Nursing Concepts and Practice
Textbook Exam Questions
Course Introduction
This course explores fundamental concepts and essential skills within the field of nursing, focusing on the theoretical frameworks, roles, and responsibilities of the professional nurse. Students will examine core principles such as patient-centered care, safety, ethics, and evidence-based practice, while developing competencies in communication, critical thinking, and clinical reasoning. Through a combination of classroom instruction, simulation, and clinical experiences, learners acquire foundational knowledge in health assessment, care planning, and interventions across diverse populations and healthcare settings. Emphasis is placed on the integration of theory into practical application, fostering holistic, compassionate, and culturally competent care.
Recommended Textbook
Medical Surgical Nursing Critical Thinking for Person Centred Care 3rd Edition by Priscilla Lemone
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52 Chapters
1083 Verified Questions
1083 Flashcards
Source URL: https://quizplus.com/study-set/2398 Page 2
Chapter 1: Medical-Surgical Nursing in the Twenty-First Century
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47623
Sample Questions
Q1) A graduate nurse is attending a seminar regarding the role of the nurse as a person advocate. After the session, the students engage in a discussion. Which of the following statements by the graduate nurse indicates a need for further education?
A)'Being a person advocate entails making efforts to improve the person's outcomes.'
B)'Providing education to the person and family is a key way to be a positive person advocate.'
C)'Person advocates have the authority to make decisions for the person.'
D)'Communicating person needs to other members of the healthcare team is a role of the person advocate.'
Answer: C
Q2) The nurse pauses to reflect on a previous person-centred care situation before providing care to a person at present. This nurse is using which critical thinking skill?
A)Reflection.
B)Reasoning.
C)Clarification.
D)Divergent thinking.
Answer: A
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3
Chapter 2: Health and Illness in Adults
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) An older person tells the nurse, 'I hate all of those throw rugs my daughter has on the floor.' Which of the following is the most significant risk factor for this person?
A)Sinusitis.
B)Obesity.
C)Pneumonia.
D)Falls.
Answer: D
Q2) The nurse is planning a primary prevention program for a group of people. Which topic could be included in this program?
A)Seat belt safety.
B)The purpose of hypertension detection screenings.
C)The goals of cardiac rehabilitation.
D)The need for regular eye tests.
Answer: A
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Chapter 3: Nursing Care of People Having Surgery
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A person is in the recovery room. Which of the following members of the healthcare team should the nurse contact regarding the person's level of pain control? The:
A)circulating nurse.
B)ward nurse.
C)surgeon.
D)anaesthetist.
Answer: D
Q2) Which of the following should the nurse instruct the person about patient-controlled analgesia for postoperative pain in the first 36 to 48 hours?
A)'Use the analgesia regularly; don't wait until the pain begins.'
B)'Use this analgesia at least once every hour.'
C)'Use this analgesia only when the pain becomes intolerable.'
D)'Minimise the use of the analgesia to decrease the risk of addiction.'
Answer: A
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5
Chapter 4: Nursing Care of People Experiencing Loss,
and Death
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which of the following may be a consideration with regard to death and dying in Indigenous Australian culture?
A)The deceased need to be buried shortly after death.
B)Family members may prefer to bathe the body after death.
C)The mourning period is usually very short.
D)Indigenous people often need sufficient space to gather together to facilitate grieving and bereavement.
Q2) A woman states, 'My husband is the person you should talk with if I am not able to make decisions about my care.' The husband has been identified as which of the following?
A)The person who has his wife's living will.
B)The healthcare surrogate.
C)The person with the enduring power of attorney.
D)The wife's advocate.
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Chapter 5: Nursing Care of People With Problems of Substance Misuse
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A person withdrawing from a drug is experiencing hallucinations. Which nursing diagnosis is appropriate for this person?
A)Disturbed thought processes.
B)Deficient knowledge.
C)Imbalanced nutrition.
D)Low self-esteem.
Q2) A person has been diagnosed with alcoholism that is causing him to be depressed. What does this diagnosis indicate?
A)Co-dependence.
B)Tolerance.
C)Kindling.
D)A dual disorder.
Q3) The nurse is interviewing a person who denies having a long-standing history of alcohol and drug use. Which action should the nurse take to gain information and direct care?
A)Request an inpatient evaluation.
B)Refer to a psychologist.
C)Utilise the MAST questionnaire.
D)Confront the person.
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Chapter 6: Nursing Care of People Experiencing Disasters
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A person arrives at the site of a disaster, hysterically crying because she was in the building that had collapsed just minutes before the disaster. Which of the following should be done with her?
A)Advise her to go home to her family.
B)Ask psychiatric service personnel to talk with her.
C)Have a nurse talk with her.
D)Triage her and transport her to the hospital.
Q2) What are the appropriate actions for people with highly contagious respiratory infections?
A)Reverse barrier nursing.
B)Teach them how to stop coughing.
C)Teach them to cover their mouths when they cough or sneeze.
D)These persons need to wear protective gowns, masks and gloves at all times.
Q3) During the disaster preparedness presentation, the nurse learns about the harmful effects of a dirty bomb. Which of the following treatments may preserve life in the event of this disaster?
A)Bone marrow transplant
B)Supporting the person who will develop radiation sickness
C)Total blood replacement
D)Liver transplant
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Chapter 7: Genetic Implications of Adult Health Nursing
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A baby is born with a genetic disorder that did not affect either of the parents. Which of the following is true?
