Nursing Practice Lab
Test Bank
Course Introduction
Nursing Practice Lab is a hands-on course designed to develop and refine essential clinical skills required for professional nursing practice. Through simulated patient care scenarios, students learn techniques in assessment, medication administration, wound care, communication, and infection control. The lab provides a safe environment for students to apply theoretical knowledge, enhance clinical judgment, and build confidence in performing a wide range of nursing interventions under the supervision of experienced instructors.
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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Chapter 1: Using Evidence in Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) ____________________ is the extent to which a study's findings are valid,reliable,and relevant to your patient population of interest.
Answer: Scientific rigor
Q2) The nurse is getting ready to develop a plan of care for a patient who has a specific need.The best source for developing this plan of care would probably be:
A)The Cochrane Database.
B)MEDLINE.
C)NGC.
D)CINAHL.
Answer: C
Q3) Patient fall rates are an example of a ______________ type of study in the evidence hierarchy.
Answer: quality improvement data
Q4) 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
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Chapter 2: Admitting, transfer, and Discharge
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The patient is admitted to the ICU after having been in a motor vehicle accident.He was intubated in the emergency department and needs to receive two units of packed red blood cells.He is conscious but is indicating that he is in pain by guarding his abdomen.To admit this patient,the nurse first will focus on:
A)examining the patient and treating the pain.
B)orienting the family to the ICU visitation policy.
C)making sure that the consent forms are signed.
D)informing the patient of his HIPAA rights.
Answer: A
Q2) The nurse is providing discharge instruction to an 80-year-old patient and her daughter.The patient lives in a two-story home.When asked if the patient has difficulty climbing stairs,the patient says "No," but the nurse notices a look of surprise on the daughter's face.What should the nurse do in this circumstance?
A)Speak with the daughter separately.
B)Cancel the discharge immediately.
C)Order a visiting nurse consult.
D)Notify the physician.
Answer: A
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Chapter 3: Communication and Collaboration
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The patient is an elderly man who was brought to the hospital from an assisted-living community with complaints of anorexia and general malaise.The nurse at the assisted-living community reported that the patient was very ritualistic in his behavior and fastidious in his dress and always took a shower in the evening before bed.The patient became very angry and upset when the patient care technician asked him to take his bath in the morning.What does this behavior tell the nurse?
A)The patient is exhibiting anxiety because of a change in his rituals.
B)The patient is suffering from sensory overstimulation.
C)The patient is basically an angry person.
D)The patient has to follow hospital protocol.
Answer: A
Q2) The patient has been agitated for the entire morning but refuses to say why he is angry.Instead,whenever the nurse speaks to him,he smiles at her while clenching his fist at the same time.The nurse states,"I can see that you're smiling,but I sense that you are really very angry." This is an example of ___________________.
Answer: sharing perceptions
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Page 5
Chapter 4: Documentation and Informatics
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Sample Questions
Q1) The patient has been in the hospital for a hip replacement.According to his critical pathway,he should have his Foley catheter discontinued on the fourth day after surgery.Instead,the patient has it removed on the third day and is voiding normally with no problems.This would be a sign of:
A)a negative variance.
B)positive case management.
C)a positive variance.
D)use of SBAR.
Q2) __________________ documentation should include your observations of patient behavior.
Q3) What is the goal of information management?
A)Support decision making.
B)Improve patient outcomes.
C)Ensure patient safety.
D)Improve health care documentation.
Q4) To limit liability,nursing documentation must clearly indicate that the nurse provided individualized,goal-directed nursing care to a patient based on the
Q5) The abbreviation for every day (___)is no longer used.
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Chapter 5: Vital Signs
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) The nurse is about to take vital signs on a newborn patient in the nursery.She should:
A)assess respiratory rate after taking a rectal temperature.
B)observe the child's chest while the child is sleeping.
C)call the physician if the rate is over 40.
D)expect that the child will have short periods of apnea.
Q2) The patient is brought to the emergency department complaining of severe shortness of breath.She is cyanotic and her extremities are cold.In an attempt to quickly assess the patient's respiratory status,the nurse should:
A)remove the patient's nail polish to get a pulse oximetry reading.
B)use a forehead probe to get a pulse oximetry reading.
C)use a finger probe to get a pulse oximetry reading.
D)check the color of the patient's nail polish before attempting a reading.
Q3) 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.
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Chapter 6: Health Assessment
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Sample Questions
Q1) The general survey begins with a review of the patient's primary health problems and an evaluation of the patient's vital signs,height and weight,general behavior,and appearance.It also provides information about the patient's illness,hygiene,skin condition,body image,and emotional state.Which of the following cannot be delegated to nursing assistive personnel?
