Questions & Answers
1. If a patient begins to gag and show signs of distress during the insertion of an
orogastric tube, what should the nurse do next?
Stop the insertion and reassess the patient's condition.
Administer oxygen to the patient immediately.
Continue inserting the tube quickly to minimize discomfort.
Ask the patient to swallow while inserting the tube.
2. A nurse is caring for a patient diagnosed with meningococcal meningitis.
Which of the following isolation precautions would the nurse initiate?
special enteric
droplet
contact
airborne
3. The client has orders for an NG tube insertion. During the procedure,
instructions that will assist in the insertion would be:
Tilt the head back for insertion into the nostril. Tuck the chin for the
final insertion
Tuck the chin down for insertion into the nostril. Tilt the head back for
final insertion.
Position head upright for insertion into the nostril. Open the mouth for
final insertion.
Tilt the head back for insertion into the nostril. Position head upright
for final insertion.
,4. What is the primary management approach for Ventricular Fibrillation (VFib)?
Immediate cardioversion
Administering antiarrhythmic medications
Ventricular pacing
Immediate defibrillation
5. In a patient assessment, if bronchial lung sounds are heard in the peripheral
lung fields, what might this suggest about the patient's condition?
Normal lung function
Possible consolidation or lung pathology
No significant findings
Increased airflow due to exercise
6. If a nurse identifies multiple suicide risk factors in a patient, what is the most
appropriate action to take?
Schedule a follow-up appointment in a month.
Increase the patient's medication dosage.
Implement a safety plan and refer to mental health services.
Ignore the risk factors if the patient seems stable.
7. What is the primary reason for giving RhoGAM to an Rh-negative mother
during pregnancy?
To enhance fetal growth
To treat Rh-positive blood type
To reduce maternal blood pressure
, To prevent Rh immunization
8. Describe the clinical situations in which a chest tube would be indicated.
A chest tube is indicated in cases of pneumothorax, pleural effusion,
or hemothorax.
A chest tube is only used in emergency situations.
A chest tube is necessary for all surgical patients.
A chest tube is used for routine medication administration.
9. What is the definition of cardiogenic shock?
A sudden drop in blood pressure due to severe blood loss.
A type of shock caused by an allergic reaction.
A condition where the heart is unable to pump sufficient blood to
meet the body's needs.
A condition resulting from a severe infection.
10. A man, age 74, has a blood pressure of 166/78, a respiratory rate of 18
breaths/minute, and chest pain. His cardiac monitor reveals sinus tachycardia
at 128 beats/minute. For this patient, what is the most likely intervention?
Administration of medication, such as adenosine, to decrease the
heart rate.
Administration of medication, such as atropine, to increase the heart
rate.
Treatment of the underlying cause of the tachycardia.
Application of a transcutaneous pacemaker.
, 11. Describe the significance of maintaining the INR within the therapeutic range
for patients on Warfarin.
An INR above 3.0 is always safe for patients on Warfarin.
The INR must be kept below 1.0 to ensure effective anticoagulation.
The INR is irrelevant to the effectiveness of Warfarin therapy.
Maintaining the INR within the therapeutic range helps prevent
blood clots while minimizing the risk of bleeding.
12. During a patient assessment, you hear bronchovesicular breath sounds in a
location where they are not normally present. What could this indicate?
Possible lung pathology or consolidation.
A sign of dehydration.
Increased airflow due to exercise.
Normal respiratory function.
13. When providing care for a patient undergoing internal radiation, you would
stay out of the patient's room as much as possible
ask a family member to feel the patient
wear a lead apron when at the bedside
quickly and efficiently provide hands on care
14. Describe the purpose of Contact Precautions in a healthcare setting.
Contact Precautions focus solely on airborne diseases.
Contact Precautions aim to prevent the transmission of infectious
agents through direct or indirect contact.