Principles of Nursing Practice Questions (Ch. 24, 27, 28, 29,
30, 39, 40) Questions With Complete Solutions
A 52-year-old woman is admitted with dyspnea and discomfort
in her left chest with deep breaths. She has smoked for 35 years
and recently lost over 10 lbs. Her vital signs on admission are:
HR 112, BP 138/82, RR 22, tympanic temperature 36.8° C
(98.2° F), and oxygen saturation 94%. She is receiving oxygen
at 2 L via a nasal cannula. Which vital sign reflects a positive
outcome of the oxygen therapy?
1. Temperature: 37° C (98.6° F)
2. Radial pulse: 112
3. Respiratory rate: 24
4. Oxygen saturation: 96%
5. Blood pressure: 134/78 Correct Answers 4. Oxygen
saturation: 96%
A 55-year-old female patient was in a motor vehicle accident
and is admitted to a surgical unit after repair of a fractured left
arm and left leg. She also has a laceration on her forehead. An
intravenous (IV) line is infusing in the right antecubital fossa,
and pneumatic compression stockings are on the right lower leg.
She is receiving oxygen via a simple face mask. Which sites do
you instruct the nursing assistant to use for obtaining the
patient's blood pressure and temperature?
,1. Right antecubital and tympanic membrane
2. Right popliteal and rectal
3. Left antecubital and oral
4. Left popliteal and temporal artery Correct Answers 1. Right
antecubital and tympanic membrane
A couple who is caring for their aging parents are concerned
about factors that put them at risk for falls. Which factors are
most likely to contribute to an increase in falls in the elderly?
(Select all that apply.)
1. Inadequate lighting
2. Throw rugs
3. Multiple medications
4. Doorway thresholds
5. Cords covered by carpets
6. Staircases with handrails Correct Answers 1. Inadequate
lighting
2. Throw rugs
3. Multiple medications
,4. Doorway thresholds
5. Cords covered by carpets
A family member is providing care to a loved one who has an
infected leg wound. What should the nurse instruct the family
member to do after providing care and handling contaminated
equipment or organic material?
1. Wear gloves before eating or handling food.
2. Place any soiled materials into a bag and double bag it.
3. Have the family member check with the health care provider
about need for immunization.
4. Perform hand hygiene after care and/or handling
contaminated equipment or material. Correct Answers 4.
Perform hand hygiene after care and/or handling contaminated
equipment or material.
A healthy adult patient tells the nurse that he obtained his blood
pressure in "one of those quick machines in the mall" and was
alarmed that it was 152/72 when his normal value ranges from
114/72 to 118/78. The nurse obtains a blood pressure of 116/76.
What would account for the blood pressure of 152/92? (Select
all that apply.)
1. Cuff too small
, 2. Arm positioned above heart level
3. Slow inflation of the cuff by the machine
4. Patient did not remove his long-sleeved shirt
5. Insufficient time between measurements Correct Answers 1.
Cuff too small
5. Insufficient time between measurements
A new nurse complains to her preceptor that she has no time for
therapeutic communication with her patients. Which of the
following is the best strategy to help the nurse find more time
for this communication?
1. Include communication while performing tasks such as
changing dressings and checking vital signs.
2. Ask the patient if you can talk during the last few minutes of
visiting hours.
3. Ask Pastoral care to come back a little later in the day.
4. Remind the nurse to complete all her tasks and then set up
remaining time for communication. Correct Answers 1. Include
communication while performing tasks such as changing
dressings and checking vital signs.
A new nurse is experiencing lateral violence at work. Which
steps could the nurse take to address this problem?
30, 39, 40) Questions With Complete Solutions
A 52-year-old woman is admitted with dyspnea and discomfort
in her left chest with deep breaths. She has smoked for 35 years
and recently lost over 10 lbs. Her vital signs on admission are:
HR 112, BP 138/82, RR 22, tympanic temperature 36.8° C
(98.2° F), and oxygen saturation 94%. She is receiving oxygen
at 2 L via a nasal cannula. Which vital sign reflects a positive
outcome of the oxygen therapy?
1. Temperature: 37° C (98.6° F)
2. Radial pulse: 112
3. Respiratory rate: 24
4. Oxygen saturation: 96%
5. Blood pressure: 134/78 Correct Answers 4. Oxygen
saturation: 96%
A 55-year-old female patient was in a motor vehicle accident
and is admitted to a surgical unit after repair of a fractured left
arm and left leg. She also has a laceration on her forehead. An
intravenous (IV) line is infusing in the right antecubital fossa,
and pneumatic compression stockings are on the right lower leg.
She is receiving oxygen via a simple face mask. Which sites do
you instruct the nursing assistant to use for obtaining the
patient's blood pressure and temperature?
,1. Right antecubital and tympanic membrane
2. Right popliteal and rectal
3. Left antecubital and oral
4. Left popliteal and temporal artery Correct Answers 1. Right
antecubital and tympanic membrane
A couple who is caring for their aging parents are concerned
about factors that put them at risk for falls. Which factors are
most likely to contribute to an increase in falls in the elderly?
(Select all that apply.)
1. Inadequate lighting
2. Throw rugs
3. Multiple medications
4. Doorway thresholds
5. Cords covered by carpets
6. Staircases with handrails Correct Answers 1. Inadequate
lighting
2. Throw rugs
3. Multiple medications
,4. Doorway thresholds
5. Cords covered by carpets
A family member is providing care to a loved one who has an
infected leg wound. What should the nurse instruct the family
member to do after providing care and handling contaminated
equipment or organic material?
1. Wear gloves before eating or handling food.
2. Place any soiled materials into a bag and double bag it.
3. Have the family member check with the health care provider
about need for immunization.
4. Perform hand hygiene after care and/or handling
contaminated equipment or material. Correct Answers 4.
Perform hand hygiene after care and/or handling contaminated
equipment or material.
A healthy adult patient tells the nurse that he obtained his blood
pressure in "one of those quick machines in the mall" and was
alarmed that it was 152/72 when his normal value ranges from
114/72 to 118/78. The nurse obtains a blood pressure of 116/76.
What would account for the blood pressure of 152/92? (Select
all that apply.)
1. Cuff too small
, 2. Arm positioned above heart level
3. Slow inflation of the cuff by the machine
4. Patient did not remove his long-sleeved shirt
5. Insufficient time between measurements Correct Answers 1.
Cuff too small
5. Insufficient time between measurements
A new nurse complains to her preceptor that she has no time for
therapeutic communication with her patients. Which of the
following is the best strategy to help the nurse find more time
for this communication?
1. Include communication while performing tasks such as
changing dressings and checking vital signs.
2. Ask the patient if you can talk during the last few minutes of
visiting hours.
3. Ask Pastoral care to come back a little later in the day.
4. Remind the nurse to complete all her tasks and then set up
remaining time for communication. Correct Answers 1. Include
communication while performing tasks such as changing
dressings and checking vital signs.
A new nurse is experiencing lateral violence at work. Which
steps could the nurse take to address this problem?
