Nursing Practice Laboratory
Pre-Test Questions
Course Introduction
Nursing Practice Laboratory provides students with hands-on experience in applying foundational nursing concepts, clinical skills, and critical thinking within a controlled, simulated environment. Through guided practice and interactive learning, students develop competencies in patient assessment, infection control, basic care procedures, medication administration, documentation, and communication. The course emphasizes the integration of theory into practice, prioritizing patient safety and ethical standards, and prepares students for clinical placements by fostering confidence and professional behavior in real-world healthcare scenarios.
Recommended Textbook
Clinical Nursing Skills and Techniques 9th Edition by Perry
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44 Chapters
1281 Verified Questions
1281 Flashcards
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Page 2
Chapter 1: Using Evidence in Practice
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Sample Questions
Q1) Evidence-based practice requires good ______________.
Answer: nursing judgment
Q2) Evidence-based practice is a problem-solving approach to making decisions about patient care that is grounded in:
A)the latest information found in textbooks.
B)systematically conducted research studies.
C)tradition in clinical practice.
D)quality improvement and risk-management data.
Answer: B
Q3) ____________________ is the extent to which a study's findings are valid,reliable,and relevant to your patient population of interest.
Answer: Scientific rigor
Q4) A systematic review explains whether the evidence that you are searching for exists and whether there is good cause to change practice.In _____________,all entries include information on systematic reviews.Individual randomized controlled trials (RCTs)are the gold standard for research.
Answer: The Cochrane Database
Q5) __________________ are the gold standard for research.
Answer: Randomized controlled trials
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Chapter 2: Admitting, transfer, and Discharge
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Sample Questions
Q1) The patient has been admitted to the emergency department after being beaten and raped.She is agitated and is frightened that her attacker may find her in the hospital and try to kill her.What should the nurse tell her?
A)She is safe in the hospital,and she needs to provide her name.
B)She can be admitted to the hospital without anyone knowing it.
C)Her records will be used as evidence in the trial.
D)Since she has come to the hospital,she has to be examined by the doctor.
Answer: B
Q2) Completing and documenting an accurate medication history from the patient is the important first step in the _____________ process. Answer: medication reconciliation
Q3) At what age is separation anxiety a common problem?
A)School-aged children
B)Preschoolers
C)Middle infancy
D)Newborns
Answer: C
Q4) The greatest challenge in effective discharge planning is _______________. Answer: communication
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Chapter 3: Communication and Collaboration
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Sample Questions
Q1) The patient is sitting at the bedside.He has not been eating and is just staring out of the window.The nurse approaches the patient and asks,"What are you thinking about?" What type of communication technique is this?
A)Restating
B)Clarification
C)Broad openings
D)Reflection
Answer: C
Q2) The nurse is starting her first set of morning rounds.As she interacts with the patient,her questions revolve around his reactions to his disease process.She also asks if there is anything that she can do to make him more comfortable.This type of interaction is known as _______________.
Answer: therapeutic communication
Q3) Anxiety that is the source of inattention,decreased perceptual field,and diaphoresis is classified as ____________________.
Answer: moderate anxiety
Q4) Lack of verbal communication for a therapeutic reason is known as ___________________.
Answer: therapeutic silence
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Chapter 4: Documentation and Informatics
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Sample Questions
Q1) What is the goal of information management?
A)Support decision making.
B)Improve patient outcomes.
C)Ensure patient safety.
D)Improve health care documentation.
Q2) Which is a primary difference between home care and hospital care?
A)Documentation systems need to provide information for the home health nurse only.
B)Documentation no longer affects reimbursement.
C)Services are assumed and need less documentation.
D)The patient and the family witness most of the care provided.
Q3) 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.
Q4) The abbreviation for every day (___)is no longer used.
Q5) A patient's private health information is legally protected by the ________________.
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Chapter 5: Vital Signs
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Sample Questions
Q1) An irregular heartbeat,often found in children,that speeds up with inspiration and slows down with expiration is known as a sinus ___________.
Q2) The patient is brought to the emergency department complaining of severe shortness of breath.She is cyanotic and her extremities are cold.In an attempt to quickly assess the patient's respiratory status,the nurse should:
A)remove the patient's nail polish to get a pulse oximetry reading.
B)use a forehead probe to get a pulse oximetry reading.
C)use a finger probe to get a pulse oximetry reading.
D)check the color of the patient's nail polish before attempting a reading.
Q3) The patient is admitted in a near comatose state with a blood glucose level of 750.His respiratory rate is 42 breaths per minute,and his respiratory pattern is deep and regular.What is this type of breathing known as?
