Nursing 111 Review - Monroe Community College

NUR 111Course Review

A nurse who functions in the role ofclient advocate:a. makes decisions for the client.b. counsels the client about theappropriate decisions.c. supports the client’s decisions.d. shares his or her own preferenceswith the client.

A nurse who functions in the role ofclient advocate:a. makes decisions for the client.b. counsels the client about theappropriate decisions.c. supports the client’s decisions.d. shares his or her own preferenceswith the client.

The community health nurse is providingtertiary prevention to a client. Which wouldbe an example of this type of prevention?a. Poison preventionb. Self-examination examination for breast cancerc. Marriage counselingd. Identifying complications ofdiabetes

The community health nurse is providingtertiary prevention to a client. Which wouldbe an example of this type of prevention?a. Poison preventionb. Self-examination examination for breast cancerc. Marriage counselingd. Identifying complications ofdiabetes

According to the World HealthOrganization, the definition ofhealth:a. is the absence of disease.b. is the state of complete physicalwell-being.c. focuses on categories of diseasethat may cause illness.d. places health in the context ofenvironment.

According to the World HealthOrganization, the definition ofhealth:a. is the absence of disease.b. is the state of complete physicalwell-being.c. focuses on categories of diseasethat may cause illness.d. places health in the context of theenvironment.

In Maslow’s hierarchy of needs, which category ofneeds must be met before a person can focus onsafety and security needs?a. Physiologicb. Self-esteemesteemc. Love and belongingd. Self-actualization

In Maslow’s hierarchy of needs, which category ofneeds must be met before a person can focus onsafety and security needs?a. Physiologicb. Self-esteemesteemc. Love and belongingd. Self-actualization

In Maslow’s hierarchy of needs, theself-actualized person:a. is other-directed.b. possesses above-normalintelligence.c. has a future-time time orientation.d. has realized his/her full potential.

In Maslow’s hierarchy of needs, theself-actualized person:a. is other-directed.b. possesses above-normalintelligence.c. has a future-time time orientation.d. has realized his/her full potential.

Using Maslow’s framework, whichstatement characterizes a self-actualized person?a. “I have a driving need to changethe world.”b. “I don’t want any changes madefrom the way it has always been.”c. “I will look like a fool if I admit thatmy idea is not working.”d. “I have listened to everyone, but Istill have to do what I think isright.”

Using Maslow’s framework, whichstatement characterizes a self-actualized person?a. “I have a driving need to changethe world.”b. “I don’t want any changes madefrom the way it has always been.”c. “I will look like a fool if I admit thatmy idea is not working.”d. “I have listened to everyone, but Istill have to do what I think isright.”

Culture is best defined as the:a. traditions, values and norms transmittedfrom generation to generation.b. classification of people according toshared biologic characteristics.c. group religious or racial characteristicsthat set it apart from the larger societyof which it is a part.d. assumption of attitudes, values andbeliefs of the dominant society.

Culture is best defined as the:a. traditions, values and norms transmittedfrom generation to generation.b. classification of people according toshared biologic characteristics.c. group religious or racial characteristicsthat set it apart from the larger societyof which it is a part.d. assumption of attitudes, values andbeliefs of the dominant society.

Which is the usual order for thecomponents of the nursingprocess?a. Assessing, planning, diagnosing,evaluating, implementingb. Assessing, diagnosing, planning,implementing, evaluatingc. Planning, assessing, diagnosing,implementing, evaluatingd. Diagnosing, implementing,evaluating, assessing, planning

Which is the usual order for thecomponents of the nursing process?a. Assessing, planning, diagnosing,evaluating, implementingb. Assessing, diagnosing, planning,implementing, evaluatingc. Planning, assessing, diagnosing,implementing, evaluatingd. Diagnosing, implementing,evaluating, assessing, planning

A client comes to the clinic withvomiting and dehydration. The RNtakes vital signs. What is this ana. Assessingb. Diagnosingc. Planningd. Implementingexample of?

A client comes to the clinic with vomiting anddehydration. The RN takes vital signs. Whatis this an example of?a. Assessingb. Diagnosingc. Planningd. Implementing

Which best describes the nursingprocess?a. It is a solution to all clientproblems.b. It is useful mainly in the hospitalsetting.c. It is linear in nature, progressing inseparate, unrelated steps.d. It is a systematic, problem-solvingapproach to client care.

Which best describes the nursingprocess?a. It is a solution to all clientproblems.b. It is useful mainly in the hospitalsetting.c. It is linear in nature, progressing inseparate, unrelated steps.d. It is a systematic, problem-solvingapproach to client care.

Which is an example of objectivea. Nauseab. Vomitingc. Joint paind. Headachedata?

Which is an example of objectivea. Nauseab. Vomitingc. Joint paind. Headachedata?

Which is an example of subjectivedata?a. Temperature of 101° F.b. Vomiting.c. Nausea.d. BP 128/78.

Which is an example of subjectivedata?a. Temperature of 101° F.b. Vomiting.c. Nausea.d. BP 128/78.

What is the primary reason forinterviewing a client during theassessment component of thenursing process?a. Establish rapportb. Teach needed informationc. Provide emotional therapyd. Collect data

What is the primary reason forinterviewing a client during theassessment component of thenursing process?a. Establish rapportb. Teach needed informationc. Provide emotional therapyd. Collect data

The RN asks the client, “Did yourhusband hit you?” What is this anexample of?a. Closed question.b. Open-ended ended question.c. Leading question.d. Neutral question.

The RN asks the client, “Didyour husband hit you?” What isthis an example of?a. Closed question.b. Open-ended ended question.c. Leading question.d. Neutral question.

The RN examines the wound for changes inappearance and signs of healing duringwound care. Which of the nursing processsteps is the RN using?a. Assessmentb. Diagnosisc. Implementationd. Evaluation

The RN examines the wound for changes inappearance and signs of healing duringwound care. Which of the nursing processsteps is the RN using?a. Assessmentb. Diagnosisc. Implementationd. Evaluation

Which critical thinking activities areconducted during the assessmentphase of the nursing process?a. Making inferencesb. Finding patternsc. Stating the problemd. Categorizing data

Which critical thinking activitiesare conducted during theassessment phase of thenursing process?a. Making inferencesb. Finding patternsc. Stating the problemd. Categorizing data

During an interview, the client asks the RNfor an opinion on the medical treatmentprovided by the primary care physician.What would be an appropriate response bythe RN?a. “If I were you, I would get a newdoctor.”b. “I wouldn’t be happy either.”c. “Tell me what is causing you toquestion the care you’ve received.”d. “Let’s not discuss that now. Howhave you been feeling?”

During an interview, the client asks the RNfor an opinion on the medical treatmentprovided by the primary care physician.What would be an appropriate response bythe RN?a. “If I were you, I would get a newdoctor.”b. “I wouldn’t be happy either.”c. “Tell me what is causing you to questionthe care you’ve received.”d. “Let’s not discuss that now. How haveyou been feeling?”

