RN-BSN Bridge Programs
Exam Bank
Course Introduction
RN-BSN Bridge Programs are designed for registered nurses (RNs) who have already earned an associate degree or diploma in nursing and wish to advance their education by obtaining a Bachelor of Science in Nursing (BSN). These programs build upon existing nursing knowledge and experience, focusing on leadership, community and public health nursing, evidence-based practice, research, and advanced clinical skills. RN-BSN bridge programs often offer flexible online or hybrid learning formats to accommodate working professionals, and emphasize critical thinking, communication, and management skills essential for career advancement and improved patient care. Completion of the RN-BSN program prepares graduates for broader career opportunities in nursing, including leadership and specialized roles, and is increasingly required by employers seeking to enhance the quality of healthcare delivery.
Recommended Textbook
Medical Surgical Nursing 8th Edition by Sharon L. Lewis
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69 Chapters
1771 Verified Questions
1771 Flashcards
Source URL: https://quizplus.com/study-set/1584
Page 2
Chapter 1: Contemporary Nursing Practice
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31398
Sample Questions
Q1) A patient with a stroke is paralyzed on the left side of the body and has developed a pressure ulcer on the left hip. The best nursing diagnosis for this patient is
A) impaired physical mobility related to left-sided paralysis.
B) risk for impaired tissue integrity related to left-sided weakness.
C) impaired skin integrity related to altered circulation and pressure.
D) ineffective tissue perfusion related to inability to move independently.
Answer: C
Q2) An example of a correctly written nursing diagnosis statement is
A) altered tissue perfusion related to heart failure.
B) risk for impaired tissue integrity related to sacral redness.
C) ineffective coping related to response to biopsy test results.
D) altered urinary elimination related to urinary tract infection.
Answer: C
Q3) When providing patient care using evidence-based practice, the nurse uses A) clinical judgment based on experience.
B) evidence from a clinical research study.
C) evidence-based guidelines in addition to clinical expertise.
D) evaluation of data showing that the patient outcomes are met.
Answer: C
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Page 3
Chapter 2: Health Disparities and Culturally Competent Care
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/31399
Sample Questions
Q1) When developing strategies to decrease health care disparities, the nurse working in a clinic located in a neighborhood with many Vietnamese individuals will include
A) improving public transportation.
B) obtaining low-cost medications.
C) updating equipment and supplies for the clinic.
D) educating staff about Vietnamese health beliefs.
Answer: D
Q2) Which of these strategies should be a priority when the nurse is planning care for a hypertensive patient who is uninsured?
A) Follow evidence-based national guidelines.
B) Assist with dietary changes as the first action.
C) Teach about the impact of exercise on hypertension.
D) Obtain less expensive antihypertensive medications.
Answer: A
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Chapter 3: Health History and Physical Examination
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31400
Sample Questions
Q1) A nurse is performing a health history and physical examination for a patient with right-sided rib fractures. The pertinent negative finding is that the patient
A) states that there have been no other health problems recently.
B) denies having pain when the area over the fractures is palpated.
C) has several bruised and swollen areas on the right anterior chest.
D) refuses to take a deep breath because of the associated chest pain.
Answer: B
Q2) A patient who is having difficulty breathing is admitted to the hospital. The best approach for the nurse to use to obtain a complete health history is to A) obtain subjective data about the patient from family members. B) omit subjective data collection and obtain the physical examination.
C) use the health care provider's medical history to obtain subjective data.
D) schedule several short sessions with the patient to gather subjective data.
Answer: D
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5
Chapter 4: Patient and Caregiver Teaching
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/31401
Sample Questions
Q1) When assessing a 22-year-old male patient, the nurse learns that he smokes a pack of cigarettes daily. The patient tells the nurse, "I enjoy smoking and have no plans to quit." Which nursing diagnosis is most appropriate?
A) Health seeking behaviors related to cigarette use
B) Ineffective health maintenance related to tobacco use
C) Readiness for enhanced self-health management related to smoking
D) Deficient knowledge related to long-term effects of cigarette smoking
Q2) A patient with newly diagnosed breast cancer has a nursing diagnosis of deficient knowledge about breast cancer. When the nurse is planning teaching for the patient, which is the most important initial learning goal?
A) The patient will select the most appropriate breast cancer therapy.
B) The patient will state ways of preventing the recurrence of the tumor.
C) The patient will demonstrate coping skills needed to manage the disease.
D) The patient will choose methods to minimize adverse effects of treatment.
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6
Chapter 5: Chronic Illness and Older Adults
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/31402
Sample Questions
Q1) The home health nurse is caring for a 71-year-old patient who lives alone and is taking seven different prescribed medications for chronic health problems. To ensure medication compliance, which nursing intervention is best?
A) Use a marked pillbox to set up the patient's medications.
B) Discuss the option of moving to an assisted-living facility.
C) Remind the patient about the importance of taking medications.
D) Visit the patient daily to administer the prescribed medications.
Q2) A 78-year-old patient with multiple health problems complains of having "no energy" and feeling increasingly weak. The patient has had an 11-pound weight loss over the last year. The nurse should initially
A) ask the patient about daily dietary intake.
B) schedule regular range-of-motion exercise.
C) discuss long-term care placement with the patient.
D) describe normal changes with aging to the patient.
Q3) When caring for an older adult who lives in a rural area, the nurse will plan to
A) assess the patient for chronic diseases that are unique to rural areas.
B) ensure transportation to appointments with the health care provider.
C) suggest that the patient move to an urban area for better health care.
D) obtain adequate medications for the patient to last for 4 to 6 months.
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Page 7
Chapter 6: Community-Based Nursing and Home Care
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/31403
Sample Questions
Q1) Which of the following nursing activities is appropriate for the home care RN who is caring for a newly diagnosed diabetic patient to delegate to a home health aide?
A) Assist the patient to choose an appropriate diet.
B) Check the patient's feet for signs of breakdown.
C) Help the patient with a daily bath and oral care.
D) Teach the patient how to monitor blood glucose.
Q2) Which of these patients should the nurse refer for Medicare-reimbursed home health services?
A) A 71-year-old with dementia who needs 24-hour care to prevent injury
B) An 82-year-old whose family has asked for respite care for a few days a month
C) A 67-year-old who requires assistance with shopping, housework, and cooking
D) A 79-year-old who needs to have medications placed in a marked pillbox weekly
Q3) A patient who has just moved to a long-term care facility has a nursing diagnosis of relocation stress syndrome. Which action should the nurse include in the plan of care?
A) Remind the patient that making changes is usually stressful.
B) Discuss the reason for the move to the facility with the patient.
C) Restrict family visits until the patient is accustomed to the facility.
D) Have staff members write notes welcoming the patient to the facility.
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8
Chapter 7: Complementary and Alternative Therapies
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/31404
Sample Questions
Q1) After the charge nurse has completed orienting a new staff nurse, which action by the staff nurse indicates that further education about complementary and alternative therapy may be needed?
A) The new nurse massages the legs of a patient who has a left foot stasis ulcer.
B) The new nurse does a capillary blood glucose check for a patient taking aloe.
C) The new nurse suggests the use of acupressure to a patient with tension headaches.
D) The new nurse shows family members how to provide a hand massage to a patient.
Q2) A patient who has nausea associated with chemotherapy asks the nurse whether there are any complementary and alternative therapies that might be effective. The nurse should discuss the use of
A) green tea.
B) acupuncture.
C) black cohosh.
D) chiropractic therapy.
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9
Chapter 8: Stress and Stress Management
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/31405
Sample Questions
Q1) The nurse is teaching a hospitalized patient to use imagery as a relaxation technique. Which statement by the nurse is appropriate?
A) "Place your stress in the image of a form you can destroy."
B) "Think of a place where you feel peaceful and comfortable."
C) "Bring what you hear and sense in your present environment into your image of the scene."
D) "If your scene is stressful to you, continue visualizing until you can overcome the distress."
Q2) Which action should the nurse take to monitor the effects of an acute stressor on a hospitalized patient (select all that apply)?
A) Assess for bradycardia.
B) Ask about epigastric pain.
C) Observe for increased appetite.
D) Check for elevated blood glucose levels.
E) Monitor for a decrease in respiratory rate.
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10
Chapter 9: Sleep and Sleep Disorders
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/31406
Sample Questions
Q1) Which instruction will the nurse include when teaching a patient with chronic insomnia about ways to improve sleep quality?
A) Avoid aerobic exercise during the day.
B) Read in bed for a few minutes each night.
C) Keep the bedroom temperature slightly warm.
D) Try to go to bed at the same time every evening.