A)Reporting subjective signs and symptoms
B)Measuring the patient's height and weight
C)Monitoring I&O
D)Obtaining initial vital signs
Q2) Which is the best position in which to place the patient to hear low-pitched cardiovascular sounds?
A)Supine
B)Sitting up
C)Dorsal recumbent
D)Left lateral recumbent
Q3) What technique should the nurse implement for assessment of the carotid artery?
A)Massaging the arteries briskly
B)Using the diaphragm of the stethoscope
C)Palpating each carotid artery separately
D)Placing the patient in a supine position
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Chapter 7: Specimen Collection
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Sample Questions
Q1) The least traumatic method of obtaining a blood specimen is known as
Q2) When teaching a patient about home testing for occult blood,the nurse instructs the patient that:
A)positive results are indicative of bleeding.
B)poultry and fish should be eaten before testing.
C)testing should be done carefully during the menstrual cycle.
D)two samples should be obtained from the same part of the stool specimen.
Q3) 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.
Q4) When teaching about the procedure for capillary puncture,the nurse instructs a patient to:
A)hold the finger upright.
B)use the central tip of the finger.
C)allow the antiseptic to dry completely.
D)vigorously squeeze the end of the finger.
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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) What action should the nurse take after an angiography?
A)Limit the patient's fluid intake.
B)Have the patient ambulate as soon as possible.
C)Apply a pressure dressing to the vascular site.
D)Maintain the patient in a sitting position while he or she is in bed.
Q3) _____________ is a drug-induced depression of consciousness during which patients respond purposefully to verbal commands,either alone or accompanied by light tactile stimulation.In addition,no interventions are required to maintain a patent airway,and spontaneous ventilation is adequate.
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Chapter 9: Medical Asepsis
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse is preparing to provide care for the patient.Before making patient contact,she washes her hands.This practice is known as __________________.
Q2) The patient is presenting to the hospital with a high fever and a productive cough.He says that he hasn't felt right since he returned from visiting Somalia about a month before admission.He also states that he has lost about 20 pounds in the last month and frequently wakes up in the middle of the night sweaty and "clammy." What should the nurse prepare to do?
A)Place the patient on contact isolation.
B)Place the patient in a negative-pressure room.
C)Place the patient on droplet precautions.
D)Use standard precautions only.
Q3) The patient is admitted to the pediatric unit with severe pertussis.The nurse explains to the parents and the child that the patient will be treated with the use of:
A)airborne precautions.
B)standard precautions only.
C)droplet precautions.
D)contact isolation.
Q4) ________________ is the absence of pathogenic (disease-producing)microorganisms.
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Chapter 10: Sterile Technique
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Which patient may the nurse suspect will be at risk for a latex allergy?
A)Patient with food allergies
B)Patient with diabetes
C)Patient with arthritis
D)Patient with hypertension
Q2) _____________ is one practice designed to make and maintain objects and areas free from pathogenic microorganisms.
Q3) 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
Q4) The minimum standard for infection control as established by the Centers for Disease Control and Prevention (CDC)is _______________.
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Page 12
Chapter 11: Safe Patient Handling, transfer, and Positioning
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31 Verified Questions
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Sample Questions
Q1) The patient is an elderly man who has just been admitted for a probable cerebrovascular accident.The patient is nonverbal and does not respond to requests but is able to turn himself in bed.The nurse notices that the patient likes to lie on his right side,and soon after being turned by the nursing staff,the patient turns back to his right side.The nurse in this case should:
A)allow the patient to lie on his right side continuously because he seems comfortable. B)prevent the patient from lying on his right side until he no longer wishes to lie on that side.
C)frequently assess the patient and turn him more frequently.
D)allow the patient to lie on his right side until a pressure ulcer develops and he can no longer lie on that side.
Q2) In positioning the patient in the prone position,one way to improve breathing is to:
A)support the arms in a flexed position level at the shoulders.
B)place a pillow under the lower legs.
C)place a small pillow under the patient's abdomen.
D)support the patient's head with a small pillow.
Q3) Awareness of posture and changes in equilibrium is known as _______________.
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Chapter 12: Exercise Mobility
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who has just been treated for a broken leg.She needs to teach the patient how to use crutches.Which crutch gait is most appropriate for this patient?
A)Four-point gait
B)Three-point gait
C)Two-point gait
D)Swing-to gait
Q2) Graduated compression stockings are ordered for the patient on bed rest after surgery.The nurse explains to the patient that the primary purpose for the elastic stockings is to:
A)keep the skin warm and dry.
