Medical-Surgical Nursing Exam
Materials
Course Introduction
Medical-Surgical Nursing is a comprehensive course that focuses on the care of adult patients experiencing a range of acute and chronic medical and surgical conditions. The course emphasizes the application of the nursing process, critical thinking, and evidence-based practice to deliver holistic and patient-centered care. Students gain knowledge and skills in assessing, planning, implementing, and evaluating nursing interventions for patients with cardiovascular, respiratory, gastrointestinal, neurological, musculoskeletal, and other system disorders. The course also covers perioperative nursing, fluid and electrolyte balance, pain management, infection control, and the promotion of recovery and health education, preparing students for the dynamic and challenging environment of medical-surgical units.
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
Page 2
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) When a PICOT question is developed,the letter that corresponds with the usual standard of care is:
D)O.
Answer: C
Q2) Patient fall rates are an example of a ______________ type of study in the evidence hierarchy.
Answer: quality improvement data
Q3) The researcher explains how to apply findings in a practice setting for the types of subjects studied in the _________________ section of a research article.
Answer: "Clinical Implications"
Q4) A systematic review explains whether the evidence that you are searching for exists and whether there is good cause to change practice.In _____________,all entries include information on systematic reviews.Individual randomized controlled trials (RCTs)are the gold standard for research.
Answer: The Cochrane Database
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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 nurse is admitting the patient to the medical unit.The patient indicates that he has had several surgeries in the past and has been a diabetic for the past 15 years.He also stated that he is allergic to Morphine.What does this information prompt the nurse to do next?
A)Provide the patient with an allergy armband and document his allergies.
B)Postpone routine admission procedures immediately.
C)Ask the patient if he wants a smoking room.
D)Have all family or friends leave the room.
Answer: A
Q2) Once a patient's discharge has been completed,which activity may be delegated to assistive personnel?
A)Provision of prescriptions to the patient
B)Completion of the discharge summary
C)Gathering of the patient's personal care items
D)Provision of instructions on community health resources
Answer: C
Q3) If a patient is having acute physical problems,postpone routine admission procedures until the patient's immediate needs are met.A ________________ assessment is needed at this point.
Answer: focused
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Chapter 3: Communication and Collaboration
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The patient is a 54-year-old man who has made a living as a construction worker.He dropped out of high school at age 16 and has been a laborer ever since.He never saw any need for "book learning," and has lived his life "my way" since he was a teenager.He has smoked a pack of cigarettes a day for 40 years and follows no special diet,eating a lot of "fast food" while on the job.He now is admitted to the coronary care unit for complaints of chest pain and is scheduled for a cardiac catheterization in the morning.Which of the following would be the best way for the nurse to explain why he needs the procedure?
A)"The doctor believes that you have atherosclerotic plaques occluding the major arteries in your heart,causing ischemia and possible necrosis of heart tissue."
B)"There may be a blockage of one of the arteries in your heart,causing the chest discomfort.He needs to know where it is to see how he can treat it."
C)"We have pamphlets here that can explain everything.Let me get you one."
D)"It's just like a clogged pipe.All the doctor has to do is 'Roto-Rooter' it to get it cleaned out."
Answer: B
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5
Chapter 4: Documentation and Informatics
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The patient is ready to go home from the hospital.What does the nurse provide to the patient and his family before he leaves the facility?
A)Discharge summary
B)Standardized care plan
C)Patient care summary
D)Flow sheet
Q2) To limit liability,nursing documentation must clearly indicate that the nurse provided individualized,goal-directed nursing care to a patient based on the
Q3) Which is a primary difference between home care and hospital care?
A)Documentation systems need to provide information for the home health nurse only.
B)Documentation no longer affects reimbursement.
C)Services are assumed and need less documentation.
D)The patient and the family witness most of the care provided.
Q4) __________________ documentation should include your observations of patient behavior.
Q5) ___________________ provide a format for documenting a patient's health status and progress.
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Chapter 5: Vital Signs
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) What is a disadvantage of using the disposable sensor pad for pulse oximetry?
A)It is less restrictive.
B)It contains latex.
C)It is less expensive to use.
D)It is available in different sizes.
Q2) The nurse is about to teach the patient about risk factors for hypertension.Which of the following are risk factors for hypertension?
