Course Introduction
Nursing Practice Lab
Textbook Exam Questions
Nursing Practice Lab is a hands-on course designed to provide students with practical experience in fundamental nursing skills. Through simulated lab environments and guided instruction, students learn essential procedures such as vital signs assessment, medication administration, wound care, and patient communication. The course emphasizes safe and effective clinical techniques, critical thinking, and the integration of theoretical knowledge with real-world applications. Students are assessed on their ability to perform procedures accurately and develop professional competency, preparing them for clinical placements and future nursing roles.
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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Page 2
Chapter 1: Using Evidence in Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) When evidence-based practice is used,patient care will be:
A)standardized for all.
B)unhampered by patient culture.
C)variable according to the situation.
D)safe from the hazards of critical thinking.
Answer: C
Q2) A well-developed PICOT question helps the nurse:
A)search for evidence.
B)include all five elements of the sequence.
C)find as many articles as possible in a literature search.
D)accept standard clinical routines.
Answer: A
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"
Clinical Implications
A research article includes a section that explains whether the findings from the study have "clinical implications." The researcher explains how to apply findings in a practice setting for the types of subjects studied.
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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 transferred from the intensive care unit to the acute care unit.The nurse must ensure that the following activities are completed: (Select all that apply. )
A)providing the receiving nurse with a report before the transfer.
B)determining any equipment needs for the patient during the transfer.
C)providing an updated report after transferring the patient to the receiving unit.
D)making sure a registered nurse accompanies the patient.
Answer: A,B,C
Q2) The nurse is providing discharge instruction to an 80-year-old patient and her daughter.The patient lives in a two-story home.When asked if the patient has difficulty climbing stairs,the patient says "No," but the nurse notices a look of surprise on the daughter's face.What should the nurse do in this circumstance?
A)Speak with the daughter separately.
B)Cancel the discharge immediately.
C)Order a visiting nurse consult.
D)Notify the physician.
Answer: A
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Chapter 3: Communication and Collaboration
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Which behavior should the nurse who is communicating with a potentially violent patient employ?
A)Sit closer to the patient.
B)Speak loudly and firmly.
C)Use slow,deliberate gestures.
D)Always block the door to prevent escape.
Answer: C
Q2) Directing the conversation back to patient ideas,feelings,questions,or content is known as ___________________.
Answer: reflection
Reflection or directing back to the patient ideas,feelings,questions,or content validates the nurse's understanding of what the patient is saying and signifies empathy,interest,and respect for the patient.
Q3) Anxiety that is the source of inattention,decreased perceptual field,and diaphoresis is classified as ____________________.
Answer: moderate anxiety
Moderate anxiety is characterized by selective inattention,decreased perceptual field,the ability to focus only on relevant information,muscle tension,and/or diaphoresis.
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Chapter 4: Documentation and Informatics
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25 Flashcards
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Sample Questions
Q1) The patient is a 24-year-old man who is diagnosed with possible HIV infection while being treated for active pneumonia.He has stated that the nurse may share test result information with his significant other but nothing else at this time.With whom may the nurse communicate regarding this information?
A)The patient's parents
B)The patient's significant other only
C)No one in the hospital until the patient says so
D)The patient's physician,significant other,and laboratory personnel
Q2) A preprinted guideline used to care for patients with similar health problems is known as the:
A)acuity record.
B)standardized care plan.
C)patient care summary.
D)flow sheet.
Q3) Which is an acceptable format to use in documentation?
A)SOAPIE
B)HIPAA
C)DAR
D)EHR
Q4) The abbreviation for every day (___)is no longer used.
Page 6
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Chapter 5: Vital Signs
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) The nurse is about to take vital signs on a newborn patient in the nursery.She should:
A)assess respiratory rate after taking a rectal temperature.
B)observe the child's chest while the child is sleeping.
C)call the physician if the rate is over 40.
D)expect that the child will have short periods of apnea.
Q2) The nurse is about to take a patient's blood pressure.Which of the following conditions would cause the nurse to obtain a false high reading? (Select all that apply. )
A)Bladder or cuff too narrow
B)Bladder or cuff too wide
C)Patient's arm below the level of the heart
D)Inflating the cuff too slowly
Q3) ___________ is the sound of the tricuspid and mitral valves closing at the end of ventricular filling.
Q4) What is a disadvantage of using the disposable sensor pad for pulse oximetry?
A)It is less restrictive.
B)It contains latex.
C)It is less expensive to use.
D)It is available in different sizes.
