Revisiontestbanks

MULTIPLE CHOICE 1. A client asks the nurse about having a total knee arthroplasty to relieve joint pain. Which factor would place the client at the highest risk for impaired postoperative healing? a. Controlled hypertension b. Obesity c. Osteoarthritis d. Mild osteopenia ANS: B Obesity places a client at high risk for many postoperative complications including slower wound and bone healing. The other factors usually do not affect healing after surgery. DIF: Understanding TOP:...

MULTIPLE CHOICE 1. The nurse is caring for a client who had a hemorrhagic stroke. Which assessment finding is the earliest sign of increasing intracranial pressure (ICP) for this client? a. Projectile vomiting b. Dilated and nonreactive pupils c. Severe hypertension d. Decreased level of consciousness ANS: D The earliest sign of increasing ICP is decreased level of consciousness. The other signs occur later. DIF: Remembering TOP: Integrated Process: Nursing Process: Assessmen...

MULTIPLE CHOICE 1. The client’s electronic health record indicates genu varum. What does the nurse understand this term to mean? a. Bow-legged b. Fluid accumulation c. Knock-kneed d. Spinal curvature ANS: A Genu varum is a bow-legged deformity. A fluid accumulation is an effusion. Genu valgum is knock-kneed. A spinal curvature could be kyphosis or lordosis. DIF: Remembering TOP: Integrated Process: Nursing Process: Assessment KEY: Musculoskeletal assessment, Musculoskeleta...

MULTIPLE CHOICE 1. The nurse is teaching a client about factors that can cause external otitis. Which of these factors would the nurse emphasize as the highest risk? a. Excess cerumen b. Swimming c. Sinus congestion d. Meniere disease ANS: B External otitis is often called “swimmer’s ear” because it is most often caused by swimming in lakes, ponds, and untreated pools. DIF: Remembering TOP: Integrated Process: Assessment KEY: Ear and hearing problems, Assessment MSC: ...

Chapter 36: Assessment of the Hematologic System Chapter 37: Concepts of Care for Patients with Hematologic Problems Chapter 38: Assessment of the Nervous System Chapter 39: Concepts of Care for Patients with Problems of the Central Nervous System: The Brain Chapter 40: Concepts of Care for Patients with Problems of the Central Nervous System: The

MULTIPLE CHOICE 1. A client who is nearly blind is admitted to the hospital. What action by the nurse is most important? a. Allow the client to feel his or her way around. b. Let the client arrange objects on the bedside table. c. Orient the client to the room using a focal point. d. Speak loudly and slowing when talking to the client. ANS: C Using a focal point, orient the client to the room by giving descriptions of items as they relate to the focal point. Letting the client a...

MULTIPLE CHOICE 1. After teaching a patient who is scheduled for magnetic resonance imaging (MRI), the nurse assesses the client’s understanding. Which statement indicates client understanding of the teaching? a. “I must increase my fluids because of the dye used for the MRI.” b. “My urine will be radioactive so I should not share a bathroom.” c. “My gag reflex will be tested before I can eat or drink anything.” d. “I can return to my usual activities immediately after...

MULTIPLE CHOICE 1. A client has been admitted after sustaining a humerus fracture that occurred when picking up the family cat. What test result would the nurse correlate to this condition? a. Bence-Jones protein in urine b. Epstein-Barr virus: positive c. Hemoglobin: 18 mg/dL (180 mmol/L) d. Red blood cell count: 8.2 million/mcL (8.2 1012/L) ANS: A This client has possible multiple myeloma. A positive Bence-Jones protein finding would correlate with this condition. The Ep...

MULTIPLE CHOICE 1. A nurse cares for a client with a spinal cord injury. With which interprofessional health team member would the nurse collaborate to assist the client with activities of daily living? a. Social worker b. Physical therapist c. Occupational therapist d. Case manager ANS: C The occupational therapist instructs the patient in the correct use of all adaptive equipment. In collaboration with the therapist, the nurse instructs family members or the caregiver about tr...

MULTIPLE CHOICE 1. The nurse assesses a client who has a history of migraines. Which symptom would the nurse identify as an early sign of a migraine with aura? a. Vertigo b. Lethargy c. Visual disturbances d. Numbness of the tongue ANS: C Early warning of impending migraine with aura usually consists of visual changes, flashing lights, or diplopia. The other symptoms are not associated with an impending migraine with aura. DIF: Remembering TOP: Integrated Process: Nursing P...