Patient Care Management Practice Questions
Course Introduction
Patient Care Management is a comprehensive course designed to equip students with the knowledge and skills necessary to effectively coordinate, deliver, and evaluate patient care within diverse healthcare settings. The course covers essential topics such as patient assessment, care planning, interprofessional communication, case management, quality improvement, ethical and legal considerations, and the use of technology in care coordination. Emphasis is placed on promoting patient-centered care, ensuring safety and quality standards, and optimizing health outcomes through evidence-based practices and collaborative teamwork among healthcare professionals.
Recommended Textbook
Medical Surgical Nursing 2nd Edition by Kathleen S. Osborn
Available Study Resources on Quizplus
67 Chapters
1995 Verified Questions
1995 Flashcards
Source URL: https://quizplus.com/study-set/3943
Page 2
Chapter 1: Preparation for Practice
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78657
Sample Questions
Q1) The nurse, instructing a patient newly diagnosed with type 2 diabetes, reminds the patient about the need for an annual dilated retinal eye examination and annual urine tests to measure protein levels. The nurse is functioning within which role with this patient?
A) Educator
B) Researcher
C) Advocate
D) Leader
Answer: A
Q2) A staffing issue and lack of patient care supplies cause a nurse to cancel planned evening activities and stay on the care area until all issues are resolved. The nurse's actions are most typical of which role?
A) Administrator
B) Educator
C) Manager
D) Researcher
Answer: C
To view all questions and flashcards with answers, click on the resource link above. Page 3
Chapter 2: Legal, Ethical, and Regulatory Aspects of Health
Care Delivery
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78656
Sample Questions
Q1) A patient tells the nurse that he had made some decisions about his care when he thought he was going to die, but now that he knows he isn't, he wants all possible medical treatment. Which nursing action is indicated?
A) Tell the patient that he cannot change is mind or treatment plan.
B) Change the patient's classification in the medical record.
C) Contact social services to discuss the change in plans.
D) Contact the health care provider for the patient to discuss the patient's decision.
Answer: D
Q2) A patient asks the nurse to promise that nothing bad will happen while the patient is under anesthesia for a surgical procedure. The patient is creating a conflict in which of the nurse's ethical principles?. Select all that apply.
A) Fidelity
B) Respect for others
C) Paternalism
D) Veracity
E) Autonomy
Answer: A,D
To view all questions and flashcards with answers, click on the resource link above.
4
Chapter 3: Research Foundations for Nursing Practice
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78655
Sample Questions
Q1) A patient with severe hypertension, chosen to receive an experimental medication that has shown a dramatic efficacy in lowering blood pressure, has been told that his participation in the study is no longer needed. The patient is upset because he wanted to try the medication to control his blood pressure. What should the nurse do to support this patient?
A) Tell the patient that he can participate some other time.
B) Explain to the patient that experimental medications rarely produce the desired results.
C) Help the patient understand that his participation "wasn't meant to be."
D) Talk with the researchers about the patient's right to receive the medication.
Answer: D
Q2) A patient refuses to participate in a research study for an experimental medication. By accepting the patient's decision, the nurse is exercising which ethical principle?
A) Respect for persons
B) Justice
C) Informed consent
D) Beneficence
Answer: A
To view all questions and flashcards with answers, click on the resource link above.
5
Chapter 4: Nursing Care Delivery Systems
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78654
Sample Questions
Q1) Which scenario is an example of correct delegation?
A) The nurse asks the unlicensed assistant to bathe a patient before surgery.
B) The nurse asks the unlicensed assistant if a patient tolerated ambulating in the hall.
C) The nurse instructs the unlicensed assistant to check the patient's lung sounds for crackles.
D) The nurse asks the unlicensed assistant to see if the patient's hourly urine output is adequate.
Q2) The nurse's chief function is to collaboratively plan, coordinate, and evaluate services in a cost-effective manner. The nurse fulfills which role within the care delivery system?
A) Nurse practitioner
B) Clinical nurse specialist
C) Clinical nurse leader
D) Case manager
To view all questions and flashcards with answers, click on the resource link above.
6
Chapter 5: Nursing Process and Documentation
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78653
Sample Questions
Q1) The nurse is caring for a 70-year-old patient who was just admitted to an inpatient rehabilitation center. The patient had required total parenteral nutrition for several days, but recently resumed and is tolerating a regular diet. She has another 4 days left in a course of intravenous antibiotics to complete treatment of a positive central line culture. Which nursing action, required in the care of this patient, is considered a dependent role function?
A) Requesting that the health care provider order a consult because the patient states that her dentures no longer fit properly and she has trouble chewing
B) Asking the nursing assistant to demonstrate to the patient how to operate the call system
C) Interviewing the patient to assess whether she needs assistance with getting out of bed
D) Administering the antibiotics prescribed by the health care provider
Q2) Which aspect of critical thinking would the nurse use when making a nursing diagnosis?
A) Making decisions about an action
B) Identifying potential and actual problems
C) Increasing the likelihood of obtaining good results
D) Getting a better understanding of someone else
To view all questions and flashcards with answers, click on the resource link above. Page 7
Chapter 6: Health Assessment
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78652
Sample Questions
Q1) A patient tells the nurse that he has a history of back pain that is controlled with yoga and herbal supplements. How would the nurse document this information?
A) The patient does not believe in Western medicine.
B) The patient has strong spiritual beliefs.
C) The patient uses some alternative forms of medicine to treat illness.
D) The patient uses stress reduction techniques to control back pain.
Q2) The nurse asks the patient, "What brings you to the hospital today?" What is the nurse's rationale for using this type of question?
A) It acknowledges agreement between the patient and the nurse.
B) It elicits specific information.
C) It is useful for introducing a subject in general terms.
D) It helps to clarify information.
Q3) While conducting a health assessment, the nurse documents a patient's response under the heading "chief complaint." Which part of the assessment is the nurse conducting?
A) History of present illness
B) Family history
C) Psychosocial history
D) Past medical history
To view all questions and flashcards with answers, click on the resource link above.
Page 8
Chapter 7: Genetics
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78651
Sample Questions
Q1) A patient is having difficulty achieving adequate anticoagulation with prescribed doses of warfarin. What information should the nurse offer this patient?
A) "Some people metabolize medications differently because of their genetic makeup."
B) "You are probably not taking the medication correctly."
C) "There must be something you are eating that is interfering with the drug."
D) "Something in your lifestyle is interfering with the action of the medication."
Q2) A patient planning to be married tells the nurse that she has a strong family history of Huntington's chorea but does not plan to let her fiancé know. How should the nurse respond?
A) "Is there any reason you do not want your fiancé to know about your genetic illness?"
B) "It is probably best that he is not aware of the disease."
C) "Are you afraid he will not want to marry you if he knows?"
D) "There are worse disease processes than Huntington's chorea."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 8: Nutrition
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78650
Sample Questions
Q1) The nurse is planning care for a postoperative patient who has just resumed a regular diet. What should the nurse include when planning for this patient's nutritional needs?
A) Protein intake should be restricted.
B) Calories should be limited because of reduced activity.
C) Carbohydrate intake should be restricted.
D) Daily caloric intake should be increased.
Q2) The mother of a 14-year-old boy is concerned that her son may have anorexia nervosa. Which statements by the mother would the nurse evaluate as supporting this concern?. Select all that apply.
A) "His whole focus in life is on improving his marathon time."
B) "He complains of being hot all the time."
C) "He is losing his hair."
D) "He has lost 5 pounds since he started football practice."
E) "He seems so skinny and weak."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 9: The Biophysical and Psychosocial Aspects of Nursing
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78649
Sample Questions
Q1) While conducting an assessment, the nurse asks the patient to rate her pain, with 1 being no pain and 10 being the worst pain she ever experienced. The nurse is utilizing which therapeutic communication technique?
A) Focusing
B) Encouraging comparison
C) Offering self
D) Accepting
Q2) A patient is brought to the emergency department after being involved in a drive-by shooting. Which physiological changes associated with the alarm stage would make it difficult to assess this patient for injury?. Select all that apply.
