A nurse should perform an ongoing assessment of which system
throughout the entire examination?
A. Mental status
B. Heart
C. Skin
D. General survey
C. Skin
A nurse is caring for a client who uses a hearing aid for
amplifying sound. During the Rinne test for checking the bone
conduction of the sound, where should the nurse place the stem
of the vibrating tuning fork?
A. Center of the head.
B. On the mastoid area.
C. Near the ear canal.
D. Behind the client's head.
B. On the mastoid area.
A nursing instructor is observing a student nurse perform a
bladder scan. Which of the following indicates the student needs
additional education?
A. Assisted the patient to a supine position
,B. Applies warm ultrasound gel to the scanner
C. Positions the scanner head on the symphysis pubis
D. Aims the scanner head towards the bladder
C. Positions the scanner head on the symphysis pubis
A patient has a wound with minimal exudate that requires a
dressing. Which of the following dressings would
be most appropriate for the nurse to apply?
A. Alginate
B. Absorbent
C. Foam
D. Hydrocolloid
D. Hydrocolloid
After applying a bandage, the nurse should check to make sure
the patient's circulation is not compromised in which area (in
relation to the area the bandage was placed)?
A. Proximal
B. Distal
C. Under the bandage
B. Distal
A trained nursing assistant has applied a condom catheter to a
male patient with a drainage bag. The nurse is making rounds to
, all the patients and checks the condom catheter. Which of the
following indicates the nursing assistant properly applied the
condom catheter?
A. The foreskin of an uncircumcised male was left retracted
B. There is 3 inches between the end of the penis and the
drainage tube
C. The drainage bag is placed on the floor
D. The catheter tubing is secured to the patient's thigh
D. The catheter tubing is secured to the patient's thigh
A nursing instructor has asked the student to perform glucose
monitoring on an infant. Which of the following locations would
be appropriate for the student to select for this procedure? Select
all that apply.
A. Lateral aspect of the thumb
B. Heel
C. Index finger
D. Great toe
B. Heel
D. Great toe
A patient recovering from abdominal surgery has an incision
which has been closed by primary intention. The staples are
intact. To provide additional support to the incision site and