Clinical Nursing Skills Lab
Midterm Exam
Course Introduction
Clinical Nursing Skills Lab is a hands-on course designed to equip students with essential nursing skills required for effective patient care. Through a blend of simulated clinical environments and practical exercises, students learn fundamental procedures such as vital sign measurement, medication administration, wound care, catheterization, and basic life support. Emphasis is placed on developing proficiency, accuracy, and confidence in performing these skills, along with fostering critical thinking, communication, and adherence to safety protocols. The course serves as a vital bridge between theoretical nursing knowledge and real-world clinical application, preparing students for clinical placements and professional practice.
Recommended Textbook
Clinical Nursing Skills and Techniques 8th Edition by Anne Griffin Perry
Available Study Resources on Quizplus
44 Chapters
1316 Verified Questions
1316 Flashcards
Source URL: https://quizplus.com/study-set/2003 Page 2
Chapter 1: Using Evidence in Nursing Practice
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/39771
Sample Questions
Q1) When evidence-based practice is used, patient care will be:
A)standardized for all.
B)unhampered by patient culture.
C)variable according to the situation.
D)safe from the hazards of critical thinking.
Answer: C
Q2) 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: (Select all that apply.)
A)asking a clinical question.
B)applying the evidence.
C)evaluating the practice decision.
D)communicating your results.
E)None of above
Answer: A, B, C, D
Q3) __________________ are the gold standard for research.
Answer: Randomized controlled trials
Individual randomized controlled trials (RCTs) are the gold standard for research (Titler and others, 2001).An RCT establishes cause and effect and is excellent for testing therapies.
To view all questions and flashcards with answers, click on the resource link above. Page 3
Chapter 2: Admitting, Transfer, and Discharge
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/39772
Sample Questions
Q1) The patient is being admitted to the intensive care department with multiple fractures and internal bleeding.Which of the following are considered roles of the nurse in this situation? (Select all that apply.)
A)Anticipate physical and social deficits to resuming normal activities.
B)Involve the family and significant others in the plan of care.
C)Assist in making health care resources available to the patient.
D)Identify the psychological needs of the patient.
E)None of above
Answer: A, B, C, D
Q2) Completing and documenting an accurate medication history from the patient is the important first step in the _____________ process.
Answer: medication reconciliation
Medication reconciliation compares the patient's home medication list versus the medication orders at admission, transfer, or discharge to avoid medication errors such as omissions, duplications, dosing errors, or drug interactions.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 3: Communication
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/39773
Sample Questions
Q1) Verbal communication includes which of the following? (Select all that apply.)
A)Speech
B)Personal space
C)Body movement
D)Writing
Answer: A, D
Q2) The nurse observes that the patient is pacing in his room with clenched fists.When asked "What's wrong?" the patient states, "There's nothing wrong.I just want out of here." He then bangs his fist on the table and yells, "I've had it!" How should the nurse respond?
(Select all that apply.)
A)Tell the patient that he needs to calm down.
B)Pause to collect her own thoughts.
C)Block the doorway.
D)Notify the proper authorities.
Answer: B, D
To view all questions and flashcards with answers, click on the resource link above. Page 5
Chapter 4: Documentation and Informatics
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/39774
Sample Questions
Q1) The patient was in bed with all side rails up.During the night, the patient tried to get up to go to the bathroom and fell while trying to climb over the side rails.After meeting the patient's needs and assessing that the patient was not harmed, what step should the nurse take (if any)?
A)Complete an incident report and put it in the medical record.
B)Chart what happened and state that an incident report has been filled out.
C)Do nothing because the patient was not harmed.
D)Document what happened in the patient record without mentioning the incident report.
Q2) The patient has been transferred to the nursing home from the acute care hospital.A report was called from the hospital and was received by the RN in charge of the nursing home unit.Upon arrival, which approach is used to assess the patient?
A)The Long-Term Care Facility Resident Assessment Instrument
B)The case management model
C)Collaborative pathways
D)The charting by exception model
Q3) A patient's private health information is legally protected by the
Q4) The abbreviation for every day (___) is no longer used.
To view all questions and flashcards with answers, click on the resource link above. Page 6
Chapter 5: Vital Signs
Available Study Resources on Quizplus for this Chatper
45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/39775
Sample Questions
Q1) When evaluating the patient's temperature levels, the nurse expects the patient's temperature to be lower:
A)in the morning.
B)after exercising.
C)during periods of stress.
D)during the postoperative period.
Q2) When heat loss mechanisms are unable to keep pace with heat production, ____________ is the result.
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 percent to which hemoglobin is filled with oxygen is known as _________________.
Q5) To take a manual blood pressure, the nurse places the cuff of the _____________ around the patient's upper arm.
Q6) ___________, a subjective symptom, is also referred to as a vital sign, along with the physiological signs.
Q7) ___________ is the sound of the tricuspid and mitral valves closing at the end of ventricular filling.
Page 7
To view all questions and flashcards with answers, click on the resource link above.
Chapter 6: Health Assessment
Available Study Resources on Quizplus for this Chatper
45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/39776
Sample Questions
Q1) 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
Q2) 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: (Select all that apply.)
