TEST BANK :
ANATOMY AND PHYSIOLOGY ,10TH EDITION BY KENNETH S. SALADIN |VERIFIED A+
QUESTIONS AND CORRECT ANSWERS |REVISED EDITION
Question 1: A nurse is caring for a client who has been placed in restraints. Which action
should the nurse take first?
A) Document the client's behavior
B) Obtain a provider's order
C) Assess the client's airway and circulation
D) Apply the restraint to the bed frame
Answer: C
The nurse must first assess the client's airway, breathing, and circulation before applying
restraints. Safety is the priority, and assessment comes before intervention.
Question 2: A nurse is preparing to administer medication through a nasogastric tube.
Which action should the nurse take?
A) Verify tube placement by auscultating air
B) Check pH of gastric aspirate
C) Administer medication with food
D) Flush the tube with 5 mL of water
Answer: B
Checking the pH of gastric aspirate is the most reliable method to verify NG tube
placement. Auscultating air is no longer recommended as a reliable method.
Question 3: A nurse is assessing a client for dehydration. Which finding should the nurse
expect?
Page 1
,A) Bounding pulse
B) Moist mucous membranes
C) Poor skin turgor
D) Weight gain
Answer: C
Poor skin turgor is a classic sign of dehydration. Other signs include dry mucous
membranes, tachycardia, and weight loss.
Question 4: A nurse is teaching a client about a low-sodium diet. Which food should the
nurse instruct the client to avoid?
A) Fresh fruit
B) Canned soup
C) Grilled chicken
D) Steamed vegetables
Answer: B
Canned soup is high in sodium due to added salt as a preservative. Clients on low-sodium
diets should avoid processed and canned foods.
Question 5: A nurse is caring for a client who has a new colostomy. Which finding should
the nurse report immediately?
A) Stoma is pink and moist
B) Stoma is dark purple and dry
C) Small amount of bleeding at stoma
D) Output is liquid
Answer: B
A dark purple, dry stoma indicates ischemia and necrosis. This requires immediate
reporting. A pink, moist stoma is normal.
Question 6: A nurse is preparing to insert an indwelling urinary catheter. Which action
should the nurse take?
Page 2
,A) Use sterile technique
B) Insert the catheter 1 inch
C) Inflate the balloon before insertion
D) Clean the meatus with alcohol
Answer: A
Sterile technique must be used during catheter insertion to prevent urinary tract infection.
The balloon is inflated after insertion, and the catheter is inserted further than 1 inch.
Question 7: A nurse is assessing a client who has a pressure ulcer. Which finding indicates
a stage 3 ulcer?
A) Nonblanchable redness
B) Partial-thickness skin loss
C) Full-thickness skin loss with subcutaneous tissue visible
D) Full-thickness skin loss with muscle and bone visible
Answer: C
Stage 3 pressure ulcers involve full-thickness skin loss with subcutaneous tissue visible.
Stage 4 involves muscle, tendon, or bone exposure.
Question 8: A nurse is teaching a client about crutch walking. Which instruction should the
nurse include?
A) "Lean forward when walking"
B) "Place crutches 12 inches in front of you"
C) "Bear weight on the axillae"
D) "Keep elbows at 30 degrees"
Answer: D
Elbows should be flexed at approximately 30 degrees when using crutches. Weight should
be borne on the hands, not the axillae, to prevent nerve damage.
Question 9: A nurse is caring for a client who has dysphagia. Which intervention should the
nurse implement?
Page 3
, A) Provide thin liquids
B) Have the client lie flat while eating
C) Thicken liquids before feeding
D) Offer a straw for drinking
Answer: C
Thickened liquids are easier to swallow and reduce the risk of aspiration in clients with
dysphagia. Thin liquids and straws increase aspiration risk.
Question 10: A nurse is assessing a client's pain level. Which tool is most appropriate for a
client who is unable to verbalize?
A) Numeric pain scale
B) Wong-Baker FACES scale
C) Behavioral pain assessment tool
D) Visual analog scale
Answer: C
Behavioral pain assessment tools are used for clients who cannot verbalize their pain, such
as those with dementia or intubation.
Question 11: A nurse is preparing to administer a blood transfusion. Which action should
the nurse take first?
A) Verify the blood type with another nurse
B) Obtain the client's vital signs
C) Prime the tubing with normal saline
D) Check the expiration date of the blood
Answer: B
Obtaining baseline vital signs is the first action before starting a blood transfusion. This
provides a baseline for comparison during the transfusion.
Question 12: A nurse is caring for a client who has a new prescription for enoxaparin.
Which action should the nurse take?
