PN 2006 pre
lec/quizzes/midterm
review
,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 - CORRECT
ANSWERS-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 - CORRECT ANSWERS-b. Soap, water, and
friction are used by the patient
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 - CORRECT ANSWERS-c. Wound care dressing
Subjective data includes a patient's feelings, perception, and reported symptoms
true or false - CORRECT ANSWERS-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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-d.
responds to questions spontaneously and is alert
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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-d. Cleaning stethoscope
with alcohol
Which is the best examination position for a complete physical examination on a
weak,geriatric patient with bilateral basilar pneumonia?
a. Prone position
b. Sims position
c. Supine position
d. Lateral position - CORRECT ANSWERS-c. Supine position
A nurse preceptor is working with a student nurse. Which behavior by the student nurse
willrequire the nurse preceptor to intervene?
a. The student nurse reviews the patient's medical record.
lec/quizzes/midterm
review
,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 - CORRECT
ANSWERS-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 - CORRECT ANSWERS-b. Soap, water, and
friction are used by the patient
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 - CORRECT ANSWERS-c. Wound care dressing
Subjective data includes a patient's feelings, perception, and reported symptoms
true or false - CORRECT ANSWERS-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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-d.
responds to questions spontaneously and is alert
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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-d. Cleaning stethoscope
with alcohol
Which is the best examination position for a complete physical examination on a
weak,geriatric patient with bilateral basilar pneumonia?
a. Prone position
b. Sims position
c. Supine position
d. Lateral position - CORRECT ANSWERS-c. Supine position
A nurse preceptor is working with a student nurse. Which behavior by the student nurse
willrequire the nurse preceptor to intervene?
a. The student nurse reviews the patient's medical record.