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.
E)None of above
Q3) Increased visibility of oxyhemoglobin caused by dilation or increased blood flow is known as ________________.
To view all questions and flashcards with answers, click on the resource link above.
Page 8
Chapter 7: Medical Asepsis
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/39777
Sample Questions
Q1) The nurse understands that the priority nursing action needed when medical asepsis is used includes:
A)handwashing.
B)surgical procedures.
C)autoclaving of instruments.
D)sterilization of equipment.
Q2) The primary strategies for prevention of infection transmission with regard to contact with blood, body fluids, nonintact skin, and mucous membranes are known as ______________.
Q3) When caring for patients, the nurse understands that the single most important technique to prevent and control the transmission of infection is:
A)hand hygiene.
B)the use of disposable gloves.
C)the use of isolation precautions.
D)sterilization of equipment.
Q4) _______________, also known as sterile technique, includes procedures used to eliminate all microorganisms from an area.
Q5) ________________ is the absence of pathogenic (disease-producing) microorganisms.
To view all questions and flashcards with answers, click on the resource link above. Page 9
Chapter 8: Sterile Technique
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/39778
Sample Questions
Q1) When removing the mask after an aseptic procedure, what should the nurse do first?
A)Remove gloves.
B)Untie top strings of mask.
C)Untie bottom strings of mask.
D)Untie top strings and let mask hang.
Q2) 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.
Q3) The nurse is preparing to provide wound care for her patient.She realizes that the most effective way to decrease the bacterial count on her hands is to wash her hands using:
A)soap and water only.
B)a nonalcohol antiseptic alone.
C)a 50% alcohol-based antiseptic alone.
D)a 60% to 95% alcohol-based antiseptic alone.
Q4) The minimum standard for infection control as established by the Centers for Disease Control and Prevention (CDC) is _______________.
To view all questions and flashcards with answers, click on the resource link above. Page 10
Chapter 9: Safe Patient Handling, Transfer, and Positioning
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/39779
Sample Questions
Q1) The nurse prevents self-injury by using which of the following when transferring a patient? (Select all that apply.)
A)Correct posture
B)Maximal muscle strength
C)Effective body mechanics
D)Effective lifting techniques
Q2) When preparing to move a patient in bed, the nurse should:
A)expect that the patient's comfort level will decrease.
B)make sure that all pillows used in the previous position stay in position.
C)raise the bed to a comfortable working height.
D)plan on moving the patient herself because other nurses are busy.
Q3) A nurse should be aware of safety measures to prevent personal injury when lifting or moving patients.An appropriate principle to follow is:
A)bend at the waist for lifting.
B)tighten the stomach muscles and pelvis.
C)keep the weight to be lifted away from the body.
D)carry or hold the weight 1 to 2 feet above the waist.
Q4) The term _____________ refers to the conditions of the joints, tendons, ligaments, and muscles in various body positions.
To view all questions and flashcards with answers, click on the resource link above. Page 11
Chapter 10: Exercise and Ambulation
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/39780
Sample Questions
Q1) The patient has a leg injury and is being fitted for a cane.The patient should be taught to:
A)hold the cane on the uninvolved side.
B)hold the cane on the weaker side.
C)extend the cane 15 inches from the foot when used.
D)maintain approximately 60 degrees of elbow flexion.
Q2) While ambulating, the patient becomes light-headed and starts to fall.What should the nurse do first?
A)Call for help.
B)Try to reach for a chair.
C)Ease the patient down to the floor.
D)Push the patient back toward the bed.
Q3) An appropriate technique for the nurse to use when performing range of motion (ROM) exercises is to:
A)repeat each action five times during the exercise.
B)perform the exercises quickly and firmly.
C)support the proximal portion of the extremity being exercised.
D)continue the exercise slightly beyond the point of resistance.
Q4) ____________ refers to an ability to move about freely.
Q5) A person's inability to move about freely is known as _______________.
Page 12
To view all questions and flashcards with answers, click on the resource link above.
Chapter 11: Orthopedic Measures
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/39781
Sample Questions
Q1) The nurse is caring for a patient who has had a new cast applied.The nurse is performing a neurovascular assessment so as to detect signs of possible compartment syndrome.Which of the following are signs of compartment syndrome? (Select all that apply.)
A)Inability to move body parts distal to the cast
B)Pain on passive motion of distal body parts
C)Hyperventilation
D)Tachycardia
E)None of above
Q2) __________________ involves monitoring for the five Ps (pain, pallor, pulselessness, paresthesia, and paralysis).
Q3) Skeletal traction is implemented primarily for: (Select all that apply.)
A)simple fracture.
B)multiple trauma.
C)fractured ankle.
D)acetabular fracture.
E)cervical fracture.
Q4) _____________________ applies a pull indirectly to the bone via straps attached to the skin around the structure.
Q5) _________________ may occur when pressure within a casted extremity increases.
To view all questions and flashcards with answers, click on the resource link above. Page 13
Chapter 12: Support Surfaces and Special Beds
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/39782
Sample Questions
Q1) When working with a patient who is being placed on an air mattress/overlay, the nurse should:
A)apply the preinflated overlay over the standard mattress.
