Nursing Fundamentals Test Preparation
Course Introduction
Nursing Fundamentals provides a comprehensive introduction to the foundational concepts, skills, and principles essential to the practice of professional nursing. This course covers the history of nursing, ethical and legal considerations, patient care techniques, communication strategies, infection control, safety, and basic patient assessment. Students will develop critical thinking, clinical reasoning, and hands-on skills through a combination of classroom instruction, laboratory practice, and clinical experiences, preparing them to deliver safe and effective care in diverse healthcare settings.
Recommended Textbook
Medical Surgical Nursing 10th Edition by Lewis
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68 Chapters
1998 Verified Questions
1998 Flashcards
Source URL: https://quizplus.com/study-set/1279 Page 2
Chapter 1: Professional Nursing Practice
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/25336
Sample Questions
Q1) A patient with a bacterial infection has a nursing diagnosis of deficient fluid volume related to excessive diaphoresis. Which outcome would the nurse recognize as appropriate for this patient?
A)Patient has a balanced intake and output.
B)Patient's bedding is changed when it becomes damp.
C)Patient understands the need for increased fluid intake.
D)Patient's skin remains cool and dry throughout hospitalization.
Answer: A
Q2) A nurse is assigned as a case manager for a hospitalized patient with a spinal cord injury. The patient can expect the nurse functioning in this role to perform which activity?
A)Care for the patient during hospitalization for the injuries.
B)Assist the patient with home care activities during recovery.
C)Determine what medical care the patient needs for optimal rehabilitation.
D)Coordinate the services that the patient receives in the hospital and at home.
Answer: D
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Chapter 2: Health Disparities and Culturally Competent Care
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which strategy should be a priority when the nurse is planning care for a diabetic patient who is uninsured?
A)Obtain less expensive medications.
B)Follow evidence-based practice guidelines.
C)Assist with dietary changes as the first action.
D)Teach about the impact of exercise on diabetes.
Answer: B
Q2) What information should the nurse collect when assessing the health status of a community?
A)Air pollution levels
B)Number of health food stores
C)Most common causes of death
D)Education level of the individuals
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) When assessing a patient's abdomen during the admission assessment,which action should the nurse take first?
A)Feel for any masses.
B)Palpate the abdomen.
C)Listen for bowel sounds.
D)Percuss the liver borders.
Answer: C
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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5
Chapter 4: Patient and Caregiver Teaching
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A patient who was admitted to the hospital with hyperglycemia and newly diagnosed diabetes mellitus is scheduled for discharge the second day after admission. When implementing patient teaching,what is the priority action for the nurse?
A)Instruct about the increased risk for cardiovascular disease.
B)Provide detailed information about dietary control of glucose.
C)Teach glucose self-monitoring and medication administration.
D)Give information about the effects of exercise on glucose control.
Q2) A middle-aged patient who has diabetes tells the nurse,"I want to know how to give my own insulin so I don't have to bother my wife all the time." What is the priority action of the nurse?
A)Demonstrate how to draw up and administer insulin.
B)Discuss the use of exercise to decrease insulin needs.
C)Teach about differences between the various types of insulin.
D)Provide handouts about therapeutic and adverse effects of insulin.
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6
Chapter 5: Chronic Illness and Older Adults
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/25340
Sample Questions
Q1) 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.
Q2) Which method should the nurse use to gather the most complete assessment of an older patient?
A)Review the patient's health record for previous assessments.
B)Use a geriatric assessment instrument to evaluate the patient.
C)Ask the patient to write down medical problems and medications.
D)Interview both the patient and the primary caregiver for the patient.
Q3) Which nursing actions will the nurse take to assess for possible malnutrition in an older adult patient ?
A)Assess for depression.
B)Review laboratory results.
C)Determine food preferences.
D)Inspect teeth and oral mucosa.
E)Ask about transportation needs.
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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) A nurse prepares an adult patient with a severe burn injury for a dressing change. The nurse knows that this is a painful procedure and wants to try providing music to help the patient relax. Which action is best for the nurse to take?
A)Use music composed by Mozart.
B)Play music that does not have words.
C)Ask the patient about music preferences.
D)Select music that has 60 to 80 beats/minute.
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) A patient complains of difficulty falling asleep and daytime fatigue for the past 6 weeks. What is the best initial action for the nurse to take in determining whether this patient has chronic insomnia?
A)Schedule a polysomnograph (PSG).
B)Teach the patient how to use an actigraph.
C)Ask the patient to keep a 2-week sleep diary.
D)Arrange for the patient to have a sleep study.
Q2) Which patient statement indicates a need for further teaching about extended-release zolpidem (Ambien CR)?
A)"I should take the medication on an empty stomach."
B)"I will take the medication 1 to 2 hours before bedtime."
C)"I should not take this medication unless I can sleep for at least 6 hours."
D)"I will schedule activities that require mental alertness for later in the day."
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Chapter 8: Pain
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A nurse assesses a patient with chronic cancer pain who is receiving imipramine (Tofranil)in addition to long-acting morphine (MS Contin). Which statement,if made by the patient,indicates to the nurse that the patient is receiving adequate pain control?
A)"I'm not anxious during the day."
B)"Every night I get 8 hours of sleep."
C)"I can accomplish activities without much discomfort."
D)"I feel less depressed since I've been taking the Tofranil."
Q2) The nurse on a surgical inpatient unit is caring for several patients. Which patient should the nurse assess first?
A)Patient with postoperative pain who received morphine sulfate IV 15 minutes ago
B)Patient who received hydromorphone (Dilaudid) 1 hour ago and is currently asleep
C)Patient who was treated for pain just prior to return from the postanesthesia care unit
D)Patient with neuropathic pain who is scheduled to receive a dose of hydrocodone (Lortab) now
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Chapter 9: Palliative Care at End of Life
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) A patient in hospice is manifesting a decrease in all body system functions except for a heart rate of 124 beats/min and a respiratory rate of 28 breaths/min. Which statement,if made by the nurse to the patient's family member,is most appropriate?
A)"These vital signs will continue to increase until death finally occurs."
B)"These vital signs are an expected response now but will slow down later."
C)"These vital signs may indicate an improvement in the patient's condition."
D)"These vital signs are a helpful response to the slowing of other body systems."
Q2) Which patient should the nurse refer for hospice care?
A)A 70-yr-old patient with lymphoma whose children are unable to discuss issues related to dying
B)A 60-yr-old patient with chronic severe pain as a result of spinal arthritis and vertebral collapse
C)A 40-yr-old patient with AIDS-related dementia who needs palliative care and pain management
D)A 50-yr-old patient with advanced liver failure whose family members can no longer provide care in the home
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Chapter 10: Substance Use Disorders
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which assessment finding would alert the nurse to ask the patient about alcohol use?
A)Low blood pressure
B)Decreased heart rate
C)Elevated temperature
D)Abdominal tenderness
Q2) A patient who has a history of ongoing opioid use is hospitalized for surgery. After a visit by a friend,the nurse finds that the patient is unresponsive with pinpoint pupils. Which prescribed medication will the nurse administer?
