Nursing Practice
Exam Questions
Course Introduction
Nursing Practice is a comprehensive course designed to equip students with the foundational knowledge, clinical skills, and professional attitudes necessary for effective nursing care in diverse healthcare settings. Through a blend of theoretical instruction and hands-on clinical experience, students learn essential practices such as patient assessment, care planning, medication administration, and evidence-based interventions. The course emphasizes critical thinking, ethical decision-making, and interdisciplinary collaboration, preparing students to respond to the dynamic needs of patients across the lifespan while upholding principles of safety, compassion, and cultural competence.
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 the use of communication and information technologies in order to support the delivery and integration of clinical care?
A) e-Health
B) Nursing informatics
C) Electronic health record
D) ICT (information and communication technology)
Answer: A
Q2) When asking a clinical question using the PICO format,which of the following would represent the "C"?
A) Controlled diabetes in a woman aged 50 to 65 years
B) Conditioning and exercise program for one hour,three times weekly
C) Weekly blood glucose levels within normal range
D) Standard care for women with diabetes
Answer: D
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Chapter 2: Cultural Competence and Health Equity in Nursing Care
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) Which following term refers to characteristics of a group whose members share a common social,cultural,linguistic,or religious heritage?
A) Diversity
B) Ethnicity
C) Ethnocentrism
D) Cultural imposition
Answer: B
Q2) If an interpreter is not available when a patient speaks a language different from the nurse's,which action is most appropriate?
A) Use specific medical terms in the Latin form.
B) Talk loudly and slowly so that each word is clearly heard.
C) Repeat important words so that the patient recognizes their importance.
D) Use pantomime to demonstrate what is to be communicated to the patient.
Answer: D
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4
Chapter 3: Health History and Physical Examination
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) Which of the following findings is a positive sign in relation to a patient with an enlarged liver?
A) Blood pressure of 128/78 mm Hg
B) Pulse of 82 beats per minute
C) Yellow-tinged sclera
D) Painful and swollen great right toe
Answer: C
Q2) Which part of the stethoscope is best to use when the nurse is listening to low-pitched sounds?
A) Bell
B) Tube
C) Diaphragm
D) The largest area for auscultation
Answer: A
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Chapter 4: Patient and Caregiver Teaching
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The nurse is teaching a patient with peripheral vascular disease about foot care.Which is a correctly written specific learning objective for this patient?
A) "The nurse will instruct the patient on appropriate foot care."
B) "Demonstrate the proper technique for trimming toenails to the patient."
C) "By discharge,the patient will list three ways to protect the feet from injury."
D) "The patient will understand the rationale for proper foot care after instruction."
Q2) After the nurse implements diet instruction with a patient with heart disease,the patient can explain the information but fails to make the recommended dietary changes.Which of the following statements best describes the nurse's evaluation observation?
A) The nursing responsibility has been fulfilled.
B) Learning did not occur because the patient's behaviour did not change.
C) Choosing not to follow the diet is the learning behaviour that resulted.
D) The instructional methods were not effective in helping the patient learn.
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6
Chapter 5: Chronic Illness
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Sample Questions
Q1) Which factor has a major impact on the development of chronic illness?
A) Poverty
B) Social stability
C) Urban dwelling
D) High school diploma
Q2) Which patient history indicates multimorbidity?
A) Chronic obstructive pulmonary disease and a urinary tract infection
B) Chronic kidney disease requiring an appendectomy
C) Lung cancer and pneumonia
D) Diabetes with exacerbation of rheumatoid arthritis
Q3) Viewing disability as directly caused by disease or trauma reflects which model perspective?
A) Social
B) Nursing
C) Medical
D) Collaborative
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Chapter 6: Community-Based Nursing and Home Care
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) Which of the following is a key principle of primary health care?
A) Universal access to health care on an economic basis
B) Focus on acute illness and cure
C) Partnership with other professions and sectors for health
D) Individuals as passive recipients of health care
Q2) How should the nurse describe home care services to a patient requiring extended care?
A) Home care services are limited to visits by nurses or home health aides.
B) For the expenses of home care to be covered,the patient must be confined to bed.
C) The patient's family will need to be included in planning and teaching about the patient's care.
D) Technologically complex therapies,such as parenteral chemotherapy and mechanical ventilators,cannot be managed at home.
Q3) 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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Page 8
Chapter 7: Older Adults
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Sample Questions
Q1) What should be considered when developing the plan of care for an older adult who is hospitalized for an acute illness?
A) Use a standardized geriatric nursing care plan.
B) Consider preadmission functional abilities when setting goals.
C) Minimize activity level during hospitalization.
D) Plan for likely long-term care transfer to allow additional time for recovery.
Q2) In planning discharge teaching for an older,homeless adult,what is a common reason that older homeless adults often do not utilize shelter and meal-site services?
A) They are ashamed about being homeless.
B) They fear that they will be institutionalized.
C) They feel that they do not deserve community support.
D) They feel that use of such services means they cannot make it on their own.
Q3) 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.
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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) According to the general adaptation theory,which of the following occurs when a patient is in the alarm reaction phase?
A) Decreased cardiac output
B) Peripheral vasodilatation
C) Decreased stroke volume
D) Decreased gastrointestinal secretions
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Chapter 9: Sleep and Sleep Disorders
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Sample Questions
Q1) Healthy adults spend what percentage of sleep time in non-rapid eye movement (NREM)sleep?
A) 20% to 25%
B) 45% to 50%
C) 75% to 80%
D) 85% to 90%
Q2) Which of the following is a relatively noninvasive method of monitoring rest and activity cycles?
A) Self-report
B) Actigraphy
C) Polysomnography
D) Pittsburgh Sleep Quality Index
Q3) 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.
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11
Chapter 10: Pain
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19 Verified Questions
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Sample Questions
Q1) Morphine 10 mg IV every four to six hours as needed is ordered for a patient with a pancreatic tumour who has a history of alcoholism.After three days of receiving the morphine every six hours,the patient tells the nurse that the medication is needed more frequently to control the pain.In responding to the patient's request,what does the nurse recognize?
A) A tolerance to the morphine is developing,and the patient should receive the drug more frequently.
B) Administering the morphine more frequently will increase the patient's physical dependence on the drug.
C) Physical dependence should be avoided at all costs,and the drug should continue to be administered every six hours.
D) The patient is becoming addicted to the morphine,and it should be administered less frequently than every six hours.
Q2) Which type of pain is caused by damage to somatic tissue?
A) Visceral
B) Nociceptive
C) Neuropathic
D) Sensory-discriminative
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Chapter 11: Substance Use
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A patient who is alcohol intoxicated must undergo emergency surgery for a ruptured spleen.What does the nurse recognize about the postoperative period for this patient?
A) The patient will require lower than normal doses of analgesics.
B) The patient is likely to develop withdrawal symptoms within 24 hours.
C) The patient is at increased risk for bleeding and respiratory complications.
D) The patient should be stimulated every hour to prevent the prolonged effects of the anaesthesia.
