Nursing Interventions
Exam Questions
Course Introduction
This course provides an in-depth exploration of evidence-based nursing interventions essential for effective patient care across various healthcare settings. Students will learn to assess patient needs, develop individualized care plans, and implement interventions that promote health, prevent illness, and support recovery. The course covers a wide range of nursing actions, including medication administration, wound care, patient education, and collaborative care with multidisciplinary teams. Emphasis is placed on critical thinking, cultural competence, and evaluating intervention outcomes to ensure optimal patient safety and quality of care.
Recommended Textbook
Nursing Interventions and Clinical Skills 6th Edition by Anne Griffin Perry
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31 Chapters
849 Verified Questions
849 Flashcards
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Page 2
Chapter 1: Using Evidence in Nursing Practice
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/38560
Sample Questions
Q1) Why is piloting a practice change after conducting a study the best approach to change?
A) It ensures that all of the patients involved will benefit from the change.
B) It helps identify any issues with implementation on a limited basis.
C) It facilitates communication among all of the participants.
D) It provides better acceptance by personnel reluctant to change.
Answer: B
Q2) In which database would biomedical and pharmaceutical studies be found?
A) EMBASE
B) PsycINFO
C) MEDLINE
D) CINAHL
Answer: A
Q3) What does the "I" indicate in a "PICO" question?
A) Intervention of interest
B) Incorporation of concepts
C) Implementation by nursing
D) Interest of personnel
Answer: A
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Page 3
Chapter 2: Communication and Collaboration
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The nurse is teaching the patient about weight management,and the patient wants to know how the nurse manages to stay "so thin." Which response should the nurse use to maintain therapeutic communication?
A) State that nurses cannot discuss personal information with patients.
B) Describe a daily routine of walking the family dog to the local park.
C) Recognize the question and redirect the discussion to weight management.
D) Explain that the patient needs a background in health care to use the nurse's plan.
Answer: C
Q2) The female patient scheduled for an invasive procedure the next day complains of headache and nausea and knocks over a glass of water.Which intervention(s)should the nurse implement for therapeutic communication? (Select all that apply.)
A) Explain the procedure briefly.
B) Teach with the patient's partner present.
C) Give the patient written information.
D) Tell the patient that she seems overwhelmed.
E) Ask if this is her first hospitalization.
F) State that the procedure can be cancelled.
Answer: A,B,C,D
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Chapter 3: Documentation and Informatics
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The "PIE" format is used on the nursing unit.Which entry should the nurse place in the "E" part of the format?
A) Pain level 4/10 gnawing and constant.
B) Lung sounds clear bilaterally.
C) Patient states, "I don't want the blood transfusion because of the problems I had before."
D) Pain level 2/10 30 minutes after receiving pain medication.
Answer: D
Q2) The following is an example of what part of the SBAR communication mnemonic? "Her blood pressure has decreased from 140/90 to 100/50 and she vomited 400 mL of bright red blood."
A) S
B) A
C) R
D) B
Answer: A
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Chapter 4: Patient Safety and Quality Improvement
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) Which of the following statements are examples of features that support a culture of safety? (Select all that apply.)
A) Acknowledging that hospitals are risk-free environments
B) Encouraging a high degree of teamwork and collaboration
C) Commitment of resources by the organization to address safety concerns
D) An environment where employees can report errors without punishment
E) A system that does not use incident reports
Q2) The following is an example of an alternative to restraint use in patient care.(Select all that apply.)
A) Frequent observation of patients
B) Involving patients and families
C) Frequent reorientation
D) Four side rails
E) Lap belt with quick release
Q3) 3. Step 3
A)Remove nearby furniture.
B)Loosen restrictive clothing.
C)Maintain the patient's airway.
D)Ease the patient to a safe location.
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Page 6
Chapter 5: Infection Control
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) While setting up a sterile field for a procedure,the nurse knocks a linen-wrapped sterile package to the floor.Which reaction allows the nurse to maintain safe practice?
A) Inspect the package for tears.
B) Brush away the visible debris.
C) Record the procedure as clean.
D) Replace the sterile package.
Q2) The nurse is getting ready to provide a sterile dressing change.Which nursing action is consistent with principles used to prepare a sterile field?
A) Identify that items below waist height are contaminated.
B) Use opened packages of dressing supplies within the same shift.
