Basic Nursing Skills Test Preparation
Course Introduction
This course introduces students to the fundamental skills required for safe and effective nursing practice. It covers essential concepts such as patient hygiene, vital signs assessment, mobility assistance, infection prevention, therapeutic communication, and basic documentation. Through a combination of classroom instruction, lab demonstrations, and supervised clinical experiences, students develop the foundational knowledge and hands-on competencies necessary to provide quality care to diverse patient populations in various healthcare settings.
Recommended Textbook
Clinical Nursing Skills and Techniques 9th Edition by Perry
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44 Chapters
1281 Verified Questions
1281 Flashcards
Source URL: https://quizplus.com/study-set/3544
Chapter 1: Using Evidence in Practice
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70370
Sample Questions
Q1) A well-developed PICOT question helps the nurse:
A)search for evidence.
B)include all five elements of the sequence.
C)find as many articles as possible in a literature search.
D)accept standard clinical routines.
Answer: A
Q2) __________________ are the gold standard for research.
Answer: Randomized controlled trials
Q3) When evidence-based practice is used,patient care will be:
A)standardized for all.
B)unhampered by patient culture.
C)variable according to the situation.
D)safe from the hazards of critical thinking.
Answer: C
Q4) _________________ is a guide for making accurate,timely,and appropriate clinical decisions.
Answer: Evidence-based practice
Q5) Evidence-based practice requires good ______________.
Answer: nursing judgment
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Chapter 2: Admitting, transfer, and Discharge
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The patient is being transferred from the intensive care unit to the acute care unit.The nurse must ensure that the following activities are completed:
A)providing the receiving nurse with a report before the transfer.
B)determining any equipment needs for the patient during the transfer.
C)providing an updated report after transferring the patient to the receiving unit.
D)making sure a registered nurse accompanies the patient.
Answer: A,B,C
Q2) The phase of the discharge process where medical attention dominates discharge planning efforts is known as the _____ phase.
A)transitional
B)continuing
C)acute
D)multidisciplinary
Answer: C
Q3) Completing and documenting an accurate medication history from the patient is the important first step in the _____________ process.
Answer: medication reconciliation
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4
Chapter 3: Communication and Collaboration
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The patient is an elderly man who was brought to the hospital from an assisted-living community with complaints of anorexia and general malaise.The nurse at the assisted-living community reported that the patient was very ritualistic in his behavior and fastidious in his dress and always took a shower in the evening before bed.The patient became very angry and upset when the patient care technician asked him to take his bath in the morning.What does this behavior tell the nurse?
A)The patient is exhibiting anxiety because of a change in his rituals.
B)The patient is suffering from sensory overstimulation.
C)The patient is basically an angry person.
D)The patient has to follow hospital protocol.
Answer: A
Q2) Lack of verbal communication for a therapeutic reason is known as ___________________.
Answer: therapeutic silence
Q3) The nurse is starting her first set of morning rounds.As she interacts with the patient,her questions revolve around his reactions to his disease process.She also asks if there is anything that she can do to make him more comfortable.This type of interaction is known as _______________.
Answer: therapeutic communication
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Page 5
Chapter 4: Documentation and Informatics
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Multidisciplinary care plans that include key interventions and expected outcomes within an established time frame are known as _______________.
Q2) The nurse manager is attempting to determine the staffing needs of the unit.One tool that she may use to determine the level of care needed would be:
A)the standardized care plan.
B)the acuity record.
C)the patient care summary.
D)flow sheets.
Q3) To limit liability,nursing documentation must clearly indicate that the nurse provided individualized,goal-directed nursing care to a patient based on the _____________________.
Q4) ___________________ provide a format for documenting a patient's health status and progress.
Q5) __________________ documentation should include your observations of patient behavior.
Q6) ________________ provide a quick,easy reference for health care team members in assessing the patient's status.
Q7) The abbreviation for every day (___)is no longer used.
Page 6
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Chapter 5: Vital Signs
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) The patient has an order to be off the floor for 15 minutes every 2 hours to smoke a cigarette.The patient has just returned from his "cigarette break." The nurse is about to take the patient's radial pulse and should:
A)wait about 15 minutes before taking his pulse.
B)use her thumb to detect the pulse and get an accurate count.
C)press hard to detect the pulse and get an accurate count.
D)take his pulse for 15 seconds and multiply by 4.
Q2) The patient was found in an alley on a cold winter night and is admitted with hypothermia from environmental exposure.She is elderly and is having difficulty breathing.Her breath sounds are diminished,and the tip of her nose is cyanotic.The nurse wants to assess the oxygen level in the patient's blood.She decides to use the pulse oximeter.The best way to apply this to this patient would be with a(n):
A)finger probe.
B)earlobe sensor.
C)forehead sensor.
D)toe sensor.
Q3) When heat loss mechanisms are unable to keep pace with heat production,____________ is the result.
