Nursing Practice Lab Practice Exam
Course Introduction
Nursing Practice Lab is a hands-on course designed to equip students with the essential clinical skills and competencies required in professional nursing practice. Through simulated patient scenarios and the use of medical equipment in a controlled laboratory environment, students gain valuable experience in performing nursing assessments, administering medications, delivering basic patient care, and responding to emergency situations. The course emphasizes the development of critical thinking, effective communication, and teamwork, enabling students to confidently transition from the classroom to real-world healthcare settings.
Recommended Textbook
Clinical Nursing Skills and Techniques 9th Edition by Perry
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44 Chapters
1281 Verified Questions
1281 Flashcards
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Page 2
Chapter 1: Using Evidence in Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) In a clinical environment,evidence-based practice has the ability to improve:
A)the quality of care provided.
B)patient outcomes.
C)clinician satisfaction.
D)patients' perceptions.
Answer: A,B,C,D
Q2) While caring for patients,the professional nurse must question ________________.
Answer: what does not make sense
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) _________________ is a guide for making accurate,timely,and appropriate clinical decisions.
Answer: Evidence-based practice
Page 3
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Chapter 2: Admitting, transfer, and Discharge
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Sample Questions
Q1) During admission of a patient,the nurse notes that the patient speaks another language and may have difficulty understanding English.What should the nurse do to facilitate communication?
A)Use hand gestures to explain.
B)Request and wait for an interpreter.
C)Work with the family to gather information.
D)Complete as much of the admission assessment as possible using simple phrases.
Answer: B
Q2) While preparing for the patient's discharge,the nurse uses a discharge planning checklist and notes that the patient is concerned about going home because she has to depend on her family for care.The nurse realizes that successful recovery at home is often based on:
A)the patient's willingness to go home.
B)the family's perceived ability to care for the patient.
C)the patient's ability to live alone.
D)allowing the patient to make her own arrangements.
Answer: B
Q3) The greatest challenge in effective discharge planning is _______________. Answer: communication
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Page 4
Chapter 3: Communication and Collaboration
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Sample Questions
Q1) The patient states,"I don't know what my family will think about this." The nurse wishes to use the communication technique of clarification.Which of the following statements would fit that need best?
A)"You don't know what your family will think?"
B)"I'm not sure that I understand what you mean."
C)"I think it would be helpful if we talk more about your family."
D)"I sense that you may be anxious about something."
Answer: B
Q2) The nurse is starting her first set of morning rounds.As she interacts with the patient,her questions revolve around his reactions to his disease process.She also asks if there is anything that she can do to make him more comfortable.This type of interaction is known as _______________.
Answer: therapeutic communication
Q3) Verbal communication includes which of the following?
A)Speech
B)Personal space
C)Body movement
D)Writing
Answer: A,D
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Page 5
Chapter 4: Documentation and Informatics
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Sample Questions
Q1) 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.
Q2) Nursing documentation must have which of the following characteristics?
A)Factual
B)Organized
C)Public
D)Complete
Q3) ________________ provide a quick,easy reference for health care team members in assessing the patient's status.
Q4) Standardized care plans are effective ways to plan care for the patient.To be most effective,however,the SCP must be _________________.
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Page 6
Chapter 5: Vital Signs
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Sample Questions
Q1) The patient has been in the hospital for several days for urosepsis.He has been responding favorably to treatment,and his vital signs have been "normal" for 2 days.When the nurse takes his vital signs,however,the patient's apical pulse is 152 and regular.The nurse suspects that the:
A)patient is having a reaction to his narcotic medication.
B)patient may be suffering from hypothermia.
C)patient's fever may have returned.
D)patient may be an athlete.
Q2) During his initial screening,the patient's blood pressure was noted to be elevated.Two months after the first assessment,he was noted to have a blood pressure of 150/92 and 166/96 at different times during the visit.It is now a month and a half later,and the nurse is concerned because the patient's initial blood pressure on this visit was 154/94.She is preparing to take a second blood pressure,understanding that another reading in this range could lead to a diagnosis of:
A)hypotension.
B)prehypertension.
C)hypertension.
D)orthostatic hypotension.
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Chapter 6: Health Assessment
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Sample Questions
Q1) A nurse is documenting a patient's breath sounds.Crackles are heard as:
A)loud,low-pitched,coarse sounds.
B)high-pitched,musical squeaks.
C)dry,grating sounds on inspiration.
D)high-pitched,fine sounds at the end of inspiration.
Q2) Which of the following is an unexpected finding after a cardiac assessment?
