Timby's introductory medical-surgical nursing 13th edition moreno test bank
questions and correct answers 2025 all chapters available
A complete Blood count indicates that a client is anemic. What disorder in the client's health history is
most likely contributing to the reduction in red blood cells? - -Renal failure
-When the nurse reviews the client's complete blood cell count, what finding is most suggestive that a
client is at risk for acquiring an infection? - -Loan number of agranulocytes
-A physician tells a client that her body is not making enough blood cells. After the physician leaves, the
client appears very upset and states, "I do not even know how my body is supposed to make blood cells."
What is the simplest, yet correct, instruction for the nurse to give the client at this time? - -The bone
marrow produces blood cells.
-What blood type could be transfused into anyone if there is no time to perform a type and crossmatch of
the recipient's blood? - -O, Rh negative
-After completion of a bone marrow aspiration, what is most important for the nurse to monitor? - -
Bleeding from the puncture site.
-A client arrives at the emergency department after a motorcycle accident. Vital signs are T, 97.7F; P,
122; R, 28; and BP, 96/54. The client has suffered profuse blood loss. From the clinical picture, what
position is best for the nurse to place the client? - -Reverse Trendelenburg
-The nurse is assessing a client with anemia possibly resulting from malaria. What information would be
most important to ascertain to assist a physician in making a correct diagnosis? - -Foreign travel
-A client has been diagnosed with pernicious anemia. She says, "I'm worried because my grandmother
died of the disease years ago." What nursing explanation is most accurate? - -"We now give vitamin B12
to control the disease."
-A college student diagnosed with infectious mononucleosis asks the school health nurse how old the
condition was acquired. The best answer by the nurse is that the virus is transmitted by what methods? - -
Contact with the saliva of an infected person
-A hospitalized client with Hodgkin's disease is at risk for ineffective airway clearance and impaired gas
exchange related to compression of the trachea by enlarged lymph nodes. What measures should the
nurse take first to help ensure that breathing and blood oxygen saturation remain adequate? - -Place the
client in semi- to high-Fowler's position.
-When performing a physical assessment of the client in the early stages of Hodgkin's disease, what is the
most likely finding when the nurse palpates the client's lymph nodes? - -The lymph nodes are enlarged
and painless
-A nurse is asked to assist the physician with a diagnostic Romberg test, what nursing intervention is
most appropriate to ensure client safety? - -Stand close to the client in case the client should begin to
sway
-What level of consciousness (LOC) is correct for a nurse to document when calling a client's name
causes the client to awaken temporarily, followed by drifting back to sleep? - -Somnolent
, -When a nurse uses the Glasgow coma scale to assess a client, what method should the nurse use to
determine the "best verbal response" from the client? - -Note the client's responses to general orientation
questions
-Immediately following a lumbar puncture, a client asks to ambulate to the restroom. What nursing
action is most correct? - -Explained that the client must temporarily lie flat and use a urinal
-Because older adults often do not exhibit the typical signs and symptoms of meningitis, what assessment
findings should the nurse be especially vigilant for an older clients with suspected meningitis? - --Low-
grade fever
-Nuchal rigidity
-Altered mental status
-When the nurse select the equipment to place in the room of a client who has been diagnosed with
Guillain-Barre syndrome, what item is essential to managing the client's care? - -Supplemental oxygen
-To promote adequate nutrition and reduce the risk for aspiration when caring for a client with
Parkinson's or Huntington's disease, what nurse measures are appropriate? - --Modify the texture and
consistency of food
-Have the client flex the chin when swallowing
-Position the client in a sitting position
-A client arrives at the headache center for an initial evaluation. The client describes flashing lights in the
field of vision before the headache begins. What nursing interpretation of the assessment data is most
correct? - -The client is experiencing an aura prior to a migraine headache
-What assessment findings suggest to a nurse that the client is having TIAs? - -Brief periods of unilateral
weakness
-When providing a dietary trade to a client with right hemianopia, what is the best nursing action? - -
Place the tray on the right side of the client to allow for self-feeding
-What nursing intervention is most appropriate to decrease the frustration experienced by client with
expressive aphasia? - -Offer support by telling the client you know how frustrating this must be.
-When is it most important for the nurse to intervene while caring for a client with a leaking cerebral
aneurysm? - -The client is not sleeping well
-A 65-year-old client asks the nurse why his vision is not as sharp as it once was. What is the nurse's best
response? - -"Vision in older adults gradually worsens with age"
-A nurse needs to test a client's ability to read small print and asks the client to hold a Jaeger chart.