What does a nursing diagnosisfocus on?a. The pathophysiology of the client’sillness.b. Describing the client’s symptomsc. The client’s strengths or healthproblemsd. Describing the client’s needs

What does a nursing diagnosisfocus on?a. The pathophysiology of the client’sillness.b. Describing the client’s symptomsc. The client’s strengths or healthproblemsd. Describing the client’s needs

A client has a fractured hip.“Fractured hip” is a:a. Nursing diagnosisb. Medical diagnosisc. Collaborative problemd. Potential problem

A client has a fractured hip.“Fractured hip” is a:a. Nursing diagnosisb. Medical diagnosisc. Collaborative problemd. Potential problem

Why is it important to identify theetiology of a nursing diagnosis?a. It enables the RN to individualizeinterventions for a particular client.b. It describes the pathophysiology ofthe client’s disease.c. It determines whether the problemis actual or potential.d. It includes the definingcharacteristics of the diagnosis.

Why is it important to identify theetiology of a nursing diagnosis?a. It enables the RN to individualizeinterventions for a particular client.b. It describes the pathophysiology ofthe client’s disease.c. It determines whether the problemis actual or potential.d. It includes the definingcharacteristics of the diagnosis.

When should discharge planningbegin?a. Upon admissionb. The day before dischargec. 24 hours after admissiond. When the client is well

When should discharge planningbegin?a. Upon admissionb. The day before dischargec. 24 hours after admissiond. When the client is well

What is wrong with the outcome: ‘Clientwill be able to climb one flight of stairswithout shortness of breath’?a. Nothing is wrong.b. No target timeframe is given.c. It is not measurable.d. Behavioral terms are not used.

What is wrong with the outcome: ‘Clientwill be able to climb one flight of stairswithout shortness of breath’?a. Nothing is wrong.b. No target timeframe is given.c. It is not measurable.d. Behavioral terms are not used.

What is part of the implementationstep of the nursing process?a. Putting the care plan into action.b. Determining whether desiredoutcomes have been achieved.c. Assessing the health status of theclient.d. Identifying available nursingresources.

What is part of the implementationstep of the nursing process?a. Putting the care plan into action.b. Determining whether desiredoutcomes have been achieved.c. Assessing the health status of theclient.d. Identifying available nursingresources.

In the nursing process, which stepcomes after planning?a. Assessmentb. Diagnosisc. Implementationd. Evaluation

In the nursing process, which stepcomes after planning?a. Assessmentb. Diagnosisc. Implementationd. Evaluation

What is a purpose of the evaluationstep of the nursing process?a. Identify the client’s strengthsb. Carry out the nursing interventionsc. Identify effective nursing actionsd. Determine if client goals have beenmet

What is a purpose of the evaluationstep of the nursing process?a. Identify the client’s strengthsb. Carry out the nursing interventionsc. Identify effective nursing actionsd. Determine if client goals have beenmet

Which is part of the evaluationphase of the nursing process?a. Planning nursing strategiesb. Reexamining the client’s care planc. Identifying available resourcesd. Carrying out the nursinginterventions

Which is part of the evaluationphase of the nursing process?a. Planning nursing strategiesb. Reexamining the client’s care planc. Identifying available resourcesd. Carrying out the nursinginterventions

What is the next step after the RNdetermines that a client outcome hasnot been met?a. Notify the positionb. Discontinue the care planc. Continue current nursinginterventions until the outcome hasbeen metd. Reexamine the care plan to see if itneeds to be revised

What is the next step after the RNdetermines that a client outcome hasnot been met?a. Notify the positionb. Discontinue the care planc. Continue current nursinginterventions until the outcome hasbeen metd. Reexamine the care plan to see if itneeds to be revised

Which nursing action would beappropriate to delegate to anunlicensed nursing assistant?a. Giving regularly scheduledintravenous medications.b. Analyzing the lab results of a client.c. Evaluating the desired outcomes fora postoperative client.d. Taking the temperature of all clientson one side of the hall.

Which nursing action would beappropriate to delegate to anunlicensed nursing assistant?a. Giving regularly scheduledintravenous medications.b. Analyzing the lab results of a client.c. Evaluating the desired outcomes fora postoperative client.d. Taking the temperature of all clientson one side of the hall.

The RN is preparing to place an indwellingurinary catheter in a client. What is the nextstep after explaining the procedure to theclient?a. Document the client’s response tothe explanation.b. Provide for client privacy.c. Offer the client something for pain.d. Delegate the task to a nursingassistant.

The RN is preparing to place an indwellingurinary catheter in a client. What is the nextstep after explaining the procedure to theclient?a. Document the client’s response tothe explanation.b. Provide for client privacy.c. Offer the client something for pain.d. Delegate the task to a nursingassistant.

In which category of SOAP chartingwould the RN look to find out whether aclient had complained of nausea?a. Subjective datab. Objective datac. Assessmentd. Plan

In which category of SOAP charting wouldthe RN look to find out whether a client hadcomplained of nausea?a. Subjective datab. Objective datac. Assessmentd. Plan

After charting your nurses’ notes, youdiscover you have made an error. Howshould you correct it?a. Use whiteout on the incorrect entry.b. Recopy that page of nurses’ notes.c. Erase the error and fill in the correctinformation.d. Draw a line through the error andwrite ‘error’, your initials and thedate above it.

After charting your nurses’ notes, youdiscover you have made an error. Howshould you correct it?a. Use whiteout on the incorrect entry.b. Recopy that page of nurses’ notes.c. Erase the error and fill in the correctinformation.d. Draw a line through the error andwrite ‘error’, your initials and thedate above it.

Which is a charting error?a. Using a black ballpoint pen.b. Handprinting your nurses’ notebecause your cursive writing is hardto read.c. Signing the nurses’ note thatanother nurse wrote about her clientand forgot to sign.d. Including the date and time in eachof the chart entries.

Which is a charting error?a. Using a black ballpoint pen.b. Handprinting your nurses’ notebecause your cursive writing is hardto read.c. Signing the nurses’ note thatanother nurse wrote about her clientand forgot to sign.d. Including the date and time in eachof the chart entries.

The order reads to give themedication ‘tid’. Which schedulemeets the ordered interval?a. 9 AM and 9 PMb. 9 AM, 5 PM and 1 AMc. 9 AM, 3 PM, 9 PM and 3 AMd. 9 AM every third day

The order reads to give themedication ‘tid’. Which schedulemeets the ordered interval?a. 9 AM and 9 PMb. 9 AM, 5 PM and 1 AMc. 9 AM, 3 PM, 9 PM and 3 AMd. 9 AM every third day

In order to listen attentively to aclient, the RN needs to:a. Maintain good eye contactb. Lean back in the chairc. Sit with legs crossedd. Respond quickly to the client’sstatements.

