Professional Nursing Practice
Final Test Solutions
Course Introduction
Professional Nursing Practice explores the foundational principles, values, and standards that guide the nursing profession. This course examines the roles and responsibilities of nurses within diverse healthcare systems, emphasizing ethical decision-making, patient advocacy, evidence-based care, and interprofessional collaboration. Key topics include legal and regulatory frameworks, cultural competence, leadership, and professional development. Through case studies, discussions, and experiential learning, students develop the critical thinking, communication, and clinical reasoning skills necessary for effective and compassionate nursing practice in a rapidly evolving healthcare environment.
Recommended Textbook
Medical Surgical Nursing in Canada 4th Edition by Lewis
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72 Chapters
1844 Verified Questions
1844 Flashcards
Source URL: https://quizplus.com/study-set/220
Page 2
Chapter 1: Introduction to Medical-Surgical Nursing
Practice in Canada
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3266
Sample Questions
Q1) The nurse is caring for a client who has left-sided paralysis as the result of a stroke and assesses a pressure injury on the client's left hip. Which of the following is the most appropriate nursing diagnosis for this client?
A)Impaired physical mobility related to decrease in muscle control (left-sided paralysis)
B)Risk for impaired tissue integrity as evidenced by insufficient knowledge about protecting tissue integrity
C)Impaired skin integrity related to pressure over bony prominence (impaired circulation)
D)Ineffective peripheral tissue perfusion related to sedentary lifestyle
Answer: C
Q2) Which of these nursing actions for the client with heart failure is appropriate for the nurse to delegate to experienced unregulated care providers?
A)Assess for shortness of breath or fatigue after ambulation.
B)Instruct the client about the need to alternate activity and rest.
C)Obtain the client's blood pressure and pulse rate after ambulation.
D)Determine whether the client is ready to increase the activity level.
Answer: C
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Page 3
Chapter 2: Cultural Competence and Health Equity in Nursing Care
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/3267
Sample Questions
Q1) The nurse is caring for Indigenous clients in a community clinic setting. Which of the following would the nurse include when developing strategies to decrease health care disparities?
A)Improve public transportation.
B)Obtain low-cost medications.
C)Update equipment and supplies for the clinic.
D)Educate staff about Indigenous health beliefs.
Answer: D
Q2) An Indigenous client tells the nurse that he thinks his abdominal pain is caused by eating too much seal fat and that strong massage over the stomach will help it. Which of the following statements depicts what the client is describing to the nurse?
A)Evidence-informed national guidelines
B)Awareness and knowledge of his own culture
C)The explanatory model of health and health practices
D)Knowledge about the difference in modern and folk health practices
Answer: C
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Chapter 3: Health History and Physical Examination
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/3268
Sample Questions
Q1) The nurse is completing a neurological assessment on an adult client. Which of the following assessments should the nurse include when assessing the client's coordination? (Select all that apply.)
A)Toe walk
B)Finger to nose
C)Drift
D)Romberg
E)Heel to opposite shin
Answer: B, D, E
Q2) A client is seen in the emergency department with chest pain and hypotension. Which type of assessment should the nurse do at this time?
A)Focused
B)Subjective
C)Emergency
D)Comprehensive
Answer: C
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5
Chapter 4: Patient and Caregiver Teaching
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/3269
Sample Questions
Q1) The nurse in the hospital has implemented a teaching plan to assist a client with rheumatoid arthritis in accomplishing daily activities independently. Which of the following actions is the best approach for the nurse to take in order to evaluate the client'slong-term response to the teaching?
A)Make a referral to the home health nursing department for home visits.
B)Assess the client's ability to bathe without any assistance the next day.
C)Have the client demonstrate the learned skills at the end of the teaching session.
D)Arrange a physical therapy visit before the client is discharged from the hospital.
Q2) 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.
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Chapter 5: Chronic Illness
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/3270
Sample Questions
Q1) Which of the following types of cancers has a genetic predisposition to its occurrence?
A)Lung
B)Breast
C)Cervix
D)Testicles
Q2) Which of the following characteristics is true related to chronic illness?
A)Abrupt onset
B)Usually single cause
C)Short latency period
D)Noninfectious origin
Q3) Which of the following levels are part of the client response to health care recommendations based on a continuum of self-care? (Select all that apply.)
A)Compliance
B)Adherence
C)Self-care
D)Denial
E)Acceptance
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7
Chapter 6: Community-Based Nursing and Home Care
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3271
Sample Questions
Q1) The nurse is describing home care services to a client that requires extended care. Which of the following statements is true related to home care services?
A)Technologically complex therapies must be managed in the hospital.
B)The client's family will be included in planning and the client's care.
C)Home care services are limited to visits by registered nurses or home health aides.
D)In order for insurance to cover the home care, the client must be confined to bed.
Q2) 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.
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8
Chapter 7: Older Adults
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/3272
Sample Questions
Q1) The nurse is admitting an older-adult client who is hospitalized with an acute illness. Which of the following interventions should the nurse do first?
A)Orientate the client to their room.
B)Administer the prescribed PRN sedative medication.
C)Ask the health care provider to order a vest restraint.
D)Place the client in a "geri chair" near the nurse's station for observation.
Q2) 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.
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Chapter 8: Stress and Stress Management
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/3273
Sample Questions
Q1) The nurse is assisting with a breast biopsy for an alert client who has a lump in the right breast. Which relaxation technique will be best to use at this time?
A)Massage
B)Meditation
C)Guided imagery
D)Relaxation breathing
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.
Q3) When choosing music to help relax a client who is having a painful dressing change, which action is best for the nurse to take?
A)Use music composed by Mozart.
B)Ask the client about music preferences.
C)Select music that has 60-80 beats/minute.
D)Encourage the client to use music without words.
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Page 10
Chapter 9: Sleep and Sleep Disorders
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3274
Sample Questions
Q1) Which action by the nurse manager of an acute care unit will improve the alertness of nurses who work the night shift?
A)Arrange for older staff members to work most night shifts.
B)Provide a sleeping area for staff to use for napping at night.
C)Post reminders about the relationship of sleep and alertness.
D)Schedule nursing staff to rotate day and night shifts monthly.
Q2) Which 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.
Q3) 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.
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11
Chapter 10: Pain
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3275
Sample Questions
Q1) The nurse is caring for a client who is taking an opioid for postoperative pain. Which of the following interventions should the nurse include in the clients plan of care to manage possible adverse effects of opioids?
A)Ensure the medication is given PRN only.
B)Administer the prescribed stool softener OD.
C)Ensure the administration route maximizes drug concentration at the site of the adverse effect.
D)Request a prescription for a different classification of medication.
Q2) The health care provider plans to titrate a patient-controlled analgesia (PCA) machine to provide pain relief for a client with acute surgical pain who has never received opioids in the past. Which of the following nursing actions regarding opioid administration are appropriate at this time? (Select all that apply.)
