Nursing Fundamentals Lab Exam Practice Tests
Course Introduction
Nursing Fundamentals Lab provides students with hands-on practice in essential nursing skills within a simulated clinical environment. Emphasizing patient safety, infection control, and effective communication, this lab allows students to demonstrate and refine techniques such as vital signs measurement, hygiene and comfort care, mobility assistance, and basic assessment procedures. Through guided instruction and collaborative exercises, students develop confidence and competence in foundational nursing tasks critical for success in clinical settings.
Recommended Textbook
deWits Fundamental Concepts and Skills for Nursing 5th Edition by Williams
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41 Chapters
1377 Verified Questions
1377 Flashcards
Source URL: https://quizplus.com/study-set/776 Page 2
Chapter 1: Nursing and the Health Care System
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/15225
Sample Questions
Q1) Such health services as surgical procedures, restorative care, and home health care would be classified as ________ care.
Answer: secondary
Surgical procedures, restorative care, and home health are part of the many services classified as secondary care.
Q2) Characteristics of primary nursing include: (Select all that apply.)
A) elimination of fragmentation of care between shifts.
B) evolved in the mid-1950s.
C) planning and direction performed by one nurse.
D) ancillary workers used to increase productivity.
E) the care plan covering the entire day.
F) associate nurses taking over care and planning when the primary nurse is off duty.
Answer: A, C, D, E, F
Q3) Preferred provider organizations (PPOs) use ____________ to finance their services and pay the physical cost of the service.
Answer: capitated cost
The capitated cost is the set fee that is paid to the network for each patient enrolled to finance its services.
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Chapter 2: Concepts of Health, Illness, Stress, and Health Promotion
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/15226
Sample Questions
Q1) The nurse assesses successful adaptation in a post stroke patient when the patient:
A) learns to walk and maintain balance with the aid of a walker.
B) consistently takes antihypertensive drugs.
C) attempts to get out of bed unassisted.
D) refuses assistance with feeding.
Answer: A
Q2) The nurse assesses a terminal illness in:
A) a 76-year-old admitted to a nursing home with Alzheimer disease who is pacing and asking to go home.
B) a 43-year-old with Lou Gehrig's disease who is refusing food and fluid.
C) a 2-year-old child who burned her esophagus by drinking drain cleaner and who is being fed by a tube.
D) a 52-year-old diagnosed with lung cancer who had part of one lung removed and has a closed chest drainage device in place.
Answer: B
Q3) Exercise can reduce stress and anxiety by the release of _____.
Answer: endorphins
The release of endorphins induces a feeling of well-being and tranquility.
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Chapter 3: Legal and Ethical Aspects of Nursing
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/15227
Sample Questions
Q1) The nurse explains that a sentinel event is a situation in which a patient:
A) refuses care.
B) is accidentally exposed.
C) leaves the hospital against medical advice.
D) comes to harm.
Answer: D
Q2) A patient who is refusing to take his medication is threatened that he will be held down and forced to take the dose. This is an example of:
A) battery.
B) defamation.
C) assault.
D) invasion of privacy.
Answer: C
Q3) The Health Insurance Portability and Accountability Act's (HIPAA) main focus is in keeping:
A) patients safe from harm.
B) patient information in a secure office area.
C) medications in a locked area.
D) hospital infections under control.
Answer: B
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Chapter 4: The Nursing Process and Critical Thinking
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/15228
Sample Questions
Q1) In the collaborative process of delivering care based on the nursing process, the responsibility of the LPN/LVN is to:
A) collect data of health status.
B) select a nursing diagnosis.
C) organize data to help the RN evaluate patient progress.
D) prioritize nursing diagnoses for more effective care.
Q2) A nurse begins rounds on a medical-surgical nursing unit. Review the following patients on her assignment. Prioritize the order in which the patients should be assessed, based on their descriptions.
A) A 22-year-old patient who is awakening from neck surgery.
B) An 82-year-old patient who is blind and needs discharge instructions.
C) A 44-year-old patient with dehydration from vomiting and diarrhea, who was admitted 3 days ago and who has an IV infusion of fluids.
D) A 35-year-old patient admitted for an injury to his left femoral artery, which required surgical repair 8 hours ago following an ice skating accident.
Q3) The tasks of synthesizing data and linking nursing interventions with patient health problems are enhanced by the process of ________.
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Chapter 5: Assessment, Nursing Diagnosis, and Planning
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/15229
Sample Questions
Q1) After the admission assessment is completed, on subsequent shifts or days, the nurse:
A) does not assess the patient again unless the condition changes.
B) refers only to the admission assessment during the hospitalization.
C) performs a complete physical examination every day.
D) assesses the patient briefly in the first hour of the shift.
Q2) During the assessment phase of the nursing process, the nurse:
A) develops a care plan to meet the patient's nursing needs.
B) begins to formulate plans for providing nursing intervention.
