FUNDAMENTAL CONCEPTS AND SKILLS FOR NURSING

MULTIPLE CHOICE 1. Before integrating humor in the care of an Asian patient, the nurse should: a. develop jokes about the patient’s condition. b. develop jokes about the doctors and nurses. c. ask the patient whether jokes are understood. d. ask the patient’s feelings about hearing a joke or funny story. ANS: D Humor and laughter are used at the bedside to distract patients from pain, and they have a positive effect on the body. However, it is important to check with the patien...

MULTIPLE CHOICE 1. A nurse is assisting in the care of a patient who is receiving pain medication by the epidural route. It is most important to monitor this patient for which adverse drug effects? a. Constipation b. Headache c. Nausea d. Hypoventilation ANS: D Respiratory depression is a potentially dangerous side effect of epidural analgesia, and a patient receiving this type of pain medication requires frequent monitoring of respiratory rate. DIF: Cognitive Level: Comprehensi...

MULTIPLE CHOICE 1. The nurse has an order to administer an injection of purified protein derivative (PPD) by the intradermal route. The maximum amount of medication that can be given using this route is: a. 0.1 mL. b. 0.75 mL. c. 0.5 mL. d. 0.2 mL. ANS: A The maximum dose that can be given via the intradermal route is 0.1 mL. DIF: Cognitive Level: Knowledge REF: p. 675 OBJ: Theory #7 TOP: Mantoux Test KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity...

MULTIPLE CHOICE 1. A patient of the Cambodian culture reports that a new medication is not adequate for treatment because it is: a. colored red. b. a smaller size than the older medication. c. offered before a meal. d. is in liquid form. ANS: B Persons of Cambodian origin believe the size of the medication indicates its curative value. A small pill does not have as much curative value as a larger one. DIF: Cognitive Level: Comprehension REF: p. 654 OBJ: Theory #1 TOP: Medicat...

MULTIPLE CHOICE 1. The nurse is aware that for a drug to be effectively eliminated from the body, the patient must have a fluid intake of 50 mL/kg/day. The nurse would provide for a patient who weighs 125 pounds ______ mL of water per day. a. 1560 b. 899.2 c. 2840.9 d. 3039.1 ANS: C The patient’s weight is 125 pounds/2.2 pounds = 56.8 kg 50 mL = 2840.9 mL. DIF: Cognitive Level: Analysis REF: p. 627 OBJ: Theory #3 TOP: Distribution of Drugs KEY: Nursing Process Step: Pl...

MULTIPLE CHOICE 1. The nurse who is preparing to give a feeding per a nasogastric (NG) tube tests the placement of the tube most safely by: a. checking the lungs for rhonchi. b. instilling 10 mL of sterile water and checking for cough. c. aspirating stomach contents. d. injecting 20 mL of air and listen at the tip of the xiphoid. ANS: C The safest and most assured method to test for NG tube placement is to aspirate stomach contents and check fluid for pH. Using the air method is not...

MULTIPLE CHOICE 1. The mother of a 4-month old infant asks what type of cereal is most appropriate to feed the infant as a first solid food. The best response from the nurse is to suggest a. wheat. b. barley. c. corn. d. rice. ANS: D A cereal such as rice is the best initial choice, because it is easily tolerated, provides additional calories and iron, and is least likely to be allergenic. DIF: Cognitive Level: Comprehension REF: p. 474 OBJ: Theory #8 TOP: Nutritional Needs...

MULTIPLE CHOICE 1. An ambulatory clinic patient telephones to report diarrhea and to ask for advice on medication to manage it. The best response by the nurse is, “Do not use antidiarrheal medication for longer than: a. 24 hours without calling back for an appointment.” b. 48 hours without calling back for an appointment.” c. 72 hours without calling back for an appointment.” d. 96 hours without calling back for an appointment.” ANS: B Antidiarrheal medication should not ...

MULTIPLE CHOICE 1. A nurse is cleansing the perineal area of a female patient who is having a urinary catheter inserted. The nurse should use the last povidone iodine–soaked cotton ball to cleanse downward over the: a. urinary meatus. b. left labia. c. right labia. d. perirectal area. ANS: A The urinary meatus is cleansed after the labia on each side are cleansed. DIF: Cognitive Level: Comprehension REF: p. 557|Skill 29-3 OBJ: Clinical Practice #5 TOP: Catheterizing the Fem...

MULTIPLE CHOICE 1. A patient requires suctioning via the nasotracheal route. In order to perform this procedure safely, the nurse should: a. apply suction while advancing the catheter into the airway. b. suction the nasotracheal passage after suctioning the mouth. c. hold the catheter with the dominant hand after donning sterile gloves. d. insert the nonlubricated catheter into the nasal passage. ANS: C The suction catheter should be held with the dominant hand after donning sterile...