In order to listen attentively to aclient, the RN needs to:a. Maintain good eye contactb. Lean back in the chairc. Sit with legs crossedd. Respond quickly to the client’sstatements.

The RN violates a client’sintimate space when:a. Sitting in a chair at the client’sbedside.b. Adjusts the client’s IV flow rate.c. Removes the client’s abdominaldressing.d. Enters the client’s hospital room.

The RN violates a client’sintimate space when:a. Sitting in a chair at the client’sbedside.b. Adjusts the client’s IV flow rate.c. Removes the client’s abdominaldressing.d. Enters the client’s hospital room.

Why is the thumb is not used bythe RN to palpate a pulse?a. The index finger is more sensitive totouch.b. The thumb pressure may obliteratethe pulse.c. It is more awkward.d. The RN might feel his/her ownthumb pulse.

Why is the thumb is not used bythe RN to palpate a pulse?a. The index finger is more sensitive totouch.b. The thumb pressure may obliteratethe pulse.c. It is more awkward.d. The RN might feel his/her ownthumb pulse.

When measuring blood pressure,what does the first sound you hearindicate?a. Systolic pressureb. Diastolic pressurec. Pulse pressured. Auscultatory gap

When measuring blood pressure,what does the first sound you hearindicate?a. Systolic pressureb. Diastolic pressurec. Pulse pressured. Auscultatory gap

The RN has assessed the pulse rate of a 44year old client to be 110 and not regular.Which terms should be used to describe thisclient’s pulse?a. Bradycardic and normal rhythmb. Tachycardic and decreased pulsevolumec. Bradycardic and dysrhythmicd. Tachycardic and dysrhythmic

The RN has assessed the pulse rate ofa 44 year old client to be 110 and notregular. Which terms should be used todescribe this client’s pulse?a. Bradycardic and normal rhythmb. Tachycardic and decreased pulsevolumec. Bradycardic and dysrhythmicd. Tachycardic and dysrhythmic

What is the technique called inwhich the RN listens to soundsproduced in the body?a. Auscultationb. Inspectionc. Palpationd. Percussion

What is the technique called inwhich the RN listens to soundsproduced in the body?a. Auscultationb. Inspectionc. Palpationd. Percussion

What is skin turgor aa. Hydrationb. Strengthc. Motor functiond. Painmeasurement of?

What is skin turgor aa. Hydrationb. Strengthc. Motor functiond. Painmeasurement of?

An entry in the client’s chart describeswound drainage as ‘sanguineous’.What does this mean?a. Drainage is watery in appearance.b. Drainage varies in color from greentinged to yellow.c. Drainage contains large amount ofred blood cells.d. Drainage is foul smelling andcomprised mostly of serum.

An entry in the client’s chart describeswound drainage as ‘sanguineous’.What does this mean?a. Drainage is watery in appearance.b. Drainage varies in color from greentinged to yellow.c. Drainage contains large amount ofred blood cells.d. Drainage is foul smelling andcomprised mostly of serum.

What term describes immunity obtainedas a result of experiencing an illness?a. Active natural immunityb. Passive natural immunityc. Active acquired immunityd. Passive acquired immunity

What term describes immunity obtainedas a result of experiencing an illness?a. Active natural immunityb. Passive natural immunityc. Active acquired immunityd. Passive acquired immunity

As a result of sharing a needle with an HIVpositive person (Person A), Person Bbecomes infected. In the chain of infection,before Person B became infected, what wasthe reservoir?a. Person Ab. Person Bc. The dirty needled. The hole made by inserting theneedle into Person’s B skin.

As a result of sharing a needle with an HIVpositive person (Person A), Person Bbecomes infected. In the chain of infection,before Person B became infected, what wasthe reservoir?a. Person Ab. Person Bc. The dirty needled. The hole made by inserting theneedle into Person’s B skin.

As a result of sharing a needle with an HIV positiveperson (Person A), Person B becomes infected. Inthe chain of infection, before Person B becameinfected, what was the portal of exit?a. Person A’s needle puncture siteb. Person B’s needle puncture sitec. Person A’s bloodd. The needle

As a result of sharing a needle with an HIV positiveperson (Person A), Person B becomes infected. Inthe chain of infection, before Person B becameinfected, what was the portal of exit?a. Person A’s needle puncture siteb. Person B’s needle puncture sitec. Person A’s bloodd. The needle

As a result of sharing a needle with an HIV positiveperson (Person A), Person B becomes infected. Inthe chain of infection, before Person B becameinfected, what was the vector?a. Person A’s bloodb. Person B’s bloodc. Person B’s needle puncture sited. The needle

As a result of sharing a needle with an HIV positiveperson (Person A), Person B becomes infected. Inthe chain of infection, before Person B becameinfected, what was the vector?a. Person A’s bloodb. Person B’s bloodc. Person B’s needle puncture sited. The needle

Microorganisms are transmitted to a clientwhen a contaminated stethoscope touchesthe skin. The stethoscope is a:a. Vector (vehicle)b. Portal of exitc. Portal of entryd. Reservoir

Microorganisms are transmitted to a clientwhen a contaminated stethoscope touchesthe skin. The stethoscope is a:a. Vector (vehicle)b. Portal of exitc. Portal of entryd. Reservoir

Which is an example of surgicalasepsis?a. Considering only objects abovearm-level to be sterile.b. Treating any item of uncertainsterility as contaminated.c. Considering the surgeon’s judgmentof breach of technique to be themost accurate.d. Holding the gloved hands below theelbows.

Which is an example of surgicalasepsis?a. Considering only objects abovearm-level to be sterile.b. Treating any item of uncertainsterility as contaminated.c. Considering the surgeon’s judgmentof breach of technique to be themost accurate.d. Holding the gloved hands below theelbows.

The RN has multiple cuts and scratches on his/herhands. What should the RN do to prevent thespread of infection?a. Wash hands between clients.b. Wear gloves all day.c. Wash hands, wear gloves andchange gloves between clients.d. Apply dressings to wounds andwear heavy gloves.

The RN has multiple cuts and scratches on his/herhands. What should the RN do to prevent thespread of infection?a. Wash hands between clients.b. Wear gloves all day.c. Wash hands, wear gloves andchange gloves between clients.d. Apply dressings to wounds andwear heavy gloves.

When helping an elderly client bathe,the RN assesses the skin. Whichfinding is unexpected?a. When pinched, the skin returns toplace quickly.b. The skin of the face, arms and legsis intact.c. The skin on the arms is smoothwith some hair.d. The client has several abrasions onthe chest and back.

When helping an elderly client bathe,the RN assesses the skin. Whichfinding is unexpected?a. When pinched, the skin returns toplace quickly.b. The skin of the face, arms and legsis intact.c. The skin on the arms is smoothwith some hair.d. The client has several abrasions onthe chest and back.