Q2) Which action is best for the nurse to include in the plan of care in order to improve sleep quality for a critically ill patient in the intensive care unit (ICU)?
A) Ask all visitors to leave the ICU for the night.
B) Lower the level of light from 8:00 PM until 7:00 AM.
C) Avoid the use of opioids for pain relief during the evening hours.
D) Schedule assessments to allow at least 4 hours of uninterrupted sleep.
Q3) To assist in determining whether a patient seen in the ambulatory care setting has chronic insomnia, the nurse will initially
A) schedule a polysomnography (PSG) study.
B) arrange for the patient to have a sleep study.
C) ask the patient to keep a 2-week sleep diary.
D) teach the patient about the use of an actigraph.
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11
Chapter 10: Pain
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/31407
Sample Questions
Q1) A patient who is receiving sustained-release morphine sulfate (MS Contin) every 12 hours for chronic pain experiences level 9 (0 to 10 scale) breakthrough pain and anxiety. Which of these prescribed medications will be best for the nurse to administer?
A) lorazepam (Ativan) 1 mg orally
B) amitriptyline (Elavil) 10 mg orally
C) ibuprofen (Motrin) 400 to 800 mg orally
D) immediate-release morphine 30 mg orally
Q2) When doing a pain assessment for a patient who has been admitted with metastatic breast cancer, which question asked by the nurse will give the most information about the patient's pain?
A) "How long have you had this pain?"
B) "How would you describe your pain?"
C) "How much medication do you take for the pain?"
D) "How many times a day do you medicate for pain?"
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Chapter 11: Palliative Care at End of Life
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31408
Sample Questions
Q1) A 21-year-old is dying after an automobile accident. The family members want to donate the patient's organs and ask the nurse how the decision about brain death is made. The nurse explains that the patient will be considered brain dead when
A) the patient is flaccid and unresponsive.
B) CPR is ineffective in restoring heartbeat.
C) the patient is apneic and without brainstem reflexes.
D) respiratory efforts cease and no apical pulse is audible.
Q2) A terminally ill patient is admitted to the hospital. Which action should the nurse include in the initial plan of care?
A) Determine the patient's wishes regarding end-of-life care.
B) Emphasize the importance of addressing any family issues.
C) Discuss the normal grief process with the patient and family.
D) Encourage the patient to talk about any fears or unresolved issues.
Q3) When caring for a patient with lung cancer in a home hospice program, it is important for the nurse to
A) discuss cancer risk factors and appropriate lifestyle modifications.
B) encourage the patient to discuss past life events and their meaning.
C) accomplish a thorough head-to-toe assessment several times a week.
D) educate the patient about the purpose of chemotherapy and radiation.
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Page 13
Chapter 12: Addictive Behaviors
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/31409
Sample Questions
Q1) When assessing a patient who has a history of alcohol abuse, the nurse will plan to assess for
A) low blood pressure.
B) decreased heart rate.
C) elevated temperature.
D) abdominal tenderness.
Q2) A new 21-year-old patient who is scheduled for an annual physical examination arrives in the clinic smelling of cigarette smoke and carrying a pack of cigarettes. Which action will the nurse plan to take?
A) Urge the patient to quit smoking as soon as possible.
B) Avoid confronting the patient about smoking at this time.
C) Wait for the patient to start the discussion about quitting smoking.
D) Explain that the "cold turkey" method is most effective in stopping smoking.
Q3) A 19-year-old patient comes to the emergency department with severe chest pain and agitation. Which action should the nurse take first?
A) Give the PRN naloxone (Narcan) IV.
B) Ask about any use of stimulant drugs.
C) Assess orientation to person, place, and time.
D) Check blood pressure, pulse, and respirations.
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Page 14
Chapter 13: Inflammation and Wound Healing
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/31410
Sample Questions
Q1) A diabetic patient is admitted for a laparotomy and possible release of adhesions. When planning interventions to promote wound healing, the nurse's highest priority will be
A) maintaining the patient's blood glucose within a normal range.
B) ensuring that the patient has an adequate dietary protein intake.
C) giving antipyretics to keep the temperature less than 102° F ( 38.9° C ).
D) redressing the surgical incision with a dry, sterile dressing twice daily.
Q2) The nurse assesses a surgical patient the morning of the first postoperative day and notes redness and warmth around the incision. Which action by the nurse is most appropriate?
A) Obtain wound cultures.
B) Document the assessment.
C) Notify the health care provider.
D) Assess the wound every 2 hours.
Q3) The nurse will plan to use wet-to-dry dressings when providing care for a patient with a
A) pressure ulcer with pink granulation tissue.
B) surgical incision with pink, approximated edges.
C) full-thickness burn filled with dry, black material.
D) wound with purulent drainage and dry brown areas.
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Chapter 14: Genetics, Altered Immune Responses, and Transplantation
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/31411
Sample Questions
Q1) A patient who receives weekly immunotherapy at a clinic missed the previous appointment. When the patient comes for the next injection, the nurse should
A) schedule an additional dose that week.
B) administer the usual dosage of the allergen.
C) consult with the health care provider about giving a lower allergen dose.
D) re-evaluate the patient's sensitivity to the allergen with a repeat skin test.
Q2) A patient seen at the clinic with atopic dermatitis has a history of multiple allergies and several previous anaphylactic reactions. Which type of testing for allergens will the nurse anticipate for this patient?
A) Serum IgE-level test
B) Cutaneous scratch test
C) Intracutaneous skin test
D) Radioallergosorbent test (RAST)
Q3) The nurse will monitor a patient who is undergoing plasmapheresis for
A) shortness of breath.
B) high blood pressure.
C) transfusion reactions.
D) numbness and tingling.
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Chapter 15: Infection and Human Immunodeficiency Virus
Infection
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/31412
Sample Questions
Q1) A patient with HIV infection has developed Mycobacterium avium complex infection. An appropriate outcome for the patient is that the patient will A) be free from injury.
B) receive immunizations.
C) have adequate oxygenation.
D) maintain intact perineal skin.
Q2) When caring for a patient who has just been diagnosed with early chronic HIV infection, which prophylactic measures will the nurse anticipate being included in the plan of care (select all that apply)?
A) Hepatitis B vaccine
B) Pneumococcal vaccine
C) Influenza virus vaccine
D) Trimethoprim-sulfamethoxazole
E) Varicella zoster immune globulin
Q3) To evaluate the effectiveness of ART, the nurse will schedule the patient for A) viral load testing.
B) enzyme immunoassay.
C) rapid HIV antibody testing.
D) immunofluorescence assay.
Page 17
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Chapter 16: Cancer
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/31413
Sample Questions
Q1) While teaching a patient who has a new diagnosis of acute leukemia about the complications associated with chemotherapy, the patient is restless and is looking away, never making eye contact. After the teaching, the patient asks the nurse to repeat all of the information. Based on this assessment, which nursing diagnosis is most likely for the patient?
A) Risk for ineffective adherence to treatment related to denial of need for chemotherapy
B) Acute confusion related to infiltration of leukemia cells into the central nervous system
C) Risk for ineffective health maintenance related to anxiety about new leukemia diagnosis
D) Knowledge deficit: chemotherapy related to a lack of interest in learning about treatment
Q2) When reviewing the chart for a patient with cervical cancer, the nurse notes that the cancer is staged as Tis, N0, M0. The nurse will teach the patient that
A) the cancer is localized to the cervix.
B) the cancer cells are well-differentiated.
C) further testing is needed to determine the spread of the cancer.
D) it is difficult to determine the original site of the cervical cancer.
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Chapter 17: Fluid, Electrolyte, and Acid-Base Imbalances
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/31414
Sample Questions
Q1) A patient with advanced lung cancer is admitted to the emergency department with urinary retention caused by renal calculi. Which of these laboratory values will require the most immediate action by the nurse?
A) Arterial blood pH is 7.32.
B) Serum calcium is 18 mEq/L.
C) Serum potassium is 5.1 mEq/L.
D) Arterial oxygen saturation is 91%.
Q2) When assessing a patient with increased extracellular fluid (ECF) osmolality, the priority assessment for the nurse to obtain is
A) skin turgor.
B) heart sounds.
C) mental status.
D) capillary refill.
Q3) The nurse notes that a patient who was admitted with diabetic ketoacidosis has rapid, deep respirations. Which action should the nurse take?
A) Notify the patient's health care provider.
B) Give the prescribed PRN lorazepam (Ativan).
C) Start the prescribed PRN oxygen at 2 to 4 L/min.
D) Encourage the patient to take deep, slow breaths.
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Page 19
Chapter 18: Nursing Management: Preoperative Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/31415
Sample Questions
Q1) A patient is to receive atropine before surgery. The nurse teaches the patient to expect
A) dizziness.