A)Cheyne-Stokes respiration
B)Biot's respiration
C)Bradypnea
D)Kussmaul's respiration
Q4) To take a manual blood pressure,the nurse places the cuff of the _____________ around the patient's upper arm.
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Chapter 6: Health Assessment
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Sample Questions
Q1) A nurse is documenting a patient's breath sounds.Crackles are heard as:
A)loud,low-pitched,coarse sounds.
B)high-pitched,musical squeaks.
C)dry,grating sounds on inspiration.
D)high-pitched,fine sounds at the end of inspiration.
Q2) How should the nurse document an exaggeration of the posterior curvature of the thoracic spine found during the assessment of a 90-year-old patient?
A)Lordosis
B)Osteoporosis
C)Scoliosis
D)Kyphosis
Q3) What should the nurse do when preparing to complete an assessment for a 16-year-old patient?
A)Focus on illness behaviors.
B)Plan for a diminished energy level.
C)Treat the patient as an individual.
D)Have the parents present throughout.
Q4) The patient is 3 days post abdominal surgery.The nurse uses her stethoscope to listen for bowel sounds.This assessment technique is known as _________________.
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Chapter 7: Specimen Collection
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Sample Questions
Q1) The nurse evaluates that an expected outcome for analysis of gastric secretions is:
A)inability of the patient to discuss the rationale for the test.
B)negative occult blood.
C)the presence of clumps or clots.
D)the presence of brown,"coffee-ground" secretions.
Q2) An appropriate technique for the nurse to implement when obtaining throat cultures is to:
A)have the patient lie flat in the bed.
B)do the culture before meals or an hour after meals.
C)avoid touching the swab to any of the inflamed areas.
D)place pressure on the tongue blade along the back of the tongue.
Q3) When obtaining laboratory specimens,the nurse needs to be aware that:
A)specimen collection may cause anxiety and embarrassment.
B)sociocultural variations may affect a patient's compliance.
C)contact isolation precautions are required for collection of blood.
D)two identifiers,including room number,must be used.
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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Sample Questions
Q1) The patient will be undergoing moderate intravenous (IV)sedation.The nurse needs to assess which of the following during the procedure?
A)Airway compromise
B)Hemodynamic instability
C)Agitation
D)Combativeness
Q2) A _____________ involves the introduction of a needle into the subarachnoid space of the spinal column.The purpose of this test is to measure pressure in the subarachnoid space; obtain cerebrospinal fluid (CSF)for visualization and laboratory examination; and inject anesthetic,diagnostic,or therapeutic agents.
Q3) 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
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Chapter 9: Medical Asepsis
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Sample Questions
Q1) The patient has been hospitalized for several days and has received multiple intravenous antibiotic medications.This morning,the patient had three episodes of severe,foul-smelling diarrhea.The nurse should institute:
A)contact precautions.
B)standard precautions only.
C)airborne precautions.
D)droplet precautions.
Q2) The nurse shows an understanding of the psychological implications for a patient on isolation when planning care to control the risk for:
A)denial.
B)aggression.
C)regression.
D)isolation.
E)depression.
Q3) Handwashing with soap and water is:
A)the most effective way to reduce the number of bacteria on the nurse's hands.
B)more effective than alcohol-based products for washing hands.
C)necessary for hand hygiene if hands are visibly soiled.
D)not necessary if the nurse wears artificial nails.
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Chapter 10: Sterile Technique
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Sample Questions
Q1) Which of the following is an appropriate technique for the nurse to use when performing sterile gloving?
A)Put the glove on the nondominant hand first.
B)Interlock the hands after both gloves are applied.
C)Pull the cuffs down on both gloves after gloving.
D)Grasp the outside cuff of the other glove with the gloved hand.
Q2) 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.
Q3) _____________ is one practice designed to make and maintain objects and areas free from pathogenic microorganisms.
Q4) The minimum standard for infection control as established by the Centers for Disease Control and Prevention (CDC)is _______________.
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Page 12
Chapter 11: Safe Patient Handling, transfer, and Positioning
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Sample Questions
Q1) The patient is an elderly man who has just been admitted for a probable cerebrovascular accident.The patient is nonverbal and does not respond to requests but is able to turn himself in bed.The nurse notices that the patient likes to lie on his right side,and soon after being turned by the nursing staff,the patient turns back to his right side.The nurse in this case should:
A)allow the patient to lie on his right side continuously because he seems comfortable. B)prevent the patient from lying on his right side until he no longer wishes to lie on that side.
C)frequently assess the patient and turn him more frequently.
D)allow the patient to lie on his right side until a pressure ulcer develops and he can no longer lie on that side.
