Fundamentals Of Nursing: Trivia Quiz!
Nursing is a career that is designed for the most patient and caring people there is, the main objective of a nurse is to guide someone through their healing up until they get back to health. In the fundamentals of nursing, you get to understand what is required of a nurse and how to ensure you meet your patient’s expectations. Take this test and review what you learned.
- 1.The nurse sees the nursing assistant personnel (NAP) perform the following for a patient receiving continuous enteral feedings. What intervention does the nurse need to address immediately with the NAP? The NAP:
- A.
Fastens the tube to the gown with tape.
- B.
Places the patient supine while giving a bath.
- C.
Performs oral care for the patient.
- D.
Elevates the head of the bed 45 degrees.
- 2.After the 0700 shift report the registered nurse (RN) delegates three tasks to the nursing assistant. At 1300 the RN tells the nursing assistant that he would like to talk to her about the first task that was delegated, which was walking the patient, Mrs. Taylor, earlier this morning. The RN says, "You did a good job walking Mrs. Taylor today by 0930. I saw that you recorded her pulse before and after the walk. I saw that Mrs. Taylor walked in the hallway barefoot. For safety, the next time you walk a patient, you need to make sure that the patient wears slippers or shoes. Please walk Mrs. Taylor again by 1500." Which characteristics of good feedback did the RN use when talking to the nursing assistant? (Select all that apply.)
- A.
Feedback is given immediately
- B.
Feedback focused on one issue
- C.
Feedback offers concrete details
- D.
Feedback identifies ways to improve
- E.
Feedback focuses on changeable things
- F.
Feedback is specific about what is done incorrectly only.
- 3.As a nurse you need to complete all of the following. Which task do you complete first?
- A.
Administer oral pain medication to the patient who had surgery 3 days ago
- B.
Make a referral to the homecare nurse for a patient who is being discharged in 2 days.
- C.
Complete wound care for a patient with a wound drain that has an increased amount of drainage since last shift
- D.
Notify the health care provider of the decreased level of consiousness in the patient who had surgery 2 days ago
- 4.You are the charge nurse on a surgical unit. You are doing staff assignments for the 3-to-11 shift. Which patient do you assign to the licensed practical nurse (LPN)?
- A.
The patient who transferred out of intensive care an hour ago
- B.
The patient who requires teaching on new medications before discharge
- C.
The patient who had a vaginal hysterectomy 2 days ago and is being discharged tomorrow
- D.
The patient who is experiencing some bleeding problems following surgery earlier today
- 5.The type of care management approach that coordinates and links health care services to patients and their families while streamlining costs and maintaining quality is:
- A.
Primary nursing
- B.
Total patient care
- C.
Functional nursing
- D.
Case management
- 6.While administering meds, the nurse realizes that she has given the wrong dose of med to a patient. She acts by completing an incident report and notifying the patient's health care provider. The nurse is exercising:
- A.
Authority
- B.
Responsibility
- C.
Accountability
- D.
Decision making
- 7.Your nusing manager distributes biweekly newsletters of ongoing unit or health care agency activities and posts minutes of committee meetings on a bulletin board on the staff break room. This is an example of:
- A.
Staff communication
- B.
Problem-solving committees
- C.
Interdisciplinary collaboration
- D.
Nurse-physician collaborative practice
- 8.The nurse asks the nursing assistant to hold the legs of a female patient during a foley catheter insertion. This is an example of:
- A.
Organizational skills
- B.
Use of resources
- C.
Time management
- D.
Evaluation
- 9.The nurse is assisting a patient with coughing and deep-breathing exercises following abdominal surgery. This is which priority nursing need for this patient?
- A.
Low priority
- B.
High priority
- C.
Intermediate priority
- D.
Nonemergency priority
- 10.The registered nurse (RN) checks on a patient who was admitted to the hospital with pneumonia. The patient is coughing profusely and requires nasotracheal suctioning. Orders include an intravenous (IV) infusion of antibiotics. The patient is febrile and asks the RN if he can have a bath because he has been prespiring profusely. Which task is appropriate to delegate to a nursing assistant?
- A.
Assessing vital signs
- B.
Changing IV dressing
- C.
Nasotracheal suctioning
- D.
Administering a bed bath
- 11.Which task is appropriate for a RN to delegate to the nursing assistant?
- A.
Explaining to the patient the preoperative preparation before the surgery in the morning
- B.
Administering the ordered antibiotic to the patient before surgery.
- C.
Obtaining the patient's signature on the surgical informed consent
- D.
Assisting the patient to the bathroom before leaving for the operating room
- 12.Which of the following strategies focus on improving nurse-physician collaborative practice? (Select all that apply.)
