Transition to Professional Nursing Practice Practice Exam - 1786 Verified Questions

Transition to Professional Nursing Practice Practice

Exam

Course Introduction

Transition to Professional Nursing Practice is designed to prepare nursing students for the multifaceted demands of clinical practice as they move from the academic environment into professional roles. The course focuses on strengthening clinical reasoning, developing effective communication and collaboration skills, understanding ethical and legal responsibilities, and enhancing skills in leadership and delegation. Students are exposed to current trends and challenges within the healthcare system, encouraged to reflect on their personal and professional development, and guided in strategies for ongoing lifelong learning. Through a combination of case studies, simulation, and experiential learning, this course ensures that students are well-equipped for the realities of modern nursing practice.

Recommended Textbook

Evolve Resources for Medical Surgical Nursing 7th Edition by Sharon L. Lewis

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69 Chapters

1786 Verified Questions

1786 Flashcards

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Page 2

Chapter 1: Nursing Practice Today

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14 Verified Questions

14 Flashcards

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Sample Questions

Q1) The nurse reads on the care plan that a patient is at risk for developing an infection. The nurse recognizes that this patient problem

A) is always a nursing diagnosis.

B) is always a collaborative problem.

C) could be either a nursing diagnosis or a collaborative problem, depending on the cause of the problem.

D) should not be included on the care plan because nursing actions routinely protect patients from infection.

Answer: C

Q2) An elderly, emaciated patient is admitted to the intensive care unit (ICU). The nurse plans an every-2-hours turning schedule to prevent skin breakdown. In this case, the nursing action is considered to be

A) dependent.

B) cooperative.

C) independent.

D) collaborative.

Answer: D

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Chapter 2: Health Disparities

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5 Verified Questions

5 Flashcards

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Sample Questions

Q1) The nurse working in a clinic in a primarily African-American community notes a higher incidence of uncontrolled hypertension in clinic patients than the national average. To correct this health disparity, which action should the nurse take first?

A) Survey community members about their perceptions of care at the clinic.

B) Schedule teaching sessions about hypertension at community events.

C) Obtain low-cost antihypertensive drugs using funding from government grants.

D) Initiate a regular home-visit program by nurses working at the clinic.

Answer: A

Q2) 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) educating staff about Vietnamese health beliefs.

D) updating equipment and supplies for the clinic.

Answer: C

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4

Chapter 3: Culturally Competent Care

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Sample Questions

Q1) While talking with the nursing supervisor, a staff nurse expresses frustration that a Native American patient always has several family members at the bedside. The most appropriate action by the nursing supervisor is to A) remind the nurse that this cultural practice is important to the family and the patient. B) suggest that the nurse ask family members to leave the room during patient care. C) have the nurse explain to the family that too many visitors will tire the patient. D) ask about the nurse's personal beliefs about family support during hospitalization.

Answer: D

Q2) When planning health care for a community with a large number of recent immigrants from Asia, the most important intervention for the nurse to include is A) contraceptive teaching. B) colonoscopy information. C) tuberculosis screening. D) pregnancy testing

Answer: C

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5

Chapter 4: Health History and Physical Examination

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15 Verified Questions

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Sample Questions

Q1) Immediate surgery is planned for a patient with acute abdominal pain. The question used by the nurse that will elicit the most complete information about the patient's coping-stress tolerance pattern is

A) "What do you think caused this abdominal pain?"

B) "Are there any other major problems that are a concern right now?"

C) "How do you feel about yourself and your hospitalization?"

D) "Can you tell me how intense your pain is now?"

Q2) A patient is seen in the emergency department with acute nausea and vomiting. The nurse obtains information about the length of time that the patient has been nauseated, the approximate amount of the emesis, and performs a physical assessment of the patient's abdomen. This will be described as a/an

A) comprehensive database.

B) episodic assessment.

C) follow-up database.

D) subjective assessment.

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6

Chapter 5: Patient and Family Teaching

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Sample Questions

Q1) The nurse applies principles of adult education when teaching a new diabetic about the disease by

A) explaining that making lifestyle changes and taking medications correctly will help the patient start to feel better right away.

B) informing the patient that a home health nurse will be scheduled to visit and evaluate how well the patient is managing the disease.

C) telling the patient that learning about diabetes will be an opportunity for a completely new life experience.

D) advising the patient that this information is needed to manage the disease and maintain long-term health.

Q2) While admitting a patient to the medical unit, the nurse learns that the patient does not read well. This information will guide the nurse in determining A) which instructional strategies should be used in teaching.

B) the degree of the patient's motivation to learn.

C) what information the patient will be able to understand.

D) that the family must be included in the teaching process.

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Chapter 6: Older Adults

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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. The nurse will plan to

A) use a marked pillbox to set up the patient's medications.

B) discuss the option of moving to an assisted-living facility.

C) call the health care provider about stopping some of the medications.

D) visit the patient daily to administer the medications.

Q2) Ageism is an important concept for the nurse to understand because it

A) provides statistical information regarding the older population.

B) promotes consideration of the diversity of the older population.

C) may lead to poorer health care for older individuals.

D) increases social awareness of the needs of older people.

Q3) Which information obtained by the home health nurse when making a visit to an 88-year-old with mild forgetfulness is of concern?

A) The patient's son uses a marked pillbox to set up the patient's medications weekly.

B) The patient has lost 10 pounds (4.5 kg) during the last month.

C) The patient is cared for by a daughter during the day and stays with a son at night.

D) The patient tells the nurse that a close friend recently died.

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Chapter 7: Community-Based Nursing and Home Care

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Sample Questions

Q1) Which of these patients should the nurse refer for Medicare-reimbursed home health services?

A) A 67-year-old who requires assistance with shopping, housework, and cooking

B) A 71-year-old with dementia who needs 24-hour care to prevent injury

C) A 79-year-old who needs to have medications placed in a marked pillbox weekly

D) An 82-year-old whose family has asked for respite care for a few days a month

Q2) A 78-year-old patient hospitalized for surgical repair of a fractured hip has recovered from the surgery but continues to have a nursing diagnosis of impaired physical mobility related to decreased muscle strength. The nurse will anticipate transferring the patient to

A) an acute care setting.

B) a transitional care setting.

C) a residential care facility.

D) an intermediate care facility.

Q3) When making an initial home visit, the most appropriate approach by the nurse is to

A) tell the patient and family all of the planned interventions.

B) ask the patient and family what their expectations are.

C) discuss the importance of following through with health care provider orders.

D) instruct the family members that they will need to participate in care.

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Page 9

Chapter 8: Complementary and Alternative Therapies

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Sample Questions

Q1) 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) acupuncture.

B) magnet therapy.

C) saw palmetto.

D) green tea.

Q2) A patient treated with antihypertensive medication is planning to start using meditation to promote relaxation and reduced anxiety. The nurse cautions the patient that

A) meditation can be used successfully only if the patient is responsive to suggestion.

B) the blood pressure should be monitored frequently because the medication might need to be adjusted.

C) frequent appointments, practice times, and goal setting are necessary for effective use of meditation.

D) meditation can be a good complementary therapy, but medications will always be needed.

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Chapter 9: Stress and Stress Management

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9 Verified Questions

9 Flashcards

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Sample Questions

Q1) A hospitalized patient is very anxious about missing work and is afraid of being fired because of this illness. An appropriate nursing diagnosis for the patient is

A) insomnia related to anxiety about work.

B) ineffective denial related to lack of effective coping resources.

C) risk for strain of the caregiver role related to lack of family support.

D) complicated grieving related to prolonged stressful situation.

Q2) The husband of a patient who is recovering from a heart attack tells the nurse, "My wife doesn't seem like the same person. She is so forgetful and irritable and she has always been well-organized and calm before this." Which response by the nurse is most appropriate?

A) "Mental changes after a severe illness are common and frequently permanent."

B) "I will ask the doctor about whether a psychiatric consultation should be ordered."

C) "You may need to talk to a therapist to help you cope with these mental changes."

D) "Stress frequently causes transient changes in concentration and mood."

