Nursing Practice Lab Practice Questions
Course Introduction
Nursing Practice Lab offers students hands-on experience in fundamental nursing skills essential for patient care in various healthcare settings. Through supervised practice in a simulated clinical environment, students develop competencies in procedures such as vital signs monitoring, medication administration, wound care, and patient assessment. The course emphasizes safety, effective communication, and evidence-based techniques, preparing students to apply theoretical knowledge to real-life scenarios with confidence and professionalism.
Recommended Textbook
Clinical Nursing Skills and Techniques 9th Edition by Perry FAAN
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44 Chapters
1283 Verified Questions
1283 Flashcards
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Chapter 1: Using Evidence in Practice
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/50298
Sample Questions
Q1) The nurse has done a literature search and found 25 possible articles on the topic that she is studying.To determine which of those 25 best fit her inquiry,the nurse first should look at:
A)the abstracts.
B)the literature reviews.
C)the "Methods" sections.
D)the narrative sections.
Answer: A
Q2) 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
Q3) _________________ is a guide for making accurate,timely,and appropriate clinical decisions.
Answer: Evidence-based practice
Evidence-based practice is a guide for making accurate,timely,and appropriate clinical decisions.
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Chapter 2: Admitting, Transfer, and Discharge
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The patient is being admitted to the intensive care department with multiple fractures and internal bleeding.Which of the following are considered roles of the nurse in this situation? (Select all that apply. )
A)Anticipate physical and social deficits to resuming normal activities.
B)Involve the family and significant others in the plan of care.
C)Assist in making health care resources available to the patient.
D)Identify the psychological needs of the patient.
Answer: A,B,C,D
Q2) Under the Health Insurance Portability and Accountability Act (HIPAA),a patient must: (Select all that apply. )
A)provide his true name before he can be treated.
B)be informed of his privacy rights.
C)have his personal health information used for treatment or payment only.
D)have his personal health information used on a need-to-know basis only.
Answer: B,C,D
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4
Chapter 3: Communication and Collaboration
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse is assessing a patient who says that she is feeling fine.The patient,however,is wringing her hands and is teary eyed.The nurse should respond to the patient in which of the following ways?
A)"You seem anxious today.Is there anything on your mind?"
B)"I'm glad you're feeling better.I'll be back later to help you with your bath."
C)"I can see you're upset.Let me get you some tissue."
D)"It looks to me like you're in pain.I'll get you some medication."
Answer: A
Q2) In caring for patients of different cultures,it is important for the nurse to: (Select all that apply. )
A)use appropriate linguistic services.
B)display empathy and respect.
C)use accurate health history-taking techniques.
D)use patient-centered communication.
Answer: A,B,C,D
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Chapter 4: Documentation and Informatics
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25 Flashcards
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Sample Questions
Q1) The patient was in bed with all side rails up.During the night,the patient tried to get up to go to the bathroom and fell while trying to climb over the side rails.After meeting the patient's needs and assessing that the patient was not harmed,what step should the nurse take (if any)?
A)Complete an incident report and put it in the medical record.
B)Chart what happened and state that an incident report has been filled out.
C)Do nothing because the patient was not harmed.
D)Document what happened in the patient record without mentioning the incident report.
Q2) To limit liability,nursing documentation must clearly indicate that the nurse provided individualized,goal-directed nursing care to a patient based on the
Q3) ________________ provide a quick,easy reference for health care team members in assessing the patient's status.
Q4) __________________ documentation should include your observations of patient behavior.
Q5) Standardized care plans are effective ways to plan care for the patient.To be most effective,however,the SCP must be _________________.
Q6) The abbreviation for every day (___)is no longer used.
Page 6
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Chapter 5: Vital Signs
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45 Flashcards
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Sample Questions
Q1) The patient is a 1-year-old male infant who is admitted with possible sepsis.The patient is irritable and agitates easily.What should the nurse do to assess the patient's temperature?
A)Take an oral temperature before doing anything else.
B)Take an axillary temperature using the upper axilla.
C)Place the child in Sims' position for a rectal temperature.
D)Take a rectal temperature as the last vital sign.
Q2) _____________ occurs when the systolic blood pressure falls to 90 mm Hg or below.
Q3) A person's core temperature is considered the most accurate since it is:
A)reflective of the surrounding environment.
B)the same for everyone.
C)controlled by the hypothalamus.
D)independent of external influences.
Q4) ___________ is the sound of the tricuspid and mitral valves closing at the end of ventricular filling.
Q5) When heat loss mechanisms are unable to keep pace with heat production,____________ is the result.
Q6) The percent to which hemoglobin is filled with oxygen is known as
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Chapter 6: Health Assessment
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) When performing an assessment of the cardiovascular system,the nurse evaluates the skin and nails of the patient.Inadequate tissue perfusion is known as
Q2) While performing a physical examination,the nurse incorporates health promotion by teaching the patient about how to reduce the risk of lung cancer.The nurse explains that besides cigarette smoking,exposure to other substances may lead to this disease.Some of these substances are: (Select all that apply. )
A)arsenic.
