Chapters 4-6 & 31-32 - Practice Questions

Which common stomach disorders are treated with proton pump inhibitors? (Select all that apply). a. Duodenal ulcers b. GERD c. Esophagitis d. Gastroparesis e. Hypersecretory disorders

A, B, C, E

Which of the following information about medications is important to teach patients? (Select all that apply). a. The name, dosage, and route of administration of the medication. b. The laboratory studies that need to be monitored while on the medication. c. The common adverse effects and possible serious adverse effects to watch for. d. The correct pharmacy to obtain the medication from. e. The correct schedule or timing of the medication to follow.

A, B, C, E

The nurse instructing a patient on how to reduce acid production in the stomach to prevent GERD indicated that which measures should be taken? (Select all that apply). a. Decrease or stop smoking b. Decrease the amount of coffee consumed c. Increase the amount of spicy foods consumed d. Decrease the amount of alcohol intake e. Increase the amount of carbonated beverages

A, B, D

The nurse applies the nursing process by gathering patient information to assess the patient using which of the following methods? (Select all that apply). a. Body systems assessment b. Head-to-toe assessment c. Critical pathway d. Evidence-based practice e. Gordon's Functional Health Patterns Model

A, B, E

A nurse working on a busy unit is passing the medication room when another nurse approaches, states she is needed in another room, and asks for help administering medications to her patients. She hands the nurse two syringes and three unit-dose tablets and says they are for the patient in room 386. What does the nurse do next? a. Takes the medications and proceeds to administer them to the patient in room 386 b. Refuses to administer the medications c. Offers to take care of the other patient situation and has the nurse administer her own medications d. Reports the situation to the charge nurse of the unit

C

A patient refuses an essential heart medication that has been prescribed. What does the nurse do next? a. Calls the physician b. Reports to the head nurse c. Seeks patient reasons d. Documents refusal on the MAR

C

A patient was asking the nurse to explain canker sores. What is the appropriate response by the nurse? (Select all that apply). a. The causes of canker sores are not known. b. Sometimes canker sores are brought on by stress and trauma to the mouth. c. Canker sores are leisons that are really viral infections. d. Canker sores are not contagious. e. If you take aspirin, it will promote healing of the canker sores.

A, B

The nurse knows that thrush can occur in which of these patient populations? (Select all that apply). a. Infants b. Pregnant women c. Debilitated patients d. Teens e. Older adults

A, B, C

The patient presents with educational information about medication that has been obtained from the Internet. What does the role of the nurse as consultant include? (Select all that apply). a. Evaluating websites for validity b. Assisting the patient with purchasing medications online c. Assisting the patient with understanding the information accessed d. Providing the patient with tools to evaluate websites for validity e. Encouraging the use of one search engine

A, C, D

The nurse discussing halitosis with a patient should include which of these causes? (Select all that apply). a. Smoking b. Cancer sores c. Sinusitis d. Dimethyl sulfoxide e. Candida albicans

A, C, E

A clinical judgment that a person is more susceptible to a particular problem than others in the same situation is defined as which type of nursing diagnosis? a. Actual b. Health promotion/wellness c. Risk/high risk d. Syndrome

C

List in order what steps the nurse takes when preparing and administering a patient's morning medications. a. Document the administration of the medications. b. Check the order to verify the medication is correct. c. Obtain the medications for administration from the medication room. d. Identify the patient using two patient's identifiers before administration. e. Triple-check that the correct medication was prepared.

1. Check the order to verify the medication is correct. 2. Obtain the medications for administration from the medication room. 3. Triple-check that the correct medication was prepared. 4. Identify the patient using two patient's identifiers before administration. 5. Document the administration of the medications.

Computer-controlled medication dispensing systems are being used in many hospitals. Which statement about this type of system is true? a. It is a safer way to dispense controlled medications. b. It eliminates the need for the pharmacist to be involved. c. It is more costly to operate in dispensing drugs than distributing to floor stock. d. It is a less efficient means to control access to and distribute narcotics.

A

How long does the breath-freshening action of over-the-counter mouthwashes last? a. 10 to 30 minutes b. 30 to 60 minutes c. 1 to 2 hours d. 3 hours

A

Immediately after administering morning medications for a patient, the nurse is expected to perform which action next? a. Document the medications administered b. Evaluate the effectiveness of the medications c. Educate the patient on the adverse effects to expect d. Complete the nursing care plan for the day

A

The nurse is developing a teaching plan for a patient who will have limited activity at home after a recent fall. What principle of learning is involved when teaching this patient? a. The timing of the teaching is important for learning to take place. b. Teaching is effective when all family members are present. c. The affective domain is particularly useful when dealing with the grieving process. d. Financial considerations are not part of the issues involved in patient teaching.

