Practical Nursing Techniques
Final Exam
Course Introduction
This course provides students with hands-on training in essential nursing skills and procedures necessary for effective patient care. Emphasizing safety, ethics, and infection control, students will practice techniques such as vital sign measurement, wound care, medication administration, basic life support, and patient mobility assistance. Through laboratory simulations and clinical experience, learners will develop proficiency and confidence in delivering compassionate and competent care within a healthcare team, preparing them for real-world clinical environments.
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
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Sample Questions
Q1) __________________ are the gold standard for research.
Answer: Randomized controlled trials
Q2) Six months after an early mobility protocol was implemented,the incidence of deep vein thrombosis in patients was decreased.This is an example of what stage in the EBP process?
A)Asking a clinical question
B)Applying the evidence
C)Evaluating the practice decision
D)Communicating your results
Answer: C
Q3) To use evidence-based practice appropriately,you need to collect the most relevant and best evidence and to critically appraise the evidence you gather.This process also includes:
A)asking a clinical question.
B)applying the evidence.
C)evaluating the practice decision.
D)communicating your results.
Answer: A,B,C,D
Q4) Evidence-based practice requires good ______________.
Answer: nursing judgment
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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 phase of the discharge process where medical attention dominates discharge planning efforts is known as the _____ phase.
A)transitional
B)continuing
C)acute
D)multidisciplinary
Answer: C
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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4
Chapter 3: Communication and Collaboration
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30 Flashcards
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Sample Questions
Q1) The nurse is about to go over the patient's preoperative teaching per hospital protocol.She finds the patient sitting in bed wringing her hands,which are sweaty,and acting slightly agitated.The patient states,"I'm scared that something will go wrong tomorrow." How should the nurse respond?
A)Redirect her focus to dealing with the patient's anxiety.
B)Tell the patient that everything will be all right and continue teaching.
C)Tell the patient that she will return later to do the teaching.
D)Give the patient antianxiety medication.
Answer: A
Q2) When comparing therapeutic communication versus social communication,the professional nurse realizes that therapeutic communication:
A)allows equal opportunity for personal disclosure.
B)allows both participants to have personal needs met.
C)is goal directed and patient centered.
D)provides an opportunity to compare intimate details.
Answer: C
Q3) Directing the conversation back to patient ideas,feelings,questions,or content is known as ___________________.
Answer: reflection
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Page 5
Chapter 4: Documentation and Informatics
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Sample Questions
Q1) Standardized care plans are effective ways to plan care for the patient.To be most effective,however,the SCP must be _________________.
Q2) Which is an acceptable format to use in documentation?
A)SOAPIE
B)HIPAA
C)DAR
D)EHR
Q3) The nurse manager is attempting to determine the staffing needs of the unit.One tool that she may use to determine the level of care needed would be:
A)the standardized care plan.
B)the acuity record.
C)the patient care summary.
D)flow sheets.
Q4) A patient's private health information is legally protected by the ________________.
Q5) ___________________ provide a format for documenting a patient's health status and progress.
Q6) __________________ documentation should include your observations of patient behavior.
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Chapter 5: Vital Signs
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) An appropriate procedure for measurement of an adult's temperature with a tympanic membrane sensor is:
A)pulling the ear pinna down and back.
B)moving into the ear in a figure-eight pattern.
C)fitting the probe loosely into the ear canal.
D)pointing the probe toward the mouth and chin.
Q2) The patient has an order to be off the floor for 15 minutes every 2 hours to smoke a cigarette.The patient has just returned from his "cigarette break." The nurse is about to take the patient's radial pulse and should:
A)wait about 15 minutes before taking his pulse.
B)use her thumb to detect the pulse and get an accurate count.
C)press hard to detect the pulse and get an accurate count.
D)take his pulse for 15 seconds and multiply by 4.
Q3) ___________ is the sound of the tricuspid and mitral valves closing at the end of ventricular filling.
Q4) To take a manual blood pressure,the nurse places the cuff of the _____________ around the patient's upper arm.
Q5) _____________ occurs when the systolic blood pressure falls to 90 mm Hg or below.
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Chapter 6: Health Assessment
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Sample Questions
Q1) The nurse is caring for a patient who is recovering from an acute myocardial infarction.While providing cardiac education,the nurse realizes that the patient needs more education when he:
A)describes changes in his behavior that may improve cardiovascular function.
