Adult Health Nursing Exam Practice Tests
Course Introduction
Adult Health Nursing focuses on the comprehensive care of adult patients across the lifespan, addressing acute and chronic health issues commonly encountered in medical-surgical settings. The course integrates evidence-based nursing practices, clinical reasoning, and critical thinking to assess, plan, implement, and evaluate individualized care for adults. Emphasis is placed on patient safety, effective communication, interdisciplinary collaboration, and the promotion of health and wellness. Students will explore pathophysiology, pharmacology, and psychosocial considerations, preparing them to support diverse adult populations in a variety of healthcare environments.
Recommended Textbook
Clinical Nursing Skills and Techniques 8th Edition by Anne Griffin Perry
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44 Chapters
1316 Verified Questions
1316 Flashcards
Source URL: https://quizplus.com/study-set/2003 Page 2
Chapter 1: Using Evidence in Nursing Practice
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/39771
Sample Questions
Q1) During the application stage of evidence-based practice change, it is important to consider: (Select all that apply.)
A)cost.
B)the need for new equipment.
C)management support.
D)adequate staff.
E)None of above
Answer: A, B, C, D
Q2) Evidence-based practice is a problem-solving approach to making decisions about patient care that is grounded in:
A)the latest information found in textbooks.
B)systematically conducted research studies.
C)tradition in clinical practice.
D)quality improvement and risk management data.
Answer: B
Q3) Evidence-based practice requires good ______________.
Answer: nursing judgment
Evidence-based practice requires good nursing judgment; it does not consist of finding research evidence and blindly applying it.
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Page 3
Chapter 2: Admitting, Transfer, and Discharge
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse is admitting the patient to the medical unit.The patient indicates that he has had several surgeries in the past and has been a diabetic for the past 15 years.He also earlier that morning, but the pain has finally gone since he received a "pain shot" in the emergency department.What does this information prompt the nurse to do next?
A)Provide the patient with an allergy arm band and document his allergies.
B)Postpone routine admission procedures immediately.
C)Ask the patient if he wants a smoking room.
D)Have all family or friends leave the room.
Answer: A
Q2) When does the plan for patient discharge from a health care facility begin?
A)At admission
B)After a medical diagnosis has been determined
C)When the patient's physical needs are identified
D)After a home environment assessment is completed
Answer: A
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4
Chapter 3: Communication
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/39773
Sample Questions
Q1) Nonverbal communication incorporates messages conveyed by:
A)touch.
B)cadence.
C)tone quality.
D)use of jargon.
Answer: A
Q2) The nurse is attempting to teach the patient and his family about his care after discharge.The patient and the family demonstrate signs of anxiety during the teaching session.The nurse should consider doing what?
A)Using more gestures or pictures
B)Focusing on the physical complaints
C)Getting another staff member to speak to the patient
D)Repeating information to the patient and the family at a later time
Answer: D
Q3) Verbal communication includes which of the following? (Select all that apply.)
A)Speech
B)Personal space
C)Body movement
D)Writing
Answer: A, D
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Chapter 4: Documentation and Informatics
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Standardized care plans are effective ways to plan care for the patient.To be most effective, however, the SCP must be _________________.
Q2) Which is a primary difference between home care and hospital care?
A)Documentation systems need to provide information for the home health nurse only.
B)Documentation no longer affects reimbursement.
C)Services are assumed and need less documentation.
D)The patient and the family witness most of the care provided.
Q3) A patient's private health information is legally protected by the ________________.
Q4) Nursing documentation: (Select all that apply.)
A)ensures continuity of care.
B)provides legal evidence.
C)evaluates patient outcomes.
D)increases the risk of litigation.
Q5) __________________ documentation should include your observations of patient behavior.
Q6) When making written entries in the patient's medical record, describe the nursing care provided and the ____________.
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Chapter 5: Vital Signs
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) An appropriate method of assessing a patient's respirations is for the nurse to:
A)place the bed flat.
B)remove all supplemental oxygen sources from documentation.
C)explain to the patient that respirations are being assessed.
D)gently place the patient's hand in a relaxed position over the upper abdomen.
Q2) The patient has been sleeping and has been lying on his right side.The nurse is ready to take his temperature using a tympanic thermometer.She needs to insert the thermometer into his ___________ ear.
Q3) The patient is complaining of a severe headache.The nurse takes the patient's blood pressure and finds it to be 240/110.What is the pulse pressure?
A)110
B)240
C)130
D)350
Q4) _____________ occurs when the systolic blood pressure falls to 90 mm Hg or below.
Q5) An irregular heartbeat, often found in children, that speeds up with inspiration and slows down with expiration is known as a sinus ___________.
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Chapter 6: Health Assessment
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) The nurse is assessing the neurologic status of a patient.She uses the handle end of a reflex hammer to stroke the lateral aspect of the sole of the foot.She notes that the great toe dorsiflexes and the other toes spread out like a fan.What does this indicate?
A)A positive Romberg's test
B)A negative Babinski's reflex
C)A hyperactive patellar tendon reflex
D)A normal reflex in a child younger than age 2
Q2) The nurse is preparing to examine a comatose patient on a ventilator.Before beginning the procedures, she: (Select all that apply.)
A)speaks to the patient to minimize anxiety.