A)Obesity
B)Cigarette smoking
C)High blood cholesterol
D)Renal disease
Q3) An appropriate procedure for measurement of an adult's temperature with a tympanic membrane sensor is:
A)pulling the ear pinna down and back.
B)moving into the ear in a figure-eight pattern.
C)fitting the probe loosely into the ear canal.
D)pointing the probe toward the mouth and chin.
Q4) 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 of the following is an unexpected finding after a cardiac assessment?
A)A pulse rate of 72 beats per minute
B)Jugular vein pulsation with the patient supine
C)PMI found at the midclavicular line
D)A sustained swishing sound during systole or diastole
Q2) The patient is 3 days post abdominal surgery.The nurse uses her stethoscope to listen for bowel sounds.This assessment technique is known as _________________.
Q3) When breast self-examination is done,it should be done once a month.For women who menstruate,the best time is ______________.
Q4) What technique should the nurse implement for assessment of the carotid artery?
A)Massaging the arteries briskly
B)Using the diaphragm of the stethoscope
C)Palpating each carotid artery separately
D)Placing the patient in a supine position
Q5) During assessment of a patient with anemia,a nurse is alert for the presence of: A)pallor.
B)jaundice.
C)cyanosis.
D)erythema.
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Chapter 7: Specimen Collection
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) During a sputum collection,the patient becomes hypoxic.What action should the nurse take?
A)Suction the patient thoroughly.
B)Continue to complete the procedure quickly.
C)Stop the procedure and provide oxygen,if ordered.
D)Have the patient lie down and take deep breaths before continuing with the specimen collection.
Q2) A common test performed on fecal material is the ________ test for fecal occult blood.
Q3) A patient asks what food may be eaten before a stool specimen is obtained for occult blood.What food should the nurse allow the patient to eat?
A)Fish
B)Apples
C)Red meats
D)Green leafy vegetables
Q4) Localized inflammation,tenderness,warmth at the wound site,and purulent drainage usually signify _______________.
Q5) _______________ organisms grow in superficial wounds exposed to the air.
Q6) The least traumatic method of obtaining a blood specimen is known as
Page 9
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Chapter 8: Diagnostic Procedures
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse is alert to a possible delayed reaction to the dye injected during an angiography.For which response should she monitor the patient?
A)Pallor
B)Dyspnea
C)Thirst
D)Numbness and tingling
Q2) The patient is a 56-year-old man who has terminal cirrhosis and severe ascites.He is lethargic but is demonstrating signs of discomfort and respiratory distress.The physician has spoken with the patient's wife and has obtained consent to perform an abdominal paracentesis on the patient.After the physician leaves to prepare for the procedure,the wife asks the nurse whether the procedure is really necessary.The nurse should respond by saying this:
A)is the first step in the patient's recovery.
B)may help the patient feel better.
C)is needed to detect increased intracranial pressure.
D)is needed to analyze pleural fluid.
Q3) ____________ are sterile invasive procedures involving the removal of body fluids or tissue for diagnostic procedures.
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Chapter 9: Medical Asepsis
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Before entering the room of a patient on isolation where all protective barriers are required,the nurse first puts on the:
A)gown.
B)gloves.
C)eyewear.
D)mask/respirator.
Q2) For an infection to take place,which of the following must be present?
A)Pathogen and reservoir
B)Portals of exit and entry
C)Mode of transmission
D)Susceptible host
Q3) The patient has been hospitalized for several days and has received multiple intravenous antibiotic medications.This morning,the patient had three episodes of severe,foul-smelling diarrhea.The nurse should institute:
A)contact precautions.
B)standard precautions only.
C)airborne precautions.
D)droplet precautions.
Q4) ________________ is the absence of pathogenic (disease-producing)microorganisms.
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Chapter 10: Sterile Technique
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) When performing sterile aseptic procedures,the nurse must create a _____________ in which objects can be handled with minimal risk for contamination.
Q2) _____________ is one practice designed to make and maintain objects and areas free from pathogenic microorganisms.
Q3) 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.
Q4) The minimum standard for infection control as established by the Centers for Disease Control and Prevention (CDC)is _______________.
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12
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) The coordinated effort of the musculoskeletal and nervous systems in maintaining balance,posture,and body alignment is known as _______________.
