Test Bank Answers Common Disorders Chapter 8

Test Generator Questions, Chapter 8, Common Disorders

Format:  Multiple Choice

Chapter Number:  8

Client Needs:  Physiological Integrity: Basic Care and Comfort

Cognitive Level:  Understand

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  3

Page and Header:  160, Integumentary Disorders

1. The basic cause of all pressure ulcers is being:

A) of advanced age.

B) overweight.

C) dehydrated.

D) immobile.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  160, Integumentary Disorders

2. A partial-thickness burn involves damage to the epidermis and dermis layers:

A) as well as the subcutaneous layer and the underlying muscles and bones.

B) causing severe scarring and disfigurement.

C) resulting in redness.

D) increasing the risk of infection.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  160, Integumentary Disorders

3. A person with full-thickness burns is at risk for: (Select all that apply.)

A) scarring.

B) dementia.

C) infection.

D) contractures.

E) disfigurement.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objectives:  3 and 5

Page and Header:  160, Integumentary Disorders

4. The nursing assistant (NA) is assigned to care for a client who has a lesion diagnosed as shingles. The nursing assistant has never had chicken pox or the vaccine to prevent it. What action should the nursing assistant take?

A) Wear a mask and gloves to prevent developing chicken pox.

B) Take the assignment and then get vaccinated to prevent chicken pox.

C) Refuse the assignment because the NA could develop chicken pox.

D) Care for the client and get vaccinated to prevent shingles.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  3

Page and Header:  160, Integumentary Disorders

5. A fissure is a:

A) shallow crater that formed due to tissue death.

B) rash consisting of small, flat, reddened lesions.

C) crack in the skin often on the soles of the feet.

D) small, blister-like lesion.

Difficulty:  Easy

Integrated Process:  Nursing Process

Objective:  3

Page and Header:  160, Integumentary Disorders

6. Which type of skin lesion results in the loss of the surface of the skin?

A) Fissure

B) Pustule

C) Vesicle

D) Excoriation

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  3

Page and Header:  160, Integumentary Disorders

7. A lesion is a likely indication of: (Select all that apply.)

A) inflammation within the body.

B) an infection inside the body.

C) a serious form of cancer.

D) an infection of the skin.

E) irritation of the skin.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1 and 7

Page and Header:  164, Musculoskeletal Disorders

8. Osteoporosis is defined as:

A) a disorder characterized by inflammation of the joints.

B) a disorder characterized by excessive loss of bone tissue.

C) a crippling condition that can cause severe joint deformities.

D) an inability of the muscles to respond to nervous system commands.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  164, Musculoskeletal Disorders

9. The nursing assistant is caring for a client with osteoporosis and observes redness and swelling of the right leg. What is the next action the nursing assistant should take?

A) Walk the client around the unit.

B) Tell the nurse about observations.

C) Offer a snack of cheese and milk.

D) Use a gentle approach with movement.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  164, Musculoskeletal Disorders

10. Which joint(s) is most often affected in osteoarthritis? Select all that apply.

A) Hips

B) Wrist

C) Spine

D) Knees

E) Fingers

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  164, Musculoskeletal Disorders

11. Which is thought to be an immune system disorder?

A) Diabetes

B) Arthritis

C) Schizophrenia

D) Rheumatoid arthritis

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  3

Page and Header:  164, Musculoskeletal Disorders

12. The nursing assistant is caring for a client after right hip surgery. What action should the nursing assistant take?

A) Tell the client to place the weight onto the right leg when transferring to chair.

B) Encourage the client to cross their legs at the knee when sitting up.

C) Have the client sit in a straight back chair with feet flat on the floor.

D) After getting into the chair raise the footrest to make the client comfortable.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  5

Page and Header:  164, Musculoskeletal Disorders

13. It is true that fractures: (Select all that apply.)

A) are usually seen in children.

B) occur usually as a result of trauma.

C) are more likely to occur in the bones of older people.

D) are always treated by placing the broken bone in a cast.

E) must be aligned to heal properly.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  5

Page and Header:  164, Musculoskeletal Disorders

14. In an uncomplicated fracture, the treatment includes:

A) surgically aligning the ends of the broken bone and then stabilizing them with metal rods.

B) pushing the ends of the fractured bone back together and applying a stabilizing cast.

C) compressing the injured area tightly with an elastic bandage.

D) surgically replacing the damaged joint with a prosthetic joint.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  5

Page and Header:  164, Musculoskeletal Disorders

15. When caring for a client with a broken arm that is in a cast, which observation should be reported to the nurse immediately?

A) Report of a tingling or painful sensation in the fingers

B) Request for a sweater, even though the room is warm

C) Report that the skin underneath the cast is itchy

D) Request that friends be allowed to sign the cast

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  6 and 7

Page and Header:  164, Musculoskeletal Disorders

16. It is true that phantom pain is a sensation that:

A) an amputated body part is still present.

B) results from wear and tear on the joints.

C) results from poor blood flow to the tissues.

