You are assessing newly admitted patient. To establish an accurate baseline of their RR, you…

Observe the patient's chest movements while appearing to assess his pulse

A nurse is going to administer medication via PEG tube. The first thing he should do is?

Check the pH of the tube to ensure placement

Which best fits with the Nonrebreather mask?

concentration 60%-90%, flow rate 10L to 15L/Minute

Which has highest priority for the accurate use of equipment when taking a tympanic temp?

Gently pulling the pinna back and upward

A pt becomes light-headed and begins to fall during ambulation, the nurse should…

Extend one leg and allow the patient to slide down it

How should the ties securing a trach tube be replaced

While the old ties are still in place, With enough slack for two fingers to fit under the ties

A nurse helping a pt change a ileostomy. What should the nurse do before applying the new bag?

Measure 5/16th bigger to fit size

What is a timed urine specimen?

Collection of a specific time period.

Web-based info should be evaluated for which of the following? (select all that apply)

Currency, Accuracy, Sponsorships

To increase turbulence for a pt who needs help mobilizing and expelling thick pulm secretions…

Perform chest physiotherapy - vibrations

A nurse discovers a pt has received the wrong med. The nurse's first action should be…

Determine the client's condition

Before administering an intradermal injection, which of the following shoulod the nurse do?

Use a tuberculin syring with a 1/2” to 5/8", 25-27 gauge needle

SCD and TED hose are used for? (select all that apply)

Prevent blood clots, Post surgical patients, To promote circulation

A nurse is going to administer an enema. Which position is optimal for enema insertion?

Sims Position with right knee flexed

Clinical reasong requires the nurse to be able to do which of the following?

Separate relevant from irrelevant data

When in-line suctioning, it is appropriate for the nurse to (select all that apply)

Rotate the catheter while withdrawing, Apply suction while withdrawing the catheter

Unconscious pts. also need special attention since they have NO gag reflex. Proper oral hygiene needs to be provided

to remove secretions and keep the mucosa of the mouth moist.