C) establishes a nursing diagnosis for the nursing care plan.
D) gathers, organizes, and documents data in a logical database.
Q3) A patient has a nursing diagnosis of imbalanced nutrition: less than body requirements, related to mental impairment and decreased intake, as evidenced by increasing confusion and weight loss of more than 30 pounds over the last 6 months. An appropriate short-term goal for this patient is to:
A) eat 50% of six small meals every day by the end of 1 week.
B) demonstrate progressive weight gain over 6 months.
C) eat all of the meals prepared during admission.
D) verbalize understanding of caloric needs and intention to eat.
Q4) Conclusions that have been made based on observed data are __________.
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Chapter 6: Implementation and Evaluation
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/15230
Sample Questions
Q1) The nurse is aware that one of the time flexible tasks to be accomplished would be:
A) administering daily insulin 30 minutes before breakfast.
B) taking the patient's vital signs once a day.
C) weighing the patient before breakfast.
D) monitoring a critical patient's vital signs every 15 minutes.
Q2) Before performing a catheterization, the inexperienced nurse should:
A) close the door or curtains to provide the patient with privacy.
B) provide necessary education and explanation of the procedure to the patient.
C) observe rules of Standard Precautions to protect herself from exposure to blood or body fluids.
D) review the agency's procedure manual for the accepted way of performing the procedure.
Q3) The nurse is assessing a patient who just returned from a bowel resection 1 hour ago. The nurse notes a dressing over the suture line that is wet with sero sanguineous drainage. The nurse should initially:
A) perform a sterile dressing change.
B) document and report the wet dressing to the charge nurse.
C) reinforce the wet dressing and document.
D) place a towel on the bed and turn the patient to the operated side.
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Page 8
Chapter 7: Documentation of Nursing Care
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/15231
Sample Questions
Q1) A nurse tells her neighbor personal information about a hospitalized patient. Telling her neighbor about this indicates that the:
A) nurse is actively promoting nursing as a profession, and it is important to share information that might encourage others to pursue a nursing career.
B) actions of the nurse are appropriate since his neighbor is his confidante, and the neighbor has assured him the information provided will not be shared.
C) nurse has violated the confidentiality of the patient by discussing personal information about the patient with his neighbor.
D) nurse has not violated the confidentiality of the patient because the patient is terminal; sharing this information will not harm the patient.
Q2) The method of computer-assisted charting: (Select all that apply.)
A) improves communication between departments.
B) is less costly to educate personnel to the method.
C) speeds reimbursement for services.
D) allows electronic records to be retrieved more quickly.
E) allows entries to be made at point of care.
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9
Chapter 8: Communication and the Nurse Patient
Relationship
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61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/15232
Sample Questions
Q1) An example of a nurse communicating with a patient using open-ended questions would be:
A) "Is your pain less today than it was yesterday?"
B) "Did you sleep all night without waking?"
C) "How many bowel movements have you had today?"
D) "What was your daughter's reaction to your desire for hospice?"
Q2) When a patient states, "My son hasn't been to see me in months," the nurse's best verbal response is:
A) "Don't worry; I'm sure your son will visit."
B) "Your son hasn't been around much lately?"
C) "My son doesn't come to visit me either."
D) "How terrible that he doesn't visit you."
Q3) To elicit more information from a patient, the nurse should ask questions that require more than a one-word answer. This type of question is called _______.
Q4) The communication technique of __________ gives the caregiver the opportunity to ask and respond to questions.
Q5) Pain is often conveyed through nonverbal communication. Two other common, nonverbally expressed emotions are _________________ and ______________.
Page 10
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Chapter 9: Patient Education and Health Promotion
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/15233
Sample Questions
Q1) A patient being assessed for preoperative learning needs says his mother had the same surgery by the same surgeon 3 years ago. The nurse should design the patient education plan to:
A) do a brief review of the preoperative patient education, because the patient is already familiar with the procedure.
B) teach thoroughly as the procedure may have changed.
C) simply give the patient a written list of preoperative instructions.
D) explore with the patient what he knows about the proposed surgery and add or correct where necessary.
Q2) The nurse takes into consideration that when using printed patient education material for a 65-year-old Middle Eastern patient who speaks perfect English, the nurse should:
A) use patient education material printed in English.
B) determine if the patient can read English.
C) engage a translator to read the English material to the patient.
D) use English material that is printed in bold type on white paper.
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Chapter 10: Delegation, Leadership, and Management
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/15234
Sample Questions
Q1) A nurse has received a new medication order for a patient on the CPOE. Which of the following is the most appropriate response by the nurse?
A) Acknowledge the order that includes the patient's name, room number, and generic name of the medication.
B) Acknowledge the order that has been entered by the primary care provider and has been verified by the pharmacist.
C) Send a text message to the nurse responsible for giving the medication to communicate the new order.
D) Check to make sure the patient's regular medication orders have been renewed every 48 to 72 hours.