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11

Chapter 10: Pain

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21 Verified Questions

21 Flashcards

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Sample Questions

Q1) The hospice RN obtains the following information about a 72-year-old terminally ill patient with cancer of the colon. The patient takes oxycodone (OxyContin) 100 mg twice daily for level 6 abdomen pain on a 10-point scale. The pain has made it difficult to continue with favorite activities such as playing cards with friends twice a week. The patient's children are supportive of the patient's wish to stop chemotherapy but express sadness that the patient does not have long to live. Based on this information, which nursing diagnosis has priority in planning the patient's care?

A) Impaired social interaction related to disabling pain

B) Anxiety related to poor patient coping skills

C) Disabled family coping related to patient-family conflict

D) Risk for aspiration related to opioid use

Q2) When caring for a patient who is receiving epidural morphine, which information obtained by the nurse indicates that the patient may be experiencing a side effect of the medication?

A) The patient complains of a "pounding" headache.

B) The patient becomes restless and agitated.

C) The patient has not voided for over 10 hours.

D) The patient has cramping abdominal pain.

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Page 12

Chapter 11: End Of Life and Palliative Care

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14 Verified Questions

14 Flashcards

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Sample Questions

Q1) A patient who is very close to death is very restless and repeats, "I am not ready to die." The most appropriate intervention by the nurse is to

A) call the hospital chaplain to come and visit or pray with the patient.

B) sit at the bedside and ask if there is anything the patient needs.

C) inform the patient that everything possible is being done to delay death.

D) ask the patient what can be done to assist with the acceptance of death.

Q2) The nurse is caring for a patient who has 20-second periods of apnea followed by periods of deep and rapid breathing. The nurse documents this finding as

A) death-rattle respirations.

B) agonal breathing.

C) apneustic breathing.

D) Cheyne-Stokes respiration.

Q3) When caring for a patient with lung cancer in a home hospice program, it is important for the nurse to

A) accomplish a thorough head-to-toe assessment at least weekly.

B) educate the patient about the purpose of chemotherapy and radiation.

C) complete a detailed intake assessment, including cancer risk factors.

D) encourage the patient to discuss past life events and their meaning.

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Chapter 12: Addictive Behaviors

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21 Verified Questions

21 Flashcards

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Sample Questions

Q1) An agitated individual is brought to the emergency department by friends who state that the patient took a hallucinogenic drug at a party and then tried to jump from a second-story window. The priority nursing diagnosis for the patient is

A) disturbed thought process related to drug effects.

B) risk for injury related to altered perception.

C) ineffective health maintenance related to drug use.

D) powerlessness related to loss of behavioral control.

Q2) An older patient who has been taking alprazolam (Xanax) calls the clinic asking for a refill of her prescription 1 month before the Xanax should be depleted. The best response by the nurse to the patient is

A) "I will ask the doctor to prescribe a few more pills, but you will not be able to get any more for another month."

B) "The prescription cannot be refilled for another month. What happened to all of your pills?"

C) "Do you have any muscle cramps and tremors if you don't take the medication frequently?"

D) "I am concerned that you may be over-using the Xanax. Let's make an appointment for you to see the doctor today."

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Chapter 13: Inflammation and Wound Healing

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) A 24-year-old patient who is receiving antibiotics for an infected leg wound has a temperature of 101.8° F. Which action by the nurse is most appropriate?

A) Check the temperature again in 4 hours.

B) Administer aspirin (Ecotrin) every 4 to 6 hours.

C) Notify the health care provider.

D) Apply a cooling blanket.

Q2) The charge nurse observes a new graduate performing a dressing change on a stage III sacral pressure ulcer. Which action by the new graduate indicates a need for further education about pressure ulcer care?

A) The new graduate uses a hydrocolloid dressing (DuoDerm) to cover the ulcer.

B) The new graduate inserts a sterile cotton-tipped applicator into the pressure ulcer.

C) The new graduate irrigates the pressure ulcer with a 30-ml syringe using sterile saline.

D) The new graduate cleans the ulcer with a sterile dressing soaked in half-strength peroxide.

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Chapter 14: Genetics, Altered Immune Responses, and Transplantation

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29 Verified Questions

29 Flashcards

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Sample Questions

Q1) A patient diagnosed with systemic lupus erythematosus (SLE) is scheduled for plasmapheresis. The nurse plans to teach the patient that plasmapheresis will

A) decrease the damage to organs caused by attacking T-lymphocytes.

B) remove antibody-antigen complexes from circulation.

C) prevent foreign antibodies from damaging various body tissues.

D) eliminate eosinophils and basophils from blood.

Q2) A patient seeks medical care after sharing needles for heroin injection with a friend who has hepatitis B. To provide immediate protection from infection, the nurse expects to administer

A) hepatitis B vaccine.

B) fresh frozen plasma.

C) corticosteroids.

D) gamma globulin.

Q3) A patient is admitted to the hospital with acute rejection of a kidney transplant. The nurse will anticipate

A) placement of the patient on the transplant waiting list.

B) insertion of an arteriovenous graft for hemodialysis.

C) administration of immunosuppressant medications.

D) drawing blood for HLA and ABO compatibility matching.

Page 16

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Chapter 15: Infection and Human Immunodeficiency Virus

Infection

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Sample Questions

Q1) A patient who tested positive for HIV 3 years ago is admitted to the hospital with Pneumocystis jiroveci pneumonia (PCP). Based on diagnostic criteria established by the Centers for Disease Control and Prevention (CDC), the patient is diagnosed as having A) early chronic infection.

B) HIV infection.

C) AIDS.

D) intermediate chronic infection.

Q2) A pregnant woman with a history of asymptomatic HIV infection is seen at the clinic. Which information will the nurse include when teaching the patient?

A) Although infants of HIV-infected mothers always test positive for HIV antibodies, most infants are not infected with the virus.

B) Because she has not developed AIDS, the infant will not contract HIV during intrauterine life.

C) The infant will be started on zidovudine (AZT) after delivery to prevent HIV infection.

D) It is likely that her newborn will develop HIV infection unless she takes antiretroviral drugs during the pregnancy.

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Chapter 16: Cancer

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35 Flashcards

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Sample Questions

Q1) In teaching about cancer prevention to a community group, the nurse stresses promotion of exercise, normal body weight, and low-fat diet because

A) most people are willing to make these changes to avoid cancer.

B) dietary fat and obesity promote growth of many types of cancer.

C) people who exercise and eat healthy will make other lifestyle changes.

D) obesity and lack of exercise cause cancer in susceptible people.

Q2) Which information noted by the nurse reviewing the laboratory results of a patient who is receiving chemotherapy is most important to report to the health care provider?

A) Hemoglobin of 10 g/L

B) WBC count of 1700/µl

C) Platelets of 65,000/µl

D) Serum creatinine level of 1.2 mg/dl

Q3) When the nurse is administering a vesicant chemotherapeutic agent intravenously, an important consideration is to

A) stop the infusion if swelling is observed at the site.

B) infuse the medication over a short period.

C) administer the chemotherapy through small-bore catheter.

D) hold the medication unless a central venous line is available.

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Page 18

Chapter 17: Fluid, Electrolyte, and Acid-Base Imbalances

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31 Verified Questions

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Sample Questions

Q1) The IV therapy nurse is inserting a peripherally inserted central catheter (PICC) so that a patient can receive an IV solution containing 50% dextrose. When explaining the need for the PICC, the nurse will include the information that A) to give adequate doses of IV insulin, a centrally located IV catheter is needed. B) blood glucose testing is more accurate when samples are obtained from a central line.

C) infusion of the IV solution through a PICC line will allow rapid dilution of 50% dextrose. D) the 50% dextrose is less likely to produce infection when given through a PICC line.

Q2) To prevent laryngeal spasms and respiratory arrest in a patient who is at risk for hypocalcemia, an early sign of hypocalcemia the nurse should assess for is A) weak hand grips. B) confusion.

C) constipation.

D) lip numbness.

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19

Chapter 18: Nursing Management: Preoperative Care

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Sample Questions

Q1) 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) offer a urinal or bedpan and position the patient in bed to promote voiding.

