Integrated Nursing Practice
Exam Preparation Guide
Course Introduction
Integrated Nursing Practice is designed to equip nursing students with a comprehensive understanding of the multifaceted roles of a professional nurse within diverse healthcare settings. This course covers foundational nursing concepts, clinical skills, and critical thinking strategies essential for safe, ethical, and effective patient care. Emphasizing a holistic approach, students learn to integrate theoretical knowledge with practical skills through simulated and clinical experiences. The course also highlights the importance of interdisciplinary collaboration, evidence-based practice, and culturally competent care to prepare students for real-world challenges in dynamic healthcare environments.
Recommended Textbook
Medical Surgical Nursing Concepts Practice 2nd Edition by Susan C. deWit
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49 Chapters
1547 Verified Questions
1547 Flashcards
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Chapter 1: Caring for Medical surgical Patients
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/14554
Sample Questions
Q1) When the patient asks the nurse what his Medicare Part A covers,the nurse responds that it covers:
A)inpatient hospital costs.
B)reimbursement to the physician.
C)outpatient hospital services.
D)ambulance transportation.
Answer: A
Q2) The nurse explains that a therapeutic relationship differs from a social relationship in that the therapeutic relationship:
A)has no boundaries.
B)is goal directed.
C)meets the needs of each person in the relationship.
D)extends past the hospitalization period.
Answer: B
Q3) When an insurance company directly reimburses a licensed health care provider for services,the form of financing is called ______________.
Answer: fee for service
Fee for service is the direct reimbursement by an insurance company to a health care provider.
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Page 3
Chapter 2: Critical Thinking and Nursing Process
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The nurse who has recently moved from Louisiana to Texas is uncertain about the LPN/LVN's role in applying the nursing process.The most appropriate source for the nurse to consult is:
A)hospital policies.
B)the Texas State Board of Nursing.
C)rules and regulations of the Louisiana Nurse Practice Act.
D)the National Association of Practical Nurse Education and Service.
Answer: B
Q2) The nursing team prioritizing the nursing diagnoses of an overweight hospital patient will select as the highest priority the nursing diagnosis of:
A)Risk for dehydration related to vomiting.
B)Activity intolerance related to shortness of breath.
C)Knowledge deficit related to weight reduction diet.
D)Altered self-image related to excessive weight.
Answer: B
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Chapter 3: Fluid, electrolytes, acid-base Balance, and
Intravenous Therapy
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) Step: 2
A)loss of calcium ions.
B)vitamin D not activated.
C)bone loss.
D)retention of phosphates.
E)loss of absorption of calcium from the GI tract.
Answer: A
Q2) The nurse is caring for a newly admitted patient with uncontrolled nausea and vomiting.The patient has a history of alcoholism and diabetes.Upon obtaining orders from the primary care provider,the nurse would question which orders: (Select all that apply.)
A)Administer 10 mg prochlorperazine maleate (Compazine), IM every 4 to 6 hours for nausea and vomiting.
B)Administer diphenoxylate atropine (Lomotil), 2 tabs, by mouth after first occurrence of nausea and vomiting.
C)Administer Lactated Ringer's solution, IV, at 100 mL/hr.
D)Monitor the patient's intake and output every 4 hours.
E)Obtain patient's weight every morning and record.
Answer: A,B,C
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Chapter 4: Care of Preoperative and Intraoperative Surgical Patients
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The patient received a preoperative dose of lorazepam (Ativan)20 minutes ago.The safety precaution the nurse should take in regard to this drug is to:
A)monitor respiratory status.
B)raise bed rails.
C)elevate the head of the bed 30 degrees.
D)take seizure precautions.
Q2) The nurse is aware that the older adult is a greater surgical risk because the older adult has: (Select all that apply.)
A)fewer physiologic reserves.
B)more probability of a chronic illness.
C)more vulnerability to fluid loss.
D)less tolerance for pain.
E)less psychological stamina.
Q3) The nurse reminds the patient that in laparoscopic surgery,with the small incision and less tissue trauma,there is less pain because of the diminished ______________.
Q4) The _____________ functions within the sterile area of the operating room and maintains sterile technique.
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Chapter 5: Care of Postoperative Surgical Patients
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The patient's initial vital signs immediately on return from surgery are BP,140/90;P,80;R,14;T,98° F.One hour later the vital signs are BP,130/84;P,72;R,16;T,96.8°
F.Based on these assessments,the nurse should:
A)add a blanket for warmth to the patient.
B)notify the charge nurse of probable hemorrhage.
C)raise the head of the bed 45 degrees.
D)note the assessment as normal postoperative recovery.
Q2) The patient recovering in the PACU awakes confused and disoriented.The nurse's most appropriate intervention is to:
A)take vital signs.
B)encourage the patient to return to sleep.
C)say, "Your surgery is over. You are in the recovery area."
D)chart, "Patient awake and disoriented."
Q3) When the postoperative patient refuses to cough due to incisional pain,the initial nursing action should be:
A)encouraging deep breathing instead of coughing.
B)splinting the abdomen with a pillow.
C)explaining the importance of controlled coughing.
D)giving pain medication.
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Page 7
Chapter 6: Infection Prevention and Control
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The clinic nurse offers suggestions to a patient who is planning a trip to Mexico that will help prevent a protozoan infection.The most helpful suggestion is:
A)"We will ask the doctor for a prophylactic prescription for an antiviral drug."