Q2) Nursing documentation that would best assist with reimbursement to a facility would be:
A) patient was up in chair for 2 hours after breakfast.
B) patient was ambulated in the hall three times this shift.
C) patient was assisted to a recliner chair to use the oxygen concentrator.
D) patient received bath in shower room.
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Chapter 11: Growth and Development: Infancy Through Adolescence
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72 Verified Questions
72 Flashcards
Source URL: https://quizplus.com/quiz/15235
Sample Questions
Q1) A nurse instructing a group of adolescents about development includes in her remarks that the presence of follicle-stimulating hormone (FSH) will cause boys to:
A) have a significant growth spurt.
B) grow a beard.
C) maintain an erection.
D) produce sperm.
Q2) A new parent with her first child tells the nurse that her mother has advised her to feed the baby on a schedule and let the baby cry between feedings so that he does not get spoiled. Based on Erikson's growth and development theory, the nurse's most informative response would be:
A) a sense of trust is developed in infancy when a child's needs are met by warm, loving people.
B) an infant who learns to adapt to uncomfortable situations and to comfort himself will develop autonomy and independence.
C) the infant learns cause and effect at this stage and will learn he can't cry and get his own way.
D) in the first year, crying and learning to wait have positive outcomes for both the mother and the baby.
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Chapter 12: Adulthood and the Family
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/15236
Sample Questions
Q1) A nurse is concerned about a 21-year-old who does not seem to have any intimate relationships. The nurse is aware that according to the Eriksonian theory, a lack of intimacy in this person's life can result in:
A) mistrust.
B) guilt.
C) role confusion.
D) isolation.
Q2) A 35-year-old mother of three children, ages 8, 10, and 13, has decided to return to school to become a nurse. Her husband and parents have been very supportive of her decision and will help with child care while she is in school. According to Schaie's theory for cognitive development, she is in the _____________ stage, which occurs in the ____________ stage of adulthood.
Q3) A patient states that she uses the supplement black cohosh. The nurse recognizes black cohosh is used:
A) for reduction of blood pressure and cholesterol.
B) to lessen signs and symptoms of menopause.
C) to help maintain cartilage and decrease arthritis.
D) to improve blood flow to the brain and decrease forgetfulness.
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Page 14
Chapter 13: Promoting Healthy Adaptation to Aging
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/15237
Sample Questions
Q1) The nurse understands that the best explanation of why a particular person lives into his 90s in relatively good health is that the person:
A) had healthy parents who passed on to him "good" genes and no hereditary diseases.
B) has lived a healthful lifestyle, which has included preventative care, good nutrition, exercise, and a positive outlook.
C) has treated illness with "old-fashioned" home remedies while avoiding the use of many prescription drugs.
D) reads a lot about the newest advances in health care and tries these approaches as soon as they are publicized.
Q2) The home health nurse assesses the older patients in her case load for signs of abuse. The nurse is aware that the primary incidence of abuse is ______________.
Q3) A 67-year-old submitted a job application at a local gas station. The station manager said, "Aren't you retired? I can't hire you. You're too old to be working!" This is an example of __________________.
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15
Chapter 14: Cultural and Spiritual Aspects of Patient Care
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/15238
Sample Questions
Q1) A nurse is caring for a prisoner who is hospitalized for injuries received during a terrorist attack at a nightclub in which several people were killed. While the hospital staff's safety is well managed by the police, to remain grounded in providing care to this patient, an important principle for the nurse to remember about transcultural nursing is:
A) human caring is not a universal aspect of every culture.
B) all cultures provide what every human needs in order to grow, remain well, avoid illness, and survive or face death.
C) nurses are expected to provide care that is congruent with their own cultural needs. D) based on choices this patient made according to his spiritual beliefs, he doesn't deserve quality health care.
Q2) The nurse supervisor becomes concerned when observing the nurse caring for an Orthodox Jewish patient preparing to trim the patient's beard with a(n):
A) pair of scissors.
B) electric razor.
C) razor blade.
D) barber's straight razor.
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Chapter 15: Loss, Grief, and End-of-Life Care
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/15239
Sample Questions
Q1) The nurse is aware that in order to provide effective support to grieving patients and families, the nurse must:
A) keep a professional distance from the situation.
B) understand all the theories of grief.
C) solidify his or her own view of death.
D) stay positive and optimistic at all times.
Q2) A hospice patient is unable to tolerate food or fluids and has advance directives that indicate that he does not want IV fluids or tube feedings if he is unable to take oral feedings. His family is concerned that he will be very uncomfortable without food or fluids. The nurse should tell them that:
A) once the patient is unconscious, his health care proxy can order IV fluids or tube feedings to prevent dehydration.
B) dehydration is painful, and medication can be given to overcome any pain.
C) IV fluids or a tube feeding would make the patient much more comfortable, and they should try to talk him into accepting them.
