN delegate to unlicensed assistive personnel (UAP)?
A)Finish documenting the admission assessment.
B)Determine the patient's priority nursing diagnoses.
C)Obtain the health history from the patient's caregiver.
D)Take the patient's temperature, pulse, and blood pressure.
Answer: D
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Chapter 4: Patient and Caregiver Teaching
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Sample Questions
Q1) A patient who smokes a pack of cigarettes per day tells the nurse,"I enjoy smoking and have no plans to quit." Which nursing diagnosis is most appropriate?
A)Health-seeking behaviors related to cigarette use
B)Ineffective health maintenance related to tobacco use
C)Readiness for enhanced self-health management related to smoking
D)Deficient knowledge related to long-term effects of cigarette smoking
Q2) A patient needs to learn how to instill eye drops. Which teaching strategy,if implemented by the nurse,would be most effective?
A)Peer teaching
B)Lecture-discussion
C)Printed instructions
D)Demonstration and return demonstration
Q3) A patient with newly diagnosed colon cancer has a nursing diagnosis of deficient knowledge about colon cancer. The nurse should initially focus on which learning goal for this patient?
A)The patient will state ways of preventing the recurrence of the cancer.
B)The patient will explore and select an appropriate colon cancer therapy.
C)The patient will demonstrate coping skills needed to manage the disease.
D)The patient will choose methods to minimize adverse effects of treatment.
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Page 6
Chapter 5: Chronic Illness and Older Adults
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which patient is most likely to need long-term nursing care management?
A)72-yr-old who had a hip replacement after a fall at home
B)64-yr-old who developed sepsis after a ruptured peptic ulcer
C)76-yr-old who had a cholecystectomy and bile duct drainage
D)63-yr-old with bilateral knee osteoarthritis who weighs 350 lb (159 kg)
Q2) The home health nurse cares for an older adult patient who lives alone and takes several different prescribed medications for chronic health problems. Which intervention,if implemented by the nurse,would best encourage medication compliance?
A)Use a marked pillbox to set up the patient's medications.
B)Discuss the option of moving to an assisted living facility.
C)Remind the patient about the importance of taking medications.
D)Visit the patient daily to administer the prescribed medications.
Q3) The nurse is admitting an acutely ill,older patient to the hospital. Which action should the nurse take?
A)Speak slowly and loudly while facing the patient.
B)Obtain a detailed medical history from the patient.
C)Perform the physical assessment before interviewing the patient.
D)Ask a family member to go home and retrieve the patient's cane.
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Page 7
Chapter 6: Stress and Stress Management
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) An obese female patient who had enjoyed active outdoor activities is stressed because osteoarthritis in her hips now limits her activity. Which action by the nurse will best assist the patient to cope with this situation?
A)Have the patient practice frequent relaxation breathing.
B)Ask the patient what outdoor activities she misses the most.
C)Teach the patient to use imagery for reducing pain and stress.
D)Encourage the patient to consider weight loss to improve symptoms.
Q2) A patient is extremely anxious about having a biopsy on a femoral lymph node. Which relaxation technique would be the best choice for the nurse to facilitate during the procedure?
A)Yoga stretching
B)Guided imagery
C)Relaxation breathing
D)Mindfulness meditation
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8
Chapter 7: Sleep and Sleep Disorders
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) Which information obtained by the nurse about an older adult who complains of occasional insomnia indicates a need for patient teaching ?
A)Drinks a cup of coffee every morning with breakfast
B)Eats a snack every evening 1 hour before going to bed
C)Reads or watches television in bed on most evenings
D)Takes a warm bath just before bedtime every night
E)Uses diphenhydramine as an occasional sleep aid
Q2) Which action should the nurse manager promote as an evidence-based practice to support alertness for night shift nurses?
A)Arrange for older staff members to work most night shifts.
B)Provide a sleeping area for staff to use for napping at night.
C)Post reminders about the relationship of sleep and alertness.
D)Schedule nursing staff to rotate day and night shifts monthly.
Q3) A patient with chronic insomnia asks the nurse about ways to improve sleep quality. Which response by the nurse is accurate?
A)Avoid exercise during the day.
B)Keep the bedroom temperature warm.
C)Read in bed for a few minutes each night.
D)Go to bed at the same time every evening.
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Page 9
Chapter 8: Pain
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26 Flashcards
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Sample Questions
Q1) A nurse assesses a postoperative patient 2 days after chest surgery. What findings indicate that the patient requires better pain management ?
A)Confusion
B)Hypoglycemia
C)Poor cough effort
D)Shallow breathing
E)Elevated temperature
Q2) The following medications are prescribed by the health care provider for a middle-aged patient who uses long-acting morphine (MS Contin)for chronic back pain but still has ongoing pain. Which medication should the nurse question?
A)Morphine
B)Dexamethasone
C)Pentazocine (Talwin)
D)Celecoxib (Celebrex)
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Chapter 9: Palliative Care at End of Life
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16 Verified Questions
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Sample Questions
Q1) The nurse is caring for an adolescent patient who is dying. The patient's parents are interested in organ donation and ask the nurse how the health care providers determine brain death. Which response by the nurse accurately describes brain death determination?
A)"If CPR does not restore a heartbeat, the brain cannot function."
B)"Brain death has occurred if there is not any breathing or brainstem reflexes."
C)"Brain death has occurred if a person has flaccid muscles and does not awaken."
D)"If respiratory efforts cease and no apical pulse is audible, brain death is present."
Q2) As the nurse admits a patient in end-stage renal disease to the hospital,the patient tells the nurse,"If my heart or breathing stop,I do not want to be resuscitated." Which action should the nurse take first?
A)Place a "Do Not Resuscitate" (DNR) notation in the patient's care plan.
B)Invite the patient to add a notarized advance directive in the health record.
C)Advise the patient to designate a person to make future health care decisions.
D)Ask if the decision has been discussed with the patient's health care provider.
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11
Chapter 10: Substance Use Disorders
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A 73-yr-old patient is admitted for pancreatitis. Which tool would be the most appropriate for the nurse to use during the admission assessment?
A)Mini-Mental State Examination
B)Drug Abuse Screening Test (DAST-10)
C)Screening Test-Geriatric Version (SMAST-G)
D)Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar)
Q2) A patient is admitted to the emergency department for treatment of a possible opioid overdose. Rank the nursing activities in the correct order from first activity to last activity. (Put a comma and a space between each answer choice [A,B,C,D,E]).
A)Initiate IV access.
B)Take a health history.
C)Administer naloxone
D)Obtain a toxicology screen
E)Provide respiratory support with a bag-valve mask.
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Chapter 11: Inflammation and Wound Healing
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A patient from a long-term care facility is admitted to the hospital with a sacral pressure ulcer. The base of the wound involves subcutaneous tissue. How should the nurse classify this pressure ulcer?
A)Stage I
B)Stage II
C)Stage III
D)Stage IV
Q2) When admitting a patient with stage III pressure ulcers on both heels,which information obtained by the nurse will have the most impact on wound healing?
A)The patient has had the heel ulcers for 6 months.
B)The patient takes oral hypoglycemic agents daily.
C)The patient states that the ulcers are very painful.
D)The patient has several incisions that formed keloids.
Q3) A patient's temperature has been 101° F (38.3° C)for several days. The patient's normal caloric intake to meet nutritional needs is 2000 calories per day. Knowing that the metabolic rate increases 7% for each Fahrenheit degree above 100° in body temperature,how many total calories should the patient receive each day?
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Page 13
Chapter 12: Genetics and Genomics
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) The sister of a patient diagnosed with BRCA gene-related breast cancer asks the nurse,"Do you think I should be tested for the gene?" Which response by the nurse is most appropriate?
A)"In most cases, breast cancer is not caused by having the BRCA gene."
B)"It depends on how you will feel if the test is positive for the BRCA gene."
