Pathophysiology for Nurses Final Exam Questions
Course Introduction
Pathophysiology for Nurses is a foundational course that explores the physiological processes underlying common and complex disease states encountered in clinical practice. The course examines alterations in normal anatomy and physiology across the lifespan, emphasizing mechanisms of disease, risk factors, and the bodys adaptive responses. Key topics include inflammation, immune response, infection, hemodynamic disorders, and multi-system failures, providing a framework for understanding the clinical manifestations and progression of various health conditions. By integrating theoretical knowledge with case studies, this course equips nursing students with critical thinking skills necessary for assessing, planning, and implementing effective patient care.
Recommended Textbook
Medical Surgical Nursing Assessment and Management of Clinical Problems 9th Edition by Lewis
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Page 2
Chapter 1: Professional Nursing Practice
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21 Verified Questions
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Sample Questions
Q1) The nurse completes an admission database and explains that the plan of care and discharge goals will be developed with the patient's input.The patient states,"How is this different from what the doctor does?" Which response would be most appropriate for the nurse to make?
A) "The role of the nurse is to administer medications and other treatments prescribed by your doctor."
B) "The nurse's job is to help the doctor by collecting information and communicating any problems that occur."
C) "Nurses perform many of the same procedures as the doctor, but nurses are with the patients for a longer time than the doctor."
D) "In addition to caring for you while you are sick, the nurses will assist you to develop an individualized plan to maintain your health."
Answer: D
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Chapter 2: Health Disparities and Culturally Competent Care
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Sample Questions
Q1) A Hispanic patient complains of abdominal cramping caused by empacho.Which action should the nurse take first?
A) Ask the patient what treatments are likely to help.
B) Massage the patient's abdomen until the pain is gone.
C) Administer prescribed medications to decrease the cramping.
D) Offer to contact a curandero(a) to make a visit to the patient.
Answer: A
Q2) The nurse plans health care for a community with a large number of recent immigrants from Vietnam.Which intervention is the most important for the nurse to implement?
A) Hepatitis testing
B) Tuberculosis screening
C) Contraceptive teaching
D) Colonoscopy information
Answer: B
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4
Chapter 3: Health History and Physical Examination
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Sample Questions
Q1) The nurse is preparing to perform a focused assessment for a patient complaining of shortness of breath.Which equipment will be needed?
A) Flashlight
B) Stethoscope
C) Tongue blades
D) Percussion hammer
Answer: B
Q2) When admitting a patient who has just arrived on the unit with a severe headache,what should the nurse do first?
A) Complete only basic demographic data before addressing the patient's pain.
B) Medicate the patient for the headache before doing the health history and examination.
C) Take the initial vital signs and then address the headache before completing the health history.
D) Inform the patient that the headache will be treated as soon as the health history is completed.
Answer: C
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Chapter 4: Patient and Caregiver Teaching
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Sample Questions
Q1) The nurse prepares written handouts to be used as part of the standardized teaching plan for patients who have been recently diagnosed with diabetes.What statement would be appropriate to include in the handouts?
A) Eating the right foods can help in keeping blood glucose at a near-normal level.
B) Polyphagia, polydipsia, and polyuria are common symptoms of diabetes mellitus.
C) Some diabetics control blood glucose with oral medications, injections, or nutritional interventions.
D) Diabetes mellitus is characterized by chronic hyperglycemia and the associated symptoms than can lead to long-term complications.
Q2) The nurse plans to provide instructions about diabetes to a patient who has a low literacy level.Which teaching strategies should the nurse use ?
A) Discourage use of the Internet as a source of health information.
B) Avoid asking the patient about reading abilities and level of education.
C) Provide illustrations and photographs showing various types of insulin.
D) Schedule one-to-one teaching sessions to practice insulin administration.
E) Obtain CDs and DVDs that illustrate how to perform blood glucose testing.
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6
Chapter 5: Chronic Illness and Older Adults
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Sample Questions
Q1) The nurse admits an acutely ill,older patient to the hospital.Which action should the nurse take first?
A) Speak slowly and loudly while facing the patient.
B) Obtain a detailed medical history from the patient.
C) Perform the physical assessment before interviewing the patient.
D) Ask a family member to go home and retrieve the patient's cane.
Q2) Which nursing actions will the nurse take to assess for possible malnutrition in an older adult patient ?
A) Observe for depression.
B) Review laboratory results.
C) Assess teeth and oral mucosa.
D) Ask about transportation needs.
E) Determine food likes and dislikes.
Q3) An older patient is hospitalized with pneumonia.Which intervention should the nurse implement to provide optimal care for this patient?
A) Use a standardized geriatric nursing care plan.
B) Minimize activity level during hospitalization.
C) Plan for transfer to a long-term care facility upon discharge.
D) Consider the preadmission functional abilities when setting patient goals.
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Page 7
Chapter 6: Complementary and Alternative Therapies
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Sample Questions
Q1) Which nursing actions can the registered nurse (RN)delegate to a licensed practical/vocational nurse (LPN/LVN)? ?
A) Ask a newly admitted patient about home use of herbal medications.
B) Administer prescribed naproxen (Naprosyn) to a patient with osteoarthritis.
C) Provide a gentle back rub to a patient who is having difficulty falling asleep.
D) Teach a patient with heart disease about the benefits of fish oil supplements.
E) Evaluate whether home use of aloe has affected a patient's electrolyte levels.
Q2) The nurse assesses a patient with fibromyalgia and osteoarthritis.Which finding would indicate a need for patient teaching?
A) The patient takes glucosamine daily for knee and hip pain.
B) The patient attends a weekly yoga class to improve flexibility and balance.
C) The patient states that prayer helps improve the pain and her ability to function.
D) The patient obtains information about herbs from a salesperson at a health food store.
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8
Chapter 7: Stress and Stress Management
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Sample Questions
Q1) A hospitalized patient with diabetes tells the nurse,"I don't understand why I can keep my blood sugar under control at home with diet alone,but when I get sick,my blood sugar goes up.This is so frustrating." Which response by the nurse is most appropriate?
A) "It is probably just coincidental that your blood glucose is higher when you are ill."
B) "Stressors such as illness cause the release of hormones that increase blood glucose."
C) "Increased blood glucose occurs because the liver is not able to metabolize glucose as well during stressful times."
D) "Your diet is different here in the hospital than at home and that is the most likely cause of the increased glucose level."
Q2) A patient is extremely anxious about having a biopsy on a femoral lymph node in the groin area.Which relaxation technique would be best for the nurse to use at this time?
A) Meditation
B) Yoga stretching
C) Guided imagery
D) Relaxation breathing
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Chapter 8: Sleep and Sleep Disorders
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Sample Questions
Q1) Which information obtained by the nurse about an older adult who complains of occasional insomnia indicates a need for patient teaching ?
A) Drinks a cup of coffee every morning with breakfast
B) Has a snack every evening 1 hour before going to bed
C) Likes to read or watch television in bed on most evenings
D) Usually takes a warm bath just before bedtime every night
E) Occasionally uses diphenhydramine (Benadryl) as a sleep aid
Q2) Which patient statement indicates a need for further teaching about extended-release zolpidem (Ambien CR)?
A) "I will take the medication an hour before bedtime."
B) "I should take the medication on an empty stomach."
C) "I should not take this medication unless I can sleep for at least 6 hours."
D) "I will schedule activities that require mental alertness for later in the day."
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Chapter 9: Pain
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Sample Questions
Q1) The nurse reviews the medication administration record in order to choose the most appropriate pain medication for a patient with cancer who describes the pain as "deep,aching and at a level 8 on a 0 to 10 scale".Which medication should the nurse administer?
A) Fentanyl (Duragesic) patch
B) Ketorolac (Toradol) tablets
C) Hydromorphone (Dilaudid) IV
D) Acetaminophen (Tylenol) suppository
Q2) The nurse is caring for a patient who has diabetes and complains of chronic burning leg pain even when taking oxycodone (OxyContin)twice daily.When reviewing the orders,which prescribed medication is the best choice for the nurse to administer as an adjuvant to decrease the patient's pain?
A) Aspirin (Ecotrin)
B) Celecoxib (Celebrex)
C) Amitriptyline (Elavil)
D) Acetaminophen (Tylenol)
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Chapter 10: Palliative Care at End of Life
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Sample Questions
Q1) The spouse of a patient with terminal cancer visits daily and cheerfully talks with the patient about wedding anniversary plans for the next year.When the nurse asks about any concerns,the spouse says,"I'm busy at work,but otherwise things are fine." Which nursing diagnosis is most appropriate?