A

The nurse is teaching a patient about the use of a prescribed proton pump inhibitor to decrease the symptoms of GERD. Which statement made by the patient indicates a need for further teaching? a. "This medication will coat my stomach so it doesn't hurt so much." b. "This medication will lower the amount of acid in my stomach." c. "If I develop a rash, I'll let my healthcare provider know right away." d. "I'll make sure I drink plenty of fluids."

A

What nursing action causes most medication errors to occur? a. Failing to follow routine procedures b. Administering numerous medications c. Caring for too many patients d. Administering unfamiliar medications

A

Which drug has been approved specifically for use in preventing and treating the mucositis that develops in leukemia or lymphoma patients undergoing chemotherapy before bone marrow transplantation? a. Nystatin b. Sucralfate c. Viscous lidocaine d. Palifermin

A

Which oral disorder is contagious? a. Fever blisters b. Xerostomia c. Mucositis d. Canker sores

A

Which piece of information obtained during a patient assessment is a subjective finding? a. Patient states, "I have pain in my abdomen." b. Temperature of 38.5° C c. 400 mL of clear, yellow urine d. Blood pressure of 116/74 mm Hg

A

To prevent future oral problems in children, when should regular oral care begin? a. At infancy, by rubbing the gums with gauze to cleanse b. When teeth first erupt c. When the child is old enough to hold a toothbrush d. When the child enters kindergarten

B

What is a common adverse effect of aluminum-based antacids, especially when consumed in large quantities? a. Diarrhea b. Constipation c. Dyspepsia d. Flatulence

B

What is the foundation for the clinical practice of nursing? a. Assessment b. Nursing process c. Planning d. Evaluation e. Implementation

B

The nurse preparing the narcotic hydromorphone (Dilaudid) needs to get assistance from another licensed healthcare provider when what occurs? a. The patient takes all the medication and then becomes nauseated and vomits the drug. b. The medication is delivered in a dose that is more than the amount ordered. c. The patient states that the drug will not work and refuses to take it. d. The medication ordered is locked in the narcotic drawer.

B

The nurse was discussing the mechanism of action for pantoprazole with a patient diagnosed with GERD and realized further education was needed after the patient made which statement? a. I understand that pantoprazole will inhibit my stomach from producing acid. b. So this drug will coat the lining of my stomach so I do not get GERD symptoms. c. When I take this, it will not affect how fast my food is digested. d. I can expect that pantoprazole will relieve my symptoms of heartburn.

B

The stomach functions to digest food by secreting pepsinogen from the secretory cells known as what? a. Parietal cells b. Chief cells c. Mucous cells d. Salivary cells

B

A nurse caring for a patient with diabetes who was diagnosed with gastroparesis would expect which drug to work as a gastric stimulant? a. Pantoprazole (Protonix) b. Metoclopramide (Reglan) c. Sucralfate (Carafate) d. Misoprostol (Cytotec)

B

A nurse is having difficulty reading a physician's order for a medication. The nurse knows that the physician is very busy and does not like to be called. What does the nurse do next? a. Calls a pharmacist to interpret the order b. Calls the physician to have the order clarified c. Consults the unit manager to interpret the physician's handwriting d. Asks the unit secretary to interpret the physician's handwriting

B

A patient complains to his nurse about heartburn. The nurse notes in the medication profile that an antacid has been ordered PRN. What will the nurse need to do next? a. Give the antacid immediately. b. Verify the last time that the drug was given and determine whether it is appropriate to give the dose now. c. Inform the patient that the next scheduled medications will be given in a few hours and that the drug will be given at that time. d. Call the physician and ask if the antacid can be given.

B

A patient develops edema as an adverse effect to a prescribed medication. A gain of 5 pounds has occurred in 24 hours, and 2+ edema is present in the legs. Which nursing diagnosis statement does the nurse allocate to this patient? a. Excess fluid volume related to calcium ion antagonist therapy (nifedipine), as evidenced by dependent edema (2+) and weight gain of 5 pounds in 24 hours. b. Excess fluid volume related to medication therapy manifested by 5-pound weight gain and leg edema. c. Excess fluid volume related to adverse effects of medications, as evidenced by unknown etiology. d. Risk for fluid volume imbalance related to adverse effects of medications.

B

A patient undergoing chemotherapy for cancer has developed significant mucositis. Which technique may bring relief to the patient? a. Frequent oral rinses with commercial mouthwash b. Use of viscous lidocaine c. Regular toothbrushing d. Sucking on hard candy

B

How does a nursing diagnosis differ from a medical diagnosis? a. A nursing diagnosis concerns a disease that impairs physiologic function. b. A nursing diagnosis evaluates a patient's response to actual or potential health problems. c. A nursing diagnosis determines the rate of Medicare reimbursement. d. A nursing diagnosis does not consider potential future problems.