C)"There are many things to consider before deciding to have genetic testing."
D)"You should decide first whether you are willing to have a bilateral mastectomy."
Q2) A patient with a family history of cystic fibrosis (CF)asks for information about genetic testing. Which response by the nurse is most appropriate?
A)Refer the patient to a qualified genetic counselor.
B)Ask the patient why genetic testing seems necessary.
C)Remind the patient that genetic testing has many social implications.
D)Tell the patient that cystic fibrosis is an autosomal recessive disorder.
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14
Chapter 13: Altered Immune Responses and Transplantation
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Ten days after receiving a bone marrow transplant,a patient develops a skin rash. What would the nurse suspect is the cause of the rash?
A)The donor T cells are attacking the patient's skin cells.
B)The patient needs treatment to prevent hyperacute rejection.
C)The patient's antibodies are rejecting the donor bone marrow.
D)The patient is experiencing a delayed hypersensitivity reaction.
Q2) A patient is anxious and reports difficulty breathing after being stung by a wasp. What is the nurse's priority action?
A)Provide high-flow oxygen.
B)Administer antihistamines.
C)Assess the patient's airway.
D)Remove the stinger from the site.
Q3) What instructions about plasmapheresis should the nurse include in the teaching plan for a patient diagnosed with systemic lupus erythematosus (SLE)?
A)Plasmapheresis eliminates eosinophils and basophils from blood.
B)Plasmapheresis decreases the damage to organs from T lymphocytes.
C)Plasmapheresis removes antibody-antigen complexes from circulation.
D)Plasmapheresis prevents foreign antibodies from damaging various body tissues.
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Chapter 14: Infection and Human Immunodeficiency Virus
Infection
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse will most likely prepare a medication teaching plan about antiretroviral therapy (ART)for which patient?
A)Patient who is currently HIV negative but has unprotected sex with multiple partners
B)Patient who was infected with HIV 15 years ago and now has a CD<sub>4</sub>+ count of 840/µL
C)HIV-positive patient with a CD<sub>4</sub>+ count of 160/µL who drinks a fifth of whiskey daily
D)Patient who tested positive for HIV 2 years ago and now has cytomegalovirus (CMV) retinitis
Q2) A patient informed of a positive rapid antibody test result for human immunodeficiency virus (HIV)is anxious and does not appear to hear what the nurse is saying. What action by the nurse is most important at this time?
A)Teach the patient how to reduce risky behaviors.
B)Inform the patient about the available treatments.
C)Remind the patient about the need to return for retesting to verify the results.
D)Ask the patient to identify individuals who had intimate contact with the patient.
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Chapter 15: Cancer
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) A patient has been assigned the nursing diagnosis of imbalanced nutrition: less than body requirements related to painful oral ulcers. Which nursing action will be most effective in improving oral intake?
A)Offer the patient frequent small snacks between meals.
B)Assist the patient to choose favorite foods from the menu.
C)Provide teaching about the importance of nutritional intake.
D)Apply prescribed anesthetic gel to oral lesions before meals.
Q2) External-beam radiation is planned for a patient with cervical cancer. What instructions should the nurse give to the patient to prevent complications from the effects of the radiation?
A)Test all stools for the presence of blood.
B)Maintain a high-residue, high-fiber diet.
C)Clean the perianal area carefully after every bowel movement.
D)Inspect the mouth and throat daily for the appearance of thrush.
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17
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Sample Questions
Q1) A patient who has been receiving diuretic therapy is admitted to the emergency department with a serum potassium level of 3.0 mEq/L. The nurse should alert the health care provider immediately that the patient is on which medication?
A)Digoxin (Lanoxin) 0.25 mg/day
B)Metoprolol (Lopressor) 12.5 mg/day
C)Ibuprofen (Motrin) 400 mg every 6 hours
D)Lantus insulin 24 U subcutaneously every evening
Q2) A patient is admitted to the emergency department with severe fatigue and confusion. Laboratory studies are done. Which laboratory value will require the most immediate action by the nurse?
A)Arterial blood pH is 7.32.
B)Serum calcium is 18 mg/dL.
C)Serum potassium is 5.1 mEq/L.
D)Arterial oxygen saturation is 91%.
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18
Chapter 17: Preoperative Care
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Sample Questions
Q1) The nurse plans to provide preoperative teaching to an alert older man who has hearing and vision deficits. His wife answers most questions that are directed to the patient. Which action should the nurse take when doing the teaching?
A)Use printed materials for instruction so that the patient will have more time to review the material.
B)Direct all the teaching toward the wife because she is the obvious support and caregiver for the patient.
C)Provide additional time for the patient to understand preoperative instructions and carry out procedures.
D)Ask the patient's wife to wait in the hall in order to focus preoperative teaching with the patient himself.
Q2) A patient has received atropine before surgery and complains of dry mouth. Which action by the nurse is most appropriate?
A)Check for skin tenting.
B)Notify the health care provider.
C)Ask the patient about any weakness or dizziness.
D)Explain that dry mouth is an expected side effect.
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19
Chapter 18: Intraoperative Care
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Sample Questions
Q1) A patient in surgery receives a neuromuscular blocking agent as an adjunct to general anesthesia. While in the postanesthesia care unit (PACU),what assessment finding is most important for the nurse to report?
A)Lethargy
B)Complaint of nausea
C)Disorientation to time
D)Weak chest movement
Q2) Which action best describes the role of the certified registered nurse anesthetist (CRNA)on the surgical care team?
A)Performs the same responsibilities as the anesthesiologist.
B)Gives intraoperative anesthetics ordered by the anesthesiologist.
C)Releases or discharges patients from the postanesthesia care area.
D)Manages a patient's airway under the direct supervision of the anesthesiologist.
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20
Chapter 19: Postoperative Care
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Sample Questions
Q1) The nurse assesses that the oxygen saturation is 89% in an unconscious patient who was transferred from surgery to the postanesthesia care unit (PACU)15 minutes ago. Which action should the nurse take first?
A)Suction the patient's mouth.
B)Increase the oxygen flow rate.
C)Perform the jaw-thrust maneuver.
D)Elevate the patient's head on two pillows.
Q2) A patient who had knee surgery received IV ketorolac 30 minutes ago and continues to complain of pain at a level of 7 (0 to 10 scale). Which action is most effective for the nurse to take at this time?
A)Administer the prescribed PRN IV morphine sulfate.
B)Notify the health care provider about the ongoing pain.
C)Reassure the patient that postoperative pain is expected after knee surgery.
D)Teach the patient that the effects of ketorolac typically last about 6 to 8 hours.
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Chapter 20: Assessment of Visual and Auditory Systems
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Sample Questions
Q1) The nurse performing an eye examination will document normal findings for accommodation when
A)shining a light into the patient's eye causes pupil constriction in the opposite eye.
B)a blink reaction follows touching the patient's pupil with a piece of sterile cotton.
C)covering one eye for 1 minute and noting pupil constriction as the cover is removed.
D)the pupils constrict while fixating on an object being moved toward the patient's eyes.
Q2) When the nurse is taking a health history of a new patient at the ear clinic,the patient states,"I have to sleep with the television on." Which follow-up question is appropriate to obtain more information about possible hearing problems?
A)"Do you grind your teeth at night?"
B)"What time do you usually fall asleep?"
C)"Have you noticed ringing in your ears?"
D)"Are you ever dizzy when you are lying down?"
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Chapter 21: Visual and Auditory Problems
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Sample Questions
Q1) Unlicensed assistive personnel (UAP)perform all the following actions when caring for a patient with Ménière's disease who is experiencing an acute attack. Which action by UAP indicates that the nurse should intervene?
A)UAP raise the side rails on the bed.
B)UAP turn on the patient's television.
C)UAP place an emesis basin at the bedside.
