Patient Care Management
Final Exam Questions
Course Introduction
Patient Care Management is a comprehensive course designed to equip students with essential knowledge and practical skills required to deliver effective and coordinated healthcare services. The course focuses on the planning, organization, and oversight of patient care activities, emphasizing interdisciplinary collaboration, assessment, care plan development, implementation, and evaluation. It covers principles of patient safety, quality improvement, evidence-based practice, ethical considerations, and communication strategies for interacting with patients, families, and healthcare teams. Students will explore case management, care transitions, and resource utilization to optimize patient outcomes across various healthcare settings.
Recommended Textbook
Introduction to Medical Surgical Nursing 5th Edition by Linton
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56 Chapters
1705 Verified Questions
1705 Flashcards
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Page 2
Chapter 1: The Health Care System
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28 Flashcards
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Sample Questions
Q1) The nurse clarifies that the insurance plan that pays the physician in advance each month for each enrolled patient,whether or not the patient is treated by the physician,is a strategy known as ____________________.
Answer: Capitation
Capitation is the system of payment that collects monthly "fees" from enrollees and pays the physician whether the patient has been treated or not.It is rather like a salary that assures the attention of a physician in the event of an illness
Q2) A voluntary health care agency is one that:
A) Is supported by tax dollars.
B) Is governed by boards made up of community members.
C) Receives no fee for its services.
D) Uses volunteers as health care providers.
Answer: B
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3
Chapter 2: Patient Care Settings
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Sample Questions
Q1) As a home health nurse,the licensed practical nurse (LPN)is aware that the care skills that are safe and appropriate to teach family members are: (Select all that apply.)
A) Insulin injection
B) Sterile dressing changes
C) Venipunctures
D) Periodic Foley catheter insertions
E) Instillation of eye drops
F) Changing dressings on small wounds
Answer: A,E,F
Q2) Based on guidelines from the ADA,which question is an appropriate choice for the director of nurses to ask a nurse with an artificial leg who is applying for a staff position in an extended care facility?
A) "How long have you had your prosthesis?"
B) "How many flights of stairs are you able to climb without assistance?"
C) "Are you able to lift a load of 45 pounds?'
D) "Has your disability caused you to miss work?"
Answer: C
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4
Chapter 3: Legal and Ethical Considerations
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Sample Questions
Q1) The LPN/LVN reminds a group of nursing students that the values they demonstrate in their practice have their roots in:
A) Nursing school education
B) Family influence
C) Peer relationships
D) Agency policies
Answer: B
Q2) Prioritize the steps in solving an ethical dilemma.
A) Evaluate the outcome.
B) Plan an approach.
C) Visualize the consequences.
D) Take action.
E) Identify the problem.
Answer: E,B,C,D,A
Q3) The values that direct human behavior and are concerned with defining right from wrong are known as ____________________.
Answer: Ethics
An individual's ability to define right from wrong is based on a value system called ethics.
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5
Chapter 4: The Leadership Role of the Licensed Practical Nurse
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Sample Questions
Q1) To meet patient care needs,the LPN/LVN receives authority to delegate care to unlicensed personnel from the:
A) Physician or registered nurse (RN) who hired them
B) National Nurse Practice Act
C) 1994 Entry Level Competencies Report
D) Nurse Practice Act of the individual state
Q2) Planning,organizing,directing,and controlling are major functions of ____________________.
Q3) Leadership is different from management.Which one of the following definitions best describes this difference?
A) The leadership function comes after the manager decides on it.
B) Management refers to providing the means to inspire people.
C) A leader selects the role, and a manager is appointed.
D) A manager selects goals and the means to achieve them.
Q4) The task to which nurse aides may be delegated is:
A) Updating a nursing care plan
B) Developing a teaching plan
C) Weighing a patient
D) Evaluating pain medication responses
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Chapter 5: The Nurse-Patient Relationship
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Sample Questions
Q1) As the nurse discusses the discharge plan with a recovering patient,the most effective communication technique is to:
A) Assess nonverbal clues.
B) Allow communication to focus on whatever topic the patient desires.
C) Insist on postrecovery activities as stated in the care plan.
D) Reduce eye contact to convey nondirective attitudes.
Q2) The nurse is aware that a therapeutic relationship differs from a social relationship in that a therapeutic relationship: (Select all that apply.)
A) Has no limits.
B) Is always acceptable to the patient.
C) Is goal directed.
D) Is nonjudgmental.
E) Focuses only on the patient.
Q3) The nurse explains that a pamphlet called the "Patient Care Partnership" was created by the:
A) Joint Commission for Accreditation of Hospitals
B) Medicare/Medicaid Act
C) Social Security Act
D) American Hospital Association
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Page 7
Chapter 6: Cultural Aspects of Nursing Care
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Sample Questions
Q1) To help with effective planning for the delivery of transcultural nursing care,the nurse selects an approach that asks the:
A) Facility's chaplain if anything special should be included in the care plan.
B) Patient if any special foods, symbols, or practices should be respected and whether they should be included in the health care plan.
C) Family if anything special exists in the patient's culture or religion that should be included in care planning.
D) Other staff if they have ever had this type of patient before and how they modified the care plan.
Q2) When many cultures and subcultures exist within the same society,as they do in the large cities of the United States,these groups are referred to as:
A) Cultural diversity
B) Cultural ethnicity
C) Mixed society
D) Cultural immigration
Q3) The process in which children mature and take on the values of their families and their society is called ____________________.
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Chapter 7: The Nurse and the Family
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Sample Questions
Q1) According to the latest Census Bureau report,most families in the United States are:
A) Nontraditional
B) Blended
C) Multigenerational
D) Traditional
Q2) The nurse makes a patient referral to community resource,knowing that such a resource can: (Select all that apply.)
A) Provide helpful literature.
B) Offer ongoing and consistent assistance.
C) Reassure the family members that they are not alone.
D) Offer a variety of free services.
E) Organize a support group.
Q3) The nurse counsels a family that during the stage of families with adolescents,one of the developmental tasks is to:
A) Maintain relationships with the extended family.
B) Develop parental roles to meet the needs of children.
C) Maintain a satisfying marital relationship.
D) Communicate openly between parent and children.