B) weakness.
C) dry mouth.
D) forgetfulness.
Q2) Ten minutes after receiving the ordered preoperative opioid by intravenous (IV) injection, the patient asks to get up to go to the bathroom to urinate. The most appropriate action by the nurse is to
A) assist the patient to the bathroom and stay with the patient to prevent falls.
B) offer a urinal or bedpan and position the patient in bed to promote voiding.
C) allow the patient up to the bathroom because the onset of the medication takes more than 10 minutes.
D) ask the patient to wait because catheterization is performed at the beginning of the surgical procedure.
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Chapter 19: Nursing Management: Intraoperative Care
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/31416
Sample Questions
Q1) Which description best defines the role of the nurse anesthetist as a member of the surgical team?
A) Functions independently in the administration of anesthetics
B) Has the same credentials and responsibilities as an anesthesiologist
C) Is responsible for intraoperative administration of anesthetics ordered by the anesthesiologist
D) Requires supervision by the anesthesiologist or surgeon while administering anesthesia to a patient
Q2) Which action will the nurse include in the plan of care immediately after surgery for a patient who received ketamine (Ketalar) as an anesthetic agent?
A) Administer larger doses of analgesic agents.
B) Monitor for severe slowing of the heart rate.
C) Provide a quiet environment in the postanesthesia care unit.
D) Avoid the use of benzodiazepines in the postoperative period.
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Chapter 20: Nursing Management: Postoperative Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/31417
Sample Questions
Q1) A patient who has begun to awaken after 30 minutes in the postanesthesia care unit (PACU) is restless and shouting at the nurse. The patient's oxygen saturation is 99%, and recent lab results are all normal. Which action by the nurse is most appropriate?
A) Insert an oral or nasal airway.
B) Notify the anesthesia care provider.
C) Orient the patient to time, place, and person.
D) Be sure that the patient's IV lines are secure.
Q2) After a new nurse has been oriented to the postanesthesia care unit (PACU), the charge nurse will evaluate that the orientation has been successful when the new nurse
A) places a patient in the Trendelenburg position when the blood pressure (BP) drops.
B) assists a patient to the prone position when the patient is nauseated.
C) turns an unconscious patient to the side when the patient arrives in the PACU.
D) positions a newly admitted unconscious patient supine with the head elevated.
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22
Chapter 21: Nursing Assessment: Visual and Auditory Systems
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/31418
Sample Questions
Q1) Which observation by the nurse when examining a patient's auditory canal and tympanic membrane is a priority to report to the health care provider?
A) There is a cone of light visible.
B) The tympanum is bluish-tinged.
C) Cerumen is present in the auditory canal.
D) The skin in the ear canal is dry and scaly.
Q2) A patient being admitted to the hospital has an eye patch in place and tells the nurse "I had a recent eye injury, so I need to wear this patch for a few weeks." Which nursing diagnosis will the nurse include in the plan of care?
A) Risk for falls related to current decrease in stereoscopic vision
B) Ineffective health maintenance related to inability to see surroundings
C) Disturbed body image related to eye trauma and need to wear eye patch
D) Ineffective denial related to inability to admit the impact of the eye injury
Q3) Which information will the nurse include when teaching a patient about routine glaucoma testing?
A) The test involves reading a Snellen chart at a distance of 20 feet.
B) Application of a Tono-pen to the surface of the eye will be needed.
C) The examination includes checking the pupil's reaction to a bright light.
D) Medications to dilate the pupil will be used before testing for glaucoma.
Page 23
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Chapter 22: Nursing Management: Visual and Auditory
Problems
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/31419
Sample Questions
Q1) A patient with a head injury after a motor vehicle accident arrives in the emergency department ( ED ) complaining of shortness of breath and severe eye pain. Which action will the nurse take first?
A) Elevate the head to 45 degrees.
B) Administer the ordered analgesic.
C) Check the patient's oxygen saturation.
D) Examine the eye for evidence of trauma.
Q2) The home health nurse observes a patient taking these actions when self-administering eardrops. Which patient action indicates a need for more teaching?
A) The patient leaves the ear wick in place while administering the drops.
B) The patient lies down before and for 2 minutes after administering the drops.
C) The patient gets the eardrops out of the refrigerator just before administering the drops.
D) The patient holds the tip of the dropper 1 cm above the ear while administering the drops.
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24
Chapter 23: Nursing Assessment: Integumentary System
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/31420
Sample Questions
Q1) The nurse notes these abnormalities on the skin of a 95-year-old patient who is being admitted to an assisted living facility. Which abnormality is the priority to discuss immediately with the health care provider?
A) Several dry, scaly patches on the face
B) Numerous varicosities noted on both legs
C) Dilation of small blood vessels on the face
D) Petechiae present on the chest and abdomen
Q2) The nurse notes several angiomas on the legs of a 73-year-old patient. Which action should the nurse take next?
A) Assess the patient for evidence of liver disease.
B) Discuss the adverse effects of sun exposure on the skin.
C) Educate the patient about possible skin changes with aging.
D) Suggest that the patient make an appointment with a dermatologist.
Q3) A dark-skinned patient has been admitted to the hospital in severe respiratory distress. To determine whether the patient is cyanotic, the nurse will
A) assess the skin color of the earlobes.
B) apply pressure to the palms of the hands.
C) check the lips and oral mucous membranes.
D) examine capillary refill time of the nail beds.
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Page 25
Chapter 24: Nursing Management: Integumentary
Problems
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/31421
Sample Questions
Q1) After a patient with a squamous cell carcinoma ( SCC ) has a Mohs procedure in the dermatology clinic, which nursing action will be included in the postoperative plan of care?
A) Describe the use of topical fluorouracil on the incision.
B) Teach how to use sterile technique to clean the suture line.
C) Schedule daily appointments for wet-to-dry dressing changes.
D) Educate about use of cold packs to reduce bruising and swelling.
Q2) The health care provider diagnoses impetigo for a patient who has crusty vesicopustular lesions on the lower face. Which topic will be included in the teaching plan for this patient?
A) Avoidance of antibiotic ointments on the lesions
B) How to clean the infected areas with soap and water
C) Use of petroleum jelly (Vaseline) to soften crusty areas
D) Appropriate use of alcohol-based cleansers on the lesions
Q3) Which information will the nurse include when teaching a 70-year-old patient about skin care?
A) Dry the skin thoroughly before applying lotions.
B) Bathe and shampoo daily with soap and shampoo.
C) Use warm water and a moisturizing soap when bathing.
Page 26
D) Use antibacterial soaps when bathing to avoid infection.
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Chapter 25: Nursing Management: Burns
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/31422
Sample Questions
Q1) Which of these nursing actions should be done first for a patient who has suffered a burn injury while working on an electrical power line?
A) Obtain the blood pressure.
B) Stabilize the cervical spine.
C) Assess for the contact points.
D) Check alertness and orientation.
Q2) Six hours after a thermal burn covering 50% of a patient's total body surface area ( TBSA ), the nurse obtains these data when assessing a patient. What is the priority information to communicate to the health care provider?
A) Blood pressure is 94/46 per arterial line.
B) Serous exudate is leaking from the burns.
C) Cardiac monitor shows a pulse rate of 104.
D) Urine output is 20 mL per hour for the past 2 hours.
Q3) A 70 kg patient with burns over 30% of total body surface area (TBSA) is admitted to the burn unit. Using the Parkland formula, calculate the volume of lactated Ringer's solution that the nursing staff will administer during the first 24 hours.
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Chapter 26: Nursing Assessment: Respiratory System
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/31423
Sample Questions
Q1) The nurse is observing a student who is listening to a patient's lungs. Which action by the student indicates a need to review respiratory assessment skills?
A) The student compares breath sounds from side to side.
B) The student listens only over the posterior part of the chest.
C) The student places the stethoscope over the scapulae and then auscultates.
D) The student starts at the base of the posterior lung and moves to the apices.
Q2) The nurse has just received arterial blood gas (ABG) results on four patients. Which result is most important to report rapidly to the health care provider?
A) pH 7.34, PaO<sub>2</sub> 82 mm Hg, PaCO<sub>2</sub> 40 mm Hg, and O<sub>2</sub> sat 97%
B) pH 7.35, PaO<sub>2</sub> 85 mm Hg, PaCO<sub>2</sub> 45 mm Hg, and O<sub>2</sub>sat 95%
C) pH 7.46, PaO<sub>2</sub> 90 mm Hg, PaCO<sub>2</sub> 32 mm Hg, and O<sub>2</sub> sat 98%
D) pH 7.31, PaO<sub>2</sub> 91 mm Hg, PaCO<sub>2</sub> 50 mm Hg, and O<sub>2</sub> sat 96%
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Chapter 27: Nursing Management: Upper Respiratory
Problems
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/31424
Sample Questions
Q1) The nurse is caring for a hospitalized 82-year-old patient who has nasal packing in place to treat a nosebleed. Which of the following assessment findings will require the most immediate action by the nurse?
