Question 1

A nurse who is left-handed is applying sterile gloves for a procedure.What is the correct procedure for this nurse?

Accepted Answer

A) Glove the left hand first by grasping 2-inch cuff with thumb and the first two fingers of the right hand. 
B) Glove right hand first by grasping 2-inch cuff with thumb and the first finger of the left hand. 
C) Glove either hand first by grasping 2-inch cuff with thumb and the first two fingers of the right hand. 
D) Glove the left hand first by grasping 2-inch cuff with thumb and the second finger of the right hand. 
A) Glove the left hand first by grasping 2-inch cuff with thumb and the first two fingers of the right hand. 
B) Glove right hand first by grasping 2-inch cuff with thumb and the first finger of the left hand. 
C) Glove either hand first by grasping 2-inch cuff with thumb and the first two fingers of the right hand. 
D) Glove the left hand first by grasping 2-inch cuff with thumb and the second finger of the right hand.

Question 2

Which of these statements about the application of moist heat is TRUE?

Accepted Answer

A) It is the preferred treatment for open wounds. 
B) It provides more immediate relief from pain or spasm than dry heat. 
C) It increases overall body temperature. 
D) It is effective only when adequate vasculature is present. 
A) It is the preferred treatment for open wounds. 
B) It provides more immediate relief from pain or spasm than dry heat. 
C) It increases overall body temperature. 
D) It is effective only when adequate vasculature is present.

Question 3

A nurse is preparing to administer a medication in tablet form to a client who has difficulty swallowing.Which of these actions should the nurse take?

Accepted Answer

A) Crush the tablet into a powder,and mix it with a small amount of applesauce. 
B) Ensure the tablet is not enteric-coated or time-released before crushing it. 
C) Administer the tablet with extra amounts of liquid. 
D) Substitute a liquid form of the medication for the tablet. 
A) Crush the tablet into a powder,and mix it with a small amount of applesauce. 
B) Ensure the tablet is not enteric-coated or time-released before crushing it. 
C) Administer the tablet with extra amounts of liquid. 
D) Substitute a liquid form of the medication for the tablet.

Question 4

Which of these steps is essential when the nurse is preparing to suction a client's tracheostomy?

Accepted Answer

A) Administer oxygen or use an Ambu bag before beginning procedure. 
B) Change the client's inner cannula. 
C) Cover the tracheostomy ties with a clean towel. 
D) Set up sterile hydrogen peroxide to use for rinsing the suction catheter. 
A) Administer oxygen or use an Ambu bag before beginning procedure. 
B) Change the client's inner cannula. 
C) Cover the tracheostomy ties with a clean towel. 
D) Set up sterile hydrogen peroxide to use for rinsing the suction catheter.

Question 5

Cold therapy for a client is usually indicated when:

Accepted Answer

A) there is no other way to provide pain relief 
B) vasoconstriction and increased blood viscosity are desired 
C) heat therapy is ineffective 
D) there are multiple open areas prone to infection 
A) there is no other way to provide pain relief 
B) vasoconstriction and increased blood viscosity are desired 
C) heat therapy is ineffective 
D) there are multiple open areas prone to infection

Question 6

One of the differences in using the Z-track method of IM medication administration and the usual IM injection is that the Z-track method:

Accepted Answer

A) takes more time 
B) does not have the site rubbed or wiped after administration 
C) is more painful 
D) requires a larger needle and syringe 
A) takes more time 
B) does not have the site rubbed or wiped after administration 
C) is more painful 
D) requires a larger needle and syringe

Question 7

A nurse is removing sterile gloves after a procedure is completed.Which of the following actions is necessary during this procedure?

Accepted Answer

A) Keep soiled gloves from touching the client. 
B) Place soiled gloves in a recycling container. 
C) Wash gloved hands before removal. 
D) Remove gloves without coming into contact with soiled surfaces. 
A) Keep soiled gloves from touching the client. 
B) Place soiled gloves in a recycling container. 
C) Wash gloved hands before removal. 
D) Remove gloves without coming into contact with soiled surfaces.

Question 8

To improve venous blood return from the legs postoperatively,which of these exercises will be MOST beneficial to the client?

Accepted Answer

A) turning from side to side at regular intervals 
B) splinting incision when coughing 
C) deep breathing and making circles with the ankles 
D) pushing toes toward the foot of the bed until calf muscles tighten,then relaxing and pulling toes toward chin until calf muscles tighten,then relaxing again 
A) turning from side to side at regular intervals 
B) splinting incision when coughing 
C) deep breathing and making circles with the ankles 
D) pushing toes toward the foot of the bed until calf muscles tighten,then relaxing and pulling toes toward chin until calf muscles tighten,then relaxing again

Question 9

A nurse is preparing to culture a client's wound to determine if it is infected.Which of these steps should the nurse take?