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Chapter 6: Health Assessment
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) Which technique is most appropriate for a nurse to implement during the assessment of the abdomen?
A)Assessing painful areas first
B)Auscultating for 5 minutes over each quadrant
C)Positioning the patient in a supine position with the arms behind or over the head
D)Palpating painful masses or organ enlargement deeply and firmly
Q2) How does a nurse appropriately measure intake and output?
A)Recording 50% of ice chip consumption
B)Checking urinary output every 24 hours
C)Emptying the chest tube drainage every 2 hours
D)Subtracting liquid medications from the total intake
Q3) During assessment of a patient with anemia,a nurse is alert for the presence of: A)pallor.
B)jaundice.
C)cyanosis.
D)erythema.
Q4) Increased visibility of oxyhemoglobin caused by dilation or increased blood flow is known as ________________.
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Chapter 7: Specimen Collection
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) What should the nurse do after obtaining a sample for an arterial blood gas (ABG)?
A)Maintain pressure over the site for 3 to 5 minutes.
B)Check the artery proximal to or above the puncture site.
C)Place the syringe into a plastic bag,and send it to the lab.
D)Apply a cool compress to hematoma formation at the puncture site.
Q2) An appropriate technique that the nurse can tell the patient to implement before obtaining a sputum specimen is to:
A)use mouthwash before the collection.
B)splint the surgical incision before coughing.
C)try to obtain a sample immediately after eating.
D)take a deep breath,cough hard,and expectorate.
Q3) A common test performed on fecal material is the ________ test for fecal occult blood.
Q4) When obtaining laboratory specimens,the nurse needs to be aware that:
A)specimen collection may cause anxiety and embarrassment.
B)sociocultural variations may affect a patient's compliance.
C)contact isolation precautions are required for collection of blood.
D)two identifiers,including room number,must be used.
Q5) _______________ organisms grow in superficial wounds exposed to the air.
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Chapter 8: Diagnostic Procedures
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/70377
Sample Questions
Q1) A _____________ involves the introduction of a needle into the subarachnoid space of the spinal column.The purpose of this test is to measure pressure in the subarachnoid space; obtain cerebrospinal fluid (CSF)for visualization and laboratory examination; and inject anesthetic,diagnostic,or therapeutic agents.
Q2) The nurse is preparing to assist with a bone marrow aspiration on a 3-month-old infant.The nurse may expect that the physician will use which site to perform the aspiration?
A)Sternum
B)Anterior iliac crest
C)Proximal tibia
D)Posterior iliac crest
Q3) ____________ are sterile invasive procedures involving the removal of body fluids or tissue for diagnostic procedures.
Q4) For an upper gastrointestinal endoscopy,a nurse should:
A)remove the patient's dentures.
B)suction the patient every 5 minutes.
C)place the patient in high-Fowler's position.
D)provide fluids immediately after the test is finished.
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Page 10
Chapter 9: Medical Asepsis
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/70378
Sample Questions
Q1) The nurse shows an understanding of the psychological implications for a patient on isolation when planning care to control the risk for:
A)denial.
B)aggression.
C)regression.
D)isolation.
E)depression.
Q2) ________________ is the absence of pathogenic (disease-producing)microorganisms.
Q3) An appropriate technique for the nurse to implement for the patient on isolation precautions is to:
A)double-bag all disposable items and linens.
B)put another gown over the one worn if it has become wet.
C)place specimen containers in plastic bags for transport.
D)hand items to be reused directly to a nurse standing outside the room.
Q4) OSHA and CDC guidelines require health care workers who care for suspected or confirmed TB patients to wear special ________________.
Q5) The nurse is preparing to provide care for the patient.Before making patient contact,she washes her hands.This practice is known as __________________.
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Chapter 10: Sterile Technique
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70379
Sample Questions
Q1) A nurse is preparing a sterile field for a dressing change using surgical aseptic technique.The nurse gathers supplies to prepare the sterile field using a packaged drape.Which option correctly describes how the nurse should set up the field?
A)Don sterile gloves before opening the packaged drape.
B)Clean the bottle of irrigation solution with alcohol before placing the bottle on the field.
C)Avoid dropping sterile supplies close to the 1-inch border around the drape.
D)Leave the sterile field unattended to obtain needed supplies.
Q2) The nurse is applying for a job at a local hospital.She wants to look her best for the interview and decides to wear artificial nails.She does this knowing that artificial nails:
A)are appropriate in the ICU setting as long as the nurse washes her hands frequently.
B)can lead to fungal growth under the nail.
C)can actually lower the bacterial count on the hands because they cover the natural nail.
D)are banned only in areas where patients are critically ill.
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Chapter 11: Safe Patient Handling, transfer, and Positioning
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/70380
Sample Questions
Q1) Which of the following risk factors contribute to complications of immobility?
A)Paralysis
B)Traction
C)Arterial insufficiency
D)Incontinence
E)Constipation
Q2) A nurse is reviewing the patient assignment for the day.Of all the patients,which individual has the greatest potential for injury during transfers?