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Page 7
Chapter 6: Health Assessment
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45 Verified Questions
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Sample Questions
Q1) The female nurse is preparing to assess and possibly change a scrotal dressing on a 34-year-old patient.Before changing the dressing,she should ______________.
Q2) The patient is admitted with fever and acute lower abdominal pain.He has taken Tylenol but says he still feels feverish.Before taking the patient's temperature,the nurse may:
A)touch the patient's skin with the dorsum of her hand.
B)touch the patient's skin with the pads of her fingers.
C)palpate the skin using the bimanual method.
D)tap the patient's skin using the fingertips.
Q3) In providing a physical assessment of an 88-year-old patient,the nurse should:
A)do it as quickly as possible to prevent fatigue.
B)assume that the patient will have disabilities.
C)prepare to perform a mental status examination.
D)always do the exam in the small exam room to prevent chills.
Q4) How does a nurse appropriately measure intake and output?
A)Recording 50% of ice chip consumption
B)Checking urinary output every 24 hours
C)Emptying the chest tube drainage every 2 hours
D)Subtracting liquid medications from the total intake
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Chapter 7: Specimen Collection
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Sample Questions
Q1) _______________ organisms grow in superficial wounds exposed to the air.
Q2) How should the nurse identify a patient before obtaining a laboratory specimen?
A)Use at least two patient identifiers.
B)Look at the chart before entering the room.
C)Ask the patient his name.
D)Check the patient's armband twice.
Q3) A timed urine collection can be used for which of the following? (Select all that apply. )
A)Glucose
B)Adrenocorticosteroids
C)Bacteria count
D)Color
Q4) The nurse is drawing blood from a patient to determine the blood alcohol level.Which step is an appropriate action for the nurse to take?
A)Swab the area with an antiseptic swab.
B)Swab the area with an alcohol swab.
C)Do not swab the area at all.
D)Apply the tourniquet for 5 minutes.
Q5) A common test performed on fecal material is the ________ test for fecal occult blood.
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Chapter 8: Diagnostic Procedures
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Sample Questions
Q1) _____________________ apply manual compression to prevent bleeding at the arterial site.
Q2) The nurse is caring for a patient who has received moderate sedation for a procedure at the bedside.Which task can be delegated to the nursing assistive personnel (NAP)during this procedure?
A)Assessing sedation score
B)Obtaining blood pressure
C)Monitoring respiratory rate
D)Recording urine output
Q3) The nurse is caring for a patient who has just undergone a bronchoscopy and has been in recovery for the last 15 minutes.The nurse should be especially watchful for which of the following? (Select all that apply. )
A)Return of the gag reflex
B)Laryngospasm
C)Respiratory status
D)Facial or neck crepitus
Q4) ____________ are sterile invasive procedures involving the removal of body fluids or tissue for diagnostic procedures.
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Chapter 9: Medical Asepsis
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26 Verified Questions
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Sample Questions
Q1) Infection control practices that reduce and eliminate sources and transmission of infection are known as _______________.
Q2) OSHA and CDC guidelines require health care workers who care for suspected or confirmed TB patients to wear special ________________.
Q3) An appropriate technique for the nurse to implement for the patient on isolation precautions is to:
A)double-bag all disposable items and linens.
B)put another gown over the one worn if it has become wet.
C)place specimen containers in plastic bags for transport.
D)hand items to be reused directly to a nurse standing outside the room.
Q4) What should the nurse do to break the chain of infection at the reservoir level?
A)Change a soiled dressing.
B)Keep drainage systems intact.
C)Cover the nose and mouth when sneezing.
D)Avoid contact of the uniform with soiled items.
Q5) The nurse is preparing to provide care for the patient.Before making patient contact,she washes her hands.This practice is known as __________________.
Q6) ________________ is the absence of pathogenic (disease-producing)microorganisms.
Page 11
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Chapter 10: Sterile Technique
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17 Flashcards
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Sample Questions
Q1) An appropriate principle of surgical asepsis is that:
A)the entirety of a sterile package is sterile once it is opened.
B)all of the draped table,top to bottom,is considered sterile.
C)an object held below the waist is considered contaminated.
D)if the sterile barrier field becomes wet,the dry areas are still sterile.
Q2) 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.
Q3) When the following concepts are compared,which is most important in maintaining a safe environment by following aseptic principles?
A)Performing a surgical hand scrub
B)Applying a sterile gown
C)Recognizing the importance of following aseptic principles
D)Applying a mask and protective eyewear
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Chapter 11: Safe Patient Handling, Transfer, and Positioning
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Plantar flexion contracture,otherwise known as _____________,is caused when the force of gravity pulls an unsupported,weakened foot into a plantar-flexed position.
