Clinical Nursing Practice
Exam Answer Key
Course Introduction
Clinical Nursing Practice is a course designed to provide students with hands-on experience in real healthcare settings, integrating theoretical knowledge with practical skills essential for patient care. Through supervised clinical rotations, students develop competencies in assessment, planning, implementation, and evaluation of nursing interventions across diverse patient populations. Emphasis is placed on effective communication, critical thinking, ethical decision-making, and the application of evidence-based practices. The course prepares students to function confidently and professionally as members of the interdisciplinary healthcare team, ensuring safe and compassionate care tailored to individual patient needs.
Recommended Textbook
Nursing Interventions and Clinical Skills 6th Edition by Anne Griffin Perry
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31 Chapters
849 Verified Questions
849 Flashcards
Source URL: https://quizplus.com/study-set/1935 Page 2
Chapter 1: Using Evidence in Nursing Practice
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/38560
Sample Questions
Q1) Which question is a problem-focused trigger?
A) What is known about reduction of urinary tract infections in the older adult with diabetes?
B) How can chronic pain best be described when the patient is nonverbal?
C) How long can an intravenous catheter remain in place in an obese patient?
D) What measures can the nurse take to reduce the rising incidence of urinary tract infections on the elder care unit?
Answer: D
Q2) What is the nurse attempting to determine when critiquing the evidence?
A) If the potential study is ethical to conduct
B) If there is enough evidence to ask a PICO question and change practice
C) If there are any experts in the clinical area to be researched
D) If the study is cost-effective if a change in practice occurs
Answer: B
Q3) What does the "I" indicate in a "PICO" question?
A) Intervention of interest
B) Incorporation of concepts
C) Implementation by nursing
D) Interest of personnel
Answer: A
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Chapter 2: Communication and Collaboration
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/38561
Sample Questions
Q1) The nurse brings the patient's medications into the room,and the patient shouts,"You don't care if I take these,so get out of my room!" Which response by the nurse is most likely to diminish the patient's anger?
A) "Who misinformed you about my feelings?"
B) "You seem very angry about the medications."
C) "We know each other; why are you saying this?"
D) "I cannot leave until you take these medications."
Answer: B
Q2) The nurse interviews a female patient during admission.Which observation by the nurse identifies congruency in the patient's communication?
A) Asserts she is eager to answer questions while reading a magazine
B) States that she wants information while frequently changing the subject
C) Asks the nurse to explain a surgical procedure while listening intently
D) Explains that she is relaxed while continuously shifting in her chair
Answer: C
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Chapter 3: Documentation and Informatics
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) An incident report is completed as a result of the pharmacy sending the wrong medication to the unit,even though the medication wasn't administered.Why would the nurse initiate an incident report?
A) To make sure that the pharmacy was blamed for the error and not the nurse
B) To help the pharmacy identify risks and prevent this situation from occurring again
C) To prevent the hospital from a medical malpractice suit
D) To get the healthcare provider's attention about ordering medications
Answer: B
Q2) A nurse passes by a computer screen that has patient information that can be seen by visitors.What is the appropriate action for the nurse to take at this time?
A) Leave the computer screen alone.
B) Try to find the nurse caring for this patient.
C) Document this situation on an incident report.
D) Close the computer screen.
Answer: D
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5
Chapter 4: Patient Safety and Quality Improvement
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) The nurse finds the patient pulling on the nasogastric tube (NGT)and surgical drain and fears that the patient will pull them out.Which nursing intervention should the nurse implement to maintain the patient's self-esteem and avoid applying restraints?
A) Cover or camouflage tubes and drains.
B) Provide constant activity for the patient.
C) Instruct family members to watch the patient.
D) Keep the patient close to the nurses' station.
Q2) The nurse listens to a family's request to bring a few familiar items into the room of a patient who is confused.How does the nurse justify the decision to allow personal items?
A) Personal items can increase patient agitation.
B) Personal items can restore cognitive function.
C) Personal items are likely to alienate the patient.
D) Personal items can comfort a confused person.
Q3) 4. Step 4
A)Remove nearby furniture.
B)Loosen restrictive clothing.
C)Maintain the patient's airway.
D)Ease the patient to a safe location.
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6
Chapter 5: Infection Control
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse is preparing to transfer a sterile voided urine specimen from the patient's bathroom to the laboratory.What supplies should he or she gather to complete this procedure?
