PN 4003 MIDTERM EXAM TERMINAL
CERTIFICATION EVALUATION COMPLETE
QUESTIONS WITH FULL SOLUTION
ALREADY PASSED
⩥ Nurse find the client having laboured, dyspneic breathing with audible
wheezes. The client appears very anxious and restless. On auscultating
her chest, hears crackles in both lower lobes of the lungs posteriorly.
What initial actions should the nurse take?
A. Chart her findings and report the nurse team leader
B. Encourage the client to deep breathe and cough
C. Elevate head of bed and administer oxygen
D. Go to the nurses' station and call the physician
Answer: Elevate head of bed and administer oxygen
⩥ A postoperative client reports sensations of prickling and itchiness
around his abdominal incision site after initial dressing change. How
should the nurse proceed?
A. Administer analgesia for prickling and itchiness sensation
B. Remove the dressing and assess the skin area around the incision
C. Inform the client that this is a normal sensation to feel after the
surgery
,D. Notify the doctor of his complaints of prickling and itchiness around
the incision
Answer: Remove the dressing and assess the skin area around the
incision
⩥ What is the most effective method for the nurse to validate the
effectiveness of pain relief with most clients?
A. Ask to rate their pain verbally from mild to severe
B. Monitor their facial expressions before and after administration of
analgesics
C. Monitor their vital signs in response to analgesics given
D. Ask client to rate pain using a numeric rating scale before and after
analgesics
Answer: Ask client to rate pain using a numeric rating scale before and
after analgesics
⩥ How does the nurse know when to suction a client with a
tracheostomy tube?
A. The client is coughing up copious amount of sputum from the
tracheostomy
B. The client tells the nurse when suctioning is necessary
C. The doctor specifies how often to suction in the orders
D. The nurse bases her decision on assessment data heard on lung
auscultations
,Answer: The nurse bases her decision on assessment data heard on lung
auscultations
⩥ Which of the following would the teacher use as an example of
medical asepsis?
A. Inserting a urinary catheter for postoperative urinary retention
B. Changing an abdominal dressing for the first time after surgery
C. Cleaning the hospital environment and equipment routinely
D. Giving an intramuscular injection in the ventrogluteal region
Answer: Cleaning the hospital environment and equipment routinely
⩥ The hospital formulary indicates that a safe dose of ampicillin is 200-
400mg/kg/day. What is the recommended dosage range for Omotayo
who weighs 11lbs?
A. 11000-44000 mg/day
B. 1100-4400 mg/day
C. 1000-2000 mg/day
D. 1000-2000 mg/dose
Answer: 1000-2000 mg/day
⩥ Which of the following is correct regarding subcutaneous injections?
A. Hold the skin taut at the site of the injection to compress the
subcutaneous tissue
, B. All subcutaneous injection sites can be massaged with the exception
of those for insulin
C. Best practice is not to aspirate for all subcutaneous injections except
heparin
D. Aspiration is not necessary as it is rare to inject into a blood vessel
Answer: Aspiration is not necessary as it is rare to inject into a blood
vessel
⩥ Mr. Pelletier returns from surgery with chest tubes in place. What
should the practical nurse say to Mr. Pelletier concerning his chest
tubes?
1. "You have chest tubes to remove abnormal accumulations of fluid
from inside your lungs."
2. "You need to turn in bed frequently to promote drainage from the
pleural space and improve lung expansion."
3. "Your chest tubes will be clamped every time you get out of bed to
prevent a leak from developing in the drainage system."
4. "The chest tube drainage system should remain at the level of the
chest at all times."
Answer: "You need to turn in bed frequently to promote drainage from
the pleural space and improve lung expansion."
⩥ Which of the following statements is correct about blood
administration?
CERTIFICATION EVALUATION COMPLETE
QUESTIONS WITH FULL SOLUTION
ALREADY PASSED
⩥ Nurse find the client having laboured, dyspneic breathing with audible
wheezes. The client appears very anxious and restless. On auscultating
her chest, hears crackles in both lower lobes of the lungs posteriorly.
What initial actions should the nurse take?
A. Chart her findings and report the nurse team leader
B. Encourage the client to deep breathe and cough
C. Elevate head of bed and administer oxygen
D. Go to the nurses' station and call the physician
Answer: Elevate head of bed and administer oxygen
⩥ A postoperative client reports sensations of prickling and itchiness
around his abdominal incision site after initial dressing change. How
should the nurse proceed?
A. Administer analgesia for prickling and itchiness sensation
B. Remove the dressing and assess the skin area around the incision
C. Inform the client that this is a normal sensation to feel after the
surgery
,D. Notify the doctor of his complaints of prickling and itchiness around
the incision
Answer: Remove the dressing and assess the skin area around the
incision
⩥ What is the most effective method for the nurse to validate the
effectiveness of pain relief with most clients?
A. Ask to rate their pain verbally from mild to severe
B. Monitor their facial expressions before and after administration of
analgesics
C. Monitor their vital signs in response to analgesics given
D. Ask client to rate pain using a numeric rating scale before and after
analgesics
Answer: Ask client to rate pain using a numeric rating scale before and
after analgesics
⩥ How does the nurse know when to suction a client with a
tracheostomy tube?
A. The client is coughing up copious amount of sputum from the
tracheostomy
B. The client tells the nurse when suctioning is necessary
C. The doctor specifies how often to suction in the orders
D. The nurse bases her decision on assessment data heard on lung
auscultations
,Answer: The nurse bases her decision on assessment data heard on lung
auscultations
⩥ Which of the following would the teacher use as an example of
medical asepsis?
A. Inserting a urinary catheter for postoperative urinary retention
B. Changing an abdominal dressing for the first time after surgery
C. Cleaning the hospital environment and equipment routinely
D. Giving an intramuscular injection in the ventrogluteal region
Answer: Cleaning the hospital environment and equipment routinely
⩥ The hospital formulary indicates that a safe dose of ampicillin is 200-
400mg/kg/day. What is the recommended dosage range for Omotayo
who weighs 11lbs?
A. 11000-44000 mg/day
B. 1100-4400 mg/day
C. 1000-2000 mg/day
D. 1000-2000 mg/dose
Answer: 1000-2000 mg/day
⩥ Which of the following is correct regarding subcutaneous injections?
A. Hold the skin taut at the site of the injection to compress the
subcutaneous tissue
, B. All subcutaneous injection sites can be massaged with the exception
of those for insulin
C. Best practice is not to aspirate for all subcutaneous injections except
heparin
D. Aspiration is not necessary as it is rare to inject into a blood vessel
Answer: Aspiration is not necessary as it is rare to inject into a blood
vessel
⩥ Mr. Pelletier returns from surgery with chest tubes in place. What
should the practical nurse say to Mr. Pelletier concerning his chest
tubes?
1. "You have chest tubes to remove abnormal accumulations of fluid
from inside your lungs."
2. "You need to turn in bed frequently to promote drainage from the
pleural space and improve lung expansion."
3. "Your chest tubes will be clamped every time you get out of bed to
prevent a leak from developing in the drainage system."
4. "The chest tube drainage system should remain at the level of the
chest at all times."
Answer: "You need to turn in bed frequently to promote drainage from
the pleural space and improve lung expansion."
⩥ Which of the following statements is correct about blood
administration?
