The patient is in isolation in a negative pressure room for active tuberculosis. He coughs and spews large
amounts of blood thinks sputum but is too weak to cover his mouth and nose with a tissue. Which is the
most important intervention for the nurse to implement for self protection while providing nursing
care?
a. Cover the patient's mouth and nose snugly with a surgical mask
b. Wear an N-95 mask, gloves, face shield, and isolation gown
c. Place tissues and a contaminated waste container within reach.
d. Use a properly fitted surgical mask and gloves to help with tissues - CORRECT ANSWER✅✅b. Wear an
N-95 mask, gloves, face shield, and isolation gown
The nurse teaches the patient in proper handwashing technique before discharge and ask for a return
demonstration, which hand hygiene technique indicates the patient teaching by the nurse is effective?
a. The patient turns off the tap and then dries hands
b. Soap, water, and friction are used by the patient
c. The patient wash his hands with very hot water
d. A basin with warm soapy water is used - CORRECT ANSWER✅✅b. Soap, water, and friction are used
by the patient
In which of the following situation should the nurse use surgical asepsis?
a. Performing routine urinary catheter care
b. Performing oral care
c. Wound care dressing
d. Performing nasogastric tube care - CORRECT ANSWER✅✅c. Wound care dressing
Subjective data includes a patient's feelings, perception, and reported symptoms
,true or false - CORRECT ANSWER✅✅true
The nurse admits the patient with mild chest pain from emergency department. what should the nurse
implement first to gain patient corporation during a physical assessment?
a. Explain the procedure and it's purpose
b. Perform assessment in stages over the day
c. Complete assessment within 3 to 5 minutes
d. Assess painful areas before non-tender areas - CORRECT ANSWER✅✅a. Explain the procedure and
it's purpose
The nurse is performing a neurological assessment which patient behaviour demonstrates a level of
consciousness within normal limits
a. States name age and date but not location
b. is lethargic but responds logically to questions
c. respond verbally but words are unintelligible
d. responds to questions spontaneously and is alert - CORRECT ANSWER✅✅d. responds to questions
spontaneously and is alert
The nurse assessing with a patients with a cast extending from just below the left knee to the toes.
which assessment contain a desirable patient outcome?
a. The toes are pink bilaterally
b. The cast is warm at the ankle
c. Paresthesia is present in the left foot
d. The cast is snug at the knee - CORRECT ANSWER✅✅a. The toes are pink bilaterally
The nurse assesses an adult patient with a cardiopulmonary illness and hears a grating sound over the
lower lateral lung during inspiration that does not clear with coughing. What would the nurse most likely
document as a result of the assessment findings?
, a. Crackles
b. Wheezes
c. A pleural friction rub
d. Rhonchi - CORRECT ANSWER✅✅c. A pleural friction rub
having a misplaced his stethoscope, a nurse borrows a colleagues stethoscope. He next enters to
patients room and identified himself,
washes his hands with soap, and states the purpose of his visits. he performs proper identification of the
patient before he also auscultates her lungs. which critical health assessment was not performed?
a. Running warm water over stethoscope patient comfort
b. Cleaning stethoscope with Betadine
c. Using alcohol-based hand disinfectant
d. Cleaning stethoscope with alcohol - CORRECT ANSWER✅✅d. Cleaning stethoscope with alcohol
Which is the best examination position for a complete physical examination on a weak,geriatric patient
with bilateral basilar pneumonia?
a. Prone position
b. Sims position
c. Supine position
d. Lateral position - CORRECT ANSWER✅✅c. Supine position
A nurse preceptor is working with a student nurse. Which behavior by the student nurse willrequire the
nurse preceptor to intervene?
a. The student nurse reviews the patient's medical record.
b. The student nurse reads the patient's plan of care.
c. The student nurse shares patient information with a friend.