Nursing Interventions Exam
Solutions
Course Introduction
This course provides an in-depth exploration of evidence-based nursing interventions aimed at promoting optimal patient outcomes across the lifespan. Students will learn to assess patient needs, plan and implement appropriate care strategies, and evaluate their effectiveness within diverse healthcare settings. Topics include clinical decision-making, patient advocacy, therapeutic communication, infection control practices, medication administration, wound care, and support for activities of daily living. Emphasis is placed on culturally sensitive, patient-centered care and interdisciplinary collaboration, preparing students to respond effectively to various acute and chronic health conditions.
Recommended Textbook
Nursing Interventions and Clinical Skills 6th Edition by
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31 Chapters
849 Verified Questions
849 Flashcards
Source URL: https://quizplus.com/study-set/1935
Page 2
Anne Griffin Perry
Chapter 1: Using Evidence in Nursing Practice
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/38560
Sample Questions
Q1) Which question would be the best example of a knowledge-focused trigger?
A) What is the best method for treatment of leg swelling when a patient is taking gabapentin (Neurontin)?
B) How can we decrease the incidence of skin cancer in adults over the age of 65?
C) What is the current evidence for improving oral intake for cancer patients with stomatitis?
D) What is the maximum length of time our hospital allows irrigation kits to be used?
Answer: C
Q2) A nursing educator is explaining how the best clinical practices are determined.Which statement best explains the purpose of evidence-based practice?
A) It ensures that all patients receive holistic care.
B) It provides a definite reason for providing care in a specific manner.
C) It prevents errors when care is being delivered.
D) It guarantees that care delivered is based on research.
Answer: B
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3
Chapter 2: Communication and Collaboration
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The female patient scheduled for an invasive procedure the next day complains of headache and nausea and knocks over a glass of water.Which intervention(s)should the nurse implement for therapeutic communication? (Select all that apply.)
A) Explain the procedure briefly.
B) Teach with the patient's partner present.
C) Give the patient written information.
D) Tell the patient that she seems overwhelmed.
E) Ask if this is her first hospitalization.
F) State that the procedure can be cancelled.
Answer: A,B,C,D
Q2) The nurse is explaining a procedure to a 3-year-old female patient.Which strategy should the nurse use for patient teaching?
A) Ask the patient to draw her feelings.
B) Show needles, syringes, and bandages.
C) Tell the patient about postoperative pain.
D) Use dolls and stories to explain surgery.
Answer: D
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4
Chapter 3: Documentation and Informatics
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A nurse passes by a computer screen that has patient information that can be seen by visitors.What is the appropriate action for the nurse to take at this time?
A) Leave the computer screen alone.
B) Try to find the nurse caring for this patient.
C) Document this situation on an incident report.
D) Close the computer screen.
Answer: D
Q2) The nurse is documenting on a patient with a respiratory problem.Which patient datum documented by the nurse is the least objective?
A) Cool and dusky skin
B) Low flow rate oxygen
C) 30 breaths per minute
D) Very restless and drowsy
Answer: B
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Chapter 4: Patient Safety and Quality Improvement
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) The nurse plans care for a patient who requires physical restraint.Which is a suitable goal for this patient?
A) The patient remains free of any injury.
B) The nurse checks the restraint every hour.
C) The nurse uses the least restrictive restraint.
D) The patient allows the nurse to apply restraints.
Q2) The patient sustains a minor leg abrasion and stops breathing for a few seconds during a grand mal seizure.Which is the best nursing documentation after the patient's seizure?
A) Type of muscle contractions
B) Size and description of the abrasion
C) Length of the patient's apneic episode
D) Description of the seizure in detail
Q3) A child had surgery on his face and needs to keep his hands away from it.Which restraint should the nurse use to accomplish this outcome?
A) A jacket restraint
B) Mitten restraints
C) A mummy restraint
D) Elbow restraints
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Page 6
Chapter 5: Infection Control
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient with C.diff.What type of precautions should she use?
A) Airborne
B) Droplet
C) Contact
D) Protective
Q2) The nurse is screening a patient for latex allergy.Which factors should she consider that place the patient at a higher risk for latex allergies? (Select all that apply.)
