Med Surge 2 Final

Which type of debridement occurs when nonliving tissues slough away from uninjured tissues? Select one: a. surgical b. mechanical c. natural d. enzymatic

c. natural

The nurse is instructing an adolescent female on potential vaccinations available. Which vaccination would the nurse state that decreases the risk of cervical cancer? Select one: a. Meningococcal b. Herpes zoster c. Hepatitis B d. Human papilloma virus (HPV)

d. Human papilloma virus (HPV)

When examining the abdomen of a client with complaints of nausea and vomiting which of the following would the nurse do first? Select one: a. auscultation b. percussion c. palpitation d. inspection

d. inspection

The nurse is working with a geriatric client and notices polypharmacy.Which diagnostic studies are anticipated? Select one: a. Liver function studies b. Blood chemistry c. Complete blood count d. Urinalysis

a. Liver function studies

In the rule of 9's is a way to tell if a person has too many skin lesions on an area of their body Select one: a. false b. true

a. false

A client is diagnosed with prostatitis. Which of the following is the most important teaching point for the management of this disorder? Select one: a. Avoid tub baths. b. Avoid prolonged sitting. c. Limit fluid intake. d. Avoid sexual activity.

b. Avoid prolonged sitting.

A patient suffering from recurrent renal calculi, has learned that the stones were composed of calcium oxalate. In providing dietary education and teaching to this patient, which food contains the highest levels of oxalate and should be limited. Select one: a. Herbal Teas b. Chocolate c. Bananas d. Beef

b. Chocolate

which of the following causes odor in perspiration? Select one: a. cloudy environment b. bacteria on the skin c. air pollutants d. none of the above e. sunlight on the skin

b. bacteria on the skin

_______ is the removal of necrotic tissue Select one: a. whirlpool b. debridement c. transplant d. allograft e. autograft

b. debridement

Which of the following is an early symptoms of vulvar cancer? Select one: a. Genital burning with pruritus b. Fever accompanied by chills c. Dypareunia d. Severe abdominal pain

a. Genital burning with pruritus

A client is diagnosed with polycystic kidney disease. Which of the following would the nurse most likely assess? Select one: a. hypertension b. periorbital edema c. fever d. renal calculi e. flank pain

a. hypertension

What information would the nurse expect to be done to assess the size of the prostate? Select one: a. Pelvic examination b. Digital examination c. Transillumination d. bladder percussion

b. Digital examination

A client with rheumatoid arthritis has infiltration of the lacrimal and salivary glands with lymphocytes as a result of the disease. What does the nurse understand that this clinical manifestation is? Select one: a. episcleritis b. sicca syndrome c. cataracts d. glaucoma

b. sicca syndrome

The nurse is preparing discharge instructions for the client with diverticulitis. When instructing the client to increase dietary fiber, what should the nurse inform the client is the amount that should be taken in daily? Select one: a. 10-20 grams b. 35-45 grams c. 20-25 grams d. 45-60 grams

c. 20-25 grams

Examination of a client's bladder stones reveal that they are primarily composed of uric acid. The nurse would expect to provide the patient with which type of diet? Select one: a. high calcium b. high sodium c. low oxalate d. low purine e. high protein

d. low purine

The nurse is reviewing morning labwork on a patient with chronic renal disease. Which finding indicates renal disease? Select one: a. specific gravity of 1.004 b. urine nitrate: negative c. urine pH of 6.5 d. protein level of 400 mg/dL

d. protein level of 400 mg/dL

A nurse is reviewing the lab results of a client with renal disease, which of the following would the nurse expect to find? Select one: a. increased serum creatinine b. increased glucose c. increased serum albumin d. decreased potassium e. decreased blood urea nitrogen (BUN)

a. increased serum creatinine

_________________is a disadvantage of surgical debridement. Select one: a. Contractures b. Bleeding c. There are no d. Loss of function e. Scarring

b. Bleeding

A female patient is diagnosed with a malignant tumor in her bladder is advised to undergo cystectomy followed by a urinary diversion procedure. Which of the following would be most important for the nurse to assess preoperatively? Select one: a. Menstrual history b. Client's manual dexterity and vision c. History of allergy to iodine and seafood d. Dietary habits involving cholesterol-laden food

b. Client's manual dexterity and vision

Which of the following urine characteristics would the nurse anticipate when caring for a patient whose lab work reveals a high specific gravity related to dehydration? Select one: a. Turbid urine b. Dark amber urine c. Red urine d. Clear yellow or light yellow urine

b. Dark amber urine

What information would be given by the nurse to the client when the client inquires what makes breast milk? Select one: a. Estrogen b. Prolactin c. Progesterone d. Testosterone

b. Prolactin

During a physical examination, the nurse inspects the external genitalia of a male client. Which of the following would the nurse identify as an abnormality? Select one: a. Slightly pendulous scrotum b. Skin lesions c. Prepuce covering the glans penis d. Absence of urethral discharge

b. Skin lesions

An older adult female has a bone density test that reveals severe osteoporosis. What does the nurse understand to be a problem for this client due to the decrease in bone mass and density? Select one: a. cardiac disease b. compression fractures c. hypertension d. diabetes

b. compression fractures

The nurse is assessing a patient in the diagnostic imaging center. For which diagnostic test would the patient need to be assessed for an allergy to iodine or shellfish? Select one: a. bladder ultrasonography b. computed tomography with contrast c. radiography d. cystoscopy

b. computed tomography with contrast

A client who is recovering from anesthesia following oral surgery for lip cancer is experiencing difficulty breathing deeply and coughing up secretions. Which of the following measures will help ease the client's discomfort? Select one: a. Positioning the client flat on the abdomen or side b. Turning the client's head to the side c. Keeping the head of the bed elevated d. Providing tray near the bed

c. Keeping the head of the bed elevated

The nurse is preparing the female client for a pelvic examination. In which position will the nurse assist the client? Select one: a. Trendelenberg's position b. Lateral recumbent c. Lithotomy position d. Prone e. Supine position