Q2) The patient is immobile and has been repositioned in bed using a drawsheet.When finished,the patient is in a supported Fowler's position with the head of the bed elevated 45 degrees.Also important for positioning this patient is to:
A)support his calves with pillows.
B)place a large pillow behind his head to prevent extension.
C)place a pillow behind his upper back.
D)avoid using pillows if the patient does not have use of the hands and arms.
Q3) The nurse is preparing to reposition the patient.Which of the following is a principle of safe patient transfer and positioning?
A)The wider the base of support,the greater the stability of the nurse.
B)The higher the center of gravity,the greater the stability of the nurse.
C)Facing in the opposite direction of movement prevents twisting.
D)Using either the arms or the legs reduces the risk for back injury.
Q4) Body balance is achieved when a wide _____________ exists.
Q5) Awareness of posture and changes in equilibrium is known as _______________.
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Chapter 12: Exercise Mobility
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27 Verified Questions
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Sample Questions
Q1) The patient has a leg injury and is being fitted for a cane.The patient should be taught to:
A)hold the cane on the uninvolved side.
B)hold the cane on the weaker side.
C)extend the cane 15 inches from the foot when used.
D)maintain approximately 60 degrees of elbow flexion.
Q2) A nurse encourages a patient to prevent venous stasis by:
A)crossing the legs when sitting in a chair.
B)wearing thigh-length nylon stockings or garters.
C)elevating the legs on pillows while in bed.
D)increasing early ambulation.
Q3) Graduated compression stockings are ordered for the patient on bed rest after surgery.The nurse explains to the patient that the primary purpose for the elastic stockings is to:
A)keep the skin warm and dry.
B)prevent abnormal joint flexion.
C)apply external pressure.
D)prevent bleeding.
Q4) A person's inability to move about freely is known as _______________.
Q5) ____________ refers to an ability to move about freely.
Page 14
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Chapter 13: Support Surfaces and Special Beds
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Sample Questions
Q1) 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
Q2) Use of the low-air-loss bed is contraindicated in patients with ___________________.
Q3) An air-suspension bed is contraindicated for the patient with:
A)burns.
B)traction.
C)osteoporosis.
D)respiratory insufficiency.
Q4) 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
Q5) A full or double-wide _____________ can accommodate a patient up to 1000 pounds.
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Chapter 14: Patient Safety
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Sample Questions
Q1) An ________________ maintains immobilization of the extremities to protect the patient from accidental removal of a therapeutic device.
Q2) When working with a patient who has a new seizure disorder,the nurse is alerted to the need for further instruction when the patient tells the nurse: (Select all that apply. )
A)"I will avoid over-the-counter medications that contain alcohol."
B)"I have the medications that I take listed on this card that I carry with me."
C)"I will be sure to take my medications as prescribed by my provider."
D)"I will visit my physician right after I return home from my next trucking job."
Q3) A patient is taking a medication that has the potential to cause orthostatic hypotension.Which of the following nursing interventions is appropriate for this patient?
A)Have the patient sit slowly and dangle.
B)Refer the patient to physical therapy.
C)Keep the side rails up at all times.
D)Obtain a walker or a cane for patient use.
Q4) It is important for nurses to understand what patients perceive as ___________ so that patients will become partners in programs to prevent them.
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Page 16
Chapter 15: Disaster Preparedness
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Sample Questions
Q1) The strategic plan of the Centers for Disease Control and Prevention (CDC)in the event of a disaster first focuses on __________________.
Q2) Personal protective equipment (PPE)is categorized by the level of safety provided.Standard work uniforms or work clothes offer what level of protection?
A)Level A
B)Level B
C)Level C
D)Level D
Q3) Hurricane Zee has caused severe flooding and loss of power throughout the state.The local community has a stockpile of supplies that will help it get through the next 72 hours.Beyond this,once local and federal authorities confirm the need,a "push package" of supplies will be issued within 12 hours of the confirmation.These supplies will come from the ____________.
Q4) The patient is being treated for biological agent exposure and is resting in the emergency department bay.It is important that the nurse evaluate changes in airway,breathing,and circulation,as well as ____________________.
Q5) It is recommended that every household prepares a ____________.
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Page 17
Chapter 16: Pain Management
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Sample Questions
Q1) The nurse frequently must assess a patient who is experiencing pain.When assessing the intensity of the pain,the nurse should:
A)ask whether there are any precipitating factors.
B)question the patient about the location of the pain.
C)offer the patient a pain scale to objectify the information.
D)use open-ended questions to find out about the sensation.