B)prevent abnormal joint flexion.
C)apply external pressure.
D)prevent bleeding.
Q3) When teaching the use of a three-point crutch gait,the nurse should instruct the patient to move:
A)both crutches and the affected leg first,then the stronger leg.
B)the right crutch,left foot,left crutch,and right foot in sequence.
C)the left crutch and right foot,then move the right crutch and left foot.
D)both crutches,then lift and swing the legs forward as far as the crutches.
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Chapter 13: Support Surfaces and Special Beds
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) What is the most important factor in preventing and treating pressure ulcers?
A)Proper use of foam or air mattresses
B)Proper utilization of an air-fluidized bed
C)Frequent repositioning of the patient
D)Proper use of a low-air-loss bed
Q2) The nurse is caring for a patient who is in an air-fluidized bed.She places the patient in semi-Fowler's position using foam wedges,even though she realizes that:
A)patients gain the greatest benefit from the prone position in an air-fluidized bed.
B)for resuscitation,she may have to increase the air pressure of the bed to do CPR.
C)she may have to increase the air pressure of the bed to turn the patient.
D)the foam wedges may decrease the effects of the bed.
Q3) A ______________ serves as an artificial layer of fat to protect bony surfaces.
Q4) An air-suspension bed is contraindicated for the patient with: A)burns.
B)traction.
C)osteoporosis.
D)respiratory insufficiency.
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Chapter 14: Patient Safety
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Sample Questions
Q1) A nurse enters the room of a patient who is sitting in a chair and begins to have a seizure.To promote patient safety,which nursing intervention will the nurse initially perform?
A)Immediately call for assistance.
B)Assist the patient to the floor.
C)Put the patient back into the bed.
D)Insert a padded tongue blade into the patient's mouth.
Q2) When caring for a patient who has an arm or leg restraint in place,how often will the nurse remove the restraint?
A)Every 15 minutes
B)Every 30 minutes
C)Every hour
D)Every 2 hours
Q3) What should the nurse do to promote patient understanding and security in the health care setting?
A)Restrain the patient as necessary.
B)Explain all procedures to the patient.
C)Allow the patient more time alone.
D)Restrict activity as much as possible.
Q4) __________ are the most common type of inpatient accident.
Page 16
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Chapter 15: Disaster Preparedness
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Sample Questions
Q1) The dispersal of radioactive material via a "dirty bomb" or by deliberate contamination of food supplies or water supplies is known as a _________________.
Q2) The terrorist act of releasing a biological agent into a specified environment is known as _____________________.
Q3) The government agency that coordinates the efforts of multiple organizations to secure and maintain the safety of our nation is the __________________.
Q4) How is a disaster best defined?
A)Any event or situation that results in multiple casualties and/or deaths
B)A catastrophic and/or destructive event that disrupts normal functioning
C)An industrial accident and unplanned release of nuclear waste
D)An event that results in human casualties that overwhelm available health care resources
Q5) __________ is the sorting of individuals by the seriousness of their condition and the likelihood of their survival.
Q6) An outbreak of influenza A in the same geographical location is known as an __________.
Q7) It is recommended that every household prepares a ____________.
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Chapter 16: Pain Management
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Sample Questions
Q1) The application of touch and movement to muscles,tendons,and ligaments without manipulation of the joints is called _________________.
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) ________________ draws on internal experiences of memories,dreams,fantasies,and visions; explores the inner world of experience; protects the privacy of the patient; and fosters the imagination.
Q4) The patient is in the hospital undergoing major abdominal surgery.When the patient returns from the recovery room,the nurse expects that he most likely will be receiving pain medication:
A)by mouth.
B)intramuscularly.
C)via the epidural route.
D)intravenously.
Q5) ________________ is a method of preventing pain while reducing overall opioid use.
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Chapter 17: Palliative Care
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Sample Questions
Q1) ___________________ 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.
Q2) _____________ helps people live as well as possible through the dying process.
Q3) The patient is on a ventilator and has a heartbeat but has been declared "brain dead." The family has agreed to organ donation.The nurse realizes that which of the following organ donations would require that the patient be left on life support?
A)Eyes
B)Bone
C)Kidney
D)Skin
Q4) A new staff member is working with a patient who is dying.A nurse evaluates that this new employee requires additional teaching when he or she is observed:
A)limiting the family's visiting hours.
B)staying with the patient and family as much as possible.
C)finding a quiet place for family members to gather.
D)asking the family if they would like to help with preparing the body.
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Chapter 18: Personal Hygiene and Bed Making
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Sample Questions
Q1) The nurse is providing nail care for the patient who wants his fingernails "done." The nurse should:
A)clip the fingernails gently to prevent injury.
