This Is A Quiz About Fundamentals Of Nursing

25 Questions | Total Attempts: 529

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This Is A Quiz About Fundamentals Of Nursing - Quiz

Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life This is a quiz about Fundamentals of Nursing


Questions and Answers
  • 1. 
    The most important nursing intervention to correct skin dryness is:
    • A. 

      Avoid bathing the patient until the condition is remedied, and notify the physician

    • B. 

      Ask the physician to refer the patient to a dermatologist, and suggest that the patient wear home-laundered sleepwear

    • C. 

      Consult the dietitian about increasing the patient’s fat intake, and take necessary measures to prevent infection

    • D. 

      Encourage the patient to increase his fluid intake, use non-irritating soap when bathing the patient, and apply lotion to the involved areas

  • 2. 
    When bathing a patient’s extremities, the nurse should use long, firm strokes from the distal to the proximal areas. This technique:
    • A. 

      Provides an opportunity for skin assessment

    • B. 

      Avoids undue strain on the nurse

    • C. 

      Increases venous blood return

    • D. 

      Causes vasoconstriction and increases circulation

  • 3. 
    Vivid dreaming occurs in which stage of sleep?
    • A. 

      Stage I non-REM

    • B. 

      Rapid eye movement (REM) stage

    • C. 

      Stage II non-REM

    • D. 

      Delta stage

  • 4. 
    The natural sedative in meat and milk products (especially warm milk) that can help induce sleep is:
    • A. 

      Flurazepam

    • B. 

      Temazepam

    • C. 

      Tryptophan

    • D. 

      Methotrimeprazine

  • 5. 
    Nursing interventions that can help the patient to relax and sleep restfully include all of the following except:
    • A. 

      Have the patient take a 30- to 60-minute nap in the afternoon

    • B. 

      Turn on the television in the patient’s room

    • C. 

      Provide quiet music and interesting reading material

    • D. 

      Massage the patient’s back with long strokes

  • 6. 
    Restraints can be used for all of the following purposes except to:
    • A. 

      Prevent a confused patient from removing tubes, such as feeding tubes, I.V. lines, and urinary catheters

    • B. 

      Prevent a patient from falling out of bed or a chair

    • C. 

      Discourage a patient from attempting to ambulate alone when he requires assistance for his safety

    • D. 

      Prevent a patient from becoming confused or disoriented

  • 7. 
    Which of the following is the nurse’s legal responsibility when applying restraints?
    • A. 

      Document the patient’s behavior

    • B. 

      Document the type of restraint used

    • C. 

      Obtain a written order from the physician except in an emergency, when the patient must be protected from injury to himself or others

    • D. 

      All of the above

  • 8. 
    Kubler-Ross’s five successive stages of death and dying are:
    • A. 

      Anger, bargaining, denial, depression, acceptance

    • B. 

      Denial, anger, depression, bargaining, acceptance

    • C. 

      Denial, anger, bargaining, depression acceptance

    • D. 

      Bargaining, denial, anger, depression, acceptance

  • 9. 
    A terminally ill patient usually experiences all of the following feelings during the anger stage except:
    • A. 

      Rage

    • B. 

      Envy

    • C. 

      Numbness

    • D. 

      Resentment

  • 10. 
    Nurses and other health care provides often have difficulty helping a terminally ill patient through the necessary stages leading to acceptance of death. Which of the following strategies is most helpful to the nurse in achieving this goal?
    • A. 

      Taking psychology courses related to gerontology

    • B. 

      Reading books and other literature on the subject of thanatology

    • C. 

      Reflecting on the significance of death

    • D. 

      Reviewing varying cultural beliefs and practices related to death

  • 11. 
    Which of the following symptoms is the best indicator of imminent death?
    • A. 

      A weak, slow pulse

    • B. 

      Increased muscle tone

    • C. 

      Fixed, dilated pupils

    • D. 

      Slow, shallow respirations

  • 12. 
    A nurse caring for a patient with an infectious disease who requires isolation should refers to guidelines published by the:
    • A. 

      National League for Nursing (NLN)

    • B. 

      Centers for Disease Control (CDC)

    • C. 

      American Medical Association (AMA)

    • D. 

      American Nurses Association (ANA)

  • 13. 
    To institute appropriate isolation precautions, the nurse must first know the:
    • A. 

      Organism’s mode of transmission

    • B. 