A)Diabetes mellitus
B)Myocardial infarction
C)A cerebrovascular accident
D)An upper extremity fracture
Q3) To position a patient with hemiplegia in Fowler's position,the nurse should:
A)elevate the head of the bed 15 to 30 degrees.
B)place the patient in the prone position.
C)position a spastic hand with the fingers extended using hand rolls.
D)position the patient's head with slight hyperextension of the neck.
Q4) The coordinated effort of the musculoskeletal and nervous systems in maintaining balance,posture,and body alignment is known as _______________.
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Chapter 12: Exercise Mobility
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/70381
Sample Questions
Q1) The nurse is applying a continuous passive motion (CPM)machine to the patient's leg.To do so,she must:
A)provide analgesia 1 hour before starting the CPM.
B)stop the CPM when in extension and place a sheepskin on the machine.
C)align the patient's joint with the CPM's mechanical joint.
D)secure the patient's extremity tightly with Velcro straps.
Q2) When teaching the use of a three-point crutch gait,the nurse should instruct the patient to move:
A)both crutches and the affected leg first,then the stronger leg.
B)the right crutch,left foot,left crutch,and right foot in sequence.
C)the left crutch and right foot,then move the right crutch and left foot.
D)both crutches,then lift and swing the legs forward as far as the crutches.
Q3) Graduated compression stockings are ordered for the patient on bed rest after surgery.The nurse explains to the patient that the primary purpose for the elastic stockings is to:
A)keep the skin warm and dry.
B)prevent abnormal joint flexion.
C)apply external pressure.
D)prevent bleeding.
Q4) A person's inability to move about freely is known as _______________.
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Chapter 13: Support Surfaces and Special Beds
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/70382
Sample Questions
Q1) What is the primary purpose for the use of a support surface?
A)To reduce pressure
B)To promote patient comfort
C)To increase circulation
D)To facilitate patient movement
Q2) After comparing the following support surfaces,the nurse realizes that an extremely obese patient should benefit from the use of a(n):
A)bariatric bed.
B)foam mattress.
C)water mattress.
D)air-fluidized bed.
Q3) The patient requires a support surface to help prevent pressure ulcers.He has a large open wound on his leg that is dressed daily.The nurse must choose which support surface would be most appropriate.What does the nurse realize when comparing the different types of support surfaces?
A)Water mattresses are better for patients with open wounds.
B)Air-surface beds cannot be used if the patient needs CPR.
C)Water mattresses make it hard to regulate patient body temperature.
D)Air mattresses reduce shear and friction.
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Page 15
Chapter 14: Patient Safety
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/70383
Sample Questions
Q1) Which of the following fall prevention strategies should the nurse perform on all hospitalized patients?
A)Conduct hourly rounds.
B)Provide the patient regular toileting.
C)Assess the patient's comfort needs.
D)Evaluate the effectiveness of pain medication.
Q2) The patient is admitted to the hospital with orders for activity as tolerated.He is wheelchair-bound at home and has brought his own electric wheelchair and battery charger to help him maintain mobility.The nurse realizes that:
A)patients are not allowed to bring in an electric wheelchair.
B)electrical equipment is banned from all hospitals.
C)the charger needs to be checked by hospital engineers.
D)electrical devices are not a cause for concern.
Q3) What should the nurse do to prevent a patient from aspirating during a seizure?
A)Insert an oral airway.
B)Restrain the patient securely.
C)Sit the patient upright.
D)Turn the patient onto his/her side.
Q4) __________ are the most common type of inpatient accident.
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Chapter 15: Disaster Preparedness
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/70384
Sample Questions
Q1) How is a disaster best defined?
A)Any event or situation that results in multiple casualties and/or deaths
B)A catastrophic and/or destructive event that disrupts normal functioning
C)An industrial accident and unplanned release of nuclear waste
D)An event that results in human casualties that overwhelm available health care resources
Q2) The patient is admitted to the emergency department with possible smallpox exposure.The patient has never had a smallpox immunization.The nurse prepares to administer a smallpox vaccination,realizing that vaccination:
A)within 3 days of exposure will completely prevent the disease.
B)is effective only if received before exposure.
C)4 to 7 days after exposure will completely prevent the disease.
D)within 3 days will offer only some protection from disease.
Q3) Which of the following are goals of the Department of Homeland Security (DHS)?
A)Prevention of terrorist attacks
B)Response to disasters
C)Recovery from disasters
D)Coordination of efforts among agencies
Q4) An outbreak of influenza A in the same geographical location is known as an
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Chapter 16: Pain Management
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) Which of the following are characteristics of cancer pain?
A)It may be acute.
B)It may be chronic.
C)It usually is related to tumor recurrence or treatment.
D)It often is of less intensity than the patient reports.
Q2) The nurse frequently must assess a patient who is experiencing pain.When assessing the intensity of the pain,the nurse should:
A)ask whether there are any precipitating factors.
