Issuu

Nursing Care of Adults Practice Exam

Course Introduction

This course provides an in-depth exploration of nursing concepts and skills necessary for the care of adult patients across a variety of healthcare settings. Emphasizing evidence-based practice, students will learn to assess, plan, implement, and evaluate nursing interventions for adults experiencing acute and chronic health conditions. Key topics include patient safety, health promotion, disease prevention, management of complex health issues, medication administration, psychosocial support, and effective communication within interdisciplinary teams. The course integrates theoretical knowledge with clinical experiences to prepare students for competent and compassionate adult patient care.

Recommended Textbook

Medical Surgical Nursing in Canada 4th Edition by Lewis

Available Study Resources on Quizplus

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

Available Study Resources on Quizplus for this Chatper

16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/3266

Sample Questions

Q1) The nurse is caring for a critically ill client in the intensive care unit and plans an A)Dependent

B)Cooperative

C)Independent

D)Collaborative

Answer: D

Q2) Which of the following includes the components required for a complete nursing diagnosis statement?

A)A problem and the suggested client goals or outcomes.

B)A problem, its cause, and objective data that support the problem.

C)A problem with all its possible causes and the planned interventions.

D)A problem with its etiology and the signs and symptoms of the problem.

Answer: D

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

Chapter 2: Cultural Competence and Health Equity in Nursing Care

Available Study Resources on Quizplus for this Chatper

17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/3267

Sample Questions

Q1) Which of the following statements is true related to immigrants to Canada?

A)Decreased risk of social exclusion related to Canada's multicultural population.

B)New immigrants tend to be in overall better health than the resident population.

C)Health status of immigrants is not related to length of time in Canada.

D)Unemployment is not associated with poorer health outcomes for immigrants.

Answer: B

Q2) Which of the following actions represent the best example of culturally appropriate nursing care when caring for a newly admitted client?

A)Have family members provide most of the client's personal care.

B)Maintain a personal space of at least 0.5 m when assessing the client.

C)Ask permission before touching a client during the physical assessment.

D)Consider the client's ethnicity as the most important factor in planning care.

Answer: C

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

Chapter 3: Health History and Physical Examination

Available Study Resources on Quizplus for this Chatper

15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/3268

Sample Questions

Q1) 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

Q2) The nurse records the following general survey of a client: "The client is a 68-year-old male Asian accompanied by his wife and two daughters. Alert and oriented. Does not make eye contact with the nurse and responds slowly, but appropriately, to questions.Noapparent disabilities or distinguishing features." Which of the following information should be added to this general survey documentation?

A)Nutritional status

B)Intake and output

C)Reasons for contact with the health care system

D)Comments of family members about his condition

Answer: A

To view all questions and flashcards with answers, click on the resource link above. Page 5

Chapter 4: Patient and Caregiver Teaching

Available Study Resources on Quizplus for this Chatper

19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/3269

Sample Questions

Q1) Aclient admitted to the hospital with hyperglycemia and newly diagnosed diabetes mellitus is scheduled for discharge the second day after admission. When implementing client teaching, which is the best action for the nurse to take?

A)Instruct about the increased risk for cardiovascular disease.

B)Provide detailed information about dietary control of glucose.

C)Teach glucose self-monitoring and medication administration.

D)Give information about the effects of exercise on glucose control.

Q2) When using the Transtheoretical Model of Health Behaviour Change during client teaching, the nurse identifies that the client who states, "I told my wife that I was going to start exercising, and I think I will join a fitness club," is in which of the following stages?

A)Preparation

B)Termination

C)Maintenance

D)Contemplation

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

Chapter 5: Chronic Illness

Available Study Resources on Quizplus for this Chatper

18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/3270

Sample Questions

Q1) "Set in motion and continue the trajectory projection and scheme" is a goal of management in which of the following trajectory phases?

A)Pretrajectory

B)Onset

C)Comeback

D)Downward

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 models view disability as directly caused by disease or trauma?

A)Social

B)Nursing

C)Medical

D)Collaborative

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

Page 7

Chapter 6: Community-Based Nursing and Home Care

Available Study Resources on Quizplus for this Chatper

11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/3271

Sample Questions

Q1) Which of these clients should the nurse refer for home health care services?

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

B)An 82-year-old whose family has asked for help to organize pills into a pill box

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

D)A 79-year-old with terminal cancer who needs hospice palliative

Q2) 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

Q3) Afamily caregiver tells the home health nurse, "I feel like I can never get away to do anything for myself." Which action is the most appropriate for the nurse to take?

A)Assist the caregiver in finding respite services.

B)Assure the caregiver that the work is appreciated.

C)Teach the caregiver that family members provide excellent client care.

D)Encourage the caregiver to discuss feelings openly with the nurse as needed.

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

Page 8

Chapter 7: Older Adults

Available Study Resources on Quizplus for this Chatper

19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/3272

Sample Questions

Q1) The home health nurse is caring for an older-adult client who lives alone and is taking seven different prescribed medications for chronic health problems. Which of the following nursing interventions would be most appropriate to ensure medication regimenadherence?

A)Use a marked pillbox to set up the client's medications.

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

C)Remind the client about the importance of taking medications.

D)Visit the client daily to administer the prescribed medications.

Q2) 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.

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

Chapter 8: Stress and Stress Management

Available Study Resources on Quizplus for this Chatper

10 Verified Questions

10 Flashcards

Source URL: https://quizplus.com/quiz/3273

Sample Questions

Q1) Which action should the nurse take to monitor the effects of an acute stressor on a hospitalized client? (Select all that apply.)

A)Assess for bradycardia.

B)Ask about gastrointestinal pain.

C)Observe for decreased appetite.

D)Check for elevated blood glucose levels.

E)Monitor for a decrease in respiratory rate.

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.

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

Chapter 9: Sleep and Sleep Disorders

Available Study Resources on Quizplus for this Chatper

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.

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

Chapter 10: Pain

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3275

Sample Questions

Q1) Aclient with second-degree burns has been receiving morphine through patient-controlled analgesia (PCA) for a week. The client wakes up frequently during the night complaining of pain. Which of the following actions should the nurse implement?

A)Administer a dose of morphine every 1-2 hours from the PCA machine while the client is sleeping.

B)Consult with the health care provider about using a different treatment protocol to control the client's pain.

C)Request that the health care provider order a bolus dose of morphine to be given when the client awakens with pain.

D)Teach the client to push the button every 10 minutes for an hour before going to sleep, even if the pain is minimal.

Q2) The nurse is admitting a client to hospital with a history of chronic cancer pain. When reviewing the client's home medications, which of the following medications should be of most concern?

A)Amitriptyline 50 mg at bedtime

B)Oxycodone 80 mg twice daily

C)Ibuprofen 800 mg three times daily

D)Meperidine 25 mg every 4 hours

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

Page 12

Chapter 11: Substance Use

Available Study Resources on Quizplus for this Chatper

22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/3276

Sample Questions

Q1) The nurse is caring for a client who has a history of ongoing opioid use and has been hospitalized for surgery. After a visit by a friend, the nurse assesses that the client is unresponsive with pinpoint pupils. Which of these prescribed medications will thenurse administer immediately?

A)Naloxone

B)Diazepam

C)Clonidine

D)Methadone

Q2) The nurse is caring for a client who is admitted to the hospital for treatment of an abscess on the left thigh and the client tells the nurse that they use fentanyl illegally. Which of the following symptoms should the nurse anticipate assessing?

