Nursing Practice I Test Questions
Course Introduction
Nursing Practice I introduces students to the foundational principles and skills essential for professional nursing practice. Emphasizing patient-centered care, this course covers basic assessment techniques, therapeutic communication, infection control, and the fundamentals of safe medication administration. Through a combination of classroom instruction, skills laboratories, and supervised clinical experiences, students learn to apply theoretical concepts to real-world patient scenarios. The course also focuses on the development of critical thinking, ethical decision-making, and the establishment of collaborative relationships within healthcare teams, preparing students for more advanced nursing practice in subsequent courses.
Recommended Textbook
Clinical Nursing Skills and Techniques 9th Edition by Perry
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1281 Verified Questions
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Page 2
Chapter 1: Using Evidence in Practice
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Sample Questions
Q1) When a PICOT question is developed,the letter that corresponds with the usual standard of care is:
A)P.
B)I.
C)C.
D)O.
Answer: C
Q2) The nurse wants to determine the effects of cardiac rehabilitation program attendance on the level of postmyocardial depression for individuals who have had a myocardial infarction.The type of study that would best capture this information would be a:
A)randomized controlled trial.
B)qualitative study.
C)case control study.
D)descriptive study.
Answer: B
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"
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Page 3
Chapter 2: Admitting, transfer, and Discharge
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Sample Questions
Q1) The patient has decided that he would like to create an advance directive.The nurse is asked if she would be a witness.What is the best response for the nurse to make to this request?
A)Agree to be a witness.
B)Refuse to be a witness.
C)Contact social work.
D)Contact the physician.
Answer: C
Q2) When transferring a patient,the nurse must ensure that the patient will receive
Answer: continuity of nursing care
Q3) 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
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Chapter 3: Communication and Collaboration
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Sample Questions
Q1) The patient tells the nurse that his mother left him when he was 5 years old.The nurse responds by saying,"You say that your mother left you when you were 5 years old?" This is an example of _______________.
Answer: restating
Q2) The nurse is explaining a procedure to a 2-year-old child.Which is the best approach to use?
A)Showing the needles and bandages in advance
B)Telling the patient exactly what discomfort to expect
C)Using dolls and stories to demonstrate what will be done
D)Asking the child to draw pictures of what he or she thinks will happen
Answer: C
Q3) A patient tells the nurse,"I want to die." Which response is the most appropriate for the nurse to make?
A)"Why would you say that?"
B)"Tell me more about how you are feeling."
C)"The doctor should be told how you feel."
D)"You have too much to live for to think that way."
Answer: B
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Chapter 4: Documentation and Informatics
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Sample Questions
Q1) 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.
Q2) Multidisciplinary care plans that include key interventions and expected outcomes within an established time frame are known as _______________.
Q3) The abbreviation for every day (___)is no longer used.
Q4) Which is an acceptable format to use in documentation?
A)SOAPIE
B)HIPAA
C)DAR
D)EHR
Q5) ___________________ provide a format for documenting a patient's health status and progress.
Q6) __________________ documentation should include your observations of patient behavior.
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Page 6
Chapter 5: Vital Signs
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Sample
Questions
Q1) The patient has been in the hospital for several days for urosepsis.He has been responding favorably to treatment,and his vital signs have been "normal" for 2 days.When the nurse takes his vital signs,however,the patient's apical pulse is 152 and regular.The nurse suspects that the:
A)patient is having a reaction to his narcotic medication.
B)patient may be suffering from hypothermia.
C)patient's fever may have returned.
D)patient may be an athlete.
Q2) The patient has been sleeping and has been lying on his right side.The nurse is ready to take his temperature using a tympanic thermometer.She needs to insert the thermometer into his ___________ ear.
Q3) When evaluating the patient's temperature levels,the nurse expects the patient's temperature to be lower:
A)in the morning.
B)after exercising.
C)during periods of stress.
D)during the postoperative period.
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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Sample Questions
Q1) A nurse is documenting a patient's breath sounds.Rhonchi are heard as:
A)loud,low-pitched,coarse sounds.
B)high-pitched,musical squeaks.
C)dry,grating sounds on inspiration.
D)high-pitched,fine sounds at the end of inspiration.
Q2) While performing a cardiovascular assessment on a patient with suspected left-sided congestive heart failure,the nurse is unable to palpate the PMI with the patient lying supine.What might her next step be?
A)Have the patient turn onto his left side.
B)Have the patient lean forward.
C)Have the patient move to a sitting position.
D)Palpate the PMI to the right of the midclavicular line.
Q3) Petechiae are noted on the patient as a result of the nurse finding:
A)bluish-black patches.
B)tenting.
C)pinpoint-sized red dots.
D)large areas of raised,irritated skin.
