Pathophysiology for Nurses
Test Preparation
Course Introduction
Pathophysiology for Nurses provides an in-depth exploration of the altered physiological processes that underlie various human diseases and disorders. This course emphasizes the mechanisms of disease development, progression, and associated clinical manifestations, focusing on conditions commonly encountered in nursing practice. Through case studies and evidence-based content, students will learn to integrate theoretical knowledge with clinical decision making, enabling them to recognize signs and symptoms, understand diagnostic findings, and anticipate complications. The course aims to strengthen foundational knowledge relevant for safe and effective nursing interventions across multiple care settings.
Recommended Textbook
Medical Surgical Nursing 8th Edition by
Sharon L. Lewis
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69 Chapters
1771 Verified Questions
1771 Flashcards
Source URL: https://quizplus.com/study-set/1584
Page 2
Chapter 1: Contemporary Nursing Practice
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31398
Sample Questions
Q1) A patient with an infection has a nursing diagnosis of deficient fluid volume related to excessive diaphoresis. An appropriate patient outcome identified by the nurse is that the
A) patient has a balanced intake and output.
B) patient's bedding is changed when it becomes damp.
C) patient understands the need for increased fluid intake.
D) patient's skin remains cool and dry throughout hospitalization.
Answer: A
Q2) Which of these nursing actions for the patient with heart failure is appropriate for the nurse to delegate to experienced nursing assistive personnel (NAP)?
A) Assess for shortness of breath or fatigue after ambulation.
B) Instruct the patient about the need to alternate activity and rest.
C) Obtain the patient's blood pressure and pulse rate after ambulation.
D) Determine whether the patient is ready to increase the activity level.
Answer: C
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3
Chapter 2: Health Disparities and Culturally Competent Care
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/31399
Sample Questions
Q1) If an interpreter is not available when a patient speaks a language different from the nurse's language, it is appropriate for the nurse to
A) use specific medical terms in the Latin form.
B) talk slowly so that each word is clearly heard.
C) repeat important words so that the patient recognizes their importance.
D) use simple gestures to demonstrate meaning while talking to the patient.
Answer: D
Q2) When doing an admission assessment for a patient, the nurse notices that the patient pauses before solve questions about the health history. The most appropriate action by the nurse is to
A) stop doing the assessment and return later.
B) wait for the patient to solve the questions.
C) ask the patient why the questions require so much time to asolve.
D) give the patient an assessment form listing the questions and a pen.
Answer: B
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Chapter 3: Health History and Physical Examination
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31400
Sample Questions
Q1) While the nurse is taking the health history, a patient states, "My father and grandfather both had heart attacks and were unable to be very active afterwards." This statement is related to the functional health pattern of A) activity-exercise.
B) cognitive-perceptual.
C) coping-stress tolerance.
D) health perception-health management.
Answer: D
Q2) The nurse records the following general survey of a patient: "The patient is a 68-year-old male Asian attended by his wife and two daughters. Alert and oriented. Does not make eye contact with the nurse and responds slowly, but appropriately, to questions. No apparent disabilities or distinguishing features." Additional information that should be added to this general survey includes A) nutritional status.
B) intake and output.
C) reasons for contact with the health care system.
D) comments of family members about his condition.
Answer: A
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5
Chapter 4: Patient and Caregiver Teaching
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/31401
Sample Questions
Q1) A patient admitted to the hospital with hyperglycemia and newly diagnosed diabetes mellitus is scheduled for discharge the second day after admission. When implementing patient teaching, which is the best action for the nurse to take?
A) Instruct about the increased risk for cardiovascular disease.
B) Provide detailed information about dietary control of glucose.
C) Teach glucose self-monitoring and medication administration.
D) Give information about the effects of exercise on glucose control.
Q2) The patient's teaching plan includes this goal: "The patient will select a 2-gram sodium diet from the hospital menu for the next 3 days." Which evaluation method will be best for the nurse to use when determining whether teaching was effective?
A) Check the sodium content of the patient's menu choices over the next 3 days
B) Ask the patient to identify which foods on the hospital menus are high in sodium.
C) Have the patient list favorite foods that are high in sodium and foods that could be substituted for these favorites.
D) Compare the patient's sodium intake over the next 3 days with the sodium intake before the teaching was implemented.
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Chapter 5: Chronic Illness and Older Adults
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/31402
Sample Questions
Q1) The nurse suspects that elder abuse may be occurring when a confused and agitated 76-year-old patient with a broken arm is brought to the emergency department by a family member. Which of these actions should the nurse take first?
A) Notify an elder protective services agency about the possible abuse.
B) Make a referral for a home assessment visit by the home health nurse.
C) Have the family member stay in the waiting area while the patient is assessed.
D) Ask the patient how the injury occurred and observe the family member's reaction.
Q2) When the nurse is working in the outpatient clinic, which nursing action will be most helpful in decreasing the risk for drug-drug interactions in an older adult patient?
A) Teach the patient to have all prescriptions filled at the same pharmacy
B) Instruct the patient to avoid taking over-the-counter ( OTC ) medications.
C) Make a medication schedule for the patient as a reminder about when to take each medication.
D) Have the patient bring all the medications, supplements, and herbs to every health care appointment.
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Chapter 6: Community-Based Nursing and Home Care
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/31403
Sample Questions
Q1) A family caregiver tells the home health nurse, "I feel like I can never get away to do anything for myself." Which action will be best for the nurse to take?
A) Assist the caregiver in finding respite services.
B) Assure the caregiver that the work is appreciated.
C) Teach the caregiver that family members provide excellent patient care.
D) Encourage the caregiver to discuss feelings openly with the nurse as needed.
Q2) Which of these patients should the nurse refer for Medicare-reimbursed home health services?
A) A 71-year-old with dementia who needs 24-hour care to prevent injury
B) An 82-year-old whose family has asked for respite care for a few days a month
C) A 67-year-old who requires assistance with shopping, housework, and cooking
D) A 79-year-old who needs to have medications placed in a marked pillbox weekly
Q3) A patient who has just moved to a long-term care facility has a nursing diagnosis of relocation stress syndrome. Which action should the nurse include in the plan of care?
A) Remind the patient that making changes is usually stressful.
B) Discuss the reason for the move to the facility with the patient.
C) Restrict family visits until the patient is accustomed to the facility.
D) Have staff members write notes welcoming the patient to the facility.
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8
Chapter 7: Complementary and Alternative Therapies
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/31404
Sample Questions
Q1) Which information will the nurse include when discussing the use of herbal remedies with a patient who uses a variety of herbs for health maintenance?
A) Herbs should be purchased only from manufacturers with a history of quality control.
B) Most herbs are toxic and carcinogenic and should be used only when proven effective.
C) Herbs are no better than conventional drugs in maintaining health and may be less safe.
D) Frequent medical evaluation is required during the use of herbs to avoid adverse effects.
Q2) A patient who uses multiple herbal products is scheduled to undergo knee replacement surgery. The nurse informs the patient that herbs that should be discontinued at least 2 to 3 weeks before surgery include (select all that apply)
A) garlic.
B) ginger.
C) feverfew.
D) echinacea.
E) ginkgo biloba.
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9
Chapter 8: Stress and Stress Management
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/31405
Sample Questions
Q1) A hospitalized patient who is usually well organized and calm is receiving diabetic teaching after being newly diagnosed with diabetes. The patient is forgetful, irritable, and has poor concentration. Which action should the nurse take?
A) Ask the health care provider for a psychiatric referral.
B) Administer the PRN sedative medication every 4 hours.
C) Suggest the use of a home caregiver to the patient's family.
D) Plan to reinforce and repeat teaching about diabetes management.
Q2) A patient who has been hospitalized for a heart attack tells the nurse, "I didn't sleep last night because I worried about missing work and losing my insurance coverage." Which nursing diagnosis is appropriate to include in the plan of care?
A) Anxiety
B) Defensive coping
C) Ineffective denial
D) Risk prone health behavior
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Chapter 9: Sleep and Sleep Disorders
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/31406
Sample Questions
Q1) Which action by the nurse manager of an acute care unit will improve the alertness of nurses who must work the night shift?
A) Arrange for older staff members to work most night shifts.
B) Provide a sleeping area for staff to use for napping at night.
C) Post reminders about the relationship of sleep and alertness.
