NURSING 3300 EXAM PRACTICE
QUESTIONS & ANSWERS VERIFIED
100% CORRECT!!
1 of 200
Definition
b,c,d
Explanation:
The nurse should document the size, shape, color, and symmetry of
joints: note any masses, deformities, or muscle atrophy. Range of
motion of each joint. Any limitation in the normal range of motion or
any unusual increase in the mobility of a joint (instability); range of
motion varies among people and decreases with aging. Muscle
strength when performing range-of-motion exercises against
resistance. Any swelling, heat, tenderness, pain, nodules, or
crepitation (palpable or audible crunching or grating sensation
,produced by motion of the joint). Comparison of findings in one
joint with those of the opposite joint.
Give this one a try later!
Which nursing techniques should the nurse use to assist a client who is having
difficulty using the metered-dose inhaler correctly? Select all that apply.
a.) documenting that the client's breathing has changed from 32 breaths per
minute to 28 quiet breaths per minute
b.) observing the client's technique when using the metered-dose inhaler at least
four times
c.) monitoring the client's saturated oxygen with a pulse oximeter before and
after the use of the metered-dose inhaler
d.) re-demonstrating the correct use of a metered-dose inhaler
e.) stating that the client can now perform the technique appropriately
The nurse is developing a plan of care for a client who has been in the
(protective) prone position. What should the nurse be sure to monitor the client
for, related to the positioning?
a.) hyperextension of the hips
b.) plantar flexion of the feet
c.) skin breakdown of the sacrum
d.) flexion contracture of the neck
The nurse is performing an assessment of a client's joint mobility. What
documentation should the nurse provide related to this assessment if joint
function is considered normal? Select all that apply.
a.) Able to lift head from pillow
b.) No swelling, heat, tenderness, pain, nodules, or crepitation
c.) No masses, deformities, or muscle atrophy
d.) Full range of motion with each joint
e.) Walks 20 feet
, The nurse is caring a client with complex needs. In order to plan the client's care,
the nurse has searched an online academic database and consulted journal
articles that will inform the client's care and meet their unique needs. The nurse
has demonstrated which competency(ies)? Select all that apply.
a.) teamwork and collaboration
b.) informatics
c.) quality improvement
d.) evidence-based practice Don't know?
e.) safety
f.) client-centered care
2 of 200
Term
The nurse uses a small amount of sterile solution from a large,
multiuse bottle to moisten gauze in a sterile field. What technique
does the nurse use?
a.) Pour the liquid into a sterile container within the sterile field.
b.) Pour the liquid onto gauze on the sterile field until the gauze is
moist.
c.) Pour the liquid into the palm of a sterile gloved hand for use.
d.) Pour the liquid into the cap of the bottle and dip the gauze as
needed.
Give this one a try later!
a.) cancer client undergoing chemotherapy
Explanation:
Sepsis is a severe systemic inflammatory response to a documented or
suspected infection. Sepsis can progress to septic shock, with hypotension and a
high mortality rate if not detected early. Drug therapy can cause defects in the
host's response to infection. Steroids, chemotherapy, antimetabolites, and
inappropriate or prolonged use of antibiotics can increase the risk of infection.
Super infection can and often does occur in these situations
, c.) Immunize the client with the pneumococcal vaccination once in a lifetime
Explanation:
Pneumococcal vaccination should occur once in a lifetime; influenza vaccination
should occur annually. The client should not take prophylactic antibiotics, which
can cause resistant bacterial strains and does not prevent pneumonia.
Corticosteroids may lower the resistance and allow pathogens easier entrance
from immunosuppression. Encourage fluid intake to thin secretions when
coughing and congestion begins.
a.) Pour the liquid into a sterile container within the sterile field.
Explanation:
The solution container should be held outside the edge of the sterile field
and poured steadily from a height of 4 to 6 inches into a sterile container
previously added to the sterile field and positioned at the side of the sterile
field. This assures minimal splashing, as moisture contaminates the sterile
field, and maintains sterility of the bottle and solution.
a.) Lock the medications in a cart and finish them upon return.
Explanation:
Once medications have been prepared the nurse must either stay with the
medications or lock them in an area such as the medication cart. The medications
should never be left unattended or placed back in their containers. Another
nurse cannot administer medications that have been prepared by the first nurse.
Don't know?
3 of 200
Term
A nurse is administering an injection to a client at a 15-degree angle.