A)Naloxone
B)Diazepam (Valium)
C)Clonidine (Catapres)
D)Methadone (Dolophine)
Q3) 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)
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Page 12
Chapter 11: Inflammation and Wound Healing
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/25346
Sample Questions
Q1) A new nurse performs a dressing change on a stage II left heel pressure ulcer. Which action by the new nurse indicates a need for further teaching about pressure ulcer care?
A)The new nurse cleans the ulcer with half-strength peroxide.
B)The new nurse uses a hydrocolloid dressing (DuoDerm)on the ulcer.
C)The new nurse irrigates the pressure ulcer with saline using a 30-mL syringe.
D)The new nurse inserts a sterile cotton-tipped applicator into the pressure ulcer.
Q2) After the home health nurse teaches a patient's family member about how to care for a sacral pressure ulcer,which finding indicates that additional teaching is needed?
A)The family member uses a lift sheet to reposition the patient.
B)The family member uses clean tap water to clean the wound.
C)The family member dries the wound using a hair dryer on a low setting.
D)The family member places contaminated dressings in a plastic grocery bag.
Q3) The nurse should plan to use a wet-to-dry dressing for which patient?
A)A patient who has a pressure ulcer with pink granulation tissue
B)A patient who has a surgical incision with pink, approximated edges
C)A patient who has a full-thickness burn filled with dry, black material
D)A patient who has a wound with purulent drainage and dry brown areas
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13
Chapter 12: Genetics and Genomics
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) When caring for a young adult patient who has abnormalities in the cytochrome P450 (CYP 450)gene,which action will the nurse include in the patient's plan of care?
A)Teach that some medications may not work effectively.
B)Teach about genetic risk for cystic fibrosis in any children.
C)Encourage scheduling screening mammograms starting at age 30.
D)Encourage the patient to watch for early symptoms of heart disease.
Q2) A patient tells the nurse,"I would like to use a home genetic test to see if I will develop breast cancer." Which is the nurse's best initial response?
A)"Home genetic testing is very expensive."
B)"Are you prepared to cope with a positive result?"
C)"Are you concerned about developing breast cancer?"
D)"Genetic testing only determines if you are at higher risk for breast cancer."
Q3) 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
Source URL: https://quizplus.com/quiz/25348
Sample Questions
Q1) Which information about intradermal skin testing should the nurse teach to a patient with possible allergies?
A)"Do not eat anything for about 6 hours before the testing."
B)"Take an oral antihistamine about an hour before the testing."
C)"Plan to wait in the clinic for 20 to 30 minutes after the testing."
D)"Reaction to the testing will take about 48 to 72 hours to occur."
Q2) A patient is being evaluated for possible atopic dermatitis. The nurse expects elevation of which laboratory value?
A)IgE
B)IgA
C)Basophils
D)Neutrophils
Q3) A patient is admitted to the hospital with acute rejection of a kidney transplant. Which intervention will the nurse prepare for this patient?
A)Testing for human leukocyte antigen (HLA) match
B)Administration of immunosuppressant medications
C)Insertion of an arteriovenous graft for hemodialysis
D)Placement of the patient on the transplant waiting list
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Chapter 14: Infection and Human Immunodeficiency Virus
Infection
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/25349
Sample Questions
Q1) The nurse plans a presentation for community members about how to decrease the risk for antibiotic-resistant infections. Which information will the nurse include in the teaching plan ?
A)Antibiotics may sometimes be prescribed to prevent infection.
B)Continue taking antibiotics until all of the prescription is gone.
C)Unused antibiotics that are more than a year old should be discarded.
D)Antibiotics are effective in treating influenza associated with high fevers.
E)Hand washing is effective in preventing many viral and bacterial infections.
Q2) The registered nurse (RN)caring for an HIV-positive patient admitted with tuberculosis can delegate which action to unlicensed assistive personnel (UAP)?
A)Teach the patient how to dispose of tissues with respiratory secretions.
B)Stock the patient's room with the necessary personal protective equipment.
C)Interview the patient to obtain the names of family members and close contacts.
D)Tell the patient's family members the reason for the use of airborne precautions.
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16
Chapter 15: Cancer
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) A patient receiving head and neck radiation for larynx cancer has ulcerations over the oral mucosa and tongue and thick,ropey saliva. Which instructions should the nurse give to this patient?
A)Remove food debris from the teeth and oral mucosa with a stiff toothbrush.
B)Use cotton-tipped applicators dipped in hydrogen peroxide to clean the teeth.
C)Gargle and rinse the mouth several times a day with an antiseptic mouthwash.
D)Rinse the mouth before and after each meal and at bedtime with a saline solution.
Q2) A patient with metastatic cancer of the colon experiences severe vomiting after each administration of chemotherapy. Which action,if taken by the nurse,is appropriate?
A)Have the patient eat large meals when nausea is not present.
B)Offer dry crackers and carbonated fluids during chemotherapy.
C)Administer prescribed antiemetics 1 hour before the treatments.
D)Give the patient a glass of a citrus fruit beverage during treatments.
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17
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) A patient has a parenteral nutrition infusion of 25% dextrose. A student nurse asks the nurse why a peripherally inserted central catheter was inserted. Which response by the nurse is accurate?
A)"The prescribed infusion can be given more rapidly when the patient has a central line."
B)"The hypertonic solution will be more rapidly diluted when given through a central line."
C)"There is a decreased risk for infection when 25% dextrose is infused through a central line."
D)"The required blood glucose monitoring is based on samples obtained from a central line."
Q2) The nurse assesses a patient who has been hospitalized for 2 days. The patient has been receiving normal saline IV at 100 mL/hr,has a nasogastric tube to low suction,and is NPO. Which assessment finding would be a priority for the nurse to report to the health care provider?
A)Oral temperature of 100.1°F
B)Serum sodium level of 138 mEq/L (138 mmol/L)
C)Gradually decreasing level of consciousness (LOC)
D)Weight gain of 2 pounds (1 kg) over the admission weight
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Page 18
Chapter 17: Preoperative Care
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A patient scheduled for an elective hysterectomy tells the nurse,"I am afraid that I will die in surgery like my mother did!" Which initial response by the nurse is appropriate?
A)"Surgical techniques have improved in recent years."
B)"Tell me more about what happened to your mother."
C)"You will receive medication to reduce your anxiety."
D)"You should talk to the doctor again about the surgery."
Q2) A patient who takes a diuretic and a b-blocker to control blood pressure is scheduled for breast reconstruction surgery. Which patient information is most important to communicate to the health care provider before surgery?
A)Hematocrit 36%
B)Blood pressure 144/82
C)Serum potassium 3.2 mEq/L
D)Pulse rate 54-58 beats/minute
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Chapter 18: Intraoperative Care
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which action in the perioperative patient plan of care can the charge nurse delegate to a surgical technologist?
A)Teach the patient about what to expect in the operating room (OR).
B)Pass sterile instruments and supplies to the surgeon and scrub technician.
C)Monitor and interpret the patient's echocardiogram (ECG) during surgery.