B)bring any plastic strips or flaps around the corners of the bed mattress.
C)administer an analgesic after the patient is moved onto the mattress.
D)keep clamps or pins attached to the sheets to keep them in place over the mattress.
Q2) Air-fluidized beds require the nurse to assess for which of the following? (Select all that apply.)
A)The patient's fluid and electrolyte status
B)The patient's financial status
C)The structural strength of the room where the bed will be
D)The room temperature
E)None of above
Q3) What is the primary purpose for the use of a support surface?
A)To reduce pressure
B)To promote patient comfort
C)To increase circulation
D)To facilitate patient movement
Q4) The major cause of pressure ulcers is ________________.
To view all questions and flashcards with answers, click on the resource link above. Page 14
Chapter 13: Safety and Quality Improvement
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/39783
Sample Questions
Q1) Which of the following fall prevention strategies should the nurse perform on all hospitalized patients? (Select all that apply.)
A)Conduct hourly rounds.
B)Provide the patient regular toileting.
C)Assess the patient's comfort needs.
D)Evaluate the effectiveness of pain medication.
Q2) A thumb-less device used to restrain patients' hands to prevent them from dislodging invasive equipment, removing dressings, or scratching is known as a
Q3) Health care facilities must provide employees access to information about the properties of particular chemicals and information for handling substances in a safe manner.Facilities do this by providing ______________.
Q4) __________ are the most common type of inpatient accident.
Q5) As part of an attempt to implement a restraint-free environment, the nurse:
A)provides constant activity for the patient.
B)covers or camouflages tubes and drains.
C)changes caregivers as often as possible.
D)reduces visiting hours and times in therapy.
To view all questions and flashcards with answers, click on the resource link above. Page 15
Chapter 14: Disaster Preparedness
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/39784
Sample Questions
Q1) For safety reasons, rescue workers should be upwind and uphill from a toxic chemical disaster scene to avoid exposure.The exception is when ____________ has been released, because it is lighter than air.
Q2) In addition to the Department of Homeland Security, which of the following agencies has a mission to ensure that the nation is well prepared to respond to an act of terrorism?
A)AMA
B)Red Cross
C)CDC
D)Salvation Army
Q3) The patient is being treated for biological agent exposure and is resting in the emergency department bay.It is important that the nurse evaluate changes in airway, breathing, and circulation, as well as ____________________.
Q4) Which of the following are goals of the Department of Homeland Security (DHS)?
(Select all that apply.)
A)Prevention of terrorist attacks
B)Response to disasters
C)Recovery from disasters
D)Coordination of efforts among agencies
To view all questions and flashcards with answers, click on the resource link above. Page 16
Chapter 15: Pain Assessment and Basic Comfort Measures
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/39785
Sample Questions
Q1) When assessing a local infusion pump site, the nurse notes that which of the following requires an intervention?
A)The device is labeled, indicating that an anesthetic is being used.
B)The catheter connections are loose.
C)Surgical dressings are dry and intact.
D)No blood backup is present in the tubing.
Q2) The nurse frequently must assess a patient who is experiencing pain.When assessing the intensity of the pain, the nurse should:
A)ask whether there are any precipitating factors.
B)question the patient about the location of the pain.
C)offer the patient a pain scale to objectify the information.
D)use open-ended questions to find out about the sensation.
Q3) The application of touch and movement to muscles, tendons, and ligaments without manipulation of the joints is called _________________.
Q4) Catheter migration into the______________ can produce dangerously high medication levels.Only physicians and nurse anesthetists administer drugs in this space.
Q5) ___________ has an identifiable cause and rapid onset and generally disappears with healing.
To view all questions and flashcards with answers, click on the resource link above. Page 17
Chapter 16: Palliative Care
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/39786
Sample Questions
Q1) Nurses provide _______________ that is defined as care of the body after death in a manner consistent with the patient's religious and cultural beliefs.
Q2) ___________________ specify medical interventions that the patient does not want in certain situations, such as mechanical ventilation, and are used to communicate the care a patient wants, for example, pain relief to the fullest extent possible.
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) After the death of a patient and before other nursing interventions are implemented, the nurse should:
A)place the patient in a supine position and elevate the head of the bed 30 degrees.
B)wait an hour to prepare the patient for viewing.
C)place the patient in a side-lying position to allow drainage.
D)exclude the family while the body is being prepared.
Q5) _____________ helps people live as well as possible through the dying process.
To view all questions and flashcards with answers, click on the resource link above. Page 18
Chapter 17: Personal Hygiene and Bed Making
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/39787
Sample Questions
Q1) Critically ill patients on a ventilator are at risk for ventilator-associated pneumonia (VAP).Sources of VAP include: (Select all that apply.)
A)bacteria in the oral pharynx.
B)dental plaque.
C)chlorhexidine rinses.
D)frequent oral hygiene.
Q2) While evaluating the hygienic care practices of a female patient, the nurse recognizes that additional instruction is necessary if the patient:
A)washes the perineal area from back to front.
