Professional Nursing Practice
Exam Preparation Guide
Course Introduction
Professional Nursing Practice explores the foundational roles, responsibilities, and ethical considerations involved in the nursing profession. This course covers key concepts such as patient-centered care, professional communication, evidence-based practice, legal and regulatory frameworks, and interdisciplinary collaboration within healthcare settings. Emphasis is placed on the development of critical thinking, clinical judgment, and leadership skills essential for providing safe, effective, and compassionate care to diverse patient populations. Students will also examine the importance of lifelong learning and professional development in the ever-evolving field of nursing.
Recommended Textbook
Clinical Nursing Skills and Techniques 9th Edition by Perry
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44 Chapters
1281 Verified Questions
1281 Flashcards
Source URL: https://quizplus.com/study-set/3544
Page 2
Chapter 1: Using Evidence in Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) 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"
Q2) __________________ are the gold standard for research.
Answer: Randomized controlled trials
Q3) The nurse has done a literature search and found 25 possible articles on the topic that she is studying.To determine which of those 25 best fit her inquiry,the nurse first should look at:
A)the abstracts.
B)the literature reviews.
C)the "Methods" sections.
D)the narrative sections.
Answer: A
Q4) Evidence-based practice requires good ______________.
Answer: nursing judgment
Q5) Patient fall rates are an example of a ______________ type of study in the evidence hierarchy.
Answer: quality improvement data
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Chapter 2: Admitting, transfer, and Discharge
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) When does the plan for patient discharge from a health care facility begin?
A)At admission
B)After a medical diagnosis has been determined
C)When the patient's physical needs are identified
D)After a home environment assessment is completed
Answer: A
Q2) Once a patient's discharge has been completed,which activity may be delegated to assistive personnel?
A)Provision of prescriptions to the patient
B)Completion of the discharge summary
C)Gathering of the patient's personal care items
D)Provision of instructions on community health resources
Answer: C
Q3) Under the Health Insurance Portability and Accountability Act (HIPAA),a patient must:
A)provide his true name before he can be treated.
B)be informed of his privacy rights.
C)have his personal health information used for treatment or payment only.
D)have his personal health information used on a need-to-know basis only.
Answer: B,C,D
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Page 4
Chapter 3: Communication and Collaboration
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) In dealing with angry patients,the nurse realizes that anger:
A)may be important to recovery.
B)may be a means to cope with grief.
C)often hides a specific problem.
D)should not be allowed to compromise care.
Answer: A,B,C,D
Q2) An active process of receiving information that nonverbally communicates to the patient the nurse's interest and acceptance is classified as _____________.
Answer: listening
Q3) In establishing the nurse-patient relationship,personal self-disclosure by the nurse is useful for which of the following goals?
A)To educate the patient
B)To build the therapeutic alliance
C)To encourage the patient's independence
D)To offer opinions that may influence the patient's decisions
Answer: A,B,C
Q4) Directing the conversation back to patient ideas,feelings,questions,or content is known as ___________________.
Answer: reflection
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Chapter 4: Documentation and Informatics
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A patient's private health information is legally protected by 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) The nurse manager is attempting to determine the staffing needs of the unit.One tool that she may use to determine the level of care needed would be:
A)the standardized care plan.
B)the acuity record.
C)the patient care summary.
D)flow sheets.
Q4) The abbreviation for every day (___)is no longer used.
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Page 6
Chapter 5: Vital Signs
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) The nurse is about to take vital signs on a newborn patient in the nursery.She should:
A)assess respiratory rate after taking a rectal temperature.
B)observe the child's chest while the child is sleeping.
C)call the physician if the rate is over 40.
D)expect that the child will have short periods of apnea.
Q2) ___________ is the sound of the tricuspid and mitral valves closing at the end of ventricular filling.
Q3) During the normal cardiac cycle,blood pressure reaches a peak,followed by a trough,in the cycle.What is the peak known as?
A)Pulse pressure
B)Systolic cycle
C)Diastolic cycle
D)Korotkoff phase
Q4) _____________ occurs when the systolic blood pressure falls to 90 mm Hg or below.
Q5) The nurse is taking a rectal temperature on an adult patient.She expects to insert the thermometer __________ inches.