C) Identify that sterile drapes have a 5.08 cm (2-inch) contaminated border.
D) Replace bottle caps if the inside of the cap is not touched.
Q3) The nurse completes care for the patient on droplet precautions.Which procedure does the nurse implement to prevent transmitting the pathogen to other people?
A) Removes gloves and mask at the bedside and gown in hallway
B) Removes all personal protective equipment (PPE) in the soiled utility room
C) Removes gloves first, gown second, and mask third in the patient's doorway
D) Removes mask first, gloves second, and gown third outside the patient's room
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Chapter 6: Vital Signs
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nursing assistant reports the following vital signs for four patients just evaluated.Which patient should the nurse see first?
A) 25 respirations per minute for a toddler
B) 38 respirations per minute for a newborn
C) 12 respirations per minute for an 8-year-old child
D) 14 respirations per minute for an adult patient
Q2) The nurse is assessing a new orientee's knowledge of when to take vital signs.The following statement indicates a need for more education.
A) I should take vital signs upon admission.
B) I should take vital signs when there is any change in condition.
C) I should take vital signs at the beginning and end of a blood transfusion.
D) I should take vital signs if a patient reports feeling different.
Q3) At what distance above the antecubital fossa does the nurse position a blood pressure (BP)cuff when using the brachial artery to measure BP?
A) 2.5 cm (1 inch)
B) 0.6 cm (1/4 inch)
C) 1.3 cm (1/2 inch)
D) 5.1 cm (2 inches)
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Chapter 7: Health Assessment
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The nurse assesses the patient's lungs to find high-pitched musical sounds on inspiration and expiration.Which description does the nurse use to document the findings?
A) Rhonchi
B) Wheezes
C) Crackles
D) Friction rub
Q2) The nurse is performing a neuromuscular assessment.Which method should the nurse use to evaluate muscle strength?
A) Measure the muscle size.
B) Perform range of motion.
C) Apply pressure against resistance.
D) Observe the patient's gait and transfers.
Q3) The nurse is preparing to auscultate the pulmonic area.At which site should the nurse place the stethoscope?
A) At the costovertebral angle
B) Over the costochondral junction
C) At Erb's point
D) On the left side at the second intercostal space
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Page 9
Chapter 8: Specimen Collection
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A test for occult blood is to be done tomorrow.Patient teaching by the nurse has been appropriate if the patient chooses which menu for dinner tonight?
A) Hamburger, noodles, dinner roll with butter, broccoli
B) Beef stew, rice, garlic bread, applesauce
C) Macaroni and cheese, mixed vegetables, apple slices
D) Pork chop, mashed potatoes with gravy, peas, ice cream
Q2) The nurse is obtaining a nasal culture using a commercially prepared culture tube.After placing the swab in the culture tube,what should the nurse do next?
A) Take the swab and mix it in reagent to check for color changes.
B) Place the swab into a culture tube and add a reagent to the tube.
C) Label the specimen and enclose it in a plastic biohazard bag.
D) Place the swab into the tube, close it securely, and keep it warm.
Q3) The patient accidentally discards voided urine during a 24-hour urine collection.What should the nurse do next?
A) Instruct the patient to call for help before voiding.
B) Consult with the laboratory for further instructions.
C) Discard all urine and begin another 24-hour collection.
D) State on the laboratory requisition that one specimen is missing.
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10
Chapter 9: Diagnostic Procedures
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse admits the patient to rule out leukemia and prepares him for definitive diagnostic testing.Which is the best question to ask the patient before the procedure?
A) "Do you ever feel claustrophobic?"
B) "Are you allergic to iodine or shellfish?"
C) "Have you ever had an electrocardiogram?"
D) "Can you lie on your stomach for 20 to 30 minutes?"
Q2) A patient has had increasing respiratory difficulty as a result of abdominal cancer.Which information does the nurse provide to the patient about the purpose of having a paracentesis?
A) It will relieve pressure and some of the discomfort in your abdomen.
B) It will allow for analysis of the thoracic fluid for cytology.
C) Fluid from the lung will be examined.
D) The examination will allow for extraction of a sample of bone marrow.
Q3) The patient arrives in the intensive care unit after a bronchoscopy.Which patient assessment is the nurse's priority?