Q2) The patient is an elderly male with severe kyphosis who is immobile from a stroke several years earlier.He has been admitted for severe dehydration.The nurse must turn the patient frequently to prevent complications of immobility.What does the nurse realize?
A)This patient should be turned onto his back for meals.
B)This patient may have to be turned more frequently than every 2 hours.
C)This patient may be allowed to remain in his favorite position as long as he doesn't complain of discomfort.
D)Skin breakdown is not an issue for this patient.
Q3) The nurse prevents self-injury by using which of the following when transferring a patient?
A)Correct posture
B)Maximal muscle strength
C)Effective body mechanics
D)Effective lifting techniques
Q4) Body balance is achieved when a wide _____________ exists.
Q5) Awareness of posture and changes in equilibrium 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) An appropriate technique for the nurse to use when performing range of motion (ROM)exercises is to:
A)repeat each action 5 times during the exercise.
B)perform the exercises quickly and firmly.
C)support the proximal portion of the extremity being exercised.
D)continue the exercise slightly beyond the point of resistance.
Q2) An appropriate way for the nurse to measure a patient for crutches is to:
A)have a flexion of 45 degrees at both of the patient's elbows.
B)have a space of two to three fingers between the top of the crutch and the axilla.
C)place the crutch tips 1 foot to each side of the patient's feet,and observe the positioning of the crutches.
D)place the crutch tips 1 foot to the front of the patient's feet,and observe the positioning of the crutches.
Q3) Virchow's triad (hypercoagulability of blood,venous wall damage,and stasis of blood flow)has been found to contribute to ________________.
Q4) A person's inability to move about freely is known as _______________.
Q5) ____________ refers to an ability to move about freely.
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Page 14
Chapter 13: Support Surfaces and Special Beds
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) It is recommended that the Rotokinetic bed stay in the rotation mode for at least _______ hours a day.
Q2) The patient is admitted with a large stage 4 pressure ulcer on his coccyx.After comparing the benefits of the following support surfaces,the nurse would choose which of the following as most appropriate for this patient?
A)Water mattress
B)Gel overlay
C)Foam overlay
D)Air-fluidized bed
Q3) After comparing the benefits of the following support surfaces,the nurse realizes that a patient with multiple trauma and/or spinal cord injury is expected to be placed on a(n):
A)Rotokinetic bed.
B)bariatric bed.
C)flotation mattress.
D)air-fluidized mattress.
Q4) Use of the low-air-loss bed is contraindicated in patients with
Q5) A full or double-wide _____________ can accommodate a patient up to 1000 pounds.
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Chapter 14: Patient Safety
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/70383
Sample Questions
Q1) A patient is taking a medication that has the potential to cause orthostatic hypotension.Which of the following nursing interventions is appropriate for this patient?
A)Have the patient sit slowly and dangle.
B)Refer the patient to physical therapy.
C)Keep the side rails up at all times.
D)Obtain a walker or a cane for patient use.
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) __________ are the most common type of inpatient accident.
Q4) 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.
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Chapter 15: Disaster Preparedness
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) It is recommended that every household prepares a ____________.
Q2) Hurricane Zee has caused severe flooding and loss of power throughout the state.The local community has a stockpile of supplies that will help it get through the next 72 hours.Beyond this,once local and federal authorities confirm the need,a "push package" of supplies will be issued within 12 hours of the confirmation.These supplies will come from the ____________.
Q3) The patient is admitted with exposure to an unknown chemical.His clothing appears to be grossly contaminated.What should the nurse do?
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) An _________________ provides a standard approach to managing emergencies in which multiple agencies are involved.
Q5) Which of the following should make the nurse suspect a biological event?
A)Large numbers of ill people with unexplained similar symptoms
B)Unexplained deaths among young and healthy populations
C)A patient population with symptoms suggestive of a common agent
D)An unusual geographical pattern associated with the symptoms
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Chapter 16: Pain Management
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/70385
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) While reviewing a patient's medication history,the nurse determines that intraspinal analgesia is contraindicated as a result of:
A)previous spinal anesthesia.
B)recent administration of anticoagulants.
C)a history of cardiac problems.
D)a diagnosis of advanced cancer.
Q3) Before administering an epidural medication,the nurse aspirates and suspects that the catheter has migrated into the subarachnoid space when:
A)clear drainage is noted.