A) The oxygen saturation is 89%.
B) The nose appears red and swollen.
C) The patient's temperature is 100.1° F ( 37.8° C ).
D) The patient complains of level 7 ( 0 to 10 scale ) pain.
Q2) When teaching the patient with allergic rhinitis about management of the condition, the nurse explains that
A) over-the-counter ( OTC ) antihistamines cause sedation, so prescription antihistamines are usually ordered.
B) corticosteroid nasal sprays will reduce inflammation, but systemic effects limit their use.
C) use of oral antihistamines for a few weeks before the allergy season may prevent reactions.
D) identification and avoidance of environmental triggers are the best way to avoid symptoms.
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Chapter 28: Nursing Management: Lower Respiratory Problems
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/31425
Sample Questions
Q1) The nurse recognizes that the goals of teaching regarding the transmission of pulmonary tuberculosis ( TB ) have been met when the patient with TB
A) demonstrates correct use of a nebulizer.
B) washes dishes and personal items after use.
C) covers the mouth and nose when coughing.
D) reports daily to the public health department.
Q2) A staff nurse has a tuberculosis ( TB ) skin test of 16-mm induration. A chest radiograph is negative, and the nurse has no symptoms of TB. The occupational health nurse will plan on teaching the staff nurse about the A) use and side effects of isoniazid ( INH ).
B) standard four-drug therapy for TB.
C) need for annual repeat TB skin testing.
D) bacille Calmette-Guérin ( BCG ) vaccine.
Q3) During assessment of the chest in a patient with pneumococcal pneumonia, the nurse would expect to find A) vesicular breath sounds.
B) increased tactile fremitus.
C) dry, nonproductive cough.
D) hyperresonance to percussion.
Page 30
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Chapter 29: Nursing Management: Obstructive Pulmonary Diseases
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/31426
Sample Questions
Q1) Which action will be included in the plan of care for a 23-year-old with cystic fibrosis (CF) who is admitted to the hospital with increased dyspnea?
A) Schedule a sweat chloride test.
B) Arrange for a hospice nurse visit.
C) Place the patient on a low-sodium diet.
D) Perform chest physiotherapy every 4 hours.
Q2) The nurse in the emergency department receives arterial blood gas results for four recently admitted patients with obstructive pulmonary disease. Which patient will require the most rapid action by the nurse?
A) 20-year-old with ABG results: pH 7.28, PaCO<sub>2</sub> 60 mm Hg, and PaO<sub>2</sub> 58 mm Hg
B) 32-year-old with ABG results: pH 7.50, PaCO<sub>2</sub> 30 mm Hg, and PaO<sub>2</sub> 65 mm Hg
C) 40-year-old with ABG results: pH 7.34, PaCO<sub>2</sub> 33 mm Hg, and PaO<sub>2</sub> 80 mm Hg
D) 64-year-old with ABG results: pH 7.31, PaCO<sub>2</sub> 58 mm Hg, and PaO<sub>2 </sub>64 mm Hg
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Chapter 30: Nursing Assessment: Hematologic System
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31427
Sample Questions
Q1) When reviewing the complete blood count ( CBC ) for a patient admitted with abdominal pain, which information will be most important for the nurse to communicate to the health care provider?
A) Monocytes 4%
B) Hemoglobin 11.6 g/dL
C) Platelet count 145,000/µL
D) White blood cells ( WBCs ) 13,500/µL
Q2) The complete blood count ( CBC ) and differential indicate that a patient is neutropenic. Which action should the nurse include in the plan of care?
A) Avoid intramuscular injections.
B) Encourage increased oral fluids.
C) Check temperature every 4 hours.
D) Increase intake of iron-rich foods.
Q3) In the patient who had an intraoperative hemorrhage 12 hours ago, the nurse would expect to find hematology results indicating
A) a hematocrit of 45%.
B) a hemoglobin of 13.2 g/dL.
C) a decreased white blood cell ( WBC ) count.
D) an elevated reticulocyte count.
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Page 32
Chapter 31: Nursing Management: Hematologic Problems
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/31428
Sample Questions
Q1) Which nursing action will be included in the plan of care for a patient admitted with multiple myeloma?
A) Monitor fluid intake and output.
B) Administer calcium supplements.
C) Assess lymph nodes for enlargement.
D) Limit weight-bearing and ambulation.
Q2) Which statement by a patient with sickle cell anemia indicates good understanding of the nurse's teaching about prevention of sickle cell crisis?
A) "Home oxygen therapy is frequently used to decrease sickling."
B) "There are no effective medications that can help prevent sickling."
C) "Routine continuous dosage narcotics are prescribed to prevent a crisis."
D) "Risk for a crisis can be lowered by having an annual influenza vaccination."
Q3) Which menu choice indicates that the patient understands the nurse's teaching about best dietary choices for iron-deficiency anemia?
A) Omelet and whole wheat toast
B) Cantaloupe and cottage cheese
C) Strawberry and banana fruit plate
D) Cornmeal muffin and orange juice
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33
Chapter 32: Nursing Assessment: Cardiovascular System
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/31429
Sample Questions
Q1) Which information obtained by the nurse who is admitting the patient for magnetic resonance imaging (MRI) will be most important to report to the health care provider before the MRI?
A) The patient has an allergy to shellfish and iodine.
B) The patient has a history of coronary artery disease.
C) The patient has a permanent ventricular pacemaker in place.
D) The patient took all the prescribed cardiac medications today.
Q2) When admitting a patient for a coronary arteriogram and angiogram, which information about the patient is most important for the nurse to communicate to the health care provider?
A) The patient's pedal pulses are +1.
B) The patient is allergic to shellfish.
C) The patient has not eaten anything today.
D) The patient had an arteriogram a year ago.
Q3) Which action will the nurse implement for a patient who arrives for a calcium-scoring CT scan?
A) Administer oral sedative medications.
B) Teach the patient about the procedure.
C) Ask whether the patient has eaten today.
D) Insert a large gauge intravenous catheter.
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Chapter 33: Nursing Management: Hypertension
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/31430
Sample Questions
Q1) The nurse is reviewing the laboratory tests for a patient who has recently been diagnosed with hypertension. Which result is most important to communicate to the health care provider?
A) Serum creatinine of 2.6 mg/dL
B) Serum potassium of 3.8 mEq/L
C) Serum hemoglobin of 14.7 g/dL
D) Blood glucose level of 98 mg/dL
Q2) During change-of-shift report, the nurse obtains this information about a hypertensive patient who received the first dose of propranolol (Inderal) during the previous shift. Which information indicates that the patient needs immediate intervention?
A) The patient's most recent BP reading is 156/94 mm Hg.
B) The patient's pulse has dropped from 64 to 58 beats/minute.
C) The patient has developed wheezes throughout the lung fields.
D) The patient complains that the fingers and toes feel quite cold.
Q3) The nurse obtains a blood pressure of 180/75 mm Hg for a patient. What is the patient's mean arterial pressure (MAP)? ____________________
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Page 35
Chapter 34: Nursing Management: Coronary Artery Disease
and Acute Coronary Syndrome
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/31431
Sample Questions
Q1) After the nurse has finished teaching a patient about use of sublingual nitroglycerin (Nitrostat), which patient statement indicates that the teaching has been effective?
A) "I can expect indigestion as a side effect of nitroglycerin."
B) "I can only take the nitroglycerin if I start to have chest pain."
C) "I will call an ambulance if I still have pain 5 minutes after taking the nitroglycerin."
D) "I will help slow down the progress of the plaque formation by taking nitroglycerin."
Q2) When administering IV nitroglycerin (Tridil) to a patient with a myocardial infarction (MI), which action will the nurse take to evaluate the effectiveness of the medication?
A) Check blood pressure.
B) Monitor apical pulse rate.
C) Monitor for dysrhythmias.
D) Ask about chest discomfort.
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Chapter 35: Nursing Management: Heart Failure
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/31432
Sample Questions
Q1) A patient in the intensive care unit with acute decompensated heart failure (ADHF) complains of severe dyspnea and is anxious, tachypneic, and tachycardic. All these medications have been ordered for the patient. The first action by the nurse will be to
A) give IV diazepam (Valium) 2.5 mg.
B) administer IV morphine sulfate 2 mg.
C) increase nitroglycerin (Tridil) infusion by 5 mcg/min.