A) High latex exposure
B) History of using condom catheters
C) Urogenital defects
D) History of multiple childhood surgeries
E) None of the above
Q3) The nurse is preparing a sterile field with several items on it.Which action should the nurse implement to maintain a sterile field?
A) Flip sterile objects onto the sterile field.
B) Put fluid holders near the edge of the field.
C) Wear sterile gloves to open sterile packs.
D) Open the inner flaps of the sterile packages first.
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7
Chapter 6: Vital Signs
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse is caring for a lethargic,18-year-old patient with a respiratory rate of 32 breaths per minute.What is the first action the nurse should take?
A) Place the patient in high-Fowler's position.
B) Assess the remaining vital signs.
C) Reassess the respiratory rate.
D) Notify the healthcare provider.
Q2) The nurse is preparing to obtain a set of vital signs.Which is the most important factor for the nurse to consider when measuring patient vital signs?
A) Documentation of vital signs requires timely and accurate recording.
B) Normal limits are very narrow and are generally the same for all patients.
C) Measuring equipment must be used correctly and appropriately.
D) Environmental factors play a minor role on patient vital signs.
Q3) A patient born without arms needs to have a blood pressure assessment.Which artery should the nurse use to most accurately obtain this measurement?
A) Femoral
B) Carotid
C) Brachial
D) Popliteal
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Chapter 7: Health Assessment
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A male patient with back pain asks why the nurse needs so many details about his history.What is the most effective response by the nurse?
A) "You seem reluctant to provide information."
B) "We need complete data to plan nursing care."
C) "It will take a short time to answer all questions."
D) "We need to determine contributors to your pain."
Q2) The nurse is performing an abdominal assessment.The technique is appropriate if the nurse uses which method?
A) Assesses the painful areas first
B) Auscultates each quadrant for 5 minutes
C) Palpates lightly to locate painful and tender areas
D) Positions the patient with the arms behind the head
Q3) The nurse admits the patient with mild chest pain from the emergency department.Which should the nurse implement first to gain patient cooperation during a physical assessment?
A) Explain the procedure and its purpose.
B) Perform assessment in stages over the day.
C) Complete assessment within 3 to 5 minutes.
D) Assess painful areas before nontender areas.
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Page 9
Chapter 8: Specimen Collection
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) You have delegated the task of obtaining a "double voided" specimen to the NAP.The following statement indicates good understanding of the procedure by the NAP.
A) "The patient voids first; then I catheterize the patient and test the second specimen."
B) "The patient gives me two specimens and I test both."
C) "The patient discards the first specimen, drinks water, then gives me a second specimen."
D) "The patient gives me two specimens, two hours apart for testing."
Q2) The nurse is trying to obtain urine from a pediatric patient for a urine culture.What is the smallest amount of urine the nurse needs to obtain from a patient for a urine culture?
A) 3 mL
B) 5 mL
C) 10 mL
D) 20 mL
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Chapter 9: Diagnostic Procedures
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The patient arrives in the intensive care unit after a bronchoscopy.Which patient assessment is the nurse's priority?
A) Status of the gag reflex
B) Level of sedation
C) Circulatory status
D) Respiratory status
Q2) The patient arrives in the postanesthesia care unit after a cardiac catheterization via the left femoral artery to assess the right atrium.Which patient datum is the nurse's priority to assess perfusion of the affected extremity after the procedure?
A) Checking the left femoral region for bleeding
B) Monitoring patient vital signs every 15 minutes
C) Applying direct pressure at the patient's intravenous (IV) site
D) Palpating the right pedal pulse for pulsations
Q3) The patient asks the nurse why an x-ray film with contrast medium is needed.How should the nurse respond?
A) "Most patients ask me that question."
B) "It enhances visualization of the internal structures."
C) "It guarantees total accuracy of the x-ray film interpretation."
D) "Let me have you speak to the radiologist."
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Page 11
Chapter 10: Bathing and Personal Hygiene
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse is providing a bath for a patient at risk of deep vein thrombosis.Which technique should the nurse use?
A) Use short, light strokes when washing the legs.
B) Use long, firm strokes when washing the legs.
C) Use circular strokes up and down the legs.