A)A pulse rate of 72 beats per minute
B)Jugular vein pulsation with the patient supine
C)PMI found at the midclavicular line
D)A sustained swishing sound during systole or diastole
Q3) How should the nurse document an exaggeration of the posterior curvature of the thoracic spine found during the assessment of a 90-year-old patient?
A)Lordosis
B)Osteoporosis
C)Scoliosis
D)Kyphosis
Q4) ________________ is a major cause of lung cancer,cerebrovascular disease,heart disease,and chronic lung disease.
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Page 8
Chapter 7: Specimen Collection
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Sample Questions
Q1) Localized inflammation,tenderness,warmth at the wound site,and purulent drainage usually signify _______________.
Q2) When performing a venipuncture,the nurse should:
A)inject with the needle at a 45-degree angle.
B)select a vein that is rigid and cordlike,and that rolls when palpated.
C)perform the needle insertion immediately after cleansing the skin with alcohol.
D)place the thumb of the nondominant hand about 1 inch below the site and pull the skin taut.
Q3) An appropriate procedure for urine testing with reagent strips for chemical properties of the sample is to:
A)obtain the first voided specimen in the morning.
B)immerse the test strip in the urine and remove immediately.
C)add a chemically active tablet to the urine and then test it with a reagent strip.
D)wipe the strip with a sterile gauze after dipping.
Q4) The least traumatic method of obtaining a blood specimen is known as __________.
Q5) _______________ organisms grow in superficial wounds exposed to the air.
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Page 9
Chapter 8: Diagnostic Procedures
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Sample Questions
Q1) The patient is a 56-year-old man who has terminal cirrhosis and severe ascites.He is lethargic but is demonstrating signs of discomfort and respiratory distress.The physician has spoken with the patient's wife and has obtained consent to perform an abdominal paracentesis on the patient.After the physician leaves to prepare for the procedure,the wife asks the nurse whether the procedure is really necessary.The nurse should respond by saying this:
A)is the first step in the patient's recovery.
B)may help the patient feel better.
C)is needed to detect increased intracranial pressure.
D)is needed to analyze pleural fluid.
Q2) Under which circumstances should a nurse contact the physician to postpone an angiography?
A)If a patient has been nothing by mouth (NPO)for only 1 hour.
B)If a patient's femoral site has been shaved and cleansed with an antiseptic.
C)If the patient received Benadryl as a preprocedure medication.
D)When test results reveal a blood urea nitrogen (BUN)level of 15 mg/100 mL and a creatinine level of 0.8 mg/mL.
Q3) _____________________ apply manual compression to prevent bleeding at the arterial site.
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Page 10
Chapter 9: Medical Asepsis
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Sample Questions
Q1) Droplet precautions will be instituted for the patient admitted to the infectious disease unit with:
A)streptococcal pharyngitis.
B)herpes simplex.
C)pulmonary TB.
D)measles.
Q2) The nurse is applying for a position at a local hospital.As part of the employment criteria,she will be required to be assessed for TB exposure.She should be prepared for the ___________ blood test to be scheduled.
Q3) An appropriate technique for the nurse to implement for the patient on isolation precautions is to:
A)double-bag all disposable items and linens.
B)put another gown over the one worn if it has become wet.
C)place specimen containers in plastic bags for transport.
D)hand items to be reused directly to a nurse standing outside the room.
Q4) ________________ is the absence of pathogenic (disease-producing)microorganisms.
Q5) The primary strategies for prevention of infection transmission with regard to contact with blood,body fluids,nonintact skin,and mucous membranes are known as
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Chapter 10: Sterile Technique
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Sample Questions
Q1) The patient has just had a tracheostomy tube placed and is expectorating copious amounts of sputum that he coughs forcefully from his tracheostomy tube.The patient also is suspected of having methicillin-resistant Staphylococcus aureus (MRSA)in his sputum.The nurse is preparing to suction the patient to clear his airway.Which of the following will the nurse need to wear if following standard precautions?
A)Mask
B)Goggles
C)Gown
D)Sterile gloves
Q2) Which of the following is an appropriate technique for the nurse to use when performing sterile gloving?
A)Put the glove on the nondominant hand first.
B)Interlock the hands after both gloves are applied.
C)Pull the cuffs down on both gloves after gloving.
D)Grasp the outside cuff of the other glove with the gloved hand.
Q3) _____________ is one practice designed to make and maintain objects and areas free from pathogenic microorganisms.
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Page 12
Chapter 11: Safe Patient Handling, transfer, and Positioning
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Sample Questions
Q1) To position a patient with hemiplegia in Fowler's position,the nurse should:
A)elevate the head of the bed 15 to 30 degrees.
B)place the patient in the prone position.
C)position a spastic hand with the fingers extended using hand rolls.