A) Clean gloves, biohazard bag, mask
B) Plastic bag, gown, gloves
C) Sterile gloves, gown, biohazard bag
D) Clean gloves, plastic bag, biohazard label
Q2) A patient on isolation precautions tries to leave the isolation room because of loneliness despite repeated instructions to remain in the room.Which action should the nurse implement as a patient advocate?
A) Allow visitors to remove masks while in the patient's room.
B) Talk with the patient about ways to reduce the sense of loneliness.
C) Remind the patient that the isolation is for the patient's benefit.
D) Leave the door open slightly so the patient can see into hallway.
Q3) The nurse is caring for a patient with C.diff.What type of precautions should she use?
A) Airborne
B) Droplet
C) Contact
D) Protective
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Page 7
Chapter 6: Vital Signs
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) A patient has been experiencing some circulatory issues,and an apical-radial pulse is ordered.Nursing care is correct if which procedure is followed?
A) One nurse counts the apical pulse at the same time another nurse counts the radial pulse.
B) The nurse delegates this procedure to an experienced licensed practical nurse/licensed vocational nurse (LPN/LVN) and nursing assistive personnel (NAP) with 10 years' experience.
C) The nurse counts the apical pulse for 60 seconds and then the radial pulse for 60 seconds.
D) The apical pulse is counted for 30 seconds, the radial pulse for 30 seconds, and the results are doubled.
Q2) The nursing assistant reports the following vital signs for four patients just evaluated.Which patient should the nurse see first?
A) 25 respirations per minute for a toddler
B) 38 respirations per minute for a newborn
C) 12 respirations per minute for an 8-year-old child
D) 14 respirations per minute for an adult patient
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Chapter 7: Health Assessment
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The nurse has been assessing the patient's bowel sounds.Which action should the nurse implement before notifying the healthcare provider if the bowel sounds are absent?
A) Obtain an abdominal radiograph.
B) Ambulate the patient.
C) Assess related factors.
D) Use an amplifying instrument.
Q2) The nurse assesses the adult patient's spine.Which expected finding does the nurse identify about the patient's alignment and posture?
A) Upper spine bent slightly
B) Spine in straight alignment
C) Slumping to nondominant side
D) Dominant side of patient favored
Q3) The nurse assesses the oral mucosa for pathological color changes.Which finding does the nurse expect to see in the patient's mouth,and why does the nurse expect to find it?
A) Ecchymosis, because it often is bluish green
B) Cyanosis, because it can occur as an ashen tongue
C) Petechiae, because they are easily visible in all patients
D) Erythema, because the gums should be pink and moist
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Chapter 8: Specimen Collection
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse needs to repeat a venipuncture.To minimize any patient harm,where should the nurse insert the needle?
A) In the same arm of the patient closer to the heart
B) In the left arm of a patient with a history of axillary surgery
C) In the right arm of patient with a right mastectomy
D) In the left arm of a patient with a left arteriovenous shunt
Q2) A newly diagnosed patient with diabetes is being taught the procedure for obtaining a blood glucose specimen.What information should the nurse include in patient teaching about the procedure for capillary puncture?
A) Puncture the center of the fingertip.
B) Allow the alcohol to dry completely.
C) Hold the finger upright for the puncture.
D) Squeeze the finger to increase blood flow.
Q3) The nurse is preparing to obtain a blood specimen.Which step should the nurse implement when preparing for venipuncture?
A) Tie the tourniquet in a knot.
B) Use the tourniquet for at least 1 minute.
C) Place the tourniquet 5 to 10 cm (3 to 4 inches) above the selected site.
D) Apply the tourniquet tight enough to occlude distal pulses.
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Page 10
Chapter 9: Diagnostic Procedures
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse is teaching an older patient before a bronchoscopy.What information is the most important for the patient to know to prevent a possible postprocedure complication?
A) Deep breathe during the insertion of the bronchoscope for easy passage of the scope.
B) Do not eat or drink anything after the procedure until the nurse says it is safe to drink.
C) Turn on your right side while the bronchoscope is passed through the nose and throat.
D) Avoid food and fluids for at least 3 hours before the procedure.
Q2) The nurse provides patient teaching before a lumbar puncture.Which information does the nurse include about patient activity during the procedure?
