VN 105 Quiz 1
Question 1
A patient is 8 hours post-opt from an colostomy placement. Which finding requires
immediate nursing action?
The stoma is black
The stoma is swollen and large
The stoma is not draining any stool.
The patient states the site is tender.
Question 2
A patient, who is having spasms and burning while urinating due to a UTI, is prescribed
“Pyridium” (Phenazopyridine). Which option below is a normal side effect of this drug?
Hematuria
Orange colored urine
Urethral mucous
Question 3
A patient is complaining of dyspnea, SOB, chest pain. What is the nurse’s priority
action?
Apply the nasal cannula @ 2l/min
Notify the physician
Assess the vital signs and perform a physical assessment
Encourage the patient to cough and deep breathe
Question 4
, A nurse is caring for a client who receives intermittent enteral feedings through an NG
tube. Before administering a feeding, the nurse should measure the gastric residual for
which of the following purposes?
To confirm the placement of the NG tube
To remove gastric acid that might cause dyspepsia !
To identify delayed gastric emptying
To determine the client’s electrolyte balance
Question 5
A nurse is reinforcing teaching with a family member about how to position a client
when administering enteral feedings at home. Which of the following statements from
the family member should the nurse identify as an indication that he understands the
instructions?!
“I will position the head of the bed 45 degrees during the feeding.”
“I will allow the position my mother finds most comfortable during the feeding.”
“I will elevate the head of the bed 10 degrees during the feeding.”
“I will turn my mother on her left side during the feeding.”
Question 6
A charge nurse observes a nurse administer intermittent tube feedings via an NG tube
to a client. Which of the following actions should prompt the charge nurse to intervene?
The nurse initiates the feeding after aspirating 50 mL of gastric residual.
The nurse irrigates the NG tube with tap water after feeding.
The nurse administers the feeding through a syringe barrel by gravity !
The nurse allows the client to rest in a supine position during feeding
Question 7
The family of a client who has died unexpectedly arrives immediately after the death.
Which of the following actions should the nurse take?
Question 1
A patient is 8 hours post-opt from an colostomy placement. Which finding requires
immediate nursing action?
The stoma is black
The stoma is swollen and large
The stoma is not draining any stool.
The patient states the site is tender.
Question 2
A patient, who is having spasms and burning while urinating due to a UTI, is prescribed
“Pyridium” (Phenazopyridine). Which option below is a normal side effect of this drug?
Hematuria
Orange colored urine
Urethral mucous
Question 3
A patient is complaining of dyspnea, SOB, chest pain. What is the nurse’s priority
action?
Apply the nasal cannula @ 2l/min
Notify the physician
Assess the vital signs and perform a physical assessment
Encourage the patient to cough and deep breathe
Question 4
, A nurse is caring for a client who receives intermittent enteral feedings through an NG
tube. Before administering a feeding, the nurse should measure the gastric residual for
which of the following purposes?
To confirm the placement of the NG tube
To remove gastric acid that might cause dyspepsia !
To identify delayed gastric emptying
To determine the client’s electrolyte balance
Question 5
A nurse is reinforcing teaching with a family member about how to position a client
when administering enteral feedings at home. Which of the following statements from
the family member should the nurse identify as an indication that he understands the
instructions?!
“I will position the head of the bed 45 degrees during the feeding.”
“I will allow the position my mother finds most comfortable during the feeding.”
“I will elevate the head of the bed 10 degrees during the feeding.”
“I will turn my mother on her left side during the feeding.”
Question 6
A charge nurse observes a nurse administer intermittent tube feedings via an NG tube
to a client. Which of the following actions should prompt the charge nurse to intervene?
The nurse initiates the feeding after aspirating 50 mL of gastric residual.
The nurse irrigates the NG tube with tap water after feeding.
The nurse administers the feeding through a syringe barrel by gravity !
The nurse allows the client to rest in a supine position during feeding
Question 7
The family of a client who has died unexpectedly arrives immediately after the death.
Which of the following actions should the nurse take?
