QE: P2 Flashcards
When assessing a client’s peripheral pulse, the health care provider is also assessing which of the following?
a. Depth
b. Rhythm
c. Sound
d. Stress
a. Depth
A female patient is having difficulty voiding in a bedpan but states that her bladder feels full. To stimulate micturition, which nursing intervention should the nurse try first?
a. Administering diuretic medication.
b. Obtaining an order for a Foley catheter.
c. Exiting the room and informing the patient that the nurse will return in 30 minutes to check on the patient’s progress.
d. Utilizing the power of suggestion by turning on the faucet and letting the water run.
d. Utilizing the power of suggestion by turning on the faucet and letting the water run.
While preparing to administer a transdermal estrogen patch, the nurse finds the previously applied patch in the client’s bed linens. How can
the nurse avoid this situation with the patch now being applied?
a. Run a finger around the adhesive edges of the new patch before placing it on the client’s skin.
b. Shave the area where the patch is being applied.
c. Press firmly over the patch with the palm of the hand for about 10 seconds after applying it to the skin.
d. Place a heating pad over the area where the patch is applied for 10 minutes after application.
b. Shave the area where the patch is being applied.
Techniques that would be useful in eliciting information about how this patient coping with her diagnosis include:
a. Asking closed questions
b. Soliciting information from the patient’s family before interviewing the patient
c. Soliciting information from the patient’s family after interviewing the patient
d. Asking open-ended questions
d. Asking open-ended questions
A research methodology that systematically collect the data, statistically analyze and numerically interpret the data:
a. Quantitative research
b. Experimental research
c. Qualitative research
d. Non-experimental research
a. Quantitative research
Past health history taking focuses on?
a. Previous hospitalizations, childhood diseases, and surgeries
b. Client’s health strengths and weaknesses
c. Reason for seeking health care
d. Familial diseases
a. Previous hospitalizations, childhood diseases, and surgeries
The nurse needs to remove personal protective equipment after performing the procedure to a client. What is the chronological order the
nurse should perform?
a. Remove the gloves, gown, face shield, face mask
b. Remove the gown, face shield, face mask, gloves
c. Remove the gloves, face shield, face mask, gown
d. Remove the gown, gloves, face shield, face mask
c. Remove the gloves, face shield, face mask, gown
A prevention that focuses on individuals who are experiencing health problems or illnesses and are at risk for developing complications or
worsening conditions in which activities are directed at diagnosis and prompt intervention, thereby reducing severity and enabling the patient
to return to a normal level of health as early as possible
a. Primary prevention
b. Secondary prevention
c. Disability Limitations
d. Tertiary prevention
d. Tertiary prevention
Stereotyping is defined as
a. A worldview that each of us forms values and beliefs based on our own culture
b. The belief that one’s cultural values are superior to all others
c. Expecting all members of a cultural group to hold the same beliefs and behave in the same way.
d. A culture-bound syndrome found in many cultural groups
c. Expecting all members of a cultural group to hold the same beliefs and behave in the same way.
Patient A had fever. He inquired of the normal body temperature. What would the nurse’s best answer be? A) 35-37 degrees Celsius
a. 40-42 degrees Celsius
b. 38-39.5 degrees Celsius
c. 36-37.5 degrees Celsius
c. 36-37.5 degrees Celsius
Which of the following statements best describe arteries?
a. all arteries contain valves to prevent the back-flow of blood
b. only large arteries are lined with endothelium
c. all arteries carry oxygenated blood towards the heart
d. all arteries carry blood away from the heart
d. all arteries carry blood away from the heart
Life co-exist with the nursing profession where worth and dignity of others have to be given high value. It is then expected that nurses do what
is considered right regardless of the personal cost. Nurses must show:
a. Loyalty
b. Prudence
c. Integrity
d. Competence
c. Integrity
A nurse is to start an intravenous infusion to a 5-year-old. Which of the following is the most appropriate size of over the needle catheter for the patient?
