Clinical Nursing Exam Review
Course Introduction
Clinical Nursing is a dynamic course designed to provide students with comprehensive knowledge and hands-on experience in the care of patients across various healthcare settings. Through a combination of theoretical instruction and practical application, students learn to assess patient needs, administer medications, develop care plans, and implement evidence-based interventions. The course emphasizes the development of critical thinking, effective communication, and collaborative skills essential for delivering safe and compassionate care. Students also explore ethical and legal considerations, infection control practices, and patient education techniques to prepare for real-world clinical environments and advanced nursing roles.
Recommended Textbook
Medical Surgical Nursing in Canada 4th Edition by Lewis
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72 Chapters
1844 Verified Questions
1844 Flashcards
Source URL: https://quizplus.com/study-set/220
Page 2
Chapter 1: Introduction to Medical-Surgical Nursing
Practice in Canada
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3266
Sample Questions
Q1) Which action by a newly graduated RN working on the postsurgical unit indicates that more education about delegation and assignment is needed?
A)The nurse delegates measurement of client oral intake and urine output to an unregulated care provider.
B)The nurse delegates assessment of a client's bowel sounds to an experienced unregulated care provider.
C)The nurse assigns an LPN/LVN to administer oral medications to several clients.
D)The nurse assigns a "float" RN from pediatrics to care for a client with diabetes.
Answer: B
Q2) Which of the following would the nurse perform during the assessment phase of the nursing process?
A)Obtains data with which to diagnose client problems.
B)Uses client data to develop priority nursing diagnoses.
C)Teaches interventions to relieve client health problems.
D)Assists the client to identify realistic outcomes to health problems.
Answer: A
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3
Chapter 2: Cultural Competence and Health Equity in Nursing Care
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/3267
Sample Questions
Q1) An Indigenous client tells the nurse that he thinks his abdominal pain is caused by eating too much seal fat and that strong massage over the stomach will help it. Which of the following statements depicts what the client is describing to the nurse?
A)Evidence-informed national guidelines
B)Awareness and knowledge of his own culture
C)The explanatory model of health and health practices
D)Knowledge about the difference in modern and folk health practices
Answer: C
Q2) According to the ABC(DE)s of cultural competence, awareness of and sensitivity to cultural values is in which of the following domains?
A)Skills domain
B)Affective domain
C)Knowledge domain
D)Behavioural domain
Answer: B
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4
Chapter 3: Health History and Physical Examination
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/3268
Sample Questions
Q1) Anurse is performing a health history and physical examination for a client with right-sided rib fractures. Which of the following data is a pertinent negative finding?
A)Client states that there have been no other health problems recently.
B)Client denies having pain when the area over the fractures is palpated.
C)Client has several bruised and swollen areas on the right anterior chest.
D)Client refuses to take a deep breath because of the associated chest pain.
Answer: B
Q2) A client is seen in the emergency department with chest pain and hypotension. Which type of assessment should the nurse do at this time?
A)Focused
B)Subjective
C)Emergency
D)Comprehensive
Answer: C
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Chapter 4: Patient and Caregiver Teaching
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/3269
Sample Questions
Q1) A client with poor circulation to the feet requires teaching about foot care. Which learning goal should the nurse include in the teaching plan?
A)The nurse will demonstrate the proper technique for trimming toenails.
B)The client will list three ways to protect the feet from injury by discharge.
C)The nurse will instruct the client on appropriate foot care before discharge.
D)The client will understand the rationale for proper foot care after instruction.
Q2) The nurse is caring for a client with diabetes and develops a nursing diagnosis of ineffective health management related to insufficient knowledge of therapeutic regimen (resulting in low motivation). Which of the following client actions is the basis for thisnursing diagnosis?
A)Does not perform capillary blood glucose tests as directed.
B)Occasionally forgets to take the daily prescribed medication.
C)Says that dietary intake does not seem to impact fatigue level.
D)Cannot identify signs or symptoms of high and low blood glucose.
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6
Chapter 5: Chronic Illness
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/3270
Sample Questions
Q1) Which of the following models calls for a political response to disability?
A)Social
B)Medical
C)Activist
D)Collaborative
Q2) What is the average life expectancy in Canada?
A)60 years
B)70 years
C)80 years
D)90 years
Q3) Which of the following levels are part of the client response to health care recommendations based on a continuum of self-care? (Select all that apply.)
A)Compliance
B)Adherence
C)Self-care
D)Denial
E)Acceptance
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Chapter 6: Community-Based Nursing and Home Care
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3271
Sample Questions
Q1) Aclient who was in an automobile accident is assigned a nurse as a case manager. Which of the following responsibilities is required of the nurse in this role?
A)Care for the client during hospitalization for the injuries.
B)Assist the client with home care activities during recovery.
C)Coordinate the services that the client receives in the hospital and at home.
D)Determine the types of medical care the client needs for optimal rehabilitation.
Q2) Which of the following nursing activities is appropriate for the home care nurse who is caring for a client newly diagnosed with diabetes to delegate to a home support worker?
A)Assist the client to choose an appropriate diet.
B)Check the client's feet for signs of breakdown.
C)Help the client with a daily bath and oral care.
D)Teach the client how to monitor blood glucose.
Q3) Which of the following concepts is foundational to home health nursing?
A)Acute care management
B)Health promotion
C)Chronic disease management
D)Health restoration
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8
Chapter 7: Older Adults
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/3272
Sample Questions
Q1) The nurse is admitting an older-adult client who has urinary urgency and a possible urinary tract infection (UTI). Which of the following actions should the nurse implement first?
A)Assess the client's orientation.
B)Inspect for abdominal distension.
C)Question the client about hematuria.
D)Invite the client to use the bathroom.
Q2) The nurse is assessing the nutritional status of an older-adult client using the SCALES acronym. Which of the following should the nurse assess when completing the "S"?
A)Serum potassium level
B)Sadness or mood change
C)Social support
D)Sexual intimacy
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Chapter 8: Stress and Stress Management
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/3273
Sample Questions
Q1) Ahospitalized client who is usually well organized and calm is receiving diabetic teaching after being newly diagnosed with diabetes. The client is forgetful, irritable, and has poor concentration. Which action should the nurse take?
A)Ask the health care provider for a psychiatric referral.
B)Administer the PRN sedative medication every 4 hours.
C)Suggest the use of a home caregiver to the client's family.
D)Plan to reinforce and repeat teaching about diabetes management.
Q2) An overweight client who enjoys active outdoor activities develops arthritis in the knees. Which action by the nurse is most appropriate to assist the client in coping with the diagnosis?
A)Ask the client to discuss feelings about the diagnosis.
B)Have the client practise frequent relaxation breathing.
C)Educate the client on the use of imagery to decrease pain and decrease stress.
D)Encourage the client to think about how weight loss might improve symptoms.
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Chapter 9: Sleep and Sleep Disorders
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3274
Sample Questions
Q1) Which action by the nurse manager of an acute care unit will improve the alertness of nurses who work the night shift?
A)Arrange for older staff members to work most night shifts.
B)Provide a sleeping area for staff to use for napping at night.
C)Post reminders about the relationship of sleep and alertness.
D)Schedule nursing staff to rotate day and night shifts monthly.
Q2) Which action is best for the nurse to include in the plan of care in order to improve sleep quality for a critically ill client 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 P.M. until 7:00 A.M.
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) Which instruction will the nurse include when teaching a client 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.
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11
Chapter 10: Pain
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3275
Sample Questions
Q1) The health care provider plans to titrate a patient-controlled analgesia (PCA) machine to provide pain relief for a client with acute surgical pain who has never received opioids in the past. Which of the following nursing actions regarding opioid administration are appropriate at this time? (Select all that apply.)