B)clean under the nails using an orange stick.
C)soak the fingernails no longer than 10 minutes.
D)clean under the nails using the end of a cotton swab.
Q2) The nurse plans to give the patient a therapeutic bath.Which of the following is considered therapeutic?
A)Bed bath
B)Sponge bath at the sink
C)Sitz bath
D)Bag bath
Q3) The home care nurse is getting ready to help the patient prepare a tub bath.What should the nurse be sure to do?
A)Instruct the patient to use safety bars.
B)Use the patient's favorite bath oil for aroma therapy.
C)Instruct the patient to stay in the tub no longer than 30 minutes.
D)Check on the patient every 20 minutes.
Q4) The ____________ is the largest human organ.
Q5) 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) The nurse caring for a comatose patient determines that he is wearing contact lenses.Which of the following nursing interventions will the nurse use when removing the contact lenses?
A)Put on snug,powdered,clean gloves.
B)Ask the patient to look down to expose the lower eyeball.
C)Use the fingernail to slide the lens off of the cornea.
D)Inspect the eye after the lenses have been removed.
Q2) How does the nurse assess that a hearing aid is operating correctly?
A)Speaking very softly behind the patient
B)Covering the patient's unaffected ear and speaking
C)Determining the patient's response to a normal tone of voice
D)Removing the hearing aid and sending it to be checked by an audiologist
Q3) The elderly patient is instructed to store his hearing aid in a(n):
A)cold place.
B)container that keeps out moisture.
C)easy to reach place.
D)a cup of water.
Q4) The substance found in the ear canal that has an antibacterial effect and maintains an acid pH is called ______________.
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Chapter 20: Safe Medication Preparation
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Sample Questions
Q1) A medication distribution system that uses individual patient drawers and whereby medication is packaged according to what the patient would receive at one time is known as the _______ system.
Q2) 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 _____________.
Q3) Medication errors include which of the following?
A)Administration of the wrong medication
B)Administration via the wrong route
C)Inaccurate prescribing
D)Failing to administer a medication
Q4) 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.
Q5) The intended or desired physiological response to a medication is known as its ____________.
Q6) Medication safety is always one of the ______________ set by The Joint Commission.
Page 22
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Chapter 21: Administration of Nonparenteral Medications
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Sample Questions
Q1) The patient is to receive three different medications via a nasogastric tube.What is the total amount of water the nurse should prepare to administer?
A)30 mL of water
B)60 mL of water
C)90 mL of water
D)250 mL of water
Q2) Handheld devices that disperse medications through an aerosol spray or mist to penetrate lung airways are known as ___________.
Q3) The nurse is preparing to administer a medication.Which of the following is the most critical to assess before medication administration?
A)Diet history
B)Allergy history
C)Surgical history
D)Drug tolerance
Q4) Medications in the form of drops or ointments will have the word ________________ on the container to identify them as eye medications.
Q5) The easiest and most desirable way to administer medications is via the _________ route.
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Chapter 22: Administration of Parenteral Medications
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Sample Questions
Q1) The nurse is preparing a medication that comes in an ampule.Which action by the nurse is appropriate?
A)Tapping the ampule so fluid moves from the bottom of the ampule to the neck
B)Avoiding inversion of the ampule after opening to prevent spillage of the medication
C)Using a filter needle long enough to reach the bottom of the ampule
D)Guiding the needle against the rim of the ampule to access the medication
Q2) The nurse is preparing to administer an intramuscular injection via the Z-track method.Which action should be taken by the nurse?
A)Pinch the skin between the thumb and the first finger.
B)Insert the needle at a 90-degree angle.
C)Immediately remove the needle after injecting the medication.
D)Release the skin before removing the needle from the site.
Q3) 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
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24
Chapter 23: Oxygen Therapy
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Sample Questions
Q1) The patient is on mechanical ventilation.Which actions by the nurse are appropriate?
A)Keep the patient in a supine position.
B)Note and mark the level of the endotracheal (ET)tube at the lips or nares.
C)Have suction equipment available for immediate use.
D)Perform mouth care at least twice daily.
Q2) The nurse is reviewing lab results for a patient with hypoxemia.The nurse is aware that which of the following results may worsen the patient's hypoxemia?
A)Low sodium levels
B)Low hemoglobin levels
C)Increased blood pH
D)Decreased blood pH
Q3) The amount of air inspired and expired with each breath while a patient is on mechanical ventilation is known as the ________________.
Q4) The ________,also called a Briggs adaptor,connects an oxygen source to an artificial airway such as an endotracheal tube.
