Nursing Procedures and Skills Practice
Questions
Course Introduction
Nursing Procedures and Skills is a comprehensive course designed to equip students with the fundamental clinical skills required for safe and effective nursing practice. The course emphasizes hands-on training in core nursing procedures such as vital signs assessment, medication administration, wound care, infection control, intravenous therapy, and patient hygiene. Through a combination of classroom instruction, laboratory practice, and supervised clinical experiences, students learn to apply evidence-based techniques, demonstrate professional communication, and ensure patient safety and comfort. The course also fosters critical thinking and problem-solving abilities essential for adapting to diverse healthcare settings and responding to patients' evolving needs.
Recommended Textbook
Clinical Nursing Skills and Techniques 9th Edition by Perry
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Page 2
Chapter 1: Using Evidence in Practice
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Sample Questions
Q1) In a clinical environment,evidence-based practice has the ability to improve:
A)the quality of care provided.
B)patient outcomes.
C)clinician satisfaction.
D)patients' perceptions.
Answer: A,B,C,D
Q2) To use evidence-based practice appropriately,you need to collect the most relevant and best evidence and to critically appraise the evidence you gather.This process also includes:
A)asking a clinical question.
B)applying the evidence.
C)evaluating the practice decision.
D)communicating your results.
Answer: A,B,C,D
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"
Q4) __________________ are the gold standard for research.
Answer: Randomized controlled trials
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Chapter 2: Admitting, transfer, and Discharge
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Q1) The patient has decided that he would like to create an advance directive.The nurse is asked if she would be a witness.What is the best response for the nurse to make to this request?
A)Agree to be a witness.
B)Refuse to be a witness.
C)Contact social work.
D)Contact the physician.
Answer: C
Q2) 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
Q3) Completing and documenting an accurate medication history from the patient is the important first step in the _____________ process.
Answer: medication reconciliation
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Page 4
Chapter 3: Communication and Collaboration
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Sample Questions
Q1) The patient states,"I don't know what my family will think about this." The nurse wishes to use the communication technique of clarification.Which of the following statements would fit that need best?
A)"You don't know what your family will think?"
B)"I'm not sure that I understand what you mean."
C)"I think it would be helpful if we talk more about your family."
D)"I sense that you may be anxious about something."
Answer: B
Q2) Directing the conversation back to patient ideas,feelings,questions,or content is known as ___________________.
Answer: reflection
Q3) Nonverbal communication incorporates messages conveyed by: A)touch.
B)cadence.
C)tone quality.
D)use of jargon.
Answer: A
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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Q1) To limit liability,nursing documentation must clearly indicate that the nurse provided individualized,goal-directed nursing care to a patient based on the
Q2) Patients on the unit have their vital signs taken routinely at 0800,1200,1600,and 2000.At 1000,a patient complains of feeling "light-headed." The nurse takes the patient's vital signs and finds blood pressure to be lower than usual.Within 15 minutes,the patient says that he feels better.The nurse rechecks the blood pressure and finds that it is now back to normal.How should the nurse handle documentation for this episode?
A)Document the 1000 vital signs in the graphic record only.
B)Not report the incident because it was a transient episode.
C)Document the vital signs in the graphic and progress record.
D)Document the vital signs as 12 o'clock signs.
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.
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Chapter 5: Vital Signs
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Sample Questions
Q1) 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.
Q2) The nurse is caring for a 2-year-old child who is admitted with croup and crying.To take the child's vital signs,the nurse should:
A)place the pediatric blood pressure cuff on the left arm.
B)place the blood pressure cuff on the right thigh.
C)skip the blood pressure measurement.
D)place the blood pressure cuff on the left thigh.
Q3) After applying the sphygmomanometer to the patient's upper arm,the nurse inflates the cuff to the proper level,and then,using a stethoscope,listens for the __________________ sounds.
Q4) The nurse is taking a rectal temperature on an adult patient.She expects to insert the thermometer __________ inches.
Q5) ___________ is the sound of the tricuspid and mitral valves closing at the end of ventricular filling.
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Chapter 6: Health Assessment
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Q1) When breast self-examination is done,it should be done once a month.For women who menstruate,the best time is ______________.
Q2) Which is the best position in which to place the patient to hear low-pitched cardiovascular sounds?
