Nursing Practice Exam Materials - 1742 Verified Questions

Nursing Practice

Exam Materials

Course Introduction

Nursing Practice is a comprehensive course designed to equip students with the essential knowledge, skills, and attitudes required for effective and compassionate nursing care. Emphasizing evidence-based approaches, the course integrates foundational scientific concepts, clinical reasoning, and patient-centered care across diverse health settings. Students will engage in hands-on clinical experiences, simulation exercises, and reflective practice to develop competence in assessment, planning, implementation, and evaluation of nursing interventions. The curriculum promotes ethical practice, interprofessional collaboration, and cultural sensitivity, preparing students to respond confidently to the evolving needs of patients and healthcare systems.

Recommended Textbook

Medical Surgical Nursing in Canada 3rd Canadian Edition by Lewis

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72 Chapters

1742 Verified Questions

1742 Flashcards

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Page 2

Chapter 1: Introduction to Medical-Surgical Nursing

Practice in Canada

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14 Verified Questions

14 Flashcards

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Sample Questions

Q1) Which of the following refers to a situation that results in unintended harm to the patient and is related to the care or services provided rather than the patient's medical condition?

A) Negligence

B) Adverse event

C) Incident report

D) Nonmaleficence

Answer: B

Q2) A patient with an infection has a nursing diagnosis of fluid volume deficit related to excessive diaphoresis.What is an appropriate patient outcome?

A) Balanced intake and output are achieved.

B) Patient verbalizes a need for increased fluid intake.

C) Bedding is changed when it becomes damp.

D) Skin remains cool and dry throughout hospitalization.

Answer: A

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Page 3

Chapter 2: Cultural Competence and Health Equity in Nursing Care

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Sample Questions

Q1) Which statement accurately reflects a health inequity experienced in Canada today?

A) Aboriginal adults are less likely to smoke tobacco than other adults in Canada.

B) Overall suicide rate among First Nation communities is about twice the rate of the general population.

C) Individuals from lower income neighborhoods undergo preventative health screening more than their higher income counterparts.

D) Recent immigrants are more likely to have a primary care physician than Canadian-born respondents.

Answer: B

Q2) What is the most appropriate action when the patient constantly pauses before answering questions about his or her health history on an admission assessment?

A) Stop the assessment and return later.

B) Wait for the patient to answer the questions.

C) Ask why the questions require so much time to answer.

D) Give the patient the assessment form listing the questions and a pen.

Answer: B

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4

Chapter 3: Health History and Physical Examination

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Sample Questions

Q1) When the nurse is gathering information of a personal nature,which best demonstrates an acceptance of the patient's behaviour?

A) "Tell me,do you drink alcohol like I do?"

B) "Many drugs used for hypertension cause sexual dysfunction.How is your sexual functioning?"

C) "Most of my friends have been divorced.Would you like to tell me about the problems with your divorce?"

D) "Many older people have limited financial resources for food and medications.Is this a concern for you?"

Answer: D

Q2) Which functional health pattern is the nurse assessing when asking a patient how his or her family feels about the patient being hospitalized?

A) Cognitive-perceptual

B) Role-relationship

C) Coping-stress tolerance

D) Self-perception-self-concept

Answer: B

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Chapter 4: Patient and Caregiver Teaching

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Sample Questions

Q1) Which of the following is a technique to enhance patient learning?

A) Keep patient expression of needs at a minimum.

B) Focus on "nice to know" information initially.

C) Emphasize relevancy of information to patient's lifestyle.

D) Maintain a formal physical environment at all times.

Q2) A patient admits to the nurse that she does not read well.In developing a teaching plan for the patient,what does this information guide the nurse in determining?

A) The degree of the patient's motivation to learn

B) What information the patient will be able to understand

C) What instructional strategies should be used in teaching

D) That the family must be included in the teaching process

Q3) Which of the following teaching strategies is most appropriate to promote use of coping skills by an adult patient?

A) Lecture

B) Role play

C) Group teaching

D) Printed materials

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Chapter 5: Chronic Illness

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Sample Questions

Q1) Which of the following is a characteristic of chronic illness?

A) Abrupt onset

B) Usually single cause

C) Cure usually likely

D) Uncertainty pervasive

Q2) Which statement by the patient reflects an outcome expectancy?

A) I am not able to exercise.

B) Exercise helps people lose weight.

C) Exercise is too hard on my arthritis.

D) Dietary restrictions work better than exercise to lose weight.

Q3) Which of the following reflects a characteristic of health-related hardiness known as "challenge"?

A) Confidence to appraise a health stressor

B) Ability to modify responses to health stressors

C) Viewing a health stressor as an opportunity for growth

D) Optimal psychosocial adaptation to a health stressor

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Chapter 6: Community-Based Nursing and Home Care

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Sample Questions

Q1) Health care services by a specific institution are often implemented through case management.Which of the following is an activity related to case management?

A) Each member of the health care team performs specific tasks for patient care under the supervision of a case manager.

B) One nurse manages all interventions required to meet the needs of the patient in the hospital and the community.

C) The patient's nurse collaborates with other health care disciplines to plan and implement coordinated patient care.

D) A professional nurse assesses the patient's needs and plans and coordinates patient care with other nurses under the direction of a physician.

Q2) Which of the following is considered a foundational concept of home health nursing?

A) Acute care management

B) Health promotion

C) Chronic disease management

D) Health restoration

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Chapter 7: Older Adults

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Sample Questions

Q1) Which of the following is a normal physiological age-related change of the cardiovascular system?

A) Elastin and smooth muscle increases.

B) Vessel rigidity decreases.

C) Heart muscle decreases.

D) Mitral valve constriction increases.

Q2) What data collection method does the nurse recognize as eliciting the most complete information during a geriatric assessment?

A) Having the patient recount his or her health history

B) Having the caregiver provide the information on the patient

C) Using a reliable geriatric assessment instrument to evaluate the patient

D) Having the patient provide a diary of medical conditions and treatments

Q3) When performing a nutrition assessment of an older adult using the SCALES acronym,what would the nurse be assessing when documenting the findings from the "A" portion of this assessment tool?

A) Anxiety

B) Albumin level

C) Appearance in general

D) AC glucose level

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Page 9

Chapter 8: Stress and Stress Management

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Sample Questions

Q1) A middle-aged man is recovering from a heart attack.He tells the nurse he is not surprised he had the attack because his work and home life are very stressful and he feels as if he is going to explode most of the time.What coping behaviours should the nurse suggest that would both increase the patient's resistance to stress and reduce the amount of stress he feels?

A) Changing his job and reorganizing his priorities at home

B) Learning all he can about heart disease and its effects on his body

C) Joining a community group of individuals with heart disease and their families

D) Performing healthy lifestyle behaviours related to diet,sleep,and exercise

Q2) A hospitalized patient is very anxious about missing work and is afraid he will be fired because of his illness.What effect of stress on the nervous system does the nurse recognize that the patient is experiencing?

A) Sleep disturbances

B) Orthostatic hypotension

C) Increased sensitivity to pain

D) Fluid and electrolyte imbalances

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Chapter 9: Sleep and Sleep Disorders

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Sample Questions

Q1) Which instruction will the nurse include when teaching a patient with chronic insomnia about ways to improve sleep quality?

A) Avoid aerobic exercise during the day.

B) Read in bed for a few minutes each night.

C) Keep the bedroom temperature slightly warm.

D) Try to go to bed at the same time every evening.

Q2) What should the nurse do,initially,to assist in determining whether a patient seen in the ambulatory care setting has chronic insomnia?

A) Schedule a polysomnography (PSG)study.

B) Arrange for the patient to have a sleep study.

C) Ask the patient to keep a two-week sleep diary.

D) Teach the patient about the use of an actigraph.

Q3) Which action is best for the nurse to include in the plan of care in order to improve sleep quality for a critically ill patient in the critical care unit (CCU)?

A) Ask all visitors to leave the CCU for the night.

B) Lower the level of light from 2000 hours until 0700 hours.

C) Avoid the use of opioids for pain relief during the evening hours.

D) Schedule assessments to allow at least four hours of uninterrupted sleep.