B) assist the patient to the bathroom and stay with the patient to prevent falls.

C) ask the patient to wait because catheterization is performed at the beginning of the surgical procedure.

D) allow the patient up to the bathroom because the onset of the medication takes more than 10 minutes.

Q2) A patient is to receive atropine before surgery. The nurse teaches the patient to expect

A) weakness.

B) dry mouth.

C) forgetfulness.

D) dizziness.

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Chapter 19: Nursing Management: Intraoperative Care

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Sample Questions

Q1) When maintaining aseptic technique in the operating room, the perioperative nurse who is in the scrubbing role will

A) use waterproof shoe covers to keep the shoes sterile.

B) wear personal protective equipment such as gloves and face shields.

C) ensure that all staff in the OR have performed a surgical scrub.

D) change gloves after touching the upper arm of the surgeon's gown.

Q2) For which of these actions by an inexperienced staff member would the charge nurse be required to intervene?

A) Wearing a surgical mask into the holding room

B) Walking into the hallway outside an operating room without the hair covered

C) Wearing street clothes into the nursing station

D) Putting on a surgical mask, cap, and scrubs before entering the operating room

Q3) A patient with a dislocated shoulder is prepared for a closed, manual reduction of the dislocation with conscious sedation. The nurse anticipates the administration of A) inhaled nitrous oxide.

B) intramuscular fentanyl/droperidol (Innovar).

C) intramuscular ketamine (Ketalar).

D) IV midazolam (Versed).

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21

Chapter 20: Nursing Management: Postoperative Care

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Sample Questions

Q1) Following gallbladder surgery, a patient has a T-tube with thick, dark green drainage. When the patient asks about the tube and the drainage, the best response by the nurse is

A) "The drainage is from your gallbladder, but it should be bright yellow rather than green."

B) "The drainage is old blood and fluid that accumulates at the surgical site. Its removal will promote healing."

C) "The tube you see has been placed in the bile duct, and the drainage is normal bile."

D) "The tube is draining secretions from the duodenum and small bowel, and this is normal drainage from this area."

Q2) An 83-year-old patient had a surgical repair of a hip fracture and has restrictions on ambulation. Based on this information, the nurse identifies the priority collaborative problem for the patient as potential complication:

A) fluid and electrolyte imbalance.

B) impaired surgical wound healing.

C) thromboembolism.

D) hypovolemic shock.

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Page 22

Chapter 21: Nursing Assessment: Visual and Auditory Systems

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Sample Questions

Q1) When assessing the activity-exercise pattern of a patient with chronic vertigo syndrome, the nurse notes that the patient states, "I love to run for exercise, and I usually run five or six times a week, but now I feel dizzy when I run." Which action should be included in the plan of care?

A) Teaching the patient about the need to avoid activities that cause dizziness

B) Having the patient try running more in the early part of the day

C) Encouraging the patient to try riding a bicycle instead of running

D) Developing an exercise program that gradually increases time spent running

Q2) A patient schedules annual testing for glaucoma with the ophthalmologist. Which information will be included when teaching the 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 cornea of the eye will be needed.

C) The examination includes checking the pupil's reaction to a bright light.

D) Cycloplegic medications are used to allow visualization of the retina.

Q3) Which action will the nurse take in order to assess the patient's visual field?

A) Check extraocular movements

B) Assess the six cardinal positions of gaze

C) Look for consensual pupillary response

D) Perform the confrontation test

Page 23

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Chapter 22: Nursing Management: Visual and Auditory

Problems

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42 Verified Questions

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Sample Questions

Q1) A patient with hearing loss asks the nurse about the use of a cochlear implant. Which information will the nurse include when replying to the patient?

A) Cochlear implants are not useful for patients with congenital deafness.

B) Cochlear implants are most helpful as an early intervention for presbycusis.

C) Cochlear implants improve hearing in patients with conductive hearing loss.

D) Cochlear implants require training in order to receive the full benefit.

Q2) A patient with an extensive left retinal detachment is scheduled for a scleral buckling with cryopexy and pneumatic retinopexy. Which information will be included in the discharge teaching plan?

A) The need to wear dark or tinted glasses to protect the eyes from ultraviolet light

B) The use of bilateral eye patches to reduce movement of the operative eye

C) The procedure for sterile dressing changes when the eye dressing is saturated

D) The purpose of maintaining the head in a prescribed position for several weeks

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24

Chapter 23: Nursing Assessment: Integumentary System

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Sample Questions

Q1) Which assessment information documented in a patient's chart indicates that the nurse may need to continue to monitor the skin condition of an 82-year-old patient admitted with bacterial pneumonia?

A) "Skin warm and dry; longitudinal nailbed ridges noted, sparse scalp hair."

B) "Skin moist and intact; no skin breakdown noted. History of allergic rashes."

C) "Skin brown, no skin tenting present. States no past or current skin problems."

D) "Skin pink, no open areas noted. Scattered macular brown areas on extremities."

Q2) When examining an 87-year-old home health patient, the nurse notes a musky, sour body odor. Based on this assessment, the most appropriate nursing action is to

A) schedule a nursing assistant to help the patient bathe several times weekly.

B) teach the patient to apply a moisturizing body lotion daily.

C) consult with the health care provider to obtain a prescription for a topical antifungal.

D) ask about use of prescription and over-the-counter (OTC) skin medications.

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Chapter 24: Nursing Management: Integumentary

Problems

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Sample Questions

Q1) A patient who has developed a severe contact dermatitis of the hands, arms, and lower legs tells the nurse, "The itching is terrible. I just cannot keep from scratching." Which of the following suggestions will be appropriate for the nurse to include in teaching the patient? (Select all that apply.)

A) Take cool or tepid baths several times daily to decrease pruritus.

B) Cool, wet cloths or dressings can be used to reduce itching.

C) Expose the areas to the sun to promote healing of the lesions.

D) Add oil to your bath water to aid in moisturizing the affected skin.

E) Rub yourself dry with a towel after bathing to prevent skin maceration.

F) Use of an OTC antihistamine with sedative effects can reduce scratching.

Q2) A fair-skinned 32-year-old patient whose mother recently died from malignant melanoma asks the nurse, "What can I do to prevent malignant melanoma from developing?" The best response by the nurse is that

A) malignant melanoma is a relatively rare type of skin cancer.

B) the patient is at high risk for melanoma because of family history.

C) the avoidance of excessive sun exposure will decrease risk.

D) individuals with fair skin and blue eyes are at increased risk.

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Chapter 25: Nursing Management: Burns

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Sample Questions

Q1) A patient with severe burns has fluid replacement ordered using the Parkland formula. The initial rate of administration is 1050 ml/hr. The nurse would expect that 18 hours after the burn occurred, the rate of the fluid administration should be _____ ml/hr.

A) 263

B) 350

C) 525

D) 1050

Q2) A 21-year-old patient who has deep partial-thickness facial and neck burns has a nursing diagnosis of disturbed body image. The nurse evaluates that patient outcomes for this nursing diagnosis are met when the patient

A) starts to use make-up to cover up the scars.

B) expresses concern about the scar appearance.

C) realizes that scarring is temporary.

D) avoids using a pillow under the head.

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Chapter 26: Nursing Assessment: Respiratory System

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Sample Questions

Q1) The nurse is admitting a patient who has a diagnosis of an acute asthma attack. Which information obtained by the nurse indicates that the patient may need teaching regarding medication use?

A) The patient has been using the albuterol (Proventil) inhaler more frequently over the last 4 days.

B) The patient became very short of breath an hour before coming to the hospital.

C) The patient has been taking acetaminophen (Tylenol) 650 mg every 6 hours for chest-wall pain.

D) The patient says there have been no acute asthma attacks during the last year.

Q2) A patient is admitted with a metabolic acidosis of unknown origin. Based on this diagnosis, the nurse would expect the patient to have

A) Kussmaul's respirations.

B) slow, shallow respirations.

C) a low oxygen saturation (SpO₂).

D) a decrease in PVO₂.

