BNMN502 MCQ Exam Flashcards
While taking a health history from your client, a 53-year-old female, she discloses to you that she sometimes experiences urinary incontinence when she sneezes and laughs. What would be the most appropriate response to this information??
Ask her how long has this been going on for you/is it a new thing? Has she done anything for it and identify any other signs and symptoms.
Urinary Retention is..
the inability to empty one’s bladder completely or at all
The nurse notes that a patient has had a black, tarry stool and recalls that a possible cause would be
bleeding in the stomach or upper GI tract, a change in diet or medication.
A patient states that they are worried because they have not had a bowel movement each day. The nurse’s best response concerning defecation patterns would be
to enquire as to their dietary and fluid intake, any changes including any changes in medication or lifestyle.
Which of the following statements regarding the ageing adult and abdominal assessment is true:
…
What is a normal finding on palpation of the abdomen?
Abdomen soft to touch with no masses, swelling, pain, and rigidity.
During report the student nurse hears that a patient has ‘hepatomegaly’ and recognises that the term refers to:
Enlarged liver
When inspecting a client’s abdominal contour, the nurse observes the abdomen to be swollen and distended. The nurse describes and documents this as:
protuberant
A patient tells the nurse that she is having a hard time bringing her hand to her mouth when she eats or tries to brush her teeth. The nurse knows that for her to move her hand to her mouth, she must perform the following movement:
Elbow Flexion
You are inspecting your client’s spinal symmetry and assessing their posture. You identify that the client has scoliosis. This is:
S-shaped curvature of the spinal column
The nurse is examining the ROM of a client’s shoulder. Which of the following is a normal finding?
Full range of motion (180 degree), no pain. Smooth coordinated movements.
You are caring for Mr Smith who has been admitted following a mechanical fall. You are reviewing his nursing care plan. Which component of the care plan indicates that the patient’s problems have been appropriately described?
Nursing Diagnosis
When using a mobile hoist with a dependent patient, identify the correct rule
only operate if you have received full training, keep the passage clear, ensure correct size of sling for patient, etc…
The older person’s tendency to take smaller steps with feet close together will mostly likely result in
a higher falls risk due to reduced balance.
The most significant problem with restricted mobility is:
degradation of cardiovascular, respiratory, gastrointestinal, and musculoskeletal functioning.
What is the prime purpose for maintaining a fluid balance chart for a hospitalised client?
Allows medical/care team to monitor fluid input and output.
To ensure safe administration of medications the nurse must be aware of the seven rights of medication administration. These are the right:
Right Individual, Right Medication, Right Dose, Right Time, Right Route, Right Documentation, Right Response.
What is the term given to an unexpected effect of a medication?
Adverse Reaction
What should a nurse be familiar with when administering medications to patients?
The Seven rights
While the nurse is administering medication, the patient states, “This pill looks different to what I usually take.” What is the correct practice in this situation?
To immediately stop administering the medication and check the pharmacy/prescription records.
A nurse administering medications has many responsibilities including knowledge of pharmacodynamics. Pharmacodynamics is best described as:
what the drug does to the body.
A prescription states that the nurse needs to administer a medication immediately. What abbreviation would be used to stipulate this order?
STAT
The prescription for a patient instructs the nurse to administer flucloxacillin 250 mg p.o. QID. How and when is the medication to be administered?
250mg orally four times a day.
Mary Brown is 17 years old and presents with a diagnosis of Type 1 Diabetes Mellitus. Clinical manifestations associated with T1D include all the following, except?
Unanswerable without options
Microvascular complications of diabetes mellitus include damage to the kidney. This is called
renal disease, or diabetic nephropathy
Measures of glycosylated haemoglobin, such as HbA1c, monitor glucose control over a period of time, relative to the average life span of a red blood cell. This is normally:
2-3 Months
Three common complications of diabetes mellitus are:
peripheral vascular disease, foot damage, diabetic retinopathy (vision damage), diabetic neuropathy (nerve damage), cardiovascular disease.