B)describes the schedule,dosage,and purpose of his medication.
C)states that he will take his medication when he has chest pain or when his heart rate is greater than 100.
D)describes the benefits of taking his medication regularly.
Q2) The nurse is preparing to examine a patient who has chronic lung disease.She realizes that the patient most likely will need to be in which position for the examination?
A)Sitting upright
B)Supine
C)Side-lying
D)Prone
Q3) During assessment of a patient with anemia,a nurse is alert for the presence of: A)pallor.
B)jaundice.
C)cyanosis.
D)erythema.
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Page 8
Chapter 7: Specimen Collection
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Sample Questions
Q1) What instructions does the nurse provide to the patient to obtain a double-voided urine specimen?
A)Save two separate specimens from the first voiding in the morning.
B)Add two specimens together from the morning voiding and the evening voiding.
C)Discard the first sample,then wait a half hour and void again.
D)Void first and then self-catheterize to obtain the specimens.
Q2) An appropriate technique that the nurse can tell the patient to implement before obtaining a sputum specimen is to:
A)use mouthwash before the collection.
B)splint the surgical incision before coughing.
C)try to obtain a sample immediately after eating.
D)take a deep breath,cough hard,and expectorate.
Q3) The nurse is drawing blood from a patient to determine the blood alcohol level.Which step is an appropriate action for the nurse to take?
A)Swab the area with an antiseptic swab.
B)Swab the area with an alcohol swab.
C)Do not swab the area at all.
D)Apply the tourniquet for 5 minutes.
Q4) _______________ organisms grow in superficial wounds exposed to the air.
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Chapter 8: Diagnostic Procedures
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Sample Questions
Q1) An _______________ permits visualization of the vasculature of an organ and the organ's arterial system.
Q2) 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.
Q3) _____________________ is often used for diagnostic or surgical procedures that do not require complete anesthesia in acute care,surgical care,and outpatient care settings.
Q4) The removal of a small amount of the liquid organic material in the medullary canals of selected bones,in particular the sternum and the posterior superior iliac crests in adults,is known as _______________.
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Page 10
Chapter 9: Medical Asepsis
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The patient is admitted with mumps.The nurse knows that she will have to:
A)put the patient in a private room.
B)place the patient on standard precautions.
C)wear a mask when closer than 3 feet to the patient.
D)place the patient on contact precautions.
Q2) The nurse shows an understanding of the psychological implications for a patient on isolation when planning care to control the risk for:
A)denial.
B)aggression.
C)regression.
D)isolation.
E)depression.
Q3) For an infection to take place,which of the following must be present?
A)Pathogen and reservoir
B)Portals of exit and entry
C)Mode of transmission
D)Susceptible host
Q4) 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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16 Flashcards
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Sample Questions
Q1) The minimum standard for infection control as established by the Centers for Disease Control and Prevention (CDC)is _______________.
Q2) A sterile field consists of which of the following?
A)Sterile tray
B)Work surface draped with a sterile towel
C)Table covered by a large sterile drape
D)Patient's bedside table
Q3) When performing sterile aseptic procedures,the nurse must create a _____________ in which objects can be handled with minimal risk for contamination.
Q4) A nurse is preparing a sterile field for a dressing change using surgical aseptic technique.The nurse gathers supplies to prepare the sterile field using a packaged drape.Which option correctly describes how the nurse should set up the field?
A)Don sterile gloves before opening the packaged drape.
B)Clean the bottle of irrigation solution with alcohol before placing the bottle on the field.
C)Avoid dropping sterile supplies close to the 1-inch border around the drape.
D)Leave the sterile field unattended to obtain needed supplies.
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Page 12
Chapter 11: Safe Patient Handling, transfer, and Positioning
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A postoperative patient has been instructed by a nurse about the importance of moving in bed but is still avoiding movement.The nurse should:
A)avoid moving the patient until he or she is motivated.
B)have family members move the patient around.
C)decrease the frequency of movement to be performed.
D)medicate the patient with a prescribed analgesic before moving.
Q2) Proper alignment for a patient in sitting position includes which of the following?
A)Head erect
B)Four-inch space between edge of seat and popliteal space
C)Vertebrae straight
D)Both feet elevated
Q3) 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.