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9
Chapter 8: Health and Illness
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Sample Questions
Q1) The term that the nurse uses to refer to persons who fail to maintain treatment protocols is ____________________.
Q2) The nurse gives the example of when an individual becomes frightened and experiences increased heart rate and mental activity,along with increased blood flow to the skeletal muscles and dilated pupils,the person is experiencing an alarm reaction that helps the body defend against stressors.This alarm reaction is the:
A) Positive feedback response
B) Negative feedback response
C) Fight-or-flight response
D) Homeostasis response
Q3) The nurse clarifies that nontraditional remedies are becoming popular because: (Select all that apply.)
A) Many remedies are available without a prescription.
B) Remedies do not interfere with traditional medications.
C) Treatment modalities can be self-taught.
D) Practitioners charge lower fees than medical physicians.
E) Remedies are noninvasive.
Q4) The nurse describes yoga as an alternative therapy that creates a __________________ intervention.
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Chapter 9: Nutrition
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Sample Questions
Q1) Just as energy balance is measured by weight gain or weight loss,protein balance is measured by:
A) Nitrogen
B) Weight
C) Muscle development
D) Carbon
Q2) The nurse monitors a patient on total parenteral nutrition (TPN)for the complication of:
A) Respiratory congestion
B) Hypoglycemia
C) Vomiting
D) Hypotension
Q3) Hormones involved in the regulation of blood glucose levels include growth hormone,epinephrine,glucagon,and:
A) Insulin and the parathyroid hormone
B) Insulin and glucocorticoids
C) Glucocorticoids and thyroxine
D) Estrogen and progesterone
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11
Chapter 10: Developmental Processes
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Sample Questions
Q1) The nurse reminds a group of young parents that the major cause of death in their age groups is (are):
A) Cervical and testicular cancer
B) Overwhelming infection
C) Accidents and violence
D) Human immunodeficiency virus (HIV)
Q2) The nurse counsels the 25-year-old mother and business woman to focus health promotion concerns on: (Select all that apply.)
A) Adhering to an exercise program
B) Having a Pap smear performed every 3 years
C) Making annual appointments for a mammogram
D) Performing a self-breast examination (SBE) monthly
E) Scheduling an annual physical examination
Q3) A person's type of dress,language,and social relationships pertain to:
A) Psychologic age
B) Biologic age
C) Chronologic age
D) Social age
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12
Chapter 11: The Older Patient
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Sample Questions
Q1) The nurse is aware that an older person whose renal changes make it impossible to concentrate or dilute urine is at risk for:
A) Urinary infection
B) Dehydration
C) Incontinence
D) Renal failure
Q2) The nurse assesses a major sign of renal changes related to age,which is:
A) Hematuria
B) Nocturia
C) Urgency incontinence
D) Renal calculi
Q3) Chemosensory changes that are observed in the older adult:
A) Are directly related to the aging process.
B) Are most often caused by disease.
C) Begin in the fifth decade of life.
D) Affect more women than men.
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Chapter 12: The Nursing Process and Critical Thinking
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Sample Questions
Q1) The primary purpose of incorporating the nursing process into the care of patients is to:
A) Establish a basis of communication with other nursing staff members.
B) Maintain compliance with existing national nursing standards.
C) Provide structure and organization to the delivery of medical care to the patient.
D) Address current health issues, as well as health maintenance and rehabilitation.
Q2) Data collection consists of:
A) Information supplied by patient and family
B) Health history, physical assessment, and documentation
C) Health history and physical assessment
D) Assessment, patient records, and diagnostic tests
Q3) The nursing care plan is initiated by the:
A) Primary care provider
B) Registered nurse (RN)
C) Licensed practical/vocational nurse (LPN/LVN)
D) Nurse manager
Q4) In PIE documentation,a type of POMR,the acronym PIE stands for
and
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Chapter 13: Inflammation, Infection, and Immunity
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Sample Questions
Q1) On a visit to administer the fifth in a series of 10 antibiotic doses,the home health nurse is told that the patient is now complaining about a bothersome vaginal discharge.The nurse will communicate the problem to arrange for medication and teaches the patient that this condition is probably the result of:
A) Poor genital hygiene-not changing underwear often enough
B) Allergy to the soap or soap products used in the genital area
C) Superinfection response to the antibiotic medication
D) Sexual contact with another infected person
Q2) A patient has had several increasingly severe allergic reactions during last year's pollen season.This year,the patient comes regularly to the office to receive some antigen injections.The nurse teaches that these will:
A) Combat infection brought on by the allergic response.
B) Act as a steroid to lessen the allergic response.
C) Increase tolerance to the antigen.
D) Decrease the production of the antibodies.
Q3) The nurse reminds the patient who is to undergo hyperbaric oxygen therapy that the clothing worn into the chamber must be made of ____________________.
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Page 15
Chapter 14: Fluids and Electrolytes
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Sample Questions
Q1) The nurse is aware that extracellular fluid osmolarity is primarily maintained by:
A) Chloride
B) Magnesium
C) K+
D) Sodium
Q2) Hyperchloremia,as noted on a laboratory report,is usually associated with:
A) Metabolic acidosis
B) Metabolic alkalosis
C) Respiratory acidosis
D) Respiratory alkalosis
Q3) The nurse assesses that the patient's urine has become much more concentrated,which results from the effect of:
A) Adrenaline
B) Aldosterone
C) Antidiuretic hormone (ADH)
D) Insulin
Q4) The nurse cautions a group of high school athletes about fluid loss in hot,dry weather,because the normal loss from respiration,which is ____________________ to ____________________ mL/day,is doubled.
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Chapter 15: Pain Management
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Sample Questions
Q1) A prescription for morphine sulfate (0.5 gr IM PRN)was ordered for pain for an 80-year-old patient with emphysema who weighs 100 pounds.The most appropriate action for the licensed practical/vocational nurse (LPN/LVN)is to:
A) Transcribe the order and wait to see if the patient needs it.
B) Transcribe the order for an oral dose instead of IM dose.
C) Call the physician and clarify the order.
D) Tell the RN about the order.
Q2) The patient still complains of pain after the administration of the ordered analgesic.The nurse changes the nursing care plan because the:
A) Patient's pain threshold has risen.