A)The father is the carrier of the disorder.
B)Both parents are carriers of the disorder.
C)The father is not the 'biological father' of the baby.
D)The disorder must be due to a mutation.
Q2) A 43-year-old pregnant woman asks the nurse how to find out if the baby will be born with Down syndrome. Which statement made by the nurse would be an appropriate response?
A)'The baby would have an extra chromosome.'
B)'The baby would have 23 pairs of chromosomes.'
C)'A missing chromosome would be identified.'
D)'The baby would have a sex chromosome abnormality.'
Q3) A baby is born with a genetic disorder. Neither parent has a history of this disorder. The nurse realises that the cause of this disorder could be which of the following?
A)An autosomal dominant condition.
B)Penetrance.
C)A spontaneous new mutation.
D)An X-linked dominant condition.
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Page 9
Chapter 8: Nursing Care of People in Pain
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A person with chronic pain complains of an acute exacerbation of pain. How can the nurse help this individual?
A)Give the person a nonsteroidal anti-inflammatory drug (NSAID).
B)Provide the medication ordered for breakthrough pain.
C)Encourage the person to ignore the pain.
D)Talk the person through the pain.
Q2) The nurse is helping a person in pain by providing therapeutic massage to the painful area. Which pain control method is the nurse using?
A)Cutaneous stimulation.
B)Acupuncture.
C)Transcutaneous electrical nerve stimulation (TENS).
D)Physiotherapy.
Q3) A person complaining of pain has been waiting for medication to relieve the pain. Which of the following should the nurse realise about this person? The:
A)person's pain is real.
B)person just wants medication.
C)person is demanding.
D)person wants attention.
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Chapter 9: Nursing Care of People With Altered Fluid,
Electrolyte, Acid-Based Balance
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The blood gases of a person with an acid-base disorder show a blood pH outside of normal limits. Which of the following is correct? The person is:
A)experiencing aerobic metabolism.
B)fully compensated.
C)in metabolic distress.
D)partially compensated.
Q2) The nurse observes a person's respirations and notes that the rate is 30 breaths per minute and the respirations are very deep. What disorder might this person be experiencing?
A)Increasing carbon dioxide in the blood
B)Hypocalcaemia
C)Pain
D)Hyperkalaemia
Q3) The nurse assesses a person's recent weight loss as being 10 kilograms. How many litres of fluid did this person lose? ____________
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11
Chapter 10: Nursing Care of People Experiencing Trauma and Shock
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A trauma victim presents with a deviated trachea, jugular vein distension and hypotension. What is the person most likely experiencing?
A)Blunt trauma to the chest.
B)Acceleration-deceleration injury.
C)Third space fluid shifts.
D)Tension pneumothorax.
Q2) A trauma person has multiple injuries and has lost approximately 40 per cent of circulating blood volume. This person is in which stage of shock?
A)Stage I.
B)Stage II.
C)Stage III.
D)Stage IV.
Q3) A trauma person in stage II shock is demonstrating signs of pulmonary oedema. This person is manifesting which of the following?
A)Severe acute respiratory syndrome (SARS).
B)Heart failure.
C)Acute respiratory distress syndrome (ARDS).
D)Respiratory alkalosis.
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Chapter 11: Nursing Care of People With Infections
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A person who received a vaccination 2 weeks prior returns to the clinic with a wound at the inoculation site. What has happened? The person is:
A)scratching the inoculation site.
B)allergic to the inoculation.
C)experiencing a severe localised reaction to the inoculation.
D)demonstrating localised signs of the disease that the inoculation was intended to prevent.
Q2) A person who was diagnosed with an infection is prescribed the macrolide antibiotic erythromycin (Eryc). Which of the following should the nurse instruct the person about taking this medication? Take the medication:
A)with a full glass of juice.
B)with a glass of milk.
C)on an empty stomach.
D)immediately after eating.
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13
Chapter 12: Nursing Care of People With Altered Immunity
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) A person tells the nurse, 'I had this rheumatoid arthritis pain under control, but then I learned I might lose my job'. Which of the following should the nurse say in response to this person?
A)'The pain will inevitably get worse'.
B)'You need to find a job more suited to your condition'.
C)'Stress can cause an exacerbation of the arthritis'.
D)'Have you considered going on disability?'
Q2) A person is demonstrating signs of anaphylactic shock. Which of the following should the nurse do first to assist this person?
A)Assess the respiratory rate and pattern.
B)Maintain an airway.
C)Insert an oropharyngeal airway.
D)Position in high Fowler's.
Q3) A person tells the nurse, 'I get stomach pains and diarrhoea every time I drink milk'. This person is a type ________ allergic response.
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Page 14
Chapter 13: Nursing Care of People With Cancer
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) A person with uterine cancer is prescribed a treatment in which radioactive material will be inserted and maintained within her vagina. Which of the following types of treatment does this describe?
A)Biotherapy
B)Chemotherapy
C)Photodynamic therapy
D)Brachytherapy
Q2) A person is prescribed external radiation as part of his cancer treatment. Which of the following should be included in this person's instructions? Select all that apply.
A)Use an electric razor to shave the treatment area.
B)Apply an ice pack if the skin becomes irritated.
C)Wash the skin with soap and water.
D)Do not wash off the treatment marks.
Q3) Malignant melanoma is associated with which type of viral infection?