D)Give the postoperative report to the postanesthesia care unit (PACU) nurse.
Q2) Which statement,if made by a new circulating nurse,reflects understanding of the circulating nurse role?
A)"I will assist in preparing the operating room for the patient."
B)"I will don sterile gloves to obtain items from the unsterile field."
C)"I will remain gloved while performing activities in the sterile field."
D)"I will assist with suturing of incisions and maintaining hemostasis as needed."
Q3) Which actions will the nurse include in the surgical time-out procedure before surgery ?
A)Check for patency of IV lines.
B)Have the surgeon identify the patient.
C)Have the patient state name and date of birth.
D)Verify the patient identification band number.
E)Ask the patient to state the surgical procedure.
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Page 20
Chapter 19: Postoperative Care
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A patient's blood pressure in the postanesthesia care unit (PACU)has dropped from an admission blood pressure of 140/86 to 102/60 mm Hg with a pulse change of 70 to 96 beats/min. SpO? is 92% on 3 L of oxygen. In which order should the nurse take these actions? (Put a comma and a space between each answer choice [A,B,C,D].)
A)Increase the IV infusion rate.
B)Assess the patient's dressing.
C)Increase the oxygen flow rate.
D)Check the patient's temperature.
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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21
Chapter 20: Assessment of Visual and Auditory Systems
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) When obtaining a health history from a 49-yr-old patient,which patient statement is most important to communicate to the primary health care provider?
A)"My eyes are dry now."
B)"It is hard for me to see at night."
C)"My vision is blurry when I read."
D)"I can't see as far over to the side."
Q2) The charge nurse must intervene immediately if observing a nurse who is caring for a patient with vestibular disease
A)facing the patient directly when speaking.
B)speaking slowly and distinctly to the patient.
C)administering both the Rinne and Weber tests.
D)encouraging the patient to ambulate independently.
Q3) The nurse is providing health promotion teaching to a group of older adults. Which information will the nurse include when teaching about routine glaucoma testing?
A)A Tono-Pen will be applied to the surface of the eye.
B)The test involves reading a Snellen chart from 20 feet.
C)Medications will be used to dilate the pupils for the test.
D)The examination involves checking the pupil's reaction to light.
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Chapter 21: Visual and Auditory Problems
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47 Verified Questions
47 Flashcards
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Sample Questions
Q1) Which finding in an emergency department patient who reports being struck in the right eye with a fist is a priority for the nurse to communicate to the health care provider?
A)The patient complains of a right-sided headache.
B)The sclera on the right eye has broken blood vessels.
C)The area around the right eye is bruised and tender to the touch.
D)The patient complains of "a curtain" over part of the visual field.
Q2) A patient diagnosed with external otitis is being discharged from the emergency department with an ear wick in place. Which statement by the patient indicates a need for further teaching?
A)"I will apply the eardrops to the cotton wick in the ear canal."
B)"I can use aspirin or acetaminophen (Tylenol) for pain relief."
C)"I will clean the ear canal daily with a cotton-tipped applicator."
D)"I can use warm compresses to the outside of the ear for comfort."
Q3) When teaching a patient about the treatment of acoustic neuroma,the nurse will include information about
A)applying sunscreen.
B)preventing fall injuries.
C)decreasing dietary sodium.
D)chemotherapy side effects.
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Chapter 22: Assessment of Integumentary System
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) Which abnormality on the skin of an older patient is the priority to discuss immediately with the health care provider?
A)Dry, scaly patches on the face
B)Numerous varicosities on both legs
C)Petechiae on the chest and abdomen
D)Small dilated blood vessels on the face
Q2) A patient reports chronic itching of the ankles and continuously scratches the area. Which assessment finding will the nurse expect?
A)Hypertrophied scars on both ankles
B)Thickening of the skin around the ankles
C)Yellowish-brown skin around both ankles
D)Complete absence of melanin in both ankles
Q3) 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.
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Chapter 23: Integumentary Problems
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A patient with atopic dermatitis has been using a high-potency topical corticosteroid ointment for several weeks. The nurse should assess for which adverse effect?
A)Thinning of the affected skin
B)Alopecia of the affected areas
C)Dryness and scaling in the area
D)Reddish-brown skin discoloration
Q2) A nurse is teaching a patient with contact dermatitis of the arms and legs about ways to decrease pruritus. Which information should the nurse include in the teaching plan ?
A)Cool, wet cloths or compresses can be used to reduce itching.
B)Take cool or tepid baths several times daily to decrease itching.
C)Add oil to your bath water to aid in moisturizing the affected skin.
D)Rub yourself dry with a towel after bathing to prevent skin maceration.
E)Use of an over-the-counter (OTC) antihistamine can reduce scratching.
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Chapter 24: Burns
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31 Flashcards
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Sample Questions
Q1) A patient who has burns on the arms,legs,and chest from a house fire has become agitated and restless 8 hours after being admitted to the hospital. Which action should the nurse take first?
A)Stay at the bedside and reassure the patient.
B)Administer the ordered morphine sulfate IV.
C)Assess orientation and level of consciousness.
D)Use pulse oximetry to check oxygen saturation.
Q2) 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.
Q3) Which patient should the nurse assess first?
A)A patient with burns who is complaining of level 8 (0 to 10 scale) pain
B)A patient with smoke inhalation who has wheezes and altered mental status
C)A patient with full-thickness leg burns who is scheduled for a dressing change
D)A patient with partial thickness burns who is receiving IV fluids at 500 mL/hr
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Page 26
Chapter 25: Assessment of Respiratory System
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A patient admitted to the emergency department complaining of sudden onset shortness of breath is diagnosed with a possible pulmonary embolus. How should the nurse prepare the patient for diagnostic testing to confirm the diagnosis?
A)Ensure that the patient has been NPO.
B)Start an IV so contrast media may be given.
C)Inform radiology that radioactive glucose preparation is needed.
D)Instruct the patient to expect to inspire deeply and exhale forcefully.
Q2) A patient is scheduled for a computed tomography (CT)scan of the chest with contrast media. Which assessment findings should the nurse report to the health care provider before the patient goes for the CT ?
A)Allergy to shellfish
B)Patient reports claustrophobia
C)Elevated serum creatinine level
D)Recent bronchodilator inhaler use
E)Inability to remove a wedding band
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Chapter 26: Upper Respiratory Problems
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25 Verified Questions
25 Flashcards
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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) After a laryngectomy,a patient coughs violently during suctioning and dislodges the tracheostomy tube. Which action should the nurse take first?
A)Arrange for arterial blood gases to be drawn immediately.
B)Cover stoma with sterile gauze and ventilate through stoma.
C)Attempt to reinsert the tracheostomy tube with the obturator in place.
D)Assess the patient's oxygen saturation and notify the health care provider.
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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Page 28
Chapter 27: Lower Respiratory Problems
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51 Verified Questions
51 Flashcards
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Sample Questions
Q1) A patient who has a right-sided chest tube after a thoracotomy has continuous bubbling in the suction-control chamber of the collection device. Which action by the nurse is appropriate?
A)Adjust the dial on the wall regulator.