B)asbestos.
C)radiation.
D)air pollution.
Q3) The patient has been immobile at home after having had leg trauma in an automobile accident and is now being admitted with calf pain and localized swelling of the calf muscle.One test that is contraindicated in assessment of this patient is testing for _____________.
Q4) The nurse is providing health education to a group of adolescent females.The topic is "Preventing Skin Cancer." As part of the health promotion education,the nurse recommends that they avoid tanning under direct sun at midday and avoid
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Chapter 7: Specimen Collection
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45 Flashcards
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Sample Questions
Q1) 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.
Q2) What must the nurse do to collect a midstream urine sample from an infant?
A)Apply a sterile plastic collection bag to the perineum.
B)Wring out diapers and collect the urine in a specimen container.
C)Have the infant sit facing the back of the toilet.
D)Catheterize the infant and collect the urine using sterile procedure.
Q3) An appropriate technique for the nurse to use when culturing wound drainage that is suspected to contain anaerobic bacteria is to:
A)use older secretions for the specimen.
B)add exudate from the skin to the wound specimen.
C)aspirate 5 to 10 mL of exudate from a deep cavity wound.
D)swab carefully and slowly in a back-and-forth motion across the wound.
Q4) _______________ organisms grow in superficial wounds exposed to the air.
Q5) The least traumatic method of obtaining a blood specimen is known as
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Chapter 8: Diagnostic Procedures
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30 Verified Questions
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Sample Questions
Q1) Under which circumstances should a nurse contact the physician to postpone an angiography?
A)If a patient has been nothing by mouth (NPO)for only 1 hour.
B)If a patient's femoral site has been shaved and cleansed with an antiseptic.
C)If the patient received Benadryl as a preprocedure medication.
D)When test results reveal a blood urea nitrogen (BUN)level of 15 mg/100 mL and a creatinine level of 0.8 mg/mL.
Q2) The nurse is caring for a patient who underwent a cardiac catheterization.The sheaths have just been removed.You should assess the patient carefully for what potential complication?
A)Vasovagal reaction
B)Hypertension
C)Tachycardia
D)Allergic reaction
Q3) _____________________ apply manual compression to prevent bleeding at the arterial site.
Q4) An _______________ permits visualization of the vasculature of an organ and the organ's arterial system.
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Page 10
Chapter 9: Medical Asepsis
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The primary strategies for prevention of infection transmission with regard to contact with blood,body fluids,nonintact skin,and mucous membranes are known as
Q2) When caring for patients,the nurse understands that the single most important technique to prevent and control the transmission of infection is:
A)hand hygiene.
B)the use of disposable gloves.
C)the use of isolation precautions.
D)sterilization of equipment.
Q3) If hands are not visibly soiled,the nurse may use an alcohol-based hand rub in which of the following situations? (Select all that apply. )
A)Before having direct contact with patients
B)After contact with a patient's intact skin
C)After contact with body fluids or excretions
D)After removing gloves
Q4) The nurse is applying for a position at a local hospital.As part of the employment criteria,she will be required to be assessed for TB exposure.She should be prepared for the ___________ blood test to be scheduled.
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Page 11
Chapter 10: Sterile Technique
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The nurse is applying for a job at a local hospital.She wants to look her best for the interview and decides to wear artificial nails.She does this knowing that artificial nails:
A)are appropriate in the ICU setting as long as the nurse washes her hands frequently.
B)can lead to fungal growth under the nail.
C)can actually lower the bacterial count on the hands because they cover the natural nail.
D)are banned only in areas where patients are critically ill.
Q2) The minimum standard for infection control as established by the Centers for Disease Control and Prevention (CDC)is _______________.
Q3) When performing sterile aseptic procedures,the nurse must create a _____________ in which objects can be handled with minimal risk for contamination.
Q4) When removing the mask after an aseptic procedure,what should the nurse do first?
A)Remove gloves.
B)Untie top strings of mask.
C)Untie bottom strings of mask.
D)Untie top strings and let mask hang.
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Page 12
Chapter 11: Safe Patient Handling, Transfer, and Positioning
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) An appropriate procedure to use when moving a patient up in bed is for the nurse to:
A)raise the head of the bed.
B)start by flexing the patient's knees and hips.
C)place a pillow under the patient's shoulders.
D)instruct the patient to inhale and hold still.
Q2) Awareness of posture and changes in equilibrium is known as _______________.
Q3) Plantar flexion contracture,otherwise known as _____________,is caused when the force of gravity pulls an unsupported,weakened foot into a plantar-flexed position.
Q4) 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.
Q5) The patient is immobile and is being placed in the supine position.To reduce extension of the fingers and abduction of the thumb,the nurse places _________________ in the patient's hands.