B)no drainage is noted.
C)purulent drainage is noted.
D)redness,warmth,and edema are noted.
Q4) ________________ is a method of preventing pain while reducing overall opioid use.
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Chapter 17: Palliative Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse is preparing to assist the patient at the end stage of her life.To provide comfort for the patient in response to anticipated symptom development,the nurse plans to:
A)decrease the patient's fluid intake.
B)limit the use of pain medication.
C)provide larger meals with more seasoning.
D)determine patient wishes and select appropriate therapies.
Q2) The World Health Organization (2002)defines ___________ as an "approach that improves the quality of life of individuals and their families facing life-threatening illness,through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other physical,psychological,and spiritual problems."
Q3) For a patient in the final stages of dying,a nurse expects to:
A)keep the patient's room cool.
B)avoid catheterizing the patient.
C)elevate the head of the bed as tolerated.
D)encourage the patient to eat and drink more.
Q4) The irreversible absence of all brain function is termed ______________.
Q5) _____________ helps people live as well as possible through the dying process.
Q6) An _______________ is the surgical dissection of a body after death.
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Chapter 18: Personal Hygiene and Bed Making
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/70387
Sample Questions
Q1) The nurse is about to provide oral hygiene to an unconscious patient.To do so,she places the patient in which position?
A)Fowler's
B)Semi-Fowler's
C)Sims'
D)Supine
Q2) The nurse is providing nail care for the patient who wants his fingernails "done." The nurse should:
A)clip the fingernails gently to prevent injury.
B)clean under the nails using an orange stick.
C)soak the fingernails no longer than 10 minutes.
D)clean under the nails using the end of a cotton swab.
Q3) Critically ill patients on a ventilator are at risk for ventilator-associated pneumonia (VAP).Sources of VAP include:
A)bacteria in the oral pharynx.
B)dental plaque.
C)chlorhexidine rinses.
D)frequent oral hygiene.
Q4) ________________ is defined as excessive growth of body and facial hair.
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Chapter 19: Care of the Eye and Ear
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The patient is brought into the emergency department after a motor vehicle accident.The patient is unresponsive.The nurse is concerned about whether or not the patient wears contact lenses because contact lenses that are not removed can cause
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) The nurse caring for a comatose patient determines that he is wearing contact lenses.Which of the following nursing interventions will the nurse use when removing the contact lenses?
A)Put on snug,powdered,clean gloves.
B)Ask the patient to look down to expose the lower eyeball.
C)Use the fingernail to slide the lens off of the cornea.
D)Inspect the eye after the lenses have been removed.
Q4) The substance found in the ear canal that has an antibacterial effect and maintains an acid pH is called ______________.
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Page 21
Chapter 20: Safe Medication Preparation
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44 Verified Questions
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Sample Questions
Q1) The patient is to receive a medication via the sublingual route.Which action by the nurse is appropriate?
A)Placing the medication under the tongue
B)Crushing the medication before administration
C)Offering the patient a glass of orange juice after administration
D)Using sterile technique to administer the medication
Q2) The nurse is teaching a patient how to measure medication dosages at home.The prescription is written for 30 mL of the medication.Which household measurement will the nurse teach the patient to use?
A)Drops
B)Teaspoon
C)Tablespoon
D)Cup
Q3) A patient receives the usual dose of a medication for the first time and develops severe hypotension and bradycardia.The nurse reports this event as an __________ type of medication action.
Q4) 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) Handheld devices that deliver inhaled medication in a fine powder to penetrate lung airways are known as ___________.
Q2) 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
Q3) The nurse is preparing to administer a rectal suppository to an adult patient.Which action should be taken by the nurse?
A)Apply sterile gloves before handling the suppository.
B)Apply extra lubricant to the suppository if there is active rectal bleeding.
C)Insert the suppository past the internal sphincter,against the rectal wall,about 6 to 10 inches.
D)Instruct the patient to remain lying flat or on the side for 5 minutes after insertion of the suppository.
Q4) The easiest and most desirable way to administer medications is via the _________ route.
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Chapter 22: Administration of Parenteral Medications
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40 Flashcards
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Sample Questions
Q1) The nurse is preparing a subcutaneous injection for a patient.The nurse is careful not to touch which part of the syringe or needle?