Q2) 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
Q3) ___________ has an identifiable cause and rapid onset and generally disappears with healing.
Q4) ________________ draws on internal experiences of memories,dreams,fantasies,and visions;explores the inner world of experience;protects the privacy of the patient;and fosters the imagination.
Q5) ________________ is a method of preventing pain while reducing overall opioid use.
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Chapter 17: Palliative Care
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Sample Questions
Q1) _______________ grief (symptoms lasting longer than 6 months)occurs when a person experiences significant distress related to the loss.
Q2) The patient has a history of terminal cancer but is being admitted for treatment of a pressure ulcer.The patient's wife has been caring for him at home and refuses to discuss admission to a nursing home.The wife looks extremely tired and is near the point of exhaustion.What could the nurse suggest?
A)A consult for hospice care
B)Continuing with the plan of care as is
C)That the doctor orders the patient into a nursing home
D)That the wife stays away while the patient is hospitalized
Q3) A nurse-initiated or independent activity for promotion of respiratory function in a terminally ill patient is to:
A)limit PO fluid intake.
B)position the patient in semi-Fowler's or Fowler's position.
C)reduce narcotic analgesic use.
D)administer bronchodilators.
Q4) An _______________ is the surgical dissection of a body after death.
Q5) _____________ helps people live as well as possible through the dying process.
Q6) The irreversible absence of all brain function is termed ______________.
Page 19
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Chapter 18: Personal Hygiene and Bed Making
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Sample Questions
Q1) The act of chewing is also known as ________________.
Q2) Shaving with a disposable razor is contraindicated for a patient with: A)heart disease.
B)diabetes mellitus.
C)a head injury.
D)a bleeding disorder.
Q3) _____________ is balding patches in the periphery of the hairline.
Q4) A patient is admitted with the diagnosis of pediculosis capitis (head lice).Proper treatment for this condition would include which of the following? (Select all that apply. )
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
Q5) In providing perineal care for a male patient,the nurse realizes that the patient has not been circumcised.The nurse should:
A)retract the foreskin aftercare has been completed.
B)place the patient in prone position.
C)replace the foreskin to its natural position aftercare has been provided.
D)have the patient adduct his legs.
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Chapter 19: Care of the Eye and Ear
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Sample Questions
Q1) When removing a soft contact lens,the nurse finds that it is sticking together.What should the nurse do next?
A)Rub the lens briskly.
B)Soak the lens in saline.
C)Place cleansing solution on the lens.
D)Pry the lens apart with the fingertips.
Q2) 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.
Q3) The nurse is preparing to clean the patient's hearing aid.The nurse realizes that she must:
A)make sure the hearing aid volume is turned on before removing the hearing aid.
B)hold the hearing aid over the sink when cleansing.
C)insert a paper clip into the receiver port to cleanse cerumen buildup.
D)make sure the pressure equalization channel is clear.
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Page 21
Chapter 20: Safe Medication Preparation
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Sample Questions
Q1) 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.
Q2) Medication errors include which of the following? (Select all that apply. )
A)Administration of the wrong medication
B)Administration via the wrong route
C)Inaccurate prescribing
D)Failing to administer a medication
Q3) The nurse enters the patient's room to give medications.Which action is most appropriate to identify the "right patient"?
A)Ask the patient to state his name.
B)Ask the patient to state his name and birth date.
C)Ask the primary nurse to identify the patient.
D)Say the patient's name and date of birth and request patient validation.
Q4) A drug interaction in which the combined effect of drugs is greater than the sum of the effects of each individual agent acting independently is known as a
Q5) Medication safety is always one of the ______________ set by The Joint Commission.
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Chapter 21: Administration of Nonparenteral Medications
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Sample Questions
Q1) The nurse is applying a new nitroglycerin transdermal patch.Which action by the nurse is appropriate?
A)Instructing the patient to wear the patch 24 hours a day every day
B)Applying the new patch to the same site as the previous patch
C)Cutting the patch in half when a change of dose is ordered
D)Instructing the patient to avoid heat sources over the patch
Q2) Several patients have been prescribed inhalation medications.The nurse is aware that a spacer will be beneficial for which patient?
A)A young child using a dry powder inhaler
B)An elderly patient who uses a metered-dose inhaler
C)A teenager who has just started using a nebulizer
D)A young child who needs medication several times per day
Q3) A patient is experiencing a systemic effect from eyedrops.Which assessment finding by the nurse is indicative of this?
A)Headache
B)Reddened eyes
C)Darkened conjunctiva
D)Elevated pulse and blood pressure
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23
Chapter 22: Administration of Parenteral Medications
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Sample Questions
Q1) A patient has orders for 10 units of glargine insulin and 5 units of regular insulin to be given at the same time.Which action by the nurse is appropriate?