D) Schedule nursing staff to rotate day and night shifts monthly.
Q2) Which of these actions should the nurse take first for a patient in the clinic who is complaining of insomnia and daytime fatigue?
A) Question the patient about the use of over-the-counter ( OTC ) sleep aids.
B) Suggest that the patient decrease intake of caffeine-containing beverages.
C) Advise the patient to get out of bed if unable to fall asleep in 10 to 20 minutes.
D) Recommend that the patient use any prescribed sleep aids for only 2 to 3 weeks.
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Chapter 10: Pain
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/31407
Sample Questions
Q1) Which nursing action should the nurse delegate to nursing assistive personnel ( NAP ) when caring for a patient who is using a fentanyl ( Duragesic ) patch and a heating pad for treatment of chronic back pain?
A) Assess the skin under the heating pad.
B) Check the respiratory rate every 2 hours.
C) Monitor sedation using the sedation assessment scale.
D) Ask the patient about whether pain control is effective.
Q2) A patient with a history of chronic cancer pain is admitted to the hospital. When reviewing the patient's home medications, which of these will be of most concern to the admitting nurse?
A) amitriptyline (Elavil) 50 mg at bedtime
B) oxycodone (OxyContin) 80 mg twice daily
C) ibuprofen (Advil) 800 mg 3 times daily
D) meperidine (Demerol) 25 mg every 4 hours
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Chapter 11: Palliative Care at End of Life
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31408
Sample Questions
Q1) A patient who is very close to death is very restless and keeps repeating, "I am not ready to die." Which action is best for the nurse to take?
A) Remind the patient that no one feels ready for death.
B) Sit at the bedside and ask if there is anything the patient needs.
C) Insist that family members remain at the bedside with the patient.
D) Tell the patient that everything possible is being done to delay death.
Q2) The spouse of a patient with terminal lung cancer visits daily and cheerfully talks with the patient about vacation 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." An appropriate nursing diagnosis is
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.
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Chapter 12: Addictive Behaviors
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/31409
Sample Questions
Q1) A patient who has a history of ongoing opioid abuse is hospitalized for surgery. After a visit by a friend, the nurse finds that the patient is unresponsive with pinpoint pupils. Which of these prescribed medications will the nurse administer immediately?
A) naloxone (Narcan)
B) diazepam (Valium)
C) clonidine (Catapres)
D) methadone (Dolphine)
Q2) A 19-year-old patient comes to the emergency department with severe chest pain and agitation. Which action should the nurse take first?
A) Give the PRN naloxone (Narcan) IV.
B) Ask about any use of stimulant drugs.
C) Assess orientation to person, place, and time.
D) Check blood pressure, pulse, and respirations.
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14
Chapter 13: Inflammation and Wound Healing
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/31410
Sample Questions
Q1) When caring for a diabetic patient who had abdominal surgery one week ago, the nurse obtains these data. Which finding should be reported immediately to the health care provider?
A) Blood glucose 136 mg/dl
B) Oral temperature 101° F ( 38.3° C )
C) Patient complaint of increased incisional pain
D) New 5-cm separation of the proximal wound edges
Q2) The nurse will plan to use wet-to-dry dressings when providing care for a patient with a
A) pressure ulcer with pink granulation tissue.
B) surgical incision with pink, approximated edges.
C) full-thickness burn filled with dry, black material.
D) wound with purulent drainage and dry brown areas.
Q3) A 24-year-old patient who is receiving antibiotics for an infected leg wound has a temperature of 101.8° F ( 38.7° C ). Which action by the nurse is most appropriate?
A) Apply a cooling blanket.
B) Notify the health care provider.
C) Give the prescribed PRN aspirin ( Ascriptin ) 650 mg.
D) Check the patient's oral temperature again in 4 hours.
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Page 15
Chapter 14: Genetics, Altered Immune Responses, and Transplantation
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/31411
Sample Questions
Q1) A man with mild hemophilia asks the nurse, "Will my children 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."
Q2) For early detection of an anaphylactic reaction in a patient who has received allergen testing using the cutaneous scratch method, which action should the nurse take first?
A) Check blood pressure and pulse rate.
B) Auscultate the lung sounds bilaterally.
C) Monitor pupil size and reaction to light.
D) Assess the arm at the site of the skin testing.
Q3) Which instruction will be included when teaching a patient with possible allergies about intradermal skin testing?
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."
Page 16
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Chapter 15: Infection and Human Immunodeficiency Virus
Infection
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/31412
Sample Questions
Q1) A 24-year-old woman who uses injectable illegal drugs asks the nurse about preventing AIDS. The nurse informs the patient that the best way to reduce the risk of HIV infection from drug use is to
A) participate in a needle-exchange program.
B) clean drug injection equipment before use.
C) ask those who share equipment to be tested for HIV.
D) avoid sexual intercourse when using injectable drugs.
Q2) Antiretroviral therapy (ART) is being considered for an HIV-infected patient who has a CD4+ cell count of 400/µl. Which factor is most important to consider when determining whether ART will be started for this patient?
A) Patient social support system
B) HIV genotype and phenotype
C) Potential medication side effects
D) Patient ability to comply with ART schedule
Q3) To evaluate the effectiveness of ART, the nurse will schedule the patient for 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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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/31413
Sample Questions
Q1) When reviewing the chart for a patient with cervical cancer, the nurse notes that the cancer is staged as Tis, N0, M0. The nurse will teach the patient that
A) the cancer is localized to the cervix.
B) the cancer cells are well-differentiated.
C) further testing is needed to determine the spread of the cancer.
D) it is difficult to determine the original site of the cervical cancer.
Q2) A 40-year-old divorced mother of four school-age children is hospitalized with metastatic ovarian cancer. The nurse finds the patient crying, and she tells the nurse that she does not know what will happen to her children when she dies. The most appropriate response by the nurse is
A) "Why don't we talk about the options you have for the care of your children?"
B) "Perhaps your ex-husband will take the children when you can't care for them."
C) "For now you need to concentrate on getting well, not worry about your children."
D) "Many patients with cancer live for a long time, so there is time to plan for your children."
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Page 18
Chapter 17: Fluid, Electrolyte, and Acid-Base Imbalances
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/31414
Sample Questions
Q1) When the nurse is evaluating the fluid balance for a patient admitted for hypovolemia associated with multiple draining wounds, the most accurate assessment to include is
A) skin turgor.
B) daily weight.
C) presence of edema.
D) hourly urine output.
Q2) A patient is receiving 3% NaCl solution for correction of hyponatremia. During administration of the solution, the most important assessment for the nurse to monitor is A) lung sounds.
B) urinary output.
C) peripheral pulses.
D) peripheral edema.
Q3) When teaching a patient with renal failure about a low phosphate diet, the nurse will include information to restrict
A) ingestion of dairy products.
B) the amount of high-fat foods.
C) the quantity of fruits and juices.
D) intake of green, leafy vegetables.
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Chapter 18: Nursing Management: Preoperative Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/31415
Sample Questions
Q1) Any patient guilt about having a therapeutic abortion may be identified when the nurse assesses the functional health pattern of
A) value-belief.
B) cognitive-perceptual.
C) sexuality-reproductive.
D) coping-stress tolerance.
Q2) A 24-year-old who takes a diuretic and a ?-blocker to control blood pressure is scheduled for abdominal surgery. Which patient information is most important to communicate to the health care provider before surgery?
A) Pulse rate 59
B) Hematocrit 35%
C) Blood pressure 142/78
D) Serum potassium 3.3 mEq/L
Q3) A patient is to receive atropine before surgery. The nurse teaches the patient to expect
A) dizziness.
B) weakness.
C) dry mouth.
D) forgetfulness.
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Page 20
Chapter 19: Nursing Management: Intraoperative Care
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/31416
Sample Questions
Q1) Which nursing action should the operating room ( OR ) nurse manager delegate to the registered nurse first assistant ( RNFA )?
A) Make surgical incisions and suture incisions as needed.
B) Coordinate transfer of the patient to the operating table.
C) Provide postoperative teaching about coughing to the patient.
D) Set up instrument tables at the beginning of the surgical procedure.
Q2) A patient in surgery receives a neuromuscular blocking agent as an adjunct to general anesthesia. At completion of the surgery, it is most important that the nurse monitor the patient for
A) nausea.
B) confusion.
C) bronchospasm.