A)Assessing for signs that the client is becoming addicted to the opioid
B)Monitoring for therapeutic and adverse effects of opioid administration
C)Emphasizing that the risk of some opioid adverse effects increases over time
D)Educating the client about how analgesics improve postoperative activity level
E)Teaching about the need to decrease opioid doses by the second postoperative day
Q2) The nurse is preparing a client for discharge who has been receiving morphine 10 mg IV for pain and will continue to take morphine PO at home. Which of the following dosages is an equianalgesic oral dose for this client?
A)10 mg
B)20 mg
C)30 mg
D)40 mg
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Chapter 11: Substance Use
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3276
Sample Questions
Q1) The nurse is caring for a young adult who has a cocaine addiction. Which of the following routes of cocaine administration results in the fastest absorption and the highest "rush"?
A)Smoking
B)Buccal
C)Oral
D)Intranasal
Q2) All the following medications are ordered for a client admitted with a blood alcohol concentration of 0.18 mg%. Which of the following should the nurse administer first?
A)Thiamine 100 mg daily
B)Lorazepam 1 mg as needed
C)Folic acid 0.4 mg daily
D)Dextrose 5% in 0.45 saline over 8 hours
Q3) The nurse is assessing a client who has a history of alcohol use. Which of the following assessment data should the nurse expect?
A)Low blood pressure
B)Decreased heart rate
C)Elevated temperature
D)Abdominal tenderness
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Page 13
Chapter 12: Complementary and Alternative Therapies
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3277
Sample Questions
Q1) Which of the following information should the nurse include when discussing the use of herbal remedies with a client who uses a variety of herbs for health maintenance?
A)Herbs should be purchased only from manufacturers with a history of quality control.
B)Most herbs are toxic and carcinogenic and should be used only when proven effective.
C)Herbs are no better than conventional drugs in maintaining health and may be less safe.
D)Frequent medical evaluation is required during the use of herbs to avoid adverse effects.
Q2) Which of the following terms is used to describe the study of health as related to a connection between a deity and the human body?
A)Distant healing
B)Petitionary prayer
C)Theosomatic medicine
D)Spiritual healing
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14
Chapter 13: Palliative Care at the End of Life
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/3278
Sample Questions
Q1) The nurse is caring for a client with lung cancer as part of a home hospice palliative program. Which of the following interventions should the nurse implement?
A)Discuss cancer risk factors and appropriate lifestyle modifications.
B)Encourage the client to discuss past life events and their meaning.
C)Accomplish a thorough head-to-toe assessment once a week.
D)Educate the client about the purpose of chemotherapy and radiation.
Q2) The nurse is caring for a client who has been diagnosed with metastatic cancer and plans a trip across the country "to settle some issues with my sisters and brothers." Which of the responses should the nurse recognize that the client is manifesting?
A)Restlessness
B)Yearning and protest
C)Anxiety about unfinished business
D)Fear of the meaninglessness of one's life
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Chapter 14: Inflammation and Wound Healing
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/3279
Sample Questions
Q1) The charge nurse observes a new graduate performing a dressing change on a client with a stage 2 left heel pressure injury. Which of the following actions by the new graduate indicates a need for further education about pressure injury care?
A)Uses a hydrocolloid dressing (DuoDerm) to cover the injury.
B)Inserts a sterile cotton-tipped applicator into the pressure injury.
C)Irrigates the pressure injury with a 30-mL syringe using sterile saline.
D)Cleans the injury with a sterile dressing soaked in half-strength hydrogen peroxide.
Q2) The nurse is planning care for a client and is preparing to complete a wet-to-dry dressing. Which of the following wound descriptions is appropriate for using this type of dressing?
A)Pressure injury 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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16
Chapter 15: Genetics
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3280
Sample Questions
Q1) When taking a family history in the genetic clinic, the nurse will ask information about how many generations in the past?
A)2
B)3
C)4
D)5
Q2) A male with mild hemophilia asks the nurse, "Will my children be hemophiliacs?"
Which of the following responses by the nurse is most appropriate?
A)"All of your children will be at risk for hemophilia."
B)"Hemophilia is a multifactorial inherited condition."
C)"Only your male children are at risk for hemophilia."
D)"Your female children will be carriers for hemophilia."
Q3) When carrying out presymptomatic testing, which of the following diseases has a gene that is 100% penetrant?
A)Tay-Sachs disease
B)Fragile X syndrome
C)Cystic fibrosis
D)Huntington's disease
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17
Chapter 16: Altered Immune Response and Transplantation
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/3281
Sample Questions
Q1) The nurse is caring for a client who receives weekly immunotherapy and has missed the previous appointment. Which of the following actions should the nurse implement when the client comes for the next injection?
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 client's sensitivity to the allergen with a repeat skin test.
Q2) Which of the following instructions should the nurse include when teaching a client with possible allergies about intradermal skin testing?
A)"Do not eat anything for about 6 hours before the testing."
B)"Take an oral antihistamine about an hour before the testing."
C)"Plan to wait in the clinic for 20-30 minutes after the testing."
D)"Reaction to the testing will take about 48-72 hours to occur."
Q3) The nurse is assessing a client for possible atopic dermatitis. Which of the following laboratory values should the nurse review?
A)IgE
B)IgA
C)Basophils
D)Neutrophils
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Page 18
Chapter 17: Infection and Human Immunodeficiency Virus
Infection
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3282
Sample Questions
Q1) A young adult who uses injectable illegal drugs asks the nurse about preventing AIDS. Which of the following information should the nurse inform the client is the best way to reduce the risk of HIV infection from drug use?
A)Participate in a needle-exchange program.
B)Clean drug injection equipment before use.
C)Ask those who share equipment to be tested for HIV.
D)Avoid sexual intercourse when using injectable drugs.
Q2) The nurse is preparing to give the following medications to an HIV-positive client who is hospitalized with Pneumocystis jiroveci pneumonia (PCP). Which of the following medications is most important to administer at the right time?
A)Nystatin tablet
B)Oral abacavir
C)Aerosolized pentamidine
D)Oral acyclovir
Q3) Which of the following tests is used to evaluate the effectiveness of ART?
A)Viral load testing
B)Enzyme immunoassay
C)Rapid HIV antibody testing
D)Immuno-fluorescence assay
Page 19
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Chapter 18: Cancer
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/3283
Sample Questions
Q1) The nurse is caring for a client who is undergoing bone marrow transplantation. Which of the following information should the nurse include in the client's teaching plan?
A)Transplant of the donated cells is painful because of the nerves in the tissue lining the bone.
B)Donor bone marrow cells are transplanted through an incision into the sternum or hip bone.
C)The transplant procedure takes place in a sterile operating room to minimize the risk for infection.
D)Hospitalization will be required 2-4 weeks after transplantation.
Q2) The nurse obtains information about a hospitalized client who is receiving chemotherapy for cancer of the colon. Which of the following information about the client is most indicative of a need for a change in therapy?
A)Poor oral intake
B)Increase in carcinoembryonic antigen
C)Frequent loose stools
D)Complaints of nausea
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20
Chapter 19: Fluid
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse is caring for a client with renal failure and has been taking magnesium hydroxide suspension at home for indigestion. The client is somnolent and has decreased deep tendon reflexes. Which of the following actions should the nurse take first?
A)Notify the client's health care provider.
B)Withhold the next scheduled dose of magnesium hydroxide.
C)Review the magnesium level on the client's chart.
D)Check the chart for the most recent potassium level.
Q2) The nurse has administered 3% saline to a client with hyponatremia. Which of the following assessment data will require the most rapid response by the nurse?
A)The client's radial pulse is 105 beats/minute.
B)There is sediment and blood in the client's urine.
C)The blood pressure increases from 120/80 to 142/94.
D)There are crackles audible throughout both lung fields.