A) "We'll want to know if you are hurting."
B) "I'll place you in a semi-Fowler's position."
C) "It is essential to remain still during the procedure."
D) "We'll restrict your fluids after the test is done."
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11
Chapter 10: Bathing and Personal Hygiene
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A patient who is postoperative wants to put in his dentures.Which is an effective nursing intervention related to the dentures to minimize the risk of gum irritation that can lead to infection?
A) Store the dentures in a clean, dry container.
B) Scrub the dentures with mint toothpaste.
C) Check to see that the dentures are a snug fit.
D) Use dental floss to clean between each tooth.
Q2) The nurse is preparing to shave a patient's beard.Which approach is best for the nurse to use?
A) Soften the beard with a cool, wet washcloth.
B) Hold the razor at a 90-degree angle to the skin.
C) Remove the hair in the direction of hair growth.
D) Maintain the patient in a prone position for shaving.
Q3) A female patient is on bed rest.In which position should the nurse place her to provide perineal care?
A) Prone
B) Supine
C) Dorsal recumbent
D) Fowler's
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Page 12
Chapter 11: Care of the Eye and Ear
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/38570
Sample Questions
Q1) The nurse plans care for the patient in acute care.Which is the priority nursing diagnosis for a patient with altered sensory perception?
A) At risk for injury
B) Deficient knowledge
C) Impaired communication
D) Impaired social interaction
Q2) The nurse plans care for a newly admitted female Muslim patient who is blind.Which is the priority nursing action for this patient?
A) Touch the patient before talking to her.
B) Talk with the patient before touching her.
C) Assign only female caregivers to this patient.
D) Obtain a history of what the patient can eat.
Q3) After removing a soft contact lens,the nurse observes that the sides of the lens are sticking together.Which intervention should the nurse implement before storing or reinserting the lens?
A) Thoroughly soak the lens in saline solution.
B) Rub the contact lens briskly to remove the debris.
C) Pry the lens apart gently with a fingertip.
D) Use the cleaning solution on the lens; then replace or store it.
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Page 13
Chapter 12: Promoting Nutrition
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/38571
Sample Questions
Q1) The nurse plans care for four patients and assigns patient feeding to nursing assistive personnel (NAP).Which patient should the nurse watch during mealtime?
A) The patient who refuses most of the meals served
B) The patient who is learning to use adaptive utensils
C) The patient who swallows four times for each piece of food
D) The patient who is taking ice chips on the first postoperative day
Q2) After 2 days of administering the patient's continuous nasogastric tube (NGT)feeding at 35 mL/hr successfully,the nurse aspirates 150 mL of formula.Which should the nurse implement first?
A) Return the aspirate and continue with the feeding.
B) Flush the tube with 30 mL of normal saline solution.
C) Return the aspirate and reevaluate patient in 1 hour.
D) Collaborate about the aspirate with the provider.
Q3) A patient with a neurological disease has difficulty swallowing.Which should the nurse include in the plan of care?
A) Limit oral intake to clear liquids.
B) Allow adequate time for the feeding.
C) Ask family members to coach the patient.
D) Maintain low-Fowler's position for meals.
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Page 14
Chapter 13: Pain Management
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The nurse cares for several postoperative patients using patient-controlled analgesia (PCA)pain management with a combination of an opioid and a local anesthetic agent on the first postoperative day.Which patient should the nurse assess first?
A) A patient after a bowel resection for recurrent colon cancer
B) A patient after an internal fixation of an ankle fracture
C) A first-time hospitalized patient after amputation of a leg
D) A patient with emphysema who had a lung tumor resection
Q2) The nurse prepares patient-controlled analgesia (PCA)for a postoperative patient in the postanesthesia recovery unit (PACU).To rule out contraindications to therapy,which should the nurse assess before the patient receives PCA?(Select all that apply.)
A) Consider patient cognitive level.
B) Evaluate patient communication.
C) Confirm two separate intravenous (IV) infusions.
D) Determine patient physical ability.
E) Assess for history of constipation.
F) Verify patient medication allergies.
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Page 15
Chapter 14: Promoting Oxygenation
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/38573
Sample Questions
Q1) A patient with a major chest injury was originally alert and oriented after recovery from surgery but is now becoming apprehensive and dizzy.What action should be taken by the nurse immediately?