A) The patient's heart rate will be elevated.
B) The patient's blood glucose will be elevated.
C) The patient's urine output will be decreased.
D) The patient's bowel sounds will be hyperactive.
E) The patient's systolic blood pressure will be low.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 10: The Aging Process
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78648
Sample Questions
Q1) An 85-year-old male patient is aware of the need for a colonoscopy; however, he has a history of severe electrolyte imbalances associated with bowel preps for diagnostic tests. Which intervention should the nurse plan?
A) Discuss the option of having a flexible sigmoidoscopy instead.
B) Investigate medications the patient can take after the colonoscopy to correct the electrolyte imbalances.
C) Discuss the option of not having the colonoscopy.
D) Consider the option of delaying the colonoscopy for a year.
Q2) A nurse researcher is preparing to study a group of older adults and their response to a nursing intervention. To meet the legal definition of older adult, the study group should include persons _______ years of age or older.
Q3) A patient tells the nurse that she does not bother to bathe anymore and has no appetite, so she eats only a few times a week. The nurse would evaluate this statement as possibly indicating which type of mistreatment?
A) Abandonment
B) Physical abuse
C) Emotional abuse
D) Self-neglect
To view all questions and flashcards with answers, click on the resource link above.
Page 12
Chapter 11: Caring for the Patient at End of Life
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78647
Sample Questions
Q1) A patient is prescribed an intravenous midazolam drip at a rate of 1-5 mg/hr, titrated to symptom relief. The nurse would start this drip at ______ mg/hr.
Q2) A patient is experiencing delirium. Which group of medications should the nurse consider administering to help reduce delirium?
A) Neuroleptics
B) Benzodiazapines
C) NSAIDs (nonsteroidal anti-inflammatory drugs)
D) Opioids
Q3) The medical team has proposed a new therapy for a patient who is terminally ill. The nurse should ensure that the patient and family understand which aspects of the therapy before they make a decision about its implementation?. Select all that apply.
A) The goals of the treatment
B) The likelihood that the goals of therapy will be met
C) The treatment burden
D) Predicted quality of life after the treatment
E) Implications for the health care community
To view all questions and flashcards with answers, click on the resource link above.
Chapter 12: Pain Assessment and Management
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78646
Sample Questions
Q1) A patient is seen talking and laughing in the clinic's waiting room, yet complains of excruciating pain. The nurse realizes this patient is most likely demonstrating which behavior?
A) Opioid drug-seeking
B) Denial
C) Fake pain
D) Inconsistent behavioral response to pain
Q2) A patient is receiving an opioid for severe acute pain. What information should the nurse provide regarding this medication?. Select all that apply.
A) Increase fluid intake.
B) Take a vitamin D supplement.
C) Eat more protein.
D) Increase intake of complex carbohydrates.
E) Take a stool softener daily.
Q3) A patient who had abdominal surgery this morning is receiving opioid pain medication on a routine basis. The nurse would hold the medication if the patient's respirations fall below _____ per minute.
To view all questions and flashcards with answers, click on the resource link above. Page 14
Chapter 13: Substance Abuse Assessment and Management
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/78645
Sample Questions
Q1) The nurse is assessing a patient who reports frequent use of marijuana during her current pregnancy. The nurse would teach the patient about which effects of this drug?. Select all that apply.
A) Poor pregnancy outcomes
B) Bradycardia
C) Lung damage with long-term use
D) Diuresis
E) Increased risk of respiratory cancer
Q2) A patient tells the nurse that both his parents are alcoholics, and he wonders about the likelihood of becoming an alcoholic as well. How should the nurse respond?
A) "There are studies that support a genetic link for developing alcoholism."
B) "Why are you concerned about becoming an alcoholic?"
C) "You will likely become an alcoholic."
D) "Don't worry about that."
Q3) A patient has been admitted to withdraw from alcohol. The patient is agitated and restless and complains of having "the shakes." The nurse anticipates this patient will experience these effects for at least _____ weeks.
To view all questions and flashcards with answers, click on the resource link above.
Page 15
Chapter 14: Infectious Process and Prophylaxis
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/78644
Sample Questions
Q1) The nurse is performing hand hygiene with an alcohol-based product. The nurse should rub the hands together for at least ______ seconds.
Q2) Which finding would indicate that a patient is experiencing a systemic reaction associated with an inflammatory response?
A) Fever
B) Erythema
C) Edema
D) Pain
Q3) The nurse is caring for four patients in a medical-surgical unit. Which patient should the nurse see first?
A) A patent admitted with pneumonia who is has small amounts of yellow productive sputum
B) A patent admitted with fever of unknown origin whose temperature is currently
C) A patent admitted with an infected wound on the left foot whose WBC is 8,500 mm<sup>3</sup>
D) A patent admitted with infectious gastroenteritis who has had severe diarrhea for the last 24 hours
99.0F
To view all questions and flashcards with answers, click on the resource link above.
16
Chapter 15: Fluids, Electrolytes and Acid-Base Imbalance
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/78643
Sample Questions
Q1) A patient prescribed spironolactone is demonstrating ECG changes and complaining of muscle weakness. The nurse realizes this patient is exhibiting signs of which imbalance?
A) Hyperkalemia
B) Hypokalemia
C) Hypercalcemia
D) Hypocalcemia
Q2) A patient is diagnosed with hypokalemia. Which medication order would the nurse anticipate?
A) Potassium 40 mEq IV push
B) Potassium 40 mEq added to the next liter of IV fluids
C) Potassium 40 mEq by rectal suppository
D) Potassium 40 mEq IM
Q3) The nurse would assess for dehydration if the patient's urine specific gravity is higher than ________.
Q4) A clinic patient is short of breath and has ankle edema. Today's weight is 8 pounds heavier that last week's weight. The nurse determines that the patient could have retained ______ pints of fluid.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 16: Fluid and Blood Infusion Therapy
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/78642
Sample Questions
Q1) The flow rate for an IV line is ordered at 60 mL/hr via gravity. The nurse starts the infusion with an infusion set with a drip factor of 10 gtts/mL. The IV should run at _______ drops per minute.
Q2) Which technique should the nurse use when infusing fresh frozen plasma?
A) Administer slowly.
B) Give through a filter.
C) Agitate the bag periodically.
D) Give IV push.
Q3) A patient is to receive Factor VIIa. How will the nurse plan to administer this factor?
A) By IV bolus
B) By slow IV infusion
C) Subcutaneously
D) Rapid IV drip
Q4) A patient has received a unit of packed red blood cells. If the patient is not bleeding, the nurse would expect that the hematocrit would rise _____ %.
Q5) The nurse is planning to administer 10 units of platelets to a patient with thrombocytopenia. The nurse plans to have a platelet count drawn within _______ minutes of the end of the transfusion.
To view all questions and flashcards with answers, click on the resource link above.
Page 18
Chapter 17: Preoperative Nursing
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/78641
Sample Questions
Q1) The nurse is providing preoperative teaching for a patient who will be having a coronary artery bypass graft (CABG). What is a priority nursing intervention for this patient?
A) Ensure the patient and family understand the various tubes that the patient will have in place.
B) Teach the patient about an incentive spirometer.
C) Discuss the location of the bed controls in the intensive care unit.
D) Teach the patient to request pain medication when the pain is unbearable.
Q2) A patient is receiving preoperative teaching. Which information should the nurse provide?
A) Teaching regarding the call lights and bed controls for the medical-surgical unit
B) Teaching regarding pain control in the postanesthesia recovery room (PACU)
C) Teaching regarding patient medications upon discharge
D) Teaching regarding the type of IV pump the patient will have after discharge to home health
Q3) A patient has postponed an elective surgical procedure. The nurse would advise the patient that a new preoperative health assessment will be necessary if the original assessment document is over _____ days old.
To view all questions and flashcards with answers, click on the resource link above. Page 19
Chapter 18: Intraoperative Nursing
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78640
Sample Questions
Q1) A patient is being prepared for surgery on the right arm. Which actions should the nurse take to prevent brachial plexus nerve injury?. Select all that apply.