A)Papillomavirus
B)Epstein-Barr virus (EBV)
C)Human T-lymphotropic viruses (HTLV)
D)Hepatitis B virus (HBV)
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15
Chapter 14: A Person-Centred Approach to Assessing the
Integumentary System
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) During the assessment of an older adult's integumentary status, the nurse notes liver spots on the person's hands. What is this finding due to?
A)Patchy areas of keloid scarring
B)Reduced vitamin D production
C)Decreased blood perfusion of the upper limbs
D)Hyperplasia of melanocytes in sun-exposed areas
Q2) During the assessment of a person's integumentary status, the nurse notes: 'vitiligo present bilateral hands.'' This documentation means that the person has:
A)dark, asymmetrical coloured patches.
B)yellowing of the skin.
C)patches of white spots.
D)grey cast to the skin.
Q3) A person with hair loss (alopecia)comes into the clinic. What is this hair indicative of?
A)Cushing's syndrome
B)Changes in hormones
C)Poor nutrition
D)Vitamin D deficiency
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Chapter 15: Nursing Care of People With Integumentary Disorders
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A woman is concerned about skin areas that will not tan when exposed to the sun. What health issue should the nurse consider this person is experiencing?
A)Candidiasis.
B)Cellulitis.
C)Tinea versicolour.
D)Tinea cruris.
Q2) A person with a history of skin cancer asks what can be done to prevent recurrence of the disease. What should the nurse instruct this person?
A)Sunscreen is not needed during the winter months.
B)Always use a sunscreen of SPF 15 or higher.
C)Avoid the sun at all costs.
D)Sun exposure is best between the hours of 10:00 a.m. and 3:00 p.m.
Q3) An older person is concerned about a painful rash located on the left side of the upper chest. What should the nurse realise this person is experiencing?
A)Shingles.
B)Herpes simplex.
C)Condylomata acuminata.
D)Verruca vulgaris.
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Chapter 16: Nursing Care of People With Burns
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A person with a full-thickness burn to the left thigh and left forearm is treated with silver sulfadiazine (SSD)cream. What is the purpose of this medication?
A)Wound debridement.
B)Local analgesia.
C)Skin moisturisation.
D)Antimicrobial protection.
Q2) A person is being seen in the emergency department after sustaining a burn to both arms and legs. List all of the information the nurse should collect during the first interview with this person.
Q3) A person with extensive burns has myoglobinuria. For which health problem should the nurse plan care for this person?
A)Carbon monoxide poisoning.
B)Acute tubular necrosis.
C)Destruction of adipose tissue.
D)Haemoconcentration.
Q4) A child is brought into the emergency department after being burned in an explosion. Name the burn assessment method that provides the best information about the total body surface area injured by the burn.
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Page 18
Chapter 17: A Person-Centred Approach to Assessing the Endocrine System
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/47641
Sample Questions
Q1) The nurse realises an alteration in growth hormone can lead to changes in an individual's physical stature. Which condition can occur with abnormally high levels of growth hormone in adults?
A)Acromegaly.
B)Cushing's syndrome.
C)Grave's disease.
D)Tetany.
Q2) A woman is experiencing fatigue and a lingering head cold that began after starting a new job. What should the nurse suspect this person is experiencing?
A)Increase in adrenaline secretion.
B)Increase in glucocorticoid secretion.
C)Decrease in epinephrine secretion.
D)Reduction in noradrenaline secretion.
Q3) The nurse is preparing to assess a person's endocrine system. What technique should the nurse expect to perform on this person?
A)Percussion of the parathyroid glands.
B)Auscultation of the pancreas.
C)Percussion of the anterior pituitary gland.
D)Palpation of the thyroid gland.
Page 19
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Chapter 18: Nursing Care of People With Endocrine Disorders
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A person with Cushing's syndrome is concerned about the frequency of head colds. ''Which nursing intervention would be appropriate for this person?
A)Assess for protein and vitamin intake.
B)Encourage daily weighing.
C)Limit visitor contact.
D)Plan for frequent rest periods.
Q2) A person recovering from surgical removal of the parathyroid glands has a temperature of 38.9°C with a rising systolic blood pressure. What should the nurse do for this person?
A)Administer paracetamol as prescribed.
B)Apply a cooling blanket.
C)Nothing, as these are normal postoperative findings.
D)Apply ice to the groin.
Q3) A person is diagnosed with hyperparathyroidism. Which assessment finding is consistent with this diagnosis?
A)Hypotension.
B)Muscle weakness.
C)Weight gain.
D)Fluid retention.
Page 20
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Chapter 19: Nursing Care of People With Diabetes Mellitus
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A person with type 2 diabetes wants to lose 10 kg and asks for help with meal planning. What would be appropriate for this person to aid with weight loss and blood glucose level maintenance?
A)Plan for a small breakfast, moderate-sized lunch and large dinner with a bedtime snack.
B)Eat the largest meal of the day for breakfast and two small meals for lunch and dinner.
C)Eat the largest meal in the middle of the day at lunch with smaller meals for breakfast and dinner.
D)Plan for three equal-sized meals with one or two snacks.
Q2) Which medication is classified as an ultra-short-acting insulin?
A)Protaphane.
B)Isophane NPH.
C)Insulin glargine.
D)Insulin aspart.
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21
Chapter 20: A Person-Centred Approach to Assessing the
Gastrointestinal
System
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse learns that a person has severely restricted her protein intake because she 'didn't want to gain any weight.' What is this person at risk of developing?