B)Continue to monitor the collection device.
C)Document the presence of a large air leak.
D)Notify the surgeon of a possible pneumothorax.
Q2) A patient is admitted with active tuberculosis (TB). The nurse should question a health care provider's order to discontinue airborne precautions unless which assessment finding is documented?
A)Chest x-ray shows no upper lobe infiltrates.
B)TB medications have been taken for 6 months.
C)Mantoux testing shows an induration of 10 mm.
D)Sputum smears for acid-fast bacilli are negative.
Q3) 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.
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Page 29
Chapter 28: Obstructive Pulmonary Diseases
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44 Flashcards
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Sample Questions
Q1) The emergency department nurse is evaluating the effectiveness of therapy for a patient who has received treatment during an asthma attack. Which assessment finding is the best indicator that the therapy has been effective?
A)No wheezes are audible.
B)O2 saturation is >90%.
C)Accessory muscle use has decreased.
D)Respiratory rate is 16 breaths/minute.
Q2) A patient with chronic obstructive pulmonary disease (COPD)has coarse crackles throughout the lung fields and a chronic,nonproductive cough. Which nursing intervention will be most effective?
A)Change the O2 flow rate to the highest prescribed rate.
B)Teach the patient to use the Flutter airway clearance device.
C)Reinforce the ongoing use of pursed-lip breathing techniques.
D)Teach the patient about consistent use of inhaled corticosteroids.
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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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/25364
Sample Questions
Q1) The nurse assesses a patient who has numerous petechiae on both arms. Which question should the nurse ask the patient?
A)"Are you taking any oral contraceptives?"
B)"Have you been prescribed antiseizure drugs?"
C)"Do you take medication containing salicylates?"
D)"How long have you taken antihypertensive drugs?"
Q2) The nurse notes pallor of the skin and nail beds in a newly admitted patient. The nurse should ensure that which laboratory test has been ordered?
A)Platelet count
B)Neutrophil count
C)Hemoglobin level
D)White blood cell count
Q3) The health care provider orders a liver and spleen scan for a patient who has been in a motor vehicle crash. Which action should the nurse take before this procedure?
A)Check for any iodine allergy.
B)Insert a large-bore IV catheter.
C)Administer prescribed sedatives.
D)Assist the patient to a flat position.
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Chapter 30: Hematologic Problems
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48 Flashcards
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Sample Questions
Q1) Several patients call the outpatient clinic and ask to make an appointment as soon as possible. Which patient should the nurse schedule to be seen first?
A)A 44-yr-old with sickle cell anemia who says his eyes always look sort of yellow
B)A 23-yr-old with no previous health problems who has a nontender lump in the axilla
C)A 50-yr-old with early-stage chronic lymphocytic leukemia who reports chronic fatigue
D)A 19-yr-old with hemophilia who wants to learn to self-administer factor VII replacement
Q2) A patient in the emergency department complains of back pain and difficulty breathing 15 minutes after a transfusion of packed red blood cells is started. The nurse's first action should be to
A)administer oxygen therapy at a high flow rate.
B)obtain a urine specimen to send to the laboratory.
C)notify the health care provider about the symptoms.
D)disconnect the transfusion and infuse normal saline.
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Chapter 31: Assessment of Cardiovascular System
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Sample Questions
Q1) To determine the effects of therapy for a patient who is being treated for heart failure,which laboratory test result will the nurse plan to review?
A)Troponin
B)Homocysteine (Hcy)
C)Low-density lipoprotein (LDL)
D)B-type natriuretic peptide (BNP)
Q2) The nurse and unlicensed assistive personnel (UAP)on the telemetry unit are caring for four patients. Which nursing action can be delegated to the UAP?
A)Teaching a patient about exercise electrocardiography
B)Attaching ECG monitoring electrodes after a patient bathes
C)Checking the catheter insertion site for a patient who is recovering from a coronary angiogram
D)Monitoring a patient who has just returned to the unit after a transesophageal echocardiogram
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Chapter 32: Hypertension
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Sample Questions
Q1) The nurse has just finished teaching a hypertensive patient about the newly prescribed drug,ramipril (Altace). Which patient statement indicates that more teaching is needed?
A)"The medication may not work well if I take aspirin."
B)"I can expect some swelling around my lips and face."
C)"The doctor may order a blood potassium level occasionally."
D)"I will call the doctor if I notice that I have a frequent cough."
Q2) After the nurse teaches the patient with stage 1 hypertension about diet modifications that should be implemented,which diet choice indicates that the teaching has been most effective?
A)The patient avoids eating nuts or nut butters.
B)The patient restricts intake of chicken and fish.
C)The patient drinks low-fat milk with each meal.
D)The patient has two cups of coffee in the morning.
Q3) The nurse obtains a blood pressure of 176/82 mm Hg for a patient. What is the patient's mean arterial pressure (MAP)?
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Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome
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43 Verified Questions
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Sample Questions
Q1) The nurse is caring for a patient who was admitted to the coronary care unit following an acute myocardial infarction (AMI)and percutaneous coronary intervention the previous day. Teaching for this patient would include
A)when cardiac rehabilitation will begin.
B)the typical emotional responses to AMI.
C)information regarding discharge medications.
D)the pathophysiology of coronary artery disease.
Q2) The nurse suspects that the patient with stable angina is experiencing a side effect of the prescribed drug metoprolol (Lopressor)if the A)patient is restless and agitated.
B)blood pressure is 90/54 mm Hg.
C)patient complains about feeling anxious.
D)heart monitor shows normal sinus rhythm.
Q3) Which information from a patient helps the nurse confirm the previous diagnosis of chronic stable angina?
A)"The pain wakes me up at night."
B)"The pain is level 3 to 5 (0 to 10 scale)."
C)"The pain has gotten worse over the last week."
D)"The pain goes away after a nitroglycerin tablet."
Page 35
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Chapter 34: Heart Failure
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Sample Questions
Q1) A patient with a history of chronic heart failure is admitted to the emergency department with severe dyspnea and a dry,hacking cough. Which action should the nurse do first?
A)Auscultate the abdomen.
B)Check the capillary refill.
C)Auscultate the breath sounds.
D)Ask about the patient's allergies.
Q2) Which diagnostic test will be most useful to the nurse in determining whether a patient admitted with acute shortness of breath has heart failure?
A)Serum troponin
B)Arterial blood gases
C)B-type natriuretic peptide
D)12-lead electrocardiogram
Q3) Which topic will the nurse plan to include in discharge teaching for a patient with heart failure with reduced ejection fraction (HFrEF)?
A)Need to begin an aerobic exercise program several times weekly
B)Use of salt substitutes to replace table salt when cooking and at the table
C)Importance of making an annual appointment with the health care provider
D)Benefits and side effects of angiotensin-converting enzyme (ACE) inhibitors
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Page 36
Chapter 35: Dysrhythmias
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Sample Questions
Q1) 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).
Q2) A patient whose heart monitor shows sinus tachycardia,rate 132,is apneic,and has no palpable pulses. What action should the nurse take next?
A)Perform synchronized cardioversion.