a. 22- to 24-
b. 23- to 25-
c. 14- to 16-
d. 18- to 20-
a. 22- to 24-
Mr. Cruz informs you that he has patchy loss of skin color on his hands, face and lips. This indicates that he has:
a. Acanthosis Nigricans
b. Vitiligo
c. Butterfly rash
d. Albinism
b. Vitiligo
Miss Jhanine is lying flat on abdomen in bed. Which of the following is NOT a Problem to be Prevented in this Position?
a. Hyperextension of the spine
b. Internal rotation of the femur
c. Facilitates breathing
d. Hyperextension of the knees
d. Hyperextension of the knees
At the end of palpation technique a client suspected to have cholecystitis (inflamed gallbladder), the nurse presses her fingertip just below the
right costal margin. The nurse is initiating which test?
a. Blumberg’s sign
b. Psoas sign
c. Murphy’s sign
d. Obturator sign
c. Murphy’s sign
The prescriber orders for Catapress (Clonidine) 25mg to be given orally once a day to control a patient’s high blood pressure. The nurse takes
the patient’s vital signs and finds that the blood pressure is 120/80 and the heart rate is 60 beats per minute. What does the nurse do first
before giving this medication?
a. Call for your supervisor for help
b. Check the order for prescriber limitations on when the drug should be given
c. Notify the prescriber and ask if the medication should be given
d. Give the medication to the relative of the patient and let him administer the drug to the patient
b. Check the order for prescriber limitations on when the drug should be given
Refers to an imaginary vertical line drawn through the body’s center of gravity.
a. Base of support
b. Line of gravity
c. Center of gravity
d. None of the above
b. Line of gravity
The nurse needs to apply personal protective equipment before entering a client’s room. What is the chronological order the nurse should
perform?
a. Apply face mask, face shield, gown, gloves
b. Apply gloves, face shield, gown, face mask
c. Apply the gown, gloves, face mask, face shield
d. Apply the gown, face mask, face shield, gloves
d. Apply the gown, face mask, face shield, gloves
A flat sound during percussion is appreciated over the
a. Bones
b. Abdomen
c. Lungs
d. Liver
a. Bones
This lung sound is mostly heard all over lung fields:
a. Bronchial sound
b. Vesicular sound
c. Tracheal sound
d. Bronchovesicular sound
a. Bronchial sound
The following are the list of criteria used to evaluate the bedmaking skills EXCEPT:
a. Correct placement of sheets with regards to seam.
b. Patient undisrupted sleep
c. Comfort of the patient
d. Wrinkle free
b. Patient undisrupted sleep
Upon inspection the nurse noticed that the client is uncircumcised. The nurse recalls that he has to include the following techniques in his assessment except:
a. Retracting the foreskin
b. Inspecting the location of the meatus
c. Palpating and illuminating the scrotum
d. Inspecting the shaft, foreskin, and glans
c. Palpating and illuminating the scrotum
Taste sensation of the posterior 1/3 of the tongue is made possible by?
a. Spinal Accessory
b. Glossopharyngeal
c. Trigeminal
d. Facial
b. Glossopharyngeal
The nurse would assess the first heart sound in different precordial landmarks. To auscultate the mitral area or the point of maximal impulse
(PMI), one’s stethoscope should be placed on the:
a. 5th ICs, mid-clavicular line
b. 2nd ICS, left sternal boarder
c. 2nd ICS, right sternal boarder
d. 4th ICS left sternal border
a. 5th ICs, mid-clavicular line
Maintaining confidentiality of patient information is part of nurse’s:
a. Managerial and leadership functions
b. Ethical and legal obligations
c. Advocacy role
d. Role as a counselor
b. Ethical and legal obligations
A condition which is the result of a cardiopulmonary problem that makes the skin appear blue-tinged is called:
a. Cyanosis
b. Pallor
c. Jaundice
d. Carotenemia
a. Cyanosis
Which of the following is most significant when assessing headache or neck pain
a. Severity
b. Associated symptom
c. Activity
d. Position of comfort
a. Severity
A nurse is caring for a client who is receiving intravenous piggyback medication intermittently via a primary intravenous infusion line. Which
nursing intervention is most important to prevent infection associated with this therapy?
a. Set the alarm on the electronic infusion device to alert the nurse is the tubing becomes obstructed.
b. Prime the tubing of an intravenous piggyback until a drop of solution appears at the distal end of the tubing.
c. Wear sterile gloves when preparing and administering parenteral solutions.
d. Wipe the port on the primary intravenous set with an alcohol sponge before connecting the intravenous piggyback.
d. Wipe the port on the primary intravenous set with an alcohol sponge before connecting the intravenous piggyback.