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Chapter 6: Health Assessment
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45 Verified Questions
45 Flashcards
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Sample
Questions
Q1) The patient has come to the clinic complaining of bleeding from what she calls a "mole" on her neck.She states that her mother died from skin cancer at a fairly early age because she was fair-skinned and had a lot of exposure to the sun.Because of this,the patient has been going for tanning sessions regularly for several years to keep her dark and to protect her from the sun.The nurse prepares to examine the "mole" while being especially watchful for:
A)uneven shape of the mole (asymmetry).
B)ragged or blurred edges of the mole border.
C)pigmentation that is not uniform.
D)size of the mole.
Q2) The patient has been in the ICU following an acute myocardial infarction 3 days earlier.During an initial assessment of the patient,the nurse detects a heart murmur that the patient did not have previously.The nurse should __________________.
Q3) ________________ is a major cause of lung cancer,cerebrovascular disease,heart disease,and chronic lung disease.
Q4) A late sign of decreased oxygen levels may cause a change in skin color known as
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8
Chapter 7: Specimen Collection
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) When discussing the collection of a clean-voided urine specimen,it is important for the nurse to instruct the patient to:
A)use a clean specimen cup.
B)collect 100 to 150 mL of urine for testing.
C)void some urine first and then collect the sample.
D)wash the perineal area with soap and water immediately before voiding.
Q2) The nurse needs to obtain a sterile urine specimen for culture and sensitivity (C&S)from a patient who has an indwelling catheter.The catheter was placed the night before.What must the nurse do to obtain the specimen?
A)Obtain the urine from the drainage bag.
B)Clamp the drainage tubing for 10 to 15 minutes.
C)Draw urine using a 20-mL syringe.
D)Insert the needle into the silicone catheter.
Q3) What should the nurse do first if a patient is unable to void on demand for a clean-voided specimen?
A)Perform Credé's procedure for the suprapubic area.
B)Catheterize the patient to obtain the specimen.
C)Offer fluids,if allowed,and wait about 30 minutes.
D)Notify the physician that the test cannot be completed.
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Page 9
Chapter 8: Diagnostic Procedures
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) An _______________ permits visualization of the vasculature of an organ and the organ's arterial system.
Q2) Which is the appropriate patient position for a lumbar puncture?
A)Prone
B)Supine
C)Sims'
D)Lateral recumbent
Q3) The nurse is caring for a patient who underwent a cardiac catheterization.The sheaths have just been removed.You should assess the patient carefully for what potential complication?
A)Vasovagal reaction
B)Hypertension
C)Tachycardia
D)Allergic reaction
Q4) When explaining what to expect during a bronchoscopy,the nurse informs the patient that:
A)an anesthetic solution will be swallowed.
B)the tube will be passed through the nose.
C)nothing will be given by mouth for 2 to 3 hours before.
D)no food or fluid will be provided until the gag reflex returns.
Page 10
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Chapter 9: Medical Asepsis
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Infection control practices that reduce and eliminate sources and transmission of infection are known as _______________.
Q2) The patient is admitted with mumps.The nurse knows that she will have to:
A)put the patient in a private room.
B)place the patient on standard precautions.
C)wear a mask when closer than 3 feet to the patient.
D)place the patient on contact precautions.
Q3) The patient is presenting to the hospital with a high fever and a productive cough.He says that he hasn't felt right since he returned from visiting Somalia about a month before admission.He also states that he has lost about 20 pounds in the last month and frequently wakes up in the middle of the night sweaty and "clammy." What should the nurse prepare to do?
A)Place the patient on contact isolation.
B)Place the patient in a negative-pressure room.
C)Place the patient on droplet precautions.
D)Use standard precautions only.
Q4) OSHA and CDC guidelines require health care workers who care for suspected or confirmed TB patients to wear special ________________.
Q5) ________________ is the absence of pathogenic (disease-producing)microorganisms.
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Chapter 10: Sterile Technique
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Nurses commonly use surgical asepsis in which of the following situations?
A)In labor and delivery areas
B)When inserting an intravenous catheter
C)When treating patients with surgical incisions or burns
D)When inserting a urinary catheter
E)When dressing an MRSA-positive wound
Q2) A patient requires a sterile dressing change for a mid-abdominal surgical incision.An appropriate intervention for the nurse to implement in maintaining sterile asepsis is to:
A)put sterile gloves on before opening sterile packages.
B)discard items that may have been in contact with the area below waist level.