Q6) The term _____________ refers to the conditions of the joints,tendons,ligaments,and muscles in various body positions.
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Chapter 12: Exercise Mobility
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The patient has been admitted for hypertension.His blood pressure is normally in the 160/90 range.He has been on bed rest for the past few days,and the doctor has started him on a new blood pressure medication.The nurse is assisting the patient to move from the bed to the chair for breakfast,but when the patient tries to sit up on the side of the bed,he complains of being dizzy and nauseous.The nurse lays the patient down and takes his vital signs.His pulse is 124.His blood pressure is 130/80.This blood pressure is indicative of what?
A)A normal blood pressure for this patient
B)Orthostatic hypotension
C)Orthostatic hypertension
D)Effective baroreceptor function
Q2) Virchow's triad (hypercoagulability of blood,venous wall damage,and stasis of blood flow)has been found to contribute to ________________.
Q3) When the four gaits listed below are compared,which is the most stable of the crutch gaits?
A)Four-point gait
B)Three-point gait
C)Two-point gait
D)Swing-to gait
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Page 14
Chapter 13: Support Surfaces and Special Beds
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) When working with a patient who is being placed on an air mattress/overlay,the nurse should:
A)apply the preinflated overlay over the standard mattress.
B)bring any plastic strips or flaps around the corners of the bed mattress.
C)administer an analgesic after the patient is moved onto the mattress.
D)keep clamps or pins attached to the sheets to keep them in place over the mattress.
Q2) Factors that contribute to pressure ulcer formation include which of the following? (Select all that apply. )
A)Friction
B)Shear
C)Turning every 2 hours
D)Malnutrition
E)Impaired mobility
Q3) What is the primary purpose for the use of a support surface?
A)To reduce pressure
B)To promote patient comfort
C)To increase circulation
D)To facilitate patient movement
Q4) A full or double-wide _____________ can accommodate a patient up to 1000 pounds.
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Chapter 14: Patient Safety
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) When assessing a patient,a nurse notes that the skin distal to a restraint is pale and cool to the touch.Which of the following interventions will the nurse perform first?
A)Remove the restraint.
B)Loosen the restraint.
C)Obtain a larger restraint.
D)Reapply the restraint with more padding.
Q2) After recognizing that a patient has received an electrical shock and removing the source of the shock,what should the nurse do next?
A)Call for assistance.
B)Immediately start CPR.
C)Obtain emergency equipment.
D)Assess for the presence of a pulse.
Q3) The use of restraints has been associated with which of the following complications? (Select all that apply. )
A)Pressure ulcers
B)Pneumonia
C)Constipation
D)Death
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16
Chapter 15: Disaster Preparedness
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Sample Questions
Q1) Releasing nuclear energy in an explosive manner as the result of a nuclear chain reaction is known as a ________________.
Q2) How is a disaster best defined?
A)Any event or situation that results in multiple casualties and/or deaths
B)A catastrophic and/or destructive event that disrupts normal functioning
C)An industrial accident and unplanned release of nuclear waste
D)An event that results in human casualties that overwhelm available health care resources
Q3) It is recommended that every household prepares a ____________.
Q4) Which of the following biological agent requires the use of an antitoxin if exposure occurs?
A)Anthrax
B)Plague
C)Botulism
D)Typhoid
Q5) The strategic plan of the Centers for Disease Control and Prevention (CDC)in the event of a disaster first focuses on __________________.
Q6) A patient has been exposed to a toxic chemical.The nurse's first priority is _______________.
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Chapter 16: Pain Management
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) Pain is experienced differently by different people,because pain perception is based on which of the following? (Select all that apply. )
A)Past pain experiences
B)Personal values
C)Cultural expectations
D)Emotions
Q2) Which of the following patient conditions is categorized as a neurobiological disease?
A)Physical dependence
B)Addiction
C)Pseudoaddiction
D)Drug tolerance
Q3) Offering the patient a backrub before preparing for sleep can promote relaxation and comfort.An effective backrub takes:
A)1 to 2 minutes.
B)3 to 6 minutes.
C)7 to 10 minutes.
D)11 to 15 minutes.
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18
Chapter 17: Palliative Care
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Sample Questions
Q1) The nurse is preparing to assist the patient at the end stage of her life.To provide comfort for the patient in response to anticipated symptom development,the nurse plans to:
A)decrease the patient's fluid intake.
B)limit the use of pain medication.
C)provide larger meals with more seasoning.
D)determine patient wishes and select appropriate therapies.
Q2) Hospice benefits include which of the following? (Select all that apply. )
A)Respite for family caregivers
B)Hospitalization for acute symptom management
C)Emotional and psychological support
D)Financial assistance and funeral arrangement
Q3) ___________________ specify medical interventions that the patient does not want in certain situations,such as mechanical ventilation,and are used to communicate the care a patient wants,for example,pain relief to the fullest extent possible.