Q5) A condition in which oxygen is insufficient to meet the metabolic demands of the tissues and cells is known as __________________.
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Page 25
Chapter 24: Performing Chest Physiotherapy
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Sample Questions
Q1) The nurse positions the patient flat on the back with a small pillow under the knees to drain the right and left _____________________.
Q2) The nurse auscultates the patients' lung fields and notes congestion in several patients.The nurse anticipates that postural drainage may be used for the patient with which condition?
A)Congestive heart failure (CHF)with pulmonary edema
B)History of cigarette smoking with recent hemoptysis
C)Chronic bronchitis with frequent coughing
D)Pulmonary embolism after a long international flight
Q3) Percussion and vibration is ordered on a patient with retained pulmonary secretions.Which action by the student nurse should the nursing instructor question?
A)Performs percussion for 3 to 5 minutes in each position as tolerated.
B)Uses the wrist and elbow to create movement when performing percussion.
C)While the patient inhales,gently pushes down and vibrates the chest wall with the flat part of the hand.
D)Repeats the vibration 3 times and then instructs the patient to take a deep breath and cough while exhaling.
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Chapter 25: Airway Management
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Sample Questions
Q1) A patient on mechanical ventilation with an endotracheal tube requires suctioning.A closed in-line catheter is in place.Which action by the nurse is appropriate?
A)Use manual ventilation to hyperoxygenate the patient with 100% oxygen via Ambu bag.
B)Push the catheter and slide the plastic sleeve back when the patient exhales.
C)Push the catheter in until resistance is felt or the patient coughs.
D)Apply suction for no longer than 30 seconds as you remove the catheter.
Q2) A patient has extremely copious and thick oral secretions.The nurse provides oropharyngeal suctioning using a _________________ suction device.
Q3) When assessing a patient's tracheostomy site,the nurse notes redness and inflammation around the stoma.Which intervention can the nurse provide to address this problem?
A)Decrease the frequency of tracheostomy care.
B)Apply a dry gauze dressing just under the stoma.
C)Remove the ties at frequent intervals.
D)Apply a topical antibacterial solution and allow it to dry.
Q4) A plastic or rubber tube that is inserted through the nares or mouth past the epiglottis and vocal cords to maintain an airway is known as an
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Chapter 26: Cardiac Care
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35 Flashcards
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Sample Questions
Q1) The nurse is obtaining a 12-lead ECG on a patient with chest discomfort and interprets the results as a very thick-lined waveform tracing.The nurse troubleshoots this tracing by performing which appropriate intervention?
A)Unplugs the battery-operated equipment in the room one item at a time.
B)Reapplies the electrodes to ensure proper connection with the skin.
C)Adjusts the extremity electrodes on the wrists and ankles.
D)Asks the patient to hold his breath to see if the tracing improves.
Q2) When describing the rationale for connecting electrodes to each limb and around the heart,the nurse shares with the patient which appropriate explanation?
A)The leads view a specific portion of the heart's surface to help determine which part has sustained damage.
B)Multiple leads are necessary to provide a three-dimensional view of the heart.
C)The electrodes are necessary to provide a shock to the heart if needed during cardiac conversion.
D)The limb electrodes are required to provide a backup study in the event of artifact.
Q3) _______________ develops when a person is exposed to an excessive number of alarms.
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Chapter 27: Closed Chest Drainage Systems
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30 Flashcards
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Sample Questions
Q1) During assessment of a patient,the chest tube becomes dislodged.What should the nurse do first?
A)Have an assistant apply an occlusive gauze dressing and tape on all four sides.
B)Clamp the chest tube.
C)Attempt to gently reinsert the tube.
D)Apply pressure over the insertion site.
Q2) What is indicated by continuous bubbling in the water-seal chamber with no bubbles noted in the suction-control chamber of the drainage system?
A)A leak in the system
B)Normal functioning
C)A drainage obstruction
D)Insufficient suction pressure
Q3) 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?
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.
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Chapter 28: Emergency Measure for Life Support
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29 Flashcards
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Sample Questions
Q1) The patient is brought to the emergency department after a motor vehicle accident.The patient has head and neck trauma and has stopped breathing.What should the nurse do?
A)Open the airway using the head tilt-chin lift method.
B)Open the airway using the jaw-thrust method.
C)Give two breaths using mouth-to-mouth and a barrier device.
D)Give two breaths using a bag-mask device.
Q2) The nurse is providing cardiopulmonary resuscitation (CPR)to an unresponsive patient according to the 2010 American Heart Association (AHA)resuscitation guidelines.The nurse is performing chest compressions correctly when she performs them at which rate?