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Chapter 27: Nursing Management: Upper Respiratory Problems

Available Study Resources on Quizplus for this Chatper

25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/30617

Sample Questions

Q1) The nurse notes all of these findings in a 76-year-old patient who has influenza. Which information will be most important to communicate to the health care provider?

A) Fever of 100.4° F (38° C)

B) Myalgia and persistent headache

C) Diffuse crackles in the lungs

D) Sore throat and frequent cough

Q2) After discussing care of upper respiratory infections (URI) and prevention of secondary infections with a patient who has a URI, the nurse determines that additional teaching is needed when the patient says

A) "I will drink lots of juices and other fluids to stay hydrated."

B) "I will watch for changes in nasal secretions or the sputum that I cough up."

C) "I can take acetaminophen (Tylenol) to treat discomfort."

D) "I can use my nasal decongestant spray until the congestion is all gone."

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Chapter 28: Nursing Management: Lower Respiratory Problems

Available Study Resources on Quizplus for this Chatper

47 Verified Questions

47 Flashcards

Source URL: https://quizplus.com/quiz/30618

Sample Questions

Q1) When providing preoperative instruction for a patient scheduled for a left pneumonectomy for cancer of the lung, the nurse informs the patient that the postoperative care includes

A) positioning on the right side.

B) chest tubes to water-seal chest drainage.

C) bedrest for the first 24 hours.

D) frequent use of an incentive spirometer.

Q2) A patient with a pleural effusion is scheduled for a thoracentesis. Prior to the procedure, the nurse will plan to

A) position the patient sitting upright on the edge of the bed and leaning forward.

B) instruct the patient about the importance of incentive spirometer use after the procedure.

C) start a peripheral intravenous line to administer the necessary sedative drugs.

D) remove the water pitcher and remind the patient not to eat or drink anything for 8 hours.

To view all questions and flashcards with answers, click on the resource link above.

30

Chapter 29: Nursing Management: Obstructive Pulmonary Diseases

Available Study Resources on Quizplus for this Chatper

41 Verified Questions

41 Flashcards

Source URL: https://quizplus.com/quiz/30619

Sample Questions

Q1) When teaching a patient with chronic obstructive pulmonary disease (COPD) about reasons to quit smoking, the nurse will explain that long-term exposure to tobacco smoke leads to a

A) weakening of the smooth muscle lining the airways.

B) decrease in the area available for oxygen absorption.

C) lesser number of red blood cells for oxygen delivery.

D) decreased production of protective respiratory secretions.

Q2) A 19-year-old male patient with CF and his wife are considering having a child. Which statement by the patient indicates that the nurse's teaching has been effective?

A) "We will plan on having genetic counseling before we make a decision."

B) "My erectile dysfunction will make it more difficult to have a child."

C) "It is likely that I will die before any children we have are grown."

D) "There should not be any problems as long as I take my medications."

Q3) The nurse teaches a patient with COPD how to perform pursed-lip breathing, explaining that this technique will assist respiration by

A) loosening secretions so that they may be coughed up more easily.

B) promoting maximal inhalation for better oxygenation of the lungs.

C) preventing airway collapse and air trapping in the lungs during expiration.

D) decreasing anxiety by giving the patient control of respiratory patterns.

Page 31

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Chapter 30: Nursing Assessment: Hematologic System

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15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/30620

Sample Questions

Q1) The nurse who is reviewing laboratory data for an 86-year-old patient will be most concerned about

A) WBC 3500/ml.

B) hemoglobin 11.8 g/dl.

C) platelets 400,000/ml.

D) hematocrit 37%.

Q2) The nurse will document information about the individual's intake of alcohol in the A) health-perception-health management pattern.

B) nutritional-metabolic pattern.

C) self-perception-self-concept pattern.

D) role-relationship pattern.

Q3) When reviewing the CBC for a patient admitted with an elevated temperature and flank pain, which information will be most important for the nurse to communicate to the health care provider?

A) Neutrophils 85%

B) Hemoglobin 11.6 g/dl

C) Monocytes 4%

D) Platelets 145,000/ml

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Chapter 31: Nursing Management: Hematologic Problems

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39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/30621

Sample Questions

Q1) A 64-year-old patient with newly diagnosed acute myelogenous leukemia (AML) who is undergoing induction therapy with chemotherapeutic agents tells the nurse, "I feel so sick that I don't know if the treatment is worth completing." The nurse's best response to the patient is

A) "I know you feel really ill right now, but after this therapy your disease will go into a remission and you will feel normal again."

B) "Induction therapy is very aggressive and causes the most side effects, so when this phase is completed you won't feel so ill."

C) "Your type of leukemia has an 80% survival rate if aggressive therapy is started, so the effects of treatment will be worth it to you."

D) "The chemotherapy is difficult, but it is necessary to put the disease into remission and give you time to make choices about your life."

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Chapter 32: Nursing Assessment: Cardiovascular System

Available Study Resources on Quizplus for this Chatper

21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/30622

Sample Questions

Q1) When auscultating over the patient's abdominal aorta, the nurse hears a humming sound. The nurse documents this finding as a A) thrill.

B) bruit.

C) heave.

D) murmur.

Q2) While assessing a patient with heart failure, the nurse notes that the patient has jugular venous distension (JVD) when lying flat in bed. The nurse's next action will be to A) have the patient perform the Valsalva maneuver and observe the jugular veins.

B) palpate the jugular veins and compare the volume and pressure on the both sides. C) use a centimeter ruler to measure and document accurately the level of the JVD. D) elevate the patient gradually to an upright position and examine for continued JVD.

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Chapter 33: Nursing Management: Hypertension

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/30623

Sample Questions

Q1) A patient is diagnosed with hypertension, and first-line drug therapy with a b-adrenergic blocking agent is planned. After reviewing the patient's history, the nurse consults with the health care provider about the use of this drug upon finding a history of A) asthma.

B) peptic ulcer disease.

C) alcohol dependency.

D) myocardial infarction (MI).

Q2) The nurse is has just finished medication teaching for a hypertensive patient who has a new prescription for quinapril (Accupril). The patient statement that indicates that more teaching is needed is

A) "I will call the doctor if I notice that I have a frequent cough."

B) "The medication may not work as well if I take any aspirin."

C) "I won't worry if I have a little swelling around my lips and face."

D) "The doctor may order a blood potassium level occasionally."

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Chapter 34: Nursing Management: Coronary Artery Disease

and Acute Coronary Syndrome

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37 Verified Questions

37 Flashcards

Source URL: https://quizplus.com/quiz/30624

Sample Questions

Q1) To assist the patient with CAD to make the appropriate dietary changes, which of these nursing interventions will be most effective?

A) Assist the patient to modify favorite high-fat recipes by using monosaturated oils when possible.

B) Provide the patient with a list of low-sodium, low-cholesterol foods that should be included in the diet.

C) Instruct the patient that a diet containing no saturated fat and minimal sodium will be necessary.

D) Emphasize the increased risk for cardiac problems unless the patient makes the dietary changes.

Q2) A patient who is being admitted to the emergency department with severe chest pain gives the following list of medications taken at home to the nurse. Which of the medications has the most immediate implications for the patient's care?

A) captopril (Capoten)

B) furosemide (Lasix)

C) sildenafil (Viagra)

D) diazepam (Valium)

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Page 36

Chapter 35: Nursing Management: Heart Failure

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/30625

Sample Questions

Q1) While admitting an 80-year-old patient with heart failure to the medical unit, the nurse obtains the information that the patient lives alone and sometimes confuses the "water pill" with the "heart pill." The nurse makes a note that discharge planning for the patient will need to include

A) transfer to a dementia care service.

B) referral to a home health care agency.

C) placement in a long-term-care facility.

D) arrangements for around-the-clock care.

Q2) When the nurse is developing a teaching plan to prevent the development of heart failure in a patient with stage 1 hypertension, the information that is most likely to improve compliance with antihypertensive therapy is that

A) hypertensive crisis may lead to development of acute heart failure in some patients.

B) hypertension eventually will lead to heart failure by overworking the heart muscle.

C) high BP increases risk for rheumatic heart disease.

