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Nursing Fundamentals

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Quiz on Nursing Fundamentals, created by a_schmid on 23/02/2015.
a_schmid
Quiz by a_schmid, updated more than 1 year ago
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Created by a_schmid over 10 years ago
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Resource summary

Question 1

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

Question 2

Question
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?
Answer
  • Fat
  • Protein
  • Glycogen
  • Carbohydrates

Question 3

Question
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?
Answer
  • Cooked barley
  • Pureed broccoli
  • Vanilla Custard
  • Lentil soup

Question 4

Question
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?
Answer
  • 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.

Question 5

Question
A nurse is performing an admission assessment on a client who has hypovolemia due to vomiting and diarrhea. Which is an expected finding?
Answer
  • Hot, dry skin
  • Hypertension
  • Tachycardia
  • Syncope (Fainting/passing out)
  • Decreased skin turgor

Question 6

Question
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?
Answer
  • Presence of associated symptoms
  • Location of the pain
  • Pain quality
  • Aggravating/relieving factors

Question 7

Question
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
Answer
  • 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.

Question 8

Question
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?
Answer
  • "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."

Question 9

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

Question 10

Question
What are effects of opioid analgesia that a nurse should anticipate?
Answer
  • Urinary Incontinence
  • Diarrhea
  • Bradypnea
  • Orthostatic hypotension
  • Nausea

Question 11

Question
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?
Answer
  • "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."

Question 12

Question
Which of the following cannot be delegated to an LPN?
Answer
  • 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

Question 13

Question
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:
Answer
  • Decrease in body weight
  • Decrease in urine output
  • Increase in urine osmolarity
  • Decreased edema
  • Rise in blood pressure
  • Increase in urine output

Question 14

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

Question 15

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