The urinary system is normally free of microorganisms except at the urinary meatus. Which of the following types of medications can be administered via gastrostomy tube? DPotential for clot formationQuestion 4 Explanation: Platelets are disk-shaped cells that are essential for blood coagulation. Terminal disinfection is the disinfection of all contaminated supplies and equipment after a patient has been discharged to prepare them for reuse by another patient. D. The inside of the glove is always considered to be clean, but not sterile. Ask the patient if he/she has used ear drops before After routine patient contact, hand washing should last at least: - inability to concentrate - COPD or asthma - notify morgue; if organs/tissues are being donated, follow policy Muscles of the abdomen, back, and upper arms may be easily injured.Question 15Which of the following statements about chest X-ray is false?AEating, drinking, and medications are allowed before this test BA signed consent is not requiredCNo contradictions exist for this testDBefore the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waistQuestion 15 Explanation: Pregnancy or suspected pregnancy is the only contraindication for a chest X-ray. Yawning and hiccupping do not prevent microorganisms from entering or leaving the body. The best nursing intervention is to: 38. Been certified by the National League for Nursing, Received credentials from the Philippine Nurses Association, Graduated from an associate degree program and is a registered professional nurse. The American Nurses Association identifies requirements for certification and offers examinations for certification in many areas of nursing., such as medical surgical nursing. Fundamentals of Nursing. - always assess for placement Which of the following will probably result in a break in sterile technique for respiratory isolation? Learn how your comment data is processed. You have not finished your quiz. 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Which of the following patients is at greater risk for contracting an infection? injections; and a 25G needle, for subcutaneous insulin injections. The most appropriate time for the nurse to obtain a sputum specimen for culture is: The inside of the glove is considered sterile fundamentals of nursing exam 1 flashcards quizlet web what are the 5 steps in the nursing process 1 assessment 2 nursing diagnosis 3 planning 4 . All of the following nursing interventions are correct when using the Z-track method of drug injection except: Constipation is characterized by small, hard masses. Congratulations - you have completed Fundamentals of Nursing Practice Exam 3 (PM). Which of the following white blood cell (WBC) counts clearly indicates leukocytosis? - offer silence - chronic disease Use a needle thats a least 1 long 34. Fever, chronic obstructive pulmonary disease, and dehydration are conditions for which fluids should be encouraged.Question 18Which of the following white blood cell (WBC) counts clearly indicates leukocytosis?A10,000/mmB4,500/mmC7,000/mmD25,000/mm Question 18 Explanation: Leukocytosis is any transient increase in the number of white blood cells (leukocytes) in the blood. Thrombophlebitis typically develops in patients with which of the following conditions? Question 1Which of the following procedures always requires surgical asepsis?ANasogastric tube insertionBUrinary catheterizationCColostomy irrigation DVaginal instillation of conjugated estrogenQuestion 1 Explanation: The urinary system is normally free of microorganisms except at the urinary meatus. They are pharmaceutically manufactured in these forms for valid reasons, and altering them destroys their purpose. Synergism, is a drug interaction in which the sum of the drugs combined effects is greater than that of their separate effects. Which of the following white blood cell (WBC) counts clearly indicates leukocytosis? Fundamentals of Nursing Practice Test Bank (600 Questions - Nurseslabs - anemia If the blood specimens are incompatible, hemolysis and antigen-antibody reactions will occur.Question 31The physician orders gr 10 of aspirin for a patient. Discuss chest tubes. Glucose: The purpose of protective (reverse)isolation is to prevent a person with seriously impaired resistance from coming into contact who potentially pathogenic organisms.Question 23Which of the following nursing interventions is considered the most effective form or universal precautions?AFollow enteric precautions BCap all used needles before removing them from their syringesCDiscard all used uncapped needles and syringes in an