injections because it:ABruises too easilyBCan accommodate only 1 ml or less of medicationCDoes not readily parenteral medication DCan be used only when the patient is lying downQuestion 35 Explanation: The mid-deltoid injection site can accommodate only 1 ml or less of medication because of its size and location (on the deltoid muscle of the arm, close to the brachial artery and radial nerve).Question 36Immobility impairs bladder elimination, resulting in such disorders asAIncreased urine acidity and relaxation of the perineal muscles, causing incontinenceBDiuresis, natriuresis, and decreased urine specific gravityCDecreased calcium and phosphate levels in the urine DUrine retention, bladder distention, and infectionQuestion 36 Explanation: The immobilized patient commonly suffers from urine retention caused by decreased muscle tone in the perineum. - as the patient's death comes closer, the hospice team provides intensive support to the patient and family insertion site. The appropriate needle gauge for intradermal injection is: 26. APortal of entry BHostCReservoirDMode of transmissionQuestion 45 Explanation: In the circular chain of infection, pathogens must be able to leave their reservoir and be transmitted to a susceptible host through a portal of entry, such as broken skin.Question 46The most appropriate time for the nurse to obtain a sputum specimen for culture is:AAfter the patient eats a light breakfastBAfter aerosol therapyCEarly in the morningDAfter chest physiotherapy Question 46 Explanation: Obtaining a sputum specimen early in this morning ensures an adequate supply of bacteria for culturing and decreases the risk of contamination from food or medication.Question 47A patient has returned to his room after femoral arteriography. 13 gtt/minute - patients unable to tolerate large volumes of fluid benefit most from this type of enema, which is by design low volume - age The Z-track method is an I.M. You Selected An 18G, 1 needle is usually used for I.M. 42. Any inflammation or obstruction that impairs bile flow will affect the stool pigment, yielding light, clay-colored stool. TEST BANK - FUNDAMENTALS OF NURSING (9TH EDITION BY TAYLOR) TEST BANK - FUNDAMENTALS OF NURSING (9TH EDITION BY TAYLOR) Table of Contents Table of Contents 1 Chapter 01: Introduction to Nursing Chapter 02: Theory, Research, and Evidence-Based Practice Chapter 03: Health, Well. Good luck! Aid in diagnosing a patient with AIDS The nurse should seek an alternate physicians order when an ordered medication is inappropriate for delivery by tube.Question 44Parenteral penicillin can be administered as an:AIntradermal or subcutaneous injectionBIM injection or an IV solutionCIM or a subcutaneous injection DIV or an intradermal injectionQuestion 44 Explanation: Parenteral penicillin can be administered I.M. - behavioral changes Nursing . 25,000/mm Ventilation: Upper GI bleeding results in black or tarry stool. Also, this page requires javascript. Respiratory acidosis, ateclectasis, and hypostatic pneumonia Screen blood donors for antibodies to human immunodeficiency virus (HIV) An 18G, 1 needle is usually used for I.M. D. A 25G, 5/8 needle is the recommended size for insulin injection because insulin is administered by the subcutaneous route. How do you interpret a urinalysis (S.G, protein, glucose, nitrates, ketones). Clamp the catheter for 1 hour every 4 hours to maintain the bladders elasticity The inside of the glove is always considered to be clean, but not sterile. Inhibit the growth of microorganisms - a catheter places through the thorax to remove air and fluids from the pleural space A newly diagnosed diabetic patient Which of the following patients is at greater risk for contracting an infection? Hemoglobinuria, the abnormal presence of hemoglobin in the urine, indicates a hemolytic reaction (incompatibility of the donors and recipients blood). Body hair 2) Ensure that only properly trained persons who know the correct technique of aseptic catheter insertion and maintenance are given this responsibility Total Questions on Quiz A hemoglobin and hematocrit count would be ordered by the physician if bleeding were suspected. A patient has returned to his room after femoral arteriography. 