D) originates in one part of the body but is felt in another.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  5

Page and Header:  172, Respiratory Disorders

17. The nursing assistant (NA) informed the client of the correct way to collect the sputum specimen. The NA received the call that the client had the specimen ready. The NA observes there is now a bottle of mouthwash on the table. What action should the NA take?

A) Explain that another specimen must be collected after the client rinses their mouth with water.

B) Determine if the specimen was collected less than a couple of hours, or it will need repeated.

C) Ask the client if they rinsed their mouth with the mouthwash before coughing up the sputum.

D) Collect the specimen and correctly label it and place into a specimen bag and take it to the clean utility room.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  172, Respiratory Disorders

18. A dry, nonproductive cough that sounds like a bark is likely a sign of:

A) influenza.

B) bronchitis.

C) pneumonia.

D) pleurisy.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  172, Respiratory Disorders

19. The nursing assistant can best decrease the risk of contracting influenza in the nursing home by:

A) covering sneezes and coughs when around others.

B) receiving their annual immunization for influenza.

C) using lotion to prevent skin breaks in their hands.

D) taking extra Vitamin C to keep the immune system healthy.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  4

Page and Header:  172, Respiratory Disorders

20. Fluid intake is encouraged for a person with a respiratory infection, because fluids help:

A) to thin the respiratory secretions so that they are easier to cough up.

B) to reduce the number of microbes present in the mouth.

C) the medications to work more effectively.

D) the tissues to receive enough oxygen.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  4

Page and Header:  172, Respiratory Disorders

21. The nursing assistant finds a client in bed in supine position with labored respirations and sweating profusely. Which action should the nursing assistant perform first?

A) Take vital signs and report findings to the nurse.

B) Call for additional help from the nurse.

C) Provide comfort by changing linens and gown.

D) Sit the client up in a forward-leaning position.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  177, Cardiovascular Disorders

22. A risk factor for heart disease that can be controlled includes:

A) age.

B) gender.

C) heredity.

D) hypertension.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  3

Page and Header:  177, Cardiovascular Disorders

23. A person diagnosed with angina pectoris will likely experience chest pain when:

A) blood pressure is too high.

B) the heart is beating faster than normal.

C) the heart muscle is not receiving enough oxygen.

D) breathing begins to be painful or otherwise difficult.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  3

Page and Header:  177, Cardiovascular Disorders

24. The nursing assistant is caring for a client diagnosed with angina pectoris experiencing chest pain. The client asks the nursing assistant who has had training to hand them one of their nitroglycerin tablets. What action should the nursing assistant take?

A) Flip one tablet from the bottle into the client’s hand to place under their tongue.

B) Open the bottle and shake one tablet from the bottle under the client’s tongue.

C) Use bare clean hands and give one tablet to the client to place under their tongue.

D) Don gloves when giving a tablet to the client to place under their tongue.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  6

Page and Header: 177, Cardiovascular Disorders

25. What kind of treatment is usually given to a person with heart failure?

A) Surgery is performed to correct the heart defect.

B) A pacemaker is implanted to stimulate the heart to contract.

C) A balloon angioplasty is done to open the narrowed vessels.

D) Medications are given that help pull fluids out of the body’s tissues.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  4

Page and Header:  181, Nervous System Disorders

26. A stroke is usually caused by:

A) any situation that temporarily decreases blood flow to the brain.

B) too little blood flow to the heart muscle that results in an infarction.

C) brain cells that die because of a lack of sufficient blood flow.

D) either emotional or physical stress.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  181, Nervous System Disorders

27. The nursing assistant is caring for a client diagnosed with a stroke with severe right-sided hemiplegia. What is the best action for the nursing assistant to take?

A) Explain to the client their need to move to each side on their own.

B) Massage the skin on the right side to help feeling to return.

C) Observe for skin breakdown on the right side of the body.

D) Ask the client to report any numbness or tingling when repositioned.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  8

Page and Header: 181, Nervous System Disorders

28. Which term is used to describe the condition of a person who is no longer able to understand the meaning of words following a stroke?

A) Hemiplegia

B) Expressive aphasia

C) Dementia

D) Receptive aphasia

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  5

Page and Header:  181, Nervous System Disorders

29. A client walks with a shuffling, leaning gait, and it is hard for the client to stop suddenly when walking. This is characteristic of:

A) dementia.

B) stroke.

C) Parkinson disease.

D) aphasia.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  7

Page and Header:  181, Nervous System Disorders

30. Which event(s) can cause brain damage? Select all that apply.

A) Near drowning

B) Drug overdose

C) Broken neck

D) Choking

E) Falls

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  7

Page and Header:  181, Nervous System Disorders

31. An injury to the spinal cord in the neck area can result in:

A) hemiplegia.

B) quadriplegia.

C) paraplegia.

D) Lou Gehrig disease.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  186, Sensory Disorders

32. Which condition is characterized by a gradual yellowing and hardening of the lens of the eye?

A) Infection

B) Glaucoma

C) Blindness

D) Cataract

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  186, Sensory Disorders

33. When caring for a client who is blind, the nursing assistant should:

A) avoid talking about things the client cannot see, such as the lovely flowers blooming outside the window.