A) Align the arm at a 135-degree angle from the body.
B) Pronate the wrist.
C) Pad the table extension on which the arm is positioned.
D) Protect the arm from pressure exerted by operative equipment.
E) Consider intraoperative position changes if possible.
Q2) A registered nurse is assisting the surgeon in conducting an exploratory laparoscopy. The nurse holds the tissue retractors, biopsies tissue, and sutures the patient at the conclusion of the case. Which role is this nurse fulfilling?
A) Circulating nurse
B) Scrub nurse
C) Certified registered nurse anesthetist
D) Registered nurse first assistant
Q3) The certified nurse anesthetist suspects a patient is experiencing malignant hyperthermia and will administer dantrolene sodium 3 mg/kg IV. The patient's documented weight is 143 pounds. The nurse will administer _____ mg in the first bolus.
To view all questions and flashcards with answers, click on the resource link above.
Page 20
Chapter 19: Postoperative Nursing
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/78639
Sample Questions
Q1) The PACU nurse is assessing a postoperative patient's intravenous fluids. Which assessments should be documented?. Select all that apply.
A) Location of the intravenous catheter
B) The length of time the catheter has been in place
C) The type of IV fluid infusing
D) The rate fluid is infusing
E) The type of IV catheter present
Q2) The nurse assesses a patient in the postanesthesia recovery unit and finds a BP of 88/50, pulse 116, and respirations of
A) Pain assessment
B) Urine output
20. What assessment data will the nurse collect next?
C) Pulse oximeter reading
D) Whether the patient is nauseated
Q3) A patient who is being prepared for discharge after surgery becomes dizzy and weak when getting up to go the bathroom. The nurse would document that this patient has orthostatic hypotension if the patient's heart rate increases by _______beats per minute when moving from the lying to standing position.
To view all questions and flashcards with answers, click on the resource link above. Page 21
Chapter 20: Nursing Assessment of the Patient With Neurological Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78638
Sample Questions
Q1) The nurse is interviewing a patient whose wife reports, "He's really forgetting things more these days." To provide the best assessment of this complaint, what should the nurse do first?
A) Ask the wife to give examples of the patient's forgetfulness.
B) Have the patient take the Mini-Mental Status Examination (MMSE).
C) Use the mnemonic OLD CARTS to obtain assessment data.
D) Ask the patient if he too feels he's "forgetful."
Q2) Which techniques would the nurse use to test for graphesthesia?. Select all that apply.
A) Ask the patient to identify an object placed in the hand.
B) Have the patient close the eyes.
C) Ask the patient to occlude the ear not being tested.
D) Trace a letter in the palm of the patient's hand.
E) Lightly touch both sides of the patient simultaneously.
Q3) The nurse assesses that a patient is able move her left arm but uses her right arm to assist. The nurse would assign the affected muscle group a strength grade of ______.
Q4) The patient's vision is recorded as 20/
50. The nurse is measuring what this patient can see as compared to what a normal eye can see at _______ feet.
Page 22
To view all questions and flashcards with answers, click on the resource link above.
Chapter 21: Caring for the Patient With an Acute Brain or Cranial Nerve Disorder
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78637
Sample Questions
Q1) A patient with increased intracranial pressure (ICP) is being repositioned. The nurse would incorporate which actions into this intervention?. Select all that apply.
A) Inform the patient regarding what is going to occur during the intervention.
B) Reposition the patient every 1 to 2 hours.
C) Accompany each repositioning with passive range-of-motion exercises.
D) Elevate the head of the bed to 30 degrees.
E) Manage the repositioning with slow, smooth, and gentle movements.
Q2) A nurse is providing care to a patient with increased intracranial pressure following a closed head injury. The nurse would determine that adequate cerebral perfusion pressure exists if the CPP is at least ____.
Q3) The nurse anticipates that which medication will be ordered to halt status epilepticus in a patient?
A) Lorazepam (Ativan) IV
B) Oral glucose
C) Phenytoin (Dilantin) orally
D) Gabapentin (Neurontin) and lamotrigine (Lamictal)
To view all questions and flashcards with answers, click on the resource link above. Page 23
Chapter 22: Caring for the Patient With Cerebral Vascular Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78636
Sample Questions
Q1) A patient is admitted with signs of a stroke (CVA). On admission, vital signs were blood pressure 128/70, pulse 68, and respirations
A) Impending brain death
B) Decreasing intracranial pressure
20. Two hours later the patient is not awake, has a blood pressure of 170/70, pulse 52, and the left pupil is now slower than the right pupil in reacting to light. These findings suggest which condition?
C) Stabilization of the patient's condition
D) Increasing intracranial pressure
Q2) A 27-year-old male arrives at the emergency department reporting a sudden severe-onset headache. Diagnostic studies confirm he is experiencing an intracerebral hemorrhage. The nurse recognizes which risk factor for this condition in the patient's history?
A) The patient reports having a sprained ankle last week, for which he took ibuprofen.
B) The patient reports smoking a pack of cigarettes a day since he was 16 years old.
C) The patient is 27 years old.
D) The patient is male.
To view all questions and flashcards with answers, click on the resource link above.
Page 24
Chapter 23: Caring for the Patient With Chronic and Degenerative Neurological Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78635
Sample Questions
Q1) A nurse working in a fertility clinic reviews the health history of a patient whose father had Huntington's disease. What initial statement by the nurse would best address this patient's risk factors?
A) "What do you know about testing for this disease?"
B) "Have you ever been tested for this disease?"
C) "Are you sure you want to have children?"
D) "Your child has a 50% chance of getting this disease."
Q2) The nurse notes tremors and muscle rigidity in an older adult patient diagnosed with Parkinson's disease. Which medication would the nurse expect to administer to combat these symptoms?
A) Benztropine (Cogentin)
B) Dantrolene (Dantrium)
C) Riluzole (Rilutek)
D) Nitroglycerin (Nitro-bid)
Q3) Once amyotrophic lateral sclerosis (ALS) is diagnosed, what is the priority nursing activity?
A) Support the patient and family to meet physical and psychosocial needs.
B) Monitor for infection.
C) Assist the patient to avoid complications.
D) Assist the patient to adapt to the disease.
Page 25
To view all questions and flashcards with answers, click on the resource link above.
Chapter 24: Caring for the Patient With Spinal Cord Injuries
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78634
Sample Questions
Q1) Which patient is at highest risk for a spinal cord injury?
A) 18-year-old male with a prior arrest for driving while intoxicated (DWI)
B) 20-year-old female with a history of substance abuse
C) 50-year-old female with osteoporosis
D) 35-year-old male who coaches a soccer team
Q2) Which nursing action is appropriate for turning a patient who sustained a spinal cord injury?
A) This patient should not be turned.
B) Place pillows under the patient's side for support turning the turn.
C) Have the patient grasp the side rail to turn.
D) Logroll the patient.
Q3) A patient is admitted after a fall that has resulted in spinal shock. When asked by the family how long the paralysis is likely to last, the nurse's response is based on which understanding?
A) Spinal shock usually results in temporary paralysis.
B) There will likely be some minor improvement in the degree of paralysis.
C) Spinal shock is irreversible and the paralysis is likely to be permanent.
D) The severity of the injuries cannot be determined until the spinal shock resolves.
To view all questions and flashcards with answers, click on the resource link above.
26
Chapter 25: Nursing Assessment of the Patient With
Respiratory Disorders
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78633
Sample Questions
Q1) During an assessment, a patient begins to cough. How would the nurse evaluate this finding?
A) The patient has a cold.
B) The patient is nervous.
C) Something other than air was entering the larynx.
D) The patient is not fully conscious.
Q2) The nurse wants to assess the apex of a patient's right lung. In which location should the nurse place the stethoscope?
A) Intercostal space, sixth rib near the sternum
B) Intercostal space, fourth rib near the axillary line
C) Below the scapula
D) Near the right clavicle
Q3) A patient with pneumonia is experiencing shunt ventilation. The nurse plans care for the patient based on which considerations?. Select all that apply.
