FOUNDATION OF PROFESSIONAL
NURSING PRACTICE a Inject needle at a 15 degree angle' over the
stretched skin of the client
Situation 1 - Mr. Ibarra is assigned to the b. Pinch skin at the Injection site and
triage area and while on duty, he assesses use airlock technique
the condition of Mrs. Simon who came in c. Pull skin of patient down to administer the
with asthma. She has difficulty breathing drug in a Z track
and her respiratory rate is 40 per minute. d. Spread skin or pinch at the injection site
Mr. Ibarra is asked to inject the client and inject needle at a 45-90 degree angle
epinephrine 0.3mg subcutaneously
4. When preparing for a subcutaneous
1. The indication for epinephrine injection, the proper size of syringe and
injection for Mrs Simon is to: needle would be:
a. Reduce anaphylaxis a. Syringe 3-5ml and needle gauge 21 to 23
b. Relieve hypersensitivity to allergen b. Tuberculin syringe 1 mi with needle gauge
c. Relieve respirator distress due to bronchial 26 or 27
spasm c. Syringe 2ml and needle gauge 22
d. Restore client’s cardiac rhythm d. Syringe 1-3ml and needle gauge 25 to 27
2. When preparing the epinephrine 5. The rationale for giving medications
injection from an ampule, the nurse through the subcutaneous route is;
initially:
a. Taps the ampule at the top to allow
fluid to flow to the base of the ampule
b. Checks expiration date of the medication
ampule
c. Removes needle cap of syringe and
pulls plunger to expel air
d. Breaks the neck of the ampule with a
gauze wrapped around it
3. Mrs. Simon is obese. When
administering a subcutaneous injection
to an obese patient, it is best for the
nurse to:
188
,a. There are many alternative sites for
subcutaneous injection 9. Martha does review of related
b. Absorption time of the medicine is slower literature for the purpose of:
c. There are less pain receptors in this area
d. The medication can be injected while a. determine statistical treatment of data
the client is in any position research
b. gathering data about what is already
Situation 2 - The use of massage and known or unknown
meditation to help decrease stress and c. to identify if problem can be replicated
pain have been strongly recommended d. answering the research question
based on documented testimonials.
10. Client’s rights
should be protected when
6. Martha wants to do a study on, this doing research using human subjects.
topic. "Effects of massage and meditation Martha identifies these rights as follows
on stress and pain." The type of research EXCEPT:
that best suits this topic is:
a. right of self-determination
a. applied research b. right to compensation
b. qualitative research c. right of privacy
c. basic research d. right not to be harmed
d. quantitative research
7. The type of research design that does
not manipulate independent variable is:
a. experimental design
b. quasi-experimental design
c. non-experimental design
d. quantitative design
8. This research topic has the potential to
contribute to nursing because it seeks to:
a. include new modalities of care
b. resolve a clinical problem
c. clarify an ambiguous modality of care
d. enhance client care
,
, 189
Situation 3 - Richard has a nursing diagnosis 13. When assessing Richard for chest
of ineffective airway clearance related to percussion or chest vibration and
excessive secretions and is at risk for postural drainage Mario would focus on
infection because of retained secretions. the following EXCEPT:
Part of Nurse Mario's nursing care plan is to
loosen and remove excessive secretions in a. Amount of food and fluid taken during
the airway, the last meal before treatment
b. Respiratory rate, breath sounds and
11. Mario listens to Richard's bilateral location of congestion
sounds and finds that congestion is in the c. Teaching the client's relatives to
upper lobes of the lungs. The appropriate perform 'the procedure
position to drain the anterior and posterior d. Doctor's order regarding position
apical segments of the lungs when Mario restriction and client's tolerance for lying
does percussion would be: flat
a. Client lying on his back then flat on his 14. Mario prepares Richard for postural
abdomen on Trendelenburg position drainage and percussion. Which of the
b. Client seated upright in bed or on a chair flowing is a special consideration when
then leaning forward in sitting position then doing the procedure?