D) weak chest-wall movement.
Q3) Which of these actions included in the perioperative patient plan of care can the perioperative nurse delegate to a surgical technologist?
A) Complete the patient's admission assessment.
B) Pass sterile instruments and supplies to the surgeon.
C) Teach the patient about what to expect in the operating room (OR).
D) Give the postoperative report to the postanesthesia care unit (PACU) nurse.
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Page 21
Chapter 20: Nursing Management: Postoperative Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/31417
Sample Questions
Q1) In intervening to promote ambulation, coughing, deep breathing, and turning by a postoperative patient on the first postoperative day, which action by the nurse is most helpful?
A) Discuss the complications of immobility and poor cough effort.
B) Teach the patient the purpose of respiratory care and ambulation.
C) Administer ordered analgesic medications before these activities.
D) Give the patient positive reinforcement for accomplishing these activities.
Q2) The nurse evaluates that the interventions for the nursing diagnosis of ineffective airway clearance in a postoperative patient have been successful when the
A) patient drinks 2 to 3 L of fluid in 24 hours.
B) patient uses the spirometer 10 times every hour.
C) patient's breath sounds are clear to auscultation.
D) patient's temperature is less than 100.4° F orally.
Q3) Following gallbladder surgery, a patient's T-tube is draining dark green fluid. Which action should the nurse take?
A) Place the patient on bed rest.
B) Notify the patient's surgeon.
C) Document the color and amount of drainage.
D) Irrigate the T-tube with sterile normal saline.
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Page 22
Chapter 21: Nursing Assessment: Visual and Auditory Systems
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/31418
Sample Questions
Q1) The nurse in the eye clinic is examining a 65-year-old patient who says "I see small spots that move around in front of my eyes." Which action will the nurse take first?
A) Immediately have the ophthalmologist evaluate the patient.
B) Explain that spots and "floaters" are a normal part of aging.
C) Inform the patient that these spots may indicate damage to the retina.
D) Use an ophthalmoscope to examine the posterior chamber of the eyes.
Q2) During the nursing history, a patient complains of dizziness when bending over and of nausea and dizziness associated with physical activities. The nurse will plan to teach the patient about
A) tympanometry.
B) rotary chair testing.
C) pure-tone audiometry.
D) bone-conduction testing.
Q3) Which information will the nurse include when teaching a patient about routine glaucoma testing?
A) The test involves reading a Snellen chart at a distance of 20 feet.
B) Application of a Tono-pen to the surface of the eye will be needed.
C) The examination includes checking the pupil's reaction to a bright light.
D) Medications to dilate the pupil will be used before testing for glaucoma.
Page 23
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Chapter 22: Nursing Management: Visual and Auditory
Problems
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/31419
Sample Questions
Q1) A patient with a left retinal detachment has a pneumatic retinopexy procedure. Which information will be included in the discharge teaching plan?
A) The use of bilateral eye patches to reduce movement of the operative eye
B) The need to wear dark or tinted glasses to protect the eyes from bright light
C) The procedure for sterile dressing changes when the eye dressing is saturated
D) The purpose of maintaining the head in a prescribed position for several weeks
Q2) A patient who has bacterial endophthalmitis in the left eye is restless, frequently asking whether the eye is healing and whether removal of the eye will be necessary. Based on the assessment data, which nursing diagnosis is appropriate?
A) Grieving related to current loss of functional vision
B) Anxiety related to the possibility of permanent vision loss
C) Situational low self-esteem related to loss of visual function
D) Risk for falls related to inability to see environmental hazards
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Chapter 23: Nursing Assessment: Integumentary System
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/31420
Sample Questions
Q1) The nurse is preparing to obtain a culture from a patient who has a possible fungal infection in the groin area. Which action is appropriate?
A) Apply a topical anesthetic before obtaining the culture.
B) Use sterile gloves to squeeze the lesion and obtain exudate.
C) Swab the infected area with a sterile cotton-tipped applicator.
D) Scrape the area gently with a razor blade to obtain a specimen.
Q2) When taking the health history for a patient, the nurse discovers that the patient works as a roofer. The nurse will plan to teach the patient about how to self-assess for clinical manifestations of (select all that apply)
A) alopecia.
B) intertrigo.
C) wrinkling.
D) erythema.
E) actinic keratosis.
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Chapter 24: Nursing Management: Integumentary
Problems
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/31421
Sample Questions
Q1) When assessing a new patient at the outpatient clinic, the nurse notes dry, scaly skin; thin hair; and thick, brittle nails. Which action is best for the nurse to take at this time?
A) Instruct the patient about the importance of nutrition in skin heath.
B) Make a referral to a podiatrist so that the nails can be safely trimmed.
C) Consult with the health care provider about the need for further diagnostic testing.
D) Teach the patient about using moisturizing creams and lotions to decrease dry skin.
Q2) After a patient with a squamous cell carcinoma ( SCC ) has a Mohs procedure in the dermatology clinic, which nursing action will be included in the postoperative plan of care?
A) Describe the use of topical fluorouracil on the incision.
B) Teach how to use sterile technique to clean the suture line.
C) Schedule daily appointments for wet-to-dry dressing changes.
D) Educate about use of cold packs to reduce bruising and swelling.
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Chapter 25: Nursing Management: Burns
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/31422
Sample Questions
Q1) A patient with circumferential burns of both arms develops a decrease in radial pulse strength and numbness in the fingers. Which action should the nurse take?
A) Notify the health care provider.
B) Monitor the pulses every 2 hours.
C) Elevate both arms above heart level with pillows.
D) Encourage the patient to flex and extend the fingers.
Q2) In which order will the nurse take these actions when doing a dressing change for a partial-thickness burn wound on a patient's back? Put a comma and space between each solve choice (a, b, c, d, etc.) ____________________
A) Apply sterile gauze dressing.
B) Document wound appearance.
C) Apply silver sulfadiazine cream.
D) Administer IV fentanyl ( Sublimaze ).
E) Clean wound with saline-soaked gauze.
Q3) A 70 kg patient with burns over 30% of total body surface area (TBSA) is admitted to the burn unit. Using the Parkland formula, calculate the volume of lactated Ringer's solution that the nursing staff will administer during the first 24 hours.
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Chapter 26: Nursing Assessment: Respiratory System
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/31423
Sample Questions
Q1) The nurse has just received arterial blood gas (ABG) results on four patients. Which result is most important to report rapidly 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) A patient with chronic hypoxemia ( SaO<sub>2</sub> levels of 89% to 90% ) caused by chronic obstructive pulmonary disease ( COPD ) has been hospitalized with increasing shortness of breath. In planning for discharge, which of these actions by the nurse will be most effective in improving compliance with discharge teaching?
A) Arrange for the patient's spouse to be present during the teaching.
B) Start giving the patient discharge teaching on the day of admission.
C) Accomplish the patient teaching just before the scheduled discharge.
D) Have the patient repeat the instructions immediately after the teaching.
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28
Chapter 27: Nursing Management: Upper Respiratory Problems
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/31424
Sample Questions
Q1) An RN is observing a nursing student who is suctioning a hospitalized patient with a tracheostomy in place. Which action by the student requires the RN to intervene?
A) The student preoxygenates the patient for 1 minute before suctioning.
B) The student puts on clean gloves and uses a sterile catheter to suction.
C) The student inserts the catheter about 5 inches into the tracheostomy tube.
D) The student applies suction for 10 seconds while withdrawing the catheter.
Q2) When teaching the patient with allergic rhinitis about management of the condition, the nurse explains that
A) over-the-counter ( OTC ) antihistamines cause sedation, so prescription antihistamines are usually ordered.
B) corticosteroid nasal sprays will reduce inflammation, but systemic effects limit their use.
C) use of oral antihistamines for a few weeks before the allergy season may prevent reactions.
D) identification and avoidance of environmental triggers are the best way to avoid symptoms.
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29
Chapter 28: Nursing Management: Lower Respiratory
Problems
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/31425
Sample Questions
Q1) The health care provider writes an order for bacteriologic testing for a patient who has a positive tuberculosis skin test. Which action will the nurse take?
A) Repeat the tuberculin skin testing.
B) Teach about the reason for the blood tests.
C) Obtain consecutive sputum specimens from the patient for 3 days.
D) Instruct the patient to expectorate three specimens as soon as possible.