A)Nausea and diarrhea

B)Tremors and seizures

C)Lethargy and disorientation

D)Delusions and hallucinations

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

Chapter 12: Complementary and Alternative Therapies

Available Study Resources on Quizplus for this Chatper

11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/3277

Sample Questions

Q1) Which of the following information obtained by the nurse when admitting a client with osteoarthritis may indicate a need for client teaching?

A)The client obtains information about herbal therapies online.

B)The client takes glucosamine daily to prevent knee and hip pain.

C)The client attends a weekly yoga class to improve flexibility and balance.

D)The client states that prayer helps to improve the knee pain and function.

Q2) Aclient who has nausea associated with chemotherapy asks the nurse whether there are any complementary and alternative therapies that might be effective. Which of the following should the nurse discuss with this client?

A)Green tea

B)Acupuncture

C)Black cohosh

D)Chiropractic therapy

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

Chapter 13: Palliative Care at the End of Life

Available Study Resources on Quizplus for this Chatper

15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/3278

Sample Questions

Q1) The nurse is caring for a terminally ill client who has 20-second periods of apnea followed by periods of deep and rapid breathing. Which of the following terms should the nurse use to document this finding?

A)Agonal breathing

B)Apneustic breathing

C)Death rattle respirations

D)Cheyne-Stokes respirations

Q2) The nurse is providing hospice care to a client who is manifesting a decrease in all body system functions except for a heart rate of 124 and a respiratory rate of 28. Which of the following is the basis for the nurses' response about these symptoms?

A)They will continue to increase until death finally occurs.

B)They are a normal response before these functions decrease.

C)They indicate a reflex response to the slowing of other body systems.

D)They may be associated with an improvement in the client's condition.

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

Chapter 14: Inflammation and Wound Healing

Available Study Resources on Quizplus for this Chatper

21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/3279

Sample Questions

Q1) Aclient is admitted to the hospital with a pressure injury on the left buttock. The nurse notes that the base of the wound is yellow and involves subcutaneous tissue. Which of the following pressure injury wound stages should the nurse document?

A)1

B)2

C)3

D)4

Q2) The nurse is assessing a client the morning of the first postoperative day and notes redness and warmth around the incision. Which of the following actions should the nurse implement?

A)Obtain wound cultures.

B)Document the assessment.

C)Notify the health care provider.

D)Assess the wound every 2 hours.

Q3) A client's temperature has been 38.8°C (101.8°F) for several days. The client's normal caloric intake to meet nutritional needs is 2 000 calories per day. Knowing that the metabolic rate increases 13% for every 1°C (33.8°F) increase in temperature above 37.8°C (100°F) in body temperature, calculate the total calories the client should receive each day.

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

Page 16

Chapter 15: Genetics

Available Study Resources on Quizplus for this Chatper

11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/3280

Sample Questions

Q1) Which of the following terms describe the process by which the codon sequence is converted to amino acids?

A)Transcription

B)Mutation

C)Translation

D)Processing

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) The parents of a child with cystic fibrosis ask if their next child will also be affected. Which of the following is the basis for the nurse's response related to autosomal recessive disorders?

A)There is a 25% chance that the child will be affected.

B)All male off-spring are affected.

C)There is a 50% chance that the child will be affected.

D)All female off-spring will be affected.

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

Page 17

Chapter 16: Altered Immune Response and Transplantation

Available Study Resources on Quizplus for this Chatper

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) The nurse is caring for a client at an outpatient clinic who is experiencing an allergic reaction to an unknown allergen. Which of the following actions is most appropriate for the nurse to implement?

A)Perform a focused physical assessment.

B)Obtain the health history from the client.

C)Teach the client about the various diagnostic studies.

D)Administer skin testing by the cutaneous scratch method.

Q3) Which of the following antibodies is involved with an anaphylactic reaction?

A)IgE

B)IgA

C)IgM

D)IgG

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

Page 18

Chapter 17: Infection and Human Immunodeficiency Virus

Infection

Available Study Resources on Quizplus for this Chatper

22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/3282

Sample Questions

Q1) After having a positive rapid-antibody test for HIV, a client is anxious and does not appear to hear what the nurse is saying. Which of the following actions should the nurse implement?

A)Teach the client about the medications available for treatment.

B)Inform the client how to protect sexual and needle-sharing partners.

C)Remind the client about the need to return for retesting to verify the results.

D)Ask the client to notify individuals who have had risky contact with the client.

Q2) The nurse is caring for a client whose HIV status is unknown. Which of these client exposures is most likely to require postexposure prophylaxis for the nurse?

A)Needle stick with a needle and syringe used to draw blood

B)Splash into the eyes when emptying a bedpan containing stool

C)Contamination of open skin lesions with client vaginal secretions

D)Needle stick injury with a suture needle during a surgical procedure

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

Chapter 18: Cancer

Available Study Resources on Quizplus for this Chatper

36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/3283

Sample Questions

Q1) The nurse is caring for a client who is receiving chemotherapy for leukemia. Which of the following observations require intervention by the nurse?

A)The client ambulates several times a day in the room.

B)The client's temperature is 38.2°C (100.8°F).

C)The client cleans with a warm washcloth after having a stool.

D)The client uses soap and shampoo to shower every other day.

Q2) The nurse is caring for a client with Hodgkin's lymphoma who is undergoing external radiation therapy and tells the nurse, "I am so tired I can hardly get out of bed in the morning." Which of the following interventions should the nurse implement?

A)Minimize activity until the treatment is completed.

B)Exercise vigorously when fatigue is not as noticeable.

C)Establish a time to take a short walk almost every day.

D)Consult with a psychiatrist for treatment of depression.

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

Chapter 19: Fluid

Available Study Resources on Quizplus for this Chatper

33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/3284

Sample Questions

Q1) The nurse is caring for a client with a CVAD who suddenly develops chest pain, hypotension, and tachycardia. Which of the following positions should the nurse immediately put the client in?

A)Prone

B)High Fowler's

C)Left lateral with head down D)Sims

Q2) The nurse is caring for a client who is receiving iso-osmolar continuous tube feedings who has developed nausea, vomiting, and tachycardia. Which of the following laboratory results is most important for the nurse to report to the health care provider?

A)K+ 3.4 mmol/L

B)Ca+² 1.95 mmol/L

C)Na+ 128 mmol/L

D)PO4-³ 1.55 mmol/L

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

Chapter 20: Nursing Management Preoperative Care

Available Study Resources on Quizplus for this Chatper

22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/3285

Sample Questions

Q1) 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

Q2) The nurse is providing preoperative teaching to a client who is scheduled for surgery in 3 days. Which of the following information should the nurse include when addressing preoperative sensory information? (Select all that apply.)

A)Warming blankets are available as the operating room is often cold.

B)Lighting in the operating room is low that may cause the client to have blurred vision.

C)The operating room bed is narrow and a safety strap is used to secure the client to the bed.

D)Not to be alarmed by the quiet environment as there is no conversation in the operating room.

E)Machines may be making "ticking and pinging noises" that can be heard.

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

Page 22

Chapter 21: Nursing Management Intraoperative Care

Available Study Resources on Quizplus for this Chatper

19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/3286

Sample Questions

Q1) 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.