B)question the patient about the location of the pain.
C)offer the patient a pain scale to objectify the information.
D)use open-ended questions to find out about the sensation.
Q3) ________________ draws on internal experiences of memories,dreams,fantasies,and visions; explores the inner world of experience; protects the privacy of the patient; and fosters the imagination.
Q4) __________________ is an interactive method of pain management that permits patient control over pain through self-administration of analgesics.
Q5) ___________ has an identifiable cause and rapid onset and generally disappears with healing.
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Chapter 17: Palliative Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) Grief that occurs before an actual loss or death and involves gradual disengagement from what is being lost is known as which type of grief?
A)Anticipatory
B)Complicated
C)Uncomplicated
D)Normal
Q2) The irreversible absence of all brain function is termed ______________.
Q3) Hospice benefits include which of the following?
A)Respite for family caregivers
B)Hospitalization for acute symptom management
C)Emotional and psychological support
D)Financial assistance and funeral arrangement
Q4) The patient was brought into the emergency department with a cardiac arrest after suffering multiple gunshot wounds.The patient did not survive even after multiple attempts at resuscitation.The nurse is preparing the body for transport to the morgue by completing hospital procedures for __________________.
Q5) An _______________ is the surgical dissection of a body after death.
Q6) _____________ helps people live as well as possible through the dying process.
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Chapter 18: Personal Hygiene and Bed Making
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) Regular oral hygiene is necessary to maintain the integrity of tooth surfaces and to prevent gum inflammation known as ____________.
Q2) What should the nurse do before starting a patient's bed bath?
A)Lower the bed.
B)Offer the bedpan or urinal.
C)Partially undress the patient.
D)Place the head of the bed in high-Fowler's position.
Q3) The nurse is caring for a ventilated patient in the ICU who has just undergone coronary artery bypass.The nurse is concerned that the patient may be at risk for ventilator-acquired pneumonia (VAP).What step will she take to minimize this risk?
A)Not provide oral hygiene because this may cause bacterial contamination of the airway.
B)Be careful not to use chlorhexidine in oral care because it provides a medium for bacterial growth.
C)Not use chlorhexidine in oral care because it enhances the rate at which VAP develops.
D)Include the use of a chlorhexidine rinse as part of oral hygiene to delay the development of VAP.
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Page 20
Chapter 19: Care of the Eye and Ear
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which of the following nursing interventions would the nurse perform first after a patient sustained a chemical splash injury to the eye?
A)Assess visual acuity.
B)Flush the eye with large amounts of irrigation fluid.
C)Assess level of pain.
D)Determine whether the pupils are equal,round,reactive to light and accommodation (PERRLA).
Q2) When removing a soft contact lens,the nurse finds that it is sticking together.What should the nurse do next?
A)Rub the lens briskly.
B)Soak the lens in saline.
C)Place cleansing solution on the lens.
D)Pry the lens apart with the fingertips.
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.
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Page 21
Chapter 20: Safe Medication Preparation
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) The nurse is preparing to administer medication to a patient who is alert and oriented.When medications are reviewed with the patient,the patient states that he does not take metoprolol.Which action by the nurse is most appropriate?
A)Ignore the patient's statement and give the medication.
B)Withhold the medication.
C)Convince the patient that the doctor ordered it,and he should take it.
D)Give the medication and check the order afterward.
Q2) The _________________ of a drug is the blood serum concentration reached and maintained after repeated,fixed doses.
Q3) When controlled substances are administered,which action is required by the nurse?
A)Discard and sign for unused quantities.
B)Count the amount of medication daily.
C)Keep narcotics to be given with other patient medications.
D)Have a second nurse witness disposal of unused portions and sign the record.
Q4) The intended or desired physiological response to a medication is known as its ____________.
Q5) Medication safety is always one of the ______________ set by The Joint Commission.
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Chapter 21: Administration of Nonparenteral Medications
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) The patient is to receive three different medications via a nasogastric tube.What is the total amount of water the nurse should prepare to administer?
A)30 mL of water
B)60 mL of water
C)90 mL of water
D)250 mL of water
Q2) Several patients have been prescribed inhalation medications.The nurse is aware that a spacer will be beneficial for which patient?
A)A young child using a dry powder inhaler
B)An elderly patient who uses a metered-dose inhaler
C)A teenager who has just started using a nebulizer
D)A young child who needs medication several times per day
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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23
Chapter 22: Administration of Parenteral Medications
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The health care provider orders 4 units of regular insulin and 10 units of NPH insulin subcutaneous before breakfast.The nurse draws the regular insulin into the syringe and is preparing to draw the NPH insulin into the same syringe.When finished,the syringe should contain _________ units.
Q2) The nurse administers a tuberculin screening test to a patient who has no known risk factors for tuberculosis (TB).When the test site is read 48 hours later,which result is considered positive?