D)position the patient's head with slight hyperextension of the neck.
Q2) 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.
Q3) Awareness of posture and changes in equilibrium is known as _______________.
Q4) Body balance is achieved when a wide _____________ exists.
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Chapter 12: Exercise Mobility
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Sample Questions
Q1) The nurse is concerned that the patient may fall while he is ambulating.To help her maintain control while the patient walks,the nurse may apply a ______________ around the patient's waist.
Q2) The patient has been using crutches for the past 2 weeks.When she comes for her follow-up examination,she complains of tingling and numbness in her hands and upper torso.Possible causes of these symptoms are:
A)the patient's elbows are flexed 15 to 30 degrees when using the crutches.
B)crutch pad is approximately 2 inches below the patient's axilla.
C)patient holds the cane 4 to 6 inches to the side of her foot.
D)handgrip does not allow for elbow flexion.
Q3) An appropriate technique for the nurse to use when performing range of motion (ROM)exercises is to:
A)repeat each action 5 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) A person's inability to move about freely is known as _______________.
Q5) A drop in blood pressure that occurs when the patient changes position from a horizontal to a vertical position is known as _________________.
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Chapter 13: Support Surfaces and Special Beds
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Sample Questions
Q1) When teaching about the use of the Rotokinetic bed,the nurse informs the patient that the:
A)bed will be stopped in one position most of the time.
B)amount of rotation will be greater in the beginning.
C)patient may experience a sensation of falling or light-headedness.
D)bed is moved manually all of the time and will rotate head over feet.
Q2) An air-suspension bed is contraindicated for the patient with: A)burns.
B)traction.
C)osteoporosis.
D)respiratory insufficiency.
Q3) The patient is admitted with a large stage 4 pressure ulcer on his coccyx.After comparing the benefits of the following support surfaces,the nurse would choose which of the following as most appropriate for this patient?
A)Water mattress
B)Gel overlay
C)Foam overlay
D)Air-fluidized bed
Q4) The major cause of pressure ulcers is ________________.
Q5) A ______________ serves as an artificial layer of fat to protect bony surfaces.
Page 15
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Chapter 14: Patient Safety
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Sample Questions
Q1) Given the most common causes of hospital fires,which of the following choices are most appropriate in preventing patient injury?
A)Assure that all electrical devices are checked by engineering.
B)Assist patients who smoke to a safe area to smoke.
C)Prop fire doors open for easier patient access.
D)Educate patients on the importance of smoking cessation.
Q2) The use of restraints has been associated with which of the following complications?
A)Pressure ulcers
B)Pneumonia
C)Constipation
D)Death
Q3) Which of the following fall prevention strategies should the nurse perform on all hospitalized patients?
A)Conduct hourly rounds.
B)Provide the patient regular toileting.
C)Assess the patient's comfort needs.
D)Evaluate the effectiveness of pain medication.
Q4) __________ are the most common type of inpatient accident.
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Chapter 15: Disaster Preparedness
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Sample Questions
Q1) Disaster nursing differs from general nursing because when caring for patients during a disaster:
A)the focus is on caring for the sickest people first.
B)using a color tag system reduces the amount of emotional stress on the nurse.
C)the focus is no longer on airway,breathing,and circulation.
D)the focus is on caring for those most likely to survive.
Q2) The dispersal of radioactive material via a "dirty bomb" or by deliberate contamination of food supplies or water supplies is known as a _________________.
Q3) Hurricane Zee has caused severe flooding and loss of power throughout the state.The local community has a stockpile of supplies that will help it get through the next 72 hours.Beyond this,once local and federal authorities confirm the need,a "push package" of supplies will be issued within 12 hours of the confirmation.These supplies will come from the ____________.
Q4) The terrorist act of releasing a biological agent into a specified environment is known as _____________________.
Q5) In the event of a mass casualty incident,part of the Centers for Disease Control & Prevention (CDC)'s disaster preparedness program involves backup plans for maintaining public and intraagency/interagency ____________.
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Chapter 16: Pain Management
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Sample Questions
Q1) ________________ is a method of preventing pain while reducing overall opioid use.
Q2) Drugs administered in the epidural space spread by:
A)diffusion through the dura mater.
B)transport through blood vessels.
C)absorption by fat.
D)absorption through muscle.
Q3) Which of the following patient conditions is categorized as a neurobiological disease?
A)Physical dependence
B)Addiction
C)Pseudoaddiction
D)Drug tolerance
Q4) The nurse knows that an advantage of intraspinal analgesia is the:
A)smaller doses of epidural than intrathecal medication.
B)lack of significant patient complications.
C)systemic distribution of morphine faster than fentanyl.