Q4) A late sign of decreased oxygen levels may cause a change in skin color known as
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Chapter 7: Specimen Collection
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Sample Questions
Q1) The nurse is preparing to perform a venipuncture on a patient.Which of the following is an appropriate action for the nurse to take?
A)Apply the tourniquet until the distal pulse is no longer felt.
B)Remove the tourniquet after 1 minute.
C)Instruct the patient to vigorously open and close the fist.
D)Do not use veins that rebound.
Q2) In explaining to the patient about obtaining a sputum specimen to diagnose tuberculosis,the nurse explains which of the following?
A)Specimens are best obtained in the early morning.
B)Acid-fast bacilli (AFB)smears require three consecutive morning samples.
C)Bacteria accumulate as secretions pool.
D)Specimens should be obtained at bedtime.
Q3) An appropriate technique for the nurse to implement when obtaining an arterial blood gas (ABG)specimen is to:
A)insert the needle at a 45-degree angle.
B)use a 19-gauge,1-inch needle.
C)leave 0.5 mL of heparin in the syringe.
D)aspirate blood after the puncture.
Q4) The least traumatic method of obtaining a blood specimen is known as __________.
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Chapter 8: Diagnostic Procedures
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Sample Questions
Q1) _____________________ is often used for diagnostic or surgical procedures that do not require complete anesthesia in acute care,surgical care,and outpatient care settings.
Q2) ____________ are sterile invasive procedures involving the removal of body fluids or tissue for diagnostic procedures.
Q3) 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
Q4) An _______________ permits visualization of the vasculature of an organ and the organ's arterial system.
Q5) Which action should the nurse take after a procedure requiring intravenous moderate sedation?
A)Report to the physician a Ramsay sedation score that is less than 3.
B)Monitor airway patency and vital signs every 5 minutes for 30 minutes.
C)Take vital signs every 15 minutes for the next 2 hours.
D)Take vital signs every 30 minutes until stable.
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Chapter 9: Medical Asepsis
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Sample Questions
Q1) 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
Q2) The nurse understands that the priority nursing action needed when medical asepsis is used includes:
A)handwashing.
B)surgical procedures.
C)autoclaving of instruments.
D)sterilization of equipment.
Q3) The nurse knows that the basic concept of all patient care that is implemented to prevent the spread of infection from blood,body fluids,secretions,excretions,nonintact skin,and mucus membranes is __________________.
Q4) The nurse has a "scratchy throat" and has been sniffling for 2 days.While at work,she wears a protective mask when coming into contact with her patients.She does this in an attempt to protect them from a __________________.
Q5) ________________ is the absence of pathogenic (disease-producing)microorganisms.
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Chapter 10: Sterile Technique
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Sample Questions
Q1) A patient requires a sterile dressing change for a mid-abdominal surgical incision.An appropriate intervention for the nurse to implement in maintaining sterile asepsis is to:
A)put sterile gloves on before opening sterile packages.
B)discard items that may have been in contact with the area below waist level.
C)place the povidone-iodine bottle well within the sterile field.
D)place sterile items on the very edge of the sterile drape.
Q2) Nurses commonly use surgical asepsis in which of the following situations?
A)In labor and delivery areas
B)When inserting an intravenous catheter
C)When treating patients with surgical incisions or burns
D)When inserting a urinary catheter
E)When dressing an MRSA-positive wound
Q3) The nurse is preparing to insert a urinary catheter.The package is dry but shows signs of yellowing inside the plastic wrapper,as if the package was wet at one time.What should the nurse do?
A)Use the package because it is dry at present.
B)Consider the outer package contaminated,but the inner package sterile.
C)Discard the entire package as contaminated.
D)Open the package and consider the 1-inch border as contaminated.
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Page 12
Chapter 11: Safe Patient Handling, transfer, and Positioning
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Sample Questions
Q1) A nurse is reviewing the patient assignment for the day.Of all the patients,which individual has the greatest potential for injury during transfers?
A)Diabetes mellitus
B)Myocardial infarction
C)A cerebrovascular accident
D)An upper extremity fracture
Q2) To position a patient with hemiplegia in Fowler's position,the nurse should:
A)elevate the head of the bed 15 to 30 degrees.
B)place the patient in the prone position.
C)position a spastic hand with the fingers extended using hand rolls.
D)position the patient's head with slight hyperextension of the neck.
Q3) The most prevalent and debilitating occupational health hazard among nurses is:
A)footdrop.
B)pressure ulcers.
C)musculoskeletal disorders.
D)contractures.
Q4) The term _____________ refers to the conditions of the joints,tendons,ligaments,and muscles in various body positions.
Q5) Body balance is achieved when a wide _____________ exists.
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Chapter 12: Exercise Mobility
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Sample Questions
Q1) Factors that contribute to the development of deep vein thrombosis (DVT)are:
A)elevated sodium (Na<sup>+</sup>)levels.
B)hypercoagulability of the blood.
C)venous wall damage.