B)Start cardiopulmonary resuscitation (CPR).
C)Give atropine per agency dysrhythmia protocol.
D)Provide supplemental O2 via non-rebreather mask.
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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Page 37
Chapter 36: Inflammatory and Structural Heart Disorders
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Sample Questions
Q1) 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
Q2) Which statement by a patient with restrictive cardiomyopathy indicates that the nurse's discharge teaching about self-management has been effective?
A)"I will avoid taking aspirin or other antiinflammatory drugs."
B)"I can restart my exercise program that includes hiking and biking."
C)"I will need to limit my intake of salt and fluids even in hot weather."
D)"I will take antibiotics before my teeth are cleaned at the dental office."
Q3) Which action by the nurse will determine if the therapies ordered for a patient with chronic constrictive pericarditis are most effective?
A)Assess for the presence of a paradoxical pulse.
B)Monitor for changes in the patient's sedimentation rate.
C)Assess for the presence of jugular venous distention (JVD).
D)Check the electrocardiogram (ECG) for ST segment changes.
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Page 38
Chapter 37: Vascular Disorders
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36 Flashcards
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Sample Questions
Q1) Which assessment finding for a patient who has been admitted with a right calf venous thromboembolism (VTE)requires immediate action by the nurse?
A)Erythema of right lower leg
B)Complaint of right calf pain
C)New onset shortness of breath
D)Temperature of 100.4°F (38°C)
Q2) When caring for a patient on the first postoperative day after an abdominal aortic aneurysm repair,which assessment finding is most important for the nurse to communicate to the health care provider?
A)Presence of flatus
B)Hypoactive bowel sounds
C)Maroon-colored liquid stool
D)Abdominal pain with palpation
Q3) A patient is being evaluated for postthrombotic syndrome. Which assessment will the nurse perform?
A)Ask about leg pain with exercise.
B)Determine the ankle-brachial index.
C)Assess capillary refill in the patient's toes.
D)Inspect for presence of lipodermatosclerosis.
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Page 39
Chapter 38: Assessment of Gastrointestinal System
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Sample Questions
Q1) 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.
Q2) Which information about an 80-yr-old male patient at the senior center is of most concern to the nurse?
A)Decreased appetite
B)Unintended weight loss
C)Difficulty chewing food
D)Complaints of indigestion
Q3) When caring for a patient with a history of a total gastrectomy,the nurse will monitor for
A)constipation.
B)dehydration.
C)elevated total serum cholesterol.
D)cobalamin (vitamin B<sub>12</sub>) deficiency.
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Chapter 39: Nutritional Problems
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Sample Questions
Q1) When caring for a patient with a soft,silicone nasogastric tube in place for enteral feedings,the nurse will
A)avoid giving medications through the feeding tube.
B)flush the tubing after checking for residual volumes.
C)replace the tube every 3 days to avoid mucosal damage.
D)administer continuous feedings using an infusion pump.
Q2) Which action should the nurse take first when preparing to teach a frail 79-yr-old Hispanic man who lives with an adult daughter about ways to improve nutrition?
A)Ask the daughter about the patient's food preferences.
B)Determine who shops for groceries and prepares the meals.
C)Question the patient about how many meals per day are eaten.
D)Assure the patient that culturally preferred foods will be included.
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) After the nurse teaches a patient about the recommended amounts of foods from animal and plant sources,which menu selections indicate that the initial instructions about diet have been understood?
A)3 oz of lean beef, 2 oz of low-fat cheese, and a sliced tomato
B)3 oz of roasted pork, a cup of corn, and a cup of carrot sticks
C)Cup of tossed salad and nonfat dressing topped with a chicken breast
D)Half cup of tuna mixed with nonfat mayonnaise and a half cup of celery
Q2) 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)
Q3) Which finding for a patient who has been taking orlistat (Xenical)is most important to report to the health care provider?
A)The patient frequently has liquid stools.
B)The patient is pale and has many bruises.
C)The patient complains of bloating after meals.
D)The patient is experiencing a weight loss plateau.
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Chapter 41: Upper Gastrointestinal Problems
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Sample Questions
Q1) The nurse determines that teaching regarding cobalamin injections has been effective when the patient with chronic atrophic gastritis states
A)"The cobalamin injections will prevent gastric inflammation."
B)"The cobalamin injections will prevent me from becoming anemic."
C)"These injections will increase the hydrochloric acid in my stomach."
D)"These injections will decrease my risk for developing stomach cancer."
Q2) An adult with Escherichia coli O157:H7 food poisoning is admitted to the hospital with bloody diarrhea and dehydration. Which prescribed action will the nurse question?
A)Infuse lactated Ringer's solution at 250 mL/hr.
B)Monitor blood urea nitrogen and creatinine daily.
C)Administer loperamide (Imodium) after each stool.
D)Provide a clear liquid diet and progress diet as tolerated.
Q3) The nurse will anticipate teaching a patient experiencing frequent heartburn about A)a barium swallow.
B)radionuclide tests.
C)endoscopy procedures.
D)proton pump inhibitors.
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Chapter 42: Lower Gastrointestinal Problems
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Sample Questions
Q1) A patient preparing to undergo a colon resection for cancer of the colon asks about the elevated carcinoembryonic antigen (CEA)test result. The nurse explains that the test is used to
A)identify any metastasis of the cancer.
B)monitor the tumor status after surgery.
C)confirm the diagnosis of a specific type of cancer.
D)determine the need for postoperative chemotherapy.
Q2) Which information obtained by the nurse interviewing a 30-yr-old male patient is most important to communicate to the health care provider?
A)The patient has a history of constipation.
B)The patient has noticed blood in the stools.
C)The patient had an appendectomy at age 27.
D)The patient smokes a pack/day of cigarettes.
Q3) Which activity in the care of a patient with a new colostomy could the nurse delegate to unlicensed assistive personnel (UAP)?
A)Document the appearance of the stoma.
B)Place a pouching system over the ostomy.
C)Drain and measure the output from the ostomy.
D)Check the skin around the stoma for breakdown.
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Page 44
Chapter 43: Liver, pancreas, and Biliary Tract Problems
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Sample Questions
Q1) A young adult contracts hepatitis from contaminated food. During the acute (icteric)phase of the patient's illness,the nurse would expect serologic testing to reveal
A)antibody to hepatitis D (anti-HDV).
B)hepatitis B surface antigen (HBsAg).
C)anti-hepatitis A virus immunoglobulin G (anti-HAV IgG).
D)anti-hepatitis A virus immunoglobulin M (anti-HAV IgM).
Q2) A 36-yr-old female patient is receiving treatment for chronic hepatitis C with pegylated interferon (PEG-Intron,Pegasys),ribavirin (Rebetol),and telaprevir (Incivek). Which finding is important to communicate to the health care provider to suggest a change in therapy?
A)Weight loss of 2 lb (1 kg)
B)Positive urine pregnancy test
C)Hemoglobin level of 10.4 g/dL
D)Complaints of nausea and anorexia
Q3) The nurse will plan to teach the patient diagnosed with acute hepatitis B about
A)administering a-interferon
B)side effects of nucleotide analogs.
