Basic Nursing Skills Test
Preparation
Course Introduction
Basic Nursing Skills introduces students to the foundational techniques and principles essential for providing effective nursing care. This course covers fundamental topics such as patient hygiene, vital signs assessment, infection control, mobility assistance, safety protocols, and basic wound care. Students will learn through a combination of theoretical instruction and hands-on practice in simulated healthcare settings, preparing them to perform essential nursing tasks with confidence, empathy, and professionalism. Emphasis is placed on effective communication, ethical standards, and the importance of patient-centered care in diverse 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) 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) In a clinical environment, evidence-based practice has the ability to improve: (Select all that apply.)
A)the quality of care provided.
B)patient outcomes.
C)clinician satisfaction.
D)patients' perceptions.
E)None of above
Answer: A, B, C, D
Q3) __________________ are the gold standard for research.
Answer: Randomized controlled trials
Individual randomized controlled trials (RCTs) are the gold standard for research (Titler and others, 2001).An RCT establishes cause and effect and is excellent for testing therapies.
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Page 3
Chapter 2: Admitting, Transfer, and Discharge
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/39772
Sample Questions
Q1) The greatest challenge in effective discharge planning is _______________.
Answer: communication
The greatest challenge in effective discharge planning is communication.The communication problem is minimized when an organization has a discharge coordinator or a case manager who is responsible for discharge planning.
Q2) While preparing for the patient's discharge, the nurse uses a discharge planning checklist and notes that the patient is concerned about going home because she has to depend on her family for care.The nurse realizes that successful recovery at home is often based on:
A)the patient's willingness to go home.
B)the family's perceived ability to care for the patient.
C)the patient's ability to live alone.
D)allowing the patient to make her own arrangements.
Answer: B
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Chapter 3: Communication
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/39773
Sample Questions
Q1) Verbal communication includes which of the following? (Select all that apply.)
A)Speech
B)Personal space
C)Body movement
D)Writing
Answer: A, D
Q2) Lack of verbal communication for a therapeutic reason is known as ___________________.
Answer: therapeutic silence
Lack of verbal communication for a therapeutic reason is known as therapeutic silence.It allows the patient time to think and gain insights, slows the pace of the interaction, and encourages the patient to initiate conversation, while conveying the nurse's support, understanding, and acceptance.
Q3) Which behavior should the nurse who is communicating with a potentially violent patient employ?
A)Sit closer to the patient.
B)Speak loudly and firmly.
C)Use slow, deliberate gestures.
D)Always block the door to prevent escape.
Answer: C
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Chapter 4: Documentation and Informatics
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/39774
Sample Questions
Q1) ___________________ provide a format for documenting a patient's health status and progress.
Q2) Nursing documentation must have which of the following characteristics? (Select all that apply.)
A)Factual
B)Organized
C)Public
D)Complete
Q3) When making written entries in the patient's medical record, describe the nursing care provided and the ____________.
Q4) Multidisciplinary care plans that include key interventions and expected outcomes within an established time frame are known as _______________.
Q5) Standardized care plans are effective ways to plan care for the patient.To be most effective, however, the SCP must be _________________.
Q6) The abbreviation for every day (___) is no longer used.
Q7) __________________ documentation should include your observations of patient behavior.
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Chapter 5: Vital Signs
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/39775
Sample Questions
Q1) During his initial screening, the patient's blood pressure was noted to be elevated.Two months after the first assessment, he was noted to have a blood pressure of 150/92 and 166/96 at different times during the visit.It is now a month and a half later, and the nurse is concerned because the patient's initial blood pressure on this visit was 154/94.She is preparing to take a second blood pressure, understanding that another reading in this range could lead to a diagnosis of:
A)hypotension
B)prehypertension
C)hypertension
D)orthostatic hypotension
Q2) ___________, a subjective symptom, is also referred to as a vital sign, along with the physiological signs.
Q3) After applying the sphygmomanometer to the patient's upper arm, the nurse inflates the cuff to the proper level, and then, using a stethoscope, listens for the __________________ sounds.
Q4) The nurse is taking a rectal temperature on an adult patient.She expects to insert the thermometer __________ inches.