Q2) After orienting a new staff member to the scrub nurse role, the nurse preceptor will know that the teaching was effective if the new staff member implements which of the following actions?

A)Documents all client care accurately.

B)Labels all specimens to send to the laboratory.

C)Keeps both hands above the operating table level.

D)Takes the client to the postanaesthesia recovery area.

Q3) Which of the following actions by a member of the surgical team requires rapid intervention by the charge nurse?

A)Wearing street clothes into the nursing station

B)Wearing a surgical mask into the holding room

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

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

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

Page 23

Chapter 22: Nursing Management Postoperative Care

Available Study Resources on Quizplus for this Chatper

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 an older adult in the postanaesthesia unit. Which of the following age-related considerations may impact postoperative recovery?

A)Increased thoracic compliance

B)Decreased ability to cough

C)Increased lung tissue

D)Decreased compliance with deep breathing and coughing

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

Chapter 23: Nursing Assessment Visual and Auditory Systems

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3288

Sample Questions

Q1) The nurse is teaching a client about routine glaucoma testing. Which of the following information should the nurse include in the teaching plan?

A)The test involves reading a Snellen chart at a distance of 6 m.

B)Application of a Tono-pen to the surface of the eye will be needed.

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

D)Medications to dilate the pupil will be used before testing for glaucoma.

Q2) Which assessment information obtained by the nurse when performing an eye examination for an older-adult client indicates that more extensive examination of the eyes is needed?

A)The client's sclerae are light yellow in colour.

B)The client complains of persistent photophobia.

C)The pupil recovers slowly after being stimulated by a penlight.

D)There is a whitish gray ring encircling the periphery of the iris.

Q3) 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."

Page 25

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

Chapter 24: Nursing Management Visual and Auditory

Problems

Available Study Resources on Quizplus for this Chatper

41 Verified Questions

41 Flashcards

Source URL: https://quizplus.com/quiz/3289

Sample Questions

Q1) The nurse is caring for a client with chronic otitis media. Which of the following findings should the nurse expect to assess? (Select all that apply.)

A)Pinked-tinged exudate

B)Pain

C)Nausea

D)Dizziness

E)Hearing loss

Q2) The camp nurse is caring for a client who is complaining of bilateral eye pain after a campfire log exploded, sending sparks into the client's eyes. Which of the following actions should the nurse take first?

A)Apply ice packs to the eyes.

B)Flush the eyes with sterile saline.

C)Cover the eyes with dry sterile patches and protective eye shields.

D)Apply antiseptic ophthalmic ointment from the first-aid kit to the eyes.

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

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

Chapter 25: Nursing Assessment Integumentary System

Available Study Resources on Quizplus for this Chatper

12 Verified Questions

12 Flashcards

Source URL: https://quizplus.com/quiz/3290

Sample Questions

Q1) 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.

Q2) Which assessment information documented in a client's chart indicates that the nurse may need to continue to monitor the skin condition of an 82-year-old client admitted with bacterial pneumonia?

A)"Scattered macular brown areas on extremities"

B)"Skin brown and wrinkled, skin tenting on forearm"

C)"Longitudinal nail bed ridges noted, sparse scalp hair"

D)"Skin moist and intact, states history of allergic rashes"

Q3) The nurse is preparing for a teaching session with older-adult clients. Which of the following changes is an age-related change in the hair?

A)Increased melanocytes

B)Decreased oils

C)Increased density

D)Increased estrogen

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

Page 27

Chapter 26: Nursing Management Integumentary

Problems

Available Study Resources on Quizplus for this Chatper

24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/3291

Sample Questions

Q1) The nurse is caring for a client who has just received a diagnosis of a fungal infection and the client asks the nurse how this will be treated. The nurses' response is based upon knowledge that which of the following bases is the most common for antifungal treatment?

A)Gel

B)Paste

C)Lotion

D)Powder

Q2) The nurse is assessing a client's scalp and suspects the presence of pediculosis when which of the following assessment findings are observed?

A)Ringlike rashes with red, scaly borders over the entire scalp

B)Papular, wheal-like lesions with white deposits on the hair shaft

C)Patchy areas of alopecia with small vesicles and excoriated areas

D)Red, hive-like papules and plaques with sharply circumscribed borders

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

Chapter 27: Nursing Management Burns

Available Study Resources on Quizplus for this Chatper

29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/3292

Sample Questions

Q1) The nurse is caring for a client who has partial-thickness burns. Which of the following prescribed medications will be best for the nurse to use before wound debridement?

A)Ketorolac

B)Lorazepam

C)Gabapentin

D)Hydromorphone

Q2) 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

Q3) 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.

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

Chapter 28: Nursing Assessment Respiratory System

Available Study Resources on Quizplus for this Chatper

22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/3293

Sample Questions

Q1) The nurse is observing a student who is listening to a client's lungs. Which of the following actions by the student indicates a need to review respiratory assessment skills?

A)The student compares breath sounds from side to side.

B)The student listens only over the posterior part of the chest.

C)The student places the stethoscope over the scapulae and then auscultates.

D)The student starts at the base of the posterior lung and moves to the apices.

Q2) The nurse is assessing the respiratory system of an older-adult client. Which of the following findings indicate that the nurse should take immediate action?

A)The chest appears barrel shaped.

B)The client has a weak cough effort.

C)Crackles are heard from the lung bases to the midline.

D)Hyperresonance is present across both sides of the chest.

Q3) Which of the following lung structures has the most generations?

A)Segmental bronchi

B)Subsegmental bronchi

C)Bronchioles

D)Alveoli

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

Chapter 29: Nursing Management Upper Respiratory

Problems

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3294

Sample Questions

Q1) The nurse is preparing a teaching plan for a client with acute sinusitis. Which of the following interventions should be included in the plan? (Select all that apply.)

A)Taking a hot shower will increase sinus drainage and decrease pain.

B)Over-the-counter (OTC) decongestants can be used as required.

C)Saline nasal spray can be made at home and used to wash out secretions.

D)Blowing the nose forcefully should be avoided to decrease nosebleed risk.

E)You will be more comfortable if you keep your head in an upright position.

Q2) The nurse is providing teaching to a client who has acute viral rhinitis about management of upper respiratory infections (URI). Which of the following client statements indicate that additional teaching is needed?

A)"I can take acetaminophen to treat discomfort."

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

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

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

Q3) Which of the following causes is the most common cause of acute pharyngitis?

A)Fungal

B)Viral

C)Acute follicular

D)Peritonsillar

To view all questions and flashcards with answers, click on the resource link above. Page 31

Chapter 30: Nursing Management Lower Respiratory

Problems

Available Study Resources on Quizplus for this Chatper

43 Verified Questions

43 Flashcards

Source URL: https://quizplus.com/quiz/3295

Sample Questions

Q1) The health care provider inserts a chest tube in a client with a hemo-pneumothorax. When monitoring the client after the chest tube placement, which of the following findings is of greatest concern?

A)A large air leak in the water-seal chamber

B)400 mL of blood in the collection chamber

C)Complaint of pain with each deep inspiration

D)Subcutaneous emphysema at the insertion site

Q2) After 2 months of tuberculosis (TB) treatment with a standard four-drug regimen, a client continues to have positive sputum smears for acid-fast bacilli (AFB). Which of the following actions should the nurse take next?

A)Ask the client whether medications have been taken as directed.

