Basic Nursing Quiz 2

Question 1 of 20

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What intervention would be most appropriate for a wound with a beefy red wound bed?

Select one of the following:

  • Dressing to keep the wound moist and clean

  • Mechanical débridement

  • Removal of devitalized tissue and a sterile dressing

  • Autolytic débridement

Question 2 of 20

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The nurse and other hospital personnel strive to keep the patient care area clean. This most directly illustrates the ideas of which nursing theorist?

Select one of the following:

  • "Flo" from the Progressive commercials

  • Florence Nightingale

  • Clara Barton

  • Virginia Henderson

Question 3 of 20

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Which of the following is considered a “practice” (as opposed to a belief or value)?

Select one of the following:

  • Always drinking water after exercise

  • Maintaining youth

  • Emphasis on success

  • Thinking often about cleanliness

Question 4 of 20

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Pressure ulcers are directly caused by which of the following conditions at the site?

Select one of the following:

  • Inadequate venous return

  • Shearing forces

  • Compromised blood flow

  • Edema

Question 5 of 20

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A client incorporates alternative healthcare into her regular health practices. For which alternative therapy should the patient visit a formally trained practitioner?

Select one of the following:

  • Use of herbs and roots

  • Burning of dried plants

  • Application of oils and poultices

  • Acupuncture

Question 6 of 20

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While assessing a new wound, the nurse notes red, watery drainage. What type of drainage will the nurse document this as?

Select one of the following:

  • Puro-sanguineous

  • Sanguineous

  • Sero-sanguineous

  • Serous

Question 7 of 20

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A patient has an area of nonblanchable erythema on his coccyx. The nurse has determined this to be a stage I pressure ulcer. What would be the most important treatment for this patient?

Select one of the following:

  • Transparent film dressing

  • Sheet hydrogel

  • Enzymatic débridement

  • Frequent turn schedule

Question 8 of 20

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When performing a spiritual assessment, who is the preferred source of information?

Select one of the following:

  • Durable power of attorney

  • Patient's clergyman

  • Next of kin

  • Patient

Question 9 of 20

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The nurse is helping an 82-year-old patient to ambulate in the hallway. Suddenly she states, “I feel so light-headed and weak,” as her knees begin to buckle. The nurse’s best action at this time would be to:

Select one of the following:

  • Immediately release the transfer device and place a wheelchair behind the patient to prevent a fall.

  • Grab her under the arms and hold her up as he calls for assistance.

  • Assist the patient to slide down his leg as he guides her to a seated or lying position.

  • Instruct the patient to grab the rail in the hallway while he calls for assistance.

Question 10 of 20

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What is the primary difference between acute and chronic wounds? Chronic wounds:

Select one of the following:

  • Are full-thickness wounds, but acute wounds are superficial.

  • Are usually infected, whereas acute wounds are contaminated.

  • Exceed the typical healing time, but acute wounds heal readily.

  • Result from pressure, but acute wounds result from surgery.

Question 11 of 20

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A client has a diagnosis of chronic pain. The physician has prescribed tramadol hydrochloride (Ultram) for the pain. The patient also receives therapeutic touch (TT) from a practitioner three times a week. In this situation, TT is considered to be which of the following?

Select one of the following:

  • An alternative modality

  • Holistic healthcare

  • A placebo response

  • A complementary modality

Question 12 of 20

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Which of the following describes the difference between dehiscence and evisceration?

Select one of the following:

  • With dehiscence, there is a separation of one or more layers of wound tissue; evisceration involves the protrusion of internal viscera from the incision site.

  • Dehiscence is an urgent complication that requires surgery as soon as possible; evisceration is not as urgent.

  • Dehiscence involves the protrusion of internal viscera from the incision site; with evisceration, there is a separation of one or more layers of wound tissue.

  • Dehiscence involves rupture of subcutaneous tissue; evisceration involves damage to dermal tissue.

Question 13 of 20

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In his later work, Maslow identified growth needs that must be met before reaching self-actualization. These needs include:

Select one of the following:

  • Cognitive and aesthetic needs

  • Physiological and self-esteem needs

  • Love and belonging needs

  • Safety and security needs

Question 14 of 20

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A patient has a contaminated right hip wound that requires dressing changes twice daily. The surgeon informs the nurse that when the wound “heals a little more” he will suture it closed. The nurse recognizes that the surgeon is using which form of wound healing?

Select one of the following:

  • Regenerative healing

  • Secondary intention

  • Primary intention

  • Tertiary intention

Question 15 of 20

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Three days after a patient had abdominal surgery, the nurse notes a 4-cm periwound erythema and swelling at the distal end of the incision. The area is tender and warm to the touch. Staples are intact along the incision, and there is no obvious drainage. Heart rate is 96 beats/min and oral temperature is 100.8°F (38.2°C). The nurse would suspect that the patient has what kind of complication?

Select one of the following:

  • Formation of granulation tissue

  • Infection at the site of incision

  • Hematoma under the skin

  • Dehiscence of the wound

Question 16 of 20

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What is the best rationale to gather data about patients’ use of herbal products?

Select one of the following:

  • Patients' medication records must be kept accurate

  • The nurse practice act requires RNs to monitor all drug dosages

  • Herbal products need to be evaluated for research purposes

  • Many herbs are known to interact with medications

Question 17 of 20

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While reading a journal article, the nurse asks herself these questions: “What is this about overall? Is it true in whole or in part? Does it matter to my practice?” What is this nurse doing?

Select one of the following:

  • Reading the article analytically

  • Formulating a searchable question

  • Determining the soundness of the article

  • Performing a literature review

Question 18 of 20

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An older patient with newly diagnosed osteoporosis asks the nurse to explain her health problem. Which of the following is the correct description of osteoporosis?

Select one of the following:

  • Chronic inflammatory joint disease that must be treated with steroids

  • Loss of bone density that increases the risk of fracture

  • Degenerative joint disease that produces pain and decreased function

  • Acute infection in the bone that must be treated with antibiotics

Question 19 of 20

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A patient hospitalized in a long-term rehabilitation facility is immobile and requires mechanical ventilation with a tracheostomy. She has a pressure area on her coccyx measuring 5 cm by 3 cm. The area is covered with 100% eschar. What would the nurse identify this as?

Select one of the following:

  • Unstageable pressure ulcer

  • Stage II pressure ulcer

  • Stage III pressure ulcer

  • Stage IV pressure ulcer

Question 20 of 20

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North American healthcare culture typically reflects which culture?

Select one of the following:

  • Asian

  • European American

  • Latino

  • African American

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Basic Nursing Quiz 2

mminter002
Quiz by , created about 2 years ago

Quiz on Basic Nursing Quiz 2, created by mminter002 on 10/10/2014.

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Created by mminter002 about 2 years ago
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