➢ Test Bank For Medical Surgical Nursing 5th Edition by
Holly K. Stromberg latest update
Which of the following sleeping positions for an infant was advocated by the National
Institute of Child Health and Human Development (NICHD) in response to the incidence of
sudden infant death syndrome?
a. Infant should sleep on his or her side with a towel roll support.
b. Infant should sleep prone.
c. Infant should sleep supine.
d. All of the above.>>100%correctanswers>>ANS: C
The "Back to Sleep" campaign was launched by the NICHD in 1994 in order to decrease the
incidence of SIDS. The campaign, after revision, encouraged putting infants to sleep only in
the supine position.
T/F:
The Trendelenburg position for postural draining and subsequent airway clearance is
recommended for all ages.>>100%correctanswers>>ANS: F
In paediatrics, the Trendelenburg position is not always an appropriate position. The lower
oesophageal sphincter is not strong enough until 2 years of age to prevent reflux in this
position. Therefore, the therapist should never use or recommend the Trendelenburg
position in children younger than 2 years old.
Which of the following exercise recommendations is associated with reduction in LDL and
triglycerides, improvements in HDL, decrease in blood pressure, improvements in insulin
sensitivity, reduction in weight, and improvements in hemodynamic regulation?
a. Light exercise 20 minutes per day, 5 days per week
b. Moderate exercise 30 minutes per day, most days per week
c. Vigorous exercise 30 minutes per day, 3 days per week
,d. Light exercise 10 minutes, three times per day, at least 4 days per
week>>100%correctanswers>>ANS: B
Moderate exercise for at least 30 minutes per day most days of the week, in the form of
cardiovascular and resistance training, has been significantly associated with reduction in
LDL and triglycerides, improvements in HDL, decrease in blood pressure, improvements in
insulin sensitivity, reduction in weight, and improvements in hemodynamic regulation.
A patient who is found to have an ankle-brachial index of 0.45 is consistent with which of the
following interpretations?
a. Considered a normal finding
b. Considered to have peripheral arterial disease
c. Anticipated to present with some form of claudication
d. Considered to be critical limb ischemia with rest pain, atrophy, and
pulselessness>>100%correctanswers>>ANS: D
Ankle-brachial index values <0.5 are usually considered to be critical limb ischemia and may
be accompanied by rest pain, atrophy, pulselessness, or wounds on the lower extremities.
Which of the following actions done during the administration of a 6-minute walk test would
MOST likely affect the validity of the examination?
a. The examiner starts the stopwatch when the patient starts the test.
b. The examiner encourages the patient throughout the test.
c. The examiner stands in the general area of the test and supervises the patient.
d. The examiner allows the patient to take rest breaks.>>100%correctanswers>>ANS:
B
The examiner should not say "ready, set go!" and should use limited and neutral
encouragement once a minute, and should not walk with the patient during the
examination. These errors can affect the validity of the examination.
,Which of the following clinical symptoms would lead to the end of a modified shuttle walk
test or 6-minute walk test?
a. Patient is unable to continue per self-report.
b. Oxygen saturation is below a safe level for continued exertion.
c. Patient attains 85% of maximal predicted heart rate.
d. All of the above are valid reasons to end the test.>>100%correctanswers>>ANS: D
The end of the test is determined by three different criteria: (1) the patient is too breathless
to continue or has desaturated to a level unsafe for continued exertion, (2) the patient failed
to complete a shuttle in the given time, and (3) the patient attains 85% of maximal heart rate
per the formula [210 (0.85 × age)].
Which of the following instruments would be MOST appropriate to screen and measure
outcomes in patients with peripheral arterial disease across a variety of settings?
a. The Kansas City Cardiomyopathy Questionnaire
b. The Chronic Respiratory Disease Questionnaire
c. The Walking Impairment Questionnaire
d. The Seattle Angina Questionnaire>>100%correctanswers>>ANS: C
Peripheral arterial disease (PAD) can be a debilitating illness, with direct effects on quality of
life due to the impact on walking and activities of daily living. This measure can screen and
measure outcomes in patients with PAD across a variety of settings.
Which of the following questionnaires would be MOST appropriate to measure symptoms in
patients with a previous myocardial infarction, previous vascularization surgery, chest pain,
or abnormal results during testing, and acute or chronic disease?
a. The Walking Impairment Questionnaire
b. The Seattle Angina Questionnaire (SAQ)
c. The Kansas City Cardiomyopathy Questionnaire
d. The Chronic Respiratory Disease Questionnaire>>100%correctanswers>>ANS: B
, The purpose of the SAQ is to quantify the emotional and physical impact of angina. Then
intended population is individuals with CAD who have experienced chest pain and tightness
in the past 4 weeks before the survey was completed.
Which of the following variables collected at the time of a patient's initial evaluation is
considered a demographic data factor?
a. Blood pressure
b. Hemodynamic regulation
c. Blood lipid levels
d. Comorbidities>>100%correctanswers>>ANS: D
Demographic data include age, gender, race, marital status, primary diagnosis,
comorbidities, surgeries, and payer information.
Which of the following risk factors should be present when the completion of an ankle-
brachial index is indicated?
a. Diabetes
b. High HDL
c. Anorexia
d. Asthma>>100%correctanswers>>ANS: A
Any patient with multiple risk factors for cardiovascular disease such as obesity, diabetes,
high LDL, hypertension, past coronary events, smoking, female gender, and higher age
should have an ankle-brachial index done.
