NURSING 119 (NURSING119)
Brightwood College
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Chapter 27: Lower Respiratory Problems Lewis: Medical-Surgical Nursing, 10th Edition
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1. After assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of 
ineffective airway clearance. Which assessment data best supports this diagnosis? 
a. Weak cough effort 
b. Profuse green sputum 
c. Respiratory rate of 28 breaths/minute 
d. Resting pulse oximetry (SpO2) of 85% 
ANS: A 
The weak, nonproductive cough indicates that the patient is unable to clear the airway 
effectively. The other data would be used to support diagnoses such as impaired gas exchange 
and...
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Chapter 26: Upper Respiratory Problems Lewis: Medical-Surgical Nursing, 10th Edition
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1. The nurse teaches a patient about discharge instructions after a rhinoplasty. Which statement, 
if made by the patient, indicates that the teaching was successful? 
a. “My nose will look normal after 24 to 48 hours.” 
b. “I can take 800 mg ibuprofen every 6 hours for pain.” 
c. “I will remove and reapply the nasal packing every day.” 
d. “I will elevate my head for 48 hours to minimize swelling.” 
ANS: D 
Maintaining the head in an elevated position will decrease the amount of...
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Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome Lewis: Medical-Surgical Nursing, 10th Edition
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1. A 78-kg patient with septic shock has a pulse rate of 120 beats/min with low central venous 
pressure and pulmonary artery wedge pressure. Urine output has been 30 mL/hr for the past 3 
hours. Which order by the health care provider should the nurse question? 
a. Administer furosemide (Lasix) 40 mg IV. 
b. Increase normal saline infusion to 250 mL/hr. 
c. Give hydrocortisone (Solu-Cortef) 100 mg IV. 
d. Titrate norepinephrine to keep systolic blood pressure (BP) above 90 mm Hg. 
ANS: A 
Furos...
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Chapter 29: Assessment of Hematologic System Lewis: Medical-Surgical Nursing, 10th Edition Questions with 100% Correct Answers | Updated & Verified
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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 24: Burns Lewis: Medical-Surgical Nursing, 10th Edition Questions with 100% Correct Answers | Updated & Verified
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1. When assessing a patient who spilled hot oil on the right leg and foot, the nurse notes dry, 
pale, and hard skin. The patient states that the burn is not painful. What term would the nurse 
use to document the burn depth? 
a. First-degree skin destruction 
b. Full-thickness skin destruction 
c. Deep partial-thickness skin destruction 
d. Superficial partial-thickness skin destruction 
ANS: B 
With full-thickness skin destruction, the appearance is pale and dry or leathery, and the area is 
p...
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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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Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery Lewis: Medical-Surgical Nursing, 10th Edition
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1. Which information will the nurse teach seniors at a community recreation center about ways 
to prevent fractures? 
a. Tack down scatter rugs in the home. 
b. Expect most falls to happen outside the home. 
c. Buy shoes that provide good support and are comfortable to wear. 
d. Get instruction in range-of-motion exercises from a physical therapist. 
ANS: C 
Comfortable shoes with good support will help decrease the risk for falls. Scatter rugs should 
be eliminated, not just tacked down. Activi...
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Chapter 42: Lower Gastrointestinal Problems Lewis: Medical-Surgical Nursing, 10th Edition Questions with 100% Correct Answers | Updated & Verified
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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 32: Hypertension Lewis: Medical-Surgical Nursing, 10th Edition
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1. Which action will the nurse in the hypertension clinic take to obtain an accurate baseline 
blood pressure (BP) for a new patient? 
a. Deflate the BP cuff at a rate of 5 to 10 mm Hg per second. 
b. Have the patient sit in a chair with the feet flat on the floor. 
c. Assist the patient to the supine position for BP measurements. 
d. Obtain two BP readings in the dominant arm and average the results. 
ANS: B 
The patient should be seated with the feet flat on the floor. The BP is obtained in bo...
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