MS NCLEX end of CHAPTER QUESTION (30,31,32,39,40,41,48,49,50,51) WILLIAMS

As the nurse, you are providing instructions to patient who recently had a gastrectomy. You focus your teaching on prevention of dumping syndrome. Which instruction do you include in your teaching? 1. Increase ambulation after each meal 2. Eat high-carbohydrate meals 3. Limit fluids taken with meals 4. Remain in a high Fowler position while eating

1. Increase ambulation after each meal

Which of the following is the first priority nursing diagnosis for the patient with cystic fibrosis? 1. Ineffective Airway Clearance 2. Risk for Infection 3. Imbalanced Nutrition: Less Than Body Requirements 4. Risk for Deficient Fluid Volume

1. Ineffective Airway Clearance

When preparing to irrigate a urinary catheter for a patient who had a prostatectomy this morning, the nurse checks to be certain that she has normal saline solution. Why is normal saline preferable for urinary catheter irrigation?

1. It is isotonic and will not cause water intoxication

The incidence of DM is greatest among people of which ethnicity? 1. Latino 2. African 3. European 4. Asian

1. Latino

You have been assigned to care for a patient who was recently diagnosed with a hital hernia. The patient is experiencing chronic heartburn when eating a meal. You will teach the patient to avoid which of the following situations? 1. Lying flat after eating a meal 2. Ingesting small, frequent meals 3. Raising the head of the bed on 6-8 inch blocks 4. Taking prescribed histamine receptor antagonist medications

1. Lying flat after eating a meal

A patient returns from surgery for an incisional cholecystectomy with a T-tube. The nurse understands that the purpose the T-tube is to: 1. Maintain bile flow in the common bile duct 2. Relieve pressure on the liver 3. Divert intestinal contents from the surgical site 4. Prevent bile leakage into the abdomen

1. Maintain bile flow in the common bile duct

A patient is undergoing treatment for prostate cancer. The clinic nurse reminds him that he will need to come in periodically for which of the following to determine the effectiveness of his treatment?

1. Measurement of the PSA level

Information for effective use of condoms should include which of the following statements? (Select all that apply.)

2. "Latex condoms are preferred over natural membrane condoms." 4. "Leave a space of about 1 inch at the tip for semen." 5. "Remove the used condom carefully to prevent spillage of contents."

A patient who has just been diagnosed with diabetes and started on oral medications says, "I feel strange and my mouth feels numb. Something is wrong!" You note that his hands are trembling and that he is perspiring. What is your best response? 1. "These are common symptoms of diabetes. They will go away soon." 2. "Let's check your blood sugar. It is probably low." 3. "Your physician will probably need to increase your medication dose." 4. "This is very unusual. I will call your physician."

2. "Let's check your blood sugar. It is probably low."

A patient who was admitted to the hospital after an injury is diagnosed with syphilis in the primary stage. During the nursing assessment, the nurse is likely to find:

2. A reddish papule or painless red ulcer on the genitals, anus, or mouth

An asthma patient has been advised to measure her peak expiratory flow rate (PEFR) every morning. The nurse should explain that the reason for monitoring PEFR is to: 1. Determine whether controller medications are needed that day 2. Assess the adequacy of asthma control with current drug therapy 3. Promote deep breathing and effective coughing to clear secretions 4. Assess what level of activity the patient will be able to tolerate each day

2. Assess the adequacy of asthma control with current drug therapy

A patient in the clinic is prescribed an immunosuppressant drug for treatment of inflammatory bowel disease (IBD). Which patient teaching point related to this drug is appropriate? 1. Always take your medication with food or milk 2. Avoid people with active infections 3. Stop the medication if you have diarrhea 4. Take this medication only when you have symptoms

2. Avoid people with active infections

Nurses in the newborn nursery anticipate that erythromycin ophthalmic ointment will be ordered for the newborn of a mother who has: (Select all that apply.)