Q4) Body balance is achieved when a wide _____________ exists.
Q5) Awareness of posture and changes in equilibrium is known as _______________.
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Chapter 12: Exercise Mobility
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Sample Questions
Q1) Virchow's triad (hypercoagulability of blood,venous wall damage,and stasis of blood flow)has been found to contribute to ________________.
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) The patient has a leg injury and is being fitted for a cane.The patient should be taught to:
A)hold the cane on the uninvolved side.
B)hold the cane on the weaker side.
C)extend the cane 15 inches from the foot when used.
D)maintain approximately 60 degrees of elbow flexion.
Q4) A person's inability to move about freely is known as _______________.
Q5) ____________ refers to an ability to move about freely.
Q6) The patient is performing range of motion (ROM)exercises independently.These are known as __________ exercises.
Page 14
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Chapter 13: Support Surfaces and Special Beds
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27 Flashcards
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Sample Questions
Q1) Factors that contribute to pressure ulcer formation include which of the following?
A)Friction
B)Shear
C)Turning every 2 hours
D)Malnutrition
E)Impaired mobility
Q2) 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
Q3) ____________ are defined as 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.
Q4) The _______________ bed rotates and improves skeletal alignment with constant side-to-side rotation up to 90 degrees.
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15
Chapter 14: Patient Safety
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Sample Questions
Q1) A patient is taking a medication that has the potential to cause orthostatic hypotension.Which of the following nursing interventions is appropriate for this patient?
A)Have the patient sit slowly and dangle.
B)Refer the patient to physical therapy.
C)Keep the side rails up at all times.
D)Obtain a walker or a cane for patient use.
Q2) 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.
Q3) An ________________ maintains immobilization of the extremities to protect the patient from accidental removal of a therapeutic device.
Q4) __________ are the most common type of inpatient accident.
Q5) The use of physical restraints is one safety strategy that has been used to protect patients from injury.However,physical restraints should be used as a ______________ and are used only when reasonable alternatives have failed.
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Chapter 15: Disaster Preparedness
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Sample Questions
Q1) If a patient is receiving radiation using gamma rays,the nurse would be watching for which of the following?
A)Severe pain during administration
B)Development of an allergy to shellfish
C)Severe burns or internal injury
D)Confusion and lethargy
Q2) In addition to the Department of Homeland Security,which of the following agencies has a mission to ensure that the nation is well prepared to respond to an act of terrorism?
A)American Medical Association (AMA)
B)American Red Cross
C)Centers for Disease Control & Prevention (CDC)
D)Salvation Army
Q3) __________ is the sorting of individuals by the seriousness of their condition and the likelihood of their survival.
Q4) Which of the following are goals of the Department of Homeland Security (DHS)?
A)Prevention of terrorist attacks
B)Response to disasters
C)Recovery from disasters
D)Coordination of efforts among agencies
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Chapter 16: Pain Management
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Sample
Questions
Q1) The patient voices concern to the nurse regarding his patient-controlled analgesia (PCA)pump.He states that he is afraid of getting an overdose if he pushes the button too many times.The nurse reassures the patient that:
A)there is a time delay (lockout)between patient doses.
B)there is a maximum dose the patient can receive.
C)the patient has a right to be concerned and needs to be careful.
D)the patient could be put on a continuous infusion instead,because it is safer.
Q2) The patient is scheduled for surgery late in the afternoon.His postoperative orders include patient-controlled analgesia (PCA)therapy.Which of the following nursing interventions is appropriate to perform?
A)Teach the patient about PCA after the patient comes out of recovery.
B)Teach the patient about PCA before surgery and before preoperative medication administration.
C)Tell the patient not to use PCA unless he can no longer tolerate the pain.
D)Inform the patient's family to watch him carefully and to depress the PCA administration button whenever they think he needs it.
Q3) Pain that extends beyond the period of healing and often lacks an identified pathology is known as _______________.
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Chapter 17: Palliative Care
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Sample Questions
Q1) Nurses provide _______________ that is defined as care of the body after death in a manner consistent with the patient's religious and cultural beliefs.
Q2) The World Health Organization (2002)defines ___________ as an "approach that improves the quality of life of individuals and their families facing life-threatening illness,through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other physical,psychological,and spiritual problems."