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Chapter 6: Health Assessment
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/39776
Sample Questions
Q1) The general survey begins with a review of the patient's primary health problems and an evaluation of the patient's vital signs, height and weight, general behavior, and appearance.It also provides information about the patient's illness, hygiene, skin condition, body image, and emotional state.Which of the following cannot be delegated to nursing assistive personnel?
A)Reporting subjective signs and symptoms
B)Measuring the patient's height and weight
C)Monitoring I&O
D)Obtaining initial vital signs
Q2) Measurement of the patient's ability to differentiate between sharp and dull sensations over the forehead tests which cranial nerve?
A)Abducens
B)Facial
C)Trigeminal
D)Oculomotor
Q3) ________________ is a major cause of lung cancer, cerebrovascular disease, heart disease, and chronic lung disease.
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) What should the nurse do to break the chain of infection at the reservoir level?
A)Change a soiled dressing.
B)Keep drainage systems intact.
C)Cover the nose and mouth when sneezing.
D)Avoid contact of the uniform with soiled items.
Q2) 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.
Q3) The patient is admitted with mumps.The nurse knows that she will have to:
A)put the patient in a private room.
B)place the patient on standard precautions.
C)wear a mask when closer than 3 feet to the patient.
D)place the patient on contact precautions.
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Page 9
Chapter 8: Sterile Technique
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/39778
Sample Questions
Q1) The nurse is preparing to provide wound care for her patient.She realizes that the most effective way to decrease the bacterial count on her hands is to wash her hands using:
A)soap and water only.
B)a nonalcohol antiseptic alone.
C)a 50% alcohol-based antiseptic alone.
D)a 60% to 95% alcohol-based antiseptic alone.
Q2) The minimum standard for infection control as established by the Centers for Disease Control and Prevention (CDC) is _______________.
Q3) When removing the mask after an aseptic procedure, what should the nurse do first?
A)Remove gloves.
B)Untie top strings of mask.
C)Untie bottom strings of mask.
D)Untie top strings and let mask hang.
Q4) When performing sterile aseptic procedures, the nurse must create a _____________ in which objects can be handled with minimal risk for contamination.
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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) The most prevalent and debilitating occupational health hazard among nurses is:
A)footdrop.
B)pressure ulcers.
C)musculoskeletal disorders.
D)contractures.
Q3) The term _____________ refers to the conditions of the joints, tendons, ligaments, and muscles in various body positions.
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11
Chapter 10: Exercise and Ambulation
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/39780
Sample Questions
Q1) ____________ refers to an ability to move about freely.
Q2) Antiembolic stockings (TEDs) 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.
Q3) The patient is an elderly gentleman who has been on bed rest for the past several days.When getting the patient up, the nurse should:
A)tell the patient not to move his legs when dangling.
B)tell the patient to hold his breath while dangling.
C)raise the head of the bed and allow a few minutes before dangling.
D)have the patient stand without dangling.
Q4) The patient is performing ROM exercises independently.These are known as __________ exercises.
Q5) A drop in blood pressure that occurs when the patient changes position from a horizontal to a vertical position is known as _________________.
Q6) A person's inability to move about freely is known as _______________.
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) 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.
Q2) After applying a cast, the nurse should be able to insert _______ fingers between the cast and the limb.
Q3) An appropriate technique for the nurse to implement for a patient who is being placed in traction is to:
A)apply a traction boot tightly.
B)drop the weights after the traction is attached.
C)assess neurovascular status every 1 to 2 hours for the first day.
D)shave the hair off the area where traction is to be placed.
Q4) ____________________ consists of a metal frame that secures pins inserted through the bone above and below the fracture site.It stabilizes a fracture with hardware visible outside the body.
Q5) While in Buck's extension traction, the patient may be positioned on the back:
A)with the head of the bed elevated 45 degrees.
B)turning to the unaffected side for 10- to 15-minute periods.
C)with the buttocks slightly elevated off of the bed.
D)with the bed tilted toward the side that is opposite the traction.
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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 nurse is caring for a patient who is in an air-fluidized bed.She places the patient in semi-Fowler's position using foam wedges, even though she realizes that:
A)patients gain the greatest benefit from the prone position in an air-fluidized bed.