B)washes the labia majora before the labia minora.
C)avoids tension on the indwelling catheter.
D)uses separate sections of the washcloth for each cleansing stroke.
Q3) _____________ is balding patches in the periphery of the hairline.
Q4) While giving the patient a bed bath, the nurse notices a reddened area on the patient's coccyx.The nurse should:
A)decrease the temperature of the bath water.
B)massage the reddened area to decrease the redness.
C)apply topical moisturizing agents to the area.
D)ignore the redness because it will return to normal soon.
To view all questions and flashcards with answers, click on the resource link above. Page 19
Chapter 18: Pressure Ulcer Care
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/39788
Sample Questions
Q1) In a long-term care facility, how often should the nurse reassess a patient for risk of a pressure ulcer?
A)Every 1 to 2 days
B)Every time the nurse sees the patient
C)Weekly for the first few weeks of stay
D)Monthly for the first 4 months of stay
Q2) The nurse knows that which of the following factors contribute to the development of pressure ulcers? (Select all that apply.)
A)Friction and shear
B)Immobility
C)Poor nutrition
D)Moisture and ammonia
E)Uncontrolled pain
Q3) The patient is admitted with an open pressure ulcer with necrotic tissue around the base of the wound.How would the nurse classify this ulcer?
A)Stage III pressure ulcer
B)Stage IV pressure ulcer
C)Wound that cannot be staged
D)Stage II pressure ulcer
To view all questions and flashcards with answers, click on the resource link above. Page 20
Chapter 19: Care of the Eye and Ear
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/39789
Sample Questions
Q1) A _____________ is a small, battery-powered, electronic device that amplifies sound.
Q2) 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.
Q3) When removing a soft contact lens, the nurse finds that it is sticking together.What should the nurse do next?
A)Rub the lens briskly.
B)Soak the lens in saline.
C)Place cleansing solution on the lens.
D)Pry the lens apart with the fingertips.
Q4) When removing and cleansing a patient's eye prosthesis, the nurse:
A)places the patient in a prone position.
B)retracts the upper eyelid with her thumb and forefinger.
C)cleans the prosthesis using an alcohol solution.
D)cleans the prosthesis using mild soap and water.
Q5) ____________ is the complete surgical removal of the eyeball.
To view all questions and flashcards with answers, click on the resource link above. Page 21
Chapter 20: Safe Medication Preparation
Available Study Resources on Quizplus for this Chatper
44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/39790
Sample Questions
Q1) A patient receives the usual dose of a medication for the first time and develops severe hypotension and bradycardia.The nurse reports this event as an __________ type of medication action.
Q2) The nurse recognizes that patients with which conditions will have a reduction in the distribution of drugs? (Select all that apply.)
A)Peripheral vascular disease
B)Heart failure
C)Liver disease
D)Obesity
Q3) The patient is to receive 200 mg of a medication.There are 100-mg scored tablets available.The nurse prepares _________ tablets.
Q4) A patient reports a pain level of 7 out of 10 and receives 10 mg of morphine IV.The nurse knows that IV morphine has an onset of 1 to 2 minutes, a peak of 20 minutes, and a duration of 4 to 5 hours.The patient asks when he will start to feel some pain relief.The nurse should respond that relief should begin in _____________.
Q5) The nurse calculates that the proper dosage of a medication is 2 tsp.The nurse prepares _______ mL to administer to the patient.
To view all questions and flashcards with answers, click on the resource link above.
Page 22
Chapter 21: Oral and Topical Medications
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/39791
Sample Questions
Q1) How should the nurse position the patient to administer nose drops to the maxillary sinus?
A)Sitting upright with the head tilted backward toward the side to be treated
B)Supine with a small pillow under the shoulders and the head tilted backward
C)Supine with the head tilted backward and turned to the unaffected side
D)Head tilted back over the edge of the bed and turned toward the side to be treated
Q2) The nurse is to administer several medications to a patient via a nasogastric (NG) tube.What should the nurse do first?
A)Add the medications to the tube feeding being given.
B)Crush all tablets and capsules before administration.
C)Administer all of the medications mixed together.
D)Check for placement of the NG tube.
Q3) The nurse is administering a beta-adrenergic medication via a small-volume nebulizer.Which assessment finding requires the nurse to withhold the medication immediately?
A)Episodes of coughing
B)Rapid and shallow respirations
C)Wheezing noted on auscultation of the lungs
D)Irregular pulse with light-headedness
To view all questions and flashcards with answers, click on the resource link above.
Page 23
Chapter 22: Parenteral Medications
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/39792
Sample Questions
Q1) The nurse is preparing to administer an intravenous (IV) antibiotic using a mini-infusion pump.Which action should the nurse do first?
A)Place the syringe into the mini-infusion pump.
B)Hang the pump on an IV pole.
C)Connect the end of the mini-infusion tubing to the main IV line.
D)Apply pressure to the syringe plunger to fill the tubing with medication.
Q2) The nurse is teaching a family member of an obese patient how to administer a subcutaneous U-100 insulin injection to the patient.Which instruction should be included in the teaching plan?