Which is correct when giving oral careto an unconscious patient?a. Put the bed in high Fowler’s positionbefore beginning.b. Lower the head of the bed andplace the client in the side lyingposition.c. Put the client in Fowler’s positionthen turn the head to the side.d. Place the client supine with headlowered.

Which is correct when giving oral careto an unconscious patient?a. Put the bed in high Fowler’s positionbefore beginning.b. Lower the head of the bed andplace the client in the side lyingposition.c. Put the client in Fowler’s positionthen turn the head to the side.d. Place the client supine with headlowered.

What is the name given to a drugby the drug manufacturer?a. Generic nameb. Chemical namec. Brand named. Official name

What is the name given to a drugby the drug manufacturer?a. Generic nameb. Chemical namec. Brand named. Official name

What is a sweetened solution ofalcohol used as a vehicle formedicinal agents called?a. Elixirb. Extractc. Syrupd. Suspension

What is a sweetened solution ofalcohol used as a vehicle formedicinal agents called?a. Elixirb. Extractc. Syrupd. Suspension

What is administration of amedication under the tonguecalled?a. Buccalb. Oralc. Sublinguald. Lacrimal

What is administration of amedication under the tonguecalled?a. Buccalb. Oralc. Sublinguald. Lacrimal

What is the technique ofadministering medication just underthe skin called?a. Intramuscularb. Z trackc. Subcutaneousd. Intravenous

What is the technique ofadministering medication just underthe skin called?a. Intramuscularb. Z trackc. Subcutaneousd. Intravenous

Which term describes localmedication applied to the skin ormucous membranes?a. Subcutaneouslyb. Parenterallyc. Topicallyd. By inhalation

Which term describes localmedication applied to the skin ormucous membranes?a. Subcutaneouslyb. Parenterallyc. Topicallyd. By inhalation

The order for a medication is for 40 mg.The PDR states the normal dose is 10mg. What should the RN do?a. Administer 40 mg.b. Administer 10 mg.c. Contact the prescriber concerningthe order.d. Ask another nurse if it is safe toadminister the ordered amount.

The order for a medication is for 40 mg.The PDR states the normal dose is 10mg. What should the RN do?a. Administer 40 mg.b. Administer 10 mg.c. Contact the prescriber concerningthe order.d. Ask another nurse if it is safe toadminister the ordered amount.

The order reads, “Drug A 35 mg. IMevery 3 hours”. The available prefilledsyringe is labeled “Drug A 50 mg. perml.” How much would you administer?a. 0.35 mlb. 0.5 mlc. 0.7 mld. 1 ml

The order reads, “Drug A 35 mg. IMevery 3 hours”. The available prefilledsyringe is labeled “Drug A 50 mg. perml.” How much would you administer?a. 0.35 mlb. 0.5 mlc. 0.7 mld. 1 ml

Ordered: Penicillin 50,000 unitsAvailable: Penicillin 100,000 units/mlWhat would you administer?a. 0.05 mlb. 0.5 mlc. 1 mld. 2 ml

Ordered: Penicillin 50,000 unitsAvailable: Penicillin 100,000 units/mlWhat would you administer?a. 0.05 mlb. 0.5 mlc. 1 mld. 2 ml

A client is 5’6” tall and weighs 160 lbs.What size needle should be used for anintramuscular injection?a. 22 gauge, 1-1.5 inchb. 25 gauge, 1 inchc. 22 gauge, ½ inchd. 25 gauge, 5/8 inch

A client is 5’6” tall and weighs 160 lbs.What size needle should be used for anintramuscular injection?a. 22 gauge, 1-1.5 inchb. 25 gauge, 1 inchc. 22 gauge, ½ inchd. 25 gauge, 5/8 inch

What is the rationale for using the Ztrack method for injection?a. The client has insufficient musclefor this type of injection.b. It is the only method to use forintramuscular injection.c. The medication is highly irritating tosubcutaneous tissues.d. It is the safest and least painfulway to give an injection.

What is the rationale for using the Ztrack method for injection?a. The client has insufficient musclefor this type of injection.b. It is the only method to use forintramuscular injection.c. The medication is highly irritating tosubcutaneous tissues.d. It is the safest and least painfulway to give an injection.

Which abbreviation means ‘beforemeals’?a. ODb. Ad libc. ACd. PC

Which abbreviation means ‘beforemeals’?a. ODb. Ad libc. ACd. PC

Which route of medicationadministration provides thequickest onset of action?a. Oralb. Subcutaneousc. Intramusculard. Intravenous

Which route of medicationadministration provides thequickest onset of action?a. Oralb. Subcutaneousc. Intramusculard. Intravenous

Which action should the RNperform when giving an antibioticthrough a nasogastric tube?a. Put the small tablets in the tube andflush with water.b. Crush the table and dissolve it in hotwater.c. Check for tube placement after givingthe medication.d. Flush the tube with 10-30 ml water aftergiving the medication.

Which action should the RNperform when giving an antibioticthrough a nasogastric tube?a. Put the small tablets in the tubeand flush with water.b. Crush the table and dissolve it inhot water.c. Check for tube placement aftergiving the medication.d. Flush the tube with 10-30 ml waterafter giving the medication.

The RN is preparing a subcutaneousinjection for a client who is 5’4” tall andweighs 102 lbs. Which technique is best forthis client?a. Pinch the skin and inject at 90degree angle.b. Stretch the skin and inject at 90degree angle.c. Pinch the skin and inject at a 45degree angle.d. Stretch skin taut and inject at a 45degee angle.

The RN is preparing a subcutaneousinjection for a client who is 5’4” tall andweighs 102 lbs. Which technique is best forthis client?a. Pinch the skin and inject at 90degree angle.b. Stretch the skin and inject at 90degree angle.c. Pinch the skin and inject at a 45degree angle.d. Stretch skin taut and inject at a 45degee angle.

Select 3 of the 6 ‘rights’ ofmedication administration.1. Doctor2. Time3. Dose4. Shift5. Documentationa. 1,2,3b. 1,2,4c. 3,4,5d. 2,3,5

Select 3 of the 6 ‘rights’ ofmedication administration.1. Doctor2. Time3. Dose4. Shift5. Documentationa. 1,2,3b. 1,2,4c. 3,4,5d. 2,3,5

The emaciated client is at high risk fordeveloping which skin integrity problems?a. Blistersb. Pressure ulcersc. Pustulesd. Stasis dermatitis

The emaciated client is at high risk fordeveloping which skin integrity problems?a. Blistersb. Pressure ulcersc. Pustulesd. Stasis dermatitis

In caring for a client with urinaryincontinence, what factor should the RNconsider?a. Moisture promotes skin maceration andcauses the epidermis to erode easily.b. Digestive enzymes in urine contribute toskin excoriation.c. Urine kills the protective microorganismson the client’s skin, making the personprone to infection.d. Bacteria in the urine colonize on theskin, making the skin prone to infection.