B)for resuscitation, she may have to increase the air pressure of the bed to do CPR.
C)she may have to increase the air pressure of the bed to turn the patient.
D)the foam wedges may decrease the effects of the bed.
Q2) What is the most important factor in preventing and treating pressure ulcers?
A)Proper use of foam or air mattresses
B)Proper utilization of an air-fluidized bed
C)Frequent repositioning of the patient
D)Proper use of a low-air-loss bed
Q3) The nurse understands that an _____________________using foam, air, water, or gel can be placed on top of the mattress to provide pressure relief.
Q4) The major cause of pressure ulcers is ________________.
Q5) It is recommended that the Rotokinetic bed stay in the rotation mode for at least _______ hours a day.
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14
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) The patient is an elderly gentleman who is admitted for a medical problem.While doing his admission assessment, the nurse learns that the patient gets up two to three times a night to use the restroom.The institution has only beds with four side rails.Which of the following is the appropriate rationale for leaving one of the lower side rails down?
A)Falls rarely happen in the inpatient setting.
B)Having all side rails raised increases the occurrence of falling.
C)Side rails have no bearing on whether or not a patient falls.
D)Patient falls rarely result in physical injury.
Q2) What should the nurse do to promote patient understanding and security in the health care setting?
A)Restrain the patient as necessary.
B)Explain all procedures to the patient.
C)Allow the patient more time alone.
D)Restrict activity as much as possible.
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.
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Page 15
Chapter 14: Disaster Preparedness
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/39784
Sample Questions
Q1) 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
Q2) An outbreak of an infectious disease such as SARS in many parts of the world is known as a ______________.
Q3) The patient is admitted with exposure to an unknown chemical.His clothing appears to be grossly contaminated.What should the nurse do? (Select all that apply.)
A)Avoid touching contaminated parts of clothing.
B)Pull the patient's tee shirt off over his head.
C)Cut the patient's clothes off.
D)Wash the patient with large amounts of soap and water.
Q4) A patient has been exposed to a toxic chemical.The nurse's first priority is
Q5) Releasing nuclear energy in an explosive manner as the result of a nuclear chain reaction is known as a ________________.
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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 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.
Q2) ________________ 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.
Q3) A nurse checks the continuous IV infusion for the intraspinal analgesia.The IV setup should be changed if:
A)tubing with a Y-port is attached.
B)an infusion pump is attached.
C)the tubing connections are all taped.
D)a diluted, preservative-free medication is used.
Q4) Catheter migration into the______________ can produce dangerously high medication levels.Only physicians and nurse anesthetists administer drugs in this space.
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17
Chapter 16: Palliative Care
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/39786
Sample Questions
Q1) A new staff member is working with a patient who is dying.A nurse evaluates that this new employee requires additional teaching when he or she is observed:
A)limiting the family's visiting hours.
B)staying with the patient and family as much as possible.
C)finding a quiet place for family members to gather.
D)asking the family if they would like to help with preparing the body.
Q2) An _______________ is the surgical dissection of a body after death.
Q3) Hospice benefits include which of the following? (Select all that apply.)
A)Respite for family caregivers
B)Hospitalization for acute symptom management
C)Emotional and psychological support
D)Financial assistance and funeral arrangement
Q4) An appropriate technique for the nurse to implement when caring for a patient's body after death is to:
A)remove the patient's ID band and put a new gown on the patient.
B)cover the patient with a sheet and transfer him or her to the morgue.
C)inquire about particular cultural or spiritual practices.
D)remove tubes and lines if the patient is to be autopsied.
Q5) The irreversible absence of all brain function is termed ______________.
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Chapter 17: Personal Hygiene and Bed Making
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/39787
Sample Questions
Q1) The nurse is preparing to provide a complete bed bath to a patient who has a running IV.She places a bath blanket over the patient and:
A)removes the gown from the arm with the IV first.
B)removes the gown from the arm without the IV first.
C)removes the gown after the bath to keep the patient warm.
D)readjusts the IV rate before removing the gown.