D) increase dopamine (Intropin) infusion by 2 mcg/kg/min.
Q2) A 55-year-old with Stage D heart failure and type 2 diabetes asks the nurse whether heart transplant is a possible therapy. Which response by the nurse is appropriate?
A) "Since you are diabetic, you would not be a candidate for a heart transplant."
B) "The choice of a patient for a heart transplant depends on many different factors."
C) "Your heart failure has not reached the stage in which heart transplants are considered."
D) "People who have heart transplants are at risk for multiple complications after surgery."
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Chapter 36: Nursing Management: Dysrhythmias
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/31433
Sample Questions
Q1) Which action should the nurse take when preparing for cardioversion of a patient with supraventricular tachycardia who is alert and has a blood pressure of 110/66 mm Hg?
A) Turn the synchronizer switch to the "off" position.
B) Perform cardiopulmonary resuscitation (CPR) until the paddles are in correct position.
C) Set the defibrillator/cardioverter energy to 300 joules.
D) Administer a sedative before cardioversion is implemented.
Q2) A patient has a normal cardiac rhythm and a heart rate of 72 beats/minute, except that the PR interval is 0.24 seconds. The appropriate intervention by the nurse is to
A) notify the patient's health care provider immediately.
B) administer atropine per agency bradycardia protocol.
C) prepare the patient for temporary pacemaker insertion.
D) document the finding and continue to monitor the patient.
Q3) When analyzing an electrocardiographic (ECG) rhythm strip of a patient with a regular cardiac rhythm, the nurse finds there are 25 small blocks from one R wave to the next. The nurse calculates the patient's heart rate as ____________________.
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Chapter 37: Nursing Management: Inflammatory and
Structural Heart Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/31434
Sample Questions
Q1) When caring for the patient with infective endocarditis of the tricuspid valve, the nurse will plan to monitor the patient for
A) dyspnea.
B) flank pain.
C) hemiparesis.
D) splenomegaly.
Q2) Which information obtained by the nurse when assessing a patient admitted with mitral valve regurgitation should be communicated to the health care provider immediately?
A) The patient has 4+ peripheral edema in both legs.
B) The patient has crackles audible to the lung apices.
C) The patient has a palpable thrill felt over the left anterior chest.
D) The patient has a loud systolic murmur all across the precordium.
Q3) Which assessment finding in a patient who is hospitalized with infective endocarditis ( IE ) is most important to communicate to the health care provider?
A) Generalized muscle aching
B) Sudden onset left flank pain
C) Janeway's lesions on the palms
D) Temperature 100.5° F ( 38.1° C )
Page 39
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Chapter 38: Nursing Management: Vascular Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/31435
Sample Questions
Q1) Which information about a patient who has been admitted with a right calf venous thromboembolism ( VTE ) requires immediate action by the nurse?
A) Complaint of left calf pain
B) New onset shortness of breath
C) Red skin color of left lower leg
D) Temperature of 100.4° F ( 38° C )
Q2) Immediately after repair of an abdominal aortic aneurysm, a patient has absent popliteal, posterior tibial, and dorsalis pedis pulses. The legs are cool and mottled. Which action should the nurse take first?
A) Wrap both the legs in warm blankets.
B) Notify the surgeon and anesthesiologist.
C) Document that the pulses are absent and recheck in 30 minutes.
D) Review the preoperative assessment form for data about the pulses.
Q3) Which of these patients admitted to the emergency department should the nurse assess first?
A) 62-year-old who has gangrenous ulcers on both feet
B) 50-year-old who is complaining of "tearing" chest pain
C) 45-year-old who is taking anticoagulants and has bloody stools
D) 36-year-old who has right calf tenderness, redness, and swelling
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Page 40
Chapter 39: Nursing Assessment: Gastrointestinal System
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31436
Sample Questions
Q1) During change-of-shift report, the nurse receives the following information about a patient who is scheduled for a colonoscopy. Which information should be communicated to the health care provider before sending the patient for the procedure?
A) The patient has a permanent pacemaker to prevent bradycardia.
B) The patient is worried about discomfort during the examination.
C) The patient has had an allergic reaction to shellfish and iodine in the past.
D) The patient refused to drink the ordered polyethylene glycol (GoLYTELY).
Q2) Which information obtained by the nurse when admitting a patient who is scheduled for an ultrasound of the gallbladder indicates that the ultrasound may need to be rescheduled?
A) The patient has a permanent gastrostomy tube.
B) The patient took a laxative the previous evening.
C) The patient ate a low-fat bagel an hour previously.
D) The patient had a high-fat meal the previous evening.
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Chapter 40: Nursing Management: Nutritional Problems
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/31437
Sample Questions
Q1) A patient is receiving tube feedings through a percutaneous endoscopic gastrostomy (PEG). Which action will the nurse include in the plan of care?
A) Keep the patient positioned on the left side.
B) Obtain a daily x-ray to verify tube placement.
C) Check the gastric residual volume every 4 to 6 hours.
D) Avoid giving bolus tube feedings through the PEG tube.
Q2) A patient with protein calorie malnutrition who has had abdominal surgery is receiving parenteral nutrition (PN). Which assessment information obtained by the nurse is the best indicator that the patient is receiving adequate nutrition?
A) Blood glucose is 110 mg/dL.
B) Serum albumin level is 3.5 mg/dL.
C) Fluid intake and output are balanced.
D) Surgical incision is healing normally.
Q3) When using a soft, silicone nasogastric tube for enteral feedings, the nurse will need to
A) avoid giving medications through the feeding tube.
B) flush the tubing after checking for residual volumes.
C) administer continuous feedings using an infusion pump.
D) replace the tube every 3 to 5 days to avoid mucosal damage.
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Page 42
Chapter 41: Nursing Management: Obesity
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/31438
Sample Questions
Q1) Which patient behavior indicates that an overweight patient has understood the nurse's teaching about the best exercise plan for weight loss?
A) Walking for 40 minutes 6 or 7 days/week
B) Lifting weights with friends 3 times/week
C) Playing soccer for an hour on the weekend
D) Running for 10 to 15 minutes 3 times/week
Q2) A patient has been on a 1000-calorie diet with a daily exercise routine and a prescription for sibutramine ( Meridia ) for 10 weeks. Which information obtained by the nurse is important to report to the health care provider?
A) The patient has not lost any weight for the last 2 weeks.
B) The patient tells the nurse about occasional palpitations.
C) The patient complains about having chronic constipation.
D) The patient reports walking only 3 days during the last week.
Q3) Which information will the nurse plan to include in discharge teaching for a patient after gastric bypass surgery?
A) Avoid drinking fluids with meals.
B) Choose high-fat foods for at least 30% of intake.
C) Choose foods that are high in fiber to promote bowel function.
D) Development of flabby skin can be prevented by daily exercise.
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Page 43
Chapter 42: Nursing Management: Upper Gastrointestinal
Problems
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/31439
Sample Questions
Q1) A patient with a recent 20-pound unintended weight loss is diagnosed with stomach cancer. Which nursing action will be included in the plan of care?
A) Refer the patient for hospice services.
B) Infuse IV fluids through a central line.
C) Teach the patient about antiemetic therapy.
D) Offer supplemental feedings between meals.
Q2) Vasopressin (Pitressin) 0.2 units/min infusion is prescribed for a patient with acute arterial gastrointestinal (GI) bleeding. The vasopressin label states vasopressin 20 units/50 mL normal saline. How many mL/min will the nurse infuse?
Q3) Which of these nursing actions should the RN working in the emergency department delegate to nursing assistive personnel who help with the care of a patient who has been admitted with nausea and vomiting?
A) Auscultate the bowel sounds.
B) Assess for signs of dehydration.
C) Ask the patient what precipitated the nausea.
D) Assist the patient with oral care after vomiting.
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Page 44
Chapter 43: Nursing Management: Lower Gastrointestinal
Problems
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/31440
Sample Questions
Q1) When preparing for an annual physical exam for a patient who is 50 years old, the nurse will plan to teach the patient about
A) endoscopy.
B) colonoscopy.
C) computerized tomography screening.
D) carcinoembryonic antigen ( CEA ) testing.
Q2) When interviewing a patient with abdominal pain and possible irritable bowel syndrome, which question will be most important for the nurse to ask?
A) "Have you been passing a lot of gas?"
B) "What foods affect your bowel patterns?"
C) "Do you have any abdominal distention?"
D) "How long have you had abdominal pain?"
Q3) After the nurse has completed teaching a patient with newly diagnosed celiac disease, which breakfast choice by the patient indicates good understanding of the information?