D)UAP helps the patient turn to the right side.
Q2) A patient with a head injury after a motorcycle crash arrives in the emergency department (ED)complaining of shortness of breath and severe eye pain. Which action will the nurse take first?
A)Assess cranial nerve functions.
B)Administer the prescribed analgesic.
C)Check the patient's oxygen saturation.
D)Examine the eye for evidence of trauma.
Q3) The nurse will instruct a patient who has undergone a left tympanoplasty to A)remain on bed rest.
B)keep the head elevated.
C)avoid blowing the nose.
D)irrigate the left ear canal.
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Page 23
Chapter 22: Assessment of Integumentary System
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Sample Questions
Q1) A 35-yr-old female patient states that she is using topical fluorouracil to treat actinic keratoses on her face. Which additional assessment information will be most important for the nurse to obtain?
A)History of sun exposure by the patient
B)Method of contraception used by the patient
C)Length of time the patient has used fluorouracil
D)Appearance of the treated areas on the patient's face
Q2) When performing a skin assessment,the nurse notes angiomas on the chest of an older patient. Which action should the nurse take next?
A)Suggest an appointment with a dermatologist.
B)Assess the patient for evidence of liver disease.
C)Teach the patient about skin changes with aging.
D)Discuss the use of sunscreen to prevent skin cancers.
Q3) Which integumentary assessment data from an older patient admitted with bacterial pneumonia is of concern to the nurse?
A)Brown macules on extremities
B)Reports a history of allergic rashes
C)Skin wrinkled with tenting on both hands
D)Longitudinal nail ridges and sparse scalp hair
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Page 24
Chapter 23: Integumentary Problems
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Sample Questions
Q1) The health care provider prescribes topical 5-FU for a patient with actinic keratosis on the left cheek. The nurse should include which statement in the patient's instructions?
A)"5-FU will shrink the lesion to prepare for surgical excision."
B)"Your cheek area will be eroded and it will take several weeks to heal."
C)"You may develop nausea and anorexia, but good nutrition is important during treatment."
D)"You will need to avoid crowds because of the risk for infection caused by chemotherapy."
Q2) Which information should the nurse include in the teaching plan for a patient diagnosed with basal cell carcinoma (BCC)?
A)Treatment plans include watchful waiting.
B)Screening for metastasis will be important.
C)Minimizing sun exposure reduces risk for future BCC.
D)Low dose systemic chemotherapy is used to treat BCC.
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Chapter 24: Burns
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Sample Questions
Q1) The nurse caring for a patient admitted with burns over 30% of the body surface assesses that urine output has dramatically increased. Which action by the nurse would best support maintaining kidney function?
A)Monitor white blood cells (WBCs).
B)Continue to measure the urine output.
C)Assess that blisters and edema have subsided.
D)Encourage the patient to eat an adequate number of calories.
Q2) Which prescribed drug is best for the nurse to give before scheduled wound debridement on a patient with partial-thickness burns?
A)ketorolac
B)lorazepam (Ativan)
C)gabapentin (Neurontin)
D)hydromorphone (Dilaudid)
Q3) An employee spills industrial acids on both arms and legs at work. What action should the occupational health nurse take first?
A)Remove nonadherent clothing and wristwatch.
B)Apply an alkaline solution to the affected area.
C)Place a cool compress on the area of exposure.
D)Cover the affected area with dry, sterile dressings.
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Page 26
Chapter 25: Assessment of Respiratory System
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Sample Questions
Q1) Which action is appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)?
A)Listen to a patient's lung sounds for wheezes or crackles.
B)Label specimens obtained during percutaneous lung biopsy.
C)Instruct a patient about how to use home spirometry testing.
D)Measure induration at the site of a patient's intradermal skin test.
Q2) After the nurse has received change-of-shift report,which patient should the nurse assess first?
A)A patient with pneumonia who has crackles in the right lung base
B)A patient with chronic bronchitis who has a low forced vital capacity
C)A patient with possible lung cancer who has just returned after bronchoscopy
D)A patient with hemoptysis and a 16-mm induration after tuberculin skin testing
Q3) On auscultation of a patient's lungs,the nurse hears low-pitched,bubbling sounds during inhalation in the lower third of both lungs. How should the nurse document this finding?
A)Inspiratory crackles at the bases
B)Expiratory wheezes in both lungs
C)Abnormal lung sounds in the apices of both lungs
D)Pleural friction rub in the right and left lower lobes
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Page 27
Chapter 26: Upper Respiratory Problems
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Sample Questions
Q1) The nurse is reviewing the medical records for five patients who are scheduled for their yearly physical examinations in September. Which patients should receive the inactivated influenza vaccination ?
A)A 76-yr-old nursing home resident
B)A 36-yr-old female patient who is pregnant
C)A 42-yr-old patient who has a 15 pack-year smoking history
D)A 30-yr-old patient who takes corticosteroids for rheumatoid arthritis
E)A 24-yr-old patient who has allergies to penicillin and cephalosporins
Q2) The nurse discusses management of upper respiratory infections (URIs)with a patient who has acute sinusitis. Which statement by the patient indicates that additional teaching is needed?
A)"I will drink lots of juices and other fluids to stay well hydrated."
B)"I can use nasal decongestant spray until the congestion is gone."
C)"I can take acetaminophen (Tylenol) to treat my sinus discomfort."
D)"I will watch for changes in nasal secretions or the sputum that I cough up."
Q3) Which action should the nurse take first when a patient develops epistaxis?
A)Pack the affected nare tightly with an epistaxis balloon.
B)Apply squeezing pressure to the nostrils for 10 minutes.
C)Obtain silver nitrate that may be needed for cauterization.
D)Instill a vasoconstrictor medication into the affected nare.
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Chapter 27: Lower Respiratory Problems
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51 Flashcards
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Sample Questions
Q1) Which action should the nurse plan to prevent aspiration in a high-risk patient?
A)Turn and reposition an immobile patient at least every 2 hours.
B)Place a patient with altered consciousness in a side-lying position.
C)Insert a nasogastric tube for feeding a patient with high calorie needs.
D)Monitor respiratory symptoms in a patient who is immunosuppressed.
Q2) Which intervention will the nurse include in the plan of care for a patient who is diagnosed with a lung abscess?
A)Teach the patient to avoid the use of over-the-counter expectorants.
B)Assist the patient with chest physiotherapy and postural drainage.
C)Notify the health care provider immediately about any bloody or foul-smelling sputum.
D)Teach about the need for prolonged antibiotic therapy after discharge from the hospital.
Q3) The nurse is caring for a patient who has just had a thoracentesis. Which assessment information obtained by the nurse is a priority to communicate to the health care provider?
A)O2 saturation is 88%.
B)Blood pressure is 155/90 mm Hg.
C)Pain level is 5 (on 0 to 10 scale) with a deep breath.
D)Respiratory rate is 24 breaths/minute when lying flat.
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Chapter 28: Obstructive Pulmonary Diseases
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Sample Questions
Q1) A patient with chronic obstructive pulmonary disease (COPD)has a nursing diagnosis of imbalanced nutrition: less than body requirements. Which intervention would be most appropriate for the nurse to include in the plan of care?
A)Encourage increased intake of whole grains.
B)Increase the patient's intake of fruits and fruit juices.
C)Offer high-calorie protein snacks between meals and at bedtime.
D)Assist the patient in choosing foods with high vegetable content.
Q2) The nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). Which information obtained from the patient would prompt the nurse to consult with the health care provider before administering the prescribed theophylline?
A)The patient reports a recent 15-lb weight gain.
B)The patient denies shortness of breath at present.
C)The patient takes cimetidine (Tagamet HB) daily.
D)The patient complains of coughing up green mucus.