In caring for a client with urinaryincontinence, what factor should the RNconsider?a. Moisture promotes skin maceration andcauses the epidermis to erode easily.b. Digestive enzymes in urine contribute toskin excoriation.c. Urine kills the protective microorganismson the client’s skin, making the personprone to infection.d. Bacteria in the urine colonize on theskin, making the skin prone to infection.

A client has a non-blanchable red spoton the sacrum. What stage pressureulcer is this?a. Stage Ib. Stage IIc. Stage IIId. Stage IV

A client has a non-blanchable red spoton the sacrum. What stage pressureulcer is this?a. Stage Ib. Stage IIc. Stage IIId. Stage IV

A client has a pressure ulcer with necrosis ofsubcutaneous tissue, a deep crater butdoesn’t extend deeper than thesubcutaneous tissue. What stage does thisrepresent?a. Stage Ib. Stage IIc. Stage IIId. Stage IV

A client has a pressure ulcer withnecrosis of subcutaneous tissue, adeep crater but doesn’t extend deeperthan the subcutaneous tissue. Whatstage does this represent?a. Stage Ib. Stage IIc. Stage IIId. Stage IV

When assessing a client’s self-concept, theRN should create a quiet environment andminimize interruptions. What else should theRN do?a. Sit at eye-level with the client.b. Ask close-ended questions.c. Ask multiple personal questions.d. Confide in other family members.

When assessing a client’s self-concept, theRN should create a quiet environment andminimize interruptions. What else should theRN do?a. Sit at eye-level with the client.b. Ask close-ended questions.c. Ask multiple personal questions.d. Confide in other family members.

Which therapeutic nursing interventions arerecommended to assist with a client’s selfconcept?1. Discourage clients from expressing theirfeelings.2. Discourage clients from askingquestions.3. Provide accurate information.4. Listen for changes in the client’s speech.5. Explore the client’s positive qualities andstrengths.a. 1,2,3b. 2,4,5c. 3,4,5d. 1,3,4

Which therapeutic nursing interventions arerecommended to assist with a client’s selfconcept?1. Discourage clients from expressing theirfeelings.2. Discourage clients from askingquestions.3. Provide accurate information.4. Listen for changes in the client’s speech.5. Explore the client’s positive qualities andstrengths.a. 1,2,3b. 2,4,5c. 3,4,5d. 1,3,4

The RN is implementing the ‘P’ portion ofthe PLISSIT model of intervention to helpclients with sexual problems when:a. Gives an accurate but concise explanation ofwhat is normal and how the client’s presentsituation or condition may affect sexualfunctioning.b. Uses specialized knowledge to suggest specificinterventions.c. Acknowledges the client’s sexual concerns andconveys the attitude that sexual needs areimportant to health and recovery.d. Refers the client to a clinical nurse specialist orsex therapist.

The RN is implementing the ‘P’ portion ofthe PLISSIT model of intervention to helpclients with sexual problems when:a. Gives an accurate but concise explanation ofwhat is normal and how the client’s presentsituation or condition may affect sexualfunctioning.b. Uses specialized knowledge to suggest specificinterventions.c. Acknowledges the client’s sexual concerns andconveys the attitude that sexual needs areimportant to health and recovery.d. Refers the client to a clinical nurse specialist orsex therapist.

Which parts of the PLISSIT model can beeffectively implemented by the RN havingbasic knowledge on sexuality and sexualfunction and ways in which health problemscan affect sexual function?a. Permission givingb. Permission giving and limited informationc. Permission giving, limited informationand specific suggestionsd. Permission giving, limited information,specific suggestions and intensivetherapy

Which parts of the PLISSIT model can beeffectively implemented by the RN havingbasic knowledge on sexuality and sexualfunction and ways in which health problemscan affect sexual function?a. Permission givingb. Permission giving and limited informationc. Permission giving, limited informationand specific suggestionsd. Permission giving, limited information,specific suggestions and intensivetherapy

Which is the best definition ofreligion?a. An organized system of worship.b. A belief in some higher power.c. Harmony with the universe.d. A focus on the purpose andmeaning in life.

Which is the best definition ofreligion?a. An organized system of worship.b. A belief in some higher power.c. Harmony with the universe.d. A focus on the purpose andmeaning in life.

Which is the best definition ofspirituality?a. An organized system of worship.b. The acceptance of specific rituals.c. Being committed to something.d. A belief in or relationship with somehigher power.

Which is the best definition ofspirituality?a. An organized system of worship.b. The acceptance of specific rituals.c. Being committed to something.d. A belief in or relationship with somehigher power.

Selye’s general adaptation syndrome isan example of conceptualizing stressas a(n):a. Stimulusb. Responsec. Transactiond. Interaction

Selye’s general adaptation syndrome isan example of conceptualizing stressas a(n):a. Stimulusb. Responsec. Transactiond. Interaction

A student preparing to take the finalexam in NUR 111 feels tense andnervous with increased respiratory andheart rates. Which level of anxiety isbeing experienced?a. Mildb. Moderatec. Severed. Panic

A student preparing to take the finalexam in NUR 111 feels tense andnervous with increased respiratory andheart rates. Which level of anxiety isbeing experienced?a. Mildb. Moderatec. Severed. Panic

After a client has died, the physician agreedthat the family could stay with the body untilrigor mortis sets in. The RN should informthe family that they may stay for how long?a. 30-60 minutesb. 60-90 minutesc. 2-4 hoursd. 4-6 hours

After a client has died, the physician agreed thatthe family could stay with the body until rigormortis sets in. The RN should inform the familythat they may stay for how long?a. 30-60 minutesb. 60-90 minutesc. 2-4 hoursd. 4-6 hours

According to Elizabeth Kubler-Ross, the fivestages or phases of dying include denial,bargaining, depression, acceptance andwhat else?a. Shockb. Restitutionc. Protestd. Anger

According to Elizabeth Kubler-Ross, the fivestages or phases of dying include denial,bargaining, depression, acceptance andwhat else?a. Shockb. Restitutionc. Protestd. Anger

What is movement of a limb awayfrom the midline of the body called?a. Abductionb. Adductionc. Flexiond. Extension

What is movement of a limb awayfrom the midline of the body called?a. Abductionb. Adductionc. Flexiond. Extension

What should an assessment of aclient’s ADL include?a. Vital signsb. Intake and outputc. Laboratory reportsd. Ability to bathe and dress

What should an assessment of aclient’s ADL include?a. Vital signsb. Intake and outputc. Laboratory reportsd. Ability to bathe and dress

To what point should passive rangeof motion be performed?a. To the point of discomfortb. To the point of slight resistancec. With the client sitting upd. On limbs that the client canexercise unassisted

To what point should passive rangeof motion be performed?a. To the point of discomfortb. To the point of slight resistancec. With the client sitting upd. On limbs that the client canexercise unassisted

The head of the client’s bed is elevatedapproximately 60° and the knees areslightly bent. What position is this?a. Supineb. Fowler’sc. Sims’d. Prone

The head of the client’s bed is elevatedapproximately 60° and the knees areslightly bent. What position is this?a. Supineb. Fowler’sc. Sims’d. Prone

The RN is preparing to perform passiverange of motion on the hinge joints.Which are hinge joints?a. Elbow, knee, ankleb. Wrist, fingers, feetc. Neck, elbow, thumbd. Hip, toes, trunk

The RN is preparing to perform passiverange of motion on the hinge joints.Which are hinge joints?a. Elbow, knee, ankleb. Wrist, fingers, feetc. Neck, elbow, thumbd. Hip, toes, trunk

Since being in the hospital, a client hastaken a bath each morning, however athome, the client took a warm bath eachevening before bed. The client now hasdifficulty sleeping. What should the RN do?a. Provide a back rub for 15 minutes beforebed.b. Offer warm milk and crackers at 9 PM.c. Allow the client to bathe in the evening.d. Ask the physician for an order for asleeping medication.