A) Corn tortilla with eggs
B) Bagel with cream cheese
C) Oatmeal with non-fat milk
D) Whole wheat toast with butter
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Chapter 44: Nursing Management: Liver, Pancreas, and Biliary Tract Problems
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/31441
Sample Questions
Q1) A patient with severe cirrhosis has an episode of bleeding esophageal varices. To detect possible complications of the bleeding episode, it is most important for the nurse to monitor
A) bilirubin levels.
B) ammonia levels.
C) potassium levels.
D) prothrombin time.
Q2) A patient with cirrhosis has 4+ pitting edema of the feet and legs. The data indicate that it is most important for the nurse to monitor the patient's A) hemoglobin.
B) temperature.
C) activity level.
D) albumin level.
Q3) When the nurse is caring for a patient with acute pancreatitis, which assessment finding is of most concern?
A) Absent bowel sounds
B) Abdominal tenderness
C) Left upper quadrant pain
D) Palpable abdominal mass
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Chapter 45: Nursing Assessment: Urinary System
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/31442
Sample Questions
Q1) A patient's urine dipstick indicates a small amount of protein in the urine. The next action by the nurse should be to
A) check which medications the patient is currently taking.
B) obtain a clean-catch urine for culture and sensitivity testing.
C) ask the patient about any family history of chronic renal failure.
D) send a urine specimen to the laboratory to test for ketones and glucose.
Q2) While assessing a patient's urinary system, the nurse cannot palpate either kidney. Which action should the nurse take next?
A) Obtain a urine specimen to check for hematuria.
B) Document the information on the assessment form.
C) Ask the patient about any history of recent sore throat.
D) Ask the health care provider about scheduling a renal ultrasound.
Q3) A patient with a possible urinary tract infection (UTI) gives the nurse in the clinic a urine specimen that is a red-orange color. Which action should the nurse take first?
A) Notify the patient's health care provider.
B) Ask the patient about use of any medications.
C) Question the patient about any UTI risk factors.
D) Teach about the correct procedure for midstream urine collection.
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Chapter 46: Nursing Management: Renal and Urologic Problems
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/31443
Sample Questions
Q1) Which nursing action will be most helpful in decreasing the risk for hospital-acquired infection (HAI) of the urinary tract in patients admitted to the hospital?
A) Avoid unnecessary catheterizations.
B) Encourage adequate oral fluid intake.
C) Test urine with a dipstick daily for nitrites.
D) Provide thorough perineal hygiene to patients.
Q2) A 26-year-old patient with a history of polycystic kidney disease is admitted to the surgical unit after having knee surgery. Which of the routine postoperative orders is most important for the nurse to discuss with the health care provider?
A) Infuse 5% dextrose in normal saline at 75 mL/hr.
B) Order regular diet after patient is awake and alert.
C) Give ketorolac (Toradol) 10 mg PO PRN for pain.
D) Obtain blood urea nitrogen (BUN), creatinine, and electrolytes in 2 hours.
Q3) To prevent the recurrence of renal calculi, the nurse teaches the patient to
A) use a filter to strain all urine.
B) avoid dietary sources of calcium.
C) drink diuretic fluids such as coffee.
D) have 2000 to 3000 mL of fluid a day.
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Chapter 47: Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/31444
Sample Questions
Q1) Which patient information will the nurse plan to obtain in order to determine the effectiveness of the prescribed calcium carbonate ( Caltrate ) for a patient with chronic kidney disease ( CKD )?
A) Blood pressure
B) Phosphate level
C) Neurologic status
D) Creatinine clearance
Q2) The nurse has instructed a patient who is receiving hemodialysis about appropriate dietary choices. Which menu choice by the patient indicates that the teaching has been successful?
A) Scrambled eggs, English muffin, and apple juice
B) Oatmeal with cream, half a banana, and herbal tea
C) Split-pea soup, whole-wheat toast, and nonfat milk
D) Cheese sandwich, tomato soup, and cranberry juice
Q3) A patient complains of leg cramps during hemodialysis. The nurse should first A) reposition the patient.
B) massage the patient's legs.
C) give acetaminophen (Tylenol).
D) infuse a bolus of normal saline.
Page 49
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Chapter 48: Nursing Assessment: Endocrine System
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/31445
Sample Questions
Q1) Which information about a patient with newly diagnosed diabetes mellitus will be most useful to the nurse in developing strategies for successful adaptation to this disease?
A) Ideal weight
B) Value system
C) Activity level
D) Visual changes
Q2) When working with a patient who has diabetes mellitus, the nurse reviews the results of testing for glycosylated hemoglobin ( HbA1C ) to evaluate for
A) glucose levels 2 hours after a meal.
B) circulating, nonfasting glucose levels.
C) glucose control over the past 3 months.
D) hypoglycemic episodes in the past 90 days.
Q3) A patient is admitted with a serum sodium level of 118 mEq/L. The nurse will anticipate the need for which diagnostic test?
A) Urinary 17-ketosteroids
B) Antidiuretic hormone level
C) Growth hormone stimulation test
D) Adrenocorticotropic hormone level
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Page 50
Chapter 49: Nursing Management: Diabetes Mellitus
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) When assessing the patient experiencing the onset of symptoms of type 1 diabetes, which question is most appropriate for the nurse to ask?
A) "Have you lost any weight lately?"
B) "How long have you felt anorexic?"
C) "Is your urine unusually dark colored?"
D) "Do you crave fluids containing sugar?"
Q2) After the home health nurse has taught a patient and family about how to use glargine and regular insulin safely, which action by the patient indicates that the teaching has been successful?
A) The patient administers the glargine 30 to 45 minutes before eating each meal.
B) The patient's family fills the syringes weekly and stores them in the refrigerator.
C) The patient draws up the regular insulin and then the glargine in the same syringe.
D) The patient disposes of the open vials of glargine and regular insulin after 4 weeks.
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Chapter 50: Nursing Management: Endocrine Problems
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/31447
Sample Questions
Q1) After receiving change-of-shift report about the following four patients, which patient should the nurse assess first?
A) A 31-year-old with Cushing syndrome and a blood glucose level of 244 mg/dL
B) A 22-year-old admitted with syndrome of inappropriate antidiuretic hormone ( SIADH ) who has a serum sodium level of 130 mEq/L
C) A 70-year-old who recently started taking levothyroxine ( Synthroid ) and has an irregular pulse of 134
D) A 53-year-old who has Addison's disease and is due for a scheduled dose of hydrocortisone ( Solu-Cortef ).
Q2) A patient with symptoms of diabetes insipidus is admitted to the hospital for evaluation and treatment of the condition. An appropriate nursing diagnosis for the patient is
A) insomnia related to frequent waking at night to void.
B) impaired gas exchange related to fluid retention in lungs.
C) excess fluid volume related to intake greater than output.
D) risk for impaired skin integrity related to generalized edema.
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Chapter 51: Nursing Assessment: Reproductive System
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/31448
Sample Questions
Q1) When performing a physical assessment on a male patient, the nurse obtains this information. Which finding is most important to report to the health care provider?
A) One testis hangs lower than the other.
B) Inguinal lymph nodes are nonpalpable.
C) Genital hair distribution is diamond shaped.
D) Clear penile discharge is present at the meatus.
Q2) A 22-year-old female patient who has been admitted to the emergency department after an automobile accident is scheduled for abdominal x-rays. Which information is most important to report to the health care provider before the x-rays are obtained?
A) Abdominal pain
B) Positive hCG testing
C) Temperature 102.1° F ( 38.9° C )
D) Blood pressure 172/88 mm Hg
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Chapter 52: Nursing Management: Breast Disorders
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/31449
Sample Questions
Q1) A patient with a small immobile breast lump is advised to have a fine needle aspiration ( FNA ) biopsy. The nurse explains that an advantage to this procedure is that
A) FNA is done in the outpatient clinic, and results are available in 1 to 2 days.
B) only a small incision is needed, resulting in minimal breast pain and scarring.
C) if the biopsy results are negative, no further diagnostic testing will be needed.
D) FNA is guided by a mammogram, ensuring that cells are taken from the lesion.
Q2) When the nurse is assessing the breasts of a 31-year-old, which finding is most indicative of a need for further evaluation?
A) Bilateral nodules that are tender with palpation
B) A nodule that is 1 cm in size, painless, and fixed
C) A lump that increases in size before the menstrual period
D) A lump that is small, mobile, and has a rubbery consistency
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Chapter 53: Nursing Management: Sexually Transmitted Diseases
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/31450
Sample Questions
Q1) A woman in the sexually transmitted disease ( STD ) clinic tells the nurse that she is concerned she may have been exposed to gonorrhea by her partner. To determine whether the patient has gonorrhea, the nurse will plan to
A) interview the patient about symptoms of gonorrhea.