D) Pat the legs gently with a warm, wet washcloth.
Q2) The nurse assesses the incontinent patient's perineal skin and notes redness.What does the nurse include in the patient's plan of care to individualize nursing care?
A) Minimize exposure of the perineum to soap and water.
B) Apply an anti-inflammatory agent to the affected area.
C) Allow adequate time for the patient to use the bedside commode.
D) Remove the incontinence brief and expose the skin to air for an hour.
Q3) A female patient is on bed rest.In which position should the nurse place her to provide perineal care?
A) Prone
B) Supine
C) Dorsal recumbent
D) Fowler's
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Chapter 11: Care of the Eye and Ear
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse is instructing a patient on the procedure to remove a rigid contact lens.Instruction by the nurse is correct if the patient uses which technique?
A) Slides lens onto the sclera and pinches off the lens
B) Draws periorbital skin taut and asks the patient to blink
C) Uses a bulb syringe and applies suction to the lens
D) Squeezes the upper and lower lids together to pinch the lens
Q2) The nurse is assessing an elderly patient's ability to understand how to properly care for his hearing aid.Which of the following statements indicate further education is needed? (Select all that apply.)
A) "I can wear my hearing aid in the shower."
B) "I should take it out when I go to the pool to swim."
C) "I can wear my hearing aid when I get my hair done."
D) "I need to make sure I don't leave them in a hot car."
E) "I should store the batteries in a dry, safe place."
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13
Chapter 12: Promoting Nutrition
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) The patient receives three different medications through a nasogastric tube (NGT).Which fluid volume does the nurse anticipate instilling to administer medications by NGT properly?
A) 30 mL
B) 60 mL
C) 120 mL
D) 150 mL
Q2) The nurse is caring for a patient on intermittent gavage tube feedings.Over what period of time should the nurse infuse each feeding?
A) Up to 8 hours
B) Up to 24 hours
C) 10 to 15 minutes
D) 30 to 45 minutes
Q3) The patient is receiving nasointestinal tube feedings by continuous drip from an open system.Which procedure should the nurse use when caring for this patient?
A) Administer medication with a 10 mL-syringe.
B) Change the feeding tube bag every 8 hours.
C) Add enough formula to the bag to last 24 hours.
D) Check the placement of the tube with a 60-mL syringe.
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Page 14
Chapter 13: Pain Management
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) 3. Step 3
A)Compare routes on an equianalgesic chart.
B)Determine the patient response to analgesia.
C)Ask the patient to rate the pain a scale of 1 to 10.
D)Check the last analgesia administration time.
Q2) A patient is receiving care for a soft tissue sports injury.Which explanation by the nurse explains part of the treatment using the acronym PRICE?
A) "I'll be alternating ice and heat to the injured area."
B) "You'll be exercising with ice packs for a while."
C) "Rest is indicated before and after cold treatments."
D) "The cold therapy decreases venous congestion."
Q3) The nurse teaches the patient progressive self-relaxation techniques.Which should the nurse implement first?
A) Direct the patient to envision sailing on a sailboat.
B) Instruct the patient to increase respiratory rate and depth.
C) Establish the patient's ability to participate and cooperate.
D) Darken the patient's room significantly and close the door.
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Page 15
Chapter 14: Promoting Oxygenation
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A patient with newly diagnosed asthma is asking why peak flow measurements are being ordered.What is the best response by the nurse?
A) They measure the minimum force used to breathe in during the breathing process.
B) They measure the maximum flow that occurs when one quick, forced expiration is taken.
C) They measure the amount of circulating oxygen in the alveoli during breathing.
D) They indicate the stability of your overall health.
Q2) The nurse teaches the patient controlled coughing.Which should the nurse include in patient teaching for effective coughing?
A) Cough in a low-Fowler's position hourly.
B) Inhale and cough deeply with the mouth open.
C) Self-reposition and cough every 4 hours.
D) Breathe in quickly 3 to 4 times vigorously.
Q3) 2. A ____________ contains a one-way valve with a reservoir,which does not allow exhaled air to enter the reservoir bag.It prevents inhalation of room air.