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Chapter 20: Nursing Management Preoperative Care
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3285
Sample Questions
Q1) The nurse is providing preoperative teaching to an older-adult client who has poor hearing and vision. The partner answers most questions directed to the client. Which of the following actions should the nurse take when implementing client teaching?
A)Use printed materials for instruction so that the client will have more time to review the material.
B)Direct the teaching toward the partner as the client's support person and caregiver.
C)Provide additional time for the client to understand preoperative instructions and carry out procedures.
D)Ask the partner to wait in the hall in order to focus preoperative teaching with the client.
Q2) The nurse is completing a preoperative assessment of a client scheduled for a colon resection and the client tells the nurse about using St. John's wort to prevent depression. Which of the following information should the nurse alert the staff in the postanaesthesia recovery area about?
A)Increased pain
B)Hypertensive episodes
C)Increased postanaesthesia waking time
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Chapter 21: Nursing Management Intraoperative Care
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/3286
Sample Questions
Q1) Data that were obtained during the perioperative nurse is assessing a client in the preoperative holding area. Which of the following findings would indicate a need for special protection techniques during surgery?
A)A stated allergy to cats and dogs
B)A history of spinal and hip arthritis
C)Verbalization of anxiety by the client
D)Having a sip of water 2 hours previously
Q2) Which of the following actions should the scrub nurse use to maintain aseptic technique during surgery?
A)Use waterproof shoe covers.
B)Wear personal protective equipment.
C)Insist that all operating room (OR) staff perform a surgical scrub.
D)Change gloves after touching the thigh of a surgeon's sterile gown.
Q3) Which of the following nursing actions should the preoperative nurse perform to prepare a client for cranial surgery that requires hair removal?
A)Consult with the surgeon to consider cancellation of the surgery.
B)Use a depilatory agent to remove hair from the surgical area.
C)Shave the scalp surgical area with a 1 cm border.
D)No special preoperative action is required.
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Page 23
Chapter 22: Nursing Management Postoperative Care
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/3287
Sample Questions
Q1) The nurse is caring for a client who is being transferred from the postanaesthesia care unit (PACU) to the clinical surgical unit. Which of the following actions should the nurse implement first on the clinical surgical unit?
A)Assess the client's pain.
B)Take the client's vital signs.
C)Read the postoperative orders.
D)Check the rate of the IV infusion.
Q2) The nurse is caring for a client who had abdominal surgery two days previously. Which of the following information about the client is most important to communicate to the health care provider?
A)The right calf is swollen, warm, and painful.
B)The client's temperature is 37.9°C (100.2°F).
C)The 24-hour oral intake is 600 mL greater than the total output.
D)The client complains of abdominal pain at level 6 (0-10 scale).
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Chapter 23: Nursing Assessment Visual and Auditory Systems
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3288
Sample Questions
Q1) The nurse is preparing a client in the eye clinic for refractometry. Which of the following information should the nurse include in client teaching?
A)"You will need to wear sunglasses for a few hours after the exam."
B)"The surface of your eye will be numb while the doctor does the exam."
C)"You should not take any of your eye medicines before the examination."
D)"The doctor will shine a bright light into your eye during the examination."
Q2) The nurse is performing an eye examination on a client and is assessing for accommodation. Which of the following actions should the nurse implement?
A)Cover one eye for 1 minute and note the pupil reaction when the cover is removed.
B)Shine a light into the client's eye and assess the pupil response in the opposite eye.
C)Observe the pupils when the client focuses on a close object and then on a distant object.
D)Touch the client's pupil with a small piece of sterile cotton and watch for a blink reaction.
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25
Chapter 24: Nursing Management Visual and Auditory
Problems
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/3289
Sample Questions
Q1) The nurse is caring for a client in the eye clinic who has 20/200 vision with the use of corrective lenses. Which of the following information should the nurse include when providing client teaching?
A)How to use a cane safely
B)How to access audio books
C)Where Braille instruction is available
D)Where to obtain specialized magnifiers
Q2) The nurse is admitting a client with a head injury after a motor vehicle accident who has shortness of breath and severe eye pain. Which of the following actions should the nurse take first?
A)Elevate the head to 45 degrees.
B)Administer the ordered analgesic.
C)Check the client's oxygen saturation.
D)Examine the eye for evidence of trauma.
Q3) Which of the following actions is an example of an approach magnification?
A)Using a telescopic lens
B)Sitting closer to a television while watching it
C)Using a black-tipped felt marker when writing
D)Reading books with large-type print
Page 26
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Chapter 25: Nursing Assessment Integumentary System
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/3290
Sample Questions
Q1) The nurse is conducting a health history with a client and the nurse discovers that the client works as a roofer. The nurse will plan to teach the client about how to self-assess for clinical manifestations of which of the following integument conditions? (Select all that apply.)
A)Alopecia
B)Intertrigo
C)Wrinkling
D)Erythema
E)Actinic keratosis
Q2) The nurse is caring for a client who has several angiomas on their legs. Which of the following actions should the nurse take next?
A)Assess the client for evidence of liver disease.
B)Discuss the adverse effects of sun exposure on the skin.
C)Educate the client about possible skin changes with aging.
D)Suggest that the client make an appointment with a dermatologist.
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Chapter 26: Nursing Management Integumentary
Problems
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/3291
Sample Questions
Q1) To decrease the risk for sun damage to the skin, which information should the nurse include when teaching clients?
A)Waterproof sunscreens will provide good protection when swimming.
B)Use a sunscreen with an SPF of at least 8-10 for adequate protection.
C)Try to stay out of the sun between the hours of 1 000 and 1 600.
D)Increase sun exposure by no more than 10 minutes a day to avoid skin damage.
Q2) The nurse is caring for a client with a urinary tract infection and has been prescribed ciprofloxacin. Which of the following information should the nurse include when teaching this client?
A)Use a sunscreen with a high SPF when exposed to the sun.
B)Sun exposure may decrease the effectiveness of the medication.
C)Photosensitivity may result in an artificial-looking tan appearance.
D)Wear sunglasses to avoid eye damage while taking ciprofloxacin.
Q3) Which of the following information would the nurse include when teaching an older-adult client 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.
D)Use antibacterial soaps when bathing to avoid infection.
Page 28
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Chapter 27: Nursing Management Burns
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/3292
Sample Questions
Q1) The nurse is caring for a client who is in the rehabilitation phase after havingdeep partial-thickness face and neck burns and has a nursing diagnosis of disturbed body image. Which of the following actions by the client indicates that the problem is resolving?
A)Stating that the scarring will only be temporary
B)Avoiding using a pillow to prevent neck contractures
C)Asking about how to use make-up to cover up the scars
D)Expressing sadness and anger about the scar appearance
Q2) The nurse is admitting a client with burns over 30% of total body surface area (TBSA) and who weighs 70 kg. Using the Parkland formula, calculate the volume of lactated Ringer's solution that the nursing staff will administer during the first 24 hours.
Q3) The nurse is admitting a client with extensive electrical burn injuries. Which of the following prescribed interventions should the nurse implement first?
A)Start two large bore IVs.
B)Place on cardiac monitor.
C)Apply dressings to burned areas.
D)Assess for pain at contact points.
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29
Chapter 28: Nursing Assessment Respiratory System
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3293
Sample Questions
Q1) Which of the following actions should the nurse plan to take for a client who is scheduled for pulmonary function testing (PFT)?
A)Explain reasons for NPO status.
B)Administer sedative drug before PFT.
C)Assess pulse and BP after the procedure.
D)Teach deep inhalation and forceful exhalation.
Q2) The nurse is caring for a client with a chronic cough who has had a bronchoscopy. Which of the following actions should the nurse include in the nursing care plan after the procedure?
A)Elevate the head of the bed to 80-90 degrees.
B)Keep the client NPO until the gag reflex returns.
