Theory Quizzes
A nurse is assessing a client who has pulmonary tuberculosis. Which of the following findings should the nurse expect? Lethargy High-grade fever Weight gain Dry cough
Dry cough
E.M. seems quite upset. She has many questions that indicate she has unwarranted concerns and worries about surgery. What should you say? "E.M., would you like to talk to the doctor again before surgery?" "E.M., can you tell me what your concerns are about the surgery?" "E.M., you are going to be just fine, I promise to take good care of you." "E.M., didn't you talk with your doctor a few minutes ago about the surgery?"
"E.M., would you like to talk to the doctor again before surgery?"
A nurse is teaching a client about preventing osteoporosis. Which of the following statements by the client indicates a need for further teaching? "I will reduce my intake of sodium." "I will decrease my intake of caffeine." "I will limit my intake of soft drinks." "I will reduce my intake of vitamin K-rich foods."
"I will reduce my intake of vitamin K-rich foods."
This can reduce blood pressure without medication Physical activity Herbal remedies Essential oils Eating more red meat
Herbal remedies
Common risk factor for hypertension Physical activity Diuretic Smoking High HDLs
Smoking
Cardiac Enzyme used for detection of myocardial infarction Troponin Myoglobin C-reactive protein Homocysteine
Troponin
Afterload resistance to left ventricular ejection Amount of blood ejected from the left ventricle each minute Heart rate at resting rate after exercise Amount of blood circulating in the body after every heartbeat
resistance to left ventricular ejection
E.M., an 82-year-old female, is escorted by her daughter into preoperative area for removal of cataract OD. Her daughter asks you what can be done to prevent cataracts. What should you tell her? "E.M should use good hygiene practices and remove eye make-up with baby shampoo to prevent cataracts." "E.M. could wear sunglasses, should avoid extraneous or unnecessary radiation, and maintain appropriate intake of antioxidant vitamins." "E.M. should receive ophthalmologic examinations every 1 to 2 years since she is over the age of 65." "E.M. should take careful measure to keep her intraocular pressure low to prevent the development of cataracts."
"E.M. could wear sunglasses, should avoid extraneous or unnecessary radiation, and maintain appropriate intake of antioxidant vitamins."
E.M.'s daughter tells you she lives an hour away and works full time. What nursing management is essential for her during the postoperative period? "E.M. will likely need home health to assist with administration of medication, prevention of infection, and transportation to her follow-up appointments." "E.M will need to be placed in a nursing home since she will not be able to take care of herself." "E.M. will need written instructions so she can care for herself during recovery." "E.M. will benefit from frozen meals and a cab voucher to get to her doctor's office for follow up."
"E.M. will likely need home health to assist with administration of medication, prevention of infection, and transportation to her follow-up appointments."
A nurse is providing discharge teaching to a client following an abdominal hysterectomy. Which of the following information should the nurse include in the teaching? "You should refrain from sexual intercourse for at least 4 weeks." "You should expect to have burning with urination for the first week." "You should soak in a warm tub bath to ease incisional pain." "You should limit lifting to objects of 20 pounds or less."
"You should refrain from sexual intercourse for at least 4 weeks."
E.M.'s vision is equally impaired OU. She is scheduled in a few weeks for cataract removal in OS. What should you tell the patient and daughter to expect postoperatively? "You can expect a great deal of pain after the surgery but your doctor will prescribe narcotic pain medication." Correct "You will likely go home with an eye patch over the affected eye which will put you at risk for falls." "You should expect some bleeding and drainage from the eye for a few days after surgery." "You will not have a good idea of how well the procedure went until about two weeks after surgery."
"You will likely go home with an eye patch over the affected eye which will put you at risk for falls."
A nurse is teaching a client who is scheduled for dual-energy x-ray absorptiometry (DXA) to screen for osteoporosis. Which of the following instructions should the nurse include in the teaching? "You will need to remove all jewelry before the test." "You will need to lie flat for 4 hours following the test." "You will need to empty your bladder before the test." "You will need to fast for 12 hours before the test.
"You will need to remove all jewelry before the test."
A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following room assignments should the nurse make for the client? A room with air exhaust directly to the outdoor environment A room with another nonsurgical client A room in the ICU A room that is within view of the nurses' station
A room with air exhaust directly to the outdoor environment
A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of anti-tuberculosis medications. Which of the following information should the nurse include in the teaching? Medications will need to be taken for the rest of the client's life, even if the client feels better. Medications will need to be taken until the Mantoux test is negative. A typical course of treatment involves 6 to 9 months of consistent medication use. The client's family will also need to take medications to prevent infection.
