PN 4006 Final – REVISION QUESTIONS
WITHSSSSSS COMPLETE SOLUTIO
1. The client has a large, deep abdominal incision that requires a dressing. The incision
is packed with sterile 1.75-cm packing and covered with a dry, 10 × 10-cm gauze. When
changing the dressing, the nurse accidentally drops the packing onto the client's
abdomen. Which of the following actions should the nurse take?
Select one:
a. Add alcohol to the packing and insert it into the incision.
b. Throw the packing away, and prepare a new one.
c. Pick up the packing with sterile forceps, and gently place it into the incision.
d. Rinse the packing with sterile water, and put the packing into the incision with
sterile gloves.: b. Throw the packing away, and prepare a new one.
2. Droplet precautions will be instituted for the client admitted to the infectious disease
unit with which of the following conditions?
Select one:
a. Influenza
b. C. difficile
c. Pulmonary tuberculosis
d. Measles: a. Influenza
3. A client with active tuberculosis is admitted to the medical center. The nurse
recognizes that which of the following types of precautions will be required upon
admission of this client?
Select one:
a. Airborne precautions
b. Droplet precautions
c. Contact precautions
d. Reverse isolation: a. Airborne precautions
4. The parent of a preschool child asks the nurse how chickenpox (caused by the
varicella-zoster virus) is transmitted. The nurse explains which of the following about
the virus?
Select one:
a. It is carried by a vector organism.
,b. It is carried though the air in droplets after sneezing or coughing.
c. It is transmitted through person-to-person contact.
d. It is acquired through contact with contaminated objects.: b. It is carried though the
air in droplets after sneezing or coughing.
5. 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.
c. The first small amount of sterile solution should be poured and discarded.
d. Wrapped sterile packages should be opened starting with the flap closest to the
nurse.: c. The first small amount of sterile solution should be poured and discarded.
6. The nursing assistant is learning how to use protective equipment when caring for a
client in isolation. The nursing assistant is instructed in the correct sequence for
putting on the protective equipment. Which of the following describes the correct
sequence?
Select one:
a. Wash her hands, apply the mask and eyewear, put on the gown, and then apply
gloves.
b. Apply the mask and eyewear, put on the gown, wash her hands, and then apply
gloves.
c. Wash her hands, put on the gown, apply gloves, and then put on mask and
eyewear.
d. Put on the gown, apply the mask and eyewear, wash her hands, and then apply
gloves.: a. Wash her hands, apply the mask and eyewear, put on the gown, and then apply
gloves.
7. The nurse is aware that it is important to break the chain of infection. Which of the
following is an example of a nursing intervention implemented to reduce a reservoir of
infection for a client?
Select one:
a. Covering the mouth and nose when sneezing
b. Wearing disposable gloves
,c. Isolating the client's articles
d. Changing soiled dressings: d. Changing soiled dressings
8. During the neurological component of the physical examination, the nurse tests the
function of the client's cranial nerves. In testing cranial nerve III, the nurse determines
the client's ability to do which one of the following?
Select one:
a. Smile and frown
b. Read printed material
c. Identify sweet and sour tastes
d. React to light with changes in pupil size: d. React to light with changes in pupil size
9. A rapid infusion of blood has been given to the client. The nurse assesses the client
for which one of the following?
Select one:
a. Diaphoresis
b. Anxiety
c. Hypertension and tachycardia
d. Nausea and vomiting: c. Hypertension and tachycardia
10. A client complains of a headache and chills during a blood transfusion. Which one
of the following actions should the nurse take immediately?
Select one:
a. Check the vital signs.
b. Stop the blood transfusion.
c. Slow the rate of blood flow.
d. Notify the physician and blood bank personnel.: b. Stop the blood transfusion.
11. Which of the following is an unexpected value that the nurse, in reviewing the
results of the client's blood work, should report to the physician?
Select one:
a. Calcium, 1.9 mmol/L
b. Sodium, 140 mmol/L
c. Potassium, 3.5 mmol/L
d. Magnesium, 1.8 mmol/L: a. Calcium, 1.9 mmol/L
, 15. A client has intravenous (IV) therapy for the administration of antibiotics and is
stating that the IV site "hurts and is swollen." Which of the following information
assessed on the client indicates the presence of phlebitis, as opposed to infiltration?
Select one:
a. Intensity of the pain
b. Warmth of integument surrounding the IV site
c. Amount of subcutaneous edema
d. Skin discoloration of a bruised nature: b. Warmth of integument surrounding the IV
site
16. Which of the following is the most common electrolyte imbalance?
Select one:
a. Hypokalemia
b. Hyperkalemia
c. Hyponatremia
d. Hypernatremia: a. Hypokalemia
17. The nurse will be starting a new intravenous (IV) infusion and needs to select the
site for the insertion. In selecting a site, the nurse should do which of the following?
Select one:
a. Start with the most distal site.
b. Look for hard, cord-like veins.
c. Use the dominant arm.
d. Vigorously rub and tap the chosen vein.: a. Start with the most distal site.
18. The client is receiving an epidural opioid infusion for pain relief. Which one of the
following is a priority nursing intervention when caring for this client?
Select one:
a. Use aseptic technique.
b. Label the port as an IV catheter.
c. Monitor vital signs every 15 minutes.
d. Prepare the client for discomfort he or she may encounter.: c. Monitor vital signs
every 15 minutes.
