NURSING 119 (NURSING119)
Brightwood College
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Chapter 55: Assessment of Nervous System Lewis: Medical-Surgical Nursing, 10th Edition
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1. When admitting an acutely confused patient with a head injury, which action should the nurse 
take? 
a. Ask family members about the patient’s health history. 
b. Ask leading questions to assist in obtaining health data. 
c. Wait until the patient is better oriented to ask questions. 
d. Obtain only the physiologic neurologic assessment data. 
ANS: A 
When admitting a patient who is likely to be a poor historian, the nurse should obtain health 
history information from others who have knowl...
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Chapter 25: Assessment of Respiratory System Lewis: Medical-Surgical Nursing, 10th Edition
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MULTIPLE CHOICE 
1. A patient with acute shortness of breath is admitted to the hospital. Which action should the 
nurse take during the initial assessment of the patient? 
a. Ask the patient to lie down to complete a full physical assessment. 
b. Briefly ask specific questions about this episode of respiratory distress. 
c. Complete the admission database to check for allergies before treatment. 
d. Delay the physical assessment to first complete pulmonary function tests. 
ANS: B 
When a patien...
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Chapter 60: Spinal Cord and Peripheral Nerve Problems Lewis: Medical-Surgical Nursing, 10th Edition
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1. The nurse assessing a patient with newly diagnosed trigeminal neuralgia will ask the patient 
about 
a. visual problems caused by ptosis. 
b. triggers leading to facial discomfort. 
c. poor appetite caused by loss of taste. 
d. weakness on the affected side of the face. 
ANS: B 
The major clinical manifestation of trigeminal neuralgia is severe facial pain triggered by 
cutaneous stimulation of the nerve. Ptosis, loss of taste, and facial weakness are not 
characteristics of trigeminal neural...
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Chapter 30: Hematologic Problems Lewis: Medical-Surgical Nursing, 10th Edition
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1. A 62-year old man with chronic anemia is experiencing increased fatigue and occasional 
palpitations at rest. The nurse would expect the patient’s laboratory test findings to include 
a. an RBC count of 4,500,000/L. 
b. a hematocrit (Hct) value of 38%. 
c. normal red blood cell (RBC) indices. 
d. a hemoglobin (Hgb) of 8.6 g/dL (86 g/L). 
ANS: D 
The patient’s clinical manifestations indicate moderate anemia, which is consistent with a Hgb 
of 6 to 10 g/dL. The other values are all with...
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Chapter 46: Acute Kidney Injury and Chronic Kidney Disease Lewis: Medical-Surgical Nursing, 10th Edition
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MULTIPLE CHOICE 
1. After the insertion of an arteriovenous graft (AVG) in the right forearm, a patient complains of 
pain and coldness of the right fingers. Which action should the nurse take? 
a. Teach the patient about normal AVG function. 
b. Remind the patient to take a daily low-dose aspirin tablet. 
c. Report the patient’s symptoms to the health care provider. 
d. Elevate the patient’s arm on pillows to above the heart level. 
ANS: C 
The patient’s complaints suggest the development...
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Brightwood College NURSING 119 Chapters quizzes with questions and answers Lewis: Medical-Surgical Nursing, 10th Edition Test Complete Updated Spring 22/23.
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Brightwood College NURSING 119 Chapters quizzes with questions and answers Lewis: Medical-Surgical Nursing, 10th Edition Test Complete Updated Spring 22/23.
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Chapter 42: Lower Gastrointestinal Problems Lewis: Medical-Surgical Nursing, 10th Edition
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1. Which action will the nurse include in the plan of care for a patient who is being admitted 
with Clostridium difficile? 
a. Teach the patient about proper food storage. 
b. Order a diet without dairy products for the patient. 
c. Place the patient in a private room on contact isolation. 
d. Teach the patient about why antibiotics will not be used. 
ANS: C 
Because C. difficile is highly contagious, the patient should be placed in a private room, and 
contact precautions should be used. There...
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Chapter 49: Endocrine Problems Lewis: Medical-Surgical Nursing, 10th Edition
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1. A 40-yr-old patient with suspected acromegaly is seen at the clinic. To assist in making the 
diagnosis, which question should the nurse ask? 
a. “Have you had a recent head injury?” 
b. “Do you have to wear larger shoes now?” 
c. “Is there a family history of acromegaly?” 
d. “Are you experiencing tremors or anxiety?” 
ANS: B 
Acromegaly causes an enlargement of the hands and feet. Head injury and family history are 
not risk factors for acromegaly. Tremors and anxiety are no...
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Chapter 29: Assessment of Hematologic System Lewis: Medical-Surgical Nursing, 10th Edition Test Complete Updated Spring 22/23.
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1. The nurse is caring for a patient who is being discharged after an emergency splenectomy 
following a motor vehicle crash. Which instructions should the nurse include in the discharge 
teaching? 
a. Check often for swollen lymph nodes. 
b. Watch for excess bleeding or bruising. 
c. Take iron supplements to prevent anemia. 
d. Wash hands and avoid persons who are ill. 
ANS: D 
Splenectomy increases the risk for infection, especially with gram-positive bacteria. The risks 
for lymphedema, bleed...
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Chapter 35: Dysrhythmias Lewis: Medical-Surgical Nursing, 10th Edition
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1. To determine whether there is a delay in impulse conduction through the ventricles, the nurse 
will measure the duration of the patient’s 
a. P wave. c. PR interval. 
b. Q wave. d. QRS complex. 
ANS: D 
The QRS complex represents ventricular depolarization. The P wave represents the 
depolarization of the atria. The PR interval represents depolarization of the atria, 
atrioventricular node, bundle of His, bundle branches, and the Purkinje fibers. The Q wave is 
the first negative deflection...
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