A typical course of treatment involves 6 to 9 months of consistent medication use.
Interventions to prevent deep vein thrombosis Weight reduction, exercise, blood glucose in catecholamines range for diabetes Cardiac Catheterization Myocardial infarction Activity, Compression stockings, anticoagulants
Activity, Compression stockings, anticoagulants
A nurse is caring for a client who has pneumonia and a prescription for oxygen therapy at 5 L/min via nasal cannula. Which of the following actions should the nurse take? Attach a humidifier bottle to the base of the flow meter. Remove the nasal cannula while the client eats. Secure the oxygen tubing to the bed sheet near the client's head. Apply petroleum jelly to the nares as needed to soothe mucous membranes.
Attach a humidifier bottle to the base of the flow meter.
Higher incidence of hypertension occurs in this population Caucasian African American Hispanic Asian
African American
Cardiac Output Measured by catheter Blood pressure in upper arm Resistance to left ventricular ejection Amount of blood ejected from the left ventricle each minute
Amount of blood ejected from the left ventricle each minute.
The nurse enters the patient room as the certified nurse aid (CNA) is placing the blood pressure cuff on the extremity with the arteriovenouse fistula. What should the nurse educate the CNA about the fistula? Avoid taking the blood pressure in the extremity with the fistula. Move the cuff to the wrist of the affected extremity to take the blood pressure. Assess the fistula after taking the blood pressure. Assess the fistula before taking the blood pressure.
Avoid taking the blood pressure in the extremity with the fistula
A nurse is caring for a client who has active pulmonary tuberculosis (TB) and is to be started on intravenous rifampin therapy. The nurse should instruct the client that this medication can cause which of the following adverse effects? Constipation Black colored stools Staining of teeth Body secretions turning a red color
Body secretions turning a red color
Sodium polystyrene sulfonate (Kayexalate) is ordered for a patient with hyperkalemia. Before administering the medication, the nurse should assess the bowel sounds blood glucose blood urea nitrogen (BUN) level of consciousness (LOC)
Bowel sounds
Hypertension often coexists with Blood dyscrasias Shortness of breath Dyslipidemia Chest pain
Chest pain
Represents contraction of the heart muscle Diastole Systole Syncope 4th heart sound
Diastole
First medication usually prescribed is Beta Blocker Diuretic Ace Inhibitor Calcium Channel Blocker
Diuretic
A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to promote thinning of respiratory secretions? Encourage the client to ambulate frequently. Encourage coughing and deep breathing. Encourage the client to increase fluid intake. Encourage regular use of the incentive spirometer.
Encourage the client to increase fluid intake.
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, "I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring anything up." Which of the following actions should the nurse take to help this client with tenacious bronchial secretions? Maintaining a semi-Fowler's position as often as possible Administering oxygen via nasal cannula at 2 L/min Helping the client select a low-salt diet Encouraging the client to drink 2 to 3 L of water daily
Encouraging the client to drink 2 to 3 L of water daily
A nurse is developing a plan of care for a client who has COPD. The nurse should include which of the following interventions in the plan? Restrict the client's fluid intake to less than 2 L/day. Provide the client with a low-protein diet. Have the client use the early-morning hours for exercise and activity. Instruct the client to use pursed-lip breathing.
Instruct the client to use pursed-lip breathing.
A nurse is collaborating on care for a client who has COPD. Which of the following tasks should the nurse recommend be referred to an occupational therapist for assistance? Instructing how to measure oxygen saturation Instructing how to use kitchen tools to prepare a meal Instruction how to plan a diet based on individual caloric needs Instructing how to perform pursed-lip breathing
Instructing how to use kitchen tools to prepare a meal
A nurse is assessing an older adult client who has osteoporosis. Which of the following spinal deformities should the nurse expect to find in this client? Lordosis Ankylosis Kyphosis Scoliosis
Kyphosis
A nurse is assessing a male client who has advanced peripheral artery disease (PAD). Which of the following findings should the nurse expect? Thin, pliable toe nails Leg pain at rest Hairy legs Flushed, warm legs
Leg pain at rest
A patient who has had progressive chronic kidney disease (CKD) for several years has just begun regular hemodialysis. Which information about diet will the nurse include in patient teaching? Increased calories are needed because glucose is lost during hemodialysis. More protein is allowed because urea and creatinine are removed by dialysis. Dietary potassium is not restricted because the level is normalized by dialysis. Unlimited fluids are allowed because retained fluid is removed during dialysis.