Q2) The patient confides in the nurse that she is bothered by the fact that she has alopecia.How should the nurse respond to this information?
A)Shave hair off of the affected area.
B)Use permethrin (Nix).
C)Offer the patient access to scarves or wigs.
D)Place a drop of oil on the area.
Q3) Many foot ulcers are due to repeat trauma over time, often caused by
Q4) 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.
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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) The patient with a nasogastric (NG) tube in place may experience skin breakdown:
A)in the nose.
B)on the tongue.
C)behind the ears.
D)around the lips.
Q3) The removal of devitalized tissue in a wound is known as ______________.
Q4) In a long-term care facility, how often should the nurse reassess a patient for risk of a pressure ulcer?
A)Every 1 to 2 days
B)Every time the nurse sees the patient
C)Weekly for the first few weeks of stay
D)Monthly for the first 4 months of stay
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Chapter 19: Care of the Eye and Ear
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/39789
Sample Questions
Q1) When caring for the patient with an artificial eye, the nurse realizes that:
A)the prosthesis must be cleansed daily.
B)implants are always visible.
C)modern implants move as the companion eye moves.
D)the prosthesis always is made of glass.
Q2) How does the nurse assess that a hearing aid is operating correctly?
A)Speaking very softly behind the patient
B)Covering the patient's unaffected ear and speaking
C)Determining the patient's response to a normal tone of voice
D)Removing the hearing aid and sending it to be checked by an audiologist
Q3) A _____________ is a small, battery-powered, electronic device that amplifies sound.
Q4) 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.
Q5) The substance found in the ear canal that has an antibacterial effect and maintains an acid pH is called ______________.
Page 21
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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) The nurse recognizes that patients with which conditions will have a reduction in the distribution of drugs? (Select all that apply.)
A)Peripheral vascular disease
B)Heart failure
C)Liver disease
D)Obesity
Q2) The nurse receives an order to give a drug parenterally.The nurse will administer this medication by which route?
A)Oral
B)Topical
C)Sublingual
D)Intramuscular
Q3) When do most medication errors occur? (Select all that apply.)
A)During hospital admission
B)During transfer from one unit to another
C)During discharge home
D)During discharge to another facility
E)None of above
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22
Chapter 21: Oral and Topical Medications
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/39791
Sample Questions
Q1) The nurse is teaching a mother how to administer nasal drops to her infant.What should be included in the teaching plan?
A)Over-the-counter nasal drops can be saved and used later.
B)Nasal decongestants are safe and have no serious side effects.
C)Infants should receive nose drops 20 to 30 minutes before feedings.
D)Infants are mouth breathers, so nasal medications are well tolerated.
Q2) What should the nurse do to assist a patient who is having difficulty swallowing tablets?
A)Administer the medication with less fluid.
B)Insert a nasogastric tube and instill the medication.
C)Crush the medications and administer with a small amount of food.
D)Administer the tablets one at a time with plenty of water.
Q3) The nurse is preparing to administer aspirin to a patient via an enteral feeding tube.Which form is appropriate for the nurse to administer?
A)Crushed chewable aspirin
B)Liquid aspirin
C)Enteric-coated aspirin
D)Sustained-release aspirin capsule
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Chapter 22: Parenteral Medications
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/39792
Sample Questions
Q1) A student nurse is preparing to administer an intramuscular injection into the ventrogluteal muscle.The nursing instructor should question which action by the student?
A)Asking the patient to assume a sitting position
B)Placing the heel of the hand over the patient's greater trochanter
C)Asking the patient to flex the knee and hip
D)Using the right hand to locate the injection site on the patient's left side
Q2) The nurse administers an injection of iron to a patient using the Z-track method.The nurse recognizes which of the following as advantages of this method? (Select all that apply.)
A)Provides faster absorption of the medication
B)Reduces discomfort from the needle
C)Prevents leakage of the medication into subcutaneous tissue
D)Prevents the drug from irritating sensitive tissue
Q3) 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.
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Chapter 23: Oxygen Therapy
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/39793
Sample Questions
Q1) The nurse is caring for several patients receiving oxygen by various delivery systems.Which assessment finding by the nurse indicates proper use of the oxygen device?