D)stasis of blood flow.
Q2) The nurse is applying a continuous passive motion (CPM)machine to the patient's leg.To do so,she must:
A)provide analgesia 1 hour before starting the CPM.
B)stop the CPM when in extension and place a sheepskin on the machine.
C)align the patient's joint with the CPM's mechanical joint.
D)secure the patient's extremity tightly with Velcro straps.
Q3) When using a sequential compression device (SCD),the nurse should:
A)apply powder to the patient's skin if redness and itching are present.
B)leave a two-finger space between the patient's leg and the compression stocking.
C)keep the patient connected to the compression device when transferring into and out of bed.
D)remove the elastic stockings before putting on the sequential pneumatic compression stockings.
Q4) ____________ refers to an ability to move about freely.
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Chapter 13: Support Surfaces and Special Beds
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Sample Questions
Q1) Of the following problems that may occur with the use of an air-fluidized bed,which is of greatest concern to the nurse?
A)Nausea
B)Anxiety
C)Slight disorientation
D)Insensible fluid loss
Q2) The patient will be going home but still requires an air-fluidized bed.Before discharge,it will be necessary for the company that is leasing the bed to inspect the home for accessibility and ________________.
Q3) Factors that contribute to pressure ulcer formation include which of the following?
A)Friction
B)Shear
C)Turning every 2 hours
D)Malnutrition
E)Impaired mobility
Q4) A ______________ serves as an artificial layer of fat to protect bony surfaces.
Q5) The major cause of pressure ulcers is ________________.
Q6) 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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Sample Questions
Q1) Which of the following alternatives to physical restraints should the nurse use to promote patient safety?
A)Environmental modifications
B)Less frequent patient observation
C)Involvement of family during visitation
D)Frequent reorientation of the patient
Q2) To promote patient safety,government standards regarding mechanical and physical restraints state that:
A)alternative measures are to be implemented before restraints are used.
B)the nurse's judgment is all that is required for restraint use.
C)restraints should be used immediately for all patients who may need them.
D)restraints cannot be used except to prevent others from being harmed.
Q3) More than ____________ patients are injured in falls in inpatient settings annually in the United States.
Q4) A safe health care environment is one in which:
A)the patient's basic needs are met.
B)physical hazards are reduced.
C)transmission of microorganisms is reduced.
D)sanitary measures are carried out.
Q5) __________ are the most common type of inpatient accident.
Page 16
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Chapter 15: Disaster Preparedness
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Sample Questions
Q1) In the event of a mass casualty incident,part of the Centers for Disease Control & Prevention (CDC)'s disaster preparedness program involves backup plans for maintaining public and intraagency/interagency ____________.
Q2) The nurse has arrived at the scene of a natural disaster and is assigned to care for four patients.To which patient should the nurse provide care first?
A)Patient with a closed head injury with no changes in level of consciousness
B)Patient with a 3-cm laceration to the forearm
C)Patient who is breathing 8 times per minute
D)Patient with a displaced wrist fracture
Q3) An outbreak of influenza A in the same geographical location is known as an __________.
Q4) __________ is the sorting of individuals by the seriousness of their condition and the likelihood of their survival.
Q5) The strategic plan of the Centers for Disease Control and Prevention (CDC)in the event of a disaster first focuses on __________________.
Q6) The dispersal of radioactive material via a "dirty bomb" or by deliberate contamination of food supplies or water supplies is known as a _________________.
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Page 17
Chapter 16: Pain Management
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Sample Questions
Q1) Which of the following statements about evaluating patients in pain is true?
A)The best judge of the existence of pain is the nurse.
B)Visible signs always accompany pain.
C)Patients often are hesitant to report pain.
D)Nonpharmacological interventions are better than pain medications.
Q2) 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.
Q3) _______________________ is a massage technique used on tense muscles to "knead" muscles,promote relaxation,and stimulate local circulation.
Q4) ___________ has an identifiable cause and rapid onset and generally disappears with healing.
Q5) Catheter migration into the______________ can produce dangerously high medication levels.Only physicians and nurse anesthetists administer drugs in this space.
Q6) __________________ is an interactive method of pain management that permits patient control over pain through self-administration of analgesics.
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Chapter 17: Palliative Care
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Sample Questions
Q1) Grief that occurs before an actual loss or death and involves gradual disengagement from what is being lost is known as which type of grief?
A)Anticipatory
B)Complicated
C)Uncomplicated
D)Normal
Q2) 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.
Q3) 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."
Q4) 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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Q1) The home care nurse is getting ready to help the patient prepare a tub bath.What should the nurse be sure to do?
A)Instruct the patient to use safety bars.
B)Use the patient's favorite bath oil for aroma therapy.
C)Instruct the patient to stay in the tub no longer than 30 minutes.
D)Check on the patient every 20 minutes.
