Week 6 Lab Questions With Guaranteed
Pass Solutions.
The nurse is using palpation to assess respiratory function. Which action by the nurse requires more
education regarding palpation?
a. The nurse asks the client to repeat "ninety-nine" while placing both hands on the chest wall bilaterally.
b. The nurse listens for dull sounds over the chest wall while striking the middle finger of the opposite
hand.
c. The nurse places both hands with thumbs touching on the client's back and asked them to take a deep
breath.
d. The nurse uses the thumbs of both hands to determine if the trachea is midline. - Answer b. The
nurse listens for dull sounds over the chest wall while striking the middle finger of the opposite hand.
The nurse knows that the use of technology is beneficial for sharing patient information with the
treatment team quickly. Which of the following is a HIPAA (Health Insurance Portability and
Accountability Act) violation related to the use of technology?
a. The emergency room nurse faxes report to the medical unit before transferring a patient to the unit.
b. The nurse contacts a patient's insurance company for pre-approval for surgery with patient consent.
c. The nurse logs in to the computer at the patient's bedside to administer medication with family in the
room.
d. The nurse faxes the patient's lab results to the dietary department instead of the primary care
provider. - Answer d. The nurse faxes the patient's lab results to the dietary department instead of the
primary care provider.
A patient is being admitted to acute care from home. The patient spouse (caregiver) states the patient is
only comfortable laying in the left side. What areas are a priority to assess for skin breakdown? (Select all
that apply.)
a. Right iliac crest
b. Left ear
c. Sacrum
d. Left knee
e. Right medial thigh - Answer b, d
, To palpate lymph nodes, the nurse uses which technique?
a. Compress the nodes between the index fingers of both hands.
b. Use the pads of two or three fingers in a circular motion.
c. Use the back of the hand to feel for temperature differences from the right and left sides.
d. Use all four fingers in a vertical and then side-to-side motion. - Answer b. Use the pads of two or
three fingers in a circular motion.
Which statement by the student nurse demonstrates understanding of expected findings during the
assessment of the musculoskeletal system?
a. "By comparing the patient's assessment with expected findings for his age group, I can identify any
limitations."
b. "By comparing the patient's assessment with expected findings for his gender, I can identify any
limitations."
c. "By comparing the patient's assessment with expected findings of his race, I can identify any
limitations."
d. "By comparing the patient's left side with his right side, I can identify any limitations." - Answer d.
"By comparing the patient's left side with his right side, I can identify any limitations."
The charge nurse is observing a novice nurse administer an intramuscular injection in the deltoid muscle
of a well-developed adult. Which observation would cause the charge nurse to intervene?
a. The novice nurse measures three finger widths from the acromion process to mark injection site.
b. The novice nurse asks the patient to remove their arm from their sweatshirt for the injection.
c. The novice nurse asks the patient to relax the arm and cleans the site in a circular motion.
d. The novice nurse has 3 mL of the medication in a 3 mL syringe with a 1 ½ inch needle. - Answer d.
The novice nurse has 3 mL of the medication in a 3 mL syringe with a 1 ½ inch needle.
The nurse has an order for acetaminophen rectal suppository for a patient with a fever. What would be a
contraindication for this medication order?
a. Patient reports vomiting for 2 days
b. Patient reports allergy to ibuprofen
c. Patient reports bleeding from the bowel
Pass Solutions.
The nurse is using palpation to assess respiratory function. Which action by the nurse requires more
education regarding palpation?
a. The nurse asks the client to repeat "ninety-nine" while placing both hands on the chest wall bilaterally.
b. The nurse listens for dull sounds over the chest wall while striking the middle finger of the opposite
hand.
c. The nurse places both hands with thumbs touching on the client's back and asked them to take a deep
breath.
d. The nurse uses the thumbs of both hands to determine if the trachea is midline. - Answer b. The
nurse listens for dull sounds over the chest wall while striking the middle finger of the opposite hand.
The nurse knows that the use of technology is beneficial for sharing patient information with the
treatment team quickly. Which of the following is a HIPAA (Health Insurance Portability and
Accountability Act) violation related to the use of technology?
a. The emergency room nurse faxes report to the medical unit before transferring a patient to the unit.
b. The nurse contacts a patient's insurance company for pre-approval for surgery with patient consent.
c. The nurse logs in to the computer at the patient's bedside to administer medication with family in the
room.
d. The nurse faxes the patient's lab results to the dietary department instead of the primary care
provider. - Answer d. The nurse faxes the patient's lab results to the dietary department instead of the
primary care provider.
A patient is being admitted to acute care from home. The patient spouse (caregiver) states the patient is
only comfortable laying in the left side. What areas are a priority to assess for skin breakdown? (Select all
that apply.)
a. Right iliac crest
b. Left ear
c. Sacrum
d. Left knee
e. Right medial thigh - Answer b, d
, To palpate lymph nodes, the nurse uses which technique?
a. Compress the nodes between the index fingers of both hands.
b. Use the pads of two or three fingers in a circular motion.
c. Use the back of the hand to feel for temperature differences from the right and left sides.
d. Use all four fingers in a vertical and then side-to-side motion. - Answer b. Use the pads of two or
three fingers in a circular motion.
Which statement by the student nurse demonstrates understanding of expected findings during the
assessment of the musculoskeletal system?
a. "By comparing the patient's assessment with expected findings for his age group, I can identify any
limitations."
b. "By comparing the patient's assessment with expected findings for his gender, I can identify any
limitations."
c. "By comparing the patient's assessment with expected findings of his race, I can identify any
limitations."
d. "By comparing the patient's left side with his right side, I can identify any limitations." - Answer d.
"By comparing the patient's left side with his right side, I can identify any limitations."
The charge nurse is observing a novice nurse administer an intramuscular injection in the deltoid muscle
of a well-developed adult. Which observation would cause the charge nurse to intervene?
a. The novice nurse measures three finger widths from the acromion process to mark injection site.
b. The novice nurse asks the patient to remove their arm from their sweatshirt for the injection.
c. The novice nurse asks the patient to relax the arm and cleans the site in a circular motion.
d. The novice nurse has 3 mL of the medication in a 3 mL syringe with a 1 ½ inch needle. - Answer d.
The novice nurse has 3 mL of the medication in a 3 mL syringe with a 1 ½ inch needle.
The nurse has an order for acetaminophen rectal suppository for a patient with a fever. What would be a
contraindication for this medication order?
a. Patient reports vomiting for 2 days
b. Patient reports allergy to ibuprofen
c. Patient reports bleeding from the bowel