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16
Chapter 15: Safe Patient Handling, transfer, and Positioning
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) You are transferring a patient and he or she sustains an injury during the transfer.What steps must you take? (Select all that apply.)
A) Stay with the patient.
B) Notify the healthcare provider.
C) Complete an occurrence report per agency policy.
D) Evaluate the incident.
E) Provide supportive care to the patient.
F) None of the above
Q2) The nurse teaches the caregiver to maintain the patient's safety when transferring to a chair.Which teaching should the nurse include to address the weakness of the patient's right side?
A) Place the chair to the patient's right side after sitting the patient on the edge of the bed.
B) Place the chair to the patient's left side after sitting the patient on the edge of the bed.
C) Place the chair wherever the patient wants it after sitting the patient on the edge of the bed.
D) Place the chair wherever the caregiver wants it after sitting the patient on the edge of the bed.
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17
Chapter 16: Exercise Mobility
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse is planning to perform range-of-motion exercises on a patient who has had a stroke and has mobility issues.Which of the following principles should she make sure she follows?
A) Complete the exercises in a bottom-up approach.
B) Repeat each movement 8 times during the exercise period.
C) Always use gloves.
D) Complete the exercises in a head-to-toe sequence.
Q2) The nurse teaches the patient's caregiver how to respond if the patient begins to fall while ambulating.Which instruction does the nurse provide to minimize potential injury to the patient and the caregiver?
A) Get the nearest chair and put it behind the patient.
B) Ease the patient to the side to protect his or her head.
C) Straighten your leg and help the patient slide to the floor.
D) Hold onto the gait belt and pull the patient close to you.
Q3) 2. Contraindications for the use of elastic stockings or sequential compression devices (SCDs)include open skin ______ and recent skin _______.
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Chapter 17: Traction, cast Care, and Immobilization Devices
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) During the removal of a synthetic cast to the lower leg,the patient complains of heat inside the cast.Which response by the nurse is most appropriate to the patient?
A) "Do you feel some heat inside the cast?"
B) "The heat that you feel inside the cast is expected."
C) "What is your pain level on a scale of 0 to 10?"
D) "The heat that you feel will dissipate by tomorrow."
Q2) The patient is in Buck's traction for a fractured femur.What should the nurse do to minimize any muscle spasms of the affected leg?
A) Apply traction gradually, gently, and completely.
B) Assess the affected leg with the "four Ps" criterion.
C) Eliminate potential pressure points from the traction.
D) Ensure unobstructed countertraction to the patient's pelvis.
Q3) The nurse is assisting an adolescent female with a Milwaukee back brace for treatment of scoliosis.Nursing care is correct if the nurse takes which action?
A) Has the patient take a Betadine shower before the brace is placed
B) Removes any wrinkles from the patient's thin cotton shirt under the brace
C) Asks the patient when her menstrual period is next due
D) Instructs the patient on how to loosen the brace for comfort
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Chapter 18: Urinary Elimination
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse is reviewing the interventions for prevention of urinary catheter infections (CAUTIs).Which of the following interventions will help prevent infection? (Select all that apply.)
A) Maintain a closed system.
B) Perform routine perineal hygiene daily.
C) Only open the system when necessary.
D) Secure the catheter to prevent pulling on the catheter.
E) Maintain an unobstructed flow of urine.
Q2) The nurse is making patient care assignments for the staff.Which elimination activity can the nurse delegate to nursing assistive personnel (NAP)for a patient with an indwelling urinary catheter?
A) Catheterizing the patient
B) Irrigating the catheter
C) Obtaining a urine culture
D) Providing catheter care
Q3) 2. __________ __________ _________ is an example of a continuous infusion of a sterile solution into the bladder,usually using a three-way irrigation closed system with a triple-lumen catheter.
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Chapter 19: Bowel Elimination and Gastric Intubation
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse determines a patient requires a fecal impaction removal.Which assessment result justifies the nurse's finding?
A) The patient exhibits rebound tenderness.
B) The patient experiences hard stool that cannot be passed.
C) The patient has a history of fecal impaction.
D) The patient denies having a bowel movement today.
Q2) The nurse is providing routine care for a patient with a nasogastric (NG)tube.Care by the nurse is correct if which technique is used?