Since being in the hospital, a client hastaken a bath each morning, however athome, the client took a warm bath eachevening before bed. The client now hasdifficulty sleeping. What should the RN do?a. Provide a back rub for 15 minutes beforebed.b. Offer warm milk and crackers at 9 PM.c. Allow the client to bathe in the evening.d. Ask the physician for an order for asleeping medication.

What is the first therapeutic nursingintervention to implement when a clienthas a problem sleeping?a. Check the physician orders to see ifa sleeping medication is ordered.b. Provide the client a back rub.c. Determine the client’s normalbedtime routine.d. Reduce environmental noise.

What is the first therapeutic nursingintervention to implement when a clienthas a problem sleeping?a. Check the physician orders to see ifa sleeping medication is ordered.b. Provide the client a back rub.c. Determine the client’s normalbedtime routine.d. Reduce environmental noise.

Which nutrient provides the majorsource of energy for the body?a. Fatsb. Carbohydratesc. Proteinsd. Vitamins

Which nutrient provides the majorsource of energy for the body?a. Fatsb. Carbohydratesc. Proteinsd. Vitamins

Which is the best indicator of irondeficiency?a. Low hemoglobin levelb. Low serum albuminc. Decreased creatinine excretiond. Decreased pre-albumin level

Which is the best indicator of irondeficiency?a. Low hemoglobin levelb. Low serum albuminc. Decreased creatinine excretiond. Decreased pre-albumin level

How does a carminative enemawork?a. Distends the intestine with a largevolume of fluid.b. Lubricates the rectum and analcanal to make defecation easier.c. Distends the rectum and colon withgas released from the enemasolution.d. Alternating flow of fluid into and outof the large intestine.

How does a carminative enemawork?a. Distends the intestine with a largevolume of fluid.b. Lubricates the rectum and analcanal to make defecation easier.c. Distends the rectum and colon withgas released from the enemasolution.d. Alternating flow of fluid into and outof the large intestine.

What client teaching is important toinclude for clients on a low residue dietto prevent constipation?a. Use an over-the-counter laxativeevery other day.b. Increase daily fluid intake.c. Increase the amount of rice eatendaily.d. Decrease physical activity.

What client teaching is important toinclude for clients on a low residuediet to prevent constipation?a. Use an over-the-counter laxativeevery other day.b. Increase daily fluid intake.c. Increase the amount of rice eatendaily.d. Decrease physical activity.

The RN encounters resistance at theinternal sphincter during insertion of anenema tube. What is the next nursingaction?a. Raise the height of the container holdingthe solution to increase flow.b. Withdraw the tube and report resistanceto charge nurse.c. Instruct the client to take a deep breathand run a small amount of fluid throughthe tube.d. Withdraw the tube and then reinsert.

The RN encounters resistance at theinternal sphincter during insertion of anenema tube. What is the next nursingaction?a. Raise the height of the container holdingthe solution to increase flow.b. Withdraw the tube and report resistanceto charge nurse.c. Instruct the client to take a deep breathand run a small amount of fluid throughthe tube.d. Withdraw the tube and then reinsert.

Which is a characteristic of normalurine?a. It appears transparent.b. It has a musty odor.c. It contains mucus.d. It is dark amber in color.

Which is a characteristic of normalurine?a. It appears transparent.b. It has a musty odor.c. It contains mucus.d. It is dark amber in color.

A client has an indwelling catheter. Todecrease embarrassment, the RNshould:a. Provide privacy and use properdraping procedures.b. Ask the client to tell you why theyare embarrassed.c. Work quickly in order to decreasethe client’s discomfort.d. Tell the client this is routine careand not to be embarrassed.

A client has an indwelling catheter. Todecrease embarrassment, the RNshould:a. Provide privacy and use properdraping procedures.b. Ask the client to tell you why theyare embarrassed.c. Work quickly in order to decreasethe client’s discomfort.d. Tell the client this is routine careand not to be embarrassed.

An ambulatory client with an indwelling catheter isscheduled for an x-ray today. What instructionsshould the RN give to the person transporting theclient to the radiology department?a. The client may feel abdominal discomfortwhile ambulating.b. The drainage bag should be disconnectedbefore leaving the client’s room.c. The drainage bag should be kept belowwaist level at all times.d. The drainage bag should be placed onthe x-ray table next to the client’s hips.

An ambulatory client with an indwelling catheter isscheduled for an x-ray today. What instructionsshould the RN give to the person transporting theclient to the radiology department?a. The client may feel abdominal discomfortwhile ambulating.b. The drainage bag should be disconnectedbefore leaving the client’s room.c. The drainage bag should be kept belowwaist level at all times.d. The drainage bag should be placed onthe x-ray table next to the client’s hips.

Which is a purpose of urinarycatheterization?a. Prevent urinary tract infection.b. Assessing the amount of residualurine.c. Keeping a client’s bed dry.d. Obtaining a specimen to examinefor protein.

Which is a purpose of urinarycatheterization?a. Prevent urinary tract infection.b. Assessing the amount of residualurine.c. Keeping a client’s bed dry.d. Obtaining a specimen to examinefor protein.

Which therapeutic nursing interventionshould be done to prevent a catheterassociated urine infection in a client with anindwelling catheter?a. Encourage fluid limits to 1000 mLper day.b. Change the catheter every 7-10days.c. Maintain a closed drainagesystem.d. Cleanse the urinary meatus dailywith alcohol.

Which therapeutic nursing interventionshould be done to prevent a catheterassociated urine infection in a client with anindwelling catheter?a. Encourage fluid limits to 1000 mLper day.b. Change the catheter every 7-10days.c. Maintain a closed drainagesystem.d. Cleanse the urinary meatus dailywith alcohol.