C)place the povidone-iodine bottle well within the sterile field.
D)place sterile items on the very edge of the sterile drape.
Q3) A type I hypersensitivity to latex is evident if the nurse assesses:
A)localized swelling.
B)skin redness and itching.
C)runny eyes and nose and cough.
D)tachycardia,hypotension,and wheezing.
Q4) The minimum standard for infection control as established by the Centers for Disease Control and Prevention (CDC)is _______________.
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Chapter 11: Safe Patient Handling, transfer, and Positioning
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) 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) In positioning the patient in the prone position,one way to improve breathing is to:
A)support the arms in a flexed position level at the shoulders.
B)place a pillow under the lower legs.
C)place a small pillow under the patient's abdomen.
D)support the patient's head with a small pillow.
Q3) Body balance is achieved when a wide _____________ exists.
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Page 13
Chapter 12: Exercise Mobility
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) A nurse encourages a patient to prevent venous stasis by:
A)crossing the legs when sitting in a chair.
B)wearing thigh-length nylon stockings or garters.
C)elevating the legs on pillows while in bed.
D)increasing early ambulation.
Q2) Factors that contribute to the development of deep vein thrombosis (DVT)are:
A)elevated sodium (Na<sup>+</sup>)levels.
B)hypercoagulability of the blood.
C)venous wall damage.
D)stasis of blood flow.
Q3) A patient with left hemiparesis is using a quad cane for ambulation.Which of the following is the correct technique for the nurse to use in teaching the patient?
A)Use the cane on the right side,with the cane moving forward first.
B)Use the cane on the left side,with the left leg moving forward with the cane.
C)Use the cane in either hand,with the right leg moving forward first.
D)Use the cane in either hand,with the left leg moving beyond the forward placement of the cane.
Q4) The patient is performing range of motion (ROM)exercises independently.These are known as __________ exercises.
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Chapter 13: Support Surfaces and Special Beds
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) An air-suspension bed is contraindicated for the patient with:
A)burns.
B)traction.
C)osteoporosis.
D)respiratory insufficiency.
Q2) The nurse is caring for a patient who is in an air-fluidized bed.She places the patient in semi-Fowler's position using foam wedges,even though she realizes that: A)patients gain the greatest benefit from the prone position in an air-fluidized bed. B)for resuscitation,she may have to increase the air pressure of the bed to do CPR.
C)she may have to increase the air pressure of the bed to turn the patient.
D)the foam wedges may decrease the effects of the bed.
Q3) The nurse understands that an _____________________ using foam,air,water,or gel can be placed on top of the mattress to provide pressure relief.
Q4) A ______________ serves as an artificial layer of fat to protect bony surfaces.
Q5) The major cause of pressure ulcers is ________________.
Q6) A full or double-wide _____________ can accommodate a patient up to 1000 pounds.
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Page 15
Chapter 14: Patient Safety
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) What should the nurse do to prevent a patient from aspirating during a seizure?
A)Insert an oral airway.
B)Restrain the patient securely.
C)Sit the patient upright.
D)Turn the patient onto his/her side.
Q2) What should the nurse do to promote patient understanding and security in the health care setting?
A)Restrain the patient as necessary.
B)Explain all procedures to the patient.
C)Allow the patient more time alone.
D)Restrict activity as much as possible.
Q3) 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."
Q4) __________ are the most common type of inpatient accident.
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Page 16
Chapter 15: Disaster Preparedness
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) The patient is brought into the emergency department as part of a mass casualty incident (MCI).The patient has white powder on his clothes,and it is suspected that the patient has been exposed to anthrax.What should the nurse do first?
A)Cut off the patient's clothing and place it in a plastic bag.
B)Have the patient remove his sweater by pulling it over his head.
C)Avoid using oxygen that could decrease the patient's oxygen drive.
D)Provide the patient with appropriate antibiotics.
Q2) If a patient is receiving radiation using gamma rays,the nurse would be watching for which of the following?
A)Severe pain during administration
B)Development of an allergy to shellfish
C)Severe burns or internal injury
D)Confusion and lethargy
Q3) The strategic plan of the Centers for Disease Control and Prevention (CDC)in the event of a disaster first focuses on __________________.
Q4) An outbreak of influenza A in the same geographical location is known as an __________.
Q5) It is recommended that every household prepares a ____________.