Q2) To position a patient with hemiplegia in Fowler's position,the nurse should:
A)elevate the head of the bed 15 to 30 degrees.
B)place the patient in the prone position.
C)position a spastic hand with the fingers extended using hand rolls.
D)position the patient's head with slight hyperextension of the neck.
Q3) Awareness of posture and changes in equilibrium is known as _______________.
Q4) Body balance is achieved when a wide _____________ exists.
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Chapter 12: Exercise Mobility
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Sample Questions
Q1) The patient had a stroke and is currently immobile.The nurse realizes that increasing mobility is critical because immobility can result in alterations in which of the following?
A)Cardiovascular function
B)Pulmonary function
C)Skin integrity
D)Elimination
Q2) Virchow's triad (hypercoagulability of blood,venous wall damage,and stasis of blood flow)has been found to contribute to ________________.
Q3) When teaching the use of a three-point crutch gait,the nurse should instruct the patient to move:
A)both crutches and the affected leg first,then the stronger leg.
B)the right crutch,left foot,left crutch,and right foot in sequence.
C)the left crutch and right foot,then move the right crutch and left foot.
D)both crutches,then lift and swing the legs forward as far as the crutches.
Q4) A person's inability to move about freely is known as _______________.
Q5) A drop in blood pressure that occurs when the patient changes position from a horizontal to a vertical position is known as _________________.
Q6) ____________ refers to an ability to move about freely.
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Chapter 13: Support Surfaces and Special Beds
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Sample Questions
Q1) A full or double-wide _____________ can accommodate a patient up to 1000 pounds.
Q2) Of the following problems that may occur with the use of an air-fluidized bed,which is of greatest concern to the nurse?
A)Nausea
B)Anxiety
C)Slight disorientation
D)Insensible fluid loss
Q3) ____________ are defined as localized injury to the skin and/or underlying tissue,usually over a bony prominence,as a result of pressure,or pressure in combination with shear and/or friction.
Q4) A patient is on bed rest after sustaining injuries in a car accident.Which nursing action helps prevent complications of immobility?
A)Decreasing fluid intake to ease dependent edema
B)Turning the patient every 2 hours and providing a low-air-loss mattress
C)Raising the head of the bed to maximize the patient's lung inflation
D)Bathing and feeding the patient to decrease energy expenditure
Q5) The nurse understands that an _____________________ using foam,air,water,or gel can be placed on top of the mattress to provide pressure relief.
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Chapter 14: Patient Safety
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Sample Questions
Q1) 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.
Q2) A nurse enters the room of a patient who is sitting in a chair and begins to have a seizure.To promote patient safety,which nursing intervention will the nurse initially perform?
A)Immediately call for assistance.
B)Assist the patient to the floor.
C)Put the patient back into the bed.
D)Insert a padded tongue blade into the patient's mouth.
Q3) It is important for nurses to understand what patients perceive as ___________ so that patients will become partners in programs to prevent them.
Q4) An ________________ maintains immobilization of the extremities to protect the patient from accidental removal of a therapeutic device.
Q5) __________ are the most common type of inpatient accident.
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Chapter 15: Disaster Preparedness
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Sample Questions
Q1) The patient is admitted with exposure to an unknown chemical.His clothing appears to be grossly contaminated.What should the nurse do?
A)Avoid touching contaminated parts of clothing.
B)Pull the patient's tee shirt off over his head.
C)Cut the patient's clothes off.
D)Wash the patient with large amounts of soap and water.
Q2) A patient has been exposed to a toxic chemical.The nurse's first priority is _______________.
Q3) 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
Q4) The terrorist act of releasing a biological agent into a specified environment is known as _____________________.
Q5) The strategic plan of the Centers for Disease Control and Prevention (CDC)in the event of a disaster first focuses on __________________.
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Chapter 16: Pain Management
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Sample Questions
Q1) _______________________ is a massage technique used on tense muscles to "knead" muscles,promote relaxation,and stimulate local circulation.
Q2) The _______________ is a potential space between the vertebral bones and the dura mater,the outermost meninges covering the brain and spinal cord.
Q3) The patient states that the patient-controlled analgesia (PCA)is not controlling his pain.The nurse checks the infusion setup and IV site and then evaluates the patient's ability to use the system.All looks in order.The nurse should notify the physician to:
A)report suspected drug-seeking behavior.
B)possibly change the drug being used.
C)adjust the dosage of the drug being used.
D)request placebo medication to evaluate true pain.
Q4) The nurse knows that an advantage of intraspinal analgesia is the:
A)smaller doses of epidural than intrathecal medication.
