,UNIT I
xv Actions Basic to Nursing Care
xv xv xv xv
Chapter 1 Asepsis and Infection Control
xv xv xv xv xv
Chapter 2 Vital Signs
xv xv xv
Chapter 3 Health Assessment
xv xv xv
Chapter 4 Safety
xv xv
Chapter 5 Medications
xv xv
Chapter 6 Perioperative Nursing
xv xv xv
UNIT II
xv Promoting Healthy Physiologic Responses xv xv xv
Chapter 7 Hygiene
xv xv
Chapter 8 Skin Integrity and Wound Care
xv xv xv xv xv xv
Chapter 9 Activity
xv xv
Chapter 10 Comfort and Pain Management
xv xv xv xv xv
Chapter 11 Nutrition
xv xv
Chapter 12 Urinary Elimination
xv xv xv
Chapter 13 Bowel Elimination
xv xv xv
Chapter 14 Oxygenation
xv xv
Chapter 15 Perfusion
xv xv
Chapter 16 Fluid, Electrolyte, and Acid–Base Balance
xv xv xv xv xv xv
,Chapter 17 Neurologic Care
xv xv xv
Chapter 18 Laboratory Specimen Collection
xv xv xv xv
, Prof.Exams
1. A nurse is attempting to obtain vital signs from a restless toddler who is clinging to his moth
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er's legs and askingto gohome.Whichofthefollowingwouldbethebest nursing intervention t
vr vr xv vr xv vr vr vr vr vr vr vr vr vr xv vr vr
o accomplish this task?
vr vr vr
A) Perform the blood pressure assessment first because it isthe most frightening
vr vr vr vr vr xv vr vr vr vr vr
procedurefor a child. vr vr vr
B) Perform as manyof the assessments as possible with the child seated on the
vr vr vr vr vr vr vr vr vr vr vr vr vr
parent's lap. vr
C) Do not allow the child to see the instruments until they are ready to be used.
vr vr vr vr vr xv vr vr vr vr vr vr vr vr vr
D) Removeanydistractions (e.g., toys/dolls from the roomto improveconcentration).
vr vr vr vr xv vr vr vr vr vr
2. A nurse assesses the rectal temperatureof a patient who is postoperative following oral
vr vr vr vr vr vr vr xv vr xv xv vr vr
surgery.What patient assessment needs to bemadebefore taking this temperature?
vr vr xv vr vr vr vr vr vr vr vr
A) Pain assessment vr
B) Pulse rate vr
C) Platelet count vr
D) Fecal occult blood test vr vr vr
3. A patient informs the nurse that she still uses a mercury thermometer to take the temperature of
vr vr vr xv vr vr vr vr xv xv vr vr xv vr vr vr vr
her children when they are sick. Which of the following is a
vr vr vr vr vr vr xv vr vr vr vr
recommended teaching guideline for patients using these types of thermometers? vr vr vr vr vr vr vr xv vr
A) Teach patient safety related to accidental breakage of the thermometer.
vr vr vr xv vr vr vr vr vr
B) Tell patients using mercurythermometers to throw them in the trash and buy a new
vr vr vr vr vr vr vr vr vr vr vr vr vr xv
typeofinstrument.vr vr
C) Encourage patients to use alternative devices to assess temperature in their home.
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D) Tell patients that mercurythermometers should beused onlyin a hospital setting
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with appropriate safeguards.
vr vr
4. Anurseisobtainingvital signs from patients usingthetympanicmethodformeasuring temp era
vr vr vr vr vr xv vr xv vr vr vr vr vr vr vr
ture. Which of the following guidelines should be followed when taking a
vr vr vr vr vr vr vr vr vr vr vr
tympanic temperature? vr
A) Donot take a tympanic temperature if the patient has an earache.
vr vr vr vr vr vr vr vr vr vr vr
B) Do not take a tympanic temperature if there is noticeable earwax present.
vr vr vr vr vr vr vr vr vr vr vr
C) Donot take a tympanic temperature if the patient has an ear infection.
vr vr vr vr vr vr vr vr vr vr vr vr
D) If thepatient has been sleepingwith head to oneside, takethe temperaturein the
vr vr xv vr vr vr vr xv vr vr vr vr vr vr vr
ear facing down.