D)ability to achieve appropriate analgesia with smaller dosages.
Q5) ___________ has an identifiable cause and rapid onset and generally disappears with healing.
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Chapter 17: Palliative Care
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Sample Questions
Q1) Before allowing the family of a deceased patient to view the body,the nurse should:
A)insert the patient's dentures.
B)lower the head of the bed.
C)fold the arms and hands over the chest.
D)leave all of the old dressings and tape in place.
Q2) _______________ grief (symptoms lasting longer than 6 months)occurs when a person experiences significant distress related to the loss.
Q3) Nurses provide _______________ that is defined as care of the body after death in a manner consistent with the patient's religious and cultural beliefs.
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) _____________ helps people live as well as possible through the dying process.
Q6) An _______________ is the surgical dissection of a body after death.
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Chapter 18: Personal Hygiene and Bed Making
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Sample Questions
Q1) The nurse is caring for a gentleman who has dry skin.When the following interventions are compared,which would be most appropriate for this patient?
A)Limiting the frequency of bathing
B)Using a fat-free soap for washing
C)Using warm water and moisturizers
D)Bathing with hot water to increase blood flow
Q2) The first line of defense against external injury and infection contains several thin layers of cells undergoing different stages of maturation.This first line of defense is known as the _______.
Q3) ________________ is defined as excessive growth of body and facial hair.
Q4) The nurse is about to provide oral hygiene to an unconscious patient.To do so,she places the patient in which position?
A)Fowler's
B)Semi-Fowler's
C)Sims'
D)Supine
Q5) The ____________ is the largest human organ.
Q6) _____________ is balding patches in the periphery of the hairline.
Q7) The act of chewing is also known as ________________.
Page 20
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Chapter 19: Care of the Eye and Ear
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Sample Questions
Q1) When providing care to a patient who has splashed bleach into his eye,the nurse will:
A)remove the patient's contacts immediately.
B)flush the eye from the outer to the inner canthus.
C)reinsert contacts as soon as irrigation is done.
D)irrigate toward the lower conjunctival sac.
Q2) 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.
Q3) When instructing a patient on correct technique for inserting a hearing aid into the ear,the nurse will include which of the following instructions?
A)Pull the outer ear up and out.
B)Hold the aid with the long portion upright.
C)Fit the aid snugly in the midline of the canal.
D)Turn the aid to the desired sound level before insertion.
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21
Chapter 20: Safe Medication Preparation
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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) During the admission process,the patient states that he stopped taking daily aspirin because of nausea.The nurse documents the nausea as which of the following?
A)Noncompliance
B)Toxic effects of the medication
C)Side effects of the medication
D)Allergic reaction to the medication
Q3) The nurse reviews a medication administration record for an anticoagulant that is ordered at 0900 daily.The medication record indicates that the drug was given at the following times over the past 4 days.Which times follow the "right time" of medication administration?
A)0800
B)0830
C)0930
D)1000
Q4) The intended or desired physiological response to a medication is known as its ____________.
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Chapter 21: Administration of Nonparenteral Medications
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Sample Questions
Q1) The nurse is preparing a medication for a small child.The medication comes in pill or liquid form,but the liquid preparation has a bitter taste.Which action by the nurse is most appropriate?
A)Give the pill form.
B)Mix the liquid with honey.
C)Mix the liquid in milk.
D)Mix the liquid in applesauce.
Q2) The nurse is preparing to give sublingual nitroglycerin to a patient complaining of chest pain.The nurse instructs the patient not to swallow the medication.Why is this instruction important?
A)The effects of the medication will be nullified if swallowed.
B)Sublingual drugs begin to dissolve when placed on the tongue.
C)The medication needs to be held against the cheek membranes until dissolved.
D)The patient may aspirate on the water used for these medications.
Q3) The nurse is administering a buccal medication.Which instruction should be given to the patient?
A)Hold the medication under the tongue.
B)Swallow the medication after 30 seconds.
C)Chew the medication before swallowing.
D)Hold the medication against the cheek membranes.
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Chapter 22: Administration of Parenteral Medications
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Sample Questions
Q1) A patient with a continuous IV infusion has an order for ciprofloxacin to be given IV piggyback.Which action by the nurse is appropriate for administering the medication?
A)Hang the bag with ciprofloxacin higher than the continuous infusion bag.
B)Stop the continuous infusion while running the ciprofloxacin.
C)Connect the piggyback tubing into the Y-port on the tubing of the continuous infusion that is closest to the patient.
D)Occlude the tubing of the continuous infusion just above the injection port while injecting the medication.
Q2) The nurse follows practice guidelines when administering injections to a patient to avoid which possible complications?