C)Place on bed rest for at least 4 hours postbronchoscopy.
D)Notify the health care provider about blood-tinged mucus.
Q3) Which of the following pH values is abnormal for a pH when assessing blood results of a mixed venous blood sample?
A)7.31
B) 7.35
C)7.4
D) 7.42
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Page 30
Chapter 29: Nursing Management Upper Respiratory
Problems
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3294
Sample Questions
Q1) The nurse is obtaining a health history from a client with a 40 year, pack a day smoking history, symptoms of hoarseness and tightness in the throat, and difficulty swallowing. Which of the following questions is most important for the nurse to ask?
A)"How much alcohol do you drink in an average week?"
B)"Do you have a family history of head or neck cancer?"
C)"Have you had frequent streptococcal throat infections?"
D)"Do you use antihistamines for upper airway congestion?"
Q2) Which of the following actions should the nurse take first when a client develops a nosebleed?
A)Pack both nares tightly with 1 cm ribbon gauze.
B)Pinch the lower portion of the nose for 10 minutes.
C)Prepare supplies that will be needed for cauterization.
D)Apply ice compresses over the client's nose and cheeks.
Q3) Which of the following nursing actions should the nurse perform when suctioning a tracheostomy?
A)Insert tube 13-15 cm while suctioning.
B)Withdraw catheter in a straight time while applying intermittent suction.
C)Limit suction time to 10 seconds.
D)Oxygenate the client once all suctioning is completed.
Page 31
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Chapter 30: Nursing Management Lower Respiratory
Problems
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/3295
Sample Questions
Q1) The nurse notes new onset confusion in an older-adult client in a long-term care facility. The client is normally alert and oriented. In which order should the nurse take the following actions?
A)Obtain the oxygen saturation.
B)Check the client's pulse rate.
C)Document the change in status.
D)Notify the health care provider.
Q2) The nurse is caring for a client with right lower-lobe pneumonia who has been treated with intravenous (IV) antibiotics for 2 days. Which of the following assessment data obtained by the nurse indicates that the treatment has been effective?
A)Bronchial breath sounds are heard at the right base.
B)The client coughs up small amounts of green mucus.
C)The client's white blood cell (WBC) count is 9 * 109/L.
D)Increased tactile fremitus is palpable over the right chest.
Q3) Which of the following information about a client who has a recent history of A)Chest x-ray shows no upper lobe infiltrates.
B)TB medications have been taken for 6 months.
C)Mantoux testing shows an induration of 10 mm.
D)Three sputum smears for acid-fast bacilli are negative.
Page 32
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Chapter 31: Nursing Management Obstructive Pulmonary Diseases
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3296
Sample Questions
Q1) Which of the following actions by a client who has asthma indicates a good understanding of the nurse's teaching about peak flow meter use?
A)The client records an average of three peak flow readings every day.
B)The client inhales rapidly through the peak flow meter mouthpiece.
C)The client uses the albuterol metered-dose inhaler (MDI) for peak flows in the yellow zone.
D)The client calls the health care provider when the peak flow is in the green zone.
Q2) Which of the following information should the nurse include in teaching a client with chronic obstructive pulmonary disease (COPD) who has a new prescription for home oxygen therapy?
A)Storage of oxygen tanks will require adequate space in the home.
B)Travel opportunities will be limited because of the use of oxygen.
C)Oxygen flow should be increased if the client has more dyspnea.
D)Oxygen use can improve the client's prognosis and quality of life.
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33
Chapter 32: Nursing Assessment Hematological System
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16 Verified Questions
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Sample Questions
Q1) The health care provider performs a bone marrow aspiration from the left posterior iliac crest on a client with pancytopenia. Which of the following actions should the nurse implement following the procedure?
A)Elevate the head of the bed to 45 degrees.
B)Apply a sterile Band-Aid at the aspiration site.
C)Use half-inch sterile gauze to pack the wound.
D)Apply a pressure dressing on the aspiration site.
Q2) The nurse is reviewing the laboratory results of clotting study tests for the client. Which of the following findings should the nurse identify as abnormal? (Select all that apply.)
A)Activated clotting time 118 seconds
B)Activated partial thromboplastin time 40 seconds
C)D-dimer 200 mcg/L
D)Fibrinogen 5 g/L
E)Prothrombin time 21 seconds
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Chapter 33: Nursing Management Hematological Problems
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/3298
Sample Questions
Q1) Which of the following nursing actions should the nurse include in the plan of care for a client 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) The nurse is caring for a client with anemia who is experiencing increased fatigue and occasional palpitations at rest. Which of the following laboratory findings should the nurse expect?
A) Normal red blood cell (RBC) indices
B) Hematocrit (Hct) of 38%
C) Hemoglobin (Hb) of 86 g/L
D) RBC count of 4.5 * 10¹²/L
Q3) After receiving change-of-shift report for the following four clients with neutropenia, which client should the nurse assess first?
A)66-year-old who has white pharyngeal lesions
B)35-year-old who has a fever of 38.2°C (100.8°F)
C)56-year-old who has frequent explosive diarrhea
D)23-year old who is complaining of severe fatigue
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Page 35
Chapter 34: Nursing Assessment Cardiovascular System
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) During a physical examination of a client, the nurse palpates the point of maximal impulse (PMI) in the sixth intercostal space lateral to the left midclavicular line. Which of the following actions should the nurse implement next?
A)Document that the PMI is in the normal anatomic location.
B)Ask the client about risk factors for coronary artery disease.
C)Auscultate both the carotid arteries for the presence of a bruit.
D)Assess the client for symptoms of left ventricular hypertrophy.
Q2) The nurse is assessing an underweight older-adult client and observes pulsation of the abdominal aorta in the epigastric area. Which of the following actions should the nurse take?
A)Notify the hospital rapid response team.
B)Instruct the client to remain on bed rest.
C)Teach the client about aortic aneurysms.
D)Document the finding in the client chart.
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Chapter 35: Nursing Management Hypertension
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) Which of the following information should the nurse include when teaching a client with newly diagnosed hypertension?
A)Dietary sodium restriction will control BP for most clients.
B)Most clients are able to control BP through lifestyle changes.
C)Hypertension is usually asymptomatic until significant organ damage occurs.
D)Annual BP checks are needed to monitor treatment effectiveness.
Q2) When a client with hypertension who has a new prescription for atenolol returns to the health clinic after 2 weeks for a follow-up visit, the BP is unchanged from the previous visit. Which of the following actions should the nurse take first?
A)Provide information about the use of multiple drugs to treat hypertension.
B)Teach the client about the reasons for a possible change in drug therapy.
C)Remind the client that lifestyle changes also are important in BP control.
D)Ask the client about whether the medication is actually being taken.
Q3) The nurse obtains a blood pressure of 180/75 mm Hg for a client. What is the client's mean arterial pressure (MAP)?
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Chapter 36: Nursing Management Coronary Artery Disease
and Acute Coronary Syndrome
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/3301
Sample Questions
Q1) Which of the following electrocardiographic (ECG) change is most important for the nurse to communicate to the health care provider when caring for a client with chest pain?
A)Frequent premature atrial contractions (PACs)
B)Inverted P wave
C)Sinus tachycardia
D)ST segment elevation
Q2) Which of the following information about a client who has been receiving fibrinolytic therapy for an acute myocardial infarction is most important for the nurse to communicate to the health care provider?
A)No change in the client's chest pain
B)A large bruise at the client's IV insertion site
C)A decrease in ST segment elevation on the electrocardiogram (ECG)
D)An increase in cardiac enzyme levels since admission
Q3) Which of the following causes is the most common cause for sudden cardiac death?