Q2) A patient hospitalized for a stab wound is found to be addicted to opioids.Which of the following statements by the patient leads the nurse to believe that the patient is in the contemplation stage of change?
A) "I need to reform my friends."
B) "What kind of help is there for me?"
C) "I promise I will never use drugs again."
D) "Would sniffing drugs be better for me than shooting up?"
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13
Chapter 12: Complementary and Alternative Therapies
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) During a routine health examination,the patient tells the nurse that she uses a variety of herbal therapies to maintain her health.In discussing her use of herbs,what should the nurse caution the patient about?
A) Most herbs are toxic and carcinogenic and should be used only when proven effective.
B) Herbs are not any better than conventional drugs in maintaining health and may be more unsafe.
C) Herbs should be purchased only from manufacturers with a history of quality control of their products.
D) Because herbal therapies may mask the symptoms of serious disease,frequent medical evaluation is required during their use.
Q2) Which of the following is used to gently lift and knead the muscle?
A) Simple massage
B) Effleurage
C) Pétrissage
D) Circular massage
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14
Chapter 13: Palliative Care at the End of Life
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Sample Questions
Q1) For two months after a patient was diagnosed with pancreatic cancer,she did not admit that she was ill and in need of health care.What is the emotional response associated with this stage of grief?
A) Yearning and protest
B) Acceptance and accommodation
C) Denial,disbelief,and avoidance
D) Anger,despair,and confrontation
Q2) A patient near death has withdrawn from his family and the physical hospice environment.The nurse's response is based upon which of the following nursing management guidelines?
A) Encourage family to tell the dying person it is okay to die.
B) Inform the family that the patient is about to die,as he has withdrawn from this world.
C) Reinforce that this is a normal part of the dying process,and support the family.
D) Encourage the dying person and the family to verbalize their feelings.
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Chapter 14: Inflammation and Wound Healing
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The charge nurse observes a new graduate performing a dressing change on a stage III sacral pressure ulcer.Which action by the new graduate indicates a need for further education about pressure ulcer care?
A) The new graduate uses a hydrocolloid dressing (DuoDerm)to cover the ulcer.
B) The new graduate inserts a sterile cotton-tipped applicator into the pressure ulcer.
C) The new graduate irrigates the pressure ulcer with a 30-mL syringe using sterile saline.
D) The new graduate cleans the ulcer with a sterile dressing soaked in half-strength peroxide.
Q2) A patient with a systemic bacterial infection has "goose pimples," feels cold,and has a shaking chill.At this stage of the febrile response,what would the nurse expect to find?
A) Flushing of the skin
B) Rising body temperature
C) Decreasing blood pressure
D) Relief of muscle aching and fatigue
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16
Chapter 15: Genetics
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) A young woman's mother has been diagnosed with BRCA gene-associated breast cancer,an autosomal dominant genetic disorder.She asks the nurse about the inheritance patterns of this disorder.On what knowledge will the nurse base the response to this young woman?
A) Most affected offspring of autosomal dominant disorders are males.
B) The young woman's mother had unaffected parents who were heterozygous for the gene.
C) The young woman has a 50% chance of having the mutated gene if her mother is heterozygous.
D) Daughters of women who are heterozygotic with an autosomal dominant disorder are usually carriers of the gene.
Q2) 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
19 Flashcards
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Sample Questions
Q1) When monitoring older adult patients for signs of cancer,the nurse explains that the incidence of cancer is increased in this age group primarily as a result of the decreased action of which of the following cells?
A) D lymphocytes
B) T lymphocytes
C) Immunoglobulins
D) Granulocyte colony-stimulating factor
Q2) After being bitten by an unknown insect,a patient who is allergic to wasp stings is brought to a clinic by a co-worker.On arrival,the patient is anxious and is having difficulty breathing.What should the nurse's first action be?
A) Administer oxygen.
B) Maintain the patient's airway.
C) Remove the stinger from the site.
D) Place the patient in a recumbent position with his legs elevated.
Q3) 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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Page 18
Chapter 17: Infection and Human Immunodeficiency Virus
Infection
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A young mother with a history of intravenous drug use and HIV infection delivered a baby who has tested positive for HIV.The mother will not care for the baby because she believes the baby will die soon.When counselling the mother about the care of her infant,what is an appropriate approach for the nurse to take?
A) Confirm with the mother that the baby will develop AIDS and refer her to a local AIDS support group.
B) Remind the mother that she has not yet developed AIDS and that it is possible the baby will not develop AIDS for many years.
C) Inform the mother that if the infant is started on zidovudine (AZT)within the first month after delivery,AIDS can be prevented.
D) Inform the mother that although infants of HIV-infected mothers always test positive for HIV antibodies,most infants are not infected with the virus.
Q2) Which of the following involves malignant vascular lesions on the torso?
A) Leukoplakia
B) Toxoplasma gondii
C) Kaposi's sarcoma
D) Coccidioides immitis
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Page 19
Chapter 18: Cancer
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Sample Questions
Q1) During a routine health examination,the patient tells the nurse that she has a family history of colon cancer.What should the nurse advise the patient to do?
A) Schedule a sigmoidoscopy every year after the age of 40.
B) Schedule a digital rectal examination every 6 months after the age of 45.
C) Have a sigmoidoscopy for baseline at the age of 50 and every 5 years afterward.
D) Discuss specific testing with her doctor because her risk for colon cancer is increased.
Q2) External beam radiation is planned for a patient with cancer of the colon.Because the treatment area is in the lower abdomen and pelvic area,which of the following measures should the nurse teach the patient is important to prevent complications from the effects of the radiation?
A) Maintain a high-residue,high-fat diet.
B) Test all stools for the presence of blood.
C) Inspect the mouth and throat daily for the appearance of thrush.
D) Perform perianal care with sitz baths and meticulous cleaning.
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Chapter 19: Fluid, electrolyte, and Acidbase Imbalances
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Sample Questions
Q1) Which of the following is a clinical manifestation of hypokalemia?
A) Irritability
B) Soft,flabby muscles
C) Abdominal cramping
D) Oliguria
Q2) What is the best area to assess for skin turgor in the older adult?
A) Forearm
B) Upper arm
C) Sternum
D) Thigh
Q3) To prevent laryngeal spasms and respiratory arrest in a patient who is at risk for hypocalcemia,the nurse should assess the patient for which early sign of hypocalcemia?
A) Tetany
B) Confusion
C) Constipation
D) Numbness and tingling around the lips or in the fingers
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Chapter 20: Nursing Management: Preoperative Care
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Sample Questions
Q1) What does appropriate preoperative teaching for a patient scheduled for abdominal surgery include?
A) How to care for the wound
B) How to breathe deeply and cough
C) What medications will be used during surgery
D) What drains and tubes will be present after surgery
Q2) 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
Q3) A 74-year-old man is to have a left inguinal hernia repair at the outpatient surgical clinic.Preoperatively,what is it most important for the nurse to determine?
A) The patient has had outpatient surgery in the past.
