Examsrevision

MULTIPLE CHOICE 1. Joan, the nursing unit manager, finds it difficult to work with Thomas, a new graduate. Thomas has many ideas, and his manner of presenting them irks Joan. After reflection and discussion with others, Joan recognizes that she also feels threatened by his behavior. She comes to understand that Thomas is trying to establish his own role on the unit, is not trying to challenge her, and needs guidance, coaching, and affirmation. Joan is demonstrating: a. A positive self-co...

MULTIPLE CHOICE 1. A patient sustained injuries in a motor vehicle accident and is in the Emergency Department. A CT scan of the head and neck have been ordered. What part of the survey is this? A. Primary B. Secondary C. Tertiary D. Initial 2. A patient who is in the Emergency Department was attacked in a parking lot and suffered several stab wounds to various areas on the chest and abdomen; BP 100/60, heart rate 108, respiratory rate 20, pulse oximetry 98%. In order to count...

MULTIPLE CHOICE 1. To help the family deal with the delirium of their dying relative, the nurse can suggest that they should: a. stimulate the patient with music and visits from friends. b. talk to the patient in quiet tones. c. sit quietly in the room with the patient. d. speak firmly to the patient to bring him back to reality. ANS: B Talking with the patient is comforting to the patient. Even when unresponsive, patients can hear. Stimulation is not helpful and may confuse the...

MULTIPLE CHOICE 1. A patient is to have an IV insertion site changed. The current line is in the lower right forearm. Which location is contraindicated for the new site? a. Right upper forearm b. Right hand c. Left upper forearm d. Left hand ANS: B A new IV site should not be placed distal to an old site; the right hand is distal to the right forearm, so it should not be used. DIF: Cognitive Level: Analysis REF: m 710 OBJ: Clinical Practice #4 TOP: Changing IV Site KEY: Nursin...

MULTIPLE CHOICE 1. A patient in the ICU is producing an increased amount of sputum and has a fever. The nurse suspect Which of the following characteristics of the patients sputum would indicate a bacterial infection, as infection? Select all that apply. A. Yellow B. Clear C. Blood-streaked D. Green SaO2 E. Brown F. White 2. An older patient in the ICU has labored breathing and a history of smoking. The nurse suspects that has chronic obstructive pulmonary disease (COPD). Which ...

Chapter 32: Oral Medications Fundamental Nursing Skills and Concepts 12th Edition, Timby MULTIPLE CHOICE 1. The nurse administering a nasal medication via an atomizer bottle should: a. leave the other nostril open while giving the medication. b. have the patient squeeze the bottle while inhaling. c. have the patient sit up straight. d. have the patient tilt the head forward. ANS: B The proper procedure for using an atomizer bottle is to have the head hyperextended, holding on...

Chapter 33: Topical and Inhalant Medications Fundamental Nursing Skills and Concepts 12th Edition, Timby MULTIPLE CHOICE 1. The nurse checking the MAR finds that an order for an antibiotic is now 8 days old. The nurse should: a. check the medications, performing three medication checks. b. give the ordered medication. c. contact the physician for a new order. d. give the medication, then notify the physician. ANS: C The nurse contacts the physician for a new order. Antibiotic...

Chapter 34: Parenteral Medications Fundamental Nursing Skills and Concepts 12th Edition, Timby MULTIPLE CHOICE 1. A patient has a medication order for iron dextran (Imferon) to be given using the Z-track technique. The rationale for using this method is to: a. avoid medication irritation. b. avoid tissue scarring. c. cause less painful method. d. protect the sciatic nerve. ANS: A Z-track technique should be used with injection of this medication, because it creates a slanted n...

MULTIPLE CHOICE 1. A nurse irrigating a patients indwelling urinary catheter should instill normal saline as ordered, and then: a. unclamp the tubing and lower the collection bag. b. massage the patients bladder. c. ask the patient to take a deep breath and hold it. d. keep the tubing clamped for 30 to 45 minutes. ANS: A Immediately after irrigating a urinary catheter, the tubing should be unclamped and the collection bag lowered below the level of the bladder for proper drainage...

MULTIPLE CHOICE 1. A nurse is reinforcing teaching with a patient who will begin a bowel training program. An intervention this program does not include is: a. regularly scheduled time for toileting. b. fluid intake of at least 2500 mL daily. c. use of a suppository. d. use of an enema. ANS: D Enemas and stronger laxatives are not considered a part of the program. DIF: Cognitive Level: Comprehension REF: m 579, Box 30-3 OBJ: Theory #2 TOP: Bowel Training KEY: Nursing Proce...