A) Shunt ventilation is the normal state for a patient who has pneumonia.
B) Blood flow to the alveoli is compromised.
C) Blood is flowing past the alveoli but is not being oxygenated.
D) Ventilation is inadequate at the alveolar level.
E) Hypoxia may occur if the unaffected lung cannot compensate.
Page 27
To view all questions and flashcards with answers, click on the resource link above.
Chapter 26: Caring for the Patient With Upper Airway Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78632
Sample Questions
Q1) The nurse, suctioning a patient's tracheostomy, plans for each suctioning attempt to last no longer than _____ seconds.
Q2) A patient who is scheduled for a partial laryngectomy asks if he will still be able to talk after the surgery. What are appropriate nursing responses to this patient?. Select all that apply.
A) "No, you will not."
B) "You will have to ask your physician."
C) "Yes, but it might sound a little different."
D) "You will be able to talk, but with an electronic device."
E) "Speech is usually preserved, but we will know better after surgery."
Q3) While eating a meal in the hospital, a patient demonstrates difficulty breathing and signs of choking. The nurse realizes that the patient is experiencing which condition?
A) Laryngeal obstruction
B) Pulmonary emboli
C) Epiglottitis
D) An acute myocardial infarction
To view all questions and flashcards with answers, click on the resource link above.
Chapter 27: Caring for the Patient With Lower Airway Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78631
Sample Questions
Q1) The nurse, caring for a patient diagnosed with lung cancer, determines that the patient might be experiencing superior vena cava syndrome when which finding is assessed?
A) Face and neck swelling
14.0 mg/dL
B) Hourly urine outputs 250 to 500 mL
C) Calcium level of
D) Flat jugular veins
Q2) The nurse is developing handouts for a community educational session about lung cancer. Which information should the nurse include in this material?. Select all that apply.
A) The majority of lung cancers are detected when the patient has an X-ray for an unrelated complaint.
B) Coughing is a common symptom of lung cancer.
C) Hoarseness is a symptom that should be evaluated.
D) Small-cell lung cancer is almost always found in smokers.
E) Lung cancer associated with smoking is almost always treated with radiation and chemotherapy.
To view all questions and flashcards with answers, click on the resource link above. Page 29
Chapter 28: Caring for the Patient With Complex
Respiratory Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78630
Sample Questions
Q1) A patient who was in a motor vehicle accident 1 day ago has been diagnosed with lung contusions. The patient develops increasing respiratory distress. The nurse recognizes that which factor will differentiate a diagnosis of acute lung injury (ALI) from a diagnosis of acute respiratory distress syndrome (ARDS)?
A) ALI patients have fewer injuries than ARDS patients.
B) ARDS patients have a lower respiratory rate than ALI patients.
C) ARDS and ALI differ only in the extent of hypoxemia.
D) ALI patients have more inflammation than ARDS patients.
Q2) A patient being mechanically ventilated is demonstrating hypoxia, with a pulse oximeter reading of 88%. After ensuring the integrity of the ventilator tubing and assessing the patient, the nurse auscultates adventitious lung sounds. Which action should the nurse take next?
A) Suction the patient.
B) Contact the physician.
C) Turn the patient on the side.
D) Silence the alarm.
Q3) Arterial blood gases reveal that a patient's PaO<sub>2</sub> is 84% on room air. The patient's FaO<sub>2</sub>/FiO<sub>2</sub> ratio is ______.
To view all questions and flashcards with answers, click on the resource link above. Page 30
Chapter 29: Nursing Assessment of the Patient With
Cardiovascular Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78629
Sample Questions
Q1) A woman diagnosed with coronary artery disease says, "I would have come to the doctor sooner, but I didn't think women get heart disease." Which information should the nurse provide?
A) Women are more likely than men to die suddenly from cardiac disease.
B) Men die more often from cardiac disease, but it is beginning to affect women as well.
C) There is very little gender difference in deaths from cardiac disease.
D) There have been no good studies examining gender and cardiac death rates.
Q2) The S1 heart sound corresponds to which physiological event?
A) Closure of the AV valves
B) Closure of the semilunar valves
C) Ejection of blood from the atria
D) The onset of relaxation
Q3) The patient presents to the emergency department (ED) complaining of chest pain, fatigue, and dyspnea. What is the nurse's priority assessment?
A) Medications
B) Airway and oxygen status
C) Activity tolerance
D) Chest pain
To view all questions and flashcards with answers, click on the resource link above. Page 31
Chapter 30: Car-Ing for the Patient With Dysrhythmias
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78628
Sample Questions
Q1) Which statement would the nurse use to describe the Q wave of an electrocardiogram tracing?
A) Rounded and upright and follows the QRS complex
B) Rounded and upright and precedes the QRS complex
C) Negative deflection following the R wave
D) First negative deflection after the P wave
Q2) The nurse is notified by the cardiac monitoring technician that a patient on continuous cardiac monitoring is having frequent alarms. When the nurse enters the patient's room, the patient is in no apparent distress, sitting in the chair and eating. Which are appropriate nursing interventions?. Select all that apply.
A) Confirm that lead wires are properly connected.
B) Assess the placement of electrodes.
C) Remove and reapply new electrodes if nonadherent.
D) Assess skin sites and move an electrode if the skin appears irritated.
E) Call for assistance.
Q3) The nurse count
3.5 large squares between two R waves on the patient's cardiac monitor tracing. The nurse calculates the patient's heart rate as _______ beats per minute. (Round to the nearest whole beat.)
To view all questions and flashcards with answers, click on the resource link above.
Page 32
Chapter 31: Hemodynamic Monitoring
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78627
Sample Questions
Q1) The nurse is caring for a patient in the critical care area whose fluid volume status needs to be assessed closely. The nurse would expect which type of monitoring to be used?
A) Arterial pressure monitoring
B) Pulmonary artery pressure monitoring
C) Central venous pressure monitoring
D) Intra-aortic balloon pump monitoring
Q2) A patient is concerned about the arterial line waveform pattern because there is a break in the downward slope of the pattern and "something must be wrong" because it is not a smooth line. What is the nurse's best response?
A) "What you are seeing is called a dicrotic notch, and it means the beginning of the resting phase of your heart."
B) "It is nothing for you to be concerned about. It is just a measurement of your blood pressure."
C) "You are right. I will see if you are prescribed any medication for that problem."
D) "You are seeing the strongest part of your heart muscle, which is the first number of a blood pressure reading."
To view all questions and flashcards with answers, click on the resource link above.
Page 33
Chapter 32: Caring for the Patient With Coronary Artery Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78626
Sample Questions
Q1) A patient's electrocardiogram (ECG) reveals evidence of a myocardial infarction (MI), although this event is not recorded in the patient's history. The nurse teaches the patient that silent ischemia and silent MI are more common in which people?. Select all that apply.
A) Women
B) African Americans
C) People with diabetes
D) People in high-stress occupations.
E) People younger than 45
Q2) The nurse is reviewing a new prescription for propranolol (Inderal) for a patient with coronary artery disease (CAD). The nurse would call the physician and this prescription if the patient has which history?
A) History of asthma
B) Also taking antioxidants
C) Also taking simvastatin (Zocor)
D) History of bleeding disorders
Q3) A patient's activity is progressing after an acute myocardial infarction (AMI). The nurse would determine that the patient is deconditioned if getting up in a chair decreases systolic blood pressure by _______ mmHg or more.
Page 34
To view all questions and flashcards with answers, click on the resource link above.
Chapter 33: Caring for the Patient With Cardiac
Inflammatory Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78625
Sample Questions
Q1) Home care teaching is being completed by the nurse for a patient recovering from rheumatic fever. Which statement by the patient would indicate that the teaching has been effective?
A) "I will be sure to tell my dentist that I had rheumatic fever."
B) "I will try to eat less protein and more fat, so I will have more energy."
C) "I am already at risk for increased bleeding, so I will avoid taking aspirin for pain."