B)drapes the body parts not being examined.
C)encourages the patient to ask questions.
D)uses medical terms to let the patient know that she is professional.
Q3) When breast self-examination is done, it should be done once a month.For women who menstruate, the best time is ______________.
Q4) ____________ is a yellow-orange skin color seen with increased deposit of bilirubin in tissues.
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Chapter 7: Medical Asepsis
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/39777
Sample Questions
Q1) The nurse has a "scratchy throat" and has been sniffling for 2 days.While at work, she wears a protective mask when coming into contact with her patients.She does this in an attempt to protect them from a __________________.
Q2) When caring for patients, the nurse understands that the single most important technique to prevent and control the transmission of infection is:
A)hand hygiene.
B)the use of disposable gloves.
C)the use of isolation precautions.
D)sterilization of equipment.
Q3) The patient is presenting to the hospital with a high fever and a productive cough.He says that he hasn't felt right since he returned from visiting Somalia about a month before admission.He also states that he has lost about 20 pounds in the last month and frequently wakes up in the middle of the night sweaty and "clammy." What should the nurse prepare to do?
A)Place the patient on contact isolation.
B)Place the patient in a negative-pressure room.
C)Place the patient on droplet precautions.
D)Use standard precautions only.
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Chapter 8: Sterile Technique
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/39778
Sample Questions
Q1) The minimum standard for infection control as established by the Centers for Disease Control and Prevention (CDC) is _______________.
Q2) A type I hypersensitivity to latex is evident if the nurse assesses:
A)localized swelling.
B)skin redness and itching.
C)runny eyes and nose and cough.
D)tachycardia, hypotension, and wheezing.
Q3) A patient requires a sterile dressing change for a mid-abdominal surgical incision.An appropriate intervention for the nurse to implement in maintaining sterile asepsis is to:
A)put sterile gloves on before opening sterile packages.
B)discard items that may have been in contact with the area below waist level.
C)place the povidone-iodine bottle well within the sterile field.
D)place sterile items on the very edge of the sterile drape.
Q4) When performing sterile aseptic procedures, the nurse must create a _____________ in which objects can be handled with minimal risk for contamination.
Q5) _____________ is one practice designed to make and maintain objects and areas free from pathogenic microorganisms.
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Chapter 9: Safe Patient Handling, Transfer, and Positioning
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/39779
Sample Questions
Q1) The patient is an elderly man who has just been admitted for a probable cerebrovascular accident.The patient is nonverbal and does not respond to requests but is able to turn himself in bed.The nurse notices that the patient likes to lie on his right side, and soon after being turned by the nursing staff, the patient turns back to his right side.The nurse in this case should:
A)allow the patient to lie on his right side continuously because he seems comfortable. B)prevent the patient from lying on his right side until he no longer wishes to lie on that side.
C)frequently assess the patient and turn him more frequently.
D)allow the patient to lie on his right side until a pressure ulcer develops and he can no longer lie on that side.
Q2) Positioning of patients to maintain correct body alignment is essential to prevent which of the following complications? (Select all that apply.)
A)Thrombus
B)Pressure ulcer
C)Kyphosis
D)Contractures
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Chapter 10: Exercise and Ambulation
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/39780
Sample Questions
Q1) _________________ increase muscle tension but do not change the length of muscle fibers.
Q2) A patient is admitted to the medical unit following a cerebrovascular accident ( CVA ).Evidence of left-sided hemiparesis is noted, and the nurse will be following up on ROM and other exercises performed in physical therapy.The nurse should correctly teach the patient and family members which of the following principles of ROM exercises?
A)Flex the joint to the point of discomfort.
B)Medicate the patient after the ROM exercise session.
C)Move the joints quickly.
D)Provide support for distal joints.
Q3) A person's inability to move about freely is known as _______________.
Q4) A drop in blood pressure that occurs when the patient changes position from a horizontal to a vertical position is known as _________________.
Q5) The patient is performing ROM exercises independently.These are known as __________ exercises.
Q6) Static exercises that involve tightening or tensing of muscles without moving a body part are known as ______________.
Q7) ____________ refers to an ability to move about freely.
Page 12
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Chapter 11: Orthopedic Measures
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/39781
Sample Questions
Q1) The patient has a broken leg and needs to have a cast applied.When plaster of Paris is compared and contrasted versus the newer synthetic casts, which of the following statements is true?
A)Plaster of Paris can tolerate earlier weight bearing than synthetic casts.
B)Plaster of Paris is more expensive than synthetic casts.
C)Synthetic casts can withstand contact with water better than plaster of Paris.
D)Synthetic casts are lighter but take longer to set than plaster of Paris.
Q2) After applying a cast, the nurse should be able to insert _______ fingers between the cast and the limb.
Q3) According to the National Association of Orthopaedic Nurses (NAON), which of the following is possibly the most effective cleansing solution for pin-site care?
A)Normal saline
B)Hydrogen peroxide
C)Chlorhexidine
D)None of the above
Q4) A _______________ is an externally applied structure that holds musculoskeletal tissues in a specific position to permit healing of injuries or fractures or to align malpositioned tissues.
Q5) _________________ may occur when pressure within a casted extremity increases.