A)60 to 80 per minute
B)120 per minute
C)100 per minute
D)40 to 60 per minute
Q3) When applying an automated external defibrillator,the nurse would:
A)connect the cable to the machine,apply the pads,and turn on the power.
B)turn on the power,apply the pads,and connect the cable.
C)turn on the power,connect the cable,and apply the pads.
D)connect the cable,turn on the power,and apply the pads.
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Chapter 29: Intravenous and Vascular Access Therapy
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44 Flashcards
Source URL: https://quizplus.com/quiz/70398
Sample Questions
Q1) The nurse is assisting the physician during the insertion of a central line into the subclavian vein.How should the nurse cleanse the area?
A)With chlorhexidine in a back and forth scrubbing motion
B)With chlorhexidine followed by alcohol in a back and forth scrubbing motion
C)With alcohol in a circular motion for 5 minutes
D)With antimicrobial solution that must be dabbed dry with a sterile towel
Q2) What should the nurse do once she recognizes that the patient has phlebitis at his intravenous (IV)catheter site?
A)Reduce the IV flow rate.
B)Elevate the affected extremity.
C)Place a moist warm compress over the site.
D)Adjust the additive in the current IV.
Q3) The nurse is preparing to draw blood from a central venous access device for blood cultures.Which of the following steps is part of that process?
A)Apply sterile gloves.
B)Flush the port with 5 to 10 mL of 0.9% sodium chloride.
C)Slowly aspirate 5 mL of blood and discard the syringe.
D)Use the distal lumen to draw blood.
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Chapter 30: Blood Therapy
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29 Flashcards
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Sample Questions
Q1) An appropriate technique for the nurse to implement for a blood transfusion is to:
A)provide medication through the intravenous (IV)tubing 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.
Q2) The nurse is administering 1 unit of packed red blood cells as ordered by the primary care provider.While the nurse is measuring vital signs 15 minutes after starting the transfusion,the patient complains of chills and back pain.What is the nurse's first action?
A)Stop the blood transfusion and keep the vein patent by administering saline to infuse from the other side of the Y tubing.
B)Slow the blood transfusion and notify the charge nurse.
C)Disconnect the blood tubing from the catheter and replace it with an infusion of normal saline.
D)Stop the blood transfusion and notify the primary care provider.
Q3) A transfusion in which the donor is the patient is known as an ______________ transfusion or autotransfusion.
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Chapter 31: Oral Nutrition
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/70400
Sample Questions
Q1) The nurse is caring for a patient who requires assistance with eating.The patient repeatedly apologizes to the nurse,saying,"I'm so sorry.I'm like a baby.I'm such a burden since I can't even feed myself." What is the most appropriate strategy for the nurse to use?
A)Feed all of the solid foods first,and then offer liquids.
B)Feed the patient quickly so as not to make the patient feel like it is taking a great deal of time out of the nurse's day.
C)Minimize conversation so that the patient can eat faster.
D)Appear unhurried,sit at the bedside,and encourage the patient to feed himself/herself as much as possible.
Q2) The nurse is assessing the patient for nutritional status.Which laboratory value may indicate compromised protein status?
A)Serum albumin level of 4.0 g/dL
B)Prealbumin level of 12 g/dL
C)Total lymphocyte count of 1600 cells/mm<sup>3</sup>
D)Prealbumin level of 35 g/dL
Q3) _______________ is useful for monitoring short-term changes in visceral protein.
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Chapter 32: Enteral Nutrition
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Sample Questions
Q1) The nurse is caring for a patient with a nasogastric tube in place.What interventions would the nurse perform to reduce the risk of clogging the feeding tube?
a.Use the smallest barrel syringe possible to reduce the pressure in the tube.
b.Mix medication with feedings to thoroughly dilute the medication.
c.Flush the tube liberally with water before,between,and after each medication instillation.
d.Use the largest barrel syringe possible to reduce the pressure in the tube.
e.Crush solid medications thoroughly and mix them in water before administration.
Q2) An appropriate technique for nasogastric (NG)tube insertion is for the nurse to:
A)position the patient supine.
B)apply oil-based lubricant to the plastic tube.
C)advance the tube while the patient swallows.
D)measure the tube length from the nose to the sternum.
Q3) What is an appropriate amount of nasogastric irrigant for an adult patient?
A)1 to 2 mL
B)30 mL
C)5 to 15 mL
D)250 mL
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Chapter 33: Parenteral Nutrition
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14 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who is receiving parenteral nutrition (PN).The nurse realizes that PN is associated with which of the following risks?