C)measures for improving the appetite.
D)ways to increase activity and exercise.
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Page 45
Chapter 44: Assessment of Urinary System
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Sample Questions
Q1) A patient who has elevated blood urea nitrogen (BUN)and serum creatinine levels is scheduled for a renal arteriogram. Which bowel preparation order would the nurse question for this patient?
A)Fleet enema
B)Tap-water enema
C)Senna/docusate (Senokot-S)
D)Bisacodyl (Dulcolax) tablets
Q2) When working in the urology/nephrology clinic,which patient could the nurse delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?
A)Patient who is scheduled for a renal biopsy after a recent kidney transplant
B)Patient who will need monitoring for several hours after a renal arteriogram
C)Patient who requires teaching about possible post-cystoscopy complications
D)Patient who will have catheterization to check for residual urine after voiding
Q3) The nurse caring for a patient after cystoscopy plans that the patient
A)learns to request narcotics for pain.
B)understands to expect blood-tinged urine.
C)restricts activity to bed rest for 4 to 6 hours.
D)remains NPO for 8 hours to prevent vomiting.
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Chapter 45: Renal and Urologic Problems
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Sample Questions
Q1) 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.
Q2) The nurse will anticipate teaching a patient with nephrotic syndrome who develops flank pain about treatment with A)antibiotics.
B)antifungals.
C)anticoagulants.
D)antihypertensives.
Q3) Which nursing action is of highest priority for a patient with renal calculi who is being admitted to the hospital with gross hematuria and severe colicky left flank pain?
A)Administer prescribed analgesics.
B)Monitor temperature every 4 hours.
C)Encourage increased oral fluid intake.
D)Give antiemetics as needed for nausea.
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Chapter 46: Acute Kidney Injury and Chronic Kidney Disease
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Sample Questions
Q1) Which information will the nurse monitor in order to determine the effectiveness of prescribed calcium carbonate (Caltrate)for a patient with chronic kidney disease (CKD)?
A)Blood pressure
B)Phosphate level
C)Neurologic status
D)Creatinine clearance
Q2) A patient has arrived for a scheduled hemodialysis session. Which nursing action is most appropriate for the registered nurse (RN)to delegate to a dialysis technician?
A)Teach the patient about fluid restrictions.
B)Check blood pressure before starting dialysis.
C)Assess for causes of an increase in predialysis weight.
D)Determine the ultrafiltration rate for the hemodialysis.
Q3) A patient complains of leg cramps during hemodialysis. The nurse should
A)massage the patient's legs.
B)reposition the patient supine.
C)give acetaminophen (Tylenol).
D)infuse a bolus of normal saline.
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Chapter 47: Assessment of Endocrine System
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Sample Questions
Q1) A 61-yr-old female patient admitted with pneumonia has a total serum calcium level of 13.3 mg/dL (3.3 mmol/L). The nurse will anticipate the need to teach the patient about testing for _____ levels.
A)calcitonin
B)catecholamine
C)thyroid hormone
D)parathyroid hormone
Q2) Which statements will the nurse include when teaching a patient who is scheduled for oral glucose tolerance testing in the outpatient clinic ?
A)"You will need to avoid smoking before the test."
B)"Exercise should be avoided until the testing is complete."
C)"Several blood samples will be obtained during the testing."
D)"You should follow a low-calorie diet the day before the test."
E)"The test requires that you fast for at least 8 hours before testing."
Q3) 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.
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Page 49
Chapter 48: Diabetes Mellitus
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Sample Questions
Q1) A patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dL (6.7 mmol/L). The nurse will plan to teach the patient about
A)self-monitoring of blood glucose.
B)using low doses of regular insulin.
C)lifestyle changes to lower blood glucose.
D)effects of oral hypoglycemic medications.
Q2) To assist an older patient with diabetes to engage in moderate daily exercise,which action is most important for the nurse to take?
A)Determine what types of activities the patient enjoys.
B)Remind the patient that exercise improves self-esteem.
C)Teach the patient about the effects of exercise on glucose level.
D)Give the patient a list of activities that are moderate in intensity.
Q3) Which nursing action can the nurse delegate to experienced unlicensed assistive personnel (UAP)who are working in the diabetic clinic?
A)Measure the ankle-brachial index.
B)Check for changes in skin pigmentation.
C)Assess for unilateral or bilateral foot drop.
D)Ask the patient about symptoms of depression.
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Chapter 49: Endocrine Problems
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46 Flashcards
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Sample Questions
Q1) The cardiac telemetry unit charge nurse receives status reports from other nursing units about four patients who need cardiac monitoring. Which patient should be transferred to the cardiac unit first?
A)Patient with Hashimoto's thyroiditis and a heart rate of 102
B)Patient with tetany who has a new order for IV calcium chloride
C)Patient with Cushing syndrome and a blood glucose of 140 mg/dL
D)Patient with Addison's disease who takes hydrocortisone twice daily
Q2) Which nursing action will be included in the plan of care for a patient with Graves' disease who has exophthalmos?
A)Place cold packs on the eyes to relieve pain and swelling.
B)Elevate the head of the patient's bed to reduce periorbital fluid.
C)Apply alternating eye patches to protect the corneas from irritation.
D)Teach the patient to blink every few seconds to lubricate the corneas.
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) A 49-yr-old man who has type 2 diabetes,high blood pressure,hyperlipidemia,and gastroesophageal reflux tells the nurse that he has had recent difficulty in achieving an erection. Which of the following drugs from his current medications list may cause erectile dysfunction (ED)?
A)Ranitidine (Zantac)
B)Atorvastatin (Lipitor)
C)Propranolol (Inderal)
D)Metformin (Glucophage)
Q2) The nurse will plan to teach a 51-yr-old man who is scheduled for an annual physical examination about a(n)
A)increased risk for testicular cancer.
B)possible changes in erectile function.
C)normal decreases in testosterone level.
D)prostate specific antigen (PSA) testing.
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Chapter 51: Breast Disorders
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Sample Questions
Q1) Which action will the nurse include in the plan of care for a patient with right arm lymphedema?
A)Avoid isometric exercise on the right arm.
B)Assist with application of a compression sleeve.
C)Keep the right arm at or below the level of the heart.
D)Check blood pressure (BP) on both right and left arms.
Q2) A patient diagnosed with breast cancer asks the nurse what "triple negative" means. An accurate response from the nurse about triple-negative breast cancer should include that
A)the tumor is not likely to be responsive to hormone therapy.
B)HER-2 receptor testing was repeated for a total of three samples.
C)treatment with chemotherapy is not likely to be recommended.
D)estrogen receptor testing identified the three hormones causing the cancer.
Q3) Which patient statement indicates that the nurse's teaching about tamoxifen has been effective?
A)"I can expect to have leg cramps."
B)"I will call if I have any eye problems."
C)"I should contact you if I have hot flashes."
D)"I will be taking the medication for 6 to 12 months."
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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) Which statement by a 24-yr-old patient indicates that the nurse's teaching about management of primary genital herpes has been effective?
