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Basic Nursing Quiz 3
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Questions in this quiz (21)
1From what stage of sleep are people typically most difficult to arouse?
- ANREM, sleep spindles
- BNREM, delta waves
- CNREM, alpha waves
- DREM
2A patient’s vital signs prior to a blood transfusion were: T = 97.6°F (36.4°C); P = 72 beats/min; R = 22 breaths/min; and BP = 132/76 mm Hg. Twenty minutes after the transfusion was begun, the patient began complaining of feeling “itchy and hot.” The nurse discovered a rash on the patient’s trunk. Vital signs were: T = 100.8°F (38.2°C); P = 82 beats/min; R = 24 breaths/min; BP = 146/88 mm Hg. Based on these findings, what is the priority intervention?
- AAdminister an antihistamine (anti-allergenic) medication.
- BFlush the blood tubing with D5W immediately.
- CStop the blood transfusion immediately.
- DPrepare for emergency resuscitation
- AAdminister an antihistamine (anti-allergenic) medication.
3Chronic stress may lead directly to cardiovascular disease because of the repeated release of which of the following?
- ACatecholamines
- BProtease
- CCortisol
- DHistamines
4You are caring for an adult patient with a tracheostomy who is being mechanically ventilated. His pulse oximetry reading is 85%, heart rate is 113, and respiratory rate is 30. The patient is very restless. His respirations are labored, and you hear gurgling sounds. You auscultate crackles and rhonchi in both lungs. What is the most appropriate action to take?
- ANotify the physician of the patient's signs of fluid overload
- BProvide endotracheal suctioning
- CProvide tracheostomy care
- DCall the respiratory therapist to check the ventilator settings
5Patency is the condition of being open, expanded, or unobstructed.
- ATrue
- BFalse
6A patient suddenly develops right lower-quadrant pain, nausea, vomiting, and rebound tenderness. How should the nurse classify this patient’s pain?
- AAcute
- BNeuropathic
- CChronic
- DIntractable
7A patient who underwent a left above-the-knee amputation complains of pain in his left foot. The nurse should document this finding as what type of pain?
- APhantom
- BReferred
- CRadiating
- DPsychogenic
8The passive process by which molecules of a solute move through a cell membrane from an area of higher concentration to an area of lower concentration is called which of the following?
- AOsmosis
- BDiffusion
- CHydrostatic pressure
- DActive transport
9When a patient has metabolic acidosis, which body system influences the acid–base imbalance to produce the compensatory changes in the arterial blood gases?
- ARespiratory system
- BRenal system
- CNeurological system
- DVascular system
10What is the rationale for wrapping petroleum gauze around a chest tube insertion site?
- APrevents air from leaking around the site
- BPrevents infection at the insertion site
- CPrevents the tube from becoming dislodged
- DAbsorbs drainage from the insertion site
11You are admitting a 54-year-old patient with chronic obstructive pulmonary disease (COPD). The physician prescribes O2 at 24% FIO2. What is the most appropriate oxygen delivery method for this patient?
- ANasal cannula
- BVenturi mask
- CNon-rebreather mask
- DPartial rebreather mask
12Which pain management task can be safely delegated to nursing assistive personnel?
- AAssessing the quality and intensity of the pt's pain
- BEvaluating the effectiveness of pain medication
- CAdministering oral dose of acetaminophen
- DProviding a therapeutic back massage
13Which aspect of restraint use can the nurse delegate to the nursing assistive personnel?
- AApplying and removing the restraints
- BAssessing the pt's status
- CEvaluating the pt's response to restraints
- DDetermining the need for restraint
14A patient who sustained rib fractures in a motor vehicle accident is complaining that his pain medication is ineffective. Inadequate pain control places this patient at risk for which complication?
- APneumonia
- BHemothorax
- CPneumothorax
- DMetabolic alkalosis
15Which process requires energy to maintain the unique composition of extracellular and intracellular compartments?
- ADiffusion
- BActive transport
- CFiltration
- DOsmosis
16A patient with a history of falling continually attempts to get out of bed unassisted despite frequent reminders to call for help first. Which action should the nurse take first?
- AEncourage a family member to stay with the patient.
- BAdminister lorazepam (an antianxiety medication).
- CKeep all four of the patient’s bed side rails up.
- AEncourage a family member to stay with the patient.
17While a patient is receiving hygiene care, her chest tube becomes disconnected from the water-seal chest drainage system (CDU). Which action should the nurse take immediately?
- ASet up a new drainage system, and connect it to the chest tube.
- BHave the patient take and hold a deep breath while the nurse reconnects the tube to the CDU.
- CClamp the chest tube close to the insertion site.
- DPlace the disconnected end nearest the patient into a bottle of sterile water.
- ASet up a new drainage system, and connect it to the chest tube.
18Physiological changes associated with aging place the older adult especially at risk for which nursing diagnosis?
- ARisk for Suffocation (drowning)
- BRisk for Ineffective Airway Clearance (choking)
- CRisk for Poisoning
- DRisk for Falls
19Which electrolyte is the primary regulator of fluid volume?
- AK+
- BNa+
- CCalcium
- DMagnesium
20What is typically the most reliable indicator of pain?
- APast medical Hx
- BDescription by caregiver(s)
- CPt's self-report
- DBehavioral cues
21You are caring for a young adult patient with an intracranial hemorrhage secondary to a closed head injury. During your assessment, you notice that the patient’s respirations follow a cycle progressively increasing in depth, then progressively decreasing in depth, followed by a period of apnea. Which of the following appropriately describes this respiratory pattern?
- ACheyne-Stokes respirations
- BBiot's breathing
- CSleep apnea
- DKussmaul's respirations
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- Quiz on Basic Nursing Quiz 3, created by mminter002 on 11/10/2014.
- Author
- mminter002
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- English
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