A) Ineffective coping related to lack of grieving
B) Anxiety related to complicated grieving process
C) Caregiver role strain related to feeling overwhelmed
D) Hopelessness related to knowledge deficit about cancer
Q2) Which nursing actions for the care of a dying patient can the nurse delegate to a licensed practical/vocational nurse (LPN/LVN)?
A) Provide postmortem care to the patient.
B) Encourage the family members to talk with and reassure the patient.
C) Determine how frequently physical assessments are needed for the patient.
D) Teach family members about commonly occurring signs of approaching death.
E) Administer the prescribed morphine sulfate sublingual as necessary for pain control.
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12
Chapter 11: Substance Abuse
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Sample Questions
Q1) A patient who has inhaled cocaine is admitted to the emergency department with palpitations and shortness of breath.What should the nurse do first?
A) Obtain a 12-lead echocardiogram (ECG).
B) Start oxygen at 4 L/minute.
C) Draw blood for drug screening.
D) Infuse normal saline at 100 mL/hr.
Q2) A patient with alcohol dependence is admitted to the hospital with back pain following a fall.Twenty-four hours after admission,the patient becomes tremulous and anxious.Which action by the nurse is most appropriate?
A) Insert an IV line and infuse fluids.
B) Promote oral intake to 3000 mL/day.
C) Provide a quiet, well-lit environment.
D) Administer opioids to provide sedation.
Q3) Which assessment finding would alert the nurse to ask the patient about alcohol use?
A) Low blood pressure
B) Decreased heart rate
C) Elevated temperature
D) Abdominal tenderness
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Page 13
Chapter 12: Inflammation and Wound Healing
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Sample Questions
Q1) A patient from a long-term care facility is admitted to the hospital with a sacral pressure ulcer.The base of the wound is yellow and involves subcutaneous tissue.How should the nurse classify this pressure ulcer?
A) Stage I
B) Stage II
C) Stage III
D) Stage IV
Q2) A patient has an open surgical wound on the abdomen that contains deep pink granulation tissue.How would the nurse document this wound?
A) Red wound
B) Yellow wound
C) Full-thickness wound
D) Stage III pressure ulcer
Q3) The nurse should plan to use a wet-to-dry dressing for which patient?
A) A patient who has a pressure ulcer with pink granulation tissue
B) A patient who has a surgical incision with pink, approximated edges
C) A patient who has a full-thickness burn filled with dry, black material
D) A patient who has a wound with purulent drainage and dry brown areas
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Chapter 13: Genetics and Genomics
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Sample Questions
Q1) A patient tells the nurse,"I would like to use a home genetic test to see if I will develop breast cancer." Which response by the nurse is best?
A) "Home genetic testing is very expensive."
B) "Are you concerned about developing breast cancer?"
C) "Won't you be depressed if the testing shows a positive result?"
D) "Genetic testing can only determine if you are at higher risk for breast cancer."
Q2) A male patient with hemophilia asks the nurse if his children will be hemophiliacs.Which response by the nurse is appropriate?
A) "All of your children will be at risk for hemophilia."
B) "Hemophilia is a multifactorial inherited condition."
C) "Only your male children are at risk for hemophilia."
D) "Your female children will be carriers for hemophilia."
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15
Chapter 14: Altered Immune Responses, and Transplantation
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Sample Questions
Q1) Which statement by a patient would alert the nurse to a possible immunodeficiency disorder?
A) "I take one baby aspirin every day to prevent stroke."
B) "I usually eat eggs or meat for at least 2 meals a day."
C) "I had my spleen removed many years ago after a car accident."
D) "I had a chest x-ray 6 months ago when I had walking pneumonia."
Q2) The health care provider asks the nurse whether a patient's angioedema has responded to prescribed therapies.Which assessment should the nurse perform?
A) Ask the patient about any clear nasal discharge.
B) Obtain the patient's blood pressure and heart rate.
C) Check for swelling of the patient's lips and tongue.
D) Assess the patient's extremities for wheal and flare lesions.
Q3) Which teaching should the nurse provide about intradermal skin testing to a patient with possible allergies?
A) "Do not eat anything for about 6 hours before the testing."
B) "Take an oral antihistamine about an hour before the testing."
C) "Plan to wait in the clinic for 20 to 30 minutes after the testing."
D) "Reaction to the testing will take about 48 to 72 hours to occur."
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Chapter 15: Infection and Human Immunodeficiency Virus
Infection
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Sample Questions
Q1) Eight years after seroconversion,a human immunodeficiency virus (HIV)-infected patient has a CD4 cell count of 800/µL and an undetectable viral load.What is the priority nursing intervention at this time?
A) Teach about the effects of antiretroviral agents.
B) Encourage adequate nutrition, exercise, and sleep.
C) Discuss likelihood of increased opportunistic infections.
D) Monitor for symptoms of acquired immunodeficiency syndrome (AIDS).
Q2) A patient who uses injectable illegal drugs asks the nurse about preventing acquired immunodeficiency syndrome (AIDS).Which response by the nurse is best?
A) "Avoid sexual intercourse when using injectable drugs."
B) "It is important to participate in a needle-exchange program."
C) "You should ask those who share equipment to be tested for HIV."
D) "I recommend cleaning drug injection equipment before each use."
Q3) To evaluate the effectiveness of antiretroviral therapy (ART),which laboratory test result will the nurse review?
A) Viral load testing
B) Enzyme immunoassay
C) Rapid HIV antibody testing
D) Immunofluorescence assay
Page 17
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Chapter 16: Cancer
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Sample Questions
Q1) When caring for a patient who is pancytopenic,which action by unlicensed assistive personnel (UAP)indicates a need for the nurse to intervene?
A) The UAP assists the patient to use dental floss after eating.
B) The UAP adds baking soda to the patient's saline oral rinses.
C) The UAP puts fluoride toothpaste on the patient's toothbrush.
D) The UAP has the patient rinse after meals with a saline solution.
Q2) The nurse is caring for a patient who has been diagnosed with stage I cancer of the colon.When assessing the need for psychologic support,which question by the nurse will provide the most information?
A) "How long ago were you diagnosed with this cancer?"
B) "Do you have any concerns about body image changes?"
C) "Can you tell me what has been helpful to you in the past when coping with stressful events?"
D) "Are you familiar with the stages of emotional adjustment to a diagnosis like cancer of the colon?"
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18
Chapter 17: Fluid, Electrolyte, and Acid-Base Imbalances
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Sample Questions
Q1) The home health nurse cares for an alert and oriented older adult patient with a history of dehydration.Which instructions should the nurse give to this patient related to fluid intake?
A) "Increase fluids if your mouth feels dry.
B) "More fluids are needed if you feel thirsty."
C) "Drink more fluids in the late evening hours."
D) "If you feel lethargic or confused, you need more to drink."
Q2) A patient is admitted for hypovolemia associated with multiple draining wounds.Which assessment would be the most accurate way for the nurse to evaluate fluid balance?
A) Skin turgor
B) Daily weight
C) Presence of edema
D) Hourly urine output
Q3) The nurse is caring for a patient who has a central venous access device (CVAD).Which action by the nurse is appropriate?
A) Avoid using friction when cleaning around the CVAD insertion site.
B) Use the push-pause method to flush the CVAD after giving medications.
C) Obtain an order from the health care provider to change CVAD dressing.
D) Position the patient's face toward the CVAD during injection cap changes.
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Chapter 18: Nursing Management: Preoperative Care
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Sample Questions
Q1) The nurse obtains a health history from a patient who is scheduled for elective hip surgery in 1 week.The patient reports use of garlic and ginkgo biloba.Which action by the nurse is most appropriate?
A) Ascertain that there will be no interactions with anesthetic agents.
B) Teach the patient that these products may be continued preoperatively.
C) Advise the patient to stop the use of all herbs and supplements at this time.
D) Discuss the herb and supplement use with the patient's health care provider.
Q2) A patient has received atropine before surgery and complains of dry mouth.Which action by the nurse is best?
A) Check for skin tenting.
B) Notify the health care provider.
C) Ask the patient about any dizziness.
D) Tell the patient dry mouth is an expected side effect.
Q3) Which statement by a patient scheduled for surgery is most important to report to the health care provider?
A) "I had a heart valve replacement last year."
B) "I had bacterial pneumonia 3 months ago."
C) "I have knee pain whenever I walk or jog."
D) "I have a strong family history of breast cancer."
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Page 20
Chapter 19: Nursing Management: Intraoperative Care
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Sample Questions
Q1) Monitored anesthesia care (MAC)is going to be used for a closed,manual reduction of a dislocated shoulder.What action does the nurse anticipate?