Q2) When teaching the patient who is receiving standard multidrug therapy for tuberculosis ( TB ) about possible toxic effects of the antitubercular medications, the nurse will give instructions to notify the health care provider if the patient develops
A) yellow-tinged skin.
B) changes in hearing.
C) orange-colored sputum.
D) thickening of the fingernails.
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30
Chapter 29: Nursing Management: Obstructive Pulmonary Diseases
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/31426
Sample Questions
Q1) The nurse has completed patient teaching about the administration of salmeterol (Serevent) using a metered-dose inhaler (MDI). Which action by the patient indicates good understanding of the teaching?
A) The patient attaches a spacer before using the MDI.
B) The patient coughs vigorously after using the inhaler.
C) The patient floats the MDI in water to see if it is empty.
D) The patient activates the inhaler at the onset of expiration.
Q2) When preparing a patient with possible asthma for pulmonary function testing, the nurse will teach the patient to
A) avoid eating or drinking for several hours before the testing.
B) use rescue medications immediately before the tests are done.
C) take oral corticosteroids at least 2 hours before the examination.
D) withhold bronchodilators for 6 to 12 hours before the examination.
Q3) A 20-year-old patient with cystic fibrosis (CF) tells the nurse that she is considering having a child. Which initial response by the nurse is best?
A) "Are you aware of the normal lifespan for patients with CF?"
B) "Do you need any information to help you with the decision?"
C) "You will need to have genetic counseling before making a decision."
D) "Many women with CF do not have difficulty in conceiving children."
Page 31
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Chapter 30: Nursing Assessment: Hematologic System
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31427
Sample Questions
Q1) When caring for a patient with a chronic iron deficiency anemia, the nurse will assess for
A) yellow-tinged sclerae.
B) shiny, smooth tongue.
C) numbness of the extremities.
D) gum bleeding and tenderness.
Q2) The history and physical for a newly admitted patient states that the complete blood count ( CBC ) shows a "shift to the left." The nurse will plan to monitor the patient for
A) cool extremities.
B) pallor and weakness.
C) elevated temperature.
D) low oxygen saturation.
Q3) While obtaining a health history from a patient with numerous petechiae on the skin, the nurse asks the patient specifically about the patient's use of
A) salicylates.
B) contraceptives.
C) antiseizure drugs.
D) antihypertensives.
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Page 32
Chapter 31: Nursing Management: Hematologic Problems
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/31428
Sample Questions
Q1) Which action will be included in the care plan for a hospitalized patient who is neutropenic?
A) Avoid any IM or subcutaneous injections.
B) Check the oral temperature every 4 hours.
C) Omit all fruits or vegetables from the diet.
D) Place a "No Visitors" sign on the patient door.
Q2) A 52-year-old patient has a new diagnosis of pernicious anemia. After teaching the patient about pernicious anemia, the nurse determines that the patient understands the disorder when the patient states,
A) "I need to start eating more red meat or liver."
B) "I will stop having a glass of wine with dinner."
C) "I will need to take a proton pump inhibitor like omeprazole ( Prilosec )."
D) "I would rather use the nasal spray than have to get injections of vitamin B<sub>12</sub>."
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Chapter 32: Nursing Assessment: Cardiovascular System
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/31429
Sample Questions
Q1) When the nurse is monitoring a patient who is undergoing exercise (stress) testing on a treadmill, which assessment finding requires the most rapid action by the nurse?
A) Patient complaint of feeling tired.
B) Pulse change from 80 to 96 beats/minute.
C) BP increase from 134/68 to 150/80 mm Hg.
D) Electrocardiographic (ECG) changes indicating coronary ischemia.
Q2) To determine the effects of therapy for a patient who is being treated for heart failure, which laboratory result will the nurse plan to review?
A) Myoglobin
B) Homocysteine (Hcy)
C) Low-density lipoprotein (LDL)
D) B-type natriuretic peptide (BNP)
Q3) After noting a pulse deficit when assessing a patient who has just arrived in the emergency department, the nurse will anticipate that the patient may require
A) a 2-D echocardiogram.
B) a cardiac catheterization.
C) hourly blood pressure (BP) checks.
D) electrocardiographic (ECG) monitoring.
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Chapter 33: Nursing Management: Hypertension
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/31430
Sample Questions
Q1) The nurse in the emergency department received change-of-shift report on four patients with hypertension. Which patient should the nurse assess first?
A) 52-year-old with a BP of 212/90 who has intermittent claudication
B) 43-year-old with a BP of 190/102 who is complaining of chest pain
C) 50-year-old with a BP of 210/110 who has a creatinine of 1.5 mg/dL
D) 48-year-old with a BP of 200/98 whose urine shows microalbuminuria
Q2) Which information should the nurse include when teaching a patient with newly diagnosed hypertension?
A) Dietary sodium restriction will control BP for most patients.
B) Most patients are able to control BP through lifestyle changes.
C) Hypertension is usually asymptomatic until significant organ damage occurs.
D) Annual BP checks are needed to monitor treatment effectiveness.
Q3) A patient is diagnosed with hypertension and nadolol ( Corgard ) is prescribed. The nurse should consult with the health care provider before giving this medication upon finding a history of
A) asthma.
B) peptic ulcer disease.
C) alcohol dependency.
D) myocardial infarction ( MI ).
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Page 35
Chapter 34: Nursing Management: Coronary Artery Disease
and Acute Coronary Syndrome
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/31431
Sample Questions
Q1) A patient who has had severe chest pain for several hours is admitted with a diagnosis of possible acute myocardial infarction (AMI). Which of these ordered laboratory tests should the nurse monitor to help determine whether the patient has had an AMI?
A) Homocysteine
B) C-reactive protein
C) Cardiac-specific troponin I and troponin T
D) High-density lipoprotein (HDL) cholesterol
Q2) A patient with hyperlipidemia has a new order for colesevelam (Welchol). Which nursing action is appropriate when giving the medication?
A) Administer the medication at the patient's bedtime.
B) Have the patient take this medication with an aspirin.
C) Encourage the patient to take the colesevelam with a sip of water.
D) Give the patient's other medications 2 hours after the colesevelam.
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Chapter 35: Nursing Management: Heart Failure
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/31432
Sample Questions
Q1) After receiving change-of-shift report, which of these patients admitted with heart failure should the nurse assess first?
A) A patient who is receiving IV nesiritide (Natrecor) and has a blood pressure (BP) of 100/56
B) A patient who is cool and clammy, with new-onset confusion and restlessness
C) A patient who had dizziness after receiving the first dose of captopril (Capoten)
D) A patient who has crackles in both posterior lung bases and is receiving oxygen
Q2) A patient has recently started taking oral digoxin (Lanoxin) in addition to furosemide (Lasix) and captopril (Capoten) for control of heart failure. Which assessment finding by the home health nurse is most important to communicate to the health care provider?
A) Presence of 1 to 2+ edema in the feet and ankles
B) Liver is palpable 2 cm below the ribs on the right side.
C) Serum potassium level is 3.0 mEq/L after 1 week of therapy
D) Weight increase from 120 pounds to 122 pounds over 3 days
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Chapter 36: Nursing Management: Dysrhythmias
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/31433
Sample Questions
Q1) A patient with dilated cardiomyopathy has an atrial fibrillation that has been unresponsive to drug therapy for several days. The nurse anticipates that the patient may need teaching about
A) electrical cardioversion.
B) IV adenosine ( Adenocard ).
C) anticoagulant therapy with warfarin ( Coumadin ).
D) insertion of an implantable cardioverter-defibrillator ( ICD ).
Q2) The nurse notes that a patient's cardiac monitor shows that every other beat is earlier than expected, has no P wave, and has a QRS complex with a wide and bizarre shape. How will the nurse document the rhythm?
A) Ventricular couplets
B) Ventricular bigeminy
C) Ventricular R-on-T phenomenon
D) Ventricular multifocal contractions
Q3) When analyzing an electrocardiographic (ECG) rhythm strip of a patient with a regular cardiac rhythm, the nurse finds there are 25 small blocks from one R wave to the next. The nurse calculates the patient's heart rate as ____________________.
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Page 38
Chapter 37: Nursing Management: Inflammatory and
Structural Heart Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/31434
Sample Questions
Q1) When planning care for a patient hospitalized with a streptococcal infective endocarditis (IE), which intervention will the nurse include?