B)Discuss the need to use some different medications to treat the TB.

C)Schedule the client for directly observed therapy three times weekly.

D)Educate about using a 2-drug regimen for the last 4 months of treatment.

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

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

Chapter 31: Nursing Management Obstructive Pulmonary Diseases

Available Study Resources on Quizplus for this Chatper

42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/3296

Sample Questions

Q1) After the nurse has finished teaching a client about pursed lip breathing, which of the following client actions indicate that more teaching is needed?

A)The client inhales slowly through the nose.

B)The client tenses the neck muscles while exhaling.

C)The client practises by blowing through a straw.

D)The client's ratio of inhalation to exhalation is 1:3.

Q2) The nurse is developing a teaching plan to help increase activity tolerance at home for a 70-year-old client with severe chronic obstructive pulmonary disease (COPD). Which of the following exercise goals should the nurse teach the client?

A)Walk until pulse rate exceeds 130.

B)Walk for a total of 20 minutes daily.

C)Exercise until shortness of breath occurs.

D)Limit exercise to activities of daily living (ADLs).

Q3) Which of the following information should the nurse teach a client with COPD?

A)To exercise immediately before a meal.

B)To eat a high-calorie, low-protein diet.

C)To have 5 or 6 small meals a day.

D)Avoid foods that are cooked in a microwave.

To view all questions and flashcards with answers, click on the resource link above. Page 33

Chapter 32: Nursing Assessment Hematological System

Available Study Resources on Quizplus for this Chatper

16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/3297

Sample Questions

Q1) The nurse is caring for a client with a chronic iron-deficiency anemia. Which of the following assessment findings should the nurse anticipate?

A)Yellow-tinged sclerae

B)Shiny, smooth tongue

C)Numbness of the extremities

D)Gum bleeding and tenderness

Q2) The nurse is providing discharge teaching to a client who has had an emergency splenectomy following an automobile accident. Which of the following events should the nurse inform the client that they are at an increased risk of developing?

A)Infection

B)Lymphedema

C)Chronic anemia

D)Prolonged bleeding

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

Chapter 33: Nursing Management Hematological Problems

Available Study Resources on Quizplus for this Chatper

39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/3298

Sample Questions

Q1) The nurse is caring for a client with an acute exacerbation of polycythemia vera. Which of the following actions should the nurse implement during treatment?

A)Place the client on bed rest.

B)Administer iron supplements.

C)Avoid use of Aspirin products.

D)Monitor fluid intake and output.

Q2) The nurse is admitting a client with type A hemophilia who has severe pain and swelling in the right knee. Which of the following actions should the nurse implement initially?

A)Immobilize the knee

B)Apply heat to the joint

C)Assist the client with light weight bearing

D)Perform passive range of motion to the knee

Q3) When a febrile episode occurs in a client with neutropenia, at what time should antibiotic therapy be initiated?

A)Within 1 hour

B)After the causative agent is identified from the culture

C)Once the fever drops below 38°C (100.4°F)

D)For long-term therapy over 3 months

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

Page 35

Chapter 34: Nursing Assessment Cardiovascular System

Available Study Resources on Quizplus for this Chatper

20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/3299

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 a newly admitted client and notes a thrill along the left sternal border. To obtain more information about the cause of the thrill, which of the following actions should the nurse take next?

A)Auscultate for any cardiac murmurs.

B)Find the point of maximal impulse.

C)Compare the apical and radial pulse rates.

D)Palpate the quality of the peripheral pulses.

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

Chapter 35: Nursing Management Hypertension

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3300

Sample Questions

Q1) Which of the following nursing actions should the nurse take first in order to assist a client with newly diagnosed stage 1 hypertension in making needed dietary changes?

A)Have the client record dietary intake for 3 days.

B)Give the client a detailed list of low-sodium foods.

C)Teach the client about foods that are high in sodium.

D)Help the client make an appointment with a dietitian.

Q2) The nurse obtains this information from a client with prehypertension. Which of the following findings is most important to address with the client?

A)Low dietary fibre intake

B)No regular aerobic exercise

C)BMI of 23 kg/m²

D)Drinks wine with dinner once a week

Q3) Which of the following actions should the nurse in the hypertension clinic take in order to obtain an accurate baseline blood pressure (BP) for a new client?

A)Obtain a BP reading in each arm and average the results.

B)Deflate the BP cuff at a rate of 5-10 mm Hg/second.

C)Have the client sit in a chair.

D)Assist the client to the supine position for BP measurements.

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

Chapter 36: Nursing Management Coronary Artery Disease

and Acute Coronary Syndrome

Available Study Resources on Quizplus for this Chatper

37 Verified Questions

37 Flashcards

Source URL: https://quizplus.com/quiz/3301

Sample Questions

Q1) The nurse is caring for a client who was admitted the previous day to the coronary care unit with an acute myocardial infarction. Which of the following information should the nurse include in the teaching plan for the client?

A)Typical emotional responses to AMI

B)When client cardiac rehabilitation will begin.

C)Discharge drugs such as Aspirin and ?-blockers.

D)The pathophysiology of coronary artery disease.

Q2) The nurse is caring for a client with acute coronary syndrome who has returned to the coronary care unit after having percutaneous coronary intervention and the nurse obtains these assessment data. Which of the following data indicate the need for immediate intervention by the nurse?

A)Pedal pulses 1+

B)Heart rate 100 beats/minute

C)Blood pressure 104/56 mm Hg

D)Chest pain level 8 on a 10-point scale

To view all questions and flashcards with answers, click on the resource link above. Page 38

Chapter 37: Nursing Management Heart Failure

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3302

Sample Questions

Q1) The home health nurse is visiting a client with chronic heart failure who has prescriptions for a diuretic, an ACE-inhibitor, and a low-sodium diet and tells the nurse about a 2.3 kg weight gain in the last 3 days. Which of the following actions shouldthenurse do first?

A)Ask the client to recall the dietary intake for the last 3 days.

B)Question the client about the use of the prescribed medications.

C)Assess the client for clinical manifestations of acute heart failure.

D)Teach the client about the importance of dietary sodium restrictions.

Q2) The nurse is conducting a health history on a client with heart failure. Which of the following conditions in the client's health history is a precipitating cause of heart failure?

A)Hyperthyroidism

B)Anemia

C)Hypovolemia

D)Diabetes

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

Chapter 38: Nursing Management Dysrhythmias

Available Study Resources on Quizplus for this Chatper

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 administers IV atropine to a client with symptomatic type 1, second-degree atrioventricular (AV) block. Which of the following findings indicate that the medication has been effective?

A)Increase in the client's heart rate

B)Decrease in premature contractions

C)Increase in peripheral pulse volume

D)Decrease in ventricular ectopic beats

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.

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

Chapter 39: Nursing Management Inflammatory and Structural

Heart Disorders

Available Study Resources on Quizplus for this Chatper

28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/3304

Sample Questions

Q1) The nurse is taking a health history from a 24-year-old client with hypertrophic cardiomyopathy (HC). Which of the following information obtained by the nurse is most relevant?

A)The client reports using cocaine once at age 16.

B)The client has a history of a recent upper respiratory infection.

C)The client's 29-year-old brother had a sudden cardiac arrest.

D)The client has a family history of coronary artery disease.