B)lack of significant patient complications.
C)systemic distribution of morphine faster than fentanyl.
D)ability to achieve appropriate analgesia with smaller dosages.
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) 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
Q2) Hospice benefits include which of the following?
A)Respite for family caregivers
B)Hospitalization for acute symptom management
C)Emotional and psychological support
D)Financial assistance and funeral arrangement
Q3) For a patient in the final stages of dying,a nurse expects to:
A)keep the patient's room cool.
B)avoid catheterizing the patient.
C)elevate the head of the bed as tolerated.
D)encourage the patient to eat and drink more.
Q4) _____________ helps people live as well as possible through the dying process.
Q5) An _______________ is the surgical dissection of a body after death.
Page 19
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Chapter 18: Personal Hygiene and Bed Making
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Sample Questions
Q1) When evaluating the shaving of a patient done by a family member,the nurse determines that the technique is done appropriately when:
A)long strokes are used.
B)the razor is held at a 45-degree angle to the skin.
C)shaving is done against the direction of hair growth.
D)a cool cloth is used on the skin before the shave.
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) When bathing a patient,which sequence is the correct approach to use?
A)Wash the feet after the legs.
B)Wash the eyes after the face.
C)Wash the legs before the abdomen.
D)Wash the back area before the extremities.
Q4) What should the nurse do before starting a patient's bed bath?
A)Lower the bed.
B)Offer the bedpan or urinal.
C)Partially undress the patient.
D)Place the head of the bed in high-Fowler's position.
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Chapter 19: Care of the Eye and Ear
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Sample Questions
Q1) The nurse decides that assistive personnel can provide care to a patient with contact lenses when the assistive personnel states:
A)"If I am in a hurry,I will use tap water for rinsing the lenses."
B)"Gloves aren't necessary; the eye is a clean organ."
C)"I will check with the patient to see if the lenses are disposable."
D)"It is normal for contact lens wearers to have red,teary eyes."
Q2) When providing eye care for the comatose patient,the nurse should:
A)place the patient in a prone position for easier access.
B)use a different corner of the washcloth for each eye.
C)wipe each eye from outer to inner canthus.
D)use a sterile medicine cup to instill lubricant.
Q3) When instructing a patient on correct technique for inserting a hearing aid into the ear,the nurse will include which of the following instructions?
A)Pull the outer ear up and out.
B)Hold the aid with the long portion upright.
C)Fit the aid snugly in the midline of the canal.
D)Turn the aid to the desired sound level before insertion.
Q4) The substance found in the ear canal that has an antibacterial effect and maintains an acid pH is called ______________.
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Chapter 20: Safe Medication Preparation
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Sample Questions
Q1) The patient is to receive a medication via the sublingual route.Which action by the nurse is appropriate?
A)Placing the medication under the tongue
B)Crushing the medication before administration
C)Offering the patient a glass of orange juice after administration
D)Using sterile technique to administer the medication
Q2) The nurse receives an order to give a drug parenterally.The nurse will administer this medication by which route?
A)Oral
B)Topical
C)Sublingual
D)Intramuscular
Q3) When controlled substances are administered,which action is required by the nurse?
A)Discard and sign for unused quantities.
B)Count the amount of medication daily.
C)Keep narcotics to be given with other patient medications.
D)Have a second nurse witness disposal of unused portions and sign the record.
Q4) The intended or desired physiological response to a medication is known as its
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Chapter 21: Administration of Nonparenteral Medications
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Sample Questions
Q1) The nurse is preparing to administer medications to a patient with an enteral tube.The nurse can safely give the medications through which types of enteral tube?
A)Nasogastric feeding tube
B)Percutaneous endoscopic gastrostomy tube
C)Jejunostomy tube
D)Nasogastric decompression tube
Q2) The patient is receiving vaginal suppositories for a vaginal infection.Which assessment finding by the nurse indicates a desired outcome of the treatment?
A)The patient reports pruritus and burning.
B)The vaginal walls are bright red in color.
C)White curdlike patches appear on the vaginal walls.
D)Vaginal discharge the same color of the medication is noted.
Q3) The nurse is to administer several medications to a patient via a nasogastric (NG)tube.What should the nurse do first?
A)Add the medications to the tube feeding being given.
B)Crush all tablets and capsules before administration.
C)Administer all of the medications mixed together.
D)Check for placement of the NG tube.
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Chapter 22: Administration of Parenteral Medications
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Sample Questions
Q1) The nurse is teaching a patient how to mix 5 units of regular insulin and 15 units of NPH insulin in the same syringe.The nurse determines that further instruction is needed if the patient does which of the following?