A) Status of the gag reflex
B) Level of sedation
C) Circulatory status
D) Respiratory status
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Page 11
Chapter 10: Bathing and Personal Hygiene
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The patient is able to sit in the chair while the bed is being made.What nursing process step should the nurse implement for bed making?
A) Keep the bed in the low position.
B) Pull the blanket up to the head of the bed.
C) Instruct the patient to hold the side rail.
D) Delegate the task to nursing assistive personnel (NAP).
Q2) The nurse is planning to delegate foot care to the NAP for three of her four patients.Which patient should she do the foot care for?
A) Postoperative hip fracture
B) Diabetic patient
C) Post head injury
D) Pneumonia patient
Q3) An unconscious male patient's beard has become soiled with blood and adhesive tape residue.What should the nurse do initially to maintain the patient's hygiene?
A) Trim the beard to a short, manageable length.
B) Shampoo the beard at the bedside and comb out debris.
C) Determine if there are contraindications to trimming the beard.
D) Use baby powder to soak up debris; comb debris out.
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Page 12
Chapter 11: Care of the Eye and Ear
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse prepares to remove the patient's soft contact lenses.Which intervention should the nurse implement to remove the lenses without traumatizing the cornea?
A) Irrigate the eye with 50 mL of a sterile saline solution.
B) Pull the lid down and instruct the patient to blink.
C) Pinch the sides of the lens together and pop it out.
D) Move the lens to the sclera and compress the lens gently.
Q2) The family of an older adult brings the patient to the healthcare provider because the patient seems to be confused or depressed at times.What approach by the nurse can best obtain valuable information about the underlying problem?
A) Talk to the patient in a normal voice while standing away from him or her.
B) Whisper questions to the patient to determine if the questions can be understood.
C) Ask the family to explain the activity patterns of the patient.
D) Ask the family for a list of what the patient usually eats.
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13
Chapter 12: Promoting Nutrition
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) The nurse assesses the patient who receives continuous enteral nutrition through a nasointestinal tube.What is the priority intervention by the nurse if the patient's bowel sounds are inaudible?
A) Document "absent bowel sounds."
B) Gradually decrease the rate of the tube feeding.
C) Monitor the patient for possible diarrhea.
D) Stop the feeding and notify the healthcare provider.
Q2) The nurse instructs the new orientee to care for the gastrostomy site.Which items should the nurse include in her teaching? (Select all that apply.)
A) Cleanse the site with Betadine.
B) Place the dressing under the external bar.
C) Assess the site for evidence of drainage or infection.
D) Apply a thin layer of skin barrier to exit site.
Q3) A patient with a neurological disease has difficulty swallowing.Which should the nurse include in the plan of care?
A) Limit oral intake to clear liquids.
B) Allow adequate time for the feeding.
C) Ask family members to coach the patient.
D) Maintain low-Fowler's position for meals.
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Page 14
Chapter 13: Pain Management
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The nurse massages the patient to promote relaxation.Which is a suitable intervention for the nurse to implement during the massage?
A) Use the friction technique over the spine.
B) Assess for pain, anxiety, and discomfort.
C) Instruct the patient to sit upright and forward.
D) Knead the patient's scalp with warm lotion.
Q2) 4. Step 4
A)Compare routes on an equianalgesic chart.
B)Determine the patient response to analgesia.
C)Ask the patient to rate the pain a scale of 1 to 10.
D)Check the last analgesia administration time.
Q3) The nurse receives the patient in the postanesthesia recovery unit and assesses the epidural analgesic infusion.Which is the nurse's priority?
A) The filter needle is attached to the catheter tubing.
B) The distal end of the tubing is attached to the catheter.
C) The infusion contains an opioid and a local anesthetic.
D) The pump settings match the provider prescription.
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Chapter 14: Promoting Oxygenation
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse fills the suction control chamber with water to the 20-cm line while setting up a water-seal chest drainage system.Which rationale does the nurse use to explain this intervention?
A) Creates a method for counting respirations
B) Compensates for leaks in tubing connections
C) Maintains up to 20 cm of intrapleural pressure
D) Facilitates bubbling for pressure over 20 mm Hg
Q2) An older adult patient with a nasal cannula and extension tubing is able to get out of bed independently.What teaching by the nurse is indicated for this patient?
A) Put on slippers whenever walking.
B) Take off the oxygen if only going to the bathroom.
C) Be careful not to trip over the extra oxygen tubing.
D) Increase the flow rate a little before getting out of bed.