Page 13
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Chapter 12: Support Surfaces and Special Beds
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/39782
Sample Questions
Q1) The _______________ bed rotates and improves skeletal alignment with constant side-to-side rotation up to 90 degrees.
Q2) The patient will be going home but still requires an air-fluidized bed.Before discharge, it will be necessary for the company that is leasing the bed to inspect the home for accessibility and ________________.
Q3) Of the following problems that may occur with the use of an air-fluidized bed, which is of greatest concern to the nurse?
A)Nausea
B)Anxiety
C)Slight disorientation
D)Insensible fluid loss
Q4) When teaching about the use of the Rotokinetic bed, the nurse informs the patient that the:
A)bed will be stopped in one position most of the time.
B)amount of rotation will be greater in the beginning.
C)patient may experience a sensation of falling or lightheadedness.
D)bed is moved manually all of the time and will rotate head over feet.
Q5) It is recommended that the Rotokinetic bed stay in the rotation mode for at least _______ hours a day.
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Chapter 13: Safety and Quality Improvement
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/39783
Sample Questions
Q1) To promote patient safety, government standards regarding mechanical and physical restraints state that:
A)alternative measures are to be implemented before restraints are used.
B)the nurse's judgment is all that is required for restraint use.
C)restraints should be used immediately for all patients who may need them.
D)restraints cannot be used except to prevent others from being harmed.
Q2) Continuous seizure activity that lasts longer than 10 minutes is known as _______________.
Q3) When applying a belt restraint to a patient, it is important for the nurse to:
A)apply the belt under the hospital gown.
B)place the restraint around the abdomen.
C)have the patient in a sitting position.
D)apply the belt as tightly as possible.
Q4) _________________ are sudden, abnormal, and excessive electrical discharges from the brain that change motor or autonomic function, consciousness, or sensation.
Q5) It is important for nurses to understand what patients perceive as ___________ so that patients will become partners in programs to prevent them.
Q6) __________ are the most common type of inpatient accident.
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Chapter 14: Disaster Preparedness
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/39784
Sample Questions
Q1) An outbreak of an infectious disease such as SARS in many parts of the world is known as a ______________.
Q2) The nurse has arrived at the scene of a natural disaster and is assigned to care for four patients.To which patient should the nurse provide care first?
A)Patient with a closed head injury with no changes in level of consciousness
B)Patient with a 3-cm laceration to the forearm
C)Patient who is breathing eight times per minute
D)Patient with a displaced wrist fracture
Q3) Which of the following should make the nurse suspect a biological event? (Select all that apply.)
A)Large numbers of ill persons with unexplained similar symptoms
B)Unexplained deaths among young and healthy populations
C)A patient population with symptoms suggestive of a common agent
D)An unusual geographical pattern associated with the symptoms
Q4) It is recommended that every household prepare a ____________.
Q5) Releasing nuclear energy in an explosive manner as the result of a nuclear chain reaction is known as a ________________.
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Page 16
Chapter 15: Pain Assessment and Basic Comfort Measures
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/39785
Sample Questions
Q1) The patient is scheduled for surgery late in the afternoon.His postoperative orders include PCA therapy.Which of the following nursing interventions is appropriate to perform?
A)Teach the patient about PCA after the patient comes out of recovery.
B)Teach the patient about PCA before surgery and before preoperative medication administration.
C)Tell the patient not to use PCA unless he can no longer tolerate the pain.
D)Inform the patient's family to watch him carefully and to depress the PCA administration button whenever they think he needs it.
Q2) The _______________ is a potential space between the vertebral bones and the dura mater, the outermost meninges covering the brain and spinal cord.
Q3) Pain is experienced differently by different people, because pain perception is based on which of the following? (Select all that apply.)
A)Past pain experiences
B)Personal values
C)Cultural expectations
D)Emotions
E)None of above
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17
Chapter 16: Palliative Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) _____________ helps people live as well as possible through the dying process.
Q2) The patient has a history of terminal cancer but is being admitted for treatment of a pressure ulcer.The patient's wife has been caring for him at home and refuses to discuss admission to a nursing home.The wife looks extremely tired and is near the point of exhaustion.What could the nurse suggest?
A)A consult for hospice care
B)Continuing with the plan of care as is
C)That the doctor order the patient into a nursing home
D)That the wife stay away while the patient is hospitalized
Q3) After the death of a patient and before other nursing interventions are implemented, the nurse should:
A)place the patient in a supine position and elevate the head of the bed 30 degrees.
B)wait an hour to prepare the patient for viewing.
C)place the patient in a side-lying position to allow drainage.
D)exclude the family while the body is being prepared.
Q4) Nurses provide _______________ that is defined as care of the body after death in a manner consistent with the patient's religious and cultural beliefs.
Q5) An _______________ is the surgical dissection of a body after death.
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Chapter 17: Personal Hygiene and Bed Making
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) The nurse is aware that normal flora that does not cause disease but does prevent disease-causing microorganisms from reproducing is known as: A)sebum.
B)the epidermis.
C)resident bacteria.
D)the dermis.
Q2) Many foot ulcers are due to repeat trauma over time, often caused by ________________.
Q3) The home care nurse is getting ready to help the patient prepare a tub bath.What should the nurse be sure to do?
A)Instruct the patient to use safety bars.