A)Decreased mortality
B)Bloodstream infection
C)Pneumothorax
D)Decreased length of stay
E)Liver disease
Q2) The nurse is caring for a patient who is receiving PN.As part of therapy,the patient undergoes routine bedside glucose monitoring that reveals which expected outcome?
A)Lower than normal blood glucose to determine adequate tolerance for PN
B)Slightly higher than normal blood glucose to meet increased cellular needs
C)Slightly higher than normal blood glucose to prevent infection or systemic sepsis
D)Normal blood glucose to prevent associated complications
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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27 Flashcards
Source URL: https://quizplus.com/quiz/70403
Sample Questions
Q1) Which activities related to urinary elimination may be delegated to a nursing assistive personnel (NAP)?
A)Catheterization
B)Positioning the patient
C)Evaluating alternatives to catheter use
D)Assessing urinary drainage
Q2) The risk for catheter-associated urinary tract infection can be reduced by using ___________ when inserting the catheter.
Q3) An ______________ has a separate lumen that is used to inflate a balloon so the catheter remains in the bladder for short- or long-term use.
Q4) In assisting a male patient in using a urinal,which of the following actions should the nurse take?
A)Assess for orthostatic hypotension.
B)Assess the patient's normal elimination habits.
C)Assess for periods of incontinence.
D)Prop the urinal in place if the patient is unable to hold it.
E)Always stay with the patient during urinal use.
Q5) _________________ is the volume of urine in the bladder after a normal voiding.
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Chapter 35: Bowel Elimination and Gastric Intubation
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27 Flashcards
Source URL: https://quizplus.com/quiz/70404
Sample Questions
Q1) When developing a plan of care for a patient requiring a nasogastric (NG)tube,the nurse recognizes that it is essential to implement which technique in measuring the length of the tube?
A)Measure from the nose to the ear to the patient's navel.
B)Measure from the nose to the middle of the sternum.
C)Measure and mark a point 30 inches from the end.
D)Mark the 50-cm point on the tube,measure in the traditional way,and insert halfway between the two spots.
Q2) Infrequent bowel movements (less often than every 3 days),difficulty in evacuating feces,inability to defecate,and hard feces are signs of ________________.
Q3) 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
Q4) An ___________ is the instillation of a solution into the rectum and sigmoid colon to promote defecation by stimulating peristalsis.
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Chapter 36: Ostomy Care
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Sample Questions
Q1) In caring for a patient who has a pouch for a noncontinent urinary diversion,which nursing intervention is essential?
A)Empty the pouch when it is one-third to one-half full.
B)Remove the ureteral stents after 2 days.
C)Pouch the stoma with the patient sitting up.
D)Dispose of used pouches in the toilet.
Q2) A ______________ is an opening in the large intestine or colon for elimination of fecal material.
Q3) 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.
Q4) The opening created into the abdominal wall for fecal or urinary elimination is known as a _______________.
Q5) An ostomy that is created from a portion of the ileum to form a stoma through which urine can exit the body is called a(n)_____________.
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Chapter 37: Preoperative and Postoperative Care
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25 Flashcards
Source URL: https://quizplus.com/quiz/70406
Sample Questions
Q1) Being overweight or obese increases the risk for many diseases and health conditions,including which of the following?
A)Hypertension
B)Coronary heart disease
C)Sleep apnea
D)Respiratory problems
E)Hypotension
Q2) When planning care for a post anesthesia care unit (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
Q3) A patient is being transferred to a room from the postanesthesia care unit (PACU).What should the nurse do upon transfer?
A)Remove the indwelling urinary catheter.
B)Turn off the nasogastric tube suction.
C)Use a black pen to note drainage on the dressing.
D)Change the dressing immediately when the patient reaches the room.
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Chapter 38: Intraoperative Care
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17 Flashcards
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Sample Questions
Q1) The consequences of double gloving during surgery include which of the following?
A)Decreased need for handwashing
B)Decreased risk for exposure to bloodborne pathogens
C)Increased perforations to the innermost glove
D)Decreased risk for surgical wound infection
E)Increased patient cost
Q2) When planning care for a surgical patient,the nurse implements which technique to maintain sterility in the operating room?
A)Keeps the hands below the waist.
B)Tucks the hands under the axilla.
C)Uses sterile gloved hands to move a sterile drape under a table.
D)Has anyone who is unscrubbed stay at least 1 foot away from the sterile field.
Q3) When one prepares to enter the operating room,which technique demonstrates the safest outcome?