Q3) A patient with a water-sealed chest tube unit is connected to suction.Patient care is correct if the nurse takes which action?
A) Monitors the bubbling of sterile water in the water-seal chamber
B) Strips the tube every 2 hours for 15 seconds to prevent clots
C) Clamps the chest tube when transporting the patient
D) Keeps two toothed clamps at the bedside for an emergency
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Page 16
Chapter 15: Safe Patient Handling, transfer, and Positioning
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse assists the patient with transferring from bed to chair by using a transfer belt.Which is the first instruction that the nurse gives to the patient after properly positioning him or her?
A) "Place your arms around my neck to stand up."
B) "Bend both knees slightly when standing up."
C) "Hold the transfer belt for stability during transfer."
D) "Rock to help stand while pushing up with your hands."
Q2) 1. Workers in ________ and ________ occupations suffer the most lost-time cases of general musculoskeletal pain and back pain.
Q3) A 225-pound patient is unconscious and needs to be transferred from the bed to the stretcher.Which action is most critical for the nurse to initiate before moving the patient?
A) Obtain a friction-reducing device and at least two other staff members.
B) Instruct a nurse to stand at the head of the patient.
C) Suspend the intravenous (IV) lines and Foley catheter from the stretcher.
D) Wrap the patient in a sheet to prevent injury to the arms and legs.
Q4) 2. The most effective way to prevent musculoskeletal injuries when positioning patients is to teach _______________and ____________.
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Chapter 16: Exercise Mobility
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20 Flashcards
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Sample Questions
Q1) A patient's pulse has gone from 78 at rest to 98 after ambulating.What nursing action is indicated at this time?
A) Ask the healthcare provider to order a wheelchair for the patient.
B) Plan an adequate rest period before and after ambulating.
C) Sit the patient on the bed for 15 minutes before ambulating.
D) Increase the amount of range-of-motion exercises done daily.
Q2) A patient is being moved into a dangling position before ambulating.To decrease the chance of orthostatic hypotension,what activity can the patient do?
A) Sit on the side of the bed for a minute before standing up.
B) Take several deep breaths while moving into the dangling position.
C) Push up from the bed into the dangling position on the side of the bed.
D) Stretch all of the muscles in the body.
Q3) The nurse is measuring vital signs when the patient,who is standing,complains of dizziness.What is the nurse's priority intervention?
A) Call for immediate assistance.
B) Help the patient to lie on the floor.
C) Help the patient to a seated position.
D) Inform the patient that the dizziness will pass.
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18
Chapter 17: Traction, cast Care, and Immobilization Devices
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse is teaching a patient about pin site care.Which of the following should the nurse include in patient teaching for self-care at home?
A) Use a new sterile applicator for each pin.
B) Wrap the pins with sterile gauze saturated in an antibiotic.
C) Use a new clean swab for each pin site.
D) Use cotton swabs with hydrogen peroxide to clean the pins.
Q2) The nurse assesses the traction boot for a proper fit.Which observation by the nurse verifies that the patient has a properly fitting Buck's traction boot?
A) The heel rests firmly on the inner heel padding of the boot.
B) The leg slips out of the boot after applying weight.
C) The pain level increases from a level of 6 to 7 on a scale of 10.
D) The traction boot fits snugly without pressure points.
Q3) 2. The nurse is performing pin site care using evidence-based guidelines.Those guidelines recommend using __________ solution to clean the pin sites.
Q4) 1. The first sign that a neurovascular deficit is developing in a patient who is immobilized in a traction device after a fracture is ___________on passive range of motion.
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Chapter 18: Urinary Elimination
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) In which position would the nurse place a female patient when preparing to insert a urinary catheter?
A) Prone
B) Supine
C) High-Fowler's
D) Dorsal recumbent
Q2) The nurse is preparing to insert an indwelling urinary catheter into a female patient who is having major open heart surgery and will be in the intensive care unit after surgery.Which statement about the purpose of the catheter by the patient best indicates that teaching by the nurse was effective?
A) "An empty bladder always helps prevent bladder infections."
B) "The catheter drains residual urine from a urinary obstruction."
C) "The catheter prevents urinary infections."
D) "The catheter will allow us to monitor your urine output status closely after surgery."
Q3) 1. A ________ ___________ is a noninvasive device that measures the volume of urine in the bladder by creating an ultrasound image of the bladder from which calculations are made to report urine volumes.