Q2) The nurse is caring for a client who had an acute myocardial infarction (MI) 3 days prior and has symptoms of stabbing chest pain that increases with deep breathing. Which of the following actions should the nurse take first?

A)Auscultate the heart sounds.

B)Check the client's oral temperature.

C)Notify the client's health care provider.

D)Give the ordered acetaminophen.

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

Chapter 40: Nursing Management Vascular Disorders

Available Study Resources on Quizplus for this Chatper

31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/3305

Sample Questions

Q1) The nurse is admitting a client to the emergency department with a history of an abdominal aortic aneurysm with severe back pain and absent pedal pulses. Which of the following actions should the nurse take first?

A)Obtain the blood pressure.

B)Ask the client about tobacco use.

C)Draw blood for ordered laboratory testing.

D)Assess for the presence of an abdominal bruit.

Q2) The nurse is providing teaching to a client with newly diagnosed Raynaud's phenomenon about how to manage the condition. Which of the following behaviours by the client indicates that the teaching has been effective?

A)The client avoids the use of Aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs).

B)The client exercises indoors during the winter months.

C)The client places the hands in hot water when they turn pale.

D)The client takes pseudoephedrine for cold symptoms.

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 .

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

Chapter 41: Nursing Assessment Gastro-intestinal System

Available Study Resources on Quizplus for this Chatper

16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/3306

Sample Questions

Q1) The nurse is listening to a client's abdomen. Which of the following findings indicate a need for a focused abdominal assessment?

A)Loud gurgles

B)High-pitched gurgles

C)Absent bowel sounds

D)Frequent clicking sounds

Q2) Which of the following assessment findings in a client who is being admitted to the hospital is most important to report to the health care provider?

A)Tympany on percussion of the abdomen

B)Liver edge 3 cm below the costal margin

C)Bowel sounds of 20/minute in each quadrant

D)Aortic pulsations visible in the epigastric area

Q3) The nurse is assessing an alert and independent older-adult client in the clinic for malnutrition risk. Which of the following questions is best as the initial assessment question?

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

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

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

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

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

Page 43

Chapter 42: Nursing Management Nutritional Problems

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3307

Sample Questions

Q1) The nurse is caring for a client with anorexia nervosa who is 163 cm tall and weighs 41 kg. Laboratory tests reveal hypokalemia and iron-deficiency anemia. Which of the following nursing diagnoses has the highest priority for the client?

A)Risk for activity intolerance as evidenced by physical deconditioning

B)Risk for electrolyte imbalance as evidenced by insufficient fluid volume

C)Ineffective health maintenance related to ineffective coping strategies (obsession with body image)

D)Imbalanced nutrition: less than body requirements related to insufficient dietary intake

Q2) The nurse is admitting a client with a body mass index (BMI) of 17 kg/m2 and a low albumin level. Which of the following assessment findings should the nurse expect to find?

A)Restlessness

B)Hypertension

C)Pitting edema

D)Food allergies

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

Chapter 43: Nursing Management Obesity

Available Study Resources on Quizplus for this Chatper

19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/3308

Sample Questions

Q1) Which of the following assessments should the nurse do to help determine if an obese client seen in the clinic has metabolic syndrome?

A)Take the client's apical pulse.

B)Check the client's blood pressure.

C)Ask the client about dietary intake.

D)Dipstick the client's urine for protein.

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.

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

Chapter 44: Nursing Management Upper Gastro-intestinal

Problems

Available Study Resources on Quizplus for this Chatper

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) The health care provider prescribes the following therapies for a client who has been admitted with dehydration and hypotension after 3 days of nausea and vomiting. Which order should the nurse implement first?

A)Infuse normal saline at 250 mL/hour.

B)Administer IV ondansetron.

C)Provide oral care with moistened swabs.

D)Insert a nasogastric (NG) tube.

Q3) All of the following prescriptions are received for a client who has vomited 1 500 mL of bright red blood. Which order will the nurse implement first?

A)Insert a nasogastric (NG) tube and connect to suction.

B)Administer intravenous (IV) famotidine 40 mg.

C)Draw blood for typing and crossmatching.

D)Infuse 1 000 mL of lactated Ringer's solution.

Page 46

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

Chapter 45: Nursing Management Lower Gastro-intestinal

Problems

Available Study Resources on Quizplus for this Chatper

46 Verified Questions

46 Flashcards

Source URL: https://quizplus.com/quiz/3310

Sample Questions

Q1) Which of the following nursing actions is most important to include in the plan of care for a client who had an abdominal-perineal resection the previous day?

A)Teach about a low-residue diet.

B)Monitor output from the stoma.

C)Assess the perineal drainage and incision.

D)Encourage acceptance of the colostomy stoma.

Q2) Before undergoing a colon resection for cancer of the colon, a client has an elevated carcinoembryonic antigen (CEA) test. Which of the following explanations should the nurse provide to the client about this test?

A)It confirms the diagnosis of colon cancer.

B)It monitors the tumour status after surgery.

C)It identifies the extent of cancer spread or metastasis.

D)It determines the need for postoperative chemotherapy.

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

Chapter 46: Nursing Management Liver

Available Study Resources on Quizplus for this Chatper

40 Verified Questions

40 Flashcards

Source URL: https://quizplus.com/quiz/3311

Sample Questions

Q1) The nurse is caring for a client following an incisional cholecystectomy for cholelithiasis. Which of the following actions is priority for the nurse to implement?

A)Client education about low-fat food choices

B)Perform leg exercises hourly while awake.

C)Ambulate the evening of the operative day.

D)Turn, cough, and deep breathe every 2 hours.

Q2) 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

Q3) Which of the following diagnoses is often a misdiagnosis for older-adult clients with liver disease?

A)Fulminate hepatic failure

B)Cirrhosis

C)Dementia

D)Epstein-Barr virus

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

Page 48

Chapter 47: Nursing Assessment Urinary System

Available Study Resources on Quizplus for this Chatper

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) The nurse is admitting an older-adult client with benign prostatic hyperplasia. Which of the following actions should be included in the nursing plan of care?

A)Limit fluid intake to no more than 1 500 mL/day.

B)Leave a light on in the bathroom during the night.

C)Pad the client's bed to accommodate overflow incontinence.

D)Ask the client to use a urinal so that all urine can be measured.

Q3) For which of the following purposes does the nurse use auscultation during assessment of the urinary system?

A)Check for ureteral peristalsis.

B)Assess for bladder distension.

C)Identify renal artery or aortic bruits.

D)Determine the position of the kidneys.

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

Page 49

Chapter 48: Nursing Management Renal and Urologic

Problems

Available Study Resources on Quizplus for this Chatper

39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/3313

Sample Questions

Q1) The nurse is caring for a client with benign prostatic hyperplasia (BPH) and a markedly distended bladder who is agitated and confused. Which of the following interventions prescribed by the health care provider should the nurse implement first?

A)Insert a urinary retention catheter.

B)Schedule an intravenous pyelogram.

C)Administer lorazepam 0.5 mg PO.

D)Draw blood for blood urea nitrogen (BUN) and creatinine testing.

Q2) The nurse is caring for a client who is two days postoperative with an ileal conduit, and the client will not look at the stoma or participate in care, and insists that no one but the ostomy nurse specialist care for the stoma. Which of the following nursingdiagnoses best reflects the data that the nurse has obtained?