B)Use the patient's favorite bath oil for aroma therapy.
C)Instruct the patient to stay in the tub no longer than 30 minutes.
D)Check on the patient every 20 minutes.
Q4) Regular oral hygiene is necessary to maintain the integrity of tooth surfaces and to prevent gum inflammation known as ____________.
Q5) ______________ are mucous membranes with underlying supportive tissue that encircle the neck of erupted teeth to hold them in place.
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Chapter 18: Pressure Ulcer Care
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/39788
Sample Questions
Q1) The patient is admitted with an open pressure ulcer with necrotic tissue around the base of the wound.How would the nurse classify this ulcer?
A)Stage III pressure ulcer
B)Stage IV pressure ulcer
C)Wound that cannot be staged
D)Stage II pressure ulcer
Q2) After teaching a home caregiver how to manage a pressure ulcer, the nurse realizes that further education is needed when the caregiver says:
A)"I will be sure to reposition her frequently and keep her off of the pressure ulcer."
B)"I will wash the pressure ulcer with saline and report any changes in the drainage."
C)"I know that a thick, black covering will protect the pressure ulcer from getting worse."
D)"I will let you know if the pressure ulcer starts to smell rotten."
Q3) The removal of devitalized tissue in a wound is known as ______________.
Q4) When skin layers adhere to the linens and deeper tissue layer move downward, ________ damage occurs.
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Chapter 19: Care of the Eye and Ear
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse is preparing to provide eye care for a comatose patient.The nurse realizes that comatose patients do not have natural protective mechanisms to protect the cornea.These protective mechanisms include: (Select all that apply.)
A)blinking.
B)squinting.
C)lubrication.
D)dilation.
Q2) The substance found in the ear canal that has an antibacterial effect and maintains an acid pH is called ______________.
Q3) The nurse is preparing to clean the patient's hearing aid.The nurse realizes that she must:
A)make sure the hearing aid volume is turned on before removing the hearing aid.
B)hold the hearing aid over the sink when cleansing.
C)insert a paper clip into the receiver port to cleanse cerumen buildup.
D)make sure the pressure equalization channel is clear.
Q4) A _____________ is a small, battery-powered, electronic device that amplifies sound.
Q5) ____________ is the complete surgical removal of the eyeball.
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Chapter 20: Safe Medication Preparation
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/39790
Sample Questions
Q1) Medication errors include which of the following? (Select all that apply.)
A)Administration of the wrong medication
B)Administration via the wrong route
C)Inaccurate prescribing
D)Failing to administer a medication
E)None of above
Q2) During the admission process, the patient states that he stopped taking daily aspirin because of nausea.The nurse documents the nausea as which of the following?
A)Noncompliance
B)Toxic effects of the medication
C)Side effects of the medication
D)Allergic reaction to the medication
Q3) The nurse administers a medication to the wrong patient but the patient suffers no harm from the medication error.What actions should the nurse take? (Select all that apply.)
A)Prepare a written incident report.
B)Document in the nurses' notes that an incident report was completed.
C)Report the incident to a manager only if the patient is harmed.
D)Notify the prescriber.
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Page 22
Chapter 21: Oral and Topical Medications
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) The patient has eyedrops ordered daily to both eyes.Which action by the nurse is appropriate when administering the medication?
A)Carefully place the drop on the cornea.
B)Wipe the eye with a tissue after placing the eyedrop.
C)Hold the eyedropper about 1 to 2 cm above the eye.
D)Instruct the patient to squeeze the eye shut after instillation.
Q2) The patient has a bronchodilator and an inhaled steroid scheduled for the same time.What teaching should the nurse provide to the patient about administering these medications?
A)Inhale the bronchodilator, wait 20 to 30 seconds, then inhale the steroid.
B)Inhale the bronchodilator, wait 2 to 5 minutes, then inhale the steroid.
C)Inhale the steroid, wait 20 to 30 seconds, then inhale the bronchodilator.
D)Inhale the steroid, wait 2 to 5 minutes, then inhale the bronchodilator.
Q3) The patient is prescribed an ophthalmic medication via an intraocular disc.Which action by the nurse is appropriate when administering the medication?
A)Place the disc in the conjunctival sac.
B)Apply sterile gloves before placing the disc.
C)Pull on the patient's upper eyelid and ask the patient to look up.
D)Instruct the patient that the disc will be changed daily.
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Page 23
Chapter 22: Parenteral Medications
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Sample Questions
Q1) The nurse is preparing to give an intramuscular injection to a toddler.To decrease pain, EMLA cream is applied to the injection site at least ______ hour(s) before administration of the injection.
Q2) The nurse is preparing to give a medication by IV bolus.When assessing the patient's IV insertion site, the nurse notes that it is warm, reddened, and tender.What action should the nurse take first?
A)Slow the infusion rate and slowly inject the medication.
B)Discontinue the IV infusion.
C)Inject a local anesthetic to relieve the tenderness.
D)Apply warm compresses over the insertion site.
Q3) The nurse is preparing to administer a medication using a volume-controlled administration set or Volutrol.Which action should the nurse do first?
A)Open the clamp between the Volutrol and the main IV bag.
B)Open the air vent on the Volutrol.
C)Inject the medication into the Volutrol.