2. Chlamydia 3. Gonorrhea

Which of the following structures comprise the common bile duct? (Select all that apply.) 1. Duodenum 2. Cystic duct 3. Hepatic bile ducts 4. Main pancreatic ducts 5. Ductus arteriosis

2. Cystic duct 3. Hepatic bile ducts

Your patient, who has an upper respiratory infection, has a pulse oximeter. The current O, saturation Is 96%. What should you do? 1. Notify the RN or physician immediately 2. Document the reading and continue routine monitoring 3. Increase the patient's O2 to at least 5 L/min 4. Request the arterial blood gases to confirm the oximetry reading

2. Document the reading and continue routine monitoring

Other than a radiograph, the most reliable way to assess placement of a nasogastric tube is to do which of the following? 1. Auscultate the epigastrium while injecting air into the tube 2. Examine and check pH for aspirated stomach contents 3. Place the end of the tube in water and observe for bubbling 4. Listen for air movement at the end of the tube

2. Examine and check pH of aspirated stomach contents

A patient with chronic pancreatitis is taking pancreatic enzyme tablets. To assess the effectiveness of the tablets, the nurse should: 1. Monitor daily weights 2. Examine the stools of steatorrhea 3. Record intake and output 4. Ask whether pain is relieved

2. Examine the stools for steatorrhea

Which of the following types of antiulcer drugs work by inhibiting the secretion of gastric acid? (Select all that apply.) 1. Antacids 2. H2 receptor blockers 3. Mucosal barriers 4. Proton pump inhibitors 5. Synthetic prostaglandins

2. H2 receptor blockers 4. Proton pump inhibitors 5. Synthetic prostaglandins

Functions of insulin (Select all that apply.) include which of the following? 1. Serve as a energy source 2. Help to transport glucose into cells energy 3. Metabolize glucose for energy 4. Synthesize fatty acids and proteins 5. Stimulate excretion of excess glucose

2. Help to transport glucose into cells energy 4. Synthesize fatty acids and proteins

Nursing students are required to have certain immunizations. Vaccination for which of the following is required because health care providers are often in contact with body fluids? 1. Hepatitis A 2. Hepatits B 3. Hepatitis C 4. Hepatitis D

2. Hepatitis B

Which of the following is the advantage of human insulin over beef and pork insulin? 1. Human insulin is less expensive. 2. People do not form antibodies for human insulin. 3. Human insulin has a longer duration of action. 4. Human insulin does not cause hypoglycemia.

2. People do not form antibodies for human insulin.

The nurse is caring for patients with diseases that affect the stomach, small intestine, large intestine, and rectum. Which of these patients is at greatest risk for problems with absorption of nutrients? 1. Stomach 2. Small intestine 3. Large intestine 4. Rectum

2. Small intestine

The school nurse is teaching students about normal growth and development. The nurse should inform the students that the hormone responsible for male sexual development is:

2. Testosterone

What is the nursing implication when a patient with COPD has hypoxic drive? 1. The patient needs deep-breathing exercises to improve oxygenation. 2. The patient's O2 therapy should not exceed 3 L/ min. 3. The patient is unable to tolerate any activity and should remain in bed. 4. The patient is in respiratory acidosis and requires emergency care.

2. The patient's O2 therapy should not exceed 3 L/ min.

Several days after thoracic surgery, your patient's respiratory status is normal. VWhen checking the chest tube drainage system, you observe no bubbling in the water seal chamber. Which statement might explain this? 1. The drainage tubing has become disconnected. 2. The patient's affected lung has reexpanded. 3. It is time to change the drainage receptacle. 4. The patient's affected lung has collapsed.

2. The patient's affected lung has reexpanded.

A patient with a diagnosis of chronic gastritis is at risk for which vitamin deficiency? 1. Vitamin A 2. Vitamin B12 3. Vitamin C 4. Vitamin E

2. Vitamin B12

Which of the following should be included when teaching a patient about benign prostatic hyperplasia? (Select all that apply.)

2. Void promptly when you feel the urge to empty your bladder. 4. Medications that contain antihistamines may cause you to retain urine.

Prioritize the assessment techniques below in the order they should be performed. 1. Palpation 2. Auscultation 3. Inspection 4. Percussion NGL

3,2,4,1

The teaching plan for a patient with genital warts should include which of the following statements?

3. "A topical medication can remove the warts but is not curative."

The nurse recognizes the need for additional teaching when a patient with celiac disease states: 1. "I should suggest that my sister be screened for celiac disease." 2. "If I do not follow the gluten-free diet, I may develop a lymphoma." 3. "I really don't need to restrict my diet of gluten- containing foods, as I am not having diarrhea." 4. "It will be difficult to find gluten-free foods, as gluten is part of so many types of food."