A)"I will use acyclovir ointment on the area to relieve the discomfort."
B)"I will use condoms for intercourse until the medication is all gone."
C)"I will take the acyclovir (Zovirax) every 8 hours for the next week."
D)"I will need to take all of the medication to be sure the infection is cured."
Q2) A patient with gonorrhea is treated with a single IM dose of ceftriaxone (Rocephin)and is given a prescription for doxycycline (Vibramycin)100 mg bid for 7 days. The nurse explains to the patient that this combination is prescribed to
A)prevent reinfection during treatment.
B)treat any coexisting chlamydial infection.
C)eradicate resistant strains of N.gonorrhoeae.
D)prevent the development of resistant organisms.
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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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 19-yr-old patient visits the health clinic for a routine checkup. Which question should the nurse ask to determine whether a Pap test is needed?
A)"Have you had sexual intercourse?"
B)"Do you use any illegal substances?"
C)"Do you have cramping with your periods?"
D)"At what age did your menstrual periods start?"
Q2) A patient brought to the emergency department reports being sexually assaulted. The patient is confused about where she is and she has a laceration above the right eye. Which action should the nurse take first?
A)Assess the patient's neurologic status.
B)Assist the patient to remove her clothing.
C)Ask the patient to describe what occurred during the assault.
D)Ask the sexual assault nurse examiner (SANE) to assess the patient.
Q3) The nurse will plan to teach the female patient with genital warts about the A)importance of regular Pap tests.
B)increased risk for endometrial cancer.
C)appropriate use of oral contraceptives.
D)symptoms of pelvic inflammatory disease (PID).
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Page 55
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) Which information will the nurse teach a patient who has chronic prostatitis?
A)Ibuprofen (Motrin) should provide good pain control.
B)Prescribed antibiotics should be taken for 7 to 10 days.
C)Intercourse or masturbation will help relieve symptoms.
D)Cold packs used every 4 hours will decrease inflammation.
Q2) Which assessment information collected by the nurse may present a contraindication to a testosterone replacement therapy (TRT)?
A)The patient has noticed a decrease in energy level for a few years.
B)The patient's symptoms have increased steadily over the past few years.
C)The patient has been using sildenafil (Viagra) several times every week.
D)The patient has had a gradual decrease in the force of his urinary stream.
Q3) The nurse will plan to teach the patient who is incontinent of urine following a radical retropubic prostatectomy to
A)restrict oral fluid intake.
B)do pelvic muscle exercises.
C)perform intermittent self-catheterization.
D)use belladonna and opium suppositories.
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Chapter 55: Assessment of Nervous System
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/25390
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 problem can the nurse expect for a patient who has a positive Romberg test result?
A)Pain
B)Falls
C)Aphasia
D)Confusion
Q3) To assess the functions of the trigeminal and facial nerves (CNs V and VII),the nurse should
A)check for unilateral eyelid droop.
B)shine a light into the patient's pupil.
C)touch a cotton wisp strand to the cornea.
D)have the patient read a magazine or book.
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Chapter 56: Acute Intracranial Problems
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40 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who has a head injury and fractured right arm after being assaulted. Which assessment information requires rapid action by the nurse?
A)The apical pulse is slightly irregular.
B)The patient complains of a headache.
C)The patient is more difficult to arouse.
D)The blood pressure (BP) increases to 140/62 mm Hg.
Q2) Which patient is most appropriate for the intensive care unit (ICU)charge nurse to assign to a registered nurse (RN)who has floated from the medical unit?
A)A 45-yr-old patient receiving IV antibiotics for meningococcal meningitis
B)A 35-yr-old patient with intracranial pressure (ICP) monitoring after a head injury
C)A 25-yr-old patient admitted with a skull fracture and craniotomy the previous day
D)A 55-yr-old patient who has increased intracranial pressure (ICP) and is receiving hyperventilation therapy
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Chapter 57: Stroke
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/25392
Sample Questions
Q1) After a patient experienced a brief episode of tinnitus,diplopia,and dysarthria with no residual effects,the nurse anticipates teaching the patient about
A)cerebral aneurysm clipping.
B)heparin intravenous infusion.
C)oral low-dose aspirin therapy.
D)tissue plasminogen activator (tPA).
Q2) A patient admitted with possible stroke has been aphasic for 3 hours,and his current blood pressure (BP)is 174/94 mm Hg. Which order by the health care provider should the nurse question?
A)Keep head of bed elevated at least 30 degrees.
B)Infuse normal saline intravenously at 75 mL/hr.
C)Start a labetalol drip to keep BP less than 140/90 mm Hg.
D)Administer tissue plasminogen activator (tPA) intravenously per protocol.
Q3) 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.
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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) 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.
Q2) The nurse determines that teaching about management of migraine headaches has been effective when the patient says which of the following?
A)"I can take the (Topamax) as soon as a headache starts."
B)"A glass of wine might help me relax and prevent a headache."
C)"I will lie down someplace dark and quiet when the headaches begin."
D)"I should avoid taking aspirin and sumatriptan (Imitrex) at the same time."
Q3) Which assessment is most important for the nurse to make regarding a patient with myasthenia gravis?
A)Pupil size
B)Grip strength
C)Respiratory effort
D)Level of consciousness
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Page 60
Chapter 59: Dementia and Delirium
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21 Flashcards
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Sample Questions
Q1) Which intervention will the nurse include in the plan of care for a patient with moderate dementia who had a fractured hip repair 2 days ago?
A)Provide complete personal hygiene care for the patient.
B)Remind the patient frequently about being in the hospital.
C)Reposition the patient frequently to avoid skin breakdown.
D)Place suction at the bedside to decrease the risk for aspiration.
Q2) 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.
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Chapter 60: Spinal Cord and Peripheral Nerve Problems
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33 Flashcards
Source URL: https://quizplus.com/quiz/25395
Sample Questions
Q1) A 20-yr-old patient who sustained a T2 spinal cord injury 10 days ago tells the nurse,"I want to be transferred to a hospital where the nurses know what they are doing." Which action by the nurse is appropriate?
A)Respond that abusive language will not be tolerated.
B)Request that the patient provide input for the plan of care.
C)Perform care without responding to the patient's comments.
D)Reassure the patient about the competence of the nursing staff.
Q2) Which of these nursing actions for a patient with Guillain-Barré syndrome is appropriate for the nurse to delegate to experienced unlicensed assistive personnel (UAP)?
A)Nasogastric tube feeding q4hr
B)Artificial tear administration q2hr
C)Assessment for bladder distention q2hr
D)Passive range of motion to extremities q4hr
Q3) 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.
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Chapter 61: Assessment of Musculoskeletal System
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15 Flashcards
Source URL: https://quizplus.com/quiz/25396
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) A patient with severe kyphosis is scheduled for dual-energy x-ray absorptiometry (DXA)testing. The nurse will plan to A)explain the procedure.
B)start an IV line for contrast medium injection.
C)give an oral sedative 60 to 90 minutes before the procedure.
D)screen the patient for allergies to shellfish or iodine products.