A) Securing an airtight fit for the inhalation mask
B) Starting a 20-gauge IV in the patient's unaffected arm
C) Obtaining a nonocclusive dressing to place over the administration site
D) Teaching the patient about epidural patient-controlled anesthesia (PCA) use
Q2) A patient in surgery receives a neuromuscular blocking agent as an adjunct to general anesthesia.While in the postanesthesia care unit (PACU),what assessment finding is most important for the nurse to report?
A) Laryngospasm
B) Complaint of nausea
C) Weak chest wall movement
D) Patient unable to recall the correct date
Q3) Which action will the nurse take immediately after surgery for a patient who received ketamine (Ketalar)as an anesthetic agent?
A) Administer higher doses of analgesic agents.
B) Ensure that atropine is available in case of bradycardia.
C) Question the order for benzodiazepines to be administered.
D) Provide a quiet environment in the postanesthesia care unit.
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Page 21
Chapter 20: Nursing Management: Postoperative Care
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Sample Questions
Q1) The nurse assesses a patient on the second postoperative day after abdominal surgery to repair a perforated duodenal ulcer.Which finding is most important for the nurse to report to the surgeon?
A) Tympanic temperature 99.2° F (37.3° C)
B) Fine crackles audible at both lung bases
C) Redness and swelling along the suture line
D) 200 mL sanguineous fluid in the wound drain
Q2) An older patient who had knee replacement surgery 2 days ago can only tolerate being out of bed with physical therapy twice a day.Which collaborative problem should the nurse identify as a priority for this patient?
A) Potential complication: hypovolemic shock
B) Potential complication: venous thromboembolism
C) Potential complication: fluid and electrolyte imbalance
D) Potential complication: impaired surgical wound healing
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Chapter 21: Nursing Assessment: Visual and Auditory Systems
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Sample Questions
Q1) Which equipment will the nurse obtain to perform a Rinne test?
A) Otoscope
B) Tuning fork
C) Audiometer
D) Ticking watch
Q2) The nurse is assessing a 65-year-old patient for presbyopia.Which instruction will the nurse give the patient before the test?
A) "Hold this card and read the print out loud."
B) "Cover one eye at a time while reading the wall chart."
C) "You'll feel a short burst of air directed at your eyeball."
D) "A light will be used to look for a change in your pupils."
Q3) The nurse is observing a student who is preparing to perform an ear examination for a 30-year-old patient.The nurse will need to intervene if the student
A) pulls the auricle of the ear up and posterior.
B) chooses a speculum larger than the ear canal.
C) stabilizes the hand holding the otoscope on the patient's head.
D) stops inserting the otoscope after observing impacted cerumen.
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Page 23
Chapter 22: Nursing Management: Visual and Auditory
Problems
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Sample Questions
Q1) Which statement by a patient with bacterial conjunctivitis indicates a need for further teaching?
A) "I will wash my hands often during the day."
B) "I will remove my contact lenses at bedtime."
C) "I will not share towels with my friends or family."
D) "I will monitor my family for eye redness or drainage."
Q2) The nurse at the eye clinic made a follow-up telephone call to a patient who underwent cataract extraction and intraocular lens implantation the previous day.Which information is the priority to communicate to the health care provider?
A) The patient has questions about the ordered eye drops.
B) The patient has eye pain rated at a 5 (on a 0 to 10 scale).
C) The patient has poor depth perception when wearing an eye patch.
D) The patient complains that the vision has not improved very much.
Q3) A nurse should instruct a patient with recurrent staphylococcal and seborrheic blepharitis to
A) irrigate the eyes with saline solution.
B) apply cool compresses to the eyes three times daily.
C) use a gentle baby shampoo to clean the lids as needed.
D) schedule an appointment for surgical removal of the lesion.
Page 24
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Chapter 23: Nursing Assessment: Integumentary System
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Sample Questions
Q1) Which activities can the nurse working in the outpatient clinic delegate to a licensed practical/vocational nurse (LPN/LVN)?
A) Administer patch testing to a patient with allergic dermatitis.
B) Interview a new patient about chronic health problems and allergies.
C) Apply a sterile dressing after the health care provider excises a mole.
D) Teach a patient about site care after a punch biopsy of an upper arm lesion.
E) Explain potassium hydroxide testing to a patient with a superficial skin infection.
Q2) The nurse assesses a circular,flat,reddened lesion about 5 cm in diameter on a middle-aged patient's ankle.How should the nurse determine if the lesion is related to intradermal bleeding?
A) Elevate the patient's leg.
B) Press firmly on the lesion.
C) Check the temperature of the skin around the lesion.
D) Palpate the dorsalis pedis and posterior tibial pulses.
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Chapter 24: Nursing Management: Integumentary
Problems
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Sample Questions
Q1) A patient in the dermatology clinic has a thin,scaly erythematous plaque on the right cheek.Which action should the nurse take?
A) Prepare the patient for a biopsy.
B) Teach about the use of corticosteroid creams.
C) Explain how to apply tretinoin (Retin-A) to the face.
D) Discuss the need for topical application of antibiotics.
Q2) Which information should the nurse include when teaching patients about decreasing the risk for sun damage to the skin?
A) Use a sunscreen with an SPF of at least 8 to 10 for adequate protection.
B) Water resistant sunscreens will provide good protection when swimming.
C) Increase sun exposure by no more than 10 minutes a day to avoid skin damage.
D) Try to stay out of the sun between the hours of 10 AM and 2 PM (regular time).
Q3) A patient has the following risk factors for melanoma.Which risk factor should the nurse assign as the priority focus of patient teaching?
A) The patient has multiple dysplastic nevi.
B) The patient is fair-skinned and has blue eyes.
C) The patient's mother died of a malignant melanoma.
D) The patient uses a tanning booth throughout the winter.
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Chapter 25: Nursing Management: Burns
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Sample Questions
Q1) An 80-kg patient with burns over 30% of total body surface area (TBSA)is admitted to the burn unit.Using the Parkland formula of 4 mL/kg/%TBSA,what is the IV infusion rate (mL/hour)for lactated Ringer's solution that the nurse will administer during the first 8 hours?
Q2) Eight hours after a thermal burn covering 50% of a patient's total body surface area (TBSA)the nurse assesses the patient.Which information would be a priority to communicate to the health care provider?
A) Blood pressure is 95/48 per arterial line.
B) Serous exudate is leaking from the burns.
C) Cardiac monitor shows a pulse rate of 108.
D) Urine output is 20 mL per hour for the past 2 hours.
Q3) During the emergent phase of burn care,which assessment will be most useful in determining whether the patient is receiving adequate fluid infusion?
A) Check skin turgor.
B) Monitor daily weight.
C) Assess mucous membranes.
D) Measure hourly urine output.
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Page 27
Chapter 26: Nursing Assessment: Respiratory System
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Sample Questions
Q1) The laboratory has just called with the arterial blood gas (ABG)results on four patients.Which result is most important for the nurse to report immediately to the health care provider?
A) pH 7.34, PaO<sub>2</sub> 82 mm Hg, PaCO<sub>2</sub> 40 mm Hg, and O<sub>2</sub> sat 97%
B) pH 7.35, PaO<sub>2</sub> 85 mm Hg, PaCO<sub>2</sub> 45 mm Hg, and O<sub>2</sub> sat 95%
C) pH 7.46, PaO<sub>2</sub> 90 mm Hg, PaCO<sub>2</sub> 32 mm Hg, and O<sub>2</sub> sat 98%
D) pH 7.31, PaO<sub>2</sub> 91 mm Hg, PaCO<sub>2</sub> 50 mm Hg, and O<sub>2</sub> sat 96%
Q2) The nurse analyzes the results of a patient's arterial blood gases (ABGs).Which finding would require immediate action?
A) The bicarbonate level (HCO<sub>3</sub>-) is 31 mEq/L.
B) The arterial oxygen saturation (SaO<sub>2</sub>) is 92%.
C) The partial pressure of CO<sub>2</sub> in arterial blood (PaCO<sub>2</sub>) is 31 mm Hg.
D) The partial pressure of oxygen in arterial blood (PaO<sub>2</sub>) is 59 mm Hg.
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Chapter 27: Nursing Management: Upper Respiratory
Problems
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/19683
Sample Questions
Q1) The nurse completes discharge instructions for a patient with a total laryngectomy.Which statement by the patient indicates that additional instruction is needed?
A) "I must keep the stoma covered with an occlusive dressing at all times."
B) "I can participate in most of my prior fitness activities except swimming."
C) "I should wear a Medic-Alert bracelet that identifies me as a neck breather."
D) "I need to be sure that I have smoke and carbon monoxide detectors installed."
Q2) The clinic nurse is teaching a patient with acute sinusitis.Which interventions should the nurse plan to include in the teaching session ?
A) Decongestants can be used to relieve swelling.
B) Blowing the nose should be avoided to decrease the nosebleed risk.