A)Supine
B)Sitting up
C)Dorsal recumbent
D)Left lateral recumbent
Q3) The patient has been immobile at home after having had leg trauma in an automobile accident and is now being admitted with calf pain and localized swelling of the calf muscle.One test that is contraindicated in assessment of this patient is testing for _____________.
Q4) A student nurse is working with a patient who has asthma.The primary nurse tells the student that wheezes can be heard on auscultation.The student expects to hear:
A)coarse crackles and bubbling.
B)high-pitched musical sounds.
C)dry,grating noises.
D)loud,low-pitched rumbling.
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Page 8
Chapter 7: Specimen Collection
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Sample Questions
Q1) During a sputum collection,the patient becomes hypoxic.What action should the nurse take?
A)Suction the patient thoroughly.
B)Continue to complete the procedure quickly.
C)Stop the procedure and provide oxygen,if ordered.
D)Have the patient lie down and take deep breaths before continuing with the specimen collection.
Q2) When performing a venipuncture,the nurse should:
A)inject with the needle at a 45-degree angle.
B)select a vein that is rigid and cordlike,and that rolls when palpated.
C)perform the needle insertion immediately after cleansing the skin with alcohol.
D)place the thumb of the nondominant hand about 1 inch below the site and pull the skin taut.
Q3) 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.
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9
Chapter 8: Diagnostic Procedures
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Q1) The removal of a small amount of the liquid organic material in the medullary canals of selected bones,in particular the sternum and the posterior superior iliac crests in adults,is known as _______________.
Q2) Which is the appropriate patient position for a lumbar puncture?
A)Prone
B)Supine
C)Sims'
D)Lateral recumbent
Q3) 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.
Q4) An _______________ permits visualization of the vasculature of an organ and the organ's arterial system.
Q5) _____________________ is often used for diagnostic or surgical procedures that do not require complete anesthesia in acute care,surgical care,and outpatient care settings.
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Page 10
Chapter 9: Medical Asepsis
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Sample Questions
Q1) For patients with which of the following conditions should the nurse implement airborne precautions?
A)Rubella
B)Influenza
C)Tuberculosis
D)Pediculosis
Q2) The nurse has a "scratchy throat" and has been sniffling for 2 days.While at work,she wears a protective mask when coming into contact with her patients.She does this in an attempt to protect them from a __________________.
Q3) The primary strategies for prevention of infection transmission with regard to contact with blood,body fluids,nonintact skin,and mucous membranes are known as
Q4) The patient is admitted to the pediatric unit with severe pertussis.The nurse explains to the parents and the child that the patient will be treated with the use of:
A)airborne precautions.
B)standard precautions only.
C)droplet precautions.
D)contact isolation.
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11
Chapter 10: Sterile Technique
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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) 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.
Q3) The minimum standard for infection control as established by the Centers for Disease Control and Prevention (CDC)is _______________.
Q4) When performing sterile aseptic procedures,the nurse must create a _____________ in which objects can be handled with minimal risk for contamination.
Q5) _____________ is one practice designed to make and maintain objects and areas free from pathogenic microorganisms.
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Page 12
Chapter 11: Safe Patient Handling, transfer, and Positioning
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Sample Questions
Q1) Awareness of posture and changes in equilibrium is known as _______________.
Q2) 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.
Q3) The nurse prevents self-injury by using which of the following when transferring a patient?
A)Correct posture
B)Maximal muscle strength
C)Effective body mechanics
D)Effective lifting techniques
Q4) Proper alignment for a patient in sitting position includes which of the following?
A)Head erect
B)Four-inch space between edge of seat and popliteal space
C)Vertebrae straight
D)Both feet elevated
Q5) Body balance is achieved when a wide _____________ exists.
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Chapter 12: Exercise Mobility
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Sample Questions
Q1) When the four gaits listed below are compared,which is the most stable of the crutch gaits?
A)Four-point gait
B)Three-point gait
C)Two-point gait
D)Swing-to gait
Q2) The nurse is caring for a patient who has just been treated for a broken leg.She needs to teach the patient how to use crutches.Which crutch gait is most appropriate for this patient?
A)Four-point gait
B)Three-point gait
C)Two-point gait
D)Swing-to gait
Q3) The nurse is concerned that the patient may fall while he is ambulating.To help her maintain control while the patient walks,the nurse may apply a ______________ around the patient's waist.