B) Patient's pain threshold has lowered.
C) Patient has become addicted.
D) Patient is seeking attention.
Q3) The nurse applying heat to an injured hip of a patient is careful not to leave the heat on longer than:
A) 15 minutes
B) 20 minutes
C) 30 minutes
D) 1 hour
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Page 17
Chapter 16: First Aid, Emergency Care, and Disaster Management
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Sample Questions
Q1) When the accident victim comes to the emergency department with an open chest wound,the nurse should apply to the wound:
A) Occlusive dressing taped on four sides
B) Tight Ace bandage wrap
C) No dressing of any sort
D) Vented dressing, taped on three sides
Q2) A nurse comes upon a traffic accident where injured,unconscious people are lying on the highway.The nurse is aware that first-aid interventions are sanctioned by the:
A) Good Samaritan Act
B) Emergency Care Doctrine
C) Fifth Amendment
D) Liability Protection Against Malpractice Act
Q3) When the child is brought to the emergency department with several deep dog bites on his legs,the nurse will,after cleaning the wounds,be primarily concerned with ascertaining the:
A) Whereabouts of the dog.
B) Status of tetanus inoculation.
C) Rabies status of the animal.
D) Child's allergy to the rabies vaccine.
Page 18
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Chapter 17: Surgical Care
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Sample Questions
Q1) The postanesthesia care nurse is evaluating the patient for possible transfer to the surgical unit.The following assessment would prevent the patient's transfer:
A) Blood pressure: 126/78 mm Hg
B) Pulse rate: 82 beats per minute
C) Pulse oximeter reading: 85%
D) Respirations: 22 breaths per minute
Q2) The patient scheduled for a liver biopsy has given the nurse a list of medications routinely taken at home.The nurse should be concerned about the:
A) Aspirin
B) Multivitamin
C) Furosemide
D) Acetaminophen
Q3) During the preoperative assessment,the nurse must ask the patient for information about:
A) Current address and telephone number
B) Food preferences
C) Allergies, medications, and past medical conditions
D) Bathing and sleep patterns
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19
Chapter 18: Intravenous Therapy
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Sample Questions
Q1) The nurse is carefully checking IV sites for signs of infiltration,which are:
A) Burning sensation, pain, and puffy
B) Pain, heat, and puffy
C) Burning sensation and no feeling at the site
D) Red streak up the arm
Q2) An older adult patient is assessed by the nurse as showing signs of fluid volume excess,which are:
A) Redness, warmth, and drainage of fluid at the IV site
B) Redness, warmth, and tenderness at the IV site
C) Complaints of shortness of breath and pounding pulse
D) Puffiness of face, dyspnea, and pain at the IV site
Q3) The patient is to receive ampicillin (Unasyn)IV piggyback in 100 ml of fluid every 8 hours.The main IV of D<sub>5</sub>W is running at 80 ml/hr and is on time.The nurse's responsibility is to calculate the total 24-hour intake.At the end of the 24-hour shift,how much IV intake will the nurse document that the patient has received?
A) 300 ml
B) 800 ml
C) 1920 ml
D) 2220 ml
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Page 20
Chapter 19: Shock
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Sample Questions
Q1) The nurse explains that the intraaortic balloon pump (IABP)assists the patient who is in cardiogenic shock to increase cardiac output by:
A) Providing generalized vasoconstriction.
B) Inflating during the diastole phase.
C) Constricting the vena cava.
D) Adding hypertonic fluid to the circulating volume.
Q2) The cool,damp skin of patients in compensatory shock is caused by:
A) Constriction of peripheral blood vessels because of the shunting of blood to the vital organs.
B) Action of the antidiuretic hormone released in shock by the adrenal glands.
C) Decreasing levels of arterial carbon dioxide, which are pooling in the arms and legs.
D) Activation of the baroreceptors in the renal arteries.
Q3) The nurse explains that when shock forces the body into anaerobic metabolism,organ damage is caused by a product of that metabolism,which is
Q4) The nurse explains that the minimal acceptable hourly urine output for the patient in shock who weighs 220 pounds is ____________________.
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Chapter 20: Falls
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Sample Questions
Q1) The nurse is caring for an older adult patient who has undergone a total hip replacement.To reduce the risk of further injury,the nurse would:
A) Leave all the lights on in the room at night.
B) Leave the side rails down at all times to enable the patient to get to the bathroom quickly.
C) Keep the call bell and other frequently used items in easy reach.
D) Keep the bed in the high position to discourage the patient from getting out of bed without assistance.
Q2) The nurse is aware that of all the reported falls in the United States,only 1% to 5% result in a ____________________.
Q3) Discharge planning for a patient who lives alone and is at high risk for falling should include telling the patient that he:
A) Cannot go home unless someone is with him all the time.
B) Must go to a long-term care facility.
C) Can wear devices around the neck that can signal for help.
D) Needs to be aware of the dangers of living alone.
Q4) The nurse suggests that a resident who is at risk for falling come to the ________ ________ class to improve balance.
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Page 22
Chapter 21: Immobility
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Sample Questions
Q1) The nurse is talking with a patient who recently became paraplegic as a result of a cervical spinal cord injury.When some home equipment is discussed,the patient becomes angry and says,"I don't need to worry about any kind of home equipment." The best response by the nurse would be:
A) "I know you will be walking soon, but you may need some equipment until then."
B) "There is very little chance that you will ever walk."
C) "Tell me what it is about this equipment that bothers you."
D) "Let me call the physician to come explain your injuries to you."
Q2) The negative impact of immobilization on a patient depends on the duration,degree,and type of:
A) Physical therapy
B) Mobility limitation
C) Nursing care
D) Family support
Q3) The home health nurse instructs a family about boosting the patient in bed so that a ____________________ type of skin injury will not occur.
Q4) When a bacteria is localized at the site of a Stage III pressure ulcer,it is said to be_____________.
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Page 23
Chapter 22: Confusion
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Sample Questions
Q1) In assessing a patient for the possibility of confusion,the nurse should keep in mind that the two major types of confusion are:
A) Acute and chronic senility
B) Temporary and permanent confusion
C) Delirium and dementia
D) Senility and senile dementia
Q2) A patient has been admitted with a diagnosis of confusion.The physician's admission note states that he wants to assess for delirium versus dementia.The nurse knows that the main differences are:
A) Delirium usually lasts several years, whereas dementia lasts only a few days.