A)Assessing for signs that the client is becoming addicted to the opioid
B)Monitoring for therapeutic and adverse effects of opioid administration
C)Emphasizing that the risk of some opioid adverse effects increases over time
D)Educating the client about how analgesics improve postoperative activity level
E)Teaching about the need to decrease opioid doses by the second postoperative day
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Chapter 11: Substance Use
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3276
Sample Questions
Q1) An older adult has been taking alprazolam and calls the clinic asking for a refill of the prescription 1 month before it should need to be refilled. Which of the following responses is most appropriate?
A)"The prescription cannot be refilled for another month. What happened to all of your pills?"
B)"Do you have any muscle cramps or tremors if you don't take the medication frequently?"
C)"I will ask the doctor to prescribe a few more pills, but you will not be able to get any more for another month."
D)"I am concerned that you may be overusing the alprazolam. Let's make an appointment for you to see the doctor today."
Q2) The nurse is preparing to conduct an annual physical examination with a young adult client who arrives in the clinic smelling of cigarette smoke and carrying a pack of cigarettes. Which action will the nurse plan to take?
A)Urge the client to quit smoking as soon as possible.
B)Avoid confronting the client about smoking at this time.
C)Wait for the client to start the discussion about quitting smoking.
D)Explain that the "cold turkey" method is most effective in stopping smoking.
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13
Chapter 12: Complementary and Alternative Therapies
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3277
Sample Questions
Q1) Which of these complementary and alternative therapies should the nurse suggest to a client who has elevated triglyceride levels?
A)Fish oil
B)Milk thistle
C)Saw palmetto
D)Ginkgo biloba
Q2) The nurse is caring for a client who is experiencing extreme postoperative nausea. Which of the following therapies should the nurse recommend for this client?
A)Acupuncture
B)Aromatherapy
C)St. John's wort
D)Magnetic therapy
Q3) Aclient who develops frequent upper respiratory infections (URIs) asks the nurse whether any herbal therapies might help. Which of the following should the nurse discuss with this client?
A)Ginger
B)Echinacea
C)Ginkgo biloba
D)St. John's wort
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Page 14
Chapter 13: Palliative Care at the End of Life
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/3278
Sample Questions
Q1) The family member of a client who is dying tells the nurse, "Mother doesn't really respond any more when I visit. I don't think she knows that I am here." Which of the following responses by the nurse is most appropriate?
A)"You may need to cut back your visits for now to avoid overtiring your mother."
B)"Withdrawal may sometimes be a normal response when preparing to leave life."
C)"It will be important for you to stimulate your mother as she gets closer to dying."
D)"Many clients don't really know what is going on around them at the end of life."
Q2) The nurse is planning for an end-of-life care discussion with a newly admitted client who is terminally ill and has decided to use the NURSE protocol during the difficult conversation to respond to client and/or family emotions. Which of the following terms describes the "E" in the NURSE protocol?
A)Experimentation
B)Exploration
C)Empathy
D)Emotion
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15
Chapter 14: Inflammation and Wound Healing
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/3279
Sample Questions
Q1) The nurse is caring for a client with diabetes who has been admitted for a laparotomy and possible release of adhesions. When planning interventions to promote wound healing, which of the following actions is priority?
A)Maintaining the client's blood glucose within a normal range
B)Ensuring that the client has an adequate dietary protein intake
C)Giving antipyretics to keep the temperature less than 38.9°C (102°F)
D)Redressing the surgical incision with a dry, sterile dressing twice daily
Q2) The nurse is planning care for a client and is preparing to complete a wet-to-dry dressing. Which of the following wound descriptions is appropriate for using this type of dressing?
A)Pressure injury with pink granulation tissue
B)Surgical incision with pink, approximated edges
C)Full-thickness burn filled with dry, black material
D)Wound with purulent drainage and dry brown areas
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.
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Page 16
Chapter 15: Genetics
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/3280
Sample Questions
Q1) 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."
Q2) Anewly pregnant woman asks the nurse what the best time is for a prenatal diagnostic amniocentesis? Which of the following time frames is the basis for the nurses' response?
A)7-10 weeks
B)11-13 weeks
C)15-17 weeks
D)20-24 weeks
Q3) When taking a family history in the genetic clinic, the nurse will ask information about how many generations in the past?
A)2
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Page 17
Chapter 16: Altered Immune Response and Transplantation
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/3281
Sample Questions
Q1) The nurse discusses the prevention and management of allergic reactions with a client who is a beekeeper and has developed a hypersensitivity to bee stings. Which of the following client statements indicates a need for additional teaching?
A)"I will plan to take oral antihistamines daily before going to work."
B)"I will get a prescription for epinephrine and learn to self-inject it."
C)"I should wear a Medic Alert bracelet indicating my allergy to bee stings."
D)"I am going to need job retraining so that I can work in a different occupation."
Q2) The nurse is conducting an annual health examination on an older adult client who states, "I don't understand why I need to have so many cancer screening tests now. I feel just fine!" Based upon this statement, which of the following topics will the nurse include in the clients' teaching plan?
A)Consequences of aging on cell-mediated immunity
B)Decrease in antibody production associated with aging
C)Impact of poor nutrition on immune function in older people
D)Incidence of cancer-stimulating infections in older individuals
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18
Chapter 17: Infection and Human Immunodeficiency Virus
Infection
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3282
Sample Questions
Q1) 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) Aclient is admitted to the hospital with Pneumocystis jiroveci pneumonia (PCP) and HIV testing is positive. Based on diagnostic criteria established by the World Health Organization (WHO), which of the following diagnoses should the nurse anticipate?
A)Acute infection
B)Early chronic infection
C)Intermediate chronic infection
D)Late chronic infection or AIDS
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19
Chapter 18: Cancer
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/3283
Sample Questions
Q1) The nurse is caring for a client with tumour lysis syndrome (TLS) who is taking allopurinol. Which of the following laboratory values should the nurse monitor to determine the effectiveness of the medication?
A)Uric acid level
B)Serum potassium
C)Serum phosphate
D)Blood urea nitrogen
Q2) Which of the following information obtained by the nurse about a client with colon cancer who is scheduled for external radiation therapy to the abdomen indicates a need for client teaching?
A)The client swims in a pool 5 days a week.
B)The client has a history of dental caries.
C)The client eats frequently during the day.
Q3) Use of dental floss is contraindicated in the client with which of the following assessment findings?
A)Halitosis
B)A decreased platelet count
C)An increased white blood cell count
D)Xerostomia
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Chapter 19: Fluid
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/3284
Sample Questions
Q1) The nurse is caring for a client with severe hypokalemia and is preparing to administer intravenous potassium chloride (KCl) 40 mmol as prescribed by the health care provider. Which of the following actions should the nurse take?
A)Administer the KCl as a rapid IV bolus.
B)Infuse the KCl at a rate of 20 mEq/hour.
C)Give the KCl only through a central venous line.
D)Add no more than 40 mEq/L to a litre of IV fluid.
Q2) The nurse is caring for a client with advanced lung cancer who has been admitted to the emergency department with urinary retention caused by renal calculi. Which of the following laboratory values will require the most immediate action by the nurse?
A)Arterial blood pH is 7.32.
B)Serum calcium is 3.45 mmol/L.
C)Serum potassium is 5.1 mmol/L.
D)Arterial oxygen saturation is 91%.