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Chapter 19: Bowel Elimination and Gastric Intubation
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) During insertion of a nasogastric (NG)tube,the patient begins to cough and gag.Which intervention should the nurse implement for the patient's benefit?
A) Withdraw the tube slightly and ask the patient to swallow.
B) Stop the procedure, anchor the tube, and request an x-ray film.
C) Tell the patient that the gagging will pass, and advance the tube.
D) Remove the tube and allow the patient to regain composure.
Q2) A patient's nasogastric tube needs to be irrigated.Which action does the nurse implement first to prevent complications?
A) Introduces 30 mL of sterile fluid
B) Verifies the placement of the tube
C) Aspirates gastric contents
D) Positions the patient on the left side
Q3) A patient requires digital removal of a fecal impaction.Which action should the nurse perform before beginning this procedure?
A) Administer large-volume tap water enemas until clear.
B) Assist the patient into the dorsal recumbent position.
C) Check for an order from the healthcare provider.
D) Delegate the procedure to nursing assistive personnel (NAP).
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21
Chapter 20: Ostomy Care
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Sample Questions
Q1) 2. Feces and urine can flow through a segment of the colon or small intestine and out through the opening (called a stoma)on the abdomen.The output from the stoma is called the ________.
Q2) 1. A ___________ is surgically created by transplanting the ureters into a closed-off portion of the intestinal ileum.
Q3) A patient is hesitant to look at his stoma 2 days after colostomy surgery.Which is the best response by the nurse to the patient?
A) "I see that you don't want to look at the stoma, but it looks good for a new colostomy."
B) "I'll teach stoma care to each family member before you leave the hospital."
C) "I'll explain everything I do in great detail in case you want to know."
D) "You know you must look at it eventually, so let's look together now."
Q4) A patient has a new incontinent urostomy because of bladder cancer.The patient asks how he will manage "all of this urine" at night.Which response by the nurse is best?
A) "You'll get up and empty the bag whenever you wake up at night."
B) "We give you a larger pouch to wear at night to hold the extra urine."
C) "We'll attach a large bedside drainage bag to the outlet of the pouch."
D) "It's really nothing to worry about until you start eating regular meals."
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22
Chapter 21: Preparation for Safe Medication Administration
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Sample Questions
Q1) A patient received a drug that caused an unpredictable and unusual effect.Which term does the nurse use to describe this effect?
A) Toxic
B) Allergic
C) Therapeutic
D) Idiosyncratic
Q2) The nurse discharges a patient from the ambulatory surgical center with a prescription for an opioid analgesic.The patient can take the medication every 4 to 6 hours as needed for pain.What does the nurse include in patient teaching about the prescription before discharging the patient?
A) Take the medication for severe pain.
B) Use the medication to facilitate healing.
C) Wait 4 to 6 hours before taking the next dose.
D) Take every 4 to 6 hours until the bottle is empty.
Q3) 3. _________ _______ _______ are unintended,undesirable,and often unpredictable.
Q4) 2. ___________ is the study of how drugs enter the body (absorption),reach the site of action (distribution),are metabolized,and are excreted from the body.
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Page 23
Chapter 22: Administration of Nonparenteral Medications
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Sample Questions
Q1) The nurse needs to administer a rectal suppository to a patient to treat constipation.Which action may the nurse delegate to the nursing assistive personnel (NAP)?
A) Inserting the suppository into patient's rectum
B) Notifying the patient's healthcare provider of the suppository results
C) Documenting the administration of a suppository after insertion
D) Informing the nurse of the bowel movement
Q2) The nurse needs to document a medication that has just been administered.Which technique should the nurse use to document medication administration?
A) Document the medication immediately before administration.
B) Record the time administered and the nurse's name immediately after administration.
C) Record medication administration time, route, and dose at the end of the shift.
D) Delegate recording administration time and the nurse's name in the medication administration record (MAR).
Q3) 1. A _________ medication is one that is applied directly to skin,mucous membranes,or tissue membranes.
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24
Chapter 23: Administration of Parenteral Medications
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Sample Questions
Q1) The patient wants to receive insulin by continuous subcutaneous injection (CSCI).Which injection site does the nurse suggest for the patient?
