Questions and Answers
The patient is in isolation in a negative pressure room for active tuberculosis. He coughs and
spews large amounts of blood thinks sputum but is too weak to cover his mouth and nose with
a tissue. Which is the most important intervention for the nurse to implement for self
protection while providing nursing care?
a. Cover the patient's mouth and nose snugly with a surgical mask
b. Wear an N-95 mask, gloves, face shield, and isolation gown
c. Place tissues and a contaminated waste container within reach.
d. Use a properly fitted surgical mask and gloves to help with tissues - ANS b. Wear an N-95
mask, gloves, face shield, and isolation gown
The nurse teaches the patient in proper handwashing technique before discharge and ask for a
return demonstration, which hand hygiene technique indicates the patient teaching by the
nurse is effective?
a. The patient turns off the tap and then dries hands
b. Soap, water, and friction are used by the patient
c. The patient wash his hands with very hot water
d. A basin with warm soapy water is used - ANS b. Soap, water, and friction are used by the
patient
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,In which of the following situation should the nurse use surgical asepsis?
a. Performing routine urinary catheter care
b. Performing oral care
c. Wound care dressing
d. Performing nasogastric tube care - ANS c. Wound care dressing
Subjective data includes a patient's feelings, perception, and reported symptoms
true or false - ANS true
The nurse admits the patient with mild chest pain from emergency department. what should
the nurse implement first to gain patient corporation during a physical assessment?
a. Explain the procedure and it's purpose
b. Perform assessment in stages over the day
c. Complete assessment within 3 to 5 minutes
d. Assess painful areas before non-tender areas - ANS a. Explain the procedure and it's
purpose
The nurse is performing a neurological assessment which patient behaviour demonstrates a
level of consciousness within normal limits
a. States name age and date but not location
b. is lethargic but responds logically to questions
c. respond verbally but words are unintelligible
d. responds to questions spontaneously and is alert - ANS d. responds to questions
spontaneously and is alert
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, The nurse assessing with a patients with a cast extending from just below the left knee to the
toes. which assessment contain a desirable patient outcome?
a. The toes are pink bilaterally
b. The cast is warm at the ankle
c. Paresthesia is present in the left foot
d. The cast is snug at the knee - ANS a. The toes are pink bilaterally
The nurse assesses an adult patient with a cardiopulmonary illness and hears a grating sound
over the lower lateral lung during inspiration that does not clear with coughing. What would
the nurse most likely document as a result of the assessment findings?
a. Crackles
b. Wheezes
c. A pleural friction rub
d. Rhonchi - ANS c. A pleural friction rub
having a misplaced his stethoscope, a nurse borrows a colleagues stethoscope. He next enters
to patients room and identified himself,
washes his hands with soap, and states the purpose of his visits. he performs proper
identification of the patient before he also auscultates her lungs. which critical health
assessment was not performed?
a. Running warm water over stethoscope patient comfort
b. Cleaning stethoscope with Betadine
c. Using alcohol-based hand disinfectant
d. Cleaning stethoscope with alcohol - ANS d. Cleaning stethoscope with alcohol
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