What would the RN expect the urinespecific gravity to be on a dehydratedclient?a. Normalb. Higher than normalc. Lower than normald. Related to the urinary pH

What would the RN expect the urinespecific gravity to be on a dehydratedclient?a. Normalb. Higher than normalc. Lower than normald. Related to the urinary pH

The wife of an elderly man asks why he iswearing a condom catheter instead of a‘tube inside him’. What is the best responsefor the RN to give?a. “There’s less of a chance forinfection with a condom catheter.”b. “I couldn’t get the tube inside ofhim.”c. “I didn’t want to hurt him.”d. “I didn’t want him to pull it out.”

The wife of an elderly man asks why he iswearing a condom catheter instead of a‘tube inside him’. What is the best responsefor the RN to give?a. “There’s less of a chance forinfection with a condom catheter.”b. “I couldn’t get the tube inside ofhim.”c. “I didn’t want to hurt him.”d. “I didn’t want him to pull it out.”

Where is the respiratory controlcenter located?a. Medulla and ponsb. Hypothalamusc. Cerebellumd. Pituitary

Where is the respiratory controlcenter located?a. Medulla and ponsb. Hypothalamusc. Cerebellumd. Pituitary

What is the normal respiratory rate foran adult?a. 8-14 breaths per minuteb. 12-20 breaths per minutec. 20-40 breaths per minuted. 15-30 breaths per minute

What is the normal respiratory rate foran adult?a. 8-14 breaths per minuteb. 12-20 breaths per minutec. 20-40 breaths per minuted. 15-30 breaths per minute

A client has dyspnea when lying down andmust assume an upright or sitting position inorder to breathe more comfortably. Whatterm should the RN use to describe this incharting?a. Eupneab. Hyperpneac. Orthopnead. Acapnea

A client has dyspnea when lying downand must assume an upright or sittingposition in order to breathe morecomfortably. What term should the RNuse to describe this in charting?a. Eupneab. Hyperpneac. Orthopnead. Acapnea

A client has a nursing diagnosis of ineffectiveairway clearance r/t inadequate chest excursionand poor cough effort d/t pain from chest trauma.What is an appropriate therapeutic nursingintervention to help achieve an outcome of patentairway?a. Provide uninterrupted periods of sleep.b. Encourage and assist with frequentposition changes.c. Assess for cyanosis.d. Teach the rationale for a clear liquid diet.

A client has a nursing diagnosis of ineffectiveairway clearance r/t inadequate chest excursionand poor cough effort d/t pain from chest trauma.What is an appropriate therapeutic nursingintervention to help achieve an outcome of patentairway?a. Provide uninterrupted periods of sleep.b. Encourage and assist with frequentposition changes.c. Assess for cyanosis.d. Teach the rationale for a clear liquid diet.

What must be included in the care of aclient receiving oxygen therapy througha nasal cannula system?a. Remove the cannula when the client iseating or drinking.b. Assuring that the rebreather bag doesnot totally deflate.c. Check the color code on the cannula todetermine the precise oxygenconcentration.d. Inspect the nares for encrustation andirritation.

What must be included in the care of aclient receiving oxygen therapy througha nasal cannula system?a. Remove the cannula when theclient is eating or drinking.b. Assuring that the rebreather bagdoes not totally deflate.c. Check the color code on thecannula to determine the preciseoxygen concentration.d. Inspect the nares for encrustationand irritation.

Which is an appropriate safetyprecaution to observe with the use ofoxygen therapy?a. Use woolen or synthetic blankets onthe bed.b. Be sure that electric equipment isgrounded.c. Keep a fire extinguisher by thebedside.d. Clean equipment and tubing dailywith alcohol.

Which is an appropriate safetyprecaution to observe with the use ofoxygen therapy?a. Use woolen or synthetic blankets onthe bed.b. Be sure that electric equipment isgrounded.c. Keep a fire extinguisher by thebedside.d. Clean equipment and tubing dailywith alcohol.

During physical assessment, the RNobserves that the anteroposterior diameterof the chest is the same as the transversediameter. How would the RN chart thisfinding?a. Pigeon chestb. Funnel chestc. Barrel chestd. Normal chest

During physical assessment, the RNobserves that the anteroposteriordiameter of the chest is the same asthe transverse diameter. How wouldthe RN chart this finding?a. Pigeon chestb. Funnel chestc. Barrel chestd. Normal chest

Which client is most at risk forfluid imbalance?a. An infant with diarrheab. An adolescent mowing the lawn ona hot dayc. A healthy 70 year old man with afractured wristd. A middle aged woman who isvomiting

Which client is most at risk forfluid imbalance?a. An infant with diarrheab. An adolescent mowing the lawn ona hot dayc. A healthy 70 year old man with afractured wristd. A middle aged woman who isvomiting

What are fluids in the interstitialspaces called?a. Intracellular fluidsb. Extracellular fluidsc. Electrolytesd. Intravascular fluids

What are fluids in the interstitialspaces called?a. Intracellular fluidsb. Extracellular fluidsc. Electrolytesd. Intravascular fluids

When individuals are in a well orhealthy state, what should their fluidoutput be?a. Approximately the same as theirfluid intake.b. Correlated very little with their fluidintake.c. Higher than their fluid intake.d. Lower than their fluid intake.

When individuals are in a well orhealthy state, what should their fluidoutput be?a. Approximately the same as theirfluid intake.b. Correlated very little with their fluidintake.c. Higher than their fluid intake.d. Lower than their fluid intake.

What should the RN do when weighinga client with a nursing diagnosis ofFluid Volume Excess?a. Weigh the client at least 2 hoursafter a meal.b. Balance the scale daily.c. Document the type of scale used.d. Weigh the client without clothing.

What should the RN do when weighinga client with a nursing diagnosis ofFluid Volume Excess?a. Weigh the client at least 2 hoursafter a meal.b. Balance the scale daily.c. Document the type of scale used.d. Weigh the client without clothing.

The order reads to infuse 600 ml over10 hours. The tubing delivers 15 gtt/ml.What is the flow rate?a. 4 gtt/minb. 15 gtt/minc. 60 gtt/mind. 100 gtt/min

The order reads to infuse 600 mlover 10 hours. The tubing delivers15 gtt/ml. What is the flow rate?a. 4 gtt/minb. 15 gtt/minc. 60 gtt/mind. 100 gtt/min

The physician orders Drug A to infuse over90 minutes. The drug volume is 250 ml. Thedrop factor is 10. What is the flow rate?a. 25 gtt/mlb. 27 gtt/mlc. 28 gtt/mld. 41 gtt/ml

The physician orders Drug A to infuse over90 minutes. The drug volume is 250 ml. Thedrop factor is 10. What is the flow rate?a. 25 gtt/mlb. 27 gtt/mlc. 28 gtt/mld. 41 gtt/ml

The chemical indicator on the packageof sterile towels hasn’t changed color.What should the RN do?a. Use the packageb. Not use the package

The chemical indicator on the packageof sterile towels hasn’t changed color.What should the RN do?a. Use the packageb. Not use the package

The RN has finished setting up the sterile field for adressing change. All packages are opened and thecontents dropped onto the sterile drape. The RN has sterilegloves on and then notices that not enough sterile 4 X 4’sare open. What should the RN do?a. Open another package using one hand &consider one hand clean and one hand sterile.b. Open another package of 4 X 4’s and put on anew pair of sterile gloves.c. Ask the client to open a package of 4 X 4’s.d. Open another package of gauze, drop them onthe sterile drape and continue the procedure.