MULTIPLE CHOICE 1. The nurse is performing a dry sterile dressing change for an abdominal wound. The nurse should use a swab to clean: a. from the outer abdomen toward the wound. b. in a circular motion around the wound circling to the outside. c. from the left to the right across the wound. d. directly over the wound. ANS: B A circular motion around the wound toward the outside keeps the wound area cleanest. DIF: Cognitive Level: Application REF: m 774, Skill 38-1 OBJ: Clini...

MULTIPLE CHOICE 1. A patient recently started on enteral tube feedings starts complaining of nausea and having diarrhea. The best nursing action is to: a. check the enteral tube for placement. b. slow down the feedings and monitor. c. perform a fingerstick blood glucose test. d. stop the feedings and inform the physician. ANS: D Nausea, constipation, and diarrhea are concerns following institution of tube feedings. DIF: Cognitive Level: Application REF: m 497, Box 27-3 OBJ: C...

MULTIPLE CHOICE 1. A nurse is instructing a patient who had surgical removal of a brain tumor on how to prevent respiratory complications from surgery. The nurse would teach the patient to: a. turn, cough, and deep breathe. b. use humidified oxygen. c. turn gently from side to side. d. use deep breathing and an incentive spirometer. ANS: D Coughing may be contraindicated for patients who have had hernia repair, eye, ear, or brain surgery. This is because the act of coughing could...

MULTIPLE CHOICE 1. A healthy, 32-year-old man wants to start a fitness program to increase his muscle tone and muscle strength. What advice should the nurse offer him? The United States Department of Health and Human Services recommends: 1) That exercising even once a week is beneficial. 2) 30 minutes or more of moderate-intensity physical activity three times a week. 3) 1 hour, three times a week of moderate-intensity physical activity. 4) 150 to 300 minutes or more of moderate-inten...

MULTIPLE CHOICE 1. A patient asks the nurse about the difference between manipulative and body-based methods and mind body therapies. The nurses correct response is that: a. manipulative and body-based methods involve touching or manipulation, and mind body therapies deal ability to affect the body. b. Mind body therapies involve touch and manipulation, and body-based methods involve the minds ability body. c. Mind body therapies involve the use of herbal remedies, whereas manipulative a...

MULTIPLE CHOICE Identify the choice that best completes the statement or answers the question. 1. A patient with a fractured pelvis and a left acetabular fracture is prescribed bedrest. When the patient asks to toilet, which measure would be appropriate? a. Help patient up on a commode very carefully. b. Turn patient onto right side, place the bedpan behind, and turn back. c. Have patient sit up as high as possible and lift self up with hands pushing on the bed, then slide the bedpa...

MULTIPLE CHOICE 1. The nurse explains to the unlicensed assistive personnel (UAP) that a shearing force is applied to the patient when: a. a lifting sheet is used to move the patient to a stretcher. b. the patient is pulled up in bed without being lifted. c. the patient is seated in a wheelchair without a pressure cushion. d. the patient is left in the supine position. ANS: B When a patient is pulled up in bed without being lifted up first, shearing force is applied on the bony promi...

MULTIPLE CHOICE 1. Fecal matter has contaminated the patients bed sheet. The nurse should: a. place a folded clean, dry sheet or plastic-backed protector over the soiled sheet until it dries and then b. don non-sterile gloves and gown, remove the soiled sheet, replace it with a clean one, and then dispose plastic bag to prevent skin or clothing contact. c. remove the soiled sheet without exposure of skin or clothing to the sheet and rinse it in the patients dilute or remove as much feces ...

MULTIPLE CHOICE 1. The nurse performing tracheotomy care will: a. raise the head of the bed to high Fowlers position. b. remove the inner cannula with the ungloved hand. c. suction tracheotomy before beginning care. d. clean cannula with gauze and replace and lock. ANS: C Proper procedure includes suctioning the tracheotomy before beginning care. DIF: Cognitive Level: Application REF: k 528, Skill 28-7 OBJ: Clinical Practice #3 TOP: Tracheotomy Care KEY: Nursing Process S...

MULTIPLE CHOICE 1. When caring for a patient with acute radiation sickness (ARS) after an accident at an atomic power plant, the nurse should: a. wear a paper gown and boots, gloves, and a mask. b. stay in the room and talk to the patient to alleviate anxiety. c. decrease the amount of time spent in the room. d. wear a chemical mask with a filtered respirator. ANS: A For prolonged periods in caring for a patient with ARS, the nurse should use the barrier protection of gown, boots, a...