Q2) The skin,the largest human body organ,protects us from heat,light,injury,and infection and does which of the following?
A)Helps regulate body temperature.
B)Stores water,vitamin D,and fat.
C)Helps to sense pain.
D)Prevents the entry of bacteria.
Q3) A patient is admitted with the diagnosis of pediculosis capitis (head lice).Proper treatment for this condition would include which of the following?
A)Use of medicated shampoo or permethrin
B)Use of products containing lindane
C)Combing the hair with a nit comb for 2 to 3 days after treatment
D)Washing linens in cold water for 30 minutes
Q4) _____________ is balding patches in the periphery of the hairline.
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Chapter 19: Care of the Eye and Ear
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Sample Questions
Q1) The patient is brought to the emergency department after receiving a chemical burn to his eyes.The doctor orders immediate eye irrigations.Of the following solutions,which would be the most beneficial for this patient?
A)Lactated Ringer's solution
B)Albumin
C)Tap water
D)Dextrose and water
Q2) When providing eye care for the comatose patient,the nurse should:
A)place the patient in a prone position for easier access.
B)use a different corner of the washcloth for each eye.
C)wipe each eye from outer to inner canthus.
D)use a sterile medicine cup to instill lubricant.
Q3) The elderly patient is instructed to store his hearing aid in a(n):
A)cold place.
B)container that keeps out moisture.
C)easy to reach place.
D)a cup of water.
Q4) The substance found in the ear canal that has an antibacterial effect and maintains an acid pH is called ______________.
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Chapter 20: Safe Medication Preparation
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Q1) The nurse reviews a medication administration record for an anticoagulant that is ordered at 0900 daily.The medication record indicates that the drug was given at the following times over the past 4 days.Which times follow the "right time" of medication administration?
A)0800
B)0830
C)0930
D)1000
Q2) The _________________ of a drug is the blood serum concentration reached and maintained after repeated,fixed doses.
Q3) The patient is complaining of severe leg pain.No pain medication is ordered,so the nurse calls the health care provider.An order for Tylenol with Codeine prn is given,in addition to a one-time order for morphine sulfate to be given stat.Which action by the nurse is most appropriate?
A)Give the morphine sulfate and Tylenol with Codeine immediately.
B)Give the Tylenol with Codeine now.
C)Give the morphine sulfate immediately.
D)Ask the patient which medication he would like first.
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Chapter 21: Administration of Nonparenteral Medications
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Sample Questions
Q1) The nurse is preparing to administer aspirin to a patient via an enteral feeding tube.Which form is appropriate for the nurse to administer?
A)Crushed chewable aspirin
B)Liquid aspirin
C)Enteric-coated aspirin
D)Sustained-release aspirin capsule
Q2) The nurse is teaching a patient how to use a topical medication.Which statement indicates an understanding of the procedure?
A)"If the patch starts to come off,I can secure it with tape."
B)"If the patch falls off,I will put a new one on in the same place."
C)"If my skin is irritated,I will cleanse it using water only."
D)"I can dispose of used materials in the household trash as usual."
Q3) The nurse is preparing to administer medications to a patient with an enteral tube.The nurse can safely give the medications through which types of enteral tube?
A)Nasogastric feeding tube
B)Percutaneous endoscopic gastrostomy tube
C)Jejunostomy tube
D)Nasogastric decompression tube
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Chapter 22: Administration of Parenteral Medications
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Q1) A patient with a continuous IV infusion has an order for ciprofloxacin to be given IV piggyback.Which action by the nurse is appropriate for administering the medication?
A)Hang the bag with ciprofloxacin higher than the continuous infusion bag.
B)Stop the continuous infusion while running the ciprofloxacin.
C)Connect the piggyback tubing into the Y-port on the tubing of the continuous infusion that is closest to the patient.
D)Occlude the tubing of the continuous infusion just above the injection port while injecting the medication.
Q2) The nurse is teaching a patient how to give a subcutaneous injection.The nurse includes which sites as acceptable for this route of administration?
A)Ventrogluteal area between the greater trochanter and the iliac crest
B)Outer aspect of the upper arms
C)Abdomen from below the costal margins to the iliac crests
D)Anterior thighs
Q3) The nurse informs the patient that the medication will be absorbed rapidly because it was injected into tissue with a rich blood supply.The patient has just received a ______________ injection.
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Chapter 23: Oxygen Therapy
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Q1) A patient with a nasal cannula at 5 L/min has skin irritation around the nares and complains of a dry mouth and nose.Which action by the student nurse should be questioned by the nursing instructor?
A)Using humidification
B)Applying petroleum-based gel to the nares
C)Providing frequent oral care
D)Asking the physician for an order for sterile nasal saline
Q2) 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
Q3) In noninvasive ventilation,________________ keeps the terminal airways (alveoli)partially inflated,reducing the risk for atelectasis.