A)Metabolic acidosis
B)Anaerobic metabolism
C)Impaired anabolic processes
D)Extreme weight gain
Q2) A person is taking the oral anticoagulant medication warfarin. Which food should the nurse advise the person to be careful about consuming because it is a source rich in vitamin K?
A)Cauliflower
B)Margarine
C)Citrus fruits
D)Fish
Q3) The nurse is preparing to assess a person's abdomen. Which assessment technique should this nurse use last?
A)Palpation
B)Percussion
C)Auscultation
D)Inspection
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Chapter 21: Nursing Care of People With Nutritional Disorders
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which waist-to-hip ratio increases the risk of a female developing stroke, elevated insulin levels, and an abnormal lipid profile?
A)0.2
B)0.3
C)0.5.
D)0.8
Q2) A female learns that she has regained 7 kg that she had lost the previous year. Which of the following would be the best response by the nurse?
A)'Even with the weight gain you are still not obese.'
B)'I can teach you about a new diet that would help you lose the weight within 2 weeks.'
C)'Weight swings like this are perfectly normal and very common.'
D)'Return to the diet, exercise, and behaviour change techniques that have worked for you in the past.'
Q3) The nurse assesses the person for which common manifestation of malnutrition?
A)Diabetes
B)Hypertension
C)Gallbladder disease
D)Petechiae
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Chapter 22: Nursing Care of People With Upper
Gastrointestinal Disorders
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Sample Questions
Q1) A person tells the nurse, 'I get these tremendous stomach pains in the middle of the night and they disappear after I eat something. No wonder I can't lose any weight!' The nurse suspects that this person is experiencing which of the following?
A)Peptic ulcer disease
B)Dumping syndrome
C)Cushing's ulcers
D)Haematemesis
Q2) A person is commencing therapy with nystatin (Nilstat), a topical antifungal medication to treat oral thrush. What would the nurse teach the person about using this medication?
A)Immediately expectorate the oral suspension.
B)Do not eat or drink for 30 minutes after the medication.
C)The medication is safe to use during pregnancy.
D)Take the medication with food or milk.
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24
Chapter 23: Nursing Care of People With Bowel Disorders
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20 Flashcards
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Sample Questions
Q1) A person comes into the outpatient clinic for testing because of chronic constipation. What might this person have evidence of?
A)Inflammatory bowel diseases
B)External haemorrhoids
C)Gastroenteritis
D)Irritable bowel syndrome
Q2) A person has been diagnosed with internal haemorrhoids. Where are the haemorrhoids most likely located? At the:
A)hepatic flexure.
B)splenic flexure.
C)descending colon.
D)anorectal junction.
Q3) The nurse is assessing a person with diarrhoea. Which of the following would be appropriate for the nurse to ask during the focused assessment?
A)'Are you still taking the medication for depression?'
B)'Tell me about your work responsibilities.'
C)'Are you still taking the prescribed sleeping medication?'
D)'Have you been feeling blue or sad recently?'
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25
Chapter 24: Nursing Care of People With Gallbladder, Liver, and Pancreatic Disorders
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Sample Questions
Q1) A person tells the nurse that his bowel movements are 'weird' in that they look 'soapy' and 'smell really bad.' What might this person be experiencing?
A)Turner's sign
B)Diarrhoea
C)Steatorrhoea
D)Cullen's sign
Q2) A person with acute pancreatitis is uncomfortable in bed. Which of the following positions might improve this person's comfort level?
A)Assist to a standing position and ambulate.
B)Elevate the head of the bed 45 degrees.
C)Lay flat in bed.
D)Sit up in bed.
Q3) The nurse recognises that a person is at an increased risk of developing ascites if the person is experiencing which of the following conditions?
A)Hypoalbuminaemia
B)Increased serum sodium
C)Hypotension
D)Decreased serum potassium
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Chapter 25: A Person-Centred Approach to Assessing the Renal System
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The nurse is preparing to catheterise a person after the person has just independently voided. What is the purpose of this catheterisation? To:
A)check for the presence of kidney stones.
B)evaluate for residual urine.
C)serve as a urine output baseline.
D)evaluate renal function.
Q2) During the assessment of a person's urinary system, the nurse learns that the person has painful urination. How should this finding be documented? As:
A)dysuria
B)pyuria
C)polyuria
D)anuria
Q3) An older adult female is demonstrating signs of bladder dysfunction. Which of the following are characteristics of age-related bladder changes? Select all that apply.
A)Decreased blood flow
B)Large amounts of residual urine
C)Increased risk of glycosuria
D)Increase in nocturia
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Chapter 26: Nursing Care of People With Urinary Tract Disorders
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22 Verified Questions
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Sample Questions
Q1) A person is discharged after treatment for a bladder papilloma. Which of the following should be included in this person's discharge instructions? Make an appointment for follow-up:
A)if symptoms return.
B)the following week.
C)in one year.
D)in three months.
Q2) A man has a history of calcium calculi. Which of the following medications can be prescribed to help treat this person's condition?
A)Indomethacin.
B)Allopurinol (Progout).
C)A thiazide diuretic.
D)Amoxycillin.
Q3) While being catheterised for urinary retention, a person becomes diaphoretic and pale. Which of the following can be done to help this person?
A)Clamp the catheter after draining 500 mL of urine.
B)Nothing, as this is a normal response.