Q4) An _______________ is the surgical dissection of a body after death.
Q5) _______________ grief (symptoms lasting longer than 6 months)occurs when a person experiences significant distress related to the loss.
Q6) _____________ helps people live as well as possible through the dying process.
Page 19
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Chapter 18: Personal Hygiene and Bed Making
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41 Flashcards
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Sample Questions
Q1) The development of diabetic foot ulcers is dependent on which of the following? (Select all that apply. )
A)Peripheral neuropathy
B)Tissue ischemia
C)Trauma to the foot
D)Pain in the affected extremity
Q2) The first line of defense against external injury and infection contains several thin layers of cells undergoing different stages of maturation.This first line of defense is known as the _______.
Q3) The skin,the largest human body organ,protects us from heat,light,injury,and infection and does which of the following? (Select all that apply. )
A)Helps regulate body temperature.
B)Stores water,vitamin D,and fat.
C)Helps to sense pain.
D)Prevents the entry of bacteria.
Q4) ______________ are mucous membranes with underlying supportive tissue that encircle the neck of erupted teeth to hold them in place.
Q5) The ____________ is the largest human organ.
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Chapter 19: Care of the Eye and Ear
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Sample Questions
Q1) Which of the following nursing interventions would the nurse perform first after a patient sustained a chemical splash injury to the eye?
A)Assess visual acuity.
B)Flush the eye with large amounts of irrigation fluid.
C)Assess level of pain.
D)Determine whether the pupils are equal,round,reactive to light and accommodation (PERRLA).
Q2) The substance found in the ear canal that has an antibacterial effect and maintains an acid pH is called ______________.
Q3) The nurse is preparing to provide eye care for a comatose patient.The nurse realizes that comatose patients do not have natural protective mechanisms to protect the cornea.These protective mechanisms include: (Select all that apply. )
A)blinking.
B)squinting.
C)lubrication.
D)dilation.
Q4) A _____________ is a small,battery-powered,electronic device that amplifies sound.
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Chapter 20: Safe Medication Preparation
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Sample Questions
Q1) A patient with a history of renal failure and liver disease has been receiving morphine sulfate every 4 hours for the past 2 weeks.The nurse finds the patient lethargic with a respiratory rate of 6 breaths per minute.The health care provider orders naloxone.The nurse anticipates which effects when naloxone is given? (Select all that apply. )
A)Increase in alertness
B)Decrease in urine output
C)Complaints of pain
D)Increase in respiratory rate
Q2) During the admission process,the patient states that he stopped taking daily aspirin because of nausea.The nurse documents the nausea as which of the following?
A)Noncompliance
B)Toxic effects of the medication
C)Side effects of the medication
D)Allergic reaction to the medication
Q3) A patient receives the usual dose of a medication for the first time and develops severe hypotension and bradycardia.The nurse reports this event as an __________ type of medication action.
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Chapter 21: Administration of Nonparenteral Medications
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Sample Questions
Q1) The patient is prescribed an ophthalmic medication via an intraocular disc.Which action by the nurse is appropriate when administering the medication?
A)Place the disc in the conjunctival sac.
B)Apply sterile gloves before placing the disc.
C)Pull on the patient's upper eyelid and ask the patient to look up.
D)Instruct the patient that the disc will be changed daily.
Q2) The nurse is teaching a patient with asthma about using a metered-dose inhaler to administer albuterol.Which statements should the nurse include in the teaching plan? (Select all that apply. )
A)This medication can produce systemic effects such as tachycardia and tremors.
B)After inhaling the medication,hold your breath for about 10 seconds.
C)After inhaling the medication and holding your breath,exhale slowly through an open mouth.
D)After the last dose,do not rinse your mouth or drink any water for at least 1 hour.
Q3) Medications in the form of drops or ointments will have the word ________________ on the container to identify them as eye medications.
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Chapter 22: Administration of Parenteral Medications
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Sample Questions
Q1) The patient is receiving allergy testing.The nurse is using the inner forearm to inject the allergen into the ____________.
Q2) The nurse is teaching a patient about continuous subcutaneous infusion with an insulin pump.What should the nurse include in the teaching plan?
A)Rotate the site every 1 to 2 days.
B)Place a gauze dressing over the insertion site.
C)Select an insertion site in the abdomen away from the waistline.
D)Pull the skin laterally before inserting the needle.
Q3) The nurse is preparing to administer an intravenous (IV)antibiotic using a mini-infusion pump.Which action should the nurse do first?
A)Place the syringe into the mini-infusion pump.
B)Hang the pump on an IV pole.
C)Connect the end of the mini-infusion tubing to the main IV line.
D)Apply pressure to the syringe plunger to fill the tubing with medication.
Q4) The most frequent route of exposure to bloodborne disease for health care workers is needlestick injury.The nurse recognizes that implementation of _________________ can prevent needlestick injury.