B) The patient's medical plan covers outpatient surgery.
C) The patient plans to stay overnight at the surgical centre.
D) A family member or friend is available for transportation and care at home.
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22
Chapter 21: Nursing Management: Intraoperative Care
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Sample Questions
Q1) What is the primary reason the perioperative nurse encourages a family member or a friend to remain with a patient in the preoperative holding area until the patient is taken into the operating room (OR)?
A) To ensure the proper identification of the patient before surgery
B) To protect the patient from cross-contamination with other patients
C) To assist the perioperative nurse to perform a complete patient history
D) To help minimize patient anxiety
Q2) What is the intraoperative activity that is performed by the perioperative nurse and is specific to the circulating function?
A) Identifying and assessing the patient
B) Counting sponges,needles,and instruments
C) Passing instruments to the surgeon and assistants
D) Preparing the instrument table and organizing sterile equipment
Q3) What is one of the most important goals of the registered nurse first assistant?
A) Safety of the patient
B) Monitoring of the activities of others
C) Documentation of the intraoperative care
D) Admission of the patient to the OR
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23
Chapter 22: Nursing Management: Postoperative Care
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Sample Questions
Q1) During planning to promote ambulation,coughing,deep breathing,and turning in a postoperative patient,which of the following does the nurse know will help ensure that the desired outcomes will most readily be met?
A) The patient understands the rationale for these activities.
B) The patient receives praise when the activities are completed.
C) The patient receives enough analgesics to promote relative freedom from pain.
D) The patient is warned about complications that can occur without the activities.
Q2) Which of the following is an ambulatory surgery discharge criterion?
A) Voided at least three times
B) No IV narcotics for last 30 minutes
C) Had at least one bowel movement
D) Oxygen saturation 88%
Q3) On admission of a patient to the postanaesthesia care unit (PACU)from surgery,the nurse should place the highest priority on assessing which of the following?
A) The condition of the surgical site
B) The patient's level of consciousness
C) The adequacy of respiratory function
D) The status of fluid and electrolyte balance
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24
Chapter 23: Nursing Assessment: Visual and Auditory Systems
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Sample Questions
Q1) In the visual pathway,fibres from the nasal portion of each retina cross over to the opposite side of which structure?
A) Optic nerve
B) Lateral geniculate body
C) Optic chiasma
D) Fovea centralis
Q2) During assessment of a patient's eyes,the nurse notes that the pupil of the right eye is irregular and appears to protrude into the iris.The nurse should question the patient about a history of which of the following?
A) Pinguecula
B) Eye trauma
C) Corticosteroid use
D) Glaucoma surgery
Q3) Women are at greater risk for which one of the following diseases?
A) Cataracts
B) Eye trauma
C) Colour blindness
D) Macular degeneration
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Chapter 24: Nursing Management: Visual and Auditory
Problems
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Sample Questions
Q1) A patient is diagnosed with adult inclusion conjunctivitis (AIC)caused by the Chlamydia trachomatis organism.In teaching the patient about his disorder,what should the nurse explain?
A) This disorder may progress to trachoma,a blindness-producing keratoconjunctivitis.
B) The infection is usually self-limiting,but antiviral eye drops help shorten the course of the infection.
C) The conjunctivitis can be easily treated with antibiotics and should not recur if good hand-eye hygiene is maintained.
D) The disorder is highly associated with genital chlamydia,and he should be evaluated for sexually transmitted Chlamydia.
Q2) Which following central vision acuity finding would indicate legal blindness?
A) 20/50
B) 20/100
C) 20/150
D) 20/200
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26
Chapter 25: Nursing Assessment: Integumentary System
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Sample Questions
Q1) 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."
Q2) How would the nurse describe vitiligo,a common assessment abnormality of the integumentary system?
A) Tumour consisting of lymph vessels
B) Male-pattern distribution of hair in women
C) Complete absence of melanin resulting in chalky white patches
D) A sac containing fluid or semisolid material
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Chapter 26: Nursing Management: Integumentary
Problems
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Sample Questions
Q1) Which of the following would the nurse suspect when assessment data revealed six groups of three wheals surrounded by vivid flare with firm urticaria and intense pruritus?
A) Wasp stings
B) Bedbugs
C) Scabies
D) Pediculosis
Q2) The physician diagnoses impetigo and prescribes penicillin for a 68-year-old patient who has crusty vesiculopustular lesions over the lower face and skin creases in the neck.While planning care instructions for the patient,what does the nurse recognize is the most common risk factor for impetigo?
A) Obesity
B) Exposure to grease or oils
C) Inadequate personal hygiene
D) Deficiency of vitamin A in the diet
Q3) What is the most common reason that people undergo a cosmetic procedure?
A) To increase longevity
B) To obtain different employment
C) To improve their body image
D) To improve function of the area that is involved
Page 28
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Chapter 27: Nursing Management: Burns
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Sample Questions
Q1) A patient with deep partial-thickness and full-thickness burns of the face and chest has the wounds treated with the open method.The nurse identifies a nursing diagnosis of risk for infection and an expected patient outcome of absence of wound infections.What is an appropriate nursing intervention to help the patient meet the expected outcome?
A) Restrict all visitors to prevent cross-contamination of wounds.
B) Wear gowns,caps,masks,and gloves during all care of the patient.
C) Use sterile water for cleansing and debridement in the hydrotherapy tank.
D) Administer prophylactic broad-spectrum antibiotics to prevent bacterial colonization of wounds.
Q2) A common nursing diagnosis for the patient with burns is situational low self-esteem.When would the nurse evaluate that patient outcomes for this nursing diagnosis are met?
A) When the patient sets realistic goals regarding future lifestyle
B) When the patient accepts the need for psychiatric intervention
C) When the patient is interested in learning to care for wounds at home
D) When the patient expresses that the effects of the burn are not important
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Chapter 28: Nursing Assessment: Respiratory System
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Sample Questions
Q1) Which of the following is a measure of the elasticity of the lung?
A) Inspiration
B) Compliance
C) Elastic recoil
D) Oxygen-hemoglobin dissociation curve
Q2) A patient in severe respiratory distress is admitted to the medical unit at the hospital.During the admission assessment of the patient,what should the nurse do?
A) Perform a comprehensive health history with the patient to determine the extent of prior respiratory problems.
B) Complete a full physical examination to determine the effect of the respiratory distress on other body functions.
C) Delay any physical assessment of the patient,and ask family members about the patient's history of respiratory problems.
D) Perform a physical assessment of the respiratory system,and ask specific questions related to this episode of respiratory distress.
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Chapter 29: Nursing Management: Upper Respiratory Problems
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Sample Questions
Q1) Which of the following is the most commonly used voice prosthesis?
A) Electrolarynx
B) Blom-Singer
C) Cooper-Rand
D) Artificial larynx
Q2) A woman calls the clinic and tells the nurse that her mother,an older adult,has had a cold for the past week.The woman is worried that pneumonia will develop.After the nurse discusses care of upper respiratory infections and prevention of secondary infections,which of the following responses by the woman alerts the nurse that additional teaching is needed?
