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Quiz on Nursing Fundamentals, created by a_schmid on 23/02/2015.

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Nursing Fundamentals

Question 1 of 15

1

A client is at high risk for aspiration. What is an appropriate nursing intervention?

Select one of the following:

  • Give the client thin liquids.

  • Instruct the client to tuck her chin when swallowing.

  • Have the client use a straw.

  • Encourage the client to lie down and rest after meals.

Explanation

Question 2 of 15

1

A nurse is preparing a presentation about basic nutrients for a group of high school athletes. She should explain that which of the following is the body's priority energy source?

Select one of the following:

  • Fat

  • Protein

  • Glycogen

  • Carbohydrates

Explanation

Question 3 of 15

1

A nurse is caring for a client who is on a low-residue (low-fiber) diet. Which of the following foods would be on the patient's tray?

Select one of the following:

  • Cooked barley

  • Pureed broccoli

  • Vanilla Custard

  • Lentil soup

Explanation

Question 4 of 15

1

A nurse in a senior center is counseling a group of older adults about their nutritional needs and considerations. Which of the following information should the nurse include?

Select one or more of the following:

  • Older adults are more prone to dehydration

  • Older adults need the same amount of most vitamins and minerals as younger adults

  • Many older men and women need calcium supplementation

  • Older adults need more calories

  • Older adults should consume a low-carb diet.

Explanation

Question 5 of 15

1

A nurse is performing an admission assessment on a client who has hypovolemia due to vomiting and diarrhea. Which is an expected finding?

Select one or more of the following:

  • Hot, dry skin

  • Hypertension

  • Tachycardia

  • Syncope (Fainting/passing out)

  • Decreased skin turgor

Explanation

Question 6 of 15

1

A nurse is assessing the pain level of a client who has come to the ER reporting abdominal pain. The nurse asks the client if has nausea and vomiting. The nurse is assessing which of the following?

Select one of the following:

  • Presence of associated symptoms

  • Location of the pain

  • Pain quality

  • Aggravating/relieving factors

Explanation

Question 7 of 15

1

A nursing is assessing a client who is reporting pain despite analgesia. The nurse can best asses the intensity of the client's pain by

Select one of the following:

  • Asking what precipitates the pain

  • Questioning the client about pain location

  • Offering the client a pain scale to measure his pain

  • Using open-ended questions to identify the sensation.

Explanation

Question 8 of 15

1

A nurse is caring for a client who is receiving morphine through a PCA. Which of these statements indicates that the client knows how to use the device?

Select one of the following:

  • "I'll wait to use the pump until it's absolutely necessary."

  • "I'll be careful about pushing the button so I don't get an overdose."

  • "I should tell the nurse if the pain doesn't stop after using the device."

  • "I will ask my son to push the dose when I am sleeping."

Explanation

Question 9 of 15

1

A nurse is obtaining a history from a client who has pain. The nurse's guiding principle should be:

Select one of the following:

  • Some clients exaggerate their pain level

  • Pain must have an identifiable source to justify opioid use.

  • Objective data is essential in assessing pain.

  • Pain is whatever the client says it is.

Explanation

Question 10 of 15

1

What are effects of opioid analgesia that a nurse should anticipate?

Select one or more of the following:

  • Urinary Incontinence

  • Diarrhea

  • Bradypnea

  • Orthostatic hypotension

  • Nausea

Explanation

Question 11 of 15

1

A nurse is delivering an enteral feeding to a client who has an NG tube for intermittent feedings. The nurse pours water into the syringe after the formula drains. The client asks why the water is necessary. Which of the following is an appropriate response?

Select one of the following:

  • "Water helps clear the tube so it doesn't get clogged."

  • "Flushing helps the tube stay in place."

  • "This will help you get enough fluids."

  • "Adding water makes the formula less concentrated."

Explanation

Question 12 of 15

1

Which of the following cannot be delegated to an LPN?

Select one or more of the following:

  • Administering I.V. Ativan

  • Administering P.O. morphine

  • Admitting a patient from the post-anesthesia care unit

  • Dressing change of a patient, post-op day 5

  • Teaching a new patient proper nitroglycerin administration

  • urinary cathetarization

Explanation

Question 13 of 15

1

A patient has developed SIADH, or excess secretion of ADH. After treatment has been initiated, the nurse assesses the patient for signs of improvement, including:

Select one or more of the following:

  • Decrease in body weight

  • Decrease in urine output

  • Increase in urine osmolarity

  • Decreased edema

  • Rise in blood pressure

  • Increase in urine output

Explanation

Question 14 of 15

1

What should a nurse do before administering a feeding through an enteral tube?

Select one or more of the following:

  • Flush the tube with 30 ml of tap water

  • Assist the client to a right-side laying position

  • Listen for signs of borborygmi

  • Measure residual volume of last feeding

Explanation

Question 15 of 15

1

Which of the following situations should be assessed by a nurse first?

Select one of the following:

  • A patient with a history of stable angina complains of chest pain

  • A patient needs his foley catheter changed

  • A patient's heart rhythm suddenly changes from normal to ventricular fibrillation

  • A patient's echocardiogram reveals severe aortic stenosis

Explanation

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