4006 Midterm (quizzes based)
Study online at https://quizlet.com/_aci7gv
1. The nurse is preparing to perform a physical examination on a client who
has cardiopulmonary disease. Knowing this about the client, the nurse is
alert for the presence of which of the following when checking the client's
nails?
Select one:
a. Clubbing
b. Bands in nailbeds
c. Yellow discoloration
d. Splinter hemorrhages: A- clubbing
2. The nurse is auscultating the client's lungs and notes normal vesicular
sounds as being which of the following?
Select one:
a. Medium-pitched blowing sounds with inspiration equalling expiration b.
Loud, high-pitched, hollow sounds with expiration longer than inspiration c.
Soft, breezy, low-pitched sounds with longer inspiration
d. Sounds created by air moving through small airways: c. Soft, breezy, low-
pitched sounds with longer inspiration
3. During the physical examination, the nurse should use which part of the
hand to assess characteristics such as consistency, contour, and texture in
the client's glands?
Select one:
a. Dorsum of the hand
b. Pads of the fingers
c. Palmar surface of the hand
d. Fingertip grasp of the tissue: b. Pads of the fingers
4. If a low-pitched murmur is suspected with prior assessment, which of the
following is the best position for the client when the nurse auscultates the
apical site?
Select one:
a. Sitting up
b. Standing
c. Lying on the left side
d. Dorsal recumbent: c. Lying on the left side
5. Which of the following positions maximizes the nurse's ability to assess
the client's upper body for symmetry?
Select one:
a. Sitting
b. Supine
,c. Prone
d. Dorsal recumbent: a. Sitting
, 4006 Midterm (quizzes based)
Study online at https://quizlet.com/_aci7gv
6. The nurse is observing a new staff member work with the client. Of the
following activities, which one has the greatest possibility of contributing to
a nosocomial infection and requires correction?
Select one:
a. Washing hands before applying a dressing
b. Taping a plastic bag to the bed rail for tissue disposal
c. Placing a Foley catheter bag on the bed when transferring a client d.
Using alcohol to cleanse the skin before starting an intravenous line: c.
Placing a Foley catheter bag on the bed when transferring a client
7. Which one of the following indicates that the nurse is using surgical
aseptic technique?
Select one:
a. Inserting an intravenous catheter
b. Placing soiled linen in moisture-resistant bags
c. Disposing of syringes in puncture-proof containers
d. Washing hands before changing a dressing: a. Inserting an intravenous
catheter
8. The client requires a sterile dressing change. Which of the following is an
appropriate intervention for the nurse to implement in maintaining sterile
asepsis?
Select one:
a. Put sterile gloves on before opening sterile packages.
b. Check integrity of sterile packages prior to use.
c. Place the cap of the sterile solution well within the sterile field.
d. Place sterile items on the very edge of the sterile drape.: b. Check integrity
of sterile packages prior to use.
9. The nurse suspects that an older adult client may have pneumonia. Older
adult clients may react differently to infectious processes, so the nurse is
alert to atypical signs and symptoms, such as which one of the following?
Select one:
a. Hypotension
b. Confusion
c. Erythema
d. Chills: b. Confusion
10. The nurse recognizes the appropriate procedures for sterile asepsis. Of
the following, which action is consistent with sterile asepsis?
, Select one:
a. Clean forceps may be used to move items on the sterile field.
b. Sterile fields may be prepared well in advance of the procedures.
Study online at https://quizlet.com/_aci7gv
1. The nurse is preparing to perform a physical examination on a client who
has cardiopulmonary disease. Knowing this about the client, the nurse is
alert for the presence of which of the following when checking the client's
nails?
Select one:
a. Clubbing
b. Bands in nailbeds
c. Yellow discoloration
d. Splinter hemorrhages: A- clubbing
2. The nurse is auscultating the client's lungs and notes normal vesicular
sounds as being which of the following?
Select one:
a. Medium-pitched blowing sounds with inspiration equalling expiration b.
Loud, high-pitched, hollow sounds with expiration longer than inspiration c.
Soft, breezy, low-pitched sounds with longer inspiration
d. Sounds created by air moving through small airways: c. Soft, breezy, low-
pitched sounds with longer inspiration
3. During the physical examination, the nurse should use which part of the
hand to assess characteristics such as consistency, contour, and texture in
the client's glands?
Select one:
a. Dorsum of the hand
b. Pads of the fingers
c. Palmar surface of the hand
d. Fingertip grasp of the tissue: b. Pads of the fingers
4. If a low-pitched murmur is suspected with prior assessment, which of the
following is the best position for the client when the nurse auscultates the
apical site?
Select one:
a. Sitting up
b. Standing
c. Lying on the left side
d. Dorsal recumbent: c. Lying on the left side
5. Which of the following positions maximizes the nurse's ability to assess
the client's upper body for symmetry?
Select one:
a. Sitting
b. Supine
,c. Prone
d. Dorsal recumbent: a. Sitting
, 4006 Midterm (quizzes based)
Study online at https://quizlet.com/_aci7gv
6. The nurse is observing a new staff member work with the client. Of the
following activities, which one has the greatest possibility of contributing to
a nosocomial infection and requires correction?
Select one:
a. Washing hands before applying a dressing
b. Taping a plastic bag to the bed rail for tissue disposal
c. Placing a Foley catheter bag on the bed when transferring a client d.
Using alcohol to cleanse the skin before starting an intravenous line: c.
Placing a Foley catheter bag on the bed when transferring a client
7. Which one of the following indicates that the nurse is using surgical
aseptic technique?
Select one:
a. Inserting an intravenous catheter
b. Placing soiled linen in moisture-resistant bags
c. Disposing of syringes in puncture-proof containers
d. Washing hands before changing a dressing: a. Inserting an intravenous
catheter
8. The client requires a sterile dressing change. Which of the following is an
appropriate intervention for the nurse to implement in maintaining sterile
asepsis?
Select one:
a. Put sterile gloves on before opening sterile packages.
b. Check integrity of sterile packages prior to use.
c. Place the cap of the sterile solution well within the sterile field.
d. Place sterile items on the very edge of the sterile drape.: b. Check integrity
of sterile packages prior to use.
9. The nurse suspects that an older adult client may have pneumonia. Older
adult clients may react differently to infectious processes, so the nurse is
alert to atypical signs and symptoms, such as which one of the following?
Select one:
a. Hypotension
b. Confusion
c. Erythema
d. Chills: b. Confusion
10. The nurse recognizes the appropriate procedures for sterile asepsis. Of
the following, which action is consistent with sterile asepsis?
, Select one:
a. Clean forceps may be used to move items on the sterile field.
b. Sterile fields may be prepared well in advance of the procedures.