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21
Chapter 20: Nursing Management Preoperative Care
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3285
Sample Questions
Q1) The nurse is providing preoperative teaching to an older-adult client who has poor hearing and vision. The partner answers most questions directed to the client. Which of the following actions should the nurse take when implementing client teaching?
A)Use printed materials for instruction so that the client will have more time to review the material.
B)Direct the teaching toward the partner as the client's support person and caregiver.
C)Provide additional time for the client to understand preoperative instructions and carry out procedures.
D)Ask the partner to wait in the hall in order to focus preoperative teaching with the client.
Q2) Which of the following topics is most important for the nurse to discuss preoperatively with a client who is scheduled for a colon resection?
A)Care for the surgical incision
B)Medications used during surgery
C)Deep-breathing and coughing techniques
D)Oral antibiotic therapy after discharge home
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Chapter 21: Nursing Management Intraoperative Care
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/3286
Sample Questions
Q1) 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) The nurse is completing an inventory of medications on the unit. Which of the following anaesthesia medications should the nurse expect to observe under refrigeration? (Select all that apply.)
A)Atracurium
B)Pancuronium
C)Rocuronium
D)Neostigmine bromide
E)Succinylcholine
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23
Chapter 22: Nursing Management Postoperative Care
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/3287
Sample Questions
Q1) The nurse is caring for a client in the postoperative period who is on bed rest. Which of the following actions should the nurse implement?
A)Assist the client to the bathroom when required.
B)Implement active ROM exercise every 1-2 hours.
C)Place the client in a chair for 20 minutes TID.
D)Complete passive ROM exercises once per 12 hour shift.
Q2) The nurse evaluates that the interventions for the nursing diagnosis of ineffective airway clearance in a postoperative client have been successful when which of the following goals has been met?
A)Client drinks 2-3 L of fluid in 24 hours.
B)Client uses the spirometer 10 times every hour.
C)Client's breath sounds are clear to auscultation.
D)Client's temperature is less than 38°C (100.4°F) orally.
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Chapter 23: Nursing Assessment Visual and Auditory Systems
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3288
Sample Questions
Q1) The nurse is 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) The nurse in the eye clinic is examining an older-adult client who says "I see small spots that move around in front of my eyes." Which of the following actions should the nurse take first?
A)Immediately have the ophthalmologist evaluate the client.
B)Explain that spots and "floaters" are a normal part of aging.
C)Inform the client that these spots may indicate damage to the retina.
D)Use an ophthalmoscope to examine the posterior chamber of the eyes.
Q3) Which of the following actions should the nurse include in the plan of care for a client who has vestibular disease?
A)Check Rinne's and Weber's tests.
B)Face the client when speaking.
C)Enunciate clearly when speaking.
D)Monitor the client's ability to ambulate safely.
Page 25
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Chapter 24: Nursing Management Visual and Auditory
Problems
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/3289
Sample Questions
Q1) Which of the following interventions should the nurse implement for a client who has just been diagnosed with viral conjunctivitis?
A)Explain the purpose of antiviral eye drops.
B)Show how to perform eye irrigation safely.
C)Instruct about how to insert soft contact lenses.
D)Demonstrate appropriate handwashing technique.
Q2) A client with external otitis has an ear wick placed and a new prescription for antibiotic otic drops. After the nurse provides client teaching, which of the following client statements indicates that more instruction is needed?
A)"I may use aspirin or acetaminophen for pain relief."
B)"I should apply the eardrops to the cotton wick in my ear canal."
C)"I should clean my ear canal daily with a cotton-tipped applicator."
D)"I may use warm compresses to the outside of my ear for comfort."
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
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Chapter 25: Nursing Assessment Integumentary System
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/3290
Sample Questions
Q1) The nurse is caring for a client in the dermatology clinic who is scheduled for removal of a 15-mm multicoloured and irregular mole from the upper back. Which of the following biopsies would the nurse teach to this client?
A)Shave
B)Punch
C)Incisional
D)Excisional
Q2) The nurse is caring for a client who is dark-skinned and has been admitted to the hospital in severe respiratory distress. Which of the following actions should the nurse implement to determine whether the client is cyanotic?
A)Assess the skin colour of the earlobes.
B)Apply pressure to the palms of the hands.
C)Check the lips and oral mucous membranes.
D)Examine capillary refill time of the nail beds.
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Chapter 26: Nursing Management Integumentary
Problems
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/3291
Sample Questions
Q1) The health care provider prescribes topical 5-fluorouracil (5-FU) for a client with actinic keratosis on the nose. Which of the following information would the nurse include in the client teaching plan?
A)You may develop nausea and anorexia, but good nutrition is important during treatment.
B)You will need to avoid crowds because of the risk for infection caused by chemotherapy.
C)The nose will develop painful, eroded areas that will take weeks before completely healing.
D)5-FU is needed to shrink the lesion so that less scarring occurs once the lesion is excised.
Q2) After the nurse has finished teaching a client about application of corticosteroid cream to an area of contact dermatitis on the right leg, which of the following client actions indicates that more teaching is needed?
A)The client spreads the cream using a downward motion.
B)The client takes a tepid bath before applying the cream.
C)The client applies a thick layer of the cream to the affected skin.
D)The client covers the area with a dressing after applying the cream.
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Chapter 27: Nursing Management Burns
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/3292
Sample Questions
Q1) The nurse is caring for a client who has deep partial-thickness and full-thickness burns of the face and chest and is having the wounds treated with the open method. Which of the following nursing actions should be included in the plan of care?
A)Restrict all visitors to prevent cross-contamination of wounds.
B)Wear gowns, caps, masks, and gloves during all care of the client.
C)Turn the room temperature up to at least 20°C (68°F) during dressing changes.
D)Administer prophylactic antibiotics to prevent bacterial colonization of wounds.
Q2) The nurse is caring for a client who has burns on the back and chest from a house fire and has become agitated and restless 9 hours after being admitted to the hospital.
Which of the following actions should the nurse take first?
A)Stay at the bedside and reassure the client.
B)Administer the ordered morphine sulphate IV.
C)Assess orientation and level of consciousness.
D)Use pulse oximetry to check the oxygen saturation.
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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) Which of the following actions should the nurse plan to take for a client who is scheduled for pulmonary function testing (PFT)?
A)Explain reasons for NPO status.
B)Administer sedative drug before PFT.
C)Assess pulse and BP after the procedure.
D)Teach deep inhalation and forceful exhalation.
Q2) The nurse is preparing a client with a right-sided pleural effusion for a thoracentesis. Which of the following positions should the nurse position the client?
A)Supine with the head of the bed elevated 45 degrees
B)In the Trendelenburg position with both arms extended
C)On the left side with the right arm extended above the head
D)Sitting upright with the arms supported on an over bed table
Q3) Which of the following lung structures has the most generations?
A)Segmental bronchi
B)Subsegmental bronchi
C)Bronchioles
D)Alveoli
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Chapter 29: Nursing Management Upper Respiratory
Problems
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3294
Sample Questions
Q1) Which of the following clients in the respiratory disease clinic should the nurse assess first?