B) Delirium usually has sudden onset and is reversible, whereas dementia is chronic and irreversible.
C) Dementia is usually caused by medications, whereas delirium is not.
D) Dementia is easily treated with reality orientation, whereas delirium is not.
Q3) When a normally oriented 87-year-old resident in a long-term care facility exhibits acute confusion,the nurse should first assess for a(n)____________________.
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Chapter 23: Incontinence
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Sample Questions
Q1) The patient who has been diagnosed with stress incontinence should be instructed by the nurse to:
A) "Restrict fluid intake to less than 1000 ml/day."
B) "Avoid fluids such as tea, coffee, and cola."
C) "Delay voiding until you feel the urge to void."
D) "Void no more often than every 4 hours."
Q2) The nurse is instructing the patient on the procedure for a clean-catch urine specimen.The patient has tried several times but is having difficulty understanding the instructions.The best action by the nurse would be to:
A) Take whatever specimen the patient can obtain.
B) Provide the patient with a clean bedpan to obtain the specimen.
C) Ask the laboratory personnel to come and obtain a urine specimen.
D) Call the physician for a catheterization order.
Q3) The patient diagnosed with anorectal incontinence should be taught by the nurse to:
A) Take a daily laxative.
B) Increase fiber in the diet.
C) Perform pelvic muscle exercises.
D) Administer daily enemas.
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Chapter 24: Loss,Death,and End-of-Life Care
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Sample Questions
Q1) When the family of a dying person do not discuss the issue of death openly and avoid the subject of dying altogether,the nurse recognizes this behavior representative of the _________stage described by Straus and Glaser.
Q2) The Omnibus Reconciliation Act of 1990 requires that institutions must provide written information to patients concerning their rights to:
A) Donate organs
B) Accept or refuse treatment
C) Have an autopsy
D) Physician-assisted suicide
Q3) During the death process,the nurse explains that it is believed that the last sense to remain intact is:
A) Touch
B) Sight
C) Smell
D) Hearing
Q4) The nurse explains that the study and discussion of end-of-life issues have been brought to public awareness because of an increase in death and terminal illnesses of young people with ____________________.
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26
Chapter 25: The Patient with Cancer
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Sample Questions
Q1) The nurse explains that the seven warning signs of cancer written by the American Cancer Society (ACS)can be recalled by the acronym CAUTION.The nurse points out that the A in the acronym stands for:
A) A sore that will not heal
B) Alopecia
C) Abscess
D) Anorexia
Q2) The nurse assesses beginning acceptance of the diagnosis of cancer when the patient:
A) Begins to act in a cheerful manner.
B) Inquires about support groups.
C) Cries over loss of health.
D) Actively interacts with his or her family.
Q3) The nurse explains that drugs such as cannabinoids,Benadryl,and Vistaril are frequently ordered for patients with cancer who are taking chemotherapy to help:
A) Promote amnesia to dampen the fear.
B) Maintain fluid retention to prevent dehydration.
C) Control nausea, vomiting, and taste disorders caused by the therapy.
D) Control bouts of diarrhea or uncomfortable constipation.
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Page 27
Chapter 26: The Patient with an Ostomy
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Sample Questions
Q1) The best nursing strategy for encouraging ostomy patient self-care would be to:
A) Plan to change the pouch when family members will be present, have the patient watch, and listen to the procedure.
B) Frequently tell the patient that if he or she does not learn stoma self-care, no one is going to do it for them.
C) Encourage the patient to watch the stoma care procedure, gradually encouraging participation.
D) Shield the patient from sight of the stoma until the patient actually asks to see it.
Q2) The nurse who is caring for a patient with an ileostomy is aware that the continual loss of liquid stool may result in:
A) Acidosis
B) Alkalosis
C) Erosion of stoma
D) Colitis
Q3) When the patient complains of urine crystals forming on the urostomy stoma,the home health nurse recommends dissolving them with a pad saturated with
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Chapter 27: Neurologic Disorders
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Sample Questions
Q1) The nurse updates the nursing care plan for a patient with amyotrophic lateral sclerosis (ALS)who is uniquely prone to depression because:
A) Nutritional intake is poor.
B) Intellectual capacity is not affected.
C) Mobility is limited.
D) Communication is altered.
Q2) The nurse documents a normal finding from the Babinski reflex as the:
A) Downward curl of the toes
B) Big toe bending upward
C) Spreading out of the toes
D) Pain in the big toe
Q3) In caring for the patient after a craniotomy,the nurse can help reduce ICP by:
A) Keeping the patient flat in bed.
B) Elevating the head of the bed 30 degrees.
C) Closely monitoring the IV rate.
D) Turning the patient to the right side.
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29
Chapter 28: Cerebrovascular Accident
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/9205
Sample Questions
Q1) The instruction that is most helpful in teaching the family and patient who is in the rehabilitation phase after a CVA about altered sensation is to:
A) Make frequent assessments for signs of pressure or injury.
B) Use the affected side in supporting the patient in ambulation, and transfer to stimulate better sensation.
C) Apply ice packs to the affected limbs to encourage a return of sensation.
D) Apply a heating pad to the affected limbs to increase circulation.
Q2) The nurse,using the nursing diagnosis,"Imbalanced nutrition,related to dysphagia,with the goal of adequate nutrition," would select the appropriate outcome criterion as:
A) Offers a variety of food groups.
B) Eats half of all meals offered.
C) Maintains body weight of 150 to 155 pounds.
D) Eats all meals independently.
Q3) Immediately after a CVA,a major nursing priority is ensuring:
A) Preservation of motor function
B) Airway maintenance
C) Adequate hydration
D) Control of elimination
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Page 30
Chapter 29: Spinal Cord Injury
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/9206
Sample Questions
Q1) A distressed family member asks about the purpose of the Gardner-Wells tongs.The most helpful explanation by the nurse would be that the Gardner-Wells tongs:
A) Compress the cervical vertebrae.
B) Immobilize the head.
C) Allow the patient to be moved out of bed.
D) Align the cervical vertebrae.