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11

Chapter 10: Pain

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Sample Questions

Q1) The physician plans to titrate narcotic analgesic to provide pain relief for a patient with surgical pain.What does the nurse's role in include?

A) Monitoring the effects of continuous intravenous (IV)infusion of narcotic analgesics

B) Teaching the patient to try to increase the time between doses of pain medication

C) Assisting the patient to plan the use of a specific total dose of analgesic over a 24-hour period

D) Determining with the patient the optimal analgesic dosage required for pain relief with attention to the side effects produced

Q2) A patient in a publicly funded pain clinic asks the nurse how long he will have to wait to see a health care provider who is an expert in pain.The nurse's response is based on the fact that the average wait time in Canada for expert pain-related care is approximately how long?

A) One month

B) Three months

C) Six months

D) One year

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Chapter 11: Substance Use

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Sample Questions

Q1) A 36-year-old man is admitted to the hospital for treatment of large abscesses of both anterior thighs.He has multiple needle puncture sites on both arms and is drowsy during the nursing assessment.After 12 hours,which of the following signs would lead the nurse to suspect opioid abuse by the patient?

A) Tachycardia,convulsions,and delirium

B) Diaphoresis,restlessness,and lacrimation

C) Depression,irritability,and disorientation

D) Gross tremor,hallucinations,and seizures

Q2) During which stage of alcohol withdrawal would the nurse expect to see a patient experience delirium tremens?

A) Early

B) Minor

C) Intermediate

D) Major

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13

Chapter 12: Complementary and Alternative Therapies

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14 Flashcards

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Sample Questions

Q1) Which one of the following patients is most likely to use complementary and alternative therapies?

A) A patient who is a vegetarian

B) A patient who is of Asian heritage

C) A patient who is an older adults with a chronic condition

D) A patient who is pregnant

Q2) A patient comes to an outpatient clinic and requests an acupuncturist for treatment of her asthma.In responding to the patient's request,what does the nurse recognize about the effect of acupuncture on asthma?

A) Asthma is a disorder that should not be treated with acupuncture because of the risk for respiratory complications.

B) Acupuncture needles stimulate or block specific superficial nerves that cause alterations in physiological function.

C) Research has indicated that asthma patients may benefit from the effects of acupuncture.

D) The patient must have a strong belief in the concepts of health and disease held by traditional Chinese medicine for treatment to be effective.

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Chapter 13: Palliative Care at the End of Life

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13 Flashcards

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Sample Questions

Q1) Which of the following health care providers is legally qualified to complete a certification of death?

A) Paramedic

B) Physician

C) Registered nurse

D) Licensed practical nurse

Q2) A 48-year-old man has been diagnosed with metastatic malignant melanoma and has a poor prognosis.He plans an extensive trip around the country to visit family he has not seen or talked with in years.What psychosocial response does the nurse recognize that the patient is manifesting?

A) Restlessness

B) Saying goodbye

C) Unfinished business

D) Altered decision making

Q3) Which sense is usually the last one to disappear before death?

A) Touch

B) Sight

C) Smell

D) Hearing

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Page 15

Chapter 14: Inflammation and Wound Healing

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18 Verified Questions

18 Flashcards

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Sample Questions

Q1) A patient with massive trauma to the leg has extensive skeletal muscle damage and wide,irregular wound edges.Which of the following responses to the patient's questions best describes healing of the injury?

A) "All of the damaged tissue will regenerate if infection does not occur."

B) "Most of the skin and skeletal muscle will be replaced by connective tissue."

C) "The skin will regenerate to cover the injury,but the muscle will not be replaced."

D) "Regeneration of skin and skeletal muscle tissue is usually possible but may take months or years to occur."

Q2) In evaluating a patient's inflammatory response,by what does the nurse understand that the activation of the classical complement pathway to mediate an inflammatory response is stimulated?

A) Lysis of bacterial cells

B) An antigen-antibody complex

C) Monocyte diapedesis to injured tissue

D) Release of histamine from injured cells

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16

Chapter 15: Genetics

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Sample Questions

Q1) When completing a pedigree,the nurse knows to use the symbol g (blue square)to denote which of the following?

A) Unknown sex,normal

B) Normal male

C) Female heterozygote

D) Affected male

Q2) A pregnant woman has asked the nurse when the best time is to undergo chorionic villus sampling.The nurse's best response is which of the following statements?

A) Any time before the tenth week of gestation

B) Between the eleventh and twelfth week of gestation

C) Between the twenty-fourth and twenty-sixth week of gestation

D) Any time during the second trimester of pregnancy

Q3) On average,what percentage of children in a family will be affected with the mutated gene in an autosomal recessive trait?

A) 0%

B) 25%

C) 50%

D) 100%

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Chapter 16: Altered Immune Response and Transplantation

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19 Verified Questions

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Sample Questions

Q1) The nurse discusses the prevention and management of allergic reactions with a beekeeper who has developed a hypersensitivity to bee bites.The nurse identifies a need for additional teaching when the patient makes which of the following statements?

A) "I need to think about a change in my occupation."

B) "I should wear a MedicAlert bracelet indicating my allergy to insect stings."

C) "I will learn to administer epinephrine so that I will be prepared if I am stung again."

D) "I will need to take doses of corticosteroids to prevent reactions to further stings."

Q2) Which of the following is a side effect of corticosteroids?

A) Peptic ulcers

B) Nausea and vomiting

C) Pulmonary edema

D) Decreased appetite

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18

Chapter 17: Infection and Human Immunodeficiency Virus

Infection

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22 Verified Questions

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Sample Questions

Q1) During post-test counselling for a patient who has tested positive for HIV,the patient is very anxious and does not appear to hear what the nurse is saying.To promote the patient's adjustment to HIV infection,what is it important that the nurse do?

A) Inform the patient how to protect sexual and needle-sharing partners.

B) Teach the patient about the medications that are available for treatment.

C) Identify the need to test others who have had risky contact with the patient.

D) Discuss retesting to verify the results,which will ensure continuing contact with the health care system.

Q2) To evaluate the effect of HIV infection in a patient,the nurse assesses the patient with the knowledge that in addition to lymphocytes,the virus also commonly infects which of the following?

A) Osteocytes

B) Astrocytes

C) Hepatocytes

D) Erythrocytes

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Chapter 18: Cancer

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Sample Questions

Q1) After 3 weeks of radiation therapy,a patient has lost 4.5 kg and does not eat well because nothing tastes good.What is an appropriate nursing diagnosis for the patient?

A) Risk for infection related to poor nutrition

B) Ineffective therapeutic regimen management related to refusal to eat

C) Imbalanced nutrition: less than body requirements related to anorexia

D) Ineffective health maintenance related to lack of knowledge of nutritional requirements during radiation therapy

Q2) When administering vesicant chemotherapeutic agents intravenously,what is an important consideration?

A) Stop the infusion if swelling is observed at the site.

B) Administer the drug by intravenous (IV)push.

C) Administer the chemotherapy through a small-bore catheter.

D) Administer the drug only through a central vascular access device.

Q3) Approximately what percentage of Canadians will develop cancer during their lifetimes?

A) 12%

B) 27%

C) 43%

D) 55%

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Page 20

Chapter 19: Fluid, electrolyte, and Acidbase Imbalances

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Sample Questions

Q1) IV potassium chloride is ordered for treatment of a patient with hypokalemia.What should the nurse be aware of when administering the potassium solution?

A) KCl should be administered as rapidly as necessary to correct hypokalemia.

B) To prevent hyperkalemia,the amount of KCl added to IV fluids should never exceed 80 mmol/L.

C) KCl should be given only through central lines to prevent venospasm and inflammation at the site of entry.

D) To prevent cardiac dysrhythmias and arrest,the maximum amount of KCl to be administered in 1 hour is 20 mEq.

Q2) A patient who is receiving iso-osmolar continuous tube feedings develops restlessness,agitation,and weakness.Which serum laboratory finding would the nurse expect to find?

A) K⁺ 3.2 mmol/L

B) Ca²⁺ 1.95 mmol/L

C) Na⁺ 154 mmol/L

D) PO₄³^- 1.55 mmol/L

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Chapter 20: Nursing Management: Preoperative Care

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Sample Questions

Q1) How would the nurse document the preoperative rating of physical status for a patient who has a history of controlled asthma?