B) take a sample of cervical discharge for Gram staining.
C) draw a blood specimen or rapid plasma reagin ( RPR ) testing.
D) obtain vaginal secretions for a nucleic acid amplification test ( NAAT ).
Q2) A 47-year-old patient with a long history of IV drug use is seen at a community clinic, where the patient reports difficulty walking because "I don't know where my feet are." Diagnostic screening reveals positive Venereal Disease Research Laboratory (VDRL) and fluorescent treponemal antibody absorption (FAT-ABS) tests. Based on the patient history, the nurse will assess which of the following (select all that apply)?
A) Heart sounds
B) Genitalia for lesions
C) Joints for swelling and inflammation
D) Mental state for judgment and orientation
E) Skin and mucous membranes for gummas
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Chapter 54: Nursing Management: Female Reproductive Problems
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/31451
Sample Questions
Q1) A 32-year-old patient has minor changes on her Pap test. Which action should the nurse take?
A) Teach the patient about colposcopy.
B) Teach the patient about punch biopsy.
C) Schedule another Pap test in 4 months.
D) Administer the human papilloma virus (HPV) vaccine.
Q2) A woman is scheduled for an induced abortion using instillation of hypertonic saline solution. Before the procedure, which information will the nurse discuss with the patient?
A) The expulsion of the fetus may take up to a day or longer.
B) There is a possibility that the patient may deliver a live fetus.
C) The patient will require a general anesthetic for the procedure.
D) The procedure may be unsuccessful in terminating the pregnancy.
Q3) Which information about a 48-year-old patient indicates that the nurse will need to teach the patient about endometrial biopsy?
A) The patient has had 6 full-term pregnancies.
B) The patient has 3 to 4 alcoholic drinks daily.
C) The patient has used various oral contraceptives since she was 20 years old.
D) The patient has a family history of hereditary nonpolyposis colorectal cancer.
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Chapter 55: Nursing Management: Male Reproductive Problems
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/31452
Sample Questions
Q1) When reviewing patient laboratory results, the nurse in the clinic notes elevated prostate specific antigen ( PSA ) levels in the following four patients. Which patient's PSA result is most important to report to the health care provider?
A) A 75-year-old who uses saw palmetto to treat benign prostatic hyperplasia ( BPH )
B) A 38-year-old who is being treated for acute prostatitis
C) A 48-year-old whose father died of metastatic prostate cancer
D) A 52-year-old who goes on long bicycle rides every weekend
Q2) Following discharge teaching for a patient who has had a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH), the nurse determines that additional instruction is needed when the patient says,
A) "I will avoid driving until I get approval from my doctor."
B) "I should call the doctor if I have any incontinence at home."
C) "I will increase fiber and fluids in my diet to prevent constipation."
D) "I should continue to schedule yearly appointments for prostate exams."
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Chapter 56: Nursing Assessment: Nervous System
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/31453
Sample Questions
Q1) Which equipment will the nurse obtain to assess vibration sense in a patient who has peripheral nerve dysfunction?
A) Sharp pin
B) Tuning fork
C) Reflex hammer
D) Calibrated compass
Q2) A patient has a lesion that affects lower motor neurons. During assessment of the patient's lower extremities, the nurse expects to find
A) spasticity.
B) flaccidity.
C) loss of sensation.
D) hyperactive reflexes.
Q3) To assess the functioning of the trigeminal and facial nerves (CN V and VII), the nurse should
A) apply a cotton wisp strand to the cornea.
B) have the patient read a magazine or book.
C) shine a bright light into the patient's pupil.
D) check for unilateral drooping of the eyelids.
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Chapter 57: Nursing Management: Acute Intracranial
Problems
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) An unconscious patient with a traumatic head injury has a blood pressure of 126/72 mm Hg, and an intracranial pressure of 18 mm Hg. The nurse will calculate the cerebral perfusion pressure as ____________________.
Q2) When admitting a patient who has a tumor of the right frontal lobe, the nurse would expect to find
A) judgment changes.
B) expressive aphasia.
C) right-sided weakness.
D) difficulty swallowing.
Q3) Which assessment finding in a patient who was admitted the previous day with a basilar skull fracture is most important to report to the health care provider?
A) Bruising under both eyes
B) Complaint of severe headache
C) Large ecchymosis behind one ear
D) Temperature of 101.5° F ( 38.6° C )
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Chapter 58: Nursing Management: Stroke
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/31455
Sample Questions
Q1) A patient who has had a subarachnoid hemorrhage is being cared for in the intensive care unit. Which information about the patient is most important to communicate to the health care provider?
A) The patient's blood pressure is 90/50 mm Hg.
B) The patient complains about having a stiff neck.
C) The cerebrospinal fluid (CSF) report shows red blood cells (RBCs).
D) The patient complains of an ongoing severe headache.
Q2) The health care provider prescribes clopidogrel (Plavix) for a patient with cerebral atherosclerosis. When teaching about the new medication, the nurse will tell the patient
A) to monitor and record the blood pressure daily.
B) to call the health care provider if stools are tarry.
C) that Plavix will dissolve clots in the cerebral arteries.
D) that Plavix will reduce cerebral artery plaque formation.
Q3) A patient with a left-sided brain stroke suddenly bursts into tears when family members visit. The nurse should
A) use a calm voice to ask the patient to stop the crying behavior.
B) explain to the family that depression is normal following a stroke.
C) have the family members leave the patient alone for a few minutes.
D) teach the family that emotional outbursts are common after strokes.
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Chapter 59: Nursing Management: Chronic Neurologic Problems
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/31456
Sample Questions
Q1) When the home health RN is planning care for a patient with a seizure disorder, which nursing action can be delegated to an LPN/LVN?
A) Make referrals to appropriate community agencies.
B) Place medications in the home medication organizer.
C) Teach the patient and family how to manage seizures.
D) Assess for use of medications that may precipitate seizures.
Q2) A patient seen at the health clinic with a severe migraine headache tells the nurse about having four similar headaches in the last 3 months. Which initial action should the nurse take?
A) Refer the patient for stress counseling.
B) Ask the patient to keep a headache diary.
C) Suggest the use of muscle-relaxation techniques.
D) Teach about the effectiveness of the triptan drugs.
Q3) A patient with Parkinson's disease has decreased tongue mobility and an inability to move the facial muscles. Which nursing diagnosis is of highest priority?
A) Activity intolerance
B) Self-care deficit: toileting
C) Ineffective self-health management
D) Imbalanced nutrition: less than body requirements
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Chapter 60: Nursing Management: Alzheimers Disease,
Dementia, and Delirium
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/31457
Sample Questions
Q1) When developing a plan of care for a hospitalized patient with moderate dementia, which intervention will the nurse include?
A) Provide complete personal hygiene care for the patient.
B) Remind the patient frequently about being in the hospital.
C) Reposition the patient frequently to avoid skin breakdown.
D) Place suction at the bedside to decrease the risk for aspiration.
Q2) When assessing a patient with Alzheimer's disease ( AD ) who is being admitted to a long-term care facility, the nurse learns that the patient has had several episodes of wandering away from home. Which nursing action will the nurse include in the plan of care?
A) Place the patient in a room close to the nurses' station.
B) Ask the patient why the wandering episodes have occurred.
C) Have the family bring in familiar items from the patient's home.
D) Reorient the patient to the new living situation several times daily.
Q3) When administering a mental status examination to a patient with delirium, the nurse should
A) medicate the patient first to reduce any anxiety.
B) give the examination when the patient is well-rested.
C) reorient the patient as needed during the examination.
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D) choose a place without distracting environmental stimuli.
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Chapter 61: Nursing Management: Peripheral Nerve and Spinal Cord Problems
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/31458
Sample Questions
Q1) A patient has an incomplete right spinal cord lesion at the level of T7, resulting in Brown-Séquard syndrome. Which nursing action should be included in the plan of care?
A) Assessment of the patient for left leg pain
B) Assessment of the patient for left arm weakness
C) Positioning the patient's right leg when turning the patient
D) Teaching the patient to look at the left leg to verify its position
Q2) When assessing a patient with newly diagnosed trigeminal neuralgia, the nurse will ask the patient about
A) triggers that lead to facial pain.
B) visual problems caused by ptosis.
C) poor appetite caused by a loss of taste.
D) weakness on the affected side of the face.
Q3) Which action should the nurse take when assessing a patient with trigeminal neuralgia?
A) Examine the mouth and teeth thoroughly.
B) Have the patient clench and relax the jaw and eyes.
C) Identify trigger zones by lightly touching the affected side.