A)Carefully massage the site after the injection to aid absorption.
B)Draw the medication into a tuberculin syringe with a 27-gauge needle.
C)Insert the needle quickly and firmly at a 90-degree angle.
D)Rotate injection sites between the abdomen, thighs, and upper arms.
Q3) The nurse is administering a parenteral medication to the patient.Which action by the nurse demonstrates proper technique?
A)Using strict aseptic technique
B)Using work-arounds to administer medications in a timely manner
C)Injecting the medication smoothly but rapidly
D)Inserting the needle into the patient's skin smoothly and slowly
To view all questions and flashcards with answers, click on the resource link above.
Page 24
Chapter 23: Oxygen Therapy
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/39793
Sample Questions
Q1) The nurse is caring for several patients postoperatively following abdominal surgery.Which patient will benefit the least from the use of incentive spirometry?
A)Middle-aged male with a history of smoking since high school
B)Elderly female with type 2 diabetes
C)Middle-aged female with a history of chronic respiratory disease
D)Adolescent female with atelectasis
Q2) The nurse is caring for several patients who require oxygen therapy.The nurse anticipates an order for noninvasive positive-pressure ventilation (NIPPV) for the patients with which diagnoses? (Select all that apply.)
A)Pulmonary edema
B)Obstructive sleep apnea
C)Stroke with dysphagia
D)Congestive heart failure
Q3) In noninvasive ventilation, ________________ keeps the terminal airways (alveoli) partially inflated, reducing the risk for atelectasis.
Q4) The amount of air inspired and expired with each breath while a patient is on mechanical ventilation is known as the ________________.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 24: Performing Chest Physiotherapy
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/39794
Sample Questions
Q1) 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
Q2) The nurse is teaching family members how to perform postural drainage at home for a patient with chronic bronchitis.What instruction should the nurse provide?
A)Plan to perform postural drainage 3 times a day about 1 hour after meals.
B)Don't give any pain medication within 2 hours of performing postural drainage.
C)Perform postural drainage 20 minutes after the patient uses the inhaler.
D)Encourage the patient to remain in each position for 30 minutes to adequately drain the area.
Q3) The nurse 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 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
To view all questions and flashcards with answers, click on the resource link above. Page 26
Chapter 25: Airway Management
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/39795
Sample Questions
Q1) A patient with increased secretions may develop airway obstruction.The nurse can promote a patent airway by using which of the following techniques? (Select all that apply.)
A)Limiting fluid intake
B)Positioning
C)Deep breathing
D)Humidity
Q2) The nurse is providing care to a patient with a tracheostomy tube that has an inner cannula.Which intervention by the nurse follows proper procedure for tracheostomy tube care?
A)Carefully removes the inner cannula and places it in a basin of 1:10 bleach solution
B)Scrubs the inner cannula on the inside and outside with a 1:10 bleach solution
C)After scrubbing the inner cannula, rinses it with normal saline
D)Uses a wet 4 ´ 4 gauze and cleans the inside of the outer cannula
Q3) A _______________ is inserted directly into the trachea through a small incision made in the patient's neck.
Q4) A patient has extremely copious and thick oral secretions.The nurse provides oropharyngeal suctioning using a _________________ suction device.
To view all questions and flashcards with answers, click on the resource link above.
Page 27
Chapter 26: Closed Chest Drainage Systems
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/39796
Sample Questions
Q1) The nurse is performing an initial assessment of a patient with a chest tube placed in the eighth intercostal space.Which of the following findings would the nurse need to assess further? (Select all that apply.)
A)Respiratory rate of 18 breaths per minute
B)Continuous bubbling in the water-seal chamber
C)The presence of subcutaneous emphysema
D)Complaints of pain at the insertion site
E)Serous drainage on the chest tube dressing the size of a bean
Q2) The nurse is caring for a patient with a chest tube connected to wall suction.To keep the tube patent, the nurse should implement which of the following? (Select all that apply.)
A)Routinely "milk" the drainage tubing.
B)Avoid dependent loops of the drainage tubing.
C)Lift and clear the tube every 15 minutes.
D)Coil the drainage tubing to prevent dependent loops.
Q3) Which of the following is an expected outcome of chest tube insertion?
A)Mild chest pain is maintained.
B)Breath sounds are auscultated in all lobes.
C)Drainage from the pleural cavity increases over time.
D)Lung expansion is increased beyond the unaffected side.
To view all questions and flashcards with answers, click on the resource link above. Page 28
Chapter 27: Emergency Measures for Life Support
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/39797
Sample Questions
Q1) The nurse enters the patient's room and finds that the patient is not breathing and has no pulse.The patient does not have a do-not-resuscitate order.What would the nurse's most immediate action be?
A)Call the cardiac/respiratory arrest team.
B)Begin CPR.
C)Call a co-worker for help.
D)Get the crash cart.
Q2) The nurse is working in the emergency department when an 8-year-old patient is brought in with respiratory distress.The nurse is preparing to insert an oral airway.Which of the following is the appropriate size for this patient?