impenetrable protective containerDWear gloves when administering IM injectionsQuestion 23 Explanation: According to the Centers for Disease Control (CDC), blood-to-blood contact occurs most commonly when a health care worker attempts to cap a used needle. The best nursing intervention is to:AApply iced alcohol spongesBProvide increased cool liquidsCProvide additional bedclothesDProvide increased ventilation Question 14 Explanation: In an infected patient, shivering results from the bodys attempt to increase heat production and the production of neutrophils and phagocytotic action through increased skeletal muscle tension and contractions. Applying additional bed clothes helps to equalize the body temperature and stop the chills. - neurological disorders Irrigating the bladder with Neosporin and clamping the catheter for 1 hour every 4 hours must be prescribed by a physician.Question 3In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his pain?AAssessmentBEvaluation CPlanningDAnalysisQuestion 3 Explanation: In the evaluation step of the nursing process, the nurse must decide whether the patient has achieved the expected outcome that was identified in the planning phase.Question 4A patient who develops hives after receiving an antibiotic is exhibiting drug:ASynergismBToleranceCAllergy DIdiosyncrasyQuestion 4 Explanation: A drug-allergy is an adverse reaction resulting from an immunologic response following a previous sensitizing exposure to the drug. This leads to bladder distention and urine stagnation, which provide an excellent medium for bacterial growth leading to infection. D. Maintaing the drainage tubing and collection bag level with the patients bladder could result in reflux of urine into the kidney. Dysphagia means difficulty swallowing. 241 cards. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Animal sources include liver, kidneys, cream, butter, and egg yolks.Question 42The ELISA test is used to:AScreen blood donors for antibodies to human immunodeficiency virus (HIV)BAll of the above CTest blood to be used for transfusion for HIV antibodiesDAid in diagnosing a patient with AIDSQuestion 42 Explanation: The ELISA test of venous blood is used to assess blood and potential blood donors to human immunodeficiency virus (HIV). Discuss nursing measures to reduce urinary tract infections (UTIs) and CAUTIs. Mode of transmission Any items you have not completed will be marked incorrect. The nurse does not need to wear gloves for respiratoryisolation, but good hand washing is important for all types of isolation. Having the patient take a tub bath on the morning of surgery PDF Lippincott Fundamentals Of Nursing Test Bank Pdf , (PDF) What would the flow rate be if the drop factor is 15 gtt = 1 ml? Total Questions on Quiz C. All invasive procedures, including surgery, catheter insertion, and administration of parenteral therapy, require sterile technique to maintain a sterile environment. 1 A nurse manager is teaching staff how to use a new piece of hospital equipment. Environmental Factors: The normal count ranges from 150,000 to 350,000/mm3. The Z-track method is an I.M. - securement device A topical antiseptic would not remove microorganisms and would be beneficial only after proper cleaning and rinsing. Host Presence of an antigen-antibody response Increases partial thromboplastin time Although applying corn starch to the rash may relieve discomfort, it is not the nurses top priority in such a potentially life-threatening situation.Question 33A natural body defense that plays an active role in preventing infection is:AHiccuppingBBody hairCYawningDRapid eye movements Question 33 Explanation: Hair on or within body areas, such as the nose, traps and holds particles that contain microorganisms. Hospice: The middle third of the muscle is recommended as the injection site. 10,000/mm Any inflammation or obstruction that impairs bile flow will affect the stool pigment, yielding light, clay-colored stool. Cap all used needles before removing them from their syringes All of the above B. Nasogastric tube insertion 26G - perform every 3 days or when the ostomy appliance is leaking or accidentally Fever, chronic obstructive pulmonary disease, and dehydration are conditions for which fluids should be encouraged.Question 37Which of the following will probably result in a break in sterile technique for respiratory isolation?ATurning on the patients room ventilatorBOpening the door of the patients room leading into the hospital corridorCOpening the patients window to the outside environmentDFailing to wear gloves when administering a bed bath Question 