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Chapter 16: Pain Management
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) A nurse is evaluating the epidural catheter insertion site and suspects that the intraspinal catheter has punctured the dura when _____ noted.
A)clear drainage is
B)bloody drainage is
C)purulent drainage is D)redness,warmth,and swelling are
Q2) The application of touch and movement to muscles,tendons,and ligaments without manipulation of the joints is called _________________.
Q3) The patient is admitted with chronic pain.She states that nothing takes the pain away totally,but that "Dilaudid works best." The fact that the patient calls the medication by name should alert the nurse to:
A)suspect that the patient is drug seeking.
B)expect that the patient may need smaller doses than normal.
C)assess the patient's acceptable level of comfort.
D)accept the fact that nothing will help this patient's pain.
Q4) ________________ draws on internal experiences of memories,dreams,fantasies,and visions; explores the inner world of experience; protects the privacy of the patient; and fosters the imagination.
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Page 18
Chapter 17: Palliative Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) An _______________ is the surgical dissection of a body after death.
Q2) _____________ helps people live as well as possible through the dying process.
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) The nurse is preparing to assist the patient at the end stage of her life.To provide comfort for the patient in response to anticipated symptom development,the nurse plans to:
A)decrease the patient's fluid intake.
B)limit the use of pain medication.
C)provide larger meals with more seasoning.
D)determine patient wishes and select appropriate therapies.
Q5) An appropriate technique for the nurse to implement when caring for a patient's body after death is to:
A)remove the patient's identification band and put a new gown on the patient.
B)cover the patient with a sheet and transfer him or her to the morgue.
C)inquire about particular cultural or spiritual practices.
D)remove tubes and lines if the patient is to be autopsied.
Page 19
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Chapter 18: Personal Hygiene and Bed Making
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) 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.
Q2) 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.
Q3) The ____________ is the largest human organ.
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Chapter 19: Care of the Eye and Ear
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) How does the nurse assess that a hearing aid is operating correctly?
A)Speaking very softly behind the patient
B)Covering the patient's unaffected ear and speaking
C)Determining the patient's response to a normal tone of voice
D)Removing the hearing aid and sending it to be checked by an audiologist
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) How should the nurse position the ear when performing ear irrigation for a 2-year-old patient?
A)Instill the irrigating solution quickly and forcefully.
B)Pull the pinna up and back.
C)Direct the fluid toward the anterior aspect of the ear canal.
D)Pull the pinna down and back.
Q4) The patient is brought into the emergency department after a motor vehicle accident.The patient is unresponsive.The nurse is concerned about whether or not the patient wears contact lenses because contact lenses that are not removed can cause
21
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Chapter 20: Safe Medication Preparation
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Sample Questions
Q1) The nurse is teaching a patient how to measure medication dosages at home.The prescription is written for 30 mL of the medication.Which household measurement will the nurse teach the patient to use?
A)Drops
B)Teaspoon
C)Tablespoon
D)Cup
Q2) A patient is prescribed diltiazem tablets,which have an onset of 30 minutes,a peak of 2 to 3 hours,and a duration of 6 to 8 hours.The nurse anticipates that the medication will be prescribed ____________ per day.
Q3) 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.
Q4) The nurse calculates that the proper dosage of a medication is 2 tsp.The nurse prepares _______ mL to administer to the patient.
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Page 22
Chapter 21: Administration of Nonparenteral Medications
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Sample Questions
Q1) 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
Q2) The patient has eyedrops ordered daily to both eyes.Which action by the nurse is appropriate when administering the medication?
A)Carefully place the drop on the cornea.
B)Wipe the eye with a tissue after placing the eyedrop.
C)Hold the eyedropper about 1 to 2 cm above the eye.
D)Instruct the patient to squeeze the eye shut after instillation.
Q3) The patient has a bronchodilator and an inhaled steroid scheduled for the same time.What teaching should the nurse provide to the patient about administering these medications?
A)Inhale the bronchodilator,wait 20 to 30 seconds,then inhale the steroid.
B)Inhale the bronchodilator,wait 2 to 5 minutes,then inhale the steroid.
C)Inhale the steroid,wait 20 to 30 seconds,then inhale the bronchodilator.
D)Inhale the steroid,wait 2 to 5 minutes,then inhale the bronchodilator.
