PN 4006 FINAL - SELF-STUDY QUIZZES QUESTIONS
WITH COMPLETE SOLUTIONS
A 17-year-old postoperative client is laughing with friends.
Soon after they leave, he tells the nurse he is experiencing pain
and asks for something for pain. What does the nurse understand
about this situation?
Select one:
a. Teenagers will try to obtain narcotics by faking pain.
b. Distraction reduces pain awareness.
c. Postoperative pain comes on suddenly.
d. Clients who are able to laugh are not really experiencing pain.
Correct Answers b. Distraction reduces pain awareness.
A client complains of a headache and chills during a blood
transfusion. Which one of the following actions should the nurse
take immediately?
Select one:
a. Check the vital signs.
b. Stop the blood transfusion.
c. Slow the rate of blood flow.
d. Notify the physician and blood bank personnel. Correct
Answers b. Stop the blood transfusion.
A client has intravenous (IV) therapy for the administration of
antibiotics and is stating that the IV site "hurts and is swollen."
Which of the following information assessed on the client
indicates the presence of phlebitis, as opposed to infiltration?
,Select one:
a. Intensity of the pain
b. Warmth of integument surrounding the IV site
c. Amount of subcutaneous edema
d. Skin discoloration of a bruised nature Correct Answers b.
Warmth of integument surrounding the IV site
A client in the hospital has an indwelling urinary catheter, and
the nurse is instructing the nursing student in the appropriate
care to provide. Which one of the following does the nurse teach
the student to do?
Select one:
a. Empty the drainage bag at least q8h.
b. Cleanse up the length of the catheter to the perineum.
c. Use sterile technique to obtain a specimen for culture and
sensitivity.
d. Place the drainage bag on the client's lap while transporting
the client to testing. Correct Answers a. Empty the drainage bag
at least q8h.
A client is to have a stool test for occult blood. The nurse is
instructing the nursing assistant in the correct procedure for the
test. The nursing assistant is correctly informed when the nurse
explains which one of the following?
Select one:
a. Sterile technique is used for collection.
b. Stool should be collected over a three-day period.
c. The specimen should be kept warm.
,d. A 2.5-cm sample of formed stool is needed. Correct Answers
d. A 2.5-cm sample of formed stool is needed.
A client on the medical unit receives regular insulin at 7:00
A.M. The nurse is alert to a possible hypoglycemic reaction by
which time?
Select one:
a. 7:30 A.M.
b. 10:00 A.M.
c. 4:00 P.M.
d. 8:00 P.M. Correct Answers b. 10:00 A.M.
A client with active tuberculosis is admitted to the medical
center. The nurse recognizes that which of the following types
of precautions will be required upon admission of this client?
Select one:
a. Airborne precautions
b. Droplet precautions
c. Contact precautions
d. Reverse isolation Correct Answers a. Airborne precautions
A condom catheter is to be used for an adult male client in the
extended care facility. Which of the following techniques is
appropriate for the nurse to use in applying the condom
catheter?
Select one:
a. Using sterile gloves
, b. Wrapping the adhesive tape securely around the base of the
penis
c. Leaving a 2.5- to 5-cm space between the tip of the penis and
the end of the catheter
d. Taping the tubing tightly to the thigh and attaching the
drainage bag to the bed frame Correct Answers c. Leaving a
2.5- to 5-cm space between the tip of the penis and the end of
the catheter
A female patient needs to provide a midstream-voided urine
specimen for examination. What teaching by the nurse would
provide a valid specimen?
Select one:
a. Use a clean specimen cup for testing.
b. Collect at least 125 to 150 mL of urine.
c. Wash the perineal area with soap and water.
d. Void some urine and then collect the sample. Correct
Answers d. Void some urine and then collect the sample.
A medication is prescribed for the client and is to be
administered by intravenous (IV) bolus injection. Which of the
following is a priority for the nurse before administering the
medication via this route?
Select one:
a. Set the rate of the IV infusion.
b. Check the client's mental alertness.
c. Confirm placement of the IV line.
d. Determine the amount of IV fluid to be administered. Correct
Answers c. Confirm placement of the IV line.