D)Clean the injection port on top of the Volutrol.
Q4) An experienced nurse recognizes that the dorsogluteal injection site is no longer used for intramuscular injections because of the risk of damaging the
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Chapter 23: Oxygen Therapy
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29 Verified Questions
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Sample Questions
Q1) The patient is on mechanical ventilation.Which actions by the nurse are appropriate? (Select all that apply.)
A)Keep the patient in a supine position.
B)Note and mark the level of the endotracheal (ET) tube at the lips or nares.
C)Have suction equipment available for immediate use.
D)Perform mouth care at least twice daily.
Q2) The nurse is teaching a patient how to use a flow-oriented incentive spirometer (IS) the night before abdominal surgery.Which statement by the patient indicates an understanding of the procedure?
A)"I need to get the balls to the top as quickly as possible."
B)"Quick rapid breaths are the most effective when the incentive spirometer is used."
C)"I need to keep the balls elevated as long as possible."
D)"The balls must be elevated to be effective."
Q3) A curved oxygen delivery device with an adjustable strap that fits around the patient's neck is known as a _______________.
Q4) The ________, also called a Briggs adaptor, connects an oxygen source to an artificial airway such as an endotracheal tube.
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Chapter 24: Performing Chest Physiotherapy
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20 Verified Questions
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Sample Questions
Q1) ________________ is positioning the patient so that the position of the lung segment to be drained allows gravity to have its greatest effect.
Q2) The nurse receives orders on several patients for chest percussion, vibration, and shaking.The nurse is aware that chest physiotherapy maneuvers are indicated for which patient?
A)18-year-old who sustained thoracic trauma from a motor vehicle accident
B)75-year-old with osteoporosis who is underweight
C)15-year-old with cystic fibrosis
D)20-year-old with a fractured clavicle
Q3) A patient has received instructions on the use of an Acapella device.Which action by the patient indicates an understanding of the teaching?
A)Complains of not being able to use an aerosol drug with the device
B)Turns the frequency adjustment dial to medium resistance
C)After completing one cycle, repeats for 2 more breaths
D)After removing the mouthpiece, performs 1 to 2 forceful exhalations and "huff" coughs
Q4) The _______________ provides positive expiratory pressure (PEP) with oral airway oscillations.
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Chapter 25: Airway Management
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The nurse is performing nasotracheal suctioning on a patient.The nurse should discontinue the suctioning if which of the following occurs?
A)The patient coughs as the catheter is inserted.
B)The heart rate decreases from 84 beats per minute to 60 beats per minute.
C)An increase in pulse occurs from 74 beats per minute to 94 beats per minute.
D)Oxygen saturation levels decrease from 97% to 94%.
Q2) A _______________ is inserted directly into the trachea through a small incision made in the patient's neck.
Q3) The nurse is assessing a patient with an endotracheal tube and notes an audible air leak when standing by the patient.Which intervention should the nurse perform first to address this problem?
A)Deflating the cuff of the endotracheal tube
B)Repositioning the patient or tube
C)Inserting a new endotracheal tube
D)Notifying the health care provider
Q4) Too much oxygen reduces the drive to breathe in patients with chronic
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Chapter 26: Closed Chest Drainage Systems
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Q1) The nurse knows that _______________ is the proper term to describe that the patient's water seal is fluctuating up and down with each breath.
A)bubbling
B)tidaling
C)fluttering
D)alternating
Q2) The nurse is caring for a patient with a chest tube connected to wall suction.To keep the tube patent, the nurse should implement which of the following? (Select all that apply.)
A)Routinely "milk" the drainage tubing.
B)Avoid dependent loops of the drainage tubing.
C)Lift and clear the tube every 15 minutes.
D)Coil the drainage tubing to prevent dependent loops.
Q3) Which of the following is an expected outcome of chest tube insertion?
A)Mild chest pain is maintained.
B)Breath sounds are auscultated in all lobes.
C)Drainage from the pleural cavity increases over time.
D)Lung expansion is increased beyond the unaffected side.
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Chapter 27: Emergency Measures for Life Support
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Sample Questions
Q1) The nurse is providing CPR to an unresponsive patient according to the 2010 American Heart Association ( AHA ) resuscitation guidelines.The nurse is performing chest compressions correctly when she performs them at which rate?
A)60 to 80 per minute
B)120 per minute
C)100 per minute
D)40 to 60 per minute
E)None of above
Q2) A semicircular, minimally flexible, curved piece of hard plastic that is inserted into the mouth so it extends from just outside the lips to the pharynx is known as an
Q3) The nurse is caring for an unconscious patient who has an oral airway in place, and who has copious amounts of oral secretions.What may the nurse have to do while caring for this patient? (Select all that apply.)
A)Cleanse the mouth frequently using lemon glycerin swabs.
B)Replace or clean the oral airway.
C)Suction the oral cavity frequently.
D)Keep the airway in place for extended periods.
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Chapter 28: Intravenous and Vascular Access Therapy
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Q1) Which of the following steps is necessary when a patient is prepared for IV insertion?
A)Shaving the hair from the site
B)Selecting a proximal site in an extremity
C)Applying a tourniquet 4 to 6 inches above the selected site
D)Vigorously taping and massaging the selected vein
Q2) The nurse is caring for a patient receiving antineoplastic medications intravenously.The nurse discovers that the intravenous site is red, edematous, and painful.The nurse knows that antineoplastic medications are vesicant medications and documents that the patient has experienced which of the following events?