c. Lithotomy position

What is a major complication of peritoneal dialysis? Select one: a. appendicitis b. nephritis c. peritonitis

c. peritonitis

A client has a gastrointestinal tube that enters the stomach through a surgically created opening in the abdominal wall. The nurse documents this as which of the following? Select one: a. Jejunostomy tube b. Orogastric tube c. Nasogastric tube d. Gastrostomy tube

d. Gastrostomy tube

Which of the following should nurses teach all men, especially those who have had cryptorchidism? Select one: a. Need for blood tests to measure serum acid phosphatase levels b. Importance of regular monitoring of prostate-specific-antigen (PSA) levels c. Need to undergo a baseline and follow up lymph node biopsies d. How to perform a testicular self-examination

d. How to perform a testicular self-examination

The nurse is caring for a client who has had diarrhea for three days. What major problems associated with severe or prolonged diarrhea for when caring for this client? Select all that apply. A. Oral Candidiasis B. Vitamin deficiencies C. Electrolyte imbalances D. Dehydration

B. Vitamin deficiencies C. Electrolyte imbalances D. Dehydration

A client who comes to the clinic complaining of perineal pain, dysuria, and fever is diagnosed with prostatitis. The nurse understands that which of the following organisms would be the most likely cause? Select one: a. Escherichia coli b. Staphylococcus c. Streptococcus d. Paramyxovirus

a. Escherichia coli

The nurse is caring for a client with cirrhosis of the liver. What symptoms exhibited by the client would indicate to the nurse he s experiencing central nervous system effects of the disease? Select all that apply. Select one or more: a. Fetor hepaticas b. joint stiffness c. Asterixis d. cough e. positive Babinski reflex

a. Fetor hepaticas, c. Asterixis, e. positive Babinski reflex

A young single client reports excessive menstrual flow with menses lasting 10 days each month. Which treatment option will provide symptomatic relief with the least risk? Select one: a. Hormonal contraceptives b. Uterine balloon therapy c. Dilatation and curettage (D&C) d. Endometrial ablation

a. Hormonal contraceptives

The nurse is providing ostomy care to the client with an ileostomy. What can the nurse use to protect the skin and promote adhesion of the ostomy appliance? Select one: a. Karaya gum b. Tincture of Benzoin c. Adhesive glue d. Vaseline

a. Karaya gum

The nurse is discussing care of client's ileostomy and is instructing the client to avoid certain medications hat may pass through without being absorbed. What medications should he nurse instruct the client to avoid? Select all that apply? Select one or more: a. Layered tablets b. Liquid medication c. Slow released beads d. enteric coded products e. Chewable tablets

a. Layered tablets, c. Slow released beads, d. enteric coded products

After teaching a group of students about irritable bowel syndrome and antidiarrheal agents, the instructor determines that the teaching was effective when the students identify which of the following as an example of an opiate related antidiarrheal agent? Select one: a. Loperamide b. Bismuth subsalicylate c. Kaolin and pectin d. Bisacodyl

a. Loperamide

Which of the following nursing assessment findings would be most significant in determining sterility in a male client? Select one: a. Mumps at age 15 years b. Recurrent urinary tract infections (UTI) c. Multiple sex partners d. Uncircumcised penis

a. Mumps at age 15 years

with abdominal pain related to an umbilical hernia. The nurse is palpating the protrusion, and the client states that it suddenly feels better. What type of hernia does the nurse understand this client has? Select one: a. Reducible b. Incarcerated c. Irreducible d. Strangulated

a. Reducible

The nurse is assessing a client for fecal impaction and when inserting a lubricated gloved finger, the stool feels like small rocks. What does the nurse document this finding as? Select one: a. Scybala b. Fecal impaction c. Hard stool d. Obstruction

a. Scybala

While collecting data on reproductive history, the client discloses early menarche, early sexual engagement, chlamydia infection and treatment for gonorrhea. The nurse knows that this client is at highest risk for the development of which of the following? (may be more than one answer) Select one or more: a. Sexually transmitted infections b. Cervical cancer c. Fibroid tumor or myoma d. Breast cancer

a. Sexually transmitted infections, b. Cervical cancer

A nurse is providing care to a client who has had a percutaneous liver biopsy. The nurse would monitor the client for which of the following? Select one: a. Signs and symptoms of bleeding b. Passage of stool c. Intake and output d. Return of the gag reflex

a. Signs and symptoms of bleeding

The nurse is caring for a client in the long-term care facility that was living in their home with a family member caring for them. The family member states that they had a difficult time getting the client to eat or drink and he developed a "bed sore". The nurse observes a serous drainage covering the dressing and a 2x2 cm crater that is 0.5 cm deep. What stage does the nurse document this pressure sore as? Select one: a. Stage II b. unstageable c. Stage IV d. Stage III e. Stage I

a. Stage II

A client with vaginitis complains of itching and burning of the perineum. Which suggestion would be most appropriate to relieve the client's symptoms? Select one: a. Take sitz baths frequently. b. Avoid yogurt with active lactobacilli cultures. c. Use a pure vinegar douche daily. d. Use skin protectants containing zinc oxide.

a. Take sitz baths frequently.

Which nursing instruction is correct to provide the client following a barium enema? Select one: a. The stools may be white or clay colored b. Sips of fluid may be increased if tolerated c. The client will maintain a low residue diet d. An enema will be used to clear the bowel

a. The stools may be white or clay colored

What potentially life threatening complication can the client have if corticosteroids are abruptly withdrawn or the client has significant stress due to the impending surgical procedure? Select one: a. Thyroid Storm b. Myxedema coma c. Thyroid Storm d. Cushing's Disease

a. Thyroid Storm

The nurse is instructing an adolescent on ways to prevent sexually transmitted infections (STIs). When evaluating the options, which is best when the client states being sexually active? Select one: a. Use a latex condom with a spermicide b. Having one sexual partner c. Abstinence d. Urinating after sexual intercourse

a. Use a latex condom with a spermicide

Following a vasectomy, which is the most important instruction to provide to the client? Select one: a. Use another form of birth control until further notice. b. Take a day or two to rest and recuperate from the procedure. c. Use a Tylenol as needed for discomfort. d. Wear a scrotal support until swelling is resolved.

a. Use another form of birth control until further notice.