Q4) A condition in which oxygen is insufficient to meet the metabolic demands of the tissues and cells is known as __________________.
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Chapter 24: Performing Chest Physiotherapy
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Sample Questions
Q1) The nurse receives orders for postural drainage using Trendelenburg's position.On which patients should the nurse question the order?
A)Patient with a history of gastroesophageal reflux disease (GERD)
B)Postsurgical patient with a distended abdomen
C)Patient with blood pressure of 180/100
D)Patient with bronchiectasis on chest x-ray
Q2) The nurse is reviewing medical records on several patients.Which findings reported in the chart indicate the need for postural drainage?
A)Atelectasis reported on chest x-ray
B)Thick,sticky,tenacious,green secretions noted in the nurse's notes
C)Multiple rib fractures noted on chest x-ray
D)Chest x-ray report indicating pneumonia with collapse of right lower lobe
Q3) ________________ is positioning the patient so that the position of the lung segment to be drained allows gravity to have its greatest effect.
Q4) 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.
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Chapter 25: Airway Management
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Sample Questions
Q1) The nurse is caring for a patient on mechanical ventilation with an endotracheal tube.Which nursing interventions will help prevent ventilator-associated pneumonia (VAP)?
A)Changing the patient's position every 2 hours
B)Keeping the head of the bed elevated 30 to 45 degrees
C)Providing oral care with a toothette every 8 hours
D)Keeping the head flat during and for 30 minutes after enteral feedings
Q2) The nurse is performing nasotracheal suctioning for a patient.Which action by the nurse is appropriate?
A)Applying intermittent suctioning while slowly withdrawing the suction catheter
B)Carefully pushing the suction catheter in and out while applying suction
C)Applying suction for 15 seconds or less
D)Asking the patient to deep-breathe for 15 seconds before passing the catheter a second time
Q3) A plastic or rubber tube that is inserted through the nares or mouth past the epiglottis and vocal cords to maintain an airway is known as an
Q4) A patient has extremely copious and thick oral secretions.The nurse provides oropharyngeal suctioning using a _________________ suction device.
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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) The nurse is obtaining a 12-lead ECG on a patient with syncope.Which of the following actions,if taken by the nurse,are effective at reducing the presence of artifact in the ECG tracing?
A)Instruct the patient to stop talking.
B)Turn the ECG machine on after all the electrodes are applied.
C)Position the patient in semi-Fowler's position.
D)Maintain the gown on the patient to provide privacy.
Q2) The nurse is supervising a nursing assistive personnel (NAP)while applying electrodes for continuous cardiac monitoring to an elderly patient.The nurse recognizes the need for further education when the NAP attaches which monitor lead to the electrode?
A)White is negative.
B)Black is neutral.
C)Red is the ground lead.
D)Brown is positive.
Q3) When preparing the skin before ECG electrode placement,clipping the hair in the electrode area is preferred over shaving due to risk of _________________.
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 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/70396
Sample Questions
Q1) What should the nurse do to establish a two-chamber waterless chest tube system?
A)Add sterile water to the suction chamber.
B)Add sterile solution to the water seal.
C)Set the float ball to the correct drainage pressure.
D)Connect directly to the chest tube and add nothing.
Q2) The nurse is caring for a patient who has a chest tube connected to a water seal.The patient is not on a ventilator.Which of the following would the nurse consider normal?
A)The fluid level in the water seal rises with inspiration.
B)The fluid level in the water seal falls with inspiration.
C)Constant bubbling occurs in the water seal.
D)The fluid level in the water seal falls with expiration 3 days after insertion.
Q3) The nurse is caring for a patient with a chest tube connected to wall suction.To keep the tube patent,the nurse should implement which of the following?
A)Routinely "milk" the drainage tubing.
B)Avoid dependent loops of the drainage tubing.
C)Lift and clear the tube every 15 minutes.
D)Coil the drainage tubing to prevent dependent loops.
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Chapter 28: Emergency Measure for Life Support
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/70397
Sample Questions
Q1) The nurse is performing cardiopulmonary resuscitation (CPR)on an adult patient who has an endotracheal tube in place.At what rate does the nurse,who is alone,administer breaths?
A)8 per minute
B)12 per minute
C)20 per minute
D)24 per minute
Q2) The nurse in the intensive care unit (ICU)is caring for a newly admitted patient with chest pain.She is aware that dysrhythmia may be caused by which of the following?
A)Electrolyte disturbances
B)Heart damage
C)Medications
D)Respiratory arrest
Q3) For which of the following patients would the nurse request the rapid response team's immediate intervention?
A)A patient complaining of severe postoperative incisional pain
B)A patient with no pulse who is not breathing
C)A patient complaining of chest pain,hypotension,and shortness of breath
D)A patient with blood pressure of 164/96 mm Hg
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Page 30
Chapter 29: Intravenous and Vascular Access Therapy
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/70398
Sample Questions
Q1) The nurse is caring for a patient receiving intravenous therapy.The nurse should report which of the following to the primary care provider?