D) "I know that if my joints start to hurt again, I need to slow down, but I won't have to worry since I'm immune to getting rheumatic fever again."
Q2) The nurse calls a patient 2 days before an outpatient procedure to discuss preprocedure preparation. The procedure is being done to track the progression of the patient's valvular disease. Which testing is likely scheduled?
A) Chest x-ray
B) An electrocardiogram
C) Transesophageal echocardiography (TEE)
D) Cardiac catheterization
To view all questions and flashcards with answers, click on the resource link above.
Page 35
Chapter 34: Caring for the Patient With Heart Failure
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78624
Sample Questions
Q1) An elderly patient was recently discharged to home after treatment for chronic heart failure. The patient experiences a pulse rate increase from 80 beats per minute (bpm) to 102 bpm when walking from the kitchen to the utility room to do laundry. What is an appropriate nursing action for the home health nurse?
A) Encourage the patient to complete tasks such as laundry early in the morning before fatigue is an issue.
B) Recommend that the patient ignore the pulse rate and become more active to build stamina.
C) Encourage the patient to rest for 30 minutes between completing each load of laundry.
D) Encourage the patient to sit and rest in the utility room and whenever the patient feels the pulse rate increase.
Q2) Which nursing diagnosis would the nurse add to the care plan of a patient diagnosed with acute systolic heart failure?
A) Disturbed Body Image
B) Imbalanced Nutrition: More than Body Requirements
C) Excess Fluid Volume
D) Ineffective Airway Clearance
To view all questions and flashcards with answers, click on the resource link above. Page 36
Chapter 35: Caring for the Patient With Peripheral Vascular Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78623
Sample Questions
Q1) A patient has been diagnosed with stage 2 hypertension. What should the nurse teach this patient about managing the disease?. Select all that apply.
A) Take the prescribed medication as directed.
B) Stop taking medication when blood pressure returns to normal limits.
C) Exercise when the weather permits.
D) Two or three glasses of wine with dinner will help to control blood pressure.
E) Eat three balanced meals every day.
Q2) The nurse is providing preoperative instructions to a patient scheduled for endovascular repair to reduce peripheral vascular disease. The patient asks where the incision will be located. How should the nurse reply?
A) "There will be a small incision in the groin area because the procedure is done via the femoral artery."
B) "There will be no incisions because the repair is done via IV access."
C) "There will be an incision in the mid-chest because the surgeon will need to perform bypass surgery."
D) "There will be an incision in the abdomen so the surgeon can visualize the affected area."
To view all questions and flashcards with answers, click on the resource link above.
Page 37
Chapter 36: Nursing Assessment of the Patient With
Gastrointestinal, Renal, or Urinary Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78622
Sample Questions
Q1) Which would the nurse ask to most effectively assess the patient's pattern of elimination?
A) "Are you having any bowel problems?"
B) "Have you had any recent difficulties with your stools?"
C) "Tell me about your usual bowel habits."
D) "Are your bowel movements normal?"
Q2) The patient reports feeling pain in the right lower quadrant. The nurse shows an understanding of the anatomical location of organs in the abdomen by asking the patient which question?
A) "Do you have any problems eating fatty foods?"
B) "Can you tell me about your bowel habits?"
C) "When you eat, do you experience any nausea?"
D) "Do you get clammy when you miss a meal?"
Q3) Which assessment finding alerts the nurse to the likelihood that the patient has a distended bladder?
A) Percussion in the middle of the lower abdomen elicits a dull sound.
B) The patient states, "My back is killing me."
C) Percussion over the costovertebral angle produces pain.
D) The patient complains of colicky pain in the side.
Page 38
To view all questions and flashcards with answers, click on the resource link above.
Chapter 37: Caring for the Patient With Gastrointestinal Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78621
Sample Questions
Q1) Which acid base and electrolyte complications are commonly associated with prolonged vomiting?. Select all that apply.
A) Hypokalemia
B) Metabolic alkalosis
C) Metabolic acidosis
D) Hypocalemia
E) Hyponatremia
Q2) A patient is hospitalized during an acute exacerbation of symptoms related to Crohn's disease. The nurse shows an understanding of the need for bowel rest by providing which instruction?
A) "Select foods that are high in potassium."
B) "You should eat a soft diet until the diarrhea subsides."
C) "You may find a high-calorie, low-fat, high-fiber diet helpful."
D) "Expect to be started on total parenteral nutrition (TPN)."
Q3) The physician has ordered metoclopramide (Reglan) 2 mg/kg IVP to be given 30 minutes before the start of chemotherapy. The patient weighs 54 kg. The metoclopramide (Reglan) is dispensed in a 10 mg/10 mL vial. The nurse will administer ________ mL of metoclopramide.
To view all questions and flashcards with answers, click on the resource link above. Page 39
Chapter 38: Caring for the Patient With Hepatic and Biliary Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78620
Sample Questions
Q1) The nurse should instruct the patient with a diagnosis of cholelithiasis to make which lifestyle modification to alleviate symptoms?
A) Reduce sodium intake.
B) Increase fluids.
C) Reduce smoking.
D) Reduce fat consumption.
Q2) A patient with hepatitis has a prescription for alpha interferon. Which manifestation would indicate that the patient is experiencing an untoward effect of this medication?
A) Jaundice
B) Flulike syndrome
C) Gallbladder pain
D) Clay-colored stools
Q3) A patient has chronic pancreatitis and a serum amylase level of 180 units/L. The nurse should instruct the patient to follow which dietary plan?
A) Low residue, no alcohol
B) Low fat, no alcohol
C) Low fat, no fiber
D) Mechanical soft
To view all questions and flashcards with answers, click on the resource link above. Page 40
Chapter 39: Caring for the Patient With Renal and Urinary Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78619
Sample Questions
Q1) A patient is participating in bladder retraining activities. Which toileting activities can reduce episodes of incontinence?. Select all that apply.
A) Scheduled toileting
B) Kegel exercises
C) Intermittent straight catheterization
D) External catheter placement at bedtime
E) Use of adult incontinence protection devices
Q2) A patient who received a kidney transplant 7 years ago is seen for increasing blood pressure and proteinuria. The nurse conducts additional assessment for which complication?
A) Chronic kidney rejection
B) Acute kidney rejection
C) Renal artery stenosis
D) Pyelonephritis
To view all questions and flashcards with answers, click on the resource link above.
Chapter 40: Nursing Assessment of the Patient With
Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78618
Sample Questions
Q1) During a physical examination, a male patient reports discharge from the urinary meatus. The discharge is not visible to the nurse. What is the first action the nurse would ask the patient to take?
A) Continue to watch for other signs of a sexually transmitted infection (STI).
B) Return to the clinic when the discharge occurs.
C) Strip the penis to bring discharge to the meatus for culture.
D) Go to the emergency department for further testing.
Q2) During an assessment, a female patient asks why the nurse is "feeling her armpit." Which responses are appropriate?. Select all that apply.
A) "I'm counting your ribs."
B) "Don't you feel your own armpits?"
C) "Breast tissue extends into this area."
D) "I'm assessing hair distribution in this area."
E) "The armpits should be part of your breast self-exam."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 41: Caring for the Patient With Female
Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78617
Sample Questions
Q1) The health care provider has fit an older adult with a pessary to manage her cystocele. What information should the nurse provide for this patient?
A) There is no risk of allergy to this device.
B) The pessary provides only minimal contraceptive protection.
C) The pessary must be removed before sexual intercourse.
D) The pessary may increase the risk for pelvic infections.
Q2) A couple has been experiencing infertility for 4 years. After becoming pregnant using the zygote intrafallopian transfer (ZIFT) procedure, the woman is diagnosed with an ectopic pregnancy. The health care provider opts to manage the condition with methotrexate. Which nursing diagnosis will the nurse include in this patient's plan of care?
A) Parenting, Readiness for Enhanced
B) Grieving, Risk for Complicated
C) Maternal/Fetal Dyad, Risk for Disturbed
D) Fluid Volume Excess
To view all questions and flashcards with answers, click on the resource link above. Page 43
Chapter 42: Caring for the Patient With Male Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78616
Sample Questions
Q1) The nurse is giving a presentation on testicular cancer to a community group. What concepts should be included in this presentation?