A)A 23-year-old, complaining of a sore throat, who has stridor
B)A 34-year-old who has a "scratchy throat" and a positive rapid strep antigen test
C)A 55-year-old who is receiving radiation for throat cancer and has severe fatigue
D)A 72-year-old with a history of a total laryngectomy whose stoma is red and inflamed
Q2) The nurse is caring for a hospitalized older adult client who has posterior nasal packing in place to treat a nosebleed. Which of the following assessment findings will require the most immediate action by the nurse?
A)The oxygen saturation is 89%.
B)The nose appears red and swollen.
C)The client's temperature is 37.8°C (100°F).
D)The client complains of level 7 (0-10 scale) pain.
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Chapter 30: Nursing Management Lower Respiratory
Problems
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/3295
Sample Questions
Q1) The nurse is caring for a client with a pleural effusion who is scheduled for a thoracentesis. Which of the following actions should the nurse implement prior to the procedure?
A)Start a peripheral intravenous line to administer the necessary sedative drugs.
B)Position the client sitting upright on the edge of the bed and leaning forward.
C)Remove the water pitcher and remind the client not to eat or drink anything for 6 hours.
D)Instruct the client about the importance of incentive spirometer use after the procedure.
Q2) The nurse is caring for a client with bacterial pneumonia who has pleurisy. Which of the following actions should the nurse implement to promote airway clearance?
A)Assist the client to splint the chest when coughing.
B)Educate the client about the need for fluid restrictions.
C)Encourage the client to wear the nasal oxygen cannula.
D)Instruct the client on the pursed lip breathing technique.
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Chapter 31: Nursing Management Obstructive Pulmonary Diseases
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3296
Sample Questions
Q1) The nurse is preparing a client with possible asthma for pulmonary function testing. Which of the following instructions should the nurse include in the teaching plan?
A)Avoid eating or drinking for several hours before the testing.
B)Use rescue medications immediately before the tests are done.
C)Take oral corticosteroids at least 2 hours before the examination.
D)Withhold bronchodilators for 6-12 hours before the examination.
Q2) A young adult client with cystic fibrosis (CF) tells the nurse that she is considering having a child. Which of the following responses is best for the nurse to respond initially?
A)"Are you aware of the normal lifespan for clients with CF?"
B)"Do you need any information to help you with the decision?"
C)"You will need to have genetic counselling before making a decision."
D)"Many women with CF do not have difficulty in conceiving children."
Q3) Which of the following topics should the nurse include in medication teaching for a client with newly diagnosed persistent asthma?
A)Use of long-acting ?-adrenergic medications
B)Adverse effects of sustained-release theophylline
C)Self-administration of inhaled corticosteroids
D)Complications associated with oxygen therapy
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Chapter 32: Nursing Assessment Hematological System
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3297
Sample Questions
Q1) The nurse is caring for a newly admitted client whose complete blood count (CBC) shows a "shift to the left." Which of the following assessments should the nurse monitor in the plan of care?
A)Cool extremities
B)Pallor and weakness
C)Elevated temperature
D)Low oxygen saturation
Q2) While examining the lymph nodes during physical assessment, the nurse would be most concerned about which of the following findings?
A)A 2-cm nontender supraclavicular node
B)A 1-cm mobile and nontender axillary node
C)An inability to palpate any superficial lymph nodes
D)Firm inguinal nodes in a client with an infected foot
Q3) The nurse is caring for a client who is receiving heparin. Which of the following laboratory tests should the nurse monitor?
A)Prothrombin time (PT)
B)Fibrin degradation products (FDP)
C)International normalized ratio (INR)
D)Activated partial thromboplastin time (aPTT)
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Page 34
Chapter 33: Nursing Management Hematological Problems
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/3298
Sample Questions
Q1) A routine complete blood count indicates that a client may have myelodysplastic syndrome. At this time, which of the following information should the nurse include in the teaching plan?
A)Packed red blood cells (PRBCs) transfusion
B)Bone marrow biopsy
C)Filgrastim administration
D)Erythropoietin administration
Q2) Which of the following actions should the nurse include in the care plan for a hospitalized client who is neutropenic?
A)Avoid any IM or subcutaneous injections.
B)Check the oral temperature every 4 hours.
C)Omit all fruits or vegetables from the diet.
D)Place a "No Visitors" sign on the client door.
Q3) Which of the following assessment data obtained by the nurse when caring for a client with thrombo-cytopenia should be immediately communicated to the health care provider?
A)The platelet count is 52 * 109/L.
B)The client is difficult to arouse.
C)There are large bruises on the back.
D)There are purpura on the oral mucosa.
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Chapter 34: Nursing Assessment Cardiovascular System
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/3299
Sample Questions
Q1) The nurse is assessing a client who has just arrived in the emergency department and notes a pulse deficit. Which of the following actions should the nurse anticipate for the client?
A)A 2-D echocardiogram
B)A cardiac catheterization
C)Hourly blood pressure checks
D)Electrocardiographic monitoring
Q2) The nurse hears a murmur between the S1 and S2 heart sounds at the client's left 5th intercostal space and midclavicular line. How should the nurse record this information?
A)"Systolic murmur heard at mitral area."
B)"Diastolic murmur heard at aortic area."
C)"Systolic murmur heard at Erb's point."
D)"Diastolic murmur heard at tricuspid area."
Q3) Which of the following actions should the nurse implement for a client who arrives for a calcium-scoring CT scan?
A)Administer oral sedative medications.
B)Teach the client about the procedure.
C)Ask whether the client has eaten today.
D)Insert a large gauge intravenous catheter.
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Page 36
Chapter 35: Nursing Management Hypertension
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3300
Sample Questions
Q1) 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
Q2) The charge nurse observes a new RN doing discharge teaching for a client who is hypertensive and has a new prescription for enalapril. Which of the following actions by the new RN should cause the charge nurse to intervene in the client's care?
A)Check the BP with a home BP monitor every day.
B)Move slowly when moving from lying to standing.
C)Increase the dietary intake of high-potassium foods.
D)Make an appointment with the dietitian for teaching.
Q3) The nurse obtains a blood pressure of 180/75 mm Hg for a client. What is the client's mean arterial pressure (MAP)?
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Chapter 36: Nursing Management Coronary Artery Disease
and Acute Coronary Syndrome
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/3301
Sample Questions
Q1) 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
Q2) Following an acute myocardial infarction, a client ambulates in the hospital hallway. When the nurse is evaluating the client's response, which of the following assessment data would indicate that the exercise level should be decreased?
A)BP changes from 118/60 to 126/68 mm Hg.
B)Oxygen saturation drops from 100% to 98%.
C)Heart rate increases from 66 to 90 beats/minute.
D)Respiratory rate goes from 14 to 22 breaths/minute.
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Page 38
Chapter 37: Nursing Management Heart Failure
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3302
Sample Questions
Q1) The nurse working in the heart failure clinic will know that teaching for a client with newly diagnosed heart failure has been effective when the client does which of the following actions?
A)Uses an additional pillow to sleep when feeling short of breath at night.
B)Tells the home care nurse that furosemide is taken daily at bedtime.
C)Calls the clinic when the weight increases from 56 to 59 kg in 2 days.