- A.
Inviting the physician to attend the practice council meeting
- B.
Participating in physician morning rounds
- C.
Placing physician photos and names in unit newsletter
- D.
Contacting physician promptly to discuss patient problems
- E.
Providing a list of physician contact numbers to all staff nurses
- 13.The nurses on unit developed a system for self-scheduling of work shifts. This is an example of:
- A.
Responsibility
- B.
Autonomy
- C.
Accountability
- D.
Authority
- 14.Which example demonstrates the nurse performing the skill of evaluation?
- A.
The nurse explains the side effects of the new blood pressure med ordered for the patient
- B.
The nurse asks the patient to rate pain on a scale of 0 to 10 before administering pain meds
- C.
After completing the teaching, the nurse observes the patient draw up and administer and insulin injection
- D.
The nurse changes the patient's leg ulcer dressing using aseptic technique
- 15.The nurse is explaining the case management model to a group of nursing students. Which characteristics best describe the model? (Select all that apply.)
- A.
Case managers provide all patient care
- B.
Multidisciplinary care plans are used
- C.
Case managers coordinate discharge planning
- D.
Staffing is expensive and may not decrease care costs
- E.
Communication with health care team members is important
- F.
Model helps to improve patient safety and quality
- 16.The nurse collects the supplies for the dressing change for the patient in bed 1 and signs out the capillary blood glucose monitoring equipment to test the glucose of the patient in bed 2 before walking down the hall to the room. The nurse is displaying:
- A.
Organizational skills
- B.
Use of resources
- C.
Priority setting
- D.
Clinical decision making
- 17.A student nurse practicing primary leadership skills would demonstrate all of the following except:
- A.
Being sensitive to the group's feelings
- B.
Recognizing others for their contributions
- C.
Developing listening skills and being aware of personal motivation
- D.
Assuming primary responsibility for planning, implementation, follow-up, and evaluation.
- 18.Which statement made by an adult patient demonstrates understanding of healthy nutrition teaching?
- A.
I need to stop eating red meat.
- B.
I will increase the servings of fruit juice to four a day.
- C.
I will make sure that I eat a balanced diet and exercise regularly.
- D.
I will not eat so many dark green vegetables and eat more yellow vegetables.
- 19.The nurse teaches a patient who has had surgery to increase which nutrient to help with tissue repair?
- A.
Fat
- B.
Protein
- C.
Vitamin
- D.
Carbohydrate
- 20.The nurse is caring for a patient with dysphagia. Which interventions help decrease the risk of aspiration during feeding?
- A.
Sit the patient upright in a chair
- B.
Give liquids at the end of the meal
- C.
Place food in the strong side of the mouth
- D.
Provide thin foods to make it easier to swallow
- E.
Feed the patient slowly, allowing time to chew and swallow
- F.
Encourage patient to lie down and rest for 30 minutes after eating.
- 21.The nurse suspects that the patient receiving parenteral nutrition (PN) through a central venous catheter (CVC) has an air embolus. What action does the nurse need to take first?
- A.
Raise head of the bed to 90 degrees
- B.
Turn patient to left lateral decubitus position
- C.
Notify health care provider immediately
- D.
Have patient perform valsava maneuver
- 22.Which action is initially taken by the nurse to verify correct position of a newly placed small-bore feeding tube?
- A.
Placing an order for an x-ray film exam to check position
- B.
Confirming the distal mark on the feeding tube after taping
- C.
Testing the pH of the gastric contents and observing the color
- D.
Auscultating over the gastric area as air is injected into the tube
- 23.Based on knowledge of peptic ulcer disease (PUD), the nurse anticipates the presence of which bacteria when reviewing the lab data for a patient suspected of having PUD?
- A.
Micrococcus
- B.
Staphylococcus
- C.
Corynebacterium
- D.
Helicobacter pylori
- 24.The nurse is assessing a patient receiving enteral feedings via a small-bore nasogastric tube. Which assessment findings need further intervention?
- A.
Gastric pH of 4.0 during placement check
- B.
Weight gain of 1 pound over the course of a week
- C.
Active bowel sounds in the 4 abdominal quadrants
- D.
Gastric residual aspirate of 350 mL for the second consecutive time
- 25.The home care nurse os seeing the following patients. Which patient is at greatest risk for experiencing inadequate nutrition?
- A.
A 55 year old obese man recently diagnosed with diabetes mellitus
- B.
A recently widowed 76 year old woman recovering from a mild stroke
- C.
A 22 year old mother with a 3 year old toddler who had tonsillectomy surgery
- D.
A 46 year old man recovering at home following coronary artery bypass surgery
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