A) "I should encourage my mother to drink a lot of juices and other fluids."
B) "I should watch for changes in nasal secretions or the sputum she coughs up."
C) "I can give my mother aspirin or acetaminophen to make her more comfortable."
D) "I can encourage my mother to continue to use nasal decongestant spray until the congestion is gone."
Q3) Which is the most common infection causing acute pharyngitis?
A) Fungal
B) Viral
C) Acute follicular
D) Peritonsillar
Page 31
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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 nurse is preparing a patient with a diagnosis of bronchiectasis for chest physiotherapy with postural drainage.Which one of the following will the nurse implement?
A) Position the patient supine.
B) Elevate the head of the bed by 20 cm.
C) Elevate the foot of the bed by 10 to 15 cm.
D) Ensure the patient is in the left lateral position for the first part of the chest physiotherapy.
Q2) A patient with primary pulmonary hypertension (PPH)is on diuretic therapy.The nurse will evaluate that the treatment is effective in which of the following situations?
A) The patient reports decreased exertional dyspnea.
B) The blood pressure is less than 140/90 mm Hg.
C) The heart rate is between 60 and 100 beats/min.
D) The patient's chest X-ray indicates clear lung fields.
Q3) What should the nurse teach patients at risk for pneumonia to obtain?
A) Staphylococcal vaccine
B) Measles,mumps,rubella (MMR)vaccine
C) Pneumococcal vaccine
D) Bacille Calmette-Guérin (BCG)vaccine
Page 32
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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) After teaching the patient with asthma about home care,the nurse will evaluate that the teaching has been successful if the patient states which of the following?
A) "I will use my corticosteroid inhaler as soon as I start to get short of breath."
B) "I will turn the home oxygen level up only after checking with the doctor first."
C) "My medications are working if I wake up short of breath only once during the night."
D) "No changes in my medications are needed if my peak flow is at 80% of normal."
Q2) A patient has been receiving oxygen per nasal cannula during her hospitalization for emphysema.She asks the nurse whether she will have to use oxygen at home.What should the nurse tell the patient about long-term home oxygen therapy?
A) It can improve the patient's prognosis and quality of life.
B) It is contraindicated in patients with COPD to prevent oxygen dependency.
C) It is used only for patients who have severe end-stage respiratory disease.
D) It should never be used at night because the patient cannot monitor its effect.
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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) A patient is found to have leukopenia,anemia,neutropenia,and thrombocytopenia.Which drug classification is known to exhibit these hematological alterations?
A) Isoniazid
B) Aminoglycosides
C) H<sub>2</sub>-receptor blockers
D) Trimethoprim-sulfamethoxazole (Septra)
Q2) While examining the lymph nodes during physical assessment,about which of the following findings would the nurse be most concerned?
A) Firm inguinal nodes in a patient with an infected foot
B) Inability to palpate any superficial lymph nodes
C) 1-cm mobile and nontender axillary node
D) 2-cm nonpainful supraclavicular node
Q3) Which one of the following cells is a WBC?
A) Myeloblast
B) Band cell
C) Basophil
D) Megakaryocyte
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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) Which nutrient plays a role in helping mature RBCs in erythropoiesis?
A) Iron
B) Folic acid
C) Pyridoxine
D) Ascorbic acid
Q2) A patient with chronic lymphocytic leukemia is hospitalized for treatment of severe hemolytic anemia.What is an appropriate nursing intervention for the patient?
A) Provide a diet high in vitamin K and folic acid.
B) Plan care to alternate periods of rest and activity.
C) Isolate the patient from visitors and other patients.
D) Encourage increased intake of fluid and fibre in the diet.
Q3) A patient receiving chemotherapy for acute lymphocytic leukemia has pancytopenia,and filgrastim (Neupogen)is prescribed.The nurse teaches the patient that the reason for the use of the medication is which of the following?
A) Remission of the leukemia
B) Improvement in the number and function of neutrophils
C) Replacement of abnormal stem cells in the bone marrow with normal cells
D) Prevention of hemorrhage complications in patients with thrombocytopenia
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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) While assessing a patient who has just arrived in the emergency department,the nurse notes a pulse deficit.Which of the following does the nurse anticipate that the patient may require?
A) Hourly blood pressure (BP)checks
B) A coronary arteriogram
C) Electrocardiographic (ECG)monitoring
D) A two-dimensional echocardiogram
Q2) The physician orders serum troponin levels in a patient with a possible myocardial infarction.What will the nurse explain to the patient about this test?
A) It is the most specific indicator for myocardial damage available.
B) It measures the amount of myoglobin released from damaged myocardial cells.
C) It can provide evidence of myocardial damage more quickly than can enzyme tests.
D) It is diagnostic for myocardial damage only when used in combination with creatinine kinase-MB isoenzymes.
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Chapter 35: Nursing Management: Hypertension
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/78730
Sample Questions
Q1) During assessment of a patient who has stage 2 hypertension,the nurse recognizes that it is common for the patient to experience which of the following?
A) Nosebleeds
B) No symptoms
C) Blurred vision
D) Dyspnea on exertion
Q2) Which of the following is a correct mechanism action of aldosterone?
A) Increased sodium reabsorption
B) Decreased water reabsorption
C) Decreased blood volume
D) Increased potassium excretion
Q3) The nurse measures the BP of a 78-year-old patient and finds it to be 168/86 mm Hg in both arms.What will the nurse include in the teaching plan for this patient?
A) Increased BP is a normal finding in older adults.
B) Prehypertension indicates the need for lifestyle changes.
C) It is important to address the increased BP.
D) A high probability of kidney and heart disease exists.
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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) During the initial stages of hospitalization for an MI,the patient has been in denial,stating "I just had a little chest pain." What is the most appropriate intervention for the nurse to plan for the patient at this time?
A) Have the patient's family encourage him to talk about his plans for the future.
B) Allow the patient to use denial as a coping mechanism until he asks questions about his condition.
C) Implement reality orientation by reminding the patient several times a day that he has had major cardiac damage.
D) Begin teaching the patient about the anatomy and physiology of the heart so that he can understand what has happened to him.
Q2) Which of the following is a mnemonic to assist the nurse in obtaining thorough information from a patient who has chest pain?
A) ABCDEF
B) PAIN
C) PQRST
D) AQSP
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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) A patient with acute heart failure has severe dyspnea and is extremely anxious.The nurse anticipates that increased cardiac output and decreased anxiety may be promoted by the IV administration of which of the following medications?
A) Morphine
B) Diazepam (Valium)
C) Dopamine (Intropin)
D) Nitroglycerin (Tridil)
Q2) Which of the following determinants of health is true in relation to heart failure?
A) Men compose more new cases of heart failure than women.
B) Women tend to be diagnosed with heart failure at an older age as compared to men.
C) Men are more likely to be diabetic as compared to women.
D) Women are less likely to have high BP than men.
