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Quiz on Basic Nursing Quiz 4, created by mminter002 on 07/10/2014.

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Basic Nursing Quiz 4

Question 1 of 19

1

A patient is prescribed furosemide (Lasix), a loop diuretic, for treatment of congestive heart failure. The patient is at risk for which electrolyte imbalance associated with use of this drug?

Select one of the following:

  • Hypomagnesemia

  • Hypocalcemia

  • Hypokalemia

  • Hypophosphatemia

Explanation

Question 2 of 19

1

Which nutritional goal is appropriate for a patient newly diagnosed with hypertension? The patient will:

Select one of the following:

  • Limit his intake of protein

  • Restrict his use of sodium

  • Limit his intake of potassium-rich foods

  • Avoid foods containing gluten

Explanation

Question 3 of 19

1

Patients may be deficient in which vitamin during the winter months?

Select one of the following:

  • A

  • E

  • D

  • K

Explanation

Question 4 of 19

1

Which nutrient deficiency increases the risk for pressure ulcers?

Select one of the following:

  • Protein

  • Vitamin K

  • Fat

  • Carbohydrates

Explanation

Question 5 of 19

1

A patient who was prescribed furosemide (Lasix) is deficient in potassium. Which of the following is an appropriate goal for this patient? The patient will increase his consumption of:

Select one of the following:

  • Egg yolks, nuts, and sardines

  • Eggs, baking soda, and baking powder

  • Bananas, peaches, molasses, and potatoes

  • Wheat bran, chocolate, eggs, and sardines

Explanation

Question 6 of 19

1

The nurse identifies the nursing diagnosis Urinary Incontinence (Total) in an older adult patient admitted after a stroke. Urinary Incontinence places the patient at risk for which complication?

Select one of the following:

  • Renal calculi

  • Bowel incontinence

  • Skin breakdown

  • UTI

Explanation

Question 7 of 19

1

Which organ relies almost exclusively on glucose for energy?

Select one of the following:

  • Heart

  • Brain

  • Liver

  • Pancreas

Explanation

Question 8 of 19

1

A patient complains that she passes urine whenever she sneezes or coughs. How should the nurse document this complaint in the patient’s healthcare record?

Select one of the following:

  • Stress incontinence

  • Urge incontinence

  • Overflow incontinence

  • Transient incontinence

Explanation

Question 9 of 19

1

The nurse assesses a patient’s abdomen 4 days after abdominal surgery and notes that bowel sounds are absent. This finding most likely suggest which postoperative complication?

Select one of the following:

  • Paralytic ileus

  • Small bowel obstruction

  • Constipation

  • Diarrhea

Explanation

Question 10 of 19

1

A patient who underwent surgery 24 hours ago is prescribed a clear liquid diet. The patient asks for something to drink. Which item may the nurse provide for the patient?

Select one of the following:

  • Orange juice

  • Gelatin

  • Skim milk

  • Starbucks coffee with breve

Explanation

Question 11 of 19

1

Which of the following goals is appropriate for a patient with a nursing diagnosis of Constipation? The patient increases the intake of:

Select one of the following:

  • Lean meats

  • Milk and cheese

  • Bread and pasta

  • Fruits and vegetables

Explanation

Question 12 of 19

1

The nurse is assessing a patient who underwent bowel resection 2 days ago. As she auscultates the patient’s abdomen, she notes low-pitched, infrequent bowel sounds. How should she document this finding?

Select one of the following:

  • Hyperactive bowel sounds

  • Hypoactive bowel sounds

  • Abdominal bruit sounds

  • Normal bowel sounds

Explanation

Question 13 of 19

1

A patient is diagnosed with an intestinal infection after traveling abroad. The nurse should encourage the intake of which food to promote healing?

Select one of the following:

  • Yogurt

  • Broccoli

  • Pasta

  • Oatmeal

Explanation

Question 14 of 19

1

Which intervention should the nurse take first to promote micturition in a patient who is having difficulty voiding?

Select one of the following:

  • Insert an indwelling urinary catheter

  • Pour warm water over the patient's perineum

  • Notify the provider immediately

  • Insert an intermittent, straight catheter

Explanation

Question 15 of 19

1

Which is a key treatment intervention for the patient admitted with diverticulitis?

Select one of the following:

  • Antibiotic therapy

  • Non-steroidal anti-inflammatory drugs

  • Antacids

  • Antidiarrheal agent

Explanation

Question 16 of 19

1

The student nurse asks the provider if she will prescribe an indwelling urinary catheter for a hospitalized patient who is incontinent. The provider explains that catheters should be utilized only when absolutely necessary because:

Select one of the following:

  • Insertion is painful for most patients

  • They are the leading cause of nosocomial infection

  • They are too expensive for routine use

  • They contain latex, increasing the risk for allergies

Explanation

Question 17 of 19

1

The nurse instructs a woman about providing a clean-catch urine specimen. Which of the following statements indicates that the patient correctly understands the procedure?

Select one of the following:

  • “I will wipe my genital area from front to back before I collect the specimen midstream.”

  • “I will be sure to urinate into the ‘hat’ you placed on the toilet seat.”

  • “I will collect my urine each time I urinate for the next 24 hours.”

  • “I will need to lie still while you put in a urinary catheter to obtain the specimen.”

Explanation

Question 18 of 19

1

The nurse is instructing a patient about performing home testing for fecal occult blood. The nurse should explain that ingestion of which substance may cause a false-negative fecal occult blood test?

Select one of the following:

  • Vitamin D

  • Vitamin C

  • Iron

  • Thalidomide

Explanation

Question 19 of 19

1

A patient has anemia. An appropriate goal for that the patient would be for him to increase his intake of which nutrient?

Select one of the following:

  • Calcium

  • Iron

  • Potassium

  • Magnesium

Explanation

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