The nurse is caring for a 77-year-old patient diagnosed with Crohn's disease. What would be especially important to monitor this patient for?
A) Pain
B) Fluid overload
C) Fatigue
D) Dehydration
Question 2A nurse is conducting an assessment of a patient's musculoskeletal system and assessing for joint function. How should the nurse best perform this assessment?
A) Ask the patient to clearly describe any recent changes in mobility or flexibility.
B) Assess the patient's expectations around function and mobility.
C) Palpate and percuss each of the patient's joints bilaterally.
D) Assess the range of motion (ROM) of each of the patient's joints.
Question 3The nurse is aware that many of the diseases of the lower gastrointestinal tract can be identified by the characteristics of the patient's stool. What would voluminous, greasy stools suggest?
A) Intestinal malabsorption
B) Inflammatory colitis
C) Colon cancer
D) Small bowel obstruction
Question 4An emergency department nurse is assessing an 80-year-old patient who has presented with a complaint of abdominal pain. The nurse performs a rapid inspection of the patient and notes multiple significant findings, including kyphosis.
The nurse should understand that this assessment finding is suggestive of what musculoskeletal disease?
A) Malignant bone neoplasm
B) Paget's disease
C) Muscular dystrophy
D) Osteoporosis
Question 5The nurse is caring for a patient admitted with symptoms of an anorectal infection. Cultures obtained from a rectal swab indicate that the patient has a viral infection.
What medication will the nurse anticipate the health care provider to order for this anorectal infection?
A) Acyclovir (Zovirax)
B) Doxycycline (Vibramycin)
C) Penicillin (Penicillin G)
D) Metronidazole (Flagyl)
Question 6An older adult patient has been admitted to a subacute geriatric medicine unit with a diagnosis of failure to thrive. The nurse is conducting a comprehensive assessment that focuses on the patient's musculoskeletal system.
During this assessment, what will be the nurse's primary focus?
A) Risk factors for common diseases of the musculoskeletal system
B) The presence or absence of musculoskeletal diagnoses
C) The patient's level of function and activities of daily living
D) The integrity of the patient's integumentary system
Question 7A nurse is taking a newly admitted patient's health history, and the patient states that she has had ongoing problems with a pinched nerve.
In addition to the potential for pain, the nurse should consider the fact that physical pressure that is placed on nerves can often lead to what?
A) Crepitus
B) Paresthesias
C) Muscle hypertrophy
D) Osteoporosis
Question 8A 16-year-old girl presents at the emergency department complaining of right lower quadrant pain and is diagnosed with appendicitis. When assessing this patient, what signs or symptoms should the nurse expect to find?
A) Rigid abdomen, Levine's sign, pain relief leaning forward
B) Rebound tenderness, McBurney's sign, low-grade fever
C) Right lower quadrant pain, Chvostek's sign, muscle guarding
D) Periumbilical pain, Trousseau's sign, pain relief with pressure
Question 9The nursing educator is teaching a group of nurses about constipation and the elderly. What recommendation for this population should a nurse can make about treating chronic constipation?
A) Take a mild laxative, such as magnesium citrate, when necessary.
B) Take a stool softener, such as docusate sodium (Colace), daily.
C) Administer a tap water enema weekly.
D) Administer a phospho-soda (Fleet) enema when necessary.
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