A)Size 1
B)Size 2
C)Size 3
D)Size 7
Q3) Many cardiac arrests are caused by irregular heart rhythms known as
Q4) The most common cause of airway obstruction in an unresponsive patient is the
To view all questions and flashcards with answers, click on the resource link above.
Chapter 28: Intravenous and Vascular Access Therapy
Available Study Resources on Quizplus for this Chatper
44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/39798
Sample Questions
Q1) The patient is expected to require intravenous therapy for several years as treatment for a chronic disease process.Which of the following would be the best choice for venous access in this patient?
A)Peripherally inserted central catheter ( PICC )
B)Nontunneled percutaneous central venous catheter
C)Subcutaneous implanted port
D)Peripheral IV
Q2) What is an appropriate technique for the nurse to implement when changing the dressing at a peripheral IV site?
A)Wear sterile gloves to remove the old dressing.
B)Keep one finger over the IV catheter until the tape is replaced.
C)Cleanse with an antiseptic solution in a circular manner toward the site.
D)Tape the connection between the IV catheter port and the tubing.
Q3) The nurse is caring for a patient who will be on long-term antibiotic therapy.The patient has had numerous IVs in the past, but because the upcoming therapy will be given on a long-term basis, the nurse suggests that a _________________ be inserted.
Q4) Fluids that have the same osmolality as body fluids are used most often to replace extracellular volume and are known as _______________ fluids.
To view all questions and flashcards with answers, click on the resource link above. Page 30
Chapter 29: Blood Transfusions
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/39799
Sample Questions
Q1) The nurse is caring for a patient who needs a blood transfusion.The patient has been tested and was found to have blood type O.The nurse knows this means that which antigen is present on the surface of the red blood cells?
A)The type A antigen is present.
B)The type B antigen is present.
C)Neither type A nor type B antigens are present.
D)Both type A and type B antigens are present.
Q2) The patient is receiving blood when he suddenly complains of low back pain and develops diaphoresis and chills.The nurse should: (Select all that apply.)
A)stop the transfusion.
B)start normal saline connected to the Y tubing.
C)notify the physician.
D)start normal saline using new IV tubing.
Q3) An appropriate technique for the nurse to implement for a blood transfusion is to:
A)provide medication through the IV line with the blood.
B)regulate the flow of blood so that it infuses over 8 hours.
C)clear the IV tubing with normal saline after the blood infuses.
D)administer a blood product with clots through a filter line.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 30: Oral Nutrition
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/39800
Sample Questions
Q1) What must the nurse do before assisting the patient with feeding?
A)Assess the patient's gag reflex.
B)Make sure that the consistency of the food is thin.
C)Remove the patient's dentures to prevent gagging.
D)Prepare the patient to be fed by a staff member.
Q2) A nurse's role includes performing ___________________ to assess a patient's risk status for malnutrition, assessing and assisting an adult patient with feeding, and identifying patients at risk for aspiration during oral feeding.
Q3) Which of the following is a sign of vitamin C deficiency?
A)Cheilosis (redness/swelling of the lips)
B)Glossitis
C)Spongy, bleeding, abnormal redness of the gingiva
D)Spoon-shaped, brittle, ridged fingernails
Q4) Patients who have a cancer diagnosis, infected or draining wounds, burns, or an elevated temperature for more than 2 days are at elevated _______________ risk.
Q5) The nurse will collaborate with a ___________ to develop a nutritional plan for a patient identified as being at nutritional risk.
Q6) _______________ is useful for monitoring short-term changes in visceral protein.
Page 32
To view all questions and flashcards with answers, click on the resource link above.
Chapter 31: Enteral Nutrition
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/39801
Sample Questions
Q1) The nurse is caring for a patient with an enteral feeding tube in place.She assesses for pulmonary aspiration as the main complication related to feeding tubes.She is aware of other complications, including which of the following? (Select all that apply.)
A)Infection
B)Diarrhea
C)Tube clogging
D)Tube dislodgment
E)None of above
Q2) The nurse is checking the residual volume on a patient who is getting intermittent tube feedings via his NG tube.Which of the following may indicate that the patient has started to bleed again?
A)The nurse obtains brown aspirate.
B)The nurse notices that the abdomen is distended.
C)The nurse obtains red aspirate.
D)The nurse notices severe respiratory distress.
Q3) 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
To view all questions and flashcards with answers, click on the resource link above.
33
Chapter 32: Parenteral Nutrition
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/39802
Sample Questions
Q1) If PN must be discontinued suddenly, hang __________ in water at the same infusion rate to prevent hypoglycemia.
Q2) A patient on PN has gained 4 lbs over a 24-hour period.Given this weight gain, which interpretation by the nurse is most accurate?
A)Increased nutrition from the patient's parenteral infusions
B)Decreased linoleic acid intake
C)Increased fluid loss
D)Fluid retention
Q3) A 72-year-old patient is admitted to the hospital with a medical diagnosis of intestinal failure.Which intervention should the nurse include in the plan of care to deliver nutritional needs?