B)"Broad-spectrum antibiotics will be most helpful if you contract a protozoan infection."
C)"Be sure to practice good hand hygiene while on your vacation."
D)"It would be best if you drank bottled water while on your trip."
Q2) The nurse caring for a patient with C.difficile should:
A)use only alcohol-based hand cleanser.
B)wear a mask.
C)use eye protection.
D)notify housekeeping to use appropriate cleaning agents.
Q3) The nurse will use Expanded Precautions when performing care for a patient with:
A)active tuberculosis (TB).
B)bacterial pneumonia.
C)a urinary tract infection caused by E. coli.
D)a fungal infection of the groin and axilla.
Q4) The bacteria that are rod-shaped are classified as _________.
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Page 8
Chapter 7: Care of Patients With Pain
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) The nurse takes into consideration that the 45-year-old male Arab patient who is in pain will probably:
A)not request pain medication.
B)call for pain relief to control pain.
C)become irritable and demanding.
D)hide pain from his family.
Q2) Step: 3
A)Transmission
B)Modulation
C)Transduction
D)Perception
Q3) The patient is experiencing phantom pain following the amputation of her foot.Which type of pain is most associated with phantom pain?
A)Nociceptive
B)Mild
C)Uncontrollable
D)Neuropathic
Q4) Pain receptors in the skin,connective tissue,bone,joints,and muscles are classified as
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Chapter 8: Care of Patients With Cancer
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/14561
Sample Questions
Q1) The patient on radiation therapy has developed diarrhea.The nurse suggests foods that would decrease diarrhea,such as:
A)broccoli.
B)cauliflower.
C)cheese and crackers.
D)apples and pears.
Q2) The nurse uses a visual aid to demonstrate the characteristics of a malignant neoplasm,which are: (Select all that apply.)
A)very small nuclei.
B)disorganization.
C)altered DNA.
D)invasion of nearby organs.
E)travel through body fluid.
Q3) In planning care for the patient who is on a protocol of bleomycin,an antitumor antibiotic,the nurse will add to the care plan an intervention to:
A)assess hearing acuity.
B)measure urinary output.
C)weigh daily to assess fluid retention.
D)monitor cardiac arrhythmias.
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10
Chapter 9: Chronic Illness and Rehabilitation
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) When delegating care to a nursing assistant,the LPN/LVN should: (Select all that apply.)
A)give specific instruction as to what is to be done.
B)instruct how the task is to be done.
C)list information that needs to be reported.
D)be aware that the nurse is responsible for outcome of delegated care.
E)insist that the nursing assistant accept the responsibility.
Q2) The rehabilitation nurse makes the point that a dysfunction of a specific body part is termed __________.
Q3) A resident with advanced Parkinson's disease stays in his wheelchair all day because it is too tiring to walk and he is fearful of falling.In order to increase mobility,the best intervention would be to:
A)instruct the resident in crutch walking.
B)assist the resident to walk in the hallway with a gait belt.
C)encourage the resident to rock back and forth in his wheelchair to off load weight.
D)arrange for a walking cane.
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Chapter 10: the Immune and Lymphatic Systems
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/14563
Sample Questions
Q1) The mother of a young child voices concern about immunizations for her child.The nurse's best response to the mother's concerns is:
A)"Immunization is generally a safe method of avoiding certain diseases and the complications that go along with these diseases."
B)"There are no risk factors associated with immunizations, so there is no reason to worry."
C)"I really don't understand the thinking behind people not immunizing their children if it can prevent disease."
D)"Recommendations of Healthy People 2020 Goal 14 is to reduce or eliminate cases of vaccine-preventable diseases, so I strongly urge you to immunize your child."
Q2) Step: 1
A)Antibodies attack the antigen.
B)Break in cell wall allows salt to enter antigen cell.
C)Antigen swells and bursts.
D)Water enters the antigen cell.
E)Proteins embed in cell wall of antigen.
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Chapter 11: Care of Patient With Hiv/aids
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/14564
Sample Questions
Q1) The nurse will add a special caution to patient teaching for a patient with HIV infection who has a _____ for a house pet.
A)dog
B)cat
C)bird
D)gerbil
Q2) To plan an effective "Education for Prevention of HIV" teaching outline,the nurse must assess the intended patient population for: (Select all that apply.)
A)likelihood of contracting HIV.
B)level of understanding of the virus.
C)approximate educational level.
D)incidence of infection in area.
E)risk factors practiced.
Q3) Step: 4
A)HIV attaches to CD4 receptor sites on helper T cells.
B)Opportunistic infection occurs.
C)Infected cell replicates itself millions of times.
D)T helper cells fail to activate phagocytes.
E)Immune system is unable to respond effectively.
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Chapter 12: Care of Patients With Immune and Lymphatic Disorders
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/14565
Sample Questions
Q1) When collecting data from a patient suspected of having an immune deficiency,which factor(s)should be included? (Select all that apply.)
A)Family history of immune disorders
B)Age
C)Weight gain
D)Alcohol use
E)Exposure to HIV
Q2) A patient with an immune deficiency disorder has been admitted to the medical unit due to a current infection and weight loss of 12% of his body weight.The most appropriate nutritional intervention for this patient would be to encourage foods high in:
A)fat.
B)vitamin C.
C)vitamin B<sub>12</sub>.
D)protein.
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Chapter 13: the Respiratory System
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/14566
Sample Questions
Q1) Step: 3
A)Place diaphragm of stethoscope above clavicles.