3. "I really don't need to restrict my diet of gluten- containing foods, as I am not having diarrhea."

A 16-year-old female presents to the camp clinic with abdominal pain in the right lower quadrant. She has a low-grade fever. The camp nurse should suspect which of the following? 1. Colon cancer 2. Pancreatitis 3. Appendicits 4. Ascites

3. Appendicitis

You are collecting data from a patient who has had type 2 DM for 10 years. He complains of dizziness when rising to a standing position and increasing fatigue with his usual exercise program. His vital signs are normal except for a heart rate of 108 bpm. You should report these data to the RN because these findings are consistent with which of the following? 1. CHD 2. Inadequate control of blood glucose 3. Autonomic neuropathy 4. Hyperglycemic episodes

3. Autonomic neuropathy

Macrovascular complications of diabetes include which conditions? (Select all that apply.) 1. Retinopathy 2. End-stage renal disease 3. Cerebrovascular accident 4. Coronary heart disease 5.Peripheral vascular disease

3. Cerebrovascular accident 4. Coronary heart disease 5.Peripheral vascular disease

A 30-year-old woman who reports menarche at age 12. first sexual intercourse at age 14, and a treatment for HPV infection at age 15 is at increased history of risk for which of the following?

3. Cervical cancer

A patient who has had oral surgery complains of dry mouth. Your most appropriate action is to do which of the following? 1. Tell the patient this is normal after oral surgery 2. Provide a commercial mouthwash for rinsing the mouth 3. Check the health care provider's orders for mouth care 4. Suction the mouth after giving the patient sips of water

3. Check the health care provider's orders for mouth care

Which of the following are age-related changes in the respiratory system? (Select all that apply) 1. Elevated diaphragm 2. Atrophy of bronchioles 3. Chest muscle atrophy 4. Rib cage rigidity 5. Decreased number of alveoli

3. Chest muscle atrophy 4. Rib cage rigidity 5. Decreased number of alveoli

A patient's health history includes "reports persistent productive cough for 3 to 4 months each winter for the past 5 years." You recognize these symptoms as typical of which of the following? 1. Centriacinar emphysema 2. Asthma 3. Chronic bronchitis 4. Tuberculosis

3. Chronic bronchitis

Fertilization occurs in which site? 1. Uterus 2. Ovary 3. Fallopian tube 4. Vagina

3. Fallopian tube

The postoperative nursing care plan had a total laryngectomy 24 hours ago for a patient who includes the nursing diagnoses below. Which is the priority nursing diagnosis for this patient? 1. Anxiety 2. Acute pain 3. Ineffective airway clearance 4. Impaired verbal communication

3. Ineffective airway clearance

A patient who had nasal surgery is restless. His pulse rate has increased from 70 to 90 bpm and his respiratory rate is 20 breaths per minute. His nasal dressing has no fresh bleeding. What should you do first? 1. Order 1 U of blood 2. Take his vital signs again 3. Inspect the back of his throat 4. Encourage increased fluid intake

3. Inspect the back of his throat

The most serious complication of sinusitis is: 1. Headache 2. Pain 3. Meningitis 4. Rhinitis

3. Meningitis

A couple has come to the fertility clinic for evaluation. During the health history, the husband reports having had all of the childhood diseases listed below. Which may be significant in relation to infertility in men?

3. Mumps

A patient completed a 6-month course of danazol (Danocrine) for treatment of endometriosis. She would like to become pregnant. Which of the following is it important for her to understand?

3. She should not become pregnant for 1 month because danazol can cause birth defects.

1. Which of the following is the purpose of reporting STIS?

3. To reduce transmission of the infection by treating all infected persons

Which of the following is the function of the turbinates in the internal nose? 1. To trap inspired particles 2. To destroy microorganisms 3. To warm inspired air 4. To detect odors

3. To warm inspired air

Bleeding after a transurethral prostatectomy is most likely to be detected by inspection of which of the following?

3. Urine characteristics

A patient who was newly diagnosed with diabetes says, "Everyone I know with diabetes has had one or both legs amputated." What is the most appropriate reply? 1. "Try not to think about that." 2. "Most people with diabetes eventually have to have amputations." 3. "The ones who had amputations did not follow the physician's orders." 4. "You can do many things to reduce your risk of future amputations."

