NAME: DATE: FUNDAMENTALS OF NURSING PRACTICE QUIZ 1 I.Shade the letter o the !orre!t a"#$er. 1.The t%&e o &h%#'!

!'a"(# order that '# !arr'ed o)t )&o" *)d+,e"t o the ")r#e- a# re.)'red /% the &at'e"t. a.standing order b.single order c.STAT order d.PRN order 0.The ,o#t a!!)rate ,ethod o 'de"t' %'"+ a !l'e"t /e ore dr)+ ad,'"'#trat'o" '# /%: a.asking the client to state his name b.calling the client by his name c.asking a relative to identify the client d.!he!1'"+ the 'de"t' '!at'o" /a"d2/ra!elet o the !l'e"t 3.4h'!h o the ollo$'"+ are tr)e '" the a/#or&t'o" o ,ed'!at'o"#5 1-rich blood flow promotes faster absorption of medications 2-exercise enhances absorption of oral medications 3-higfh concentration of dr gs promote rapid effect !-li" id medications are more rapidly absorbed than sold medications a.1#2#3 b.2#3#! !.1-3-6 d.1#2#3#! 6.I the la/el o the dr)+ '# era#ed or !o"ta,'"ated- $ho '# le+all% re#&o"#'/le to rela/el 't5 a.the &har,a!'#t b.the n rse c.the physician d.the headn rse 7.The ollo$'"+ are a&&ro&r'ate ")r#'"+ a!t'o"# d)r'"+ ,ed'!at'o" ad,'"'#trat'o" 1-the n rse who prepares the medication administers it 2-the n rse never leaves medication at bedside 3-the n rse " estions nder physician$s order !-the n rse sho ld keep narcotics in locked cabinets %-the n rse repeats dose of oral medications if the client vomits immediately after administration of the medication &-the n rse reads the label of the dr g 3 times a.1-0-3-6-8 b.1#2#3#!#% c.1#2#3#! d.1#2#3#!#%#& 8.D)r'"+ a&&l'!at'o" o der,atolo+'! ,ed'!at'o"#- the ")r#e '"!l)de# the ")r#'"+ a!t'o"#: 1-clean the area of application before the next dose of the dr g 2-remove previo s application before the next dose of the dr g ollo$'"+

3-apply thick layer of the medication to ens re ade" ate absorption !- se sterile ga 'e when applying medication over a large s rface of the skin a.1#3 /.1-0 c.1#! d.3#! 9.D)r'"+ a&&l'!at'o" o ,ed'!at'o" '"to the ear- $h'!h o the ollo$'"+ '"a&&ro&r'ate ")r#'"+ a!t'o"5 a.warm the medication at room or body temperat re b.in an ad lt# p ll the pinna pward !.'"#t'll the ,ed'!at'o" d're!tl% '"to the t%,&a"'! ,e,/ra"e d.press the trag s of the ear a few times to assist flow of medication into the ear canal :.D)r'"+ ad,'"'#trat'o" o ,ed'!at'o" '"to the dor#o+l)teal #'te- $h'!h o ollo$'"+ ")r#'"+ a!t'o"# $'ll ,'"',';e the d'#!o, ort ro, the '"*e!t'o"5 a.'"#tr)!t the !l'e"t to !)rl h'# toe# '"$ard $h'le '" &ro"e &o#'t'o" b.advise the client to tighten the m scles of the b ttocks c.in(ect the needle into the m scle slowly d.introd ce the medication rapidly <.=o$ ,a"% ,l o '"*e!t'o"5 a.%) ml /.7 ,l c.1) ml d.1)) ml '#