A)Completion of each liter of fluid
B)Initiation of intravenous (IV)fluids
C)Small infiltration
D)Extravasation
Q2) The nurse is caring for a patient with a continuous intravenous infusion of 0.9% normal saline with 40 mEq of potassium chloride added to each liter.During a routine hourly check of the infusion,the nurse discovers that 4 hours of fluid has infused in the past 1 hour.The nurse's first action should be to:
A)notify the primary care provider.
B)assess the patient.
C)reduce the infusion rate.
D)notify the charge nurse.
Q3) The nurse is caring for a patient who has a peripheral intravenous (IV)catheter.While performing her routine assessment,she notes that the insertion site is pale,cool,and edematous.The patient indicates that the site is also painful to the touch.The nurse recognizes these symptoms as revealing a possible _______________.
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Chapter 30: Blood Therapy
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/70399
Sample Questions
Q1) The patient is to receive 1 unit of packed red blood cells (RBCs).The nurse obtains the blood from the blood bank and returns to the unit to find that the patient has been taken to radiology for a computed tomography (CT)scan and is expected to return in about an hour.What should the nurse do?
A)Go to radiology and administer the blood.
B)Keep the blood refrigerated until the patient returns.
C)Return the blood to the blood bank.
D)Hang the blood in the patient's room and start it when the patient returns.
Q2) The patient is scheduled to receive 1 unit of packed red blood cells (RBCs).She has small,fragile veins,and a 22-gauge intravenous (IV)patent catheter is in place.What should the nurse do?
A)Cancel the blood transfusion.
B)Insert a 16-gauge IV catheter into the antecubital fossa.
C)Use the IV catheter that is in place.
D)Transfuse the blood over 6 hours.
Q3) Under the ABO system,the blood type __________ can be given to any individual and is known as the "Universal Donor."
Q4) A transfusion in which the donor is the patient is known as an ______________ transfusion or autotransfusion.
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Chapter 31: Oral Nutrition
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/70400
Sample Questions
Q1) Which of the following are signs of iron (Fe<sup>2+</sup>)deficiency?
A)Pale eye membranes
B)Cheilosis (redness/swelling)of the lips
C)Spongy,bleeding gingiva
D)Glossitis
Q2) ______________ are measures of height; weight; head,arm,and muscle circumferences; and skinfold thickness.
Q3) _______________ is useful for monitoring short-term changes in visceral protein.
Q4) What is an appropriate technique for the nurse to use to prevent aspiration when assisting a patient with meals?
A)Keep the patient's head back and straight.
B)Offer thin-consistency foods.
C)Provide large amounts of fluids.
D)Have the patient sit up for 30 minutes after eating.
Q5) Which of the following is a sign of vitamin C deficiency?
A)Cheilosis (redness/swelling of the lips)
B)Glossitis
C)Spongy,bleeding,abnormal redness of the gingiva
D)Spoon-shaped,brittle,ridged fingernails
Page 33
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Chapter 32: Enteral Nutrition
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/70401
Sample Questions
Q1) The nurse is checking the residual volume on a patient who is getting intermittent tube feedings via his NG tube.Which of the following may indicate that the patient has started to bleed again?
A)The nurse obtains brown aspirate.
B)The nurse notices that the abdomen is distended.
C)The nurse obtains red aspirate.
D)The nurse notices severe respiratory distress.
Q2) The nurse is 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.
Q3) A tube passed through the nose or mouth with the end terminating in the stomach or the small bowel,and used in feeding the patient for short periods is known as a
Q4) Of the patients listed below,which would be a candidate for nasoenteric feeding tube placement?
A)Post-motor vehicle accident victim with a broken nose and jaw
B)Patient with a bleeding ulcer and possible esophageal varices
C)Elderly patient with a diagnosis of failure to thrive and an inability to chew
D)Patient with an esophageal tumor
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Chapter 33: Parenteral Nutrition
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/70402
Sample Questions
Q1) Which assessment should a nurse expect to see for a patient receiving parenteral nutrition (PN)?
A)Weight gain of 1 to 2 pounds per week
B)Serum calcium level of 10 mEq/L
C)Serum potassium level of 2.8 mEq/L
D)Serum glucose level of more than 200 mg/100 mL
Q2) If parenteral nutrition (PN)must be discontinued suddenly,hang __________ in water at the same infusion rate to prevent hypoglycemia.
Q3) The patient will be discharged to home on parenteral nutrition (PN).The patient and his family education will need to perform which of the following care steps?
A)Monitor the patient's weight.
B)Monitor the patient's serum glucose levels.
C)Measure the patient's intake and output.
D)Perform catheter care.
E)Limit the patient's activity.