C) Taking a hot shower will increase sinus drainage and decrease pain.
D) Saline nasal spray can be made at home and used to wash out secretions.
E) You will be more comfortable if you keep your head in an upright position.
Q3) Which action should the nurse take first when a patient develops a nosebleed?
A) Pinch the lower portion of the nose for 10 minutes.
B) Pack the affected nare tightly with an epistaxis balloon.
C) Obtain silver nitrate that will be needed for cauterization.
D) Apply ice compresses over the patient's nose and cheeks.
Page 29
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Chapter 28: Nursing Management: Lower Respiratory Problems
Available Study Resources on Quizplus for this Chatper
51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/19684
Sample Questions
Q1) A patient is diagnosed with both human immunodeficiency virus (HIV)and active tuberculosis (TB)disease.Which information obtained by the nurse is most important to communicate to the health care provider?
A) The Mantoux test had an induration of 7 mm.
B) The chest-x-ray showed infiltrates in the lower lobes.
C) The patient is being treated with antiretrovirals for HIV infection.
D) The patient has a cough that is productive of blood-tinged mucus.
Q2) Which action by the nurse will be most effective in decreasing the spread of pertussis in a community setting?
A) Providing supportive care to patients diagnosed with pertussis
B) Teaching family members about the need for careful hand washing
C) Teaching patients about the need for adult pertussis immunizations
D) Encouraging patients to complete the prescribed course of antibiotics
Q3) The nurse develops a plan of care to prevent aspiration in a high-risk patient.Which nursing action will be most effective?
A) Turn and reposition immobile patients at least every 2 hours.
B) Place patients with altered consciousness in side-lying positions.
C) Monitor for respiratory symptoms in patients who are immunosuppressed.
D) Insert nasogastric tube for feedings for patients with swallowing problems.
Page 30
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Chapter 29: Nursing Management: Obstructive Pulmonary Diseases
Available Study Resources on Quizplus for this Chatper
44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/19685
Sample Questions
Q1) A patient is scheduled for pulmonary function testing.Which action should the nurse take to prepare the patient for this procedure?
A) Give the rescue medication immediately before testing.
B) Administer oral corticosteroids 2 hours before the procedure.
C) Withhold bronchodilators for 6 to 12 hours before the examination.
D) Ensure that the patient has been NPO for several hours before the test.
Q2) A patient is receiving 35% oxygen via a Venturi mask.To ensure the correct amount of oxygen delivery,which action by the nurse is most important?
A) Teach the patient to keep mask on at all times.
B) Keep the air entrainment ports clean and unobstructed.
C) Give a high enough flow rate to keep the bag from collapsing.
D) Drain moisture condensation from the oxygen tubing every hour.
Q3) The nurse teaches a patient how to administer formoterol (Perforomist)through a nebulizer.Which action by the patient indicates good understanding of the teaching?
A) The patient attaches a spacer before using the inhaler.
B) The patient coughs vigorously after using the inhaler.
C) The patient activates the inhaler at the onset of expiration.
D) The patient removes the facial mask when misting has ceased.
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Chapter 30: Nursing Assessment: Hematologic System
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/19686
Sample Questions
Q1) The nurse assesses a patient with pernicious anemia.Which assessment finding would the nurse expect?
A) Yellow-tinged sclerae
B) Shiny, smooth tongue
C) Numbness of the extremities
D) Gum bleeding and tenderness
Q2) The health care provider's progress note for a patient states that the complete blood count (CBC)shows a "shift to the left." Which assessment finding will the nurse expect?
A) Cool extremities
B) Pallor and weakness
C) Elevated temperature
D) Low oxygen saturation
Q3) A patient with pancytopenia of unknown origin is scheduled for the following diagnostic tests.The nurse will provide a consent form to sign for which test?
A) ABO blood typing
B) Bone marrow biopsy
C) Abdominal ultrasound
D) Complete blood count (CBC)
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Chapter 31: Nursing Management: Hematologic Problems
Available Study Resources on Quizplus for this Chatper
48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/19687
Sample Questions
Q1) A postoperative patient receiving a transfusion of packed red blood cells develops chills,fever,headache,and anxiety 35 minutes after the transfusion is started.After stopping the transfusion,what action should the nurse take?
A) Draw blood for a new crossmatch.
B) Send a urine specimen to the laboratory.
C) Administer PRN acetaminophen (Tylenol).
D) Give the PRN diphenhydramine (Benadryl).
Q2) A 54-year-old woman with acute myelogenous leukemia (AML)is considering treatment with a hematopoietic stem cell transplant (HSCT).The best approach for the nurse to assist the patient with a treatment decision is to
A) emphasize the positive outcomes of a bone marrow transplant.
B) discuss the need for adequate insurance to cover post-HSCT care.
C) ask the patient whether there are any questions or concerns about HSCT.
D) explain that a cure is not possible with any other treatment except HSCT.
Q3) A patient is to receive an infusion of 250 mL of platelets over 2 hours through tubing that is labeled: 1 mL equals 10 drops.How many drops per minute will the nurse infuse?
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33
Chapter 32: Nursing Assessment: Cardiovascular System
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/19688
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.How will the nurse record this information?
A) Systolic murmur heard at mitral area
B) Systolic murmur heard at Erb's point
C) Diastolic murmur heard at aortic area
D) Diastolic murmur heard at the point of maximal impulse
Q2) While assessing a patient who was admitted with heart failure,the nurse notes that the patient has jugular venous distention (JVD)when lying flat in bed.Which action should the nurse take next?
A) Document this finding in the patient's record.
B) Obtain vital signs, including oxygen saturation.
C) Have the patient perform the Valsalva maneuver.
D) Observe for JVD with the patient upright at 45 degrees.
Q3) Which action will the nurse implement for a patient who arrives for a calcium-scoring CT scan?
A) Insert an IV catheter.
B) Administer oral sedative medications.
C) Teach the patient about the procedure.
D) Confirm that the patient has been fasting.
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Page 34
Chapter 33: Nursing Management: Hypertension
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/19689
Sample Questions
Q1) The registered nurse (RN)is caring for a patient with a hypertensive crisis who is receiving sodium nitroprusside (Nipride).Which nursing action can the nurse delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?
A) Titrate nitroprusside to decrease mean arterial pressure (MAP) to 115 mm Hg.
B) Evaluate effectiveness of nitroprusside therapy on blood pressure (BP).
C) Set up the automatic blood pressure machine to take BP every 15 minutes.
D) Assess the patient's environment for adverse stimuli that might increase BP.
Q2) Which information should the nurse include when teaching a patient with newly diagnosed hypertension?
A) Increasing physical activity will control blood pressure (BP) for most patients.
B) Most patients are able to control BP through dietary changes.
C) Annual BP checks are needed to monitor treatment effectiveness.
D) Hypertension is usually asymptomatic until target organ damage occurs.
Q3) The nurse obtains a blood pressure of 176/83 mm Hg for a patient.What is the patient's mean arterial pressure (MAP)?
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35
Chapter 34: Nursing Management: Coronary Artery Disease
and Acute Coronary Syndrome
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/19690
Sample Questions
Q1) A patient who has had chest pain for several hours is admitted with a diagnosis of rule out acute myocardial infarction (AMI).Which laboratory test should the nurse monitor to help determine whether the patient has had an AMI?
A) Myoglobin
B) Homocysteine
C) C-reactive protein
D) Cardiac-specific troponin
Q2) A patient who is being admitted to the emergency department with intermittent chest pain gives the following list of medications to the nurse.Which medication has the most immediate implications for the patient's care?
A) Sildenafil (Viagra)
B) Furosemide (Lasix)
C) Captopril (Capoten)
D) Warfarin (Coumadin)
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Chapter 35: Nursing Management: Heart Failure
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/19691
Sample Questions
Q1) When teaching the patient with newly diagnosed heart failure about a 2000-mg sodium diet,the nurse explains that foods to be restricted include
A) canned and frozen fruits.
B) fresh or frozen vegetables.
C) eggs and other high-protein foods.
D) milk, yogurt, and other milk products.
Q2) A patient with heart failure has a new order for captopril (Capoten)12.5 mg PO.After administering the first dose and teaching the patient about the drug,which statement by the patient indicates that teaching has been effective?
A) "I will be sure to take the medication with food."
B) "I will need to eat more potassium-rich foods in my diet."
C) "I will call for help when I need to get up to use the bathroom."
D) "I will expect to feel more short of breath for the next few days."
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Chapter 36: Nursing Management: Dysrhythmias
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/19692
Sample Questions
Q1) A patient who is on the progressive care unit develops atrial flutter,rate 150,with associated dyspnea and chest pain.Which action that is included in the hospital dysrhythmia protocol should the nurse do first?