D) high systemic pressure precipitates papillary muscle rupture.

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Chapter 36: Nursing Management: Dysrhythmias

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/30626

Sample Questions

Q1) When analyzing the waveforms of a patient's ECG, the nurse will need to investigate further upon finding a

A) PR interval of 0.18 second.

B) QRS interval of 0.14 second.

C) T wave of 0.16 second.

D) QT interval of 0.34 second.

Q2) The nurse has received change-of-shift report about all of these patients on the telemetry unit. Which patient should the nurse see first?

A) A patient with atrial fibrillation, rate 88, who has a new warfarin (Coumadin) order

B) A patient with type 1 second-degree AV block, rate 60, who is dizzy when ambulating

C) A patient who is in a sinus rhythm, rate 98, after having electrical cardioversion 2 hours ago

D) A patient whose ICD fired three times today who is scheduled for a dose of amiodarone (Cordarone)

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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/30627

Sample Questions

Q1) To assess the patient with pericarditis for the presence of a pericardial friction rub, the nurse should

A) place the diaphragm of the stethoscope at the lower left sternal border of the chest.

B) ask the patient to stop breathing during auscultation to distinguish the sound from a pleural friction rub.

C) use the diaphragm of the stethoscope to listen for a rumbling, low-pitched, systolic sound.

D) feel the precordial area with the palm of the hand to detect vibration with cardiac contraction.

Q2) While obtaining an admission health history from a patient with possible rheumatic fever, which question will be most pertinent to ask?

A) "Are you using any illegal IV drugs?"

B) "Do you have any family history of congenital heart disease?"

C) "Can you recall having any chest injuries in the last few weeks?"

D) "Have you had a recent sore throat?"

To view all questions and flashcards with answers, click on the resource link above.

Page 39

Chapter 38: Nursing Management: Vascular Disorders

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/30628

Sample Questions

Q1) A patient admitted to the hospital with DVT has health care provider's orders for bed rest with the feet elevated. The best method for the nurse to use in elevating the patient's feet is to

A) place two pillows under the calf of the affected leg.

B) place the patient in the Trendelenburg position.

C) elevate the bed at the knee and put pillows under the feet.

D) put one pillow under the thighs and two pillows under the lower legs.

Q2) The health care provider orders a continuous IV heparin infusion for a patient with swelling and pain of the upper leg caused by a DVT. While the patient is receiving the heparin infusion, the nurse should

A) avoid any IM medications to prevent localized bleeding.

B) notify the health care provider if the partial thromboplastin time (PTT) value is greater than 50 seconds.

C) have vitamin K available in case reversal of the heparin is needed.

D) monitor posterior tibial and dorsalis pedis pulses with the Doppler.

Q3) When assessing a patient with possible PAD, the nurse obtains a brachial BP of 140/80 and an ankle pressure of 110/70. The nurse calculates the patient's ankle-brachial index (ABI) as ______.

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Chapter 39: Nursing Assessment: Gastrointestinal System

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17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/30629

Sample Questions

Q1) When the nurse is assessing an alert and independent older patient in the clinic for malnutrition risk, the most appropriate initial question is,

A) "Do you have any difficulty in preparing or eating food?"

B) "How do you get to the grocery store to buy your food?"

C) "Are you taking any medications that alter your taste or tolerance of foods?"

D) "Can you tell me the foods that you have eaten over the past 24 hours?"

Q2) A patient with an obstructed common bile duct has a T-tube placed in the common bile duct to drain bile produced by the liver. The nurse would expect daily bile drainage of _____ ml.

A) 50

B) 400

C) 1000

D) 2500

Q3) When listening to a patient's abdomen after the patient has eaten, the nurse will be concerned about

A) high-pitched gurgles.

B) frequent clicking sounds.

C) absent bowel sounds.

D) loud gurgles.

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Page 41

Chapter 40: Nursing Management: Nutritional Problems

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/30630

Sample Questions

Q1) PN with a peripherally inserted central catheter (PICC) is initiated for a patient. After 6 hours of PN infusion, the nurse checks the patient's capillary blood glucose level and finds it to be 140 mg/dl (8.9 mmol/L). The most appropriate action by the nurse is to A) notify the health care provider of the glucose level.

B) recheck the capillary blood glucose in 4 hours.

C) obtain a venous blood glucose specimen.

D) slow the infusion rate of the PN infusion.

Q2) When using a nutrition screening tool, the nurse can identify a patient at nutritional risk without further assessment when the patient has A) pressure ulcers.

B) had a recent hip fracture.

C) been vomiting for 3 days.

D) had recent surgery.

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Chapter 41: Nursing Management: Obesity

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18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/30631

Sample Questions

Q1) The nurse is developing a weight loss plan for a 21-year-old obese patient. Which statement by the nurse is most likely to help the patient in losing weight on the planned 800-calorie diet?

A) "You will decrease your risk for future health problems such as diabetes by losing weight now."

B) "You are likely to start to notice changes in how you feel with just a few weeks of diet and exercise."

C) "Most of the weight that you lose during the first weeks of dieting is water weight rather than fat."

D) "It will be necessary to change lifestyle habits permanently to maintain weight loss."

Q2) Which of these menu selections by a patient who is attempting to lose weight indicates that the initial instructions about diet have been understood?

A) 3 oz of pork roast, a cup of corn, and a sliced tomato

B) A chicken breast and a cup of tossed salad with nonfat dressing

C) A 6 oz can of tuna mixed with nonfat mayonnaise and chopped celery

D) 3 oz of roast beef, 2 oz of low-fat cheese, and a half-cup of carrot sticks

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Chapter 42: Nursing Management: Upper Gastrointestinal

Problems

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44 Verified Questions

44 Flashcards

Source URL: https://quizplus.com/quiz/30632

Sample Questions

Q1) Which information will be best for the nurse to include when teaching a patient with PUD about dietary management of the disease?

A) "You should avoid eating many raw fruits and vegetables."

B) "High-protein foods are least likely to cause pain."

C) "Avoid foods that cause pain after you eat them."

D) "You will need to remain on a bland diet indefinitely."

Q2) A patient who is vomiting bright red blood is admitted to the emergency department. Which assessment should the nurse accomplish first?

A) Measuring the quantity of any emesis

B) Checking the level of consciousness

C) Auscultating the chest for breath sounds

D) Taking the blood pressure (BP) and pulse

Q3) A 62-year-old patient who has been diagnosed with esophageal cancer tells the nurse, "I know that my chances are not very good, but I do not feel ready to die yet." Which response by the nurse is most appropriate?

A) "You may have quite a few years to live still left."

B) "Having this new diagnosis must be very hard for you."

C) "Thinking about dying will only make you feel worse."

D) "It is important that you be realistic about your prognosis."

Page 44

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Chapter 43: Nursing Management: Lower Gastrointestinal

Problems

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46 Verified Questions

46 Flashcards

Source URL: https://quizplus.com/quiz/30633

Sample Questions

Q1) During preoperative preparation for a patient scheduled for an abdominal-perineal resection, the nurse will

A) give IV antibiotics starting 24 hours before surgery to reduce the number of bowel bacteria.

B) teach the patient that activities such as sitting at the bedside will be started the first postoperative day.

C) instruct the patient that another surgery in 8 to 12 weeks will be used to create an ileal-anal reservoir.

D) administer enemas and laxatives to ensure that the bowel is empty before the surgery.

Q2) A patient who is hospitalized with abdominal pain and watery, incontinent diarrhea is diagnosed with Clostridium difficile. In planning care for the patient, the nurse will

A) order a diet with no dairy products for the patient.

B) place the patient in a private room with contact isolation.

C) explain to the patient why antibiotics are not being used.

D) teach the patient about proper food handling and storage.

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45

Chapter 44: Nursing Management: Liver, Pancreas, and Biliary Tract Problems

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41 Verified Questions

41 Flashcards

Source URL: https://quizplus.com/quiz/30634

Sample Questions

Q1) A patient hospitalized with possible acute pancreatitis has severe abdominal pain and nausea and vomiting. The nurse would expect the diagnosis to be confirmed with laboratory testing that reveals elevated serum

A) calcium.