Q4) Virchow's triad (hypercoagulability of blood,venous wall damage,and stasis of blood flow)has been found to contribute to ________________.
Q5) A person's inability to move about freely is known as _______________.
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Chapter 13: Support Surfaces and Special Beds
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Q1) The patient is admitted to the unit with a stage 3 pressure ulcer.When the different types of support surfaces are compared,which would be most therapeutic for this patient?
A)Foam mattress
B)Gel overlay
C)Air-fluidized bed
D)Air mattress
Q2) The patient is admitted to the hospital.Part of the patient assessment will include:
A)use of an appropriate pressure ulcer risk scale.
B)assessment of the patient's nutritional status.
C)assessment of the patient's mobility status.
D)assessment of the patient's fluid status.
Q3) The major cause of pressure ulcers is ________________.
Q4) What is the most important factor in preventing and treating pressure ulcers?
A)Proper use of foam or air mattresses
B)Proper utilization of an air-fluidized bed
C)Frequent repositioning of the patient
D)Proper use of a low-air-loss bed
Q5) A full or double-wide _____________ can accommodate a patient up to 1000 pounds.
Page 15
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Chapter 14: Patient Safety
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Sample Questions
Q1) 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:
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."
Q2) When caring for a patient who has an arm or leg restraint in place,how often will the nurse remove the restraint?
A)Every 15 minutes
B)Every 30 minutes
C)Every hour
D)Every 2 hours
Q3) More than ____________ patients are injured in falls in inpatient settings annually in the United States.
Q4) Continuous seizure activity that lasts longer than 10 minutes is known as
Q5) __________ are the most common type of inpatient accident.
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Page 16
Chapter 15: Disaster Preparedness
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Sample Questions
Q1) Disaster nursing differs from general nursing because when caring for patients during a disaster:
A)the focus is on caring for the sickest people first.
B)using a color tag system reduces the amount of emotional stress on the nurse.
C)the focus is no longer on airway,breathing,and circulation.
D)the focus is on caring for those most likely to survive.
Q2) Dispersal of biological agents is a real and psychological terrorist threat.Which of the following organisms has the potential to cause the greatest harm?
A)Anthrax
B)Ricin
C)Salmonella
D)Hantavirus
Q3) An outbreak of influenza A in the same geographical location is known as an __________.
Q4) 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 ____________.
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Chapter 16: Pain Management
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Questions
Q1) The patient voices concern to the nurse regarding his patient-controlled analgesia (PCA)pump.He states that he is afraid of getting an overdose if he pushes the button too many times.The nurse reassures the patient that:
A)there is a time delay (lockout)between patient doses.
B)there is a maximum dose the patient can receive.
C)the patient has a right to be concerned and needs to be careful.
D)the patient could be put on a continuous infusion instead,because it is safer.
Q2) The patient is in the hospital undergoing major abdominal surgery.When the patient returns from the recovery room,the nurse expects that he most likely will be receiving pain medication:
A)by mouth.
B)intramuscularly.
C)via the epidural route.
D)intravenously.
Q3) Massaging upward and outward from the vertebral column and back again is known as __________________.
Q4) __________________ is an interactive method of pain management that permits patient control over pain through self-administration of analgesics.
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Page 18
Chapter 17: Palliative Care
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Sample Questions
Q1) Hospice care can be provided in which of the following settings?
A)Home
B)Freestanding hospice facilities
C)Extended care facilities
D)Acute care facilities
Q2) _____________ helps people live as well as possible through the dying process.
Q3) Before allowing the family of a deceased patient to view the body,the nurse should:
A)insert the patient's dentures.
B)lower the head of the bed.
C)fold the arms and hands over the chest.
D)leave all of the old dressings and tape in place.
Q4) The patient was a practicing Hindu when he died.Knowing this,the nurse realizes that:
A)the body should be covered with a cotton sheet.
B)anointing of the sick is performed even after death.
C)family members often prefer to wash the body after death.
D)the body should be buried within 24 hours.
Q5) _______________ grief (symptoms lasting longer than 6 months)occurs when a person experiences significant distress related to the loss.
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Chapter 18: Personal Hygiene and Bed Making
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Q1) The patient confides in the nurse that she is bothered by the fact that she has alopecia.How should the nurse respond to this information?
A)Shave hair off of the affected area.