D) IV fluids or tube feeding would likely make the patient more uncomfortable, and dehydration has been shown to decrease pain and discomfort.
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Page 17
Chapter 16: Infection Prevention and Control: Protective
Mechanisms and Asepsis
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/15240
Sample Questions
Q1) To prevent a urinary infection in an older adult patient who is in traction for a broken femur, the nurse would:
A) request a Foley catheter to be inserted.
B) encourage fluid intake to keep urine dilute.
C) encourage intake of apple juice to keep urine acidic.
D) offer a urinal every 2 hours.
Q2) The nurse using protective nonsterile gloves in the provision of patient care will wash his or her hands after removal of the gloves in order to:
A) avoid transfer of organisms.
B) diminish possibility of latex allergy.
C) keep skin of hands from cracking and drying.
D) enhance the ease of donning a fresh pair of gloves.
Q3) Place the process of an inflammatory response in the appropriate sequence. (Separate letters by a comma and space as follows: A, B, C, D, E.)
A) Release of histamine
B) Edema or swelling
C) Redness
D) Cell injury
E) Vasodilation
Page 18
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Chapter 17: Infection Prevention and Control in the Hospital and Home
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/15241
Sample Questions
Q1) The nurse clarifies that the duties of the facility's infection preventionist include: (Select all that apply.)
A) viewing every culture that is performed in the facility that is positive for pathogens.
B) investigating possible causes for the occurrence of health care-associated infections (HAIs).
C) sanitizing isolation rooms after patients have been discharged.
D) counseling persons who have been found to be careless about infection control protocols.
E) providing education to health care staff relative to infection control.
Q2) When picking up the first sterile glove, the nurse will:
A) grasp the cuff with the thumb and fingers.
B) insert fingers into the opening and pull the glove on while holding the cuff.
C) slip a thumb in the opening and grasp the glove between the thumb and fingers.
D) leave the glove on a flat surface and work the fingers into the opening.
Q3) The most contagious stage of infection is the ________________ period.
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19
Chapter 18: Safe Lifting, Moving, and Positioning of Patients
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/15242
Sample Questions
Q1) A 70-year-old immobile patient, who has right-sided weakness caused by a recent stroke, weighs approximately 250 pounds and needs to be moved up in bed. Which of the following actions should the nurse take? (Select all that apply.)
A) Summon at least one other person to assist.
B) Obtain a mechanical lift.
C) Perform the move by himself, because it should not be too difficult.
D) Obtain a lift sheet.
E) Put the bed in semi-Fowler's position.
F) Place the patient flat on her back.
Q2) To provide correct body alignment for a physically immobile patient in bed in the supine position, the nurse:
A) uses trochanter rolls between the patient's legs to prevent inward rotation.
B) places a large pillow behind the patient's head and neck to hyperflex the neck.
C) raises the head and knees to maintain as much flexion of the hips and knees as possible.
D) uses a footboard or places high top sneakers on the patient's feet to maintain dorsiflexion.
Q3) The primary function of a joint is to provide ______________ to the skeleton.
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Chapter 19: Assisting with Hygiene Personal Care Skin Care
and the Prevention of Pressure Ulcers
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/15243
Sample Questions
Q1) To perform oral care for an unconscious patient, the nurse takes which action first?
A) Position the patient in an upright sitting position with the bed at a comfortable working height for the nurse.
B) Raise the bed to a comfortable working height and position the patient in a flat side lying position.
C) Move the patient to the far edge of the bed with the head slightly elevated.
D) Lower the bed, lower both side rails, and turn the patient's head to one side.
Q2) The nurse shampooing the hair of an African American takes into consideration that the hair:
A) is oilier than the hair of whites.
B) should only be washed every 7 to 10 days.
C) should be dried with a hair dryer.
D) should be combed with a fine toothed comb.
Q3) A patient who has a dry, itchy dermatitis will most likely benefit from:
A) an oatmeal or starch therapeutic bath with tepid water.
B) having his skin patted with alcohol to decrease the itching.
C) a very warm whirlpool bath for 20 to 30 minutes.
D) avoiding any skin contact with water in the affected areas.
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Chapter 20: Patient Environment and Safety
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/15244
Sample Questions
Q1) The best way to maintain safety measures relative to helping a patient get into bed is to:
A) set the bed height at the nurse's waist level.
B) make sure that the bed wheels are locked.
C) place the bed against the wall.
D) insist that the patient stays in bed.
Q2) The doctor has written an order to place a resident in the nursing home in a vest protective device. It is the nurse's responsibility to:
A) check with the nursing supervisor about the legality of the order.
B) remove the device every 2 hours and change the patient's position.
C) remove the device every 4 hours to toilet the patient.
D) apply the device loosely to prevent circulation impairment.
Q3) The patient complains of an odor in his room that smells like something is rotting. The nurse makes an assessment of the room and:
A) changes the linens, which are wrinkled and rumpled from 24-hour use.