A)Enteral
B)Parenteral
C)A combination of enteral and parenteral
D)Oral
Q4) For patients receiving PN, ___________ provide supplemental kilocalories and prevent essential fatty acid deficiencies.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 33: Urinary Elimination
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/39803
Sample Questions
Q1) The nurse is planning care for a 12-year-old female patient who needs a Foley catheter inserted.It is most important for the nurse to use a catheter of which size?
A)5 to 6 French (Fr)
B)8 to 10 Fr
C)12 Fr
D)14 to 16 Fr
Q2) The risk for catheter-associated urinary tract infection can be reduced by using ___________ when inserting the catheter.
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) __________________ involves the insertion of a urinary catheter directly into the bladder through the lower abdominal wall.Urine drains from the catheter into a urinary drainage bag.
Q5) _________________ is the volume of urine in the bladder after a normal voiding.
To view all questions and flashcards with answers, click on the resource link above. Page 35
Chapter 34: Bowel Elimination and Gastric Intubation
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/39804
Sample Questions
Q1) The nurse is preparing to administer an enema to an adult patient who has normal sphincter control.For administration of the enema, the patient is placed in which position?
A)Right side-lying
B)Dorsal recumbent
C)Sims'
D)Prone
Q2) The patient has increased his fluid and dietary fiber intake and has started a supervised exercise program.However, he is still having problems with constipation.Which of the following would be an effective intervention? (Select all that apply.)
A)Metamucil
B)Milk of magnesia
C)Dulcolax
D)Mineral oil
E)Colace
Q3) A bedpan that is designed for patients with body or leg casts or for patients restricted from raising their hips (e.g., following total joint replacement) is known as a
Q4) The inability to pass a hard collection of stool is known as ______________.
Page 36
To view all questions and flashcards with answers, click on the resource link above.
Chapter 35: Ostomy Care
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/39805
Sample Questions
Q1) When assessing the patient with a noncontinent urinary diversion, the nurse finds that the urine has mucous shreds.Which action should the nurse take?
A)Culture any drainage.
B)Instruct the patient to consume less water.
C)Note the characteristics of the urine in her notes.
D)Cleanse the stoma with soap and water.
Q2) A ______________ is an opening in the large intestine or colon for elimination of fecal material.
Q3) 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.
Q4) The output from a urinary or fecal stoma is called the _______________.
Q5) An opening that is in the ileal portion of the small intestine is an ____________.
Q6) The opening created into the abdominal wall for fecal or urinary elimination is known as a _______________.
To view all questions and flashcards with answers, click on the resource link above. Page 37
Chapter 36: Preoperative and Postoperative Care
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/39806
Sample Questions
Q1) When planning care for a surgical patient, the nurse recognizes that surgical site infections account for what percentage of hospital-acquired infection?
A)22% to 40%
B)5% to 10%
C)45% to 70%
D)75% to 100%
Q2) The nurse understands that paralytic 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) When planning care for a PACU or recovery room patient, how often should the nurse plan to assess the patient?
A)Every 5 minutes
B)Every 15 minutes
C)Every 30 minutes
D)Hourly
To view all questions and flashcards with answers, click on the resource link above. Page 38
Chapter 37: Intraoperative Care
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/39807
Sample Questions
Q1) The scrub nurse's hands are being washed in preparation for a surgical procedure.As the nurse finishes, the scrub nurse accidentally touches the faucet with one hand.Which action should the nurse take next?
A)Apply sterile gloves.
B)Apply a sterile gown.
C)Apply a sterile mask.
D)Wash her hands.
Q2) 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
Q3) Who of the following can assume the role of the scrub nurse/assistant? (Select all that apply.)
A)RN
B)LPN
C)CST
D)Licensed nursing assistant
E)Medical transcriptionist
To view all questions and flashcards with answers, click on the resource link above. Page 39
Chapter 38: Wound Care and Irrigations
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/39808
Sample Questions
Q1) The nurse is in the process of irrigating the wound for a patient who has a large pressure ulcer on his buttock.How should the nurse proceed?
A)Use irrigation pressures of less than 4 psi.
B)Cleanse in a direction from most contaminated to least contaminated.
C)Irrigate so that the solution flows from least contaminated to most contaminated.
D)Irrigate with clean irrigation solution only.
Q2) The nurse is caring for a patient with a large stasis ulcer.She has just changed the wound dressing and is using a negative-pressure wound system.What can the nurse tell the patient about the functioning of this system?
A)Decreases the amount of angiogenesis
B)Reduces mechanical stretch of tissue
C)Dressing should not need to be changed for 48 hours
D)Helps create a dry environment
Q3) ___________ are threads of wire or other materials used to sew body tissues together.
Q4) 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.
To view all questions and flashcards with answers, click on the resource link above.
Page 40
Chapter 39: Dressings, Bandages, and Binders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/39809
Sample Questions
Q1) Hydrocolloid dressings are used for which of the following? (Select all that apply.)
A)Maintaining a moist wound environment
B)Autolytic debriding of necrotic wounds
C)Absorption of moderately draining wounds
D)Protecting from friction
Q2) The nurse is caring for a patient who had a negative-pressure wound dressing.The nurse realizes that the system is working properly when the vacuum setting is set at which of the following levels?