4. "You can do many things to reduce your risk of future amputations."

After nasal surgery, a patient has packing in place and nasal drip ("mustache") dressing on the upper lip. When the mustache dressing has become saturated, which of the following should you do? 1. Replace the packing and the mustache dressing. 2. Remove the mustache dressing. 3. Reinforce the mustache dressing. 4. Change the mustache dressing.

4. Change the mustache dressing.

Which gastrointestinal cancer has the highest rate of incidence and is responsible for the highest number of deaths? 1. Esophageal 2. Stomach 3. Pancreatic 4. Colorectal

4. Colorectal

In a long-term care facility, the licensed vocational nurse/licensed practical nurse (LVN/LPN) observes that a patient with COPD has had increased dyspnea since the previous day, a heart rate of 92 beats per minute, and edematous ankles. Which of the following actions should the LVN/LPN take? 1. Increase the patient's O2 flow rate to 5 L/min. 2. Encourage the patient to walk more to promote circulation. 3. Document the findings and check for improvement the next day. 4. Contact the nursing supervisor to report signs of possible heart failure.

4. Contact the nursing supervisor to report signs of possible heart failure.

Which organism is not commonly associated with PID?

4. Escherichia coli

A patient comes to the clinic for follow-up 1 month after liver transplantation. Which of the following assessment findings would concern you most? 1. Heartburn 2. Constipation 3. Pale urine 4. Fever

4. Fever

A patient recently diagnosed with DM asks why he should limit his protein intake. The nurse's response should be based on which of the following? 1. Metabolism of excess protein causes ketoacidosis. 2. Protein needs are decreased because excess glucose meets metabolic needs. 3. High protein intake interferes with absorption of other nutrients. 4. High protein intake indirectly contributes to the development of nephropathy.

4. High protein intake indirectly contributes to the development of nephropathy.

A patient is being admitted from the emergency department. He has been stabilized after the initial phase of an acute asthma attack. The nurse knows to anticipate the late phase of the asthma attack, which is characterized by: 1. Bronchospasm 2. Increase mucus secretion 3. Hypoxemia 4. Hyperresponsive airway

4. Hyperresponsive airway

In the emergency care of a patient who has a sucking vented dressing preferred chest wound, why is a instead of a dressing that completely seals the wound? 1. The vented dressing permits the drainage of blood from the pleural sac. 2. Sealing the wound increases the risk of bacterial contamination. 3. The vented dressing prevents air from escaping from the injured leg. 4. Sealing the wound could lead to a tension pneumothorax.

4. Sealing the wound could lead to a tension pneumothorax.

A nurse in the newborn nursery assesses a newborn male for the presence of the testes in the scrotum. The nurse knows that failure of the testes to descend into the scrotum (cryptorchidism) must be treated early in life to prevent:

4. Sterility

An older woman with uterine prolapse is being fitted with a pessary. What information should be included in the teaching plan?

4. The position of the pessary must be checked in 24 hours.

A community education project is designed to encourage older adults to have influenza immunizations. A participant asks about the difference between influenza and the common cold. What is the most appropriate reply? 1. Influenza is just a very severe cold. 2. Bacteria cause colds whereas a virus causes influenza. 3. Influenza is more likely to cause fever and chills. 4. They are equally likely to have serious complications.

4. They are equally likely to have serious complications.

Patient teaching related to vasectomy should include which of the following?

4. You will need to have a semen analysis to determine if sperm are present.

Which of the following STIS usually can be cured with antimicrobials? (Select all that apply.)

1. Gonorrhea 3. Syphilis 4. Trichomoniasis 5. Chlamydia

A young woman has come to the physicians office for a routine pelvic examination. During the health history, she tells you that her mothers says douching is an essential part of feminine hygience. What is your best response?

"Your body has normal processes to cleanse vagina, so douching is unnecessary."

Patient teaching for the person with active berculosis should include which of the following points? (Select all that apply.) 1 A balanced diet helps your body to recover from an infectious disease. 2. Cover your mouth when coughing to prevent spreading the infection. 3 You must complete the entire course of therapy to prevent a recurrence of tuberculosis. 4. Taking your antitubercular drugs at bedtime may reduce nausea and vomiting. 5. As long as you take your medications, you cannot transmit TB to other people.