Q3) What is the most common form of initial heart failure?
A) Left-sided
B) Right-sided
C) Biventricular
D) All types occur equally;there is no one common form of heart failure.
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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) What is the most accurate way to calculate the heart rate from an ECG?
A) Count the number of R-R intervals in 6 seconds,and multiply by 10.
B) Count the number of small squares between the R-R interval,and divide by 1500.
C) Count the number of QRS complexes in 1 minute.
D) Count the large squares between one R-R interval,and divide by 300.
Q2) 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
Q3) How would the nurse document a dysrhythmia pattern that has a sawtooth-shape P wave,a variable PR interval,and a normal QRS complex?
A) Junctional rhythms
B) Atrial flutter
C) Sinus bradycardia
D) Atrial fibrillation
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Chapter 39: Nursing Management: Inflammatory and Structural
Heart Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/78726
Sample Questions
Q1) During postoperative teaching with a patient who has had a mitral valve replacement with a mechanical valve,what should the nurse instruct the patient about?
A) The need to avoid high-voltage electrical fields
B) The need for anticoagulation therapy for the duration of the valve
C) The probability that the valve will need to be replaced in 7 to 10 years
D) The need to check the pulse daily to determine the functioning of the valve
Q2) A 22-year-old patient with rheumatic fever has subcutaneous nodules,erythema marginatum,and polyarthritis of multiple joints.What would the nurse document as an appropriate nursing diagnosis based on these findings?
A) Activity intolerance related to fatigue and arthralgia
B) Risk for infection related to open skin lesions
C) Risk for impaired skin integrity related to pruritus and scratching
D) Risk for impaired physical mobility related to permanent joint fixation
Q3) Which of the following is the primary symptom of mitral stenosis?
A) Tachypnea
B) Exertional dyspnea
C) Atrial fibrillation
D) Hemoptysis
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Chapter 40: Nursing Management: Vascular Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/78724
Sample Questions
Q1) Several hours following an endovascular aneurysm repair,the patient develops left flank pain,and his urinary output has been 20 mL/hour for the past 2 hours.The nurse recognizes that these findings may indicate which of the following complications?
A) Infection
B) Hypovolemia
C) Intestinal ischemia
D) Renal artery occlusion
Q2) While working in the outpatient clinic,the nurse notes that the chart states that a patient has intermittent claudication.Which of these statements by the patient would be consistent with this information?
A) "My fingers hurt when I go outside in cold weather."
B) "Sometimes I get tired when I climb a lot of stairs."
C) "When I stand too long,my feet start to swell up."
D) "My legs cramp whenever I walk more than a block."
Q3) Which of the following is a characteristic of PAD?
A) Normal peripheral pulse
B) Capillary refill 2 seconds
C) Ankle-brachial index 0.98
D) No lower leg edema
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Page 42
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) A patient is complaining of heartburn and a burning sensation in the epigastric area.What is a possible etiology for these complaints?
A) Cancer of the esophagus
B) Hiatal hernia
C) Peptic ulcer
D) GI infection
Q3) When caring for a patient following a needle biopsy of the liver at the bedside,what should the nurse do?
A) Elevate the head of the bed to facilitate breathing.
B) Check the patient's postbiopsy coagulation studies.
C) Place the patient on the right side with the bed flat.
D) Instruct the patient to take shallow breaths to avoid pressure on the liver.
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Page 43
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) How often would the nurse flush a feeding tube for the patient who is on continuous enteral nutrition (EN)?
A) Every 2 hours
B) Every 4 hours
C) Every 6 hours
D) Every 12 hours
Q2) Which of the following behaviours in a young woman with bulimia would cause the nurse the most concern?
A) The patient eats only about 20% of breakfast.
B) The patient ambulates continuously in the hallway.
C) The patient goes into the bathroom after each meal.
D) The patient asks for laxatives to treat constipation.
Q3) What percentage of the patient's caloric needs should be met before the nurse would anticipate discontinuation of the PN?
A) 25%
B) 30%
C) 60%
D) 75%
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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) After discussing appropriate exercise activities with a patient who is overweight who is starting to exercise as part of a weight-loss program,the nurse will determine that the instructions have been understood when the patient reports which of the following?
A) Playing soccer for an hour on the weekend
B) Running for 10 to 15 minutes three times a week
C) Walking for 40 minutes 6 or 7 days a week
D) Lifting weights with friends three times a week
Q2) The nurse provides discharge instructions to a patient following gastric bypass surgery for treatment of obesity.What does the nurse teach the patient?
A) Avoid foods high in carbohydrates,and do not drink fluids with meals.
B) Maintain a liquid diet for about 6 weeks until gastric healing is complete.
C) Eat a high-carbohydrate,high-roughage diet to promote bowel function when solid foods are allowed.
D) Use exercise and massage to prevent the development of flabby skin resulting from massive weight loss.
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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) A patient with oral squamous cell carcinoma is transferred to the postoperative surgical unit after a hemiglossectomy and radical neck procedure.When planning care,the nurse will anticipate the need to do which of the following?
A) Insert a long-term central venous catheter for parenteral nutrition.
B) Use an alphabet board to assist the patient with communication.
C) Administer chemotherapy starting the first postoperative day.
D) Reinforce pressure dressings at the surgical incision.
Q2) The family member of a patient who has suffered massive abdominal trauma in an automobile accident asks the nurse why the patient is receiving famotidine.The nurse will explain that the medication will do which of the following?
A) Decrease the risk for nausea and vomiting.
B) Prevent aspiration of gastric contents.
C) Inhibit the development of stress ulcers.
D) Lower the chance for H.pylori infection.
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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 is brought to the emergency department following an automobile accident in which she suffered blunt trauma to the abdomen.She is splinting her abdomen and complaining of pain,and bowel sounds are decreased.A peritoneal lavage returns brown drainage.Based on the results of the lavage,what should the nurse plan for?
A) Preparation for a paracentesis
B) Administration of pain medications
C) Continued monitoring of the patient's condition
D) Immediate preparation of the patient for surgery
Q2) While obtaining a nursing history from a patient with IBD,which of the following data leads the nurse to suspect that the patient most likely has ulcerative colitis rather than Crohn's disease?
A) Weight loss
B) Bloody diarrhea
C) Abdominal pain and cramping
D) Onset of the disease at age 20
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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) Which data obtained by the nurse during the assessment of a patient with cirrhosis will be of most concern?
A) The patient's skin has multiple spider-shaped blood vessels on the abdomen.
B) The patient has ascites and a 2-kg weight gain from the previous day.
C) The patient complains of right upper quadrant pain with abdominal palpation.
D) The patient's hands flap back and forth when the arms are extended.
Q2) The nurse knows that levels of which one of the following should be monitored when the patient is receiving adefovir?
A) Potassium
B) Sodium
C) Creatinine
D) Urea
Q3) Combination therapy of ?-interferon and ribavirin (Rebetol)is being used to treat hepatitis C in a patient infected with human immunodeficiency virus (HIV).What will the nurse monitor for in the patient?