A)No mist is noted in a face tent.
B)The reservoir of the rebreathing mask collapses on inhalation.
C)The flow rate is between 1 and 6 L/min for a nasal cannula.
D)The flow rate for an oxygen hood is set at 3 L/min.
Q2) A patient with pneumonia is receiving supplemental oxygen.Which assessment finding(s) by the nurse should be reported as an early indication of hypoxia?
A)Cyanosis around the lips and oral mucosa
B)Anxiety and restlessness
C)Decrease in the level of consciousness
D)Decreased blood pressure and respiratory rate
Q3) The nurse is assessing a patient for hypoxia and observes a bluish discoloration in the following areas.Which areas indicate hypoxia? (Select all that apply.)
A)Oral mucosa
B)Conjunctiva of the eye
C)Around the lips
D)On the nail beds
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Page 25
Chapter 24: Performing Chest Physiotherapy
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/39794
Sample Questions
Q1) The nurse auscultates the patients' lung fields and notes congestion in several patients.The nurse anticipates that postural drainage may be used for the patient with which condition?
A)Congestive heart failure with pulmonary edema
B)History of cigarette smoking with recent hemoptysis
C)Chronic bronchitis with frequent coughing
D)Pulmonary embolism after a long international flight
Q2) The nurse is teaching family members how to perform postural drainage at home for a patient with chronic bronchitis.What instruction should the nurse provide?
A)Plan to perform postural drainage 3 times a day about 1 hour after meals.
B)Don't give any pain medication within 2 hours of performing postural drainage.
C)Perform postural drainage 20 minutes after the patient uses the inhaler.
D)Encourage the patient to remain in each position for 30 minutes to adequately drain the area.
Q3) To move secretions from small distal airways into larger central airways, the nurse would use ________________ and _______________.
Q4) ________________ is positioning the patient so that the position of the lung segment to be drained allows gravity to have its greatest effect.
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Chapter 25: Airway Management
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/39795
Sample Questions
Q1) The nurse is performing nasotracheal suctioning for a patient.Which action by the nurse is appropriate?
A)Applying intermittent suctioning while slowly withdrawing the suction catheter
B)Carefully pushing the suction catheter in and out while applying suction
C)Applying suction for 15 seconds or less
D)Asking the patient to deep-breathe for 15 seconds before passing the catheter a second time
Q2) The nurse is evaluating a patient to determine whether the endotracheal tube cuff is properly inflated.Which findings indicate proper inflation? (Select all that apply.)
A)Exhaled tidal volume is 50 mL less than the tidal volume set on the ventilator.
B)Air leak is heard with a stethoscope only at the end of inspiration.
C)The patient is able to vocalize.
D)Gastric contents are noted in airway secretions.
Q3) A _______________ is inserted directly into the trachea through a small incision made in the patient's neck.
Q4) A patient has extremely copious and thick oral secretions.The nurse provides oropharyngeal suctioning using a _________________ suction device.
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27
Chapter 26: Closed Chest Drainage Systems
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30 Verified Questions
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) The nurse is preparing to assist the physician in removal of a chest tube.What should the nurse do to prepare the patient? (Select all that apply.)
A)Assess the patient's need for pain medication.
B)Instruct the patient about the process.
C)Teach the patient to take a deep breath and hold it.
D)Clamp the chest tubes.
Q3) What condition is indicated when a patient with a chest tube experiences sharp, stabbing chest pain without a change in pulse or blood pressure?
A)Pneumonitis
B)Tube displacement
C)A myocardial infarction
D)A tension pneumothorax
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Page 28
Chapter 27: Emergency Measures for Life Support
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29 Flashcards
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Sample Questions
Q1) What is the nurse's responsibility for the patient after he has been intubated during a code event? (Select all that apply.)
A)Ventilate using a bag-mask device at a rate of 22 breaths per minute.
B)Auscultate the epigastric area.
C)Auscultate both lungs.
D)Call for a chest radiograph.
Q2) 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
Q3) Which sign or symptom of airway compromise may require insertion of an oral airway?