Q2) The nurse cautions an 85-year-old golfer that he should take care to protect his back during his backswing because the intervertebral disks in older adults undergo changes to the point that they: (Select all that apply.)
A) Fill with calcium deposits.
B) Are less shock absorbent.
C) Are herniated.
D) Enlarge and swell.
E) Lose water.
Q3) The nurse refers to the ___________ __________ to assess the extent of sensory loss and specific nerve root enervation.
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Chapter 30: Acute Respiratory Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9207
Sample Questions
Q1) To reduce the risk of aspiration in a patient who is receiving continuous enteral feedings running at 70 ml/hr,the nurse should:
A) Check the position of the tube during every shift.
B) Notify the charge nurse or physician about a residual volume of 20 ml.
C) Elevate the patient's head during and for 10 minutes after feeding.
D) Position the patient on the left side after the feeding.
Q2) The nurse closely monitors bilateral breath sounds and chest movement after a thoracentesis because:
A) Fluid may quickly accumulate as a result of inflammation.
B) The lung may have been punctured during the procedure.
C) Severe bronchospasm may cause atelectasis.
D) Asthma may result after the procedure.
Q3) The nurse will record a positive reading of a tuberculin (TB)skin test when it is assessed:
A) 1 day after injection with a 10-mm area of redness and swelling
B) 2 days after injection with a 5-mm area of redness and swelling
C) 4 days after injection with a 3-mm area of redness and swelling
D) 5 days after injection with a 2-mm area of redness and swelling
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32
Chapter 31: Chronic Respiratory Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9208
Sample Questions
Q1) A newly diagnosed patient with non small cell lung carcinoma (NSCLC)is anxious about having to take chemotherapy.The intervention by the nurse that would be helpful is to:
A) Support the patient in preparation for surgery.
B) Educate the patient regarding the high survival rate with this type of carcinoma.
C) Assure the patient that chemotherapy and radiation can be used in this sort of cancer.
D) Refer the patient to the American Cancer Society for postdischarge follow-up.
Q2) The theophylline blood level is 13 mcg/ml.Which intervention is the most appropriate in light of this finding?
A) Administer the next dose of theophylline as ordered.
B) Skip the next dose, and then resume.
C) Call the charge nurse or physician.
D) Take the patient's blood pressure immediately.
Q3) The nurse cautions a group of individuals with COPD that using O<sub>2</sub> at levels greater than 1 to 3 L/min can cause the loss of their
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Chapter 32: Hematologic Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9209
Sample Questions
Q1) A nurse is completing an initial assessment on a new patient being seen in the hospital clinic.The presentation of this female patient includes vague symptoms of tiredness and large areas of ecchymosis.The question that would be most important to ask is:
A) "Are you allergic to anything?"
B) "Do your gums easily bleed?"
C) "How many hours do you sleep?"
D) "How frequent are your periods?"
Q2) The nurse notes the medical history information that is significant to potential bleeding problems as: (Select all that apply.)
A) Drinks two glasses of wine a day.
B) Eats red meat three times a week.
C) Takes nonsteroidal antiinflammatory drugs (NSAIDs) for the relief of arthritic pain four times a day.
D) Has hepatitis B.
E) Had a cardiac valve replaced 6 months earlier.
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Chapter 33: Immunologic Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/9210
Sample Questions
Q1) When the skin test shows a redness and swelling a few days after injection,the nurse assesses this as a hypersensitivity reaction of type:
A) I
B) II
C) III
D) IV
Q2) In the preparation to perform skin testing,the nurse should:
A) Select an 18-gauge needle.
B) Inject 1 mL intradermally.
C) Check the site in 2 to 3 days for swelling.
D) Wrap the site with a pressure dressing.
Q3) The laboratory results for a patient with acute leukemia that should alert the nurse to the fact that the drug protocols are not effective is:
A) Decreased prothrombin time.
B) Platelet count lower than 50,000/mm3.
C) Negative Western blot.
D) Neutrophils 50% to 62%.
Q4) Cells in the bone marrow that are capable of developing into RBCs,WBCs,or platelets are the ___________ cells.
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Chapter 34: Human Immunodeficiency Virus and Acquired
Immunodeficiency Syndrome
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9211
Sample Questions
Q1) The nurse explains that HIV is introduced to the systemic circulation by the ____________________,which is found in the mucous membranes.
Q2) The nurse explains that the painful shingles experienced by the patient with HIV is related to his childhood exposure to:
A) Measles
B) Mumps
C) Impetigo
D) Chickenpox
Q3) The nurse clarifies that a patient with HIV does not necessarily have AIDS until:
A) Two or more opportunistic infections are diagnosed.
B) Kaposi sarcoma appears.
C) CD4 cell level drops to 200.
D) Tested positive for enzyme-linked immunosorbent assay (ELISA).
Q4) The nurse would suspect an infection by CMV when the patient with AIDS says:
A) "I need to get glasses, I can't see as well as I did a few months ago."
B) "I need to drink more water. This diarrhea has really dehydrated me."
C) "I need to get smaller clothes. I have lost 10 pounds in the last 6 weeks."
D) "I need to take some pep pills. I don't have any energy."
Page 36
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Chapter 35: Cardiac Disorders
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/9212
Sample Questions
Q1) The nurse explains that hypertension increases the work of the heart because of increasing:
A) Preload
B) Stroke volume
C) Contractility
D) Afterload
Q2) A dopamine infusion is being administered to a patient with shock.The nurse should be alert for:
A) Sharp spike in blood pressure
B) Tremor of the hands
C) Increasing urinary output
D) Hyperirritability of the patient
Q3) The nurse explains that when fibrous plaques of atherosclerosis are laid down in the vessels,they serve as a(n):
A) Stent to keep the vessel open
B) Trap to which other substances adhere
C) Threat to the integrity of the vessel wall
D) Embolus.
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Chapter 36: Vascular Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/9213
Sample Questions
Q1) The nurse explains that a capillary refill time of less than 3 seconds is a quick assessment for:
A) Hypertension
B) Tissue perfusion
C) Excess fluid volume
D) Increased blood viscosity
Q2) The nurse explains that older persons adapt more slowly to changes in the peripheral vascular system because of: (Select all that apply.)