A)Induration of 2 mm or more
B)Induration of 5 mm or more
C)Induration of 10 mm or more
D)Induration of 15 mm or more
Q3) The most frequent route of exposure to bloodborne disease for health care workers is needlestick injury.The nurse recognizes that implementation of _________________ can prevent needlestick injury.
Q4) The nurse injects the medication into the loose connective tissue just under the dermis when giving a _____________ injection.
Q5) The patient is receiving allergy testing.The nurse is using the inner forearm to inject the allergen into the ____________.
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Chapter 23: Oxygen Therapy
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29 Flashcards
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Sample Questions
Q1) The ________,also called a Briggs adaptor,connects an oxygen source to an artificial airway such as an endotracheal tube.
Q2) The patient is on mechanical ventilation.Which actions by the nurse are appropriate?
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.
Q3) The nurse is assessing a patient for hypoxia and observes a bluish discoloration in the following areas.Which areas indicate hypoxia?
A)Oral mucosa
B)Conjunctiva of the eye
C)Around the lips
D)On the nail beds
Q4) In noninvasive ventilation,________________ keeps the terminal airways (alveoli)partially inflated,reducing the risk for atelectasis.
Q5) A condition in which oxygen is insufficient to meet the metabolic demands of the tissues and cells is known as __________________.
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Chapter 24: Performing Chest Physiotherapy
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse is planning to perform postural drainage on a patient who is receiving continuous tube feedings.What should the nurse do before performing the treatment?
A)Stop the tube feedings for 1 to 2 hours before and after postural drainage.
B)Check for residual feeding in the patient's stomach and hold treatment if greater than 100 mL.
C)Give the prescribed inhaled bronchodilator 20 minutes before the procedure.
D)Auscultate all lung fields,assess vital signs,and draw arterial blood gas levels (ABG).
Q2) To move secretions from small distal airways into larger central airways,the nurse would use ________________ and _______________.
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.
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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 suctioning a patient with an endotracheal tube.Which action should the nurse take when the patient develops respiratory distress?
A)Quickly remove the catheter and carefully reinsert it.
B)Continue to apply intermittent suction to remove thick secretions.
C)Administer oxygen directly through the suction catheter.
D)Withdraw the catheter and encourage the patient to cough and deep-breathe.
Q2) 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
Q3) The nurse is assessing several patients who have returned from surgery.Which finding most likely indicates a need for suctioning?
A)Complaint of pain when breathing
B)Cough producing thick yellow mucus
C)Oxygen saturation level of 88%
D)Drowsiness and respiratory rate of 8
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Page 27
Chapter 26: Cardiac Care
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/70395
Sample Questions
Q1) In order to determine the patient and family caregiver's level of understanding of the rationale for obtaining the 12-lead ECG,the nurse most effectively utilizes which of the following statements?
A)Can you tell me why you need this test?
B)Did you experience pain during the test?
C)Can you tell me when the test results will be shared with you?
D)Can you give me your name and date of birth?
Q2) The nurse is reviewing the patient's Do Not Resuscitate orders when the cardiac alarm sounds.The rhythm is chaotic with no identifiable waves and the rate cannot be determined.Based on these clinical findings,the nurse determines that the patient is in which of the following cardiac rhythms?
A)Asystole
B)Ventricular fibrillation
C)Ventricular tachycardia
D)Sinus bradycardia
Q3) When preparing the skin before ECG electrode placement,clipping the hair in the electrode area is preferred over shaving due to risk of _________________.
Q4) ECG tracings that cannot be interpreted are known as _________________.
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Chapter 27: Closed Chest Drainage Systems
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30 Flashcards
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Sample Questions
Q1) The patient's chest tube is attached to a one-way flutter valve that allows air to escape the chest cavity and prevents air from reentering.How does the nurse document this finding?
A)Heimlich chest drain valve
B)Pneumovax
C)Water seal
D)Pleurovac
Q2) Appropriate intervention for the patient who is having a reinfusion of chest tube drainage is noted when the nurse:
A)hangs the reinfusion lower than the usual intravenous (IV)bag.
B)uses a microaggregate filter on the reinfusion bag.
C)maintains 500 mm Hg pressure in the gravity blood cuff.
D)keeps the clamps open on the drainage tubing during bag transfer.
Q3) 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
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Page 29
Chapter 28: Emergency Measure for Life Support
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) While measuring an oral airway for proper fit,the nurse places the airway so that the flange is held parallel to the front teeth with the airway against the patient's cheek.Where is the end of the curve?
A)At the angle of the jaw
B)Above the ear
C)To the level of the nose
D)Upside down
Q2) In the event of cardiopulmonary arrest,all patients receive cardiopulmonary resuscitation (CPR)unless otherwise indicated in the patient's _________________.
Q3) The nurse is preparing to insert an oral airway in a patient who is exhibiting signs of potential respiratory distress.The nurse knows that candidates for oral airway placement are those:
A)with oral trauma.