A) Obtain a 12-lead electrocardiogram (ECG).
B) Notify the health care provider of the change in rhythm.
C) Give supplemental O<sub>2</sub> at 2 to 3 L/min via nasal cannula.
D) Assess the patient's vital signs including oxygen saturation.
Q2) When analyzing the rhythm of a patient's electrocardiogram (ECG),the nurse will need to investigate further upon finding a(n)
A) isoelectric ST segment.
B) P-R interval of 0.18 second.
C) Q-T interval of 0.38 second.
D) QRS interval of 0.14 second.
Q3) A patient has a junctional escape rhythm on the monitor.The nurse will expect the patient to have a heart rate of _____ beats/minute.
A) 15 to 20
B) 20 to 40
C) 40 to 60
D) 60 to 100
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Page 38
Chapter 37: Nursing Management: Inflammatory and Structural
Heart Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/19693
Sample Questions
Q1) Which assessment finding obtained by the nurse when assessing a patient with acute pericarditis should be reported immediately to the health care provider?
A) Pulsus paradoxus 8 mm Hg
B) Blood pressure (BP) of 168/94
C) Jugular venous distention (JVD) to jaw level
D) Level 6 (0 to 10 scale) chest pain with a deep breath
Q2) Which statement by a patient with restrictive cardiomyopathy indicates that the nurse's discharge teaching about self-management has been most effective?
A) "I will avoid taking aspirin or other antiinflammatory drugs."
B) "I will need to limit my intake of salt and fluids even in hot weather."
C) "I will take antibiotics when my teeth are cleaned at the dental office."
D) "I should begin an exercise program that includes things like biking or swimming."
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Chapter 38: Nursing Management: Vascular Disorders
Available Study Resources on Quizplus for this Chatper
36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/19694
Sample Questions
Q1) Which nursing action should be included in the plan of care after endovascular repair of an abdominal aortic aneurysm?
A) Record hourly chest tube drainage.
B) Monitor fluid intake and urine output.
C) Check the abdominal incision for any redness.
D) Teach the reason for a prolonged recovery period.
Q2) After receiving report,which patient admitted to the emergency department should the nurse assess first?
A) 67-year-old who has a gangrenous left foot ulcer with a weak pedal pulse
B) 58-year-old who is taking anticoagulants for atrial fibrillation and has black stools
C) 50-year-old who is complaining of sudden "sharp" and "worst ever" upper back pain
D) 39-year-old who has right calf tenderness, redness, and swelling after a long plane ride
Q3) When assessing a patient with possible peripheral artery disease (PAD),the nurse obtains a brachial BP of 147/82 and an ankle pressure of 112/74.The nurse calculates the patient's ankle-brachial index (ABI)as ________ (round up to the nearest hundredth).
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Chapter 39: Nursing Assessment: Gastrointestinal System
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/19695
Sample Questions
Q1) Which statement to the nurse from a patient with jaundice indicates a need for teaching?
A) "I used cough syrup several times a day last week."
B) "I take a baby aspirin every day to prevent strokes."
C) "I use acetaminophen (Tylenol) every 4 hours for back pain."
D) "I need to take an antacid for indigestion several times a week"
Q2) After assisting with a needle biopsy of the liver at a patient's bedside,the nurse should
A) put pressure on the biopsy site using a sandbag.
B) elevate the head of the bed to facilitate breathing.
C) place the patient on the right side with the bed flat.
D) check the patient's postbiopsy coagulation studies.
Q3) The nurse is assessing an alert and independent 78-year-old woman for malnutrition risk.The most appropriate initial question is which of the following?
A) "How do you get to the store to buy your food?"
B) "Can you tell me the food that you ate yesterday?"
C) "Do you have any difficulty in preparing or eating food?"
D) "Are you taking any medications that alter your taste for food?"
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Chapter 40: Nursing Management: Nutritional Problems
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/19696
Sample Questions
Q1) A severely malnourished patient reports that he is Jewish.The nurse's initial action to meet his nutritional needs will be to
A) have family members bring in food.
B) ask the patient about food preferences.
C) teach the patient about nutritious Kosher foods.
D) order nutrition supplements that are manufactured Kosher.
Q2) When caring for a 63-year-old woman with a soft,silicone nasogastric tube in place for enteral feedings,the nurse will
A) avoid giving medications through the feeding tube.
B) flush the tubing after checking for residual volumes.
C) administer continuous feedings using an infusion pump.
D) replace the tube every 3 days to avoid mucosal damage.
Q3) A patient is receiving continuous enteral nutrition through a small-bore silicone feeding tube.What should the nurse plan for when this patient has a computed tomography (CT)scan ordered?
A) Shut the feeding off 30 to 60 minutes before the scan.
B) Ask the health care provider to reschedule the CT scan.
C) Connect the feeding tube to continuous suction during the scan.
D) Send the patient to CT scan with oral suction in case of aspiration.
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Page 42
Chapter 41: Nursing Management: Obesity
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/19697
Sample Questions
Q1) After successfully losing 1 lb weekly for several months,a patient at the clinic has not lost any weight for the last month.The nurse should first
A) review the diet and exercise guidelines with the patient.
B) instruct the patient to weigh and record weights weekly.
C) ask the patient whether there have been any changes in exercise or diet patterns.
D) discuss the possibility that the patient has reached a temporary weight loss plateau.
Q2) To evaluate an obese patient for adverse effects of lorcaserin (Belviq),which action will the nurse take?
A) Take the apical pulse rate.
B) Check sclera for jaundice.
C) Ask about bowel movements.
D) Assess for agitation or restlessness.
Q3) Which adult will the nurse plan to teach about risks associated with obesity?
A) Man who has a BMI of 18 kg/m<sup><sub>2</sub></sup>
B) Man with a 42 in waist and 44 in hips
C) Woman who has a body mass index (BMI) of 24 kg/m<sup>2</sup>
D) Woman with a waist circumference of 34 inches (86 cm)
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Page 43
Chapter 42: Nursing Management: Upper Gastrointestinal
Problems
Available Study Resources on Quizplus for this Chatper
47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/19698
Sample Questions
Q1) In which order will the nurse take the following actions when caring for a patient who develops watery diarrhea and a fever after prolonged omeprazole (Prilosec)therapy?
(Put a comma and a space between each answer choice [A,B,C,D].)
A) Contact the health care provider.
B) Assess blood pressure and heart rate.
C) Give the PRN acetaminophen (Tylenol).
D) Place the patient on contact precautions.
Q2) The nurse is assessing a patient who had a total gastrectomy 8 hours ago.What information is most important to report to the health care provider?
A) Absent bowel sounds
B) Complaints of incisional pain
C) Temperature 102.1° F (38.9° C)
D) Scant nasogastric (NG) tube drainage
Q3) Which finding in the mouth of a patient who uses smokeless tobacco is suggestive of oral cancer?
A) Bleeding during tooth brushing
B) Painful blisters at the lip border
C) Red, velvety patches on the buccal mucosa
D) White, curdlike plaques on the posterior tongue
Page 44
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Chapter 43: Nursing Management: Lower Gastrointestinal
Problems
Available Study Resources on Quizplus for this Chatper
56 Verified Questions
56 Flashcards
Source URL: https://quizplus.com/quiz/19699
Sample Questions
Q1) A 24-year-old woman with Crohn's disease develops a fever and symptoms of a urinary tract infection (UTI)with tan,fecal-smelling urine.What information will the nurse add to a general teaching plan about UTIs in order to individualize the teaching for this patient?
A) Bacteria in the perianal area can enter the urethra.
B) Fistulas can form between the bowel and bladder.
C) Drink adequate fluids to maintain normal hydration.
D) Empty the bladder before and after sexual intercourse.
Q2) Which nursing action will be included in the plan of care for a 27-year-old male patient with bowel irregularity and a new diagnosis of irritable bowel syndrome (IBS)?
A) Encourage the patient to express concerns and ask questions about IBS.
B) Suggest that the patient increase the intake of milk and other dairy products.
C) Educate the patient about the use of alosetron (Lotronex) to reduce symptoms.
D) Teach the patient to avoid using nonsteroidal antiinflammatory drugs (NSAIDs).
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Chapter 44: Nursing Management: Liver,Pancreas,and Biliary Tract Problems
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/19700
Sample Questions
Q1) Which information given by a 70-year-old patient during a health history indicates to the nurse that the patient should be screened for hepatitis C?
A) The patient had a blood transfusion in 2005.
B) The patient used IV drugs about 20 years ago.
C) The patient frequently eats in fast-food restaurants.
D) The patient traveled to a country with poor sanitation.
Q2) The nurse will ask a 64-year-old patient being admitted with acute pancreatitis specifically about a history of
A) diabetes mellitus.
