Quiz: NCLEX Practice Questions On Fundamentals Of Nursing

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Quiz: NCLEX Practice Questions On Fundamentals Of Nursing - Quiz

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Questions and Answers
  • 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.

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