A) Healthy patient with no systemic disease

B) Mild systemic disease without functional limitations

C) Severe systemic disease associated with functional limitations

D) Severe systemic disease that is an ongoing threat to life

Q2) A 36-year-old woman has been admitted to the hospital for knee surgery.Which of the following information that was obtained by the nurse during the preoperative assessment should be reported to the surgeon before surgery is performed?

A) Lack of knowledge about postoperative pain control

B) Knowledge of the possibility of an early,unplanned pregnancy

C) History of a postoperative infection following a prior cholecystectomy

D) Concern that she will be physically limited in caring for her children for a period postoperatively

Q3) Which of the following is the meaning of the suffix -ostomy?

A) Excision or removal

B) Creation of opening into

C) Incision or cutting into

D) Repair and reconstruction

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Page 22

Chapter 21: Nursing Management: Intraoperative Care

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Sample Questions

Q1) Which one of the following intraoperative patient positions would the nurse anticipate for the patient who is being prepared for abdominal surgery?

A) Prone

B) Supine

C) Trendelenburg

D) Lateral decubitus

Q2) A patient in surgery receives a neuromuscular blocking agent as an adjunct to general anaesthesia.At the completion of the surgery,it is most important that the nurse monitor the patient for which one of the following?

A) Nausea and vomiting

B) Agitation and seizures

C) Laryngospasm or bronchospasm

D) Adequacy of respiratory muscle movement

Q3) Which of the following is part of the minimum requirements for the health record in ambulatory surgery facilities?

A) Postoperative checklist

B) Consult request

C) Documentation of consent

D) Detailed surgical procedure report

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Page 23

Chapter 22: Nursing Management: Postoperative Care

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Sample Questions

Q1) During recovery from anaesthesia in the PACU,a patient's vital signs for the past hour have been as follows: blood pressure 112/82,110/82,112/80,and 114/82 mm Hg;pulse 76,78,78,and 80 beats/min;and respirations 22,24,24,and 26 breaths/min;her SpO₂ is 90%.She is sleepy but awakens easily and is oriented when spoken to.Her surgical dressing is dry and intact.What is the most appropriate nursing action?

A) Position the patient in a lateral position.

B) Encourage the patient to take deep breaths.

C) Check the patient's temperature,and apply warm blankets.

D) Notify the anaesthesiologist that the patient is ready for discharge from the PACU.

Q2) A patient is one day postoperative for abdominal surgery and has an indwelling catheter.Which of the following amounts represents the normal daily range of urine volume?

A) 200 to 400 mL

B) 500 to 700 mL

C) 800 to 1000 mL

D) 1500 to 2000 mL

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Chapter 23: Nursing Assessment: Visual and Auditory Systems

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Sample Questions

Q1) The nurse examines a patient's auditory canal and tympanic membrane with an otoscope.Which of the following is an abnormal finding?

A) The presence of cerumen

B) A bluish-tinged tympanum

C) The presence of a cone of light

D) A translucent,shiny tympanum

Q2) While observing a patient undergoing a caloric test,the nurse recognizes that which of the following is a normal finding?

A) Vertigo

B) Ear pain

C) Hearing loss

D) Little or no nystagmus

Q3) When assessing a patient,the nurse is alerted to the possibility of tinnitus when the patient reports which of the following information?

A) Using a pillow over her upright ear

B) Playing the radio for background music

C) Putting her feet against the end of the bed frame

D) Elevating her head and shoulders on three pillows

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Chapter 24: Nursing Management: Visual and Auditory

Problems

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Sample Questions

Q1) In reviewing a 50-year-old man's medical record,the nurse notes that his last eye examination revealed an IOP of 28 mm Hg.Which of the following questions is it most appropriate for the nurse to ask the patient?

A) "How long have you had to wear glasses?"

B) "Do you see light flashes or floaters in your vision?"

C) "Have you noticed blind spots in your field of vision?"

D) "Do you use eye drops prescribed by an ophthalmologist?"

Q2) What type of strabismus does the patient have when he describes his symptom as his right eye looking in toward his nose?

A) Esotropia

B) Exotropia

C) Hypotropia

D) Hypertropia

Q3) Which of the following would the nurse teach a patient who asks how to prevent the development of cataracts?

A) Wear sunglasses when in the sun.

B) There are no proven preventative measures.

C) An appropriate intake of vitamins B and D is important.

D) Wear shaded glasses when using a computer.

Page 26

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Chapter 25: Nursing Assessment: Integumentary System

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Sample Questions

Q1) A patient has a circular,flat,reddened lesion about 5 cm in diameter on his ankle.How does the nurse know that the lesion is related to vessel dilation?

A) The lesion is painless.

B) The lesion is warmer than the surrounding skin.

C) The discoloration disappears when the leg is elevated.

D) The discoloration blanches temporarily with direct pressure.

Q2) A 73-year-old patient tells the nurse that she is concerned because she has been experiencing large,reddened lumps on her legs for the last 6 to 8 months.The nurse recognizes the lesions as angiomas.Which following response should the nurse give the patient?

A) "Don't worry.These lesions are a normal part of aging."

B) "Angiomas are serious tumours,and you should see your physician about them."

C) "They are probably just related to varicose veins,which are common in older adults."

D) "Have your doctor evaluate them.Although they can be normal in aging,they are also associated with some diseases."

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Chapter 26: Nursing Management: Integumentary

Problems

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Sample Questions

Q1) A patient is diagnosed with a squamous cell carcinoma of the face.What should the nurse explain about this type of tumour?

A) It is the most common and least deadly of the skin cancers.

B) It commonly occurs on the mouths of individuals who smoke.

C) It is the only type of skin cancer that is not associated with sun exposure.

D) It arises from cells that produce melanin and can metastasize to any organ.

Q2) The nurse identifies a nursing diagnosis of "Risk for infection related to skin lesions and presence of environmental pathogens" for a patient with an allergic dermatitis.The nurse recognizes that the teaching regarding prevention of infection has been effective when the patient states which of the following?

A) "I will use measures to keep me from scratching the inflamed areas."

B) "I should use antibiotic solutions to moisten dressings applied to the rash."

C) "I should take my temperature twice a day to detect the onset of any fever."

D) "I should use sterile dressings and towels when applying wet compresses to the rash."

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Chapter 27: Nursing Management: Burns

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Sample Questions

Q1) To prevent contractures in a patient with burns of the head,neck,chest,and right arm and hand,how should the nurse position the patient?

A) Supine with a pillow under the head and the right arm and hand elevated on a pillow

B) In a Fowler's position without a pillow with the right arm and hand extended and elevated on a pillow

C) Laterally on the left side with a small pillow under the head and the right arm and hand hyperextended

D) Supine without a pillow and with the right arm and hand flexed in a position of comfort and elevated on pillows

Q2) Which of the following burn victims should the nurse assess for carbon monoxide inhalation?

A) Was found unconscious in a burning building

B) Has facial burns,hoarseness,and sooty sputum

C) Inhaled a large amount of steam released by a radiator

D) Was burned in a charcoal grill fire ignited with gasoline

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Chapter 28: Nursing Assessment: Respiratory System

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Sample Questions

Q1) Which of the following is an age-related change in the respiratory system?

A) Increased elastic recoil of the lungs

B) Increase in chest wall compliance

C) Increase in anteroposterior diameter

D) Increase in functional alveoli

Q2) A patient is admitted to the emergency department complaining of sudden-onset shortness of breath and is diagnosed with a possible pulmonary embolus.To confirm the diagnosis,the nurse will anticipate preparing the patient for which of the following?

A) Chest X-ray

B) Ventilation-perfusion scan

C) Bronchoscopy

D) Positron emission tomography scan

Q3) The physician performs a thoracentesis on a patient with a right pleural effusion.In preparing the patient for the procedure,how should the nurse position the patient?

A) Supine with the head of the bed elevated 45 degrees

B) On his left side with his right arm extended above his head

C) Sitting upright with his arms supported on an overbed table

D) On his left side in the Trendelenburg's position with both arms extended

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Page 30

Chapter 29: Nursing Management: Upper Respiratory Problems

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/78737

Sample Questions

Q1) In which position should the nurse position the patient before commencing tracheostomy care?