B) rinses out the emesis basin of used dry tissues.
C) removes an old flower arrangement.
D) heavily sprays room deodorant around the patient's bed.
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Chapter 21: Measuring Vital Signs
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/15245
Sample Questions
Q1) A nurse is caring for a patient with a cardiac disease history. When measuring vital signs, the nurse finds that the radial pulse is 102 beats/min and irregular. The nurse correctly:
A) listens to the apical pulse for 1 full minute.
B) takes the pulse for 30 seconds on the other wrist.
C) records the findings on the graphic sheet.
D) takes the pulse for 1 full minute on the other wrist.
Q2) The nurse anticipates that if the stroke volume of a patient is reduced, the pulse will be:
A) stronger.
B) weaker.
C) bradycardic.
D) irregular.
Q3) The nurse is caring for a patient who had a cardiac catheterization 2 hours ago and has a pressure dressing to his left groin. In addition to taking routine vital signs, the nurse should also check the:
A) strength of the femoral pulse.
B) presence of the pedal pulse.
C) temperature of the right foot.
D) ability to move the left toes.
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Chapter 22: Assessing Health Status
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/15246
Sample Questions
Q1) The nurse who is assessing the patient with the Glasgow Coma Scale finds a patient who can open his eyes spontaneously, obeys all commands, and is oriented. The nurse documents a score of:
A) 7.
B) 10.
C) 12.
D) 15.
Q2) The nurse is aware that the best way to assess dependent pitting edema in a patient with congestive heart failure is to:
A) measure the circumference of the ankles daily.
B) inquire whether the patient's shoes fit tightly.
C) auscultate lung sounds every shift.
D) press fingers into the tissue over the tibia, just above the ankle.
Q3) The nurse takes special care in the draping of a patient in the lithotomy position in order to diminish ____________________________.
Q4) When the nurse asks the neurologically impaired patient to follow the motion of the nurse's fingers, the patient's eyes track the fingers with jerky movements, which should be documented as ______________________.
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Page 24
Chapter 23: Admitting Transferring and Discharging Patients
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/15247
Sample Questions
Q1) A patient who is scheduled for discharge has items that were stored in the hospital safe. After retrieving them, the nurse should document their return to the patient by:
A) making an entry in the primary care provider progress notes.
B) writing a note to the charge nurse.
C) having the patient sign for them as per policy.
D) asking the unit secretary to place a note in the chart.
Q2) The nurse appreciates that a routine acute care facility admission differs from an emergency admission in that a routine admission: (Select all that apply.)
A) is scheduled in advance.
B) is not stressful.
C) is completely covered by insurance.
D) has a predictable outcome.
E) allows time to arrange for disruptions in routine.
Q3) A nurse who was present at the time of the death of a patient should document:
A) time of death.
B) time at which life signs ceased.
C) notification of the mortuary.
D) which family members were notified.
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Chapter 24: Diagnostic Tests and Specimen Collection
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/15248
Sample Questions
Q1) The statement made by a patient that would delay a scheduled CT scan would be:
A) "I have terrible claustrophobia."
B) "I have just been started on metformin."
C) "I am allergic to penicillin."
D) "I have an implanted pacemaker."
Q2) The nurse preparing a patient for a magnetic resonance imaging (MRI) should determine if the patient has:
A) respiratory allergies.
B) claustrophobia.
C) fear of the dark.
D) dizziness.
Q3) The nurse instructing in the collection of a midstream urine catch would tell the patient to first cleanse the external genitalia and then to:
A) begin voiding into the specimen cup.
B) let a few drops of urine dribble into the specimen cup.
C) void until the bladder is almost empty and then collect the end portion of the voiding in the cup.
D) pass a small amount of urine into the toilet and then collect the specimen.
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Chapter 25: Fluid, Electrolyte, and Acid-Base Balance
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/15249
Sample Questions
Q1) The nurse clarifies that the electrolytes include: (Select all that apply.)
A) sodium.
B) fatty acids.
C) potassium.
D) magnesium.
E) amino acids.
F) glucose.
Q2) The nurse is aware that an infant is more at risk for dehydration because the infant:
A) has kidneys that reabsorb water from the intravascular space.
B) has a larger body surface compared with body weight.
C) urinates more frequently.
D) has fat that absorbs water.
Q3) For the accurate measurement to detect fluid retention, the nurse instructs the nursing assistants to measure the weight with the same scale:
A) each morning before breakfast after the patient has voided.
B) each day at noon before lunch, dressed in light clothing.
C) in between meals, dressed in light clothing after voiding.
D) just before bedtime, while the patient is in a hospital gown or pajamas.
Q4) A patient with a serum potassium value of less than 3.5 mEq/L is _________.
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Chapter 26: Concepts of Basic Nutrition and Cultural Considerations
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/15250
Sample Questions
Q1) When a nurse performs a nutritional assessment on a patient with HIV, what is important to include? (Select all that apply.)