The RN has finished setting up the sterile field for adressing change. All packages are opened and thecontents dropped onto the sterile drape. The RN has sterilegloves on and then notices that not enough sterile 4 X 4’sare open. What should the RN do?a. Open another package using one hand &consider one hand clean and one hand sterile.b. Open another package of 4 X 4’s and put on anew pair of sterile gloves.c. Ask the client to open a package of 4 X 4’s.d. Open another package of gauze, drop them onthe sterile drape and continue the procedure.

Julie is 10 years old and has been outsideriding her scooter. She falls off the scooterand scrapes the skin on both knees. Whatkind of wound is this?a. Abrasionb. Lacerationc. Contusiond. Ecchymosis

Julie is 10 years old and has been outsideriding her scooter. She falls off the scooterand scrapes the skin on both knees. Whatkind of wound is this?a. Abrasionb. Lacerationc. Contusiond. Ecchymosis

Michael just cut his finger on one of thepages of his Berman textbook. What kind ofwound is this?a. Punctureb. Lacerationc. Incisiond. Contusion

Michael just cut his finger on one of thepages of his Berman textbook. What kind ofwound is this?a. Punctureb. Lacerationc. Incisiond. Contusion

Mr. Jones needs to have his abdominaldressing changed every 4 hours. What is thebest way to secure this dressing?a. Elastic adhesive tapeb. Nonallergic tapec. Montgomery strapsd. Transparent adhesive

Mr. Jones needs to have his abdominaldressing changed every 4 hours. What is thebest way to secure this dressing?a. Elastic adhesive tapeb. Nonallergic tapec. Montgomery strapsd. Transparent adhesive

When adding things to a sterile field, it isbest to drop them from a distance as closeto the sterile field as possible.a. Trueb. False

When adding things to a sterile field, it isbest to drop them from a distance as closeto the sterile field as possible.a. Trueb. False

What is the most important thing to do whenperforming a sterile dressing change?a. Never contaminate anythingb. Realize when you havecontaminated something and fix itc. Assess the wound and documentyour findingsd. Remove the old dressing withoutinjuring the surrounding tissue.

What is the most important thing to do whenperforming a sterile dressing change?a. Never contaminate anythingb. Realize when you havecontaminated something and fix itc. Assess the wound and documentyour findingsd. Remove the old dressing withoutinjuring the surrounding tissue.

After irrigating a wound, the bed shouldbe thoroughly dried.a. Trueb. False

After irrigating a wound, the bed shouldbe thoroughly dried.a. Trueb. False

Where should a wound culture be takenfrom?a. The center of the pool of exudate.b. The edge where the intact skinmeets the open area.c. Clean areas of granulation tissue.

Where should a wound culture be takenfrom?a. The center of the pool of exudate.b. The edge where the intact skinmeets the open area.c. Clean areas of granulation tissue.

How long should ice packs beleft on an injured area?a. 5-10 minutesb. 15-30 minutesc. 45-60 minutesd. As long as the injured area ispainful.

How long should ice packs beleft on an injured area?a. 5-10 minutesb. 15-30 minutesc. 45-60 minutesd. As long as the injured area ispainful.

Sitting in front of a fan when youare hot is an example of what?a. Conductionb. Convectionc. Radiation

Sitting in front of a fan when youare hot is an example of what?a. Conductionb. Convectionc. Radiation

How should the tape be pulled whenremoving an old dressing?a. Toward the wound to preventdisrupting granulation tissueb. Away from the wound to preventintroducing bacteria into the woundc. Quickly to minimize the paind. On the count of 3 so the clientknows when you are going to pull

How should the tape be pulled whenremoving an old dressing?a. Toward the wound to preventdisrupting granulation tissueb. Away from the wound to preventintroducing bacteria into the woundc. Quickly to minimize the paind. On the count of 3 so the clientknows when you are going to pull

Which would most likely result incontamination?a. Pouring sterile saline out of the sideof the bottle without the label.b. Reaching around the glove packageinstead of across it.c. Asking your colleague to go to thesupply room for gauze you forgot.d. Separating the 4 X 4’s by shakingthem until one falls onto the sterilefield.

Which would most likely result incontamination?a. Pouring sterile saline out of the sideof the bottle without the label.b. Reaching around the glove packageinstead of across it.c. Asking your colleague to go to thesupply room for gauze you forgot.d. Separating the 4 X 4’s by shakingthem until one falls onto the sterilefield.

What is the term used to describethe loss of underlying red tones ora. Pallorb. Erythemac. Cyanosisd. Jaundicepaleness in skin?

What is the term used to describethe loss of underlying red tones ora. Pallorb. Erythemac. Cyanosisd. Jaundicepaleness in skin?

Which documents normal pulsea. 1+b. 2+c. 3+d. 4+strength?

Which documents normal pulsea. 1+b. 2+c. 3+d. 4+strength?

Place the 4 steps in physicalassessment in order.1. Auscultation2. Inspection3. Palpation4. Percussiona. 1,2,3,4b. 2,3,4,1c. 3,4,2,1d. 2,1,4,3

Place the 4 steps in physicalassessment in order.1. Auscultation2. Inspection3. Palpation4. Percussiona. 1,2,3,4b. 2,3,4,1c. 3,4,2,1d. 2,1,4,3

Where would the RN normallyexpect to hear bronchovesicularbreath sounds?a. Over the tracheab. Over the bronchusc. Over the periphery of the lungs

Where would the RN normallyexpect to hear bronchovesicularbreath sounds?a. Over the tracheab. Over the bronchusc. Over the periphery of the lungs

What term describes the client who isdisoriented, has decreased awareness andexhibits inappropriate actions andjudgments?a. Alertb. Confusedc. Lethargicd. Stuporous

What term describes the client who isdisoriented, has decreased awareness andexhibits inappropriate actions andjudgments?a. Alertb. Confusedc. Lethargicd. Stuporous

Which term describes themovement of pointing the toesdown toward the floor?a. Dorsiflexionb. Plantar flexion

Which term describes themovement of pointing the toesdown toward the floor?a. Dorsiflexionb. Plantar flexion

List the correct order of physical assessmenttechniques for the abdomen.1. Auscultation2. Inspection3. Palpation4. Percussiona. 1,2,3,4b. 2,3,4,1c. 3,4,2,1d. 2,1,4,3

List the correct order of physical assessmenttechniques for the abdomen.1. Auscultation2. Inspection3. Palpation4. Percussiona. 1,2,3,4b. 2,3,4,1c. 3,4,2,1d. 2,1,4,3