A)Anxiety related to threat to current status (effects of procedure on lifestyle)

B)Disturbed body image related to alteration in self-perception

C)Ineffective coping related to insufficient sense of control

D)Ineffective denial related to ineffective coping strategies (denial of altered body function)

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

Chapter 49: Nursing Management Acute Kidney Injury and Chronic Kidney Disease

Available Study Resources on Quizplus for this Chatper

36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/3314

Sample Questions

Q1) The nurse is caring for a client with stage 2 chronic kidney disease (CKD) who is scheduled for an intravenous pyelogram (IVP). Which of the following prescriptions for the client should the nurse question?

A)NPO for 6 hours before IVP procedure

B)Normal saline 500 mL IV before procedure

C)Ibuprofen 400 mg PO PRN for pain

D)Dulcolax suppository 4 hours before IVP procedure

Q2) The RN observes a nursing student carrying out all of these actions while caring for a client with stage 2 chronic kidney disease. Which of the following actions require the RN to intervene?

A)The student administers erythropoietin subcutaneously.

B)The student assists the client to ambulate in the hallway.

C)The student gives the iron supplement and phosphate binder with lunch.

D)The student carries a tray containing low-protein foods into the client's room.

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

Chapter 50: Nursing Assessment Endocrine System

Available Study Resources on Quizplus for this Chatper

20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/3315

Sample Questions

Q1) When reviewing the laboratory results for a client's total calcium level, which of the following information should the nurse consider?

A)The blood glucose is elevated.

B)The phosphate level is normal.

C)The serum albumin level is low.

D)The magnesium level is normal.

Q2) The nurse is interviewing a client who has a possible thyroid disorder. Which of the following questions will provide the most useful information?

A)"What methods do you use to help cope with stress?"

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

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

D)"Have you had any recent unplanned weight gain or loss?"

Q3) Aclient who has diabetes mellitus asks the nurse what the glycosylated hemoglobin (HbA1C) test measures. Which of the following explanations should be the basis of the nurse's response?

A)Glucose levels 2 hours after a meal

B)Circulating, non-fasting glucose levels

C)Glucose control over the past 3 months

D)Hypoglycemic episodes in the past 90 days

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

Page 52

Chapter 51: Nursing Management Endocrine Problems

Available Study Resources on Quizplus for this Chatper

39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/3316

Sample Questions

Q1) The nurse is admitting a client with Graves' disease to the emergency department in thyrotoxic crisis. Which of these prescribed medications should the nurse administer first?

A)propranolol

B)propylthiouracil

C)methimazole

D)iodine

Q2) The nurse is caring for a client with a diagnosis of Cushing's syndrome. Which of the following data should the nurse anticipate finding during the admission assessment?

A)Chronically low blood pressure

B)Bronzed appearance of the skin

C)Decreased axillary and pubic hair

D)Purplish red streaks on the abdomen

Q3) Which of the following information should the nurse include when teaching a client about use of somatropin?

A)The medication will improve vaginal dryness.

B)Inject the medication subcutaneously every day.

C)Blood glucose levels will decrease when taking the medication.

D)Stop taking the medication if swelling of the hands or feet occurs.

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

Page 53

Chapter 52: Nursing Management Diabetes Mellitus

Available Study Resources on Quizplus for this Chatper

39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/3317

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) Which of the following information about a client who receives rosiglitazone is most important for the nurse to report immediately to the health care provider?

A)The client's blood pressure is 154/92.

B)The client has a history of emphysema.

C)The client's noon blood glucose is 4.7 mmol/L.

D)The client has chest pressure when ambulating.

Q3) Aclient who has type 1 diabetes plans to take a swimming class daily at 1:00 P.M.

Which of the following instructions should the nurse teach to the client?

A)Check glucose level before, during, and after swimming.

B)Delay eating the noon meal until after the swimming class.

C)Increase the morning dose of neutral protamine Hagedorn (NPH) insulin.

D)Time the morning insulin injection so that the peak occurs while swimming.

To view all questions and flashcards with answers, click on the resource link above. Page 54

Chapter 53: Nursing Assessment Reproductive System

Available Study Resources on Quizplus for this Chatper

18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/3318

Sample Questions

Q1) The following clients call the outpatient clinic. Which phone call should the nurse return first?

A)A client who has severe breast tenderness following a breast biopsy

B)A client who has bloody discharge after a hysteroscopy earlier today

C)A client who is complaining of dyspnea after a pelvic computed tomography (CT) with contrast

D)A client who is experiencing shoulder pain after a laparoscopy yesterday

Q2) A client calls the clinic and tells the nurse, "My menstrual period is very heavy. I have to change my tampon every 4 hours." Which of the following actions should the nurse take next?

A)Tell the client that her flow is not unusually heavy.

B)Schedule the client for an appointment later that day.

C)Ask the client how heavy her usual menstrual flow is.

D)Have the client call again if the heavy flow continues.

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

Chapter 54: Nursing Management Breast Disorders

Available Study Resources on Quizplus for this Chatper

25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/3319

Sample Questions

Q1) The nurse is conducting a breast assessment on a female client. Which of the following findings is most indicative of a need for further evaluation?

A)Bilateral nodules that are tender with palpation

B)A nodule that is 1 cm in size, painless, and firm

C)A lump that increases in size before the menstrual period

D)A lump that is small, mobile, and has a rubbery consistency

Q2) The pathology report for a client who has had a modified radical mastectomy identifies the tumour as an estrogen-receptor positive adenocarcinoma. Which of the following medications should the nurse include when teaching the client?

A)Estradiol

B)Raloxifene

C)Tamoxifen

D)Trastuzumab

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

Chapter 55: Nursing Management Sexually Transmitted

Infections

Available Study Resources on Quizplus for this Chatper

16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/3320

Sample Questions

Q1) When a client returns to the clinic for follow-up after treatment for gonococcal urethritis, a purulent urethral discharge is still present. When trying to determine the reason for the recurrent infection, which of the following questions is best for the nurse to ask the client?

A)"Did you take the prescribed antibiotic for a week?"

B)"Did you drink at least 2 quarts of fluids every day?"

C)"Were your sexual partners treated with antibiotics?"

D)"Do you wash your hands after using the bathroom?"

Q2) The nurse is assessing a female client who being seen in the family medicine clinic for an annual physical exam. Which of the following information should the nurse plan to teach the client about?

A)Testing for chlamydia infection

B)Immunization for herpes simplex

C)The relationship between the herpes virus and cervical cancer

D)The risk of infertility associated with the human papillomavirus (HPV)

To view all questions and flashcards with answers, click on the resource link above. Page 57

Chapter 56: Nursing Management Female Reproductive Problems

Available Study Resources on Quizplus for this Chatper

42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/3321

Sample Questions

Q1) The nurse is caring for a client who tells the nurse that she has noticed increasing headaches with dizziness, abdominal bloating, and unexplained anxiety occurring before her menstrual periods. Which of the following actions is best for the nurse to take at this time?

A)Ask the client to write down her symptoms in a diary for 3 months.

B)Suggest that the client try aerobic exercise to decrease her symptoms.

C)Teach the client about appropriate lifestyle changes to reduce premenstrual syndrome (PMS) symptoms.

D)Advise the client to use nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen to control symptoms.

Q2) The nurse is admitting a client with multiple uterine leiomyomas for an abdominal hysterectomy. Which of the following topics should the nurse include in client teaching?