B)Listen in midaxillary line to level of diaphragm.
C)Move stethoscope from side to side down midline of the chest.
D)Place diaphragm of stethoscope above scapulae.
E)Move stethoscope side to side on either side of the spine.
Q2) Step: 2
A)Place diaphragm of stethoscope above clavicles.
B)Listen in midaxillary line to level of diaphragm.
C)Move stethoscope from side to side down midline of the chest.
D)Place diaphragm of stethoscope above scapulae.
E)Move stethoscope side to side on either side of the spine.
Q3) The nurse explains that the mechanism that triggers rate and depth of respiration is based on:
A)ease of respiration.
B)alveolar pressure.
C)patency of bronchi.
D)blood pH.
Q4) Rapid opening and closing of the glottis combined with movement of the mouth,lips,and tongue is what makes _____________.
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Chapter 14: Care of Patients With Disorders of the Upper
Respiratory
System
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/14567
Sample Questions
Q1) The nurse encourages a patient with cancer of the larynx that the "near-total laryngectomy" is a new procedure that preserves the ability to __________ and to
Q2) The nurse includes in the discharge instruction to a patient who has had a microlaryngoscopy with laser removal of polyps to: (Select all that apply.)
A)be alert for massive swelling.
B)return to work in 3 days.
C)cough to expectorate blood.
D)observe 2 days of voice rest.
E)take opioids for pain.
Q3) The nurse is assisting the physician with insertion of a new tracheostomy tube.The physician asks for the obturator.The nurse correctly hands the physician which device?
A)The guide for the tracheostomy tube to be inserted
B)The scalpel used to make the tracheotomy stoma
C)A single-cannula tracheostomy tube
D)A cuffed tracheostomy tube
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Page 16
Chapter 15: Care of Patients With Disorders of the Lower
Respiratory
System
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/14568
Sample Questions
Q1) The 75-year-old resident in the nursing home who cares for 40 birds in an aviary complains of shortness of breath and fatigue and a dry cough.Based on this information,the nurse suspects the resident may be suffering from:
A)coccidioidomycosis.
B)histoplasmosis.
C)tuberculosis.
D)atypical pneumonia.
Q2) The patient with chronic airflow limitation (CAL)changed to the use of a simple face mask from a nasal cannula delivery system.The nasal equipment oxygen was set at 3 L/min.The nurse instructs the patient that,with the change in delivery systems,the oxygen should be _____ L/min.
A)decreased to 2
B)decreased to 1
C)increased to 4
D)increased to 6
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17
Chapter 16: the Hematologic System
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) Step: 2
A)Becomes a phagocyte
B)Becomes a macrophage
C)Engulfs bacteria
D)Migrates into tissues
E)Becomes a monocyte
F)Becomes a leukocyte
Q2) Red blood cells only live about _____ days.
A)30
B)90
C)100
D)120
Q3) The nurse evaluates the lab reports for the patients on the unit,and recognizes the report requiring the most immediate attention is for the patient with RBCs,_____ mil/mm³;WBCs,_____ mil/mm³;and Hb,_____ g/dL.
A)4.2; 4500; 9.1
B)5.9; 4500; 12.7
C)6.0; 6000; 13.2
D)7.6; 8000; 18.0
Q4) The normal range of hemoglobin is from _____ g/dL to _____ g/dL.
Page 18
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Chapter 17: Care of Patients With Hematologic Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/14570
Sample Questions
Q1) The nurse cautions the 79-year-old male who had a gastrectomy a month ago that he is at risk for _____ anemia.
A)aplastic
B)pernicious
C)iron deficiency
D)nutritional
Q2) The nurse is aware that the patient with a nutritional anemia is lacking the nutrients: (Select all that apply.)
A)proteins.
B)vitamin B12.
C)folic acid.
D)zinc.
E)iron.
Q3) The home health nurse assesses the patient taking ferrous sulfate (Feosol).Which patient statement alerts the nurse that teaching is necessary regarding this medication?
A)"It tastes better when I take my medicine with milk."
B)"My wife says I should take my medicine with orange juice."
C)"I am always careful not to break open the capsule."
D)"I usually take my iron with my whole-grain toast during breakfast."
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Page 19
Chapter 18: the Cardiovascular System
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse suspects arterial insufficiency in the 50-year-old patient when the feet and legs exhibit:
A)equal warmth.
B)shiny, hairless skin.
C)thin, brittle nails.
D)pedal edema.
Q2) The nurse outlines behaviors that aid in the prevention of cardiovascular disease,which are: (Select all that apply.)
A)regular physical activity at least 30 minutes a day.
B)maintain high-density lipoprotein (HDL) greater than 50 mg/dL.
C)refrain from smoking.
D)obtain and maintain healthy weight.
E)maintain triglycerides above 150 mg/dL.
Q3) The nurse has assessed the patient to have a blood pressure of 140/90,an apical pulse of 82,and a radial pulse of 76.The nurse records a pulse pressure of:
A)6.
B)56.
C)82.
D)90.
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Page 20
Chapter 19: Care of Patients With Hypertension and Peripheral Vascular Disease
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse in a long-term care facility designs a teaching program for the residents to help prevent peripheral vascular disease (PVD)caused by age-related changes,which include: (Select all that apply.)
A)decreasing blood viscosity.
B)loss of elasticity in vessel walls.
C)atherosclerotic vessels.
D)sedentary practices.
E)weakened leg muscles.