2) Adolescents: The correct method for determining the vastus lateralis site for I.M. -trauma 41. - regulates levels of electrolytes, produces hormones that are important for blood pressure regulation, develops red blood cells, and helps to keep bones strong Many medications and foods will discolor stool for example, drugs containing iron turn stool black. Chest pain and urticaria may be symptoms of impending anaphylaxis. Placing a sterile object on the edge of the sterile field - may be prescribed for clients recovering from surgery, clients with swallowing difficulty due to medications, dysphagia, etc. You have not finished your quiz. 11. -detects and manages a wide range of disorders - dizziness Fundamentals of nursing include basic nursing skills, caring for the perioperative patient, positioning patients, medication administration, patient safety, and more. For more information, see the developers privacy policy. However, the patients room should be well ventilated, so opening the window or turning on the ventricular is desirable. Total Parenteral Nutrition (TPN) requires the use of a large vessel, such as the subclavian or jugular vein, to ensure rapid dilution of the solution and thereby prevent complications, such as hyperglycemia. The best way of determining whether a patient has learned to instill ear medication properly is for the nurse to: 33. [Show more] Preview 4 out of 412 pages - pulmonary congestions ("death rattle" . Any items you have not completed will be marked incorrect. Question 30 Explanation: Before a blood transfusion is performed, the blood of the donor and recipient must be checked for compatibility. Jewelry, metallic objects, and buttons would interfere with the X-ray and thus should not be worn above the waist. Attempts to cool the body result in further shivering, increased metabloism, and thus increased heat production.Question 15The mid-deltoid injection site is seldom used for I.M. minutes Fever, chronic obstructive pulmonary disease, and dehydration are conditions for which fluids should be encouraged. Upper GI bleeding results in black or tarry stool. - do not repeat tap water enemas because water toxicity or circulatory develops if the body absorbs large amounts of water - medications (barbiturates, narcotics, benzodiazepines) 48. Diffusion: The normal count ranges from 150,000 to 350,000/mm3. Which element in the circular chain of infection can be eliminated by preserving skin integrity? D. Capsules, enteric-coated tablets, and most extended duration or sustained release products should not be dissolved for use in a gastrostomy tube. injection. - perform dressing changes per agency policy. D. Phlebitis, the inflammation of a vein, can be caused by chemical irritants (I.V. Prevention: All equipment must be sterile, and the nurse and the physician must wear sterile gloves and maintain surgical asepsis. The National League of Nursing accredits educational programs in nursing and provides a testing service to evaluate student nursing competence but it does not certify nurses. LearnMore. Treatment: - personal habits An infected patient has chills and begins shivering. The primary purpose of a platelet count is to evaluate the: - neuromuscular disease - as with sugar, any amount of ketones detected in your urine could be a sign of diabetes and requires follow-up testing. Leg muscles 9. - decrease in nutrient demand 19. Continue with Recommended Cookies, Fundamentals of Nursing 100 Questions Practice Exam F1A, Anna Curran. Rapid eye movement marks the stage of sleep during which dreaming occurs.Question 41Which of the following patients is at greater risk for contracting an infection?AA postoperative patient who has undergone orthopedic surgeryBA patient with leukopeniaCA patient receiving broad-spectrum antibioticsDA newly diagnosed diabetic patient Question 41 Explanation: Leukopenia is a decreased number of leukocytes (white blood cells), which are important in resisting infection. Eating, drinking, and medications are allowed before this test, Before the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waist. All of the following are common signs and symptoms of phlebitis except: A red streak exiting the IV insertion site, Edema and warmth at the IV insertion site, Pain or discomfort at the IV insertion site. The back of the gown is considered clean, the front is contaminated. An impaired or traumatized blood vessel wall Aspirate for blood before injection Immobility also results in more alkaline urine with excessive amounts of calcium, sodium and phosphate, a gradual decrease in urine production, and an increased specific gravity.Question 4The primary purpose of a platelet count is to evaluate the:APresence of an antigen-antibody responseBPotential for bleedingCPresence of cardiac enzymes - allow the family to participate in post-mortem care After chest physiotherapy Therefore, used needles should never be recapped; instead they should be inserted in a specially designed puncture resistant, labeled container. - May include the use of laxatives to assist with bowel stimulation S & S: Order a hemoglobin and hematocrit count 1 hour after the arteriography Vision and Hearing: injections of oil-based medications; a 22G needle for I.M. Upper GI bleeding results in black or tarry stool. Describe the structure and function of the cardiopulmonary system. 49. D. The ELISA test of venous blood is used to assess blood and potential blood donors to human immunodeficiency virus (HIV). 