the

a'r !a" !a)#e a'r e,/ol'#, '" a !l'e"t re!e'>'"+ '"tra>e"o)#

1?.D)r'"+ /lood tra"# )#'o"- $h'!h o the ollo$'"+ ")r#'"+ a!t'o"# are '"!orre!t5 1-check cross matching and blood typing before blood transf sion 2-two n rses sho ld check the label of blood transf sion 3-warm blood by placing it nder r nning water !-administer lactated ringers in dextrose %* before# d ring and after blood transf sion %-administer blood transf sion for ! ho rs a.1#2 b.2#3 !.3-6 d.3#!#% 11.The !l'e"t re!e'>'"+ /lood tra"# )#'o" e@&er'e"!e# ra#he#- &r)r't)# a"d d%#&"ea. 4h'!h o the ollo$'"+ '# the /e#t '"'t'al ")r#'"+ a!t'o"5 a.#to& the tra"# )#'o" b.notify the physician c.doc ment the observation d.start an +, line of normal saline 10.4h'!h o the ollo$'"+- !he,'!al #)/#ta"!e# ,a% rel'e>e &a'" a"d &ro,ote #lee& a.tr%&to&ha" b.histamine c.prostaglandin d.bradykinin 13.The ollo$'"+ are !hara!ter'#t'!# o NREM #ta+e o #lee& e@!e&t: a.vital f nctions are decreased b.parasympathetic nervo s system dominates !.#%,&athet'! "er>o)# #%#te, do,'"ate#

d.restores the body 16.The ollo$'"+ are !orre!t ")r#'"+ '"ter>e"t'o"# $he" treat'"+ &re##)re )l!er#e@!e&t: a.keep the head of bed flat b. se press re relieving devices like egg crate !.!lea" a"d dre## the )l!er )#'"+ ,ed'!al a#e&#'# d.apply cornstarch over the bedsheet 17.The ollo$'"+ are a&&ro&r'ate ")r#'"+ ,ea#)re# to &re>e"t &re##)re )l!er- e@!e&t: a.provide high protein diet b.keep the skin clean and dry c.change position of bedridden client every 1-2 ho rs d.,a##a+e /o"% &ro,'"e"!e# $'th #oa& d)r'"+ /ed /ath 18.The '"'t'al $ar"'"+ #'+"al o ',&e"d'"+ de!)/'t)# )l!er '#: a.p rplish skin b.bl ish skin c.reddish skin d./la"!hed #1'" 19.The t%&e o e@er!'#e re!o,,e"ded or a !l'e"t $'th *o'"t &a'" or a !l'e"t $'th *o'"t &a'" d)e to arthr't'#: a.active exercise b.active assistive exercise !.&a##'>e e@er!'#e d.active-resistive exercise 1:.Ortho&"e'! &o#'t'o" &ro,ote# ,a@',), !he#t e@&a"#'o" o a d%#&"e'! !l'e"t. Th'# '# do"e /%: a.,a1'"+ the &at'e"t #'t '" /ed or at the #'de o /ed- lea"'"+ or$ard $'th ar,# #)&&orted o" a" o>er/ed ta/le b.raising the head and tr nk at 1%-!% degrees c.raising the head and tr nk at -) degrees d.raising the head and tr nk at !%-&) degrees with the knees flexed 1<.To tra"# er a !l'e"t ro, the /ed to the #tret!her- the &o#'t'o" o the #tret!her #ho)ld /e5 a.&arallel to the /ed b.right angle at the foot part c.right angle at the head part of the bed d.at the foot part of the bed 0?.Tro!ha"ter roll '# )#ed to &re>e"t e@ter"al rotat'o" o the h'&. The &ro&er ,ethod o a&&l%'"+ the de>'!e '#: a.from the waist to ankle b.from the waist to the knees !. ro, the h'&# to the )&&er th'rd o the th'+h# d.from the hip to the knees 01.To &re>e"t &la"tar le@'o" '" a" )"!o"#!'o)# !l'e"t- $h'!h o &rote!t'>e de>'!e# ,a% /e )#ed: 1.foot board 2.trochanter roll 3.hand roll !.boot splint a.1 only the ollo$'"+

b.1# 2 c.1# 3 d.1- 6 00.To &re>e"t thro,/o&hle/'t'# '" /edr'dde" !l'e"t- the ")r#'"+ a!t'o"# e@!e&t: a.t rn the client every 1 to 2 ho rs b.perform passive leg exercise c.elevate the legs to promote veno s ret rn d.,a##a+e the le+# $he" &a'" )l ollo$'"+ are a&&ro&r'ate