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Page 23
Chapter 22: Administration of Parenteral Medications
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Sample Questions
Q1) A patient has orders for 10 units of glargine insulin and 5 units of regular insulin to be given at the same time.Which action by the nurse is appropriate?
A)Injecting 10 units of air into the glargine insulin vial first and not withdrawing the medication
B)Injecting 5 units of air into the regular insulin vial first and then 10 units of air into the glargine insulin vial
C)Giving two separate injections using different needles and syringes
D)Withdrawing 5 units of regular insulin first and then calculating the total dose of regular and glargine insulin combined
Q2) The nurse is preparing an intramuscular injection for a thin elderly patient.The nurse is aware that the maximum volume most likely tolerated by this patient is which amount?
A)1 mL
B)2 mL
C)3 mL
D)5 mL
Q3) The patient is receiving allergy testing.The nurse is using the inner forearm to inject the allergen into the ____________.
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24
Chapter 23: Oxygen Therapy
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Sample Questions
Q1) A patient with a tracheostomy tube has an order for oxygen.Which action by the nurse is appropriate?
A)Apply sterile gloves to connect the oxygen to the tracheostomy tube.
B)Check the oxygen tubing frequently to make sure water is present in the tubing.
C)Attach the T tube to a humidified oxygen source.
D)Monitor the response to oxygen with hourly arterial blood gas levels.
Q2) The nurse is caring for a patient on mechanical ventilation.The nurse determines that the endotracheal tube is properly placed by which assessment?
A)Auscultating both lungs and watching the rise and fall of both sides of the chest
B)Monitoring and comparing the blood pressure in both arms
C)Observing and measuring inspiratory and expiratory rates
D)Checking the settings on the ventilator and the low-pressure and high-pressure alarm settings
Q3) 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 nurse positions the patient flat on the back with a small pillow under the knees to drain the right and left _____________________.
Q2) 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 _____________.
Q3) The nurse auscultates the patients' lung fields and notes congestion in several patients.The nurse anticipates that postural drainage may be used for the patient with which condition?
A)Congestive heart failure (CHF)with pulmonary edema
B)History of cigarette smoking with recent hemoptysis
C)Chronic bronchitis with frequent coughing
D)Pulmonary embolism after a long international flight
Q4) The nurse is teaching the family of a patient with cystic fibrosis how to use a high-frequency chest wall oscillation (HFCWO)vest.The nurse informs the family that this device will do which of the following?
A)Allow patient to perform other tasks while receiving therapy.
B)Improve patient adherence to chest physiotherapy.
C)Assist in the removal of secretions from the lungs.
D)Decrease the viscosity of mucus so coughing it up will be easier.
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Chapter 25: Airway Management
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Sample Questions
Q1) 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.
Q2) The nurse is caring for a patient with an oral endotracheal tube in place.Which intervention by the nurse demonstrates proper procedure when providing endotracheal tube care?
A)Determining proper endotracheal tube depth by noting the length of tube beyond the gum line
B)Instructing the assistant to hold the tube away from the lips while changing the tape
C)Removing the oral airway if the patient is actively biting down after the tape is removed from the endotracheal tube
D)Repositioning the tube on the opposite side or at the center of the mouth at least every 24 to 48 hours
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Chapter 26: Cardiac Care
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Sample Questions
Q1) The nurse is assessing if the patient needs a 12-lead ECG.Which of the following indications,if identified,indicates that a 12-lead ECG should be obtained?
A)Suspected acute coronary syndromes including myocardial infarction
B)History of smoking 2 packs per day for 30 years
C)Evaluation of syncope
D)Disorders of the cardiac rhythm
Q2) The nurse is reviewing the patient's medications and recognizes that which of the following medications can cause dysrhythmias?
A)Digoxin
B)Amlodipine
C)Amiodarone
D)Lasix
Q3) The nurse identifies the appropriate equipment necessary to obtain a 12-lead ECG and gathers the following supplies.
A)12-Lead ECG machine
B)Clean,dry towel
C)Hair clippers
D)Betadine cleanser
Q4) ECG tracings that cannot be interpreted are known as _________________.
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Chapter 27: Closed Chest Drainage Systems
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Sample Questions
Q1) 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
Q2) Appropriate intervention for the patient who is having a reinfusion of chest tube drainage is noted when the nurse:
A)hangs the reinfusion lower than the usual intravenous (IV)bag.