Q3) An _______________ is the surgical dissection of a body after death.
Q4) The irreversible absence of all brain function is termed ______________.
Q5) Hospice care can be provided in which of the following settings?
A)Home
B)Freestanding hospice facilities
C)Extended care facilities
D)Acute care facilities
Q6) For a patient in the final stages of dying,a nurse expects to:
A)keep the patient's room cool.
B)avoid catheterizing the patient.
C)elevate the head of the bed as tolerated.
D)encourage the patient to eat and drink more.
Page 19
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Chapter 18: Personal Hygiene and Bed Making
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Sample Questions
Q1) 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
Q2) The act of chewing is also known as ________________.
Q3) The nurse assesses the patient's skin and notices an abrasion.Which of the following best describes this type of skin abnormality?
A)A papulopustular skin eruption
B)Rough texture on the skin surface
C)Erythema and scaly,oozing areas
D)A scraping away of the epidermis
Q4) 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.
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Chapter 19: Care of the Eye and Ear
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Sample Questions
Q1) The substance found in the ear canal that has an antibacterial effect and maintains an acid pH is called ______________.
Q2) The patient is brought to the emergency department after receiving a chemical burn to his eyes.The doctor orders immediate eye irrigations.Of the following solutions,which would be the most beneficial for this patient?
A)Lactated Ringer's solution
B)Albumin
C)Tap water
D)Dextrose and water
Q3) Which of the following nursing interventions would the nurse perform first after a patient sustained a chemical splash injury to the eye?
A)Assess visual acuity.
B)Flush the eye with large amounts of irrigation fluid.
C)Assess level of pain.
D)Determine whether the pupils are equal,round,reactive to light and accommodation (PERRLA).
Q4) A _____________ is a small,battery-powered,electronic device that amplifies sound.
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Chapter 20: Safe Medication Preparation
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Sample Questions
Q1) The prescriber orders an IV antibiotic every 8 hours.The nurse administers the medication at 0900.The medication's onset of action is 5 minutes,peak action is 30 minutes,and duration is 6 to 24 hours.An order for peak and trough levels is written.The nurse will have the peak level drawn at _________.
Q2) The nurse administers a medication to the wrong patient but the patient suffers no harm from the medication error.What actions should the nurse take?
A)Prepare a written incident report.
B)Document in the nurses' notes that an incident report was completed.
C)Report the incident to a manager only if the patient is harmed.
D)Notify the prescriber.
Q3) The nurse administers 100 mg of a drug at 0800.The drug's biological half-life is 4 hours.A serum drug level is drawn at 1600.The nurse should anticipate ___________ milligrams will be left in the body at 1600?
Q4) When medications are administered,which action by the nurse is appropriate?
A)Administering medications prepared by another nurse
B)Using sterile technique for nonparenteral medications
C)Leaving medication at the bedside when the patient is in the bathroom
D)Documenting the reason for medication refusal in the nurse's notes
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Chapter 21: Administration of Nonparenteral Medications
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Sample Questions
Q1) Handheld devices that deliver inhaled medication in a fine powder to penetrate lung airways are known as ___________.
Q2) The patient has a bronchodilator and an inhaled steroid scheduled for the same time.What teaching should the nurse provide to the patient about administering these medications?
A)Inhale the bronchodilator,wait 20 to 30 seconds,then inhale the steroid.
B)Inhale the bronchodilator,wait 2 to 5 minutes,then inhale the steroid.
C)Inhale the steroid,wait 20 to 30 seconds,then inhale the bronchodilator.
D)Inhale the steroid,wait 2 to 5 minutes,then inhale the bronchodilator.
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.
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Chapter 22: Administration of Parenteral Medications
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Sample Questions
Q1) While checking the patient's intravenous (IV)site,the nurse notices that the site is cool,pale,and swollen.She immediately stops the IV infusion,realizing that these are signs indicating _____________.
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 is preparing a subcutaneous injection for a patient.The nurse is careful not to touch which part of the syringe or needle?
A)The needle hub
B)The needle shaft
C)The syringe outer barrel
D)The needle bevel
Q4) The patient is receiving allergy testing.The nurse is using the inner forearm to inject the allergen into the ____________.