A) Alternates NG tube placement between the nares daily
B) Provides patient oral care daily and lubricant to the lips
C) Keeps the head of the bed flat with the tube in place
D) Prevents pressure on the nasal tissue
Q3) The nurse implements the teaching plan for a patient with chronic constipation.Which of the following outcomes indicates patient teaching has been effective?
A) The patient passes a small liquid stool daily.
B) The patient has a firm stool every fourth day.
C) The patient reports less frequent abdominal cramping.
D) The patient describes methods to prevent constipation.
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Page 21
Chapter 20: Ostomy Care
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The patient notices that the newly formed ileostomy stoma is pinkish red and slightly puffy.Which information should the nurse include during patient teaching?
A) This is what a new healthy stoma looks like.
B) Any bleeding indicates that a problem is present.
C) Healthy stomas are usually pale pink and flat.
D) There should be very little drainage from the stoma.
Q2) The nurse instructs a patient about home colostomy care.What information does the nurse include in patient teaching about caring for the pouch?
A) Empty the pouch at least every 4 hours around the clock.
B) Change the pouch every 3 to 7 days.
C) Empty the pouch when it is at least three-fourths full.
D) Change the pouch every other day.
Q3) A patient has a new incontinent urostomy because of bladder cancer.The patient asks how he will manage "all of this urine" at night.Which response by the nurse is best?
A) "You'll get up and empty the bag whenever you wake up at night."
B) "We give you a larger pouch to wear at night to hold the extra urine."
C) "We'll attach a large bedside drainage bag to the outlet of the pouch."
D) "It's really nothing to worry about until you start eating regular meals."
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Chapter 21: Preparation for Safe Medication Administration
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27 Flashcards
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Sample Questions
Q1) A patient has been given high doses of an opioid medication for severe pain.Which assessment data indicate the most toxic effect of a medication?
A) Nausea and vomiting
B) Respiratory depression
C) Erythema and skin rash
D) Bloating and constipation
Q2) The nurse prepares to administer a parenteral medication.Which route of administration does the nurse use for the medication?
A) Oral
B) Topical
C) Sublingual
D) Intramuscular
Q3) 1. As a part of the American Recovery and Reinvestment Act of 2009,the Health Information Technology for Economic and Clinical Health (HITECH)was developed.One of the requirements of HITECH is the implementation of a _______ _______ ___________ __________ system.
Q4) 2. ___________ is the study of how drugs enter the body (absorption),reach the site of action (distribution),are metabolized,and are excreted from the body.
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Page 23
Chapter 22: Administration of Nonparenteral Medications
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30 Flashcards
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Sample Questions
Q1) The nurse needs to document a medication that has just been administered.Which technique should the nurse use to document medication administration?
A) Document the medication immediately before administration.
B) Record the time administered and the nurse's name immediately after administration.
C) Record medication administration time, route, and dose at the end of the shift.
D) Delegate recording administration time and the nurse's name in the medication administration record (MAR).
Q2) The nurse prepares to administer acetaminophen (Tylenol)650 mg rectally.Which does the nurse implement to administer the suppository properly?
A) Assists the patient to right lateral position and flexes the left leg
B) Performs a preadministration digital rectal examination
C) Washes hands and applies sterile gloves before the procedure
D) Inserts the suppository 10 cm (4 inches) into the patient's rectum
Q3) 3. The instillation of ophthalmic beta blockers can cause _______ and _____________ because of their rapid absorption.
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24
Chapter 23: Administration of Parenteral Medications
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Sample Questions
Q1) The nurse is preparing to give an injection in the ventrogluteal injection site.Which pair of anatomical landmarks does the nurse use for this site?
A) Greater trochanter and knee
B) Acromion process and axilla
C) Anterior superior iliac spine and iliac crest
D) Posterior superior iliac spine and iliac crest
Q2) The nurse prepares an insulin injection for the patient who has diabetes mellitus.Which does the nurse implement for correct insulin administration?
A) Gives regular insulin within 15 to 30 minutes of meals
B) Injects insulin just removed from the refrigerator
C) Examines vials of NPH insulin for abnormal cloudiness
D) Administers NPH insulin for sliding-scale insulin dosing
Q3) 3. Step 3
A)Insert the needle at 45- to 90-degree angle.