Page 4
ANATOMY AND PHYSIOLOGY ,10TH EDITION BY KENNETH S. SALADIN |VERIFIED A+
QUESTIONS AND CORRECT ANSWERS |REVISED EDITION
Question 1: A nurse is caring for a client who has been placed in restraints. Which action
should the nurse take first?
A) Document the client's behavior
B) Obtain a provider's order
C) Assess the client's airway and circulation
D) Apply the restraint to the bed frame
Answer: C
The nurse must first assess the client's airway, breathing, and circulation before applying
restraints. Safety is the priority, and assessment comes before intervention.
Question 2: A nurse is preparing to administer medication through a nasogastric tube.
Which action should the nurse take?
A) Verify tube placement by auscultating air
B) Check pH of gastric aspirate
C) Administer medication with food
D) Flush the tube with 5 mL of water
Answer: B
Checking the pH of gastric aspirate is the most reliable method to verify NG tube
placement. Auscultating air is no longer recommended as a reliable method.
Question 3: A nurse is assessing a client for dehydration. Which finding should the nurse
expect?
Page 1
,A) Bounding pulse
B) Moist mucous membranes
C) Poor skin turgor
D) Weight gain
Answer: C
Poor skin turgor is a classic sign of dehydration. Other signs include dry mucous
membranes, tachycardia, and weight loss.
Question 4: A nurse is teaching a client about a low-sodium diet. Which food should the
nurse instruct the client to avoid?
A) Fresh fruit
B) Canned soup
C) Grilled chicken
D) Steamed vegetables
Answer: B
Canned soup is high in sodium due to added salt as a preservative. Clients on low-sodium
diets should avoid processed and canned foods.
Question 5: A nurse is caring for a client who has a new colostomy. Which finding should
the nurse report immediately?
A) Stoma is pink and moist
B) Stoma is dark purple and dry
C) Small amount of bleeding at stoma
D) Output is liquid
Answer: B
A dark purple, dry stoma indicates ischemia and necrosis. This requires immediate
reporting. A pink, moist stoma is normal.
Question 6: A nurse is preparing to insert an indwelling urinary catheter. Which action
should the nurse take?
Page 2
,A) Use sterile technique
B) Insert the catheter 1 inch
C) Inflate the balloon before insertion
D) Clean the meatus with alcohol
Answer: A
Sterile technique must be used during catheter insertion to prevent urinary tract infection.
The balloon is inflated after insertion, and the catheter is inserted further than 1 inch.
Question 7: A nurse is assessing a client who has a pressure ulcer. Which finding indicates
a stage 3 ulcer?
A) Nonblanchable redness
B) Partial-thickness skin loss
C) Full-thickness skin loss with subcutaneous tissue visible
D) Full-thickness skin loss with muscle and bone visible
Answer: C
Stage 3 pressure ulcers involve full-thickness skin loss with subcutaneous tissue visible.
Stage 4 involves muscle, tendon, or bone exposure.
Question 8: A nurse is teaching a client about crutch walking. Which instruction should the
nurse include?
A) "Lean forward when walking"
B) "Place crutches 12 inches in front of you"
C) "Bear weight on the axillae"
D) "Keep elbows at 30 degrees"
Answer: D
Elbows should be flexed at approximately 30 degrees when using crutches. Weight should
be borne on the hands, not the axillae, to prevent nerve damage.
Question 9: A nurse is caring for a client who has dysphagia. Which intervention should the
nurse implement?
Page 3
, A) Provide thin liquids
B) Have the client lie flat while eating
C) Thicken liquids before feeding
D) Offer a straw for drinking
Answer: C
Thickened liquids are easier to swallow and reduce the risk of aspiration in clients with
dysphagia. Thin liquids and straws increase aspiration risk.
Question 10: A nurse is assessing a client's pain level. Which tool is most appropriate for a
client who is unable to verbalize?
A) Numeric pain scale
B) Wong-Baker FACES scale
C) Behavioral pain assessment tool
D) Visual analog scale
Answer: C
Behavioral pain assessment tools are used for clients who cannot verbalize their pain, such
as those with dementia or intubation.
Question 11: A nurse is preparing to administer a blood transfusion. Which action should
the nurse take first?
A) Verify the blood type with another nurse
B) Obtain the client's vital signs
C) Prime the tubing with normal saline
D) Check the expiration date of the blood
Answer: B
Obtaining baseline vital signs is the first action before starting a blood transfusion. This
provides a baseline for comparison during the transfusion.
Question 12: A nurse is caring for a client who has a new prescription for enoxaparin.
Which action should the nurse take?
Page 4