Q3) A patient with asthma has a personal best peak expiratory flow rate (PEFR)of 400 L/min. When explaining the asthma action plan,the nurse will teach the patient that a change in therapy is needed when the PEFR is less than ___ L/minute
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Chapter 29: Assessment of Hematologic System
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Sample Questions
Q1) A patient with pancytopenia has a bone marrow aspiration from the left posterior iliac crest. Which action would be important for the nurse to take after the procedure?
A)Elevate the head of the bed to 45 degrees.
B)Have the patient lie on the left side for 1 hour.
C)Apply a sterile 2-inch gauze dressing to the site.
D)Use a half-inch sterile gauze to pack the wound.
Q2) The nurse examines the lymph nodes of a patient during a physical assessment. Which assessment finding would be of most concern to the nurse?
A)A 2-cm nontender supraclavicular node
B)A 1-cm mobile and nontender axillary node
C)An inability to palpate any superficial lymph nodes
D)Firm inguinal nodes in a patient with an infected foot
Q3) A nurse reviews the laboratory data for an older patient. The nurse would be most concerned about which finding?
A)Hematocrit of 35%
B)Hemoglobin of 11.8 g/dL
C)Platelet count of 400,000/µL
D)White blood cell (WBC) count of 2800/µL
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Chapter 30: Hematologic Problems
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Sample Questions
Q1) Which action will the nurse include in the plan of care for a patient who has thalassemia major?
A)Teach the patient to use iron supplements.
B)Avoid the use of intramuscular injections.
C)Administer iron chelation therapy as needed.
D)Notify health care provider of hemoglobin 11 g/dL.
Q2) Which patient statement to the nurse indicates a need for additional instruction about taking oral ferrous sulfate?
A)"I will call my health care provider if my stools turn black."
B)"I will take a stool softener if I feel constipated occasionally."
C)"I should take the iron with orange juice about an hour before eating."
D)"I should increase my fluid and fiber intake while I am taking iron tablets."
Q3) Which patient information is most important for the nurse to monitor when evaluating the effectiveness of deferoxamine (Desferal)for a patient with hemochromatosis?
A)Skin color
B)Hematocrit
C)Liver function
D)Serum iron level
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Page 32
Chapter 31: Assessment of Cardiovascular System
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Sample Questions
Q1) The nurse is reviewing the laboratory results for newly admitted patients on the cardiovascular unit. Which laboratory result is most important to communicate as soon as possible to the health care provider?
A)High troponin I level
B)Increased triglyceride level
C)Very low homocysteine level
D)Elevated high-sensitivity C-reactive protein level
Q2) When the nurse is monitoring a patient who is undergoing exercise (stress)testing on a treadmill,which assessment finding requires the most rapid action by the nurse?
A)Patient complaint of feeling tired
B)Sinus tachycardia at a rate of 110 beats/min
C)Inversion of T waves on the electrocardiogram
D)Blood pressure (BP) increase from 134/68 to 150/80 mm Hg
Q3) To auscultate for S3 or S4 gallops in the mitral area,the nurse listens with the
A)diaphragm of the stethoscope with the patient lying flat.
B)bell of the stethoscope with the patient in the left lateral position.
C)diaphragm of the stethoscope with the patient in a supine position.
D)bell of the stethoscope with the patient sitting and leaning forward.
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Chapter 32: Hypertension
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Sample Questions
Q1) Which nursing action should the nurse take first to assist a patient with newly diagnosed stage 1 hypertension in making needed dietary changes?
A)Collect a detailed diet history.
B)Provide a list of low-sodium foods.
C)Help the patient make an appointment with a dietitian.
D)Teach the patient about foods that are high in potassium.
Q2) A patient has just been diagnosed with hypertension and has been started on captopril . Which information is most important to include when teaching the patient about this drug?
A)Include high-potassium foods such as bananas in the diet.
B)Increase fluid intake if dryness of the mouth is a problem.
C)Change position slowly to help prevent dizziness and falls.
D)Check blood pressure (BP) in both arms before taking the drug.
Q3) Which action should the nurse take when giving the initial dose of oral labetalol to a patient with hypertension?
A)Encourage the use of hard candy to prevent dry mouth.
B)Teach the patient that headaches often occur with this drug.
C)Instruct the patient to call for help if heart palpitations occur.
D)Ask the patient to request assistance before getting out of bed.
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Page 34
Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome
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Sample Questions
Q1) Which electrocardiographic (ECG)change is most important for the nurse to report to the health care provider when caring for a patient with chest pain?
A)Inverted P wave
B)Sinus tachycardia
C)ST-segment elevation
D)First-degree atrioventricular block
Q2) A patient who is being admitted to the emergency department with intermittent chest pain gives the following list of daily medications to the nurse. Which medication has the most immediate implications for the patient's care?
A)captopril
B)sildenafil (Viagra)
C)furosemide (Lasix)
D)warfarin (Coumadin)
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35
Chapter 34: Heart Failure
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Q1) While admitting an 82-yr-old patient with acute decompensated heart failure to the hospital,the nurse learns that the patient lives alone and sometimes confuses the "water pill" with the "heart pill." When planning for the patient's discharge the nurse will facilitate a
A)plan for around-the-clock care.
B)consultation with a psychologist.
C)transfer to a long-term care facility.
D)referral to a home health care agency.
Q2) The nurse is caring for a patient who is receiving IV furosemide (Lasix)and morphine for the treatment of acute decompensated heart failure (ADHF)with severe orthopnea. Which clinical finding is the best indicator that the treatment has been effective?
A)Weight loss of 2 lb in 24 hours
B)Hourly urine output greater than 60 mL
C)Reduction in patient complaints of chest pain
D)Reduced dyspnea with the head of bed at 30 degrees
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Chapter 35: Dysrhythmias
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Sample Questions
Q1) A patient who was admitted with a myocardial infarction experiences a 45-second episode of ventricular tachycardia,then converts to sinus rhythm with a heart rate of 98 beats/min. Which action should the nurse take next?
A)Immediately notify the health care provider.
B)Document the rhythm and continue to monitor the patient.
C)Prepare to give IV amiodarone per agency dysrhythmia protocol.
D)Perform synchronized cardioversion per agency dysrhythmia protocol.
Q2) A 19-yr-old student comes to the student health center at the end of the semester complaining that,"My heart is skipping beats." An electrocardiogram (ECG)shows occasional unifocal premature ventricular contractions (PVCs). What action should the nurse take next?
A)Insert an IV catheter for emergency use.
B)Start supplemental O2 at 2 to 3 L/min via nasal cannula.
C)Ask the patient about current stress level and caffeine use.
D)Have the patient taken to the nearest emergency department (ED).
Q3) When analyzing an electrocardiographic (ECG)rhythm strip of a patient with a regular heart rhythm,the nurse counts 30 small blocks from one R wave to the next. The nurse calculates the patient's heart rate as ____.
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Chapter 36: Inflammatory and Structural Heart Disorders
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Sample Questions
Q1) When developing a community health program to decrease the incidence of rheumatic fever,which action should the community health nurse include?
A)Vaccinate high-risk groups in the community with streptococcal vaccine.
B)Teach community members to seek treatment for streptococcal pharyngitis.
C)Teach about the importance of monitoring temperature when sore throats occur.
D)Teach about prophylactic antibiotics to those with a family history of rheumatic fever.
Q2) The nurse identifies the nursing diagnosis of decreased cardiac output related to valvular insufficiency for the patient with infective endocarditis (IE)based on which assessment finding(s)?
A)Fever, chills, and diaphoresis
B)Urine output less than 30 mL/hr
C)Petechiae on the inside of the mouth and conjunctiva
D)Increase in heart rate of 15 beats/minute with walking
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Chapter 37: Vascular Disorders
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Sample Questions
Q1) A 46-yr-old service-counter worker undergoes sclerotherapy for treatment of superficial varicose veins at an outpatient center. Which instructions should the nurse provide to the patient before discharge?