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Chapter 23: Oxygen Therapy
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Sample Questions
Q1) A patient is planning to perform incentive spirometry after abdominal surgery.The nurse should encourage the patient to do which of the following?
A)Get comfortable in a semi-reclined position.
B)Inhale as deeply as possible and then exhale into the incentive spirometry device.
C)Hold the breath for at least 3 seconds before exhaling.
D)Exhale as quickly as possible.
Q2) A curved oxygen-delivery device with an adjustable strap that fits around the patient's neck is known as a _______________.
Q3) A patient with a tracheostomy tube has an order for oxygen.Which action by the nurse is appropriate?
A)Apply sterile gloves to connect the oxygen to the tracheostomy tube.
B)Check the oxygen tubing frequently to make sure water is present in the tubing.
C)Attach the T tube to a humidified oxygen source.
D)Monitor the response to oxygen with hourly arterial blood gas levels.
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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Page 25
Chapter 24: Performing Chest Physiotherapy
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Sample Questions
Q1) To move secretions from small distal airways into larger central airways,the nurse would use ________________ and _______________.
Q2) A patient who is very frail and thin with osteoporosis has just undergone abdominal surgery.The nurse anticipates that which technique will be used to control respiratory secretions in this patient?
A)Forceful coughing
B)Percussion
C)Vibration
D)Shaking
Q3) The health care provider orders percussion on a patient to help clear airway secretions.Which action by the nurse is appropriate?
A)Performing percussion over the ribs,while avoiding the clavicles and sternum
B)Administering pain medication before performing the percussion because the vibrations will be painful
C)Performing percussion during exhalation only with the flat part of the palm
D)Creating a rocking motion by slightly leaning on the patient's chest
Q4) The _______________ provides positive expiratory pressure (PEP)with oral airway oscillations.
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Chapter 25: Airway Management
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Sample Questions
Q1) The nurse is providing nasotracheal suctioning for a 13-year-old patient with secretions in the throat and trachea.Which action by the nurse demonstrates proper technique?
A)Applying sterile petroleum jelly to the distal tip of the suction catheter
B)Applying clean gloves to both hands
C)Inserting the suction catheter 6 to 8 inches during inspiration
D)Suctioning the pharynx first and then the trachea
Q2) A patient has extremely copious and thick oral secretions.The nurse provides oropharyngeal suctioning using a _________________ suction device.
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) The nurse is caring for an infant who has been vomiting and is having difficulty breathing.What actions by the nurse are appropriate for suctioning the infant?
A)Place the infant in a supine position.
B)Suction only when a large amount of mucus is present.
C)Suction for only 30 seconds.
D)Compress the bulb syringe after it is placed in the nostril.
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Chapter 26: Cardiac Care
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Sample Questions
Q1) A patient is being monitored on a continuous cardiac monitor.The nurse directs the nursing assistive personnel (NAP)to immediately report which of the following patient findings? (Select all that apply. )
A)Patient complaints of pain
B)Shortness of breath
C)Hypotension
D)Patient's request to use the bedside commode
Q2) The nurse changes the ECG electrodes on a patient who is on a continuous cardiac monitor.The patient tells the nurse that the electrodes were just changed the previous day.Which of the following rationales is the correct explanation for the nurse to share with the patient?
A)Changing the electrodes more often than 24 hours can result in skin breakdown.
B)It is not necessary to change the electrodes daily.
C)It was not documented that the electrodes were changed.
D)Changing the electrodes daily will decrease the number of false alarms.
Q3) _______________ develops when a person is exposed to an excessive number of alarms.
Q4) ECG tracings that cannot be interpreted are known as _________________.
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Chapter 27: Closed Chest Drainage Systems
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30 Flashcards
Source URL: https://quizplus.com/quiz/50324
Sample Questions
Q1) Appropriate intervention for the patient who is having a reinfusion of chest tube drainage is noted when the nurse:
A)hangs the reinfusion lower than the usual intravenous (IV)bag.
B)uses a microaggregate filter on the reinfusion bag.
C)maintains 500 mm Hg pressure in the gravity blood cuff.
D)keeps the clamps open on the drainage tubing during bag transfer.
Q2) The nurse is caring for a patient who has had a chest tube in place for 2 days.As the nurse begins her shift assessment,she should ensure that what equipment is at the bedside? (Select all that apply. )
A)Two rubber-tipped clamps
B)Plain gauze 4×4
C)Sterile petroleum gauze
D)Extra drainage system
E)A sterile chest tube of the same size as the one inserted in the patient
Q3) Which of the following is an expected outcome of chest tube insertion?
A)Mild chest pain is maintained.
B)Breath sounds are auscultated in all lobes.
C)Drainage from the pleural cavity increases over time.
D)Lung expansion is increased beyond the unaffected side.