1 A balanced diet helps your body to recover from an infectious disease. 2. Cover your mouth when coughing to prevent spreading the infection. 3 You must complete the entire course of therapy to prevent a recurrence of tuberculosis. 4. Taking your antitubercular drugs at bedtime may reduce nausea and vomiting.

Which question collects data about the patient's menarche? 1. "At what age did you begin menstruating?" 2. "Would you describe your menstrual flow as light or heavy?"

1. "At what age did you begin menstruating?"

You are teaching a class on BSE to women of various ages. Which of the following should you tell women who no longer menstruate about BSE? (Select all that apply.)

1. "BSE is not a substitute for professional examinations." 2. "Perform BSE on the same day of each month." 5. "Palpate the axilla as well as the breasts."

In a health education class, the nurse is teaching the students about herpes simplex virus infection. Which statements are true regarding the HSV-1 and HSV-2? (Select all that apply.)

1. "Type 2 is most often transmitted by contact." 2. "The modes of transmission of both types 1 and 2 are the same." 3. "Both types 1 and 2 can be treated with antiviral drugs."

A patient who was diagnosed with gonorrhea did not return for treatment. When contacted, she reported that her symptoms had gone away so she thought she had recovered from the infection. The most appropriate response by the nurse would be which of the following?

1. "Without treatment, the bacteria remain in your body and you remain highly infectious."

7. A young woman is being treated at the university clinic for a genital HSV-2 infection. The teaching plan for her should include which of the following statements? (Select all that apply.)

1. "You should have yearly Pap tests because you are at increased risk for cervical cancer." 4. "Your partner must use a condom for intercourse even when lesions are not present." 5. "Medications may reduce the frequency and severity of your symptoms."

Which of the following statements are appropriate to prepare a patient for culdoscopy? (Select all that apply.)

1. "You will need to be in a knee-chest or lithotomy position." 4. "You may have shoulder pain caused by air entering the pelvic cavity."

Which palpable breast lump is most characteristic of breast cancer?

1. A single painless lump in the upper, outer quadrant of one breast

Which type of oral DM medication is least likely to cause hypoglycemia? 1. Alpha-glucosidase inhibitors 2. Sulfonylureas 3. Meglitinides 4. D-Phenylalanines

1. Alpha-glucosidase inhibitors

A patient who has hepatitis reports that she is itching and cannot resist scratching. Which measures should help to control the itching? (Select all that apply.) 1. Apply lubricating lotion 2. Administer prescribed antihistamine 3. Use tepid water for bathing 4. Vigorously massage affected areas 5. Administer prescribed antibiotics

1. Apply lubricating lotion 2. Administer prescribed antihistamine 3. Use tepid water for bathing

Measures to prevent PE in postoperative patients include which of the following? (Select all that apply.) 1. Applying compression stockings as ordered. 2. Assisting with range-of-motion exercises. 3. Enforcing bed rest until wound healing is complete. 4. Supporting the legs with pillows to promote circulation. 5. Encouraging ambulation as soon as permitted.

1. Applying compression stockings as ordered 2. Assisting with range-of-motion exercises 5. Encouraging ambulation as soon as permitted.

A patient who has triad disease has which of the following? (Select all that apply.) 1. Asthma 2. Nasal polyps 3. Aspirin allergy 4. Laryngeal nodules 5. Sinusitis

1. Asthma 2. Nasal polyps 3. Aspirin allergy

The nurse is preparing a review of asthma drugs for nursing staff. She should inform the audience that appropriate drugs for relieving acute symptoms of asthma include: (Select all that apply.) 1. Beta 2-receptor agonists 2. Corticosteroids 3. Anticholinergics 4. Leukotriene modifiers 5. Decongestants

1. Beta 2-receptor agonists 3. Anticholinergics

Adaptation The patient with untreated syphilis develop which of the following? (Select all that apply.)