A)Sitting at the work counter, rather than standing, is recommended.
B)Exercise, such as walking or jogging, can cause recurrence of varicosities.
C)Elastic compression stockings should be applied before getting out of bed.
D)Taking an aspirin daily will help prevent clots from forming around venous valves.
Q2) The nurse has started discharge teaching for a patient who is to continue warfarin (Coumadin)after hospitalization for venous thromboembolism (VTE). The nurse determines that additional teaching is needed when the patient says which of the following?
A)"I should get a Medic Alert device stating that I take warfarin."
B)"I should reduce the amount of green, leafy vegetables that I eat."
C)"I will need routine blood tests to monitor the effects of the warfarin."
D)"I will check with my health care provider before I begin any new drugs."
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Chapter 38: Assessment of Gastrointestinal System
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Sample Questions
Q1) While interviewing a young adult patient,the nurse learns that the patient has a family history of familial adenomatous polyposis (FAP). The nurse will plan to assess the patient's knowledge about
A)preventing noninfectious hepatitis.
B)treating inflammatory bowel disease.
C)risk for developing colorectal cancer.
D)using antacids and proton pump inhibitors.
Q2) After assisting with a needle biopsy of the liver at a patient's bedside,the nurse should
A)put pressure on the biopsy site using a sandbag.
B)elevate the head of the bed to facilitate breathing.
C)place the patient on the right side with the bed flat.
D)check the patient's postbiopsy coagulation studies.
Q3) An older patient reports chronic constipation. To promote bowel evacuation,the nurse will suggest that the patient attempt defecation
A)in the mid-afternoon.
B)after eating breakfast.
C)right after getting up in the morning.
D)immediately before the first daily meal.
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Page 40
Chapter 39: Nutritional Problems
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Sample Questions
Q1) A patient hospitalized with chronic heart failure eats only about 50% of each meal and reports "feeling too tired to eat." Which action should the nurse take first?
A)Teach the patient about the importance of good nutrition.
B)Serve multiple small feedings of high-calorie, high-protein foods.
C)Consult with the health care provider about parenteral nutrition (PN).
D)Obtain an order for enteral feedings of liquid nutritional supplements.
Q2) A severely malnourished patient reports that he is Jewish. The nurse's initial action to meet his nutritional needs will be to
A)have family members bring in food.
B)ask the patient about food preferences.
C)teach the patient about nutritious Kosher foods.
D)order nutrition supplements that are manufactured Kosher.
Q3) Which menu choice best indicates that the patient is implementing the nurse's suggestion to choose high-calorie,high-protein foods?
A)Baked fish with applesauce
B)Beef noodle soup and canned corn
C)Fresh fruit salad with yogurt topping
D)Fried chicken with potatoes and gravy
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Chapter 40: Obesity
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Sample Questions
Q1) Which adult will the nurse plan to teach about risks associated with obesity?
A)Man who has a BMI of 18 kg/m2
B)Man with a 42 in waist and 44 in hips
C)Woman who has a body mass index (BMI) of 24 kg/m2
D)Woman with a waist circumference of 34 inches (86 cm)
Q2) After bariatric surgery,a patient who is being discharged tells the nurse,"I prefer to be independent. I am not interested in any support groups." Which response by the nurse is best?
A)"I hope you change your mind so that I can suggest a group for you."
B)"Tell me what types of resources you think you might use after this surgery."
C)"Support groups have been found to lead to more successful weight loss after surgery."
D)"Because there are many lifestyle changes after surgery, we recommend support groups."
Q3) Which assessment action will help the nurse determine if an obese patient has metabolic syndrome?
A)Take the patient's apical pulse.
B)Check the patient's blood pressure.
C)Ask the patient about dietary intake.
D)Dipstick the patient's urine for protein.
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Chapter 41: Upper Gastrointestinal Problems
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Sample Questions
Q1) Which assessment should the nurse perform first for a patient who just vomited bright red blood?
A)Measuring the quantity of emesis
B)Palpating the abdomen for distention
C)Auscultating the chest for breath sounds
D)Taking the blood pressure (BP) and pulse
Q2) A patient returned from a laparoscopic Nissen fundoplication for hiatal hernia 4 hours ago. Which assessment finding is most important for the nurse to address immediately?
A)The patient is experiencing intermittent waves of nausea.
B)The patient has no breath sounds in the left anterior chest.
C)The patient complains of 7/10 (0 to 10 scale) abdominal pain.
D)The patient has hypoactive bowel sounds in all four quadrants.
Q3) When a patient is diagnosed with achalasia,the nurse will teach the patient that
A)lying down after meals is recommended.
B)a liquid or blenderized diet will be necessary.
C)drinking fluids with meals should be avoided.
D)treatment may include endoscopic procedures.
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Chapter 42: Lower Gastrointestinal Problems
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Sample Questions
Q1) A patient being admitted with an acute exacerbation of ulcerative colitis reports crampy abdominal pain and passing 15 or more bloody stools a day. The nurse will plan to
A)administer IV metoclopramide (Reglan).
B)discontinue the patient's oral food intake.
C)administer cobalamin (vitamin B<sub>12</sub>) injections.
D)teach the patient about total colectomy surgery.
Q2) A 22-yr-old female patient with an exacerbation of ulcerative colitis is having 15 to 20 stools daily and has excoriated perianal skin. Which patient behavior indicates that teaching regarding maintenance of skin integrity has been effective?
A)The patient uses incontinence briefs to contain loose stools.
B)The patient uses witch hazel compresses to soothe irritation.
C)The patient asks for antidiarrheal medication after each stool.
D)The patient cleans the perianal area with soap after each stool.
Q3) Which information will the nurse teach a patient with lactose intolerance?
A)Ice cream is relatively low in lactose.
B)Live-culture yogurt is usually tolerated.
C)Heating milk will break down the lactose.
D)Nonfat milk is tolerated better than whole milk.
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Page 44
Chapter 43: Liver, pancreas, and Biliary Tract Problems
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Sample Questions
Q1) Which finding is most important for the nurse to communicate to the health care provider about a patient who received a liver transplant 1 week ago?
A)Dry palpebral and oral mucosa
B)Crackles at bilateral lung bases
C)Temperature 100.8° F (38.2° C)
D)No bowel movement for 4 days
Q2) For a patient with cirrhosis,which nursing action can the registered nurse (RN)delegate to unlicensed assistive personnel (UAP)?
A)Assessing the patient for jaundice
B)Providing oral hygiene after a meal
C)Palpating the abdomen for distention
D)Teaching the patient the prescribed diet
Q3) Which laboratory test result will the nurse monitor when evaluating the effects of therapy for a patient who has acute pancreatitis?
A)Calcium
B)Bilirubin
C)Amylase
D)Potassium
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Chapter 44: Assessment of Urinary System
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Sample Questions
Q1) A young adult who is employed as a hairdresser and has a 15 pack-year history of cigarette smoking is scheduled for an annual physical examination. The nurse will plan to teach the patient about the increased risk for A)renal failure.
B)kidney stones.
C)pyelonephritis.
D)bladder cancer.
Q2) A male patient in the clinic provides a urine sample that is red-orange in color. Which action should the nurse take?
A)Notify the patient's health care provider.
B)Teach correct midstream urine collection.
C)Ask the patient about current medications.
D)Question the patient about urinary tract infection (UTI) risk factors.
Q3) Which information from a patient's urinalysis requires that the nurse notify the health care provider?
A)pH 6.2
B)Trace protein
C)WBC 20 to 26/hpf
D)Specific gravity 1.021
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Page 46
Chapter 45: Renal and Urologic Problems
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Sample Questions
Q1) A patient is admitted to the emergency department with possible renal trauma after an automobile accident. Which prescribed intervention will the nurse implement first?
A)Check blood pressure and heart rate.