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Chapter 28: Emergency Measure for Life Support
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29 Flashcards
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Sample Questions
Q1) The nurse is preparing to insert an oral airway in a patient who is exhibiting signs of potential respiratory distress.The nurse knows that candidates for oral airway placement are those:
A)with oral trauma.
B)with loose teeth.
C)who are unconscious.
D)who have had recent oral surgery.
Q2) The nurse is providing an educational seminar to a group of nursing students on the advantages of using an automated external defibrillator (AED).She knows that her teaching has been effective when the students reply:
A)"Health care providers do not need to learn CPR to use the AED."
B)"The health care provider is given a printout of the rhythm change."
C)"The health care provider can safely use both CPR skills and AED skills."
D)"The health care provider can adjust the level of shock administered."
Q3) In the event of cardiopulmonary arrest,all patients receive cardiopulmonary resuscitation (CPR)unless otherwise indicated in the patient's
Q4) The most common cause of airway obstruction in an unresponsive patient is the
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Chapter 29: Intravenous and Vascular Access Therapy
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/50326
Sample Questions
Q1) The nurse is caring for a patient who has experienced hypovolemia secondary to acute vomiting and diarrhea.The nurse anticipates what type of intravenous fluid to be ordered by the health care provider?
A)Hypotonic or isotonic solutions
B)Hypertonic or isotonic solutions
C)Hypertonic solutions only
D)Whole blood
Q2) Established standards for routine replacement of peripheral IV catheters and intravenous administration sets have recommended a maximum of _____ hours to reduce intravenous (IV)fluid contamination and prevent catheter site complications.
A)24
B)48
C)72
D)96
Q3) Fluids that have the same osmolality as body fluids are used most often to replace extracellular volume and are known as _______________ fluids.
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Chapter 30: Blood Therapy
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29 Flashcards
Source URL: https://quizplus.com/quiz/50327
Sample Questions
Q1) The patient has been home from the hospital for 10 days.On the last day of his hospitalization,he received 2 units of packed red blood cells (RBCs).This morning,he noticed that his skin had a yellow tint to it and his temperature was elevated.Which reaction might this patient be experiencing?
A)Delayed hemolytic transfusion reaction
B)Acute hemolytic transfusion reaction
C)Nonhemolytic febrile reaction
D)Severe allergic transfusion reaction
Q2) What primary intervention should a nurse who is preparing a blood transfusion perform?
A)Set up the Y tubing.
B)Obtain 0.9% saline.
C)Verify the blood product and the patient.
D)Have the patient void or empty the urine drainage container.
Q3) Antibodies that react against the A and B antigens are naturally present in the plasma of people whose red blood cells do not carry the antigen.These antibodies react against the foreign antigens.Incompatible red blood cells clump together or _____________,which results in a life-threatening hemolytic transfusion reaction.
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Chapter 31: Oral Nutrition
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28 Flashcards
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Sample Questions
Q1) What must the nurse do before assisting the patient with feeding?
A)Assess the patient's gag reflex.
B)Make sure that the consistency of the food is thin.
C)Remove the patient's dentures to prevent gagging.
D)Prepare the patient to be fed by a staff member.
Q2) The patient is placed on a clear liquid diet after surgery.Which of the following foods may the patient select?
A)Coffee with milk and sugar
B)Gelatin,popsicles,apple juice
C)Water,orange juice,Jell-O
D)Black coffee,popsicles,ice cream
Q3) The nurse is preparing to assess the nutritional status of an 80-year-old patient in a long-term care agency.What screening tool would best suit this purpose?
A)The Malnutrition Universal Screening Tool (MUST)
B)Mini Nutritional Assessment (MNA)
C)Anthropometric measurements
D)A daily nutrition intake log
Q4) ______________ are measures of height;weight;head,arm,and muscle circumferences;and skinfold thickness.
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Chapter 32: Enteral Nutrition
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The home health nurse evaluates the provision of intermittent tube feedings by the patient's family member.The nurse notes that additional teaching is required when she notices that the family member:
A)keeps the formula refrigerated between feedings.
B)keeps the feeding tube capped between feedings.
C)begins the feeding before checking tube placement.
D)irrigates the tube with 30 to 60 mL of water before and after feedings.
Q2) What is an appropriate amount of nasogastric irrigant for an adult patient?
A)1 to 2 mL
B)30 mL
C)5 to 15 mL
D)250 mL
Q3) The nurse is preparing to administer an enteral feeding for the patient.The patient has been on enteral feedings for 2 days.The nurse knows that the most appropriate technique for implementing enteral feeding is:
A)weighing the patient weekly.
B)measuring the gastric residual every hour.
C)changing the formula every 12 hours in an open system.
D)leaving the formula in place in an open system for up to 24 hours.
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Chapter 33: Parenteral Nutrition
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Sample Questions
Q1) To detect a common untoward effect of interrupting a parenteral nutrition (PN)infusion,the nurse should assess the patient for development of which symptom?