B)with loose teeth.
C)who are unconscious.
D)who have had recent oral surgery.
Q4) The most common cause of airway obstruction in an unresponsive patient is the
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Chapter 29: Intravenous and Vascular Access Therapy
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/70398
Sample Questions
Q1) The nurse is caring for a patient receiving intravenous therapy.The nurse should report which of the following to the primary care provider?
A)Completion of each liter of fluid
B)Initiation of intravenous (IV)fluids
C)Small infiltration
D)Extravasation
Q2) Which patient would a nurse anticipate would be a candidate for a peripherally inserted central catheter (PICC)?
A)An older adult who is having cataracts removed
B)A perinatal patient who is having prolonged labor
C)A neonate requiring blood therapy
D)An adolescent who is having surgery for reduction of a fracture
Q3) While assessing the patient's intravenous (IV)catheter site,the nurse notes that the site is reddened and warm.The patient states that it is "sore." The nurse recognizes these as signs of ____________.
Q4) Intravenous pumps that have built-in software programmed from health care pharmacy databases with unit-specific profiles are known as ______________.
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Chapter 30: Blood Therapy
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29 Flashcards
Source URL: https://quizplus.com/quiz/70399
Sample Questions
Q1) The patient is to receive 2 units of packed red blood cells (RBCs).Before administering the blood,what does the nurse need to do?
A)Insert an 18-gauge intravenous (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) What is the purpose of administering a transfusion?
A)Restore intravascular volume.
B)Restore the oxygen-carrying capacity of blood.
C)Provide clotting factors.
D)Improve blood pressure.
Q3) The patient is brought to the emergency department after a motor vehicle accident and has lost a large volume of blood.The patient's blood type is AB.Which blood type may this patient safely receive in transfusion?
A)Only type AB blood
B)Only type O blood
C)All blood types
D)Only type A blood
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Chapter 31: Oral Nutrition
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/70400
Sample Questions
Q1) _______________ is useful for monitoring short-term changes in visceral protein.
Q2) The patient is admitted with a diagnosis of stroke.The nurse attempts to feed the patient,but the patient coughs and gags when food is placed in his mouth.What should the nurse do to assist this patient?
A)Feed the patient more slowly.
B)Feed the patient more quickly.
C)Contact the speech pathology department.
D)Ignore the cough and try again later.
Q3) The nurse is admitting a person to the unit and is assessing the patient's nutritional status.In assessing the patient's nutritional status,the nurse realizes that:
A)body mass index (BMI)is the main indicator of obesity.
B)ideal body is the standard gauge for nutritional status.
C)clinical judgment is required,along with other indicators.
D)the amount of weight change is the main nutritional indicator.
Q4) Which of the following is a sign of vitamin C deficiency?
A)Cheilosis (redness/swelling of the lips)
B)Glossitis
C)Spongy,bleeding,abnormal redness of the gingiva
D)Spoon-shaped,brittle,ridged fingernails
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Chapter 32: Enteral Nutrition
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/70401
Sample Questions
Q1) Which technique is appropriate for providing intermittent tube feeding once placement of the tube has been checked?
A)Cooling the formula
B)Lowering the head of the bed
C)Allowing the bag to empty gradually over 30 to 45 minutes
D)Adding food coloring to detect aspiration
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) The nurse determines that a nasogastric (NG)tube needs irrigation when she:
A)obtains more than 200 mL of residual volume.
B)obtains a small amount of thin watery residual.
C)does not encounter resistance when aspirating the residual.
D)obtains an unusually thick secretions.
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Chapter 33: Parenteral Nutrition
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14 Flashcards
Source URL: https://quizplus.com/quiz/70402
Sample Questions
Q1) The nurse is caring for a patient who is receiving parenteral nutrition (PN).The nurse realizes that PN is associated with which of the following risks?
A)Decreased mortality
B)Bloodstream infection
C)Pneumothorax
D)Decreased length of stay
E)Liver disease
Q2) A 72-year-old patient is admitted to the hospital with a medical diagnosis of intestinal failure.Which intervention should the nurse include in the plan of care to deliver nutritional needs?
A)Enteral nutrition (EN)
B)Parenteral nutrition (PN)
C)A combination of enteral and parenteral nutrition
D)Oral nutrition
Q3) If parenteral nutrition (PN)must be discontinued suddenly,hang __________ in water at the same infusion rate to prevent hypoglycemia.
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Chapter 34: Urinary Elimination
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27 Flashcards
Source URL: https://quizplus.com/quiz/70403
Sample Questions
Q1) The nurse is preparing the patient for a bladder scan to determine postvoid residual (PVR).Which of the following is part of the preparation?
A)Limit food intake for 2 hours before the scan.
B)Begin scan 10 minutes after the patient has voided.
C)Limit liquid intake for 30 minutes before the scan.
D)Administer an analgesic 30 minutes before the scan.