A) Prone position

B) Supine position

C) Semi-Fowler's position

D) High-Fowler's position

Q2) Which of the following is the most commonly used voice prosthesis?

A) Electrolarynx

B) Blom-Singer

C) Cooper-Rand

D) Artificial larynx

Q3) A home care nurse is completing a follow-up visit with a patient who has recently undergone a radical neck dissection.The nurse will assess the patient for signs and symptoms of which of the following emotional concerns?

A) Anxiety

B) Anorexia

C) Depression

D) Speech impediment

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Chapter 30: Nursing Management: Lower Respiratory Problems

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47 Verified Questions

47 Flashcards

Source URL: https://quizplus.com/quiz/78735

Sample Questions

Q1) The occupational nurse at a manufacturing plant where there is high worker exposure to beryllium dust will monitor workers for which of the following?

A) Shortness of breath

B) Stabbing chest pain

C) Elevated temperature

D) Barrel chest

Q2) A homeless patient with alcoholism is diagnosed with active TB.Which nursing intervention will be most effective in ensuring adherence to the treatment regimen?

A) Giving the patient written instructions about how to take the medications

B) Teaching the patient about the high risk for infecting others unless treatment is followed

C) Arranging for a daily noontime meal at a community centre and giving the medication then

D) Educating the patient about the long-term impact of TB on health

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Chapter 31: Nursing Management: Obstructive Pulmonary Diseases

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42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/78734

Sample Questions

Q1) The nurse teaches a patient with COPD how to perform pursed-lip breathing,explaining that this technique will assist respiration by which of the following methods?

A) Loosening secretions so that they may be coughed up more easily

B) Promoting maximal inhalation for better oxygenation of the lungs

C) Preventing bronchial collapse and air trapping in the lungs during expiration

D) Slowing the respiratory rate and giving the patient control of respiratory patterns

Q2) When reading the chart for a patient with COPD,the nurse notes that the patient has cor pulmonale.The nurse will monitor which of the following to assess for cor pulmonale?

A) Elevated temperature

B) Complaints of chest pain

C) Jugular vein distension

D) Clubbing of the fingers

Q3) What is the best nursing action when a patient with COPD is receiving oxygen?

A) Avoid administration of oxygen at a rate of more than 2 L/min.

B) Minimize oxygen use to avoid oxygen dependency.

C) Administer oxygen according to the patient's level of dyspnea.

D) Maintain the pulse oximetry level at 90% or greater.

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Chapter 32: Nursing Assessment: Hematological System

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14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/78733

Sample Questions

Q1) Which one of the following hematological findings would the nurse question in a 78-year-old patient?

A) White blood cell (WBC)count 3500 cells/microlitre

B) Hematocrit 37%

C) Platelets 450,000 cells/microlitre

D) Hemoglobin 7.3 mmol/L (11.8 g/dL)

Q2) When evaluating the red blood cell (RBC)indices of a patient,what does the nurse know is indicated by a low mean corpuscular volume (MCV)?

A) RBCs of small size

B) A decrease in RBCs

C) Decreased saturation of RBCs with hemoglobin

D) Decreased weight of the amount of hemoglobin or RBCs

Q3) Approximately what percentage of the composition of blood is plasma?

A) 30%

B) 45%

C) 55%

D) 75%

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Chapter 33: Nursing Management: Hematological Problems

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38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/78732

Sample Questions

Q1) A patient with type A hemophilia has been admitted to the hospital with severe pain and swelling in his right knee.To prevent joint deformity during the initial care of the patient,what should the nurse do?

A) Immobilize the knee.

B) Elevate the right lower limb on pillows.

C) Perform passive range of motion to the knee.

D) Have the patient perform isometric exercises of the affected leg against a footboard.

Q2) For which one of the following lab results would the nurse expect to see abnormal results in a patient who has hemophilia?

A) Thrombin time

B) Platelet count

C) Prothrombin time

D) Partial thromboplastin time

Q3) Which nutrient plays a role in helping mature RBCs in erythropoiesis?

A) Iron

B) Folic acid

C) Pyridoxine

D) Ascorbic acid

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Chapter 34: Nursing Assessment: Cardiovascular System

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/78731

Sample Questions

Q1) The nurse hears a murmur between the S₁ and S₂ heart sounds at the patient's left fifth intercostal space and midclavicular line.What is the best way to record this information?

A) "Systolic murmur heard at mitral area."

B) "Diastolic murmur heard at aortic area."

C) "Systolic murmur heard at Erb's point."

D) "Diastolic murmur heard at tricuspid area."

Q2) When auscultating over the patient's abdominal aorta,the nurse hears a humming sound.How will the nurse document this finding?

A) Bruit

B) Thrill

C) Heave

D) Arterial obstruction

Q3) What should the nurse expect as a possible etiology in a patient who exhibits a positive Homans sign?

A) Thyrotoxicosis

B) Thrombophlebitis

C) Incompetent valves

D) Intermittent claudication

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Page 36

Chapter 35: Nursing Management: Hypertension

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/78730

Sample Questions

Q1) A 52-year-old woman has no history of hypertension and no risk factors related to hypertension.During an annual physical examination,her blood pressure is 188/106 mm Hg.After reconfirming her BP,it is appropriate for the nurse to tell the patient which of the following?

A) She should have her BP rechecked in 2 months.

B) She is in imminent danger of a stroke and should be hospitalized immediately.

C) She needs to reduce the sodium and fat content in her diet and exercise more vigorously.

D) Her increased BP might be due to a specific disease and may require further diagnostic testing.

Q2) A patient with stage 1 hypertension who received a new prescription for methyldopa returns to the health clinic after 2 weeks for a follow-up visit.BP is unchanged from the previous clinic visit.What is the nurse's first action?

A) Ask the patient about whether the medication is actually being taken.

B) Teach the patient about the reasons for an increase in the medication dose.

C) Provide information about the use of multiple drugs to treat hypertension.

D) Remind the patient that lifestyle changes are also important in BP control.

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Chapter 36: Nursing Management: Coronary Artery Disease

and Acute Coronary Syndrome

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39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/78729

Sample Questions

Q1) The nurse determines that outcomes for teaching regarding precipitating factors of angina have been met when the patient states which of the following?

A) "I will stop my sexual activities."

B) "I will rest for 1 to 2 hours after a heavy meal."

C) "I will take my medication before doing my daily walk."

D) "I will limit my coffee intake,but I may substitute regular cola products."

Q2) While caring for a patient with an AMI,the nurse monitors the patient closely,knowing that which of the following conditions is the most common complication of MI?

A) Pericarditis

B) Dysrhythmias

C) Cardiogenic shock

D) Congestive heart failure

Q3) Nadolol (Corgard)is prescribed for a patient with CAD.In evaluating the effectiveness of the drug,the nurse would monitor for which of the following?

A) Improvement in the quality of the peripheral pulses

B) Ability to do daily activities without chest discomfort

C) Decreased blood pressure and apical pulse rate

D) Fewer complaints of having cold hands and feet

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Chapter 37: Nursing Management: Heart Failure

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/78728

Sample Questions

Q1) When working in the heart failure clinic,the nurse knows that teaching for a 74-year-old patient with newly diagnosed heart failure has been effective when the patient does which of the following?

A) Says that the nitroglycerin patch will be used for any chest pain that develops

B) Calls when the weight increases from 56 to 59 kg in 2 days

C) Tells the home care nurse that furosemide is taken daily at bedtime

D) Makes an appointment to see the doctor at least once yearly

Q2) After successful digitalization,a patient is to begin oral maintenance of digoxin and furosemide for control of chronic heart failure.To prevent digitalis toxicity,what does the nurse understand is the most important parameter to monitor in the patient?

A) Body weight

B) Liver function

C) Blood pressure

D) Serum potassium

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Chapter 38: Nursing Management: Dysrhythmias

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/78727

Sample Questions

Q1) During the change-of-shift report,the nurse learns that a patient with a large MI has been having frequent PVCs.What will the nurse check when monitoring the patient for the effects of PVCs?