A) Blood glucose
B) Lymphocyte count
C) Potassium level
D) Serum creatinine
Page 48
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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) A 20-year-old patient who is employed as a hairdresser and has a 10-pack-year history of cigarette smoking is scheduled for an annual physical examination.The nurse will plan to teach the patient about the increased risk for which of the following?
A) Bladder cancer
B) Renal failure
C) Pyelonephritis
D) Kidney stones
Q2) When analyzing the results of a patient's urinalysis,the nurse recognizes that a urinary tract infection is indicated by which of the following findings?
A) Protein 4+
B) Glucose 3+
C) White blood cell (WBC)count 20 to 26 cells per high-power field
D) Specific gravity 1.01
Q3) Which of the following is an abnormal finding of the urinary system?
A) CVA tenderness
B) Nonpalpable kidney
C) No palpable masses
D) Nonpalpable bladder
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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) To promote muscle relaxation and induce voiding after the patient has undergone an open loop resection and fulguration of the bladder,what is an appropriate intervention for the nurse to use?
A) Sitz baths four times per day
B) Encouraging fluids to 3000 mL/day
C) Isometric exercises of the perineal muscles every 2 hours
D) Application of warm compresses to the suprapubic area four times per day
Q2) A 34-year-old patient with diabetes mellitus is hospitalized with fever,anorexia,and confusion.The physician suspects acute pyelonephritis when the urinalysis reveals bacteriuria.Which of the following is an appropriate collaborative problem identified by the nurse for this patient?
A) Potential complication: urosepsis
B) Potential complication: hydronephrosis
C) Potential complication: acute kidney injury
D) Potential complication: chronic pyelonephritis
Q3) Which of the following is considered a storage symptom of a lower UTI?
A) Dysuria
B) Hesitancy
C) Intermittency
D) Urgency
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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) A patient receiving peritoneal dialysis using 2 L of dialysate per exchange has an outflow of 1200 mL.Which of the following actions should the nurse take first?
A) Infuse 1200 mL of dialysate during the inflow.
B) Assist the patient in changing position.
C) Administer a laxative to the patient.
D) Notify the physician about the outflow problem.
Q2) A patient with CKD brings all home medications to the clinic to be reviewed by the nurse.Which medication being used by the patient indicates that patient teaching is required?
A) Milk of magnesia 30 mL administered orally
B) Oral acetaminophen (Tylenol)650 mg
C) Multivitamin with iron
D) Calcium phosphate (PhosLo)
Q3) Before administration of calcitriol (Rocaltrol)to a patient with CKD,the nurse should check the laboratory value for which of the following?
A) Serum phosphate
B) Total cholesterol
C) Creatinine
D) Potassium
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) During a patient assessment,which of the following is a question the nurse can ask that addresses thyroid function?
A) "Do you have to get up at night to urinate?"
B) "Have you experienced any blurring or double vision?"
C) "Do you experience fatigue even if you have slept a long time?"
D) "Can you describe the amount of stress you have at home and work?"
Q2) Which hormone is an example of positive feedback in the regulation of hormonal secretion?
A) Insulin
B) Oxytocin
C) Thyroid-stimulating hormone (TSH)
D) Thyroid-releasing hormone
Q3) Which of the following is a common characteristic of most hormones?
A) Secretion at unpredictable rates
B) Circulation through the blood
C) Binding to receptors only on the cell membrane
D) Binding only to receptors within the cell
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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 with symptoms of diabetes insipidus is admitted to the hospital for evaluation and treatment of the condition.What is an appropriate nursing diagnosis that the nurse would document for the patient based on an understanding of this condition?
A) Disturbed sleep pattern related to nocturia
B) Risk for impaired skin integrity related to edema
C) Excess fluid volume related to intake greater than output
D) Activity intolerance related to muscle cramps and weakness
Q2) After a patient with a pituitary adenoma has had a hypophysectomy,the nurse will plan to do discharge teaching about the need for which of the following?
A) Insulin use to maintain blood glucose at normal levels
B) Sodium restriction to prevent fluid retention and hypertension
C) Oral corticosteroids to replace endogenous cortisol
D) Chemotherapy to prevent recurrence of the tumour
Q3) Which type of diabetes insipidus results from excessive water intake?
A) Central
B) Neurogenic
C) Nephrogenic
D) Primary
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Chapter 52: Nursing Management: Diabetes Mellitus
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38 Flashcards
Source URL: https://quizplus.com/quiz/78711
Sample Questions
Q1) A 20-year-old university student who has type 1 diabetes normally walks each evening as part of her exercise regimen.She now plans to enroll in a swimming class to meet her physical education requirement.What should the nurse teach the patient that adjustments to her treatment plan should include?
A) Delaying the normal meal before the swimming class until the session is over
B) Adding 10 units of regular insulin to her usual morning dose on the days she plans to swim
C) Timing her morning insulin injection so that the peak action will occur during her swimming class
D) Monitoring her glucose level before,during,and after swimming to determine the need for alterations in food or insulin
Q2) While hospitalized and recovering from an episode of diabetic ketoacidosis,the patient calls the nurse and reports feeling anxious,nervous,and sweaty.Based on the patient's report,what should the nurse do?
A) Obtain a glucose reading using a finger stick.
B) Administer 1 mg glucagon subcutaneously.
C) Have the patient eat a chocolate bar.
D) Have the patient drink 113 g of orange juice.
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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) When the nurse obtains a health history from a patient,the patient reports that she had cryosurgery 1 year ago.What does the nurse anticipate that the patient most likely has a history of?
A) Obstructed fallopian tubes
B) Abnormal menstrual cycles
C) Abnormal cells detected by a Pap smear
D) A protrusion of the urinary bladder through the vaginal wall
Q2) During the nursing assessment of a 62-year-old man,the patient tells the nurse that he does not respond to sexual stimulation the way he did when he was younger.What is the best response to the patient's comment?
A) "Erectile dysfunction is a common problem with older men."
B) "Tell me more about how your response has changed."
C) "Interest in sex frequently decreases as men get older."
D) "Many men need more sexual stimulation with aging."
Q3) Which of the following is an age-related change in male sexual functioning?
A) Increased force of ejaculation
B) Increased rigidity of erection
C) Increased interest in sex
D) Decreased libido
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Page 55
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) At a routine health examination,a woman whose mother had breast cancer asks the nurse about the genetic basis of breast cancer and the genes involved.What should the nurse explain?
A) Her risk of inheriting BRCA gene mutations is small unless her mother had both ovarian and breast cancer.
B) Changes in BRCA genes that normally suppress cancer growth can be passed to offspring,increasing the risk for breast cancer.
C) Because her mother had breast cancer,she has inherited a 50% to 85% chance of developing breast cancer due to mutated genes.
D) BRCA1 and BRCA2 are genes that promote cancer growth,although only a small percentage of women with breast cancer have this genetic abnormality.
Q2) Which surgical procedure for breast cancer has a prolonged postoperative recovery period?