WITHSSSSSS COMPLETE SOLUTIO
1. The client has a large, deep abdominal incision that requires a dressing. The incision
is packed with sterile 1.75-cm packing and covered with a dry, 10 × 10-cm gauze. When
changing the dressing, the nurse accidentally drops the packing onto the client's
abdomen. Which of the following actions should the nurse take?
Select one:
a. Add alcohol to the packing and insert it into the incision.
b. Throw the packing away, and prepare a new one.
c. Pick up the packing with sterile forceps, and gently place it into the incision.
d. Rinse the packing with sterile water, and put the packing into the incision with
sterile gloves.: b. Throw the packing away, and prepare a new one.
2. Droplet precautions will be instituted for the client admitted to the infectious disease
unit with which of the following conditions?
Select one:
a. Influenza
b. C. difficile
c. Pulmonary tuberculosis
d. Measles: a. Influenza
3. A client with active tuberculosis is admitted to the medical center. The nurse
recognizes that which of the following types of precautions will be required upon
admission of this client?
Select one:
a. Airborne precautions
b. Droplet precautions
c. Contact precautions
d. Reverse isolation: a. Airborne precautions
4. The parent of a preschool child asks the nurse how chickenpox (caused by the
varicella-zoster virus) is transmitted. The nurse explains which of the following about
the virus?
Select one:
a. It is carried by a vector organism.
,b. It is carried though the air in droplets after sneezing or coughing.
c. It is transmitted through person-to-person contact.
d. It is acquired through contact with contaminated objects.: b. It is carried though the
air in droplets after sneezing or coughing.
5. 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.
c. The first small amount of sterile solution should be poured and discarded.
d. Wrapped sterile packages should be opened starting with the flap closest to the
nurse.: c. The first small amount of sterile solution should be poured and discarded.
6. The nursing assistant is learning how to use protective equipment when caring for a
client in isolation. The nursing assistant is instructed in the correct sequence for
putting on the protective equipment. Which of the following describes the correct
sequence?
Select one:
a. Wash her hands, apply the mask and eyewear, put on the gown, and then apply
gloves.
b. Apply the mask and eyewear, put on the gown, wash her hands, and then apply
gloves.
c. Wash her hands, put on the gown, apply gloves, and then put on mask and
eyewear.
d. Put on the gown, apply the mask and eyewear, wash her hands, and then apply
gloves.: a. Wash her hands, apply the mask and eyewear, put on the gown, and then apply
gloves.
7. The nurse is aware that it is important to break the chain of infection. Which of the
following is an example of a nursing intervention implemented to reduce a reservoir of
infection for a client?
Select one:
a. Covering the mouth and nose when sneezing
b. Wearing disposable gloves
,c. Isolating the client's articles
d. Changing soiled dressings: d. Changing soiled dressings
8. During the neurological component of the physical examination, the nurse tests the
function of the client's cranial nerves. In testing cranial nerve III, the nurse determines
the client's ability to do which one of the following?
Select one:
a. Smile and frown
b. Read printed material
c. Identify sweet and sour tastes
d. React to light with changes in pupil size: d. React to light with changes in pupil size
9. A rapid infusion of blood has been given to the client. The nurse assesses the client
for which one of the following?
Select one:
a. Diaphoresis
b. Anxiety
c. Hypertension and tachycardia
d. Nausea and vomiting: c. Hypertension and tachycardia
10. A client complains of a headache and chills during a blood transfusion. Which one
of the following actions should the nurse take immediately?
Select one:
a. Check the vital signs.
b. Stop the blood transfusion.
c. Slow the rate of blood flow.
d. Notify the physician and blood bank personnel.: b. Stop the blood transfusion.
11. Which of the following is an unexpected value that the nurse, in reviewing the
results of the client's blood work, should report to the physician?
Select one:
a. Calcium, 1.9 mmol/L
b. Sodium, 140 mmol/L
c. Potassium, 3.5 mmol/L
d. Magnesium, 1.8 mmol/L: a. Calcium, 1.9 mmol/L
, 15. A client has intravenous (IV) therapy for the administration of antibiotics and is
stating that the IV site "hurts and is swollen." Which of the following information
assessed on the client indicates the presence of phlebitis, as opposed to infiltration?
Select one:
a. Intensity of the pain
b. Warmth of integument surrounding the IV site
c. Amount of subcutaneous edema
d. Skin discoloration of a bruised nature: b. Warmth of integument surrounding the IV
site
16. Which of the following is the most common electrolyte imbalance?
Select one:
a. Hypokalemia
b. Hyperkalemia
c. Hyponatremia
d. Hypernatremia: a. Hypokalemia
17. The nurse will be starting a new intravenous (IV) infusion and needs to select the
site for the insertion. In selecting a site, the nurse should do which of the following?
Select one:
a. Start with the most distal site.
b. Look for hard, cord-like veins.
c. Use the dominant arm.
d. Vigorously rub and tap the chosen vein.: a. Start with the most distal site.
18. The client is receiving an epidural opioid infusion for pain relief. Which one of the
following is a priority nursing intervention when caring for this client?
Select one:
a. Use aseptic technique.
b. Label the port as an IV catheter.
c. Monitor vital signs every 15 minutes.
d. Prepare the client for discomfort he or she may encounter.: c. Monitor vital signs
every 15 minutes.