Q2) The nurse is providing patient teaching to a pregnant patient who works as a cashier in a grocery store.Which suggestion by the nurse will help most in preventing varicose veins?
A)Add vitamin C to diet.
B)"March in place" while standing at the counter.
C)Avoid tight support hose.
D)Wear supportive shoes.
Q3) The patient who has a history of smoking and alcohol abuse is most likely to develop __________ hypertension.
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Page 21
Chapter 20: Care of Patients With Cardiac Disorders
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/14573
Sample Questions
Q1) The nurse recognizes the disorganized ECG pattern of the most fatal of all arrhythmias as:
A)ventricular fibrillation.
B)premature ventricular beats.
C)atrial fibrillation.
D)ventricular tachycardia.
Q2) The nurse expresses concern to the 80-year-old resident in a long-term care facility who is attempting to jog on a treadmill.The nurse is aware that the exceptional oxygen and metabolic demands brought on by the exercise might cause ____________.
Q3) The patient with tachycardia who has a heart rate of 115 complains of shortness of breath.The nurse interprets this complaint as being related to which problem?
A)Pulmonary edema
B)Drop in cardiac output
C)Impending pneumonia
D)Increasing anxiety
Q4) When the nurse assesses an apical pulse of 52,the finding of this arrhythmia is known as _________.
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Chapter 21: Care of Patients With Coronary Artery Disease and Cardiac Surgery
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) Step: 6
A)Platelets adhere to plaque.
B)Deposits of low-density lipoproteins (LDLs) accumulate.
C)Fibrous plaque is laid down in vessel.
D)Streaks of fatty material are laid down in arteries.
E)Platelets clump.
F)Platelets calcify.
Q2) During the acute phase following a myocardial infarction (MI),the nurse prepares for the possibility of the patient receiving a temporary pacemaker in which circumstance(s)? (Select all that apply.)
A)The patient's heart rate continues to remain above 100 beats/minute.
B)The patient is experiencing continued angina pain.
C)The patient experiences complete heart block.
D)The patient's systolic BP drops below 100 consistently.
E)The patient's pulse rate remains below 40 beats/minute.
Q3) The nurse is aware that the patient's cardiac rehabilitation levels of physical activity are designated through ____________ units.
Q4) The nurse uses a diagram to show how obstruction of an artery has caused an area of necrosis called a(n)_________.
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Chapter 22: the Neurologic System
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The patient scheduled for a PET (positron emission tomography)scan of the brain asks if there is any special preparation for the test.The nurse correctly responds with which statements? (Select all that apply.)
A)"There is no special preparation involved with this test since it is noninvasive."
B)"You should avoid any tranquilizers or sedatives the night before and the day of the test."
C)"You will need to sign a consent form for this test to be performed."
D)"You will have an IV inserted for the exam."
E)"I'm not really sure. The technician's performing the test will let you know."
Q2) A student nurse questions the nurse about the difference between a quadriplegic and a tetraplegic patient.The nurse correctly reports that a tetraplegic patient:
A)has fewer fine motor movements.
B)can experience pain in paralyzed parts.
C)is more easily rehabilitated.
D)means the same as a quadriplegic.
Q3) A neurologically damaged patient who cannot interpret communication directed to him is said to have ____________ aphasia.
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Page 24
Chapter 23: Care of Patients With Head and Spinal Cord Injuries
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Sample Questions
Q1) The patient with a suspected subdural hematoma is on an IV drip of mannitol infusing at 50 mL/hr.The nurse explains that the slow infusion rate is essential for what purpose?
A)Ensure effectiveness of the drug.
B)Avoid fluid overload.
C)Maintain electrolyte balance.
D)Maintain adequate blood pressure.
Q2) The nurse describes a concussion as a closed head injury in which:
A)the brain tissue is bruised.
B)no loss of consciousness occurs.
C)there is amnesia related to the incident.
D)there are no subsequent symptoms.
Q3) The emergency room nurse assessing clear drainage from the nose of a newly admitted patient with a head injury should perform which intervention?
A)Document the presence of rhinorrhea.
B)Inform the physician of the assessment.
C)Test fluid with a glucose Accu-Chek or Dextrostix.
D)Tape a drip pad under the nose.
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Chapter 24: Care of Patients With Disorders of the Brain
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27 Verified Questions
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Sample Questions
Q1) The patient with brain tumor-related hydrocephalus is to have a ventriculoperitoneal (V-P)shunt.The nurse explains that this surgical intervention will:
A)redirect the cerebrospinal fluid from the ventricles to the peritoneum.
B)stimulate ventricles to reabsorb excess cerebrospinal fluid.
C)channel excess cerebrospinal fluid to the left atrium.
D)provide a port from which excess cerebrospinal fluid can be aspirated.
Q2) The nurse is aware that absence (petit mal)seizures are difficult to detect because: (Select all that apply.)
A)there is no aura.
B)the seizure appears to be a brief moment of absentmindedness.
C)there is a loss of consciousness.
D)the patient has no memory of the event.
E)there are no postictal signs.
Q3) The nurse instructs a person taking phenytoin (Dilantin)that periodic blood tests will be necessary.What is the physician monitoring for?
A)Potassium depletion
B)Liver damage
C)Increased creatinine levels
D)Increased sedimentation rates
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Chapter 25: Care of Patients With Peripheral Nerve and Degenerative Neurologic Disorders
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse is aware that the diagnosis of multiple sclerosis (MS)is based on:
A)blood tests revealing identifiable MS markers.
