Activity Immobility/ Asepsis/ Safety, Urinary Elimination,
Diagnostic Testing Questions With Complete Solutions
1. Protein responsible for osmotic/oncotic pressure
2. Breakdown of hemoglobin
3. Estimate of Renal function
A. GFR
B. Bilirubin
C. Albumin Correct Answers *GFR* = Estimate of Renal
function
*Bilirubin* = Breakdown of hemoglobin
*Albumin* = Protein responsible for osmotic/oncotic pressure
1. The equipment (syringe, needle) you choose for injections are
based on:
2. Quantity of solution
3. Route to be administered
4. Type of medication
5. Body size
6. Viscosity of solution
A. 1, 2, 3
B. 2, 3, 4
C. 3, 5
D. All the above Correct Answers D. All the above
A client brought to the emergency department states that he has
accidentally been taking two times his prescribed dose of
warfarin (Coumadin) for the past week. After noting that the
,client has no evidence of obvious bleeding, the nurse plans to
take which action?
A. Prepare to administer an antidote.
B. Draw a sample for type and crossmatch and transfuse the
client.
C. Draw a sample for an activated partial thromboplastin time
(aPTT) level.
D. Draw a sample for prothrombin time (PT) and international
normalized ratio (INR). Correct Answers D. Draw a sample for
prothrombin time (PT) and international normalized ratio (INR).
A client who is weak, dyspneic, and jaundiced has an elevated
bilirubin level. With which problem are these clinical findings
consistent?
A. Hemolytic anemia
B. Pernicious anemia
C. Iron Deficiency anemia
D. Anemia of chronic disease. Correct Answers A. Hemolytic
anemia
A client with a neurological impairment experiences urinary
incontinence. Which nursing action would be most helpful in
assisting the client to adapt to this condition?
A. Using adult diapers
B. Inserting a Foley catheter
C. Establishing a toileting schedule
D. Padding the bed with an absorbent cotton pad Correct
Answers C. Establishing a toileting schedule
, A female client is being discharged from the hospital to home
with an indwelling urinary catheter after the surgical repair of
the bladder after trauma. The nurse determines that the client
understands the principles of catheter management to prevent
complications if the client states to:
A. Cleanse the perineal area with soap and water once a day.
B. Keep the drainage bag lower than the level of the bladder.
C. Limit fluid intake so that the bag will not become full so
quickly.
D. Coil the tubing and place it under the thigh when sitting to
avoid tugging on the bladder. Correct Answers B. Keep the
drainage bag lower than the level of the bladder.
A nurse discovers that she made a medication error. What
should be the nurse's FIRST response?
A. Record the error in the EMR
B. Notify the primary care provider
C. Asses the patient for any possible side effects of the error
D. Complete an incident report explaining how the error was
made. Correct Answers C. Asses the patient for any possible
side effects of the error
A nurse is assessing the extremities of a client who had wrist
restraints applied 2 hours ago. Which assessment finding, if
present, is of greatest concern?
A. The client is able to wiggle the fingers.
B. The restraint is secured to the bed's frame.