Accepted Answer

A) Irrigate the wound with antiseptic,swab over granulation tissue,and replace swab in culture tube. 
B) Irrigate the wound with saline,swab over granulation tissue,and replace swab in culture tube. 
C) Irrigate the wound with antiseptic,swab over eschar,and replace swab in culture tube. 
D) Swab over granulation tissue,replace swab in culture tube,and redress the wound. 
A) Irrigate the wound with antiseptic,swab over granulation tissue,and replace swab in culture tube. 
B) Irrigate the wound with saline,swab over granulation tissue,and replace swab in culture tube. 
C) Irrigate the wound with antiseptic,swab over eschar,and replace swab in culture tube. 
D) Swab over granulation tissue,replace swab in culture tube,and redress the wound.

Question 10

What is the BEST evidence that a nurse has been successful when catheterizing a client?

Accepted Answer

A) The client does not complain of pain. 
B) The client develops bladder spasms. 
C) The sterile field has been maintained. 
D) Urine drains from the catheter. 
A) The client does not complain of pain. 
B) The client develops bladder spasms. 
C) The sterile field has been maintained. 
D) Urine drains from the catheter.

Question 11

Which of these statements about oxygen therapy for a client is TRUE?

Accepted Answer

A) The client is started on the highest dose possible,and dose is reduced as the client improves. 
B) Oxygen is a medication,requiring medication administration criteria as well as oxygen therapy administration criteria. 
C) The prescription for oxygen therapy is determined by the respiratory therapist in consultation with the client's health care provider. 
D) Oxygen therapy can be initiated by a nurse in any emergency situation. 
A) The client is started on the highest dose possible,and dose is reduced as the client improves. 
B) Oxygen is a medication,requiring medication administration criteria as well as oxygen therapy administration criteria. 
C) The prescription for oxygen therapy is determined by the respiratory therapist in consultation with the client's health care provider. 
D) Oxygen therapy can be initiated by a nurse in any emergency situation.

Question 12

A nurse is obtaining a capillary blood specimen from a client.After cleaning the site,which of these steps is correct?

Accepted Answer

A) Insert lancet about 3 cm,and then collect blood into the appropriate tube. 
B) Squeeze the site,insert the lancet,and maintain pressure while collecting blood into the appropriate tube. 
C) Stab quickly,wipe away first drop of blood,and then collect blood into the appropriate tube. 
D) Stab slowly,squeeze the site,and maintain pressure while collecting blood into the appropriate tube. 
A) Insert lancet about 3 cm,and then collect blood into the appropriate tube. 
B) Squeeze the site,insert the lancet,and maintain pressure while collecting blood into the appropriate tube. 
C) Stab quickly,wipe away first drop of blood,and then collect blood into the appropriate tube. 
D) Stab slowly,squeeze the site,and maintain pressure while collecting blood into the appropriate tube.

Question 13

After a client has self-administered a vaginal medication,the nurse should suggest the client:

Accepted Answer

A) perform perineal care 
B) allow the medication to remain in place at least 30 minutes before voiding 
C) apply a perineal pad to collect any discharge or drainage 
D) remain in the dorsal recumbent position for at least 10 minutes 
A) perform perineal care 
B) allow the medication to remain in place at least 30 minutes before voiding 
C) apply a perineal pad to collect any discharge or drainage 
D) remain in the dorsal recumbent position for at least 10 minutes

Question 14

When preparing a sterile field for a client dressing change,the nurse should open the outer wrapper on the sterile package by pulling the wrapper:

Accepted Answer

A) toward the nurse's body 
B) away from the nurse's body 
C) toward the client's body 
D) away from the client's body 
A) toward the nurse's body 
B) away from the nurse's body 
C) toward the client's body 
D) away from the client's body

Question 15

After cleansing the top of a medication vial with an alcohol pad,the nurse must NEXT:

Accepted Answer

A) hold the vial at waist level and withdraw the desired dosage 
B) inject air equal to the amount of medication to be withdrawn 
C) shake the vial vigorously 
D) place the vial on a stable surface to withdraw the desired dosage 
A) hold the vial at waist level and withdraw the desired dosage 
B) inject air equal to the amount of medication to be withdrawn 
C) shake the vial vigorously 
D) place the vial on a stable surface to withdraw the desired dosage

Question 16

A nurse is preparing to teach a client how to walk with crutches.To ensure client safety and comfort,the crutch pad should fit approximately how many inches below the axilla?