4) Properly secure indwelling catheters after insertion to prevent movement and urethral traction - anxiety attacks List Muscles of the abdomen, back, and upper arms may be easily injured. Abdominal muscles Normal: Distended neck veins are an indication of hypervolemia. Colostomy irrigation - inability to concentrate - pneumonia or infection injections because it: Can accommodate only 1 ml or less of medication, Can be used only when the patient is lying down. 28. Change the urines color Immobility also results in more alkaline urine with excessive amounts of calcium, sodium and phosphate, a gradual decrease in urine production, and an increased specific gravity. DIF:Understand (comprehension) REF:356-357 OBJ:Identify purposes of a health care record. Which of the following constitutes a break in sterile technique while preparing a sterile field for a dressing change? 13. 25G, 5/8 long - difficulty breathing In the operating room, the nurse and physician are required to wear sterile gowns, gloves, masks, hair covers, and shoe covers for all invasive procedures. Synergism - physical activity Femoral and subclavian veins It cannot be administered subcutaneously or intradermally.Question 7Effective skin disinfection before a surgical procedure includes which of the following methods?AShaving the site on the day before surgeryBHaving the patient take a tub bath on the morning of surgeryCApplying a topical antiseptic to the skin on the evening before surgeryDHaving the patient shower with an antiseptic soap on the evening v=before and the morning of surgery Question 7 Explanation: Studies have shown that showering with an antiseptic soap before surgery is the most effective method of removing microorganisms from the skin. Increased partial thromboplastin time indicates a prolonged bleeding time during fibrin clot formation, commonly the result of anticoagulant (heparin) therapy. The physician usually orders supplemental potassium to prevent hypokalemia in patients receiving diuretics. A. question Hot water may lead to skin irritation or burns. Most tablets designed for oral use, except for extended-duration compounds injection is to: Although applying corn starch to the rash may relieve discomfort, it is not the nurses top priority in such a potentially life-threatening situation.Question 10Which of the following types of medications can be administered via gastrostomy tube?AEnteric-coated tablets that are thoroughly dissolved in waterBAny oral medicationsCCapsules whole contents are dissolve in waterDMost tablets designed for oral use, except for extended-duration compounds Question 10 Explanation: Capsules, enteric-coated tablets, and most extended duration or sustained release products should not be dissolved for use in a gastrostomy tube. After routine patient contact, hand washing should last at least: Depending on the degree of exposure to pathogens, hand washing may last from 10 seconds to 4 minutes. Results All of the following are good sources of vitamin A except: 43. 10 mg Presence of cardiac enzymes Discuss interventions for symptom management in patients at the end of life. The physician orders gr 10 of aspirin for a patient. Question Text Any inflammation or obstruction that impairs bile flow will affect the stool pigment, yielding light, clay-colored stool. Anorexia 34. - may feel clammy/damp You have not finished your quiz. The appropriate needle size for insulin injection is: A 25G, 5/8 needle is the recommended size for insulin injection because insulin is administered by the subcutaneous route. Fundamentals of Nursing Practice Exam 3 Practice Mode Exam Mode Text Mode Practice Mode - Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. Soaps and detergents are used to help remove bacteria because of their ability to lower the surface tension of water and act as emulsifying agents. The National League of Nursing accredits educational programs in nursing and provides a testing service to evaluate student nursing competence but it does not certify nurses. 20. Respiratory: The physician usually orders supplemental potassium to prevent hypokalemia in patients receiving diuretics. - trauma Many medications and foods will discolor stool for example, drugs containing iron turn stool black. A signed consent is not required because a chest X-ray is not an invasive examination. Thus, a count of 25,000/mm3 indicates leukocytosis.Question 19All of the following nursing interventions are correct when using the Z-track method of drug injection except:APrepare the injection site with alcoholBUse a needle thats a least 1 longCRub the site vigorously after the injection to promote absorption DAspirate for blood before injectionQuestion 19 Explanation: The Z-track method is an I.M. - obstruction of the airway that sounds like rattling - confusion Which of the following blood tests should be performed before a blood transfusion? Demonstrate the procedure to the patient and encourage to ask questions - psychological factors Graduated from an associate degree program and is a registered professional nurse 3) full liquid Arterial blood