A) The patient's medications

B) The patient's oxygen saturation

C) The patient's apical-radial heart rate

D) The patient's recent electrolyte values

Q2) A patient with supraventricular tachycardia is to receive cardioversion.What should the nurse know about the use of cardioversion?

A) A defibrillator is programmed to deliver a countershock on the T wave.

B) The amount of voltage used is 400 J.

C) The patient should be sedated before the procedure,if possible.

D) The procedure is the same as defibrillation,except that the patient is more hemodynamically stable.

Q3) Which classification of antidysrhythmia drugs has no effect on ECG?

A) Class I: sodium channel blockers

B) Class II: ?-adrenergic blockers

C) Class III: potassium channel blockers

D) Class IV: calcium channel blockers

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Page 40

Chapter 39: Nursing Management: Inflammatory and Structural

Heart Disorders

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/78726

Sample Questions

Q1) The nurse establishes the nursing diagnosis of ineffective therapeutic regimen management related to lack of knowledge concerning long-term management of rheumatic fever when a patient recovering from rheumatic endocarditis makes which of the following remarks?

A) "I will have to take prophylactic monthly antibiotic injections for at least 5 years."

B) "I should see my physician if I develop excessive fatigue or difficulty breathing."

C) "I will need to let my dentist know that I have had this rheumatic fever."

D) "I will be immune to further episodes of rheumatic fever after this infection."

Q2) A patient who is hospitalized with IE develops sharp left flank pain and hematuria.The nurse notifies the physician,recognizing that these symptoms may indicate which of the following complications?

A) Bacterial colonization in the kidneys

B) Vegetative embolization to the kidneys

C) Septicemia resulting in decreased glomerular blood flow

D) Hemolysis of red blood cells by hemolytic microorganisms

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Page 41

Chapter 40: Nursing Management: Vascular Disorders

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/78724

Sample Questions

Q1) Which of the following is a characteristic of a venous ulcer?

A) Capillary refill 5 seconds

B) Smooth,uniform ulcer margin.

C) Skin warm to touch

D) No dermatitis

Q2) The nurse has identified the collaborative problem of "potential complication: pulmonary embolism" for a patient with DVT.What is an appropriate nursing intervention to prevent embolization of a thrombus?

A) Maintain bed rest until edema resolves.

B) Monitor vital signs and pulmonary status every 4 hours.

C) Apply compression-gradient stockings while the patient is on bed rest.

D) Perform passive range of motion of the affected extremity to increase venous return.

Q3) When performing an assessment with a patient who has chronic PAD,what should the nurse expect to find?

A) Edema around the ankles and feet

B) Ulceration around the medial malleoli

C) Draining ulcer on the heel

D) Prolonged capillary refill

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Chapter 41: Nursing Assessment: Gastrointestinal System

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17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/78723

Sample Questions

Q1) Following an episode of vomiting bright red blood,a patient is hospitalized for evaluation.During physical assessment of the patient,which of the following findings does the nurse identify as abnormal?

A) Tympany on percussion of the abdomen

B) The liver edge 3 cm below the costal margin

C) Aortic pulsations visible in the epigastric area

D) Bowel sounds of 30 per minute in each quadrant

Q2) To promote bowel evacuation in a patient with irregular bowel elimination,what should the nurse teach the patient about how to initiate the gastrocolic and duodenocolic reflexes,to facilitate bowel elimination when the patient attempts defecation?

A) Try defecating after physical exercise.

B) Try defecating after the first daily meal.

C) Try defecating on arising in the morning.

D) Try defecating on seeing and smelling food.

Q3) Which one of the following is an age-related change in the GI system?

A) Increased sense of smell

B) Increased sensitivity of taste buds

C) Atrophy of gingival tissue

D) Increased motility of small intestine

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Chapter 42: Nursing Management: Nutritional Problems

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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/78722

Sample Questions

Q1) A 72-year-old patient is seen at the clinic for symptoms of a urinary tract infection.She is 155 cm tall and weighs 42 kg.The nursing history reveals that she drinks tea and eats toast twice a day for her meals because it is easy to fix and she has no appetite.Laboratory results include hemoglobin 6.5 mmol/L (10.5 g/dL)and albumin 20 g/L (2.0 g/dL).The nurse determines that the patient is near starvation with severe protein depletion when which of the following additional findings is observed?

A) A small,nodular liver

B) Generalized weakness

C) Edema of the face and extremities

D) Increased blood urea nitrogen and serum creatinine levels

Q2) The nurse is teaching a community group to evaluate the nutritional content of food.If the label on a jar of peanut butter states that each serving contains 16 g of fat and 190 calories,what is the percentage of fat per serving?

A) 34%

B) 59%

C) 76%

D) 88%

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Page 44

Chapter 43: Nursing Management: Obesity

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/78721

Sample Questions

Q1) When taking the health history from a patient with obesity,which information obtained by the nurse is most helpful in determining whether the patient will be successful in losing weight?

A) The patient's BMI is 39 kg/m².

B) The patient has a history of losing weight successfully in the past.

C) The patient says,"I am ready to make some changes in my lifestyle."

D) The patient rides a stationary bicycle.

Q2) A few months after bariatric surgery,the patient tells the nurse,"My skin is hanging in folds.I think I need cosmetic surgery." Which following response by the nurse is most appropriate?

A) "The skinfolds will gradually disappear once most of the weight is lost."

B) "The important thing is that your weight loss is improving your health."

C) "Perhaps you would like to talk to a counsellor about your body image."

D) "Cosmetic surgery is certainly a possibility once your weight has stabilized."

Q3) The obese patient is at risk for which of the following types of cancer?

A) Lung

B) Pancreas

C) Colorectal

D) Liver

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Page 45

Chapter 44: Nursing Management: Upper Gastrointestinal

Problems

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43 Verified Questions

43 Flashcards

Source URL: https://quizplus.com/quiz/78720

Sample Questions

Q1) Which one of the following drug classifications increases lower esophageal sphincter pressure and is used in the treatment of GERD?

A) Prokinetic

B) Antacids

C) Cholinergic

D) H₂-receptor blockers

Q2) Which information will the nurse include when teaching a patient with newly diagnosed GERD?

A) "Peppermint tea may be helpful in reducing your symptoms."

B) "You will need to keep the head of your bed elevated on blocks."

C) "You should avoid eating between meals to reduce acid secretion."

D) "Vigorous physical activities may increase the incidence of reflux."

Q3) Which agent that causes bacterial food poisoning is known to have the quickest onset of symptoms?

A) Listeria

B) Escherichia coli

C) Clostridium botulinum

D) Staphylococcus aureus

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Chapter 45: Nursing Management: Lower Gastrointestinal

Problems

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45 Verified Questions

45 Flashcards

Source URL: https://quizplus.com/quiz/78719

Sample Questions

Q1) A patient hospitalized with an acute exacerbation of ulcerative colitis is having 14 to 16 bloody stools a day and crampy abdominal pain associated with the diarrhea.Which of the following will the nurse plan to implement?

A) Place the patient on NPO status.

B) Administer cobalamin (vitamin B₁₂)injections.

C) Start bowel preparation for colonoscopy.

D) Administer IV metoclopramide.

Q2) A patient with Crohn's disease develops a fever and symptoms of a urinary tract infection.The nurse recognizes that this complication may occur as a result of which of the following events?

A) Perianal irritation from frequent diarrhea

B) Fistula formation between the bowel and the bladder

C) Extraintestinal manifestations of the bowel disease

D) Impaired immunological response to infectious microorganisms

Q3) Which of the following is a neoplastic polyp of the large intestine?

A) Familial juvenile polyps

B) Pseudopolyps

C) Hereditary polyposis syndromes

D) Leiomyomas

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Biliary Tract Problems

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40 Verified Questions

40 Flashcards

Source URL: https://quizplus.com/quiz/78718

Sample Questions

Q1) In planning care for a patient with acute pancreatitis,to which of the following patient outcomes would the nurse assign the highest priority?

A) Develops no complications

B) Maintains normal respiratory function

C) Expresses satisfaction with pain control

D) Maintains adequate fluid and electrolyte balance

Q2) When obtaining a health history from a patient with acute pancreatitis,what history should the nurse specifically ask the patient about?