A)Ventricular tachycardia
B)Aortic stenosis
C)Hypertrophic cardiomyopathy
D)Angina
Page 38
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Chapter 37: Nursing Management Heart Failure
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) Which assessment finding in a client admitted with chronic heart failure requires the most rapid action by the nurse?
A)Oxygen saturation of 88%
B)Weight gain of 1 kg
C)Apical pulse rate of 106 beats/minute
D)Urine output of 50 mL over 2 hours
Q2) The nurse is caring for a client who is receiving IV furosemide and morphine for the treatment of acute decompensated heart failure (ADHF) with severe orthopnea. When evaluating the client response to the medications, which of the following is the best indicator that the treatment has been effective?
A)Weight loss of 1 kg overnight
B)Hourly urine output greater than 60 mL
C)Reduction in client complaints of chest pain
D)Decreased dyspnea with the head of bed at 30 degrees
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Chapter 38: Nursing Management Dysrhythmias
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/3303
Sample Questions
Q1) The nurse is interpreting an ECG strip to determine whether there is a delay in impulse conduction through the atria. Which of the following components of an ECG strip should the nurse measure?
A)P wave
B)P-R interval
C)Q-T interval
D)QRS complex
Q2) The nurse notes that a client's cardiac monitor shows that every other beat is earlier than expected, has no P wave, and has a QRS complex with a wide and bizarre shape. How should the nurse document the rhythm?
A)Ventricular couplets
B)Ventricular bigeminy
C)Ventricular R-on-T phenomenon
D)Ventricular multifocal contractions
Q3) The nurse is analyzing an electrocardiographic rhythm strip of a client with a regular cardiac rhythm and finds there are 25 small blocks from one R wave to the next. The nurse calculates the client's heart rate as beats per minute.
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Chapter 39: Nursing Management Inflammatory and
Structural Heart Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/3304
Sample Questions
Q1) The nurse is planning care for a client hospitalized with a streptococcal infective endocarditis (IE). Which of the following interventions should the nurse include?
A)Monitor laboratories for streptococcal antibodies.
B)Arrange for insertion of a long-term IV catheter.
C)Encourage the client to get regular aerobic exercise.
D)Teach the importance of completing all oral antibiotics.
Q2) The nurse is admitting a client with possible acute pericarditis. Which of the following diagnostic assessments should the nurse plan to teach the client about?
A)Electrolyte levels
B)Echocardiography
C)Daily blood cultures
D)Cardiac catheterization
Q3) The nurse is assessing a client with infective endocarditis (IE). Which of the following findings should the nurse expect to assess?
A)A new regurgitant murmur
B)A pruritic rash on the trunk
C)Involuntary muscle movement
D)Substernal chest pain and pressure
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Chapter 40: Nursing Management Vascular Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/3305
Sample Questions
Q1) The nurse is planning expected outcomes for a client with thromboangiitis obliterans (Buerger's disease). Which of the following outcomes has the highest priority for this client?
A)Cessation of smoking
B)Control of serum lipid levels
C)Maintenance of appropriate weight
D)Demonstration of meticulous foot care
Q2) Immediately after repair of an abdominal aortic aneurysm, a client has absent popliteal, posterior tibial, and dorsalis pedis pulses. The legs are cool and mottled. Which of the following actions should the nurse take first?
A)Wrap both the legs in warm blankets.
B)Notify the surgeon and anaesthesiologist.
C)Document that the pulses are absent and recheck in 30 minutes.
D)Review the preoperative assessment form for data about the pulses.
Q3) The nurse is assessing a client with possible peripheral artery disease (PAD) and obtains a brachial BP of 140/80 and an ankle pressure of 110/70. The nurse calculates the client's ankle-brachial index (ABI) as .
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Page 42
Chapter 41: Nursing Assessment Gastro-intestinal System
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3306
Sample Questions
Q1) The nurse is preparing to assess a client's liver. When palpating the liver, which of the following techniques should the nurse implement?
A)Place one hand on the client's back and press upward and inward with the other hand below the client's right costal margin.
B)Place one hand on top of the other and use the upper fingers to apply pressure and the bottom fingers to feel for the liver edge.
C)Press slowly and firmly over the right costal margin with one hand and withdraw the fingers quickly after the liver edge is felt.
D)Place one hand under the client's lower ribs and press the left lower rib cage forward, palpating below the costal margin with the other hand.
Q2) Which of the following actions by a nursing student when caring for a client who has just returned to the nursing unit after an esophagogastroduodenoscopy (EGD) requires that the RN intervene?
A)Offering the client a glass of water
B)Positioning the client on the right side
C)Checking the vital signs every 30 minutes
D)Swabbing the client's mouth with cold water
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Page 43
Chapter 42: Nursing Management Nutritional Problems
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3307
Sample Questions
Q1) The nurse receives change-of-shift report about the following four clients. Which of the following clients should the nurse assess first?
A)A client who has malnutrition associated with 4+ generalized pitting edema
B)A client whose parenteral nutrition has 10 mL of solution left in the infusion bag
C)A client whose gastrostomy tube is plugged after crushed medications were given through the tube
D)A client who is receiving continuous enteral feedings and has new-onset crackles throughout the lungs
Q2) After 6 hours of parenteral nutrition (PN) infusion, the nurse checks a client's capillary blood glucose level and finds it to be 6.7 mmol/L. Which of the following actions should the nurse take?
A)Obtain a venous blood glucose specimen.
B)Slow the infusion rate of the PN infusion.
C)Recheck the capillary blood glucose in 4 hours.
D)Notify the health care provider of the glucose level.
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44
Chapter 43: Nursing Management Obesity
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/3308
Sample Questions
Q1) The nurse is caring for a client who has undergone bariatric surgery and has just arrived on the unit from the recovery room. Which of the following actions should the nurse implement to promote tidal flow and reduce abdominal pressure?
A)Perform passive range-of-motion exercises.
B)Elevate the head of the bed 45 degrees.
C)Inform the client that ambulation will occur in one hour.
D)Administer heparin, as ordered.
Q2) What of the following specific information should the nurse include in client teaching for an overweight client who is starting a weight loss plan?
A)Weigh yourself at the same time every morning.
B)Start dieting with a 600- to 800-calorie diet for rapid weight loss.
C)Low carbohydrate diets lead to rapid weight loss but are difficult to maintain.
D)Weighing all foods on a scale is necessary to choose appropriate portion sizes.
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Chapter 44: Nursing Management Upper Gastro-intestinal
Problems
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3309
Sample Questions
Q1) Which of the following information should the nurse plan to teach to a client with newly diagnosed achalasia?
A)A liquid or blenderized diet will be necessary.
B)Drinking fluids with meals should be avoided.
C)Endoscopic procedures may be used for treatment.
D)Lying down and resting after meals is recommended.
Q2) Cobalamin injections have been prescribed for a client with chronic atrophic gastritis. Which of the following client statements indicate that the teaching regarding the injections has been effective?
A)"The cobalamin injections will prevent me from becoming anemic."
B)"These injections will increase the hydrochloric acid in my stomach."
C)"These injections will decrease my risk for developing stomach cancer."
D)"The cobalamin injections need to be taken until my inflamed stomach heals."
Q3) The nurse is admitting a client who is vomiting bright red blood to the emergency department. Which of the following assessments should the nurse perform first?
A)Checking the level of consciousness
B)Measuring the quantity of any emesis
C)Auscultating the chest for breath sounds
D)Taking the blood pressure (BP) and pulse
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Chapter 45: Nursing Management Lower Gastro-intestinal
Problems
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/3310
Sample Questions
Q1) Which of the following actions should the nurse take first when a client calls the clinic complaining of diarrhea of 24 hours' duration?
A)Ask the client to describe the character of the stools and any associated symptoms.
B)Inform the client that laboratory testing of blood and stool specimens will be necessary.
C)Suggest that the client drink clear liquid fluids with electrolytes, such as Gatorade or Pedialyte.