flat on his back and on his abdomen
c. Client lying flat on his back and then a. Respiratory rate of 16 to 20 per minute
flat on his abdomen b. Client can tolerate sitting and lying position
d. Client lying on his right then
left side on Trendelenburg
position
12. When documenting outcome of
Richard's treatment Mario should include
the following in his recording EXCEPT:
a. Color, amount and consistent of sputum
b. Character of breath sounds and
respirator/rate before and after procedure
c. Amount of fluid intake of client before
and after the procedure
d. Significant changes in vital signs
NURSING PRACTICE a Inject needle at a 15 degree angle' over the
stretched skin of the client
Situation 1 - Mr. Ibarra is assigned to the b. Pinch skin at the Injection site and
triage area and while on duty, he assesses use airlock technique
the condition of Mrs. Simon who came in c. Pull skin of patient down to administer the
with asthma. She has difficulty breathing drug in a Z track
and her respiratory rate is 40 per minute. d. Spread skin or pinch at the injection site
Mr. Ibarra is asked to inject the client and inject needle at a 45-90 degree angle
epinephrine 0.3mg subcutaneously
4. When preparing for a subcutaneous
1. The indication for epinephrine injection, the proper size of syringe and
injection for Mrs Simon is to: needle would be:
a. Reduce anaphylaxis a. Syringe 3-5ml and needle gauge 21 to 23
b. Relieve hypersensitivity to allergen b. Tuberculin syringe 1 mi with needle gauge
c. Relieve respirator distress due to bronchial 26 or 27
spasm c. Syringe 2ml and needle gauge 22
d. Restore client’s cardiac rhythm d. Syringe 1-3ml and needle gauge 25 to 27
2. When preparing the epinephrine 5. The rationale for giving medications
injection from an ampule, the nurse through the subcutaneous route is;
initially:
a. Taps the ampule at the top to allow
fluid to flow to the base of the ampule
b. Checks expiration date of the medication
ampule
c. Removes needle cap of syringe and
pulls plunger to expel air
d. Breaks the neck of the ampule with a
gauze wrapped around it
3. Mrs. Simon is obese. When
administering a subcutaneous injection
to an obese patient, it is best for the
nurse to:
188
,a. There are many alternative sites for
subcutaneous injection 9. Martha does review of related
b. Absorption time of the medicine is slower literature for the purpose of:
c. There are less pain receptors in this area
d. The medication can be injected while a. determine statistical treatment of data
the client is in any position research
b. gathering data about what is already
Situation 2 - The use of massage and known or unknown
meditation to help decrease stress and c. to identify if problem can be replicated
pain have been strongly recommended d. answering the research question
based on documented testimonials.
10. Client’s rights
should be protected when
6. Martha wants to do a study on, this doing research using human subjects.
topic. "Effects of massage and meditation Martha identifies these rights as follows
on stress and pain." The type of research EXCEPT:
that best suits this topic is:
a. right of self-determination
a. applied research b. right to compensation
b. qualitative research c. right of privacy
c. basic research d. right not to be harmed
d. quantitative research
7. The type of research design that does
not manipulate independent variable is:
a. experimental design
b. quasi-experimental design
c. non-experimental design
d. quantitative design
8. This research topic has the potential to
contribute to nursing because it seeks to:
a. include new modalities of care
b. resolve a clinical problem
c. clarify an ambiguous modality of care
d. enhance client care
,
, 189
Situation 3 - Richard has a nursing diagnosis 13. When assessing Richard for chest
of ineffective airway clearance related to percussion or chest vibration and
excessive secretions and is at risk for postural drainage Mario would focus on
infection because of retained secretions. the following EXCEPT:
Part of Nurse Mario's nursing care plan is to
loosen and remove excessive secretions in a. Amount of food and fluid taken during
the airway, the last meal before treatment
b. Respiratory rate, breath sounds and
11. Mario listens to Richard's bilateral location of congestion
sounds and finds that congestion is in the c. Teaching the client's relatives to
upper lobes of the lungs. The appropriate perform 'the procedure
position to drain the anterior and posterior d. Doctor's order regarding position
apical segments of the lungs when Mario restriction and client's tolerance for lying
does percussion would be: flat
a. Client lying on his back then flat on his 14. Mario prepares Richard for postural
abdomen on Trendelenburg position drainage and percussion. Which of the
b. Client seated upright in bed or on a chair flowing is a special consideration when
then leaning forward in sitting position then doing the procedure?
flat on his back and on his abdomen
c. Client lying flat on his back and then a. Respiratory rate of 16 to 20 per minute
flat on his abdomen b. Client can tolerate sitting and lying position
d. Client lying on his right then
left side on Trendelenburg
position
12. When documenting outcome of
Richard's treatment Mario should include
the following in his recording EXCEPT:
a. Color, amount and consistent of sputum
b. Character of breath sounds and
respirator/rate before and after procedure
c. Amount of fluid intake of client before
and after the procedure
d. Significant changes in vital signs