More protein is allowed because urea and creatinine are removed by dialysis.
Myocardial Infarction risk factors: Choose all that apply Obesity Smoking Excessive alcohol intake Inactivity
Obesity Smoking Excessive alcohol intake Inactivity
A nurse is giving a presentation about preventing deep-vein thrombosis (DVT). Which of the following should the nurse include as a risk factor for this disorder? (Select all that apply.) BMI of 20 Oral contraceptive use Hypertension High calcium intake Immobility
Oral contraceptive use Immobility
A nurse is assessing a client who is postoperative following a vaginal hysterectomy. Which of the following is a manifestation of deep-vein thrombosis (DVT)? Coolness to the extremities Decreased pedal pulses Pain in the affected leg Bilateral leg edema
Pain in the affected leg
Assessment findings associated with peripheral arterial disease Pulmonary embolism Stroke, Renal impairment, myocardial infarction Activity, Compression stockings, and anticoagulants Pain with activity, pallor, diminished or absent pulses.
Pain with activity, pallor, diminished or absent pulses.
A nurse is presenting educational materials for a group of middle-aged clients about menopausal hormone therapy following total hysterectomy. Which of the following information should the nurse include in the information? Take at different times of the day. Take an extra dose if missed a day. Prevents from having a cerebral hemorrhage. Prevents osteoporotic fractures.
Prevents osteoporotic fractures.
The most serious complication of deep vein thrombosis (DVT) Invasive diagnostic procedure use to evaluate the presence and degree of coronary artery blockage. Resistance to left ventricular ejection Pulmonary embolism Acute renal failure
Pulmonary embolism
Which of the following is the most serious complication of deep vein thrombosis (DVT)? Invasive diagnostic procedure use to evaluate the presence and degree of coronary artery blockage. Resistance to left ventricular ejection Pulmonary embolism Acute renal failure
Pulmonary embolism
Which of the following are assessment findings associated with peripheral arterial disease?
Pulmonary embolism Stroke, Renal impairment, myocardial infarction Activity, Compression stockings, and anticoagulants Pain with activity, pallor, diminished or absent pulses
Before administration of calcium carbonate to a patient with chronic kidney disease (CKD), the nurse should check laboratory results for potassium level total cholesterol serum phosphate serum creatinine
Serum phosphate
Modifiable risk factor for hypertension Socioeconomic class Smoking Heart disease Race
Smoking
Effects of hypertension Diabetes, Alzheimer's, and liver failure Stroke, renal impairment, myocardial infarction Neuropathy and retinopathy Liver failure, gall bladder disease and stroke
Stroke, renal impairment, myocardial infarction
A nurse is reviewing risk factors for osteoporosis with a group of nursing students. The nurse should include that which of the following types of medication therapy is a risk factor for osteoporosis? Thyroid hormones Anticoagulants NSAIDs Cardiac glycosides
Thyroid hormones
Important teaching for the hypertensive patient Preparation for end - stage renal disease Preparation for invasive diagnostic procedures Weight reduction, exercise and smoking cessation Activity, Ted hose and anticoagulants
Weight reduction, exercise and smoking cessation
E.M. tells you she lives in an apartment and will return there post-op. If the patient is visited only once a day at her home, what may be of concern? "E.M. should be completely independent 24 hours after the procedure." "E.M. will not be able to manage the pain medication regime along." "E.M. may not be able to perform self-care activities since her vision may be affected by the eye patch if her unoperated eye vision is poor." "E.M. will not be able to see out of her peripheral vision."
"E.M. may not be able to perform self-care activities since her vision may be affected by the eye patch if her unoperated eye vision is poor."
A nurse is providing teaching to a client who has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for uterine cancer. Which of the following instructions should the nurse include in the teaching? A Papanicolaou (Pap) test should be performed every 6 months. Artificial lubrication can be used to treat vaginal itching and dryness. Increased vaginal drainage typically occurs 5 days following surgery. Resume sexual intercourse in 2 to 3 weeks.
Artificial lubrication can be used to treat vaginal itching and dryness.
A home health nurse visits a client who has COPD and receives oxygen at 2 L/min via nasal cannula. The client reports difficulty breathing. Which of the following actions is the nurse's priority? Increase the oxygen flow to 3 L/min. Assess the client's respiratory status. Call emergency services for the client. Have the client cough and expectorate secretions.
Assess the client's respiratory status.