WITH COMPLETE SOLUTIONS
A 17-year-old postoperative client is laughing with friends.
Soon after they leave, he tells the nurse he is experiencing pain
and asks for something for pain. What does the nurse understand
about this situation?
Select one:
a. Teenagers will try to obtain narcotics by faking pain.
b. Distraction reduces pain awareness.
c. Postoperative pain comes on suddenly.
d. Clients who are able to laugh are not really experiencing pain.
Correct Answers b. Distraction reduces pain awareness.
A client complains of a headache and chills during a blood
transfusion. Which one of the following actions should the nurse
take immediately?
Select one:
a. Check the vital signs.
b. Stop the blood transfusion.
c. Slow the rate of blood flow.
d. Notify the physician and blood bank personnel. Correct
Answers b. Stop the blood transfusion.
A client has intravenous (IV) therapy for the administration of
antibiotics and is stating that the IV site "hurts and is swollen."
Which of the following information assessed on the client
indicates the presence of phlebitis, as opposed to infiltration?
,Select one:
a. Intensity of the pain
b. Warmth of integument surrounding the IV site
c. Amount of subcutaneous edema
d. Skin discoloration of a bruised nature Correct Answers b.
Warmth of integument surrounding the IV site
A client in the hospital has an indwelling urinary catheter, and
the nurse is instructing the nursing student in the appropriate
care to provide. Which one of the following does the nurse teach
the student to do?
Select one:
a. Empty the drainage bag at least q8h.
b. Cleanse up the length of the catheter to the perineum.
c. Use sterile technique to obtain a specimen for culture and
sensitivity.
d. Place the drainage bag on the client's lap while transporting
the client to testing. Correct Answers a. Empty the drainage bag
at least q8h.
A client is to have a stool test for occult blood. The nurse is
instructing the nursing assistant in the correct procedure for the
test. The nursing assistant is correctly informed when the nurse
explains which one of the following?
Select one:
a. Sterile technique is used for collection.
b. Stool should be collected over a three-day period.
c. The specimen should be kept warm.
,d. A 2.5-cm sample of formed stool is needed. Correct Answers
d. A 2.5-cm sample of formed stool is needed.
A client on the medical unit receives regular insulin at 7:00
A.M. The nurse is alert to a possible hypoglycemic reaction by
which time?
Select one:
a. 7:30 A.M.
b. 10:00 A.M.
c. 4:00 P.M.
d. 8:00 P.M. Correct Answers b. 10:00 A.M.
A client with active tuberculosis is admitted to the medical
center. The nurse recognizes that which of the following types
of precautions will be required upon admission of this client?
Select one:
a. Airborne precautions
b. Droplet precautions
c. Contact precautions
d. Reverse isolation Correct Answers a. Airborne precautions
A condom catheter is to be used for an adult male client in the
extended care facility. Which of the following techniques is
appropriate for the nurse to use in applying the condom
catheter?
Select one:
a. Using sterile gloves
, b. Wrapping the adhesive tape securely around the base of the
penis
c. Leaving a 2.5- to 5-cm space between the tip of the penis and
the end of the catheter
d. Taping the tubing tightly to the thigh and attaching the
drainage bag to the bed frame Correct Answers c. Leaving a
2.5- to 5-cm space between the tip of the penis and the end of
the catheter
A female patient needs to provide a midstream-voided urine
specimen for examination. What teaching by the nurse would
provide a valid specimen?
Select one:
a. Use a clean specimen cup for testing.
b. Collect at least 125 to 150 mL of urine.
c. Wash the perineal area with soap and water.
d. Void some urine and then collect the sample. Correct
Answers d. Void some urine and then collect the sample.
A medication is prescribed for the client and is to be
administered by intravenous (IV) bolus injection. Which of the
following is a priority for the nurse before administering the
medication via this route?
Select one:
a. Set the rate of the IV infusion.
b. Check the client's mental alertness.
c. Confirm placement of the IV line.
d. Determine the amount of IV fluid to be administered. Correct
Answers c. Confirm placement of the IV line.
