Chapter 50: Nursing Management: Endocrine Problems
1. A 45-year-old male patient with suspected acromegaly is seen at the clinic. To assist in
making the diagnosis, which question should the nurse ask?
Have you had a recent head
Chapter 69: Nursing Management: Emergency, Terrorism, and Disaster Nursing
1. During the primary assessment of a victim of a motor vehicle collision, the nurse determines
that the patient is breathing and has an unobstructed airw
1. A clinic nurse is caring for a patient who has just been diagnosed with chronic
obstructive pulmonary disease (COPD). The patient asks the nurse what he could have
done to minimize the risk of contracting this disease. What would be the nurs
Chapter 66: Nursing Management: Critical Care
1. A 68-year-old patient has been in the intensive care unit for 4 days and has a nursing diagnosis
of disturbed sensory perception related to sleep deprivation. Which action should t
Chapter 63: Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
1. When teaching seniors at a community recreation center, which information will the nurse
include about ways to prevent fractures?
Tack down scatter
Chapter 54: Nursing Management: Female Reproductive Problems
1. A 34-year-old woman who is discussing contraceptive options with the nurse says, I want to
have children, but not for a few years. Which response by the nurse is app
Chapter 62: Nursing Assessment: Musculoskeletal System
1. A 42-year-old male patient complains of shoulder pain when the nurse moves his arm behind
the back. Which question should the nurse ask?
Are you able to feed yourself with
1. A patient is admitted to the ED complaining of severe abdominal pain, stating that he
has been vomiting coffee-ground like emesis. The patient is diagnosed with a
perforated gastric ulcer and is informed that he needs surgery. When can the p
1. A teenager is diagnosed with cellulitis of the right knee and fails to respond to oral
antibiotics. He then develops osteomyelitis of the right knee, prompting a detailed
diagnostic workup that reveals a phagocytic disorder. This patient fac
1. A nurse is preparing to place a patient's ordered nasogastric tube. How should the nurse
best determine the correct length of the nasogastric tube?
A) Place distal tip to nose, then ear tip and end of xiphoid process.
B) Instruct the patient
1. A nurse has been working with Mrs. Griffin, a 71-year-old patient whose poorly
controlled type 1 diabetes has led to numerous health problems. Over the past several
years Mrs. Griffin has had several admissions to the hospital medical unit, a
1. A nurse is meeting with a young woman who has recently lost her job after moving
with her husband to a new city. She describes herself as being anxious and pretty
depressed. What principle of stress and adaptation should be integrated into th
1. A nurse on the orthopedic unit is assessing a patient's peroneal nerve. The nurse will
perform this assessment by doing which of the following actions?
A) Pricking the skin between the great and second toe
B) Stroking the skin on the sole of
1. The nurse is assessing a patient suspected of having developed acute
glomerulonephritis. The nurse should expect to address what clinical manifestation that
is characteristic of this health problem?
B) Precipitous decrease in se
1. A nurse is caring for a patient who has sickle cell anemia and the nurse's assessment
reveals the possibility of substance abuse. What is the nurse's most appropriate action?
A) Encourage the patient to rely on complementary and alternative
1. The nurse is caring for a patient with chronic obstructive pulmonary disease (COPD).
The patient has been receiving high-flow oxygen therapy for an extended time. What
symptoms should the nurse anticipate if the patient were experiencing oxy
1. A patient with mitral stenosis exhibits new symptoms of a dysrhythmia. Based on the
pathophysiology of this disease process, the nurse would expect the patient to exhibit
what heart rhythm?
A) Ventricular fibrillation (VF)
B) Ventricular tac
1. The nurse who is a member of the palliative care team is assessing a patient. The
patient indicates that he has been saving his PRN analgesics until the pain is intense
because his pain control has been inadequate. What teaching should the n
1. A nurse is describing the process by which blood is ejected into circulation as the
chambers of the heart become smaller. The instructor categorizes this action of the
heart as what?
D) Ejection fract
1. The nurse is taking a health history of a new patient. The patient reports experiencing
pain in his left lower leg and foot when walking. This pain is relieved with rest. The
nurse notes that the left lower leg is slightly edematous and is h
1. A nurse is caring for a patient who is scheduled for a colonoscopy and whose bowel
preparation will include polyethylene glycol electrolyte lavage prior to the procedure.
The presence of what health problem would contraindicate the use of th
1. You are providing care for an 82-year-old man whose signs and symptoms of Parkinson
disease have become more severe over the past several months. The man tells you that
he can no longer do as many things for himself as he used to be able to
1. A patient with a hematologic disorder asks the nurse how the body forms blood cells.
The nurse should describe a process that takes place where?
A) In the spleen
B) In the kidneys
C) In the bone marrow
D) In the liver
2. A man suffers a leg
1. A patient with a family history of allergies has suffered an allergic response based on a
genetic predisposition. This atopic response is usually mediated by what
A) Immunoglobulin A
B) Immunoglobulin M
C) Immunoglobulin G
Chapter 64: Nursing Management: Musculoskeletal Problems
1. A patient with acute osteomyelitis of the left femur is hospitalized for regional antibiotic
irrigation. Which intervention will be included in the initial plan of care?
Chapter 61: Nursing Management: Peripheral Nerve and Spinal Cord Problems
1. The nurse assessing a 54-year-old female patient with newly diagnosed trigeminal neuralgia
will ask the patient about
visual problems caused by ptosis.
Chapter 67: Nursing Management: Shock, Systemic Inflammatory Response
Syndrome, and Multiple Organ Dysfunction Syndrome
1. A 78-kg patient with septic shock has a urine output of 30 mL/hr for the past 3 hours. The
pulse rate is 1
Chapter 65: Nursing Management: Arthritis and Connective Tissue Diseases
1. Which finding will the nurse expect when assessing a 58-year-old patient who has
osteoarthritis (OA) of the knee?
Discomfort with joint movement
1. The nurse is caring for a patient who has had an ECG. The nurse notes that leads I, II,
and III differ from one another on the cardiac rhythm strip. How should the nurse best
A) Recognize that the view of the electrical current chan
1. The nurse is caring for a patient diagnosed with hypothyroidism secondary to
Hashimoto's thyroiditis. When assessing this patient, what sign or symptom would the
B) Bulging eyes
D) Flushed skin
2. A p
1. The nurse is preparing an elderly patient for a scheduled removal of orthopedic
hardware, a procedure to be performed under general anesthetic. For which adverse
effect should the nurse most closely monitor the patient?
1. The recovery room nurse is admitting a patient from the OR following the patient's
successful splenectomy. What is the first assessment that the nurse should perform on
this newly admitted patient?
A) Heart rate and rhythm
B) Skin integrity
1. A nurse in the ICU is planning the care of a patient who is being treated for shock.
Which of the following statements best describes the pathophysiology of this patient's
A) Blood is shunted from vital organs to peripheral a