Which of the following statements regarding Type 1 Diabetes is true?
…
A nurse is assessing a person with Type 1 Diabetes and notices that they are confused, have cold and clammy skin and are complaining of feeling dizzy. These are symptoms of:
Hypoglycaemia, low blood sugar.
A woman has just been diagnosed with HPV or genital warts. The nurse should counsel her to receive regular examinations because this virus makes her at a higher risk for:
cervical cancer
Which of the following is a bacterial sexually transmitted infection?
chlamydia, gonorrhoea and syphylis
An early sign/symptom of syphilis is:
Small, painless open ulcers or sores on genitals, mouth, skin or rectum.
You are providing education to a women’s group on breast cancer. Identify the factor below that is incorrect:
Cannot answer this without list of possible answers.
The nurse is providing nutritional information to the mother of a 1-year-old child. Which of the following statements represents accurate information for this age group?
cannot answer without list of possible answers
Folate is a particularly important nutrient for which patient group?
Women of childbearing age
During the assessment of a 20-year-old patient with a 3-day history of nausea and vomiting, the nurse notes the following: dry mucosa and deep vertical fissures in the tongue. The finding is reflective of:
Dehydration
A patient who has had a stroke is assessed by the nurse. The nursing diagnosis identified for the patient is: risk of aspiration related to dysphagia and left sided facial weakness. An appropriate technique for the nurse to use when assisting the patient to eat is to:
Implement postural changes that aid swallowing, angle, have them sit upright or adjust bed to have patient closer to 90-degree angle. Use thickening agent for liquids.
The tissue that connects the tongue to the floor of the mouth is the:
Lingual frenulum
A 40-year-old patient who has just finished chemotherapy for breast cancer tells the nurse that she is concerned about her mouth. During the assessment the nurse finds the following: areas of buccal mucosa that are raw and red with some bleeding as well as other areas that have a white, cheesy coating. The nurse recognises that this abnormality is
Candida albicans, thrush, oral yeast infection.
An elderly patient, who has recently had a stroke, is assessed by the nurse as having a reddened area over the coccyx. To prevent this from progressing the nurse decides to:
perform a Braden scale assessment and develop a plan for 2 hourly position changes to prevent further pressure wound development or progression of the original injury
What is the definition of debridement?
The medical removal of dead, damaged, or infected tissue to improve the healing potential of the remaining healthy tissue.
There are several instruments for assessing patients who are at risk of developing a pressure injury. The Braden Scale is commonly used. What risk factors are assessed using the Braden Scale?
Sensory perception, moisture, activity, mobility, nutrition, friction and shear.
The haemostasis phase of wound healing is characterised by:
Platelet aggregation
The nurse observes that the client’s skin on their right elbow is reddened, with a small abrasion, representing partial-thickness loss of the dermis. Classify the stage of the pressure injury as:
Early stage 2
The nurse uses a surgical aseptic technique when:
carrying out a procedure that is invasive? Dressing wounds, PICC lines, catheters.
An effective question to assess orientation in a mental health assessment may include:
asking them what scenario/situation brought them here to this appointment?
You are caring for Mrs X and her daughter Jane phones accusing staff of physically abusing her mother. Jane is very angry and upset and you recognise that the situation needs to be de-escalated. What is an appropriate approach with Jane?
Respond with empathy? Tell her that you are so sorry to hear this and would like to know more so that you can solve the problem.
Delirium is characterised by:
Acute change in mental status, inattention, disorganised thinking, altered level of consciousness.
The nurse is performing a lymph node assessment on a client who has been complaining of a sore throat. In palpating for the tonsillar lymph nodes, the nurse must position the pads of their fingers in which position?
Just below the angle of the mandible.
Which symptoms are commonly associated with enlarged head and neck lymph nodes?
Upper respiratory infection, fever.