Accepted Answer

A) 1 
B) 1-1/2 to 2 
C) 2-1/2 to 3 
D) 4 
A) 1 
B) 1-1/2 to 2 
C) 2-1/2 to 3 
D) 4

Question 17

To insert a rectal suppository in an adult client,the nurse should position the client in the Sims' left position and insert the suppository:

Accepted Answer

A) into the anal canal 
B) past the internal sphincter and against the rectal wall 
C) approximately 8 inches 
D) until the client experiences the urge to defecate 
A) into the anal canal 
B) past the internal sphincter and against the rectal wall 
C) approximately 8 inches 
D) until the client experiences the urge to defecate

Question 18

To withdraw medication from an ampule,the nurse should open the ampule by:

Accepted Answer

A) placing a tissue around the neck and snapping the top off carefully 
B) filing the neck and snapping the top while wearing gloves 
C) wrapping a sterile gauze pad around the neck and snapping the top off away from oneself 
D) placing the neck on a solid surface and tapping it gently with a sterile clamp 
A) placing a tissue around the neck and snapping the top off carefully 
B) filing the neck and snapping the top while wearing gloves 
C) wrapping a sterile gauze pad around the neck and snapping the top off away from oneself 
D) placing the neck on a solid surface and tapping it gently with a sterile clamp

Question 19

When a nurse is to administer a medication to a client using the Z-track method,which of these sites is preferred?

Accepted Answer

A) deltoid 
B) quadriceps 
C) dorsogluteal 
D) ventrogluteal 
A) deltoid 
B) quadriceps 
C) dorsogluteal 
D) ventrogluteal

Question 20

A nurse is preparing to suction an adult client's tracheostomy.At what pressure,in mm HG,should the nurse set the wall suction?

Accepted Answer

A) 50 to 100 
B) 100 to 120 
C) 120 to 130 
D) 130 to 140 
A) 50 to 100 
B) 100 to 120 
C) 120 to 130 
D) 130 to 140

Exam 30: Intermediate Procedures

A nurse who is left-handed is applying sterile gloves for a procedure.What is the correct procedure for this nurse?

Which of these statements about the application of moist heat is TRUE?

A nurse is preparing to administer a medication in tablet form to a client who has difficulty swallowing.Which of these actions should the nurse take?

Which of these steps is essential when the nurse is preparing to suction a client's tracheostomy?

Cold therapy for a client is usually indicated when:

One of the differences in using the Z-track method of IM medication administration and the usual IM injection is that the Z-track method:

A nurse is removing sterile gloves after a procedure is completed.Which of the following actions is necessary during this procedure?

To improve venous blood return from the legs postoperatively,which of these exercises will be MOST beneficial to the client?

A nurse is preparing to culture a client's wound to determine if it is infected.Which of these steps should the nurse take?

What is the BEST evidence that a nurse has been successful when catheterizing a client?

Which of these statements about oxygen therapy for a client is TRUE?

A nurse is obtaining a capillary blood specimen from a client.After cleaning the site,which of these steps is correct?

After a client has self-administered a vaginal medication,the nurse should suggest the client:

When preparing a sterile field for a client dressing change,the nurse should open the outer wrapper on the sterile package by pulling the wrapper:

After cleansing the top of a medication vial with an alcohol pad,the nurse must NEXT:

A nurse is preparing to teach a client how to walk with crutches.To ensure client safety and comfort,the crutch pad should fit approximately how many inches below the axilla?

To insert a rectal suppository in an adult client,the nurse should position the client in the Sims' left position and insert the suppository:

To withdraw medication from an ampule,the nurse should open the ampule by:

When a nurse is to administer a medication to a client using the Z-track method,which of these sites is preferred?

A nurse is preparing to suction an adult client's tracheostomy.At what pressure,in mm HG,should the nurse set the wall suction?

Student Nurse Skills for Success

Holistic Care

Nursing History, Education, and Organizations

Legal and Ethical Responsibilities

The Health Care Delivery System

Arenas of Care

Communication

Client Teaching

Nursing Processdocumentationinformatics

Life Span Development

Cultural Considerations

Stress, Adaptation, and Anxiety

Loss, Grief, and Death

Wellness Concepts

Self-Concept

Spirituality

Complementary Alternative Therapies

Basic Nutrition

Rest and Sleep

Safety-Hygiene

Infection Controlasepsis

Standard Precautions and Isolation

Bioterrorism

Fluid, Electrolyte, and Acid-Base Balance

Medication Administration and IV Therapy

Assessment

Pain Management

Diagnostic Tests

Basic Procedures

Advanced Procedures

Anesthesia

Surgery

Oncology

Respiratory System

Cardiovascular System

Hematologic and Lymphatic Systems

Gastrointestinal System

Urinary System

Musculoskeletal System

Neurological System

Sensory System

Endocrine System

Reproductive System

Sexually Transmitted Diseases

Integumentary System

Immune System

Mental Illness

Substance Abuse

The Older Adult

Ambulatory, Restorative, and Palliative Care in Community Settings

Responding to Emergencies

Integration

Prenatal Care

Complications of Pregnancy

The Birth Process

Postpartum Care

Newborn Care

Basics of Pediatric Care

Infants With Special Needs: Birth to 12 Months