B)Use permethrin.
C)Offer the patient access to scarves or wigs.
D)Place a drop of oil on the area.
Q2) The nurse is caring for a ventilated patient in the ICU who has just undergone coronary artery bypass.The nurse is concerned that the patient may be at risk for ventilator-acquired pneumonia (VAP).What step will she take to minimize this risk?
A)Not provide oral hygiene because this may cause bacterial contamination of the airway.
B)Be careful not to use chlorhexidine in oral care because it provides a medium for bacterial growth.
C)Not use chlorhexidine in oral care because it enhances the rate at which VAP develops.
D)Include the use of a chlorhexidine rinse as part of oral hygiene to delay the development of VAP.
Q3) The act of chewing is also known as ________________.
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Page 20
Chapter 19: Care of the Eye and Ear
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Q1) 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.
Q2) Which of the following nursing interventions would the nurse perform first after a patient sustained a chemical splash injury to the eye?
A)Assess visual acuity.
B)Flush the eye with large amounts of irrigation fluid.
C)Assess level of pain.
D)Determine whether the pupils are equal,round,reactive to light and accommodation (PERRLA).
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.
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Page 21
Chapter 20: Safe Medication Preparation
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Sample Questions
Q1) The nurse is caring for several patients.The patient in which situation can safely receive oral medications?
A)Nausea with frequent episodes of vomiting
B)Taking a daily dose of vitamins
C)Nasogastric tube connected to suction
D)Diagnosed with an esophageal stricture
Q2) The nurse administers a medication to the wrong patient but the patient suffers no harm from the medication error.What actions should the nurse take?
A)Prepare a written incident report.
B)Document in the nurses' notes that an incident report was completed.
C)Report the incident to a manager only if the patient is harmed.
D)Notify the prescriber.
Q3) When medications are administered,which action by the nurse is appropriate?
A)Administering medications prepared by another nurse
B)Using sterile technique for nonparenteral medications
C)Leaving medication at the bedside when the patient is in the bathroom
D)Documenting the reason for medication refusal in the nurse's notes
Q4) 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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Q1) The patient is prescribed an ophthalmic medication via an intraocular disc.Which action by the nurse is appropriate when administering the medication?
A)Place the disc in the conjunctival sac.
B)Apply sterile gloves before placing the disc.
C)Pull on the patient's upper eyelid and ask the patient to look up.
D)Instruct the patient that the disc will be changed daily.
Q2) The patient is to receive three different medications via a nasogastric tube.What is the total amount of water the nurse should prepare to administer?
A)30 mL of water
B)60 mL of water
C)90 mL of water
D)250 mL of water
Q3) What should the nurse do to assist a patient who is having difficulty swallowing tablets?
A)Administer the medication with less fluid.
B)Insert a nasogastric tube and instill the medication.
C)Crush the medications and administer with a small amount of food.
D)Administer the tablets one at a time with plenty of water.
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23
Chapter 22: Administration of Parenteral Medications
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Sample Questions
Q1) The nurse is preparing to administer an intramuscular injection via the Z-track method.Which action should be taken by the nurse?
A)Pinch the skin between the thumb and the first finger.
B)Insert the needle at a 90-degree angle.
C)Immediately remove the needle after injecting the medication.
D)Release the skin before removing the needle from the site.
Q2) The nurse is preparing to give a medication by intravenous (IV)bolus.When assessing the patient's IV insertion site,the nurse notes that it is warm,reddened,and tender.What action should the nurse take first?
A)Slow the infusion rate and slowly inject the medication.
B)Discontinue the IV infusion.
C)Inject a local anesthetic to relieve the tenderness.
D)Apply warm compresses over the insertion site.
Q3) A patient has medication ordered to be given by intravenous (IV)bolus.The nurse recognizes which advantage of this type of administration?
A)There is a slower onset of medication effects.
B)Medications are given over a longer time frame.
C)Medications given by IV bolus are less irritating to the veins.
D)Small volumes are used,so fluid overload can be avoided.
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Page 24
Chapter 23: Oxygen Therapy
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Q1) A curved oxygen-delivery device with an adjustable strap that fits around the patient's neck is known as a _______________.
Q2) In noninvasive ventilation,________________ keeps the terminal airways (alveoli)partially inflated,reducing the risk for atelectasis.