The nurse is interviewing a postmenopausal client during an annual gynecologic exam. Which assessment finding presents the greatest concern in the care of this client? Select one: a. Vaginal bleeding b. Urinary stress incontinence c. Positive for human papillomavirus (HPV) d. Use of a pessuary

a. Vaginal bleeding

A client comes to the outpatient clinic for information on a vasectomy. Which instruction should be included by the nurse? Select one: a. Vasectomies should be considered a permanent means of birth control. b. Following surgery, sexual intercourse should be avoided for 3 months. c. Postoperative discomfort can be relieved with use of warm sitz baths. d. Vasectomy can result in permanent impotence.

a. Vasectomies should be considered a permanent means of birth control.

A client with a suspected osteomalacia has fracture the tibia and fibula. What test would give a definite diagnosis of osteomalacia? Select one: a. bone biopsy b. elevated levels of alkaline phosphatase c. demineralization of the bone d. increased and decreased areas of the bone metabolism

a. bone biopsy

Which of the following conditions is the cause of thickening nails? Select one: a. fungal infections b. bacterial infections c. pulmonary disease, long standing d. iron deficiency anemia e. myocardial infarctions

a. fungal infections

The client is admitted to the nursing unit for a biopsy of the urinary tract tissue. When planning nursing care for the postoperative period, which nursing intervention documents the prescribed activity level? Select one: a. maintain client on bedrest b. activity as tolerated c. assist the client for bathroom priveliges d. ambulate in the hall

a. maintain client on bedrest

The nurse is working on an orthopedic floor caring for a client injured in a football game. The nurse is reviewing the client's chart, noting that the client has previously had an injured tendon.The nurse anticipates an injury between the periosteum of the bone and which of the following? Select one: a. muscle b. joint c. tendon d. ligament

a. muscle

Which of the following would the nurse use to determine that a client is exhibiting signs and symptoms of chronic osteomyelitis? Select one: a. persistent draining sinus b. high fever c. tenderness over the affected area d. rapid pulse

a. persistent draining sinus

During a sexual history, the client states that she has had multiple sex partners. Which statement by the nurse is most correct? Select one: a. "You are putting yourself at risk when you have multiple sex partners." b. "What do you do to prevent sexually transmitted infections?" c. "It is hard to find a good partner these days." d. "The chance of acquiring a sexually transmitted disease increases with multiple sex partners."

b. "What do you do to prevent sexually transmitted infections?"

A client is ordered intravenous solution of Ringers lactate 1000 ml to infuse at 40 ml/hr. What is the maximum amount of time the nurse should allow this IV to hang? Select one: a. 25 hours b. 24 hours c. 23 hours d. 22 hours e. 12 hours

b. 24 hours

A client has developed an anorectal abscess. which client is t most risk for the development of this type of abscess? Select one: a. A client with diverticulosis b. A client with Crohn's disease c. A client with colon cancer d. A client with hemorrhoids

b. A client with Crohn's disease

Which of the following urine characteristics would the nurse anticipate when caring for a client whose lab work reveals a high urine specific gravity related to dehydration? Select one: a. Clear or light yellow urine b. Dark yellow or orange urine c. Turbid urine d. Red urine

b. Dark yellow or orange urine

A patient with chronic glomerulonephritis has generalized edema. Which response by the nurse best described why anasarca occurs with this disorder? Select one: a. Urinary retention promotes the absorption of fluid into tissue spaces b. Fluid shifting occurs due to loss of serum protein c. Albumin levels increase in the blood dragging fluid inside the vessels d. Increased intake of sodium in the diet results in anasarca

b. Fluid shifting occurs due to loss of serum protein

A client is complaining of problems with constipation. What dietary suggestions can the nurse inform the client may help facilitate the passage of stool? Select one: a. Increase dietary protein such as lean meats b. Increase dietary fiber c. Increase dietary fat consumption d. Increase the carbohydrate content of the diet

b. Increase dietary fiber

A young client presenting at a health clinic with a fever and mucopurulent vaginal drainage is diagnosed with acute pelvic inflammatory disease (PID). Which long term affect is of the greatest concern in the are of the client? Select one: a. Ascending infection b. Infertility c. Chronic inflammatory disease d. Pelvic pain

b. Infertility

The patient is admitted to the nursing unit for a biopsy of the urinary tract tissue. When planning nursing care for the postoperative period, which nursing intervention documents the prescribed activity level? Select one: a. Ambulate the client in the hall b. Maintain the patient on bedrest c. Assist the patient for bathroom privileges d. Activity as tolerated

b. Maintain the patient on bedrest

The nurse is evaluating the medication list of a client with acute gastritis. Which medication would create the most concern? Select one: a. cardiac glycoside b. NSAID (nonsteroidal anti-inflammatory) c. antihistamine d. antibiotic

b. NSAID (nonsteroidal anti-inflammatory)