A)Drug response that is too rapid or too slow
B)Nerve injury with possible pain or paralysis
C)Death of tissue surrounding the injection site
D)Death of the patient
Q3) The nurse informs the patient that the medication will be absorbed rapidly because it was injected into tissue with a rich blood supply.The patient has just received a ______________ injection.
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Chapter 23: Oxygen Therapy
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Sample Questions
Q1) A patient with chronic obstructive pulmonary disease (COPD)has carbon<sub> </sub>dioxide retention and is ordered oxygen therapy.The nurse anticipates the use of which oxygen delivery system?
A)Face tent
B)Face mask
C)Nasal cannula
D)Nonrebreathing mask
Q2) A patient on mechanical ventilation has an FiO<sub>2</sub> setting of 38%.The nurse is reviewing arterial blood gas results and pulse oximetry readings.The nurse is aware that the desired level of oxygen is which of the following?
A)PaO<sub>2</sub> greater than 90 mm Hg
B)SpO<sub>2</sub> greater than 60%
C)PaO<sub>2</sub> greater than 60 mm Hg
D)SpO<sub>2</sub> greater than 95%
Q3) The amount of air inspired and expired with each breath while a patient is on mechanical ventilation is known as the ________________.
Q4) In noninvasive ventilation,________________ keeps the terminal airways (alveoli)partially inflated,reducing the risk for atelectasis.
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Page 25
Chapter 24: Performing Chest Physiotherapy
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Sample Questions
Q1) The nurse is teaching a patient how to use an Acapella device.What instruction should the nurse give to the patient?
A)Take a full deep breath in and fill your lungs.
B)Hold your breath for 5 to 10 seconds after placing the mouthpiece in your mouth.
C)Cough forcefully to clear your lungs while maintaining a tight seal on the mouthpiece.
D)Exhale slowly for 3 to 4 seconds through the device while it vibrates.
Q2) A patient who is very frail and thin with osteoporosis has just undergone abdominal surgery.The nurse anticipates that which technique will be used to control respiratory secretions in this patient?
A)Forceful coughing
B)Percussion
C)Vibration
D)Shaking
Q3) The system that lines the internal lumen of the tracheobronchial tree and consists of a thin layer of mucus that constantly is propelled toward the larynx by cilia is called the
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Chapter 25: Airway Management
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Sample Questions
Q1) The nurse is caring for an infant who has been vomiting and is having difficulty breathing.What actions by the nurse are appropriate for suctioning the infant?
A)Place the infant in a supine position.
B)Suction only when a large amount of mucus is present.
C)Suction for only 30 seconds.
D)Compress the bulb syringe after it is placed in the nostril.
Q2) The nurse is performing nasotracheal suctioning for a patient.Which action by the nurse is appropriate?
A)Applying intermittent suctioning while slowly withdrawing the suction catheter
B)Carefully pushing the suction catheter in and out while applying suction
C)Applying suction for 15 seconds or less
D)Asking the patient to deep-breathe for 15 seconds before passing the catheter a second time
Q3) The nurse performing nasotracheal suctioning should be assessing the patient for which possible unexpected outcomes?
A)Severe reduction in heart rate
B)Wheezing and inability to breathe
C)Reduction in oxygen saturation
D)Nasal bleeding
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Page 27
Chapter 26: Cardiac Care
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35 Flashcards
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Sample Questions
Q1) Reduction of alarm fatigue is an important nursing practice.The nurse addresses this concern when which of the following actions is implemented?
A)Change the electrodes once per shift.
B)Provide initial and ongoing education about the intravenous pumps.
C)Monitor all patients diagnosed with cancer on continuous cardiac monitoring.
D)Set the parameters for the pulse oximetry machine within the standard normal range.
Q2) When preparing the skin before ECG electrode placement,clipping the hair in the electrode area is preferred over shaving due to risk of _________________.
Q3) _______________ develops when a person is exposed to an excessive number of alarms.
Q4) Identify the first step toward establishing appropriate alarms and response expectations.
A)Instructing the patient and immediate family members about the necessity of the alarms
B)Obtaining a physician's order for ECG monitoring
C)Adjusting the volume of the alarms so the primary nurse can hear them
D)Determining which patients require ECG monitoring
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Chapter 27: Closed Chest Drainage Systems
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30 Flashcards
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Sample Questions
Q1) Of the following nursing assessments,which should be reported to the primary care provider immediately by the nurse?
A)Bloody drainage from a patient with a hemothorax
B)Subcutaneous emphysema is noted on assessment.
C)Bubbling in the water seal stops on a patient with a pneumothorax.
D)Over 300 mL of drainage has been collected in the system in the past hour.