D)Advise the client to use over-the-counter loperamide to slow gastrointestinal (GI) motility.
Q2) The nurse is caring for a client who has blunt abdominal trauma after an automobile accident and severe pain. A peritoneal lavage returns brown drainage with fecal material. Which of the following actions should the nurse plan to take next?
A)Auscultate the bowel sounds.
B)Prepare the client for surgery.
C)Check the client's oral temperature.
D)Obtain information about the accident.
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Chapter 46: Nursing Management Liver
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Source URL: https://quizplus.com/quiz/3311
Sample Questions
Q1) The nurse is assessing a client who had a liver transplant a week previously and obtains the following data. Which of the following findings is most important to communicate to the health care provider?
A)Dry lips and oral mucosa
B)Crackles at both lung bases
C)Temperature 38.2°C (100.8°F)
D)No bowel movement for 4 days
Q2) Which of the following actions should be included in the plan of care for a client who has recently been diagnosed with asymptomatic non-alcoholic fatty liver disease (NAFLD)?
A)Teach symptoms of variceal bleeding.
B)Discuss the need to increase caloric intake.
C)Review the client's current medication list.
D)Draw blood for hepatitis serology testing.
Q3) Which of the following clients should alert the nurse that screening for hepatitis C should be done?
A)The client eats frequent meals in fast-food restaurants.
B)The client recently travelled to an undeveloped country.
C)The client had a blood transfusion after surgery in 1998.
D)The client reports a one-time use of IV drugs 20 years ago.
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Chapter 47: Nursing Assessment Urinary System
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3312
Sample Questions
Q1) The nurse is caring for a client following an intravenous pyelogram (IVP) and obtains all of the following assessment data. Which of the following findings require immediate action by the nurse?
A)The heart rate is 58 beats/minute.
B)The respiratory rate is 38 breaths/minute.
C)The client complains of a dry mouth.
D)The urine output is 400 mL in the first 2 hours.
Q2) Which of the following actions should the nurse plan to take first when admitting a client who has a history of neurogenic bladder as a result of a spinal cord injury?
A)Ask about the usual urinary pattern and any measures used for bladder control.
B)Assist the client to the toilet at scheduled times to help ensure bladder emptying.
C)Check the client for urinary incontinence every 2 hours to maintain skin integrity.
D)Use intermittent catheterization on a regular schedule to avoid the risk of infection.
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Chapter 48: Nursing Management Renal and Urologic Problems
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/3313
Sample Questions
Q1) The nurse is teaching a client with interstitial cystitis about management of the condition. Which of the following client statements indicate that further instruction is required?
A)"I will have to stop having coffee and orange juice for breakfast."
B)"I should start taking a high potency multiple vitamin every morning."
C)"I will buy some calcium glycerophosphate (Prelief) at the pharmacy."
D)"I should call the doctor about increased bladder pain or odorous urine."
Q2) The nurse is caring for a client who has had an ureterolithotomy with a left ureteral catheter and a urethral catheter in place. Which of the following actions should the nurse include in the plan of care?
A)Provide education about home care for both catheters.
B)Apply continuous steady tension to the ureteral catheter.
C)Clamp the ureteral catheter unless output from the urethral catheter stops.
D)Call the health care provider if the ureteral catheter output drops suddenly.
Q3) Which of the following nursing actions is most helpful in decreasing the risk for
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 clients.
Page 50
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Chapter 49: Nursing Management Acute Kidney Injury and Chronic Kidney Disease
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/3314
Sample Questions
Q1) The nurse is caring for a client who has leg cramps during hemodialysis. Which of the following actions should the nurse implement first?
A)Reposition the client
B)Massage the client's legs
C)Give acetaminophen
D)Infuse a bolus of normal saline
Q2) The nurse is caring for a client with severe heart failure who develops elevated blood urea nitrogen (BUN) and creatinine levels. The nurse will plan care to meet which of the following goals of treatment?
A)Replace fluid volume
B)Prevent hypertension
C)Maintain cardiac output
D)Dilute nephrotoxic substances
Q3) The nurse is caring for a client in the oliguric phase of acute renal failure who has a A)400
B) 800
C)1 000
D) 1 400
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Chapter 50: Nursing Assessment Endocrine System
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/3315
Sample Questions
Q1) During a physical examination, the nurse finds that a client's thyroid gland cannot be palpated. Which of the following is the best action for the nurse to take?
A)Palpate the client's neck more deeply
B)Document that the thyroid was nonpalpable
C)Notify the health care provider immediately
D)Teach the client about thyroid hormone testing
Q2) The nurse is evaluating the laboratory results for a client who has increased secretion of the anterior pituitary hormones. Which of the following findings should the nurse anticipate when reviewing the laboratory findings?
A)Decreased serum thyroxine levels
B)Elevated serum aldosterone levels
C)An increase in urinary free cortisol
D)Low urinary excretion of catecholamines
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Chapter 51: Nursing Management Endocrine Problems
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) The nurse is assessing a client who has just arrived in the postanesthesia recovery unit (PACU) after a thyroidectomy and obtains these data. Which of the following information is most important to communicate to the surgeon?
A)The client is sleepy and hard to arouse.
B)The client has increasing swelling of the neck.
C)The client is complaining of 7/10 incisional pain.
D)The client's cardiac monitor shows a heart rate of 112.
Q2) The nurse is caring for an older-adult client who is diagnosed with hypothyroidism and has a prescription for levothyroxine. Which of the following assessments is most important for the nurse to make during initiation of thyroid replacement?
A)Apical pulse rate
B)Nutritional intake
C)Intake and output
D)Orientation and alertness
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Chapter 52: Nursing Management Diabetes Mellitus
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39 Flashcards
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Sample Questions
Q1) The nurse is assessing a client who is experiencing the onset of symptoms of type 1 diabetes. Which of the following questions is best 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 coloured?"
D)"Do you crave fluids containing sugar?"
Q2) The nurse is admitting a client with diabetic ketoacidosis (DKA) who has a serum potassium level of 2.9 mmol/L. Which of the following actions prescribed by the health care provider should the nurse take first?
A)Infuse regular insulin at 20 units/hour.
B)Place the client on a cardiac monitor.
C)Administer IV potassium supplements.
D)Obtain urine glucose and ketone levels.
Q3) Which of the following questions by the nurse will help identify autonomic neuropathy in a client with diabetes?
A)"Have you observed any recent skin changes?"
B)"Do you notice any bloating feeling after eating?"
C)"Do you need to increase your insulin dosage when you are stressed?"
D)"Have you noticed any painful new ulcerations or sores on your feet?"
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Page 54
Chapter 53: Nursing Assessment Reproductive System
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A client calls the clinic because of an unusually heavy menstrual flow. She tells the nurse that she has saturated two tampons in the past 2 hours. Which of the following amounts of blood loss should the nurse estimate from the clients information?
A)10-20 mL.
B)20-30 mL.
C)30-40 mL.
D)40-60 mL.
Q2) The nurse is assessing a male client who is taking the following medications and tells the nurse that he has had difficulty in achieving an erection. Which of the following medications may cause erectile dysfunction (ED)?
A)Atorvastatin
B)Metformin
C)Propranolol
D)Ranitidine
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Chapter 54: Nursing Management Breast Disorders
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/3319
Sample Questions
Q1) When the nurse is working in the women's health care clinic, which of the following actions is appropriate to take?
A)Educate a healthy 36-year-old about the need for an annual mammogram.
B)Discuss the need for an annual mammography with a 52-year-old.
C)Talk about magnetic resonance imaging (MRI) with a 26-year-old with a BRCA-1 mutation.
D)Teach an active 70-year-old that mammography frequency should be individualized based upon her history.