A client has blockage of he passage of bile from a stone in the common bile duct. What type of jaundice does the nurse suspect this client has?. Select one: a. Hepatocellular jaundice b. Obstructive jaundice c. Hemolytic jaundice d. Cirrhosis of the liver

b. Obstructive jaundice

A nurse is reviewing the history and physical examination of a patient with a suspected malignant tumor of the bladder. Which finding would the nurse identify as the most initial symptom? Select one: a. Urinary retention b. Painless hematuria c. fever d. Frequency

b. Painless hematuria

The nurse is working with clients with digestive tract disorders. Which of the following organs does the nurse realize has effects as an exocrine as well as an endocrine gland? Select one: a. Gallbladder b. Pancreas c. Stomach d. Kidney

b. Pancreas

A nurse preparing to administer the prescribed vitamin B12 to a client who has had most of his ileum removed. The nurse understands that this is necessary for which reason? Select one: a. Aids in proper digestion b. Prevents deficiencies c. Prevents constipation d. Prevents thrombosis

b. Prevents deficiencies

The nurse is reviewing the laboratory tests results of a client with Crohn's disease. Which of the following would the nurse most likely find? Select one: a. Increased albumin levels b. Stool cultures negative for microorganisms or parasites c. Decreased white blood cell count d. Decreased erythrocytes sedimentation rate

b. Stool cultures negative for microorganisms or parasites

Which of the following nursing instructions is essential in the care of a postmenstrual client who is prescribed ibandronate (Boniva)? Select one: a. Milk helps with absorption b. Take with 8 ounces of water c. Take calcium supplements d. Take at bedtime

b. Take with 8 ounces of water

The nurse is caring for several older clients. Which client would the nurse especially alert for signs and symptoms of pyelonephritis? Select one: a. a client with a urinary tumor b. a client with urinary obstruction c. a client with acute renal failure d. a female client with a pre-existing chronic glomerulonephritis

b. a client with urinary obstruction

A client is experiencing symptoms that are suspected to be related to systemic lupus erthyematosus (SLE). What cutaneous symptom occurs in about 50% of clients affected with this disease? Select one: a. pustules scattered on the chest and back b. butterfly shaped rash on the face over the bridge of the nose and cheeks c. fluid filled vesicles clustered on the cheeks chin and forehead d. diffuse purplish lesions on the trunk

b. butterfly shaped rash on the face over the bridge of the nose and cheeks

The nurse is encouraging the client with recurrent urinary tract infections to increase his/her fluid intake to 8 large glasses of fluids per day. The client states he frequently drinks water and all of the following below. Which of the following would the nurse discourage for this client? Select one: a. fruit juice midmorning b. coffee in the morning c. milk at lunch d. ginger ale for dinner time

b. coffee in the morning

The nurse is caring for clients at a long term care facility. When considering activities in the summer heat, which physiologic change of renal aging can also result in geriatric dehydration? Select one: a. double voiding b. decreased ability to concentrate urine c. decreased renal blood flow d. thickening of renal tubules

b. decreased ability to concentrate urine

A client is suspected to have Lyme Disease and has a red macule at the site of the tick bite with a bull's eye rash with round rings surrounding the center. In addition the client has a severe headache with neck stiffness. What stage of Lyme disease is the client experiencing? Select one: a. latent stage b. early stage 1 c. midstage d. later stage

b. early stage 1

A patient is scheduled for a renal angiography. Which of the following would be appropriate before the test? Select one: a. assess your patient for mental changes b. monitor the patient for an allergy to iodine contrast material or shellfish c. Evaluate for periorbital edema d. monitor the patient for signs of electrolyte and water imbalance

b. monitor the patient for an allergy to iodine contrast material or shellfish

the hemodialysis client is scheduled to receive weekly injections of epoetin. Which is the most important consideration to be taken by the nurse in the administration of this medication? Select one: a. administer with low dose aspirin to prevent clot formation b. schedule injection on a nondialysis day c. administer immediately after dialysis d. monitor complete blood count after dose

b. schedule injection on a nondialysis day

The nurse is administering furosemide to promote urinary excretion of excess fluids for a client with cirrhosis.When administering furosemide to this client what should the nurse closely monitor? Select one: a. magnesium levels b. sodium levels c. calcium levels d. AST levels

b. sodium levels

What is the precipitate called in patients with renal failure? Select one: a. calculi b. uremic frost c. renal stones d. calcium foam e. renal cysts

b. uremic frost

A study group of nursing students are studying for an exam on the urinary system. They will demonstrate understanding of the information when they identify which of the following as part of the upper urinary tract? Select one: a. bladder b. ureters c. urethra d. all of the parts listed above e. pelvic floor muscles

b. ureters

The nurse is instructing a client on proper procedures to protect herself from sexually transmitted infections (STIs). Which statement, made by the client, needs clarification? Select one: a. "You cannot always know everything about a person." b. "If I use barrier protection, it will protect me from STIs." c. "I consider myself protected because I am on birth control pills." d. "I refrain from sexual contact or use protection to keep myself safe."

c. "I consider myself protected because I am on birth control pills."

The nurse is providing instruction to a client newly diagnosed with herpes zoster. Which of the following two medications does the nurse anticipate to be ordered to reduce pain and severity of the disease symptoms? Select one: a. Keflex and Benadryl b. Penicillin and Tylenol c. Acyclovir and Prednisone d. Zostavax and Ibuprofen

c. Acyclovir and Prednisone

The nurse is providing education to the client newly diagnosed with three different types of sexually transmitted infections. Which of the following does the nurse identify to the client as the most common sexually transmitted infection? Select one: a. Genital warts b. Syphilis c. Chlamydia d. Gonorrhea

c. Chlamydia

A client is ordered a vaginal cream for the treatment of a yeast infection. As the nurse provides instruction, which step for inserting the vaginal medication should be highlighted? Select one: a. Wash applicator after each use b. Lie down for one hour after insertion c. Eat yogurt daily d. Do not use once menses begins

c. Eat yogurt daily

The nurse is describing various terms related to the male reproductive system. Which term would the nurse use to describe the discharge of semen from the penis? a. Priapris b. Engorgement c. Ejaculation d. Erection e. Emission

c. Ejaculation

Which of the following recommendations would a nurse advocate during infancy and childhood to hep reduce potential adult complications such as orchitis? Select one: a. Urge the limited intake of foods and fluids containing caffeine b. Engage in activities and exercises that minimize heavy lifting c. Ensure immunizations against infectious diseases such as mumps d. Encourage the consumption of foods that are rich in fat and starch