B) bilirubin.

C) amylase.

D) potassium.

Q2) When assessing the neurologic status of a patient with a diagnosis of hepatic encephalopathy, the nurse asks the patient to

A) stand on one foot.

B) ambulate with the eyes closed.

C) extend both arms.

D) perform the Valsalva maneuver.

Q3) When the nurse is caring for a patient with acute pancreatitis, which of these assessment data should be of most concern?

A) Absent bowel sounds

B) Abdominal tenderness

C) Left upper quadrant pain

D) Palpable abdominal mass

46

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Chapter 45: Nursing Assessment: Urinary System

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/30635

Sample Questions

Q1) A patient with an elevated blood urea nitrogen (BUN) and serum creatinine is scheduled for a renal arteriogram. The nurse should question an order from radiology for bowel preparation with the use of

A) senna/docusate (Sennakot-S).

B) Fleet enema.

C) tap-water enema.

D) bisacodyl (Dulcolax) tablets.

Q2) The nurse uses auscultation during assessment of the urinary system to

A) determine the position of the kidneys.

B) assess for bladder distension.

C) check for ureteral peristalsis.

D) identify renal artery or aortic bruits.

Q3) A patient who had a cystoscopy the previous day calls the urology clinic and gives the nurse all the following information. Which statement by the patient should be reported immediately to the health care provider?

A) "My urine still looks pink."

B) "I did not sleep well last night."

C) "I have a temperature of 101."

D) "My IV site is still bruised."

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Page 47

Chapter 46: Nursing Management: Renal and Urologic Problems

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38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/30636

Sample Questions

Q1) A patient undergoing a left ureterolithotomy returns to the surgical unit with a left ureteral catheter and a urethral catheter in place. When caring for the patient, the nurse will plan to

A) aspirate the ureteral catheter if output decreases.

B) clamp the ureteral catheter unless output from the urethral catheter stops.

C) keep the patient on bed rest until the ureteral catheter is discontinued.

D) teach the patient about home care for both catheters.

Q2) Following an open-loop resection and fulguration of the bladder, a patient is unable to void. Which nursing action should be implemented?

A) Assist the patient to take a 15-minute sitz bath.

B) Encourage the patient to drink several glasses of water.

C) Teach the patient how to do isometric perineal exercises.

D) Insert a straight catheter and drain the bladder.

Q3) A patient with bladder cancer is scheduled for intravesical chemotherapy. In preparation for the treatment the nurse will teach the patient about A) the need to empty the bladder prior to treatment.

B) premedicating to prevent nausea.

C) the importance of oral care during treatment.

D) where to obtain wigs and scarves.

Page 48

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Chapter 47: Nursing Management: Acute Renal Failure and Chronic Kidney Disease

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36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/30637

Sample Questions

Q1) The nurse has instructed a patient who is receiving hemodialysis about dietary management. Which diet choices by the patient indicate that the teaching has been successful?

A) Scrambled eggs, English muffin, and apple juice

B) Cheese sandwich, tomato soup, and cranberry juice

C) Split-pea soup, whole-wheat toast, and nonfat milk

D) Oatmeal with cream, half a banana, and herbal tea

Q2) A patient with chronic kidney disease (CKD) is started on hemodialysis, and after the first treatment, the patient complains of nausea and a headache. The nurse notes mild jerking and twitching of the patient's extremities. The nurse will anticipate the need to A) increase the time for the next dialysis to remove wastes more completely.

B) switch to continuous renal replacement therapy (CRRT) to improve dialysis efficiency. C) administer medications to control these symptoms before the next dialysis.

D) slow the rate for the next dialysis to decrease the speed of solute removal.

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Page 49

Chapter 48: Nursing Assessment: Endocrine System

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/30638

Sample Questions

Q1) During assessment of a patient's functional health patterns, a question by the nurse that addresses thyroid function is,

A) "Do you have to get up at night to empty your bladder?"

B) "Have you experienced any blurring or double vision?"

C) "Do you experience fatigue even if you have slept a long time?"

D) "Can you describe the amount of stress you have at home and work?"

Q2) When caring for a patient having a water deprivation test, which assessment obtained by the nurse will be of most concern?

A) The patient complains of intense thirst.

B) The patient has a 5-lb weight loss.

C) The patient feels dizzy when sitting up on the edge of the bed.

D) The patient's urine osmolality does not change after ADH is given.

Q3) During a physical examination, the nurse finds that a patient's thyroid gland cannot be palpated. The most appropriate action by the nurse is to A) document that the thyroid was nonpalpable.

B) notify the health care provider about the finding.

C) teach the patient about the purpose of thyroid-stimulating hormone (TSH) testing.

D) palpate the patient's neck more deeply.

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Chapter 49: Nursing Management: Diabetes Mellitus

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38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/30639

Sample Questions

Q1) During a clinic visit 3 months following a diagnosis of type 2 diabetes, the patient reports following a reduced-calorie diet. The patient has not lost any weight and did not bring the glucose-monitoring record. The nurse will plan to obtain a(n)

A) fasting blood glucose level.

B) urine dipstick for glucose.

C) glycosylated hemoglobin level.

D) oral glucose tolerance test.

Q2) Which of these laboratory values noted by the nurse when reviewing the chart of a diabetic patient indicates the need for further assessment of the patient?

A) Fasting blood glucose of 130 mg/dl

B) Noon blood glucose of 52 mg/dl

C) Glycosylated hemoglobin of 6.9%

D) Hemoglobin A1C of 5.8%

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Chapter 50: Nursing Management: Endocrine Problems

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40 Verified Questions

40 Flashcards

Source URL: https://quizplus.com/quiz/30640

Sample Questions

Q1) Which information obtained when caring for a patient who has just been admitted for evaluation of diabetes insipidus will be of greatest concern to the nurse?

A) The patient has a urine output of 800 ml/hr.

B) The patient's urine specific gravity is 1.003.

C) The patient had a recent head injury.

D) The patient is confused and lethargic.

Q2) After neck surgery, a patient develops hypoparathyroidism. The nurse should plan to teach the patient about

A) calcium supplementation to normalize serum calcium levels.

B) including whole grains in the diet to prevent constipation.

C) use of bisphosphonates to reduce bone demineralization.

D) having a high fluid intake to decrease risk for nephrolithiasis.

Q3) A 72-year-old patient is diagnosed with hypothyroidism, and levothyroxine (Synthroid) is prescribed. During initiation of thyroid replacement for the patient, it is most important for the nurse to assess

A) mental status.

B) nutritional level.

C) cardiac function.

D) fluid balance.

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Page 52

Chapter 51: Nursing Assessment: Reproductive System

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/30641

Sample Questions

Q1) A patient considering a vasectomy as a means of contraception asks the nurse what is involved in the procedure. The nurse explains that the structure partially removed is the

A) epididymis.

B) ductus deferens.

C) spermatic cord.

D) ejaculatory duct.

Q2) A couple who has not been able to conceive is scheduled for a Huhner test for infertility. In preparation for the test, the nurse will help the couple determine

A) how long to refrain from intercourse before the test.

B) when the estimated time of ovulation will occur.

C) how to obtain a sample of the man's semen.

D) when to take the woman's basal body temperature.

Q3) Which information found during the physical assessment of a 68-year-old woman should the nurse report to the health care provider?

A) Pendulous breasts

B) Nonpalpable ovaries

C) Serous nipple drainage

D) Atrophy of vaginal tissue

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Page 53

Chapter 52: Nursing Management: Breast Disorders

Available Study Resources on Quizplus for this Chatper

24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/30642

Sample Questions

Q1) A 62-year-old patient complains to the nurse that mammograms are painful and a source of radiation exposure. She says she does breast self-examination (BSE) monthly and asks whether it is necessary to have an annual mammogram. The nurse's best response to the patient is,

A) "If your mammogram was painful, it is especially important that you have it done annually."

B) "An ultrasound examination of the breasts, which is not painful or a source of radiation, can be substituted for a mammogram."

C) "Because of your age, it is even more important for you to have annual mammograms."