Q3) The amount of air inspired and expired with each breath while a patient is on mechanical ventilation is known as the ________________.
Q4) The nurse is teaching a patient how to use a flow-oriented incentive spirometer (IS)the night before abdominal surgery.Which statement by the patient indicates an understanding of the procedure?
A)"I need to get the balls to the top as quickly as possible."
B)"Quick rapid breaths are the most effective when the incentive spirometer is used."
C)"I need to keep the balls elevated as long as possible."
D)"The balls must be elevated to be effective."
Q5) The ________,also called a Briggs adaptor,connects an oxygen source to an artificial airway such as an endotracheal tube.
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Page 25
Chapter 24: Performing Chest Physiotherapy
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Q1) ________________ is positioning the patient so that the position of the lung segment to be drained allows gravity to have its greatest effect.
Q2) To move secretions from small distal airways into larger central airways,the nurse would use ________________ and _______________.
Q3) The nurse is planning to perform postural drainage on a patient who is receiving continuous tube feedings.What should the nurse do before performing the treatment?
A)Stop the tube feedings for 1 to 2 hours before and after postural drainage.
B)Check for residual feeding in the patient's stomach and hold treatment if greater than 100 mL.
C)Give the prescribed inhaled bronchodilator 20 minutes before the procedure.
D)Auscultate all lung fields,assess vital signs,and draw arterial blood gas levels (ABG).
Q4) The nurse positions the patient flat on the back with a small pillow under the knees to drain the right and left _____________________.
Q5) The system that lines the internal lumen of the tracheobronchial tree and consists of a thin layer of mucus that constantly is propelled toward the larynx by cilia is called the _____________.
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26
Chapter 25: Airway Management
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Sample Questions
Q1) The nurse is assessing a patient with an endotracheal tube on mechanical ventilation.Which assessment finding indicates a partially deflated cuff?
A)Increased exhaled tidal volume
B)Spasmodic coughing
C)Tense test balloon on the endotracheal tube
D)Vocalizations by the patient
Q2) The nurse is evaluating a patient to determine whether the endotracheal tube cuff is properly inflated.Which findings indicate proper inflation?
A)Exhaled tidal volume is 50 mL less than the tidal volume set on the ventilator.
B)Air leak is heard with a stethoscope only at the end of inspiration.
C)The patient is able to vocalize.
D)Gastric contents are noted in airway secretions.
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.
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Chapter 26: Cardiac Care
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/70395
Sample Questions
Q1) The nurse is obtaining a 12-lead ECG on a patient with chest discomfort and interprets the results as a very thick-lined waveform tracing.The nurse troubleshoots this tracing by performing which appropriate intervention?
A)Unplugs the battery-operated equipment in the room one item at a time.
B)Reapplies the electrodes to ensure proper connection with the skin.
C)Adjusts the extremity electrodes on the wrists and ankles.
D)Asks the patient to hold his breath to see if the tracing improves.
Q2) The student nurse is preparing to perform a 12-lead ECG on an adult patient.Which action by the student should the nursing instructor question?
A)Cleansing and preparing the isolated electrode area with soap and water
B)Wiping the area with a rough cloth or gauze to gently scrape the area
C)Clipping the excessive hair from the electrode area
D)Using alcohol to cleanse the electrode area
Q3) 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.
Q4) When preparing the skin before ECG electrode placement,clipping the hair in the electrode area is preferred over shaving due to risk of _________________.
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Page 28
Chapter 27: Closed Chest Drainage Systems
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30 Flashcards
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Sample Questions
Q1) The patient's chest tube is attached to a one-way flutter valve that allows air to escape the chest cavity and prevents air from reentering.How does the nurse document this finding?
A)Heimlich chest drain valve
B)Pneumovax
C)Water seal
D)Pleurovac
Q2) A pneumothorax can be caused by which of the following?
A)Trauma
B)Rupture of a blister
C)Emphysema
D)Dyspnea
Q3) The nurse knows that _______________ is the proper term to describe that the patient's water seal is fluctuating up and down with each breath.
A)bubbling
B)tidaling
C)fluttering
D)alternating
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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) During the secondary survey of the code event,the nurse realizes that the patient is not breathing on his own.What should the nurse do next?
A)Immediately intubate the patient.
B)Have a laryngoscope handle and curved blades available.
C)Ensure that the light source on the laryngoscope is functional.