A)Injecting 10 units of air into the glargine insulin vial first and not withdrawing the medication
B)Injecting 5 units of air into the regular insulin vial first and then 10 units of air into the glargine insulin vial
C)Giving two separate injections using different needles and syringes
D)Withdrawing 5 units of regular insulin first and then calculating the total dose of regular and glargine insulin combined
Q2) A patient with multiple intravenous lines has blood infusing in the right antecubital space,parenteral nutrition infusing through a right subclavian line,and normal saline with potassium infusing in the left forearm.An intravenous medication is ordered stat.The nurse will use the line in the ____________ to administer the medication.
Q3) The nurse is preparing to give an intramuscular injection to a toddler.To decrease pain,a eutectic mixture of local anesthetics (EMLA)cream is applied to the injection site at least ______ hour(s)before administration of the injection.
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24
Chapter 23: Oxygen Therapy
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Sample Questions
Q1) The nurse is assessing a patient for hypoxia and observes a bluish discoloration in the following areas.Which areas indicate hypoxia? (Select all that apply. )
A)Oral mucosa
B)Conjunctiva of the eye
C)Around the lips
D)On the nail beds
Q2) The nurse is reviewing lab results for a patient with hypoxemia.The nurse is aware that which of the following results may worsen the patient's hypoxemia? (Select all that apply. )
A)Low sodium levels
B)Low hemoglobin levels
C)Increased blood pH
D)Decreased blood pH
Q3) A curved oxygen-delivery device with an adjustable strap that fits around the patient's neck is known as a _______________.
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) ________________ is positioning the patient so that the position of the lung segment to be drained allows gravity to have its greatest effect.
Q2) The _______________ provides positive expiratory pressure (PEP)with oral airway oscillations.
Q3) A patient has retained secretions in the right and left lower lobe superior bronchi.A nurse is demonstrating to family members how to perform percussion and vibration.Which action by the nurse is appropriate?
A)Positioning the patient in a chair leaning forward on a table
B)Asking the patient to lie flat on the stomach with a pillow under the stomach
C)Assisting the patient to the right side with the arm overhead and the feet elevated
D)Asking the patient to lie on the left side with the head elevated
Q4) The nurse receives orders on several patients for chest percussion,vibration,and shaking.The nurse is aware that chest physiotherapy maneuvers are indicated for which patient?
A)18-year-old who sustained thoracic trauma from a motor vehicle accident
B)75-year-old with osteoporosis who is underweight
C)15-year-old with cystic fibrosis
D)20-year-old with a fractured clavicle
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Chapter 25: Airway Management
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Sample Questions
Q1) A patient has extremely copious and thick oral secretions.The nurse provides oropharyngeal suctioning using a _________________ suction device.
Q2) A patient with a tracheostomy tube has thick,tenacious mucus that is difficult to remove.The nurse should choose which technique to suction the airway?
A)Normal saline instillation (NSI)before suctioning
B)Dry suctioning 1 time followed by NSI with suctioning 2 more times
C)Dry suctioning as long as the heart rate is above 60 beats/min
D)Dry suctioning
Q3) The nurse is caring for a patient who has a tracheostomy.To prevent the patient from developing an airway obstruction,the nurse assesses which of the following? (Select all that apply. )
A)Patient's nutritional status
B)Environmental humidity
C)Existing respiratory infection
D)Patient's ability to cough
Q4) A _______________ is inserted directly into the trachea through a small incision made in the patient's neck.
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Chapter 26: Cardiac Care
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35 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient on continuous cardiac monitoring.The nurse assesses the rhythm as regular with a normal PQRST complex and a rate of 62 beats per minute.Which analysis is the correct interpretation of this cardiac rhythm?
A)Sinus bradycardia
B)Sinus tachycardia
C)Premature bradycardia
D)Normal sinus rhythm
Q2) The nurse determines the needs to obtainment of a 12-lead ECG on a patient.The nurse assesses two identifiers to ensure patient safety.This practice is in compliance with which safety organization?
A)American Nurses Association
B)The Joint Commission
C)The National Hospital Association for Patient Safety
D)Magnet Credentialing
Q3) Proper placement of the ECG electrodes is essential for which reason?