A) Smoking

B) Alcohol use

C) Diabetes mellitus

D) High-fat dietary intake

Q3) Which nursing diagnosis is a priority when the nurse is caring for the patient with pancreatic cancer?

A) Chronic pain related to tumour pressure on abdominal structures

B) Imbalanced nutrition: less than required related to anorexia

C) Impaired skin integrity related to itching secondary to jaundice

D) Grieving related to potentially terminal diagnosis

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Chapter 47: Nursing Assessment: Urinary System

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/78717

Sample Questions

Q1) What one of the following would the nurse document when the physical assessment reveals a passage of urine containing gas?

A) Anuria

B) Enuresis

C) Pneumaturia

D) Polyuria

Q2) The nurse should tell the patient undergoing cystoscopy that which of the following will occur following the procedure?

A) He will receive narcotics as necessary for pain.

B) He will be on nothing by mouth (NPO)status for 8 hours to prevent nausea and vomiting.

C) He may experience blood-tinged urine and urinary frequency.

D) He will be on bed rest for 12 to 24 hours following the procedure.

Q3) A patient's urine dipstick reveals a large amount of protein in the urine.What is the next nursing action?

A) Check which medications the patient is currently taking.

B) Ask the patient about any family history of chronic renal failure.

C) Send a urine specimen to the laboratory to test for ketones and glucose.

D) Obtain a clean-catch urine specimen for culture and sensitivity testing.

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Page 49

Chapter 48: Nursing Management: Renal and Urological Problems

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34 Verified Questions

34 Flashcards

Source URL: https://quizplus.com/quiz/78716

Sample Questions

Q1) When teaching a patient about adequate fluid intake,what does the nurse tell the patient regarding an appropriate amount of daily intake per kilogram of body weight?

A) 25 mL

B) 33 mL

C) 42 mL

D) 50 mL

Q2) The composition of a patient's renal calculi is identified as uric acid.To prevent recurrence of stones,what should the nurse teach the patient to avoid?

A) Milk and dairy products

B) Legumes and dried fruits

C) Spinach,chocolate,and tomatoes

D) Organ meats and fish with fine bones

Q3) In planning teaching for a patient with nephrosclerosis,what should the nurse include instructions about?

A) Monitoring of daily intake and output amounts

B) Maintenance of fluid restriction at 1000 mL/day

C) Techniques of monitoring and recording blood pressure

D) Prevention and detection of bleeding from anticoagulation therapy

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Chapter 49: Nursing Management: Acute Kidney Injury and Chronic Kidney Disease

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35 Verified Questions

35 Flashcards

Source URL: https://quizplus.com/quiz/78715

Sample Questions

Q1) Which data obtained when assessing a patient who had a kidney transplant 8 years ago and who is receiving the immunosuppressants tacrolimus (Prograf),cyclosporine (Sandimmune),and prednisone (Deltasone)will be of most concern to the nurse?

A) The blood glucose is 8 mmol/L (144 mg/dL).

B) The patient has a round,moonlike face.

C) The patient has a nontender lump in the axilla.

D) The patient's blood pressure is 150/92 mm Hg.

Q2) When teaching a patient about potassium-containing foods,which of the following foods would the nurse recommend as having an extremely high amount of potassium (>10 mmol per serving)?

A) Apple juice

B) Tomatoes

C) Carrots

D) Squash

Q3) Which of the following is the preferred hemodialysis vascular access site?

A) Nontunnelled central venous catheter

B) Arteriovenous fistula

C) Tunnelled central venous catheter

D) Arteriovenous graft

Page 51

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Chapter 50: Nursing Assessment: Endocrine System

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/78713

Sample Questions

Q1) When obtaining the health history,which of the following statements by a patient indicates that the nurse should assess further for a possible problem with the thyroid gland?

A) "I have noticed difficulty in swallowing."

B) "I get up several times at night to urinate."

C) "I have noticed my breasts are tender lately."

D) "I drink about 6 L of water a day."

Q2) Which of the following factors stimulates the secretion of insulin?

A) Decreased glucose levels

B) Increased somatostatin levels

C) Decreased amino acid levels

D) Increased vagal stimulation

Q3) Which of the following is an age-related change affecting the endocrine system?

A) Increase in TSH secretion

B) Decreased parathyroid secretion

C) Increased glucose intolerance

D) Decreased secretion of norepinephrine

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Chapter 51: Nursing Management: Endocrine Problems

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39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/78712

Sample Questions

Q1) A patient is admitted to the hospital in addisonian crisis 1 month following a diagnosis of Addison's disease.The nurse documents the nursing diagnosis of ineffective therapeutic regimen management related to lack of knowledge of management of condition when the patient gives which of the following responses?

A) "I double my dose of hydrocortisone if I am experiencing moderate stress."

B) "I had the stomach flu earlier this week and couldn't take the hydrocortisone."

C) "I frequently eat at restaurants,so my food has a lot of added salt."

D) "I do yoga exercises almost every day to help me reduce stress and relax."

Q2) A nursing assessment of a patient with Cushing's syndrome reveals that the patient has truncal obesity and thin arms and legs.What is an additional manifestation of Cushing's syndrome that the nurse would expect to find?

A) Hypotension

B) Decreased axillary and pubic hair

C) Purplish red striae on the abdomen

D) Bronzed hyperpigmentation of the skin

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Chapter 52: Nursing Management: Diabetes Mellitus

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38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/78711

Sample Questions

Q1) Intramuscular glucagon is administered to an unresponsive patient for treatment of hypoglycemia.Which action should the nurse take after the patient regains consciousness?

A) Give the patient a snack of cheese and crackers.

B) Have the patient drink a glass of orange juice or nonfat milk.

C) Administer a continuous infusion of 5% dextrose for 24 hours.

D) Assess the patient for symptoms of hyperglycemia.

Q2) A patient with type 2 diabetes is scheduled for an outpatient coronary arteriogram.Which information obtained by the nurse when admitting the patient indicates a need for a change in the patient's regimen?

A) The patient's most recent HbA_1C result was 6%.

B) The patient takes metformin every morning.

C) The patient uses captopril (Capoten)for hypertension.

D) The patient's admission blood glucose is 7.1 mmol/L (128 mg/dL).

Q3) Which of the following is true of type 2 diabetes?

A) Diet modifications and insulin are required for glucose control.

B) Uniform timing of meals is crucial.

C) Reduction in caloric intake is desirable to control weight.

D) Intermeal and bedtime snacks are frequently necessary.

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Page 54

Chapter 53: Nursing Assessment: Reproductive System

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/78710

Sample Questions

Q1) A 42-year-old man tells the nurse that he has not been able to function sexually for about the last year.The nurse asks the patient specifically about medications he is taking,with the knowledge that erectile dysfunction may occur with the use of which of the following drugs?

A) Antilipemics

B) Antihypertensives

C) Oral hypoglycemic agents

D) H₂-receptor blocking agents

Q2) When scheduling a patient for a pelvic examination and Pap smear,what should the nurse instruct the patient to do?

A) The patient should not douche for 24 hours before the examination.

B) The patient should not have sexual intercourse for 2 days before the examination.

C) The patient should schedule the examination for the first day of her menstrual period.

D) The patient should shower before the examination but avoid tub baths the day before the examination.

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Chapter 54: Nursing Management: Breast Disorders

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/78709

Sample Questions

Q1) The nurse provides discharge teaching for a patient who has had a left modified radical mastectomy and axillary lymph node dissection.When teaching the patient about care of the affected arm,the nurse determines that teaching has been successful when the patient gives which of the following responses?

A) "I should keep my right arm supported in a sling when I am up and around until my incision is healed."

B) "I may expose my arm to the sun for several hours each day to increase circulation and promote healing."

C) "I can do whatever exercises and activities I want as long as I do not elevate my right hand above my head."

D) "I should continue to exercise my arm several times a day with finger-walking up the wall or combing my hair."

Q2) Which one of the following statements is true regarding nipple-areolar reconstruction?

A) All breast reconstructive surgery requires nipple-areolar reconstruction.