Q3) A patient with left knee pain is diagnosed with bursitis. The nurse will explain that bursitis is an inflammation of
A)a fluid-filled sac found at some joints.
B)a synovial membrane that lines the joint.
C)the connective tissue joining bones within a joint.
D)the fibrocartilage that acts as a shock absorber in the knee.
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63
Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery
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47 Flashcards
Source URL: https://quizplus.com/quiz/25397
Sample Questions
Q1) A patient has a long-arm plaster cast applied for fracture immobilization. Until the cast has completely dried,the nurse should
A)keep the left arm in dependent position.
B)avoid handling the cast using fingertips.
C)place gauze around the cast edge to pad any roughness.
D)cover the cast with a small blanket to absorb the dampness.
Q2) 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.
Q3) Which information will the nurse teach seniors at a community recreation center about ways to prevent fractures?
A)Tack down scatter rugs in the home.
B)Expect most falls to happen outside the home.
C)Buy shoes that provide good support and are comfortable to wear.
D)Get instruction in range-of-motion exercises from a physical therapist.
Page 64
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Chapter 63: Musculoskeletal Problems
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/25398
Sample Questions
Q1) A patient with osteomyelitis is to receive vancomycin (Vancocin)500 mg IV every 6 hours. The vancomycin is diluted in 100 mL of normal saline and needs to be administered over 1 hour. The nurse will set the IV pump for how many milliliters per minute? (Round to the nearest hundredth.)
Q2) A patient is receiving IV antibiotics at home to treat chronic osteomyelitis of the left femur. The nurse identifies a need for additional teaching related to health maintenance when the nurse finds that the patient
A)is frustrated with the length of treatment required.
B)takes and records the oral temperature twice a day.
C)is unable to plantar flex the foot on the affected side.
D)uses crutches to avoid weight bearing on the affected leg.
Q3) Which information will the nurse include when teaching a patient with acute low back pain ?
A)Sleep in a prone position with the legs extended.
B)Keep the knees straight when leaning forward to pick something up.
C)Expect symptoms of acute low back pain to improve in a few weeks.
D)Avoid activities that require twisting of the back or prolonged sitting.
E)Use ibuprofen (Motrin, Advil) or acetaminophen (Tylenol) to relieve pain.
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Chapter 64: Arthritis and Connective Tissue Diseases
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47 Flashcards
Source URL: https://quizplus.com/quiz/25399
Sample Questions
Q1) A 29-yr-old woman is taking methotrexate to treat rheumatoid arthritis. Which information from the patient's health history is important for the nurse to report to the health care provider related to the methotrexate?
A)The patient had a history of infectious mononucleosis as a teenager.
B)The patient is trying to get pregnant before her disease becomes more severe.
C)The patient has a family history of age-related macular degeneration of the retina.
D)The patient has been using large doses of vitamins and health foods to treat the RA.
Q2) Which assessment finding for a patient using naproxen (Naprosyn)to treat osteoarthritis is likely to require a change in medication?
A)The patient has gained 3 lb.
B)The patient has dark-colored stools.
C)The patient's pain affects multiple joints.
D)The patient uses capsaicin cream (Zostrix).
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66
Chapter 65: Critical Care
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Sample Questions
Q1) The nurse is caring for a patient who has an intraaortic balloon pump (IABP)after a massive heart attack. When assessing the patient,the nurse notices blood backing up into the IABP catheter. In which order should the nurse take the following actions? (Put a comma and a space between each answer choice [A,B,C,D].)
A)Confirm that the IABP console has turned off.
B)Assess the patient's vital signs and orientation.
C)Obtain supplies for insertion of a new IABP catheter.
D)Notify the health care provider of the IABP malfunction.
Q2) While waiting for heart transplantation,a patient with severe cardiomyopathy has a ventricular assist device (VAD)implanted. When planning care for this patient,the nurse should anticipate
A)preparing the patient for a permanent VAD.
B)administering immunosuppressive medications.
C)teaching the patient the reason for complete bed rest.
D)monitoring the surgical incision for signs of infection.
Q3) A patient's vital signs are pulse 90,respirations 24,and BP 128/64 mm Hg,and cardiac output is 4.7 L/min. The patient's stroke volume is _____ mL. (Round to the nearest whole number.)
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Chapter 66: Shock, sepsis, and Multiple Organ Dysfunction Syndrome
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/25401
Sample Questions
Q1) A patient with septic shock has a BP of 70/46 mm Hg,pulse of 136 beats/min,respirations of 32 breaths/min,temperature of 104°F,and blood glucose of 246 mg/dL. Which intervention ordered by the health care provider should the nurse implement first?
A)Give normal saline IV at 500 mL/hr.
B)Give acetaminophen (Tylenol) 650 mg rectally.
C)Start insulin drip to maintain blood glucose at 110 to 150 mg/dL.
D)Start norepinephrine to keep systolic blood pressure above 90 mm Hg.
Q2) The emergency department (ED)nurse receives report that a seriously injured patient involved in a motor vehicle crash is being transported to the facility with an estimated arrival in 5 minutes. In preparation for the patient's arrival,the nurse will obtain A)a dopamine infusion.
B)a hypothermia blanket.
C)lactated Ringer's solution.
D)two 16-gauge IV catheters.
Q3) A 198-lb patient is to receive a dobutamine infusion at 5 mcg/kg/min. The label on the infusion bag states: dobutamine 250 mg in 250 mL of normal saline. When setting the infusion pump,the nurse will set the infusion rate at how many milliliters per hour?
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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 nurse is caring for a patient with ARDS who is being treated with mechanical ventilation and high levels of positive end-expiratory pressure (PEEP). Which assessment finding by the nurse indicates that the PEEP may need to be reduced?
A)The patient's PaO<sub>2</sub> is 50 mm Hg and the SaO<sub>2</sub> is 88%.
B)The patient has subcutaneous emphysema on the upper thorax.
C)The patient has bronchial breath sounds in both the lung fields.
D)The patient has a first-degree atrioventricular heart block with a rate of 58 beats/min.
Q2) Which actions should the nurse start to reduce the risk for ventilator-associated pneumonia (VAP)?
A)Obtain arterial blood gases daily.
B)Provide a "sedation holiday" daily.
C)Give prescribed pantoprazole (Protonix).
D)Elevate the head of the bed to at least 30°.
E)Provide oral care with chlorhexidine (0.12%) solution daily.
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Chapter 68: Emergency and Disaster Nursing
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/25403
Sample Questions
Q1) When rewarming a patient who arrived in the emergency department (ED)with a temperature of 87° F (30.6° C),which finding indicates that the nurse should discontinue active rewarming?
A)The patient begins to shiver.
B)The BP decreases to 86/42 mm Hg.
C)The patient develops atrial fibrillation.
D)The core temperature is 94° F (34.4° C).
Q2) The emergency department (ED)triage nurse is assessing four victims involved in a motor vehicle collision. Which patient has the highest priority for treatment?
A)A patient with no pedal pulses
B)A patient with an open femur fracture
C)A patient with bleeding facial lacerations
D)A patient with paradoxical chest movement
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