B)Connect the tubing of the needle to the tubing of the pump.
C)Cleanse the site with alcohol and chlorhexidine.
D)Apply occlusive dressing over the insertion site.
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Chapter 24: Wound Care and Irrigation
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Sample Questions
Q1) The nurse assesses a patient's wound and notices leakage at the edge of the transparent film of the negative-pressure wound therapy.Which should the nurse implement to promote wound healing and prevent infection?
A) Apply another layer of transparent film.
B) Change the patient's negative-pressure wound therapy dressing.
C) Patch the leaks with an adhesive dressing.
D) Contain leakage with a large ABD dressing.
Q2) The nurse is performing a wound assessment after removing the soiled dressing.What finding would indicate a problem requiring additional assessment?
A) An incisional ridge continues to be present.
B) The patient experiences less discomfort.
C) There is a lack of new drainage.
D) The patient states, "My wound smells funny."
Q3) The nurse is irrigating a wound with a wide opening.What equipment would be appropriate for the nurse to use?
A) A 10-mL syringe with a 20-gauge needle
B) A 35-mL syringe with a 19-gauge angiocatheter
C) A 50-mL syringe with a 27-gauge needle
D) A 60-mL syringe with a 24-gauge angiocatheter
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Chapter 25: Pressure Ulcers
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Sample Questions
Q1) A patient has a slight skin breakdown in the perianal area from incontinent stools.For which combination of therapies should the nurse obtain an order?
A) Diapers and a moisture barrier ointment
B) Hydrogen peroxide and povidone-iodine
C) Fecal incontinence bag and a protective barrier paste
D) Alginate and transparent film dressings
Q2) The nurse is positioning a patient at risk for development of a pressure ulcer.Which potential pressure point(s)does the nurse relieve by assisting the patient to a side-lying position?
A) Symphysis pubis
B) Ischial tuberosities
C) Greater trochanters
D) Occipital prominence
Q3) 2. The rubbing of the tissue against a surface is called ______; it abrades the top layer of skin (epidermis),which makes tissue susceptible to pressure injury.
Q4) 1. Poor _____ ___________ decreases the patient's ability to feel the sensation of pressure or discomfort.
Q5) 3. A parallel force that stretches tissue and blood vessels is called _______.
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Chapter 26: Dressings,bandages,and Binders
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Sample Questions
Q1) The nurse is caring for a patient with a pressure ulcer.The nurse would expect which of the following outcomes if the patient's wound is healing? (Select all that apply.)
A) Pain intensity is reduced during dressing changes.
B) The depth of wound is reduced.
C) The amount of exudate increases.
D) The amount of necrotic tissue decreases.
Q2) The nurse prepares to change the patient's dressing over a surgical incision without drainage but palpates a ridge along the suture line.Which dressing should the nurse apply to this wound?
A) Foam pad
B) Wet-to-dry
C) Transparent film
D) Dry sterile gauze
Q3) The nurse is assisting a patient with putting on an abdominal binder.In which position does the nurse place the patient?
A) Semi-Fowler's
B) Supine
C) Prone
D) High-Fowler's
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Chapter 27: Intravenous and Vascular Access Therapy
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The healthcare provider's order reads,"Administer 5% dextrose solution with normal saline (D<sub>5</sub>NS)intravenously now." Which should the nurse implement next?
A) Infuse a bolus of D<sub>5</sub>NS to the patient now.
B) Regulate an intravenous (IV) infusion pump at 125 mL/hour.
C) Call the healthcare provider to clarify the order.
D) Perform venipuncture with a butterfly needle.
Q2) 1. A ________ infusion occurs when the flow rate is set at an ordered rate and given over a 24-hour period.
Q3) The nurse observes fine white crystals in the intravenous (IV)tubing that is infusing an antibiotic.Which action should the nurse take?
A) Tell the patient that this is a common occurrence.
B) Stop the infusion and notify the healthcare provider.
C) Flush the tubing with normal saline solution.
D) Attach a 0.22-micrometer inline intravenous (IV) filter.
