91 Multiple choice questions
Term 1 of 91
The nurse is assisting the patient with multiple myeloma in arranging a meal plan to lower the
risk of complications from hypercalcemia. Which of the following would be the most important
component of the patient's intake?
The patient should avoid alcoholic beverages.
The patient should increase intake of fluids.
Observe the color and amount of urine.
The ages of adults have increased.
Term 2 of 91
The nurse is providing care for a patient being treated after a complicated femur fracture. The
nurse has noticed drowsiness, tachycardia, and a low-grade fever. Which additional
manifestation alerts the nurse to the possibility of a fat emboli?
The patient should increase intake of fluids.
Presence of a petechial rash on chest and neck
The ages of adults have increased.
There exists numbness and tingling sensations
Term 3 of 91
A patient is being prepared to receive a prescribed blood transfusion. What is the best way
that the licensed practical nurse (LPN) can assist the health team to prevent a transfusion
reaction?
Assist the registered nurse (RN) to correctly identify the patient and the blood product.
"You will be head down in bed so the medium flows to the neck."
Hematoma formation
Pain reported as 7 on a 0-to-10 scale
Extend a willingness to sit and talk with the patient.
,Term 4 of 91
A patient is receiving care for a torn ligament at the insertion site of an upper arm muscle. The
patient asks the nurse how this condition will affect movement. Which information will the
nurse correctly share?
The movement of the arm will seem normal.
There exists numbness and tingling sensations
Activity intolerance related to tissue hypoxia
The spleen is the primary site for platelet destruction.
Term 5 of 91
The nurse is caring for a patient who must undergo a splenectomy for treatment for idiopathic
thrombocytopenic purpura (ITP).Which of the following statements best describes the
rationale for the splenectomy?
The patient keeps her dentures in at all times except for cleaning.
The upper extremity is more specialized.
Avoid restrictive clothing and raising the knee gatch in the bed.
The spleen is the primary site for platelet destruction.
Term 6 of 91
A patient asks the difference between osteoarthritis and RA. Which manifestations does the
nurse explain are characteristic of RA? (Select all that apply.)
Early morning stiffness
Autoimmune disease
Low-grade fever
Skin inspection is performed each time the sock is removed.
There exists numbness and tingling sensations
"The thoracic cage has lost some flexibility."
,Term 7 of 91
The nurse is assisting with the care of patients who have had joint replacement surgery. Which
action is unnecessary for the patient after a total knee replacement (TKR)?
Ambulate as prescribed by hcp.
Maintain proper joint alignment.
Check for indications of a dvt.
The patient may have a gastrointestinal bleed.
Term 8 of 91
The nurse is providing care for a patient before a myelography for diagnosis of a spinal
column condition. Which statement regarding nursing care related to this procedure is
correct?
"You will be head down in bed so the medium flows to the neck."
"Increase dairy products such as yogurt to increase your intake of vitamin B12."
Early morning stiffness
Autoimmune disease
Low-grade fever
"The thoracic cage has lost some flexibility."
Term 9 of 91
The nurse is providing care for a patient after an above-the-knee amputation because of
ischemia related to diabetes mellitus complications. Which nursing care is essential for
promoting ambulation?
Promoting coordination exercises
Lying on the abdomen as prescribed
Elevate the limb that was tested.
Maintaining residual limb elevation
, Term 10 of 91
The nurse is collecting data for a patient with osteoporosis. Which serum calcium result
indicates the typical changes that occur in serum calcium levels with osteoporosis?
6.5 mg/dL
8.2 mg/dl
10.3 mg/dl
4.0 mg/dl
Term 11 of 91
The nurse is providing care for a patient who is scheduled for joint replacement the next day.
Which patient care goals are appropriate at this time?
Explain the use of assistive devices.
Manage preoperative pain.
Ask if a consent form was signed.
Teach postoperative exercises.
Term 12 of 91
The nurse is providing care to the patient who has arrived at the clinic to discuss his diagnostic
results. The HCP suspects multiple myeloma. Which of the following results may confirm the
HCP's suspicions? (Select all that apply.)
Split pea soup with whole grain crackers
Garden salad with green leafy vegetables
Cereals made with fortified grain and wheat germ
Magnetic resonance imaging (MRI) shows diffuse osteoporosis in the bones.
Blood chemistries reveal an increase in serum calcium.
Blood and urine studies are positive for M-type globulins.
Presence of a petechial rash on chest and neck
The patient keeps her dentures in at all times except for cleaning.