      Organism’s Gram-staining characteristics

    • C. 

      Organism’s susceptibility to antibiotics

    • D. 

      Patient’s susceptibility to the organism

  • 14. 
    Which is the correct procedure for collecting a sputum specimen for culture and sensitivity testing?
    • A. 

      Have the patient place the specimen in a container and enclose the container in a plastic bag

    • B. 

      Have the patient expectorate the sputum while the nurse holds the container

    • C. 

      Have the patient expectorate the sputum into a sterile container

    • D. 

      Offer the patient an antiseptic mouthwash just before he expectorate the sputum

  • 15. 
    An autoclave is used to sterilize hospital supplies because:
    • A. 

      More articles can be sterilized at a time

    • B. 

      Steam causes less damage to the materials

    • C. 

      A lower temperature can be obtained

    • D. 

      Pressurized steam penetrates the supplies better

  • 16. 
    The best way to decrease the risk of transferring pathogens to a patient when removing contaminated gloves is to:
    • A. 

      Wash the gloves before removing them

    • B. 

      Gently pull on the fingers of the gloves when removing them

    • C. 

      Gently pull just below the cuff and invert the gloves when removing them

    • D. 

      Remove the gloves and then turn them inside out

  • 17. 
    After having an I.V. line in place for 72 hours, a patient complains of tenderness, burning, and swelling. Assessment of the I.V. site reveals that it is warm and erythematous. This usually indicates:
    • A. 

      Infectiom

    • B. 

      Infiltration

    • C. 

      Phlebitis

    • D. 

      Bleeding

  • 18. 
    To ensure homogenization when diluting powdered medication in a vial, the nurse should:
    • A. 

      Shake the vial vigorously

    • B. 

      Roll the vial gently between the palms

    • C. 

      Invert the vial and let it stand for 1 minute

    • D. 

      Do nothing after adding the solution to the vial

  • 19. 
    The nurse is teaching a patient to prepare a syringe with 40 units of U-100 NPH insulin for self-injection. The patient’s first priority concerning self-injection in this situation is to:
    • A. 

      Assess the injection site

    • B. 

      Select the appropriate injection site

    • C. 

      Check the syringe to verify that the nurse has removed the prescribed insulin dose

    • D. 

      Clean the injection site in a circular manner with alcohol sponge

  • 20. 
    The physician’s order reads “Administer 1 g cefazolin sodium (Ancef) in 150 ml of normal saline solution in 60 minutes.” What is the flow rate if the drop factor is 10 gtt = 1 ml?
    • A. 

      25 gtt/minute

    • B. 

      37 gtt/minute

    • C. 

      50 gtt/minute

    • D. 

      60 gtt/minute

  • 21. 
    A patient must receive 50 units of Humulin regular insulin. The label reads 100 units = 1 ml. How many milliliters should the nurse administer?
    • A. 

      0.5 ml

    • B. 

      0.75 ml

    • C. 

      1 ml

    • D. 

      2 ml

  • 22. 
    How should the nurse prepare an injection for a patient who takes both regular and NPH insulin?
    • A. 

      Draw up the NPH insulin, then the regular insulin, in the same syringe

    • B. 

      Draw up the regular insulin, then the NPH insulin, in the same syringe

    • C. 

      Use two separate syringe

    • D. 

      Check with the physician

  • 23. 
    A patient has just received 30 mg of codeine by mouth for pain. Five minutes later he vomits. What should the nurse do first?
    • A. 

      Call the physician

    • B. 

      Remedicate the patient

    • C. 

      Observe the emesis

    • D. 

      Explain to the patient that she can do nothing to help him

  • 24. 
    A patient is characterized with a #16 indwelling urinary (Foley) catheter to determine if:
    • A. 

      Trauma has occurred

    • B. 

      His 24-hour output is adequate

    • C. 

      He has a urinary tract infection

    • D. 

      Residual urine remains in the bladder after voiding

  • 25. 
    A staff nurse who is promoted to assistant nurse manager may feel uncomfortable initially when supervising her former peers. She can best decrease this discomfort by:
    • A. 

      Writing down all assignments

    • B. 

      Making changes after evaluating the situation and having discussions with the staff.

    • C. 

      Telling the staff nurses that she is making changes to benefit their performance

    • D. 

      Evaluating the clinical performance of each staff nurse in a private conference

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