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24
Chapter 23: Oxygen Therapy
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Sample Questions
Q1) A patient has been using continuous positive airway pressure (CPAP),and now the health care provider is recommending bi-level positive airway pressure (BiPAP).The patient is asking the nurse to explain the difference again.Which response is appropriate?
A)"CPAP maintains a set positive airway pressure during inspiration only."
B)"CPAP opens the airways during inspiration and allows them to close during expiration."
C)"BiPAP maintains a set pressure that is the same for inspiration and expiration."
D)"BiPAP delivers sufficient expiratory pressure to keep the airways open."
Q2) The nurse is caring for a patient on mechanical ventilation.The nurse determines that the endotracheal tube is properly placed by which assessment?
A)Auscultating both lungs and watching the rise and fall of both sides of the chest
B)Monitoring and comparing the blood pressure in both arms
C)Observing and measuring inspiratory and expiratory rates
D)Checking the settings on the ventilator and the low-pressure and high-pressure alarm settings
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Chapter 24: Performing Chest Physiotherapy
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Sample Questions
Q1) To move secretions from small distal airways into larger central airways,the nurse would use ________________ and _______________.
Q2) The nurse receives orders on several patients for chest percussion,vibration,and shaking.The nurse is aware that chest physiotherapy maneuvers are indicated for which patient?
A)18-year-old who sustained thoracic trauma from a motor vehicle accident
B)75-year-old with osteoporosis who is underweight
C)15-year-old with cystic fibrosis
D)20-year-old with a fractured clavicle
Q3) A patient has received instructions on the use of an Acapella device.Which action by the patient indicates an understanding of the teaching?
A)Complains of not being able to use an aerosol drug with the device.
B)Turns the frequency adjustment dial to medium resistance.
C)After completing one cycle,repeats for 2 more breaths.
D)After removing the mouthpiece,performs 1 to 2 forceful exhalations and "huff" coughs.
Q4) The _______________ provides positive expiratory pressure (PEP)with oral airway oscillations.
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26
Chapter 25: Airway Management
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Sample Questions
Q1) The nurse is assessing a patient with an endotracheal tube and notes an audible air leak when standing by the patient.Which intervention should the nurse perform first to address this problem?
A)Deflating the cuff of the endotracheal tube
B)Repositioning the patient or tube
C)Inserting a new endotracheal tube
D)Notifying the health care provider
Q2) A patient with increased secretions may develop airway obstruction.The nurse can promote a patent airway by using which of the following techniques?
A)Limiting fluid intake
B)Positioning
C)Deep breathing
D)Humidity
Q3) Too much oxygen reduces the drive to breathe in patients with chronic
Q4) A patient has extremely copious and thick oral secretions.The nurse provides oropharyngeal suctioning using a _________________ suction device.
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Chapter 26: Cardiac Care
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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) The nurse is reviewing the patient's Do Not Resuscitate orders when the cardiac alarm sounds.The rhythm is chaotic with no identifiable waves and the rate cannot be determined.Based on these clinical findings,the nurse determines that the patient is in which of the following cardiac rhythms?
A)Asystole
B)Ventricular fibrillation
C)Ventricular tachycardia
D)Sinus bradycardia
Q3) Some patients may have allergies,or more commonly,sensitivities to the adhesive used to affix the leads.In these cases,_____________ are available from various manufacturers.
Q4) ECG tracings that cannot be interpreted are known as _________________.
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Page 28
Chapter 27: Closed Chest Drainage Systems
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/70396
Sample Questions
Q1) What condition is indicated when a patient with a chest tube experiences sharp,stabbing chest pain without a change in pulse or blood pressure?
A)Pneumonitis
B)Tube displacement
C)A myocardial infarction
D)A tension pneumothorax
Q2) What should the nurse do to establish a two-chamber waterless chest tube system?
A)Add sterile water to the suction chamber.
B)Add sterile solution to the water seal.
C)Set the float ball to the correct drainage pressure.
D)Connect directly to the chest tube and add nothing.
Q3) 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.
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Chapter 28: Emergency Measure for Life Support
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/70397
Sample Questions
Q1) For which of the following patients would the nurse request the rapid response team's immediate intervention?
