Examsrevision

Chapter 26: Health Promotion and Pregnancy Chapter 27: Labor and Delivery Chapter 28: Care of the Mother and Newborn Chapter 29: Care of the High-Risk Mother, Newborn, and Family with Special Needs Chapter 30: Health Promotion for the Infant, Child, and Adolescent

MULTIPLE CHOICE 1. The nurse is preparing to perform a dressing change on a patient following a total hip replacement. When should the nurse administer an analgesic drug in an attempt to promote patient comfort during the dressing change? a. After the dressing change b. At least 15 minutes before the dressing change c. At least 30 minutes before the dressing change d. At least 1 hour before the dressing change ANS: C It may help to give an analgesic at least 30 minutes before exposi...

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...

Chapter 16: Care of Patients Experiencing Urgent Alterations in Health Chapter 17: Dosage Calculation and Medication Administration Chapter 18: Fluids and Electrolytes Chapter 19: Nutritional Concepts and Related Therapies Chapter 20: Complementary and Alternative Therapies

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 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 ...

Chapter 11: Admission, Transfer, and Discharge Chapter 12: Vital Signs Chapter 13: Physical Assessment Chapter 14: Oxygenation Chapter 15: Elimination and Gastric Intubation

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 ...

MULTIPLE CHOICE 1. The wife of a patient with a cuffed tracheostomy asks why the cuff is inflated intermittently. What is the purpose of the inflated cuff? a. Prevent regurgitation after meals. b. Hold the trachea open until it is completely healed. c. Dilate the tracheal opening for passage of secretions. d. Prevent aspiration when eating. ANS: D The cuff is inflated to prevent aspiration while eating or when cleaning the tracheostomy tube. DIF: Cognitive Level: Analysis REF: ...

Chapter 06: Cultural and Ethnic Considerations Chapter 07: Asepsis and Infection Control Chapter 08: Body Mechanics and Patient Mobility Chapter 09: Hygiene and Care of the Patient’s Environment Chapter 10: Safety

Chapter 01: The Evolution of Nursing Chapter 02: Legal and Ethical Aspects of Nursing Chapter 03: Documentation Chapter 04: Communication Chapter 05: Nursing Process and Critical Thinking

MULTIPLE CHOICE 1. How often should the nurse cleanse the meatal-catheter junction of a patient with an indwelling catheter? a. At least once a day b. At least twice a day c. At bedtime d. Each shift ANS: B Catheter care should be performed at least two times daily. DIF: Cognitive Level: Comprehension REF: p. 214 OBJ: 8 TOP: Catheter care KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 2. The nurse is preparing to perform perineal care for...

MULTIPLE CHOICE 1. What site should be selected if a peripheral pulse needs to be assessed quickly? a. Radial pulse b. Brachial pulse c. Carotid pulse d. Pedal pulse ANS: C The carotid site is the best for finding a pulse quickly. DIF: Cognitive Level: Application REF: p. 293 OBJ: 5 TOP: Carotid KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 2. What is the term for the exchange of carbon dioxide and oxygen that takes place at the alveolar level...

MULTIPLE CHOICE 1. Upon admission, the nurse notes that a patient without family members present has a billfold filled with cash. Where can the nurse suggest the money be placed? a. In a sealed envelope in the bedside table b. In the care of hospital security c. Locked in the narcotic cupboard d. In the hospital safe ANS: D Valuables should be locked in the hospital safe. DIF: Cognitive Level: Application REF: p. 263 OBJ: 6 TOP: Care of valuables KEY: Nursing Process Step:...