A)Leg exercises and the purpose of frequent ambulation

B)Temporary decrease in vaginal sensation after surgery

C)Adverse effects of systemic chemotherapy or radiation

D)Symptoms caused by the sudden drop in estrogen level

To view all questions and flashcards with answers, click on the resource link above. Page 58

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 assessing a client with benign prostatic hyperplasia (BPH). Which of the following symptoms should the nurse assess to determine the severity of the BPH?

A)Blood in the urine

B)Lower back or hip pain

C)Erectile dysfunction (ED)

D)Strength of the urinary stream

Q2) The nurse is preparing a teaching plan for a client with symptomatic benign prostatic hyperplasia (BPH) who is scheduled for photovaporization of the prostate (PVP) at an outpatient surgical centre. Which of the following information should the nurse include in the teaching plan?

A)How to care for an in-dwelling urinary catheter?

B)The urine will appear bloody for several days.

C)Complications associated with urethral stenting

D)Symptom improvement will occur in 2-3 weeks.

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

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) Propranolol, a ?-adrenergic blocker that inhibits sympathetic nervous system activity, is prescribed for a client. Which of the following assessments should the nurse monitor?

A)Dry mouth

B)Constipation

C)Slowed pulse

D)Urinary retention

Q2) Aclient has a lesion that affects lower motor neurons. During assessment of the client's lower extremities, which of the following findings should the nurse expect?

A)Spasticity

B)Flaccidity

C)Loss of sensation

D)Hyperactive reflexes

Q3) Which of the following equipment should the nurse obtain to assess vibration sense in a client who has peripheral nerve dysfunction?

A)Sharp pin

B)Tuning fork

C)Reflex hammer

D)Calibrated compass

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

Page 60

Chapter 59: Nursing Management Acute Intracranial

Problems

Available Study Resources on Quizplus for this Chatper

36 Verified Questions

36 Flashcards

Source URL: https://quizplus.com/quiz/3324

Sample Questions

Q1) The nurse is monitoring a client's intracranial pressure (ICP) with an intraventricular catheter. Which of the following information obtained by the nurse is most important to communicate to the health care provider?

A)Oral temperature 38.7°C (101.7°F)

B)Apical pulse 102 beats/minute

C)Intracranial pressure 15 mm Hg

D)Mean arterial pressure 90 mm Hg

Q2) A client is brought to the emergency department (ED) by ambulance after being found unconscious on the bathroom floor by the partner. Which of the following actions should the nurse take first?

A)Obtain oxygen saturation.

B)Check pupil reaction to light.

C)Palpate the head for hematoma.

D)Assess Glasgow Coma Scale (GCS).

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

Chapter 60: Nursing Management Stroke

Available Study Resources on Quizplus for this Chatper

29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/3325

Sample Questions

Q1) The nurse identifies the nursing diagnosis of imbalanced nutrition: less than body requirements related to insufficient dietary intake (secondary to impaired self-feeding ability) for a client with right-sided hemiplegia. Which of the following interventionsshould be included in the plan of care?

A)Provide a wide variety of food choices.

B)Provide oral care before and after meals.

C)Assist the client to eat with the left hand.

D)Teach the client the "chin-tuck" technique.

Q2) The nurse obtains all of the following information about a client in the clinic. When developing a plan to decrease stroke risk, which of the following risk factors is most important for the nurse to address?

A)The client has a daily glass of wine to relax.

B)The client is 13 kg above the ideal weight.

C)The client works at a desk and relaxes by watching television.

D)The client's blood pressure is usually about 180/90 mm Hg.

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

Chapter 61: Nursing Management Chronic Neurological

Problems

Available Study Resources on Quizplus for this Chatper

33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/3326

Sample Questions

Q1) A client tells the nurse about using acetaminophen several times every day for recurrent bilateral headaches. Which of the following actions should the nurse take first?

A)Discuss the need to stop taking the acetaminophen.

B)Suggest the use of biofeedback for headache control.

C)Teach the client about magnetic resonance imaging (MRI).

D)Describe the use of botulism toxin (BOTOX) for headaches.

Q2) The nurse is assessing a client with myasthenia gravis. Which of the following parameters is most important for the nurse to assess?

A)Check pupillary size.

B)Monitor grip strength.

C)Observe respiratory effort.

D)Assess level of consciousness.

Q3) Which of the following prescribed interventions will the nurse implement first for a hospitalized client who is experiencing continuous tonic-clonic seizures?

A)Give phenytoin 100 mg IV.

B)Monitor level of consciousness.

C)Obtain computed tomography scan.

D)Administer lorazepam 4 mg IV.

To view all questions and flashcards with answers, click on the resource link above. Page 63

Chapter 62: Nursing Management Delirium

Available Study Resources on Quizplus for this Chatper

16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/3327

Sample Questions

Q1) The nurse is caring for a long-term care client with moderate dementia who develops increased restlessness and agitation. Which of the following actions should the nurse implement initially?

A)Reorient the client to time, place, and person.

B)Administer the PRN dose of lorazepam.

C)Assess for factors that might be causing discomfort.

D)Have a nursing assistant stay with the client to ensure safety.

Q2) To determine whether a new client's confusion is caused by dementia or delirium, which of the following actions should the nurse take?

A)Assess the client using the Mini-Mental Status Exam.

B)Obtain a list of the medications that the client usually takes.

C)Determine whether there is positive family history of dementia.

D)Use the Confusion Assessment Method tool to assess the client.

Q3) Which of the following interventions should the nurse include in the plan of care for a client who has late-stage Alzheimer's disease (AD)?

A)Encourage the client to discuss events from the past.

B)Maintain a consistent staff member for the client's care.

C)Reorient the client to the date and time every 2-3 hours.

D)Provide the client with current newspapers and magazines.

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

Page 64

Chapter 63: Nursing Management Peripheral Nerve and Spinal Cord Problems

Available Study Resources on Quizplus for this Chatper

29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/3328

Sample Questions

Q1) The nurse is admitting a client with a spinal cord injury. Which of the following collaborative and nursing actions should the nurse do immediately? (Select all that apply.)

A)Stabilize spine with sand bags.

B)Nasogastric (NG) tube feeding

C)Ensure patency of airway.

D)Avoidance of cool room temperature

E)Insert Foley catheter.

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.

To view all questions and flashcards with answers, click on the resource link above. Page 65

Chapter 64: Nursing Assessment Musculo-skeletal System

Available Study Resources on Quizplus for this Chatper

16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/3329

Sample Questions

Q1) The nurse is assessing a new client in the clinic. Which of the following information about the client's medications should be of most concern?

A)The client takes a daily multivitamin and calcium supplement.

B)The client has migraine headaches that are treated with nonsteroidal anti-inflammatory drugs (NSAIDs).

C)The client has severe asthma and requires frequent therapy with oral steroids.

D)The client takes hormone replacement therapy (HRT) to prevent "hot flashes."

Q2) The nurse is assessing a client in the clinic who has knee pain following an arthroscopic procedure 7 days previously and has just had an arthrocentesis. Which of the following findings should be of most concern to the nurse?

A)Scant thin fluid

B)Sanguineous fluid

C)Straw-coloured fluid

D)Purulent appearing fluid

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

Chapter 65: Nursing Management Musculo-skeletal

Trauma and Orthopedic Surgery

Available Study Resources on Quizplus for this Chatper

40 Verified Questions

40 Flashcards

Source URL: https://quizplus.com/quiz/3330

Sample Questions

Q1) The nurse is counselling a client about ways to prevent fractures. Which of the following information should the nurse include?