D)Have a laryngoscope handle and straight blades available.
Q2) 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.
Q3) The most common cause of airway obstruction in an unresponsive patient is the
Q4) When applying an automated external defibrillator,the nurse would:
A)connect the cable to the machine,apply the pads,and turn on the power.
B)turn on the power,apply the pads,and connect the cable.
C)turn on the power,connect the cable,and apply the pads.
D)connect the cable,turn on the power,and apply the pads.
Page 30
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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 needs to specifically prevent air emboli that may result from intravenous (IV)therapy.What should the nurse make sure to do to prevent air emboli?
A)Use a needleless system.
B)Prime the tubing completely.
C)Check for medication compatibility.
D)Select a larger-gauge needle or catheter.
Q2) What should the nurse do when discontinuing a peripheral intravenous (IV)catheter?
A)Withdraw the catheter quickly.
B)Keep the hub perpendicular to the skin.
C)Apply pressure to the site for 1 minute.
D)Inspect the catheter for intactness after removal.
Q3) Fluids that have the same osmolality as body fluids are used most often to replace extracellular volume and are known as _______________ fluids.
Q4) Intravenous catheters that are inserted directly through the skin and into the internal or external jugular,subclavian,or femoral vein for up to several weeks are known as
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31
Chapter 30: Blood Therapy
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/70399
Sample Questions
Q1) 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.
Q2) What primary intervention should a nurse who is preparing a blood transfusion perform?
A)Set up the Y tubing.
B)Obtain 0.9% saline.
C)Verify the blood product and the patient.
D)Have the patient void or empty the urine drainage container.
Q3) The presence or absence of specific antigens on the surface of red blood cells determines ___________________ in the ABO system.
Q4) The patient has received blood within the past 6 hours.The patient begins to feel short of breath and calls for the nurse.The nurse finds that the patient is dusky in color with crackles throughout his lungs and is coughing up pink frothy sputum.The nurse calls the physician immediately,knowing that the patient is showing signs of
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Chapter 31: Oral Nutrition
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/70400
Sample Questions
Q1) Patients who have a cancer diagnosis,infected or draining wounds,burns,or an elevated temperature for more than 2 days are at elevated _______________ risk.
Q2) The patient is on the dysphagia puree stage of the national dysphagia diet.Which of the following foods may the patient select?
A)Mashed potatoes
B)Dry cereals moistened with milk
C)Well-cooked noodles in gravy
D)Well-moistened cereals
Q3) The nurse is caring for a patient who is 48 hours post bowel resection with creation of a colostomy.This morning,the nurse assessed the return of bowel sounds.In what order would this patient's diet progress?
a.Full liquid diet
b.Regular diet
c.Clear liquid diet
d.NPO
e.Soft diet
Q4) ______________ are measures of height; weight; head,arm,and muscle circumferences; and skinfold thickness.
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Page 33
Chapter 32: Enteral Nutrition
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) An appropriate technique for nasogastric (NG)tube insertion is for the nurse to:
A)position the patient supine.
B)apply oil-based lubricant to the plastic tube.
C)advance the tube while the patient swallows.
D)measure the tube length from the nose to the sternum.
Q2) The nurse determines that a nasogastric (NG)tube needs irrigation when she:
A)obtains more than 200 mL of residual volume.
B)obtains a small amount of thin watery residual.
C)does not encounter resistance when aspirating the residual.
D)obtains an unusually thick secretions.
Q3) The nurse is initiating a continuous tube feeding for a patient who has a gastrostomy tube.Which of the following procedures indicates proper practice?
A)Allow the container to empty gradually over 60 minutes.
B)Change the bag every 24 hours.
C)Do not use water to flush the tube.
D)Quickly increase the rate of administration.
Q4) A tube passed through the nose or mouth with the end terminating in the stomach or the small bowel,and used in feeding the patient for short periods is known as a
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Chapter 33: Parenteral Nutrition
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14 Flashcards
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Sample Questions
Q1) If parenteral nutrition (PN)must be discontinued suddenly,hang __________ in water at the same infusion rate to prevent hypoglycemia.
Q2) A patient had surgery 1 week ago,has not been eating his meals,and states that he has no appetite.The nurse assesses that the patient has been progressively losing weight.Which intervention has the highest priority?
A)Encourage the patient to eat.