B)Administer morphine sulfate 4 mg IV.
C)Transport to radiology for an intravenous pyelogram.
D)Insert a urethral catheter and obtain a urine specimen.
Q2) Nursing staff on a hospital unit are reviewing rates of health care-associated infections (HAI)of the urinary tract. Which nursing action will be most helpful in decreasing the risk for urinary HAI in patients admitted to the hospital?
A)Testing urine with a dipstick daily for nitrites
B)Avoiding unnecessary urinary catheterizations
C)Encouraging adequate oral fluid and nutritional intake
D)Providing perineal hygiene to patients daily and as needed
Q3) The nurse teaches an adult patient to prevent the recurrence of renal calculi by A)using a filter to strain all urine.
B)avoiding dietary sources of calcium.
C)drinking 2000 to 3000 mL of fluid each day.
D)choosing diuretic fluids such as coffee and tea.
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Chapter 46: Acute Kidney Injury and Chronic Kidney Disease
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Sample Questions
Q1) Before administration of calcium carbonate to a patient with chronic kidney disease (CKD),the nurse should check laboratory results for A)potassium level.
B)total cholesterol.
C)serum phosphate.
D)serum creatinine.
Q2) A patient who has had progressive chronic kidney disease (CKD)for several years has just begun regular hemodialysis. Which information about diet will the nurse include in patient teaching?
A)Increased calories are needed because glucose is lost during hemodialysis.
B)More protein is allowed because urea and creatinine are removed by dialysis.
C)Dietary potassium is not restricted because the level is normalized by dialysis.
D)Unlimited fluids are allowed because retained fluid is removed during dialysis.
Q3) A patient in the oliguric phase after an acute kidney injury has had a 250-mL urine output and an emesis of 100 mL in the past 24 hours. What is the patient's fluid restriction for the next 24 hours?
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Chapter 47: Assessment of Endocrine System
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Q1) The nurse reviews a patient's glycosylated hemoglobin (A1C)results to evaluate
A)fasting preprandial glucose levels.
B)glucose levels 2 hours after a meal.
C)glucose control over the past 90 days.
D)hypoglycemic episodes in the past 3 months.
Q2) A patient is admitted with tetany. Which laboratory value should the nurse plan to monitor?
A)Total protein
B)Blood glucose
C)Ionized calcium
D)Serum phosphate
Q3) The nurse will teach a patient who is scheduled to complete a 24-hour urine collection for 17-ketosteroids to
A)insert and maintain a retention catheter.
B)keep the specimen refrigerated or on ice.
C)drink at least 3 L of fluid during the 24 hours.
D)void and save that specimen to start the collection.
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Chapter 48: Diabetes Mellitus
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Q1) Which information will the nurse include in teaching a female patient who has peripheral arterial disease,type 2 diabetes,and sensory neuropathy of the feet and legs?
A)Choose flat-soled leather shoes.
B)Set heating pads on a low temperature.
C)Use callus remover for corns or calluses.
D)Soak feet in warm water for an hour each day.
Q2) A patient with type 2 diabetes is scheduled for a follow-up visit in the clinic several months from now. Which test will the nurse schedule to evaluate the effectiveness of treatment for the patient?
A)Fasting blood glucose
B)Oral glucose tolerance
C)Glycosylated hemoglobin
D)Urine dipstick for glucose
Q3) Which patient action indicates a good understanding of the nurse's teaching about the use of an insulin pump?
A)The patient programs the pump for an insulin bolus after eating.
B)The patient changes the location of the insertion site every week.
C)The patient takes the pump off at bedtime and starts it again each morning.
D)The patient plans a diet with more calories than usual when using the pump.
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Page 50
Chapter 49: Endocrine Problems
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Sample Questions
Q1) Which assessment finding of a 42-yr-old patient who had a bilateral adrenalectomy requires the most rapid action by the nurse?
A)The blood glucose is 192 mg/dL.
B)The lungs have bibasilar crackles.
C)The patient reports 6/10 incisional pain.
D)The blood pressure (BP) is 88/50 mm Hg.
Q2) A patient is scheduled for transsphenoidal hypophysectomy to treat a pituitary adenoma. During preoperative teaching,the nurse instructs the patient about the need to
A)cough and deep breathe every 2 hours postoperatively.
B)remain on bed rest for the first 48 hours after the surgery.
C)avoid brushing teeth for at least 10 days after the surgery.
D)be positioned flat with sandbags at the head postoperatively.
Q3) Which nursing assessment of a 70-yr-old patient is most important to make during initiation of thyroid replacement with levothyroxine (Synthroid)?
A)Fluid balance
B)Apical pulse rate
C)Nutritional intake
D)Orientation and alertness
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Page 51
Chapter 50: Assessment of Reproductive System
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Sample Questions
Q1) Which finding from the nurse's physical assessment of a 42-yr-old male patient should be reported to the health care provider?
A)One testis hangs lower than the other.
B)Genital hair distribution is diamond shaped.
C)Clear discharge is present at the penile meatus.
D)Inguinal lymph nodes are nonpalpable bilaterally.
Q2) Which question should the nurse ask when assessing a 60-yr-old patient who has a history of benign prostatic hyperplasia (BPH)?
A)"Have you noticed any unusual discharge from your penis?"
B)"Has there been any change in your sex life in the past year?"
C)"Has there been a decrease in the force of your urinary stream?"
D)"Have you been experiencing any difficulty in achieving an erection?"
Q3) A couple is scheduled to have a Huhner test for infertility. In preparation for the test,the nurse will instruct the couple about A)being sedated during the procedure.
B)determining the estimated time of ovulation.
C)experiencing shoulder pain after the procedure.
D)refraining from intercourse before the appointment.
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Chapter 51: Breast Disorders
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Sample Questions
Q1) The nurse teaching a young women's community service group about breast self-examination (BSE)will include that
A)BSE will reduce the risk of dying from breast cancer.
B)BSE should be done daily while taking a bath or shower.
C)annual mammograms should be scheduled in addition to BSE.
D)performing BSE after the menstrual period is more comfortable.
Q2) A patient who is scheduled for a lumpectomy and axillary lymph node dissection tells the nurse,"I would rather not know much about the surgery." Which response by the nurse is best?
A)"Tell me what you think is important to know about the surgery."
B)"It is essential that you know enough to provide informed consent."
C)"Many patients do better after surgery if they have more information."
D)"You can wait until after surgery for teaching about pain management."
Q3) The nurse will anticipate teaching a patient who is diagnosed with lobular carcinoma in situ (LCIS)about
A)tamoxifen
B)lumpectomy.
C)lymphatic mapping.
D)MammaPrint testing.
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Page 53
Chapter 52: Sexually Transmitted Infections
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/25387
Sample Questions
Q1) A 20-yr-old female patient who is being seen in the family medicine clinic for an annual physical examination reports being sexually active. The nurse will plan to teach the patient about
A)testing for Chlamydia infection.
B)immunization for herpes simplex.
C)infertility associated with the human papillomavirus (HPV).
D)the relationship between the herpes virus and cervical cancer.
Q2) A 19-yr-old patient has genital warts around her external genitalia and perianal area. She tells the nurse that she has not sought treatment until now because "the warts are so disgusting." Which nursing diagnosis is consistent with these data?
A)Disturbed body image related to feelings about the genital warts
B)Ineffective coping related to denial of increased risk for infection
C)Risk for infection related to lack of knowledge about transmission
D)Anxiety related to impact of condition on interpersonal relationships
Q3) Which patient will the nurse plan on teaching about the Gardasil vaccine?