1. Blindness 2. Mental illness 3. Paralysis 4. Heart disease

A patient asks if surgery would cure her Crohn disease. She states that her friend's ulcerative colitis was cured with surgery. The nurse should explain that surgery is used to treat Crohn disease less often than to treat ulcerative colitis for what reason? 1. Crohn disease usually returns near the site of the anastomosis. 2. Crohn disease typically involves the entire small and large intestines. 3. Crohn disease usually can be cured with combination drug therapy. 4. Crohn disease is associated with an increase risk of surgical complications.

1. Crohn disease usually returns near the site of the anastomosis.

Normal age-related changes in the reproductive system of a healthy man include which of the following? (Select all that apply.)

1. Decreasing production of testosterone beginning at age 50 2. Longer refractory period between erections 4. Increased time needed for sexual arousal

You are reviewing the admission papers for a new resident of a long-term care facility. You note a medical diagnosis of achalasia. Which of the following should be included in the nursing care plan? (Select all that apply.) 1. Determine the best position for the patient during meals 2. Be sure clothing is not restrictive 3. Place the patient on NPO status 4. Auscultate bowel sounds in all four quadrants 5. Maintain strict I&O records

1. Determine the best position for the patient during meals 2. Be sure clothing is not restrictive

The nurse is reviewing the record of a female client with Crohn disease. Which stool characteristics should the nurse expect to find in the patient's history? 1. Diarrhea 2. Chronic constipation 3. Constipation alternating with diarrhea 4. Stools constantly oozing from the rectum

1. Diarrhea

Mr. P. is going to surgery for a supraglottic laryngectomy and Mr. S. is going to have a total laryngectomy. Which of the following describes the differences in their postoperative needs? (Select all that apply.) 1. Mr. S. will be able to swallow more easily than Mr. P. 2. Mr. S.'s voice will be preserved; Mr. P.'s voice will not be preserved. 3. Mr. P. will have a temporary tracheostomy; Mr. S'S tracheostomy will be permanent. 4. Mr. P. will be at greater risk of aspiration than Mr. S. 5. Mr. P. is more likely to have a radical neck dissection than Mr. S.

1. Mr. S. will be able to swallow more easily than Mr. P. 3. Mr. P. will have a temporary tracheostomy; Mr. S'S tracheostomy will be permanent. 4. Mr. P. will be at greater risk of aspiration than Mr. S.

You witness a serious auto accident in which a driver slammed into the steering wheel. While waiting for emergency medical services (EMS) to arrive, the driver develops respiratory distress. You observe that a part of the rib cage moves inward with inspiration and outward with expiration. Which of the following describes this pattern? 1. Paradoxical movement 2. Tension pneumothorax 3. Compensatory breathing 4. Cheyne-Stokes respirations

1. Paradoxical movement

Which of the following comprise the classic signs symptoms of DM? (Select all that apply.) 1. Polydipsia 2. Polyhidrosis 3. Polyphagia 4. Polyuria 5. Polycythemia

1. Polydipsia 3. Polyphagia 4. Polyuria

A patient rushes into the urgent care clinic holding a bloody towel to her face. She says that her nose started bleeding suddenly and she cannot control it. Immediate treatment of epistaxis involves having the patient do which of the following? 1. Sit up, lean slightly forward, and pinch the nostrils. 2. Assume a semi-Fowler position with the head tilted back. 3. Lie supine and apply a cold pack to the nose. 4. Sit up and lean forward to put the head between the knees.

1. Sit up, lean slightly forward, and pinch the nostrils.

The nurse is teaching a health promotion class. The participants should be told that they can reduce the risk of pancreatic cancer by: 1. Smoking cessation 2. Increased dietary protein 3. Regular exercise 4. Stress reduction activities

1. Smoking cessation 4. Stress reduction activities

The endocrine functions of the pancreas include which of the following? (Select all that apply.) 1. Storage and secretion of insulin in response to high blood glucose levels 2. Conversion of excess blood glucose to glycogen for storage 3. Breakdown of excessive fats and carbohydrates in the intestine 4. Production and secretion of digestive enzymes into the duodenum through a duct 5. Manufacture and storage of bile

1. Storage and secretion of insulin in response to high blood glucose levels 2. Conversion of excess blood glucose to glycogen for storage

The nurse is asked to speak at a people with ulcerative colitis. Which included in the presentation? (Select support group for content should be all that apply.) 1. Stress management may help to control symptoms. 2. Ulcerative colitis is caused by bacterial infection. 3. Avoid caffeine and any food that causes symptoms 4. Have regular colon screening examinations. 5. Medications are needed only when acute symptoms occur.