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Chapter 34: Urinary Elimination
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27 Flashcards
Source URL: https://quizplus.com/quiz/70403
Sample Questions
Q1) __________________ involves the insertion of a urinary catheter directly into the bladder through the lower abdominal wall.Urine drains from the catheter into a urinary drainage bag.
Q2) A single-lumen catheter that is inserted into the bladder through the urethra only to empty the bladder and then is removed is known as a _______________ catheter.
Q3) The nurse has inserted an indwelling catheter and secured the catheter to the patient's thigh,making sure that there is enough slack that movement will not create tension on the catheter.The nurse understands that the chief purpose of properly securing Foley catheters is to obtain which outcome?
A)Minimized risk for bleeding
B)Reduced risk for bladder spasm
C)Reduced risk for meatal necrosis
D)Reduced risk for trauma
E)Increased bladder relaxation
Q4) A noninvasive device that is used to provide accurate determination of a patient's bladder volume by first creating an ultrasound image of the patient's bladder and then calculating the urine volume in the bladder is known as a ______________.
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Page 36
Chapter 35: Bowel Elimination and Gastric Intubation
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/70404
Sample Questions
Q1) The patient is receiving a soapsuds enema but is having a difficult time retaining the fluid.What action should the nurse take?
A)Give the enema slowly.
B)Place the patient in the dorsal recumbent position on a bedpan.
C)Give the enema with the patient on the toilet.
D)Give the enema in the right lateral position.
E)Give the enema faster.
Q2) Infrequent bowel movements (less often than every 3 days),difficulty in evacuating feces,inability to defecate,and hard feces are signs of ________________.
Q3) A bedpan that is designed for patients with body or leg casts or for patients restricted from raising their hips (e.g.,following total joint replacement)is known as a
Q4) The patient is being prepped for surgery and has an order for "enemas until clear." The nurse realizes that she will be giving a maximum of how many enemas?
A)One
B)Two
C)Three
D)Four
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Page 37
Chapter 36: Ostomy Care
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19 Flashcards
Source URL: https://quizplus.com/quiz/70405
Sample Questions
Q1) When assessing the patient with a noncontinent urinary diversion,the nurse finds that the urine has mucus shreds.Which action should the nurse take?
A)Culture any drainage.
B)Instruct the patient to consume less water.
C)Document the characteristics of the urine.
D)Cleanse the stoma with soap and water.
Q2) In caring for a patient who had a fecal surgical diversion,which nursing intervention is essential?
A)Place a pouch over the newly created stoma.
B)Place a dressing over the stoma.
C)Wait several days before placing a pouch.
D)Prepare several pouches in advance.
Q3) The nurse is caring for a patient with an ostomy.The nurse notes that the ostomy is putting out watery effluent.The nurse recognizes that this is indicative of which location?
A)Descending colon
B)Sigmoid colon
C)Ileal portion of the small-intestine
D)Transverse colon
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Chapter 37: Preoperative and Postoperative Care
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25 Flashcards
Source URL: https://quizplus.com/quiz/70406
Sample Questions
Q1) The nurse is helping the patient prepare for surgery.The patient has removed her jewelry and glasses.Which action should the nurse take to keep the jewelry safe?
A)Put these items in the patient's bedside stand.
B)Inventory the items and give them to the family.
C)Place the items in a plastic bag and send them to the OR with the patient.
D)Keep these items with her until the patient returns.
Q2) In planning care for a surgical patient,the patient asks the nurse what may be "left on" during the surgery.Understanding patient safety,the nurse tells the patient that which item may remain in place?
A)Hearing aid
B)Artificial limb
C)Pair of eyeglasses
D)Pair of contact lenses
Q3) The nurse explains to the patient that the incentive spirometer is used to promote which of the following outcomes?
A)Lung expansion
B)Reduced likelihood of vascular complications
C)Incisional healing
D)Expectoration of mucus
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Page 39
Chapter 38: Intraoperative Care
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Which of the following are principles of sterile procedure?
A)Gowns are sterile from the chest and shoulder to table level.
B)Sterile persons must keep hands in view and above the waist and below the neck.
C)Sterile persons must fold arms across chest with hands tucked into the axillary region.
D)Unscrubbed persons must stay at least 6 inches away from the sterile field.
E)Sterile persons may position themselves with their back to the sterile field.
Q2) The _______________ phase begins when the patient enters the operating room suite and ends with admission to the postanesthesia care unit (PACU).
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 nurse with advanced education who assists the surgeon with the surgical procedure,performing a combination of nursing and delegated medical functions and/or skills.
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Chapter 39: Pressure Injury Prevention and Care
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70408
Sample Questions
Q1) The nurse is planning care for her patient who has a stage II pressure ulcer.Care should include which of the following?
A)A heat lamp to dry the wound
B)Application of topical antibiotics
C)Nutritional assessment
D)Maintaining moisture in the wound
Q2) When skin layers adhere to the linens and deeper tissue layer move downward,________ damage occurs.