A)Ability of the patient to speak
B)Ability of the patient to cough forcefully
C)Presence of wheezing between coughs
D)Presence of gurgling with the respiratory cycle
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Page 29
Chapter 28: Intravenous and Vascular Access Therapy
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Sample Questions
Q1) An intravenous catheter that is inserted through a large arm vein and is advanced until the tip enters the central venous system is known as a __________________.
Q2) Central venous access devices (CVADs) can be used in the home, in the hospital, and in long-term care facilities for patients who require which of the following? (Select all that apply.)
A)Supplemental nutrition
B)Blood and blood products
C)Hemodynamic monitoring
D)Blood sampling
E)None of above
Q3) 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
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Chapter 29: Blood Transfusions
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29 Flashcards
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Sample Questions
Q1) 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.
Q2) Antibodies that react against the A and B antigens are naturally present in the plasma of people whose red blood cells do not carry the antigen.These antibodies react against the foreign antigens.Incompatible red blood cells clump together or _____________, which results in a life-threatening hemolytic transfusion reaction.
Q3) What primary intervention should a nurse who is preparing a blood transfusion perform?
A)Set up the Y tubing.
B)Obtain 0.9% saline.
C)Verify the blood product and the patient.
D)Have the patient void or empty the urine drainage container.
Q4) The presence or absence of specific antigens on the surface of red blood cells determines ___________________ in the ABO system.
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Chapter 30: Oral Nutrition
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28 Flashcards
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Sample Questions
Q1) The nurse is caring for an infant who is 3 months old and is being bottle-fed human milk.Will the nurse need to provide the infant with any additional sources of nutrition or fluids?
A)The infant will need extra water in between feedings.
B)The infant will need juice in between feedings.
C)No additional fluids will be needed between meals.
D)The child will need to start on infant cereal.
Q2) The nurse is preparing to assess the nutritional status of an 80-year old patient in a long-term care facility.What screening tool would best suit this purpose?
A)The Malnutrition Universal Screening Tool ( MUST )
B)Mini Nutritional Assessment ( MNA )
C)Anthropometric measurements
D)A daily nutrition intake log
Q3) The patient is on the dysphagia puree stage of the national dysphagia diet.Which of the following foods may the patient select?
A)Mashed potatoes
B)Dry cereals moistened with milk
C)Well-cooked noodles in gravy
D)Well-moistened cereals
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Page 32
Chapter 31: Enteral Nutrition
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23 Flashcards
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Sample Questions
Q1) The nurse is checking the residual volume on a patient who is getting intermittent tube feedings via his NG tube.Which of the following may indicate that the patient has started to bleed again?
A)The nurse obtains brown aspirate.
B)The nurse notices that the abdomen is distended.
C)The nurse obtains red aspirate.
D)The nurse notices severe respiratory distress.
Q2) The nurse is checking gastric residual on a patient who has a continuously running tube feeding.She finds that the patient has a 600-mL residual volume.How should the nurse respond?
A)Stop the tube feeding.
B)Slow the tube feeding.
C)Continue the tube feeding at the same rate.
D)Increase the rate of the tube feeding.
Q3) Before insertion of a nasogastric (NG) tube, of which finding should the physician be notified?
A)Patent nares
B)Absent bowel sounds
C)Evident gag reflex
D)Impaired swallowing
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Chapter 32: Parenteral Nutrition
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Sample Questions
Q1) The nurse is caring for a patient who is receiving PN.As part of therapy, the patient undergoes routine bedside glucose monitoring that reveals which expected outcome?
A)Lower than normal blood glucose to determine adequate tolerance for PN
B)Slightly higher than normal blood glucose to meet increased cellular needs
C)Slightly higher than normal blood glucose to prevent infection or systemic sepsis
D)Normal blood glucose to prevent associated complications
Q2) The nurse is caring for a patient receiving PN.In planning the patient's care for the day, which nursing assessment is most essential?
A)Electrolyte levels
B)Weight
C)Temperature
D)Condition of insertion site
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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Chapter 33: Urinary Elimination
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Sample Questions
Q1) __________________ involves the insertion of a urinary catheter directly into the bladder through the lower abdominal wall.Urine drains from the catheter into a urinary drainage bag.