C)Remove the urinary catheter.
D)Provide the person with extra fluids.
Page 28
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Chapter 27: Nursing Care of People With Kidney Disorders
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20 Flashcards
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Sample Questions
Q1) A person with chronic kidney disease is trying to decide between haemodialysis and peritoneal dialysis. Which of the following are advantages of peritoneal dialysis for this person? (Select all that apply.)
A)Lower risk of infection.
B)Better self-management.
C)Greater intake of fluids permitted.
D)Better waste product elimination.
Q2) An elderly person is scheduled for a CT scan with and without contrast dye. Which action should be performed prior to this CT scan?
A)Measure the person's weight.
B) Assess vital signs.
C)Keep the person NBM.
D) Monitor renal functioning.
Q3) Which of the following should be assessed in an elderly person with age-related renal dysfunction?
A)Level of physical activity.
B) Daily food intake.
C)Evidence of medication or drug toxicity.
D) Activity status.
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29
Chapter 28: A Person-Centred Approach to Assessing the Cardiovascular
and Lymphatic Systems
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Sample Questions
Q1) At which location will S1 be heard the loudest?
A)Right sternal border at the second intercostal space.
B)Left sternal border at the fifth intercostal space.
C)Left midclavicular line at the fifth intercostal space.
D)Right midclavicular line at the third intercostal space.
Q2) The person is being evaluated for left atrium thrombus due to a dysrhythmia (altered heart rhythm). Which of the following common cardiac tests will be ordered to assess for thrombus?
A)Blood pool imaging.
B)Cardiac catheterisation.
C)Thallium scan.
D)Transoesophageal echocardiography (TEE).
Q3) An older adult is being evaluated for age-related cardiac changes. Common age-related changes include which of the following? (Select all that apply.)
A)Decreased cardiac output.
B)Increased cardiac output.
C)Decreased stroke volume.
D)Decreased blood pressure.
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Chapter 29: Nursing Care of People With Coronary Heart Disease
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Q1) An older adult is being evaluated for age-related cardiac changes. Common age-related changes include which of the following? (Select all that apply.)
A)Decreased cardiac output.
B)Increased cardiac output.
C)Decreased stroke volume.
D)Decreased blood pressure.
Q2) In the person with hypovolaemic shock, the nurse realises that the heart sounds will change in which of the following ways?
A)Diminished S2 and accentuated S1.
B)Diminished S1 and S2.
C)Accentuated S2 and diminished S1.
D)Accentuated S1 or S2.
Q3) Tachycardia occurs when the nurse assesses an apical heart rate of how many beats per minute in an adult?
A)Less than 60.
B)60-90.
C)90.
D)Greater than 100.
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Chapter 30: Nursing Care of People With Cardiac Disorders
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Q1) The nurse notes an ECG rhythm with a rate of 80, a regular rhythm, a 1:1 relationship of P:QRS, a PR interval of 0.16 and a QRS complex measurement of 0.8. The nurse realises that this rhythm is evidence of which condition?
A)Paroxysmal supraventricular rhythm.
B)Normal sinus rhythm.
C)First-degree AV block.
D)Sinus tachycardia.
Q2) When a person's ECG shows frequent premature ventricular contractions (PVCs), the nurse expects that the doctor will create an order for which of the following? (Select all that apply.)
A)Oxygen.
B)Anginine.
C)Beta-blockers.
D)Antiarrhythmic agents.
Q3) What should a person who is taking a statin medication be monitored for?
A)Blood urea nitrogen and serum creatinine levels.
B)Constipation and sudden back pain.
C)Blood glucose and uric acid levels.
D)Serum cholesterol and liver enzymes.
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Page 32
Chapter 31: Nursing Care of People With Vascular and Lymphatic Disorders
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Q1) The nurse recognises which of the following as a sign of decreased cardiac output and tissue perfusion in a person with heart failure?
A)Impaired memory.
B)Increased urine output.
C)Joint pain.
D)Strong peripheral pulses.
Q2) What are signs indicative of heart failure?
A)S1, S2 and flat neck veins.
B)S3 and S4.
C)S5 and flat neck veins.
D)S2 is heard the loudest and followed by S1.
Q3) Which of the following is important to keep in mind when caring for persons with possible endocarditis? The condition:
A)does not pose a high risk of damage to affected heart valves.
B)can be prevented in persons at risk by administering antibiotics prior to procedures.
C)can be treated by open heart surgery to clean the heart valves.
D)is usually unrelated to fever so medicate persons with ordered antipyretic and observe.
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Chapter 32: Nursing Care of People With Hematologic Disorders
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Q1) In which of the following factors is haemophilia A characterized by a deficiency ?
A)Factor IX
B)Factor vW
C)Factor VIII
D)Factor X
Q2) To which if the following are neutrophils considered closely connected?
A)Platelet count
B)Immune response
C)Total white blood cell count
D)Peripheral blood
Q3) The nurse is planning to instruct a person with secondary polycythaemia about ways to prevent blood stasis. Which of the following should be included in these instructions?
A)Restrict daily fluid intake.
B)Black stools are to be expected.
C)Elevate lower limbs when sitting.
D)Leg pain is to be expected.
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Page 34
Chapter 33: A Person-Centred Approach to Assessing the
Respiratory
System
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Q1) During the palpation of a person's chest for expansion, the nurse notices a decrease in expansion of the right side. This finding is consistent with which of the following? Select all that apply.