B)lumbar puncture results revealing inflammatory response.
C)muscle biopsies revealing characteristic lesions.
D)signs and symptoms assessed and reported by the patient.
Q2) The home health nurse assesses the patient with Parkinson's disease who has just been placed on carbidopa-levodopa.What side effects should the nurse be alert for when assessing this patient? (Select all that apply.)
A)Urinary retention
B)Rash
C)Increased diaphoresis
D)Orthostatic hypotension
E)Hematuria
Q3) A patient with multiple sclerosis is seen by the home health nurse and complains of severe fatigue.What is the best suggestion by the nurse to help diminish the effects of fatigue?
A)Relaxing in a warm bath
B)Performing deep-breathing exercises
C)Scheduling rest periods during the day
D)Including daily-dose multivitamins
Page 27
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Chapter 26: the Sensory System: Eye and Ear
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/14579
Sample Questions
Q1) The nurse is caring for a patient who is experiencing diabetes-related visual changes.The nurse correctly explains to the patient that vision-related complications of diabetes are caused by:
A)prolonged periods of hyperglycemia.
B)frequent injections of regular insulin.
C)lens opacity.
D)corneal dryness.
Q2) An office assistant tells the nurse his job requires him to work at his computer 7 to 8 hours each day.What preventive information should the nurse provide to the patient?
A)Wear protective goggles.
B)Wear corrective eyeglasses.
C)Rest his eyes every 2 hours.
D)Irrigate his eyes every day.
Q3) The nurse clarifies to the patient with an eye disorder that the fluid in the anterior chamber is called __________ humor,whereas the fluid in the posterior chamber is called __________ humor.
Q4) The receptors of light and color in the eyeball are the __________ and the
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28
Chapter 27: Care of Patients With Disorders of the Eyes and Ears
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) Step: 5
A)Ask patient to turn head to affected side.
B)Don gloves.
C)Direct continuous stream of fluid from inner to outer canthus.
D)Instruct patient to lie supine.
E)Hold lids apart with thumb and finger.
F)Have patient close eyes to move debris from upper eyelid to conjunctival sac.
Q2) Step: 3
A)Intraocular pressure exceeding 25 mm Hg
B)Optic nerve and retina damaged by ischemia
C)Permanent and irreversible vision impairment
D)Overproduction of aqueous humor
E)Continued high intraocular pressure restricting blood flow to optic nerve and retina
Q3) The patient with glaucoma is prescribed an Ocusert miotic.The medication should be replaced with what frequency?
A)Daily
B)Semiweekly
C)Weekly
D)Biweekly
29
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Chapter 28: the Gastrointestinal System
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32 Verified Questions
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Sample Questions
Q1) To promote bowel health,the nurse recommends that the patient: (Select all that apply.)
A)exercise regularly.
B)include adequate bulk in the diet.
C)drink adequate water.
D)defecate at approximately the same time every day.
E)take a laxative to maintain a regular defecation pattern.
Q2) Before a nurse can document the presence of diarrhea,the criteria for diarrhea should be met,which include: (Select all that apply.)
A)one loose stool in a 24-hour period.
B)multiple liquid or semiliquid stools in a 24-hour period.
C)hyperactive bowel sounds.
D)cramping.
E)fever.
Q3) The nurse cautions that constant stress can cause an alteration to the GI system,which can result in:
A)slowed GI mobility resulting in constipation.
B)reversed peristalsis resulting in projectile vomiting.
C)increased digestive juices resulting in a gastric ulcer.
D)decreased digestive juices resulting in ineffective metabolism.
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Chapter 29: Care of Patients With Disorders of the Upper
Gastrointestinal
System
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse is presenting a program discussing bulimia nervosa to a group of student nurses.After the program,the participants correctly identify the methods of treatment including: (Select all that apply.)
A)antianxiety mediations.
B)antidepressant medications.
C)psychotherapy.
D)behavior modification.
E)increased exercise.
Q2) The nurse is assessing the efficiency of swallowing in a patient with dysphagia.During the assessment,the nurse will use what finding to evaluate the process?
A)An audible "gurgle"
B)Rising of the larynx
C)Tilting of the head backward
D)Nodding of the head forward
Q3) The nurse cautions that increased morbidity from hypertension and cardiac disease,even in children,is related to the modifiable risk factor of __________.
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Page 31
Chapter 30: Care of Patients With Disorders of the Lower
Gastrointestinal System
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33 Verified Questions
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Sample Questions
Q1) No effluent
A)Ascending colostomy
B)Transverse colostomy
C)Descending colostomy
D)Ileostomy
E)Continent ileostomy
Q2) The nurse preparing a teaching plan for a 20-year-old woman who is taking sulfasalazine (Azulfidine)for Crohn's disease will include that this drug will: (Select all that apply.)
A)make the patient photosensitive.
B)interfere with effectiveness of oral contraceptives.
C)decrease the effect of hypoglycemic agents.
D)turn the urine orange.
E)cause GI upset.
Q3) The nurse explains that diverticula occur in the older adult because:
A)loss of bowel tone reduces motility.
B)changes in bowel wall allow herniation.
C)the diet may be deficient in bulk.
D)multipharmacy has altered bowel mucosa.
Page 32
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Chapter 31: Care of Patients With Disorders of the
Gallbladder,liver,and Pancreas
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Sample Questions
Q1) Prevalent in less developed countries
A)HAV
B)HBV
C)HCV
D)HDV
E)HEV
Q2) The nurse plans for the skin care of the patient with ascites,which would include:
(Select all that apply.)