The gold standard for measurement of functional exercise capacity is which of the following
outcome measures?
a. 6-minute walk test
b. Modified shuttle test
Holly K. Stromberg latest update
Which of the following sleeping positions for an infant was advocated by the National
Institute of Child Health and Human Development (NICHD) in response to the incidence of
sudden infant death syndrome?
a. Infant should sleep on his or her side with a towel roll support.
b. Infant should sleep prone.
c. Infant should sleep supine.
d. All of the above.>>100%correctanswers>>ANS: C
The "Back to Sleep" campaign was launched by the NICHD in 1994 in order to decrease the
incidence of SIDS. The campaign, after revision, encouraged putting infants to sleep only in
the supine position.
T/F:
The Trendelenburg position for postural draining and subsequent airway clearance is
recommended for all ages.>>100%correctanswers>>ANS: F
In paediatrics, the Trendelenburg position is not always an appropriate position. The lower
oesophageal sphincter is not strong enough until 2 years of age to prevent reflux in this
position. Therefore, the therapist should never use or recommend the Trendelenburg
position in children younger than 2 years old.
Which of the following exercise recommendations is associated with reduction in LDL and
triglycerides, improvements in HDL, decrease in blood pressure, improvements in insulin
sensitivity, reduction in weight, and improvements in hemodynamic regulation?
a. Light exercise 20 minutes per day, 5 days per week
b. Moderate exercise 30 minutes per day, most days per week
c. Vigorous exercise 30 minutes per day, 3 days per week
,d. Light exercise 10 minutes, three times per day, at least 4 days per
week>>100%correctanswers>>ANS: B
Moderate exercise for at least 30 minutes per day most days of the week, in the form of
cardiovascular and resistance training, has been significantly associated with reduction in
LDL and triglycerides, improvements in HDL, decrease in blood pressure, improvements in
insulin sensitivity, reduction in weight, and improvements in hemodynamic regulation.
A patient who is found to have an ankle-brachial index of 0.45 is consistent with which of the
following interpretations?
a. Considered a normal finding
b. Considered to have peripheral arterial disease
c. Anticipated to present with some form of claudication
d. Considered to be critical limb ischemia with rest pain, atrophy, and
pulselessness>>100%correctanswers>>ANS: D
Ankle-brachial index values <0.5 are usually considered to be critical limb ischemia and may
be accompanied by rest pain, atrophy, pulselessness, or wounds on the lower extremities.
Which of the following actions done during the administration of a 6-minute walk test would
MOST likely affect the validity of the examination?
a. The examiner starts the stopwatch when the patient starts the test.
b. The examiner encourages the patient throughout the test.
c. The examiner stands in the general area of the test and supervises the patient.
d. The examiner allows the patient to take rest breaks.>>100%correctanswers>>ANS:
B
The examiner should not say "ready, set go!" and should use limited and neutral
encouragement once a minute, and should not walk with the patient during the
examination. These errors can affect the validity of the examination.
,Which of the following clinical symptoms would lead to the end of a modified shuttle walk
test or 6-minute walk test?
a. Patient is unable to continue per self-report.
b. Oxygen saturation is below a safe level for continued exertion.
c. Patient attains 85% of maximal predicted heart rate.
d. All of the above are valid reasons to end the test.>>100%correctanswers>>ANS: D
The end of the test is determined by three different criteria: (1) the patient is too breathless
to continue or has desaturated to a level unsafe for continued exertion, (2) the patient failed
to complete a shuttle in the given time, and (3) the patient attains 85% of maximal heart rate
per the formula [210 (0.85 × age)].
Which of the following instruments would be MOST appropriate to screen and measure
outcomes in patients with peripheral arterial disease across a variety of settings?
a. The Kansas City Cardiomyopathy Questionnaire
b. The Chronic Respiratory Disease Questionnaire
c. The Walking Impairment Questionnaire
d. The Seattle Angina Questionnaire>>100%correctanswers>>ANS: C
Peripheral arterial disease (PAD) can be a debilitating illness, with direct effects on quality of
life due to the impact on walking and activities of daily living. This measure can screen and
measure outcomes in patients with PAD across a variety of settings.
Which of the following questionnaires would be MOST appropriate to measure symptoms in
patients with a previous myocardial infarction, previous vascularization surgery, chest pain,
or abnormal results during testing, and acute or chronic disease?
a. The Walking Impairment Questionnaire
b. The Seattle Angina Questionnaire (SAQ)
c. The Kansas City Cardiomyopathy Questionnaire
d. The Chronic Respiratory Disease Questionnaire>>100%correctanswers>>ANS: B
, The purpose of the SAQ is to quantify the emotional and physical impact of angina. Then
intended population is individuals with CAD who have experienced chest pain and tightness
in the past 4 weeks before the survey was completed.
Which of the following variables collected at the time of a patient's initial evaluation is
considered a demographic data factor?
a. Blood pressure
b. Hemodynamic regulation
c. Blood lipid levels
d. Comorbidities>>100%correctanswers>>ANS: D
Demographic data include age, gender, race, marital status, primary diagnosis,
comorbidities, surgeries, and payer information.
Which of the following risk factors should be present when the completion of an ankle-
brachial index is indicated?
a. Diabetes
b. High HDL
c. Anorexia
d. Asthma>>100%correctanswers>>ANS: A
Any patient with multiple risk factors for cardiovascular disease such as obesity, diabetes,
high LDL, hypertension, past coronary events, smoking, female gender, and higher age
should have an ankle-brachial index done.
The gold standard for measurement of functional exercise capacity is which of the following
outcome measures?
a. 6-minute walk test
b. Modified shuttle test