A)Pneumothorax
B)Pleural effusion
C)Pneumonia
D)Emphysema
Q2) During the assessment of a person, the nurse locates the approximate position of the larynx. This can be found by identifying which of the following?
A)The Adam's apple
B)The first intercostal space
C)The shoulder joint
D)The midclavicular line
Q3) Which of the following describes how the largest amount of carbon dioxide is transported?
A)Dissolved in plasma
B)Bound to haemoglobin
C)As a bicarbonate ion in plasma
D)Through an organic chemical
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Chapter 34: Nursing Care of People With Upper Respiratory Disorders
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Q1) A person tells the nurse, 'After I leave here, I need to get to the dentist. My upper teeth are hurting and I don't know why.' What should the nurse do?
A)End the visit quickly so the person can get to the dentist.
B)Reschedule the appointment for another time.
C)Check the person's nasopharynx.
D)Assess the person for a sinus infection.
Q2) The nurse is providing care to a person with a new tracheostomy tube. Which of the following is appropriate to include in this person's care? Select all that apply.
A)Apply new dressing in a V shape.
B)Suction the person prior to care using sterile technique.
C)Remove encrusted secretions with normal saline.
D)Clean the inner cannula with hydrogen peroxide.
Q3) A person reports 'increased hoarseness' and a change in 'voice quality.' What is an appropriate assessment question for the nurse to ask this person?
A)'Have you been overseas recently?'
B)'Do you smoke?'
C)'Have you recently experienced a cold?'
D)'What medications are you currently taking?'
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Chapter 35: Nursing Care of People With Ventilation
Disorders
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Q1) A person who had a Mantoux test for tuberculosis 2 days ago has a 2 mm area of erythema at the site of the test. What is the significance of the person's test result? It:
A)is positive for tuberculosis.
B)is negative for tuberculosis.
C)should be followed up with a chest x-ray.
D)requires a lung biopsy.
Q2) A person is diagnosed with a tension pneumothorax. Which of the following would be consistent with this diagnosis?
A)Absent breath sounds on the affected side
B)Distended neck veins
C)Bradycardia
D)Bradypnoea
Q3) What does bright orange urine signify in a patient taking rifampicin for treatment of tuberculosis?
A)An opportunistic urinary tract infection
B)A common side effect of rifampicin (RMP)therapy
C)A manifestation of developing renal failure
D)The onset of a kidney stone
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Chapter 36: Nursing Care of People With Gas Exchange Disorders
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Q1) A person is being instructed on the use of a metered-dose inhaler without a spacer for asthma. After firing a puff of the inhaler, how long should the person hold their breath?
A)20 to 30 seconds
B)No need to hold their breath
C)About 4 seconds
D)10 seconds
Q2) Which of the following would be considered the type of trigger for an asthmatic patient that experiences an exacerbation when in contact with house pets?
A)Psychosocial
B)Emotional stress
C)Physical factors
D)Environmental allergens
Q3) A person with pulmonary hypertension has an elevated haematocrit level. What should be included in the nurse's discharge instructions?
A)Instructions about anticoagulant therapy
B)Discussion of the need for long-acting corticosteroids
C)Instructions about venesection
D)Instructions about fluid restrictions
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Chapter 37: A Person-Centred Approach to Assessing the
Musculoskeletal
System
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Q1) A person comes to the Emergency Department complaining of right knee pain after being knocked down while playing basketball. The exam reveals the person experiences difficulty when stepping down on the right leg due to acute pain around the knee and slight swelling of the right knee. Initially, what does the nurse expect? The person will be:
A)sent home with instructions to rest and to apply an icepack for one week.
B)admitted to the hospital and seen by an orthopaedic specialist.
C)scheduled to see an orthopaedic specialist and a tentative appointment for a magnetic resonance imaging (MRI)scan.
D)admitted to the hospital and scheduled for an arthroscopy.
Q2) How should the nurse prepare a person for an Electromyogram test? By:
A)doing no special preparation.
B)instructing the person not to drink fluids containing caffeine 3 hours before the test.
C)medicating the person with a muscle relaxant.
D)initiating a peripheral IV in the right arm.
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Chapter 38: Nursing Care of People With Musculoskeletal
Trauma
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Q1) There is a risk of fat embolus in a person who has had surgery to repair a fracture. What is (are)the early sign(s)and symptom(s)of a fat embolus?
A)Reduced urinary output.
B)Chest pain.
C)Petechiae and tachycardia.
D)Fever.
Q2) What are the signs and symptoms of compartment syndrome? (Select all that apply.)
A)Decreased peripheral pulse.
B)Decrease in pain.
C)Increased draining.
D)Tingling in an extremity.
Q3) What is the main nursing responsibility before and after applying traction to the leg?
A)Assess for skin discolouration.
B)Check the distal pulse.
C)Check for pallor.
D)Assess for swelling.
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Page 40
Chapter 39: Nursing Care of People With Musculoskeletal Disorders
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Q1) A person was just diagnosed with gout. The nurse expects that the person will likely be prescribed which of the following medications? (Select all that apply.)
A)Probenecid (Benemid).
B)Colchicine.
C)Acetylsalicylic acid (Aspirin).
D)Dexamethasone.
Q2) The nurse is teaching a person who has gout. Which of the following should be included in the teaching? Avoid:
A)eating cottage cheese.
B)drinking fruit juices.
C)drinking milk.
