Test Bank For Davis Advantage Basic Nursing: Thinking Doing
and Caring 3rd Edition By Leslie S. Treas; Karen L. Barnett;
Mable H. Smith | 9781719642071 |Chapter 1-41 | All Chapters
with Answers and Rationals
When a restraint is ordered, the patient will need to be observed at least:
a. Every 15 minutes.
b. Hourly.
c. Every 2 hours.
d. Every 4 hours. - ANSWER: a. Every 15 minutes.
When completing Active ROM exercises on a patient's elbow, which of the following is the correct
motion?
a. Abduction
b. Adduction
c. Flexion
d. Pronation - ANSWER: c. Flexion
Which of the following reflects a basic principle of body mechanics?
a. More energy is needed to keep an object moving than to stop it.
b. Pushing or pulling is easier than lifting.
c. Rocking to use your body weight is not recommended.
d. Using the back muscles is recommended. - ANSWER: b. Pushing or pulling is easier than lifting.
Which position is used for most of the physical examamination and can be uncomfortable for a
patient with back problems?
a. Supine
b. Knee-chest
c. Prone
d. Sim's - ANSWER: a. Supine
The consumer receiving an enema should be placed in the ________position?
a. Fowler's
b. Lithotomy
c. Left Lateral
d. Right recumbent - ANSWER: c. Left Lateral
Which action is inappropriate when positioning a patient?
a. When logroll turning the patient, keep the body in a straight alignment.
b. Use a transfer board or bridge for patients who are unable to stand.
c. Use a broad base of support when transferring patients.
d. When moving a patient to the side of the bed, bed at the back and pull with your arms. - ANSWER:
d. When moving a patient to the side of the bed, bed at the back and pull with your arms.
Ketones in the urine may be a reflection of:
a. Weight gain.
b. Diabetes that may be out of control.
c. Bacteria in the urine.
d. Blood in the urine. - ANSWER: b. Diabetes that may be out of control.
When instructing a patient to prepare for a guaiac stool specimen, it is most important to tell the
client to:
a. avoid smoking before the test.
,b. bring a family member to drive you home from the test.
c. do not take aspirin 3 days before the test.
d. drink plenty of fluids for 3 days before the test. - ANSWER: c. do not take aspirin 3 days before the
test.
To obtain a clean catch urine specimen from a male client, instructions should be given to:
a. cleanse the penis using a circular motion outward from the urethral meatus.
b. cleanse the penis using downward strokes starting at the urethral meatus.
c. void the first stream into a sterile cup.
d. wear gloves when collecting the specimen. - ANSWER: a. cleanse the penis using a circular motion
outward from the urethral meatus.
Patients may acquire infections while in the hospital setting. These infections are called:
a. fulminating
b. environmental
c. nosocomial
d. inflammatory reactions - ANSWER: c. nosocomial
Smoking is prohibited in the room of a patient with COPD receiving oxygen because:
a. the smoke would irritate the esophagus
b. the smoke can increase the up take carbon dioxide
c. the smoke would stimulate the heart and cause increased cardiac output
d. oxygen supports combustion - ANSWER: d. oxygen supports combustion
The client is diagnosed with a fracture of the right tibia. The Psychiatric Technician educates the client
on the importance of promoting healing and suggests the need for.
a. increased sodium in the diet.
b. increased fat in the diet.
c. increased fiber in the diet.
d. increased calcium in the diet. - ANSWER: d. increased calcium in the diet.
The client's scoliosis continued to worsen in spite of a brace. She was admitted to the hospital for
corrective surgery using a Harrington rod. Following surgery the technician staff will:
a. log roll the client keeping her spine straight.
b. place the client in a semi-fowler's position.
c. avoid doing range-of-motion to the client's hand and extremities.
d. avoid giving narcotics analgesics. - ANSWER: a. log roll the client keeping her spine straight.
The intervention the Psychiatric Technician would not use will attending to a client having a seizure
would be?
a. Loosen tight clothing.
b. Do not restrain movements.
c. Put an object, such as a spoon, between the teeth.
d. Stay with the person until the seizure is over and consciousness is regained. - ANSWER: c. Put an
object, such as a spoon, between the teeth.
The most effictive nursing strategy to prevent infection would be to:
a. Use surgical asepsis when changing dressings.
b. Provide a fluid intake of 2,000 to 3,000 ml./day unless contraindicated.
c. Wash hands before and after any direct client contact.
d. Place soiled materials in poisture-resistant containers for apporoptiate disposal. - ANSWER: c. Wash
hands before and after any direct client contact.