A) Source of illness
B) Family and social history
C) Patient's education
D) Income level
E) Physical assessment
Q2) The mother of a 4-month old infant asks what type of cereal is most appropriate to feed the infant as a first solid food. The best response from the nurse is to suggest A) wheat.
B) barley.
C) corn.
D) rice.
Q3) The nurse points out to the newly diagnosed Type 2 diabetic patient that complex carbohydrates:
A) do not affect the blood sugar level.
B) keep the blood sugar at an unsatisfactory high level.
C) lack adequate nutritional potential.
D) maintain a more consistent blood sugar level.
Page 28
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Chapter 27: Nutritional Therapy and Assisted Feeding
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/15251
Sample Questions
Q1) When caring for a patient receiving total parenteral nutrition, the nurse knows that it is essential to:
A) check the flow rate every shift.
B) order electrolytes daily.
C) monitor IV site every shift.
D) monitor the blood glucose.
Q2) A patient has a new order to have an NG tube removed. The nurse should initially:
A) wash her hands and apply clean gloves.
B) encourage mouth care as needed.
C) explain the procedure to the patient.
D) pinch the tube while removing it.
Q3) The nutritional documentation that is most informative is:
A) ate all of lunch.
B) ate 50% of lunch without difficulty. Refused all solid food.
C) drank most of liquids without difficulty.
D) assisted feeding liquid diet, choked frequently.
Q4) The nurse takes into consideration that excessive intake of saturated and trans fat leads to the development of fatty deposits being laid down in the walls of the blood vessels and causing ____________.
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Chapter 28: Assisting with Respiration and Oxygen Delivery
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/15252
Sample Questions
Q1) The nurse explains that the rate of respiration is triggered when the medulla senses a change in the level of ________ ions in the blood.
Q2) The nurse clarifies that the condition in which there is a decreased amount of oxygen in the blood is:
A) hypoxia.
B) hypercapnia.
C) dyspnea.
D) hypoxemia.
Q3) A patient requires suctioning via the nasotracheal route. In order to perform this procedure safely, the nurse should:
A) apply suction while advancing the catheter into the airway.
B) suction the nasotracheal passage after suctioning the mouth.
C) hold the catheter with the dominant hand after donning sterile gloves.
D) insert the nonlubricated catheter into the nasal passage.
Q4) When obtaining a sputum specimen, the nurse should provide the patient with a sterile sputum cup and instruct the patient to rinse her mouth with _____________.
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Page 30
Chapter 29: Promoting Urinary Elimination
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/15253
Sample Questions
Q1) An adult male patient who cannot void has an order to have a urinary catheter inserted. Which size catheter would be most appropriate to use?
A) 12 French
B) 16 French
C) 18 French
D) 22 French
Q2) A patient is being assessed for a possible urinary tract infection in the outpatient clinic. Before sending a urinalysis specimen to the laboratory, the nurse collects a small amount of urine in order to perform a dipstick test in order to detect:
A) protein.
B) glucose.
C) leukocytes.
D) ketones.
Q3) The nurse is aware that in the older adult, a urinary infection may cause the patient to:
A) run an exceptionally high temperature.
B) have foul urine and diarrhea.
C) become disoriented and confused.
D) become irritable.
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Chapter 30: Promoting Bowel Elimination
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/15254
Sample Questions
Q1) A patient calls the nurse at the health clinic and reports that since his trip to Mexico, he has been experiencing diarrhea. The nurse suggests he try the antidiarrheal drug:
A) docusate sodium (Colace).
B) loperamide (Imodium).
C) polycarbophil (FiberCon).
D) senna (Senokot).
Q2) The patient with the new colostomy is concerned about how to control diarrhea of the effluent. The nurse suggests that diarrhea can be controlled by the intake of: A) cheese.
B) apple juice.
C) raw vegetables.
D) beams.
Q3) The nurse should plan interventions to combat constipation in a patient:
A) being treated for diabetes mellitus.
B) who has a routine order for Metamucil.
C) who just completed barium studies of the bowel.
D) with orders to ambulate with assistance.
Q4) The gastrocolic reflex initiates ________.
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Page 32
Chapter 31: Pain Comfort and Sleep
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/15255
Sample Questions
Q1) A patient experiencing pain states that guided imagery has made the pain more manageable in the past. To assist this patient, the nurse should:
A) find a focal point in the room.
B) bring a newspaper or deck of cards according to patient choice.
C) obtain skin lotion and a towel to give a back rub.
D) read from a script that helps the patient visualize a restful place.
Q2) A relative complains that an older adult patient takes frequent naps late in the day and awakens frequently during the night, and wants to know if this is normal. The nurse explains that an older adult:
A) will awaken more often during the night, but may nap more often during the day.
B) needs at least 10 hours of sleep a day to prevent fatigue.
C) requires less napping during the day to sleep better at night.