A)Injects 5 units of air into the regular insulin vial first and withdraws 5 units of regular insulin.
B)Injects 15 units of air into the NPH insulin vial but does not withdraw the medication.
C)Withdraws 5 units of regular insulin before withdrawing 15 units of NPH insulin.
D)Calculates the combined total insulin dose as 20 units after withdrawing the regular insulin from the vial.
Q2) The nurse is preparing an injection of 0.45 mL of medication for a pediatric patient.Which syringe is most appropriate?
A)Tuberculin syringe
B)Insulin syringe
C)3-mL syringe
D)10-mL syringe
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Chapter 23: Oxygen Therapy
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Sample Questions
Q1) A patient with pneumonia is receiving supplemental oxygen.Which assessment finding(s)by the nurse should be reported as an early indication of hypoxia?
A)Cyanosis around the lips and oral mucosa
B)Anxiety and restlessness
C)Decrease in the level of consciousness
D)Decreased blood pressure and respiratory rate
Q2) A patient in respiratory distress enters the emergency department.The patient denies a history of chronic obstructive pulmonary disease (COPD).The nurse anticipates an order for oxygen delivered by which method to achieve the highest possible concentration of oxygen?
A)Simple face mask at 15 L/min
B)Nonrebreathing face mask at 15 L/min
C)Venturi mask at 15 L/min
D)Oxygen tent at 15 L/min
Q3) The ________,also called a Briggs adaptor,connects an oxygen source to an artificial airway such as an endotracheal tube.
Q4) The amount of air inspired and expired with each breath while a patient is on mechanical ventilation is known as the ________________.
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Chapter 24: Performing Chest Physiotherapy
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Sample Questions
Q1) The patient is complaining of feeling congested.After assessing the patient,the nurse places the patient in the proper position and claps her cupped hands against the patient's thorax.She does this because she is aware that ______________ assists in loosening retained secretions from the airway.
Q2) The nurse is teaching family members how to perform postural drainage at home for a patient with chronic bronchitis.What instruction should the nurse provide?
A)Plan to perform postural drainage 3 times a day about 1 hour after meals.
B)Don't give any pain medication within 2 hours of performing postural drainage.
C)Perform postural drainage 20 minutes after the patient uses the inhaler.
D)Encourage the patient to remain in each position for 30 minutes to adequately drain the area.
Q3) 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) The nurse is performing nasotracheal suctioning for a patient.Which action by the nurse is appropriate?
A)Applying intermittent suctioning while slowly withdrawing the suction catheter
B)Carefully pushing the suction catheter in and out while applying suction
C)Applying suction for 15 seconds or less
D)Asking the patient to deep-breathe for 15 seconds before passing the catheter a second time
Q2) A _______________ is inserted directly into the trachea through a small incision made in the patient's neck.
Q3) A patient with a tracheostomy tube is accidentally extubated.What should the nurse do immediately?
A)Call the health care provider.
B)Mechanically ventilate the patient.
C)Insert a new tracheostomy tube.
D)Hold the stoma open with the fingertips.
Q4) Too much oxygen reduces the drive to breathe in patients with chronic _____________.
Q5) A patient has extremely copious and thick oral secretions.The nurse provides oropharyngeal suctioning using a _________________ suction device.
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Chapter 26: Cardiac Care
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/70395
Sample Questions
Q1) The nurse is reviewing the patient's Do Not Resuscitate orders when the cardiac alarm sounds.The rhythm is chaotic with no identifiable waves and the rate cannot be determined.Based on these clinical findings,the nurse determines that the patient is in which of the following cardiac rhythms?
A)Asystole
B)Ventricular fibrillation
C)Ventricular tachycardia
D)Sinus bradycardia
Q2) In order to determine the patient and family caregiver's level of understanding of the rationale for obtaining the 12-lead ECG,the nurse most effectively utilizes which of the following statements?
A)Can you tell me why you need this test?
B)Did you experience pain during the test?
C)Can you tell me when the test results will be shared with you?
D)Can you give me your name and date of birth?
Q3) ECG tracings that cannot be interpreted are known as _________________.
Q4) Some patients may have allergies,or more commonly,sensitivities to the adhesive used to affix the leads.In these cases,_____________ are available from various manufacturers.
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Chapter 27: Closed Chest Drainage Systems
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30 Flashcards
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Sample Questions
Q1) Which of the following represents appropriate technique when providing care for a patient with chest tubes?
A)Applying an occlusive dressing over the site
B)"Stripping" the tube on a regular basis
C)Assessing the patient hourly after insertion
D)Keeping excess loops of tubing from hanging over the side of the bed
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?