A) Monitor labs for streptococcal antibodies.
B) Arrange for insertion of a long-term IV catheter.
C) Encourage the patient to get regular aerobic exercise.
D) Teach the importance of completing all oral antibiotics.
Q2) While obtaining an admission health history from a patient with possible rheumatic fever, which question will be most pertinent to ask?
A) "Have you had a recent sore throat?"
B) "Are you using any illegal IV drugs?"
C) "Do you have any family history of congenital heart disease?"
D) "Can you recall having any chest injuries in the last few weeks?"
Q3) During the assessment of a patient with infective endocarditis (IE), the nurse would expect to find
A) a new regurgitant murmur.
B) a pruritic rash on the trunk.
C) involuntary muscle movement.
D) substernal chest pain and pressure.
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Chapter 38: Nursing Management: Vascular Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/31435
Sample Questions
Q1) Which nursing action in the care plan for a patient who had an open repair of an abdominal aortic aneurysm 3 days previously is appropriate for the nurse to delegate to experienced nursing assistive personnel (NAP)?
A) Check the lower extremity strength and movement.
B) Monitor the quality and presence of the pedal pulses.
C) Teach the patient the signs of possible wound infection.
D) Help the patient to use a pillow to splint while coughing.
Q2) Several hours after an open surgical repair of an abdominal aortic aneurysm, the patient develops a urinary output of 20 mL/hr for 2 hours. The nurse notifies the health care provider and anticipates orders for A) an additional antibiotic.
B) a white blood cell ( WBC ) count.
C) a decrease in IV infusion rate.
D) a blood urea nitrogen ( BUN ) level.
Q3) When assessing a patient with possible peripheral artery disease (PAD), the nurse obtains a brachial BP of 140/80 and an ankle pressure of 110/70. The nurse calculates the patient's ankle-brachial index (ABI) as ____________________.
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Chapter 39: Nursing Assessment: Gastrointestinal System
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31436
Sample Questions
Q1) When the nurse is obtaining a history from a patient who is admitted with jaundice, which statement is most indicative of a need for patient 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 need to take an antacid for indigestion several times a week"
D) "I use acetaminophen (Tylenol) every 4 hours for chronic pain."
Q2) When the nurse is assessing an alert and independent older patient in the clinic for malnutrition risk, the most appropriate initial question is,
A) "How do you get to the grocery store to buy your food?"
B) "Do you have any difficulty in preparing or eating food?"
C) "Can you tell me the foods that you have eaten over the past 24 hours?"
D) "Are you taking any medications that alter your taste or tolerance of foods?"
Q3) Which information obtained by the nurse when admitting a patient who is scheduled for an ultrasound of the gallbladder indicates that the ultrasound may need to be rescheduled?
A) The patient has a permanent gastrostomy tube.
B) The patient took a laxative the previous evening.
C) The patient ate a low-fat bagel an hour previously.
D) The patient had a high-fat meal the previous evening.
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Page 41
Chapter 40: Nursing Management: Nutritional Problems
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/31437
Sample Questions
Q1) All of the following nursing actions are included in the plan of care for a patient who is malnourished. Which action is appropriate for the nurse to delegate to nursing assistive personnel (NAP)?
A) Assist the patient to choose high nutrition items from the menu.
B) Monitor the patient for skin breakdown over the bony prominences.
C) Offer the patient the prescribed nutritional supplement between meals.
D) Assess the patient's strength while ambulating the patient in the room.
Q2) When using a soft, silicone nasogastric tube for enteral feedings, the nurse will need to
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 to 5 days to avoid mucosal damage.
Q3) A patient with a body mass index (BMI) of 17 kg/m² and a low albumin level is being admitted by the nurse. Which assessment finding will the nurse expect to find?
A) Restlessness
B) Hypertension
C) Pitting edema
D) Food allergies
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Page 42
Chapter 41: Nursing Management: Obesity
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/31438
Sample Questions
Q1) Which information will the nurse plan to include in discharge teaching for a patient after gastric bypass surgery?
A) Avoid drinking fluids with meals.
B) Choose high-fat foods for at least 30% of intake.
C) Choose foods that are high in fiber to promote bowel function.
D) Development of flabby skin can be prevented by daily exercise.
Q2) A patient returns to the surgical nursing unit following a vertical banded gastroplasty with a nasogastric tube to low, intermittent suction and a patient-controlled analgesia ( PCA ) machine for pain control. Which nursing action should be included in the postoperative plan of care?
A) Irrigate the nasogastric ( NG ) tube frequently with normal saline.
B) Offer sips of sweetened liquids at frequent intervals.
C) Remind the patient that PCA use may slow the return of bowel function.
D) Support the surgical incision during patient coughing and turning in bed.
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Chapter 42: Nursing Management: Upper Gastrointestinal
Problems
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/31439
Sample Questions
Q1) A patient who is receiving chemotherapy develops a Candida albicans oral infection. The nurse will anticipate the need for
A) hydrogen peroxide rinses.
B) the use of antiviral agents.
C) referral to a dentist for professional tooth cleaning.
D) administration of nystatin (Mycostatin) oral tablets.
Q2) A patient with deep partial-thickness burns experiences severe pain associated with nausea during dressing changes. Which action will be most useful in decreasing the patient's nausea?
A) The patient NPO for 2 hours before and after dressing changes.
B) Avoid performing dressing changes close to the patient's mealtimes.
C) Administer the prescribed morphine sulfate before dressing changes.
D) Give the ordered prochlorperazine (Compazine) before dressing changes.
Q3) Which information about a patient who has just been admitted to the hospital with nausea and vomiting will require the most rapid intervention by the nurse?
A) The patient has taken only sips of water.
B) The patient is lethargic and difficult to arouse.
C) The patient's chart indicates a recent resection of the small intestine.
D) The patient has been vomiting several times a day for the last 4 days.
Page 44
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Chapter 43: Nursing Management: Lower Gastrointestinal Problems
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/31440
Sample Questions
Q1) Which instructions will the nurse include in discharge teaching for a patient who has had a hemorrhoidectomy at an outpatient surgical center?
A) Maintain a low-residue diet until the surgical area is healed.
B) Use ice packs on the perianal area to relieve pain and swelling.
C) Take prescribed pain medications before a bowel movement is expected.
D) Delay having a bowel movement for several days until healing has occurred.
Q2) A 67-year-old patient tells the nurse, "I have problems with constipation now that I am older, so I use a suppository every morning." Which action should the nurse take first?
A) Encourage the patient to increase oral fluid intake.
B) Inform the patient that a daily bowel movement is unnecessary.
C) Assess the patient about individual risk factors for constipation.
D) Suggest that the patient increase dietary intake of high-fiber foods.
Q3) A patient calls the clinic and tells the nurse about a new onset of severe and frequent, diarrhea. The nurse anticipates that the patient will need to
A) collect a stool specimen.
B) prepare for colonoscopy.
C) schedule a barium enema.
D) have blood cultures drawn.
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Chapter 44: Nursing Management: Liver, Pancreas, and Biliary Tract Problems
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/31441
Sample Questions
Q1) Which nursing action will be included in the plan of care for a patient who has recently been diagnosed with asymptomatic nonalcoholic fatty liver disease ( NAFLD )?
A) Teach symptoms of variceal bleeding.
B) Discuss the need to increase caloric intake.
C) Review the patient's current medication list.
D) Draw blood for hepatitis serology testing.
Q2) When assessing a patient who had a liver transplant a week previously, the nurse obtains the following data. Which finding is most important to communicate to the health care provider?
A) Dry lips and oral mucosa
B) Crackles at both lung bases
C) Temperature 100.8° F ( 38.2° C )
D) No bowel movement for 4 days
Q3) A 32-year-old patient is diagnosed with early alcoholic cirrhosis. Which topic is most important to include in patient teaching?
A) Need to abstain from alcohol
B) Use of vitamin B supplements
C) Maintenance of a nutritious diet
D) Treatment with lactulose ( Cephulac )
Page 46
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Chapter 45: Nursing Assessment: Urinary System
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/31442
Sample Questions
Q1) A patient with a possible urinary tract infection (UTI) gives the nurse in the clinic a urine specimen that is a red-orange color. Which action should the nurse take first?
A) Notify the patient's health care provider.
B) Ask the patient about use of any medications.
C) Question the patient about any UTI risk factors.