1. Stress management may help to control symptoms. 3. Avoid caffeine and any food that causes symptoms 4. Have regular colon screening examinations. 5. Medications are needed only when acute symptoms occur.

Why is it important to limit the time that suction is applied during tracheal suctioning? 1. Suctioning removes oxygen that may cause hypoxemia. 2. Suctioning is traumatic to the lining of the trachea. 3. Suctioning may induce vomiting. 4. Suctioning is painful.

1. Suctioning removes oxygen that may cause hypoxemia.

The nurse completes a functional assessment of a patient who is hospitalized with pneumonia. Which is the best example of the nurse's documentation of the respiratory assessment? 1. The patient expectorated a moderate amount of tenacious, green sputum. 2. The patient reports coughing up a lot of mucus during the current shift. 3. Physical activity seems to cause the patient to have severe coughing spells. 4. The patient is coughing up less sputum today than yesterday.

1. The patient expectorated a moderate amount of tenacious, green sputum.

A patient who was admitted with severe abdominal pain is being evaluated for possible appendicitis. The physician should be notified immediately if the nurse's assessment reveals which of the following? 1. The patient's WBC count is 15,000/mm3. 2. Palpation at McBurney point causes pain. 3. The patient keeps both hips flexed. 4. The patient's abdomen is rigid.

1. The patient's WBC count is 15,000/mm3. 2. Palpation at McBurney point causes pain. 3. The patient keeps both hips flexed. 4. The patient's abdomen is rigid.

A training program for new nurses in a long-term care facility includes common anatomic and physiologic changes in older people. Which of the following changes in the nose, sinuses, and throat should be included? (Select all that apply.) 1. Thinning of the mucous membrane 2. Nasal obstruction more common 3. Decreased mucus production 4. Decreased sense of smell 5. Less risk of epistaxis

1. Thinning of the mucous membrane 2. Nasal obstruction more common 3. Decreased mucus production 4. Decreased sense of smell

As the nurse, you teach your patient with diverticulosis to: (Select all that apply.) 1. Use anticholinergic medications to prevent bowel spasm 2. Get an annual colonoscopy to detect any possible changes that may be cancerous 3. Keep eating a high-fiber diet and using bulk laxatives to increase fecal volume 4. Not consume whole-grain breads and cereals to prevent further irritation of the bowel

1. Use anticholinergic medications to prevent bowel spasm 2. Get an annual colonoscopy to detect any possible changes that may be cancerous 3. Keep eating a high-fiber diet and using bulk laxatives to increase fecal volume

Residents of an assisted living facility have asked how they can reduce the risk of colon cancer. The nurse should recommend a high intake of which of the following? (Select all that apply.) 1. Vegetables 2. Fruits 3. Fat 4. Fiber 5. Proteins

1. Vegetables 2. Fruits 4. Fiber 5. Proteins

Inspection of the mouth of older adult reveals all of the data listed below. Which findings should the nurse recognize as normal? (Select all that apply.) 1. Worn chewing surfaces on the teeth 2. Recession of the gingiva (gums) 3. Loss. of most of the natural teeth 4. Teeth appear dark and transparent 5. Whitish patches on the border of the tongue

1. Worn chewing surfaces on the teeth 2. Recession of the gingiva (gums) 4. Teeth appear dark and transparent

Where is the respiratory center located?

Brain (medulla oblonga and pons)

Which of the following is a drug that reduces the size of the prostate without lowering circulating testosterone levels?

Finasteride (Proscar)

1. A patient who has pneumonia has become restless; vital signs are as follows: temperature 100°F (37.8°C), pulse 110 bpm, respiration 28 breaths per minute, blood pressure 130/72 mm Hg. You should suspect ________________.

Hypoexima

Your focused assessment of a patient with hepatitis reveals jaundice, light-colored stools, and dark urine. These findings are typical of which phase of hepatitis?

Icteric phase

What is the primary drug used for the prevention and treatment of tuberculosis?

Isoniazid (INH)

What is the leading cause of lung cancer?

Smoking

True or False: Among the outcomes of nursing care for patients with oral cancer are pain relief, effective communication, and adaptation to change in body image.

True