D)eating oysters.
Q3) An older female adult is surprised to find that she is shorter than she was a few years ago. The nurse would teach the person that which risk factor for osteoporosis can be changed?
A)Gender.
B)Genetics.
C)Age.
D)Lifestyle.
Page 41
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Chapter 40: A Person-Centred Approach to Assessing the Nervous System
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Q1) The nurse understands that age-related changes in the neurological system include a slower response to change in balance, decreased cerebral blood flow, and decreased metabolism. What is an example of how this would affect home care for an older adult?
A)The older adult will be less able to complete self-care activities.
B)The older adult may need additional time to process information.
C)The older adult will not be open to new learning.
D)The older adult will be easily distracted.
Q2) What are abnormal posturings in adults with neurological problems? (Select all that apply.)
A)Decorticate.
B)Dislocate.
C)Decerebrate.
D)Dorsiflexion.
Q3) The person has lower motor neuron injuries. The nurse realises that what type of reflexes are present?
A)Increased.
B)Intermittent.
C)Decreased.
D)Variable.
Page 42
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Chapter 41: Nursing Care of People With Intracranial Disorders
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Q1) The person was driving a car that hit a tree. The person's head hit the windshield (coup), then the brain rebounded within the skull toward the opposite side (contrecoup). This is an example of what type of injury?
A)A deceleration injury.
B)An acceleration injury.
C)A deformation injury.
D)An acceleration-deceleration injury.
Q2) The nurse is planning a seminar about headaches for a local community group. What type of headache has a strong familial connection, affects females three-to-one over males, and results in lost productivity?
A)Sinus.
B)Common migraine.
C)Cluster.
D)Tension.
Q3) The person is hit by a cricket ball. This is an example of what type of injury?
A)A deceleration injury.
B)A deformation head injury.
C)An acceleration injury.
D)An acceleration-deceleration injury.
Page 43
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Chapter 42: Nursing Care of People With Cerebrovascular and Spinal Cord Disorders
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Q1) While caring for the person with a spinal cord injury (SCI), the nurse elevates the head of the bed, removes TED stockings and continues to assess vital signs every 2-3 minutes, while searching for the cause in order to prevent loss of consciousness or death. By practicing these interventions, the nurse is avoiding the most dangerous complication of autonomic dysreflexia, which is:
A)tachycardia.
B)elevated blood pressure.
C)peripheral vascular shutdown.
D)bradypnoea.
Q2) When caring for a person just admitted post-stroke (CVA), who has altered consciousness, the nurse should place the person in which position?
A)Flat.
B)High Fowler's.
C)Side-lying.
D)Prone.
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Chapter 43: Nursing Care of People With Neurologic Disorders
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Q1) A person with Guillain-Barré syndrome asks if they will get better. What is the nurse's best response?
A)'Recovery will be slow, but your chance of getting better is good.'
B)'Full recovery is not likely.'
C)'The disease usually progresses rapidly.'
D)'It takes many years to get over the disease.'
Q2) How is tetanus completely preventable?
A)Passive immunisation.
B)Complete cleansing of all contaminated skin wounds.
C)Administering antibiotics immediately after a dog bite.
D)Active immunisation.
Q3) The nurse is caring for an older adult newly diagnosed with Parkinson's disease. What medication does the nurse expect to administer?
A)Glyceryl trinitrate (Anginine).
B)Paracetamol (Panadol).
C)Sodium valproate (Epilim).
D)Levodopa (Leradopa).
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Page 45
Chapter 44: A Person-Centred Approach to Assessing the
Eye and Ear
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Q1) A 20-year-old person is demonstrating difficulty with near vision. What does this finding indicate?
A)Myopia
B)Hyperopia
C)Normal ageing
D)Presbyopia
Q2) The nurse notes that a person's left eye deviates inward while focusing on an object. What is this finding consistent with?
A)Glaucoma
B)Strabismus
C)Nystagmus
D)Myopia
Q3) A person is scheduled for diagnostic tests to determine the cause of a hearing and balance disorder. Which diagnostic tests could be used to help this person? Select all that apply.
A)Tonometry
B)Computed tomography (CT)scan
C)Convergence test
D)Caloric test
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Chapter 45: Nursing Care of People With Eye and Ear Disorders
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Q1) A person with chronic acute otitis media infections is having tympanostomy tubes placed. What should be included as post-tube placement instructions for this person?
A)Wash hair only with warm water.
B)Make sure showers are completed within 10 minutes.
C)Avoid gum chewing.
D)Do not shower or go swimming.
Q2) A person reports increased ear pain when the auricle is pulled up and back. What should the nurse consider this person is experiencing?
A)Mastoiditis
B)Otitis media
C)Otosclerosis
D)Otitis externa
Q3) The nurse is instructing a person who has a hearing and balance disorder. What should be included in these instructions? Select all that apply.
A)Turn the whole body, rather than just the head.
B)Change positions slowly.
C)Stand very still with the onset of vertigo.
D)Take anti-vertigo medication when lying down.
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Chapter 46: A Person-Centred Approach to Assessing the
Male and Female Reproductive Systems
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Q1) The nurse is preparing to examine a man's reproductive organs. Which of the following should the nurse do in preparation for this examination? Select all that apply.
A)Ask the man to lie down on the exam table.
B)Arrange for a private examination room.
C)Use clean hands for the examination.
D)Ask the man to empty his bladder.
