FOUNDATIONS AND ADULT HEALTH NURSING

MULTIPLE CHOICE 1. The nurse is trying to reassure a patient who is concerned about receiving addictive drugs. What percentage of patients become addicted to analgesics? a. Less than 0.1% b. Less than 1% c. Less than 5% d. Less than 6% ANS: B Research findings suggest that less than 1% of patients receiving analgesics become addicted. DIF: Cognitive Level: Knowledge REF: p. 596 OBJ: 10 TOP: Addiction KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integri...

MULTIPLE CHOICE 1. The nurse is administering Telepaque for a cholecystogram. How frequently will the nurse administer 1 tablet of Telepaque before this procedure? a. Every 5 minutes b. Every 10 minutes c. Every 15 minutes d. Every 20 minutes ANS: C Telepaque should be taken one at a time, waiting 15 minutes after each tablet. DIF: Cognitive Level: Application REF: p. 658 OBJ: 2 TOP: Diagnostic examination KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effect...

MULTIPLE CHOICE 1. The lactating mother is counseled by the nurse to eat adequate amounts of meat and legumes. What level will this help to increase? a. Potassium b. Chloride c. Magnesium d. Phosphorus ANS: D Phosphorus should be increased during pregnancy and lactation. DIF: Cognitive Level: Knowledge REF: p. 493 OBJ: 5 TOP: Electrolytes KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 2. A nurse assesses an edematous cardiac patient. The nu...

MULTIPLE CHOICE 1. Tylenol gr V is ordered. The available tablet is 0.3 g. What dosage should the nurse administer? a. 1 tablet b. 1.5 tablets c. tablet d. 2 tablets ANS: A Gram to grain, multiply by 15. (0.3  15 = 4.5 grains). DIF: Cognitive Level: Application REF: pp. 426-427 OBJ: 2 TOP: Math KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment 2. Lanoxin 0.125 mg is to be given. The nurse converts the dose to how many grams? a. 1...

MULTIPLE CHOICE 1. Acupuncture is a complementary therapy that uses fine needles placed in acupoints. What is the believed purpose of these acupoints? a. “Close the gate” for pain transmission. b. Align the internal organs. c. Open meridians to release qi. d. Stimulate the “centering” of qi. ANS: C Acupuncture therapy uses needles placed in acupoints to open meridians to release qi (life force). DIF: Cognitive Level: Comprehension REF: p. 577 OBJ: 7 TOP: Acupuncture ...

MULTIPLE CHOICE 1. The nurse cautions a patient with a pancreatic disorder that the disorder will interfere with the digestion of fats and may lead to a clotting disorder. What is the cause of these potential problems? a. Inability to use vitamin B b. Inability to use vitamin C c. Inability to use vitamin D d. Inability to use vitamin K ANS: D Vitamins A, D, E, and K are fat-soluble. Difficulty with fat metabolism will result in the inability to use fat-soluble vitamins. Vitamin K p...

MULTIPLE CHOICE 1. During a physical assessment, the nurse notes a patient has a bluish discoloration of the skin and mucous membranes. How should the nurse document this finding? a. Dyspnea b. Cyanosis c. Diaphoresis d. Ecchymosis ANS: B Cyanosis is a bluish discoloration of the skin and mucous membranes caused by an increase of deoxygenated hemoglobin in the blood. DIF: Cognitive Level: Knowledge REF: p. 314 OBJ: 13 TOP: Assessment KEY: Nursing Process Step: Assessment MS...

MULTIPLE CHOICE 1. A farm worker who has been kicked in the stomach by a mule passes a foul, black, tarry stool. What is this called? a. Loose stool b. Melena c. Hematuria d. Hemoptysis ANS: B When internal bleeding occurs, the patient may demonstrate hemoptysis (bloody sputum), hematemesis (bloody vomit), melena (foul black tarry stool), or hematuria (bloody urine). DIF: Cognitive Level: Knowledge REF: p. 406 OBJ: 2 TOP: Melena KEY: Nursing Process Step: Assessment MSC: NC...

MULTIPLE CHOICE 1. During insertion of a Foley catheter, the patient grimaces as the balloon is inflated. What is the immediate reaction of the nurse? a. Withdraw the catheter. b. Ask the patient to bear down. c. Continue to inflate the balloon. d. Advance the catheter into the bladder. ANS: D Grimacing is a sign of pain indicating that the balloon might be in the urethra instead of the bladder. The catheter should be advanced before inflation. DIF: Cognitive Level: Application ...