A)Fever
B)Chest pain
C)Erythema and induration
D)Shaking and dizziness
Q2) The nurse is managing the care of a patient receiving parenteral nutrition (PN).Which assessment finding indicates potential septicemia?
A)Shakiness and dizziness
B)Chest pain/hypotension
C)Increased thirst
D)Increased temperature
Q3) If parenteral nutrition (PN)must be discontinued suddenly,hang __________ in water at the same infusion rate to prevent hypoglycemia.
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35
Chapter 34: Urinary Elimination
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Sample Questions
Q1) On the basis of the nurse's assessment of kidney function for an adult patient,which finding is normal?
A)10 mL/hr
B)20 mL/hr
C)30 mL/hr
D)100 mL/hr
Q2) When providing care for a patient with a suprapubic catheter who has acquired a urinary tract infection (UTI),which intervention is most important for the nurse to implement?
A)Using clean technique
B)Securing the tube to the inner thigh
C)Cleansing the insertion site in a direction toward the drain
D)Promoting intake of 2200 mL of fluid per day
Q3) Which activities related to urinary elimination may be delegated to a nursing assistive personnel (NAP)?
A)Catheterization
B)Positioning the patient
C)Evaluating alternatives to catheter use
D)Assessing urinary drainage
Q4) _________________ is the volume of urine in the bladder after a normal voiding.
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Chapter 35: Bowel Elimination and Gastric Intubation
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Sample Questions
Q1) When care is provided for a patient with an NG tube in place,which intervention is safest for the nurse to implement?
A)Tape the tube up and around the ear on the side of insertion.
B)Secure the tubing to the bed by the patient's head.
C)Mark the tube where it exits the nose.
D)Change the tubing daily.
Q2) The nurse is preparing to administer an enema to a patient.Which type of enema is most likely to lead to circulatory overload?
A)Hypertonic solution
B)Soapsuds
C)Tap water
D)Harris flush
Q3) The inability to pass a hard collection of stool is known as ______________.
Q4) When preparing an infant for an enema,the nurse understands that which solution is the safest?
A)Tap-water enema solution
B)Hypertonic enema solution
C)Oil retention
D)Physiological normal saline
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Chapter 36: Ostomy Care
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19 Flashcards
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Sample Questions
Q1) In caring for a patient who has a pouch for a noncontinent urinary diversion,which nursing intervention is essential?
A)Empty the pouch when it is one-third to one-half full.
B)Remove the ureteral stents after 2 days.
C)Pouch the stoma with the patient sitting up.
D)Dispose of used pouches in the toilet.
Q2) A ______________ is an opening in the large intestine or colon for elimination of fecal material.
Q3) The nurse has removed the patient's old urostomy pouch and is attempting to measure the stoma opening for placement of a new pouch.Which action should the nurse take next?
A)Place the patient in a prone position.
B)Cleanse the peristomal skin with warm soap and water.
C)Remove any stents that are in place.
D)Place rolled gauze at the stoma opening.
Q4) An opening that is in the ileal portion of the small-intestine is an ____________.
Q5) An ostomy that is created from a portion of the ileum to form a stoma through which urine can exit the body is called a(n)_____________.
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Chapter 37: Preoperative and Postoperative Care
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Sample Questions
Q1) A patient is being transferred to a room from the postanesthesia care unit (PACU).What should the nurse do upon transfer?
A)Remove the indwelling urinary catheter.
B)Turn off the nasogastric tube suction.
C)Use a black pen to note drainage on the dressing.
D)Change the dressing immediately when the patient reaches the room.
Q2) 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.
Q3) When providing care for an ambulatory surgical patient,the nurse recognizes that which assessment indicates that the patient meets discharge criteria?
A)The patient is able to drive home alone.
B)Some respiratory depression is evident.
C)The oxygen saturation level is at 85%.
D)No intravenous (IV)narcotics have been given in the past 30 minutes.
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39
Chapter 38: Intraoperative Care
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17 Flashcards
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Sample Questions
Q1) The charge nurse is assigning duties in the surgical arena.Which member of the surgical team should be assigned to the role of circulating nurse?
A)Registered nurse (RN)
B)Licensed practical nurse (LPN)
C)Certified surgical technologist (CST)
D)Certified Registered Nurse Anesthetist (CRNA)
Q2) The charge nurse is assigning members of the surgical team;the nurse recognizes that which member is responsible for an expanded role in ensuring preoperative and postoperative patient management in collaboration with other health care providers?
A)Registered nurse (RN)
B)Licensed practical nurse (LPN)
C)Circulating RN
D)Registered nurse first assistant (RNFA)
Q3) 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 Flashcards
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Sample Questions
Q1) The nurse is turning a patient when she notices an area with nonblanchable redness over the patient's coccyx.The patient complains of pain at the site,and the site feels cooler than the areas immediately around the site.The nurse recognizes that this patient has developed:
A)a stage I pressure ulcer.