A)The needle hub
B)The needle shaft
C)The syringe outer barrel
D)The needle bevel
Q2) The nurse is preparing to administer an intramuscular medication.In determining which size needle and syringe to use to administer the medication,the nurse must consider which of the following?
A)The volume of medication
B)The viscosity of the medication
C)The size and weight of the patient
D)Whether or not the syringe has a safety needle
Q3) The nurse is preparing several medications that are administered parenterally.The patient receiving which medication will have an intradermal injection?
A)Opioid
B)Medication for allergy testing
C)Low-molecular-weight heparin
D)Glargine insulin
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Page 24
Chapter 23: Oxygen Therapy
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29 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient on a mechanical ventilator and the low-pressure alarm sounds.Which action by the nurse is most appropriate?
A)Assess for secretions in the airway and suction the patient.
B)Administer a sedative to the patient to prevent coughing.
C)Assess the endotracheal tube cuff to make sure it is deflated.
D)Check the ventilator tubing and reconnect if disconnected.
Q2) The nurse is caring for several patients postoperatively following abdominal surgery.Which patient will benefit the least from the use of incentive spirometry?
A)Middle-aged male with a history of smoking since high school
B)Elderly female with type 2 diabetes
C)Middle-aged female with a history of chronic respiratory disease
D)Adolescent female with atelectasis
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
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Chapter 24: Performing Chest Physiotherapy
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Sample Questions
Q1) The nurse is teaching a patient how to use an Acapella device.What instruction should the nurse give to the patient?
A)Take a full deep breath in and fill your lungs.
B)Hold your breath for 5 to 10 seconds after placing the mouthpiece in your mouth.
C)Cough forcefully to clear your lungs while maintaining a tight seal on the mouthpiece.
D)Exhale slowly for 3 to 4 seconds through the device while it vibrates.
Q2) The patient is complaining of feeling congested.After assessing the patient,the nurse places the patient in the proper position and claps her cupped hands against the patient's thorax.She does this because she is aware that ______________ assists in loosening retained secretions from the airway.
Q3) A patient who is very frail and thin with osteoporosis has just undergone abdominal surgery.The nurse anticipates that which technique will be used to control respiratory secretions in this patient?
A)Forceful coughing
B)Percussion
C)Vibration
D)Shaking
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Chapter 25: Airway Management
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Sample Questions
Q1) When assessing a patient's tracheostomy site,the nurse notes redness and inflammation around the stoma.Which intervention can the nurse provide to address this problem?
A)Decrease the frequency of tracheostomy care.
B)Apply a dry gauze dressing just under the stoma.
C)Remove the ties at frequent intervals.
D)Apply a topical antibacterial solution and allow it to dry.
Q2) The nurse is performing nasotracheal suctioning on a patient.The nurse should discontinue the suctioning if which of the following occurs?
A)The patient coughs as the catheter is inserted.
B)The heart rate decreases from 84 beats per minute to 60 beats per minute.
C)An increase in pulse occurs from 74 beats per minute to 94 beats per minute.
D)Oxygen saturation levels decrease from 97% to 94%.
Q3) The nurse is providing nasotracheal suctioning for a 13-year-old patient with secretions in the throat and trachea.Which action by the nurse demonstrates proper technique?
A)Applying sterile petroleum jelly to the distal tip of the suction catheter
B)Applying clean gloves to both hands
C)Inserting the suction catheter 6 to 8 inches during inspiration
D)Suctioning the pharynx first and then the trachea
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Chapter 26: Cardiac Care
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/70395
Sample Questions
Q1) Some patients may have allergies,or more commonly,sensitivities to the adhesive used to affix the leads.In these cases,_____________ are available from various manufacturers.
Q2) 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?
Q3) The nurse is observing a nursing assistive personnel (NAP)perform a 12-lead ECG tracing on a newly admitted patient.The nurse recognizes that the NAP requires additional training on this skill when she observes which of the following erroneous lead placements?
A)V1-Fourth intercostal space at the right sternal angle
B)V2-Fourth intercostal space at the right sternal border
C)V4-Fifth intercostal space at the midclavicular line
D)V6-Left midaxillary line at the level of V4 horizontally
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) 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.