D) should be given hypnotics to induce better sleep.
Q3) A pain scale FLACC is used in assessing pain in________.
Q4) A nurse removed a pain medication patch that has a metal clip before the patient goes to have a(n) _________.
Q5) ___________ is considered to be the fifth vital sign.
Q6) Travelers can combat "jet lag" by exposure to _______ for several hours.
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Chapter 32: Complementary and Alternative Therapies
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/15256
Sample Questions
Q1) When asked to give an example of complementary therapies, the nurse gives:
A) eating a macrobiotic diet to treat cancer instead of having surgery.
B) using imagery along with pain medication to increase comfort.
C) practicing naturopathic medicine, a natural means of promoting health.
D) practicing traditional Chinese medicine based on yin and yang.
Q2) When taking the depressed patient's history, the nurse finds that the patient is taking Prozac and the herbal remedy St. John's wort. The nurse gives this information to the physician immediately because:
A) the patient is still depressed and needs another antidepressant added.
B) Prozac and St. John's wort should not be taken together, because this can cause toxicity.
C) Prozac and St. John's wort are complementary therapies and the doctor should know this.
D) the patient should not be taking herbal remedies, because they have proven to be ineffective.
Q3) An alternative type of medical practice that stimulates the patient's natural defenses to alleviate the problem because illness is considered to be specific to the individual is ______________.
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34
Chapter 33: Pharmacology and Preparation for Drug Administration
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/15257
Sample Questions
Q1) The nurse explains that a drug may have several names. The trade name is the only name that can be:
A) used in an order.
B) trademarked.
C) recognized as its chemical makeup.
D) used by retailers to sell the drug.
Q2) The nurse is administering an enteric-coated oral medication to a patient who is unable to swallow tablets. The best nurse action is to:
A) give the patient extra water to take with the pill.
B) crush the tablet for easier swallowing.
C) discontinue the medication and document why.
D) ask the primary care provider to consider a liquid form.
Q3) When preparing medications for delivery to an assigned patient, the nurse should check each medication for accuracy of drug and dose:
A) five times.
B) three times.
C) two times.
D) one time.
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Chapter 34: Administering Oral, Topical, and Inhalant Medications
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/15258
Sample Questions
Q1) A patient is attempting to put pills in his mouth from a medicine cup and drops one pill on the bed sheet. The nurse should:
A) retrieve the pill from the linens and allow the patient to take it.
B) scoop up the pill in a soufflé cup and hand the cup to the patient.
C) discard the pill and get another from the dose pack.
D) report the loss of the pill as a medication error.
Q2) A patient complains about the taste of the sublingual nitroglycerin and admits that he swallows it rather than holding it under his tongue. The nurse explains that sublingual medications:
A) should not be swallowed because it alters the absorption potential.
B) can be inserted rectally without loss of absorption potential.
C) can be held against the roof of the mouth with the tongue to reduce taste.
D) can be taken between the cheek and tongue to diminish taste.
Q3) When the nurse sees the order for "Milk of Magnesia 2 tablespoons, qod, hs," the nurse translates to mean he should give:
A) 1 ounce of Milk of Magnesia every other day at bedtime.
B) 1 1/2 ounces of Milk of Magnesia every day.
C) 2 tablespoons of Milk of Magnesia whenever necessary.
D) 2 ounces of Milk of Magnesia every night.
Page 36
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Chapter 35: Administering Intradermal, Subcutaneous, and Intramuscular
Injections
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/15259
Sample Questions
Q1) A patient asks why the clinic nurse asked him to remain in the clinic for 30 minutes after the injection of penicillin. The nurse explains that it is part of the standards of care to monitor for:
A) any pain reaction.
B) bleeding at the site.
C) infection at the site.
D) any allergic reaction.
Q2) The nurse computes the dose of medication as 2.4 million units of penicillin to be delivered in 4 mL. The nurse should:
A) give the 4 mL using a 5 mL syringe.
B) inform the charge nurse that the dose is too large to be given IM.
C) divide the dose into two 3 mL syringes and give as a divided dose.
D) ask the primary care provider if another medication can be used.
Q3) A nurse has just administered a medication to a patient using a syringe that is not a safety syringe. To dispose of the needle and syringe safely, the nurse should:
A) recap the needle and dispose of it in the trash receptacle.
B) recap the needle and dispose of it in the sharps container.
C) leave the needle uncapped and dispose of it in the trash receptacle.
D) leave the needle uncapped and dispose of it in the sharps container.
Page 37
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Chapter 36: Administering Intravenous Solutions and Medications
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/15260
Sample Questions
Q1) A nurse is monitoring the status of an older adult patient who is receiving IV therapy. Indicator of fluid volume overload is suspected when the nurse assesses:
A) crackles in the lung fields.
B) pulse rate of 64 beats/min, irregular.
C) respirations of 16 breaths/min, regular.
D) slight edema to the feet.