D) "Unless you find a lump while examining your breasts, a mammogram every 2 years is recommended after age 60."

Q2) While the nurse is obtaining a nursing history from a 52-year-old patient who has found a small lump in her breast, which question is most pertinent?

A) "Do you currently smoke cigarettes?"

B) "Have you ever had any breast injuries?"

C) "Is there any family history of fibrocystic breast changes?"

D) "At what age did you start having menstrual periods?"

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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/30643

Sample Questions

Q1) A 38-year-old married woman seeks health care for a change in vaginal discharge and pain on urination. When she is diagnosed with chlamydia, she is furious, saying that her husband is her only sexual contact, so he must have other sexual contacts. Which response by the nurse is most appropriate?

A) "You may need professional counseling to help resolve your anger."

B) "Your feelings are justified and you should share them with your husband."

C) "It is important that both you and your husband be treated for the infection."

D) "It is understandable that you are angry with your husband right now."

Q2) A patient with gonorrhea is treated with a single IM dose of ceftriaxone (Rocephin) and is given a prescription for doxycycline (Vibramycin) 100 mg bid for 7 days. The nurse explains to the patient that this combination of antibiotics is prescribed to

A) prevent reinfection during treatment.

B) treat any coexisting chlamydial infection.

C) eradicate resistant strains of N. gonorrhoeae.

D) prevent the development of resistant organisms.

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Chapter 54: Nursing Management: Female Reproductive Problems

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41 Verified Questions

41 Flashcards

Source URL: https://quizplus.com/quiz/30644

Sample Questions

Q1) A patient who has undergone a radical vulvectomy for vulvar carcinoma returns to the medical-surgical unit after the surgery. In planning care for the patient, the nurse identifies a priority nursing diagnosis of

A) risk for infection related to contamination of the wound with urine and stool.

B) self-care deficit: bathing/hygiene related to pain and difficulty in changing position.

C) imbalanced nutrition: less than body requirements related to low-residue diet.

D) risk for ineffective sexual pattern related to disfiguration caused by the surgery.

Q2) After being sexually assaulted, a woman is brought to the emergency department by a friend. The patient is confused and has a large laceration and ecchymosis above the left eye. Which action should the nurse take first?

A) Ask the patient to describe what occurred during the assault.

B) Assist the patient in removing her clothing.

C) Contact the sexual assault nurse examiner (SANE).

D) Assess the patient's neurologic status.

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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/30645

Sample Questions

Q1) A patient scheduled for a transurethral resection of the prostate (TURP) for BPH tells the nurse that he has delayed having surgery because he is afraid it will affect his sexual function. When responding to his concern, the nurse explains that A) with this type of surgery, erectile problems are rare, but retrograde ejaculation may occur.

B) information about penile implants used for ED is available if he is interested. C) there are many methods of sexual expression that can be alternatives to sexual intercourse.

D) sterility will not be a problem after surgery because sperm production will not be affected.

Q2) When performing discharge teaching for a patient who has undergone a vasectomy in the health care provider's office, the nurse instructs the patient that A) he may have temporary erectile dysfunction (ED) because of postoperative swelling. B) he should not have sexual intercourse until his 6-week follow-up visit.

C) he should continue the use of other methods of birth control for 6 weeks.

D) he will notice a decrease in the appearance and volume of his ejaculate.

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Chapter 56: Nursing Assessment: Nervous System

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/30646

Sample Questions

Q1) The following orders are received for a patient who is unconscious after a head injury caused by an automobile accident. Which one should the nurse question?

A) Perform neurologic checks every 15 minutes.

B) Prepare the patient for lumbar puncture.

C) Obtain x-rays of the skull and spine.

D) Do computed tomography (CT) scan with and without contrast.

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) hyperactive reflexes.

D) loss of sensation.

Q3) When admitting a patient with acute confusion to the hospital, the nurse will interview the patient about health problems and health history primarily to A) determine the patient's motivation for self-care.

B) include the patient in health care decisions.

C) use the information given by the patient to guide care.

D) assess the patient's baseline

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58

Chapter 57: Nursing Management: Acute Intracranial Problems

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35 Verified Questions

35 Flashcards

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Sample Questions

Q1) When admitting a patient who has a tumor of the right frontal lobe, the nurse would expect to find

A) expressive aphasia.

B) right-sided weakness.

C) judgment changes.

D) difficulty swallowing.

Q2) When the nurse applies a painful stimulus to the nailbeds of an unconscious patient, the patient responds with internal rotation, adduction, and flexion of the arms. The nurse documents this as

A) decorticate posturing.

B) decerebrate posturing.

C) localization of pain.

D) flexion withdrawal.

Q3) Mechanical ventilation with a rate and volume to maintain a mild hyperventilation is used for a patient with a head injury. To evaluate the effectiveness of the therapy, the nurse should

A) monitor oxygen saturation.

B) check arterial blood gases (ABGs).

C) monitor intracranial pressure (ICP).

D) assess patient breath sounds.

Page 59

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Chapter 58: Nursing Management: Stroke

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/30648

Sample Questions

Q1) A patient is admitted to the hospital with dysphasia and right-sided weakness that resolves in a few hours. The nurse will anticipate teaching the patient about A) alteplase (tPA).

B) aspirin (Ecotrin).

C) warfarin (Coumadin).

D) nimodipine (Nimotop).

Q2) A patient who has a history of a transient ischemic attack (TIA) has an order for aspirin 160 mg daily. When the nurse is administering the medications, the patient says, "I don't need the aspirin today. I don't have any aches or pains." Which action should the nurse take?

A) Document that the aspirin was refused by the patient.

B) Call the health care provider to clarify the medication order.

C) Explain that the aspirin is ordered to decrease stroke risk.

D) Tell the patient that the aspirin is used to prevent aches.

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Chapter 59: Nursing Management: Chronic Neurologic Problems

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33 Verified Questions

33 Flashcards

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Sample Questions

Q1) After experiencing a generalized tonic-clonic seizure in the classroom, an elementary school teacher is evaluated and diagnosed with idiopathic epilepsy. The patient cries and tells the nurse, "I can not teach anymore. It will be too difficult for the students if this happens again at work." The most appropriate nursing diagnosis for the patient is

A) anxiety related to loss of control during seizures.

B) hopelessness related to diagnosis of chronic illness.

C) disturbed body image related to new diagnosis of a seizure disorder.

D) ineffective role performance related to misinformation about epilepsy.

Q2) The health care provider prescribes phenytoin (Dilantin) for control of complex partial seizures. After the nurse has taught the patient about phenytoin, which patient statement indicates understanding of the medication?

A) "I should use soft swabs rather than a toothbrush to clean my mouth."

B) "After I have a seizure, I should call an ambulance to take me to the hospital."

C) "I may need to have my blood taken frequently to check the level of the Dilantin."

D) "I will take the medication at the beginning of the seizure when I experience an aura."

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Chapter 60: Nursing Management: Alzheimers Disease and Dementia

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17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/30650

Sample Questions

Q1) Risperidone (Risperdal) is prescribed for an outpatient with moderate Alzheimer's disease (AD). Which information obtained by the nurse at the next clinic appointment indicates that the medication is effective?

A) The patient has less agitation.

B) The patient is dressed appropriately.

C) The patient is able to swallow a pill.

D) The patient's speech is clearer.

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) Ask the patient why the wandering episodes have occurred.

B) Reorient the patient to the new living situation several times daily.

C) Place the patient in a room close to the nurses' station.

D) Have the family bring in familiar items from the patient's home.

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Chapter 61: Nursing Management: Peripheral Nerve and Spinal Cord Problems

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29 Verified Questions

29 Flashcards

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Sample Questions

Q1) As a result of a gunshot wound, 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) A patient who has numbness and weakness of both feet is hospitalized with Guillain-Barré syndrome. The nurse will anticipate that collaborative interventions at this time will include

A) intubation and mechanical ventilation.

B) insertion of a nasogastric (NG) feeding tube.

C) administration of methylprednisolone (Solu-Medrol).