A) African American men have the highest rate of testicular cancer.
B) The development of testicular cancer is most common in men over the age of C) Farmers may have a higher incidence for the development of testicular cancer than white-collar workers.
D) The mortality rate for men diagnosed with stage I testicular cancer is approximately 20%.
40.
Q2) Laboratory testing is ordered for a 61-year-old patient suspected of having chronic prostatitis. The nurse anticipates preparing the patient for which procedure?
A) CT scan
B) IVP
C) Serum sodium level
D) Urinalysis
To view all questions and flashcards with answers, click on the resource link above.
Page 44
Chapter 43: Caring for the Patient With Sexually
Transmitted Diseases
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78615
Sample Questions
Q1) A 15-year-old patient is seeking information on birth control and sexually transmitted infections (STIs). What teaching should the nurse provide?. Select all that apply.
A) Multiple sex partners increase the risk for STIs.
B) Condom use is 100% effective in preventing pregnancy and STIs.
C) Abstinence is the only sure way to prevent pregnancy.
D) Abstinence prevents transmission of STIs.
E) Young girls having unprotected sex are more likely to become pregnant than to contract an STI.
Q2) The nurse is determining diagnoses appropriate for a pregnant patient newly diagnosed with herpes simplex. Which nursing diagnosis has the highest priority?
A) Risk for Injury related to the disease process
B) Deficient Knowledge related to the diagnosis
C) Anxiety related the diagnosis
D) Interrupted Family Processes related to the effects of the diagnosis on her relationship with her partner
To view all questions and flashcards with answers, click on the resource link above.
Chapter 44: Caring for the Patient With Breast Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78614
Sample Questions
Q1) Which statement would the nurse evaluate as indicating the patient needs further education about mastitis and breastfeeding?
A) "If I wear a plastic-backed breast pad, I can continue to breastfeed."
B) "If I develop discharge from the mastitis, I should avoid feeding the baby on that side."
C) "My breast milk will help protect the baby from infection from my mastitis."
D) "If the baby is not emptying my breast, I should use a breast pump after feeding."
Q2) A woman has undergone fine needle biopsy of a breast lump. Which statement would the nurse evaluate as indicating that the patient understands discharge teaching?
A) "Even if this lump was cancer, it is all gone now."
B) "I will massage my breast twice daily for the next week."
C) "I can go back to work today if I wish."
D) "There is no risk of infection with this procedure."
Q3) The nurse has provided education to a woman who wishes to use exercise as a way to reduce her breast cancer risk. The nurse would evaluate that teaching has been effective when the woman says, "I am going to start walking for ________ minutes every day."
To view all questions and flashcards with answers, click on the resource link above. Page 46
Chapter 45: Nursing Assessment of the Patient Endocrine Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78613
Sample Questions
Q1) During an endocrine assessment, the nurse notes that the patient's heart rate is sustained at 160 beats per minute. The patient reports nervousness but has no loss of consciousness or reduced mentation. What nursing intervention is priority?
A) Ask how long the patient's heart has been beating so fast.
B) Note the findings in the patient's medical record.
C) Notify the health care provider immediately.
D) Have the patient ambulate around the room and reassess.
Q2) A patient presents to the emergency department with reports of suddenly feeling exhausted. The patient reports loss of appetite, inability to sleep, and weight gain of 5 pounds over the last week. Which finding would the nurse evaluate as being least suggestive of an endocrine disorder?
A) Weight gain
B) Inability to sleep.
C) Sudden exhaustion
D) Loss of appetite
To view all questions and flashcards with answers, click on the resource link above.
Chapter 46: Caring for the Patient With Glandular and Hormonal Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78612
Sample Questions
Q1) The nurse would consider incorporating which nursing diagnoses into the plan of care for a patient with acute adrenal insufficiency?. Select all that apply.
A) Risk of Ineffective Therapeutic Regimen Management
B) Hyponatremia
C) Fluid Volume Excess
D) Risk for Injury
E) Imbalanced Nutrition: Less than Body Requirements
Q2) A patient with a diagnosis of acromegaly related to a benign pituitary tumor is scheduled to have surgical removal of the tumor by the transsphenoidal route. Which statement by the patient would indicate that the nurse's teaching regarding the procedure has been effective?
A) "I will clean my teeth and gums with a soft foam sponge after the procedure."
B) "I should choose a wig before my head is shaved."
C) "There may be drainage from my ears for a day or two after surgery."
D) "Surgical placement marks on my head will wash off with soap and water."
To view all questions and flashcards with answers, click on the resource link above. Page 48
Chapter 47: Caring for the Patient With Diabetes
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78611
Sample Questions
Q1) The nurse is caring for a healthy patient who has a serum glucose level of 60 mg/dL. The nurse anticipates that which counterregulatory serum hormonal changes are likely to occur in this patient?. Select all that apply.
A) Increased epinephrine levels
B) Increased growth hormone levels
C) Increased insulin levels
D) Decreased glucagon levels
E) Decreased cortisol levels
Q2) The nurse is caring for a patient with no history of diabetes who has a new laboratory finding of a glycosylated hemoglobin (A1C) level of
A) Deficient Knowledge regarding disease process
B) Risk for Deficient Fluid Volume
C) Risk for Impaired Skin Integrity
D) Ineffective Tissue Perfusion
E)0%. Which nursing diagnoses should receive priority for this patient?
Q3) The nurse is providing dietary instruction to a patient diagnosed with type 2 diabetes. The nurse includes information on how to reduce dietary intake of cholesterol to no more than _______ mg per day.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 48: Nursing Management of the Patient With
Musculoskeletal Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78610
Sample Questions
Q1) While assessing a patient's left knee for range of motion, the nurse hears clicking. The patient says that at times the knee "locks." The nurse would conduct additional assessment for which condition?
A) Rheumatoid arthritis
B) Fluid in the knee
C) Dislocation
D) Damage to the meniscus
Q2) A patient is complaining of a fever and a "stiff neck." Upon assessment, the patient is unable to rotate the neck. The nurse would conduct additional assessment for which condition?
A) Gout
B) Cervical vertebrae fracture
C) Infectious process
D) Arthritis
Q3) The nurse determines that a patient's shoulder muscle strength is normal when it is graded as _______ or better.
To view all questions and flashcards with answers, click on the resource link above. Page 50
Chapter 49: Caring for the Patient With Musculoskeletal Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/78609
Sample Questions
Q1) A patient who has been diagnosed with Paget's disease in the hip is admitted to the hospital for treatment of another condition. Which assessment findings would the nurse attribute to Paget's disease?. Select all that apply.
A) Pain and aching in the hip at night
B) Edema over the hip
C) Difficulty hearing
D) Elevation of serum phosphorus
E) Nausea and vomiting
Q2) A patient states, "I am in such pain. Do you think I might have fibromyalgia?" Which response by the nurse is indicated?
A) "Have you been in pain over 2 months?"
B) "You must stop smoking before a diagnosis of fibromyalgia can be made."
C) "Have you considered having the blood test for fibromyalgia?"
D) "In which areas do you have pain?"
Q3) A woman who emigrated from a Third World country has just delivered a baby. The woman says, "In my country, many babies die from polio. I want my baby immunized as soon as possible." The nurse responds, "Your baby will receive the first polio immunization at age _______ months.
To view all questions and flashcards with answers, click on the resource link above. Page 51
Chapter 50: Caring for the Patient With Musculoskeletal
Trauma and Surgical Procedures
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78608
Sample Questions
Q1) A patient is diagnosed with a sprained right ankle. The nurse instructs the patient on which common treatment of sprains?
A) Application of a long leg cast
B) Opioid pain medication
C) Heat, rest, compression, and elevation
D) Rest, ice, compression, and elevation
Q2) A patient has a dislocated hip as the result of a fall. The nurse recognizes which primary reason to quickly return the femoral head to its normal position?