vr vr
xv Actions Basic to Nursing Care
xv xv xv xv
Chapter 1 Asepsis and Infection Control
xv xv xv xv xv
Chapter 2 Vital Signs
xv xv xv
Chapter 3 Health Assessment
xv xv xv
Chapter 4 Safety
xv xv
Chapter 5 Medications
xv xv
Chapter 6 Perioperative Nursing
xv xv xv
UNIT II
xv Promoting Healthy Physiologic Responses xv xv xv
Chapter 7 Hygiene
xv xv
Chapter 8 Skin Integrity and Wound Care
xv xv xv xv xv xv
Chapter 9 Activity
xv xv
Chapter 10 Comfort and Pain Management
xv xv xv xv xv
Chapter 11 Nutrition
xv xv
Chapter 12 Urinary Elimination
xv xv xv
Chapter 13 Bowel Elimination
xv xv xv
Chapter 14 Oxygenation
xv xv
Chapter 15 Perfusion
xv xv
Chapter 16 Fluid, Electrolyte, and Acid–Base Balance
xv xv xv xv xv xv
,Chapter 17 Neurologic Care
xv xv xv
Chapter 18 Laboratory Specimen Collection
xv xv xv xv
, Prof.Exams
1. A nurse is attempting to obtain vital signs from a restless toddler who is clinging to his moth
vr vr vr vr vr vr vr xv vr vr vr vr vr vr vr xv vr
er's legs and askingto gohome.Whichofthefollowingwouldbethebest nursing intervention t
vr vr xv vr xv vr vr vr vr vr vr vr vr vr xv vr vr
o accomplish this task?
vr vr vr
A) Perform the blood pressure assessment first because it isthe most frightening
vr vr vr vr vr xv vr vr vr vr vr
procedurefor a child. vr vr vr
B) Perform as manyof the assessments as possible with the child seated on the
vr vr vr vr vr vr vr vr vr vr vr vr vr
parent's lap. vr
C) Do not allow the child to see the instruments until they are ready to be used.
vr vr vr vr vr xv vr vr vr vr vr vr vr vr vr
D) Removeanydistractions (e.g., toys/dolls from the roomto improveconcentration).
vr vr vr vr xv vr vr vr vr vr
2. A nurse assesses the rectal temperatureof a patient who is postoperative following oral
vr vr vr vr vr vr vr xv vr xv xv vr vr
surgery.What patient assessment needs to bemadebefore taking this temperature?
vr vr xv vr vr vr vr vr vr vr vr
A) Pain assessment vr
B) Pulse rate vr
C) Platelet count vr
D) Fecal occult blood test vr vr vr
3. A patient informs the nurse that she still uses a mercury thermometer to take the temperature of
vr vr vr xv vr vr vr vr xv xv vr vr xv vr vr vr vr
her children when they are sick. Which of the following is a
vr vr vr vr vr vr xv vr vr vr vr
recommended teaching guideline for patients using these types of thermometers? vr vr vr vr vr vr vr xv vr
A) Teach patient safety related to accidental breakage of the thermometer.
vr vr vr xv vr vr vr vr vr
B) Tell patients using mercurythermometers to throw them in the trash and buy a new
vr vr vr vr vr vr vr vr vr vr vr vr vr xv
typeofinstrument.vr vr
C) Encourage patients to use alternative devices to assess temperature in their home.
vr xv vr vr vr vr vr vr vr vr vr
D) Tell patients that mercurythermometers should beused onlyin a hospital setting
vr vr xv vr vr xv vr xv vr vr vr vr
with appropriate safeguards.
vr vr
4. Anurseisobtainingvital signs from patients usingthetympanicmethodformeasuring temp era
vr vr vr vr vr xv vr xv vr vr vr vr vr vr vr
ture. Which of the following guidelines should be followed when taking a
vr vr vr vr vr vr vr vr vr vr vr
tympanic temperature? vr
A) Donot take a tympanic temperature if the patient has an earache.
vr vr vr vr vr vr vr vr vr vr vr
B) Do not take a tympanic temperature if there is noticeable earwax present.
vr vr vr vr vr vr vr vr vr vr vr
C) Donot take a tympanic temperature if the patient has an ear infection.
vr vr vr vr vr vr vr vr vr vr vr vr
D) If thepatient has been sleepingwith head to oneside, takethe temperaturein the
vr vr xv vr vr vr vr xv vr vr vr vr vr vr vr
ear facing down.
vr vr