B)a stage II pressure ulcer.
C)an unstageable pressure ulcer.
D)deep tissue injury.
Q2) After teaching a home caregiver how to manage a pressure ulcer,the nurse realizes that further education is needed when the caregiver says:
A)"I will be sure to reposition her frequently and keep her off of the pressure ulcer."
B)"I will wash the pressure ulcer with saline and report any changes in the drainage."
C)"I know that a thick,black covering will protect the pressure ulcer from getting worse."
D)"I will let you know if the pressure ulcer starts to smell rotten."
Q3) The removal of devitalized tissue in a wound is known as ______________.
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Chapter 40: Wound Care and Irrigations
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29 Flashcards
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Sample Questions
Q1) Healing by primary intention is expected to occur with which of the following situations?
A)The wound is left open and is allowed to heal.
B)A surgical wound is left open for 3 to 5 days.
C)Connective tissue development is evident.
D)The edges of a clean incision remain close together.
Q2) The nurse prepares to irrigate the patient's wound.What is the primary reason for this procedure?
A)Decrease scar formation.
B)Remove debris from the wound.
C)Improve circulation from the wound.
D)Decrease irritation from wound drainage.
Q3) Healing by ________ intention occurs when surgical wounds are not closed immediately but are left open for 3 to 5 days to allow edema or infection to diminish.
Q4) What should the nurse do when removing intermittent sutures?
A)Snip both sides of the suture before removing.
B)Snip the suture as close to the knot as possible.
C)Snip the suture as close to the skin as possible.
D)Pull up the knot to apply as much tension as possible.
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Chapter 41: Dressings, Bandages, and Binders
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Sample Questions
Q1) Which of the following tasks might be delegated to nursing assistive personnel (NAP)?
A)Pressure dressing to an actively bleeding wound
B)Chronic wound that needs a nonsterile moist-to-dry dressing change
C)Hydrogel dressing change
D)Wound assessment during the dressing change
Q2) What should the nurse do for a patient with a sudden severe hemorrhage?
A)Go for help.
B)Drape the patient.
C)Apply direct pressure.
D)Put on clean or sterile gloves.
Q3) Which of the following is an appropriate procedure for the nurse to implement during the application of an absorption or alginate dressing?
A)Never cut the dressing to fit the wound.
B)Irrigate the wound gently to remove residual gel.
C)Fill the wound cavity entirely with the dressing material.
D)Never use a secondary dressing.
Q4) A __________ dressing comes in direct contact with the wound bed.
Q5) _____________ dressings cover or hold primary dressings in place.
Q6) _______________ dressings are used for wounds that require debridement.
Page 43
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Chapter 42: Therapeutic Use of Heat and Cold
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Sample Questions
Q1) Hot applications are used with caution in which of the following conditions? (Select all that apply. )
A)Pregnancy
B)Laminectomy sites
C)Malignancy
D)Spinal cord injury
Q2) A new staff nurse is assigned to the unit.The charge nurse evaluated that the new staff member knows proper use of the aquathermia pad when the:
A)temperature is set between 95°F and 98°F.
B)water in the reservoir is allowed to run out.
C)pad is covered with a towel or a pillowcase.
D)patient is positioned to lie directly over the pad.
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.
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Chapter 43: Home Care Safety
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Sample Questions
Q1) In determining the causes of falls or other injuries within the home,the nurse should assess for which of the following? (Select all that apply. )
A)Symptoms at time of fall and history of previous falls
B)Location of fall and activity at the time of the fall
C)Time of fall
D)Trauma post fall
Q2) When discussing safety measures for the home environment,the nurse should remind the patient of which key element?
A)Set the hot water heater to only 160° F.
B)Turn on the cold water faucet first.
C)Use small throw rugs on slippery wood floors.
D)Put high-wattage bulbs into all lamps.
Q3) Activities of daily living (ADLs)include the patient's ability to bathe,dress,go to the toilet,transfer,maintain continence,and feed himself;_______ include the ability to use a telephone,prepare meals,travel,do housework,take medication,and shop.
Q4) ___________ is a generalized impairment of intellectual functioning,with the most common form being Alzheimer's disease.
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Chapter 44: Home Care Teaching
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Sample Questions
Q1) 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.
Q2) Information that should be provided to the caregiver of a patient with a nasogastric (NG)tube includes:
A)keeping the head of the bed lowered for feedings.
B)keeping unused formula at room temperature.
C)aspirating every 4 hours when receiving continuous drip feedings.
D)providing half of the feeding if the residual exceeds 250 mL.
Q3) The patient needs to be taught the signs of hypoxia.Which of the following outcomes are causes of hypoxia? (Select all that apply. )
A)Incorrect flow rate
B)Poor tubing connection
C)Use of long oxygen tubing
D)Airway plugging
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46