A) Modified radical mastectomy
B) Lumpectomy with radiation
C) Tissue expansion and breast implants
D) Breast reconstruction flap procedures
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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) A patient returns to the clinic for follow-up after treatment for nongonococcal urethritis.Direct fluorescent antibody tests are positive for chlamydia.What should the nurse recognize is the most likely cause of the continued infection?
A) The microorganisms developed resistance to the antibiotic.
B) The patient did not take the full course of antibiotics as directed.
C) The patient did not advise his sexual partners of the need for treatment.
D) The patient failed to wash his hands and perform basic hygiene measures.
Q2) Which virus is responsible for genital warts?
A) Cytomegalovirus
B) HSV
C) Human immunodeficiency virus
D) Human papillomavirus (HPV)
Q3) Which of the following is the recommended therapy for treatment of small external genital warts?
A) Penicillin
B) Podophyllin resin
C) Cryotherapy
D) Aluminum salts
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Chapter 56: Nursing Management: Female Reproductive Problems
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/78707
Sample Questions
Q1) Which of the following is a symptom of estrogen deficiency?
A) Increased rapid-eye-movement sleep
B) Decreased fracture rate in upper femur
C) Increased high-density lipoproteins
D) Incontinence
Q2) A 56-year-old mother of nine children undergoes an anterior and posterior colporrhaphy for repair of a cystocele and a rectocele.When assessing the patient on her return from the postanaesthesia care unit,what would the nurse expect to find?
A) A rectal tube
B) Perineal dressings
C) Gauze vaginal packing
D) An in-dwelling catheter
Q3) Which of the following is a clinical manifestation of perimenopause?
A) Cessation of menses
B) Breast tenderness
C) Osteoporosis
D) Insomnia
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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) A patient undergoing a TURP returns from surgery with a three-way Foley catheter with continuous bladder irrigation in place.Other postoperative orders include morphine 8 mg intravenous every 3 to 4 hours as needed for pain,belladonna and opium suppository every 4 hours as needed,and strict intake and output.The patient is complaining of painful bladder spasms,and the nurse observes blood-tinged urine on his sheets.What is the most appropriate nursing action?
A) Administer the morphine.
B) Warm the irrigation solution to body temperature.
C) Administer the belladonna and opium suppository.
D) Manually instill 50 mL of saline and try to remove clots.
Q2) 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.
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Chapter 58: Nursing Assessment: Nervous System
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78705
Sample Questions
Q1) When reviewing the results of a patient's cerebrospinal fluid analysis obtained from a lumbar puncture,which of the following does the nurse identify as abnormal?
A) pH 7.35
B) White blood cell count 4 cells/microlitre (0.004 cells/L)
C) Protein 0.30 g/L (30 mg/dL)
D) Glucose 1.7 mmol/L (30 mg/dL)
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) What is the path of intervention with cranial nerve VI (abducens nerve)that is connected to the brain via the pons?
A) Motor path
B) Sensory path
C) Sympathetic path
D) Parasympathetic path
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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) The nurse identifies a nursing diagnosis of ineffective breathing pattern related to loss of central nervous system integrative function for a patient who has post-traumatic brain swelling based on which of the following findings?
A) Apneustic breathing
B) Crackles on inspiration
C) Glasgow Coma Scale score less than 8
D) CPP less than 60 mm Hg
Q2) When a patient's ICP is being monitored with an intraventricular catheter,what is a priority nursing intervention?
A) Maintaining strict aseptic technique to prevent infection
B) Maintaining the patient's head in a fixed position
C) Continuous monitoring of the ICP waveform
D) Removing CSF to keep pressure at normal levels
Q3) When assessing a patient with a head injury,which assessment information is of most concern to the nurse?
A) The blood pressure increases from 120/54 to 136/62 mm Hg.
B) The patient is more difficult to arouse.
C) The patient complains of a headache at pain level 5 of a 10-point scale.
D) The patient's apical pulse is slightly irregular.
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Chapter 60: Nursing Management: Stroke
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/78702
Sample Questions
Q1) Which one of the following manifestations would the nurse expect to assess on a patient with right-brain damage from a stroke?
A) Right-sided hemiplegia
B) Slow performance,cautiousness
C) Aware of deficits,depression
D) Impulsive behaviour
Q2) The nurse identifies the nursing diagnosis of imbalanced nutrition: less than body requirements related to inability to feed self for a patient with right-sided hemiplegia.What is an appropriate nursing intervention to help improve the patient's nutrition?
A) Assist the patient to eat with her left hand.
B) Provide a puréed diet that is easy for the patient to swallow.
C) Stroke the patient's throat while feeding her to stimulate swallowing of food.
D) Provide a wide variety of food choices on the meal tray to stimulate her appetite.
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Chapter 61: Nursing Management: Chronic Neurological Problems
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78701
Sample Questions
Q1) A patient with a headache describes it as affecting both sides of his head with a moderate intensity that becomes worse when he is physically active.The nurse knows that the patient's clinical manifestations are characteristic of which of the following disorders?
A) Cluster headaches
B) Migraine headaches
C) Tension-type headaches
D) Headaches associated with trigeminal neuralgia
Q2) A patient with amyotrophic lateral sclerosis (ALS)is hospitalized with pneumonia.Which nursing action will be included in the plan of care?
A) Observing for agitation and paranoia
B) Assisting the patient with active range of motion (ROM)
C) Using simple words and phrases to explain procedures
D) Administering muscle relaxants as needed for muscle spasms
Q3) What is the most important nursing tool in diagnosing a cluster headache?
A) Magnetic resonance imaging (MRI)of the brain
B) Electromyography
C) The patient history
D) Computed tomography (CT)imaging of the brain
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Disease,and Other Dementias
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78700
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) When administering a mental status examination to a patient,the nurse suspects depression when the patient gives which of the following responses?
A) "I don't know."
B) "Is that the right answer?"
C) "Wait,let me think about that."
D) "What are those people doing over there?"
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Chapter 63: Nursing Management: Peripheral Nerve and Spinal Cord Problems
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/78699
Sample Questions
Q1) A patient with a T2 spinal cord injury is beginning intensive rehabilitation.One morning as the nurse prepares to assist her to transfer to the wheelchair,the patient tells the nurse that she does not feel like getting up,that she has a throbbing headache,and that she is slightly nauseated.What is it most important that the nurse do?
A) Notify the physician.
B) Check the patient's blood pressure.
C) Tell her she will feel better if she sits upright in her wheelchair.
D) Do a digital rectal examination for the presence of an impaction.
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
Q3) The nurse is aware that which one of the following is the most common cause of premature death in a patient with tetraplegia?
A) Diabetes
B) Acute renal failure
C) Pneumonia
D) Hypertension
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Chapter 64: Nursing Assessment: Musculoskeletal System
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78698
Sample Questions
Q1) When the doctor tells a patient that the pain in his knee is caused by bursitis,the patient asks the nurse to explain what bursitis is.What is the best response that would explain bursitis to the patient?