A) Slowing heart rate
B) Decreasing cardiac output
C) Increasing stroke volume
D) Stiffening of blood vessels
E) Thickening of aorta
Q3) Following an angiogram,the nurse will make a point of care to assess and document:
A) Fluid intake
B) Peripheral pulses in the effected leg
C) Inquiring about an allergy to iodine
D) Decreased blood pressure
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Page 38
Chapter 37: Hypertension
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9214
Sample Questions
Q1) The advantages of hydrochlorothiazide (HydroDIURIL)as outlined by the nurse are that this diuretic: (Select all that apply.)
A) Is potassium sparing.
B) Is effective for African Americans.
C) Consistently controls blood pressure.
D) Has no side effects.
E) Decreases heart rate.
Q2) The nurse explains that hypertension in older adults is:
A) Age-related
B) Unavoidable
C) Progressively crippling
D) Improves with treatment
Q3) The nurse emphasizes that the lifestyle change that has the greatest effect on reducing hypertension is:
A) Sodium restriction
B) Reduction in alcohol consumption
C) Daily aerobic exercise
D) Weight reduction
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Chapter 38: Digestive Tract Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9215
Sample Questions
Q1) The set of findings that best indicate that the patient with intestinal obstruction has achieved normal hydration is:
A) Pulse and blood pressure are within the patient's norms, mucous membranes are moist, and fluid intake and output are equal.
B) Pulse rate is strong (at least 60 beats/min), bowel sounds are normal, and a respiratory rate of 22 breaths/min is recorded.
C) Blood pressure is within the patient's norm, the temperature is below normal, and adequate tissue turgor is observed.
D) Mucous membranes are moist, the 24-hour fluid intake is higher than the 24-hour output, and the pulse rate is elevated.
Q2) The nurse includes in the teaching plan information about when and where specific digestion of food takes place: (Select all that apply.)
A) Renin breaks down milk protein in the stomach.
B) Lipase breaks down fats in the stomach.
C) Pepsin begins to break down proteins in the stomach.
D) Liver and pancreatic secretions break down fats in the small bowel.
E) Ptyalin (amylase) breaks down carbohydrates in the colon.
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Page 40
Chapter 39: Disorders of the Liver, Gallbladder, and Pancreas
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9216
Sample Questions
Q1) Before discharge after a laparoscopic procedure for cholelithiasis,the patient is advised to:
A) Take water-soluble vitamins.
B) Follow a low-fat diet.
C) Expect light-colored stools for several days.
D) Keep dressing over T-tube dry.
Q2) The nurse makes a list of drugs and herbal remedies that are harmful to the liver,which includes: (Select all that apply.)
A) Comfrey (herbal remedy)
B) Promethazine (Phenergan)
C) Acetaminophen (Tylenol)
D) Oral contraceptive (Yaz)
E) Lavender (herbal remedy)
Q3) The complication for which the nurse would monitor after a liver biopsy is:
A) Headache
B) Muscle cramps
C) Bleeding
D) Respiratory distress
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Chapter 40: Urologic Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9217
Sample Questions
Q1) The nurse caring for a patient after urinary diversion surgery will add the postoperative assessments of:
A) Level of fluid intake
B) Position on the left side
C) Keep the bed flat
D) Bowel sounds
Q2) The nurse,in planning the care for an older adult patient,takes into consideration the changes in kidney function,which are related to age.These changes are: (Select all that apply.)
A) Thinning of nephron membranes
B) Sclerosis of renal blood vessels
C) Decreasing glomerular filtrations
D) Decreasing ability to concentrate or dilute urine
E) Decreasing erythropoietin
Q3) The nurse becomes alarmed when the patient on dialysis who is taking gentamicin (Garamycin)says:
A) "I have a horrible headache."
B) "Speak up! I can't hear you."
C) "I've had diarrhea once or twice today."
D) "I'm thirsty. I can't get enough water."
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Chapter 41: Connective Tissue Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9218
Sample Questions
Q1) When the patient asks why systemic glucocorticoids medications are used as the last choice for the treatment of rheumatoid arthritis,the nurse's most informative reply would be:
A) "The other drugs are just as effective and work in similar ways."
B) "They are used as a last choice or for short periods because they have many side effects."
C) "Those drugs are given three or four times daily, which is more difficult for patients to remember."
D) "A higher incidence of vomiting occurs with prolonged use."
Q2) For the osteoporotic patient taking alendronate (Fosamax),the nurse would stress that the drug requires that the patient:
A) Take the drug after breakfast.
B) Avoid the use of supplemental vitamin D.
C) Decrease fluid intake.
D) Sit or stand for 30 minutes after administration.
Q3) The nurses assesses ischemic spots around the nail beds of a patient with rheumatoid arthritis and recognizes that these are a complication of medical diagnosis,Rheumatoid arthritis,related to______________.
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Page 43
Chapter 42: Fractures
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9219
Sample Questions
Q1) When the nurse is told that a patient has a compound comminuted fracture,the nurse is concerned because this type of fracture is one in which the bone is:
A) Bent but not completely broken, and the bent piece protrudes through the skin.
B) Compressed, and bone pieces protrude through the skin.
C) Twisted, and the fragments are separated.
D) Broken into two or more pieces, and bone fragments protrude through the skin.
Q2) When an older woman falls down at church and immediately complains of severe pain in her left hip,the choir director recognizes the cardinal sign of a fractured hip when he sees:
A) Shortened left leg when compared with the right
B) Downward curled toes
C) Internal rotation of the left leg
D) Hematoma on the left hip
Q3) In dealing with the weights that are applying traction,the nurse should:
A) Remove them to pull the patient up in bed.
B) Hold them while the patient is changing positions in bed.
C) Hold them for a few minutes if the patient complains of pain.
D) Allow them to hang freely.
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Page 44
Chapter 43: Amputations
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/9220
Sample Questions
Q1) A patient who amputated his thumb in a lawnmower accident hands the emergency department nurse his thumb in a glass jar.The nurse should:
A) Place the thumb in a baggie with iced lactated Ringer solution.
B) Wrap the thumb in plastic wrap, and place it on ice.
C) Leave the thumb in the jar, and place it in the refrigerator.
D) Wrap the thumb in a cloth saturated with normal saline, and place it in a baggie.