A)A 24-yr-old female patient who has not been sexually active
B)A 34-yr-old female patient who has multiple sexual partners
C)A 24-yr-old female patient who is pregnant for the first time
D)A 34-yr-old female patient who is in a monogamous relationship
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Page 54
Chapter 53: Female Reproductive and Genital Problems
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/25388
Sample Questions
Q1) A patient who was admitted to the emergency department with severe abdominal pain is diagnosed with an ectopic pregnancy. The patient begins to cry and asks the nurse to leave her alone to grieve. Which action should the nurse take next?
A)Stay with the patient and encourage her to discuss her feelings.
B)Explain the reason for taking vital signs every 15 to 30 minutes.
C)Close the door to the patient's room and minimize disturbances.
D)Provide teaching about options for termination of the pregnancy.
Q2) The nurse in the women's health clinic has four patients who are waiting to be seen. Which patient should the nurse see first?
A)A 22-yr-old patient with persistent red-brown vaginal drainage 3 days after having balloon thermotherapy
B)A 42-yr-old patient with secondary amenorrhea who says that her last menstrual cycle was 3 months ago
C)A 35-yr-old patient with heavy spotting after having a progestin-containing IUD (Mirena) inserted a month ago
D)A 19-yr-old patient with menorrhagia who has been using superabsorbent tampons and has fever with weakness
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Chapter 54: Male Reproductive and Genital Problems
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/25389
Sample Questions
Q1) A 27-yr-old patient who has testicular cancer is being admitted for a unilateral orchiectomy. The patient does not talk to his wife and speaks to the nurse only to answer the admission questions. Which action is appropriate for the nurse to take?
A)Teach the patient and the wife that impotence is unlikely after unilateral orchiectomy.
B)Ask the patient if he has any questions or concerns about the diagnosis and treatment.
C)Inform the patient's wife that concerns about sexual function are common with this diagnosis.
D)Document the patient's lack of communication on the health record and continue preoperative care.
Q2) The nurse taking a focused health history for a patient with possible testicular cancer will ask the patient about a history of
A)testicular torsion.
B)testicular trauma.
C)undescended testicles.
D)sexually transmitted infection (STI).
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Chapter 55: Assessment of Nervous System
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The nurse will anticipate teaching a patient with a possible seizure disorder about which test?
A)Cerebral angiography
B)Evoked potential studies
C)Electromyography (EMG)
D)Electroencephalography (EEG)
Q2) Which assessments will the nurse make to monitor a patient's cerebellar function ?
A)Test for graphesthesia.
B)Observe arm swing with gait.
C)Perform the finger-to-nose test.
D)Assess heat and cold sensation.
E)Measure strength against resistance.
Q3) Which problem can the nurse expect for a patient who has a positive Romberg test result?
A)Pain
B)Falls
C)Aphasia
D)Confusion
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Chapter 56: Acute Intracranial Problems
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) Which question will the nurse ask a patient who has been admitted with a benign occipital lobe tumor to assess for functional deficits?
A)"Do you have difficulty in hearing?"
B)"Are you experiencing visual problems?"
C)"Are you having any trouble with your balance?"
D)"Have you developed any weakness on one side?"
Q2) After evacuation of an epidural hematoma,a patient's intracranial pressure (ICP)is being monitored with an intraventricular catheter. Which information obtained by the nurse requires urgent communication with the health care provider?
A)Pulse of 102 beats/min
B)Temperature of 101.6° F
C)Intracranial pressure of 15 mm Hg
D)Mean arterial pressure of 90 mm Hg
Q3) The nurse admitting a patient who has a right frontal lobe tumor would expect the patient may have
A)expressive aphasia.
B)impaired judgment.
C)right-sided weakness.
D)difficulty swallowing.
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Page 58
Chapter 57: Stroke
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Which stroke risk factor for a 48-yr-old male patient in the clinic is most important for the nurse to address?
A)The patient is 25 lb above the ideal weight.
B)The patient drinks a glass of red wine with dinner daily.
C)The patient's usual blood pressure (BP) is 170/94 mm Hg.
D)The patient works at a desk and relaxes by watching television.
Q2) A patient arrives in the emergency department with hemiparesis and dysarthria that started 2 hours previously,and health records show a history of several transient ischemic attacks (TIAs). The nurse anticipates preparing the patient for
A)surgical endarterectomy.
B)transluminal angioplasty.
C)intravenous heparin drip administration.
D)tissue plasminogen activator (tPA) infusion.
Q3) A patient with a left-brain stroke suddenly bursts into tears when family members visit. The nurse should
A)use a calm voice to ask the patient to stop the crying behavior.
B)explain to the family that depression is normal following a stroke.
C)have the family members leave the patient alone for a few minutes.
D)teach the family that emotional outbursts are common after strokes.
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Page 59
Chapter 58: Chronic Neurologic Problems
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) While the nurse is transporting a patient on a stretcher to the radiology department,the patient begins having a tonic-clonic seizure. Which action should the nurse take?
A)Insert an oral airway during the seizure to maintain a patent airway.
B)Restrain the patient's arms and legs to prevent injury during the seizure.
C)Time and observe and record the details of the seizure and postictal state.
D)Avoid touching the patient to prevent further nervous system stimulation.
Q2) The home health registered nurse (RN)is planning care for a patient with a seizure disorder related to a recent head injury. Which nursing action can be delegated to a licensed practical/vocational nurse (LPN/LVN)?
A)Make referrals to appropriate community agencies.
B)Place medications in the home medication organizer.
C)Teach the patient and family how to manage seizures.
D)Assess for use of medications that may precipitate seizures.
Q3) The nurse advises a patient with myasthenia gravis (MG)to
A)perform physically demanding activities early in the day.
B)anticipate the need for weekly plasmapheresis treatments.
C)do frequent weight-bearing exercise to prevent muscle atrophy.
D)protect the extremities from injury due to poor sensory perception.
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Page 60
Chapter 59: Dementia and Delirium
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which actions could the nurse delegate to a licensed practical/vocational nurse (LPN/LVN)who is part of the team caring for a patient with Alzheimer's disease ?
A)Develop a plan to minimize difficult behavior.
B)Administer the prescribed memantine (Namenda).
C)Remove potential safety hazards from the patient's environment.
D)Refer the patient and caregivers to appropriate community resources.
E)Help the patient and caregivers choose memory enhancement methods.
F)Evaluate the effectiveness of the prescribed enteral feedings on patient nutrition.
Q2) The spouse of a 67-yr-old male patient with early stage Alzheimer's disease (AD)tells the nurse,"I am exhausted from worrying all the time. I don't know what to do." Which actions are best for the nurse to take next ?
A)Suggest that a long-term care facility be considered.
B)Offer ideas for ways to distract or redirect the patient.
C)Teach the spouse about adult day care as a possible respite.
D)Suggest that the spouse consult with the physician for antianxiety drugs.
E)Ask the spouse what she knows and has considered about dementia care options.
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Chapter 60: Spinal Cord and Peripheral Nerve Problems
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A patient hospitalized with a new diagnosis of Guillain-Barré syndrome has numbness and weakness of both feet. The nurse will anticipate teaching the patient about
A)infusion of immunoglobulin
B)intubation and mechanical ventilation.
C)administration of corticosteroid drugs.
D)insertion of a nasogastric (NG) feeding tube.
Q2) Which patient assessment will help the nurse identify potential complications of trigeminal neuralgia?
A)Have the patient clench the jaws.
B)Inspect the oral mucosa and teeth.
C)Palpate the face to compare skin temperature bilaterally.
D)Identify trigger zones by lightly touching the affected side.
Q3) A patient who had a C7 spinal cord injury 1 week ago has a weak cough effort and crackles. The initial intervention by the nurse should be to
A)suction the patient's nasopharynx.
B)notify the patient's health care provider.
C)push upward on the epigastric area as the patient coughs.
D)encourage incentive spirometry every 2 hours during the day.
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Page 62
Chapter 61: Assessment of Musculoskeletal System
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which finding from analysis of fluid from a patient's right knee arthrocentesis will be of concern to the nurse?