A)Occlusion
B)Extravasation
C)Phlebitis
D)Thrombophlebitis
Q3) Which of the following are CVADs? (Select all that apply.)
A)Implanted subcutaneous ports
B)Peripherally inserted central catheter ( PICC ) lines
C)Saline locks
D)Heparin locks
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Chapter 29: Blood Transfusions
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Sample Questions
Q1) The patient is to receive 2 units of packed RBCs.Before administering the blood, what does the nurse need to do? (Select all that apply.)
A)Insert an 18-gauge IV cannula.
B)Have the patient complete a consent form.
C)Obtain pretransfusion vital signs.
D)Notify the physician for a temperature of 37° C.
Q2) The patient is receiving blood when he suddenly complains of low back pain and develops diaphoresis and chills.The nurse should: (Select all that apply.)
A)stop the transfusion.
B)start normal saline connected to the Y tubing.
C)notify the physician.
D)start normal saline using new IV tubing.
Q3) An appropriate technique for the nurse to implement for a blood transfusion is to:
A)provide medication through the IV line with the blood.
B)regulate the flow of blood so that it infuses over 8 hours.
C)clear the IV tubing with normal saline after the blood infuses.
D)administer a blood product with clots through a filter line.
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Chapter 30: Oral Nutrition
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Sample Questions
Q1) Which of the following are signs of iron (Fe²?) deficiency? (Select all that apply.)
A)Pale eye membranes
B)Cheilosis (redness/swelling) of the lips
C)Spongy, bleeding gingiva
D)Glossitis
Q2) Biochemical indices help the clinician to determine the effects of nutritional factors or of medical conditions on the health status of patients.No single test is available for evaluating short-term response to medical nutritional therapy.Laboratory tests conducted over time will give more accurate information than a single test.Which of the following are the most important biochemical measures? (Select all that apply.)
A)Ideal body weight
B)Visceral protein status
C)Immune function
D)Percent of weight gain
Q3) A nurse's role includes performing ___________________ to assess a patient's risk status for malnutrition, assessing and assisting an adult patient with feeding, and identifying patients at risk for aspiration during oral feeding.
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Chapter 31: Enteral Nutrition
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Sample Questions
Q1) An appropriate technique for nasogastric (NG) tube insertion is for the nurse to:
A)position the patient supine.
B)apply oil-based lubricant to the plastic tube.
C)advance the tube while the patient swallows.
D)measure the tube length from the nose to the sternum.
Q2) The home health nurse evaluates the provision of intermittent tube feedings by the patient's family member.The nurse notes that additional teaching is required when she notices that the family member:
A)keeps the formula refrigerated between feedings.
B)keeps the feeding tube capped between feedings.
C)begins the feeding before checking tube placement.
D)irrigates the tube with 30 to 60 mL of water before and after feedings.
Q3) A tube passed through the nose or mouth with the end terminating in the stomach or the small bowel, and used in feeding the patient for short periods is known as a
Q4) The nurse is caring for a patient in a chronic vegetative state with inadequate gastric emptying.The nurse would anticipate finding in a ________ tube placed to assist with this patient's nutritional needs.
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Page 33
Chapter 32: Parenteral Nutrition
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Sample Questions
Q1) A patient on PN has gained 4 lbs over a 24-hour period.Given this weight gain, which interpretation by the nurse is most accurate?
A)Increased nutrition from the patient's parenteral infusions
B)Decreased linoleic acid intake
C)Increased fluid loss
D)Fluid retention
Q2) The nurse has been caring for a patient who has had a central venous catheter in place.The patient complains of sudden chest pain and difficulty breathing.Which assessment finding warrants immediate intervention by the nurse?
A)Exit site infection
B)Catheter-related sepsis
C)Pneumothorax
D)Hyperglycemia
Q3) Which assessment should a nurse expect to see for a patient receiving PN?
A)Weight gain of 1 to 2 pounds per week
B)Serum calcium level of 10 mEq/L
C)Serum potassium level of 2.8 mEq/L
D)Serum glucose level of more than 200 mg/100 mL
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34
Chapter 33: Urinary Elimination
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Sample Questions
Q1) _________________ is the volume of urine in the bladder after a normal voiding.
Q2) A noninvasive device that is used to provide accurate determination of a patient's bladder volume by first creating an ultrasound image of the patient's bladder and then calculating the urine volume in the bladder is known as a ______________.
Q3) In assisting a male patient in using a urinal, which of the following actions should the nurse take? (Select all that apply.)
A)Assess for orthostatic hypotension.
B)Assess the patient's normal elimination habits.
C)Assess for periods of incontinence.
D)Prop the urinal in place if the patient is unable to hold it.
E)Always stay with the patient during urinal use.
Q4) An ______________ has a separate lumen that is used to inflate a balloon so the catheter remains in the bladder for short- or long-term use.
Q5) Which symptom is the patient with fluid overload likely to exhibit?