Q2) The nurse is preparing a client with a small immobile breast lump for a fine-needle aspiration (FNA) biopsy. Which of the following information about the procedure should the nurse explain to the client?
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.
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56
Chapter 55: Nursing Management Sexually Transmitted
Infections
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3320
Sample Questions
Q1) The nurse is assessing a male client who has a profuse, purulent urethral discharge with painful urination. Which of the following information is most important for the nurse to obtain?
A)Contraceptive use
B)Sexual orientation
C)Immunization history
D)Recent sexual contacts
Q2) The nurse is teaching a client who has primary genital herpes about management of the disease. Which of the following client statements indicate that the teaching has been effective?
A)"I will use the acyclovir ointment on the area to relieve the pain."
B)"I will use condoms for intercourse until the medication is all gone."
C)"I will take the acyclovir every 8 hours for the next week."
D)"I will need to take all of the medication to be sure the infection is cured."
Q3) Which of the following clients should the nurse plan on teaching about the Gardasil vaccine?
A)A 50-year-old man who has multiple sexual partners
B)A 23-year-old woman who is pregnant for the first time
C)An 11-year-old female who has never been sexually active
Page 57
D)A 28-year-old male who is in a monogamous relationship
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Chapter 56: Nursing Management Female Reproductive Problems
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3321
Sample Questions
Q1) The nurse is caring for an older-adult client who is recently diagnosed with stage III ovarian cancer. Which of the following nursing diagnoses is best for this client?
A)Sexual dysfunction related to insufficient knowledge about sexual function (loss of vaginal sensation)
B)Risk for infection as evidenced by immunosuppression
C)Situational low self-esteem related to unrealistic self-expectations
D)Anxiety related to threat to current status (cancer diagnosis and need to make treatment decisions)
Q2) The nurse is caring for a client who has been hospitalized with endometriosis. Which of the following medications should the nurse anticipate preparing for the client?
A)Ganirelix
B)Cetrorelix
C)hCG
D)Nafarelin
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Chapter 57: Nursing Management Male Reproductive Problems
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/3322
Sample Questions
Q1) The nurse is caring for a client with prostate cancer and is prescribed abiraterone. Which of the following adverse effects should the nurse teach the client about this medication? (Select all that apply.)
A)Fluid retention
B)Loss of libido
C)Breast pain
D)Hot flashes
E)Erectile dysfunction
Q2) The nurse working in a health clinic receives calls from all these clients. Which of the following clients should be seen by the health care provider first?
A)A 44-year-old man who has perineal pain and a temperature of 38°C (100.4°F)
B)A 66-year-old man who has a painful erection that has lasted over 5 hours
C)A 62-year-old man who has light pink urine after having a transurethral resection of the prostate (TURP) 3 days ago
D)A 23-year-old man who states he had difficulty maintaining an erection last night
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Chapter 58: Nursing Assessment Nervous System
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/3323
Sample Questions
Q1) After reviewing a client's cerebro-spinal fluid analysis, which of the following results is most important for the nurse to communicate to the health care provider?
A)Specific gravity 1.007
B)Protein 6.5 g/L
C)White blood cell (WBC) count 5 * 10<sup>9</sup>/L
D)Glucose 2.5 mmol/L
Q2) The nurse is admitting a client with a head injury who is acutely confused. Which of the following actions should the nurse take?
A)Ask family members about the client's health history.
B)Ask leading questions to assist in obtaining health data.
C)Wait until the client is better oriented to ask questions.
D)Obtain only the physiologic neurological assessment data.
Q3) The nurse is performing a focused assessment on a client with a lesion of the left posterior temporal lobe. Which of the following assessments should the nurse complete?
A)Sensation on the left side of the body
B)Voluntary movement on the right side
C)Reasoning and problem-solving abilities
D)Understanding of written and oral language
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Chapter 59: Nursing Management Acute Intracranial
Problems
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/3324
Sample Questions
Q1) The nurse is caring for a client who has just been admitted with meningococcal meningitis. Which of the following observations requires the nurse to act?
A)The bedrails at the head and foot of the bed are both elevated.
B)The client receives a regular diet from the dietary department.
C)The student nurse goes into the client's room without a mask.
D)The lights in the client's room are turned off and the blinds are shut.
Q2) The nurse is suctioning a client with a traumatic head injury and notes that the intracranial pressure has increased from 14 to 16 mm Hg. Which of the following actions should the nurse take first?
A)Document the increase in intracranial pressure.
B)Assure that the client's neck is not in a flexed position.
C)Notify the health care provider about the change in pressure.
D)Increase the rate of the prescribed propofol infusion.
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Chapter 60: Nursing Management Stroke
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/3325
Sample Questions
Q1) The health care provider recommends a carotid endarterectomy for a client with carotid atherosclerosis and a history of transient ischemic attacks (TIAs). The client asks the nurse to describe the procedure. Which of the following responses by the nurseisappropriate?
A)"The carotid endarterectomy involves surgical removal of plaque from an artery in the neck."
B)"The diseased portion of the artery in the brain is removed and replaced with a synthetic graft."
C)"A wire is threaded through an artery in the leg to the clots in the carotid artery and the clots are removed."
D)"A catheter with a deflated balloon is positioned at the narrow area, and the balloon is inflated to flatten the plaque."
Q2) The nurse is caring for a client who had a stroke and is in the acute phase of care. Which of the following systems is priority?
A)Neurological system
B)Respiratory system
C)Gastro-intestinal system
D)Genito-urinary system
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Chapter 61: Nursing Management Chronic Neurological Problems
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/3326
Sample Questions
Q1) The nurse is assessing a client in the outpatient clinic who has restless legs syndrome. Which of the following over-the-counter medications that the client is taking routinely should the nurse discuss with the client?
A)Multivitamin
B)Acetaminophen
C)Ibuprofen
D)Diphenhydramine
Q2) The nurse is caring for a client with myasthenia gravis who has had a thymectomy and receives the usual dose of pyridostigmine. An hour later, the client has nausea and severe abdominal cramps. Which of the following actions should the nurse take first?
A)Auscultate the client's bowel sounds.
B)Notify the client's health care provider.
C)Administer the prescribed PRN antiemetic drug.
D)Give the scheduled dose of prednisone.
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Chapter 62: Nursing Management Delirium
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3327
Sample Questions
Q1) Which of the following actions is most appropriate for the nurse to implement to protect a client from injury during an episode of delirium?
A)Secure the client in bed using a soft chest restraint.
B)Ask the health care provider about ordering an antipsychotic drug.
C)Instruct family members to remain with the client and prevent injury.
D)Assign a nursing assistant to stay with the client and offer frequent reorientation.
Q2) The nurse is developing a plan of care for a hospitalized client with moderate dementia. Which of the following interventions should the nurse include?
A)Provide complete personal hygiene care for the client.
B)Remind the client frequently about being in the hospital.
C)Reposition the client frequently to avoid skin breakdown.
D)Place suction at the bedside to decrease the risk for aspiration.
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Chapter 63: Nursing Management Peripheral Nerve and Spinal Cord Problems
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/3328
Sample Questions
Q1) Which of the following nursing interventions is appropriate for a client with a spinal cord injury who is in the anger phase of adjustment?
A)Use firm kindness.
B)Do not allow fixation on the injury.
C)Use simple diagrams to explain the injury.
D)Give cheerful assistance with the activities of daily living.
Q2) After a young adult client has returned home following rehabilitation for a spinal cord injury, the home care nurse notes that the partner is performing many of the activities that the client had been managing during rehabilitation. Which of the followingactions by the nurse is most appropriate at this time?
A)Tell the partner that the client can perform activities independently.
B)Remind the client about the importance of independence in daily activities.
C)Develop a plan to increase the client's independence in consultation with the client and the partner.
D)Recognize that it is important for the partner to be involved in the client's care and support the partner's participation.