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) A pneumothorax can be caused by which of the following?
A)Trauma
B)Rupture of a blister
C)Emphysema
D)Dyspnea
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Chapter 28: Emergency Measure for Life Support
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/70397
Sample Questions
Q1) The nurse is performing cardiopulmonary resuscitation (CPR)on an adult patient who has an endotracheal tube in place.At what rate does the nurse,who is alone,administer breaths?
A)8 per minute
B)12 per minute
C)20 per minute
D)24 per minute
Q2) In the event of cardiopulmonary arrest,all patients receive cardiopulmonary resuscitation (CPR)unless otherwise indicated in the patient's _________________.
Q3) While measuring an oral airway for proper fit,the nurse places the airway so that the flange is held parallel to the front teeth with the airway against the patient's cheek.Where is the end of the curve?
A)At the angle of the jaw
B)Above the ear
C)To the level of the nose
D)Upside down
Q4) Many cardiac arrests are caused by irregular heart rhythms known as ________________.
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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/70398
Sample Questions
Q1) The nurse is preparing to start an intravenous (IV)infusion on a 92-year-old patient.The nurse realizes that she may need to take which of the following actions?
A)Avoid using veins in the hand.
B)Avoid using veins in the dominant arm.
C)Use the largest-gauge catheter possible for maximum flow.
D)Avoid using a tourniquet.
Q2) The nurse is caring for a patient diagnosed with pneumonia who receives intravenous (IV)antibiotics every 8 hours.How often should the nurse change the primary intermittent IV sets?
A)No more often than every 72 hours
B)At least every 72 hours
C)With each IV bag change
D)Every 24 hours
Q3) 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 ____________.
Q4) 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 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/70399
Sample Questions
Q1) The patient is to receive 2 units of packed red blood cells (RBCs).The units are cold,and the nurse is concerned that this could lead to dysrhythmias and/or a reduction in core temperature.What action may the nurse take to prevent this?
A)Warm the blood in a microwave.
B)Warm the blood using hot water.
C)Warm the blood using a blood warmer.
D)Allow the blood to warm to room temperature before administering.
Q2) The nurse is administering blood.What should the nurse do to detect a blood reaction as quickly as possible?
A)Remain with the patient during the first 15 minutes.
B)Transfuse the blood at 10 mL/min.
C)Monitor vital signs q 1 hour.
D)Transfuse blood at 50 gtt/min.
Q3) Symptoms that indicate an adverse reaction to blood products include which of the following?
A)Fever
B)Skin rash
C)Hypotension
D)Cardiac arrest
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Page 32
Chapter 31: Oral Nutrition
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/70400
Sample Questions
Q1) A patient is admitted to the hospital for evaluation for sleep apnea.The nurse calculates his body mass index (BMI)at 42 kg/m<sup>2</sup>.What does this indicate about the patient's weight?
A)The patient is overweight.
B)The patient falls into the class 1 range of obesity.
C)The patient falls into the class 2 range of obesity.
D)The patient falls into the class 3 range of extreme obesity.
Q2) A nurse's role includes performing ___________________ to assess a patient's risk status for malnutrition,assessing and assisting an adult patient with feeding,and identifying patients at risk for aspiration during oral feeding.
Q3) ______________ are measures of height; weight; head,arm,and muscle circumferences; and skinfold thickness.
Q4) The nurse is admitting a person to the unit and is assessing the patient's nutritional status.In assessing the patient's nutritional status,the nurse realizes that:
A)body mass index (BMI)is the main indicator of obesity.
B)ideal body is the standard gauge for nutritional status.
C)clinical judgment is required,along with other indicators.
D)the amount of weight change is the main nutritional indicator.
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Page 33
Chapter 32: Enteral Nutrition
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/70401
Sample Questions
Q1) Of the patients listed below,which would be a candidate for nasoenteric feeding tube placement?
A)Post-motor vehicle accident victim with a broken nose and jaw
B)Patient with a bleeding ulcer and possible esophageal varices
C)Elderly patient with a diagnosis of failure to thrive and an inability to chew
D)Patient with an esophageal tumor
Q2) The nurse is checking the residual volume on a patient who is getting intermittent tube feedings via his NG tube.Which of the following may indicate that the patient has started to bleed again?
A)The nurse obtains brown aspirate.
B)The nurse notices that the abdomen is distended.
C)The nurse obtains red aspirate.
D)The nurse notices severe respiratory distress.
Q3) Which technique is appropriate for the nurse to implement during nasogastric (NG)tube insertion?
A)Use sterile gloves.
B)Have the patient mouth-breathe.
