When caring for a patient receiving oxygen by nasal cannula, which of the following is a priority
to help maintain good skin integrity?
Frequently applying moisturizing lotion to facial areas that come into contact with the cannula
Removing the cannula every 2 hours for no longer than 10 minutes
Assessing the patient's external ears, nares, and nasal mucosa for breakdown at least once per
shift
Instructing the patient to inform staff of any problems with facial dryness or cracking - Answers
Assessing the patient's external ears, nares, and nasal mucosa for breakdown at least once per
shift
When caring for a patient who is receiving oxygen by simple face mask, which action ensures
that the rate of oxygen being delivered is appropriate?
Frequently asking the patient how they are breathing
Ensuring that the oxygen tubing is pulled tight, with little or no slack
Securing the oxygen tubing to the patient's clothing to prevent tugging
Assessing for proper placement of the mask on the patient's face - Answers assessing for
proper placement of the mask on the patient's face
When caring for a patient for whom oxygen by nonrebreathing mask has been ordered, which
action ensures appropriate oxygen delivery?
Looping the oxygen tubing around the side rail of the bed
Assessing breath sounds every shift
Securing the tubing snugly to the patient's gown
Assessing that the reservoir bag stays inflated - Answers assessing the reservoir bag stays
inflated
When caring for a patient who is receiving supplemental oxygen by face tent, which action
ensures that the oxygen is flowing?
Testing the closing capacity of the mask's valves
Routinely monitoring the seal over the patient's mouth and nose
Ensuring that a mist is always present Correct
,Regularly verifying that the mask is positioned loosely - Answers ensuring that a mist is always
present
What would the nurse do when receiving an order to increase the delivery rate of a patient's
oxygen per nasal cannula from 1 L/min to 3 L/min?
Encourage the patient to take deeper breaths in order to get more oxygen.
Change the device from nasal cannula to simple face mask.
Ensure that humidification is present.
Adjust the float ball on the flow meter to 3 L/min. - Answers adjust the float ball on the flow
meter to 3L/Min
Which of the following methods is correct for examining the ear of an adult patient with an
otoscope?
Gently pull the auricle up and back.
Gently pull the auricle down and back.
Use the largest speculum that will fit comfortably in the patient's ear.
Gently pull the auricle up and back and down and back. - Answers gently pull the auricle up and
back
Which of the following methods is correct for examining the ear of a child under the age of 3
with an otoscope?
Gently pull the auricle up and back.
Gently pull the auricle down and back.
Use the largest speculum that will fit comfortably in the patient's ear.
Gently pull the auricle up and back and down and back - Answers gently pull the auricle down
and back
A nurse is inspecting the patient's ears with an otoscope. Which of the following findings would
be considered abnormal?
Visible cone of light
Pearly gray tympanic membrane
Perforation of the tympanic membrane
Small amount of cerumen - Answers perforation of the tympanic membrane
,A whispered voice test includes which of the following?
Having the patient wiggle a finger in the opposite ear.
Whispering while standing 30 to 60 cm from the patient's ear.
Playing soothing music in the examination room.
Having the patient wiggle a finger in the opposite ear and whispering while standing 30 to 60 cm
from the patient's ear. - Answers having the patient wiggle a finger in the opposite ear and
whispering while standing 30-60cm from the patients ear
The Rinne and Weber tests measure which of the following?
Air and bone conduction
Movement of the tympanic membrane
Tenderness of the mastoid area
Nodules in the auricles - Answers air and bone conduction
When using the Snellen chart, what does a vision evaluation of 20/50 mean?
The patient has difficulty seeing far objects clearly.
The patient can read at 20 feet what most people can read at 50 feet.
The patient can read at 50 feet what most people can read at 20 feet.
The patient has difficulty seeing far objects clearly and the patient can read at 20 feet what
most people can read at 50 feet. - Answers The patient has difficulty seeing far objects clearly
and the patient can read at 20 feet what most people can read at 50 feet
What term refers to the constriction of the pupils when a patient focuses on an object held
about 10 centimetres from the nose?
Ptosis
Glaucoma
Accommodation
Peripheral vision - Answers accomodation
What does full movement of the eyes in the six cardinal fields of gaze reflect?
Proper functioning of the olfactory and optic nerves
, Proper functioning of the oculomotor, trochlear, and abducens nerves
Proper functioning of the extraocular muscles
Proper functioning of the oculomotor, trochlear, and abducens nerves and the extraocular
muscles - Answers proper funcitoning of the oculomotor, trochlear and abducens nerves and
the extraocular muscles
When examining the eyes, which of the following is an expected finding?
Reddened conjunctivae
Crusted eyelashes
Equal pupils
Periorbital edema - Answers equal pupils
Which of the following are risk factors for glaucoma?
Age over 40 years
Diabetes
High blood pressure
All of these choices - Answers all of these choices
Which of the following is the correct way to assess a patient's nose for patency?
Have the patient breathe rapidly through both nares.
Occlude one naris, and have the patient breathe through the open naris.
Occlude both nares, and have the patient breathe through the mouth.
Have the patient blow out through both nares. - Answers occlude one naris, and have the aptient
breathe through the open naris
What is the correct way to palpate the frontal sinuses?
Press the thumbs against the brow bones.
Press the thumbs along the sides of the nose.
Press the bridge of the nose between the thumb and first finger.
Press the tip of the nose between the thumb and first finger. - Answers press the thumbs
against the brow bones