Q2) What is indicated by continuous bubbling in the water-seal chamber with no bubbles noted in the suction-control chamber of the drainage system?
A)A leak in the system
B)Normal functioning
C)A drainage obstruction
D)Insufficient suction pressure
Q3) What is the expected amount of drainage for an adult patient with a posterior chest tube?
A)100 to 300 mL during the first 3 hours
B)10 to 50 mL during the first 2 hours
C)200 mL during the first 24 hours
D)400 to 500 mL during the first 24 hours
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Chapter 28: Emergency Measure for Life Support
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29 Flashcards
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Sample Questions
Q1) When applying an automated external defibrillator,the nurse would:
A)connect the cable to the machine,apply the pads,and turn on the power.
B)turn on the power,apply the pads,and connect the cable.
C)turn on the power,connect the cable,and apply the pads.
D)connect the cable,turn on the power,and apply the pads.
Q2) The nurse is working in the emergency department when an 8-year-old patient is brought in with respiratory distress.The nurse is preparing to insert an oral airway.Which of the following is the appropriate size for this patient?
A)Size 1
B)Size 2
C)Size 3
D)Size 7
Q3) The nurse would call the code team for which of the following patients?
A)A patient with blood pressure of 60/28 mm Hg
B)A patient experiencing severe dyspnea secondary to asthma
C)A patient in atrial fibrillation
D)An unconscious patient in ventricular tachycardia
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 Flashcards
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Sample Questions
Q1) What should the nurse do once she recognizes that the patient has phlebitis at his intravenous (IV)catheter site?
A)Reduce the IV flow rate.
B)Elevate the affected extremity.
C)Place a moist warm compress over the site.
D)Adjust the additive in the current IV.
Q2) The nurse is caring for a patient who has experienced hypovolemia secondary to acute vomiting and diarrhea.The nurse anticipates what type of intravenous fluid to be ordered by the health care provider?
A)Hypotonic or isotonic solutions
B)Hypertonic or isotonic solutions
C)Hypertonic solutions only
D)Whole blood
Q3) The nurse is preparing to start an intravenous (IV)infusion on a 92-year-old patient.The nurse realizes that she may need to take which of the following actions?
A)Avoid using veins in the hand.
B)Avoid using veins in the dominant arm.
C)Use the largest-gauge catheter possible for maximum flow.
D)Avoid using a tourniquet.
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Page 31
Chapter 30: Blood Therapy
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Sample Questions
Q1) The patient has received blood within the past 6 hours.The patient begins to feel short of breath and calls for the nurse.The nurse finds that the patient is dusky in color with crackles throughout his lungs and is coughing up pink frothy sputum.The nurse calls the physician immediately,knowing that the patient is showing signs of
Q2) 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.
Q3) The specific blood product used for replacement of clotting factors and fibrinogen is:
A)whole blood.
B)packed RBCs.
C)cryoprecipitate.
D)albumin,25% pooled.
Q4) Under the ABO system,the blood type __________ can be given to any individual and is known as the "Universal Donor."
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Page 32
Chapter 31: Oral Nutrition
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Sample Questions
Q1) ______________ are measures of height; weight; head,arm,and muscle circumferences; and skinfold thickness.
Q2) A nurse's role includes performing ___________________ to assess a patient's risk status for malnutrition,assessing and assisting an adult patient with feeding,and identifying patients at risk for aspiration during oral feeding.
Q3) The nurse is preparing to assess the nutritional status of an 80-year-old patient in a long-term care agency.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
Q4) The nurse is caring for a patient diagnosed with severe dehydration.The nurse notes that the patient's albumin level is 4.0.What might this indicate?
A)The patient is in a compromised protein state.
B)The level may be falsely high.
C)An acute nutritional deficiency
D)A long-term nutritional deficiency
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Chapter 32: Enteral Nutrition
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Sample Questions
Q1) The nurse is caring for a patient with a nasogastric tube in place.What interventions would the nurse perform to reduce the risk of clogging the feeding tube?
a.Use the smallest barrel syringe possible to reduce the pressure in the tube.
b.Mix medication with feedings to thoroughly dilute the medication.
c.Flush the tube liberally with water before,between,and after each medication instillation.
d.Use the largest barrel syringe possible to reduce the pressure in the tube.
e.Crush solid medications thoroughly and mix them in water before administration.
