,TABLE OF CONTENTS
xv xv
UNIT I Actions Basic to Nursing Care
xv xv xv xv xv
Chapter 1 Asepsis and Infection Control
xv xv xv xv xv
Chapter 2 Vital Signs
xv xv xv
Chapter 3 Health Assessment
xv xv xv
Chapter 4 Safety
xv xv
Chapter 5 Medications
xv xv
Chapter 6 Perioperative Nursing
xv xv xv
UNIT IIxv Promoting Healthy Physiologic Responses xv xv xv
Chapter 7 Hygiene
xv xv
Chapter 8 Skin Integrity and Wound Care
xv xv xv xv xv xv
Chapter 9 Activity
xv xv
Chapter 10 Comfort and Pain Management
xv xv xv xv xv
Chapter 11 Nutrition
xv xv
Chapter 12 Urinary Elimination
xv xv xv
Chapter 13 Bowel Elimination
xv xv xv
Chapter 14 Oxygenation
xv xv
Chapter 15 Perfusion
xv xv
Chapter 16 Fluid, Electrolyte, and Acid–Base Balance
xv xv xv xv xv xv
,Chapter 17 Neurologic Care
xv xv xv
Chapter 18 Laboratory Specimen Collection
xv xv xv xv
, Prof.Exams
1. A nurse is attempting to obtain vital signs from a restless toddler who is clinging to his moth
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
er's legs and asking to go home. Which of the following would be the best nursing
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
intervention to accomplish this task? xv xv xv xv
A) Perform the blood pressure assessment first because it is the most frightening
xv xv xv xv xv xv xv xv xv xv xv
procedure for a child. xv xv xv
B) Perform as many of the assessments as possible with the child seated on the
xv xv xv xv xv xv xv xv xv xv xv xv xv
parent's lap. xv
C) Do not allow the child to see the instruments until they are ready to be used.
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
D) Remove any distractions (e.g., toys/dolls from the room to improve concentration).
xv xv f9 xv xv xv xv xv xv xv
2. A nurse assesses the rectal temperature of a patient who is postoperative following oral
xv xv xv xv xv xv xv xv xv xv xv xv xv
surgery. What patient assessment needs to be made before taking this temperature?
xv xv xv xv xv xv xv xv xv xv xv
A) Pain assessment xv
B) Pulse rate xv
C) Platelet count xv
D) Fecal occult blood testxv xv xv
3. A patient informs the nurse that she still uses a mercury thermometer to take the temperature
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
of her children when they are sick. Which of the following is a
xv xv xv xv xv xv xv xv xv xv xv xv
recommended teaching guideline for patients using these types of thermometers? xv xv xv xv xv xv xv xv xv
A) Teach patient safety related to accidental breakage of the thermometer.
xv xv xv xv xv xv xv xv xv
B) Tell patients using mercury thermometers to throw them in the trash and buy a new
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
type of instrument.
xv xv
C) Encourage patients to use alternative devices to assess temperature in their home.
xv xv xv xv xv xv xv xv xv xv xv
D) Tell patients that mercury thermometers should be used only in a hospital setting
xv xv xv xv xv xv xv xv xv xv xv xv
with appropriate safeguards.
xv xv
4. A nurse is obtaining vital signs from patients using the tympanic method for measuring temp
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
erature. Which of the following guidelines should be followed when taking a
xv xv xv xv xv xv xv xv xv xv xv
tympanic temperature? xv
A) Do not take a tympanic temperature if the patient has an earache.
xv xv xv xv xv xv xv xv xv xv xv
B) Do not take a tympanic temperature if there is noticeable earwax present.
xv xv xv xv xv xv xv xv xv xv xv
C) Do not take a tympanic temperature if the patient has an ear infection.
xv xv xv xv xv xv xv xv xv xv xv xv
D) If the patient has been sleeping with head to one side, take the temperature in the
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
ear facing down.
xv xv
xv xv
UNIT I Actions Basic to Nursing Care
xv xv xv xv xv
Chapter 1 Asepsis and Infection Control
xv xv xv xv xv
Chapter 2 Vital Signs
xv xv xv
Chapter 3 Health Assessment
xv xv xv
Chapter 4 Safety
xv xv
Chapter 5 Medications
xv xv
Chapter 6 Perioperative Nursing
xv xv xv
UNIT IIxv Promoting Healthy Physiologic Responses xv xv xv
Chapter 7 Hygiene
xv xv
Chapter 8 Skin Integrity and Wound Care
xv xv xv xv xv xv
Chapter 9 Activity
xv xv
Chapter 10 Comfort and Pain Management
xv xv xv xv xv
Chapter 11 Nutrition
xv xv
Chapter 12 Urinary Elimination
xv xv xv
Chapter 13 Bowel Elimination
xv xv xv
Chapter 14 Oxygenation
xv xv
Chapter 15 Perfusion
xv xv
Chapter 16 Fluid, Electrolyte, and Acid–Base Balance
xv xv xv xv xv xv
,Chapter 17 Neurologic Care
xv xv xv
Chapter 18 Laboratory Specimen Collection
xv xv xv xv
, Prof.Exams
1. A nurse is attempting to obtain vital signs from a restless toddler who is clinging to his moth
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
er's legs and asking to go home. Which of the following would be the best nursing
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
intervention to accomplish this task? xv xv xv xv
A) Perform the blood pressure assessment first because it is the most frightening
xv xv xv xv xv xv xv xv xv xv xv
procedure for a child. xv xv xv
B) Perform as many of the assessments as possible with the child seated on the
xv xv xv xv xv xv xv xv xv xv xv xv xv
parent's lap. xv
C) Do not allow the child to see the instruments until they are ready to be used.
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
D) Remove any distractions (e.g., toys/dolls from the room to improve concentration).
xv xv f9 xv xv xv xv xv xv xv
2. A nurse assesses the rectal temperature of a patient who is postoperative following oral
xv xv xv xv xv xv xv xv xv xv xv xv xv
surgery. What patient assessment needs to be made before taking this temperature?
xv xv xv xv xv xv xv xv xv xv xv
A) Pain assessment xv
B) Pulse rate xv
C) Platelet count xv
D) Fecal occult blood testxv xv xv
3. A patient informs the nurse that she still uses a mercury thermometer to take the temperature
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
of her children when they are sick. Which of the following is a
xv xv xv xv xv xv xv xv xv xv xv xv
recommended teaching guideline for patients using these types of thermometers? xv xv xv xv xv xv xv xv xv
A) Teach patient safety related to accidental breakage of the thermometer.
xv xv xv xv xv xv xv xv xv
B) Tell patients using mercury thermometers to throw them in the trash and buy a new
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
type of instrument.
xv xv
C) Encourage patients to use alternative devices to assess temperature in their home.
xv xv xv xv xv xv xv xv xv xv xv
D) Tell patients that mercury thermometers should be used only in a hospital setting
xv xv xv xv xv xv xv xv xv xv xv xv
with appropriate safeguards.
xv xv
4. A nurse is obtaining vital signs from patients using the tympanic method for measuring temp
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
erature. Which of the following guidelines should be followed when taking a
xv xv xv xv xv xv xv xv xv xv xv
tympanic temperature? xv
A) Do not take a tympanic temperature if the patient has an earache.
xv xv xv xv xv xv xv xv xv xv xv
B) Do not take a tympanic temperature if there is noticeable earwax present.
xv xv xv xv xv xv xv xv xv xv xv
C) Do not take a tympanic temperature if the patient has an ear infection.
xv xv xv xv xv xv xv xv xv xv xv xv
D) If the patient has been sleeping with head to one side, take the temperature in the
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
ear facing down.
xv xv