Term 1 of 91
The nurse is assisting the patient with multiple myeloma in arranging a meal plan to lower the
risk of complications from hypercalcemia. Which of the following would be the most important
component of the patient's intake?
The patient should avoid alcoholic beverages.
The patient should increase intake of fluids.
Observe the color and amount of urine.
The ages of adults have increased.
Term 2 of 91
The nurse is providing care for a patient being treated after a complicated femur fracture. The
nurse has noticed drowsiness, tachycardia, and a low-grade fever. Which additional
manifestation alerts the nurse to the possibility of a fat emboli?
The patient should increase intake of fluids.
Presence of a petechial rash on chest and neck
The ages of adults have increased.
There exists numbness and tingling sensations
Term 3 of 91
A patient is being prepared to receive a prescribed blood transfusion. What is the best way
that the licensed practical nurse (LPN) can assist the health team to prevent a transfusion
reaction?
Assist the registered nurse (RN) to correctly identify the patient and the blood product.
"You will be head down in bed so the medium flows to the neck."
Hematoma formation
Pain reported as 7 on a 0-to-10 scale
Extend a willingness to sit and talk with the patient.
,Term 4 of 91
A patient is receiving care for a torn ligament at the insertion site of an upper arm muscle. The
patient asks the nurse how this condition will affect movement. Which information will the
nurse correctly share?
The movement of the arm will seem normal.
There exists numbness and tingling sensations
Activity intolerance related to tissue hypoxia
The spleen is the primary site for platelet destruction.
Term 5 of 91
The nurse is caring for a patient who must undergo a splenectomy for treatment for idiopathic
thrombocytopenic purpura (ITP).Which of the following statements best describes the
rationale for the splenectomy?
The patient keeps her dentures in at all times except for cleaning.
The upper extremity is more specialized.
Avoid restrictive clothing and raising the knee gatch in the bed.
The spleen is the primary site for platelet destruction.
Term 6 of 91
A patient asks the difference between osteoarthritis and RA. Which manifestations does the
nurse explain are characteristic of RA? (Select all that apply.)
Early morning stiffness
Autoimmune disease
Low-grade fever
Skin inspection is performed each time the sock is removed.
There exists numbness and tingling sensations
"The thoracic cage has lost some flexibility."
,Term 7 of 91
The nurse is assisting with the care of patients who have had joint replacement surgery. Which
action is unnecessary for the patient after a total knee replacement (TKR)?
Ambulate as prescribed by hcp.
Maintain proper joint alignment.
Check for indications of a dvt.
The patient may have a gastrointestinal bleed.
Term 8 of 91
The nurse is providing care for a patient before a myelography for diagnosis of a spinal
column condition. Which statement regarding nursing care related to this procedure is
correct?
"You will be head down in bed so the medium flows to the neck."
"Increase dairy products such as yogurt to increase your intake of vitamin B12."
Early morning stiffness
Autoimmune disease
Low-grade fever
"The thoracic cage has lost some flexibility."
Term 9 of 91
The nurse is providing care for a patient after an above-the-knee amputation because of
ischemia related to diabetes mellitus complications. Which nursing care is essential for
promoting ambulation?
Promoting coordination exercises
Lying on the abdomen as prescribed
Elevate the limb that was tested.
Maintaining residual limb elevation
, Term 10 of 91
The nurse is collecting data for a patient with osteoporosis. Which serum calcium result
indicates the typical changes that occur in serum calcium levels with osteoporosis?
6.5 mg/dL
8.2 mg/dl
10.3 mg/dl
4.0 mg/dl
Term 11 of 91
The nurse is providing care for a patient who is scheduled for joint replacement the next day.
Which patient care goals are appropriate at this time?
Explain the use of assistive devices.
Manage preoperative pain.
Ask if a consent form was signed.
Teach postoperative exercises.
Term 12 of 91
The nurse is providing care to the patient who has arrived at the clinic to discuss his diagnostic
results. The HCP suspects multiple myeloma. Which of the following results may confirm the
HCP's suspicions? (Select all that apply.)
Split pea soup with whole grain crackers
Garden salad with green leafy vegetables
Cereals made with fortified grain and wheat germ
Magnetic resonance imaging (MRI) shows diffuse osteoporosis in the bones.
Blood chemistries reveal an increase in serum calcium.
Blood and urine studies are positive for M-type globulins.
Presence of a petechial rash on chest and neck
The patient keeps her dentures in at all times except for cleaning.