Q2) A nurse determines that there may be a leak in the chest tube system.Clamps are applied near the patient's chest,and the nurse finds that the bubbling stops.What should the nurse do next?
A)Change the tubing.
B)Change the drainage container.
C)Move the clamps farther down the chest tube.
D)Reinforce the dressing and notify the physician.
Q3) Which of the following represents appropriate technique when providing care for a patient with chest tubes?
A)Applying an occlusive dressing over the site
B)"Stripping" the tube on a regular basis
C)Assessing the patient hourly after insertion
D)Keeping excess loops of tubing from hanging over the side of the bed
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Page 29
Chapter 28: Emergency Measure for Life Support
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) Which sign or symptom of airway compromise may require insertion of an oral airway?
A)Ability of the patient to speak
B)Ability of the patient to cough forcefully
C)Presence of wheezing between coughs
D)Presence of gurgling with the respiratory cycle
Q2) The most common cause of airway obstruction in an unresponsive patient is the __________.
Q3) Many cardiac arrests are caused by irregular heart rhythms known as ________________.
Q4) In the event of cardiopulmonary arrest,all patients receive cardiopulmonary resuscitation (CPR)unless otherwise indicated in the patient's _________________.
Q5) The nurse enters her patient's room to find him unresponsive.She begins cardiopulmonary resuscitation (CPR)according to protocol.How deep should the nurse do chest compressions in this pulseless adult?
A)1 toinches in depth
B)to 3 inches in depth
C)to 1 inch in depth
D)to 2 inches in depth
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Chapter 29: Intravenous and Vascular Access Therapy
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) An electronic device that delivers a measured amount of intravenous fluid over a specified period (e.g.,100 mL/hr)using positive pressure is called an
Q2) _________________________ pull fluid into the vascular space by osmosis,resulting in an increased vascular volume that possibly will result in pulmonary edema.
Q3) 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 _______________.
Q4) 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.
Q5) Intravenous pumps that have built-in software programmed from health care pharmacy databases with unit-specific profiles are known as ______________.
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Chapter 30: Blood Therapy
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Sample Questions
Q1) The patient has received blood within the past 6 hours.The patient begins to feel short of breath and calls for the nurse.The nurse finds that the patient is dusky in color with crackles throughout his lungs and is coughing up pink frothy sputum.The nurse calls the physician immediately,knowing that the patient is showing signs of
Q2) What is the purpose of administering a transfusion?
A)Restore intravascular volume.
B)Restore the oxygen-carrying capacity of blood.
C)Provide clotting factors.
D)Improve blood pressure.
Q3) 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 _________.
Q4) A transfusion in which the donor is the patient is known as an ______________ transfusion or autotransfusion.
Q5) Under the ABO system,the blood type __________ can be given to any individual and is known as the "Universal Donor."
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Chapter 31: Oral Nutrition
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) ______________ are measures of height; weight; head,arm,and muscle circumferences; and skinfold thickness.
Q2) 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.
Q3) The nurse will collaborate with a ___________ to develop a nutritional plan for a patient identified as being at nutritional risk.
Q4) The nurse recognizes that the patient is exhibiting signs of ______________ when she notices that he has difficulty holding food and fluid in his mouth and experiences difficulty moving it to his esophagus.
Q5) _______________ is useful for monitoring short-term changes in visceral protein.
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Chapter 32: Enteral Nutrition
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) Which technique is appropriate for the nurse to implement during nasogastric (NG)tube insertion?
A)Use sterile gloves.
B)Have the patient mouth-breathe.
C)Advance the tube quickly when the patient coughs.
D)Bend the patient's head backward after the tube is through the nasopharynx.
Q2) The home health nurse evaluates the provision of intermittent tube feedings by the patient's family member.The nurse notes that additional teaching is required when she notices that the family member:
A)keeps the formula refrigerated between feedings.
B)keeps the feeding tube capped between feedings.
C)begins the feeding before checking tube placement.
D)irrigates the tube with 30 to 60 mL of water before and after feedings.
Q3) The nurse would anticipate the need for an enteral access device in which of the following patients?
A)Patient whose bowel sounds have not yet returned after abdominal surgery
B)Patient recently diagnosed with a cerebrovascular accident (CVA)
C)Patient who dislikes the taste of agency meals
D)Patient who suffers from severe acute dysphagia
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Page 34
Chapter 33: Parenteral Nutrition
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Sample Questions
Q1) To detect a common untoward effect of interrupting a parenteral nutrition (PN)infusion,the nurse should assess the patient for development of which symptom?