The patient experiences angina pectoris. The Psychiatric Technician knows that this symptom
manifests itself as:
a. severe chest pain often radiating to the left arm
b. severe pectoral pain
,c. a burning sensation in the lower right quadrant
d. severe pain in the lower scapular area - ANSWER: b. severe pectoral pain
The patient has had a coffee grounds emesis. The Psychiatric Technician knows that the patient
probably has:
a. had a recent GI bleed that has subsided
b. had a deformed pylorus
c. an active upper GI bleed
d. a pica behavior problem - ANSWER: a. had a recent GI bleed that has subsided
The physician orders a stool specimen for ova and parasites (O&P). The Psychiatric Technician will be
conscious of which of the following principles?
a. The specimen must be kept warm and taken to the laboratory within 30 minutes
b. The specimen should be refrigerated until it can be taken to the laboratory.
c. Red meat can produce a false positive
d. Large quantities of vitamin "C" can produce a false negative. - ANSWER: a. The specimen must be
kept warm and taken to the laboratory within 30 minutes
The population at greatest risk for developing cirrhosis of the liver are:
a. alcohol abusers
b. amphetamine abusers
c. cocaine abusers
d. males between the ages of 40-50 - ANSWER: a. alcohol abusers
The Psychatric Technician knows that skin is impenetrable to most organisms if it is:
a. erythematous
b. unbroken
c. moist
d. dry - ANSWER: b. unbroken
The Psychiatric Technician has just completed the A.M. care for his/her assigned client. What is the
safest action the Psychiatric Technician should take before leaving the bedside.
a. Place the patient in a semi-fowler's position and put the side rails up.
b. Place the patient in a supine position and put the side rails up.
c. Put both side rails up and place the bed in the low position.
d. Put the side rails up on the side of the bed closest to the door and put the bed in the low position -
ANSWER: c. Put both side rails up and place the bed in the low position.
The Psychiatric Technician is aware that damage to this area of the brain is related to ataxic cerbral
palsy.
a. the cerebral motor strip
b. medulla
c. cerebellum
d. hypothalmus - ANSWER: a. the cerebral motor strip
The Psychiatric Technician is required to insert a nasogastric tube. When determining the distance to
insert the tube the Psychiatric Technician measures the distance from the patient's nose to the:
a. lips to the base of the xiphoid process.
b. lobe of the ear to the base of the xiphoid process.
c. chin to the base of the xiphoid process.
d. esophagus to the base of the xiphoid process. - ANSWER: b. lobe of the ear to the base of the
xiphoid process.
The Psychiatric Technician is transferring his/her client from the bed to the wheelchair. The
Psychiatric Technician should have the chair at the bedside with the
a. back of the chair near the head of the bed with the wheels unlocked.
b. back of the chair near the head of the bed with the wheels locked.
, c. chair facing the door with the wheels unlocked.
d. chair facing the door with the wheels locked. - ANSWER: b. back of the chair near the head of the
bed with the wheels locked.
The Psychiatric Technician knows that a low sodium diet:
a. retains fluid in the body
b. causes retention of salt
c. increases urinary output
d. damages cells of the liver - ANSWER: c. increases urinary output
The Psychiatric Technician knows that anoxia is:
a. a deficiency of red blood cells
b. a reduction in the oxygen content of arterial blood
c. a reduction of oxygen in the lungs
d. an increased amount of red blood cells - ANSWER: b. a reduction in the oxygen content of arterial
blood
The Psychiatric Technician knows that occult means:
a. obvious
b. hidden
c. digested
d. black tarry - ANSWER: b. hidden
The Psychiatric Technician knows that scabies is a skin infection that:
a. is caused by lice and is easily transmitted.
b. is characterized by silvery white scales
c. is caused by a burrowing mite
d. can cause psoriatic lesions - ANSWER: c. is caused by a burrowing mite
The Psychiatric Technician knows that tarry stools result from:
a. rectal bleeding
b. excessive laxatives
c. hemorrhoids
d. bleeding in the small intestines - ANSWER: d. bleeding in the small intestines
The Psychiatric Technician observes the consumer scratching at the anal area during the night. The
Psychiatric Technician suspects that the most likely cause of the problem is?
a. Ringworm
b. Scabies
c. Pinworm
d. Ulcerative colitis - ANSWER: c. Pinworm
The Psychiatric Technician suspects that a consumer has pinworms. After securing a physcian's orders
the Psychiatric Technician will take which of the following actions?
a. Examine the color of the stool for indications of bleeding
b. Scotch tape test collected between 3am and 6 am.
c. Guiac test following each bowel movement for eight hours.
d. Call the lab and request a blood drawn for levels - ANSWER: b. Scotch tape test collected between
3am and 6 am.