C)Advance the tube quickly when the patient coughs.
D)Bend the patient's head backward after the tube is through the nasopharynx.
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Page 34
Chapter 33: Parenteral Nutrition
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14 Flashcards
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Sample Questions
Q1) Which assessment should a nurse expect to see for a patient receiving parenteral nutrition (PN)?
A)Weight gain of 1 to 2 pounds per week
B)Serum calcium level of 10 mEq/L
C)Serum potassium level of 2.8 mEq/L
D)Serum glucose level of more than 200 mg/100 mL
Q2) A patient receiving parenteral nutrition (PN)has gained 4 pounds over a 24-hour period.Given this weight gain,which interpretation by the nurse is most accurate?
A)Increased nutrition from the patient's parenteral infusions
B)Decreased linoleic acid intake
C)Increased fluid loss
D)Fluid retention
Q3) A 72-year-old patient is admitted to the hospital with a medical diagnosis of intestinal failure.Which intervention should the nurse include in the plan of care to deliver nutritional needs?
A)Enteral nutrition (EN)
B)Parenteral nutrition (PN)
C)A combination of enteral and parenteral nutrition
D)Oral nutrition
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Page 35
Chapter 34: Urinary Elimination
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27 Flashcards
Source URL: https://quizplus.com/quiz/70403
Sample Questions
Q1) A single-lumen catheter that is inserted into the bladder through the urethra only to empty the bladder and then is removed is known as a _______________ catheter.
Q2) 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
Q3) The nurse is caring for a patient who has an indwelling urinary catheter.Which intervention is most important to include in this patient's plan of care?
A)Maintaining tension on the tubing
B)Emptying the urinary collection bag every 24 hours
C)Cleaning in a circular motion from the meatus down the catheter
D)Keeping the drainage bag on the bed or attached to the side rails
Q4) _________________ is the volume of urine in the bladder after a normal voiding.
Q5) 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.
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Chapter 35: Bowel Elimination and Gastric Intubation
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27 Flashcards
Source URL: https://quizplus.com/quiz/70404
Sample Questions
Q1) Infrequent bowel movements (less often than every 3 days),difficulty in evacuating feces,inability to defecate,and hard feces are signs of ________________.
Q2) The Levin tube and the Salem sump tube are used most commonly for stomach decompression.Which of the following statements about these tubes is true?
A)Levin tubes have a blue "pigtail" that functions as an air vent.
B)These tubes are inserted as a sterile procedure.
C)The blue air vent should not be used for irrigation.
D)The Salem sump tube has a blue "pigtail" that functions as an air vent.
E)The Salem sump is preferred for stomach decompression.
Q3) The nurse prepares to exercise a digital removal of feces.To detect an untoward effect of this procedure,the nurse should assess the patient history for which condition?
A)Heart disease
B)Abdominal pain
C)Urinary infection
D)Diabetes mellitus
Q4) The inability to pass a hard collection of stool is known as ______________.
Q5) __________________ is strongest during the hour after the first meal of the day.
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Page 37
Chapter 36: Ostomy Care
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19 Flashcards
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Sample Questions
Q1) 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
Q2) The opening created into the abdominal wall for fecal or urinary elimination is known as a _______________.
Q3) When assessing the patient with a noncontinent urinary diversion,the nurse finds that the urine has mucus shreds.Which action should the nurse take?
A)Culture any drainage.
B)Instruct the patient to consume less water.
C)Document the characteristics of the urine.
D)Cleanse the stoma with soap and water.
Q4) The output from a urinary or fecal stoma is called the _______________.
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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Page 38
Chapter 37: Preoperative and Postoperative Care
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse explains to the patient that the incentive spirometer is used to promote which of the following outcomes?
A)Lung expansion
B)Reduced likelihood of vascular complications
C)Incisional healing
D)Expectoration of mucus
Q2) The goal of prophylactic antibiotic therapy is to protect the patient from infection with as little risk as possible.To achieve this goal,the nurse recognizes that antibiotics should be administered when they will be most beneficial.When would that be?
A)Twenty-four hours before surgery
B)For 2 weeks after surgery
C)For no longer than 24 hours after surgery
D)When signs of infection first appear
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Chapter 38: Intraoperative Care
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) When evaluating a health care team member's ability to put on a sterile gown and perform closed gloving,it is most important for the nurse to assess for which outcome?
A)Opening the sterile gown pack on a sterile surface
B)Holding the gown close to the body before applying
C)Having the circulating nurse tie the gown at the hip
D)Keeping the hands inside the sleeves of the gown until the gloves are applied
Q2) Through the use of an antimicrobial agent and sterile brushes or sponges,which of the following occurs?