A) To preserve blood flow to the head of the femur
B) To avoid damage to nerves in the affected area
C) To minimize the damage to affected ligaments
D) To eliminate the severe pain the patient is experiencing
Q3) Which home care instructions would the nurse provide a patient whose ulnar fracture was treated with an external fixator device?
A) "Notify your health care provider if the pin sites become painful."
B) "Adjust the tension on the pins if they feel too tight."
C) "You may resume tub bathing after your pins have been in place for 5 days."
D) "Try to avoid using the affected arm."
To view all questions and flashcards with answers, click on the resource link above. Page 52
Chapter 51: Caring for the Patient With Arthritis and
Connective Tissue Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78607
Sample Questions
Q1) A patient diagnosed with scleroderma has been prescribed methotrexate (Rheumatrex). Which medication teaching should the nurse provide?. Select all that apply.
A) Use sunblock when outside.
B) Avoid caffeine.
C) Avoid citrus juices.
D) Do not take aspirin with this drug.
E) Do not use any over-the-counter medication without first checking with the health care provider.
Q2) A patient diagnosed with scleroderma reports heartburn. Which instructions would the nurse provide for treatment of this symptom?. Select all that apply.
A) Drink only decaffeinated beverages.
B) Use the nicotine patches as prescribed.
C) Increase fiber in the diet.
D) Elevate the head of the bed to 30 degrees.
E) Take omeprazole (Prilosec) as prescribed.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 52: Nursing Management of the Patient With
Immunological and Inflammatory Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/78606
Sample Questions
Q1) A patient is diagnosed with a viral infection. The nurse understands that which chemical will act to prevent the spread of the virus to other cells?
A) Interleukin
B) Tissue factor
C) Tumor necrosis factor
D) Interferon
Q2) A patient has a skin infection over the inner aspect of the left thigh. The nurse would anticipate finding enlargement when palpating which lymph nodes?. Select all that apply.
A) Inferior inguinal
B) Superior inguinal
C) Preauricular nodes
D) Supraclavicular nodes
E) Axillary nodes
Q3) The nurse would consider a provisional diagnosis of sepsis as supported by a band count of over ______ % of the total white blood cell count.
To view all questions and flashcards with answers, click on the resource link above. Page 54
Chapter 53: Caring for the Patient With Immune Response Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78605
Sample Questions
Q1) A home health nurse is preparing to visit a patient who is bedbound after complications from HIV/AIDS. A review of the medical record reveals a new prescription for thalidomide. What conclusion can the nurse draw from this information?
A) The patient has developed severe wasting syndrome.
B) The patient has developed a candidiasis infection of the oral mucosa.
C) The patient's antiretroviral medications have been effective, resulting in the use of a less toxic medication.
D) The patient's pneumonia has worsened, so a stronger antibiotic has been prescribed.
Q2) A patient diagnosed with HIV/AIDS has developed pneumonia and is bedbound. Which nursing interventions should be planned?. Select all that apply.
A) Maintain fluid intake of 3 liters daily unless contraindicated.
B) Suction the oral cavity, but avoid tracheal suctioning.
C) Elevate the head of the patient's bed at least 30 degrees.
D) Turn the patient every 2 hours.
E) Provide for periods of uninterrupted rest.
To view all questions and flashcards with answers, click on the resource link above. Page 55
Chapter 54: Caring for the Patient With Inflammatory
Response, Shock, and Severe Sepsis
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/78604
Sample Questions
Q1) According to standard definitions, which patient would the nurse describe as being in septic shock?
A) A patient with community-acquired pneumonia who has developed respiratory failure
B) A patient who has burns over 40% of the body and is febrile
C) A patient with an infection whose blood pressure is 84/52 after 4 liters of saline were administered intravenously
D) A patient with a WBC count of 22,000 and fever
Q2) A patient has developed severe cardiogenic shock and is on a mechanical ventilator. The family asks why the patient's hands feel so cold. What is the nurse's best response?
A) "We keep the intensive care unit cool to reduce patients' metabolic rates."
B) "The patient has developed a fever and chills."
C) "This happens frequently to patients in shock states."
D) "Blood vessels constrict in shock, which takes the blood away from hands and feet."
Q3) A patient was admitted directly from a physician's office with suspected sepsis. The nurse contacts the pharmacy with the medication orders immediately because the antibiotic must be administered within _______ minutes of admission.
To view all questions and flashcards with answers, click on the resource link above. Page 56
Chapter 55: Nursing Assessment of the Patient With
Hematological Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/78603
Sample Questions
Q1) The patient's laboratory testing reveals a decreased red blood cell count. The nurse anticipates further testing to determine if the patient has which disorder?. Select all that apply.
A) Polycythemia vera
B) Bleeding
C) Lack of hormone needed to produce leukocytes
D) Bone marrow suppression
E) Abnormal destruction of erythrocytes
Q2) The nurse is reviewing laboratory results for a 45-year-old woman. Which result would the nurse immediately discuss with the health care provider?
A) Hemoglobin 10.8 g/dL
B) Mean corpuscular volume 89µm<sup>3</sup>
C) Mean corpuscular hemoglobin 30 pg
D) Total RBC 4,500,000 cells per cubic millimeter
To view all questions and flashcards with answers, click on the resource link above. Page 57
Chapter 56: Caring for the Patient With Blood Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78602
Sample Questions
Q1) A patient is admitted with immune thrombocytopenia purpura (ITP). How would the nurse explain the etiology of this disorder?
A) "You are producing antibodies against your own platelets."
B) "This is a disorder caused by an overproduction of neutrophils."
C) "You are having a reaction to heparin therapy."
D) "This disorder is caused by an overproduction of reticulocytes."
Q2) A patient has been diagnosed with von Willebrand's disease (vWD). What patient education should the nurse provide?. Select all that apply.
A) This disorder is inherited.
B) This disorder affects only women.
C) This disorder occurs more frequently than was once recognized.
D) This disorder can cause excessive bleeding or excessive clotting.
E) This disease can be cured with administration of von Willebrand's factor.
Q3) A patient with anemia of chronic disease is prescribed erythropoietin (Epogen) 50 units per kilogram three times a week. The patient weighs 188 pounds. The home health nurse would be certain that at least _____ units of Epogen are available for this week's doses.
To view all questions and flashcards with answers, click on the resource link above. Page 58
Chapter 57: Caring for the Patient With Cancer
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78601
Sample Questions
Q1) A patient diagnosed with cancer and scheduled to begin biotherapy asks the nurse how the therapy will treat the cancer. How should the nurse respond?
A) "It changes the body processes that caused the cancer by enhancing your own immunity."
B) "It uses radiation implanted into the cancerous organ."
C) "It uses laser therapy to remove the cancer."
D) "It causes the blood flow to the tumor to be interrupted."
Q2) The nurse is caring for a 72-year-old female with head and neck cancer who had surgery 2 weeks ago to remove the tumor. She is scheduled to begin external beam radiation therapy 1 week after discharge from the hospital. Which recommendations should the nurse stress when preparing the patient for this radiation treatment?. Select all that apply.
A) Get lots of rest.
B) Protect the scalp from alopecia.
C) Perform meticulous skin care.
D) Monitor blood pressure.
E) Monitor weight gain.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 58: Nursing Assessment of the Patient With
Integumentary Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/78600
Sample Questions
Q1) The nurse discovers a vascular lesion on a patient's chest. What should the nurse check to help determine if the lesion is petechiae or telangiectasia?
A) Is the lesion scaly?
B) Is the lesion raised?
C) Does the lesion blanch?
D) Is the lesion painful?
Q2) A patient has a surgical scar that extends beyond the original incision site. The area is raised and smooth, and the patient reports that it occasionally itches but is not tender. How would the nurse document this lesion?
A) Cicatrix
B) Hypertrophic scar
C) Fissure
D) Keloid
Q3) The nurse is assessing for changes in the nails of a patient with chronic obstructive pulmonary disease. The nurse would document clubbing of the fingers if the angle of the nail bed exceeds _________ degrees.