D)Says that the nitroglycerin patch will be used for any chest pain that develops.
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
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Chapter 38: Nursing Management Dysrhythmias
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/3303
Sample Questions
Q1) The nurse notes that a client's cardiac monitor shows that every other beat is earlier than expected, has no P wave, and has a QRS complex with a wide and bizarre shape. How should the nurse document the rhythm?
A)Ventricular couplets
B)Ventricular bigeminy
C)Ventricular R-on-T phenomenon
D)Ventricular multifocal contractions
Q2) The nurse is caring for a client whose cardiac monitor shows sinus tachycardia, rate 102, and is apneic with no pulses are palpable by the nurse. Which of the following actions should the nurse do first?
A)Start CPR.
B)Defibrillate.
C)Administer atropine per hospital protocol.
D)Give 100% oxygen per nonrebreather mask.
Q3) The nurse is analyzing an electrocardiographic rhythm strip of a client with a regular cardiac rhythm and finds there are 25 small blocks from one R wave to the next. The nurse calculates the client's heart rate as beats per minute.
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Chapter 39: Nursing Management Inflammatory and Structural
Heart Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/3304
Sample Questions
Q1) The nurse is conducting discharge teaching about the need for prophylactic antibiotics when having dental procedures. This teaching would be provided to a client with which of the following diagnoses?
A)Acute myocardial infarction
B)Exacerbation of heart failure
C)Mechanical mitral valve replacement
D)Rheumatic fever after a streptococcal infection.
Q2) The nurse is assessing a client with infective endocarditis (IE). Which of the following findings should the nurse expect to assess?
A)A new regurgitant murmur
B)A pruritic rash on the trunk
C)Involuntary muscle movement
D)Substernal chest pain and pressure
Q3) The nurse is assessing a client with mitral valve stenosis and hypoxemia. Which of the following findings should the nurse expect to assess?
A)Diastolic murmur
B)Peripheral edema
C)Right upper quadrant tenderness
D)Complaints of shortness of breath
Page 41
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Chapter 40: Nursing Management Vascular Disorders
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/3305
Sample Questions
Q1) Which of the following clients admitted to the emergency department should the nurse assess first?
A)62-year-old who has gangrenous ulcers on both feet
B)50-year-old who is complaining of "tearing" chest pain
C)45-year-old who is taking anticoagulants and has bloody stools
D)36-year-old who has right calf tenderness, redness, and swelling
Q2) The nurse is developing a teaching plan for a client newly diagnosed with peripheral artery disease (PAD). Which of the following information should the nurse include?
A)"Exercise only if you do not experience any pain."
B)"It is very important that you stop smoking cigarettes."
C)"Try to keep your legs elevated whenever you are sitting."
D)"Put on support hose early in the day before swelling occurs."
Q3) The nurse is planning expected outcomes for a client with thromboangiitis obliterans (Buerger's disease). Which of the following outcomes has the highest priority for this client?
A)Cessation of smoking
B)Control of serum lipid levels
C)Maintenance of appropriate weight
D)Demonstration of meticulous foot care
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Page 42
Chapter 41: Nursing Assessment Gastro-intestinal System
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/3306
Sample Questions
Q1) The nurse is obtaining a history from a client who is admitted with jaundice. Which of the following statements is most indicative of a need for client teaching?
A)"I used cough syrup several times a day last week."
B)"I take a baby Aspirin every day to prevent strokes."
C)"I need to take an antacid for indigestion several times a week"
D)"I use acetaminophen every 4 hours for chronic pain."
Q2) The health care provider sees a client at 10 A.M. and writes a prescription for endoscopic retrograde cholangiopancreatography (ERCP) as soon as possible. Which of the following actions that are included in the agency protocol for ERCP should the nursetake first?
A)Place the client on NPO status.
B)Administer sedative medications.
C)Ensure the consent form is signed.
D)Explain the procedure to the client.
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Chapter 42: Nursing Management Nutritional Problems
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/3307
Sample Questions
Q1) The nurse is caring for a client who is receiving continuous enteral nutrition through a small-bore silicone feeding tube, has a computed tomography (CT) scan ordered, and will have to be placed in a flat position for the scan. Which of the following actionsby the nurse is best?
A)Shut the feeding off 30-60 minutes before the scan.
B)Ask the health care provider to reschedule the CT scan.
C)Connect the feeding tube to continuous suction during the scan.
D)Send the client to CT scan with oral suction in case of aspiration.
Q2) After 6 hours of parenteral nutrition (PN) infusion, the nurse checks a client's capillary blood glucose level and finds it to be 6.7 mmol/L. Which of the following actions should the nurse take?
A)Obtain a venous blood glucose specimen.
B)Slow the infusion rate of the PN infusion.
C)Recheck the capillary blood glucose in 4 hours.
D)Notify the health care provider of the glucose level.
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Chapter 43: Nursing Management Obesity
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/3308
Sample Questions
Q1) The nurse is collaborating with an obese client who is enrolled in a behaviour modification program. Which of the following nursing actions is best?
A)Having the client write down the caloric intake of each meal
B)Asking the client about situations that tend to increase appetite
C)Encouraging the client to eat small amounts throughout the day rather than having scheduled meals
D)Suggesting that the client have a reward, such as a piece of sugarless candy, after achieving a weight-loss goal
Q2) The nurse is developing a weight reduction plan for an obese client who wants to lose weight. Which of the following questions should the nurse ask first?
A)"Which food types do you like best?"
B)"How long have you been overweight?"
C)"What kind of physical activities do you enjoy?"
D)"What factors do you think led to your obesity?"
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Chapter 44: Nursing Management Upper Gastro-intestinal
Problems
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3309
Sample Questions
Q1) The nurse is teaching a client with gastro-esophageal reflux disease (GERD) about recommended dietary modifications. Which of the following diet choices for a snack 2 hours before bedtime indicates that the teaching has been effective?
A)Chocolate pudding
B)Glass of low-fat milk
C)Peanut butter sandwich
D)Cherry gelatin and fruit
Q2) Which of the following information about a client who has just been admitted to the hospital with nausea and vomiting requires the most rapid intervention by the nurse?
A)The client has taken only sips of water.
B)The client is lethargic and difficult to arouse.
C)The client's chart indicates a recent resection of the small intestine.
D)The client has been vomiting several times a day for the last 4 days.
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Chapter 45: Nursing Management Lower Gastro-intestinal
Problems
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/3310
Sample Questions
Q1) Which of the following prescribed interventions should the nurse implement first when caring for a client who has just diagnosed with peritonitis caused by a ruptured diverticulum?
A)Administer morphine sulphate 4 mg IV.
B)Infuse metronidazole 500 mg IV.
C)Send the client for a computerized tomography scan.
D)Insert a nasogastric (NG) tube and connect it to intermittent low suction.
Q2) Which of the following actions should the nurse take first when a client calls the clinic complaining of diarrhea of 24 hours' duration?
A)Ask the client to describe the character of the stools and any associated symptoms.
B)Inform the client that laboratory testing of blood and stool specimens will be necessary.
C)Suggest that the client drink clear liquid fluids with electrolytes, such as Gatorade or Pedialyte.
