Final Exam Review

Question 1

A patient with an NG tube is restrained to prevent her from pulling out the tube. What directions will you give the UAP?

Accepted Answer

"Check on pt every 30 min and release her every 2 hrs. Document all checks"

Question 2

Growth that progresses from the head downward is known as what type of pattern?

Accepted Answer

Cephalocaudal

Question 3

Which of the following is not true of hospice care?

Accepted Answer

It incorporates therapies to extend the patient's life

Question 4

How would you explain to the patient the rationale for MD not treating an illness caused by a virus with antibiotics?

Accepted Answer

Antibiotics only kill bacteria; they do not kill viruses

Question 5

A pt at high-risk for falls is in the bathroom changing into a hospital gown, the nurse should be most concerned with _?

Accepted Answer

staying near the bathroom to help the patient back to bed

Question 6

"If I make it through the chemo and radiation, then God will let me live," is an example of:

Accepted Answer

bargaining

Question 7

A patient is terminally ill with cancer and no longer receiving radiation or chemo. The best level of care for pt is __?

Accepted Answer

hospice

Question 8

Your patient says he is a hands-on learner, not a book learner. You understand his primary learning style to be:

Accepted Answer

kinesthetic

Question 9

Which is an example of reinforcing previous teaching about a heart attack?

Accepted Answer

Explaining for the third time about heart damage after a heart attack

Question 10

A pH of 7.32 indicates alkalosis

Accepted Answer

False

Question 11

To use proper body mechanics, you need to be most concerned about:

Accepted Answer

your center of gravity, base of support, and using your leg muscles

Question 12

The minimum length of time that is safe for administration of IV push medication is:

Accepted Answer

the amount of time designated by the medication manufacturer

Question 13

Given that all of the following are appropriate nursing diagnoses for your patient, which would be a priority?

Accepted Answer

Self-care deficit: bathing

Question 14

The circulatory effect of venous return is accomplished by bathing:

Accepted Answer

the extremities in a distal-to-proximal direction

Question 15

The abdomen is the site of subcutaneous administration in which there is the most rapid absorption of insulin.

Accepted Answer

True

Question 16

Your patient has a blood pH of 7.48 and is on oxygen at 8 L/min. Which oxygen delivery device is best for this patient?

Accepted Answer

A partial rebreathing mask

Question 17

It is important to understand that as individual members of various ethnic, cultural, and religious groups, ____?

Accepted Answer

we deserve to be treated with respect and dignity

Question 18

Which of these will always be drawn first if multiple tests are ordered?

Accepted Answer

Blood cultures

Question 19

Which nursing intervention is LEAST appropriate for teaching a patient about low-sodium diet?

Accepted Answer

Present a short lecture on the effects of excess sodium in the body

Question 20

Nursing care that involves or combines the elements of more than one culture is called ____?

Accepted Answer

Transcultural care

Question 21

When performing a puncture for blood sugar on an adult patient, where should the puncture be made?

Accepted Answer

On the lateral aspect of the finger tip

Question 22

Which of the following organizations works to promote the patient's right to culturally competent care in US hospitals?

Accepted Answer

The Joint Commission

Question 23

What is the term that indicates that a message was communicated as intended?

Accepted Answer

Shared meaning

Question 24

Which of these nursing diagnoses is correctly written?

Accepted Answer

Risk for injury related to poor balance when walking AEB two falls in 1 wk

Question 25

You notice a fire involving the trash can and curtains upon entering a patient's room. What will you do first?

Accepted Answer

Remove the patient from the room to a safer area of the hospital

Question 26

When communicating with people who are hard of hearing:

Accepted Answer

find out how the person communicates best

Question 27

A patient is placed on droplet precautions. You know his wife needs more teaching about what PPE to use when she says:

Accepted Answer

"I don't need to wear a mask if I stay a foot away from him."

Question 28

Nonverbal communication that is congruent to the verbal statement by the patient, "I'm having a lot of pain" would be _?

Accepted Answer

grimacing and rubbing his back

Question 29

Incentive spirometry is used to:

Accepted Answer

help prevent pneumonia and atelectasis

Question 30

The primary function of protein in the body is to:

Accepted Answer

build tissue

Question 31

You are getting ready to change the post-op dressing of a 10 y/o. He is screaming and tries to hit and bite. This is _?

Accepted Answer

regression

Question 32

The primary function of carbohydrates as a food source is to:

Accepted Answer

supply energy

Question 33

The largest source of sodium in the typical American diet is:

Accepted Answer

processed foods

Question 34

You are assessing the temperature of an 89 y/o pt who is confused, hostile, and combative. Which route is best to use?

Accepted Answer

Temporal

Question 35

Which of the following must be reported to the provider after an indwelling catheter is removed from a postsurgical pt?

Accepted Answer

Eight hours after catheter was removed, the patient has not voided

Question 36

An elderly client says, "I can't afford to eat and buy all these medications." What nursing intervention is best?

Accepted Answer

Refer the client to available social services

Question 37

A student posted a comment about the clinical experience on Facebook (no names used but neg comments written. This ___?

Accepted Answer

unacceptable because it violates confidentiality

Question 38

Which of the following info r/t medical hx would not be pertinent for a patient being assessed to undergo major surgery?

Accepted Answer

History of rubella

Question 39

An LPN is being sued for malpractice. The LPN did not document the care provided. This is an example of ___?

Accepted Answer

Rules of documentation not being followed

Question 40

1+ pulses in LE bilaterally; pupils are not equal in size or rate of constriction. Which indicates neuro finding(s)?

Accepted Answer

Pupils

Question 41

An 80 y/o pt has poorly fitting dentures and significant difficulty chewing food. Which diet would be most appropriate?

Accepted Answer

Mechanical soft diet

Question 42

A cost-effective way to provide care to people who are confined to their homes because of illness or disability is ___?

Accepted Answer

home health care

Question 43

When your patient states, "It's not fair that my cancer wasn't found sooner!," he is expressing emotions described as:

Accepted Answer

anger

Question 44

A nurse is admitting a 74 y/o Chinese patient who says he practices traditional Chinese medicine which is based on what?

Accepted Answer

Balancing Yin (cold) and Yang (hot)

Question 45

If an IV order says to infuse 1000 mL of fluid at a rate of 125 mL/hr, how many hours will it take to complete?

Accepted Answer

8 hours

Question 46

When combining two types of insulin and administering them, remember, "clear before cloudy"

Accepted Answer

True

Question 47

You will provide teaching about limiting foods high in cholesterol to avoid. What is the purpose of this pt education?

Accepted Answer

Health promotion

Question 48

What do you recommend for pt who develops skin reaction to tape used for dressing changes to large, draining abd wound?

Accepted Answer

Ask MD if Montgomery straps or an abdominal binder could be used vs. tape

Question 49

Which statement best describes the National Patient Safety Goals?

Accepted Answer

Address safety problems in hospital setting; establish ways to meet goals

Question 50

Which member of the the therapy staff would be consulted if a patient had difficulty swallowing?

Accepted Answer

Speech Therapist

Final Exam Review

Questions 50

Final Exam Review

Questions 50