A)A patient complaining of severe postoperative incisional pain
B)A patient with no pulse who is not breathing
C)A patient complaining of chest pain,hypotension,and shortness of breath
D)A patient with blood pressure of 164/96 mm Hg
Q2) The nurse is working in the emergency department when an 8-year-old patient is brought in with respiratory distress.The nurse is preparing to insert an oral airway.Which of the following is the appropriate size for this patient?
A)Size 1
B)Size 2
C)Size 3
D)Size 7
Q3) In the event of cardiopulmonary arrest,all patients receive cardiopulmonary resuscitation (CPR)unless otherwise indicated in the patient's _________________.
Q4) Many cardiac arrests are caused by irregular heart rhythms known as ________________.
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Chapter 29: Intravenous and Vascular Access Therapy
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/70398
Sample Questions
Q1) Intravenous pumps that have built-in software programmed from health care pharmacy databases with unit-specific profiles are known as ______________.
Q2) A pediatric patient has an intravenous (IV)catheter with microdrip tubing.The order is for 40 mL/hr to infuse.At what rate does the nurse set the microdrip?
A)10 gtt/min
B)20 gtt/min
C)40 gtt/min
D)80 gtt/min
Q3) What should be the next action by the nurse once an over-the-needle catheter (ONC)has been inserted through the skin and into the vein?
A)Loosen the stylet for removal.
B)Check for blood return in the flashback chamber.
C)Stabilize the catheter and release the tourniquet.
D)Advance the catheter until the hub rests at the insertion site.
Q4) Fluids that have the same osmolality as body fluids are used most often to replace extracellular volume and are known as _______________ fluids.
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Page 31
Chapter 30: Blood Therapy
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/70399
Sample Questions
Q1) 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 _________.
Q2) A transfusion in which the donor is the patient is known as an ______________ transfusion or autotransfusion.
Q3) The patient is to receive 1 unit of packed red blood cells (RBCs).The nurse obtains the blood from the blood bank and returns to the unit to find that the patient has been taken to radiology for a computed tomography (CT)scan and is expected to return in about an hour.What should the nurse do?
A)Go to radiology and administer the blood.
B)Keep the blood refrigerated until the patient returns.
C)Return the blood to the blood bank.
D)Hang the blood in the patient's room and start it when the patient returns.
Q4) 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
Source URL: https://quizplus.com/quiz/70400
Sample Questions
Q1) The nurse is admitting a person to the unit and is assessing the patient's nutritional status.In assessing the patient's nutritional status,the nurse realizes that:
A)body mass index (BMI)is the main indicator of obesity.
B)ideal body is the standard gauge for nutritional status.
C)clinical judgment is required,along with other indicators.
D)the amount of weight change is the main nutritional indicator.
Q2) 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.
Q3) _______________ is useful for monitoring short-term changes in visceral protein.
Q4) The nurse is caring for a patient diagnosed with severe dehydration.The nurse notes that the patient's albumin level is 4.0.What might this indicate?
A)The patient is in a compromised protein state.
B)The level may be falsely high.
C)An acute nutritional deficiency
D)A long-term nutritional deficiency
Q5) ______________ are measures of height; weight; head,arm,and muscle circumferences; and skinfold thickness.
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Chapter 32: Enteral Nutrition
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/70401
Sample Questions
Q1) Before insertion of a nasogastric (NG)tube,of which finding should the physician be notified?
A)Patent nares
B)Absent bowel sounds
C)Evident gag reflex
D)Impaired swallowing
Q2) The nurse is checking gastric residual on a patient who has a continuously running tube feeding and finds that the patient has a 600-mL gastric residual volume (GRV).How should the nurse respond?
A)Stop the tube feeding.
B)Slow the tube feeding.
C)Continue the tube feeding at the same rate.
D)Increase the rate of the tube feeding.
Q3) The nurse determines that a nasogastric (NG)tube needs irrigation when she:
A)obtains more than 200 mL of residual volume.
B)obtains a small amount of thin watery residual.
C)does not encounter resistance when aspirating the residual.
D)obtains an unusually thick secretions.
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Chapter 33: Parenteral Nutrition
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/70402
Sample Questions
Q1) The nurse is managing the care of a patient receiving parenteral nutrition (PN).Which assessment finding indicates potential septicemia?