D) Teach about the correct procedure for midstream urine collection.
Q2) While assessing a patient's urinary system, the nurse cannot palpate either kidney. Which action should the nurse take next?
A) Obtain a urine specimen to check for hematuria.
B) Document the information on the assessment form.
C) Ask the patient about any history of recent sore throat.
D) Ask the health care provider about scheduling a renal ultrasound.
Q3) The result of a patient's creatinine clearance test is 60 mL/min. The nurse equates this finding to a glomerular filtration rate (GFR) of _____ mL/min.
A) 30
B) 60
C) 120
D) 240
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Chapter 46: Nursing Management: Renal and Urologic Problems
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) Following rectal surgery, a patient voids about 50 mL of urine every 30 to 60 minutes. Which nursing action is most appropriate?
A) Use an ultrasound scanner to check the postvoiding residual.
B) Monitor the patient's intake and output over the next few hours.
C) Have the patient take small amounts of fluid frequently throughout the day.
D) Reassure the patient that this is normal after rectal surgery because of anesthesia.
Q2) When planning teaching for a patient with benign nephrosclerosis the nurse should include instructions regarding
A) monitoring and recording blood pressure.
B) obtaining and documenting daily weights.
C) measuring daily intake and output amounts.
D) preventing bleeding caused by anticoagulants.
Q3) A patient in the hospital has a history of functional urinary incontinence. Which nursing action will be included in the plan of care?
A) Place a bedside commode near the patient's bed.
B) Demonstrate the use of the Credé maneuver to the patient.
C) Use an ultrasound scanner to check postvoiding residuals.
D) Teach the use of Kegel exercises to strengthen the pelvic floor.
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Chapter 47: Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/31444
Sample Questions
Q1) A patient with stage 2 chronic kidney disease ( CKD ) is scheduled for an intravenous pyelogram ( IVP ). Which of these orders for the patient will the nurse question?
A) NPO for 6 hours before IVP procedure
B) Normal saline 500 mL IV before procedure
C) Ibuprofen ( Advil ) 400 mg PO PRN for pain
D) Dulcolax suppository 4 hours before IVP procedure
Q2) Which information will be most useful to the nurse in evaluating improvement in kidney function for a patient who is hospitalized with acute kidney injury (AKI)?
A) Blood urea nitrogen (BUN) level
B) Urine output
C) Creatinine level
D) Calculated glomerular filtration rate (GFR)
Q3) Which action by a patient who is using peritoneal dialysis ( PD ) indicates that the nurse should provide more teaching about PD?
A) The patient slows the inflow rate when experiencing pain.
B) The patient leaves the catheter exit site without a dressing.
C) The patient plans 30 to 60 minutes for a dialysate exchange.
D) The patient cleans the catheter while taking a bath every day.
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Chapter 48: Nursing Assessment: Endocrine System
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/31445
Sample Questions
Q1) When the nurse is caring for a patient who was admitted with tetany, which laboratory value should be monitored?
A) Total protein
B) Blood glucose
C) Ionized calcium
D) Serum phosphate
Q2) When working with a patient who has diabetes mellitus, the nurse reviews the results of testing for glycosylated hemoglobin ( HbA1C ) to evaluate for
A) glucose levels 2 hours after a meal.
B) circulating, nonfasting glucose levels.
C) glucose control over the past 3 months.
D) hypoglycemic episodes in the past 90 days.
Q3) A patient is scheduled for a 24-hour urine collection for 17-ketosteroids. The nurse will need to
A) keep the specimen on ice.
B) insert a retention catheter.
C) have the patient void and save that specimen to start the collection.
D) encourage the patient to drink 2 to 3 L of fluid during the 24 hours.
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Chapter 49: Nursing Management: Diabetes Mellitus
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Sample Questions
Q1) Which information about a patient who receives rosiglitazone ( Avandia ) is most important for the nurse to report immediately to the health care provider?
A) The patient's blood pressure is 154/92.
B) The patient has a history of emphysema.
C) The patient's noon blood glucose is 86 mg/dL.
D) The patient has chest pressure when ambulating.
Q2) Which action by a type 1 diabetic patient indicates that the nurse should implement teaching about exercise and glucose control?
A) The patient always carries hard candies when engaging in exercise.
B) The patient goes for a vigorous walk when the glucose is 200 mg/dL.
C) The patient has a peanut butter sandwich before going for a bicycle ride.
D) The patient increases daily exercise when ketones are present in the urine.
Q3) A patient who has type 1 diabetes plans to take a swimming class daily at 1:00 PM. The clinic nurse will plan to teach the patient to
A) check glucose level before, during, and after swimming.
B) delay eating the noon meal until after the swimming class.
C) increase the morning dose of neutral protamine Hagedorn (NPH) insulin.
D) time the morning insulin injection so that the peak occurs while swimming.
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Chapter 50: Nursing Management: Endocrine Problems
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/31447
Sample Questions
Q1) A patient with hyperthyroidism is treated with radioactive iodine (RAI) at a clinic. Before the patient is discharged, the nurse instructs the patient
A) that symptoms of hyperthyroidism should be relieved in about a week.
B) that symptoms of hypothyroidism may occur as the RAI therapy takes effect.
C) to discontinue the antithyroid medications taken before the radioactive therapy.
D) about radioactive precautions to take with urine, stool, and other body secretions.
Q2) While assessing a patient who has just arrived in the postanesthesia recovery unit (PACU) after a thyroidectomy, the nurse obtains these data. Which information is most important to communicate to the surgeon?
A) The patient is sleepy and hard to arouse.
B) The patient has increasing swelling of the neck.
C) The patient is complaining of 7/10 incisional pain.
D) The patient's cardiac monitor shows a heart rate of 112.
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Chapter 51: Nursing Assessment: Reproductive System
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/31448
Sample Questions
Q1) A patient with a possible ovarian cyst is scheduled for ultrasound. The nurse will teach the patient that she should
A) discontinue taking aspirin before the procedure.
B) receive IV contrast solution during the procedure.
C) expect mild abdominal cramps after the procedure.
D) drink several glasses of fluids before the procedure.
Q2) A woman calls the clinic because she is having an unusually heavy menstrual flow. She tells the nurse that she has saturated two tampons in the past 2 hours. The nurse estimates that the amount of blood loss is
A) 10 to 20 mL.
B) 20 to 30 mL.
C) 30 to 40 mL.
D) 40 to 60 mL.
Q3) Which information about a 22-year-old who wants to start using oral contraceptives is most important to report to the health care provider?
A) The patient quit smoking 6 months previously.
B) The patient's blood pressure is 164/90 mm Hg.
C) The patient has not been vaccinated for rubella.
D) The patient has chronic iron-deficiency anemia.
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Page 53
Chapter 52: Nursing Management: Breast Disorders
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/31449
Sample Questions
Q1) After the nurse has completed teaching a patient who has breast cancer about the newly prescribed tamoxifen (Nolvadex), which patient statement indicates that the teaching has been effective?
A) "I will expect to have leg cramps with this drug."
B) "I will call the clinic if I develop any hot flashes."
C) "I will be taking the medication for at least a year."
D) "I will call immediately if I have any eye problems."
Q2) Following a lumpectomy, a patient is scheduled for external beam radiation to the right breast. Which information should the nurse include in patient teaching?
A) The radiation therapy will take a week to complete.
B) Careful skin care in the radiated area will be necessary.
C) Visitors are restricted until the radiation therapy is completed.
D) Wigs may be used until the hair regrows after radiation therapy.
Q3) When the nurse is assessing the breasts of a 31-year-old, which finding is most indicative of a need for further evaluation?
A) Bilateral nodules that are tender with palpation
B) A nodule that is 1 cm in size, painless, and fixed
C) A lump that increases in size before the menstrual period
D) A lump that is small, mobile, and has a rubbery consistency
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Page 54
Chapter 53: Nursing Management: Sexually Transmitted Diseases
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/31450
Sample Questions
Q1) A patient with positive Venereal Disease Research Laboratory (VDRL) and fluorescent treponemal antibody absorption (FAT-ABS) tests has a rash on the palms and the soles of the feet and moist papules in the anal and vulvar area. Which action will the nurse include in the plan of care?
A) Assess for arterial aneurysms.
B) Place the patient in a private room.
C) Wear gloves when touching the patient.