A)Oliguria
B)Distended neck veins
C)Increased skin temperature
D)Increased urine specific gravity
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Chapter 34: Bowel Elimination and Gastric Intubation
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Sample Questions
Q1) The __________ system is an intrarectal catheter that has a retention cuff, an intraluminal balloon, three pilot balloons, anchor straps, and a port for sampling stool.The purpose of this system is to divert feces away from wounds while providing access for administering rectal medications and irrigations.
Q2) The Levin tube and the Salem sump tube are used most commonly for stomach decompression.Which of the following statements about these tubes is true? (Select all that apply.)
A)Levin tubes have a blue "pigtail" that functions as an air vent.
B)These tubes are inserted as a sterile procedure.
C)The blue air vent should not be used for irrigation.
D)The Salem sump tube has a blue "pigtail" that functions as an air vent.
E)The Salem sump is preferred for stomach decompression.
Q3) The nurse is caring for a patient who has been on bed rest for several weeks.The nurse notes that the patient is continually seeping liquid stool rectally.The nurse should take which action?
A)Hold the patient's antibiotics.
B)Put the patient on a bran diet.
C)Perform a digital rectal examination.
D)Increase the dosage of the patient's antibiotics.
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Page 36
Chapter 35: Ostomy Care
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Sample Questions
Q1) The nurse is caring for a preterm infant in the neonatal intensive care unit who has multiple stomas.Given the uniqueness of infants, which action is essential for the nurse to take?
A)Apply an ostomy pouch using standard sealants.
B)Use a pouch that can accommodate increased amounts of flatus.
C)Use multiple pouches ( one for each stoma ).
D)Be aware that the stoma size will remain the same as the baby grows.
Q2) A ______________ is an opening in the large intestine or colon for elimination of fecal material.
Q3) In caring for a patient who has a pouching for a noncontinent urinary diversion, which nursing intervention is essential?
A)Empty the pouch when it is one-third to one-half full.
B)Remove the ureteral stents after 2 days.
C)Pouch the stoma with the patient sitting up.
D)Dispose of used pouches in the toilet.
Q4) An opening that is in the ileal portion of the small intestine is an ____________.
Q5) An ostomy that is created from a portion of the ileum to form a stoma through which urine can exit the body is called a(n) _____________.
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Chapter 36: Preoperative and Postoperative Care
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Sample Questions
Q1) Being overweight or obese increases the risk for many diseases and health conditions, including which of the following? (Select all that apply.)
A)Hypertension
B)Coronary heart disease
C)Sleep apnea
D)Respiratory problems
E)Hypotension
Q2) A patient is being transferred to a room from the PACU.What should the nurse do upon transfer?
A)Remove the indwelling urinary catheter.
B)Turn off the nasogastric tube suction.
C)Use a black pen to note drainage on the dressing.
D)Change the dressing immediately when the patient reaches the room.
Q3) In planning surgical care for an older adult patient, the nurse recognizes which of the following as causing the greatest risk for surgery?
A)Increased tactile sense
B)Decreased glomerular filtration rate
C)Increased numbers of red blood cells
D)Decreased rigidity of arterial walls
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Chapter 37: Intraoperative Care
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Sample Questions
Q1) While supervising the surgical team, the charge nurse notices that a team member's nails are long and chipped.Which action should the nurse take next?
A)Allow the team member to complete the task.
B)Remove the team member to have the nails cut.
C)Turn the team member in to the RNFA.
D)Ask the team member why the nails are long and chipped.
Q2) The charge nurse is assigning duties in the surgical arena.Which member of the surgical team should be assigned to the role of circulating nurse?
A)Registered nurse (RN)
B)Licensed practical nurse (LPN)
C)Certified surgical technologist (CST)
D)Licensed nursing assistant
Q3) Which of the following are sources of contamination in the operating room? (Select all that apply.)
A)A wristwatch
B)Chipped nail polish
C)Artificial fingernails
D)Abrasions on the hands
E)Tattoos to the arms
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Page 39
Chapter 38: Wound Care and Irrigations
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Sample Questions
Q1) Physiologically, wound healing occurs in the same way for all patients, with some tissues (including the vascular tissues) regenerating quickly and others regenerating slowly or not at all.The latter group includes which of the following cells? (Select all that apply.)
A)Liver cells
B)Skin cells
C)Renal tubules
D)Central nervous system neurons
Q2) A failure of wound healing in which the surgical wound breaks, separates, and opens to the fascial level is known as ______________.
Q3) What should the nurse do when removing intermittent sutures?
A)Snip both sides of the suture before removing.
B)Snip the suture as close to the knot as possible.
C)Snip the suture as close to the skin as possible.
D)Pull up the knot to apply as much tension as possible.
Q4) ___________ are threads of wire or other materials used to sew body tissues together.
Q5) _____________ uses the mechanical force (high or low) of a stream of solution to remove debris, bacteria, and necrotic tissue from a wound.
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Chapter 39: Dressings, Bandages, and Binders
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Sample Questions
Q1) Hydrocolloid dressings are used for which of the following? (Select all that apply.)
A)Maintaining a moist wound environment
B)Autolytic debriding of necrotic wounds
C)Absorption of moderately draining wounds
D)Protecting from friction
Q2) What should the nurse do for a patient with a sudden severe hemorrhage?
A)Go for help.
B)Drape the patient.
C)Apply direct pressure.