A) The upper arm
B) The upper chest
C) The lower abdomen
D) The thigh
Q2) The nurse is reviewing the records of four patients on heparin therapy.Which patient does the nurse determine has the highest risk for a bleeding disorder during heparin therapy?
A) A 10-year-old patient with an acute viral infection
B) A female patient who gave birth more than 6 weeks ago
C) A patient who takes a nonsteroidal antiinflammatory drug
D) A 60-year-old patient with kidney stones
Q3) The nurse is preparing to administer the anticoagulant enoxaparin (Lovenox)subcutaneously.Which injection site is most appropriate for the nurse to use?
A) Thighs
B) Deltoid area
C) Sides of abdomen
D) Ventrogluteal area
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Page 25
Chapter 24: Wound Care and Irrigation
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Sample Questions
Q1) The nurse performs a dressing change for a patient with a negative-pressure wound therapy device.Which step does the nurse implement to facilitate wound healing?
A) Cuts the foam smaller than wound edges
B) Uses black foam to prevent granulation tissue from forming
C) Determines if the patient needs pain medication before beginning the procedure
D) Checks the dressing to ensure that the negative-pressure wound therapy tubes are functioning
Q2) 1. A ______ __________ wound is a loss of the epidermis and superficial dermal layers and heals by regeneration.
Q3) The nurse needs to apply a dry sterile dressing.Which should the nurse implement first?
A) Inspect the appearance of the wound.
B) Remove excess moisture from the wound.
C) Cleanse the wound with sterile saline solution.
D) Prepare the sterile field for supplies.
Q4) 2. A _____ ______wound is a total loss of epidermis and dermis and in some cases is as deep as the muscle layer or bone; it heals by scar formation.
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26
Chapter 25: Pressure Ulcers
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Sample Questions
Q1) The nurse assesses a patient using the Braden scale.A patient having a majority of which number indicates being at great risk for pressure sores?
A) 1
B) 2
C) 3
D) 4
Q2) The nurse is planning care for her patients and is concerned about skin breakdown and delayed wound healing.Which of the following patients are likely to be at a higher risk for wound healing should they develop a pressure ulcer? (Select all that apply.)
A) An elderly female patient with mobility issues
B) A young diabetic patient in traction and on bed rest
C) A teenager receiving chemotherapy
D) An elderly man with stage IV congestive heart failure
E) A middle-aged woman with lupus who is having back surgery but is ambulatory
Q3) 1. Poor _____ ___________ decreases the patient's ability to feel the sensation of pressure or discomfort.
Q4) 3. A parallel force that stretches tissue and blood vessels is called _______.
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Chapter 26: Dressings,bandages,and Binders
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse prepares to perform a dressing change on an ulcerated area.Which principle does the nurse apply while performing a dressing change?
A) The dead space found in an ulcer should be packed tightly.
B) The wound should be débrided using multiple dry gauze pads.
C) The dressing should absorb exudate without damaging the wound bed.
D) The wound bed should be dried to stimulate granular tissue.
Q2) The nurse is caring for a patient who requires a moist-to-dry dressing.Which action by the nurse is appropriate during the procedure?
A) Applies a dry absorbent outer dressing
B) Packs flat gauze into the wound bed
C) Soaks the wound packing with antiseptic
D) Moistens the old dressing before removal
Q3) The nurse assigns patient care to nursing assistive personnel (NAP).Which wound care tasks should the nurse assign to this staff member?
A) Apply the hydrocolloid dressing.
B) Assess dimensions of the wound.
C) Report visible drainage on the dressing.
D) Change the first postoperative dressing.
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Chapter 27: Intravenous and Vascular Access Therapy
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A patient on an anticoagulant is going home and needs his peripheral intravenous (IV)line removed.Which action is essential for the nurse to take?
A) Pull the IV catheter out smoothly but quickly.
B) Apply sterile gloves before going to the patient's bedside.
C) Check the most recent clotting studies.
D) Apply pressure over the insertion site after removal of the IV line for 5 to 10 minutes.
Q2) The nurse observes that the patient's left cephalic intravenous (IV)site is cool,swollen,and mildly tender,although the IV line is infusing at the prescribed rate.Which action should the nurse take first?
A) Instruct the patient to elevate his or her arm on two pillows.
B) Discontinue the IV infusion and start one in the right arm.
C) Apply a warm, moist compress to the IV site.
D) Reassess the IV site in 2 hours for any change.