A)bathing in tepid water.
B)applying emollients to decrease itching.
C)cutting the patient's fingernails short.
D)changing the patient's position every 1 to 2 hours.
E)coaching in deep-breathing exercises.
Q3) The physician has prescribed neomycin enemas for a patient with cirrhosis.The patient questions why they are being used.Which response by the nurse is most appropriate?
A)These enemas help prevent infection.
B)These enemas help reduce straining during a bowel movement.
C)These enemas kill intestinal flora.
D)These enemas aid in reducing ascites.
Page 33
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Chapter 32: the Musculoskeletal System
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Sample Questions
Q1) When a 90-year-old patient says,"My old bones are just about done in," the nurse reminds him that his bones are being constantly renewed through the action of:
A)osteoblasts.
B)stem cells.
C)free circulating calcium ions.
D)combination of phosphorus and vitamin D.
Q2) The patient's plan of care includes using the continuous passive motion (CPM)machine.Which statement by the patient indicates the need for further teaching?
A)"I marched in the Marines for 20 years, and now I'm marching flat on my back!"
B)"My new knee will be glad to rest at night."
C)"I can make my new knee stronger if I reset this thing to go faster and flex my knee more."
D)"I almost wish this CPM ran at night. The motor noise is soothing."
Q3) The canal system that runs through the bone and contains the blood and lymph vessels is called the ____________.
Q4) When a joint is obliterated by bony overgrowth,the joint is said to be _________.
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Chapter 33: Care of Patients With Musculoskeletal and Connective Tissue Disorders
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42 Verified Questions
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Sample Questions
Q1) Reduction of fracture and fixation to device that maintains alignment
A)Closed reduction
B)Open reduction
C)Internal fixation
D)External fixation
Q2) The nurse explains that the "C" in the acronym RICE for sprain treatment stands for _______.
Q3) The nurse understands that all soft tissue injuries require the nurse to assist with or instruct about: (Select all that apply.)
A)bed rest.
B)pain control.
C)immobilization.
D)activity restrictions.
E)prevention of recurrence.
Q4) Step: 3
A)Medullary canal is reconstructed.
B)Mature bone cells form ossification.
C)Callus is formed.
D)Granulation tissue is formed.
E)Hematoma is formed between broken ends of bone.
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Chapter 34: the Urinary System
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The nurse is caring for a woman suspected of having a vaginal fistula.Which finding will support the proposed diagnosis?
A)Pneumaturia
B)Hematuria
C)Oliguria
D)Dysuria
Q2) A patient is scheduled to have a cystometrography performed.Which statement by the patient indicates an understanding of the planned test?
A)"The test will measure my urine flow volume and muscle function."
B)"The test will measure my renal clearance and urinary volume."
C)"The test will evaluate the amount of particulate matter in my urine."
D)"The test will monitor the time it takes for an injected dye to appear in my urine."
Q3) The nurse clarifies that nephrotoxic drugs such as doxycycline and rifampin can cause kidney damage by:
A)bacterial destruction of the nephrons.
B)chemical alterations of glomeruli.
C)necrosis of tubules from reduction of oxygenation.
D)"clumping" of cellular debris from killed bacteria.
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Chapter 35: Care of Patients With Disorders of the Urinary System
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) When the patient enters into nephrotic syndrome after an exacerbation of glomerulonephritis,the nurse would expect to see:
A)decreased serum albumin.
B)decreased lipids.
C)decreased proteinuria.
D)increased hematuria.
Q2) Hypovolemic shock
A)Prerenal ARF
B)Intrarenal ARF
C)Postrenal ARF
Q3) The nurse would question an order for carbenicillin for a patient with a urinary infection if the patient is: (Select all that apply.)
A)over 80 years of age.
B)allergic to penicillin.
C)taking warfarin.
D)taking oral contraceptives.
E)hypertensive.
Q4) The nurse is aware that 80% of urinary tract infections (UTIs)in females are the result of contamination from __________.
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Chapter 36: the Endocrine System
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Sample Questions
Q1) The nurse is aware that thyroid hormone production is dependent on the intake of:
A)protein and iodine.
B)fats and vitamins.
C)carbohydrates and minerals.
D)sodium and potassium.
Q2) An 80-year-old diabetic is to be tested with the fructosamine assay instead of the glycosylated hemoglobin (HbA?c)test because the fructosamine assay:
A)can evaluate level of ketoacidosis.
B)is less influenced by age.
C)determines the amount of circulating glucose.
D)is more accurate for type 2 diabetes.
Q3) The nurse instructs the patient that,before having a thyroid panel done,the patient should omit taking ______ for two days before the test.
A)aspirin
B)antacids
C)diuretics
D)multivitamins
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Chapter 37: Care of Patients With Pituitary, thyroid, parathyroid, and
Adrenal
Disorders
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38 Verified Questions
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Sample Questions
Q1) The nurse is caring for a patient who reports abruptly discontinuing his prescribed levothyroxine.Which clinical finding is most consistent with this behavior?
A)Seizures
B)Extreme diarrhea
C)Sudden hypertension
D)Respiratory distress
Q2) The nurse clarifies that a subtotal thyroidectomy,which removes only two thirds of the gland,allows:
A)the patient to take minimum amounts of antithyroid drugs.