Hypertension is often Asymptomatic Related to another cause Fatal within first few months of diagnosis Accompanied by chest pain and heart flutters
Asymptomatic
A nurse is preparing an adolescent client who has pneumonia for percussion, vibration, and postural drainage. Prior to the procedure, which of the following nursing actions should the nurse complete first? Auscultate lung fields. Assess pulse and respirations. Assess characteristics of her sputum. Instruct to slowly exhale with pursed lips
Auscultate lung fields.
Prehypertension Happens to obese patients Caused by dyslypedemia B/P 120 - 139/80-89 Directly related to excessive alcohol ingestion
B/P 120 - 139/80-89
Secondary Hypertension Asymptomatic B/P 120 - 139/80-89 Related to another cause Directly related to smoking
B/P 120 - 139/80-89
A nurse is assessing a client who has COPD. The nurse should expect the client's chest to be which of the following shapes? Pigeon Funnel Kyphotic Barrel
Barrel
A nurse in the emergency department is assessing an older adult client who has community- acquired pneumonia. Which of the following findings should the nurse expect? Unequal pupils Hypertension Tympany upon chest percussion Confusion
Confusion
A nurse is caring for a middle adult female client who reports that her menstrual periods have become irregular and she has been having hot flashes. The nurse should expect the client to have which of the following manifestations associated with early menopause? Urinary retention Decreased blood pressure Dryness with intercourse Elevation in body temperature above 37.8° C (100° F)
Dryness with intercourse
A nurse is receiving a client who is immediately postoperative following hip arthroplasty. Which of the following medications should the nurse plan to administer for DVT prophylaxis? Aspirin PO Enoxaparin subcutaneous Heparin infusion Warfarin PO
Enoxaparin subcutaneous
The nurse is providing care for a client who presents with "tearing abdominal pain" and CT results confirm a diagnosis of a 5.5 cm abdominal aneurysm. What is the first action the nurse should take? Administer morphine 2 mg IV push Fill out a consent form and have it ready for the surgeon Send the client for a stat chest X-ray. Send the patient home and have her follow up in 3 months.
Fill out a consent form and have it ready for the surgeon
A nurse is providing discharge instructions to a client who developed deep-vein thrombosis (DVT) postoperatively and is prescribed anticoagulant therapy. Which of the following instructions should the nurse include? Applying cool compresses to her legs Wearing loose, non-constricting stockings Flexing her knees and feet frequently Taking an NSAID tablet daily
Flexing her knees and feet frequently
A nurse is assessing a client who is at risk for deep-vein thrombosis (DVT). Which of the following findings is a manifestation of DVT? Pallor in the affected extremity Cramping pain in one foot Auscultation of bruit over pedal pulse Groin tenderness
Groin tenderness
A nurse is caring for a client who has active pulmonary tuberculosis (TB). The client requires airborne precautions and is receiving multidrug therapy. Which of the following precautions should the nurse take to transport the client safely to the radiology department for a chest x-ray? Ask the x-ray technician to come to the client's room to obtain a portable x-ray. Have the client wear a mask. Notify the x-ray department that the client requires airborne precautions. Wear a filtration mask and gloves during transport.
Have the client wear a mask.
A nurse is caring for a client who has peripheral vascular disease and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort? Obtain a pair of slipper-socks for the client. Rub the client's feet briskly for several minutes. Increase the client's oral fluid intake. Place a moist heating pad under the client's feet.
Obtain a pair of slipper-socks for the client.
A nurse is implementing a plan of care for a client who has AIDS with recurring pneumonia. Which of the following actions should the nurse take? Encourage fluid intake of 1500 mL/day. Position head of the bed at 10 degrees. Cough and deep breathe every 8 hr. Obtain a sputum culture.
Obtain a sputum culture.
An assistive personnel (AP) reports to the nurse that a client who is 3 days postoperative following an abdominal hysterectomy has a dressing that is saturated with blood. Which of the following tasks should the nurse delegate to the AP? Change the abdominal dressing. Obtain vital signs. Palpate for possible bladder distention. Observe the incision site.
Obtain vital signs
A nurse in a provider's office is collecting a health history from a client who is at risk for primary osteoporosis. Which of the following findings is a risk factor for the development of osteoporosis? Obesity Sedentary lifestyle Long-term use of diuretics Prolonged stress
Sedentary lifestyle
The nurse is providing teaching to a patient diagnosed with Chronic Kidney Disease. The nurse should include all of the following in the teaching plan for the patient and caregiver except signs and symptoms of electrolyte imbalances. exercise most days of the week. reporting weight gain > 4 lbs (2kg). alternative ways of reducing thirst (sucking on ice chips, lemons, or hard candy).
exercise most days of the week.