D)Advise the client to use over-the-counter loperamide to slow gastrointestinal (GI) motility.
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47
Chapter 46: Nursing Management Liver
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/3311
Sample Questions
Q1) The nurse is caring for a client who has had a transjugular intrahepatic portosystemic shunt (TIPS) placement. Which of the following findings indicate that the procedure has been effective?
A)Lower indirect bilirubin level
B)Increase in serum albumin level
C)Decrease in episodes of variceal bleeding
D)Improvement in alertness and orientation
Q2) The nurse is caring for a client with acute pancreatitis who has a nasogastric (NG) tube to suction and is NPO. Which of the following information obtained by the nurse indicates that these therapies have been effective?
A)Bowel sounds are present.
B)Grey Turner sign resolves.
C)Electrolyte levels are normal.
D)Abdominal pain is decreased.
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Chapter 47: Nursing Assessment Urinary System
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/3312
Sample Questions
Q1) Which of the following techniques should the nurse use to assess the flank area of a client with pyelonephritis for tenderness?
A)Push gently into the two lowest intercostal spaces.
B)Palpate along both sides of the lumbar vertebral column.
C)Position one hand flat at the costovertebral angle (CVA) and strike it with the other fist.
D)Use two fingers to percuss the area between the iliac crest and ribs along the midaxillary line.
Q2) The nurse is reviewing the results of a client's urinalysis. Which of the following information indicates that the nurse should notify the health care provider?
A)pH 6.2
B)Trace protein
C)WBC: 20-26/hpf
D)Specific gravity: 1.021
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Chapter 48: Nursing Management Renal and Urologic
Problems
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/3313
Sample Questions
Q1) The nurse is obtaining the health history for a client who smokes two packs of cigarettes daily. Which of the following conditions should the nurse include in the teaching plan that the client is at an increased risk for developing?
A)Kidney stones
B)Bladder cancer
C)Bladder infection
D)Interstitial cystitis
Q2) Which of the following nursing actions is most helpful in decreasing the risk for
A)Avoid unnecessary catheterizations.
B)Encourage adequate oral fluid intake.
C)Test urine with a dipstick daily for nitrites.
D)Provide thorough perineal hygiene to clients.
Q3) The nurse is caring for a client with renal calculi, gross hematuria, and severe colicky left flank pain. Which of the following actions is priority at this time?
A)Encourage oral fluid intake.
B)Administer prescribed analgesics.
C)Monitor temperature every 4 hours.
D)Give antiemetics as needed for nausea.
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Chapter 49: Nursing Management Acute Kidney Injury and Chronic Kidney Disease
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/3314
Sample Questions
Q1) The nurse is caring for a client with acute kidney injury (AKI) who requires hemodialysis and a temporary vascular access is obtained by placing a catheter in the left femoral vein. Which of the following interventions should be included in the plan ofcare?
A)Place the client on bed rest.
B)Start continuous pulse oximetry.
C)Discontinue the retention catheter.
D)Restrict the client's oral protein intake.
Q2) The nurse is caring for a client with acute kidney injury (AKI) who has an arterial blood pH of 7.30. Which of the following assessment findings should the nurse anticipate?
A)Vasodilation
B)Poor skin turgor
C)Bounding pulses
D)Rapid respirations
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Chapter 50: Nursing Assessment Endocrine System
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/3315
Sample Questions
Q1) The nurse is caring for a client who is undergoing a water deprivation test. Which of the following findings is most important for the nurse to communicate to the health care provider?
A)Intense thirst
B)2.3 kg weight loss
C)Orthostatic hypotension
D)No change in urine osmolality
Q2) The nurse is caring for a client in the outpatient clinic who has a prescription for blood cortisol testing. Which of the following instructions should the nurse provide for the client?
A)"Avoid adding any salt to your foods for 24 hours before the test."
B)"You will need to lie down for 30 minutes before the blood is drawn."
C)"Come to the laboratory to have the blood drawn early in the morning."
D)"Do not have anything to eat or drink before the blood test is obtained."
Q3) The regulation of oxytocin during childbirth is an example of which of the following mechanisms?
A)Physiological rhythm
B)Secondary input
C)Loop regulation
D)Positive feedback
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Chapter 51: Nursing Management Endocrine Problems
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/3316
Sample Questions
Q1) The nurse is caring for a client who has had a transsphenoidal resection of a pituitary tumour. Which of the following nursing actions should be included in the postoperative plan of care?
A)Monitor urine output every hour.
B)Palpate extremities for dependent edema.
C)Check hematocrit hourly for first 12 hours.
D)Obtain continuous pulse oximetry for 24 hours.
Q2) The nurse is planning teaching for a client who was admitted with myxedema coma and diagnosed with hypothyroidism. Which of the following strategies isbest for the nurse to use?
A)Delay teaching until client discharge.
B)Ensure privacy by asking visitors to leave.
C)Provide written handouts of all information.
D)Offer multiple options for management of therapies.
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.
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Chapter 52: Nursing Management Diabetes Mellitus
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39 Flashcards
Source URL: https://quizplus.com/quiz/3317
Sample Questions
Q1) The nurse is preparing to assess a client who is pregnant and has no personal history of diabetes but does have a parent with diabetes. Which of the following actions should the nurse plan to take on this initial prenatal visit?
A)Teach about appropriate use of regular insulin.
B)Discuss the need for a fasting blood glucose level.
C)Schedule an oral glucose tolerance test for the twenty-fourth week of pregnancy.
D)Provide education about increased risk for fetal problems with gestational diabetes.
Q2) The nurse is teaching a client with diabetes who rides a bicycle to work every day about morning administration of insulin. Which of the following sites should the nurse tell the client to use to administer the morning insulin?
A)Arm
B)Thigh
C)Buttock
D)Abdomen
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Chapter 53: Nursing Assessment Reproductive System
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/3318
Sample Questions
Q1) The nurse is assessing an older-adult male client and the client says that he does not respond to sexual stimulation the way he did when he was younger. Which of the following responses to the client's comment is best?
A)"Many men need more sexual stimulation with aging."
B)"Interest in sex frequently decreases as men get older."
C)"Erectile dysfunction is a common problem with older men."
D)"Tell me more about how your sexual response has changed."
Q2) The nurse is assessing the sexual-reproductive functional health pattern for a client. Which of the following questions is most useful in determining the client's sexual orientation and risk factors?
A)"Do you have sex with men, women, or both?"
B)"Which gender do you prefer to have sex with?"
C)"What types of sexual activities do you prefer?"
D)"Are you heterosexual, homosexual, or bisexual?"
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Chapter 54: Nursing Management Breast Disorders
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/3319
Sample Questions
Q1) The nurse is caring for a client with breast cancer who is receiving chemotherapy and tamoxifen. Which of the following findings is most important to communicate to the health care provider?
A)The client has symptoms of numbness and tingling in the right arm and leg.
B)The client has complaints of fatigue.
C)The client eats only 15% of food on meal tray.
D)The client's white blood cell (WBC) count is 5 * 10<sup>9</sup>/L.
Q2) The nurse is assessing a client at the clinic who has metastatic breast cancer and has a new prescription for trastuzumab. Which of the following findings is a reason for the administration of this medication?