D) IV infusion of immunoglobulin (Sandoglobulin).

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Chapter 62: Nursing Assessment: Musculoskeletal System

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13 Verified Questions

13 Flashcards

Source URL: https://quizplus.com/quiz/30652

Sample Questions

Q1) When assessing the musculoskeletal system, the nurse's initial action will usually be to

A) have the patient move the extremities against resistance.

B) feel for the presence of crepitus during joint movement.

C) observe the patient's body build and muscle configuration.

D) check active and passive range of motion for the extremities.

Q2) Based on the nurse's understanding of the physiology of bone and cartilage, the injury that the nurse would expect to heal most rapidly is a

A) fracture of the midhumerus.

B) torn knee cruciate ligament.

C) fractured nose.

D) severely sprained ankle.

Q3) The nurse is assessing the passive range of motion of a patient's shoulder. The patient complains of pain during circumduction when the nurse moves the arm behind the patient. Which question should the nurse ask?

A) "Do you ever have trouble making it to the toilet?"

B) "Do you have difficulty in putting on a jacket?"

C) "Are you able to feed yourself without difficulty?"

D) "How well are you able to sleep at night?"

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Page 64

Chapter 63: Nursing Management: Musculoskeletal

Trauma and Orthopedic Surgery

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39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/30653

Sample Questions

Q1) A patient with lower-leg fractures has an external fixation device in place and is scheduled for discharge. Which information will the nurse include in the discharge teaching?

A) "You will need to remain on bed rest until bone healing is complete."

B) "The external fixator can be removed during the bath or shower."

C) "Prophylactic antibiotics are needed until the external fixator is removed."

D) "You will need to assess and clean the pin insertion sites daily."

Q2) The nurse provides discharge instructions to a patient with an above-the-knee amputation who will be fitted with a prosthesis when healing is complete and the residual limb is well molded. The nurse determines that teaching has been effective when the patient says,

A) "I should change the limb sock when it becomes soiled or stretched out."

B) "I should use lotion on the stump to prevent drying and cracking of the skin."

C) "I should elevate my residual limb on a pillow 2 or 3 times a day."

D) "I should lay on my abdomen for 30 minutes 3 or 4 times a day."

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Page 65

Chapter 64: Nursing Management: Musculoskeletal Problems

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) After teaching a patient with a bunion about how to prevent further problems, the nurse will determine that more teaching is needed if the patient says,

A) "I will wear soft slippers whenever possible."

B) "I will throw away my high heel shoes."

C) "I will use the bunion pad to relieve the pain."

D) "I will take ibuprofen (Motrin) when I need it."

Q2) Which of these nursing actions included in the care of a patient after laminectomy can the nurse delegate to an experienced nursing assistant?

A) Evaluation of the effectiveness of the PCA

B) Monitoring plantar and dorsiflexion of the feet

C) Logrolling the patient from side to side every 2 hours

D) Determining the patient's readiness to ambulate

Q3) A patient is being discharged after 2 weeks of IV antibiotic therapy for acute osteomyelitis in the left leg. Which information will be included in the discharge teaching?

A) The reason for taking oral antibiotics for 7 to 10 days after discharge

B) The need for daily aerobic exercise to help maintain muscle strength

C) How to monitor and care for the long-term IV catheter site

D) How to apply warm packs safely to the leg to reduce pain

Page 66

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Chapter 65: Nursing Management: Arthritis and Connective

Tissue Diseases

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42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/30655

Sample Questions

Q1) A patient with an acute attack of gout is treated with colchicine. The nurse determines that the drug is effective upon finding

A) relief of joint pain.

B) increased urine output.

C) elevated serum uric acid.

D) decreased white blood cells (WBC).

Q2) The health care provider has prescribed naproxen (Naprosyn) twice daily for a patient with osteoarthritis (OA) of the hands. The patient tells the nurse after 3 weeks of use that the drug does not seem to be effective in controlling the pain. The nurse should teach the patient that

A) another type of nonsteroidal antiinflammatory drug (NSAID) may be indicated because of variations in individual response to the drugs.

B) it may take up to 4 to 6 weeks for NSAIDs to reach therapeutic levels in the blood.

C) if NSAIDs are not effective in controlling symptoms, corticosteroids are the next drug of choice.

D) adding a twice-daily aspirin to the naproxen may improve the effectiveness of the drug.

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Page 67

Chapter 66: Nursing Management: Critical Care

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38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/30656

Sample Questions

Q1) A patient with hemodynamic monitoring has a blood pressure of 94/68, heart rate of 130, and a cardiac output (CO) of 4.8 L/min. In analyzing the patient's hemodynamic measurements, the nurse calculates the stroke volume (SV) at ____ ml/beat.

A) 28

B) 37

C) 42

D) 59

Q2) A patient with chronic obstructive pulmonary disease (COPD) is in acute respiratory failure and has been placed on mechanical ventilation. Four hours after mechanical ventilation is initiated, the patient's ABG results include a pH of 7.50, PaO₂ of 80 mm Hg, PaCO₂ of 29 mm Hg, and HCO₃- of 23 mEq/L (23 mmol/L). The nurse will anticipate the need to

A) increase the FIO2.

B) increase the tidal volume (VT).

C) decrease the respiratory rate.

D) leave the ventilator on the current settings.

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Page 68

Chapter 67: Nursing Management: Shock, Systemic

Inflammatory Response Syndrome, and Multiple Organ

Dysfunction Syndrome

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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/30657

Sample Questions

Q1) A patient with a myocardial infarction (MI) and cardiogenic shock has the following vital signs: BP 86/50, pulse 126, respirations 30. Hemodynamic monitoring reveals an elevated PAWP and decreased cardiac output. The nurse will anticipate

A) administration of furosemide (Lasix) IV.

B) titration of an epinephrine (Adrenalin) drip.

C) administration of a normal saline bolus.

D) assisting with endotracheal intubation.

Q2) When the nurse is caring for a patient in cardiogenic shock who is receiving dobutamine (Dobutrex) and nitroglycerin (Tridil) infusions, the best evidence that the medications are effective is that the

A) systolic BP increases to greater than 100 mm Hg.

B) cardiac monitor shows sinus rhythm at 96 beats/min.

C) PAWP drops to normal range.

D) troponin and creatine kinase levels decrease.

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Chapter 68: Nursing Management: Respiratory Failure and

Acute Respiratory Distress Syndrome

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) The nurse obtains the vital signs for a patient admitted 2 days ago with gram-negative sepsis: temperature 101.2° F, blood pressure 90/56 mm Hg, pulse 92, respirations 34. Which action should the nurse take next?

A) Notify the health care provider of the patient's vital signs.

B) Obtain oxygen saturation using pulse oximetry.

C) Document the vital signs and continue to monitor.

D) Administer PRN acetaminophen (Tylenol) 650 mg.

Q2) A patient is brought to the emergency department unconscious following a barbiturate overdose. Which potential complication will the nurse include when developing the plan of care?

A) Hypercapnic respiratory failure related to decreased ventilatory effort

B) Hypoxemic respiratory failure related to diffusion limitations

C) Hypoxemic respiratory failure related to shunting of blood

D) Hypercapnic respiratory failure related to increased airway resistance

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Chapter 69: Nursing Management: Emergency and Disaster Nursing

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25 Verified Questions

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Source URL: https://quizplus.com/quiz/30659

Sample Questions

Q1) Four victims of an automobile crash are brought by ambulance to the emergency department (emergency department). The triage nurse determines that the victim who has the highest priority for treatment is the one with A) severe bleeding of facial and head lacerations.

B) an open femur fracture with profuse bleeding.

C) a sucking chest wound.

D) absence of peripheral pulses.

Q2) When planning the response to the potential use of smallpox as a biologic weapon, the emergency department manager will focus on obtaining sufficient quantities of A) blood.

B) antibiotics.

C) vaccine.

D) antitoxin.

Q3) When preparing to rewarm a patient with hypothermia, the nurse will plan to

A) attach a cardiac monitor.

B) insert a urinary catheter.

C) assist with endotracheal intubation.

D) keep inotropic drugs available.

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