NURSING 119 (NURSING119)
Brightwood College
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![Chapter 11: Inflammation and Wound Healing Lewis: Medical-Surgical Nursing, 10th Edition](/docpics/64039571afebc_2435889.jpg)
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Chapter 11: Inflammation and Wound Healing Lewis: Medical-Surgical Nursing, 10th Edition
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1. The nurse assesses a patient’s surgical wound on the first postoperative day and notes redness 
and warmth around the incision. Which action by the nurse is appropriate? 
a. Obtain wound cultures. c. Notify the health care provider. 
b. Document the assessment. d. Assess the wound every 2 hours. 
ANS: B 
The incisional redness and warmth are indicators of the normal initial (inflammatory) stage of 
wound healing by primary intention. The nurse should document the wound appearance and 
conti...
![Chapter 60: Spinal Cord and Peripheral Nerve Problems Lewis: Medical-Surgical Nursing, 10th Edition](/docpics/6403935ae5158_2435867.jpg)
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Chapter 60: Spinal Cord and Peripheral Nerve Problems Lewis: Medical-Surgical Nursing, 10th Edition
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1. The nurse assessing a patient with newly diagnosed trigeminal neuralgia will ask the patient 
about 
a. visual problems caused by ptosis. 
b. triggers leading to facial discomfort. 
c. poor appetite caused by loss of taste. 
d. weakness on the affected side of the face. 
ANS: B 
The major clinical manifestation of trigeminal neuralgia is severe facial pain triggered by 
cutaneous stimulation of the nerve. Ptosis, loss of taste, and facial weakness are not 
characteristics of trigeminal neural...
![Chapter 53: Female Reproductive and Genital Problems Lewis: Medical-Surgical Nursing, 10th Edition](/docpics/6403922887abf_2435859.jpg)
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Chapter 53: Female Reproductive and Genital Problems Lewis: Medical-Surgical Nursing, 10th Edition
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1. A 34-yr-old patient who is discussing contraceptive options with the nurse says, “I want to 
have children but not for a few years.” Which response by the nurse is accurate? 
a. “If you do not become pregnant within the next few years, you never will.” 
b. “Women often have more difficulty becoming pregnant after about age 35.” 
c. “Stop taking oral contraceptives several years before you want to have a child.” 
d. “You have many more years of fertility left, so there is no ...
![Chapter 30: Hematologic Problems Lewis: Medical-Surgical Nursing, 10th Edition](/docpics/640390874330f_2435851.jpg)
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Chapter 30: Hematologic Problems Lewis: Medical-Surgical Nursing, 10th Edition
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1. A 62-year old man with chronic anemia is experiencing increased fatigue and occasional 
palpitations at rest. The nurse would expect the patient’s laboratory test findings to include 
a. an RBC count of 4,500,000/L. 
b. a hematocrit (Hct) value of 38%. 
c. normal red blood cell (RBC) indices. 
d. a hemoglobin (Hgb) of 8.6 g/dL (86 g/L). 
ANS: D 
The patient’s clinical manifestations indicate moderate anemia, which is consistent with a Hgb 
of 6 to 10 g/dL. The other values are all with...
![Chapter 46: Acute Kidney Injury and Chronic Kidney Disease Lewis: Medical-Surgical Nursing, 10th Edition](/docpics/64038f1fd4c7e_2435844.jpg)
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Chapter 46: Acute Kidney Injury and Chronic Kidney Disease Lewis: Medical-Surgical Nursing, 10th Edition
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MULTIPLE CHOICE 
1. After the insertion of an arteriovenous graft (AVG) in the right forearm, a patient complains of 
pain and coldness of the right fingers. Which action should the nurse take? 
a. Teach the patient about normal AVG function. 
b. Remind the patient to take a daily low-dose aspirin tablet. 
c. Report the patient’s symptoms to the health care provider. 
d. Elevate the patient’s arm on pillows to above the heart level. 
ANS: C 
The patient’s complaints suggest the development...
![Brightwood College NURSING 119 Chapters quizzes with questions and answers Lewis: Medical-Surgical Nursing, 10th Edition Test Complete Updated Spring 22/23.](/docpics/6400c0c556397_2429248.jpg)
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Brightwood College NURSING 119 Chapters quizzes with questions and answers Lewis: Medical-Surgical Nursing, 10th Edition Test Complete Updated Spring 22/23.
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Brightwood College NURSING 119 Chapters quizzes with questions and answers Lewis: Medical-Surgical Nursing, 10th Edition Test Complete Updated Spring 22/23.
![Chapter 42: Lower Gastrointestinal Problems Lewis: Medical-Surgical Nursing, 10th Edition](/docpics/6400d0b087fb0_2429417.jpg)
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Chapter 42: Lower Gastrointestinal Problems Lewis: Medical-Surgical Nursing, 10th Edition
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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...
![Chapter 49: Endocrine Problems Lewis: Medical-Surgical Nursing, 10th Edition](/docpics/6400bfda8510f_2429236.jpg)
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Chapter 49: Endocrine Problems Lewis: Medical-Surgical Nursing, 10th Edition
- Exam (elaborations) • 15 pages • 2023
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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...
![Chapter 29: Assessment of Hematologic System Lewis: Medical-Surgical Nursing, 10th Edition Test Complete Updated Spring 22/23.](/docpics/6400be2e3e1cb_2429208.jpg)
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Chapter 29: Assessment of Hematologic System Lewis: Medical-Surgical Nursing, 10th Edition Test Complete Updated Spring 22/23.
- Exam (elaborations) • 6 pages • 2023
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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...
![Chapter 35: Dysrhythmias Lewis: Medical-Surgical Nursing, 10th Edition](/docpics/6400bd3d2a879_2429191.jpg)
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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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