Q2) In assisting a male patient in using a urinal,which of the following actions should the nurse take?
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.
Q3) 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.
Q4) 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 ______________.
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Page 36
Chapter 35: Bowel Elimination and Gastric Intubation
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27 Flashcards
Source URL: https://quizplus.com/quiz/70404
Sample Questions
Q1) The patient is receiving a soapsuds enema but is having a difficult time retaining the fluid.What action should the nurse take?
A)Give the enema slowly.
B)Place the patient in the dorsal recumbent position on a bedpan.
C)Give the enema with the patient on the toilet.
D)Give the enema in the right lateral position.
E)Give the enema faster.
Q2) _____________ is defined by a number of signs including infrequent bowel movements,difficulty evacuating,hard stools,and inability to defecate.
Q3) A patient is admitted for constipation.When planning care for this patient,the nurse recognizes that which interventions would help control constipation?
A)Increases in activity level
B)Elimination of laxative use
C)Decreased dietary fiber
D)Increased fluids
E)Timely response to urge to move bowels
Q4) An ___________ is the instillation of a solution into the rectum and sigmoid colon to promote defecation by stimulating peristalsis.
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Page 37
Chapter 36: Ostomy Care
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19 Flashcards
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Sample Questions
Q1) The nurse is preparing to catheterize a patient who has a urostomy and uses a two-piece pouch system.The nurse should take which action?
A)Place the patient in a semi-recumbent position.
B)Remove both pieces of the pouch system.
C)Remove the pouch and leave the barrier attached.
D)Use sterile gloves to remove the system.
Q2) In caring for a patient who had a fecal surgical diversion,which nursing intervention is essential?
A)Place a pouch over the newly created stoma.
B)Place a dressing over the stoma.
C)Wait several days before placing a pouch.
D)Prepare several pouches in advance.
Q3) The nurse has removed the patient's old urostomy pouch and is attempting to measure the stoma opening for placement of a new pouch.Which action should the nurse take next?
A)Place the patient in a prone position.
B)Cleanse the peristomal skin with warm soap and water.
C)Remove any stents that are in place.
D)Place rolled gauze at the stoma opening.
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Page 38
Chapter 37: Preoperative and Postoperative Care
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25 Flashcards
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Sample Questions
Q1) In planning care for a surgical patient,the patient asks the nurse what may be "left on" during the surgery.Understanding patient safety,the nurse tells the patient that which item may remain in place?
A)Hearing aid
B)Artificial limb
C)Pair of eyeglasses
D)Pair of contact lenses
Q2) When providing care for a postoperative patient,it is important for the nurse to include which postoperative exercise?
A)Turning every 4 hours
B)Completing leg exercises once daily
C)Repeating individual leg exercises 20 times
D)Performing exercises with the unaffected extremities
Q3) When assessing a postoperative patient,the nurse notes tenderness,redness,and swelling in the left calf.What should the nurse do next?
A)Massage the lower leg.
B)Contact the surgeon and prepare for heparin therapy.
C)Keep the leg in a dependent position.
D)Have the patient exercise that extremity.
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Page 39
Chapter 38: Intraoperative Care
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17 Flashcards
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Sample Questions
Q1) Which of the following are sources of contamination in the operating room?
A)A wristwatch
B)Chipped nail polish
C)Artificial fingernails
D)Abrasions on the hands
E)Tattoos to the arms
Q2) The _________________ is a nurse with advanced education who assists the surgeon with the surgical procedure,performing a combination of nursing and delegated medical functions and/or skills.
Q3) When one prepares to enter the operating room,which technique demonstrates the safest outcome?
A)Keeping the hands below the elbows
B)Applying surgical gloves before the scrub
C)Scrubbing for at least 3 to 5 minutes with an antimicrobial
D)Drying the hands and arms,starting at the elbow and moving toward the fingers
Q4) The ________________ is a "sterile" team member who provides the surgeon with instruments and supplies,disposes of soiled sponges,and accounts for sponges,sharps,and instruments in the surgical field.
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Page 40
Chapter 39: Pressure Injury Prevention and Care
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Patients are at risk for developing pressure ulcers on which areas of the body?
A)Coccyx
B)Nares
C)Ears
D)Genitalia
Q2) A _______________ is a localized injury to the skin and/or underlying tissue,usually over a bony prominence,as a result of pressure,or pressure in combination with shear and/or friction.
Q3) The nurse is turning a patient when she notices an area with nonblanchable redness over the patient's coccyx.The patient complains of pain at the site,and the site feels cooler than the areas immediately around the site.The nurse recognizes that this patient has developed:
A)a stage I pressure ulcer.
B)a stage II pressure ulcer.
C)an unstageable pressure ulcer.
D)deep tissue injury.
Q4) When skin layers adhere to the linens and deeper tissue layer move downward,________ damage occurs.
Q5) The removal of devitalized tissue in a wound is known as ______________.