A)Fever
B)Chest pain
C)Erythema and induration
D)Shaking and dizziness
Q2) During intravenous (IV)administration of fat (lipid)emulsions,the patient voices complaints.Which complaint indicates to the nurse that the patient is experiencing a complication associated with the administration?
A)Fever,chills,and malaise
B)Low temperature,chills,and headache
C)Fever,flushing,and muscle relaxation
D)Low temperature,muscle aches,and dyspnea
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) Antimicrobial catheters coated with silver or antibiotics have been shown to reduce the incidence of ________________.
Q2) The nurse has been ordered to perform closed intermittent irrigation of a patient's indwelling urinary catheter.Which intervention is indicative of safe practice?
A)Applies sterile gloves.
B)Instills 100 mL of irrigant.
C)Leaves the drainage tubing unclamped irrigation.
D)Determines the amount of urinary drainage by subtracting the amount of irrigant from the total output.
Q3) The risk for catheter-associated urinary tract infection can be reduced by using ___________ when inserting the catheter.
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.
Q6) A single-lumen catheter that is inserted into the bladder through the urethra only to empty the bladder and then is removed is known as a _______________ catheter.
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Chapter 35: Bowel Elimination and Gastric Intubation
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Sample Questions
Q1) The patient is receiving a soapsuds enema but is having a difficult time retaining the fluid.What action should the nurse take?
A)Give the enema slowly.
B)Place the patient in the dorsal recumbent position on a bedpan.
C)Give the enema with the patient on the toilet.
D)Give the enema in the right lateral position.
E)Give the enema faster.
Q2) 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
Q3) In advancing the nasogastric (NG)tube,which technique provides the safest outcome?
A)Rotate the tube if resistance is felt.
B)Advance the tube in between swallows.
C)Start with the patient's head flexed.
D)Check the tube placement by instilling air and auscultating over the stomach.
Q4) __________________ is strongest during the hour after the first meal of the day.
Page 37
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Chapter 36: Ostomy Care
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19 Flashcards
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Sample Questions
Q1) When assessing the patient with a noncontinent urinary diversion,the nurse finds that the urine has mucus shreds.Which action should the nurse take?
A)Culture any drainage.
B)Instruct the patient to consume less water.
C)Document the characteristics of the urine.
D)Cleanse the stoma with soap and water.
Q2) The nurse is caring for a patient who had a colostomy placed 5 days earlier.The nurse notes that the stoma is red and moist.Which action should the nurse take?
A)Notify the physician immediately.
B)Apply pressure.
C)Document the condition of the stoma.
D)Change the appliance pouch.
Q3) When planning care for a patient who has a colostomy,which intervention is important for the nurse to perform when pouching the colostomy?
A)Leave an intact skin barrier in place for 3 to 7 days.
B)Use soap and water to cleanse the peristomal skin.
C)Empty the pouch when it is two-thirds full.
D)Use tape to secure pouches that have minor leaks.
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Chapter 37: Preoperative and Postoperative Care
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Sample Questions
Q1) In planning care for a surgical patient,the patient asks the nurse what may be "left on" during the surgery.Understanding patient safety,the nurse tells the patient that which item may remain in place?
A)Hearing aid
B)Artificial limb
C)Pair of eyeglasses
D)Pair of contact lenses
Q2) The nurse is providing care for a patient who is recovering in the postanesthesia care unit (PACU).Given that the patient is restricted to the supine position,which intervention provides the patient with adequate chest expansion?
A)Keeping the bed flat during recovery
B)Positioning the patient's hands over his chest
C)Flexing the neck and turning the head to the side
D)Extending the neck and turning the head to the side
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Chapter 38: Intraoperative Care
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Sample Questions
Q1) The ________________ is a "sterile" team member who provides the surgeon with instruments and supplies,disposes of soiled sponges,and accounts for sponges,sharps,and instruments in the surgical field.
Q2) While the patient is in the operating room (OR)and the OR team is gowned and gloved,the nurse recommends completion of a safety checklist.The nurse understands that the checklist verifies which of the following?
A)Patient identity
B)Patient allergies
C)Accurate marking of surgical site
D)Patient cultural preferences
E)Questions posed by the patient
Q3) The charge nurse is assigning members of the surgical team; the nurse recognizes that which member is responsible for an expanded role in ensuring preoperative and postoperative patient management in collaboration with other health care providers?
A)Registered nurse (RN)
B)Licensed practical nurse (LPN)
C)Circulating RN
D)Registered nurse first assistant (RNFA)
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Chapter 39: Pressure Injury Prevention and Care
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Sample Questions
Q1) A nurse classifies a pressure ulcer according to the type of tissue in the wound bed.What does it indicate if the wound bed has granulation in it?