Q2) 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
Q3) The nurse is caring for a patient in a chronic vegetative state with inadequate gastric emptying.The nurse would anticipate finding in a ________ tube placed to assist with this patient's nutritional needs.
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Chapter 33: Parenteral Nutrition
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Sample Questions
Q1) The nurse is managing the care of a patient receiving parenteral nutrition (PN).Which assessment finding indicates potential septicemia?
A)Shakiness and dizziness
B)Chest pain/hypotension
C)Increased thirst
D)Increased temperature
Q2) To detect a common untoward effect of interrupting a parenteral nutrition (PN)infusion,the nurse should assess the patient for development of which symptom?
A)Fever
B)Chest pain
C)Erythema and induration
D)Shaking and dizziness
Q3) The nurse is caring for a patient receiving parenteral nutrition (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 catheter insertion site
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Chapter 34: Urinary Elimination
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Sample Questions
Q1) 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 French (Fr)?
A)5 to 6 Fr
B)8 to 10 Fr
C)12 Fr
D)14 to 16 Fr
Q2) When providing care for a patient in need of an indwelling catheter,the nurse understands that which of the following is an indication for this need?
A)Presence of stage III and IV pressure ulcers
B)Presence of a yeast infection
C)Need for inaccurate measurement of urinary output
D)Need to manage urinary elimination
Q3) 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.
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Page 36
Chapter 35: Bowel Elimination and Gastric Intubation
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Sample Questions
Q1) The nurse is preparing to administer an enema to an adult patient who has normal sphincter control.For administration of the enema,the patient is placed in which position?
A)Right side-lying
B)Dorsal recumbent
C)Sims'
D)Prone
Q2) The nurse prepares to exercise a digital removal of feces.To detect an untoward effect of this procedure,the nurse should assess the patient history for which condition?
A)Heart disease
B)Abdominal pain
C)Urinary infection
D)Diabetes mellitus
Q3) The nurse is preparing to administer an enema to a patient.Which type of enema is most likely to lead to circulatory overload?
A)Hypertonic solution
B)Soapsuds
C)Tap water
D)Harris flush
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Chapter 36: Ostomy Care
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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) 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.
Q3) A patient who has a urostomy is being discharged to home.Which instruction will the nurse to provide to the patient?
A)Restrict fluid intake to reduce urine output.
B)Report any mucus in his urine.
C)Keep unused pouches in the refrigerator.
D)Shower without covering the pouch.
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Page 38
Chapter 37: Preoperative and Postoperative Care
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Sample Questions
Q1) When providing care for an ambulatory surgical patient,the nurse recognizes that which assessment indicates that the patient meets discharge criteria?
A)The patient is able to drive home alone.
B)Some respiratory depression is evident.
C)The oxygen saturation level is at 85%.
D)No intravenous (IV)narcotics have been given in the past 30 minutes.
Q2) The patient has been taught how to use diaphragmatic breathing.When the patient returns from surgery,however,he cannot be placed upright and must remain flat.What does the nurse tell the patient about performing the diaphragmatic exercises?
A)Diaphragmatic breathing cannot be done in this position.
B)Alternative breathing exercises need to be found.
C)Diaphragmatic breathing exercises still can be performed.
D)Diaphragmatic breathing exercises may be postponed.
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Chapter 38: Intraoperative Care
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Sample Questions
Q1) 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.
Q2) When planning care for a surgical patient,the nurse implements which technique to maintain sterility in the operating room?
A)Keeps the hands below the waist.
B)Tucks the hands under the axilla.
C)Uses sterile gloved hands to move a sterile drape under a table.
D)Has anyone who is unscrubbed stay at least 1 foot away from the sterile field.
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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Sample Questions
Q1) When skin layers adhere to the linens and deeper tissue layer move downward,________ damage occurs.
Q2) In a patient with a stage II pressure ulcer,the nurse describes the wound as:
A)superficial blistering.
B)nonblanchable redness.
C)loss of skin without bone exposure.
D)loss of skin with exposed muscle.
Q3) A patient with anemia is at risk for developing pressure ulcers as a result of which of the following?
A)Increased sedation
B)Edematous tissues
C)Reduced tensile strength
D)Diminished oxygen to the tissues
Q4) Aggressive prevention measures should be implemented for a patient in the general population with a pressure ulcer risk on the Braden Scale of less than or equal to: A)16.