B) The function of lactation is maintained.

C) It is not possible to have the nipples project away from the breast.

D) It is usually completed a few months after breast reconstructive surgery.

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Chapter 55: Nursing Management: Sexually Transmitted

Infections

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15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/78708

Sample Questions

Q1) The incidence of syphilis has steadily increased in Canada since 1999.Which of the following groups would be at highest risk of contracting syphilis?

A) Men having sex with men

B) Married men having casual affairs

C) Women having sex with women

D) University students

Q2) A young man seeks care at the health clinic because he has developed a profuse,purulent urethral discharge with painful urination.During assessment of the patient,what is it most important that the nurse gather information about?

A) Recent sexual contacts

B) A history of previous similar symptoms

C) All of his sexual contacts within the past year

D) A history of bladder infections or mumps affecting the testicles

Q3) Cervarix,an HPV vaccine,is recommended for which of the following populations?

A) Females before sexual intercourse

B) Males and females between the ages of 9 and 26

C) Females between the ages of 13 and 20

D) Any sexually active female

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Chapter 56: Nursing Management: Female Reproductive Problems

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40 Verified Questions

40 Flashcards

Source URL: https://quizplus.com/quiz/78707

Sample Questions

Q1) During a routine health examination,a 32-year-old woman tells the nurse that she uses oral contraceptives because her husband wants to delay having children for a few more years.What is the most appropriate response?

A) "It is more difficult for women to conceive the older they become."

B) "I'm sure you will have plenty of time to have a family in a few years when you are ready."

C) "Long-term use of oral contraceptives causes uterine changes that make it more difficult for you to conceive."

D) "Pregnancy is no problem when women pass the age of 30 because their sexual response peak is at about the age of 35."

Q2) Which age group has the highest rate of induced abortion?

A) 13- to 16-year-olds

B) 16- to 18-year-olds

C) 20- to 24-year-olds

D) 35- to 40-year-olds

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Chapter 57: Nursing Management: Male Reproductive Problems

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/78706

Sample Questions

Q1) The physician prescribes finasteride (Proscar)for a 56-year-old male patient who has a BPH symptom score of 12 on the AUA Symptom Index.When teaching the patient about the medication,of what should the nurse inform him?

A) His interest in sexual activity may decrease while he is taking the medication. B) He should change position from lying to standing slowly to avoid dizziness.

C) Improvement in the obstructive symptoms should occur within about 2 weeks. D) He will need to monitor his blood pressure frequently to assess for hypertension.

Q2) When obtaining a nursing history from a patient with benign prostatic hyperplasia (BPH),which of the following data would the nurse expect the patient to report?

A) Grossly bloody urine

B) Difficulty maintaining an erection

C) A weak urinary stream and dribbling at the end of urination

D) Lower back pain that radiates to the hips during urination

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Chapter 58: Nursing Assessment: Nervous System

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21 Flashcards

Source URL: https://quizplus.com/quiz/78705

Sample Questions

Q1) The following orders are received for a patient who is unconscious after a head injury caused by an automobile accident.Which one should the nurse question?

A) Perform neurological checks every 15 minutes.

B) Prepare the patient for lumbar puncture.

C) Obtain X-ray films of the skull and spine.

D) Do computed tomography scanning with and without contrast.

Q2) Which of the following assessment findings would the nurse expect when examining a patient with a lesion of the left posterior temporal lobe?

A) Inability to reason or problem solve

B) Loss of sensation on the left side of the body

C) Inability to comprehend written or oral language

D) Inability to voluntarily move the right side of the body

Q3) When interviewing an acutely confused patient who has a head injury,which question will provide the most useful information?

A) "Have you ever been hospitalized for a neurological problem?"

B) "Do you have any pain at the present time?"

C) "What have you had to eat in the last 24 hours?"

D) "Can you describe your usual pattern for coping with injury?"

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Chapter 59: Nursing Management: Acute Intracranial Problems

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34 Verified Questions

34 Flashcards

Source URL: https://quizplus.com/quiz/78704

Sample Questions

Q1) When assessing a patient with a head injury,what will the nurse recognize as an early indication of increased ICP?

A) Vomiting

B) Headache

C) Change in the LOC

D) Sluggish pupillary response to light

Q2) A victim of an automobile accident was found unconscious at the scene of the accident but regained consciousness during transport to the hospital.Shortly after admission,her Glasgow Coma Scale score is 8,and an acute epidural hematoma is suspected.The nurse plans care for the patient based on the expectation that which of the following treatments will be included?

A) Immediate craniotomy

B) Administration of IV furosemide (Lasix)

C) Administration of IV corticosteroids

D) Endotracheal intubation with mechanical ventilation

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Chapter 60: Nursing Management: Stroke

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28 Verified Questions

28 Flashcards

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Sample Questions

Q1) In order to assess a patient's receptive speech,what should the nurse do?

A) Ask the patient where she is right now.

B) Show the patient three items,and ask the patient to name them.

C) Instruct the patient to close the eyes,ask if a stone sinks in water,and get her to point to the ceiling.

D) Ask the patient the time of day,what month,and what year it is.

Q2) Which one of the following manifestations would the nurse expect to assess on a patient with left-brain damage from a stroke?

A) Left-sided hemiplegia

B) Spatial-perceptual deficits

C) Impaired speech-language

D) Impaired time concepts

Q3) Which classification of stroke is the most common one,representing approximately 80% of all strokes?

A) Intercerebral stroke

B) Ischemic stroke

C) Hemorrhagic stroke

D) Subarachnoid stroke

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Chapter 61: Nursing Management: Chronic Neurological Problems

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Sample Questions

Q1) A patient with Parkinson's disease has decreased tongue mobility and an inability to move his facial muscles.The nurse documents which of the following nursing diagnoses that reflects these impairments?

A) Disuse syndrome related to loss of muscle control

B) Self-care deficit related to bradykinesia and rigidity

C) Impaired verbal communication related to difficulty swallowing

D) Impaired oral mucous membranes related to inability to swallow saliva

Q2) A patient has newly diagnosed multiple sclerosis (MS)and asks many questions about the disease.When teaching the patient about MS,what should the nurse explain?

A) MS is an untreatable viral disease that destroys the basal ganglia in the brain.

B) Nerve impulses travel too quickly over nerves that have lost their myelin coat,overloading the brain.

C) An autoimmune process causes gradual destruction of the myelin sheath of nerves in the brain and spinal cord.

D) In MS,antibodies are produced against acetylcholine receptors,resulting in blocked muscle contraction.

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63

Disease,and Other Dementias

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Sample Questions

Q1) A 70-year-old woman visits her 72-year-old husband who has advanced Alzheimer's disease and is hospitalized with pneumonia.She tells the nurse that it is a relief to have someone besides herself care for her husband because she is physically and mentally exhausted from caring for him at home.She says she has no family to help her and that they cannot afford institutional care for her husband.What is an appropriate nursing diagnosis for the patient's wife?

A) Anxiety related to financial insecurity

B) Ineffective health maintenance related to chronic stress

C) Caregiver role strain related to limited resources for caregiving

D) Social isolation related to unrelieved caregiving responsibilities

Q2) Some patients with dementia have a pattern of behavioural disturbance that occurs consistently in the late afternoon.How does the nurse document this assessment finding?

A) Turning the tide

B) Sundowning

C) Worsening symptoms of dementia

D) Disorientation to time of day

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Chapter 63: Nursing Management: Peripheral Nerve and Spinal Cord Problems

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Source URL: https://quizplus.com/quiz/78699

Sample Questions

Q1) During the initial phase of care for a patient with spinal cord trauma at C5,why must the nurse give high priority to maintaining respiratory function?

A) At the C5 level,diaphragmatic and intercostal muscle function is lost.

B) Extension of edema above the site of the injury may affect phrenic nerve function.

C) Immobilization of the patient's spine promotes pooling of respiratory secretions.

D) Without abdominal muscle control,the patient cannot adequately cough to clear the lungs.

Q2) Spinal cord injuries occur most frequently in which age group?