B)Force-feed the patient.
C)Consult with the nutritional support team.
D)Be aware that the patient will come around when hungry.
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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Chapter 34: Urinary Elimination
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/70403
Sample Questions
Q1) Antimicrobial catheters coated with silver or antibiotics have been shown to reduce the incidence of ________________.
Q2) 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.
Q3) The nurse is preparing the patient for a bladder scan to determine postvoid residual (PVR).Which of the following is part of the preparation?
A)Limit food intake for 2 hours before the scan.
B)Begin scan 10 minutes after the patient has voided.
C)Limit liquid intake for 30 minutes before the scan.
D)Administer an analgesic 30 minutes before the scan.
Q4) On the basis of the nurse's assessment of kidney function for an adult patient,which finding is normal?
A)10 mL/hr
B)20 mL/hr
C)30 mL/hr
D)100 mL/hr
Q5) The risk for catheter-associated urinary tract infection can be reduced by using ___________ when inserting the catheter.
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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) The nurse has been directed to provide an enema for an elderly female patient who has very poor rectal sphincter control.Which position is most appropriate for this patient?
A)Sims' position
B)Dorsal recumbent position on the bedpan
C)Sitting on the toilet
D)Right lateral position
Q2) The patient is being prepped for surgery and has an order for "enemas until clear." The nurse realizes that she will be giving a maximum of how many enemas?
A)One
B)Two
C)Three
D)Four
Q3) When care is provided for a patient with an NG tube in place,which intervention is safest for the nurse to implement?
A)Tape the tube up and around the ear on the side of insertion.
B)Secure the tubing to the bed by the patient's head.
C)Mark the tube where it exits the nose.
D)Change the tubing daily.
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Chapter 36: Ostomy Care
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19 Flashcards
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Sample Questions
Q1) When planning care for a patient who has a colostomy,which intervention is important for the nurse to perform when pouching the colostomy?
A)Leave an intact skin barrier in place for 3 to 7 days.
B)Use soap and water to cleanse the peristomal skin.
C)Empty the pouch when it is two-thirds full.
D)Use tape to secure pouches that have minor leaks.
Q2) In caring for a patient who had a fecal surgical diversion,which nursing intervention is essential?
A)Place a pouch over the newly created stoma.
B)Place a dressing over the stoma.
C)Wait several days before placing a pouch.
D)Prepare several pouches in advance.
Q3) The nurse is caring for a patient who has a urinary diversion.The nurse notices that the patient has a temperature of 102° F and foul-smelling urine.What action should the nurse take?
A)Obtain a urine culture from the patient's pouch.
B)Catheterize the patient to obtain a sterile urine specimen.
C)Notify the physician.
D)Realize that these are normal findings.
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Page 38
Chapter 37: Preoperative and Postoperative Care
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25 Flashcards
Source URL: https://quizplus.com/quiz/70406
Sample Questions
Q1) Being overweight or obese increases the risk for many diseases and health conditions,including which of the following?
A)Hypertension
B)Coronary heart disease
C)Sleep apnea
D)Respiratory problems
E)Hypotension
Q2) The nurse is helping the patient prepare for surgery.The patient has removed her jewelry and glasses.Which action should the nurse take to keep the jewelry safe?
A)Put these items in the patient's bedside stand.
B)Inventory the items and give them to the family.
C)Place the items in a plastic bag and send them to the OR with the patient.
D)Keep these items with her until the patient returns.
Q3) The nurse explains to the patient that the incentive spirometer is used to promote which of the following outcomes?
A)Lung expansion
B)Reduced likelihood of vascular complications
C)Incisional healing
D)Expectoration of mucus
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Chapter 38: Intraoperative Care
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The surgeon is about to finish surgery and requests a sponge count.Who would normally perform this task?
A)Scrub nurse
B)Registered nurse first assistant
C)Circulating nurse
D)Certified registered nurse anesthetist
E)Surgical technician
Q2) The _______________ phase begins when the patient enters the operating room suite and ends with admission to the postanesthesia care unit (PACU).
Q3) 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.
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Chapter 39: Pressure Injury Prevention and Care
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19 Flashcards
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Sample Questions
Q1) 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."
Q2) The nurse knows that which of the following factors contribute to the development of pressure ulcers?
