EXAM 1 PRACTICE QUESTIONS- NUR313 QUESTIONS WITH COMPLETE
SOLUTIONS
The nurse is caring for a patient who has experienced a stroke. Which
interdisciplinary care team (CT) members should be involved in this patient's
care? (Select all that apply)
A. Occupational therapist
B. Physical therapist
C. Physician
D. Case manager
E. Legal counsel - ANSWER-A. Occupational therapist
B. Physical therapist
C. Physician
D. Case manager
Which statement by the nurse about discharge planning indicated
understanding about the role of the multidisciplinary team?
A. "This patient had a fairly uncomplicated hospital admission. There's no need
to involve the team in this discharge plan."
B. "Our physical therapist is busy today. I'll take care of the PT evaluation."
C. "Let's make sure we are all in agreement about the discharge plans for this
patient in multidisciplinary rounds today."
D. "We need this bed for an emergency admission. I'm okay with discharging
this patient before the OT evaluation." - ANSWER-C. "Let's make sure we are all
,in agreement about the discharge plans for this patient in multidisciplinary
rounds today."
The nurse anticipates which fluid movement when administering an isotonic IV
fluid to a patient?
A. Causes fluid to move from the cells into the intravascular space.
B. Causes fluid to move from the intravascular space into the intracellular space.
C. Causes no or equal movement of fluid into or out of cells
D. Causes fluid to move from the intravascular space into the interstitial space. -
ANSWER-C. Causes no or equal movement of fluid into or out of cells
A patient is admitted with osteomyelitis and is going to require 3 to 4 weeks of
IV antibiotics. Which venous access device is most appropriate for this patient?
A. 16-gauge central venous catheter
B. 18-gauge over-the-needle PVAD
C. 20-gauge midline catheter
D. 22-gauge steel-winged device - ANSWER-C. 20-gauge midline catheter
Assessment of IV fluid infiltration includes: (choose all that apply):
A. Edema and pain
B. Streak formation
C. Pain and erythema
D. Pallor and coolness
E. Numbness and pain - ANSWER-A. Edema and pain
,D. Pallor and coolness
The nurse is unable to flush a central venous access device and suspects
occlusion. The best nursing intervention would be to:
A. Apply warm moist compress to the insertion site
B. Attempt to force 10 mL of normal saline into the device
C. Place the patient on the left side with head-down position
D. Instruct patient to change position, raise arms and cough - ANSWER-D.
Instruct patient to change position, raise arms and cough
The nurse recognizes that education for patients receiving infusion therapy
should include which information? (Select all that apply.)
A. Precautions for preventing infection
B. Signs and symptoms to report
C. Manufacturer of the IVAD
D. Purpose of infusion therapy
E. Calculation of infusion rates - ANSWER-A. Precautions for preventing infection
B. Signs and symptoms to report
D. Purpose of infusion therapy
The nurse recognizes the prevention of which complication as the primary
rationale for initiating TPN at a slow rate?
A. Infection
B. Hyperglycemia
, C. Discomfort
D. Air embolism - ANSWER-B. Hyperglycemia
To prevent perioperative complications in a patient who is a chronic smoker, the
nurse would instruct the patient to refrain from smoking for how long before
surgery?
A. 1 day
B. 1 week
C. 2 weeks
D. 6 weeks - ANSWER-D. 6 weeks
During a pre operative assessment, which explanation by the nurse is the correct
reason for obtaining accurate documentation of the current medications being
taken?
A. "Some medications may alter the patient's perceptions about surgery."
B. "Some anesthetics alter renal and hepatic function, causing toxicity of other
drugs."
C. "Some medications may interact with anesthetics, altering the potency and
effect of the drugs."
D. "Routine medications are withheld the day of surgery, requiring dosage and
schedule adjustments after surgery." - ANSWER-C. "Some medications may
interact with anesthetics, altering the potency and effect of the drugs."
A patient with diabetes is waiting in the preoperative holding area and asks the
nurse if the daily insulin dose should be taken. Which response will the nurse
make?