B) high-protein diet.
C) cigarette smoking.
D) alcohol consumption.
Q3) Which finding is most important for the nurse to communicate to the health care provider about a patient who received a liver transplant 1 week ago?
A) Dry palpebral and oral mucosa
B) Crackles at bilateral lung bases
C) Temperature 100.8° F (38.2° C)
D) No bowel movement for 4 days
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Chapter 45: Nursing Assessment: Urinary System
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/19701
Sample Questions
Q1) A male patient in the clinic provides a urine sample that is red-orange in color.Which action should the nurse take first?
A) Notify the patient's health care provider.
B) Teach correct midstream urine collection.
C) Ask the patient about current medications.
D) Question the patient about urinary tract infection (UTI) risk factors.
Q2) Which information from a patient's urinalysis requires that the nurse notify the health care provider?
A) pH 6.2
B) Trace protein
C) WBC 20 to 26/hpf
D) Specific gravity 1.021
Q3) The nurse caring for a patient after cystoscopy plans that the patient
A) learns to request narcotics for pain.
B) understands to expect blood-tinged urine.
C) restricts activity to bed rest for a 4 to 6 hours.
D) remains NPO for 8 hours to prevent vomiting.
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Chapter 46: Nursing Management: Renal and Urologic Problems
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/19702
Sample Questions
Q1) Which information from a patient who had a transurethral resection with fulguration for bladder cancer 3 days ago is most important to report to the health care provider?
A) The patient is voiding every 4 hours.
B) The patient is using opioids for pain.
C) The patient has seen clots in the urine.
D) The patient is anxious about the cancer.
Q2) Which assessment finding for a patient who has just been admitted with acute pyelonephritis is most important for the nurse to report to the health care provider?
A) Complaint of flank pain
B) Blood pressure 90/48 mm Hg
C) Cloudy and foul-smelling urine
D) Temperature 100.1° F (57.8° C)
Q3) When preparing a female patient with bladder cancer for intravesical chemotherapy,the nurse will teach about
A) premedicating to prevent nausea.
B) obtaining wigs and scarves to wear.
C) emptying the bladder before the medication.
D) maintaining oral care during the treatments.
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Chapter 47: Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/19703
Sample Questions
Q1) A 72-year-old patient with a history of benign prostatic hyperplasia (BPH)is admitted with acute urinary retention and elevated blood urea nitrogen (BUN)and creatinine levels.Which prescribed therapy should the nurse implement first?
A) Insert urethral catheter.
B) Obtain renal ultrasound.
C) Draw a complete blood count.
D) Infuse normal saline at 50 mL/hour.
Q2) Which menu choice by the patient who is receiving hemodialysis indicates that the nurse's teaching has been successful?
A) Split-pea soup, English muffin, and nonfat milk
B) Oatmeal with cream, half a banana, and herbal tea
C) Poached eggs, whole-wheat toast, and apple juice
D) Cheese sandwich, tomato soup, and cranberry juice
Q3) A patient in the oliguric phase after an acute kidney injury has had a 250 mL urine output and an emesis of 100 mL in the past 24 hours.What is the patient's fluid restriction for the next 24 hours?
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Page 49
Chapter 48: Nursing Assessment: Endocrine System
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/19704
Sample Questions
Q1) The nurse is caring for a 45-year-old male patient during a water deprivation test.Which finding is most important for the nurse to communicate to the health care provider?
A) The patient complains of intense thirst.
B) The patient has a 5-lb (2.3 kg) weight loss.
C) The patient's urine osmolality does not increase.
D) The patient feels dizzy when sitting on the edge of the bed.
Q2) A 44-year-old patient is admitted with tetany.Which laboratory value should the nurse monitor?
A) Total protein
B) Blood glucose
C) Ionized calcium
D) Serum phosphate
Q3) Which information about a 30-year-old patient who is scheduled for an oral glucose tolerance test should be reported to the health care provider before starting the test?
A) The patient reports having occasional orthostatic dizziness.
B) The patient takes oral corticosteroids for rheumatoid arthritis.
C) The patient has had a 10-pound weight gain in the last month.
D) The patient drank several glasses of water an hour previously.
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Page 50
Chapter 49: Nursing Management: Diabetes Mellitus
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/19705
Sample Questions
Q1) Which action should the nurse take after a 36-year-old patient treated with intramuscular glucagon for hypoglycemia regains consciousness?
A) Assess the patient for symptoms of hyperglycemia.
B) Give the patient a snack of peanut butter and crackers.
C) Have the patient drink a glass of orange juice or nonfat milk.
D) Administer a continuous infusion of 5% dextrose for 24 hours.
Q2) A diabetic patient who has reported burning foot pain at night receives a new prescription.Which information should the nurse teach the patient about amitriptyline (Elavil)?
A) Amitriptyline decreases the depression caused by your foot pain.
B) Amitriptyline helps prevent transmission of pain impulses to the brain.
C) Amitriptyline corrects some of the blood vessel changes that cause pain.
D) Amitriptyline improves sleep and makes you less aware of nighttime pain.
Q3) A patient receives aspart (NovoLog)insulin at 8:00 AM.Which time will it be most important for the nurse to monitor for symptoms of hypoglycemia?
A) 10:00 AM
B) 12:00 AM
C) 2:00 PM
D) 4:00 PM
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Page 51
Chapter 50: Nursing Management: Endocrine Problems
Available Study Resources on Quizplus for this Chatper
46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/19706
Sample Questions
Q1) Which finding by the nurse when assessing a patient with a large pituitary adenoma is most important to report to the health care provider?
A) Changes in visual field
B) Milk leaking from breasts
C) Blood glucose 150 mg/dL
D) Nausea and projectile vomiting
Q2) A 63-year-old patient with primary hyperparathyroidism has a serum phosphorus level of 1.7 mg/dL (0.55 mmol/L)and calcium of 14 mg/dL (3.5 mmol/L).Which nursing action should be included in the plan of care?
A) Restrict the patient to bed rest.
B) Encourage 4000 mL of fluids daily.
C) Institute routine seizure precautions.
D) Assess for positive Chvostek's sign.
Q3) Which information will the nurse include when teaching a 50-year-old male patient about somatropin (Genotropin)?
A) The medication will be needed for 3 to 6 months.
B) Inject the medication subcutaneously every day.
C) Blood glucose levels may decrease when taking the medication.
D) Stop taking the medication if swelling of the hands or feet occurs.
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Page 52
Chapter 51: Nursing Assessment: Reproductive System
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/19707
Sample Questions
Q1) A 24-year-old female says she wants to begin using oral contraceptives.Which information from the nursing assessment is most important to report to the health care provider?
A) The patient quit smoking 5 months previously.
B) The patient's blood pressure is 154/86 mm Hg.
C) The patient has not been vaccinated for rubella.
D) The patient has chronic iron-deficiency anemia.
Q2) A 19-year-old patient calls the school clinic and tells the nurse,"My menstrual period is very heavy this time.I have to change my tampon every 4 hours." Which action should the nurse take next?
A) Tell the patient that her flow is not unusually heavy.
B) Schedule the patient for an appointment later that day.
C) Ask the patient how heavy her usual menstrual flow is.
D) Have the patient call again if the heavy flow continues.
Q3) After a 26-year-old patient has been treated for pelvic inflammatory disease,the nurse will plan to teach about
A) use of hormone therapy (HT).
B) irregularities in the menstrual cycle.
C) changes in secondary sex characteristics.
D) possible difficulty with becoming pregnant.
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Chapter 52: Nursing Management: Breast Disorders
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/19708
Sample Questions
Q1) The nurse teaching a young women's community service group about breast self-examination (BSE)will include that
A) BSE will reduce the risk of dying from breast cancer.
B) BSE should be done daily while taking a bath or shower.
C) annual mammograms should be scheduled in addition to BSE.
D) performing BSE after the menstrual period is more comfortable.
Q2) Which nursing action should be included in the plan of care for a patient returning to the surgical unit following a left modified radical mastectomy with dissection of axillary lymph nodes?
A) Obtain a permanent breast prosthesis before the patient is discharged from the hospital.
B) Teach the patient to use the ordered patient-controlled analgesia (PCA) every 10 minutes.
C) Post a sign at the bedside warning against venipunctures or blood pressures in the left arm.
D) Insist that the patient examine the surgical incision when the initial dressings are removed.
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Chapter 53: Nursing Management: Sexually Transmitted
Infections
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/19709
Sample Questions
Q1) When a 31-year-old male patient returns to the clinic for follow-up after treatment for gonococcal urethritis,a purulent urethral discharge is still present.When trying to determine the reason for the recurrent infection,which question is most appropriate for the nurse to ask the patient?