Q3) 2. _________ _________is a specialized form of nutritional support in which nutrients are given intravenously (IV)through a CVAD by an infusion pump to patients with significant gastrointestinal (GI)dysfunction.
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Chapter 28: Preoperative and Postoperative Care
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) 1. Postoperative pain tends to be undertreated in _______ ___________.
Q2) The nurse plans assignments for the staff in an ambulatory surgery center.Which assignment can the nurse delegate to nursing assistive personnel (NAP)?
A) Bring the preoperative medications prepared by the nurse to the patient.
B) Administer a preoperative enema to the patient.
C) Instruct the patient to arrange for a ride home and a companion after surgery.
D) Reinforce preoperative teaching related to the patient's postoperative diet.
Q3) The nurse wants to detect a paralytic ileus promptly in a patient after a total abdominal hysterectomy.Which method is best for the nurse to use to assess for this postoperative complication?
A) Auscultate the bowel sounds every few hours.
B) Palpate the suprapubic region for distention.
C) Evaluate the patient's postoperative appetite.
D) Administer stool softeners for prophylaxis.
Q4) 3. Maintenance of body temperature in infants and children after surgery is a priority because of their ____________ temperature-control mechanisms.
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Chapter 29: Emergency Measures for Life Support in the Hospital Setting
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Sample Questions
Q1) 2. Oral airways devices are only used for unresponsive patients without a _______
Q2) A visitor has coded in the hospital cafeteria,and several nurses witnessed the code.What is the proper procedure for initiating use of the automatic external defibrillator (AED)?
A) Provide 5 cycles of cardiopulmonary resuscitation (CPR) before shocking.
B) Place AED pads and shock as soon as possible.
C) Insert an oropharyngeal airway before shocking.
D) Place one AED pad on the upper left sternal border and one pad on the lower right side below the nipple and axilla.
Q3) The nurse has been performing cardiopulmonary resuscitation (CPR)on an infant.Which method does the nurse use to determine its effectiveness?
A) Waits for the infant to cry after CPR ceases
B) Stops chest compressions to feel for a pulse
C) Feels for the pulse during chest compressions
D) Delivers 30 compressions to each rescue breath
Q4) 1. A ________ _______ is the cessation of circulating blood flow that greatly reduces oxygen transport and perfusion.
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Chapter 30: Palliative Care
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15 Verified Questions
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Sample Questions
Q1) 1. ____________ refers to a dynamic dimension of human life,expressed in a person's search for meaning and hope.
Q2) The nurse plans nonpharmacological comfort measures for a patient who is dying.What activity should the nurse include for this type of comfort?
A) Keep the head of the bed lowered.
B) Provide regular hygiene and skin care.
C) Reduce the amount of analgesics given.
D) Offer foods and liquids with strong aromas.
Q3) The nurse is explaining the similarities between palliative care and hospice care to the family of a patient.Which statement indicates a need for further education? (Select all that apply.)
A) Palliative care is used for patients nearing the end of their life.
B) Palliative care is only for those patients who are terminally ill.
C) Patients who are receiving palliative care can continue with treatments aimed at cure.
D) Patients are active participants in their care and decisions.
E) Patients are cared for by an interdisciplinary team.
Q4) 2. _______ refers to a person's specific beliefs and behaviors associated with a religious tradition.
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Chapter 31: Home Care Safety
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23 Verified Questions
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Source URL: https://quizplus.com/quiz/38590
Sample Questions
Q1) The nurse prepares to teach the client about managing multiple medications at home.Which client outcome does the nurse hope to accomplish as a result of client teaching?
A) The client reads each medication label at least twice before taking the drug.
B) The client stores the medication bottles on the bathroom counter.
C) The client is able to read each medication label and explain when to take each medication.
D) The client explains how to put several kinds of medications in the same container.
Q2) The nurse is caring for an older client who has been getting more confused recently.What other characteristics might the family notice that alerts the nurse that the client may be at risk for wandering?
A) The client paces and cannot be redirected easily.
B) The client sleeps 6 hours at night and takes a brief nap during the day.
C) The client gets tired when cleaning the kitchen after cooking dinner.
D) The client uses a space heater for supplemental heat.
Q3) 2. In adults with cognitive deficits,medications that cause confusion should be scheduled at ________.
Q4) 1. In older adults living alone,_________ can be caused by social isolation.
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