SOLUTIONS
The nurse is caring for a patient who has experienced a stroke. Which
interdisciplinary care team (CT) members should be involved in this patient's
care? (Select all that apply)
A. Occupational therapist
B. Physical therapist
C. Physician
D. Case manager
E. Legal counsel - ANSWER-A. Occupational therapist
B. Physical therapist
C. Physician
D. Case manager
Which statement by the nurse about discharge planning indicated
understanding about the role of the multidisciplinary team?
A. "This patient had a fairly uncomplicated hospital admission. There's no need
to involve the team in this discharge plan."
B. "Our physical therapist is busy today. I'll take care of the PT evaluation."
C. "Let's make sure we are all in agreement about the discharge plans for this
patient in multidisciplinary rounds today."
D. "We need this bed for an emergency admission. I'm okay with discharging
this patient before the OT evaluation." - ANSWER-C. "Let's make sure we are all
,in agreement about the discharge plans for this patient in multidisciplinary
rounds today."
The nurse anticipates which fluid movement when administering an isotonic IV
fluid to a patient?
A. Causes fluid to move from the cells into the intravascular space.
B. Causes fluid to move from the intravascular space into the intracellular space.
C. Causes no or equal movement of fluid into or out of cells
D. Causes fluid to move from the intravascular space into the interstitial space. -
ANSWER-C. Causes no or equal movement of fluid into or out of cells
A patient is admitted with osteomyelitis and is going to require 3 to 4 weeks of
IV antibiotics. Which venous access device is most appropriate for this patient?
A. 16-gauge central venous catheter
B. 18-gauge over-the-needle PVAD
C. 20-gauge midline catheter
D. 22-gauge steel-winged device - ANSWER-C. 20-gauge midline catheter
Assessment of IV fluid infiltration includes: (choose all that apply):
A. Edema and pain
B. Streak formation
C. Pain and erythema
D. Pallor and coolness
E. Numbness and pain - ANSWER-A. Edema and pain
,D. Pallor and coolness
The nurse is unable to flush a central venous access device and suspects
occlusion. The best nursing intervention would be to:
A. Apply warm moist compress to the insertion site
B. Attempt to force 10 mL of normal saline into the device
C. Place the patient on the left side with head-down position
D. Instruct patient to change position, raise arms and cough - ANSWER-D.
Instruct patient to change position, raise arms and cough
The nurse recognizes that education for patients receiving infusion therapy
should include which information? (Select all that apply.)
A. Precautions for preventing infection
B. Signs and symptoms to report
C. Manufacturer of the IVAD
D. Purpose of infusion therapy
E. Calculation of infusion rates - ANSWER-A. Precautions for preventing infection
B. Signs and symptoms to report
D. Purpose of infusion therapy
The nurse recognizes the prevention of which complication as the primary
rationale for initiating TPN at a slow rate?
A. Infection
B. Hyperglycemia
, C. Discomfort
D. Air embolism - ANSWER-B. Hyperglycemia
To prevent perioperative complications in a patient who is a chronic smoker, the
nurse would instruct the patient to refrain from smoking for how long before
surgery?
A. 1 day
B. 1 week
C. 2 weeks
D. 6 weeks - ANSWER-D. 6 weeks
During a pre operative assessment, which explanation by the nurse is the correct
reason for obtaining accurate documentation of the current medications being
taken?
A. "Some medications may alter the patient's perceptions about surgery."
B. "Some anesthetics alter renal and hepatic function, causing toxicity of other
drugs."
C. "Some medications may interact with anesthetics, altering the potency and
effect of the drugs."
D. "Routine medications are withheld the day of surgery, requiring dosage and
schedule adjustments after surgery." - ANSWER-C. "Some medications may
interact with anesthetics, altering the potency and effect of the drugs."
A patient with diabetes is waiting in the preoperative holding area and asks the
nurse if the daily insulin dose should be taken. Which response will the nurse
make?