A)Cloudy fluid
B)Scant thin fluid
C)Pale yellow fluid
D)Straw-colored fluid
Q2) The nurse notes crackling sounds and a grating sensation with palpation of an older patient's elbow. How will this finding be documented?
A)Torticollis
B)Crepitation
C)Subluxation
D)Epicondylitis
Q3) Which information in a 67-yr-old woman's health history will alert the nurse to the need for a more focused assessment of the musculoskeletal system?
A)The patient sprained her ankle at age 13.
B)The patient's mother became shorter with aging.
C)The patient takes ibuprofen for occasional headaches.
D)The patient's father died of complications of miliary tuberculosis.
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63
Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery
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47 Verified Questions
47 Flashcards
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Sample Questions
Q1) Which information obtained by the nurse about a patient with a lumbar vertebral compression fracture requires an immediate report to the health care provider?
A)Patient refuses to be turned due to back pain.
B)Patient has been incontinent of urine and stool.
C)Patient reports lumbar area tenderness to palpation.
D)Patient frequently uses oral corticosteroids to treat asthma.
Q2) Which action will the urgent care nurse take for a patient with a possible knee meniscus injury?
A)Encourage bed rest for 24 to 48 hours.
B)Apply an immobilizer to the affected leg.
C)Avoid palpation or movement of the knee.
D)Administer intravenous opioids for pain management.
Q3) A patient arrived at the emergency department after tripping over a rug and falling at home. Which finding is most important for the nurse to communicate to the health care provider?
A)There is bruising at the shoulder area.
B)The patient reports arm and shoulder pain.
C)The right arm appears shorter than the left.
D)There is decreased shoulder range of motion.
Page 64
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Chapter 63: Musculoskeletal Problems
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse evaluating effectiveness of prescribed calcitonin and ibandronate (Boniva)for a patient with Paget's disease will consider the patient's
A)oral intake.
B)daily weight.
C)grip strength.
D)pain intensity.
Q2) A patient is being discharged after 1 week of IV antibiotic therapy for acute osteomyelitis in the right leg. Which information will be included in the discharge teaching?
A)How to apply warm packs to the leg to reduce pain
B)How to monitor and care for a long-term IV catheter
C)The need for daily aerobic exercise to help maintain muscle strength
D)The reason for taking oral antibiotics for 7 to 10 days after discharge
Q3) When administering alendronate (Fosamax)to a patient with osteoporosis,the nurse will
A)ask about any leg cramps or hot flashes.
B)assist the patient to sit up at the bedside.
C)be sure that the patient has recently eaten.
D)administer the ordered calcium carbonate.
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Page 65
Chapter 64: Arthritis and Connective Tissue Diseases
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47 Verified Questions
47 Flashcards
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Sample Questions
Q1) Which result for a patient with systemic lupus erythematosus (SLE)is most important for the nurse to communicate to the health care provider?
A)Decreased C-reactive protein (CRP)
B)Elevated blood urea nitrogen (BUN)
C)Positive antinuclear antibodies (ANA)
D)Positive lupus erythematosus cell prep
Q2) The nurse will anticipate the need to teach a patient who has osteoarthritis (OA)about which medication?
A)Prednisone
B)Adalimumab (Humira)
C)Capsaicin cream (Zostrix)
D)Sulfasalazine (Azulfidine)
Q3) The nurse assesses a 78-yr-old who uses naproxen (Aleve)daily for hand and knee osteoarthritis management. Which information requires a discussion with the health care provider about an urgent change in the treatment plan?
A)Knee crepitation is noted with normal knee range of motion.
B)Patient reports embarrassment about having Heberden's nodes.
C)Patient's knee pain while golfing has increased over the last year.
D)Laboratory results indicate blood urea nitrogen (BUN) is elevated.
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Page 66
Chapter 65: Critical Care
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Sample Questions
Q1) The nurse notes that a patient's endotracheal tube (ET),which was at the 22-cm mark,is now at the 25-cm mark,and the patient is anxious and restless. Which action should the nurse take next?
A)Check the O<sub>2</sub> saturation.
B)Offer reassurance to the patient.
C)Listen to the patient's breath sounds.
D)Notify the patient's health care provider.
Q2) A patient who is orally intubated and receiving mechanical ventilation is anxious and is "fighting" the ventilator. Which action should the nurse take next?
A)Verbally coach the patient to breathe with the ventilator.
B)Sedate the patient with the ordered PRN lorazepam (Ativan).
C)Manually ventilate the patient with a bag-valve-mask device.
D)Increase the rate for the ordered propofol (Diprivan) infusion.
Q3) To verify the correct placement of an oral endotracheal tube (ET)after insertion,the best initial action by the nurse is to
A)obtain a portable chest x-ray.
B)use an end-tidal CO<sub>2</sub> monitor.
C)auscultate for bilateral breath sounds.
D)observe for symmetrical chest movement.
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Page 67
Chapter 66: Shock, sepsis, and Multiple Organ Dysfunction Syndrome
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Sample Questions
Q1) The following interventions are ordered by the health care provider for a patient who has respiratory distress and syncope after eating strawberries. Which will the nurse complete first?
A)Give epinephrine.
B)Administer diphenhydramine.
C)Start continuous ECG monitoring.
D)Draw blood for complete blood count (CBC)
Q2) A patient is admitted to the emergency department (ED)for shock of unknown etiology. The first action by the nurse should be to
A)obtain the blood pressure.
B)check the level of orientation.
C)administer supplemental oxygen.
D)obtain a 12-lead electrocardiogram.
Q3) A nurse is assessing a patient who is receiving a nitroprusside infusion to treat cardiogenic shock. Which finding indicates that the drug is effective?
A)No new heart murmurs
B)Decreased troponin level
C)Warm, pink, and dry skin
D)Blood pressure of 92/40 mm Hg
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Chapter 67: Acute Respiratory Failure and Acute
Respiratory Distress Syndrome
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27 Verified Questions
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Source URL: https://quizplus.com/quiz/25402
Sample
Questions
Q1) A patient with chronic obstructive pulmonary disease (COPD)arrives in the emergency department complaining of shortness of breath and dyspnea on minimal exertion. Which assessment finding by the nurse is most important to report to the health care provider?
A)The patient has bibasilar lung crackles.
B)The patient is sitting in the tripod position.
C)The patient's pulse oximetry indicates a 91% O<sub>2</sub> saturation.
D)The patient's respirations have dropped to 10 breaths/minute.
Q2) A patient with acute respiratory distress syndrome (ARDS)who is intubated and receiving mechanical ventilation develops a right pneumothorax. Which collaborative action will the nurse anticipate next?
A)Increase the tidal volume and respiratory rate.
B)Decrease the fraction of inspired oxygen (FIO<sub>2</sub>).
C)Perform endotracheal suctioning more frequently.
D)Lower the positive end-expiratory pressure (PEEP).
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Page 69
Chapter 68: Emergency and Disaster Nursing
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26 Verified Questions
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Sample Questions
Q1) A patient arrives in the emergency department (ED)several hours after taking "25 to 30" acetaminophen (Tylenol)tablets. Which action will the nurse plan to take?
A)Give N-acetylcysteine.
B)Discuss the use of chelation therapy.
C)Start oxygen using a non-rebreather mask.
D)Have the patient drink large amounts of water.
Q2) A 19-yr-old patient is brought to the emergency department (ED)with multiple lacerations and tissue avulsion of the left hand. When asked about tetanus immunization,the patient denies having any previous vaccinations. The nurse will anticipate giving
A)tetanus immunoglobulin (TIG) only.
B)TIG and tetanus-diphtheria toxoid (Td).
C)tetanus-diphtheria toxoid and pertussis vaccine (Tdap) only.
D)TIG and tetanus-diphtheria toxoid and pertussis vaccine (Tdap).
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