A)Allergic to iodine
B)HER-2 positive
C)Immune to tamoxifen
D)Severely dehydrated
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Chapter 55: Nursing Management Sexually Transmitted
Infections
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Which of the following clients should the nurse plan on teaching about the Gardasil vaccine?
A)A 50-year-old man who has multiple sexual partners
B)A 23-year-old woman who is pregnant for the first time
C)An 11-year-old female who has never been sexually active
D)A 28-year-old male who is in a monogamous relationship
Q2) Aclient who has blood drawn for an insurance screening has a positive Venereal Disease Research Laboratory (VDRL) test. Which of the following actions should the nurse take next?
A)Ask the client about past treatment for syphilis.
B)Discuss the need for blood and spinal fluid cultures.
C)Obtain a specimen for fluorescent treponemal antibody absorption (FAT-ABS) testing.
D)Assess for the presence of chancres, flulike symptoms, or a bilateral rash on the trunk.
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Chapter 56: Nursing Management Female Reproductive Problems
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/3321
Sample Questions
Q1) The nurse is caring for a client with endometriosis who is treated with medroxyprogesterone. Which of the following information related to this therapy should the nurse explain to the client?
A)Suppresses the menstrual cycle by mimicking pregnancy
B)May cause symptoms such as vaginal atrophy and hot flashes
C)Is associated with loss of bone density and increased fracture risk
D)Will lead to permanent suppression of abnormal endometrial tissues
Q2) A client with pelvic inflammatory disease (PID) is treated on an outpatient basis with oral antibiotics. Which of the following instructions should be included in client teaching?
A)Return for a follow-up appointment in 2 days.
B)Abdominal pain may persist for several weeks.
C)Sexual intercourse should be avoided for 1 week.
D)Nonsteroidal anti-inflammatory drug (NSAID) use may prevent scarring of pelvic organs.
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Chapter 57: Nursing Management Male Reproductive Problems
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Sample Questions
Q1) The nurse is providing teaching for a client with cancer of the prostate who has been prescribed leuprolide. Which of the following adverse effects should the nurse include in the teaching plan about this drug?
A)Dizziness
B)Hot flashes
C)Urinary incontinence
D)Increased infection risk
Q2) The nurse is caring for a client with erectile dysfunction (ED) following treatment for benign prostatic hyperplasia (BPH) who tells the nurse that he decided to seek treatment because his wife "is losing patience with the situation." Which of the following nursing diagnoses is best for the client?
A)Ineffective role performance related to alteration in body image
B)Anxiety related to threat to current status (inability to have sexual intercourse)
C)Situational low self-esteem related to alteration in body image
D)Ineffective sexuality pattern related to skill deficit about alternatives related to sexuality
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Chapter 58: Nursing Assessment Nervous System
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Sample Questions
Q1) During the neurological assessment, the client cooperates with the nurse's directions to grip with the hands and to move the feet but is unable to respond orally to the nurse's questions. Which of the following diagnoses should the nurse suspect based uponthese findings?
A)A brain stem lesion
B)A temporal lobe lesion
C)Injury to the cerebellum
D)Damage to the frontal lobe
Q2) The nurse is performing a focused assessment on a client with a lesion of the left posterior temporal lobe. Which of the following assessments should the nurse complete?
A)Sensation on the left side of the body
B)Voluntary movement on the right side
C)Reasoning and problem-solving abilities
D)Understanding of written and oral language
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Chapter 59: Nursing Management Acute Intracranial
Problems
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Sample Questions
Q1) The nurse is caring for a client following a craniectomy and left anterior fossae incision who has a nursing diagnosis of impaired physical mobility related to decreased level of consciousness and weakness. Which of the following is an appropriate nursingintervention?
A)Position the bed flat and log roll the client.
B)Cluster nursing activities to allow longer rest periods.
C)Turn and reposition the client side to side every 2 hours.
D)Perform range-of-motion (ROM) exercises every 4 hours.
Q2) The nurse is caring for a client who has a head injury and is diagnosed with a concussion. Which of the following actions should the nurse plan to take?
A)Coordinate the transfer of the client to the operating room.
B)Provide discharge instructions about monitoring neurological status.
C)Transport the client to radiology for magnetic resonance imaging (MRI) of the brain.
D)Arrange to admit the client to the neurological unit for observation for 24 hours.
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Chapter 60: Nursing Management Stroke
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Sample Questions
Q1) The nurse is admitting a client with right-sided weakness that started 90 minutes earlier to the emergency department and all these diagnostic tests are prescribed. Which of the following tests should be done first?
A)Electrocardiogram (ECG)
B)Complete blood count (CBC)
C)Chest radiograph (chest x-ray)
D)Noncontrast computed tomography (CT) scan
Q2) Several weeks after a stroke, a client has urinary incontinence resulting from an impaired awareness of bladder fullness. For an effective bladder training program, which of the following nursing interventions will be best to include in the plan of care?
A)Limit fluid intake to 1 200 mL daily to reduce urine volume.
B)Assist the client onto the bedside commode every 2 hours.
C)Perform intermittent catheterization after each voiding to check for residual urine.
D)Use an external "condom" catheter to protect the skin and prevent embarrassment.
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Chapter 61: Nursing Management Chronic Neurological Problems
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Sample Questions
Q1) The nurse is caring for a client with multiple sclerosis (MS) who is to begin treatment with glatiramer acetate. Which of the following information should the nurse include in client teaching?
A)Recommendation to drink at least 3-4 L of water daily
B)Need to avoid driving or operating heavy machinery
C)How to draw up and administer injections of the medication
D)Use of contraceptive methods other than oral contraceptives
Q2) The nurse is assessing a client in the outpatient clinic who has restless legs syndrome. Which of the following over-the-counter medications that the client is taking routinely should the nurse discuss with the client?
A)Multivitamin
B)Acetaminophen
C)Ibuprofen
D)Diphenhydramine
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Chapter 62: Nursing Management Delirium
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Sample Questions
Q1) The nurse is administering a mental status examination to a client. Which of the following client responses should lead the nurse to suspect possible depression?
A)"I don't know."
B)"Is that the right answer?"
C)"Wait, let me think about that."
D)"Who are those people over there?"
Q2) The nurse is assessing a client with Alzheimer's disease (AD) who is being admitted to a long-term care facility and the nurse learns that the client has had several episodes of wandering away from home. Which of the following nursing actions should thenurseinclude in the plan of care?
A)Place the client in a room close to the nurses' station.
B)Ask the client why the wandering episodes have occurred.
C)Have the family bring in familiar items from the client's home.
D)Reorient the client to the new living situation several times daily.
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Chapter 63: Nursing Management Peripheral Nerve and Spinal Cord Problems
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Sample Questions
Q1) The nurse is assessing a client with newly diagnosed trigeminal neuralgia. Which of the following parameters should the nurse assess?
A)Triggers that lead to facial pain
B)Visual problems caused by ptosis
C)Poor appetite caused by a loss of taste
D)Weakness on the affected side of the face
Q2) Which of the following nursing actions should the home health nurse include in the plan of care for a client with paraplegia in order to prevent autonomic dysreflexia?