A)Shakiness and dizziness
B)Chest pain/hypotension
C)Increased thirst
D)Increased temperature
Q2) The patient has been ordered to receive parenteral nutrition (PN)but will require the nutritional therapy to continue for several months.Which route is most important for the nurse to consider?
A)Second intravenous line
B)Enteral feeding tube
C)Central venous access device (CVAD)
D)Parenteral feeding tube
Q3) Which assessment should a nurse expect to see for a patient receiving parenteral nutrition (PN)?
A)Weight gain of 1 to 2 pounds per week
B)Serum calcium level of 10 mEq/L
C)Serum potassium level of 2.8 mEq/L
D)Serum glucose level of more than 200 mg/100 mL
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Page 35
Chapter 34: Urinary Elimination
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) When evaluating the health care team member's ability to apply a condom catheter,it is most important for the nurse to provide further instruction for which intervention?
A)Clipping of hair at the base of the penis
B)Applying skin preparation to the penis before catheter placement
C)Using regular adhesive tape to hold the catheter in place
D)Leaving 1 to 2 inches of space between the tip of the penis and the end of the catheter
Q2) The nurse is preparing the patient for a bladder scan to determine postvoid residual (PVR).Which of the following is part of the preparation?
A)Limit food intake for 2 hours before the scan.
B)Begin scan 10 minutes after the patient has voided.
C)Limit liquid intake for 30 minutes before the scan.
D)Administer an analgesic 30 minutes before the scan.
Q3) Antimicrobial catheters coated with silver or antibiotics have been shown to reduce the incidence of ________________.
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.
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Page 36
Chapter 35: Bowel Elimination and Gastric Intubation
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27 Flashcards
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Sample Questions
Q1) Infrequent bowel movements (less often than every 3 days),difficulty in evacuating feces,inability to defecate,and hard feces are signs of ________________.
Q2) The patient is being prepped for surgery and has an order for "enemas until clear." The nurse realizes that she will be giving a maximum of how many enemas?
A)One
B)Two
C)Three
D)Four
Q3) While the nurse is administering an enema with a standard enema bag,which intervention is important to implement?
A)Keeping the solution at room temperature
B)Positioning the patient on the right side
C)Raising the enema bag to 12 inches above the patient
D)Instructing the patient to release the enema solution as soon as possible
Q4) The inability to pass a hard collection of stool is known as ______________.
Q5) _____________ is defined by a number of signs including infrequent bowel movements,difficulty evacuating,hard stools,and inability to defecate.
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Page 37
Chapter 36: Ostomy Care
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70405
Sample Questions
Q1) A patient who has a urostomy is being discharged to home.Which instruction will the nurse to provide to the patient?
A)Restrict fluid intake to reduce urine output.
B)Report any mucus in his urine.
C)Keep unused pouches in the refrigerator.
D)Shower without covering the pouch.
Q2) The opening created into the abdominal wall for fecal or urinary elimination is known as a _______________.
Q3) A ______________ is an opening in the large intestine or colon for elimination of fecal material.
Q4) The output from a urinary or fecal stoma is called the _______________.
Q5) The nurse is caring for a patient who has an ostomy.The nurse notices that the effluent ranges from a thick liquid to a semi-formed stool.The nurse recognizes that this is indicative of which location?
A)Descending colon
B)Ileal portion of the small-intestine
C)Sigmoid colon
D)Transverse or ascending colon
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Chapter 37: Preoperative and Postoperative Care
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/70406
Sample Questions
Q1) When providing care for an ambulatory surgical patient,the nurse recognizes that which assessment indicates that the patient meets discharge criteria?
A)The patient is able to drive home alone.
B)Some respiratory depression is evident.
C)The oxygen saturation level is at 85%.
D)No intravenous (IV)narcotics have been given in the past 30 minutes.
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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17 Verified Questions
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) The surgeon is about to finish surgery and requests a sponge count.Who would normally perform this task?
A)Scrub nurse
B)Registered nurse first assistant
C)Circulating nurse
D)Certified registered nurse anesthetist
E)Surgical technician
Q3) Who of the following can assume the role of the scrub nurse/assistant?