A)Tack down throw rugs in the home.

B)Most falls happen outside the home.

C)Buy shoes that provide good support and are comfortable to wear.

D)Range-of-motion exercises should be taught by a physical therapist.

Q2) The nurse is preparing a client who had an above-the-knee amputation for discharge. Which of the following client statements indicates that the nurse's discharge teaching has been effective?

A)"I should lay on my abdomen for 30 minutes three or four times a day."

B)"I should elevate my residual limb on a pillow two or three times a day."

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

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

Q3) Before assisting a client with ambulation on the day after a total hip replacement, which of the following actions is most important for the nurse to implement?

A)Administer the ordered oral opioid pain medication.

B)Instruct the client about the benefits of ambulation.

C)Ensure that the incisional drain has been discontinued.

D)Change the hip dressing and document the wound appearance.

Page 67

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

Chapter 66: Nursing Management Musculo-skeletal

Problems

Available Study Resources on Quizplus for this Chatper

19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/3331

Sample Questions

Q1) The nurse is caring for a client who has Paget's disease and is prescribed salmon calcitonin and acetaminophen. Which of the following assessment information will the nurse obtain to evaluate the effectiveness of these medications?

A)Pain level

B)Oral intake

C)Daily weight

D)Grip strength

Q2) Which of the following menu choices by a client with osteoporosis indicates that the nurse's teaching about appropriate diet has been effective?

A)Pancakes with syrup and bacon

B)Whole wheat toast and fruit jelly

C)Two-egg omelette and a half grapefruit

D)Oatmeal with skim milk and fruit yogourt

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

Chapter 67: Nursing Management Arthritis and Connective

Tissue Diseases

Available Study Resources on Quizplus for this Chatper

42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/3332

Sample Questions

Q1) The nurse is caring for a client with an acute exacerbation of rheumatoid arthritis and is prescribed prednisone. Which of the following laboratory results should the nurse monitor to determine whether the medication has been effective?

A)Blood glucose test

B)Liver function tests

C)C-reactive protein level

D)Serum electrolyte levels

Q2) The nurse is caring for a client with an exacerbation of rheumatoid arthritis (RA) and is taking prednisone 40 mg daily. Which of these assessment data obtained by the nurse indicate that the client is experiencing an adverse effect of the medication?

A)The client's blood glucose is 9.2 mmol/L.

B)The client has no improvement in symptoms.

C)The client has experienced a recent 2.5 kg weight loss.

D)The client's erythrocyte sedimentation rate (ESR) has increased.

To view all questions and flashcards with answers, click on the resource link above. Page 69

Chapter 68: Nursing Management Critical Care

Environment

Available Study Resources on Quizplus for this Chatper

37 Verified Questions

37 Flashcards

Source URL: https://quizplus.com/quiz/3333

Sample Questions

Q1) The nurse is assessing a client with a central venous catheter and notes the catheter insertion site is red and tender and the client's temperature is 38.8°C (101.8°F). Which of the following actions should the nurse implement?

A)Administer analgesics and antibiotics.

B)Check the site frequently for any swelling.

C)Discontinue the catheter and culture the tip.

D)Change the flush system and monitor the site.

Q2) The intensive care unit nurse educator is teaching a new staff nurse about hemodynamic monitoring. Which of the following actions indicates that the teaching has been effective?

A)Positions the zero-reference stopcock line level with the phlebostatic axis

B)Balances and calibrates the hemodynamic monitoring equipment every hour

C)Rechecks the location of the phlebostatic axis when changing the client's position

D)Ensures that the client is lying supine with the head of the bed flat for all readings

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?

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

Page 70

Chapter 69: Nursing Management Shock

Available Study Resources on Quizplus for this Chatper

25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/3334

Sample Questions

Q1) The nurse is caring for a client with septic shock who has had a urine output of 20 mL/hour for the past 3 hours. The pulse rate is 120 and the central venous pressure and pulmonary artery wedge pressure are low. Which of the following orders by the healthcare provider should the nurse question?

A)Administer furosemide 40 mg IV.

B)Increase normal saline infusion to 150 mL/hour.

C)Administer hydrocortisone 100 mg IV.

D)Administer dopamine 5 mcg/kg/minute IV.

Q2) The nurse is caring for a client with septic shock who has a BP of 70/46 mm Hg, pulse 136, respirations 32, temperature 40°C (104°F), and blood glucose 13.7 mmol/L. Which of the following prescribed interventions will the nurse implement first?

A)Give normal saline IV at 500 mL/hour.

B)Infuse Drotrecogin-? 24 mcg/kg.

C)Start insulin drip to maintain blood glucose at 11-15 mmol/L.

D)Titrate norepinephrine to keep mean arterial pressure (MAP) at 65-70 mm Hg.

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

Chapter 70: Nursing Management Respiratory Failure and

Acute Respiratory Distress Syndrome

Available Study Resources on Quizplus for this Chatper

23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/3335

Sample Questions

Q1) The nurse is caring for a client with respiratory failure who has a respiratory rate of 8/min and a SpO2 of 89%. The client is increasingly lethargic. Which of the following actions should the nurse anticipate?

A)Administration of 100% oxygen by non-rebreather mask

B)Endotracheal intubation and positive pressure ventilation

C)Insertion of a mini-tracheostomy with frequent suctioning

D)Initiation of bilevel positive pressure ventilation (BiPAP)

Q2) After receiving change-of-shift report, which of the following clients should the nurse assess first?

A)A client with cystic fibrosis who has thick, green-coloured sputum

B)A client with pneumonia who has coarse crackles in both lung bases

C)A client with emphysema who has an oxygen saturation of 91% to 92%

D)A client with septicemia who has intercostal and suprasternal retractions

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 PCO2 level

D)Is taking vancomycin

To view all questions and flashcards with answers, click on the resource link above. Page 72

Chapter 71: Nursing Management Emergency Care Situations

Available Study Resources on Quizplus for this Chatper

24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/3336

Sample Questions

Q1) Gastric lavage and administration of activated charcoal are prescribed for an unconscious client who has been admitted to the emergency department (ED) after ingesting 30 diazepam tablets. Which of the following actions will the nurse plan to take first?

A)Administer activated charcoal.

B)Insert a large-bore orogastric tube.

C)Prepare a 60-mL syringe with saline.

D)Assist with intubation of the client.

Q2) 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.

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

Chapter 72: Emergency Management and Disaster Planning

Available Study Resources on Quizplus for this Chatper

24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/3337

Sample Questions

Q1) When using the START triage system, the nurse will assess a client who has massive head trauma with which of the following colours?

A)Green

B)Yellow

C)Red

D)Black

Q2) When planning the response to the potential use of smallpox as an agent of terrorism, the emergency department (ED) nurse-manager will plan to obtain sufficient quantities of which of the following supplies?

A)Blood

B)Vaccine

C)Atropine

D)Antibiotics

Q3) A client arrives in the emergency department after exposure to radioactive dust. Which of the following actions should the nurse take first?

A)Place the client in a shower.

B)Obtain the client's vital signs.

C)Determine the type of radioactive agent.

D)Obtain a baseline complete blood count.

Page 74

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