A)Keeping the hands below the elbows
B)Applying surgical gloves before the scrub
C)Scrubbing for at least 3 to 5 minutes with an antimicrobial
D)Drying the hands and arms,starting at the elbow and moving toward the fingers
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Chapter 39: Pressure Injury Prevention and Care
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Sample Questions
Q1) 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) A _______________ is a localized injury to the skin and/or underlying tissue,usually over a bony prominence,as a result of pressure,or pressure in combination with shear and/or friction.
Q3) The nurse knows that which of the following factors contribute to the development of pressure ulcers?
A)Friction and shear
B)Immobility
C)Poor nutrition
D)Moisture and ammonia
E)Uncontrolled pain
Q4) When skin layers adhere to the linens and deeper tissue layer move downward,________ damage occurs.
Q5) 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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Sample Questions
Q1) The nurse is explaining wound healing to a patient.Which of the following statements explains the healing that occurs during the inflammatory stage of wound healing in a full-thickness wound?
A)A reduction in the size of the wound is noted.
B)The epithelial cells duplicate.
C)Synthesis of collagen occurs at the site.
D)Blood flow to the wound and arrival of white blood cells are increased.
Q2) 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.
Q3) What should the nurse do to reestablish the vacuum of the Hemovac system after emptying?
A)Place a safety pin on the part of the drain outside the body.
B)Replace the cap immediately after emptying.
C)Pin the drainage tubing to the patient's gown.
D)Place the Hemovac on a flat surface.
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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) _____________ dressings cover or hold primary dressings in place.
Q3) What should the nurse remember to do when applying a hydrocolloid dressing?
A)Apply granules after applying the wafer.
B)Never use a secondary dressing.
C)Hold the dressing in place.
D)Use silk tape to hold the dressing in place.
Q4) The nurse is caring for a patient who is bleeding.To control bleeding,apply a _____ dressing.
A)pressure
B)alginate
C)foam
D)hydrocolloid
Q5) _______________ dressings are used for wounds that require debridement.
Q6) ___________ healing takes place when tissue is cleanly cut and the margins are reapproximated.
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Chapter 42: Therapeutic Use of Heat and Cold
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Sample Questions
Q1) Which of the following conditions would require using caution in applying cold therapy?
A)Chronic pain
B)Joint trauma
C)Circulatory insufficiency
D)Sprains
Q2) For which patient should the nurse consider an application of cold?
A)Menstrual cramping
B)Infected wound
C)Fractured ankle
D)Degenerative joint disease
Q3) ___________ exerts a profound physiological effect on the body,reducing inflammation caused by injury to the musculoskeletal system.
Q4) Hot applications are used with caution in which of the following conditions?
A)Pregnancy
B)Laminectomy sites
C)Malignancy
D)Spinal cord injury
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Chapter 43: Home Care Safety
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Sample Questions
Q1) The patient is on neutral protamine Hagedorn (NPH)insulin and regular insulin at home.How should the nurse teach the patient and the patient's caregiver to store the insulin?
A)In the refrigerator and removed only for administration
B)In a warm place such as in a cabinet above the stove
C)In the dairy bin of the refrigerator with the cheese and eggs
D)At room temperature for up to 30 days
Q2) Dementia is characterized by a gradual,progressive,irreversible _______ dysfunction.
Q3) The patient has been brought to the emergency department by a family member,who states that she just "doesn't know what to do." The patient often forgets where he is and refuses to bathe or change clothes.He will put things on the stove and forget that he has something cooking.She is obviously concerned for her loved one's safety.The nurse is likely to interpret these symptoms as signs of:
A)depression.
B)amnesia.
C)aphasia.
D)Alzheimer's disease.
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Chapter 44: Home Care Teaching
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34 Flashcards
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Sample Questions
Q1) What does the nurse teach the patient and caregiver to do when setting up and changing administration sets for continuous tube feedings to preserve medical asepsis?
A)Add formula to formula already hung to prevent waste.
B)Store unused formula at room temperature to prevent spasm.
C)Hang only enough formula that will be infused in a 4- to 6-hour period.
D)Change the administration set every 48 hours.
Q2) A ___________________ delivers oxygen through a catheter permanently inserted into the trachea,thus allowing the patient to speak and bypassing anatomical dead space.
Q3) In preparing to teach a patient how to self-administer mediation,the nurse realizes that 80% of patients who are instructed to self-medicate for preventative care fail to do so.Reasons for this include which of the following rationales?
A)Fear of adverse events
B)Inconvenient medication regimens
C)Costly prescriptions
D)Forgetfulness
Q4) Temperatures in the older adult are different from those in the younger adult.The mean oral temperature for older adults often ranges from ____________.
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