Quiz: NCLEX Practice Questions On Fundamentals Of Nursing
.
- 1.While changing the tapes on a tracheostomy tube. the client coughs and the tube is dislodged. Which is the initial nursing action?
- A.
Call a respiratory therapist to reinsert the tracheotomy.
- B.
Cover the tracheostomy site with a sterile dressing.
- C.
Call the physician to reinsert the tracheotomy.
- D.
Grasp the retention sutures to spread the opening.
- 2.The nurse caring for a client with a pneumothorax and who has had a chest tube inserted notes continuous gentle bubbling in the suction control chamber. What action is most appropriate of the nurse?
- A.
Increase the suction pressure so that the bubbling becomes vigorous.
- B.
Do nothing since this is an expected finding.
- C.
Immediately clamp the chest tube and notify the physician.
- D.
Check for an air leak because the bubbling should be intermittent.
- 3.The nurse is assessing the functioning of a chest tube drainage system in a client with hemothorax. Which of the following findings should prompt the nurse to notify the physician?
- A.
Fluctuation of water in the tube in the water seal chamber during inhalation and exhalation.
- B.
Drainage system maintained below the client’s chest.
- C.
Drainage amount of 100ml in the drainage collection chamber.
- D.
Occlusive dressing in place over the chest tube insertion site.
- 4.A nurse is supervising a student nurse who is performing tracheostomy care for a client. Which of the following actions by the student should the nurse intervene?
- A.
Removing the inner cannula and cleaning using universal precaution.
- B.
Suctioning the tracheostomy tube before performing tracheostomy care.
- C.
Changing the old tracheotomy ties and securing the tube in place.
- D.
Replacing the inner cannula and cleaning the site of the stoma.
- 5.The nurse is handling a client with a chest tube. Suddenly. the chest drainage system is accidentally disconnected. what is the most appropriate action for the nurse to take?
- A.
Secure the chest tube using a tape.
- B.
Clamp the chest tube immediately.
- C.
Place the end of the chest tube in a container of normal sterile saline.
- D.
Apply an occlusive dressing and notify the physician.
- 6.Nurse Aaron is inserting a nasogastric tube to a stroke client. He understands that the best position for the insertion is?
- A.
Low Fowlers.
- B.
Sims position.
- C.
Trendelenburg.
- D.
High Fowlers.
- 7.Nurse Monica is handling a female client who had undergone a mastectomy. Which is the best position in which she should place the client?
- A.
Head of bed elevated at least 30° with the affected arm elevated on a pillow.
- B.
Forward side-lying position.
- C.
Supine position with the affected arm remain flat.
- D.
Head of bed elevated at least 30° with the unaffected arm elevated on a pillow.
- 8.A nurse is caring for a client with severe burns of the face and head. The nurse will place the client in which position?
- A.
Trendelenburg.
- B.
Head of bed elevated.
- C.
Supine position.
- D.
Prone position.
- 9.Which of the following does not match with the appropriate position?
- A.
Vaginal examination: lithotomy position.
- B.
Thyroidectomy: fowler’s position.
- C.
Hemorrhoidectomy: lateral position.
- D.
Hypophysectomy: Prone position.
- 10.Nurse Ian is handling a client with gastroesophageal reflux disease. Which of the following position will best help the client in this case?
- A.
Right Lateral Recumbent.
- B.
Supine position.
- C.
Reverse Trendelenburg position.
- D.
Sims position.
Questions: 10 | Attempts: 5179 | Last updated: Sep 1, 2017
-
Sample QuestionNurse Rick is administering a 2 unit packed RBC’s on a client with a low hemoglobin. The nurse will prepare which of the following in order to transfuse the blood?
Questions: 15 | Attempts: 4595 | Last updated: Apr 13, 2021
-
Sample QuestionAn American nurse tries to speak with aKorean client who cannot understand the English language. To effectively communicate to a client with a different language. which of the following should the nurse implement?
Questions: 10 | Attempts: 4513 | Last updated: Aug 28, 2020
-
Sample QuestionWhich of the following is not true regarding the types of anasogastric tube?
Back to top