Q2) The nurse takes into consideration that according to The Joint Commission, the first IV antibiotics order for a community acquired pneumonia must be administered within:
A) 2 hours.
B) 4 hours.
C) 6 hours.
D) 24 hours.
Q3) The nurse would plan to get another nurse to try to obtain a successful venipuncture if the first nurse was not successful in:
A) five attempts.
B) three attempts.
C) two attempts.
D) one attempt.
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Chapter 37: Care of the Surgical Patient
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/15261
Sample Questions
Q1) The nurse is assessing the surgical dressing of a patient who arrived on the unit an hour ago. The surgical dressing has serosanguineous drainage on the dressing. The nurse should:
A) make a note of the drainage on the worksheet to report it at the end of shift.
B) change the surgical dressing immediately to prevent infection.
C) outline the area of drainage with a pen and mark it with the date and time.
D) reinforce the dressing with clean gauze sponges and tape.
Q2) A patient scheduled for surgery has an order for a preoperative surgical skin preparation. The nurse may be required to:
A) shave the entire surgical site.
B) spray the surgical area with an antimicrobial solution.
C) scrub the surgical area for 1 minute with antibacterial solution.
D) instruct the patient in the use of an antimicrobial soap in the shower.
Q3) The circulating nurse is responsible for:
A) preparing the sterile field.
B) assisting with sterile draping of the patient.
C) maintaining an accurate count of sponges.
D) pointing out the observation of contamination immediately to the personnel involved.
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Chapter 38: Providing Wound Care and Treating Pressure
Ulcers
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/15262
Sample Questions
Q1) A patient has a pooling of blood under unbroken skin of the hip after a fall. The nurse should document that this patient has a(n):
A) abrasion.
B) laceration.
C) hematoma.
D) avulsion.
Q2) The nurse is alert to the indication of possible dehiscence of an abdominal surgical wound, which would be evidenced by:
A) increased pallor of the surgical site.
B) complaint of constipation.
C) excessive gas.
D) increased serosanguineous drainage from the wound.
Q3) The nurse explains to the patient that the foot will be submerged in warm water for a maximum of ______ minutes.
Q4) The nurse places Dakin solution in a wound to accomplish chemical
Q5) The nurse assesses the large raised scar on the African American patient. The nurse documents the lesion as a _______________.
Page 40
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Chapter 39: Promoting Musculoskeletal Function
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/15263
Sample Questions
Q1) When transferring a patient from bed to chair using a mechanical lift, the nurse should:
A) put the bed in the lowest position.
B) position the sling under the patient from the top of the head to the buttocks.
C) lower the far bed rail.
D) widen the stance of the lift's base and lock it.
Q2) The nurse assesses a patient as having delayed capillary refill if the blanching lasts longer than:
A) 1 second.
B) 2 seconds.
C) 3 seconds.
D) 5 seconds.
Q3) When handling a freshly applied plaster cast while assisting a patient from stretcher to bed, the nurse should handle the cast using:
A) fingertips and palms.
B) palms only.
C) fingertips and flat parts of fingers.
D) palms and flat parts of fingers.
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Chapter 40: Common Physical Care Problems of the Older
Adult
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/15264
Sample Questions
Q1) The nursing strategy that may be most helpful in preventing falls in older adult patients on a skilled nursing unit would be to:
A) answer call bells promptly.
B) use vest restraints as needed.
C) keep lights dim for eye protection.
D) always keep bed rails up.
Q2) A nurse is caring for an 86-year-old patient who still takes pride in the fact that he drives. The nurse suggests that his driving be limited to:
A) back roads.
B) large shopping centers.
C) going to church and the grocery store.
D) daytime driving.
Q3) The nurse is aware that the newly admitted resident has age-related macular degeneration (AMD). The nurse will modify the care plan to accommodate the patient's:
A) loss of central vision.
B) lack of ability to focus on near objects.
C) inability to adjust from light to dark environments.
D) increasing pressure in the eye with progressive blindness.
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Chapter 41: Common Psychosocial Care Problems of Older
Adults
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/15265
Sample Questions
Q1) The nurse clarifies to a family of a resident with Alzheimer disease that dementia differs from confusion and delirium in that dementia is:
A) usually rapid in onset.
B) permanent.
C) caused by depression.
D) effectively treatable.
Q2) When the nurse observes the ________ ________ warning on the label on a bottle of antipsychotics, the nurse is aware that it is a very strong advisory from the Food and Drug Administration (FDA) prior to pulling the drug off the market.
Q3) When a patient becomes violent and hits a table with his cane, the initial appropriate nursing approach is to:
A) medicate the patient to help control his anxiety.
B) call for assistance to apply restraints.
C) attempt to distract the patient.
D) direct the patient in a loud authoritarian voice to sit down.
Q4) The nurse clarifies that the diagnosis of nocturnal delirium refers to a syndrome also called _______________.
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