The client has a venous access port. Which injection can be
administered at this angle?
a.) subcutaneous
QUESTIONS & ANSWERS VERIFIED
100% CORRECT!!
1 of 200
Definition
b,c,d
Explanation:
The nurse should document the size, shape, color, and symmetry of
joints: note any masses, deformities, or muscle atrophy. Range of
motion of each joint. Any limitation in the normal range of motion or
any unusual increase in the mobility of a joint (instability); range of
motion varies among people and decreases with aging. Muscle
strength when performing range-of-motion exercises against
resistance. Any swelling, heat, tenderness, pain, nodules, or
crepitation (palpable or audible crunching or grating sensation
,produced by motion of the joint). Comparison of findings in one
joint with those of the opposite joint.
Give this one a try later!
Which nursing techniques should the nurse use to assist a client who is having
difficulty using the metered-dose inhaler correctly? Select all that apply.
a.) documenting that the client's breathing has changed from 32 breaths per
minute to 28 quiet breaths per minute
b.) observing the client's technique when using the metered-dose inhaler at least
four times
c.) monitoring the client's saturated oxygen with a pulse oximeter before and
after the use of the metered-dose inhaler
d.) re-demonstrating the correct use of a metered-dose inhaler
e.) stating that the client can now perform the technique appropriately
The nurse is developing a plan of care for a client who has been in the
(protective) prone position. What should the nurse be sure to monitor the client
for, related to the positioning?
a.) hyperextension of the hips
b.) plantar flexion of the feet
c.) skin breakdown of the sacrum
d.) flexion contracture of the neck
The nurse is performing an assessment of a client's joint mobility. What
documentation should the nurse provide related to this assessment if joint
function is considered normal? Select all that apply.
a.) Able to lift head from pillow
b.) No swelling, heat, tenderness, pain, nodules, or crepitation
c.) No masses, deformities, or muscle atrophy
d.) Full range of motion with each joint
e.) Walks 20 feet
, The nurse is caring a client with complex needs. In order to plan the client's care,
the nurse has searched an online academic database and consulted journal
articles that will inform the client's care and meet their unique needs. The nurse
has demonstrated which competency(ies)? Select all that apply.
a.) teamwork and collaboration
b.) informatics
c.) quality improvement
d.) evidence-based practice Don't know?
e.) safety
f.) client-centered care
2 of 200
Term
The nurse uses a small amount of sterile solution from a large,
multiuse bottle to moisten gauze in a sterile field. What technique
does the nurse use?
a.) Pour the liquid into a sterile container within the sterile field.
b.) Pour the liquid onto gauze on the sterile field until the gauze is
moist.
c.) Pour the liquid into the palm of a sterile gloved hand for use.
d.) Pour the liquid into the cap of the bottle and dip the gauze as
needed.
Give this one a try later!
a.) cancer client undergoing chemotherapy
Explanation:
Sepsis is a severe systemic inflammatory response to a documented or
suspected infection. Sepsis can progress to septic shock, with hypotension and a
high mortality rate if not detected early. Drug therapy can cause defects in the
host's response to infection. Steroids, chemotherapy, antimetabolites, and
inappropriate or prolonged use of antibiotics can increase the risk of infection.
Super infection can and often does occur in these situations
, c.) Immunize the client with the pneumococcal vaccination once in a lifetime
Explanation:
Pneumococcal vaccination should occur once in a lifetime; influenza vaccination
should occur annually. The client should not take prophylactic antibiotics, which
can cause resistant bacterial strains and does not prevent pneumonia.
Corticosteroids may lower the resistance and allow pathogens easier entrance
from immunosuppression. Encourage fluid intake to thin secretions when
coughing and congestion begins.
a.) Pour the liquid into a sterile container within the sterile field.
Explanation:
The solution container should be held outside the edge of the sterile field
and poured steadily from a height of 4 to 6 inches into a sterile container
previously added to the sterile field and positioned at the side of the sterile
field. This assures minimal splashing, as moisture contaminates the sterile
field, and maintains sterility of the bottle and solution.
a.) Lock the medications in a cart and finish them upon return.
Explanation:
Once medications have been prepared the nurse must either stay with the
medications or lock them in an area such as the medication cart. The medications
should never be left unattended or placed back in their containers. Another
nurse cannot administer medications that have been prepared by the first nurse.
Don't know?
3 of 200
Term
A nurse is administering an injection to a client at a 15-degree angle.
The client has a venous access port. Which injection can be
administered at this angle?
a.) subcutaneous
