Practice Questions Flashcards
What is the most appropriate way for the nurse to reduce the chance of infection with a client who has an indwelling urinary catheter?
a. Handwashing and catheter care
b. Preventative vaccination e.g. pneumococcal
c. Catheter irrigations as needed
d. Monitor urine for cloudiness
A
Your client is struggling with constipation and is straining on the toilet trying to have a bowel movement. What is the primary concern?
a. Hypertension
b. Valsalva maneuver may cause dizziness
c. Ortolanti effect may cause cardiac insufficiency
d. There is no concern, this is considered normal
B
Which client has the greatest risk of fecal impaction?
a. Elderly client with dementia on bedrest
b. Post operative client who is NPO
c. Client admitted to hospital with colitis
d. Client with a positive FIT test
A
Which of the following would the nurse recommend to their client regarding a nutritious diet?
a. increase potassium, decrease sodium
b. increase fibre, increase sodium
c. decrease fats, increase fibre
d. increase calcium, decrease calories
A
Which of the following statements is true regarding the supplemental use of oxygen?
a. It is an effective way to prevent pneumonia.
b. It is preferable to use during the day versus at night.
c. It may suppress the respiratory effort of a client with COPD.
d. The client is forbidden from smoking when using oxygen.
C
Which one of the following responses would the nurses expect to assess as a physiological response to moderate pain?
a. Restlessness
b. Decreased heart rate
c. Increased blood pressure
d. Protection of the painful area
C
Which of the following statements regarding pain control is true?
a. Placebos can be effectively used to manage pain.
b. The nurse is the primary source in determining when pain occurs.
c. The presence of drug tolerance suggests the client is developing an addiction.
d. The client should be started on a bowel protocol to avoid constipation with the administration of opiates.
D
When treating acute pain, what is the benefit of administering acetaminophen (Tylenol) with an opioid (e.g. morphine)?
a. It reduces the dose of opioid needed to achieve successful pain control.
b. It amplifies the gate control theory.
c. The client experiences enhanced placebo effect by receiving 2 different medications.
d. Acetaminophen increases the sensitivity of opiate receptors.
A
What is the most common electrolyte?
a. Sodium
b. Potassium
c. Dextrose
d. Calcium
A
One of the most common electrolyte imbalances is…
a. Hypokalemia
b. Hyperkalemia
c. Hyponatremia
d. Hypernatremia
A
Based on the action of hypertonic solutions, clients receiving these types of IV solutions are at risk for…
a. Circulatory overload
b. Hyperglycemia
c. Hypotension
d. All of the above
A
The client finds it difficult to breathe in a supine position. What term would you use to describe this finding?
a. Eupnea
b. Orthopnea
c. Dyspnea
d. Bradypnea
B
A 17-year-old postoperative client is laughing with friends. Soon after they leave, he tells the nurse he is experiencing pain and asks for something for pain. What does the nurse understand about this situation?
a. Distraction reduces pain awareness
b. Postoperative pain comes on suddenly
c. Teenagers will try to obtain opioids by faking pain
d. Clients who laugh are not really experiencing pain
A
The nurse observes that a client’s IV site is cool, pale, and swollen. What are we thinking?
a. Infection
b. Phlebitis
c. Infiltration
d. Fluid volume overload
C
You should plan to teach a client about the importance of exercise…
a. When visitors are in the room
b. When the patients’ pain medications are effectively managing pain
c. Just before lunch, when the patient is most awake and alert
d. When the patient is talking about current stressors in his/her life
B