A) Notify the healthcare provider.
B) Perform a cardiopulmonary assessment.
C) Elevate the head of the bed to 60 degrees.
D) Provide the patient with pain medication.
Q2) The nurse suctions the patient's artificial airway.For which adverse effect related to suctioning should the nurse monitor during the procedure?
A) Fatigue
B) Anxiety
C) Coughing
D) Dysrhythmias
Q3) 2. A ____________ contains a one-way valve with a reservoir,which does not allow exhaled air to enter the reservoir bag.It prevents inhalation of room air.
Q4) 1. When patients require respiratory support such as artificial airways,they are often unable to speak.A(n)_________ is a useful tool to aid in communication.
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Chapter 15: Safe Patient Handling, transfer, and Positioning
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) After 3 hours in the supine position,an older patient tells the nurse that he or she is stiff and too uncomfortable to move.Which is the best nursing intervention to maintain skin integrity?
A) Find an assistant to help move the patient to lateral position now.
B) Express concern about the discomfort and promise to come back.
C) Assess the patient's need for pain medication before repositioning.
D) Explain how important repositioning is for preventing pneumonia.
Q2) The nurse assists the patient with transferring from bed to chair by using a transfer belt.Which is the first instruction that the nurse gives to the patient after properly positioning him or her?
A) "Place your arms around my neck to stand up."
B) "Bend both knees slightly when standing up."
C) "Hold the transfer belt for stability during transfer."
D) "Rock to help stand while pushing up with your hands."
Q3) 1. Workers in ________ and ________ occupations suffer the most lost-time cases of general musculoskeletal pain and back pain.
Q4) 2. The most effective way to prevent musculoskeletal injuries when positioning patients is to teach _______________and ____________.
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Chapter 16: Exercise Mobility
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse is explaining to a nursing student the importance of making sure the patient is wearing his sequential compression devices (SCDs)when in bed.Which of the following statements indicates a good understanding of the purpose of SCDs by the student? (Select all that apply.)
A) SCDs mimic the natural act of walking.
B) SCDs pump blood into deep veins.
C) SCDs prevent venous stasis.
D) SCDs are used to prevent DVTs.
Q2) The nurse teaches a patient who is alert and oriented to use a cane for left leg weakness.Which does the nurse include in patient teaching?
A) Use a firm grip to grasp the cane with the right hand.
B) Place the cane about 30.5 cm (12 inches) in front of the right leg.
C) Distribute weight evenly between the cane and the left leg.
D) Move the right leg forward first, the cane next, and left leg last.
Q3) 2. Contraindications for the use of elastic stockings or sequential compression devices (SCDs)include open skin ______ and recent skin _______.
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Page 18
Chapter 17: Traction, cast Care, and Immobilization Devices
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse is teaching a patient about pin site care.Which of the following should the nurse include in patient teaching for self-care at home?
A) Use a new sterile applicator for each pin.
B) Wrap the pins with sterile gauze saturated in an antibiotic.
C) Use a new clean swab for each pin site.
D) Use cotton swabs with hydrogen peroxide to clean the pins.
Q2) A patient complains of a slight tingling in the toes of the affected leg 2 hours after the application of Buck's traction with a foam boot with Velcro straps.Which nursing intervention will prevent potential complications related to the patient complaint?
A) Apply warm blankets to the feet and reassess.
B) Check the fit of the traction device near the knee.
C) Medicate the patient for pain with an opioid analgesic.
D) Reassure the patient that this is a common complaint.
Q3) 2. The nurse is performing pin site care using evidence-based guidelines.Those guidelines recommend using __________ solution to clean the pin sites.
Q4) 1. The first sign that a neurovascular deficit is developing in a patient who is immobilized in a traction device after a fracture is ___________on passive range of motion.
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Chapter 18: Urinary Elimination
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/38577
Sample Questions
Q1) A female patient with a hysterectomy now needs to have her bladder scanned because of difficulty voiding after back surgery.What action should the nurse take to obtain the most accurate scan?
A) Place the scanner head on the symphysis pubis using ultrasound gel.
B) Set the gender designation on the scanner as "male."
C) Place the scanner head above the symphysis pubis without ultrasound gel.
D) Set the gender designation on the scanner as "female."
Q2) Which technique should the nurse use to cleanse the perineum of a female patient during urinary catheter insertion?