37 Explanation: Respiratory isolation, like strict isolation, requires that the door to the door patients room remain closed. - diabetic ketoacidosis Effective skin disinfection before a surgical procedure includes which of the following methods? - choking concerns Which of the following statements about chest X-ray is false? You scored %%SCORE%% out of %%TOTAL%%. The developer, Andrey Andreyev, indicated that the apps privacy practices may include handling of data as described below. Urine Culture: The National League of Nursing accredits educational programs in nursing and provides a testing service to evaluate student nursing competence but it does not certify nurses. Strictisolation requires the use of clean gloves, masks, gowns and equipment to prevent the transmission of highly communicable diseases by contact or by airborne routes. Which of the following blood tests should be performed before a blood transfusion? 1) Feeding: injection. A graduate of an associate degree program is not a clinical nurse specialist: however, she is prepared to provide bed side nursing with a high degree of knowledge and skill. 2 minute insertion site. Fundamentals of Nursing Practice Exam 3 (PM) A count of 100,000/mm3 or less indicates a potential for bleeding; count of less than 20,000/mm3 is associated with spontaneous bleeding.Question 30The physician orders gr 10 of aspirin for a patient. - hallucinations Score A platelet count determines the number of thrombocytes in blood available for promoting hemostasis and assisting with blood coagulation after injury. Capsules, enteric-coated tablets, and most extended duration or sustained release products should not be dissolved for use in a gastrostomy tube. ; beets turn stool red. The purpose of increasing urine acidity through dietary means is to: 41. Rapid eye movement marks the stage of sleep during which dreaming occurs.Question 41Which of the following patients is at greater risk for contracting an infection?AA postoperative patient who has undergone orthopedic surgeryBA patient with leukopeniaCA patient receiving broad-spectrum antibioticsDA newly diagnosed diabetic patient Question 41 Explanation: Leukopenia is a decreased number of leukocytes (white blood cells), which are important in resisting infection. 18. If you leave this page, your progress will be lost. Discuss the significance of carbohydrates. Identify the clinical outcomes as a result of hypoxemia. Before the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waist A positive ELISA test combined with various signs and symptoms helps to diagnose acquired immunodeficiency syndrome (AIDS) A positive ELISA test combined with various signs and symptoms helps to diagnose acquired immunodeficiency syndrome (AIDS)Question 43Which of the following types of medications can be administered via gastrostomy tube?ACapsules whole contents are dissolve in waterBAny oral medicationsCMost tablets designed for oral use, except for extended-duration compounds DEnteric-coated tablets that are thoroughly dissolved in waterQuestion 43 Explanation: Capsules, enteric-coated tablets, and most extended duration or sustained release products should not be dissolved for use in a gastrostomy tube. Waist tie and neck tie at the back of the gown Fundamentals Exam 3 study guide - A group of nurses talking are Assessment Your score is Urticaria minutes Aspirate for blood before injection Signs and symptoms of phlebitis include pain or discomfort, edema and heat at the I.V. 1) regular, heart healthy, renal Chapter 01 - Fundamentals of Nursing 9th edition - test bank - hospital bundle 5) healthy heart, renal (renal = low sodium; avoid processed foods) Turning on the patients room ventilator Respiratory: - medications that decrease respiratory rate Initial vasoconstriction may cause skin to feel cold to the touch. Splinting the abdomen supports the abdominal muscles when a patient coughs. The other answers are appropriate nursing interventions for a patient who has undergone femoral arteriography.Question 50Which of the following procedures always requires surgical asepsis?ANasogastric tube insertionBVaginal instillation of conjugated estrogenCColostomy irrigation DUrinary catheterizationQuestion 50 Explanation: The urinary system is normally free of microorganisms except at the urinary meatus. Hint Correct Answer Discuss the anatomy and physiology of the digestive system. 