Which of the following instructions is the most appropriate? - -"Cover one eye while reading the smallest
print with the other"
-What advice would the nurse give to a client who has just undergone fluorescein angiography? - --
Expect skin to appear slightly yellow for 6 to 8 hours
-Expect urine to appear bright yellow for 24 to 36 hours
questions and correct answers 2025 all chapters available
A complete Blood count indicates that a client is anemic. What disorder in the client's health history is
most likely contributing to the reduction in red blood cells? - -Renal failure
-When the nurse reviews the client's complete blood cell count, what finding is most suggestive that a
client is at risk for acquiring an infection? - -Loan number of agranulocytes
-A physician tells a client that her body is not making enough blood cells. After the physician leaves, the
client appears very upset and states, "I do not even know how my body is supposed to make blood cells."
What is the simplest, yet correct, instruction for the nurse to give the client at this time? - -The bone
marrow produces blood cells.
-What blood type could be transfused into anyone if there is no time to perform a type and crossmatch of
the recipient's blood? - -O, Rh negative
-After completion of a bone marrow aspiration, what is most important for the nurse to monitor? - -
Bleeding from the puncture site.
-A client arrives at the emergency department after a motorcycle accident. Vital signs are T, 97.7F; P,
122; R, 28; and BP, 96/54. The client has suffered profuse blood loss. From the clinical picture, what
position is best for the nurse to place the client? - -Reverse Trendelenburg
-The nurse is assessing a client with anemia possibly resulting from malaria. What information would be
most important to ascertain to assist a physician in making a correct diagnosis? - -Foreign travel
-A client has been diagnosed with pernicious anemia. She says, "I'm worried because my grandmother
died of the disease years ago." What nursing explanation is most accurate? - -"We now give vitamin B12
to control the disease."
-A college student diagnosed with infectious mononucleosis asks the school health nurse how old the
condition was acquired. The best answer by the nurse is that the virus is transmitted by what methods? - -
Contact with the saliva of an infected person
-A hospitalized client with Hodgkin's disease is at risk for ineffective airway clearance and impaired gas
exchange related to compression of the trachea by enlarged lymph nodes. What measures should the
nurse take first to help ensure that breathing and blood oxygen saturation remain adequate? - -Place the
client in semi- to high-Fowler's position.
-When performing a physical assessment of the client in the early stages of Hodgkin's disease, what is the
most likely finding when the nurse palpates the client's lymph nodes? - -The lymph nodes are enlarged
and painless
-A nurse is asked to assist the physician with a diagnostic Romberg test, what nursing intervention is
most appropriate to ensure client safety? - -Stand close to the client in case the client should begin to
sway
-What level of consciousness (LOC) is correct for a nurse to document when calling a client's name
causes the client to awaken temporarily, followed by drifting back to sleep? - -Somnolent
, -When a nurse uses the Glasgow coma scale to assess a client, what method should the nurse use to
determine the "best verbal response" from the client? - -Note the client's responses to general orientation
questions
-Immediately following a lumbar puncture, a client asks to ambulate to the restroom. What nursing
action is most correct? - -Explained that the client must temporarily lie flat and use a urinal
-Because older adults often do not exhibit the typical signs and symptoms of meningitis, what assessment
findings should the nurse be especially vigilant for an older clients with suspected meningitis? - --Low-
grade fever
-Nuchal rigidity
-Altered mental status
-When the nurse select the equipment to place in the room of a client who has been diagnosed with
Guillain-Barre syndrome, what item is essential to managing the client's care? - -Supplemental oxygen
-To promote adequate nutrition and reduce the risk for aspiration when caring for a client with
Parkinson's or Huntington's disease, what nurse measures are appropriate? - --Modify the texture and
consistency of food
-Have the client flex the chin when swallowing
-Position the client in a sitting position
-A client arrives at the headache center for an initial evaluation. The client describes flashing lights in the
field of vision before the headache begins. What nursing interpretation of the assessment data is most
correct? - -The client is experiencing an aura prior to a migraine headache
-What assessment findings suggest to a nurse that the client is having TIAs? - -Brief periods of unilateral
weakness
-When providing a dietary trade to a client with right hemianopia, what is the best nursing action? - -
Place the tray on the right side of the client to allow for self-feeding
-What nursing intervention is most appropriate to decrease the frustration experienced by client with
expressive aphasia? - -Offer support by telling the client you know how frustrating this must be.
-When is it most important for the nurse to intervene while caring for a client with a leaking cerebral
aneurysm? - -The client is not sleeping well
-A 65-year-old client asks the nurse why his vision is not as sharp as it once was. What is the nurse's best
response? - -"Vision in older adults gradually worsens with age"
-A nurse needs to test a client's ability to read small print and asks the client to hold a Jaeger chart.
Which of the following instructions is the most appropriate? - -"Cover one eye while reading the smallest
print with the other"
-What advice would the nurse give to a client who has just undergone fluorescein angiography? - --
Expect skin to appear slightly yellow for 6 to 8 hours
-Expect urine to appear bright yellow for 24 to 36 hours