The Psychiatric Technician, knows that an electrocardiogram:
a. measures the activity of heart sounds
b. measures the electrical activity of the heart
c. measures chemical activity produced by the electricity of the heart
d. measures the electrical pressure in the heart - ANSWER: b. measures the electrical activity of the
heart
and Caring 3rd Edition By Leslie S. Treas; Karen L. Barnett;
Mable H. Smith | 9781719642071 |Chapter 1-41 | All Chapters
with Answers and Rationals
When a restraint is ordered, the patient will need to be observed at least:
a. Every 15 minutes.
b. Hourly.
c. Every 2 hours.
d. Every 4 hours. - ANSWER: a. Every 15 minutes.
When completing Active ROM exercises on a patient's elbow, which of the following is the correct
motion?
a. Abduction
b. Adduction
c. Flexion
d. Pronation - ANSWER: c. Flexion
Which of the following reflects a basic principle of body mechanics?
a. More energy is needed to keep an object moving than to stop it.
b. Pushing or pulling is easier than lifting.
c. Rocking to use your body weight is not recommended.
d. Using the back muscles is recommended. - ANSWER: b. Pushing or pulling is easier than lifting.
Which position is used for most of the physical examamination and can be uncomfortable for a
patient with back problems?
a. Supine
b. Knee-chest
c. Prone
d. Sim's - ANSWER: a. Supine
The consumer receiving an enema should be placed in the ________position?
a. Fowler's
b. Lithotomy
c. Left Lateral
d. Right recumbent - ANSWER: c. Left Lateral
Which action is inappropriate when positioning a patient?
a. When logroll turning the patient, keep the body in a straight alignment.
b. Use a transfer board or bridge for patients who are unable to stand.
c. Use a broad base of support when transferring patients.
d. When moving a patient to the side of the bed, bed at the back and pull with your arms. - ANSWER:
d. When moving a patient to the side of the bed, bed at the back and pull with your arms.
Ketones in the urine may be a reflection of:
a. Weight gain.
b. Diabetes that may be out of control.
c. Bacteria in the urine.
d. Blood in the urine. - ANSWER: b. Diabetes that may be out of control.
When instructing a patient to prepare for a guaiac stool specimen, it is most important to tell the
client to:
a. avoid smoking before the test.
,b. bring a family member to drive you home from the test.
c. do not take aspirin 3 days before the test.
d. drink plenty of fluids for 3 days before the test. - ANSWER: c. do not take aspirin 3 days before the
test.
To obtain a clean catch urine specimen from a male client, instructions should be given to:
a. cleanse the penis using a circular motion outward from the urethral meatus.
b. cleanse the penis using downward strokes starting at the urethral meatus.
c. void the first stream into a sterile cup.
d. wear gloves when collecting the specimen. - ANSWER: a. cleanse the penis using a circular motion
outward from the urethral meatus.
Patients may acquire infections while in the hospital setting. These infections are called:
a. fulminating
b. environmental
c. nosocomial
d. inflammatory reactions - ANSWER: c. nosocomial
Smoking is prohibited in the room of a patient with COPD receiving oxygen because:
a. the smoke would irritate the esophagus
b. the smoke can increase the up take carbon dioxide
c. the smoke would stimulate the heart and cause increased cardiac output
d. oxygen supports combustion - ANSWER: d. oxygen supports combustion
The client is diagnosed with a fracture of the right tibia. The Psychiatric Technician educates the client
on the importance of promoting healing and suggests the need for.
a. increased sodium in the diet.
b. increased fat in the diet.
c. increased fiber in the diet.
d. increased calcium in the diet. - ANSWER: d. increased calcium in the diet.
The client's scoliosis continued to worsen in spite of a brace. She was admitted to the hospital for
corrective surgery using a Harrington rod. Following surgery the technician staff will:
a. log roll the client keeping her spine straight.
b. place the client in a semi-fowler's position.
c. avoid doing range-of-motion to the client's hand and extremities.
d. avoid giving narcotics analgesics. - ANSWER: a. log roll the client keeping her spine straight.
The intervention the Psychiatric Technician would not use will attending to a client having a seizure
would be?
a. Loosen tight clothing.
b. Do not restrain movements.
c. Put an object, such as a spoon, between the teeth.
d. Stay with the person until the seizure is over and consciousness is regained. - ANSWER: c. Put an
object, such as a spoon, between the teeth.
The most effictive nursing strategy to prevent infection would be to:
a. Use surgical asepsis when changing dressings.
b. Provide a fluid intake of 2,000 to 3,000 ml./day unless contraindicated.
c. Wash hands before and after any direct client contact.
d. Place soiled materials in poisture-resistant containers for apporoptiate disposal. - ANSWER: c. Wash
hands before and after any direct client contact.
