Fundamentals of Nursing Quiz | Practice MCQ #mcq.imBooz

• (A) 1,2
• (B) 3,4
• (C) 1,2,3
• (D) 1,2,3,4

Check AnswerSolution[D]:- 1,2,3,4

• (A) V/S 36.8 C,80,16,120/80
• (B) Complained of chest pain
• (C) Seems agitated
• (D) Able to ambulate without assistance

Check AnswerSolution[C]:- Seems agitated

• (A) Detailed explanation
• (B) Demonstration
• (C) Use of pamphlets
• (D) Film showing

Check AnswerSolution[B]:- Demonstration

• (A) It is growth facilitating
• (B) Based on mutual understanding
• (C) Fosters hope and confidence
• (D) Involves primarily emotional bond

Check AnswerSolution[A]:- It is growth facilitating is the most important characteristic of a nurse patient relationship

• (A) Tell the patient that deep breathing and coughing exercises is needed to promote good breathing, circulation and prevent complication
• (B) Tell the client that deep breathing and coughing exercises is needed to prevent Thrombophlebitis, hydrostatic pneumonia and atelectasis
• (C) Medicate client for pain
• (D) Tell client that cooperation is vital to improve recovery

Check AnswerSolution[A]:- Tell the patient that deep breathing and coughing exercises is needed to promote good breathing, circulation and prevent complication

• (A) Place an allergy alert in the Kardex
• (B) Notify the attending physician
• (C) Write it on the patient’s chart
• (D) Take note when giving medications

Check AnswerSolution[B]:- Notify the attending physician

• (A) Perform physical assessment
• (B) Have the client rate his pain on the smiley pain rating scale
• (C) Active listening on what the patient says
• (D) Observe the client’s behavior

Check AnswerSolution[C]:- Active listening on what the patient says

• (A) Knowing your client
• (B) Knowing yourself
• (C) Showing empathy
• (D) Encoding

Check AnswerSolution[B]:- Knowing yourself

• (A) Read it for the patient
• (B) Give it for the patient to read himself
• (C) Let the family member read the material for the patient
• (D) Read it yourself then, Have the client read the material

Check AnswerSolution[D]:- Read it yourself then, Have the client read the material

• (A) Situational
• (B) Maturational
• (C) Social
• (D) Phenomenal

Check AnswerSolution[C]:- Social

• (A) Hemoglobinuria
• (B) Chest pain
• (C) Urticaria
• (D) Distended neck veins

Check AnswerSolution[A]:- Hemoglobinuria, the abnormal presence of hemoglobin in the urine, indicates a hemolytic reaction (incompatibility of the donor�s and recipient�s blood). In this reaction, antibodies in the recipient�s plasma combine rapidly with donor RBC�s; the cells are hemolyzed in either circulatory or reticuloendothelial system. Hemolysis occurs more rapidly in ABO incompatibilities than in Rh incompatibilities. Chest pain and urticaria may be symptoms of impending anaphylaxis. Distended neck veins are an indication of hypervolemia.

• (A) Massaging the reddened are with lotion
• (B) Using a water or air mattress
• (C) Adhering to a schedule for positioning and turning
• (D) Providing meticulous skin care

Check AnswerSolution[A]:- Nurses and other health care professionals previously believed that massaging a reddened area with lotion would promote venous return and reduce edema to the area. However, research has shown that massage only increases the likelihood of cellular ischemia and necrosis to the area.

• (A) Vaginal instillation of conjugated estrogen
• (B) Urinary catheterization
• (C) Nasogastric tube insertion
• (D) Colostomy irrigation

Check AnswerSolution[B]:- The urinary system is normally free of microorganisms except at the urinary meatus. Any procedure that involves entering this system must use surgically aseptic measures to maintain a bacteria-free state.

• (A) Can accommodate only 1 ml or less of medication
• (B) Bruises too easily
• (C) Can be used only when the patient is lying down
• (D) Does not readily parenteral medication

Check AnswerSolution[A]:- 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).

• (A) Using sterile forceps, rather than sterile gloves, to handle a sterile item
• (B) Touching the outside wrapper of sterilized material without sterile gloves
• (C) Placing a sterile object on the edge of the sterile field
• (D) Pouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container

Check AnswerSolution[C]:- The edges of a sterile field are considered contaminated. When sterile items are allowed to come in contact with the edges of the field, the sterile items also become contaminated.

• (A) Tolerance
• (B) Idiosyncrasy
• (C) Synergism
• (D) Allergy

Check AnswerSolution[D]:- A drug-allergy is an adverse reaction resulting from an immunologic response following a previous sensitizing exposure to the drug. The reaction can range from a rash or hives to anaphylactic shock. Tolerance to a drug means that the patient experiences a decreasing physiologic response to repeated administration of the drug in the same dosage. Idiosyncrasy is an individual�s unique hypersensitivity to a drug, food, or other substance; it appears to be genetically determined. Synergism, is a drug interaction in which the sum of the drug�s combined effects is greater than that of their separate effects.

• (A) Any oral medications
• (B) Capsules whole contents are dissolve in water
• (C) Enteric-coated tablets that are thoroughly dissolved in water
• (D) Most tablets designed for oral use, except for extended-duration compounds

Check AnswerSolution[D]:- Capsules, enteric-coated tablets, and most extended duration or sustained release products should not be dissolved for use in a gastrostomy tube. They are pharmaceutically manufactured in these forms for valid reasons, and altering them destroys their purpose. The nurse should seek an alternate physician�s order when an ordered medication is inappropriate for delivery by tube.

• (A) Fever
• (B) Chronic Obstructive Pulmonary Disease
• (C) Renal Failure
• (D) Dehydration

Check AnswerSolution[C]:- In real failure, the kidney loses their ability to effectively eliminate wastes and fluids. Because of this, limiting the patient�s intake of oral and I.V. fluids may be necessary. Fever, chronic obstructive pulmonary disease, and dehydration are conditions for which fluids should be encouraged.

• (A) Ask the patient if he/she has used ear drops before
• (B) Have the patient repeat the nurse’s instructions using her own words
• (C) Demonstrate the procedure to the patient and encourage to ask questions
• (D) Ask the patient to demonstrate the procedure

Check AnswerSolution[D]:- Return demonstration provides the most certain evidence for evaluating the effectiveness of patient teaching.

• (A) Assess femoral, popliteal, and pedal pulses every 15 minutes for 2 hours
• (B) Check the pressure dressing for sanguineous drainage
• (C) Assess a vital signs every 15 minutes for 2 hours
• (D) Order a hemoglobin and hematocrit count 1 hour after the arteriography

Check AnswerSolution[D]:- A hemoglobin and hematocrit count would be ordered by the physician if bleeding were suspected. The other answers are appropriate nursing interventions for a patient who has undergone femoral arteriography.