A) An inflammation of the fibrocartilage that acts as a shock absorber in the knee
B) An inflammation of any connective tissue that is found supporting the joints of the body
C) An inflammation of the synovial membrane that lines the capsule between two bones of a joint
D) An inflammation of a small,fluid-filled bursa sac of protective connective tissue commonly found at joints
Q2) Based on the nurse's understanding of the physiology of bone and cartilage,what is the injury that the nurse would expect to heal most rapidly?
A) Fractured nose
B) Severely sprained ankle
C) Fracture of the midhumerus
D) Torn cruciate ligament in the knee
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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) Which one of the following workers would be most at risk for an RSI?
A) Butcher
B) Car sales person
C) Long-haul truck driver
D) Nurse
Q2) Following X-ray films of an injured wrist,the patient is informed that it is just badly sprained.In teaching the patient to care for the injury,what should the nurse teach the patient to do?
A) Apply a heating pad to reduce muscle spasms.
B) Wear an elastic compression bandage continuously.
C) Gently exercise the joint to prevent muscle shortening.
D) Keep the arm elevated above the heart,even during sleep.
Q3) A patient with an intracapsular fracture of the left femur is placed in Buck's traction before surgery for a hip replacement.The patient asks why traction is necessary when surgery is planned.The nurse's response to the patient is based on what knowledge about traction?
A) Will help prevent flexion contractures of the affected hip
B) Is necessary to prevent displacement of the fracture
C) Will decrease the incidence of painful muscle spasms
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D) Is used to maintain the leg in the external rotation position
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Chapter 66: Nursing Management: Musculoskeletal
Problems
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78696
Sample Questions
Q1) A 43-year-old truck driver who is responsible for loading and unloading the business machines he transports has a history of chronic back pain.Following teaching regarding care of his back,the nurse determines that the patient understands management of his condition when he makes which of the following responses?
A) "I plan to start doing sit-ups and leg lifts to strengthen the muscles of my back."
B) "I will try to sleep with my hips and knees extended to prevent back strain."
C) "I can tell my boss that I need to change to a job where I can work at a desk."
D) "I will keep my back straight when I need to lift anything higher than my waist."
Q2) A patient is being discharged after 2 weeks of intravenous (IV)antibiotic therapy for acute osteomyelitis in the left leg.Which information will be included in the discharge teaching?
A) The reason for taking oral antibiotics for 7 to 10 days after discharge
B) The need for daily aerobic exercise to help maintain muscle strength
C) How to monitor and care for the long-term IV catheter site
D) How to apply warm packs safely to the leg to reduce pain
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Chapter 67: Nursing Management: Arthritis and Connective
Tissue Diseases
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/78695
Sample Questions
Q1) When reading the history and physical on a patient with fibromyalgia syndrome,the nurse reads that the lateral epicondyle is a tender point for this patient.Based on knowledge about tender points in fibromyalgia,the nurse would avoid which area of the patient's body?
A) Back of the neck
B) Upper shoulders
C) Elbow area
D) Knee area
Q2) Following instruction for a patient with newly diagnosed SLE,the nurse determines that teaching about the disease has been effective when the patient gives which of the following responses?
A) "I should expect to have a fever all the time with this disease."
B) "I need to restrict my exposure to sunlight to prevent an acute onset of symptoms."
C) "I should try to ignore my symptoms as much as possible and have a positive outlook."
D) "If I become pregnant,a therapeutic abortion can prevent an exacerbation of symptoms."
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Chapter 68: Nursing Management: Critical Care Environment
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/78694
Sample Questions
Q1) A patient has an arterial pressure catheter placed in the radial artery for access for frequent arterial sampling for blood gas analysis.When the low-pressure alarm is activated,what should the nurse assess the patient for?
A) Cardiac dysrhythmias
B) Thrombus formation around the catheter
C) Signs of impaired circulation to the hand
D) Signs of inflammation around the insertion site
Q2) A patient is admitted to the emergency department comatose with suspected head and neck injuries after falling from a roof.Which of the following devices does the nurse anticipate will maintain the airway patency in the patient?
A) A tracheostomy tube
B) An oropharyngeal airway
C) A nasal endotracheal (ET)tube
D) An oral ET tube
Q3) Which finding represents a normal SV when monitoring hemodynamic parameters?
A) 25 mL/beat
B) 50 mL/beat
C) 100 mL/beat
D) 200 mL/beat
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Inflammatory Response Syndrome,and Multiple-Organ
Dysfunction Syndrome
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/78693
Sample Questions
Q1) A patient with massive trauma and possible spinal cord injury is admitted to the emergency department.The nurse suspects that the patient may be experiencing neurogenic shock in addition to hypovolemic shock based on which of the following findings?
A) Bradycardia
B) Hypotension
C) Cool,clammy skin
D) A subnormal body temperature
Q2) Norepinephrine has been ordered for the patient in hypovolemic shock.Before administering the medication,the nurse ensures that which of the following has occurred?
A) The patient's HR is less than 100 beats/min.
B) The patient's urinary output is within the normal range.
C) The patient has received adequate fluid replacement.
D) The patient is not receiving additional sympathomimetic drugs.
Q3) Which of the following nursing interventions prevents the development of shock?
A) Routine checking of stools for occult blood
B) Keeping patients warm to prevent chilling or shivering
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C) Identifying situations in which patients are at risk for shock
D) Frequent monitoring of patient status to detect compensatory changes
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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) 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
Q2) To improve V/Q match and facilitate secretion removal in the patient with left lower lobe pneumonia,how should the nurse position the patient?
A) On the left side
B) On the right side
C) In high-Fowler's position
D) Sitting and leaning over the overbed table
Q3) A patient is diagnosed with a large pulmonary embolism.In explaining to the patient what has happened to cause respiratory failure,what does the nurse understand is the mechanism involved?
A) Diffusion limitations because the blood gas membrane is thickened
B) Alveolar hypoventilation because of the obstruction in the small airways
C) Shunting because the blood perfuses large areas of underventilated alveoli
D) Ventilation-perfusion (V/Q)mismatch because of ventilation to areas where blood flow is decreased
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Chapter 71: Nursing Management: Emergency Care Situations
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78690
Sample Questions
Q1) During the primary assessment of a trauma victim,the nurse determines that the patient has a patent airway.What is the next assessment the nurse should make?
A) The patient's level of consciousness
B) Observation for external bleeding
C) The status of the patient's respiration
D) The rate and character of the patient's carotid or femoral pulses
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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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78689
Sample Questions
Q1) A mass casualty incident is an example of which type of disaster?
A) Internal
B) External
C) Peripheral
D) Combined internal and external
Q2) According to the START system,what colour category would a patient be assigned if he or she arrived and was experiencing shock?
A) Red
B) Black
C) Green
D) Yellow
Q3) Anthrax (Bacillus anthracis)can be spread in several forms.Which one is the least lethal?
A) Inhalation
B) Ingestion
C) Cutaneous
D) Injection
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