Q2) A man was born with only one testis. What is the significance of this? The person most likely:
A)does not produce sperm.
B)will have a normal level of sperm production.
C)will need oestrogen supplementation therapy.
D)may need testosterone supplementation therapy.
Q3) During an assessment of a woman's internal genitalia, the nurse feels a bulging along the woman's posterior vaginal wall. What is the name of this finding?
A)Blocked gland
B)Rectocele
C)Prolapsed uterus
D)Cyst
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Chapter 47: Nursing Care of Men With Reproductive System and
Breast Disorders
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Q1) A man was diagnosed with benign prostatic hyperplasia (BPH). For which reason should the nurse measure this man's blood pressure?
A)To determine tolerance for terazosin (Hytrin)
B)To calculate the dose of tadalafil (Cialis)
C)To measure the volume of residual urine
D)To identify if surgery is indicated
Q2) A man comes into the emergency department with complaints of an erection that has lasted for more than 4 hours. What should the nurse include in the man's assessment?
A)Substance abuse
B)Frequency of recent sexual activity
C)Levels of alcohol consumption
D)Use of medications for erectile dysfunction
Q3) A man with a swollen scrotum is diagnosed with fluid within the scrotal sac. For which health problem should the nurse prepare teaching for this person?
A)Hydrocele
B)Epididymitis
C)Phimosis
D)Spermatocele
Page 49
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Chapter 48: Nursing Care of Women With Reproductive
System and Breast Disorders
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Q1) A woman is diagnosed with chocolate cysts. What should the nurse explain as being the cause of these cysts?
A)Old blood
B)Changes in melanocyte functioning
C)Hormone imbalance
D)Accumulation of pus
Q2) A 42-year-old woman is diagnosed with a breast cyst. What treatment should be anticipated for this woman?
A)Reduce alcohol intake.
B)A surgical biopsy is needed to rule out cancer.
C)Reschedule mammograms for every 2 years.
D)Apply warm compresses to the cyst.
Q3) A woman experiencing menopause is 'tired of the night sweats.' What should the nurse suggest to help this woman?
A)Ensure that the bedroom temperature is cool and wear light night attire.
B)Increase fluid intake of an evening.
C)Talk with the doctor about a hysterectomy.
D)Exercise 1 hour before going to sleep.
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Chapter 49: Nursing Care of People With Sexually
Transmitted Infections
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Q1) A man is diagnosed with epididymitis. Which sexually transmitted disease is known to cause this disorder?
A)HIV.
B)Gonorrhoea.
C)Genital warts.
D)Syphilis.
Q2) A woman complains of a fever and foul-smelling vaginal discharge. Upon a gynaecological examination, the female has pain when the cervix is palpated. This woman should have diagnostic tests for what condition?
A)Gonorrhoea.
B)Many sexually transmitted diseases.
C)Ectopic pregnancy.
D)Thrush.
Q3) After the removal of genital warts, the man says, 'Now I can have sex again.' What information should the nurse provide to this man?
A)Remind him to always use a condom with sexual activity.
B)Inform him that he is now immune to genital warts.
C)Ask every partner if they have a diagnosed sexually transmitted disease.
D)The need to always use a chemical barrier to avoid impregnating his partner.
Page 51
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Chapter 50: Mental Healthcare in the Australian Context
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Q1) What is cognitive behavioural therapy?
A)Emphasising a person's strengths
B)Application of magnetic field to stimulate relevant parts of the brain
C)Electroconvulsive therapy
D)Working with the person to see the links between their moods and their thinking
Q2) As part of the process of assisting in the recovery of a person with a mental illness, what does the term modelling mean?
A)Interacting with people the person knew before hospitalisation
B)Observing and incorporating the behaviour of others
C)Being able to talk with others
D)Having people assist in maintaining clear distinctions
Q3) What is bipolar affective disorder?
A)Alternating between undereating and overeating
B)Recurrent episodes of extreme mood swings
C)Experiences of hallucinations, delusions and thought disorders
D)Alternating between obsessive compulsive disorder and anxiety disorder
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Chapter 51: Community Care
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Q1) What is the focus of community nursing care for the person in acute and post-acute care?
A)Quality of life
B)Restoration of health and functional wellbeing
C)Education for a healthy lifestyle, and illness and injury prevention
D)Management of acute symptoms
Q2) The nurse is completing the community nursing assessment for a person. Which one of the following initial actions should the nurse take with the plan of care created from the assessment information?
A)Keep it in the person's home.
B)Keep it during every visit.
C)Send it to the doctor for review and approval.
D)Place it in the person's health record.
Q3) Which group in Australia has the highest rates of overweight and obesity?
A)Middle-class Australian males
B)Rural Australians
C)Lower socioeconomic groups ?D)Upper socioeconomic groups
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Chapter 52: Nursing Care of Clients in Regional, Rural and Remote Areas of Australia
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Q1) Which group within Australian society has the highest rate of suicide?
A)Farmers
B)Police officers
C)Office workers
D)Older adults
Q2) How does the participation rate for health screening programs among rural and remote communities compare to the participation rate of urban communities?
A)It is lower.
B)It is the same.
C)It is higher.
D)It is significantly higher.
Q3) What are the factors that positively affect the prognosis of healthcare recipients?
Select all that apply.
A)Speed of transfer
B)Timely referral
C)Accurate assessment
D)Clinical experience of the nurse performing the initial assessment
E) None of the above
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