B)uses a microaggregate filter on the reinfusion bag.
C)maintains 500 mm Hg pressure in the gravity blood cuff.
D)keeps the clamps open on the drainage tubing during bag transfer.
Q3) The nurse is caring for a patient with blood collecting in the pleural space.The nurse documents this as:
A)pleural effusion.
B)hemothorax.
C)pulmonary hemorrhage.
D)pneumothorax.
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Chapter 28: Emergency Measure for Life Support
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Sample Questions
Q1) Many cardiac arrests are caused by irregular heart rhythms known as ________________.
Q2) The nurse in the intensive care unit (ICU)is caring for a newly admitted patient with chest pain.She is aware that dysrhythmia may be caused by which of the following?
A)Electrolyte disturbances
B)Heart damage
C)Medications
D)Respiratory arrest
Q3) 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) In the event of cardiopulmonary arrest,all patients receive cardiopulmonary resuscitation (CPR)unless otherwise indicated in the patient's _________________.
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Chapter 29: Intravenous and Vascular Access Therapy
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Sample Questions
Q1) The nurse is caring for a patient who has experienced hypovolemia secondary to acute vomiting and diarrhea.The nurse anticipates what type of intravenous fluid to be ordered by the health care provider?
A)Hypotonic or isotonic solutions
B)Hypertonic or isotonic solutions
C)Hypertonic solutions only
D)Whole blood
Q2) 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 _______________.
Q3) 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.
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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Sample Questions
Q1) The specific blood product used for replacement of clotting factors and fibrinogen is:
A)whole blood.
B)packed RBCs.
C)cryoprecipitate.
D)albumin,25% pooled.
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) Under the ABO system,the blood type __________ can be given to any individual and is known as the "Universal Donor."
Q4) The nurse is caring for a patient who is receiving blood while monitoring the patient for potential complications.The nurse knows that a systemic response to administration of a blood product that is incompatible with the blood of the recipient,contains allergens to which the recipient is sensitive or allergic,or is contaminated with pathogens is known as a _________.
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Chapter 31: Oral Nutrition
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28 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who requires assistance with eating.The patient repeatedly apologizes to the nurse,saying,"I'm so sorry.I'm like a baby.I'm such a burden since I can't even feed myself." What is the most appropriate strategy for the nurse to use?
A)Feed all of the solid foods first,and then offer liquids.
B)Feed the patient quickly so as not to make the patient feel like it is taking a great deal of time out of the nurse's day.
C)Minimize conversation so that the patient can eat faster.
D)Appear unhurried,sit at the bedside,and encourage the patient to feed himself/herself as much as possible.
Q2) The nurse is caring for a patient 2 days after surgery.The ordered diet is a mechanical soft diet.Which of the following foods may the patient choose to eat?
A)Salad
B)Baked potato without skin
C)Cooked cereal
D)Soft peeled apples
Q3) _______________ is useful for monitoring short-term changes in visceral protein.
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Chapter 32: Enteral Nutrition
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Sample Questions
Q1) The nurse is checking gastric residual on a patient who has a continuously running tube feeding and finds that the patient has a 600-mL gastric residual volume (GRV).How should the nurse respond?
A)Stop the tube feeding.
B)Slow the tube feeding.
C)Continue the tube feeding at the same rate.
D)Increase the rate of the tube feeding.
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) Of the patients listed below,which would be a candidate for nasoenteric feeding tube placement?
A)Post-motor vehicle accident victim with a broken nose and jaw
B)Patient with a bleeding ulcer and possible esophageal varices
C)Elderly patient with a diagnosis of failure to thrive and an inability to chew
D)Patient with an esophageal tumor
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Chapter 33: Parenteral Nutrition
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Sample Questions
Q1) The nurse is caring for a patient who is receiving PN.As part of therapy,the patient undergoes routine bedside glucose monitoring that reveals which expected outcome?
A)Lower than normal blood glucose to determine adequate tolerance for PN
B)Slightly higher than normal blood glucose to meet increased cellular needs
C)Slightly higher than normal blood glucose to prevent infection or systemic sepsis
D)Normal blood glucose to prevent associated complications
Q2) The nurse is caring for a patient receiving parenteral nutrition (PN).In planning the patient's care for the day,which nursing assessment is most essential?