Q2) The nurse is planning care for a 12-year-old female patient who needs a Foley catheter inserted.It is most important for the nurse to use a catheter of which size?
A)5 to 6 French (Fr)
B)8 to 10 Fr
C)12 Fr
D)14 to 16 Fr
Q3) The nurse is caring for a patient who is experiencing inadequate bladder emptying.To determine postvoid residual, which technique is most important for the nurse to implement?
A)Bladder scanner
B)Indwelling catheterization
C)Straight/intermittent catheterization
D)Foley catheterization
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.
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Page 35
Chapter 34: Bowel Elimination and Gastric Intubation
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28 Flashcards
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Sample Questions
Q1) What should the nurse do to verify nasogastric (NG) tube placement? (Select all that apply.)
A)Ask the patient to speak.
B)Inspect the posterior pharynx.
C)Aspirate back on the syringe.
D)Obtain an x-ray of the placement.
E)Auscultate the lung fields.
Q2) When care is provided for a patient with an NG tube in place, which intervention is safest for the nurse to implement?
A)Tape the tube up and around the ear on the side of insertion.
B)Secure the tubing to the bed by the patient's head.
C)Mark the tube where it exits the nose.
D)Change the tubing daily.
Q3) A bedpan that is designed for patients with body or leg casts or for patients restricted from raising their hips (e.g., following total joint replacement) is known as a
Q4) Infrequent bowel movements (less often than every 3 days), difficulty in evacuating feces, inability to defecate, and hard feces are signs of ________________.
Q5) The inability to pass a hard collection of stool is known as ______________.
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Chapter 35: Ostomy Care
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19 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who has an ostomy.The nurse notices that the effluent ranges from a thick liquid to a semi-formed stool.The nurse recognizes that this is indicative of which location?
A)Descending colon
B)Ileal portion of the small intestine
C)Sigmoid colon
D)Transverse or ascending colon
Q2) 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.
Q3) The output from a urinary or fecal stoma is called the _______________.
Q4) The opening created into the abdominal wall for fecal or urinary elimination is known as a _______________.
Q5) An opening that is in the ileal portion of the small intestine is an ____________.
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Page 37
Chapter 36: Preoperative and Postoperative Care
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Sample Questions
Q1) When providing care for a patient who has received spinal anesthesia, the nurse recognizes that which position prevents spinal headaches?
A)Prone
B)Lying on the side
C)Supine, with the head flat
D)Trendelenburg's position
Q2) While planning care for a surgical patient, the nurse recognizes that which of the following effects of hyperglycemia is seen in the immediate postoperative period?
A)Increases risk for infection in the diabetic patient only
B)Decreases risk for surgical site infection
C)Increases risk for infection in diabetic and nondiabetic patients
D)Has no effect on the body's ability to fight infection
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) The scrub nurse's hands are being washed in preparation for a surgical procedure.As the nurse finishes, the scrub nurse accidentally touches the faucet with one hand.Which action should the nurse take next?
A)Apply sterile gloves.
B)Apply a sterile gown.
C)Apply a sterile mask.
D)Wash her hands.
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) The nurse recognizes that evidence-based care is appropriate when the nurse witnesses the surgeon take which step?
A)Washing hands for a minimum of 15 minutes with soap and water
B)Using alcohol hand scrub for 15 minutes
C)Using alcohol combined with chlorhexidine gluconate hand scrubs
D)Using a combination of soap and alcohol as a scrub
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Page 39
Chapter 38: Wound Care and Irrigations
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Sample Questions
Q1) The nurse is in the process of irrigating the wound for a patient who has a large pressure ulcer on his buttock.How should the nurse proceed?
A)Use irrigation pressures of less than 4 psi.
B)Cleanse in a direction from most contaminated to least contaminated.
C)Irrigate so that the solution flows from least contaminated to most contaminated.
D)Irrigate with clean irrigation solution only.
Q2) The nurse is caring for a patient who has had major abdominal surgery.She is concerned about the possibility of dehiscence.During her assessment, she makes sure she assesses for which of the following contributing factors? (Select all that apply.)