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Basic Skill Group Study 1

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Questions 100

Answers

1
A patient is receiving their medication AC. What does this mean?
After Bed
Once a day
After Meals
Before Meals
2
A patient is receiving their medication BID. What does this mean?
Vaginally
Before Meals
Twice a day
As desired
3
You are assessing newly admitted patient. To establish an accurate baseline of their RR, you…
Make the patient physically comfortable before beginning the assessment
Observe the patient's chest movements while appearing to assess his pulse
Instruct the patient to breathe in and to exhale as they normally would
Determine if the patient has a history of any chronic resp problems
4
A nurse is going to administer medication via PEG tube. The first thing he should do is?
Administer medication
Flush the PEG tube
Prepare the medication
Check the pH of the tube to ensure placement
5
A patient is receiving their medication QID. What does this mean?
Before Bed
Three times a day
Four times a day
As desired
6
When measuring temp orally wait __ mins if the pt has been eating, drinkink, smoking…
60
20-30
15-20
45
7
Which best fits with the Nonrebreather mask?
concentration 35%-50%, flow rate 6L to 12L/minute
concentration 70%-80%, flow rate 12L to 18L/Minute
concentrations 24%-50%, flow rate 4L to 12L/minute
concentration 60%-90%, flow rate 10L to 15L/Minute
8
When a pt's O2 saturation is low, you should first…
Notify RT
Immediately start them on 2L via nasal cannula
Raise the HOB
Turn them to a lateral position
9
Which of the following is not a part of the 6 rights of medication administration?
Right Hour
Right Documentation
Right Medication
Right Route
10
Which has highest priority for the accurate use of equipment when taking a tympanic temp?
Attaching the disposable probe cover
Gently pulling the pinna back and upward
Replacing the thermomeber in its charger
Assessing the external ear for redness
11
Before first NG med administration, what test should be performed to ensure placement?
Ultrasound
Aspiration
X Ray
pH test
12
Position used for vaginal examination…
Lithotomy
Lateral recumbent
Prone
Dorsal recumbent
13
You assess a 45 year old patient's vitals. Which of the following requires immediate attention?
An oral tempature of 100 F
A radial pulse of 45 beats per 30 seconds
A respiratory rate of 30/min
A blood pressure of 148/88
14
A pt complains of dry mouth while being NPO before surgery. You can use ___ to rinse their mouth.
Regular mouth wash
Chlorahexidine
Water
Hydrogen Peroxide
15
What length of needles are used for Suctaneous injections?
3/8 to 5/8 inch
5/8 to 1-1/2 inch
1/2 to 5/8 inch
5/16 to 1/2 inch
16
A pt becomes light-headed and begins to fall during ambulation, the nurse should…
Move both food together when the patient begins to fall
Extend one leg and allow the patient to slide down it
Protect the patient's extremities while lowering him to the floor
Wrap both arms around the patient's arms and shoulders
17
Normal range for radial pulse rate
60-100
80-120
40-90
50-100
18
How should the ties securing a trach tube be replaced
When the pt is asleep
When the outer cannula is soaking
While the old ties are still in place
With enough slack for two fingers to fit under the ties
19
A patient is having a hard time flatulating. Which type of enema would be appropriate?
suppository
Return Flow Enema
Cleansing Enema
Retention Enema
20
Pts with poor peripheral circulation can benefit from this position…
Sim's
Prone
Trendelenburg's
Fowler's
21
What should be used to dry the inner cannula of a pt's trach tube after cleaning?
Folded pipe cleaners
Wire brush
Cotton tipped applicators
Paper towels
22
A nurse helping a pt change a ileostomy. What should the nurse do before applying the new bag?
Clean the site with alcohol
Express the site for remaning liquid
Massage the area
Measure 5/16th bigger to fit size
23
A new admit patient weighs 121 lbs. What is their weight in kg?
266 kg
242 kg
55 kg
61 kg
24
How far under the skin should a TB injection be inserted?
1/8 inch
1 inch
1/4 inch
1/2 inch
25
When administering oxygen above ___ L, you must humidify.
6 L
2 L
4 L
3 L
26
What is a timed urine specimen?
Collecting a sample from a special sampleing port, on side of catheter.
Collect during normal voiding.
Detailed instruction on proper cleansing/collection technique.
Collection of a specific time period.
27
1 tsp =
8 mL
5 mL
2 mL
10 mL
28
Determine the length of an ng tube by measuring ng tube from pt's ear lobe to tip of the nose
Then to the top of the abdomen
Then to the Xiphoid process
Then to the nipple
Then to the 5th intercostal space
29
Two high alert medications required to be checked off by another nurse
Narcotics
None of the above
Insulin
Answer 1 and 2
30
1 kg =
2.2 lb
1.2 lb
1 lb
4 lbs
31
What position should a pt bein for suctioning?
Lateral
Sim's
High Fowler's
Trelenburg's
32
Web-based info should be evaluated for which of the following? (select all that apply)
Currency
Accuracy
Security
Sponsorships
33
What is CPT?
Cough Therapy
Chess Therapy
Cheek Therapy
Chest Physiotherapy
34
When taking temperature orally, the probe should be placed…