B)continued production and release of thyroid hormones from the remainder of the gland.
C)the reduction of exophthalmos.
D)for less postoperative risk than total thyroidectomy.
Q3) Menstrual irregularities
A)Decreased growth hormone
B)Increased thyroid hormone
C)Decreased follicle-stimulating hormone
D)Decreased thyroid hormone
E)Increased antidiuretic hormone
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Chapter 38: Care of Patients With Diabetes and Hypoglycemia
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Sample Questions
Q1) The nurse reinforces the American Diabetes Association's recommendation that all people over age 45,especially if overweight,monitor themselves for diabetes by:
A)having regularly scheduled fasting blood glucose level testing.
B)adhering to weight reduction diets.
C)exercising regularly.
D)using stress reduction techniques.
Q2) The nurse is caring for a patient suspected of having ketoacidosis.What early manifestation(s)may be noted with this condition? (Select all that apply.)
A)Fruity breath
B)Polyuria
C)Nausea
D)Thirst
E)Sunken eyes
Q3) Rarely develops ketosis
A)Type 1
B)Type 2
C)Gestational
D)Prediabetes
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Chapter 39: Care of Women With Reproductive Disorders
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Sample Questions
Q1) Caused by uterine polyps
A)Primary dysmenorrhea
B)Secondary dysmenorrhea
Q2) The nurse lists the signs and symptoms of menopause as: (Select all that apply.)
A)hot flashes and flushes.
B)cessation of estrogen production.
C)vaginal dryness.
D)night sweats.
E)irregularity of menses.
F)None of the above.
Q3) The nurse describes the "morning-after" pill,levonorgestrel,as a multipurpose pill that can: (Select all that apply.)
A)prevent ovulation.
B)cause immediate menses.
C)interfere with fertilization.
D)alter DNA of ova.
E)prevent uterine implantation.
Q4) The nurse explains that the portion of the menstrual cycle in which the ova are stimulated and matured is the ________ phase.
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Chapter 40: Care of Men With Reproductive Disorders
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A postoperative prostatectomy patient is discouraged that he is still dribbling and wearing a protective pad 1 month after surgery.Which suggestion by the nurse would be most helpful to the patient?
A)Eating a low-residue diet to reduce the amount of urine
B)Drinking grapefruit juice to tighten the urinary sphincter of the bladder
C)Acquiring an indwelling catheter to prevent leakage
D)Practicing Kegel exercises several times a day
Q2) The nurse is aware that of the known infertility causes approximately ____% are due to male factors.
A)15
B)25
C)35
D)45
Q3) The nurse explains to a patient considering various methods to relieve his hypertrophied prostate that transurethral microwave thermotherapy (TUMT)removes prostatic tissue by:
A)cauterizing prostatic tissue with a resectoscope.
B)coagulating prostatic tissue with a transurethral probe.
C)using radiofrequency needles to coagulate the prostate.
D)vaporizing and desiccating prostatic tissue.
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Chapter 41: Care of Patients With Sexually Transmitted
Infections
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28 Flashcards
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Sample Questions
Q1) The nurse urges a pregnant patient with gonorrhea to seek medical care because,if untreated,gonorrhea can result in: (Select all that apply.)
A)pelvic inflammatory disease.
B)sterility.
C)obstructed fallopian tubes.
D)ectopic pregnancy.
E)ophthalmia neonatorum in the newborn.
F)None of the above.
Q2) The nurse outlines reasons why young patients are frequently reluctant to have their sexually transmitted infections (STIs)reported,which are: (Select all that apply.)
A)fear of parental reaction.
B)embarrassment about their condition.
C)fear of reprisal from identified contacts.
D)fear of information becoming public.
E)fear of rejection by peers.
F)None of the above.
Q3) The nurse recommends that the newly diagnosed patient with herpes get current information about her disease from the local _______________.
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Chapter 42: the Integumentary System
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36 Flashcards
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Sample Questions
Q1) The nurse assesses that the older adult is not dehydrated when a fold of skin pinched up on the upper chest of the patient returns to normal position in _____ seconds.
A)6
B)8
C)9
D)10
Q2) When applying lotion to the skin,the nurse should:
A)avoid shaking lotion as this causes bubble formation.
B)apply lotion heavily as the water from lotion evaporates.
C)wash off residue before applying fresh lotion.
D)"dab" on lotion to reduce skin irritation.
Q3) Thick ridge of scar tissue
A)Edema
B)Hyperkalemia
C)Hypovolemia
D)Tissue hypoxia
E)Hypermetabolism
Q4) The nurse reminds the junior high school health class that the first line of defense from pathogens for the body is the ____________.
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Chapter 43: Care of Patients With Integumentary Disorders and Burns
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) Loss of fluid from vascular space
A)Edema
B)Hyperkalemia
C)Hypovolemia
D)Tissue hypoxia
E)Hypermetabolism
Q2) The home health nurse instructs the family whose child came home from school with lice that the bed linens should be:
A)thrown out in a sealed garbage bag.
B)washed with strong bleach solution.
C)washed and dried on the hottest setting.
D)washed and dried at least through three cycles.
Q3) The nurse advises a 20-year-old college sophomore with acne vulgaris to:
A)avoid all chocolate.
B)wash the face gently with mild soap.
C)scrub the face with soft brush.
D)express clogged sebum from the pores.
Q4) Using the Parkland formula,the fluid needed for a person weighing 140 pounds with a 25% burn would be _____ mL.