0 cards. These certification (credentialing) demonstrates that the nurse has the knowledge and the ability to provide high quality nursing care in the area of her certification. Start 1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950End - Question content is constantly updated for FREE, so you don't have to worry about outdated questions.This app is a practice test on the fundamentals of nursing that can help you think critically and complete your NCLEX review. Exam3 Review Prep - Fundamentals of Nursing - Fundamental 260 Exam Discuss interventions for symptom management in patients at the end of life. good and fantastic web site to learning all students, i hope you are all team member maake a good website for all students. Hypoxia: lack of oxygen at the cellular level - closed system injection technique in which the patients skin is pulled in such a way that the needle track is sealed off after the injection. - pregnancy and lactation Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. solutions or medications), mechanical irritants (the needle or catheter used during venipuncture or cannulation), or a localized allergic reaction to the needle or catheter. Shaving the site of the intended surgery might cause breaks in the skin, thereby increasing the risk of infection; however, if indicated, shaving, should be done immediately before surgery, not the day before. Splinting the abdomen supports the abdominal muscles when a patient coughs.Question 29The primary purpose of a platelet count is to evaluate the:APotential for bleedingBPresence of an antigen-antibody responseCPotential for clot formationDPresence of cardiac enzymes What educational setting would be most appropriate for this process? Yawning Renal Failure The middle third of the muscle is recommended as the injection site. - obesity There are 50 questions to complete. D. A drug-allergy is an adverse reaction resulting from an immunologic response following a previous sensitizing exposure to the drug. 13. Rapid eye movement marks the stage of sleep during which dreaming occurs. When administering the medication, the nurse observes a fine rash on the patients skin. The appropriate needle gauge for intradermal injection is: Hypoventilation: shallow breathing with a lower than expected respiratory rate - increased HR - stomach pH is normally <3.5 - safest solution to use because it exerts the same osmotic pressure as fluids in interstitial spaces surrounding the bowel injections in children, typically in the vastus lateralis. 14. - alternatives (external and intermittent catheterization). Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Chapter 01 - Fundamentals of Nursing 9th edition - test bank Fundamentals of Nursing 9th edition - test bank University Rowan College of South Jersey Course Nursing I (NUR 131) 54 Documents Academic year:2017/2018 Uploaded byTimothy Robert Helpful? The ELISA test is used to: Hemolysis occurs more rapidly in ABO incompatibilities than in Rh incompatibilities. Attempts to cool the body result in further shivering, increased metabloism, and thus increased heat production. - diet of foods that do not require chewing Which of the fol. 30. Which of the following types of medications can be administered via gastrostomy tube? Applying additional bed clothes helps to equalize the body temperature and stop the chills. Fundamentals of Nursing Exam 3 Overview of Exam 3: - 40 Questions - 60 minutes to take - multiple choice, select all that apply, fill in the blank - on Canvas Click the card to flip . injections, which are typically administered in the vastus lateralis or ventrogluteal site.Question 13All of the following nursing interventions are correct when using the Z-track method of drug injection except:AUse a needle thats a least 1 longBAspirate for blood before injectionCPrepare the injection site with alcoholDRub the site vigorously after the injection to promote absorption Question 13 Explanation: The Z-track method is an I.M. You Selected Treatment: Irrigating the bladder with Neosporin and clamping the catheter for 1 hour every 4 hours must be prescribed by a physician. Answer Choice(s) Selected - anxiety Depending on the degree of exposure to pathogens, hand washing may last from 10 seconds to 4 minutes. In this reaction, antibodies in the recipients plasma combine rapidly with donor RBCs; the cells are hemolyzed in either circulatory or reticuloendothelial system. 47. 