A) Rinse the perineum with warm antiseptic solution.
B) Swab the perineum 3 times from the anus to the urinary meatus.
C) Use the nondominant hand to keep the labia spread apart continuously.
D) Use the nondominant hand to cleanse from the urinary meatus to the rectum.
Q3) 2. __________ __________ _________ is an example of a continuous infusion of a sterile solution into the bladder,usually using a three-way irrigation closed system with a triple-lumen catheter.
Q4) 1. A ________ ___________ is a noninvasive device that measures the volume of urine in the bladder by creating an ultrasound image of the bladder from which calculations are made to report urine volumes.
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Chapter 19: Bowel Elimination and Gastric Intubation
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse implements the teaching plan for a patient with chronic constipation.Which of the following outcomes indicates patient teaching has been effective?
A) The patient passes a small liquid stool daily.
B) The patient has a firm stool every fourth day.
C) The patient reports less frequent abdominal cramping.
D) The patient describes methods to prevent constipation.
Q2) The nurse performs digital removal of feces for a patient.Which patient diagnosis cues the nurse to assess the patient more frequently than usual during the procedure?
A) Abdominal pain
B) Atrial fibrillation
C) Urinary infection
D) Diabetes mellitus
Q3) The nurse prepares to insert a nasogastric (NG)tube into a patient.Which explanation does the nurse give to the patient to explain the use of the NG tube?
A) An NG tube eases distention and nausea.
B) The small, thin tube lubricates the stomach.
C) It causes peristalsis to return more quickly.
D) It prevents vomiting from ever occurring.
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Page 21
Chapter 20: Ostomy Care
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Sample Questions
Q1) The nurse notices that the patient's stoma is darker than before,purplish in color,and dry.The patient has been taking care of the ostomy independently.What action should the nurse take initially?
A) Document the findings.
B) Ask how the patient is measuring the stoma.
C) Call the healthcare provider.
D) Rub the stoma to see if it bleeds.
Q2) A patient has a new incontinent urostomy because of bladder cancer.The patient asks how he will manage "all of this urine" at night.Which response by the nurse is best?
A) "You'll get up and empty the bag whenever you wake up at night."
B) "We give you a larger pouch to wear at night to hold the extra urine."
C) "We'll attach a large bedside drainage bag to the outlet of the pouch."
D) "It's really nothing to worry about until you start eating regular meals."
Q3) The patient's urinary output from his urostomy is 150 mL in the last 4 hours.What action should the nurse take?
A) Document the amount.
B) Notify the physician.
C) Encourage more fluids.
D) Check the skin turgor.
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Page 22
Chapter 21: Preparation for Safe Medication Administration
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Sample Questions
Q1) The nurse is describing the role of the pharmacist in medication administration.Which of the following are correct? (Select all that apply.)
A) Assess the medication plan.
B) Review the orders for accuracy and validity.
C) Prepare the correct medication.
D) Deliver them to the nursing unit.
E) Independently adjust incorrect medication errors.
Q2) 3. _________ _______ _______ are unintended,undesirable,and often unpredictable.
Q3) The nurse needs to administer 2 tsp of a medication to the patient.How much of the medication should the nurse administer?
A) 5 mL
B) 10 mL
C) 15 mL
D) 20 mL
Q4) 1. As a part of the American Recovery and Reinvestment Act of 2009,the Health Information Technology for Economic and Clinical Health (HITECH)was developed.One of the requirements of HITECH is the implementation of a _______ _______ ___________ __________ system.
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Chapter 22: Administration of Nonparenteral Medications
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/38581
Sample Questions
Q1) The nurse needs to document a medication that has just been administered.Which technique should the nurse use to document medication administration?
A) Document the medication immediately before administration.
B) Record the time administered and the nurse's name immediately after administration.
C) Record medication administration time, route, and dose at the end of the shift.
D) Delegate recording administration time and the nurse's name in the medication administration record (MAR).
Q2) 1. A _________ medication is one that is applied directly to skin,mucous membranes,or tissue membranes.
Q3) The patient is to receive a buccal medication.Which information does the nurse include in patient teaching?
A) Hold the medication under the tongue.
B) Chew the medication before swallowing.
C) Swallow the medication after 30 seconds.
D) Hold the medication between the cheek and gums until it dissolves.