A)Registered nurse (RN)
B)Licensed practical nurse (LPN)
C)Certified surgical technician (CST)
D)Nursing assistive personnel (NAP)
E)Medical transcriptionist
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Page 40
Chapter 39: Pressure Injury Prevention and Care
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70408
Sample Questions
Q1) When evaluating a patient,the nurse observes an unexpected outcome of treatment when the surrounding skin of an ulcer becomes macerated.The nurse should:
A)obtain a wound culture.
B)apply pressure-reducing devices.
C)use dressings with increased moisture absorption.
D)monitor the patient for systemic signs and symptoms.
Q2) Patients are at risk for developing pressure ulcers on which areas of the body?
A)Coccyx
B)Nares
C)Ears
D)Genitalia
Q3) The nurse is planning care for her patient who has a stage II pressure ulcer.Care should include which of the following?
A)A heat lamp to dry the wound
B)Application of topical antibiotics
C)Nutritional assessment
D)Maintaining moisture in the wound
Q4) When skin layers adhere to the linens and deeper tissue layer move downward,________ damage occurs.
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Chapter 40: Wound Care and Irrigations
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29 Flashcards
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Sample Questions
Q1) The nurse is educating a patient about his role in wound healing.Which of the following factors,if modified by the patient,can support adequate oxygenation at the tissue level?
A)Age
B)Smoking
C)Underlying cardiopulmonary conditions
D)Hemoglobin
Q2) When teaching about wound care in the home environment,the nurse instructs the patient and caregiver to:
A)make normal saline with 8 teaspoons of salt and 1 gallon of distilled water.
B)use normal saline for 1 week and then discard it.
C)not apply topical anesthetics before wound care.
D)call the physician's office to have someone come to the home and complete the wound care.
Q3) Healing by ________ intention occurs when surgical wounds are not closed immediately but are left open for 3 to 5 days to allow edema or infection to diminish.
Q4) ___________ is black,brown,or tan tissue in the wound that should be removed before wound healing can begin.
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Chapter 41: Dressings,bandages,and Binders
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29 Flashcards
Source URL: https://quizplus.com/quiz/70410
Sample Questions
Q1) A __________ dressing comes in direct contact with the wound bed.
Q2) The nurse would consider a dry dressing appropriate for a wound that requires which of the following?
A)Protection
B)Debridement
C)Absorption of heavy exudate
D)Healing by second intention
Q3) _______________ dressings are used for wounds that require debridement.
Q4) Which of the following are examples of wounds that heal by secondary intention?
A)Burns
B)Surgical incisions
C)Infected wounds
D)Deep pressure ulcers
Q5) For a patient with a transparent film dressing,the nurse assesses that there is white,opaque fluid accumulation and the surrounding tissue is inflamed.How should the nurse respond?
A)Culture the wound.
B)Leave the current dressing in place.
C)Apply gauze over the top of the dressing.
D)Remove and stretch the film more tightly over the wound.
Page 43
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Chapter 42: Therapeutic Use of Heat and Cold
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Sample Questions
Q1) 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.
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) What procedure should the nurse follow when applying hot compresses to an open wound?
A)Apply clean gloves.
B)Cover all wound surfaces.
C)Leave the application in place for 30 to 40 minutes.
D)Apply an electrical heating unit directly over the compress.
Q4) The use of cold (cryotherapy)to treat certain injuries is beneficial because of which of the following effects?
A)Relief of pain
B)Decreased muscle spasm
C)Increased nerve conduction
D)Decreased edema
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Chapter 43: Home Care Safety
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19 Flashcards
Source URL: https://quizplus.com/quiz/70412
Sample Questions
Q1) 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.
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) Dementia is characterized by a gradual,progressive,irreversible _______ dysfunction.
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Chapter 44: Home Care Teaching
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/70413
Sample Questions
Q1) 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
Q2) In teaching the patient how to perform intermittent self-catheterization,the nurse instructs which of the following?
A)Only strict aseptic technique should be used.
B)All hospitals use strict aseptic technique.
C)Clean intermittent self-catheterization increases the chance for infection.
D)Clean intermittent self-catheterization is a safe and effective method.
Q3) A ___________________ delivers oxygen through a catheter permanently inserted into the trachea,thus allowing the patient to speak and bypassing anatomical dead space.
Q4) While teaching how to check for gastric residual volume (GRV),the nurse instructs the caregiver to delay the tube feeding if he or she obtains more than _________ mL of gastric aspirate.
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