D) Apply antibiotic ointments to the perineum.
Q2) When counseling a woman who is having difficulty conceiving, the nurse will be most concerned about a history of infection with A) N. gonorrhoeae.
B) Treponema pallidum.
C) condyloma acuminatum.
D) herpes simplex virus type 2.
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Chapter 54: Nursing Management: Female Reproductive Problems
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/31451
Sample Questions
Q1) A 46-year-old woman tells the nurse that she has not had a menstrual period for 3 months and asks whether she is going into menopause. The best response by the nurse is,
A) "Have you thought about using hormone replacement therapy?"
B) "Most women feel a little depressed about entering menopause."
C) "What was your menstrual pattern before your periods stopped?"
D) "Since you are in your mid-40s, it is likely that you are menopausal."
Q2) A 45-year-old patient is diagnosed with stage 0 cervical cancer using a punch biopsy. The nurse will plan to teach the patient about
A) radiation.
B) conization.
C) chemotherapy.
D) radial hysterectomy.
Q3) A patient with multiple uterine leiomyomas is admitted for an abdominal hysterectomy. Which topic will the nurse include in patient teaching?
A) Leg exercises and the purpose of frequent ambulation
B) Temporary decrease in vaginal sensation after surgery
C) Adverse effects of systemic chemotherapy or radiation
D) Symptoms caused by the sudden drop in estrogen level
Page 56
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Chapter 55: Nursing Management: Male Reproductive Problems
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/31452
Sample Questions
Q1) Which information will the nurse plan to include when teaching a 19-year-old to perform testicular self-examination?
A) Testicular self-examination should be done in a warm area.
B) The only structure normally felt in the scrotal sac is the testis.
C) Testicular self-examination should be done at least every week.
D) Call the health care provider if one testis is larger than the other.
Q2) After a transurethral resection of the prostate (TURP), a patient with continuous bladder irrigation complains of painful bladder spasms. The nurse observes a decrease in urine output and clots in the urine. Which action should the nurse take first?
A) Increase the flow rate of the bladder irrigation.
B) Administer the prescribed IV morphine sulfate.
C) Give the patient the prescribed belladonna and opium suppository.
D) Manually instill and then withdraw 50 mL of saline into the catheter.
Q3) When caring for a patient who has been diagnosed with orchitis, the nurse will plan to provide teaching about A) pain management.
B) emergency surgical repair.
C) aspiration of fluid from the scrotal sac.
D) application of warm packs to the scrotum.
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Chapter 56: Nursing Assessment: Nervous System
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which information about a 71-year-old patient is most important for the admitting nurse to report to the patient's health care provider?
A) Triceps reflex response graded at 1/5
B) Recent unintended weight loss of 20 pounds
C) Patient complaint of chronic difficulty in falling asleep
D) Orthostatic drop in systolic blood pressure of 10 mm Hg
Q2) To assess the functioning of the trigeminal and facial nerves (CN V and VII), the nurse should
A) apply a cotton wisp strand to the cornea.
B) have the patient read a magazine or book.
C) shine a bright light into the patient's pupil.
D) check for unilateral drooping of the eyelids.
Q3) After reviewing a patient's cerebrospinal fluid analysis, which result will be most important for the nurse to communicate to the health care provider?
A) Specific gravity 1.007
B) Protein 65 mg/dL ( 0.30 g/L )
C) White blood cell ( WBC ) count 4/?L
D) Glucose 45 mg/dL ( 1.7 mmol/L )
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Chapter 57: Nursing Management: Acute Intracranial Problems
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/31454
Sample Questions
Q1) Following a head injury, an unconscious 32-year-old patient is admitted to the emergency department ( ED ). The patient's spouse and children stay at the patient's side and constantly ask 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) Call the family's pastor or spiritual advisor to support them while initial care is given.
D) Refer the family members to the hospital counseling service to deal with their anxiety.
Q2) Which statement by a patient who is being discharged from the emergency department ( ED ) after a head injury indicates a need for intervention by the nurse?
A) "I will return if I feel dizzy or nauseated."
B) "I am going to drive home and go to bed."
C) "I do not even remember being in an accident."
D) "I can take acetaminophen ( Tylenol ) for my headache."
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Page 59
Chapter 58: Nursing Management: Stroke
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/31455
Sample Questions
Q1) A patient with a left-sided brain stroke suddenly bursts into tears when family members visit. The nurse should
A) use a calm voice to ask the patient to stop the crying behavior.
B) explain to the family that depression is normal following a stroke.
C) have the family members leave the patient alone for a few minutes.
D) teach the family that emotional outbursts are common after strokes.
Q2) A patient with left-sided hemiparesis arrives by ambulance to the emergency department. Which action should the nurse take first?
A) Check the respiratory rate.
B) Monitor the blood pressure.
C) Send the patient for a CT scan.
D) Obtain the Glasgow Coma Scale score.
Q3) A patient has a stroke affecting the right hemisphere of the brain. Based on knowledge of the effects of right brain damage, the nurse establishes a nursing diagnosis of
A) impaired physical mobility related to right hemiplegia.
B) risk for injury related to denial of deficits and impulsiveness.
C) impaired verbal communication related to speech-language deficits.
D) ineffective coping related to depression and distress about disability.
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Page 60
Chapter 59: Nursing Management: Chronic Neurologic Problems
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/31456
Sample Questions
Q1) Which action will the nurse take when evaluating a patient who is taking phenytoin (Dilantin) for adverse effects of the medication?
A) Inspect the oral mucosa.
B) Listen to the lung sounds.
C) Auscultate the bowel tones.
D) Check pupil reaction to light.
Q2) When obtaining a health history and physical assessment for a patient with possible multiple sclerosis (MS), the nurse should
A) assess for the presence of chest pain.
B) inquire about any urinary tract problems.
C) inspect the skin for rashes or discoloration.
D) question the patient about any increase in libido.
Q3) When a patient is experiencing a cluster headache, the nurse will plan to assess for A) nuchal rigidity.
B) projectile vomiting.
C) unilateral eyelid swelling.
D) throbbing, bilateral facial pain.
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Page 61
Chapter 60: Nursing Management: Alzheimers Disease,
Dementia, and Delirium
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) When developing a plan of care for a hospitalized patient with moderate dementia, which intervention will the nurse include?
A) Provide complete personal hygiene care for the patient.
B) Remind the patient frequently about being in the hospital.
C) Reposition the patient frequently to avoid skin breakdown.
D) Place suction at the bedside to decrease the risk for aspiration.
Q2) To determine whether a new patient's confusion is caused by dementia or delirium, which action should the nurse take?
A) Assess the patient using the Mini-Mental Status Exam.
B) Obtain a list of the medications that the patient usually takes.
C) Determine whether there is positive family history of dementia.
D) Use the Confusion Assessment Method tool to assess the patient.
Q3) When administering a mental status examination to a patient with delirium, the nurse should
A) medicate the patient first to reduce any anxiety.
B) give the examination when the patient is well-rested.
C) reorient the patient as needed during the examination.
D) choose a place without distracting environmental stimuli.
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Chapter 61: Nursing Management: Peripheral Nerve and Spinal Cord Problems
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/31458
Sample Questions
Q1) When assessing a patient with newly diagnosed trigeminal neuralgia, the nurse will ask the patient about
A) triggers that lead to facial pain.
B) visual problems caused by ptosis.
C) poor appetite caused by a loss of taste.
D) weakness on the affected side of the face.
Q2) The nurse is assessing a patient who is being evaluated for a possible spinal cord tumor. Which finding by the nurse requires the most immediate action?
A) The patient has new onset weakness of both legs.
B) The patient complains of chronic severe back pain.
C) The patient starts to cry and says, "I feel hopeless."
D) The patient expresses anxiety about having surgery.
Q3) When caring for a patient who has Guillain-Barré syndrome, which assessment data obtained by the nurse will require the most immediate action?
A) The patient has continuous drooling of saliva.
B) The patient's blood pressure (BP) is 106/50 mm Hg.
C) The patient's quadriceps and triceps reflexes are absent.
D) The patient complains of severe tingling pain in the feet.
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Chapter 62: Nursing Assessment: Musculoskeletal System
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31459
Sample Questions
Q1) A patient complains of pain during circumduction of the shoulder when the nurse moves the arm behind the patient. Which question should the nurse ask?