Q2) The nurse includes in postoperative care for a patient with replantation of the right thumb the implementations of:
A) Decreasing the temperature of the room to 70° F.
B) Elevating the hand, but keeping it below the level of the heart.
C) Offering coffee, tea, or cola to help increase fluid intake.
D) Placing an antiembolus sleeve on the right arm.
Q3) The nurse is aware that a thermographic finding of cool spots in a certain area indicates:
A) Increased blood flow
B) Decreased infection
C) Increased infection
D) Decreased blood flow
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Chapter 44: Pituitary and Adrenal Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/9221
Sample Questions
Q1) The mother of a 6-foot,2-inch,16-year-old girl who is being treated for hyperpituitarism says,"I can't stand it that my beautiful daughter is a freak." The nurse's best response is:
A) "Gigantism is treatable."
B) "Her height could help her be a basketball star or a model."
C) "What is it about her height that makes her a freak?"
D) "All parents feel responsible when their children have problems."
Q2) When assessing the patient with a diagnosis of SIADH during an intake interview,the nurse expects that the patient will complain of: (Select all that apply.)
A) Headache
B) Hypotension
C) Weight gain
D) Muscle cramps
E) Weakness
Q3) The nurse is aware that the cardinal indication of a pheochromocytoma is:
A) Significant hypertension
B) Extreme nausea
C) Abdominal pain
D) Edema in the legs
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Page 46
Chapter 45: Thyroid and Parathyroid Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/9222
Sample Questions
Q1) Congenital hypothyroidism,if left untreated,will result in _________________.
Q2) The nurse clarifies the pathophysiologic changes of Graves disease by saying:
A) "Your thyroid gland is not producing enough hormones; consequently, you will need replacement therapy."
B) "Your thyroid gland is overactive, but there are ways to treat it-through medicine or surgery."
C) "It's an autoimmune disorder that has no satisfactory treatment."
D) "Graves disease is a temporary disorder that will gradually subside."
Q3) To address the nursing diagnosis,"Risk for impaired skin integrity,related to dry skin" in the patient with hypothyroidism,the nurse would:
A) Increase the frequency of bathing to get rid of dry skin.
B) Apply lotions and creams to help maintain moisture.
C) Increase activities to stimulate circulation in the skin.
D) Take antihistamines to prevent itching.
Q4) The nurse recommends the use of salt that is iodized because iodized salt:
A) Can prevent the development of goiter in adults and cretinism in infants.
B) Can help prevent hypothyroidism.
C) Is instrumental in preventing tumors of the parathyroid gland.
D) Works as an important component of thyroid replacement therapy.
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Chapter 46: Diabetes Mellitus and Hypoglycemia
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9223
Sample Questions
Q1) A patient has come into the emergency department accompanied by a friend who states that the patient had been acting very strange and seems confused.The friend states that the patient has diabetes and takes insulin.The nurse assesses for signs of hypoglycemia which are:
A) Slow pulse rate and low blood pressure
B) Irritability, anxiety, confusion, and dizziness
C) Flushing, anger, and forgetfulness
D) Sleepiness, edema, and sluggishness
Q2) When the patient with type 2 diabetes says,"Why in the world are they looking at my hemoglobin? I thought my problem was with my blood sugar." The nurse responds that the level of hemoglobin A1c:
A) Shows how a high level of glucose can cause a significant drop in the hemoglobin level.
B) Shows what the glucose level has done during the last 3 months.
C) Indicates a true picture of the patient's nutritional state.
D) Reflects the effect of a high level of glucose on the ability to produce red blood cells (RBCs).
Q3) The nurse reminds the patient with type I diabetes to rotate the insulin injection sites to prevent ___________________________.
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Page 48
Chapter 47: Female Reproductive Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9224
Sample Questions
Q1) After a mastectomy,many patients experience lymphedema.To minimize this problem,the nurse can instruct the patient to:
A) Keep the arm elevated as much as possible.
B) Take Lasix, 20 mg twice daily, as ordered.
C) Use a sling during the day to rest the arm.
D) Avoid exercising the arm for several weeks.
Q2) The nurse points out to a group of young women who are being treated for PID that because of the effect of this disease on their reproductive organs,they may become
Q3) A patient makes an appointment with her gynecologist because she is having difficulty conceiving.The laboratory test that the nurse anticipates the physician to order is:
A) Complete blood count
B) Progesterone level
C) Prothrombin time
D) Erythrocyte count
Q4) The nurse is aware that a tumor determined to be ER+ indicates that the tumor needs ____________________ for growth.
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Page 49
Chapter 48: Male Reproductive Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9225
Sample Questions
Q1) The nurse should explain that the purpose of the urethral smear is to:
A) Screen for human immunodeficiency viral (HIV) infection.
B) Detect sexually transmitted infections.
C) Verify fertility through a sperm count.
D) Eliminate concerns of prostate problems.
Q2) A patient's home instructions after a vasectomy should include that:
A) Postoperative care consists of warm Sitz baths.
B) Vasectomies should be seen as usually permanent but sometimes reversible.
C) Sexual intercourse should be delayed for up to 3 months.
D) The surgical procedure may interfere with ejaculation.
Q3) When reviewing the drugs taken by the 50-year-old male patient,the nurse recognizes that the drug that is most probably causing erectile dysfunction (ED)is the:
A) Vasodilator for hypertension
B) Antibiotic for an upper respiratory infection
C) Antihistamine for allergies
D) Glucophage for type 2 diabetes
Q4) When a significant elevation in the human chorionic gonadotropin (hCG)level is noted on the laboratory report,the nurse is aware that this is a marker for ____________________ cancer.
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Chapter 49: Sexually Transmitted Infections
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/9226
Sample Questions
Q1) The nurse instructs the patient with a chlamydial infection that because of the disease,the patient is at greater risk for:
A) HIV, if exposed to it
B) Urinary infections
C) Hepatitis B, if exposed to it
D) Opportunistic bacterial infections
Q2) The patient at the outpatient clinic who has received a intramuscular (MI)dose of ceftriaxone sodium (Rocephin)calls and complains of pain and induration at the injection site.The nurse should advise the patient to:
A) Undergo 30 minutes of active exercise to speed absorption of the drug.