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Chapter 40: Wound Care and Irrigations
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29 Flashcards
Source URL: https://quizplus.com/quiz/70409
Sample Questions
Q1) The nurse is explaining healing of a full-thickness wound to a patient.Which of the following phases should the nurse include in the explanation?
A)Hemostasis
B)Inflammation
C)Proliferation
D)Maturation
Q2) The nurse prepares to irrigate the patient's wound.What is the primary reason for this procedure?
A)Decrease scar formation.
B)Remove debris from the wound.
C)Improve circulation from the wound.
D)Decrease irritation from wound drainage.
Q3) What is an appropriate technique for the nurse to implement for drainage evacuation?
A)Replace the Hemovac drain fully expanded.
B)Attach the drainage tubing to the patient's gown.
C)Tilt the evacuator of the Hemovac away from the plug.
D)Complete the dressing change before the drainage evacuation.
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Chapter 41: Dressings,bandages,and Binders
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Source URL: https://quizplus.com/quiz/70410
Sample Questions
Q1) Hydrocolloid dressings are used for which of the following?
A)Maintaining a moist wound environment
B)Autolytic debriding of necrotic wounds
C)Absorption of moderately draining wounds
D)Protecting from friction
Q2) Which of the following tasks might be delegated to nursing assistive personnel (NAP)?
A)Pressure dressing to an actively bleeding wound
B)Chronic wound that needs a nonsterile moist-to-dry dressing change
C)Hydrogel dressing change
D)Wound assessment during the dressing change
Q3) The patient has a large,deep wound on the sacral region.The nurse correctly packs the wound by:
A)filling two-thirds of the wound cavity.
B)leaving saline-soaked folded gauze squares in place.
C)putting the dressing in very tightly.
D)extending only to the upper edge of the wound.
Q4) A _______________ is a clear,adherent,nonabsorptive,polyurethane moistureand vapor-permeable dressing that often is used for protection over high-friction areas and over intravenous (IV)catheters.
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Chapter 42: Therapeutic Use of Heat and Cold
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23 Flashcards
Source URL: https://quizplus.com/quiz/70411
Sample Questions
Q1) Advantages of moist heat over dry heat include which of the following manifestations?
A)Reduces drying of skin.
B)Softens wound exudate.
C)Does not cause skin maceration.
D)Penetrates deeply into tissue layers.
Q2) The nurse is removing a heating pad and notices that the skin beneath the pad is pink and warm to touch.How should the nurse respond?
A)Keep the pad in place the next time by pinning it with a safety pin.
B)Position the patient next time so that the patient is lying directly on the pad.
C)Document the findings.
D)Put the pad back on for an additional 20 to 30 minutes.
Q3) If a patient is ordered to receive a cold application for a sprain,the nurse should ensure:
A)a prolonged application time is available.
B)the body part is carefully aligned.
C)a colder temperature is applied.
D)extra packing is available under the cooling device.
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Chapter 43: Home Care Safety
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19 Flashcards
Source URL: https://quizplus.com/quiz/70412
Sample Questions
Q1) Activities of daily living (ADLs)include the patient's ability to bathe,dress,go to the toilet,transfer,maintain continence,and feed himself; _______ include the ability to use a telephone,prepare meals,travel,do housework,take medication,and shop.
Q2) The nurse is visiting an elderly patient who lives with his wife and daughter.He takes several daily medications,including antihypertensives,antiarrhythmics,diuretics,and pain medication.The patient's wife states that he takes all of the pills in the morning and some at night.The nurse should examine the pills and suggest which of the following?
A)Take the antiarrhythmics and antihypertensives together in the morning to prevent hypotension during sleep.
B)Take the diuretics at bedtime.
C)Increase the different types of pain medication to prevent addiction to one.
D)Administer at bedtime medications that are likely to cause confusion.
Q3) Common causes of falls in older patients include which of the following?
A)Gait disturbances
B)Muscle weakness
C)Visual impairments
D)Environmental hazards
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Chapter 44: Home Care Teaching
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34 Flashcards
Source URL: https://quizplus.com/quiz/70413
Sample Questions
Q1) What should the nurse first assess when preparing to teach a patient and/or family member how to read a thermometer?
A)Patient's actual temperature
B)Patient's ability to manipulate the thermometer
C)Family member's temperature
D)Patient's ability to take a pulse and respiratory rate as well
Q2) In teaching the patient the best sites for assessing blood pressure (BP),which of the following actions should the patient be taught to avoid?
A)Sites with intravenous catheters
B)Arms with arteriovenous shunts
C)Arms on the side of mastectomy
D)The left arm after a heart attack
Q3) Temperatures in the older adult are different from those in the younger adult.The mean oral temperature for older adults often ranges from ____________.
Q4) Oxygen-conserving devices (OCDs)reduce the amount of oxygen the patient uses,resulting in an overall cost reduction to the patient.The type of OCD that stores oxygen in a chamber during the expiratory phase of respirations is known as the
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