A)To ensure real-time detection of arrhythmias
B)To prevent painful removal of the electrodes
C)To facilitate capture of all leads
D)To reduce ventricular arrhythmias
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Chapter 27: Closed Chest Drainage Systems
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Sample Questions
Q1) The nurse is caring for a patient who is comatose and on a ventilator.When she enters the room,she notices that the patient's trachea has shifted toward the left side of the patient's neck,and he has become tachycardic.She assesses the patient's blood pressure and notes that it is 84/38.The nurse calls for help,having recognized that the patient has developed which of the following conditions?
A)Hemothorax
B)Pneumothorax on the left side
C)Pneumothorax on the right side
D)Myocardial infarction
Q2) What condition is indicated when a patient with a chest tube experiences sharp,stabbing chest pain without a change in pulse or blood pressure?
A)Pneumonitis
B)Tube displacement
C)A myocardial infarction
D)A tension pneumothorax
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Chapter 28: Emergency Measure for Life Support
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29 Flashcards
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Sample Questions
Q1) In the event of cardiopulmonary arrest,all patients receive cardiopulmonary resuscitation (CPR)unless otherwise indicated in the patient's _________________.
Q2) What is the nurse's responsibility for the patient after he has been intubated during a code event? (Select all that apply. )
A)Ventilate using a bag-mask device at a rate of 22 breaths per minute.
B)Auscultate the epigastric area.
C)Auscultate both lungs.
D)Call for a chest radiograph.
Q3) The patient is brought to the emergency department after a motor vehicle accident.The patient has head and neck trauma and has stopped breathing.What should the nurse do?
A)Open the airway using the head tilt-chin lift method.
B)Open the airway using the jaw-thrust method.
C)Give two breaths using mouth-to-mouth and a barrier device.
D)Give two breaths using a bag-mask device.
Q4) Many cardiac arrests are caused by irregular heart rhythms known as ________________.
Q5) The most common cause of airway obstruction in an unresponsive patient is the __________.
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Chapter 29: Intravenous and Vascular Access Therapy
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44 Flashcards
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Sample Questions
Q1) While assessing the patient's intravenous (IV)catheter site,the nurse notes that the site is reddened and warm.The patient states that it is "sore." The nurse recognizes these as signs of ____________.
Q2) While assessing the patient's intravenous (IV)infusion,the nurse notes that it is infusing more slowly than it should be.What should the nurse do first?
A)Discontinue the IV.
B)Increase the rate of infusion.
C)Observe for fluid overload.
D)Check the position of the IV fluid and extremity.
Q3) The nurse caring for a patient receiving intravenous (IV)fluids knows that the current recommendation for changing the tubing on a continuously running IV is:
A)at least every 48 hours.
B)every 24 hours.
C)no more often than every 96 hours.
D)with each IV solution bag change.
Q4) ___________________ is manifested by decreased urine output,dry mucous membranes,decreased capillary refill,a disparity in central and peripheral pulses,tachycardia,hypotension,and shock.
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Chapter 30: Blood Therapy
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29 Flashcards
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Sample Questions
Q1) A transfusion in which the donor is the patient is known as an ______________ transfusion or autotransfusion.
Q2) The nurse is caring for a patient who needs a blood transfusion.The patient has been tested and was found to have blood type O.The nurse knows this means that which antigen is present on the surface of the red blood cells?
A)The type A antigen is present.
B)The type B antigen is present.
C)Neither type A nor type B antigens are present.
D)Both type A and type B antigens are present.
Q3) Transfusion therapy is the intravenous (IV)administration of which of the following? (Select all that apply. )
A)Whole blood
B)Plasma products
C)Red blood cells (RBCs)
D)Platelets
Q4) The presence or absence of specific antigens on the surface of red blood cells determines ___________________ in the ABO system.
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Chapter 31: Oral Nutrition
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28 Flashcards
Source URL: https://quizplus.com/quiz/50328
Sample Questions
Q1) Which of the following are signs of iron (FeĀ²<sup>+</sup>)deficiency? (Select all that apply. )
A)Pale eye membranes
B)Cheilosis (redness/swelling)of the lips
C)Spongy,bleeding gingiva
D)Glossitis
Q2) _______________ is useful for monitoring short-term changes in visceral protein.
Q3) ______________ are measures of height;weight;head,arm,and muscle circumferences;and skinfold thickness.
Q4) The nurse will collaborate with a ___________ to develop a nutritional plan for a patient identified as being at nutritional risk.
Q5) The nurse is caring for a patient 2 days after surgery.The ordered diet is a mechanical soft diet.Which of the following foods may the patient choose to eat?
A)Salad
B)Baked potato without skin
C)Cooked cereal
D)Soft peeled apples
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Chapter 32: Enteral Nutrition
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23 Flashcards
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Sample Questions
Q1) Which evaluation indicates that placement of a nasogastric or enteric tube is correct?