B

The nurse can expect that a patient who recently underwent chemotherapy will develop mucositis during which time frame? a. Within 2 to 3 days of starting chemotherapy b. Within 5 to 7 days of starting chemotherapy c. Within 10 to 12 days of starting chemotherapy d. Within 2 weeks of starting chemotherapy

B

The nurse practitioner is caring for a patient who is experiencing xerostomia. Which type of treatment does the nurse prescribe for the patient? a. Antibiotics b. Saliva substitute c. Antiviral ointment d. Surgical removal

B

Which statement is an example of an objective of healthcare teaching that involves the cognition domain of learning? a. The patient will demonstrate the correct way to use a peak flowmeter. b. The patient will verbalize an understanding of the potential side effects of digoxin. c. The patient will correctly place medications in the proper box when filing the drug box. d. The patient will discuss with his or her family how the treatment proposal will affect their lives.

B

Which type of nursing diagnosis involves the potential for complication of a drug therapy? a. Actual b. Risk/ high risk c. Health promotion and/ or wellness d. Syndrome

B

What are the benefits of using CPOE technology for healthcare providers? (Select all that apply). a. It verifies the patient has received appropriate patient education. b. It checks for potential drug interactions. c. It checks associated laboratory values. d. It checks for the appropriateness of the drug dosages. e. It frees pharmacists from filling orders.

B, C, D

What are the legal responsibilities for correctly preparing and administering medications to patients? (Select all that apply). a. The nurse must ensure that the patient fully understands all the effects of the medication. b. The nurse must understand the patient's diagnosis and symptoms correlating to the medication. c. The nurse must assess the patient for adverse effects of the medication. d. The nurse must be accurate in calculating and preparing medications. e. The nurse must administer all medication orders without question.

B, C, D

A patient reports severe abdominal pain that occurs approximately 45 to 60 minutes after eating. The patient notes that eating dairy products or drinking milk alleviates the pain but eating Mexican food or drinking alcohol worsens the condition. The healthcare provider orders x-rays to be done in several days, but in the meantime, which type of drug will likely be recommended? a. Antiflatulent b. Anticholinergic c. Antacid d. Laxative

C

An older adult patient is being prepared for discharge after experiencing a stroke with some residual damage. The patient and family are scheduled to receive a large amount of information from the nurse regarding proper care and safety at home. What is the nurse's best course of action? a. Present the patient and family with all of the information a few days before discharge. b. Present the patient and family with all of the information the day before discharge. c. Break the teaching content down into manageable sections and present them individually in the days before discharge. d. Have a home health nurse teach the patient and family at home a week after discharge.

C

Proton pump inhibitors and antibiotics are often used in combination to eradicate which common cause of PUD? a. Giardia lamblia b. Clostridium difficile c. Helicobacter pylori d. Listeria monocytogenes

C

The nurse educating a patient with painful oral lesions discusses the best approach to oral hygiene that includes which instruction? a. You should wait until the oral lesions are all healed before going back to routine oral care. b. You should start using commercial mouthwashes for rinsing after meals and at bedtime. c. You could think about using normal saline, baking soda, or half-strength hydrogen peroxide rinses for these lesions. d. You need to get a prescription for pain medication.

C

The nurse is preparing a patient for discharge after a surgical procedure. Which method is best for teaching the patient about his or her prescribed drugs? a. Prescription blank handwritten by the physician b. Magazine ads featuring the prescribed medications c. Verbal explanations along with drug summary sheets d. Unit-dose packages from this morning's medications

C

The nurse is preparing to teach a postsurgical patient who has a new colostomy about proper colostomy care. The patient says, "Just show me how to do it; let me try, and I'll learn what to do." Which domain of learning is indicated by this statement? a. Cognitive b. Affective c. Psychomotor d. Determined

C

The nurse is teaching a patient about metoclopramide (Reglan) therapy. Which patient statement indicates to the nurse that the patient has a correct understanding of the therapy? a. "This drug will slow down the acid being produced in my stomach." b. "By coating my stomach, this medication will reduce my stomach upset." c. "This medication will make my digestive system move faster." d. "I'll be able to return to my job as a truck driver tomorrow."

C

The nurse receives the following order: Tylenol #3 1 tablet as needed for incisional pain. This is an example of which kind of order? a. Standing b. Routine c. PRN d. Stat

C

The nurse understands it is important to know the difference between a nursing diagnosis and a medical diagnosis because of which factor? a. The nursing diagnosis does not have any bearing on the medical diagnosis. b. The medical diagnosis must agree with the nursing diagnosis. c. The nursing diagnosis refers to how the patient is responding to an illness identified in the medical diagnosis. d. The medical diagnosis refers to how the patient is recovering from the illness that the nursing diagnosis has established.