Against the cheek
On the tongue
In the sublingual pocket
Exactly medially
35
When taking tympanic temperature on a child, pull the pinna…
Up and back
Flat
Down and back
Down
36
To increase turbulence for a pt who needs help mobilizing and expelling thick pulm secretions…
Perform chest physiotherapy - percussions
Perform chest physiotherapy - vibrations
Apple a simple face mask with 2 L of O2
Administer nebulization
37
A patient is receiving their medication PC. What does this mean?
With a meal
Three times a day
After Meals
When needed
38
A nurse discovers a pt has received the wrong med. The nurse's first action should be…
Determine the client's condition
Notify the provider
Complete an incident report
Inform the nurse manager
39
Before administering an intradermal injection, which of the following shoulod the nurse do?
Use a tuberculin syring with a 1/2” to 5/8", 25-27 gauge needle
Rub the injection site after withdrawing the needle
Pink 1/2 inch of skin and administer at 45 degree
Choose a site at least 2 inches from the umbilicus
40
A nurse making a hospice referral after pt decides to stop tx, is illustrating which ethic?
Autonomy
Fidelity
Veracity
Justice
41
SCD and TED hose are used for? (select all that apply)
Prevent blood clots
Bed sores
Post surgical patients
To promote circulation
42
What guage are needles are used for intramusclur injections?
25-27 gauge
25-31 gauge
26-30 gauge
18-25 gauge
43
A nurse is going to administer an enema. Which position is optimal for enema insertion?
Supine Position
Fowlers Position
Sims Position with right knee flexed
Prone position
44
The difference between the patient's systolic and diastolic blood pressure is called…
The pulse pressure
The pulse deficit
An auscultatory gap
A diurnal variation
45
An IM injection of less than 2mLs should be given where?
Ventralgluteal
Abdomen
Deltiod
vastus lateralis
46
Clinical reasong requires the nurse to be able to do which of the following?
Perform nursing skills based on best practice standards
Using learning strategies that are appropriate for learning style
Separate higher from lower level thinking
Separate relevant from irrelevant data
47
When in-line suctioning, it is appropriate for the nurse to (select all that apply)
Rotate the catheter while withdrawing
hyperoxygeneate the pt before disconnecting the ventilator
Apply suction whie advancing the catheter
Apply suction while withdrawing the catheter
48
Giving priority to nursing actions that focus on collection of assessment data…
ABC
Survival potential
Safety and risk reduction
Nursing proess
49
Foundational knowledge is represented by which types of thinking (select all that apply)
Recall
Evaluation
Comprehension
Analysis
50
Unconscious pts. also need special attention since they have NO gag reflex. Proper oral hygiene needs to be provided
only be performed once a week
only if they have a tracheostomy
in a lateral position
to remove secretions and keep the mucosa of the mouth moist.
51
When a chest tubes most common?
After surgery/chest trauma
None of the above
During child birth
Emergencies only
52
Which oxygen device delivers at a concentration of 35%-50% and a flow rate of 6L to 12L/minute?
Simple Face Mask
Venturi Mask
Partial rebreather mask
Nonrebreather Mask
53
A patient is receiving their medication TID. What does this mean?
Once a day
Three times a day
Two times a day
As desired
54
When can a NG be discontinued (select all that apply)
Pt's family wants it removed
Pt is able to eat on own
Temporary use is complete
After surgery
55
When administering PR for an adult, how far should a nurse insert a suppository?
1 inch
2 inches
4 inches
Entire length of finger
56
1 tbls =
5 mL
20 mL
10 mL
15 mL
57
Pt should be placed in this position for enemas and suppositories…
Trendelenburg's
Sim's
Supine
Lateral
58
What is the maximum amount of time you should apply trach suctioning?
20 seconds
30 seconds
10-15 seconds
12-17 seconds
59
Before inserting a NG tube, what steps should be performed (select all that apply)?
Apply water-based lubricant to end of tube
Have pt lie flat
Have pt tilt head back
Assess nasal passages' patency
60
After assessing a pt with a 102 F temp… you would also expect to find?
An elevated pulse rate
A decrease pulse rate
An elevated blood pressure
A decreased blood pressure
61
Which of the following are indications for an endotracheal tube?
Patients undergoiing surgery that requires general anesthesia
Pt recovering from pneumonia
Pt in need of mechanical ventilation
Anxious pts
62
When taking an adult patient's temperature rectally, it is important to…
Insert the probe about an inch and a half into the patient's anus
Rotate the probe gently if you encounger any resistance
Dip the probe about an inch to an inch and a half into a tube of lubricant
Insert the probe so that you are aiming at the patient's pelvic area
63
Capsule contents and crushed medication should be mixed with ___ mL for enteral tube admin
15-30 mL
25-50 mL
5-10 mL
50 mL
64
Hyperextension of the hip during range of motion exercises would be?
Moving the leg medially toward the other leg
Moving the leg forwar ana up
Turning the foot and leg away from the other leg
Moving the leg behind the body
65