D)Put on clean or sterile gloves.
Q3) In caring for a patient who has an abdominal binder, it is expected that the nurse will do which of the following? (Select all that apply.)
A)Remove the binder and assess the skin and wound every 8 hours.
B)Evaluate the patient's ability to breathe deeply and cough effectively every 4 hours.
C)Evaluate the patient's pulmonary function every 8 hours.
D)Remove the binder at least daily.
Q4) A __________ dressing comes in direct contact with the wound bed.
Q5) _____________ dressings cover or hold primary dressings in place.
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Chapter 40: Therapeutic Use of Heat and Cold
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Q1) If a patient is to receive a cold application for a sprain, he or she should have:
A)a prolonged application time.
B)the body part carefully aligned.
C)a colder temperature applied.
D)extra packing under the cooling device.
Q2) What procedure should the nurse follow when applying hot therapy to a patient with muscle spasm in response to an acute injury?
A)Apply the source for 20- to 30-minute periods.
B)Allow the patient to adjust the temperature for comfort.
C)Encourage the patient to move the application.
D)Position the patient so that he or she cannot move away from the temperature source.
Q3) The nurse is applying an ice pack to the patient's knee.She notices moisture on the outside of the bag.How should the nurse respond?
A)Discard the ice pack because it is leaking.
B)Refill the ice pack to the top.
C)Continue to apply the ice pack.
D)Open the ice pack to allow air inside.
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42
Chapter 41: Home Care Safety
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Q1) Which of the following is a safety measure that the patient should implement in the home environment?
A)Using fluorescent lighting
B)Wearing extra clothing for padding
C)Obtaining a large fire extinguisher
D)Installing additional towel bars for support in the shower
Q2) Which assistive device would most benefit a patient with a neuromuscular weakness?
A)Large-print labels
B)A syringe with a magnifier
C)Screw-top medication containers
D)Color-coded tops for medications
Q3) Patients who require home care often experience physical alterations that require changes in their home environment.In the case of older adults, what is the best way to make these changes?
A)Make changes quickly to prevent problems.
B)Make changes to limit the patient's need to move around.
C)Make changes to complement the patient's strengths.
D)Make changes regardless of the patient's previous sense of personal space.
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Page 43
Chapter 42: Home Care Teaching
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Sample Questions
Q1) The nurse will train the tracheostomy patient and caregiver that reusable supplies need to be disinfected at least weekly.Which of the following methods is recommended for cleaning tracheostomy supplies at home? (Select all that apply.)
A)Boil reusable (boilable) supplies for 5 minutes.Allow to cool and dry.
B)Boil reusable (boilable) supplies for 15 minutes.Allow to cool and dry.
C)Soak reusable supplies in equal parts of vinegar and water for 30 minutes.Remove, rinse thoroughly, and dry.
D)Soak reusable supplies in prepared solutions of quaternary ammonium chloride compounds according to the manufacturer's instructions.Rinse and dry.
Q2) What instructions should the nurse provide when teaching the patient and the patient's caregiver how to administer parenteral nutrition (PN)?
A)PN solution should be kept refrigerated until time of administration.
B)Remixing separated mixture components by shaking the bag is common.
C)PN is compatible with most intravenous (IV) medications.
D)Blood glucose monitoring will be necessary.
Q3) Temperatures in the older adult are different from those in the younger adult.The mean oral temperature for older adults often ranges from ____________.
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Chapter 43: Specimen Collection
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Sample Questions
Q1) A nurse suspects that the patient may have tuberculosis.She sends a sputum sample to the lab for testing.When the following tests are compared, which will best support the diagnosis of possible tuberculosis?
A)Acid-fast bacilli
B)General cytology
C)Chemical analysis
D)Culture and sensitivity
Q2) What must the nurse do to collect a midstream urine sample from an infant?
A)Apply a sterile plastic collection bag to the perineum.
B)Wring out diapers and collect the urine in a specimen container.
C)Have the infant sit facing the back of the toilet.
D)Catheterize the infant and collect the urine using sterile procedure.
Q3) What step should the nurse take to obtain a vaginal specimen for a culture?
A)Apply sterile gloves.
B)Assist the patient to a side-lying position.
C)Collect discharge from the perineum on the same swab.
D)Insert the swab to 1 inch into the orifice and rotate before removal.
Q4) A common test performed on fecal material is the ________ test for fecal occult blood.
Q5) The least traumatic method of obtaining a blood specimen is known as __________.
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Chapter 44: Diagnostic Procedures
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Q1) You are caring for a patient who has received moderate sedation for a procedure at the bedside.Which task can you delegate to the nurse assistant during this procedure?
A)Assessing sedation score
B)Obtaining blood pressure
C)Monitoring respiratory rate
D)Recording urine output
Q2) A patient who is a candidate for an upper gastrointestinal endoscopy has:
A)been NPO for 8 hours.
B)evident respiratory distress.
C)active gastrointestinal bleeding.
D)an esophageal diverticulum.
Q3) An _______________ permits visualization of the vasculature of an organ and the organ's arterial system.
Q4) In which position is the patient usually placed for a thoracentesis?
A)Dorsal recumbent position
B)Supine with the arms over the head
C)Sims' position on the affected side
D)Sitting and leaning over a bedside table
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