A)Electrolyte levels
B)Weight
C)Temperature
D)Condition of catheter insertion site
Q3) If parenteral nutrition (PN)must be discontinued suddenly,hang __________ in water at the same infusion rate to prevent hypoglycemia.
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Chapter 34: Urinary Elimination
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Sample Questions
Q1) On the basis of the nurse's assessment of kidney function for an adult patient,which finding is normal?
A)10 mL/hr
B)20 mL/hr
C)30 mL/hr
D)100 mL/hr
Q2) The nurse is caring for a patient who has an indwelling catheter attached to a drainage bag.To achieve the desired outcome of this procedure,which nursing action should be taken?
A)Make sure the tubing has dependent loops to gather urine.
B)Make sure the tubing is coiled and secured to the bed.
C)Make sure the tubing is kinked.
D)Make sure the collection bag is higher than the bladder.
Q3) When observing a patient for symptoms of dehydration,the nurse should observe which assessment?
A)Increased salivation
B)Diuresis
C)Periorbital edema
D)Decreased capillary filling
Q4) _________________ is the volume of urine in the bladder after a normal voiding.
Page 36
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Chapter 35: Bowel Elimination and Gastric Intubation
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Sample Questions
Q1) When preparing an infant for an enema,the nurse understands that which solution is the safest?
A)Tap-water enema solution
B)Hypertonic enema solution
C)Oil retention
D)Physiological normal saline
Q2) 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
Q3) When evaluating a student nurse's ability to digitally remove feces,the nurse preceptor determined that further teaching is required if the student nurse does which of the following interventions?
A)Provides perianal skin care.
B)Continues the procedure if bleeding starts.
C)Follows the procedure by offering the patient the bedpan.
D)Discontinues the procedure in the presence of bradycardia.
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Chapter 36: Ostomy Care
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Sample Questions
Q1) The nurse is caring for a preterm infant in the neonatal intensive care unit who has multiple stomas.Given the uniqueness of infants,which action is essential for the nurse to take?
A)Apply an ostomy pouch using standard sealants.
B)Use a pouch that can accommodate increased amounts of flatus.
C)Use multiple pouches (one for each stoma).
D)Be aware that the stoma size will remain the same as the baby grows.
Q2) A ______________ is an opening in the large intestine or colon for elimination of fecal material.
Q3) 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)_____________.
Q4) An opening that is in the ileal portion of the small-intestine is an ____________.
Q5) 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.
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Chapter 37: Preoperative and Postoperative Care
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Sample Questions
Q1) When providing care for a patient who has received spinal anesthesia,the nurse recognizes that which position prevents spinal headaches?
A)Prone
B)Lying on the side
C)Supine,with the head flat
D)Trendelenburg's position
Q2) The nurse understands that postop ileus is a possible postoperative complication.Which assessment provides the nurse with information about this postoperative complication?
A)Auscultating for bowel sounds every 4 hours
B)Checking blood pressure while sitting and standing
C)Observing the patient's performance of leg exercises
D)Palpating the suprapubic region for distention
Q3) A patient is being transferred to a room from the postanesthesia care unit (PACU).What should the nurse do upon transfer?
A)Remove the indwelling urinary catheter.
B)Turn off the nasogastric tube suction.
C)Use a black pen to note drainage on the dressing.
D)Change the dressing immediately when the patient reaches the room.
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Chapter 38: Intraoperative Care
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Sample Questions
Q1) Which of the following are sources of contamination in the operating room?
A)A wristwatch
B)Chipped nail polish
C)Artificial fingernails
D)Abrasions on the hands
E)Tattoos to the arms
Q2) The consequences of double gloving during surgery include which of the following?
A)Decreased need for handwashing
B)Decreased risk for exposure to bloodborne pathogens
C)Increased perforations to the innermost glove
D)Decreased risk for surgical wound infection
E)Increased patient cost
Q3) When one prepares to enter the operating room,which technique demonstrates the safest outcome?
A)Keeping the hands below the elbows
B)Applying surgical gloves before the scrub
C)Scrubbing for at least 3 to 5 minutes with an antimicrobial
D)Drying the hands and arms,starting at the elbow and moving toward the fingers
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Chapter 39: Pressure Injury Prevention and Care
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Sample Questions
Q1) 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
Q2) Aggressive prevention measures should be implemented for a patient in the general population with a pressure ulcer risk on the Braden Scale of less than or equal to: A)16.
