Fundamentals of Nursing Quiz | Practice MCQ #mcq.imBooz

• (A) Assess the patient’s incision.
• (B) Clarify the order with the prescriber.
• (C) Assess the patient’s respiratory status.
• (D) Monitor the patient’s heart rate.

Check AnswerSolution[C]:- Before administering an opioid analgesic, such as morphine, the nurse should assess the patient’s respiratory status because opioid analgesics can cause respiratory depression. It is not necessary to clarify the order with the physician because morphine 4 mg IV is an appropriate dose. It is not necessary to monitor the patient’s heart rate.

• (A) Hepatitis B
• (B) Occasional alcohol use
• (C) Allergy to aspirin
• (D) Gastric irritation with bleeding

Check AnswerSolution[A]:- Even in recommended doses, acetaminophen can cause severe hepatotoxicity in patients with liver disease, such as hepatitis B. Patients who consume alcohol regularly should also use acetaminophen cautiously. Those allergic to aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) can use acetaminophen safely. Acetaminophen rarely causes gastrointestinal (GI) problems; therefore, it can be used for those with a history of gastric irritation and bleeding.

• (A) Asking about pain during vital signs
• (B) Evaluating the effectiveness of pain medication
• (C) Developing a plan of care involving nonpharmacologic interventions
• (D) Administering over-the-counter pain medications

Check AnswerSolution[A]:- The nurse can delegate the task of asking about pain when nursing assistive personnel (NAP) obtain vital signs. The NAP must be instructed to report findings to the nurse without delay. The nurse should evaluate the effectiveness of pain medications and develop the plan of care. Administering over-the-counter and prescription medications is the responsibility of the registered nurse or licensed practical nurse.

• (A) Phantom
• (B) Visceral
• (C) Deep somatic
• (D) Referred

Check AnswerSolution[C]:- Deep somatic pain originates in ligaments, tendons, nerves, blood vessels, and bones. Therefore, a hip fracture causes deep somatic pain. Phantom pain is pain that is perceived to originate from a part that was removed during surgery. Visceral pain is caused by deep internal pain receptors and commonly occurs in the abdominal cavity, cranium, and thorax. Referred pain occurs in an area that is distant to the original site

• (A) 500 to 600 ml
• (B) 800 to 1,400 ml
• (C) 1,000 to 1,200 ml
• (D) 1,500 to 2,000 ml

Check AnswerSolution[D]:- An adult’s average urine output ranges between 1,500 and 2,000 ml/day.

• (A) Right lower quadrant, right upper quadrant, left upper quadrant. left lower quadrant
• (B) Rectum, pancreas, stomach and liver
• (C) Right hypochondriac, left hypochondriac and umbilical regions
• (D) Right lower lobe, right upper lobe, left upper lobe, left lower lobe

Check AnswerSolution[A]:- This sequence follows the anatomy of the bowel. The lobes are parts of the lung. the right and left hypochondriac and the umbilical area are three of the nine regions of the abdomen.

• (A) What was your last nursing experience?
• (B) Are you willing to do overtime on weekends?
• (C) How many children do you have?
• (D) Do you plan to get pregnant?

Check AnswerSolution[A]:- An interviewer’s question should center on the applicant’s qualifications for the position. Questions about the applicant’s personal life are inappropriate and may be illegal.

• (A) Place the patient’s feet in dorsiflexion
• (B) Place a pillow under the patient’s knees
• (C) Hyperextend the patient’s neck
• (D) Adduct the patient’s shoulder

Check AnswerSolution[A]:- Anatomic alignment prevents strain on body parts, maintains balance, and promotes physiologic functioning. To promote this position, the nurse should place the feet in dorsiflexion (at right angles to the legs)

• (A) Educating the patient
• (B) Providing a safe environment
• (C) Promoting a positive self-image
• (D) Helping the patient accept the illness

Check AnswerSolution[B]:- A patient with hemiplegia (paralysis of one side of the body) has a high risk of injury because of his altered motor and sensory function, so safety is the nurse’s main priority.

• (A) Validation
• (B) Listening
• (C) Evaluation
• (D) Clarification

Check AnswerSolution[A]:- Covert communication reflects inner feelings that a person may be uncomfortable talking about. Such communication may be revealed through body language, silence, withdrawn behavior, or crying. Validation is an attempt to confirm the observer’s perceptions through feedback, interpretation and clarification.

• (A) United States Health Agency
• (B) National Institute of Health
• (C) National League for Nursing (NLN)
• (D) World Health Organization

Check AnswerSolution[D]:- World Health Organization

• (A) “as manifested by “.
• (B) “related to”
• (C) “evidenced by”
• (D) “due to”

Check AnswerSolution[B]:- The name of the nursing diagnosis is linked to the etiology with the phrase “related to”

• (A) Information processing model
• (B) Interpersonal theory
• (C) Stages of illness model
• (D) Maslow’s hierarchy of human needs

Check AnswerSolution[D]:- Priorities of Planning in Nursing Process is done by Maslow’s hierarchy of human needs

• (A) irrigate the catheter with sterile saline solution to maintain patency.
• (B) maintain sterile technique when working with the catheter.
• (C) assess the pressure dressing frequently for bleeding.
• (D) limit the mobility of the affected limb.

Check AnswerSolution[A]:- When caring for a client with a femoral venous catheter, it is essential for the nurse to irrigate the catheter with sterile saline solution to maintain patency.

• (A) Actual
• (B) Risk
• (C) Factual
• (D) Wellness

Check AnswerSolution[C]:- Nursing Diagnosis Categories include all, except Factual

• (A) Monitor urine specific gravity
• (B) Measure fluid intake and output
• (C) Weigh daily
• (D) Record frequency of bowel movements

Check AnswerSolution[C]:- Weigh daily would be most important for determining fluid balance in a client with end-stage renal failure

• (A) Pulmonary egophony.
• (B) Amniotic fluid embolism.
• (C) Anaphylaxis.
• (D) Bronchospasm.

Check AnswerSolution[C]:- A woman in labor is receiving an antibiotic. She suddenly complains of trouble breathing, weakness and nausea. The nurse should recognize that these signs are usually indicative of impending Anaphylaxis.

• (A) Crowing
• (B) Wheezing
• (C) Stridor
• (D) Sigh

Check AnswerSolution[B]:- Wheezing is the term used for a high-pitched musical sound in clients during a respiratory assessment

• (A) Henderson
• (B) Jean Watson
• (C) Marta Rogers
• (D) Florence Nightingale

Check AnswerSolution[D]:- “The goal of nursing is to put the patient in the best condition for nature to act upon him”. This was stated by Florence Nightingale

• (A) American Nurses Association (ANA), 1995
• (B) International Council of Nurses
• (C) Florence Nightingale, 1858
• (D) Indian Nursing Council, 1948

Check AnswerSolution[A]:- This definition was given by American Nurses Association (ANA), 1995