45
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Chapter 44: Care of Patients in Disasters or Bioterrorism
Attack
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33 Flashcards
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Sample Questions
Q1) Amputated arm,conscious,but in shock
A)Red tag: emergent
B)Yellow tag: urgent
C)Green tag: nonurgent
D)Black tag: terminal
Q2) The nursing staff of a medical clinic and 15 of their patients have moved to the third floor of an office building to escape flood waters.Public water supply has been contaminated.This floor has eight commode stalls in two different bathrooms.To provide drinking water,the nurse should:
A)designate which commodes can be used for body waste.
B)protect water in commode tanks to use for drinking.
C)run cold water in sinks to have reservoirs of water.
D)assign people to use specific bathrooms.
Q3) Compound fracture of both femurs,concussion
A)Red tag: emergent
B)Yellow tag: urgent
C)Green tag: nonurgent
D)Black tag: terminal
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Chapter 45: Care of Patients With Trauma or Shock
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Sample Questions
Q1) An 80-year-old woman is brought to the emergency department by her daughter,who found the woman unconscious in her garage sitting in her car.A significant assessment of this patient as to cause of her condition would be:
A)temperature, 97.6° F; pulse, 98; and blood pressure, 110/60.
B)O2 saturation of 78%.
C)cherry red mucous membranes.
D)cold extremities.
Q2) A spectator at the Little League playoffs in August in Texas faints in the sun-drenched stands.His face is flushed and his skin is hot to the touch.The first responder should assist him to:
A)lie down on the bleacher seat.
B)drink a large iced drink.
C)be seated in the stands, shielded from the sun with an umbrella.
D)a shady area, and sprinkle his clothing with water.
Q3) When all five of the contestants in a custard pie-eating contest arrive at the emergency department with vomiting and diarrhea,the nurse suspects that these signs are related to the contamination of the pies by _______________.
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Page 47
Chapter 46: Care of Patients With Anxiety, mood, and Eating Disorders
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28 Flashcards
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Sample Questions
Q1) The nurse is reviewing the medical history of a patient who is being evaluated for anorexia nervosa.Which characteristic(s)would be consistent with the condition? (Select all that apply.)
A)Loss of 2 to 3 pounds in the past month
B)Binge eating
C)Frequent mood changes
D)Absence of three consecutive menstrual periods
E)Body weight less than 85% of what is expected for height and weight
Q2) The nurse assesses the patient for the signs and symptoms that characterize a major depressive disorder,which are: (Select all that apply.)
A)euphoria.
B)psychomotor retardation.
C)indecisiveness.
D)sleep disturbances.
E)suicidal ideation.
Q3) The nurse takes into consideration that it is estimated that _____% of the population will have some form of anxiety disorder.
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Page 48
Chapter 47: Care of Patients With Substance Abuse Disorders
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse explains that an alternative to disulfiram (Antabuse)is the drug naltrexone (ReVia),which can:
A)cause severe headaches if alcohol is consumed while using the drug.
B)cause a dependence on ReVia rather than on alcohol.
C)release endorphin-like enzymes that mimic intoxication.
D)block craving and prevent relapse.
Q2) The nurse is aware that many people who abuse Cannabis (marijuana)rationalize their use because of the drug's ability to:
A)sedate them.
B)expand their senses.
C)heighten sexual pleasure.
D)be obtained legally for therapeutic purposes.
Q3) Symptomatology related to cessation of drug
A)Abuse
B)Psychological dependence
C)Addiction
D)Tolerance
E)Withdrawal
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Chapter 48: Care of Patients With Cognitive Disorders
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31 Flashcards
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Sample Questions
Q1) The nurse uses the Mini-Mental Status Exam (MMSE)frequently to assess: (Select all that apply.)
A)orientation.
B)judgment.
C)memory.
D)insight.
E)ability to follow directions.
Q2) Donepezil (Aricept)has been prescribed for a patient with Alzheimer's disease.Which statement by the patient and spouse indicates an understanding of the medication?
A)"It is best for me to take the medication at bedtime."
B)"The medication will be most effective if taken on an empty stomach."
C)"Absorption of the medication will be improved if taken with a citrus beverage."
D)"The medication should be taken with meals."
Q3) Uses confabulation to cover memory gaps
A)Cognition
B)Dementia
C)Delirium
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Chapter 49: Care of Patients With Thought and Personality Disorders
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Sample Questions
Q1) The nurse is aware that interventions for the negative symptoms of schizophrenia are based on:
A)establishment of trust.
B)getting the patient to accept medication protocols.
C)supporting patient in interpersonal social activities.
D)promoting conversation with the patient.
Q2) The nurse is receiving beginning-of-shift report.During report,it is communicated that a schizophrenic patient has been admitted to the unit displaying waxy flexibility.Which behavior can the nurse anticipate finding when assessing the patient?
A)Sitting and staring at the wall without speaking
B)Arranging self in several seated postures on the couch
C)Marching stiffly up and down the center of the dayroom
D)Holding his arm over his head with the fist clenched for 1 hour
Q3) The nurse documents episodes of echolalia when,after the nurse has asked a catatonic patient,"Where is your hat?" the patient:
A)excitedly says, "Hat, cat, rat, fat, scat, splat!"
B)begins to cry and says, "I had a hat when my mother drove her yellow car."
C)repeatedly says, "Your hat, your hat, your hat."
D)places his hands on his head, saying, "Where is your hat?"
Page 51
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