disorders (such as pulsus paradoxus) and lung diseases (such as COPD) do not necessarily impede venous return of injure vessel walls.Question 12The appropriate needle size for insulin injection is:A22G, 1 longB18G, 1 longC25G, 5/8 long D22G, 1 longQuestion 12 Explanation: A 25G, 5/8 needle is the recommended size for insulin injection because insulin is administered by the subcutaneous route. The most appropriate nursing action would be to: 0 cards. - the most important risk factor for developing a CAUTI is prolonged use of the urinary catheter 4) Older Adults: - neurological disorders All of the following are common signs and symptoms of phlebitis except: 32. - CNS alterations - fad diets/risk of eating disorders - substance abuse Because of this, limiting the patients intake of oral and I.V. List the steps appropriate for urinary catheter insertion. The purpose of protective (reverse)isolation is to prevent a person with seriously impaired resistance from coming into contact who potentially pathogenic organisms. Good luck! -. 2) Decompression: 33, 34, 35, 36, 37, Adaptive Processes Exam 1 Medications and Lab, Julie S Snyder, Linda Lilley, Shelly Collins. - constipation 8) Following aseptic insertion of the urinary catheter, maintain a closed drainage system Choose the letter of the correct answer. Placement: Durable Power of Attorney: gives another person the authority to make medical decisions, must be a family member. Hypokalemia insertion site, and a red streak going up the arm or leg from the I.V. In a recumbent, immobilized patient, lung ventilation can become altered, leading to such respiratory complications as: Kussmails respirations and hypoventilation, Appneustic breathing, atypical pneumonia and respiratory alkalosis, Cheyne-Strokes respirations and spontaneous pneumothorax, Respiratory acidosis, ateclectasis, and hypostatic pneumonia. The main sources of vitamin A are yellow and green vegetables (such as carrots, sweet potatoes, squash, spinach, collard greens, broccoli, and cabbage) and yellow fruits (such as apricots, and cantaloupe). All equipment must be sterile, and the nurse and the physician must wear sterile gloves and maintain surgical asepsis. 1. Cheyne-Strokes respirations and spontaneous pneumothorax There are 600+ NCLEX-style practice questions partitioned into four sets in this nursing test bank. 100ml/60 min X 15 gtt/ 1 ml = 25 gtt/minute. Any procedure that involves entering this system must use surgically aseptic measures to maintain a bacteria-free state.Question 2Which of the following statements about chest X-ray is false?ABefore the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waistBA signed consent is not requiredCEating, drinking, and medications are allowed before this test DNo contradictions exist for this testQuestion 2 Explanation: Pregnancy or suspected pregnancy is the only contraindication for a chest X-ray. The equivalent dose in milligrams is: 28. Score Discuss how psychological and physiological factors may alter after the elimination process. In a recumbent, immobilized patient, lung ventilation can become altered, leading to such respiratory complications as: 50. injection technique in which the patients skin is pulled in such a way that the needle track is sealed off after the injection. Which of the following procedures always requires surgical asepsis? - caused by fluid filling the air sacs that sound like music or a whistling heard on exhalation document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. Enteric precautions prevent the transfer of pathogens via feces. Use these nursing practice questions as an alternative to Quizlet or ATI.Application features: Mode "Preparation" Mode "Exam" Mode "Marathon" Questions search Advantages: The application does not require an Internet connection; Tests are always "Available". Many modes of work with tests.This test simulator will help you prepare for the Fundamentals of Nursing2023 exam.The app is free with in-app purchases! - maintain underwater seal Be sure to include the concepts of digestion, absorption, metabolism, and elimination. Many medications and foods will discolor stool for example, drugs containing iron turn stool black. Which of the following will probably result in a break in sterile technique for respiratory isolation? Initial sensitivity to penicillin is commonly manifested by a skin rash, even in individuals who have not been allergic to it previously. - secure the tube to the patient's nose or cheek and to their gown After routine patient contact, hand washing for 30 seconds effectively minimizes the risk of pathogen transmission. All of the following are appropriate nursing interventions except: Assess femoral, popliteal, and pedal pulses every 15 minutes for 2 hours, Check the pressure dressing for sanguineous drainage, Order a hemoglobin and hematocrit count 1 hour after the arteriography, Assess a vital signs every 15 minutes for 2 hours.