The patient experiences angina pectoris. The Psychiatric Technician knows that this symptom
manifests itself as:
a. severe chest pain often radiating to the left arm
b. severe pectoral pain
,c. a burning sensation in the lower right quadrant
d. severe pain in the lower scapular area - ANSWER: b. severe pectoral pain
The patient has had a coffee grounds emesis. The Psychiatric Technician knows that the patient
probably has:
a. had a recent GI bleed that has subsided
b. had a deformed pylorus
c. an active upper GI bleed
d. a pica behavior problem - ANSWER: a. had a recent GI bleed that has subsided
The physician orders a stool specimen for ova and parasites (O&P). The Psychiatric Technician will be
conscious of which of the following principles?
a. The specimen must be kept warm and taken to the laboratory within 30 minutes
b. The specimen should be refrigerated until it can be taken to the laboratory.
c. Red meat can produce a false positive
d. Large quantities of vitamin "C" can produce a false negative. - ANSWER: a. The specimen must be
kept warm and taken to the laboratory within 30 minutes
The population at greatest risk for developing cirrhosis of the liver are:
a. alcohol abusers
b. amphetamine abusers
c. cocaine abusers
d. males between the ages of 40-50 - ANSWER: a. alcohol abusers
The Psychatric Technician knows that skin is impenetrable to most organisms if it is:
a. erythematous
b. unbroken
c. moist
d. dry - ANSWER: b. unbroken
The Psychiatric Technician has just completed the A.M. care for his/her assigned client. What is the
safest action the Psychiatric Technician should take before leaving the bedside.
a. Place the patient in a semi-fowler's position and put the side rails up.
b. Place the patient in a supine position and put the side rails up.
c. Put both side rails up and place the bed in the low position.
d. Put the side rails up on the side of the bed closest to the door and put the bed in the low position -
ANSWER: c. Put both side rails up and place the bed in the low position.
The Psychiatric Technician is aware that damage to this area of the brain is related to ataxic cerbral
palsy.
a. the cerebral motor strip
b. medulla
c. cerebellum
d. hypothalmus - ANSWER: a. the cerebral motor strip
The Psychiatric Technician is required to insert a nasogastric tube. When determining the distance to
insert the tube the Psychiatric Technician measures the distance from the patient's nose to the:
a. lips to the base of the xiphoid process.
b. lobe of the ear to the base of the xiphoid process.
c. chin to the base of the xiphoid process.
d. esophagus to the base of the xiphoid process. - ANSWER: b. lobe of the ear to the base of the
xiphoid process.
The Psychiatric Technician is transferring his/her client from the bed to the wheelchair. The
Psychiatric Technician should have the chair at the bedside with the
a. back of the chair near the head of the bed with the wheels unlocked.
b. back of the chair near the head of the bed with the wheels locked.
, c. chair facing the door with the wheels unlocked.
d. chair facing the door with the wheels locked. - ANSWER: b. back of the chair near the head of the
bed with the wheels locked.
The Psychiatric Technician knows that a low sodium diet:
a. retains fluid in the body
b. causes retention of salt
c. increases urinary output
d. damages cells of the liver - ANSWER: c. increases urinary output
The Psychiatric Technician knows that anoxia is:
a. a deficiency of red blood cells
b. a reduction in the oxygen content of arterial blood
c. a reduction of oxygen in the lungs
d. an increased amount of red blood cells - ANSWER: b. a reduction in the oxygen content of arterial
blood
The Psychiatric Technician knows that occult means:
a. obvious
b. hidden
c. digested
d. black tarry - ANSWER: b. hidden
The Psychiatric Technician knows that scabies is a skin infection that:
a. is caused by lice and is easily transmitted.
b. is characterized by silvery white scales
c. is caused by a burrowing mite
d. can cause psoriatic lesions - ANSWER: c. is caused by a burrowing mite
The Psychiatric Technician knows that tarry stools result from:
a. rectal bleeding
b. excessive laxatives
c. hemorrhoids
d. bleeding in the small intestines - ANSWER: d. bleeding in the small intestines
The Psychiatric Technician observes the consumer scratching at the anal area during the night. The
Psychiatric Technician suspects that the most likely cause of the problem is?
a. Ringworm
b. Scabies
c. Pinworm
d. Ulcerative colitis - ANSWER: c. Pinworm
The Psychiatric Technician suspects that a consumer has pinworms. After securing a physcian's orders
the Psychiatric Technician will take which of the following actions?
a. Examine the color of the stool for indications of bleeding
b. Scotch tape test collected between 3am and 6 am.
c. Guiac test following each bowel movement for eight hours.
d. Call the lab and request a blood drawn for levels - ANSWER: b. Scotch tape test collected between
3am and 6 am.
The Psychiatric Technician, knows that an electrocardiogram:
a. measures the activity of heart sounds
b. measures the electrical activity of the heart
c. measures chemical activity produced by the electricity of the heart
d. measures the electrical pressure in the heart - ANSWER: b. measures the electrical activity of the
heart