B)18.
C)20.
D)24.
Q3) 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.
Q4) The removal of devitalized tissue in a wound is known as ______________.
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Chapter 40: Wound Care and Irrigations
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Q1) The nurse is explaining wound healing to a patient.Which of the following statements explains the healing that occurs during the inflammatory stage of wound healing in a full-thickness wound?
A)A reduction in the size of the wound is noted.
B)The epithelial cells duplicate.
C)Synthesis of collagen occurs at the site.
D)Blood flow to the wound and arrival of white blood cells are increased.
Q2) What should the nurse do when removing intermittent sutures?
A)Snip both sides of the suture before removing.
B)Snip the suture as close to the knot as possible.
C)Snip the suture as close to the skin as possible.
D)Pull up the knot to apply as much tension as possible.
Q3) On which types of wounds may the nurse use a pulsatile high-pressure lavage for irrigation?
A)Graft sites
B)Wounds with exposed blood vessels
C)Necrotic tissue
D)Wounds with exposed muscle or tendons
Q4) ___________ are threads of wire or other materials used to sew body tissues together.
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Chapter 41: Dressings,bandages,and Binders
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Sample Questions
Q1) Dressings serve several functions.Which of the following is a function of a dressing?
A)Maintains a moist environment.
B)Prevents the spread of microorganisms.
C)Increases patient comfort.
D)Controls bleeding.
Q2) Hydrocolloid dressings are used for which of the following?
A)Maintaining a moist wound environment
B)Autolytic debriding of necrotic wounds
C)Absorption of moderately draining wounds
D)Protecting from friction
Q3) The nurse is caring for a patient who has a wound healing by primary intention that has little to no drainage.Which dressing is most appropriate for this type of wound?
A)Moist-to-dry dressing
B)Hydrocolloid dressing
C)Dry dressing
D)Hydrogel dressing
Q4) A __________ dressing comes in direct contact with the wound bed.
Q5) _____________ dressings cover or hold primary dressings in place.
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Chapter 42: Therapeutic Use of Heat and Cold
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Sample Questions
Q1) ___________ exerts a profound physiological effect on the body,reducing inflammation caused by injury to the musculoskeletal system.
Q2) The nurse is removing a heating pad and notices that the skin beneath the pad is pink and warm to touch.How should the nurse respond?
A)Keep the pad in place the next time by pinning it with a safety pin.
B)Position the patient next time so that the patient is lying directly on the pad.
C)Document the findings.
D)Put the pad back on for an additional 20 to 30 minutes.
Q3) 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.
Q4) The ________________ blanket raises,lowers,or maintains body temperature through conductive heat or cold transfer between the blanket and the patient.
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Chapter 43: Home Care Safety
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Sample Questions
Q1) 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.
Q2) The nurse is assessing a patient for mobility problems that could lead to falls.The nurse has the patient perform a timed up and go (TUG)test and uses this test to gauge:
A)the patient's ability to perform advanced ambulation maneuvers.
B)whether the patient can walk 30 feet without fatiguing.
C)whether the patient can tolerate the activity for longer than 30 seconds.
D)how quickly the patient can perform the test.
Q3) Dementia is characterized by a gradual,progressive,irreversible _______ dysfunction.
Q4) Common causes of falls in older patients include which of the following?
A)Gait disturbances
B)Muscle weakness
C)Visual impairments
D)Environmental hazards
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Chapter 44: Home Care Teaching
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Sample Questions
Q1) Temperatures in the older adult are different from those in the younger adult.The mean oral temperature for older adults often ranges from ____________.
Q2) In teaching the patient the best sites for assessing blood pressure (BP),which of the following actions should the patient be taught to avoid?
A)Sites with intravenous catheters
B)Arms with arteriovenous shunts
C)Arms on the side of mastectomy
D)The left arm after a heart attack
Q3) What should the nurse first assess when preparing to teach a patient and/or family member how to read a thermometer?
A)Patient's actual temperature
B)Patient's ability to manipulate the thermometer
C)Family member's temperature
D)Patient's ability to take a pulse and respiratory rate as well
Q4) Oxygen-conserving devices (OCDs)reduce the amount of oxygen the patient uses,resulting in an overall cost reduction to the patient.The type of OCD that delivers oxygen only during inspiration is called a _______________.
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