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65
Chapter 64: Nursing Assessment Musculo-skeletal System
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3329
Sample Questions
Q1) The nurse obtains this information when assessing an older-adult client in the outpatient clinic. Which of the following findings is of highest priority when the nurse is planning care for the client?
A)Symmetrical joint swelling of fingers
B)Decreased right knee range of motion
C)History of recent loss of balance and fall
D)Complaint of left hip aching when jogging
Q2) The nurse is assessing an older female client and notes that the client has lost 2.5 cm in height since the previous visit 2 years ago. Which of the following diagnostic tests should the nurse include in the teaching plan?
A)Discography studies
B)Myelographic testing
C)Magnetic resonance imaging (MRI)
D)Dual-energy x-ray absorptiometry (DEXA)
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Chapter 65: Nursing Management Musculo-skeletal
Trauma and Orthopedic Surgery
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/3330
Sample Questions
Q1) The nurse is preparing a client for discharge from the emergency department with a sprained wrist. Which of the following information should the nurse include?
A)Keep the wrist loosely wrapped with gauze.
B)Apply a heating pad to reduce muscle spasms.
C)Use pillows to elevate the arm above the heart.
D)Gently move the wrist through the range of motion.
Q2) The nurse is caring for a client in the emergency department following a motor vehicle accident who has massive right lower leg swelling. Which of the following actions will the nurse take first?
A)Elevate the leg on pillows.
B)Apply a compression bandage.
C)Check leg pulses and sensation.
D)Place ice packs on the lower leg.
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Chapter 66: Nursing Management Musculo-skeletal
Problems
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/3331
Sample Questions
Q1) The nurse is caring for a client who has muscle spasms and acute low back pain. Which of the following actions is most appropriate to teach the client to promote comfort?
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 hips and knees flexed when resting in bed.
D)Twist gently from side to side to maintain range of motion in the spine.
Q2) The home care nurse is caring for a client who has chronic osteomyelitis of the left femur who is being managed at home with administration of IV antibiotics. Which of the following findings would indicate to the nurse that a nursing diagnosis of ineffective health maintenance is appropriate for this client?
A)Takes and records the oral temperature twice a day
B)Is unable to plantar flex the foot on the affected side
C)Uses crutches to avoid weight bearing on the affected leg
D)Is irritable and frustrated with the length of treatment required
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Chapter 67: Nursing Management Arthritis and Connective
Tissue Diseases
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3332
Sample Questions
Q1) The nurse is caring for a client with gout and takes losartan for control of the condition. Which of the following laboratory results should the nurse plan to monitor in the client?
A)Blood glucose
B)Blood pressure
C)Erythrocyte count
D)Lymphocyte count
Q2) The home health nurse is doing a follow-up visit to a client with recently diagnosed rheumatoid arthritis (RA). Which of the following assessments made by the nurse indicates that more client teaching is needed?
A)The client requires a 2-hour midday nap.
B)The client has been taking 16 Aspirins daily.
C)The client sits on a stool when preparing meals.
D)The client sleeps with two pillows under the head.
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69
Chapter 68: Nursing Management Critical Care
Environment
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/3333
Sample Questions
Q1) The nurse is caring for a client who has an arterial catheter in the radial artery to monitor blood pressure. Which of the following information obtained by the nurse is most important to report to the health care provider?
A)The client has a positive Allen test.
B)The mean arterial pressure (MAP) is 86 mm Hg.
C)There is redness at the catheter insertion site.
D)The dicrotic notch is visible in the waveform.
Q2) The nurse is preparing to assist with the insertion of a pulmonary artery catheter in a client. Which of the following actions will the nurse implement?
A)Check cardiac enzymes before insertion.
B)Auscultate heart sounds during insertion.
C)Place the client on NPO status before the procedure.
D)Attach cardiac monitoring leads before the procedure.
Q3) A client's vital signs are pulse 80, respirations 24, BP of 124/60 mm Hg, and cardiac output is 4.8 L/minute. What is the client's stroke volume?
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Page 70
Chapter 69: Nursing Management Shock
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/3334
Sample Questions
Q1) The nurse is caring for a client with neurogenic shock who is receiving a phenylephrine infusion through a left forearm IV. Which of the following assessment information obtained by the nurse indicates a need for immediate action?
A)The client's IV infusion site is cool and pale.
B)The client has warm, dry skin on the extremities.
C)The client has an apical pulse rate of 58 beats/minute.
D)The client's urine output has been 28 mL over the last hour.
Q2) Which of the following findings is the best indicator that the fluid resuscitation for a client with hypovolemic shock has been successful?
A)Hemoglobin is within normal limits.
B)Urine output is 60 mL over the last hour.
C)Pulmonary artery occlusive pressure (PAOP) is normal.
D)Mean arterial pressure (MAP) is 65 mm Hg.
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Chapter 70: Nursing Management Respiratory Failure and
Acute Respiratory Distress Syndrome
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3335
Sample Questions
Q1) The nurse is admitting a client with chronic obstructive pulmonary disease (COPD) who has shortness of breath and dyspnea. Which of the following assessment findings is most important to report to the health care provider?
A)The client has bibasilar lung crackles.
B)The client is sitting in the tripod position.
C)The client's respiratory rate has decreased from 30 to 10 breaths/minute.
D)The client's pulse oximetry indicates an O<sub>2</sub> saturation of 91%.
Q2) When prone positioning is used in the care of a client with acute respiratory distress syndrome (ARDS), which of the following information obtained by the nurse indicates that the positioning is effective?
A)The client's PaO<sub>2</sub> is 90 mm Hg, and the SaO<sub>2</sub> is 92%.
B)Endotracheal suctioning results in minimal mucous return.
C)Sputum and blood cultures show no growth after 24 hours.
D)The skin on the client's back is intact and without redness.
Q3) Chest physiotherapy is indicated for which of the following clients?
A)Takes a bronchodilator
B)Produces 40 mL of sputum per 24 hours
C)Has an increased PCO<sub>2</sub> level
D)Is taking vancomycin
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Chapter 71: Nursing Management Emergency Care Situations
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/3336
Sample Questions
Q1) The nurse is conducting a primary survey of a client with multiple traumatic injuries and observes that the client's right pedal pulses are absent and the leg is swollen. Which of the following actions will the nurse take next?
A)Assess further for a cause of the decreased circulation.
B)Send blood to the lab for a complete blood count (CBC).
C)Finish the airway, breathing, circulation, disability survey.
D)Initiate isotonic fluid infusion through two large-bore IV lines.
Q2) These four clients arrive in the emergency department after a motor vehicle crash. In which order should they be assessed?
A)A 72-year-old with palpitations and chest pain
B)A 45-year-old complaining of 6/10 abdominal pain
C)A 22-year-old with multiple fractures of the face and jaw
D)A 30-year-old with a misaligned right leg with intact pulses
Q3) The nurse is assessing a client with hypothermia. Which of the following assessments should the nurse expect to find?
A)Hypertension
B)Reddened, swollen extremities
C)Hyperventilation
D)Bradycardia
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Chapter 72: Emergency Management and Disaster Planning
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/3337
Sample Questions
Q1) Which of the following government agencies is responsible for providing safe drinking water and supportive medical services during a national disaster?
A)Health Canada
B)Public Safety Canada
C)Department of National Defence
D)Canadian Red Cross
Q2) The incident management system (IMS) used in Canada is based upon the incident command system that was developed as a result of which of the following disasters?
A)The tsunami off the coast of Tahiti
B)Wildfires in California
C)Floods in Saskatchewan
D)Drought in Alberta
Q3) Which of the following types of disaster management approaches would be used when dealing with a hurricane in southern Alberta?
A)All hazards
B)Unique hazard
C)Agent specific
D)Caused event
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