Q3) The patient is admitted with an open pressure ulcer with necrotic tissue around the base of the wound.How would the nurse classify this ulcer?
A)Stage III pressure ulcer
B)Stage IV pressure ulcer
C)Wound that cannot be staged
D)Stage II pressure ulcer
Q4) The patient with a nasogastric (NG)tube in place may experience skin breakdown: A)in the nose.
B)on the tongue.
C)behind the ears.
D)around the lips.
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Chapter 40: Wound Care and Irrigations
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29 Flashcards
Source URL: https://quizplus.com/quiz/70409
Sample Questions
Q1) The nurse is caring for a patient with a postsurgical wound dehiscence who is being treated with a wet-to-dry dressing.Which of the following can be appropriately delegated to the nurse assistant?
A)Performing a sterile dressing change
B)Observing for any drainage on the dressing
C)Performing wound assessment during the dressing change
D)Notifying the physician of drainage present on the dressing
Q2) 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
Q3) ___________ are threads of wire or other materials used to sew body tissues together.
Q4) _____________ uses the mechanical force (high or low)of a stream of solution to remove debris,bacteria,and necrotic tissue from a wound.
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Chapter 41: Dressings,bandages,and Binders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/70410
Sample Questions
Q1) The nurse is preparing to apply a gauze bandage to a dressing on the patient's wrist.How should the nurse proceed?
A)Use a 3-inch bandage.
B)Use a 2-inch bandage.
C)Apply from the elbow toward the wrist.
D)Secure the bandage with a safety pin.
Q2) _____________ dressings cover or hold primary dressings in place.
Q3) In what type of wound is a foam dressing contraindicated?
A)Shallow stage II ulcer
B)Exudative stage II ulcer
C)Wound that has tunneling
D)Wound that is infected
Q4) Serious hemorrhaging has resulted in the patient experiencing a fluid and electrolyte imbalance.How should the nurse respond?
A)Initiate intravenous (IV)therapy.
B)Order blood for transfusions.
C)Remove and reapply any dressings.
D)Monitor vital signs every 15 minutes.
Q5) A __________ dressing comes in direct contact with the wound bed.
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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23 Flashcards
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Sample Questions
Q1) When the skin is exposed to warm or hot temperatures,which of the following occurs?
A)Vasodilatation
B)Vasoconstriction
C)Perspiration
D)Piloerection
Q2) In addition to monitoring the controls on the hypothermia blanket every 30 minutes,the nurse will need to assess the patient's ____________ every 4 hours.
Q3) If a patient on a hypothermia blanket starts to shiver,what action should the nurse take?
A)Discontinue treatment.
B)Place more padding around the patient.
C)Discuss with the physician the use of a metabolic stimulant.
D)Increase the temperature to a more comfortable range.
Q4) Which of the following conditions are best treated with cold therapy?
A)Localized inflammatory responses
B)Hemorrhage
C)Muscle spasm
D)Pain
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Chapter 43: Home Care Safety
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70412
Sample Questions
Q1) A patient with a cognitive deficit becomes agitated and upset about not being able to remember daily activities.How should the nurse respond to this agitation?
A)Tell the patient not to worry about it.
B)Provide an easy-to-follow calendar and reinforce the information.
C)Explain that becoming upset is not going to help the situation.
D)Remind the patient that now is the time to rest and relax.
Q2) Dementia is characterized by a gradual,progressive,irreversible _______ dysfunction.
Q3) While performing a home visit with an elderly patient,the nurse notices that the patient's dress is less tidy than in previous visits,finds an open orange juice container in the pantry cabinet instead of the refrigerator and a roll of paper towels in the refrigerator.How should the nurse respond?
A)Begin rearranging the patient's storage,and show her how it needs to be done.
B)Tell the patient that this is not acceptable.
C)Complete a Mini-Mental State Examination (MMSE)or short Geriatric Depression Scale (GDS).
D)Realize that elderly patients do things differently.
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Chapter 44: Home Care Teaching
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34 Flashcards
Source URL: https://quizplus.com/quiz/70413
Sample Questions
Q1) Oxygen-conserving devices (OCDs)reduce the amount of oxygen the patient uses,resulting in an overall cost reduction to the patient.The type of OCD that stores oxygen in a chamber during the expiratory phase of respirations is known as the
Q2) 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.
Q3) Of the following types of thermometers available,which is not recommended for home use?
A)Digital
B)Tympanic
C)Mercury
D)Disposable single-use
Q4) When teaching the patient about performing trach care,which of the following actions is an acceptable technique?
A)Remove the old ties before applying the new.
B)Keep two trach tubes of the same size at the bedside.
C)Place the new trach tie,then remove the old tie.
D)Dispose of all old supplies and replace with new.
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