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Chapter 23: Administration of Parenteral Medications
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) The nurse prepares to administer 2.2 mL of an oil-based medication intramuscularly to a male patient who is 5 feet 10 inches tall and weighs 165 pounds.Which needle and syringe combination should the nurse choose to administer the injection?
A) 20-gauge, 1 1/2-inch needle on a 3-mL syringe
B) 21-gauge, 1 1/2-inch needle on a 5-mL syringe
C) 23-gauge, 1-inch needle on a 3-mL syringe
D) 25-gauge, 1-inch needle on a 5-mL syringe
Q2) The nurse is instructing a nursing student in proper technique for an intradermal injection.Which does the nurse use to evaluate proper technique for a tuberculin skin test after injecting the solution?
A) The nurse palpates a deep, firm pocket of the test solution.
B) The nurse observes a nearly clear bubble slightly under the skin.
C) A small trickle of blood appears at the puncture site within minutes.
D) A 2-cm (3/4-inch) pink, flattened area develops at the injection site within 1 hour.
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25
Chapter 24: Wound Care and Irrigation
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Sample Questions
Q1) 2. A _____ ______wound is a total loss of epidermis and dermis and in some cases is as deep as the muscle layer or bone; it heals by scar formation.
Q2) The nurse is assessing a wound that is healing by secondary intention.Which of the following assessments are important to address? (Select all that apply.)
A) Wound dimensions
B) Tissue type
C) Wound edges
D) Periwound skin
E) Pain
F) Undermining
G) None of the above
Q3) The nurse applies Steri-Strips to the patient's surgical site after suture removal.During patient teaching,what does the nurse instruct the patient to avoid doing?
A) Limit heavy lifting activities.
B) Ambulate several times a day.
C) Soak in the bathtub for relaxation.
D) Use a pillow to support incision.
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Chapter 25: Pressure Ulcers
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Sample Questions
Q1) 2. The rubbing of the tissue against a surface is called ______; it abrades the top layer of skin (epidermis),which makes tissue susceptible to pressure injury.
Q2) The nurse admits the patient to the surgical unit and determines that the patient's Braden scale score is 18.Which does the nurse include in the patient's initial plan of care?
A) Using moisturizing lotion to massage the sacrum
B) Assisting the patient to turn and reposition every 4 hours
C) Keeping the skin clean and dry with frequent bathing
D) Maintaining the head of the bed at approximately 30 degrees
Q3) The patient's pressure ulcer needs packing and has a moderate-to-heavy amount of drainage.Which type of dressing should the wound care nurse use on the ulcer?
A) Foam
B) Hydrogel
C) Impregnated gauze
D) Alginate
Q4) 3. A parallel force that stretches tissue and blood vessels is called _______.
Q5) 1. Poor _____ ___________ decreases the patient's ability to feel the sensation of pressure or discomfort.
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Chapter 26: Dressings,bandages,and Binders
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Sample Questions
Q1) The nurse assesses the patient's transparent film dressing and observes white opaque exudate and reddened and edematous wound edges.Which is the priority intervention for the nurse to implement?
A) Record the observation in the patient's record.
B) Remove the white exudate carefully.
C) Obtain an order for a wound culture.
D) Apply a light absorbent dressing.
Q2) The nurse is assisting a patient with putting on an abdominal binder.In which position does the nurse place the patient?
A) Semi-Fowler's
B) Supine
C) Prone
D) High-Fowler's
Q3) The nurse is preparing to dress an open,shallow wound with a moderate amount of drainage.Nursing care is correct if the nurse chooses which dressing material?
A) Alginate nonwoven
B) Adhesive membrane
C) Hydrocolloid adhesive
D) Foam nonadherent pad
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Chapter 27: Intravenous and Vascular Access Therapy
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35 Verified Questions
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Q1) The nurse is caring for a patient with a peripheral intravenous access that is used intermittently for medications but is not a continuous infusion.Which technique should the nurse use for routine care of this peripheral line?
A) Flush with a low concentration of heparin.
B) Always change the end cap with each medication dose.
C) Change the intravenous (IV) insertion site every day.
D) Flush with 0.9% saline solution.
Q2) A 5-year-old patient has intravenous (IV)fluids prescribed at 40 mL/hr,through microdrip tubing.Which rate does the nurse use to infuse the patient's IV fluid?