B)18.
C)20. D)24.
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Chapter 40: Wound Care and Irrigations
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Sample Questions
Q1) _____________ uses the mechanical force (high or low)of a stream of solution to remove debris,bacteria,and necrotic tissue from a wound.
Q2) What should the nurse do to reestablish the vacuum of the Hemovac system after emptying?
A)Place a safety pin on the part of the drain outside the body.
B)Replace the cap immediately after emptying.
C)Pin the drainage tubing to the patient's gown.
D)Place the Hemovac on a flat surface.
Q3) The physician expects that the patient's wound will have an output of close to 500 mL/day.The nurse anticipates placement of which of the following?
A)Dry sterile dressing
B)Jackson-Pratt (JP)drain
C)Hemovac drain
D)No drain
Q4) ___________ is black,brown,or tan tissue in the wound that should be removed before wound healing can begin.
Q5) ___________ are threads of wire or other materials used to sew body tissues together.
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Chapter 41: Dressings,bandages,and Binders
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Sample Questions
Q1) _____________ dressings cover or hold primary dressings in place.
Q2) 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
Q3) The nurse is changing a dry,woven gauze dressing when it is observed that the gauze has inadvertently stuck to the wound.What should the nurse do?
A)Pull the dressing off to aid in debridement.
B)Recover the dressing and leave in place.
C)Moisten the gauze to minimize trauma.
D)Ensure that the shiny side of the dry gauze dressing does not stick.
Q4) A __________ dressing comes in direct contact with the wound bed.
Q5) What should the nurse remember to do when applying a hydrocolloid dressing?
A)Apply granules after applying the wafer.
B)Never use a secondary dressing.
C)Hold the dressing in place.
D)Use silk tape to hold the dressing in place.
Q6) _______________ dressings are used for wounds that require debridement.
Page 43
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Chapter 42: Therapeutic Use of Heat and Cold
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Sample Questions
Q1) The nurse is using cryotherapy for a patient with a sprained ankle.The nurse explains 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.
Q2) The nurse is explaining to the patient the rationale for the use of dry heat.Which of the following statements indicates understanding of the advantage of dry heat application for the patient?
A)It maintains temperature changes longer.
B)It reduces drying of the skin.
C)It penetrates tissue layers deeply.
D)It conforms better to body surfaces.
Q3) Which of the following conditions would require using caution in applying cold therapy?
A)Chronic pain
B)Joint trauma
C)Circulatory insufficiency
D)Sprains
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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) When a caregiver is communicating with a patient,which of the following actions may facilitate communication?
A)Face the patient who has a hearing impairment.
B)Avoid eye contact.
C)Use simple words.
D)Be aware of nonverbal gestures.
Q2) The patient is on neutral protamine Hagedorn (NPH)insulin and regular insulin at home.How should the nurse teach the patient and the patient's caregiver to store the insulin?
A)In the refrigerator and removed only for administration
B)In a warm place such as in a cabinet above the stove
C)In the dairy bin of the refrigerator with the cheese and eggs
D)At room temperature for up to 30 days
Q3) When teaching about medication use in the home,what instructions should the nurse provide to the patient?
A)Always keep insulin in the refrigerator.
B)Put used needles in double paper bags.
C)Put all of the medication to be taken in one bottle.
D)Discard unused or expired medication in a bag containing coffee grounds.
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Page 45
Chapter 44: Home Care Teaching
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Sample Questions
Q1) Which of the following clinical findings are signs of hyperthermia?
A)Dry,warm,flushed skin
B)Chills and piloerection
C)Uncontrolled shivering
D)Loss of memory
Q2) The nurse is teaching the patient and family how to perform tracheal suctioning.What does proper technique include?
A)Teaching how to instill normal saline before suctioning
B)Suctioning the nasal and oral pharynx before the trachea
C)Encouraging daily brushing of the teeth and oral hygiene
D)Having the patient take two to three deep breaths after the procedure
Q3) While teaching how to check for gastric residual volume (GRV),the nurse instructs the caregiver to delay the tube feeding if he or she obtains more than _________ mL of gastric aspirate.
Q4) 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 patient/caregiver perform it.
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