c. Ensure immunizations against infectious diseases such as mumps

Which assessment finding will most likely influence the treatment regimen selected by a client with endometriosis? Select one: a. Dysmenorrhea b. Presence of pain c. Family planning d. Presence of a chocolate cyst

c. Family planning

Which type of sexually transmitted disease is the nurse most accurate to highlight in the client's history as it remains dormant in the body and can reoccur at any time? Select one: a. Gonorrhea b. Syphilis c. Herpes infection d. Chlamydia

c. Herpes infection

A client is admitted to the hospital with the diagnosis of sepsis secondary to pelvic inflammatory disease. Which transmission-based precaution will be initiated by the nurse? Select one: a. Contact precautions b. Droplet precautions c. Protective precautions d. Standard precautions

c. Protective precautions

A patient who is suspected of urinary tract infection is asked to collect a 24-hour urine specimen for culture. Which of the following measure can the nurse suggest to the patient which may help prevent the entire urine specimen from becoming contaminated? Select one: a. Use the same receptacle for voiding and defecation b. Store the collected urine away from sunlight c. Refrigerate the specimen until it is taken to the laboratory d. Collect voided urine sample primarily before 5 am

c. Refrigerate the specimen until it is taken to the laboratory

What stage of a pressure ulcer is exhibited by deeply ulcerated tissue and exposes muscles as well as bone? Select one: a. Unstageable b. Stage II c. Stage IV d. Stage I e. Stage III

c. Stage IV

A client i recently diagnosed with Crohn's disease and is beginning treatment. What first line treatment does the nurse expect the client will be placed on to decrease the inflammatory process? Select one: a. Ciprofloxacin b. Azathioprine c. Sulfasalazine d. Methotrexate

c. Sulfasalazine

A client with Crohn's disease informs he nurse that he/she is allergic to aspirin. What medication ordered for the treatment of Crohn' disease does the nurse know is contraindicated when a client is allergic to aspirin? Select one: a. Prednisone b. Azathioprine c. Sulfasalazine d. Cyclosporine

c. Sulfasalazine

A female client is diagnosed with carcinoma in situ of the endometrium. The nurse interprets this as which of the following? Select one: a. The cancer has spread to other organs b. Cancer extends outside of the uterus c. The malignancy is localized d. Cancer confined to the body of the uterus e. The malignancy involves the uterus and the cervix

c. The malignancy is localized

Which of the following would be most important to determine when assessing a client being admitted for suspected toxic shock syndrome (TSS)? Select one: a. Psychological trauma b. Use of oral contraceptives c. Use of super absorbent tampons d. Existence of menorrhagia

c. Use of super absorbent tampons

A female client with chronic hepatitis B has been prescribed recombinant interferon alpha-2b in combination with ribavirin. Which of the following instructions should a nurse provided this client? Select one: a. Maintain an exercise regimen b. Avoid calcium rich foods c. Use strict birth control methods d. Avoid hot water baths or soaks

c. Use strict birth control methods

Which of the following would be most important to include in a teaching plan for a client who has a vasectomy? Select one: a. Applying warm compresses to the scrotum for the first 24 hours b. Taking a prescribed opioid analgesic for pain relief c. Using a reliable method of contraception for several weeks d. Resuming sexual activity in 24 to 48 hours

c. Using a reliable method of contraception for several weeks

The client with chronic renal failure is complaining of intense itching. Which assessment finding would indicate the need for further nursing education? Select one: a. pat skin dry after bathing b. keeps nails trimmed short c. brief, hot daily showers d. uses moisturizing creams

c. brief, hot daily showers

Which of the following sites below would you most likely to expect to see a scabies outbreak in the local community? Select one: a. shopping mall b. gymnasium c. college dormitory d. swimming pool or water splash park

c. college dormitory

The nurse is providing community education at the mall. The nurse is instructing on the muscular tube that connects the mouth and stomach. The nurse outlines this structure on a drawing and labels it as which of the following? a. lieum b. pylorus c. esophagus d. pharnyx

c. esophagus

The nurse is reporting on the results of client blood work to the oncoming nurse. Upon reviewing data, it is noted that the client has an elevated uric acid level. Which inflammatory process would the nurse screen for on shift rounds? Select one: a. lupus erythematosus b. rheumatoid arthritis c. gout d. osteoporsis

c. gout

A client has scabies and has been prescribe a scabicide to use. Which of the following advices should the nurse give the client before beginning the treatment? Select one: a. wear clean tight clothing b. expect the itching to continue for 2-3 weeks after treatment c. have a thorough bath d. avoid contact with other who have scabies

c. have a thorough bath

A client with ankylosing spondylitis has a stooped position and is being positioned in the bed before the nurse takes vital signs. The nurse listens to the client's lungs after positioning. What finding does the nurse hear when listening to lung sounds? Select one: a. crackles at the bases b. rhonchi c. lung sounds are diminished in the apical area d. pericardial friction rub

c. lung sounds are diminished in the apical area

The nurse is assisting the physician with completing a cystoscopy. In which position would the nurse place the client when preparing them for the procedure? Select one: a. it makes no difference as long as they are on their back and the physician is happy b. on the client's left side with a pillow behind the back c. on the client's back with feet in stirrups d. on the client's back with knees to the side e. on the client's right side with a pillow behind the back

c. on the client's back with feet in stirrups

Which of the following is the cause of shingles? Select one: a. itch mite b. parasitic fungi c. reactivated virus d. hormonal changes

c. reactivated virus

The nurse is instructing the client who was newly diagnosed with peptic ulcers. Which of the following diagnostic studies would the nurse anticipate reviewing with the client? Select one: a. complete blood count with differential b. liver studies c. serum antibodies for H. pylori d. sigmoidscopy e. gastric analysis

c. serum antibodies for H. pylori

After assessing a client with peritonitis, the nurse most likely would document the client's bowel sounds as? Select one: a. Hyperative b. Mild c. High-pitched d. Absent

d. Absent

When assessing a patient with chronic glomerulonephritis, the nurse notes that the patient has generalized edema. The nurse documents this as which of the following findings? Select one: a. Uremic frost b. Periorbital edema c. Hydronephrosis d. Anasarca

d. Anasarca

The nurse knows that the safest treatment for erectile dysfunction in a client with coronary artery disease (CAD) includes which of the following medications? Select one: a. Tadalafil (Cialis) b. Vardenafil (Levitra) c. Sildenafil (Viagra) d. Apomorphine (Uprima)

d. Apomorphine (Uprima)