A)Nasointestinal aspirate with a pH of less than 6
B)Pleural fluid pH of less than 6
C)Gastric aspirate with a pH of 5 or less after patient fasting
D)Gastric aspirate with a pH of 4 and continuous tube feedings
Q2) The nurse is caring for a patient who is receiving continuous tube feedings.What must the nurse do to care for this patient?
A)Verify tube position every 4 to 6 hours.
B)Obtain a radiograph every 4 to 12 hours.
C)Instill air into the stomach via the tube and listen for bubbles.
D)Do not worry about tube placement because the tube has already been determined to be in the right place.
Q3) Before insertion of a nasogastric (NG)tube,of which finding should the physician be notified?
A)Patent nares
B)Absent bowel sounds
C)Evident gag reflex
D)Impaired swallowing
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Page 34
Chapter 33: Parenteral Nutrition
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Sample Questions
Q1) The nurse is managing the care of a patient receiving parenteral nutrition (PN).Which assessment finding indicates potential septicemia?
A)Shakiness and dizziness
B)Chest pain/hypotension
C)Increased thirst
D)Increased temperature
Q2) 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
Q3) The patient has been ordered to receive parenteral nutrition (PN)but will require the nutritional therapy to continue for several months.Which route is most important for the nurse to consider?
A)Second intravenous line
B)Enteral feeding tube
C)Central venous access device (CVAD)
D)Parenteral feeding tube
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Page 35
Chapter 34: Urinary Elimination
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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) The nurse receives an order to insert a Foley catheter.In obtaining a catheter of the right size,the nurse is aware that large catheters can lead to which complication?
A)Urethral damage
B)Bladder relaxation
C)Obstruction of urinary flow
D)Decreased risk for infection
Q3) When observing a patient for symptoms of dehydration,the nurse should observe which assessment?
A)Increased salivation
B)Diuresis
C)Periorbital edema
D)Decreased capillary filling
Q4) An ______________ has a separate lumen that is used to inflate a balloon so the catheter remains in the bladder for short- or long-term use.
Q5) _________________ 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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27 Flashcards
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Sample Questions
Q1) 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
Q2) An ___________ is the instillation of a solution into the rectum and sigmoid colon to promote defecation by stimulating peristalsis.
Q3) The patient is receiving a soapsuds enema but is having a difficult time retaining the fluid.What action should the nurse take? (Select all that apply. )
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.
Q4) The inability to pass a hard collection of stool is known as ______________.
Q5) _____________ is defined by a number of signs including infrequent bowel movements,difficulty evacuating,hard stools,and inability to defecate.
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Chapter 36: Ostomy Care
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19 Flashcards
Source URL: https://quizplus.com/quiz/50333
Sample Questions
Q1) The nurse is caring for a patient who had a colostomy placed 5 days earlier.The nurse notes that the stoma is red and moist.Which action should the nurse take?
A)Notify the physician immediately.
B)Apply pressure.
C)Document the condition of the stoma.
D)Change the appliance pouch.
Q2) The nurse is caring for a preterm infant in the neonatal intensive care unit who has multiple stomas.Given the uniqueness of infants,which action is essential for the nurse to take?
A)Apply an ostomy pouch using standard sealants.
B)Use a pouch that can accommodate increased amounts of flatus.
C)Use multiple pouches (one for each stoma).
D)Be aware that the stoma size will remain the same as the baby grows.
Q3) When providing care for a patient with a colostomy or an ileostomy,the nurse recognizes that which is an expected assessment finding?
A)A moist,reddish-pink stoma
B)A dry,purplish stoma
C)Erythema on the skin around the stoma
D)No drainage noted from the stoma when washed
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Page 38
Chapter 37: Preoperative and Postoperative Care
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Sample Questions
Q1) The nurse is planning care for a preoperative patient.Which intervention is implemented to ensure safe nursing care?
A)Allowing the patient to have ice chips
B)Always keeping the patient NPO for 12 to 14 hours before
C)Allowing the patient to brush teeth and swallow water
D)Allowing the patient to take specifically ordered oral medications with small amounts of water
Q2) When providing teaching to a patient,which action is important to help the patient in performing controlled coughing?
A)Repeat the breathing exercises twice.
B)Cough 2 to 3 times and inhale between coughs.
C)Place a pillow over the incisional site for splinting.
D)Use the chest and shoulder muscles while inhaling during diaphragmatic breathing.
