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1. The nurse is giving a bed bath to an assigned patient when a nursing assistant enters the
patient's room and tells the nurse that another assigned patient is in pain and needs
pain medication. The appropriate nursing action is which of the following?
a. Finish the bed bath and then administer the pain medication to the other
patient.
b. Ask the nursing assistant to find out when the last pain medication was given to
the patient
c. Ask the nursing assistant to tell the patient in pain that medication will be
administered as soon as the bed bath is complete.
d. Cover the patient, lower the bed, tell the patient that you will return shortly, and
administer the pain medication to the other patient. - Correct Answer: d.
Cover the patient, lower the bed, tell the patient that you will return shortly, and
administer the pain medication to the other patient.
2. When a patient has psoriasis, which sign would the nurse expect to find?
a. Pustules in the skinfolds
b. Itchy, scaly patches on the scalp
c. Macular rash on the trunk area
d. Vesicular rash on the extremities - Correct Answer:
3. A nurse should employ which technique to maintain surgical asepsis?
a. Change the sterile field after sterile water is spilled on it
b. Put on sterile gloves, then open a container of sterile saline
c. Place a sterile dressing no more than ½ inch from the edge of the sterile field
, d. Clean the surgical area with a circular motion, moving from the outer edge
toward the center - Correct Answer: a. Change the sterile field after sterile
water is spilled on it
4. The nurse places a hospitalized patient with active tuberculosis in a private, well-
ventilated isolation room. In addition, which critical action(s) should the nurse take
before entering the patient's room?
a. Wash hands
b. Wash hands and wear gown and gloves
c. Wash hands and place a high-efficiency particulate air (HEPA) respirator over the
nose and mouth
d. The nurse needs no special precautions, but the patient is instructed to cover his
or her mouth and nose when coughing or sneezing. - Correct Answer: c.
Wash hands and place a high-efficiency particulate air (HEPA) respirator over the
nose and mouth
5. A patient is examined by the nurse and is found to have pinpoint, pink-purple, non-
blanching macular lesions. Which term would best describe these findings?
a. Purpura.
b. Hematoma
c. Petechiae
d. Ecchymosis - Correct Answer: c. Petechiae
6. During an admission assessment, the nurse discovers a stage 1 pressure ulcer on a
patient. Which of the following actions should the nurse implement immediately?
a. Turning and repositioning the patient every 2 hours
b. Covering with an occlusive transparent dressing
c. Cleaning with hydrogen peroxide and leaving it open to air
d. Providing the patient with a diet high in vitamin C, zinc and protein - Correct
Answer: a. Turning and repositioning the patient every 2 hours
7. Which of the following examples relate to surgical asepsis to reduce and prevent the
spread of microorganisms? Select all that apply.
Practicing hand hygiene
, ii. Reapplying sterile dressing
iii. Sterilizing contaminated items
iv. Routinely cleaning hospital environment
v. Wearing sterile gloves and gown - Correct Answer: ii, iii, v
8. Which of the following examples relate to medical asepsis to reduce and prevent the
spread of microorganisms? Select all that apply.
Practicing hand hygiene
ii. Reapplying sterile dressing
iii. Sterilizing contaminated items
iv. Routinely cleaning hospital environment - Correct Answer: i, iv, v
9. The amount of hemoglobin in the blood has what effect on oxygenation status?
a. The effect is none to little
b. More hemoglobin reduces respiratory rate
c. Low hemoglobin levels cause reduced oxygen-carrying capacity
d. Low hemoglobin levels care increased oxygen-carrying capacity - Correct
Answer: c. Low hemoglobin levels cause reduced oxygen-carrying capacity
10. A nurse is measuring a patient's vital signs and uses a pulse oximeter to obtain which of
the following types of information?
a. Respiratory rate
b. Amount of oxygen in the blood
c. Percentage of hemoglobin-carrying oxygen
d. Amount of carbon dioxide in the blood - Correct Answer: c. Percentage of
hemoglobin-carrying oxygen
11. The nurse will be changing the soiled bed linens of a patient with a stage 3 pressure
ulcer that is draining seropurulent material. What personal protective equipment (PPE)
is most essential for the nurse to wear?
a. mask
b. clean gloves