B) Make an appointment at the clinic for evaluation to initiate another drug.
C) Immediately come to the clinic for treatment of the allergic reaction.
D) Place a warm compress on the area.
Q3) The nurse who is caring for a patient who is taking acyclovir (Zovirax)is alert for the side effects of this drug,which include:
A) Fever and bone marrow suppression
B) Vaginal burning and skin irritation
C) Dizziness, headache, and nausea
D) Leukopenia and peripheral neuropathy
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Chapter 50: Skin Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9227
Sample Questions
Q1) In taking the functional assessment of a patient with a skin disorder,the nurse will inquire about:
A) A sore that is slow to heal
B) Unusual hair growth
C) Previous skin disorders
D) Exposure to chemicals or irritants
Q2) The nurse collecting tissue for a Tzanck smear will: (Select the appropriate interventions and place the steps in sequence.)
A) Open the lesion with a hypodermic needle.
B) Place the specimen in a culture tube, and take to the laboratory.
C) Saturate the sterile swab with exudates.
D) Wash the lesion.
E) Place a pressure dressing on the lesion.
Q3) The implementation that would make a patient with atopic dermatitis more comfortable is to:
A) Instruct the patient to wear loose clothing.
B) Add alcohol to the bath water.
C) Provide a diet low in fat.
D) Increase the room temperature between 78° F and 80° F.
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Page 52
Chapter 51: Eye and Vision Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9228
Sample Questions
Q1) The nurse is aware that the refractive media of the eye is made up of the: (Select all that apply.)
A) Aqueous humor
B) Retina
C) Vitreous humor
D) Cornea
E) Lens
Q2) When being interviewed,a 50-year-old patient says that he cannot see the newspaper as well as he used to.The nurse knows that vision changes from near to far occur because:
A) The ciliary muscle changes the pupil size.
B) The lens of the eye changes shape as the ciliary muscle contracts and relaxes.
C) Of nearsightedness.
D) Of a clouding of the vitreous humor.
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Chapter 52: Ear and Hearing Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9229
Sample Questions
Q1) When making the initial assessment on a patient with a hearing deficit,the patient reports that he often feels off balance and is dizzy when he stands up.These symptoms could be explained by:
A) Sinus infection
B) Rubella
C) Otalgia
D) Presbycusis
Q2) The 75-year-old patient complains to the nurse that although she has cleaned her ears with cotton-tipped applicators for weeks,she still cannot hear her television unless the volume is loud and she misses a great deal of conversations.On examining her ears,the nurse anticipates:
A) Otitis externa
B) Purulent drainage
C) Dry cerumen across the canal
D) Pearly tympanic membrane
Q3) A significant instruction to a patient being discharged after ear surgery is to:
A) Use stool softeners with caution.
B) Assume your usual activities.
C) Avoid blowing your nose.
D) Shampoo your hair with baby shampoo.
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Chapter 53: Nose, Sinus, and Throat Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9230
Sample Questions
Q1) The nurse explains that when giving first aid to a person with spontaneous epistaxis,the initial action would be to:
A) Apply direct pressure for 3 to 5 minutes.
B) Have the person sit down and lean forward.
C) Have the person lie down, and apply an ice pack.
D) Have the person clear the nasal passages by blowing the nose.
Q2) The nurse recognizes the candidate for a tonsillectomy as the:
A) 52-year-old patient with a hearing deficit, related to otitis media from tonsillitis
B) 23-year-old patient with a peritonsillar abscess
C) 34-year-old patient with enlarged tonsils and adenoids
D) 15-year-old patient with one bout of tonsillitis in the previous 12 months
Q3) To encourage a new patient after a tonsillectomy to increase fluids,the nurse would offer:
A) Chilled citrus juices
B) Tap water sipped through a straw
C) Flavored popsicles to suck
D) Ice cubes
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Chapter 54: Psychologic Responses to Illness
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/9231
Sample Questions
Q1) The star quarterback on the high school football team is injured in a motorcycle accident.He will be unable to play football again.In planning his care,an appropriate nursing diagnosis for coping is:
A) Impaired physical mobility
B) Situational low self-esteem
C) Impaired social interaction
D) Impaired comfort
Q2) The student nurse who was terrified of giving an injection now gives many injections every shift.The change in the nurse is the result of ____________________.
Q3) The wife of a critically injured husband has been at his bedside constantly for 2 days.As the nurse speaks to the wife,the wife sobs,"This is awful.I can't take it anymore." The nurse realizes that the wife is experiencing:
A) Fear
B) Denial
C) Compensation
D) Stress
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Chapter 55: Psychiatric Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/9232
Sample Questions
Q1) A patient states that he feels angry at work for no reason and often yells at his coworkers.The therapist asks the patient to describe events,and then tells the patient to try different strategies to cope with these angry outbursts.This would be an example of a(n)___________________ approach.
A) Biologic
B) Analytical
C) Cognitive or behavioral
D) Interpersonal
Q2) A patient given anxiolytic medications for his mental disorder is being treated using a(n)_______________ approach.
A) Analytical
B) Interpersonal
C) Biologic
D) Psychoanalytic
Q3) When the nurse asks questions like,"What day is today?" or "What time is it now?" the nurse is testing the patient's ____________________.
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Chapter 56: Substance-Related Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/9233
Sample Questions
Q1) The nurse clarifies that when a urine sample is needed for screening in a case of DWI or other crime,the specimen should: (Select all that apply.)
A) Be collected and witnessed by a staff member of the same gender.
B) Be documented with a chain-of-custody form and signed by all who handle the specimen.
C) Be kept under secure conditions if temporary storage is necessary.
D) Never be out of sight until someone from law enforcement takes it.
E) Be placed in a specially marked container.
Q2) During the taking of a medical history,the patient who is addicted to heroin reports he only uses the drug a few times a week.The nurse's best response that would disclose more precise information would be:
A) "OK. You only use heroin two times a week?"
B) "What do you mean when you say 'a few?'"
C) "Are you saying that in a week's time would you use heroin only two times?"
D) "Rate your weekly usage on a scale of 1 to 15."
Q3) The nurse explains that a test that can detect substance abuse for up to 1 year after only 2 or 3 days of use is performed on ____________________.
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