A) "Did you take the prescribed antibiotic for a week?"
B) "Did you drink at least 2 quarts of fluids every day?"
C) "Were your sexual partners treated with antibiotics?"
D) "Do you wash your hands after using the bathroom?"
Q2) Which topics will the nurse include when preparing to teach a patient with recurrent genital herpes simplex ?
A) Infected areas should be kept moist to speed healing.
B) Sitz baths may be used to relieve discomfort caused by the lesions.
C) Genital herpes can be cured by consistent use of antiviral medications.
D) Recurrent genital herpes episodes usually are shorter than the first episode.
E) The virus can infect sexual partners even when you do not have symptoms of infection.
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Chapter 54: Nursing Management: Female Reproductive Problems
Available Study Resources on Quizplus for this Chatper
49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/19710
Sample Questions
Q1) A female patient tells the nurse that she has been having nightmares and acute anxiety around men since being sexually assaulted 3 months ago.The most appropriate nursing diagnosis for the patient is
A) anxiety related to effects of being raped.
B) sleep deprivation related to frightening dreams.
C) rape-trauma syndrome related to rape experience.
D) ineffective coping related to inability to resolve incident.
Q2) The nurse will plan to teach the female patient with genital warts about the A) importance of regular Pap tests.
B) increased risk for endometrial cancer.
C) appropriate use of oral contraceptives.
D) symptoms of pelvic inflammatory disease (PID).
Q3) A 31-year-old patient who has been diagnosed with human papillomavirus (HPV)infection gives a health history that includes smoking tobacco,taking oral contraceptives,and having been treated twice for vaginal candidiasis.Which topic will the nurse include in patient teaching?
A) Use of water-soluble lubricants
B) Risk factors for cervical cancer
C) Antifungal cream administration
D) Possible difficulties with conception
Page 56
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Chapter 55: Nursing Management: Male Reproductive Problems
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/19711
Sample Questions
Q1) Which information about continuous bladder irrigation will the nurse teach to a patient who is being admitted for a transurethral resection of the prostate (TURP)?
A) Bladder irrigation decreases the risk of postoperative bleeding.
B) Hydration and urine output are maintained by bladder irrigation.
C) Antibiotics are infused continuously through the bladder irrigation.
D) Bladder irrigation prevents obstruction of the catheter after surgery.
Q2) The health care provider prescribes the following interventions for a patient with acute prostatitis caused by E.coli.Which intervention should the nurse question?
A) Instruct patient to avoid sexual intercourse until treatment is complete.
B) Administer ibuprofen (Advil) 400 mg every 8 hours as needed for pain.
C) Catheterize the patient as needed if symptoms of urinary retention develop.
D) Give trimethoprim/sulfamethoxazole (Bactrim) DS 1 tablet daily for 28 days.
Q3) The following male patients recently arrived in the emergency department.Which one should the nurse assess first?
A) 19-year-old who is complaining of severe scrotal pain
B) 60-year-old with a nontender ulceration of the glans penis
C) 22-year-old who has purulent urethral drainage and back pain
D) 64-year-old who has dysuria after brachytherapy for prostate cancer
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Chapter 56: Nursing Assessment: Nervous System
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/19712
Sample Questions
Q1) A 39-year-old patient with a suspected herniated intervertebral disc is scheduled for a myelogram.Which information is most important for the nurse to communicate to the health care provider before the procedure?
A) The patient is anxious about the test.
B) The patient has an allergy to shellfish.
C) The patient has back pain when lying flat.
D) The patient drank apple juice 4 hours earlier.
Q2) The nurse performing a focused assessment of left posterior temporal lobe functions will assess the patient for
A) sensation on the left side of the body.
B) voluntary movements on the right side.
C) reasoning and problem-solving abilities.
D) understanding written and oral language.
Q3) Which finding would the nurse expect when assessing the legs of a patient who has a lower motor neuron lesion?
A) Spasticity
B) Flaccidity
C) No sensation
D) Hyperactive reflexes
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Page 58
Chapter 57: Nursing Management: Acute Intracranial Problems
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/19713
Sample Questions
Q1) After endotracheal suctioning,the nurse notes that the intracranial pressure for a patient with a traumatic head injury has increased from 14 to 17 mm Hg.Which action should the nurse take first?
A) Document the increase in intracranial pressure.
B) Ensure that the patient's neck is in neutral position.
C) Notify the health care provider about the change in pressure.
D) Increase the rate of the prescribed propofol (Diprivan) infusion.
Q2) An unconscious 39-year-old male patient is admitted to the emergency department (ED)with a head injury.The patient's spouse and teenage children stay at the patient's side and ask many questions about the treatment being given.What action is best for the nurse to take?
A) Ask the family to stay in the waiting room until the initial assessment is completed.
B) Allow the family to stay with the patient and briefly explain all procedures to them.
C) Refer the family members to the hospital counseling service to deal with their anxiety.
D) Call the family's pastor or spiritual advisor to take them to the chapel while care is given.
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Chapter 58: Nursing Management: Stroke
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/19714
Sample Questions
Q1) A patient in the emergency department with sudden-onset right-sided weakness is diagnosed with an intracerebral hemorrhage.Which information about the patient is most important to communicate to the health care provider?
A) The patient's speech is difficult to understand.
B) The patient's blood pressure is 144/90 mm Hg.
C) The patient takes a diuretic because of a history of hypertension.
D) The patient has atrial fibrillation and takes warfarin (Coumadin).
Q2) Which stroke risk factor for a 48-year-old male patient in the clinic is most important for the nurse to address?
A) The patient is 25 pounds above the ideal weight.
B) The patient drinks a glass of red wine with dinner daily.
C) The patient's usual blood pressure (BP) is 170/94 mm Hg.
D) The patient works at a desk and relaxes by watching television.
Q3) Which information about the patient who has had a subarachnoid hemorrhage is most important to communicate to the health care provider?
A) The patient complains of having a stiff neck.
B) The patient's blood pressure (BP) is 90/50 mm Hg.
C) The patient reports a severe and unrelenting headache.
D) The cerebrospinal fluid (CSF) report shows red blood cells (RBCs).
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Page 60
Chapter 59: Nursing Management: Chronic Neurologic Problems
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/19715
Sample Questions
Q1) Which information about a 72-year-old patient who has a new prescription for phenytoin (Dilantin)indicates that the nurse should consult with the health care provider before administration of the medication?
A) Patient has generalized tonic-clonic seizures.
B) Patient experiences an aura before seizures.
C) Patient's most recent blood pressure is 156/92 mm Hg.
D) Patient has minor elevations in the liver function tests.
Q2) A 22-year-old patient seen at the health clinic with a severe migraine headache tells the nurse about having other similar headaches recently.Which initial action should the nurse take?
A) Teach about the use of triptan drugs.
B) Refer the patient for stress counseling.
C) Ask the patient to keep a headache diary.
D) Suggest the use of muscle-relaxation techniques.
Q3) The nurse advises a patient with myasthenia gravis (MG)to
A) perform physically demanding activities early in the day.
B) anticipate the need for weekly plasmapheresis treatments.
C) do frequent weight-bearing exercise to prevent muscle atrophy.
D) protect the extremities from injury due to poor sensory perception.
Page 61
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Chapter 60: Nursing Management: Alzheimer's
Disease,Dementia,and Delirium
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/19716
Sample Questions
Q1) A 56-year-old patient in the outpatient clinic is diagnosed with mild cognitive impairment (MCI).Which action will the nurse include in the plan of care?
A) Suggest a move into an assisted living facility.
B) Schedule the patient for more frequent appointments.
C) Ask family members to supervise the patient's daily activities.
D) Discuss the preventive use of acetylcholinesterase medications.
Q2) The spouse of a 67-year-old male patient with early stage Alzheimer's disease (AD)tells the nurse,"I am exhausted from worrying all the time.I don't know what to do." Which actions are best for the nurse to take next ?
A) Suggest that a long-term care facility be considered.
B) Offer ideas for ways to distract or redirect the patient.
C) Teach the spouse about adult day care as a possible respite.
D) Suggest that the spouse consult with the physician for antianxiety drugs.
E) Ask the spouse what she knows and has considered about dementia care options.
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Chapter 61: Nursing Management: Peripheral Nerve and Spinal Cord Problems
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/19717
Sample Questions
Q1) The nurse assessing a 54-year-old female patient with newly diagnosed trigeminal neuralgia will ask the patient about
A) visual problems caused by ptosis.
B) triggers leading to facial discomfort.
C) poor appetite caused by loss of taste.
D) weakness on the affected side of the face.
Q2) Which nursing action will the home health nurse include in the plan of care for a patient with paraplegia at the T<sub>4</sub> level in order to prevent autonomic dysreflexia?