A)Friction and shear
B)Immobility
C)Poor nutrition
D)Moisture and ammonia
E)Uncontrolled pain
Q3) 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.
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Chapter 40: Wound Care and Irrigations
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Sample Questions
Q1) The _____________ is composed of newly formed collagen,and the nurse can usually feel it along a healing wound.It is usually present directly under the suture line between days 5 and 9.
Q2) The nurse is explaining healing of a full-thickness wound to a patient.Which of the following phases should the nurse include in the explanation?
A)Hemostasis
B)Inflammation
C)Proliferation
D)Maturation
Q3) What should the nurse do to reestablish the vacuum of the Hemovac system after emptying?
A)Place a safety pin on the part of the drain outside the body.
B)Replace the cap immediately after emptying.
C)Pin the drainage tubing to the patient's gown.
D)Place the Hemovac on a flat surface.
Q4) ___________ are threads of wire or other materials used to sew body tissues together.
Q5) ___________ is black,brown,or tan tissue in the wound that should be removed before wound healing can begin.
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Chapter 41: Dressings,bandages,and Binders
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Source URL: https://quizplus.com/quiz/70410
Sample Questions
Q1) For a patient with a transparent film dressing,the nurse assesses that there is white,opaque fluid accumulation and the surrounding tissue is inflamed.How should the nurse respond?
A)Culture the wound.
B)Leave the current dressing in place.
C)Apply gauze over the top of the dressing.
D)Remove and stretch the film more tightly over the wound.
Q2) The nurse is caring for a patient who is bleeding.To control bleeding,apply a _____ dressing.
A)pressure
B)alginate
C)foam
D)hydrocolloid
Q3) The patient is being sent home from the hospital after a cardiac catheterization.What should the nurse instruct the patient to do first if bleeding should occur at the femoral artery puncture site?
A)Call the physician.
B)Call 9-1-1.
C)Apply pressure to the site.
D)Apply a new bandage.
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Chapter 42: Therapeutic Use of Heat and Cold
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Sample Questions
Q1) For which patient should the nurse consider an application of cold?
A)Menstrual cramping
B)Infected wound
C)Fractured ankle
D)Degenerative joint disease
Q2) The ________________ blanket raises,lowers,or maintains body temperature through conductive heat or cold transfer between the blanket and the patient.
Q3) The nurse is explaining to the patient the rationale for the use of dry heat.Which of the following statements indicates understanding of the advantage of dry heat application for the patient?
A)It maintains temperature changes longer.
B)It reduces drying of the skin.
C)It penetrates tissue layers deeply.
D)It conforms better to body surfaces.
Q4) Which of the following conditions are best treated with cold therapy?
A)Localized inflammatory responses
B)Hemorrhage
C)Muscle spasm
D)Pain
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Chapter 43: Home Care Safety
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70412
Sample Questions
Q1) When a caregiver is communicating with a patient,which of the following actions may facilitate communication?
A)Face the patient who has a hearing impairment.
B)Avoid eye contact.
C)Use simple words.
D)Be aware of nonverbal gestures.
Q2) When communicating with a patient with a cognitive deficit,what is the best way for the nurse to respond?
A)"You managed all of your medications very well today."
B)"Your family should really take over the cooking.It's too hard for you to do."
C)"I don't see how you will be able to shop for yourself anymore.Someone will have to do it for you."
D)"This schedule will be too difficult for you to remember.I better write it all down."
Q3) Dementia is characterized by a gradual,progressive,irreversible _______ dysfunction.
Q4) ___________ is a generalized impairment of intellectual functioning,with the most common form being Alzheimer's disease.
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Chapter 44: Home Care Teaching
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Sample Questions
Q1) What instructions should the nurse provide when teaching the patient and the patient's caregiver how to administer parenteral nutrition (PN)?
A)PN solution should be kept refrigerated until time of administration.
B)Remixing separated mixture components by shaking the bag is common.
C)PN is compatible with most intravenous (IV)medications.
D)Blood glucose monitoring will be necessary.
Q2) The nurse is teaching the patient and family how to perform tracheal suctioning.What does proper technique include?
A)Teaching how to instill normal saline before suctioning
B)Suctioning the nasal and oral pharynx before the trachea
C)Encouraging daily brushing of the teeth and oral hygiene
D)Having the patient take two to three deep breaths after the procedure
Q3) 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.
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46