The most common problem areas for nurses are the failure to properly document the care provided. The main rule of thumb is:
a. ‘If it is not in the policy, it will not be covered by the employer’
b. ‘If it is not reported properly, it is not legal’
c. ‘If it is not appropriate for the patient, it should not be given’
d. ‘If it is not documented, it is not done’
d. ‘If it is not documented, it is not done’
Mrs. Castro,a 35-year-old businesswoman is scheduled for gynecologic annual checkup. You should instruct her the following except:
a. All are incorrect
b. Not to have sex within 24 hours before the examination
c. Have the exam when she is not menstruating
d. Use vaginal cream instead of regular soap when cleaning her genitalia
d. Use vaginal cream instead of regular soap when cleaning her genitalia
During adolescence, concerns related to ______ are of paramount concern.
a. Body image
b. Identity
c. Self-concept
d. Self-esteem
a. Body image
A nurse is inserting an indwelling urinary catheter for a male patient. Which action will the nurse take?
a. Cleanse the meatus 3 times with the same cotton ball from clean to dirty.
b. Hold the shaft of the penis with the dominant hand.
c. Cleanse the meatus with circular strokes beginning at the meatus and working outward.
d. Hold the shaft of the penis at a 60-degree angle.
c. Cleanse the meatus with circular strokes beginning at the meatus and working outward.
A physician's order reads clindamycin phosphate 0.3g in 50 ml PNSS to be administered IV over 30 minutes. The medication label reads clindamycin phosphate (Cleocin Phosphate) 900 mg in 6 ml. A nurse prepares how many ml of the medication to administer the correct dose.
a. 2mL
b. 5 mL
c. 3 mL
a. d 1mL
a. 2mL
A nurse is caring for a client that is healing from an achilles tendon surgery. The nurse is practicing active range of motion with the client and
notes the patient is still unable to point their toes down to the floor. The nurse should chart this as a lack of which of the following
movements?
a. Dorsiflexion
b. Plantar Flexion
c. Supination
d. Pronation
b. Plantar Flexion
When a female client asked a nurse about the relationship of ovulation and body temperature, the nurse knows that:
a. Body temperature falls a bit then suddenly rises upon ovulation
b. Body temperature decreases upon ovulation
c. Body temperature is not affected by hormonal changes
d. Body temperature increases a bit then suddenly falls upon ovulation
b. Body temperature decreases upon ovulation
Nurse advocates often are conflicted about respecting a patient’s right to be self-determining, while at the same time wanting to do
everything in their power to promote the patient’s best interests. Which is the best general guideline for situations like these?
a. Nurse rules! “It may be your life but in this instance you don’t know enough to make the right choice!”
b. Patient rules! “It’s my life!”
c. Treat the patient fairly, try to give the patient his or her due.
d. When in conflict, weight the benefits and risks of each option and choose wisely
d. When in conflict, weight the benefits and risks of each option and choose wisely
A client with a history of sinusitis is complaining of heaviness and pain below the eye orbits and within the cheeks, the nurse may validate the information to suspect sinusitis by palpating which sinus region:
a. Ethmoid
b. Maxillary
c. Frontal
d. Sphenoid
b. Maxillary
Cracking felt and heard upon joint movement is called
a. Crepitus
b. Calcifications
c. Fremitus
d. Subcutaneous emphysema of the joints
a. Crepitus
When palpating for lymph nodes, the following characteristic can be use as normal findings. EXCEPT:
a. Non-tender
b. Immobile
c. Discrete delineation
d. Soft
b. Immobile