A) 1 to 8 years

B) 10 to 15 years

C) 15 to 25 years

D) 35 to 50 years

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Chapter 64: Nursing Assessment: Musculoskeletal System

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14 Verified Questions

14 Flashcards

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Sample Questions

Q1) Which type of bone cell plays a role in bone remodelling?

A) Osteoblast

B) Osteoclast

C) Osteocyte

D) Osteon

Q2) Which of the following is an age-related change in the musculoskeletal system?

A) Increased diameter of muscle cells

B) Increased storage of glycogen

C) Loss of water from discs between vertebrae

D) Widening of intervertebral spaces

Q3) During assessment of the musculoskeletal system of a 74-year-old woman,what is a finding that reflects the normal age-related vertebral disc compression?

A) Kyphosis

B) Back pain

C) Loss of height

D) Crepitation on movement

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Chapter 65: Nursing Management: Musculoskeletal

Trauma and Orthopedic Surgery

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38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/78697

Sample Questions

Q1) A patient with a fractured right tibia has a long leg cast applied and has been taught crutch walking with no weight bearing on his affected leg.The nurse determines that the patient is prepared to ambulate independently with the crutches on observing the patient do which of the following actions?

A) Advancing the crutches together and swinging the body past the crutches

B) Advancing the right leg and both crutches together and then advancing the left leg

C) Advancing the left crutch with the right leg and then the right crutch with the left leg

D) Advancing the left crutch,then the left leg,and then the right crutch followed by the right leg

Q2) Which diagnosis does the nurse anticipate when a patient has a positive McMurray's test?

A) Torn knee meniscus

B) Tear in the rotator cuff

C) Carpal tunnel syndrome

D) RSI

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Chapter 66: Nursing Management: Musculoskeletal

Problems

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17 Verified Questions

17 Flashcards

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Sample Questions

Q1) Which of the following is a major risk factor for osteoporosis?

A) Age under 65 years

B) Fragility fracture experienced in adulthood

C) Hypergonadism

D) Hyperparathyroidism

Q2) Following a laminectomy with a spinal fusion,a patient reports numbness and tingling of the right lower leg.What is the first nursing action?

A) Report the patient's complaint to the surgeon.

B) Check the vital signs for indications of hemorrhage.

C) Turn the patient to the side to relieve pressure on the operative area.

D) Compare these findings with preoperative assessments of neuromuscular symptoms.

Q3) A patient is hospitalized for initiation of regional antibiotic perfusion for chronic osteomyelitis of the right femur.Which intervention will be included in the plan of care?

A) Frequent weight-bearing exercise

B) Immobilization of the right leg

C) Avoiding administration of nonsteroidal anti-inflammatory drugs

D) Supporting the right leg in a flexed position

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Page 68

Chapter 67: Nursing Management: Arthritis and Connective

Tissue Diseases

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41 Verified Questions

41 Flashcards

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Sample Questions

Q1) A patient with polymyositis is hospitalized during an onset of active inflammation.What is a nursing diagnosis that is appropriate for the patient at this time?

A) Risk for aspiration related to dysphagia

B) Acute pain related to muscle inflammation

C) Risk for impaired skin integrity related to pruritus

D) Ineffective breathing pattern related to immobility

Q2) The mother of a family who lives in an area endemic for Lyme disease asks the nurse what precautions should be taken for the disease.The nurse's response to the woman is based on what knowledge?

A) Transmission of the disease can be prevented by covering ticks attached to the skin with oil to suffocate them.

B) An early sign of Lyme disease is a lesion at the bite site that increases in size and has a red border and clear centre.

C) Early treatment of the infection with antiviral agents can prevent the development of cardiac and neurological manifestations.

D) If Lyme disease is transmitted by a tick,symptoms of nausea,vomiting,and diarrhea occur before the onset of joint pain.

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Page 69

Chapter 68: Nursing Management: Critical Care Environment

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38 Flashcards

Source URL: https://quizplus.com/quiz/78694

Sample Questions

Q1) An intra-aortic balloon pump (IABP)is being used for a patient who is in cardiogenic shock.Which of the following assessment findings indicates to the nurse that the goals of treatment with the IABP are being met?

A) A CO₂ of 2 L/min

B) An SV of 40 mL/beat

C) HR 110 beats/min

D) Urinary output 100 mL/hour

Q2) Which assessment data obtained by the nurse when caring for a patient with a left radial arterial line indicates a need for the nurse to take action?

A) The flush bag and tubing were last changed 3 days previously.

B) The left hand is cooler than the right hand.

C) The MAP is 75 mm Hg.

D) The system is delivering only 3 mL of flush solution per hour.

Q3) Which SvO₂ value indicates that the patient has a balanced oxygen supply and demand?

A) 20%

B) 35%

C) 60%

D) 90%

Page 70

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Inflammatory Response Syndrome,and Multiple-Organ

Dysfunction Syndrome

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) During the initial management of any patient in shock,the nurse knows that which of the following is an appropriate intervention?

A) Fluid resuscitation

B) Administration of vasopressors

C) Administration of inotropic agents

D) Administration of high-flow oxygen

Q2) To monitor a patient with severe acute pancreatitis for the early organ damage associated with MODS,what should the nurse assess?

A) Stool guaiac and bowel sounds

B) Lung sounds and oxygenation status

C) Serum creatinine and urinary output

D) Serum bilirubin levels and skin colour

Q3) A patient has been admitted with a spinal cord injury.The nurse anticipates neurogenic shock with a spinal cord injury at which level of the spine?

A) T4

B) T6

C) T8

D) L2

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Chapter 70: Nursing Management: Respiratory Failure and

Acute Respiratory Distress Syndrome

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/78691

Sample Questions

Q1) Which of the following is a predisposing factor for the development of acute respiratory failure?

A) Malnutrition

B) Morbid obesity

C) A 10-pack-a-year smoking history

D) Allergy to pet hair

Q2) The nurse would assess pulse oximetry in which of the following patients?

A) A patient with chronic obstructive pulmonary disease (COPD)

B) A patient with pneumonia

C) A patient with massive obesity

D) A patient with postoperative anaesthetic depression

Q3) A patient is brought to the emergency department unconscious following a barbiturate overdose.The nurse recognizes that the patient is at risk for which of the following conditions?

A) Hypercapnic respiratory failure related to ventilatory failure

B) Hypoxemic respiratory failure related to diffusion limitations

C) Hypoxemic respiratory failure related to shunting of blood from underventilated alveoli

D) Hypercapnic respiratory failure related to V/Q mismatch due to increased airway resistance

Page 72

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Chapter 71: Nursing Management: Emergency Care Situations

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19 Flashcards

Source URL: https://quizplus.com/quiz/78690

Sample Questions

Q1) When completing the secondary survey,the nurse knows that the E in EFGHI represents which one of the following?

A) Evaluating vital signs

B) Exposure and environmental control

C) Environmental scan

D) Effect of immediate treatment

Q2) A migrant field worker is brought to the emergency department after he caught his right hand in a produce conveyer belt.His hand has multiple lacerations,and he has tissue avulsion of the right palm.On questioning,he does not know about his tetanus prophylaxis status.Which of the following drug regimens does the nurse anticipate administering?

A) Tetanus immunoglobulin

B) Tetanus and diphtheria toxoid

C) Tetanus-diphtheria toxoid and tetanus immune globulin

D) Tetanus immune globulin and two doses of tetanus and diphtheria toxoid

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Chapter 72: Emergency Preparedness and Disaster Management

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Source URL: https://quizplus.com/quiz/78689

Sample Questions

Q1) When a communicable disease occurs among a cluster of individuals,what is this called?

A) An epidemic

B) An outbreak

C) A pandemic

D) A mitigation

Q2) Assessment of a patient in the emergency department reveals the following: hemoptysis,cough,temperature of 41°C,headache and lymph node enlargement.Based upon these findings,what does the nurse suspect as a diagnosis?

A) Botulism

B) Plague

C) Tularemia

D) Severe acute respiratory syndrome

Q3) The Simple Triage and Rapid Treatment (START)system is based on all of the clinical indicators except which one of the following?

A) Mental status

B) Perfusion or blood circulation

C) Person's ability to respond verbally,ambulate,and breathe

D) Provision of the minimal 72-hour self-sufficient supplies

Page 74

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