A)-40 mm Hg
B)-210 mm Hg
C)-125 mm Hg
D)-25 mm Hg
Q3) The nurse would consider a dry dressing appropriate for a wound that requires which of the following?
A)Protection
B)Debridement
C)Absorption of heavy exudate
D)Healing by second intention
Q4) _______________ dressings are used for wounds that require debridement.
To view all questions and flashcards with answers, click on the resource link above. Page 41
Chapter 40: Therapeutic Use of Heat and Cold
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/39810
Sample Questions
Q1) The nurse removes an ice pack and notices that the area underneath the ice pack is blue.What action should the nurse take?
A)Reapply the ice pack.
B)Discontinue the use of ice packs.
C)Refill the ice pack to the top.
D)Reapply the ice pack without the wrapping.
Q2) You are developing evidence-based guidelines for the OR.Of the following methods of warming patients undergoing major surgery, which has been shown to be most beneficial?
A)Placing warm blankets on the patient
B)Using a circulating water device
C)Using a forced air warming system
D)None of the above
Q3) When the skin is exposed to warm or hot temperatures, which of the following occurs? (Select all that apply.)
A)Vasodilatation
B)Vasoconstriction
C)Perspiration
D)Piloerection
To view all questions and flashcards with answers, click on the resource link above.
42
Chapter 41: Home Care Safety
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/39811
Sample Questions
Q1) A patient with a cognitive deficit becomes agitated and upset about not being able to remember daily activities.How should the nurse respond to this agitation?
A)Tell the patient not to worry about it.
B)Provide an easy-to-follow calendar and reinforce the information.
C)Explain that becoming upset is not going to help the situation.
D)Remind the patient that now is the time to rest and relax.
Q2) The nurse is assessing the home of an elderly patient for safety issues.Which of the following would reassure the nurse? (Select all that apply.)
A)Cleaning the stove top
B)Putting a shower chair in the bathroom
C)Installing adequate lighting in all living areas
D)Placing emergency numbers close to the telephone
E)None of above
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.
To view all questions and flashcards with answers, click on the resource link above.
43
Chapter 42: Home Care Teaching
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/39812
Sample Questions
Q1) Which of the following is essential in teaching the patient how to use a thermometer?
A)Reading a digital thermometer
B)Shaking down the thermometer before use
C)Using the axillary thermometer
D)Selecting the most appropriate thermometer
Q2) When teaching the patient and family about CISC, why is it important for the nurse to teach about the signs and symptoms of complications?
A)Although rare, complications are always severe.
B)It is part of the process; complications almost never occur.
C)Urinary complications are common with CISC.
D)The only major complication is infection.
Q3) What is an appropriate technique to use when teaching an older patient about self-medication in the home?
A)Speak very loudly.
B)Teach the family separately.
C)Provide frequent pauses.
D)Provide fewer but longer teaching sessions.
To view all questions and flashcards with answers, click on the resource link above.
44
Chapter 43: Specimen Collection
Available Study Resources on Quizplus for this Chatper
45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/39813
Sample Questions
Q1) A common test performed on fecal material is the ________ test for fecal occult blood.
Q2) Hemoccult testing helps to reveal blood that is visually undetectable.This test is a useful diagnostic tool for which of the following conditions? (Select all that apply.)
A)Colon cancer
B)Upper gastrointestinal ( GI ) ulcers
C)Localized gastric parasites
D)Large polyps
E)None of above
Q3) An appropriate technique for the nurse to implement when obtaining an ABG specimen is to:
A)insert the needle at a 45-degree angle.
B)use a 19-gauge, 1-inch needle.
C)leave 0.5 mL of heparin in the syringe.
D)aspirate blood after the puncture.
Q4) _______________ organisms grow in superficial wounds exposed to the air.
Q5) Localized inflammation, tenderness, warmth at the wound site, and purulent drainage usually signify _______________.
Q6) The least traumatic method of obtaining a blood specimen is known as
Page 45
To view all questions and flashcards with answers, click on the resource link above.
Chapter 44: Diagnostic Procedures
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/39814
Sample Questions
Q1) The physician needs to visually examine a patient's esophagus, stomach, and duodenum.The nurse anticipates that the physician will order:
A)endoscopic retrograde cholangiopancreatography ( ERCP ).
B)esophagoscopy.
C)esophagogastroduodenoscopy ( EGD ).
D)proctoscopy.
Q2) A patient who is a candidate for an upper gastrointestinal endoscopy has:
A)been NPO for 8 hours.
B)evident respiratory distress.
C)active gastrointestinal bleeding.
D)an esophageal diverticulum.
Q3) When explaining about a lumbar puncture, the nurse informs the patient that during the procedure, he or she will be asked to:
A)remain very still.
B)cough during the fluid aspiration.
C)change position.
D)breathe deeply during the needle insertion.
Q4) ____________ are sterile invasive procedures involving the removal of body fluids or tissue for diagnostic procedures.
To view all questions and flashcards with answers, click on the resource link above. Page 46