A) 20 gtts/min
B) 25 gtts/min
C) 40 gtts/min
D) 60 gtts/min
Q3) 1. A ________ infusion occurs when the flow rate is set at an ordered rate and given over a 24-hour period.
Q4) 2. _________ _________is a specialized form of nutritional support in which nutrients are given intravenously (IV)through a CVAD by an infusion pump to patients with significant gastrointestinal (GI)dysfunction.
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Chapter 28: Preoperative and Postoperative Care
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Sample Questions
Q1) The nurse is caring for the patient who has stridor 30 minutes after a thyroidectomy.Which action should the nurse implement?
A) Reposition the patient's head to open the airway.
B) Apply a pressure dressing with gauze.
C) Turn the patient to the recovery position.
D) Apply oxygen at 10 L/min by face mask.
Q2) 3. Maintenance of body temperature in infants and children after surgery is a priority because of their ____________ temperature-control mechanisms.
Q3) The nurse assesses the patient and determines that he may be at risk for altered peripheral tissue perfusion.Which activity should the nurse include in patient teaching to prevent decreased perfusion to his extremities while he is on bed rest?
A) Avoid any fluids by mouth until the patient begins passing gas.
B) Flex and rotate the ankles several times every hour while awake.
C) Rest quietly to allow the maximum action of the opioid analgesics.
D) Stay positioned on either side with pillows between the legs.
Q4) 4. The __________ phase in the care of postoperative patients extends from the time the patient leaves the operating room (OR)to the time of transfer to the nursing unit.
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Chapter 29: Emergency Measures for Life Support in the Hospital Setting
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Sample Questions
Q1) The nurse and a colleague begin cardiopulmonary resuscitation (CPR)on an adult patient.Which ratio of chest compressions to rescue breaths should be used?
A) 5:1
B) 5:2
C) 10:1
D) 30:2
Q2) A nurse is instructing staff nurses in the use of the automatic external defibrillator (AED).Which information is essential for the nurse to share with the class?
A) For children younger than 8 years old, AED pads designed for children should be used.
B) The AED takes approximately 30 seconds to analyze the cardiac rhythm.
C) The AED is used when the patient is unconscious and has no pulse.
D) The AED is placed near the patient's feet during use.
Q3) 2. Oral airways devices are only used for unresponsive patients without a _______ _____.
Q4) 1. A ________ _______ is the cessation of circulating blood flow that greatly reduces oxygen transport and perfusion.
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Chapter 30: Palliative Care
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Sample Questions
Q1) The nurse is caring for a Hindu patient receiving hospice care.Which does the nurse expect to facilitate for the family when the patient dies?
A) Allowing the family members to wash and prepare the patient's body
B) Helping the family arrange for burial of the body
C) Communion and prayers by any type of minister or priest
D) Discussion of the finality of death
Q2) During postmortem care,the patient's family says that the patient didn't have his dentures to place in his mouth.Which action should the nurse take at this time?
A) Place a rolled-up towel under the patient's chin.
B) Stuff the mouth with cotton to maintain the facial contour.
C) Tell the family to take the dentures to the funeral home.
D) Ask the family what they want to do about this situation.
Q3) 2. _______ refers to a person's specific beliefs and behaviors associated with a religious tradition.
Q4) 1. ____________ refers to a dynamic dimension of human life,expressed in a person's search for meaning and hope.
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Chapter 31: Home Care Safety
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Sample Questions
Q1) The nurse is working with a client on her plan of care.Which client behavior does the nurse recognize as most illustrative that the client will cooperate with a plan of care?
A) Willingness to attempt a return demonstration
B) Refusal to talk about the needed assistive device
C) States that a few days of rest are all that is needed for recovery
D) States the equipment is too complex to learn
Q2) A client's family insists that the client live with one of the family members permanently because of a shuffling gait,but the client refuses.Which approach is most effective to provide a safe environment while also acting as a client advocate?
A) Teach the client to wear shoes with thin, firm soles.
B) Explain community services for older clients.
C) Help the client check the fit of his sneakers.
D) Tell the client that he can do whatever he wants.
Q3) 2. In adults with cognitive deficits,medications that cause confusion should be scheduled at ________.
Q4) 1. In older adults living alone,_________ can be caused by social isolation.
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