A client is scheduled to have a total colectomy due to a colon mass and is also taking prednisone for asthma. The physician has instructed the client o taper down on the prednisone and discontinue. What negative outcomes does the nurse know may occur if the client does not adhere to the instructions? Select one: a. Increase in blood loss b. Hypertension c. Liquid stools after surery d. Delayed or altered tissue healing

d. Delayed or altered tissue healing

A client with glomerulonephritis is exhibiting gross periorbital edema. Which is the best nursing intervention to relieve this symptom? Select one: a. Administer diuretics b. Apply warm compresses c. Monitor intake and output d. Elevate head of bed

d. Elevate head of bed

Culture of client's vaginal discharge reveals Gardnerella vaginalis. Which of the following would the nurse expect to assess? Select one: a. Foul foamy discharge b. Thick curdy white discharge c. Yellowish white discharge d. Fishy smelling watery discharge

d. Fishy smelling watery discharge

The nurse is addressing a multidisciplinary panel stating the need for continued education on sexually transmitted infections (STI). One of the points is the fact that the statistics of infections are under reported. Which of the following is the main cause that statistics are under reported? Select one: a. Clients do not often seek treatments for STIs b. Reporting physicians are afraid of being sued for a breach in confidentiality c. Poor communication is offered between the physician offices and reporting agency d. Only certain STIs are reported to the Centers for Disease Control and Prevention

d. Only certain STIs are reported to the Centers for Disease Control and Prevention

Following morning hygiene of an elderly client, the nurse is unable to replace the retracted foreskin of the penis. Which is the most likely outcome? Select one: a. Unclean glans b. Nausea and vomiting c. Erection of the penis d. Painful swelling

d. Painful swelling

A client with nausea and vomiting is to receive an antiemetic that inhibits the vomiting center of the brain. Which of the following would the nurse expect the physician to order most likely? Select one: a. Ondansetron b. Hydrooxyzine c. Promethazine d. Prochlorperazine

d. Prochlorperazine

The nurse has received morning lab work on a patient with chronic renal disease. Which findings indicate renal disease? Select one: a. Urine pH of 6.5 b. Specific gravity of 1.002 c. Urine nitrate: negative d. Protein level of 400 mg/dL

d. Protein level of 400 mg/dL

The nurse is scheduling a Gastrointestinal diagnostic testing for a client. Which GI test should be scheduled first? Select one: a. Barium enema b. Barium swallow c. Small bowel series d. Radiographic studies of the gallbladder

d. Radiographic studies of the gallbladder

A client with carcinoma of the head of the pancreas is scheduled for surgery. Which of the following should a nurse administer to the client before surgery? Select one: a. Vitamin B b. Potassium c. Oral bile acids d. Vitamin K

d. Vitamin K

When assessing a client with chronic glomerulonephritis the nurse notes that the client has generalized edema. The nurse documents this as which of the following? Select one: a. uremic frost b. periorbital edema c. hydronephrosis d. anasarca

d. anasarca

In caring for a patient who has had debridement done, what should the nurse be immediately concerned about? Select one: a. infections b. infections c. pain control d. bleeding e. loss of fluids

d. bleeding

Which suggestion would be most important to give a client who has a mild case of bunions? Select one: a. regularly use analgesics b. avoid foot creams c. avoid strenuous exercise d. don properly fitting footwear

d. don properly fitting footwear

When performing a physical examination on a client with cirrhosis a nurse notices that the client' abdomen is enlarged. Which of the following interventions should the nurse consider? Select one: a. ask the client about food intake b. provide the client with nonprescription laxatives c. report the condition to the physician immediately d. measure the abdominal girth according to a set routine

d. measure the abdominal girth according to a set routine

The nurse evaluates the client as experiencing symptoms of disequilibrium syndrome, following an initial hemodialysis treatment. Which is the best action to be taken by the nurse? Select one: a. notify the physician and manage symptoms b. hold the next scheduled treatment c. no action is needed d. slow the dialysis process down during future treatments

d. slow the dialysis process down during future treatments

A client with syphilis did not receive treatment and has now progressed into the tertiary stage of the disorder. Which of the following would the nurse expect the client to exhibit? Select one: a. Papular lesion, rash, headache b. Fever, malaise, sore throat c. Tabes dorsalis, ataxia, and Charcot's joints d. Ulcerated chancre, aortic valve insufficiency, lymphadenopathy

c. Tabes dorsalis, ataxia, and Charcot's joints

The nurse is providing supportive care to a client receiving hemodialysis in the management of acute renal failure. Which statement from the nurse best reflects the ability of the kidneys to recover from acute renal failure? Select one: a. acute renal failure tends to turn to end-stage renal failure b. kidney function will improve with transplant c. the kidneys can improve over a period of months d. once on dialysis, the need will be permanent

c. the kidneys can improve over a period of months

After teaching a client about the use of a pessary, which statement by the client indicates the need for additional teaching? Select one: a. "I need to apply a sterile lubricant to the pessary before inserting it." b. "After removal I should wash the pessary with soapy water rinse and dry it" c. "I should call the physician if I notice any discomfort with the pessary" d. "A white or yellow vaginal discharge is expected and normal"

d. "A white or yellow vaginal discharge is expected and normal"