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Chapter 38: Intraoperative Care
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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) Who of the following can assume the role of the scrub nurse/assistant? (Select all that apply. )
A)Registered nurse (RN)
B)Licensed practical nurse (LPN)
C)Certified surgical technician (CST)
D)Nursing assistive personnel (NAP)
E)Medical transcriptionist
Q3) The _______________ phase begins when the patient enters the operating room suite and ends with admission to the postanesthesia care unit (PACU).
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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Sample Questions
Q1) The nurse is caring for a darkly pigmented patient who is immobile and needs turning every 2 hours.While turning the patient,to what should the nurse who is performing the assessment pay particular attention?
A)Edema in the sacrum
B)Skin texture
C)Skin temperature
D)Pallor or mottling of the skin
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) When skin layers adhere to the linens and deeper tissue layer move downward,________ damage occurs.
Q4) 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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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) _____________ uses the mechanical force (high or low)of a stream of solution to remove debris,bacteria,and necrotic tissue from a wound.
Q3) Which situation noticed during evaluation would determine that the staples or sutures should remain in place?
A)The wound edges are separated.
B)No drainage or erythema is present.
C)The patient is anxious about their removal.
D)A cosmetically aesthetic result would not be achieved.
Q4) How does the skin defend the body? (Select all that apply. )
A)Skin serves as a sensory organ for pain.
B)Skin serves as a sensory organ for touch.
C)Skin serves as a sensory organ for temperature.
D)Skin has an acid pH.
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Chapter 41: Dressings, Bandages, and Binders
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Sample Questions
Q1) The patient is brought from a construction site to the emergency department with a pipe puncturing his abdomen.The pipe is still in place.The patient is triaged and is scheduled for the operating room.What should the nurse do while waiting for the surgeon?
A)Pull the pipe out in the direction of entry.
B)Push the pipe through to the other side,then out.
C)Leave the pipe in place.
D)Apply direct pressure to the insertion site of the pipe.
Q2) The nurse is changing a film dressing over a wound that is showing a large amount of drainage.How should the nurse proceed?
A)Apply a film dressing after culturing the wound.
B)Apply a film dressing after cleansing the area.
C)Choose another type of dressing for this wound.
D)Keep the wound open to air.
Q3) The nurse is caring for a patient who is bleeding.To control bleeding,apply a _____ dressing.
A)pressure
B)alginate
C)foam
D)hydrocolloid
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Chapter 42: Therapeutic Use of Heat and Cold
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Sample Questions
Q1) 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.
Q2) Which of the following conditions are best treated with cold therapy? (Select all that apply. )
A)Localized inflammatory responses
B)Hemorrhage
C)Muscle spasm
D)Pain
Q3) The patient is receiving cold therapy and complains to the nurse that the area being treated is numb.How should the nurse respond?
A)Continue application of therapy.
B)Stop cold therapy.
C)Apply more ice to the ice pack.
D)Check for moisture on the ice pack,indicating leakage.
Q4) The ________________ blanket raises,lowers,or maintains body temperature through conductive heat or cold transfer between the blanket and the patient.
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Chapter 43: Home Care Safety
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Sample Questions
Q1) Which assistive device would most benefit a patient with a neuromuscular weakness?
A)Large-print labels
B)A syringe with a magnifier
C)Screw-top medication containers
D)Color-coded tops for medications
Q2) When a caregiver is communicating with a patient,which of the following actions may facilitate communication? (Select all that apply. )
A)Face the patient who has a hearing impairment.
B)Avoid eye contact.
C)Use simple words.
D)Be aware of nonverbal gestures.
Q3) When teaching an elderly patient about safety in the bathroom,which of the following recommendations should the nurse make?
A)Use bath oils to maintain skin integrity and suppleness.
B)Hang towels on grab bars for easy access.
C)Make sure the bathroom door can be locked from the inside only for privacy.
D)Shower using a shower stool and a handheld sprayer.
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Chapter 44: Home Care Teaching
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Sample Questions
Q1) 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.
Q2) In teaching the patient how to take his own blood pressure,which of the following is true?
A)Blood pressure cuffs that are too small will give a falsely low reading.
B)Blood pressure cuffs that are too large will give a falsely high reading.
C)Electronic blood pressure cuffs are just as accurate as other methods.
D)The cuff should be placed directly over the skin and not over clothing.
Q3) The patient's caregiver is checking the patient's nasogastric (NG)tube for gastric residual before proceeding with the patient's next feeding.The patient aspirates 250 mL of residual for the second hour in a row.The caregiver held the tube feeding within the last hour.What should the caregiver do now?
A)Hold the feeding again.
B)Contact the health care provider.
C)Proceed with the feeding.
D)Give half of the feeding and see how the patient tolerates it.
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