D) Gently palpate the face to compare skin temperature bilaterally.
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Chapter 62: Nursing Assessment: Musculoskeletal System
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31459
Sample Questions
Q1) Which information in a 60-year-old woman's health history will alert the nurse to the need for a more focused assessment of the musculoskeletal system?
A) The patient experienced a sprained ankle at age 13.
B) The patient's mother became much shorter with aging.
C) The patient's father died of complications of miliary tuberculosis.
D) The patient reports taking ibuprofen (Advil) for occasional headaches.
Q2) Which information obtained during the nurse's assessment of the patient's nutritional-metabolic pattern may indicate the risk for musculoskeletal problems?
A) The patient takes a multivitamin daily.
B) The patient dislikes fruits and vegetables.
C) The patient is 5 ft 2 in and weighs 180 lb.
D) The patient prefers whole milk to nonfat milk.
Q3) When assessing the musculoskeletal system, the nurse's initial action will usually be to
A) feel for the presence of crepitus during joint movement.
B) have the patient move the extremities against resistance.
C) observe the patient's body build and muscle configuration.
D) check active and passive range of motion for the extremities.
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Chapter 63: Nursing Management: Musculoskeletal
Trauma and Orthopedic Surgery
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/31460
Sample Questions
Q1) Before assisting a patient with ambulation on the day after a total hip replacement, which action is most important for the nurse to take?
A) Administer the ordered oral opioid pain medication.
B) Instruct the patient about the benefits of ambulation.
C) Ensure that the incisional drain has been discontinued.
D) Change the hip dressing and document the wound appearance.
Q2) A patient has hip replacement surgery using the posterior approach. Which patient action requires rapid intervention by the nurse?
A) The patient uses crutches with a swing-to gait.
B) The patient leans over to pull shoes and socks on.
C) The patient sits straight up on the edge of the bed.
D) The patient bends over the sink while brushing the teeth.
Q3) A patient undergoes a right above-the-knee amputation with an immediate prosthetic fitting. When the patient first arrives on the orthopedic unit after surgery, the nurse should
A) place the patient in a prone position.
B) check the surgical site for hemorrhage.
C) remove the prosthesis and wrap the site.
D) keep the residual leg elevated on a pillow.
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Chapter 64: Nursing Management: Musculoskeletal
Problems
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/31461
Sample Questions
Q1) An assessment finding that alerts the nurse to the presence of osteoporosis in a middle-aged patient is
A) measurable loss of height.
B) the presence of bowed legs.
C) an aversion to dairy products.
D) statements about frequent falls.
Q2) A patient has muscle spasms and acute low back pain. An appropriate nursing intervention for this problem is to teach the patient to
A) avoid the use of cold because it will exacerbate the muscle spasms.
B) keep both feet flat on the floor when prolonged standing is required.
C) keep the head elevated slightly and flex the knees when resting in bed.
D) twist gently from side to side to maintain range of motion in the spine.
Q3) Which of these nursing actions included in the care of a patient after laminectomy can the nurse delegate to experienced nursing assistive personnel ( NAP )?
A) Ask about pain control with the patient-controlled analgesia ( PCA ).
B) Determine the patient's readiness to ambulate.
C) Check ability to plantar and dorsiflex the foot.
D) Turn the patient from side to side every 2 hours.
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Chapter 65: Nursing Management: Arthritis and Connective
Tissue Diseases
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40 Verified Questions
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Source URL: https://quizplus.com/quiz/31462
Sample Questions
Q1) The health care provider has prescribed the following collaborative interventions for a 49-year-old who is taking azathioprine ( Imuran ) for systemic lupus erythematosus.
Which order will the nurse question?
A) Draw anti-DNA blood titer.
B) Administer varicella vaccine.
C) Use naproxen ( Aleve ) 200 mg BID.
D) Take famotidine ( Pepcid ) 20 mg daily.
Q2) Which finding will the nurse expect when assessing a 60-year-old patient who has osteoarthritis ( OA ) of the left knee?
A) Heberden's nodules
B) Pain upon joint movement
C) Redness and swelling of the knee joint
D) Stiffness that increases with movement
Q3) When caring for a patient with gout and a red and painful left great toe, which nursing action will be included in the plan of care?
A) Gently palpate the toe to assess swelling.
B) Use pillows to keep the left foot elevated.
C) Use a footboard to hold bedding away from the toe.
D) Teach patient to avoid use of acetaminophen (Tylenol).
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Chapter 66: Nursing Management: Critical Care
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/31463
Sample Questions
Q1) When the ventilator alarm sounds, the nurse finds the patient lying in bed holding the endotracheal tube (ET). Which action should the nurse take first?
A) Offer reassurance to the patient.
B) Activate the hospital's rapid response team.
C) Call the health care provider to reinsert the tube.
D) Manually ventilate the patient with 100% oxygen.
Q2) When caring for a patient with pulmonary hypertension, which parameter will the nurse monitor to evaluate whether treatment has been effective?
A) Mean arterial pressure (MAP)
B) Central venous pressure (CVP)
C) Pulmonary vascular resistance (PVR)
D) Pulmonary artery wedge pressure (PAWP)
Q3) Which assessment information obtained by the nurse when caring for a patient receiving mechanical ventilation indicates the need for suctioning?
A) The respiratory rate is 32 breaths/min.
B) The pulse oximeter shows a SpO<sub>2</sub> of 93%.
C) The patient has not been suctioned for the last 6 hours.
D) The lungs have occasional audible expiratory wheezes.
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Chapter 67: Nursing Management: Shock, Systemic
Inflammatory Response Syndrome, and Multiple Organ
Dysfunction Syndrome
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/31464
Sample Questions
Q1) During change-of-shift report, the nurse learns that a patient has been admitted with dehydration and hypotension after having vomiting and diarrhea for 3 days. Which finding is most important for the nurse to report to the health care provider?
A) Decreased bowel sounds
B) Apical pulse 110 beats/min
C) Pale, cool, and dry extremities
D) New onset of confusion and agitation
Q2) A patient with cardiogenic shock is cool and clammy and hemodynamic monitoring indicates a high systemic vascular resistance (SVR). Which action will the nurse anticipate taking?
A) Increase the rate for the prescribed dopamine (Intropin) infusion.
B) Decrease the rate for the prescribed nitroglycerin (Tridil) infusion.
C) Decrease the rate for the prescribed 5% dextrose in water (D<sub>5</sub>W) infusion.
D) Increase the rate for the prescribed sodium nitroprusside (Nipride) infusion.
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Chapter 68: Nursing Management: Respiratory Failure and
Acute Respiratory Distress Syndrome
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/31465
Sample Questions
Q1) Which statement by the nurse when explaining the purpose of positive end-expiratory pressure (PEEP) to the family members of a patient with ARDS is correct?
A) "PEEP will prevent fibrosis of the lung from occurring."
B) "PEEP will push more air into the lungs during inhalation."
C) "PEEP allows the ventilator to deliver 100% oxygen to the lungs."
D) "PEEP prevents the lung air sacs from collapsing during exhalation."
Q2) While caring for a patient who has been admitted with a pulmonary embolism, the nurse notes a change in the patient's oxygen saturation (SpO<sub>2</sub>) from 94% to 88%. The nurse will
A) increase the oxygen flow rate.
B) suction the patient's oropharynx.
C) assist the patient to cough and deep breathe.
D) help the patient to sit in a more upright position.
Q3) After receiving change-of-shift report, which patient will the nurse assess first?
A) A patient with cystic fibrosis who has thick, green-colored sputum
B) A patient with pneumonia who has coarse crackles in both lung bases
C) A patient with emphysema who has an oxygen saturation of 91% to 92%
D) A patient with septicemia who has intercostal and suprasternal retractions
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/31466
Sample Questions
Q1) An unresponsive 78-year-old is admitted to the emergency department ( ED ) during a summer heat wave. The patient's core temperature is 106.2° F ( 41.2° C ), blood pressure ( BP ) 86/52, and pulse 102. The nurse initially will plan to
A) administer an aspirin rectal suppository.
B) start O<sub>2</sub> at 6 L/min with a nasal cannula.
C) apply wet sheets and a fan to the patient.
D) infuse lactated Ringer's solution at 1000 mL/hr.
Q2) A triage nurse in a busy emergency department assesses a patient who complains of 6/10 abdominal pain and states, "I had a temperature of 104.6º F ( 40.3º C ) at home."
The nurse's first action should be to
A) assess the patient's current vital signs.
B) obtain a clean-catch urine for urinalysis.
C) tell the patient that it may be several hours before being seen by the doctor.
D) ask the health care provider to order an analgesic medication for the patient.
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