AND CORRECT ANSWERS GRADED A+
A nurse must obtain a urine specimen from a patient with a urinary retention
catheter (Foley) and drains urine in the tubing down into the collection bag. Which
should the nurse do next?
a. Cleanse the exit tube at the bottom of the drainage bag with an alcohol swab
b. Use a clamp to constrict the tubing immediately distal to the collection port
c. Position the patient in a semi-fowler position
d. Don a pair of clean gloves
d. Don a pair of clean gloves
A nurse decides to give a partial bath to a patient instead of a complete bath. How
was the nurse working when this decision was made?
a. Dependently
b. Independently
c. Collaboratively
d. Interdependently
b. Independently
A patient in pain tells the nurse, it feels like something is on fire. Which
characteristic of pain is associated with this statement?
,a. Intensity
b. Location
c. Quality
d. Pattern
c. Quality
A newly admitted patient arrives on the unit. Which is most important for the nurse
to do to help minimize the development of anxiety?
a. Validate anxious feelings
b. Teach relaxation technique
c. Minimize environmental stimuli
d. Explain procedures to the patient
d. Explain procedures to the patient
A home health care nurse is helping a patient negotiate the health care system
within the community. Which word best reflects this role of the nurse?
a. Leader
b. Resource
c. Surrogate
d. Counselor
b. Resource
,A patient sustains soft tissue injuries from a motor vehicle collision. Which
intervention is helpful in limiting the stress of both edema and bleeding into the
tissue?
a. Applying a cold compress
b. Exerting direct pressure
c. Performing effleurage
d. Providing massage
a. Applying a cold compress
During which of the five steps in the nursing process does the nurse determine
whether outcomes of care are achieved?
a. Implementation
b. Evaluation
c. Planning
d. Analysis
b. Evaluation
Which statement is related to the concept that is central to the nursing process?
a. It is dynamic rather than static
b. It focuses on the role of the nurse
, c. It moves from the simple to the complex
d. It is based on the patient's medical problem
a. It is dynamic rather than static
A nurse teaches a patient to use visualization to cope with chronic pain. Which step
of the nursing diagnosis is directly related to this concept?
a. Planning
b. Analysis
c. Evaluation
d. Implementation
d. Implementation
Which action reflects the assessment step of the nursing process?
a. Taking a patient's apical pulse every 2 hours after being admitted for an episode
of chest pain
b. Scheduling a patient's fluid intake over 12 hours when the patient has a fluid
restriction
c. Examining a patient for injury after a patient falls in the bathroom
d. Obtaining a patient's respiratory rate after a nebulizer treatment
c. Examining a patient for injury after a patient falls in the bathroom