A)Wound needs debridement
B)The presence of significant infection
C)Colonization by bacteria
D)Movement toward healing
Q2) 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
Q3) In a patient with a stage II pressure ulcer,the nurse describes the wound as:
A)superficial blistering.
B)nonblanchable redness.
C)loss of skin without bone exposure.
D)loss of skin with exposed muscle.
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) Healing by primary intention is expected to occur with which of the following situations?
A)The wound is left open and is allowed to heal.
B)A surgical wound is left open for 3 to 5 days.
C)Connective tissue development is evident.
D)The edges of a clean incision remain close together.
Q2) The nurse is caring for a patient with a postsurgical wound dehiscence who is being treated with a wet-to-dry dressing.Which of the following can be appropriately delegated to the nurse assistant?
A)Performing a sterile dressing change
B)Observing for any drainage on the dressing
C)Performing wound assessment during the dressing change
D)Notifying the physician of drainage present on the dressing
Q3) The nurse should consider culturing a wound when which one of the following situations occurs?
A)The tissue is clean and dry.
B)Exudate is not present.
C)The patient is afebrile.
D)The surrounding area shows inflammation.
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Page 42
Chapter 41: Dressings,bandages,and Binders
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Sample Questions
Q1) What should the nurse do for a patient with a sudden severe hemorrhage?
A)Go for help.
B)Drape the patient.
C)Apply direct pressure.
D)Put on clean or sterile gloves.
Q2) Which of the following tasks might be delegated to nursing assistive personnel (NAP)?
A)Pressure dressing to an actively bleeding wound
B)Chronic wound that needs a nonsterile moist-to-dry dressing change
C)Hydrogel dressing change
D)Wound assessment during the dressing change
Q3) How should the nurse proceed when applying a pressure bandage?
A)Elevate the extremity or area of bleeding.
B)Wrap pressure-bandage gauze in a proximal-to-distal direction.
C)Apply pressure to diminish the pulse to the distal body part.
D)Wrap tape around the circumference of the site to secure the gauze padding.
Q4) ___________ healing takes place when tissue is cleanly cut and the margins are reapproximated.
Q5) _____________ dressings cover or hold primary dressings in place.
Q6) _______________ dressings are used for wounds that require debridement.
Page 43
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Chapter 42: Therapeutic Use of Heat and Cold
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Sample Questions
Q1) When reviewing the documentation of patients on the unit,a nurse determines that one of the patients is at higher risk for injury from a local heat application to an extremity.Which condition poses this risk?
A)Arthritis
B)Renal calculi
C)Pulmonary disease
D)Peripheral neuropathy
Q2) If a patient is ordered to receive a cold application for a sprain,the nurse should ensure:
A)a prolonged application time is available.
B)the body part is carefully aligned.
C)a colder temperature is applied.
D)extra packing is available under the cooling device.
Q3) In addition to monitoring the controls on the hypothermia blanket every 30 minutes,the nurse will need to assess the patient's ____________ every 4 hours.
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) Which assistive device would most benefit a patient with a neuromuscular weakness?
A)Large-print labels
B)A syringe with a magnifier
C)Screw-top medication containers
D)Color-coded tops for medications
Q2) When communicating with a patient with a cognitive deficit,what is the best way for the nurse to respond?
A)"You managed all of your medications very well today."
B)"Your family should really take over the cooking.It's too hard for you to do."
C)"I don't see how you will be able to shop for yourself anymore.Someone will have to do it for you."
D)"This schedule will be too difficult for you to remember.I better write it all down."
Q3) Activities of daily living (ADLs)include the patient's ability to bathe,dress,go to the toilet,transfer,maintain continence,and feed himself; _______ include the ability to use a telephone,prepare meals,travel,do housework,take medication,and shop.
Q4) Dementia is characterized by a gradual,progressive,irreversible _______ dysfunction.
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Page 45
Chapter 44: Home Care Teaching
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Q1) 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
Q2) The nurse will train the tracheostomy patient and caregiver that reusable supplies need to be disinfected at least weekly.Which of the following methods is recommended for cleaning tracheostomy supplies at home?
A)Boil reusable (boilable)supplies for 5 minutes.Allow to cool and dry.
B)Boil reusable (boilable)supplies for 15 minutes.Allow to cool and dry.
C)Soak reusable supplies in equal parts of vinegar and water for 30 minutes.Remove,rinse thoroughly,and dry.
D)Soak reusable supplies in prepared solutions of quaternary ammonium chloride compounds according to the manufacturer's instructions.Rinse and dry.
Q3) A ___________________ delivers oxygen through a catheter permanently inserted into the trachea,thus allowing the patient to speak and bypassing anatomical dead space.
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