Deck 1: Basic Care, Medical Assisting, NBDE, and PCCN

Question 1

A nurse is caring for a client with an enlarged prostate. The client has difficulty voiding. Physical assessment notes a distended bladder with residual urine. When performing intermittent catheterization, which of the following is an inappropriate technique to ease the insertion:

A)Using the smallest available catheter in stock
B)Using liberal amounts of water-based lubricant
C)Assisting the client in semi-Fowler's position with the legs spread apart
D)Instructing the client to cough or bear down while maneuvering the catheter

Answer 1

Assisting the client in semi-Fowler's position with the legs spread apart

Question 2

Michelle is giving a male client a bed bath. She noticed that the Foley catheter is no longer taped on the client's anterior thigh. Michelle obtains medical tape and secures the catheter back in place. The rationale for lateral or upward anchoring of the urethral catheter in a male is to:

A)Prevent pressure at the penescrotal area.
B)Promote comfort.
C)Secure the catheter well.
D)Provide privacy.

Answer 2

Prevent pressure at the penescrotal area.

Question 3

The physician has ordered to bladder training for a client with an indwelling catheter. The goal of bladder training is to

A)Remove the catheter.
B)Allow the person to walk to the bathroom.
C)Gain control of urination.
D)Void every 3 to 4 hours.

Answer 3

Gain control of urination.

Question 4

Which of the following types of blood vessels are responsible for the greatest proportion of vascular resistance?

A)Arteries
B)Arterioles
C)Capillaries
D)Venules

Question 5

A nurse is monitoring a client who was recently admitted to the unit after a cardiac catheterization. Which of the following ordered assignments is the nurse's priority?

A)Assess the client's heart rate
B)Monitor the client's urinary output
C)Assess pulses distal to insertion site
D)Assess pulses proximal to the insertion site

Question 6

Stroke or cerebrovascular accidents are classified as:

A)Ischemic and hemorrhagic
B)Only ischemic
C)Only hemorrhagic
D)None of the above

Question 7

A patient was suspected to be having disseminated intravascular coagulation (DIC). His D-dimers were carried out. What finding do you expect from a patient if he is really having DIC?

A)Increased
B)Decreased
C)No change
D)All of the above

Question 8

If a patient is anemic, then what do you expect in the cardiovascular examination of the patient?

A)Third heart sound
B)Gallop rhythm
C)Murmurs
D)All of above