A) Support selection of a high-protein diet.
B) Discuss options for sexuality and fertility.
C) Assist in planning a prescribed bowel program.
D) Use quad coughing to strengthen cough efforts.
Q3) A 32-year-old pregnant patient with Bell's palsy refuses to eat while others are present because of embarrassment about drooling.The best response by the nurse is to A) respect the patient's feelings and arrange for privacy at mealtimes.
B) teach the patient to chew food on the unaffected side of the mouth.
C) offer the patient liquid nutritional supplements at frequent intervals.
D) discuss the patient's concerns with visitors who arrive at mealtimes.
Page 63
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Chapter 62: Nursing Assessment: Musculoskeletal System
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/19718
Sample Questions
Q1) Which information obtained during the nurse's assessment of a 30-year-old patient's nutritional-metabolic pattern may indicate the risk for musculoskeletal problems?
A) The patient takes a multivitamin daily.
B) The patient dislikes fruits and vegetables.
C) The patient is 5 ft 2 in and weighs 180 lb.
D) The patient prefers whole milk to nonfat milk.
Q2) After completing the health history,the nurse assessing the musculoskeletal system will begin by
A) having the patient move the extremities against resistance.
B) feeling for the presence of crepitus during joint movement.
C) observing the patient's body build and muscle configuration.
D) checking active and passive range of motion for the extremities.
Q3) A 72-year-old patient with kyphosis is scheduled for dual-energy x-ray absorptiometry (DXA)testing.The nurse will plan to
A) explain the procedure.
B) start an IV line for contrast medium injection.
C) give an oral sedative 60 to 90 minutes before the procedure.
D) screen the patient for allergies to shellfish or iodine products.
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64
Chapter 63: Nursing Management: Musculoskeletal
Trauma and Orthopedic Surgery
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/19719
Sample Questions
Q1) The second day after admission with a fractured pelvis,a 64-year-old patient suddenly develops confusion.Which action should the nurse take first?
A) Take the blood pressure.
B) Assess patient orientation.
C) Check the oxygen saturation.
D) Observe for facial asymmetry.
Q2) When caring for a patient who is using Buck's traction after a hip fracture,which action can the nurse delegate to unlicensed assistive personnel (UAP)?
A) Monitor the skin under the traction boot for redness.
B) Ensure that the weight for the traction is off the floor.
C) Check for intact sensation and movement in the affected leg.
D) Offer reassurance that hip and leg pain are normal after hip fracture.
Q3) Following a motorcycle accident,a 58-year-old patient arrives in the emergency department with massive left lower leg swelling.Which action will the nurse take first?
A) Elevate the leg on 2 pillows.
B) Apply a compression bandage.
C) Check leg pulses and sensation.
D) Place ice packs on the lower leg.
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Chapter 64: Nursing Management: Musculoskeletal
Problems
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/19720
Sample Questions
Q1) A 67-year-old patient is receiving IV antibiotics at home to treat chronic osteomyelitis of the left femur.The nurse chooses a nursing diagnosis of ineffective health maintenance when the nurse finds that the patient
A) is frustrated with the length of treatment required.
B) takes and records the oral temperature twice a day.
C) is unable to plantar flex the foot on the affected side.
D) uses crutches to avoid weight bearing on the affected leg.
Q2) Which action should the nurse take before administering gentamicin (Garamycin)to a patient who has acute osteomyelitis?
A) Ask the patient about any nausea.
B) Review the patient's creatinine level.
C) Obtain the patient's oral temperature.
D) Change the prescribed wet-to-dry dressing.
Q3) Which action will the nurse take when caring for a patient with osteomalacia?
A) Teach about the use of vitamin D supplements.
B) Educate about the need for weight-bearing exercise.
C) Discuss the use of medications such as bisphosphonates.
D) Emphasize the importance of sunscreen use when outside.
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Chapter 65: Nursing Management: Arthritis and Connective
Tissue Diseases
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/19721
Sample Questions
Q1) Which information will the nurse include when preparing teaching materials for patients with exacerbations of rheumatoid arthritis?
A) Affected joints should not be exercised when pain is present.
B) Application of cold packs before exercise may decrease joint pain.
C) Exercises should be performed passively by someone other than the patient.
D) Walking may substitute for range-of-motion (ROM) exercises on some days.
Q2) The nurse suggests that a patient recently diagnosed with rheumatoid arthritis (RA)plan to start each day with
A) a warm bath followed by a short rest.
B) a short routine of isometric exercises.
C) active range-of-motion (ROM) exercises.
D) stretching exercises to relieve joint stiffness.
Q3) Which action will the nurse include in the plan of care for a 40-year-old with newly diagnosed ankylosing spondylitis?
A) Advise the patient to sleep on the back with a flat pillow.
B) Emphasize that application of heat may worsen symptoms.
C) Schedule annual laboratory assessment for the HLA-B27 antigen.
D) Assist patient to choose physical activities that allow the spine to flex.
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Chapter 66: Nursing Management: Critical Care
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/19722
Sample Questions
Q1) An intraaortic balloon pump (IABP)is being used for a patient who is in cardiogenic shock.Which assessment data indicate to the nurse that the goals of treatment with the IABP are being met?
A) Urine output of 25 mL/hr
B) Heart rate of 110 beats/minute
C) Cardiac output (CO) of 5 L/min
D) Stroke volume (SV) of 40 mL/beat
Q2) After change-of-shift report on a ventilator weaning unit,which patient should the nurse assess first?
A) Patient who failed a spontaneous breathing trial and has been placed in a rest mode on the ventilator
B) Patient who is intubated and has continuous partial pressure end-tidal CO<sub>2</sub> (PETCO<sub>2</sub>) monitoring
C) Patient with a central venous oxygen saturation (ScvO<sub>2</sub>) of 69% while on bilevel positive airway pressure (BiPAP)
D) Patient who was successfully weaned and extubated 4 hours ago and now has no urine output for the last 6 hours
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68
Chapter 67: Nursing Management: Shock, Systemic
Inflammatory Response Syndrome, and Multiple Organ
Dysfunction Syndrome
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/19723
Sample Questions
Q1) After change-of-shift report in the progressive care unit,who should the nurse care for first?
A) Patient who had an inferior myocardial infarction 2 days ago and has crackles in the lung bases
B) Patient with suspected urosepsis who has new orders for urine and blood cultures and antibiotics
C) Patient who had a T5 spinal cord injury 1 week ago and currently has a heart rate of 54 beats/minute
D) Patient admitted with anaphylaxis 3 hours ago who now has clear lung sounds and a blood pressure of 108/58 mm Hg
Q2) To evaluate the effectiveness of the pantoprazole (Protonix)ordered for a patient with systemic inflammatory response syndrome (SIRS),which assessment will the nurse perform?
A) Auscultate bowel sounds.
B) Palpate for abdominal pain.
C) Ask the patient about nausea.
D) Check stools for occult blood.
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Chapter 68: Nursing Management: Respiratory Failure and
Acute Respiratory Distress Syndrome
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/19724
Sample Questions
Q1) The nurse documents the vital signs for a patient admitted 2 days ago with gram-negative sepsis: temperature 101.2° F,blood pressure 90/56 mm Hg,pulse 92,respirations 34.Which action should the nurse take next?
A) Give the scheduled IV antibiotic.
B) Give the PRN acetaminophen (Tylenol).
C) Obtain oxygen saturation using pulse oximetry.
D) Notify the health care provider of the patient's vital signs.
Q2) A nurse is caring for an obese patient with right lower lobe pneumonia.Which position will be best to improve gas exchange?
A) On the left side
B) On the right side
C) In the tripod position
D) In the high-Fowler's position
Q3) After receiving change-of-shift report on a medical unit,which patient should the nurse assess first?
A) A patient with cystic fibrosis who has thick, green-colored sputum
B) A patient with pneumonia who has crackles bilaterally in the lung bases
C) A patient with emphysema who has an oxygen saturation of 90% to 92%
D) A patient with septicemia who has intercostal and suprasternal retractions
Page 70
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Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/19725
Sample Questions
Q1) The emergency department (ED)triage nurse is assessing four victims involved in a motor vehicle collision.Which patient has the highest priority for treatment?
A) A patient with no pedal pulses.
B) A patient with an open femur fracture.
C) A patient with bleeding facial lacerations.
D) A patient with paradoxic chest movements.
Q2) When assessing an older patient admitted to the emergency department (ED)with a broken arm and facial bruises,the nurse observes several additional bruises in various stages of healing.Which statement or question by the nurse is most appropriate?
A) "Do you feel safe in your home?"
B) "You should not return to your home."
C) "Would you like to see a social worker?"
D) "I need to report my concerns to the police."
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