B) raise their voice when speaking to the client to be sure that the client understands.

C) leave the door to the room either completely open or completely closed.

D) avoid asking the client about the extent of their blindness.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  3

Page and Header:  189, Endocrine Disorders

34. Which would the nursing assistant immediately report to the nurse when caring for a resident with type 1 diabetes mellitus? Select all that apply.

A) Confusion

B) Constipation

C) Frequent urination

D) Increased perspiration

E) Sweet-smelling breath

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  4 and 5

Page and Header:  189, Endocrine Disorders

35. The client admitted to the hospital with type I diabetes suddenly develops the following signs and symptoms: cool, clammy, and sweating; blurred vision; shakiness; and confused. Which action should the nursing assistant implement first?

A) Call the nurse for additional help and stay with the client.

B) Obtain a fingerstick blood sugar according to policy.

C) Determine what time the client obtained insulin and ate last.

D) Follow the institution protocol and provide a snack.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  189, Endocrine Disorders

36. The nursing assistant is told that the new resident has been diagnosed with hyperthyroidism. The nursing assistant expects that the resident will:

A) often report being constipated.

B) have an irregular heartbeat.

C) usually report being cold.

D) not want to eat meals.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  3

Page and Header:   195, Digestive Disorders

37. A person with cancer involving the digestive system is likely to have which sign(s) and symptom(s)? Select all that apply.

A) Loss of appetite

B) Indigestion

C) Bloody stool

D) Vomiting

E) Diarrhea

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  196, Urinary Disorders

38. The nursing assistant is caring for a client diagnosed with a kidney stone. What is the best action for the nursing assistant to take?

A) Encourage the client to drink plenty of noncaffeinated drinks.

B) Establish a peaceful environment to promote sleep after pain meds.

C) Limit activity until the kidney stone fragments are passed.

D) Explain that straining urine is only used until the pain subsides.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  199, Reproductive System Disorders

39. Which may be an early sign of endometrial cancer?

A) Genital warts

B) An unusual lump

C) Postmenopausal bleeding

D) Increased difficulty becoming pregnant

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  199, Reproductive System Disorders

40. Which sexually transmitted infections (STIs), if left untreated, can result in pelvic inflammatory disease (PID)?

A) Genital warts

B) Gonorrhea

C) Syphilis

D) HIV

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  3

Page and Header:  201, Mental Health Disorders

41. An example(s) of a positive coping mechanism is: (Select all that apply.)

A) meditating.

B) going out for a jog.

C) eating a pint of ice cream.

D) getting together with friends.

E) going out for a drink after work.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  3

Page and Header:  201, Mental Health Disorders

42. When a client’s spouse dies following a risky surgical procedure, the client lashes out, accuses the doctor of “killing my spouse.” This is an example of:

A) compensation.

B) conversion.

C) displacement.

D) denial.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  201, Mental Health Disorders

43. Which is an example of repression (suppression)?

A) Miss Margaret blames another resident for damage she herself caused.

B) Mrs. Kane cannot remember a frightening or painful event.

C) Chelsea begins to wet her bed when starting kindergarten.

D) Paul blames the teacher when he fails a history test.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  201, Mental Health Disorders

44. It is true that anxiety can cause a feeling of: (Select all that apply.)

A) dread.

B) mania.

C) profound worry.

D) intense fear.

E) apprehension.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  201, Mental Health Disorders

45. A resident who becomes very anxious when regular rituals are interrupted is displaying behavior characteristic of:

A) schizophrenia.

B) panic disorder.

C) bipolar disorder.

D) obsessive-compulsive disorder.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  201, Mental Health Disorders

46. It is true that clinical depression:

A) can be treated.

B) decreases with age.

C) is seldom a risk factor for suicide.

D) is a normal part of aging.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  201, Mental Health Disorders

47. Bipolar disorder is defined as a feeling of:

A) inferiority and low self-esteem.

B) excessive sadness or hopelessness.

C) uneasiness, dread, apprehension, or worry.

D) extreme excitement followed by extreme sadness.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  201, Mental Health Disorders

48. Which person is having a hallucination?

A) A client believes that she is the beautiful secretary of the handsome James Bond.

B) A client believes that his business partner is always spying on him.

C) A client suspects her housekeeper of stealing her jewelry.

D) A client hears voices urging her to kill her children.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  201, Mental Health Disorders

49. If a person has poor or ineffective coping mechanisms, which situation(s) can increase the risk of developing depression or anxiety? Select all that apply.

A) Fears of being disabled or disfigured from illness or injury

B) Separation from loved ones and being in an unfamiliar place

C) Recovering from a serious injury or medical condition

D) Money worries related to fear of losing a job

E) Being prescribed mental health counseling

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  201, Mental Health Disorders

50. The resident shares with the nursing assistant that “I wonder if anyone will miss me when I’m gone.” How will the nursing assistant respond?

A) Report the comment to the RN immediately.

B) Assume the resident is becoming senile.

C) Assure the resident that they are mistaken.

D) Ignore the comment because it is a common question asked by older adults.