Q4) 2. _________ _________is a specialized form of nutritional support in which nutrients are given intravenously (IV)through a CVAD by an infusion pump to patients with significant gastrointestinal (GI)dysfunction.
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Chapter 28: Preoperative and Postoperative Care
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Sample Questions
Q1) The nurse plans assignments for the staff in an ambulatory surgery center.Which assignment can the nurse delegate to nursing assistive personnel (NAP)?
A) Bring the preoperative medications prepared by the nurse to the patient.
B) Administer a preoperative enema to the patient.
C) Instruct the patient to arrange for a ride home and a companion after surgery.
D) Reinforce preoperative teaching related to the patient's postoperative diet.
Q2) The patient is coughing up white mucus after having been intubated for surgery.What action would be most appropriate for the nurse to maintain a patent airway?
A) Administer supplemental oxygen.
B) Place the patient in a supine position.
C) Perform oropharyngeal suctioning.
D) Prepare for endotracheal intubation.
Q3) 3. Maintenance of body temperature in infants and children after surgery is a priority because of their ____________ temperature-control mechanisms.
Q4) 4. The __________ phase in the care of postoperative patients extends from the time the patient leaves the operating room (OR)to the time of transfer to the nursing unit.
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Page 30
Chapter 29: Emergency Measures for Life Support in the
Hospital Setting
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22 Verified Questions
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Sample Questions
Q1) The patient's resuscitation lasts 30 minutes.The patient's electrocardiogram (ECG)shows ventricular fibrillation,and the patient has no pulse or blood pressure.What does the nurse rely on to determine when this code should end?
A) According to the nursing unit policy
B) After 30 minutes of unresponsiveness
C) When instructed by the healthcare provider to stop
D) After futile results from vasoactive drugs
Q2) 1. A ________ _______ is the cessation of circulating blood flow that greatly reduces oxygen transport and perfusion.
Q3) A nurse is instructing staff nurses in the use of the automatic external defibrillator (AED).Which information is essential for the nurse to share with the class?
A) For children younger than 8 years old, AED pads designed for children should be used.
B) The AED takes approximately 30 seconds to analyze the cardiac rhythm.
C) The AED is used when the patient is unconscious and has no pulse.
D) The AED is placed near the patient's feet during use.
Q4) 2. Oral airways devices are only used for unresponsive patients without a _______ _____.
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Chapter 30: Palliative Care
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Sample Questions
Q1) The nurse is caring for a patient who is dying but is receiving palliative care.What reason should the nurse give to the patient's family for this type of care?
A) It eliminates all adverse symptoms.
B) It improves the patient's quality of life for the time that remains.
C) It increases the daily caloric and fluid intake.
D) It improves the amount of activity tolerated.
Q2) 1. ____________ refers to a dynamic dimension of human life,expressed in a person's search for meaning and hope.
Q3) 2. _______ refers to a person's specific beliefs and behaviors associated with a religious tradition.
Q4) The nurse provides postmortem care for an unfamiliar patient.Which approach should the nurse use to best care for the body after death?
A) Ask about the patient's cultural or spiritual practices.
B) Remove tubes and lines before they become difficult to remove.
C) Cover the patient and transfer the body to the morgue.
D) Remove the old patient identification (ID) band and apply a new one.
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Page 32
Chapter 31: Home Care Safety
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23 Verified Questions
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Sample Questions
Q1) A client's family insists that the client live with one of the family members permanently because of a shuffling gait,but the client refuses.Which approach is most effective to provide a safe environment while also acting as a client advocate?
A) Teach the client to wear shoes with thin, firm soles.
B) Explain community services for older clients.
C) Help the client check the fit of his sneakers.
D) Tell the client that he can do whatever he wants.
Q2) The nurse teaches an older client about minimizing the risk of falls at home.Which does the nurse include in client teaching to prevent falls?
A) Install extra towel bars in the bathtub and near the toilet.
B) Keep furniture so it can be easily walked around and keep pathways clear.
C) Have a neighbor check on the client every afternoon.
D) Secure throw rugs to the floor with double-sided tape.
Q3) 2. In adults with cognitive deficits,medications that cause confusion should be scheduled at ________.
Q4) 1. In older adults living alone,_________ can be caused by social isolation.
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