03.4he" t)r"'"+ a !l'e"t to the #'de- $h'!h o the ollo$'"+ '# "ot a&&ro&r'ate ")r#'"+ a!t'o"5 a.move the client to one side of the bed before t rning b. nt ck the top sheet at the foot part of the bed to facilitate change of position c.t rn the client towards yo with yo r hips# knees and ankles flexed# feet part d.t)r" the !l'e"t a$a% ro, %o)- $'th %o)r /a!1 /e"t 06.The +la"d# $h'!h #e!rete #$eat that ,a% /e!o,e )"&lea#a"t '" odor $he" a!ted )&o" /% ,'!roor+a"'#,# are: a.eccrine glands /.a&o!r'"e +la"d# c.sebaceo s glands d.meibomian glands 07.The ,o#t e e!t'>e ")r#'"+ ,ea#)re to rel'e>e dr%"e## o the #1'" '#: a.'"!rea#e l)'d '"ta1e b.apply cream or lotion on the skin c.bathe the client daily d.apply alcohol on the skin 08.The ollo$'"+ are a&&ro&r'ate ,ea#)re# to ,a"a+e a!"e e@!e&t: a.take daily bath b.ade" ate expos re to s nlight c.ade" ate rest and sleep d.ta1e ood# r'!h '" !ar/oh%drate# 09.The '"'t'al ")r#'"+ a!t'o" $he" &ro>'d'"+ /ed /ath '#: a.close the door and windows of the patient$s room /.'" or, the !l'e"t a"d e@&la'" the &)r&o#e o the &ro!ed)re c.remove the client$s gown nder the cover of the top sheet d.place the bed in flat position 0:.4h'!h o the ollo$'"+ '# the ,o#t ',&orta"t ")r#'"+ !o"#'derat'o" $he" &er or,'"+ &er'"eal !are5 a.)#e ro"t to /a!1 #tro1e b. se posterior to anterior stroke c.clean from inner to o ter area d. se r bbing stroke 0<.4h'!h o the ollo$'"+ '# '"a&&ro&r'ate ")r#'"+ a!t'o" $he" &er or,'"+ +e"'tal !are to a ,ale !l'e"t a.wear clean gloves /.)#e !'r!)lar ,ot'o" ro, the &e"'le #ha t to$ard# the +la"# &e"'# c.retract# prep ce if ncirc mcised d. se moist washcloth with soap

3?.Ca#tor o'l a!t# a# la@at'>e /%: a.&ro>'d'"+ !he,'!al #t',)lat'o" the '"te#t'"al ,)!o#a b.softening the stool c.increasing the b lk of the stool d.l bricating the stool 31.4h'!h o the ollo$'"+ ood# #ho)ld /e a>o'ded /% the !l'e"t to &re>e"t lat)le"!e5 a.fr it ( ice /.!a//a+e c.meat d.fish 30.4h'!h o the ollo$'"+ a"t'd'arrheal ,ed'!at'o"# a/#or/ +a# or to@'! #)/#ta"!e# ro, the /o$el5 a.dem lcent /.a/#or/e"t c.astringent d.opiates 33.The ,o#t !o,,o" #'de e e!t o o>er)#e o la@at'>e# '#: a.diarrhea b.na sea and vomiting !.!o"#t'&at'o" d.flat lence 36.4h'!h o the ollo$'"+ la@at'>e#- '"!rea#e# /)l1 o #tool: a.colace /.,eta,)!'l c.d lcolax d.d phalac 37.The ollo$'"+ are #ol)t'o"# )#ed a# "o"Arete"t'o" e"e,a e@!e&t: a.tap water /.!ar,'"at'>e e"e,a c.incl de banana in the diet d.avoid fatty or fried food 38.4h'!h o the ollo$'"+ '# '"a&&ro&r'ate ")r#'"+ a!t'o" d)r'"+ re!tal t)/e '"#ert'o" to rel'e>e lat)le"!e5 a.insert rectal t be for 3-! inches b. se rectal t be si'e fr. 22-3) !.1ee& re!tal t)/e '" &la!e or 67 ,'")te# d.insert well l bricated rectal t be in rotating motion 39.The he'+ht o #ol)t'o" or "o"Arete"t'o" e"e,a a/o>e the /)tto!1# '#: a.12 inches /.1: '"!he# c.2! inches d.! inches 3:.The ollo$'"+ are "or,al !hara!ter'#t'!# o )r'"e e@!e&t: a.appears clear /.&=B3.7 c.Sp. .r./ 1.)2) d.amber