Following a ureteroscopy, for the removal of ureteral calculus, a stent is temporarily left in place. Which is the best response from the nurse? Select one: a. "The stent will provide easier passing of future stones" b. "The stent is coated with an antiinfective to promote healing" c. "The stent will catch any debris or blood clots left behind" d. "Inflammation from the stone can block the flow of urine"

d. "Inflammation from the stone can block the flow of urine"

The patient tells the nurse of the feeling to always needing to void. The nurse instructs on normal urine elimination. At which amount of elimination in the bladder is the nerve reflex triggered to signal the need to void? Select one: a. 750 ml b. 300 ml c. any amount of urine will trigger the nerve relfex d. 150 ml e. 500 ml

d. 150 ml

The nurse fills a tube feeding bag with two eight ounce cans of commercially prepared formula.The client is to receive the formula at 80mL/hr via continuous gastrostomy feeding tube and pump.How many hours will this bag of formula run before becoming empty? Select one: a. 4 hours b. 10 hours c. 8 hours d. 6 hours

d. 6 hours

The nurse is collecting assessment data on a client who is reporting a vaginal discharge that is cottage cheese like in appearance. Which pathogen is the most likely cause for this symptom? Select one: a. Trichomonas vaginalis b. Gardinerella vaginalis c. Gonnococci d. yeast infection

d. yeast infection

An emergency department nurse is evaluating a client with partial-thickness burns to the entire surfaces of both legs. Based on the rule of nines, what is the percentage of the body burned? Select one: a. 27% b. 9% c. 45% d. 18% e. 36%

e. 36%

________________is more comparable in appearance to normal skin. Select one: a. Full-thickness graft b. Split-thickness c. Lace graft d. Slit graft

a. Full-thickness graft

Which of the following pigments influence hair color? Select one: a. Melanin b. sebum c. sebaceous d. keratin e. Pheromones

a. Melanin

When providing initial assessment to a client who has suffered an electrical burn, which assessment finding will provide the most important data? Select one: a. location of entry and exit wounds b. size of burn c. level of pain d. amount of fluid replaced

a. location of entry and exit wounds

The nurse is caring for four clients with diarrhea. Which client is most likely to be diagnosed with Crohn's disease? A. 24 year old Caucasian Eastern European Jewish female B. 63 year old Hispanic female with a history of cancer of the vulva C. 46 year old African American male D. 32 year old female from Vietnam

A. 24 year old Caucasian Eastern European Jewish female

The nurse is caring for a client with a recent colonoscopy. During the procedure, two medium size polyps were removed. Which nursing assessment in the recovery area is a priority? A. VS B. Assess the LOC C. Hem-occult test of stool D. Ability to tolerate liquids

A. VS

The nurse would instruct a client who had an appendectomy to avoid which of the following? A. Dairy products B. Heavy lifting C. Purine rich foods D. Harsh sunlight

B. Heavy lifting

Which intervention would he most appropriate for a client who has undergone colostomy surgery? A. Minimizing the client's fluid intake B. Monitoring the volume of gastric secretions C. Taking temperature by rectal route D. Monitoring VS once a day

B. Monitoring the volume of gastric secretions

When interviewing a client with internal hemorrhoids, which of the following would the nurse expect the client to report? A. Soreness B. Rectal bleeding C. Itching D. Pain

B. Rectal bleeding

The nurse would expect to observe which of the following when assessing a client with cholelithiasis? A. Bowel sounds that are absent B. Urine that appears dark brown C. Stools that contain blood and mucus D. Stools that appear small and dry

B. Urine that appears dark brown

Which of the following symptoms would indicate that a client with chronic pancreatitis has developed secondary diabetes? A. Low blood pressure and pulse B. Vomiting and diarrhea C. Increased appetite and thirst D. Decreased urination and constipation

C. Increased appetite and thirst

A client realizes that regular use of laxatives has greatly improved his bowel pattern. However, the nurse cautions the client against the prolonged use of laxatives for which reason? A. The client may develop inflammatory bowel disease B. The client may lose his appetite C. The client may develop arthritis or arthralgia D. The client's natural bowel function may become sluggish

D. The client's natural bowel function may become sluggish

An autograft is obtained from animals, principally pigs. Select one: True False

False

The nurse is caring for a patient who experienced a crushing injury of the lower extremities. Which of the following symptoms is essential to be reported to the physician? Select one: a. pulselessness b. coolness c. pain

a. pulselessness

When describing the functions of the kidney to a client, which of the following would the nurse include? select all that apply. Select one or more: a. Secretion of the enzyme Renin b. Synthesis of vitamin K c. Regulation of white blood cell production d. Regulation of estrogen e. Control of water balance

e. Control of water balance

Body tattooing and piercing may be for body image and ornamental reasons. Select one: True False

True

Burn severity is affected by the heat source. Select one: True False

True

Pressure ulcers are preventable with good skin care, frequent turning and adequate nutrition and hydration. Select one: True False

True

Sunburn can be considered a superficial burn Select one: True False

True

The palm is approximately 1% of the person's total body surface area (TBSA) Select one: True False

True

burns can cause fluid electrolyte alterations and anemia as well as hemoconcentration depending of the location and severity Select one: True False