A)Debris and transient microorganisms are removed from the nails,hands,and forearms.
B)The resident microbial count is reduced to a minimum.
C)The skin is sterilized.
D)Rapid/rebound growth of microorganisms is inhibited.
E)The need to wash between patients is reduced.
Q3) The _______________ phase begins when the patient enters the operating room suite and ends with admission to the postanesthesia care unit (PACU).
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Chapter 39: Pressure Injury Prevention and Care
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70408
Sample Questions
Q1) The patient with a nasogastric (NG)tube in place may experience skin breakdown:
A)in the nose.
B)on the tongue.
C)behind the ears.
D)around the lips.
Q2) Patients are at risk for developing pressure ulcers on which areas of the body?
A)Coccyx
B)Nares
C)Ears
D)Genitalia
Q3) A patient with anemia is at risk for developing pressure ulcers as a result of which of the following?
A)Increased sedation
B)Edematous tissues
C)Reduced tensile strength
D)Diminished oxygen to the tissues
Q4) A _______________ is a localized injury to the skin and/or underlying tissue,usually over a bony prominence,as a result of pressure,or pressure in combination with shear and/or friction.
Q5) The removal of devitalized tissue in a wound is known as ______________.
Page 41
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Chapter 40: Wound Care and Irrigations
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29 Flashcards
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Sample Questions
Q1) 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.
Q2) The nurse should consider culturing a wound when which one of the following situations occurs?
A)The tissue is clean and dry.
B)Exudate is not present.
C)The patient is afebrile.
D)The surrounding area shows inflammation.
Q3) You are explaining negative-pressure wound therapy (NPWT)to a patient.Which of the following statements will help reassure the patient that this type of therapy will support wound healing?
A)NPWT optimizes blood flow.
B)NPWT will remove wound fluid.
C)NPWT will maintain a moist environment.
D)NPWT will apply positive pressure to the wound.
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Page 42
Chapter 41: Dressings,bandages,and Binders
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29 Flashcards
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Sample Questions
Q1) _____________ dressings cover or hold primary dressings in place.
Q2) What should the nurse anticipate might happen to a patient if bleeding cannot be controlled?
A)Skin dryness
B)Bradycardia
C)Hypovolemic shock
D)Hypertension
Q3) When assessing a patient with a hydrocolloid dressing,the nurse finds the formation of a soft,white-yellow gel that is adherent to the wound and has a very slight odor.The nurse evaluates this outcome as:
A)an expected occurrence.
B)a wound infection requiring a culture.
C)an adverse reaction to the hydrocolloid components.
D)excessive exudate requiring a different type of dressing.
Q4) 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
Page 43
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Chapter 42: Therapeutic Use of Heat and Cold
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23 Flashcards
Source URL: https://quizplus.com/quiz/70411
Sample Questions
Q1) 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.
Q2) The nurse is using cryotherapy for a patient with a sprained ankle.The nurse explains the benefits to her patient.Which of the following statements made about the benefits of cryotherapy is correct?
A)It causes vasodilatation.
B)It provides local anesthesia.
C)It increases nerve conduction velocity.
D)It increases blood flow.
Q3) Which of the following conditions would require using caution in applying cold therapy?
A)Chronic pain
B)Joint trauma
C)Circulatory insufficiency
D)Sprains
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Chapter 43: Home Care Safety
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70412
Sample Questions
Q1) ___________ is a generalized impairment of intellectual functioning,with the most common form being Alzheimer's disease.
Q2) In determining the causes of falls or other injuries within the home,the nurse should assess for which of the following?
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
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.
Q4) 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.
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Chapter 44: Home Care Teaching
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/70413
Sample Questions
Q1) What is the principal difference in tracheostomy care between care given in the acute care setting and care given in the home care environment?
A)In the acute care setting,the inner cannula is cleaned.
B)In the home care setting,dressings are not necessary.
C)In the acute care setting,hydrogen peroxide is used for cleaning.
D)In the home care setting,the procedure may be done with clean technique.
Q2) The patient is taking levothyroxine (a thyroid medication)for hypothyroidism.What should the nurse instruct the patient to do when teaching the patient how to assess her own blood pressure and pulse?
A)Withhold the medication if her blood pressure is above the normal range or if her pulse is over 100 beats per minute.
B)Withhold the medication if her blood pressure is below the normal range or if her pulse is less than 60 beats per minute.
C)Never withhold her medication.Have the patient take it and notify the physician at the next office visit.
D)Withhold her medication only if both her blood pressure and pulse rate are too high.
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