A)Age
B)Malnutrition/obesity
C)Gender
D)Use of steroids
Q3) When is healing by primary intention expected?
A)When the wound is left open and is allowed to heal
B)When a surgical wound is left open for 3 to 5 days
C)When connective tissue development is evident
D)When the edges of a clean incision remain close together
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Chapter 39: Dressings, Bandages, and Binders
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Q1) 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
Q2) A __________ dressing comes in direct contact with the wound bed.
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) ___________ healing takes place when tissue is cleanly cut and the margins are reapproximated.
Q5) _____________ dressings cover or hold primary dressings in place.
Q6) _______________ dressings are used for wounds that require debridement.
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Page 41
Chapter 40: Therapeutic Use of Heat and Cold
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Sample Questions
Q1) If a patient on a hypothermia blanket starts to shiver, what action should the nurse take?
A)Discontinue treatment.
B)Place more padding around the patient.
C)Discuss with the physician the use of a metabolic stimulant.
D)Increase the temperature to a more comfortable range.
Q2) Advantages of moist heat over dry heat include which of the following? (Select all that apply.)
A)Reduces drying of skin
B)Softens wound exudate
C)Does not cause skin maceration
D)Penetrates deeply into tissue layers
Q3) The nurse is using cryotherapy for a patient with a sprained ankle.She is explaining the benefits to her patient.Which of the following statements made about the benefits of cryotherapy is correct?
A)It causes vasodilatation.
B)It provides local anesthesia.
C)It increases nerve conduction velocity.
D)It increases blood flow.
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Chapter 41: Home Care Safety
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Sample Questions
Q1) 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
Q2) Dementia is characterized by a gradual, progressive, irreversible _______ dysfunction.
Q3) 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.
Q4) Common causes of falls in older patients include which of the following? (Select all that apply.)
A)Gait disturbances
B)Muscle weakness
C)Visual impairments
D)Environmental hazards
E)None of above
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43
Chapter 42: Home Care Teaching
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Sample Questions
Q1) While teaching how to check for gastric residual, the nurse instructs the caregiver to delay the tube feeding if he or she obtains more than _________ mL of gastric aspirate.
Q2) Which of the following is an appropriate step when teaching temperature monitoring in the home?
A)Suggest aspirin to decrease fevers.
B)Recommend using only tympanic membrane sensors.
C)Encourage the use of alcohol rubs to reduce fevers.
D)Demonstrate the technique and have the client/caregiver perform it.
Q3) OCDs reduce the amount of oxygen the patient uses, resulting in an overall cost reduction to the patient.The type of OCD that delivers oxygen only during inspiration is called a _______________.
Q4) Which of the following is essential in teaching the patient how to use a thermometer?
A)Reading a digital thermometer
B)Shaking down the thermometer before use
C)Using the axillary thermometer
D)Selecting the most appropriate thermometer
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Page 44
Chapter 43: Specimen Collection
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Sample Questions
Q1) A patient is to have a venipuncture to obtain a blood sample to check ammonia levels.What should the nurse do when given this information?
A)Use pre-warmed test tubes.
B)Keep the specimen out of the light.
C)Avoid use of a tourniquet during the procedure.
D)Place the samples on ice before sending them to the lab.
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) When collecting specimens, the nurse should: (Select all that apply.)
A)wear gloves and perform hand hygiene.
B)handle excretions discreetly.
C)explain the procedure to the patient.
D)allow patients to collect their own urine specimens.
E)None of above
Q4) The least traumatic method of obtaining a blood specimen is known as __________.
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Chapter 44: Diagnostic Procedures
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Sample Questions
Q1) 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
Q2) What action should the nurse take after an angiography?
A)Limit the patient's fluid intake.
B)Have the patient ambulate as soon as possible.
C)Apply a pressure dressing to the vascular site.
D)Maintain the patient in a sitting position while he or she is in bed.
Q3) Both aspiration and biopsy diagnose and differentiate which of the following? (Select all that apply.)
A)Leukemia
B)Certain malignancies
C)Heart disease
D)Thrombocytopenia/anemia
Q4) ____________ are sterile invasive procedures involving the removal of body fluids or tissue for diagnostic procedures.
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