3<.The >ol),e o )r'"e '" the /ladder that tr'++er# the )r+e o a" ad)lt &at'e"t to >o'd '#: a.%)-1)) ml. b.1))-2)) ml. !.07?A67? ,l d.%))-&)) ml. 6?.The &ro&er #';e o )rethral !atheter or e,ale &at'e"t '#: a.Fr. 10A16 b.0r. 1&-11 c.0r. 1-1) d.0r. 22-2! 61.The le"+th o )rethral !atheter '"#ert'o" '" a ,ale &at'e"t '#: a.3-! inches b.%-& inches !.8A< '"!he# d.--12 inches 60.Grad)al de!o,&re##'o" o the d'#te"ded /ladder '# o/#er>ed &r',ar'l% to: a.monitor rine o tp t acc rately b.maintain asepsis !.&re>e"t #ho!1 or he,orrha+e d.prevent discomfort 63.To e"#)re #)!!e## o /ladder retra'"'"+ &ro+ra, '"!o"t'"e"!e- the '"'t'al ")r#'"+ a!t'o" '#: a.deter,'"e the !l'e"t(# )#)al >o'd'"+ &atter" b.establish a reg lar voiding time of every 1-2 ho rs for the client c.provide ade" ate fl id intake d.instr ct the client to avoid carbonated beverages 66.The &r',ar% ad>a"ta+e o +a#tro#to,% eed'"+ '#: a.it ens res ade" ate n trition b.it prevents aspiration !.'t ,a'"ta'"# '"te+r't% o +a#troAe#o&ha+eal #&h'"!ter d.it minimi'es fl id electrolyte imabalances 67.4h'!h o the ollo$'"+ '# '"a&&ro&r'ate ")r#'"+ a!t'o" $he" ad,'"'#ter'"+ NGT eed'"+5 aAssist the client in 0owler$s position b.introd ce feeding slowly !.&la!e the eed'"+ 06 '"!he# a/o>e the &o'"t o '"#ert'o" o NGT d.instill &) ml. of water into the 2.T after feeding 68.4he" '"#ert'"+ NGT- the "e!1 #ho)ld /e: a.flexed /.h%&ere@te"ded c.tilted to the left d.in ne tral position 69.To a##e## the ade.)a!% o &ara,eter# '# /e#t )#ed5 a.food preferences and dislikes b.reg larity of meal times ood '"ta1e- $h'!h o the ollo$'"+ a##e##,e"t '" !l'e"t $'th )r'"ar%

!.3 da% d'et re!all d.eating style and habit 6:.4h'!h o the ollo$'"+ '# a +ood #o)r!e o >'ta,'" A5 a.eggs /.l'>er c.fish d.pean ts 6<.The o@%+e" ad,'"'#trat'o" de>'!e &re erred or &at'e"t# $'th COPD '#: a.nasal cann la b.oxygen tent !.>e"t)r' ,a#1 d.oxygen hood 7?.4he" a##e##'"+ re#&'rat'o"- the ")r#e de#!r'/e# the ollo$'"+ e@!e&t: a.rhythm b.effort !.rate d.depth