A) "Do you have difficulty in putting on a jacket?"
B) "Are you able to feed yourself without difficulty?"
C) "Are you able to sleep through the night without waking?"
D) "Do you ever have trouble lowering yourself to the toilet?"
Q2) When assessing a 64-year-old woman, the nurse notes that the patient has lost 1 inch in height since the previous visit 2 years ago. The nurse will plan to teach the patient about
A) discography studies.
B) myelographic testing.
C) magnetic resonance imaging ( MRI ).
D) dual-energy x-ray absorptiometry ( DEXA ).
Q3) When assessing the musculoskeletal system, the nurse's initial action will usually be to
A) feel for the presence of crepitus during joint movement.
B) have the patient move the extremities against resistance.
C) observe the patient's body build and muscle configuration.
D) check active and passive range of motion for the extremities.
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Page 64
Chapter 63: Nursing Management: Musculoskeletal
Trauma and Orthopedic Surgery
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39 Verified Questions
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Source URL: https://quizplus.com/quiz/31460
Sample Questions
Q1) When doing discharge teaching for a patient who has had a repair of a fractured mandible, the nurse will include information about
A) when and how to cut the immobilizing wires.
B) self-administration of nasogastric tube feedings.
C) the use of sterile technique for dressing changes.
D) the importance of including high-fiber foods in the diet.
Q2) A 20-year-old baseball pitcher has an arthroscopic repair of a rotator cuff injury performed in same-day surgery. When the nurse plans postoperative teaching for the patient, which information will be included?
A) "You have an appointment with a physical therapist for tomorrow."
B) "You can still play baseball but you will not be able to return to pitching."
C) "The doctor will use the drop-arm test to determine the success of surgery."
D) "Leave the shoulder immobilizer on for the first few days to minimize pain."
Q3) The second day after admission with a fractured pelvis, a patient develops acute onset confusion. Which action should the nurse take first?
A) Take the blood pressure.
B) Assess patient orientation.
C) Check pupil reaction to light.
D) Assess the oxygen saturation.
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Chapter 64: Nursing Management: Musculoskeletal
Problems
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18 Verified Questions
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Sample Questions
Q1) A patient is receiving gentamicin (Garamycin) 80 mg IV twice daily for acute osteomyelitis. Which action should the nurse take before administering the gentamicin?
A) Ask the patient about any nausea.
B) Obtain the patient's oral temperature.
C) Change the prescribed wet-to-dry dressing.
D) Review the patient's blood urea nitrogen (BUN) and creatinine levels.
Q2) A 20-year-old patient with a history of muscular dystrophy is hospitalized with a respiratory tract infection. Which nursing action will be included in the plan of care?
A) Assist the patient with ambulation.
B) Logroll the patient every 1 to 2 hours.
C) Discuss the need for genetic testing with the patient.
D) Teach the patient about the muscle biopsy procedure.
Q3) A patient has muscle spasms and acute low back pain. An appropriate nursing intervention for this problem is to teach the patient to
A) avoid the use of cold because it will exacerbate the muscle spasms.
B) keep both feet flat on the floor when prolonged standing is required.
C) keep the head elevated slightly and flex the knees when resting in bed.
D) twist gently from side to side to maintain range of motion in the spine.
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Chapter 65: Nursing Management: Arthritis and Connective
Tissue Diseases
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/31462
Sample Questions
Q1) Which information will the nurse include when teaching a patient with newly diagnosed ankylosing spondylitis (AS) about the management of the condition?
A) Exercise by taking long walks.
B) Do daily deep breathing exercises.
C) Sleep on the side with hips flexed.
D) Take frequent naps during the day.
Q2) When caring for a patient who has osteoarthritis, the nurse will anticipate the need to teach the patient about which of these medications?
A) Adalimumab ( Humira )
B) Prednisone ( Deltasone )
C) Capsaicin cream ( Zostrix )
D) Sulfasalazine ( Azulfidine )
Q3) Which assessment finding about a patient who has been using naproxen (Naprosyn) for 3 weeks to treat osteoarthritis is most important for the nurse to report to the health care provider?
A) The patient has dark colored stools.
B) The patient's pain has not improved.
C) The patient is using capsaicin cream (Zostrix).
D) The patient has gained 3 pounds over 3 weeks.
Page 67
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Chapter 66: Nursing Management: Critical Care
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) To determine the effectiveness of medications that a patient has received to reduce left ventricular afterload, which hemodynamic parameter will the nurse monitor?
A) Central venous pressure (CVP)
B) Systemic vascular resistance (SVR)
C) Pulmonary vascular resistance (PVR)
D) Pulmonary artery wedge pressure (PAWP)
Q2) In which order will the nurse take these actions when assisting with oral intubation of a patient who is having respiratory distress? Put a comma and space between each solve choice (a, b, c, d, etc.) ____________________
A) Obtain a portable chest-x-ray.
B) Place the patient in the supine position.
C) Inflate the cuff of the endotracheal tube.
D) Attach an end-tidal CO<sub>2</sub> detector to the endotracheal tube.
E) Oxygenate the patient with a bag-valve-mask system for several minutes.
Q3) A patient's vital signs are pulse 80, respirations 24, and BP of 124/60 mm Hg and cardiac output is 4.8 L/min. What is the patient's stroke volume?
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Page 68
Chapter 67: Nursing Management: Shock, Systemic
Inflammatory Response Syndrome, and Multiple Organ
Dysfunction Syndrome
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25 Verified Questions
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Sample Questions
Q1) Which information obtained by the nurse when caring for a patient who has cardiogenic shock indicates that the patient may be developing multiple organ dysfunction syndrome (MODS)?
A) The patient's serum creatinine level is elevated.
B) The patient complains of intermittent chest pressure.
C) The patient has crackles throughout both lung fields.
D) The patient's extremities are cool and pulses are weak.
Q2) A patient with septic shock has a BP of 70/46 mm Hg, pulse 136, respirations 32, temperature 104° F, and blood glucose 246 mg/dL. Which of these prescribed interventions will the nurse implement first?
A) Give normal saline IV at 500 mL/hr.
B) Infuse drotrecogin-a ( Xigris ) 24 mcg/kg.
C) Start insulin drip to maintain blood glucose at 110 to 150 mg/dL.
D) Titrate norepinephrine ( Levophed ) to keep mean arterial pressure ( MAP ) at 65 to 70 mm Hg.
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Page 69
Chapter 68: Nursing Management: Respiratory Failure and
Acute Respiratory Distress Syndrome
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22 Verified Questions
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Sample Questions
Q1) When admitting a patient in possible respiratory failure with a high PaCO<sub>2</sub>, which assessment information will be of most concern to the nurse?
A) The patient is somnolent.
B) The patient's SpO<sub>2</sub> is 90%.
C) The patient complains of weakness.
D) The patient's blood pressure is 162/94.
Q2) Which of these nursing actions included in the care of a mechanically ventilated patient with acute respiratory distress syndrome (ARDS) can the RN delegate to an experienced LPN/LVN working in the intensive care unit?
A) Assess breath sounds
B) Insert a retention catheter
C) Place patient in the prone position
D) Monitor pulmonary artery pressures
Q3) After receiving change-of-shift report, which patient will the nurse assess first?
A) A patient with cystic fibrosis who has thick, green-colored sputum
B) A patient with pneumonia who has coarse crackles in both lung bases
C) A patient with emphysema who has an oxygen saturation of 91% to 92%
D) A patient with septicemia who has intercostal and suprasternal retractions
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/31466
Sample Questions
Q1) A patient's family members are in the patient room when the patient has a cardiac arrest and emergency personnel start resuscitation measures. Which action is best for the nurse to take initially?
A) Have the family wait outside the patient room with a designated staff member to provide emotional support.
B) Keep the family in the room and assign a member of the team to explain the care given and response questions.
C) Ask the family members about whether they would prefer to remain in the patient room or wait outside the room.
D) Advise the family members that patients are comforted by having family members present during resuscitation efforts.
Q2) After resuscitation, a patient who had a cardiac arrest is nonresponsive to commands and therapeutic hypothermia is prescribed. Which action will the nurse include in the plan of care?
A) Rapidly infuse cold normal saline.
B) Avoid the use of sedative medications.
C) Check neurologic status every 30 minutes.
D) Rewarm if temperature is >91° F ( 32.8° C ).
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