A)Assist with selection of a high protein diet.
B)Use quad coughing to assist cough effort.
C)Discuss options for sexuality and fertility.
D)Teach the purpose of a prescribed bowel program.
Q3) Which of the following actions should the nurse include in the plan of care when caring for a client who is experiencing trigeminal neuralgia?
A)Teach facial and jaw relaxation techniques.
B)Assess intake and output and dietary intake.
C)Apply ice packs for no more than 20 minutes.
D)Spend time at the bedside talking with the client.
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Chapter 64: Nursing Assessment Musculo-skeletal System
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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 conducting a musculo-skeletal assessment on an older-adult client. Which of the following are age-related changes in this body system? (Select all that apply.)
A)Decreased bone density
B)Decreased risk for cartilage disruption
C)Increased glycogen stores
D)Decreased elasticity in cartilage
E)Increased muscle cell diameter
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Chapter 65: Nursing Management Musculo-skeletal
Trauma and Orthopedic Surgery
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Sample Questions
Q1) The nurse is caring for a client who had hip replacement surgery using the posterior approach. Which of the following client actions requires rapid intervention by the nurse?
A)The client uses crutches with a swing-to gait.
B)The client leans over to pull shoes and socks on.
C)The client sits straight up on the edge of the bed.
D)The client bends over the sink while brushing the teeth.
Q2) The nurse is caring for a client in the emergency department who is experiencing severe pain and is diagnosed with a patellar dislocation. Which of the following actions should the nurse implement first?
A)Applying a knee immobilizer
B)Implementing passive knee flexion
C)Limiting activity restrictions
D)Preparing the client for conscious sedation
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Chapter 66: Nursing Management Musculo-skeletal Problems
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Sample Questions
Q1) The nurse is planning an educational session related to foot problems at a local seniors club. Which of the following information should the nurse include in the session related to why the older adult is prone to developing foot problems? (Select all that apply.)
A)Poor circulation
B)Inactivity
C)Decreased lower extremity sensation
D)Poor foot hygiene
E)Atherosclerosis
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
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Chapter 67: Nursing Management Arthritis and Connective
Tissue Diseases
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Sample Questions
Q1) Which of the following actions should the nurse implement for a client with septic arthritis?
A)Hot compress on affected area tid
B)Active ROM exercises qid
C)Monitor BP q4h
D)Passive ROM exercises bid
Q2) The nurse is assessing a client with fibromyalgia. Which of the following symptoms should the nurse expect the client to report? (Select all that apply.)
A)Sleep disturbances
B)Multiple tender points
C)Cardiac palpitations and dizziness
D)Multijoint pain with inflammation and swelling
E)Widespread bilateral, burning musculo-skeletal pain
Q3) Which of the following findings should the nurse expect when assessing an older-adult client who has osteoarthritis (OA) of the left knee?
A)Heberden nodules
B)Pain upon joint movement
C)Redness and swelling of the knee joint
D)Stiffness that increases with movement
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Chapter 68: Nursing Management Critical Care
Environment
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Sample Questions
Q1) The family members of a client who has just been admitted to the intensive care unit (ICU) with multiple traumatic injuries have just arrived in the ICU waiting room. Which of the following actions should the nurse take first?
A)Immediately take the family members to the client's room.
B)Discuss ICU visitation policies and encourage family visits.
C)Describe the client's injuries and the care that is being provided.
D)Invite the family to participate in a multidisciplinary care conference.
Q2) The nurse is caring for a client receiving a continuous norepinephrine IV infusion. Which of the following client assessment information indicates that the infusion rate may be too high?
A)Heart rate is 58 beats/minute.
B)Mean arterial pressure is 55 mm Hg.
C)Systemic vascular resistance (SVR) is elevated.
D)Pulmonary artery wedge pressure (PAWP) is low.
Q3) A client's vital signs are pulse 80, respirations 24, BP of 124/60 mm Hg, and cardiac output is 4.8 L/minute. What is the client's stroke volume?
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Page 70
Chapter 69: Nursing Management Shock
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Sample Questions
Q1) Which of the following findings is the best indicator that the fluid resuscitation for a client with hypovolemic shock has been successful?
A)Hemoglobin is within normal limits.
B)Urine output is 60 mL over the last hour.
C)Pulmonary artery occlusive pressure (PAOP) is normal.
D)Mean arterial pressure (MAP) is 65 mm Hg.
Q2) The nurse is caring for a client with neurogenic shock who is receiving a phenylephrine infusion through a left forearm IV. Which of the following assessment information obtained by the nurse indicates a need for immediate action?
A)The client's IV infusion site is cool and pale.
B)The client has warm, dry skin on the extremities.
C)The client has an apical pulse rate of 58 beats/minute.
D)The client's urine output has been 28 mL over the last hour.
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Chapter 70: Nursing Management Respiratory Failure and
Acute Respiratory Distress Syndrome
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Sample Questions
Q1) The nurse is caring for a client who develops increasing dyspnea and hypoxemia 2 days after having cardiac surgery. To determine whether the client has acute respiratory distress syndrome (ARDS) or pulmonary edema caused by left ventricular failure, thenursewill anticipate assisting with which of the following actions?
A)Inserting a pulmonary artery catheter
B)Obtaining a ventilation-perfusion scan
C)Drawing blood for arterial blood gases
D)Positioning the client for a chest radiograph
Q2) The nurse is caring for a client who has a nursing diagnosis of ineffective airway clearance related to thick, secretions. Which of the following actions should the nurse include in the plan of care?
A)Encourage use of the incentive spirometer.
B)Offer the client fluids at frequent intervals.
C)Teach the client the importance of coughing.
D)Increase oxygen level to keep O<sub>2</sub> saturation >95%.
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72
Chapter 71: Nursing Management Emergency Care Situations
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Sample Questions
Q1) The following actions are part of the routine emergency department (ED) protocol for a client who has been admitted with multiple bee stings to the hands. Which action should the nurse take first?
A)Remove the client's rings.
B)Place ice packs on both hands.
C)Apply calamine lotion to any itching areas.
D)Give diphenhydramine 100 mg PO.
Q2) A client's family members are in the client room when the client has a cardiac arrest and emergency personnel start resuscitation measures. Which of the following actions should the nurse take first?
A)Have the family wait outside the client room with a designated staff member to provide emotional support.
B)Keep the family in the room and assign a member of the team to explain the care given and answer questions.
C)Ask the family members about whether they would prefer to remain in the client room or wait outside the room.
D)Advise the family members that clients are comforted by having family members present during resuscitation efforts.
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Chapter 72: Emergency Management and Disaster Planning
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Source URL: https://quizplus.com/quiz/3337
Sample Questions
Q1) The nurse is triaging a client who arrives in the emergency department experiencing shock. Using the START system, which of the following colours should the nurse assign to this client?
A)Red
B)Black
C)Green
D)Yellow
Q2) The nurse is triaging a client with an open fracture who arrives at the emergency department as one of several clients from a mass casualty incident. Using the START system, which of the following colours should the nurse use to code this client?
A)Green
B)Yellow
C)Red
D)Black
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