True

The experienced nurse is assisting the novice nurse in caring for a client with a newly acquired sexually transmitted infection. Which of the following infections does the experienced nurse stress to report to the Centers for Disease Control (CDC)? Select all that apply. Select one or more: a. Hepatitis B b. Venereal Warts c. HIV d. Chlamydia e. Gonorrhea f. Syphilis

e. Gonorrhea, d. Chlamydia, f. Syphilis, c. HIV

The nurse is caring for a client who has had emphysema for the last 10 years. When performing a fingernail assessment, what does the nurse anticipate the client's nails will be documented as? Select one: a. brittle b. fungal c. discolored d. concave e. clubbing

e. clubbing

An instructor is describing the process of bone development. Which of the following would the instructor describe as being responsible for the process of ossification? Select one: a. osteoclasts b. calcium deposits c. cortical bone d. cancellous bone e. osteoblasts

e. osteoblasts

A client is informed that he has a benign bone tumor but is the type of tumor that may become malignant. What type of tumor does the nurse know that this is charactoristic of? Select one: a. osteoid osteoma b. enchonddroma c. osteomelanoma d. osteochondroma e. osteoclastoma

e. osteoclastoma

A client with renal failure becomes confused and complains of abdominal cramping, racing heart rate, and numbness of the extremities. The nurse relates these symptoms to which of the following lab values? Select one: a. Hypokalemia b. Elevated white blood cells c. Elevated urea levels d. Hypercalcemia e. Hypocalcemia f. Hyperkalemia

f. Hyperkalemia

In a client with benign prostatic hyperplasia (BPH), which assessment finding provides the best indication of urinary retention? Select one: a. Dribbling b. Hesitancy c. Frequency d. Urgency

c. Frequency

Skin grafts are necessary for which of the following burns? Select one: a. superficial partial thickness b. first degree c. full thickness d. superficial e. sunburn

c. full thickness

What type of burn is caused with a hot liquid? Select one: a. heat b. Contact c. Radiation d. Scald e. Chemical

d. Scald

If an IV of 1000 ml of NS was started a 0800 and is infusing at a rate of 125 ml/hr, at what time would you expect the infusion to be completed? Select one: a. 1600 (4 pm) b. 1200 (noon) c. 2000 (8 pm) d. 1400 (2 pm) e. 2200 (10 pm)

a. 1600 (4 pm)

A client who is scheduled for an ileostomy surgery and been taking corticosteroids is instructed to taper the drug, eventually discontinuing it. The nurse would monitor this client for which of the following? Select one: a. Adrenal insufficiency b. Hypothyroidism c. Cerebral anoxia d. Cardiac Dysrhthmias

a. Adrenal insufficiency

Immediately following a transurethral resection of the prostate (TURP), which is the best method to determine if active bleeding is occurring? Select one: a. Assess catheter tubing. b. Assess blood in catheter collection bag. c. Assess blood pressure and pulse. d. Assess hemoglobin and hematocrit.

a. Assess catheter tubing.

A client with anorexia complains of constipation. Which of the following nursing measures would be the most effective in helping the client reduce constipation? a. Assist client to increase dietary fiber b. Obtain medical an allergy history c. Provide adequate quantity of food d. Obtain complete food history

a. Assist client to increase dietary fiber

A nurse is preparing a presentation for a local community group of older adults about colon cancer. Which of the following would the nurse include as the primary characteristic associated with this disorder? Select one: a. Change in bowel habits b. Frank blood in the stool c. Abdominal distention d. Abdominal pain

a. Change in bowel habits

The nurse is providing discharge instructions to a female client following inpatient therapy for a gonorrhea infection. The client is being discharged on doxycycline (Vibramycin) for 7 days. Which nursing instruction is essential for a therapeutic outcome? Select one: a. Complete all prescribed medication b. Use an alternate form of birth control c. Obtain a pulse prior to administering medication d. Take medication on an empty stomach

a. Complete all prescribed medication

inform the client they will experience? Select one: a. Continuous discharge of mucus from the anus b. Control of he fecal material from the anus c. Solid stool from the anus d. Very little discharge from the anus

a. Continuous discharge of mucus from the anus

A client has just been diagnosed with endometriosis. Which of the following would be most appropriate to provide the client with support and guidance about treatment options? Select one: a. "It might help to include your partner in any of the discussions about options." b. "The test results are clear and another physician would tell you the same thing." c. "Treatment is essential, so you really need to make a decision pretty quickly." d. "If it was me, I would probably choose the medication options."

a. "It might help to include your partner in any of the discussions about options."

The nurse is assisting a 30 year old client in scheduling an appointment for a cervical biopsy. The nurse would reccommend that the client schedule the testing at which time? Select one: a. 1 week after completion of the client's menstrual cycle b. 2 weeks before the onset of the client's menstrual cycle c. 2 weeks after the cessation of the cleint's menstrual cycle d. 3 weeks after the onset of the client's menstrual cycle

a. 1 week after completion of the client's menstrual cycle

The first symptom of a malignant tumor of the bladder is__________________ Select one: a. nocturia b. hematuria c. olgiuria d. dysuria

b. hematuria

After teaching a group of students about various organs of the upper gastrointestinal tract and possible disorders, the instructor determines that the teaching was successful when the students identify which of the following structures as possibly being affected? Select one: a. liver b. large intestine c. stomach d. ileum

c. stomach

A client experiences a musculoskeletal injury that involves the structure that connects a muscle to the bone. The nurse understands that this injury involves which of the following? Select one: a. joint b. cartilage c. tendon d. ligament

c. tendon

After teaching a group of students about intestinal obstruction, the instructor determines that the teaching was effective when the students identify which of the following as a cause of a functional obstruction? Select one: a. Volvulus b. Tumor c. Interssusception d. Abdominal surgery

d. Abdominal surgery

The nurse is answering questions regarding fecal matter for a client who is scheduled for a colon resection. The client is asking questions regarding the composition of the fecal matter and when it becomes formed mass. The nurse is most correct to state at which location. Select one: a. Ileum b. Cecum c. Duodenum d. Sigmoid colon

d. Sigmoid colon

The nurse is caring for a patient who is brought to the emergency department after being found unconscious outside in hot weather. Dehydration is suspected. Baseline lab work including a urine specific gravity is ordered. Which relation between the client's symptoms and urine specific gravity is anticipated? Select one: a. The specific gravity will equal to one b. The specific gravity will be too low c. The specific gravity will be inversely proportional d. The specific gravity will be high

d. The specific gravity will be high

A client is recovering from a fractured hip. The nurse would suggest that the client increase intake of which of the following to facilitate calcium absorption from food and supplements? Select one: a. vitamin B6 b. amino acids c. Dairy products d. Vitamin D

d. Vitamin D