Which of these are client attributes that impact safety (select all that apply)
Cognitive awareness
Unsanitary living conditions
Communication patterns
Lifestyle choices
66
What is the maximum amount that can be given per subcutatneous injection?
1 mL
0.5 mL
2 mL
1.5 mL
67
Which condition requires a chest tube?
Hemothorax
Pneumothorax
All of the above
Pleural Effusion
68
Nursing knowledge is based on which of the following?
Agency policy
Discipline-specific research
Providers recommendations
Nursing research
69
Pt should be placed in this position for CVL dressing change
Lateral
Trendelenburg's
Sim's
Supine
70
Which of these actions by the student is consistent with active reading?
Asking questions in class
Scheduling time for reading class assignments
Highlighting key words while studying
Skimming a chapter in a textbook
71
1 cup =
1mL
1000mL
30 mL
240 mL
72
Important to notice the pressure on the manometer during the 4th Korotkoff sound because…
It corresponds to the patient's systolic pressure
You might not hear a 5th Korotkoff sound
It is the loudest of the Korotkoff sounds
You need it to record the second diastlic pressure
73
This interdisciplinary team member can help with a pt who has trouble swallowing…
Speech pathologist
OT
Social worker
RT
74
Which of the following is on the Joint Commission's no use abbreviation list?
q.d.
mL
PO
mcg
75
A patient has been put on contact precautions for MRSA. Which of the following is required?
Gloves
Gloves, Gown, and Shoe Covers
Gloves, Gown, and Mask
Gloves and Gown
76
Ability to predict client need and anticipate changes in the health status of pts stems from?
Mathmatics
Legal and ethical issues
Nutrition
Physiology and pathophysiology
77
Which priority framework is applied when a nurse hangs a client's IV anitbiotic within 30 mins vs pain meds for diff pt?
Safety and risk reduction
Least invasive
Urgent vs. nonurgent
ABC
78
A patient has been put on droplet precautions for flu. Which of the following is required?
Gown and Gloves
Gloves and mask within 3 feet of the patient
Gloves, Gown, and Mask within 3 feet of the patient
Gloves and shoe covers
79
An appropriate suction device or method for a pt who has dysphagia?
Yankauer catheter
In-line suctioning
Open suctioning
Bulb syringe
80
Normal oxygen saturatoin for a healthy adult should be…
Above 75%
90-100%
Above 85%
95-100%
81
Indications for NG insertion (Select all that apply)
Nausea
Malnutrition
Poisoning
Bowerl obstruction
82
1 oz =
30 mL
50 mL
10 mL
20 mL
83
1 L =
10 mL
1000 mL
50 mL
100 mL
84
An FOBT, or guaiac test, is a widely used screening tool for
crohns disease
colorectal cancer
malnutrition
hemhorroids
85
At what angle are intradermal injections administered?
45-90 degrees
5-15 degrees
90 degrees
20-35 degrees
86
Which of these would be the approprate way to enter one half of a milliliter as an ATI answer?
0.50
0.5 mL
1/2
0.5
87
Before administering an injection, which is needed to prevent potential complications?
Identify the rationale for the patient receiving the med
Identify the patient's level of knowledge about the med
Identify if the patient has allergies to medication
Identify a specific site for injection
88
The horizontal bars of ATI Helix of Success were influenced by?
National Comprehensive Licensure Exam for Nursing (NCLEX)
National Leagure for Nursing (NLN)
American Nurses' Association (ANA)
Quality and Safety Educatoin for Nurses (QSEN)
89
A cleansing enema can be either LG- or SL -VOLUME. When solution is instilled, the bowel wall
is stretched stimulating peralysis
is bleeding
is irritated
is leaking causing diarrhea like effects
90
A patient is receiving their medication Q AM. What does this mean?
Before Bed
Three times a day
Every Morning
After Meals
91
Which type of injection uses the Z track method?
Intradermal injections
Intermuscular injections
Insulin injections
Subcutanenous injections
92
When using the nursing process prioty setting framework, the nurse should always __ first…
Evaluate achievement of client goals
Developt the pt's plan of care
Asses the pt
Implement the client's plan of care
93
What is an important to remember about SubQ injections, specifically insulin injections?
Pull the skin taut
Rotate injection sites
Locate the proper muscle for injection site
Use the Z track method
94
What is the most common oxygen device used in hospitals?
Simple face mask
Nasal cannula
Venturi mask
Partial re-breather mask
95
Which Oxygen device can deliver varying concentrations/flow rates?
Partial rebreather
Simple face mask
Nonrebreather mask
Venturi mask
96
This position can help relieve pressure on the sacrum… especially for those on bed rest
Prone
Lateral
Fowler's
Sim's
97
What should be plaed under the flanges of the other trach tube cannula?
Cotton filled gause square
commercially prepared transparent dressing
Twill tape
Commercially prepared fenestrated dressing
98
What is an appropriate suction rate for adults?
60-100
50-75
120-150
100-120
99
Minimum time to wait between suctioning
30 seconds
5 minutes
1 minute
2 minutes
100
Select all the tools used for assessing pain
Numeric rating
Descriptor scale
Non verbal observations
FACES scale

Basic Skill Group Study 1 Flashcards | StudBud