To view all questions and flashcards with answers, click on the resource link above. Page 60
Chapter 59: Caring for the Patient With Skin Disorders
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78599
Sample Questions
Q1) The nurse is planning care for a patient recently diagnosed with herpes zoster. Which nursing diagnosis will the nurse give highest priority?
A) Acute Pain
B) Ineffective Health Maintenance
C) Anxiety
D) Deficient Knowledge
Q2) A female patient is prescribed isotretinoin (Accutane). Which information should the nurse provide when teaching about the medication?. Select all that apply.
A) Avoid prolonged exposure to sunlight.
B) Avoid the use of vitamin A supplements.
C) The medication may cause intolerance to contact lenses.
D) Take the pills on an empty stomach to avoid nausea and vomiting.
E) Pregnancy prevention is essential.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 60: Caring for the Patient With Wounds
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78598
Sample Questions
Q1) A patient has a wound that has tunneling. What dressing technique should the nurse use?
A) Loosely pack several large pieces of dry fluffy gauze into the tunnel.
B) Pack the area with moist squares of gauze to fill the dead space.
C) Use a continuous strip of gauze to pack the tunnel.
D) Leave the space in the tunnel open for drainage.
Q2) The nurse would assess that granulation tissue is developing in a wound when noting which characteristics?. Select all that apply.
A) Beefy red color
B) Blue-gray tinge to the wound bed
C) Small, round nodules in the wound bed
D) Pearly-appearing wound margins
E) Moist tissue
Q3) A nurse assesses that the periwound area of a patient's large abdominal wound is macerated. What change in nursing management will be required because of the maceration?
A) Apply a petroleum-based product to the periwound area.
B) Keep the moist dressing off the periwound area.
C) No new measures are necessary, as this is a normal finding.
D) Apply a separate moist dressing to the periwound area.
To view all questions and flashcards with answers, click on the resource link above. Page 62
Chapter 61: Caring for the Patient With Burn Injuries
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/78597
Sample Questions
Q1) The nurse explains to a family that it is not possible to determine the extent of a patient's burns after an accidental electrocution. What rationale does the nurse provide for this statement?.
A) Much of the damage done by electrical burns is beneath the surface.
B) The temperature of electrical energy can exceed 180°F.
C) The injury that is initiated by electrical energy does not stop when the current is interrupted.
D) The energy causing the burn affects rapidly dividing cells, which makes damage variable.
E) Electrical burns cause the same tissue response as alkali chemicals.
Q2) During the immediate postburn period, the nurse conducts a rapid but thorough assessment. Which finding indicates a potential complication?
A) Coughing
B) Presence of eschar
C) Urine output of 30 mL in the hour since the burn occurred
D) Edema in the burned area
To view all questions and flashcards with answers, click on the resource link above.
Chapter 62: Nursing Assessment of the Patient With
Sensory Disorders
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78596
Sample Questions
Q1) A nurse is preparing to conduct the Weber test. Which nursing actions are indicated?. Select all that apply.
A) Have the patient close the eyes.
B) Place an ear protection device on the patient.
C) Place a tuning fork in the middle of the top of the patient's head.
D) Ask the patient to indicate when a sound ends.
E) Assess for lateralization of sound.
Q2) Assessment of an 86-year-old patient reveals drooping of the right lower lid and eyelashes that curve outward. How would the nurse document these findings?. Select all that apply.
A) Ptosis
B) Entropion
C) Enophthalmos
D) Ectropion
E) Hypopyon
Q3) Which subjective symptom of the sensory system may also be an objective symptom?
A) Presyncope
B) Vertigo
C) Otalgia
D) Tinnitus
To view all questions and flashcards with answers, click on the resource link above. Page 64
Chapter 63: Caring for the Patient With Hearing and Balance Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/78595
Sample Questions
Q1) Which nursing diagnosis is the top priority for a patient complaining of dizziness and disequilibrium with head movements?
A) Fluid Volume Deficit
B) Impaired Adjustment
C) Ineffective Coping
D) Risk for Injury
Q2) A patient diagnosed with profound noise-induced hearing loss (NIHL) states, "I am going to wear ear protection at work from now on. How long before my hearing gets better?" How should the nurse respond?
A) "If you rest your ears from noise, you should be back to normal in a week or so."
B) "As soon as the inflammation in your ear canal clears, your hearing will be much better."
C) "Often the nerve damage in your type of hearing loss is permanent, and hearing does not improve."
D) "It is too late to use ear protection now."
To view all questions and flashcards with answers, click on the resource link above.
65
Chapter 64: Caring for the Patient With Visual Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78594
Sample Questions
Q1) Phenylephrine (Neo-Synephrine) is administered to a patient before a diagnostic procedure. What should patient education about this medication include?
A) Driving may be difficult.
B) The eyes may be red for one or two days.
C) Tears will be yellow.
D) Sunlight will improve vision.
Q2) The nurse is assessing a patient who had cataract surgery several weeks ago. Which patient statement would alert the nurse that the most common complication of cataract surgery is occurring in this patient?
A) "My eye itches at night."
B) "My vision has not been as clear as I thought it would be."
C) "I think my cataract is growing back."
D) "I have pus in the corner of my eye."
Q3) The nurse is admitting a patient for laser photocoagulation treatment of diabetic retinopathy. The nurse would immediately contact the health care provider if the patient's diastolic blood pressure is above _______ mmHg.
To view all questions and flashcards with answers, click on the resource link above.
66
Chapter 65: Disaster Nursing
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78593
Sample Questions
Q1) Because of high demand during a disaster, the pharmacy has run out of normal saline intravenous solutions and the blood bank is down to 10 units of type O+ blood. The directors of these services would contact which section of the hospital incident command system (HICS) to obtain these supplies?
A) Finance
B) Logistics
C) Planning
D) Operations
Q2) The nurse is planning to attend a program to learn how to respond to mass casualty incidents. The nurse anticipates this program will address which core competencies of emergency and disaster preparedness for nurses?. Select all that apply.
A) Creative problem-solving skills
B) Adherence to standard protocols and policies
C) Emergency communication skills
D) Understanding of personal limitations
E) Identification of emergency situations
To view all questions and flashcards with answers, click on the resource link above.
Chapter 66: Caring for the Patient in the Emergency Department
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78592
Sample Questions
Q1) Workmen preparing to paint have set up equipment near the emergency department entrance and have taken down all the signage. What is the primary reason the nurse manager is concerned when this is mentioned in the shift report?
A) Inappropriate signage can result in loss of federal funding.
B) Patients and families may get lost if signs are not present.
C) Fumes from paint can impair the breathing ability of patients with lung disorders.
D) The presence of painting equipment is a fall hazard for patients and nurses.
Q2) A patient has returned to the emergency department (ED) numerous times over the past 3 months. The patient has newly diagnosed diabetes and cannot afford testing supplies. Which ED nurse referral is indicated?
A) Nurse educator
B) Emergency nurse practitioner (ENP)
C) Emergency clinical nurse specialist (ECNS)
D) Case manager
To view all questions and flashcards with answers, click on the resource link above.
Chapter 67: Caring for the Patient With Multisystem
Trauma
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/78591
Sample Questions
Q1) The patient was a restrained front seat passenger in a car crash. Which findings would the nurse evaluate as indicating possible internal injury from the seatbelt? Select all that apply.
A) The patient is unconscious.
B) There are abrasions across the patient's abdomen.
C) There is bruising across the patient's chest.
D) The patient has ecchymosis across both knees.
E) The patient complains of hip pain.
Q2) A patient is brought to the emergency department with a penetrating wound to the neck. The patient is dyspneic and cyanotic, and has evidence of subcutaneous emphysema. Which intervention does the nurse prioritize?
A) Intubation
B) Notification of next of kin
C) X-ray of the cervical spine
D) Administration of an IV beta blocker
Q3) The emergency services department of a hospital has adopted a policy of tertiary survey for all admitted trauma patients. The nurse understands that this survey will be done within ______ hours of admission.
To view all questions and flashcards with answers, click on the resource link above. Page 69