Practice Test I -foundation Of Nursing
.
- 1.Which element in the circular chain of infection can be eliminated by preserving skin integrity?
- A.
Host
- B.
Reservoir
- C.
Mode of transmission
- D.
Portal of entry
- 2.Which of the following will probably result in a break in sterile technique for respiratory isolation?
- A.
Opening the patient’s window to the outside environment
- B.
Turning on the patient’s room ventilator
- C.
Opening the door of the patient’s room leading into the hospital corridor
- D.
Failing to wear gloves when administering a bed bath
- 3.Which of the following patients is at greater risk for contracting an infection?
- A.
A patient with leukopenia
- B.
A patient receiving broad-spectrum antibiotics
- C.
A postoperative patient who has undergone orthopedic surgery
- D.
A newly diagnosed diabetic patient
- 4.Effective hand washing requires the use of:
- A.
Soap or detergent to promote emulsification
- B.
Hot water to destroy bacteria
- C.
A disinfectant to increase surface tension
- D.
All of the above
- 5.After routine patient contact, hand washing should last at least:
- A.
30 seconds
- B.
1 minute
- C.
2 minute
- D.
3 minutes
- 6.Which of the following procedures always requires surgical asepsis?
- A.
Vaginal instillation of conjugated estrogen
- B.
Urinary catheterization
- C.
Nasogastric tube insertion
- D.
Colostomy irrigation
- 7.Sterile technique is used whenever:
- A.
Strict isolation is required
- B.
Terminal disinfection is performed
- C.
Invasive procedures are performed
- D.
Protective isolation is necessary
- 8.Which of the following constitutes a break in sterile technique while preparing a sterile field for a dressing change?
- A.
Using sterile forceps, rather than sterile gloves, to handle a sterile item
- B.
Touching the outside wrapper of sterilized material without sterile gloves
- C.
Placing a sterile object on the edge of the sterile field
- D.
Pouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container
- 9.A natural body defense that plays an active role in preventing infection is:
- A.
Yawning
- B.
Body hair
- C.
Hiccupping
- D.
Rapid eye movements
- 10.All of the following statement are true about donning sterile gloves except:
- A.
The first glove should be picked up by grasping the inside of the cuff.
- B.
The second glove should be picked up by inserting the gloved fingers under the cuff outside the glove.
- C.
The gloves should be adjusted by sliding the gloved fingers under the sterile cuff and pulling the glove over the wrist
- D.
The inside of the glove is considered sterile
- 11.When removing a contaminated gown, the nurse should be careful that the first thing she touches is the:
- A.
Waist tie and neck tie at the back of the gown
- B.
Waist tie in front of the gown
- C.
Cuffs of the gown
- D.
Inside of the gown
- 12.Which of the following nursing interventions is considered the most effective form or universal precautions?
- A.
Cap all used needles before removing them from their syringes
- B.
Discard all used uncapped needles and syringes in an impenetrable protective container
- C.
Wear gloves when administering IM injections
- D.
Follow enteric precautions
- 13.All of the following measures are recommended to prevent pressure ulcers except:
- A.
Massaging the reddened are with lotion
- B.
Using a water or air mattress
- C.
Adhering to a schedule for positioning and turning
- D.
Providing meticulous skin care
- 14.Which of the following blood tests should be performed before a blood transfusion?
- A.
Prothrombin and coagulation time
- B.
Blood typing and cross-matching
- C.
Bleeding and clotting time
- D.
Complete blood count (CBC) and electrolyte levels.
- 15.The primary purpose of a platelet count is to evaluate the:
- A.
Potential for clot formation
- B.
Potential for bleeding
- C.
Presence of an antigen-antibody response
- D.
Presence of cardiac enzymes
- 16.Which of the following white blood cell (WBC) counts clearly indicates leukocytosis?
- A.
4,500/mm³
- B.
7,000/mm³
- C.
10,000/mm³
- D.
25,000/mm³
- 17.After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping and muscle weakness. These symptoms probably indicate that the patient is experiencing:
- A.
Hypokalemia
- B.
Hyperkalemia
- C.
Anorexia
- D.
Dysphagia
- 18.Which of the following statements about chest X-ray is false?.
- A.
No contradictions exist for this test
- B.
Before the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waist
- C.
A signed consent is not required
- D.
Eating, drinking, and medications are allowed before this test
- 19.The most appropriate time for the nurse to obtain a sputum specimen for culture is:
- A.
Early in the morning
- B.
After the patient eats a light breakfast
- C.
After aerosol therapy
- D.
After chest physiotherapy
- 20.A patient with no known allergies is to receive penicillin every 6 hours. When administering the medication, the nurse observes a fine rash on thepatient’s skin. The most appropriate nursing action would be to:
- A.
Withhold the moderation and notify the physician
- B.
Administer the medication and notify the physician
- C.
Administer the medication with an antihistamine
- D.
Apply corn starch soaks to the rash
- 21.All of the following nursing interventions are correct when using the Ztrack method of drug injection except:
- A.
Prepare the injection site with alcohol
- B.
Use a needle that’s a least 1” long
- C.
Aspirate for blood before injection
- D.
Rub the site vigorously after the injection to promote absorption
- 22.The correct method for determining the vastus lateralis site for I.M. injection is to:
- A.
Locate the upper aspect of the upper outer quadrant of the buttock about 5 to 8 cm below the iliac crest
- B.
Palpate the lower edge of the acromion process and the midpoint lateral aspect of the arm
- C.
Palpate a 1” circular area anterior to the umbilicus
- D.
Divide the area between the greater femoral trochanter and the lateral femoral condyle into thirds, and select the middle third on the anterior of the thigh
- 23.The mid-deltoid injection site is seldom used for I.M. injections because it:
- A.
Can accommodate only 1 ml or less of medication
- B.
Bruises too easily
- C.
Can be used only when the patient is lying down
- D.
Does not readily parenteral medication
- 24.The appropriate needle size for insulin injection is:
- A.
18G, 1 ½” long
- B.
22G, 1” long
- C.
22G, 1 ½” long
- D.
25G, 5/8” long
- 25.The appropriate needle gauge for intradermal injection is:
- A.
20G
- B.
22G
- C.
25G
- D.
26G
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