C

The nurse was reviewing the discharge medication list with a patient who recently had been hospitalized for heart failure. The patient stated that the medications were not new and that everything was fine. What would be an appropriate response by the nurse? a. Your medications are important to understand so that you will not have to come back to the hospital frequently. b. The doctor wants you to remember all of your medications so when you go back to the clinic you will know the list. c. Your medication list is not as important as remembering to take your doses every day. d. I have to tell you all these medications before you can go home.

C

The nurse who is new to a large urban hospital has found that many of the hospitalized patients are of different cultural groups in the area. Which approach is best for the nurse to take in caring for these patients? a. Care for all patients the same way because it is more efficient. b. Ask not to be assigned to these patients due to the nurse's lack of experience. c. Develop a plan of care that is individualized to each patient's needs. d. Follow a more experienced nurse around for several months to gain more experience.

C

The use of evidence-based practice to guide the formulation of nursing interventions based on research and clinical expertise is part of which component of the nursing process? a. Assessment b. Nursing diagnosis c. Planning d. Evaluation

C

What is the difference between nursing interventions and expected outcome statements? a. Nursing interventions are action statements, and expected outcome statements are used to identify problems. b. Expected outcome statements are action statements, and nursing interventions are what will be observed in the patient after specific actions. c. Nursing interventions are action statements, and expected outcome statements are what should be observed in the patient after specific actions. d. Expected outcome statements are action statements, and nursing interventions are prioritized goals.

C

What percent of the US population suffers from gastroesophageal reflux disease (GERD), or heartburn, on a daily basis? a. 1% to 2% b. 2% to 3% c. 5% to 7% d. 8% to 10%

C

When is the nurse supposed to use the evaluation step of the nursing process? a. Upon admission b. When the patient is ready for discharge c. After each intervention d. During the review of patient education

C

When the nurse decides that the patient needs to rest before ambulating, the decision is based on what factor? a. The patient's wishes b. The family's influences c. The prioritization of physiologic needs d. The healthcare provider's orders

C

Which patient is most ready to begin a patient teaching session? a. A patient who has had nausea and vomiting for the past 24 hours. b. A patient who has just been told that he needs to have major surgery. c. A patient who has voiced a concern about how insulin injections will affect her lifestyle. d. A patient who is complaining bitterly about a low-fat, low-cholesterol diet after his heart attack.

C

Which statement is an example of an objective of healthcare teaching that involves the affective domain of learning? a. The patient will verbalize an understanding of the reason for taking the medication furosemide. b. The patient will demonstrate the correct way to use the metered-dose inhaler. c. The patient will discuss with the family the treatment options proposed. d. The patient will teach the nurse the same content just learned in the session.

C

Which is an example of an independent nursing action? (Select all that apply). a. Maintain and modifying the medication orders b. Collaborating with qualified professionals about medication calculations c. Educating a patient on correct coughing and deep-breathing exercises d. Obtaining the patient's medication history e. Documenting assessments of a patient's lung sounds

C, D, E

The main advantage of using bar code scanning devices is: a. Allowing nurses to scan a patient's name band without reading it. b. Being the sole means of maintaining safety in drug administration. c. Causing an increase in medication errors in the institutions using this technology. d. Being the final safety check after the nurse has verified essential information.

D

The nurse is making rounds with a patient's physician when the physician gives the nurse a verbal order for a routine medication. What does the nurse do next? a. Enters the order when the nurse returns to the desk after rounds to chart b. Refuses the order c. Does not follow the order because it is not official d. Obtains the chart and asks the physician to enter the order

D

The nurse is supposed to perform postoperative teaching for a patient who is scheduled to be discharged the next day. The patient appears fatigued, in pain, and irritable. The nurse knows that there will be little time for teaching on the day of discharge. What is the nurse's best course of action? a. Deliver the teaching now because there won't be enough time tomorrow. b. Allow the patient to nap, and return to perform the teaching in 1 hour. c. Teach the family member who is present, so he or she can share the information with the patient after discharge. d. Determine the patient's need for analgesia and rest, and return to perform the teaching after the patient feels better.

D

What process is used to eliminate medication errors in the healthcare environment as patients transition from one clinical setting to another? a. Case management b. Transcription c. Verification d. Medication reconciliation

D

Which is an independent nursing action? a. Orders medications based on the patient's medical diagnosis b. Orders laboratory tests depending on the medications ordered c. Chooses an alternate route for medications if indicated d. Verifies the correct route of medication administration

D

Which statement by the patient would indicate to the nurse that further teaching is needed about how the defense mechanisms of the stomach can be compromised to cause PUD? a. I should be careful about taking aspirin because it may cause damage to my stomach lining. b. My doctor tells me that my stomach has an infection called H. pylori that caused this ulcer. c. As I understand it, I have an overproduction of stomach acid that caused my ulcer. d. I need to be careful about drinking too much orange juice because it is acidic and can damage my stomach lining.

D