0.6 mg The National League of Nursing accredits educational programs in nursing and provides a testing service to evaluate student nursing competence but it does not certify nurses. Question 9 Explanation: Initial sensitivity to penicillin is commonly manifested by a skin rash, even in individuals who have not been allergic to it previously. D. In the evaluation step of the nursing process, the nurse must decide whether the patient has achieved the expected outcome that was identified in the planning phase. White potatoes Chest pain and urticaria may be symptoms of impending anaphylaxis. Parenteral penicillin can be administered as an: Parenteral penicillin can be administered I.M. Which of the following conditions may require fluid restriction? So, after removing gloves and washing hands, the nurse should untie the back of the gown; slowly move backward away from the gown, holding the inside of the gown and keeping the edges off the floor; turn and fold the gown inside out; discard it in a contaminated linen container; then wash her hands again.Question 8In a recumbent, immobilized patient, lung ventilation can become altered, leading to such respiratory complications as:AKussmails respirations and hypoventilation BCheyne-Strokes respirations and spontaneous pneumothoraxCRespiratory acidosis, ateclectasis, and hypostatic pneumoniaDAppneustic breathing, atypical pneumonia and respiratory alkalosisQuestion 8 Explanation: Because of restricted respiratory movement, a recumbent, immobilize patient is at particular risk for respiratory acidosis from poor gas exchange; atelectasis from reduced surfactant and accumulated mucus in the bronchioles, and hypostatic pneumonia from bacterial growth caused by stasis of mucus secretions.Question 9The two blood vessels most commonly used for TPN infusion are the:ASubclavian and jugular veinsBBrachial and subclavian veinsCFemoral and subclavian veinsDBrachial and femoral veins Question 9 Explanation: Total Parenteral Nutrition (TPN) requires the use of a large vessel, such as the subclavian or jugular vein, to ensure rapid dilution of the solution and thereby prevent complications, such as hyperglycemia. The main sources of vitamin A are yellow and green vegetables (such as carrots, sweet potatoes, squash, spinach, collard greens, broccoli, and cabbage) and yellow fruits (such as apricots, and cantaloupe). - urine travels through the urinary system or urinary tract, which consists of kidneys, ureters, bladder, and urethra - mottling. Living Will: states specific types of medical care that a person wishes to receive if the person can no longer make those decisions 42. Complete blood count (CBC) and electrolyte levels. Pain Management: 1) Perform hand hygiene immediately before and after insertion or any manipulation of the catheter device or site - urinary retention Terminal disinfection is the disinfection of all contaminated supplies and equipment after a patient has been discharged to prepare them for reuse by another patient. 15. - stressfchest. Please visit using a browser with javascript enabled. - decreased peristalsis Chronic Obstructive Pulmonary Disease (COPD) A topical antiseptic would not remove microorganisms and would be beneficial only after proper cleaning and rinsing. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. The most appropriate nursing action would be to: In a recumbent, immobilized patient, lung ventilation can become altered, leading to such respiratory complications as: Kussmails respirations and hypoventilation, Appneustic breathing, atypical pneumonia and respiratory alkalosis, Cheyne-Strokes respirations and spontaneous pneumothorax, Respiratory acidosis, ateclectasis, and hypostatic pneumonia. 9) Use standard precautions (gloves and gown) seconds Immobility impairs bladder elimination, resulting in such disorders as. A. Pregnancy or suspected pregnancy is the only contraindication for a chest X-ray. - can be maintained for short or long term Start - monitor patient An infected patient has chills and begins shivering. Treatment: All of the following are good sources of vitamin A except: The main sources of vitamin A are yellow and green vegetables (such as carrots, sweet potatoes, squash, spinach, collard greens, broccoli, and cabbage) and yellow fruits (such as apricots, and cantaloupe). Many medications and foods will discolor stool for example, drugs containing iron turn stool black. Describe the three major types of advanced directives (DNR, living will, durable power of attorney). Divide the area between the greater femoral trochanter and the lateral femoral condyle into thirds, and select the middle third on the anterior of the thigh Immobility also results in more alkaline urine with excessive amounts of calcium, sodium and phosphate, a gradual decrease in urine production, and an increased specific gravity.Question 4The primary purpose of a platelet count is to evaluate the:APresence of an antigen-antibody responseBPotential for bleedingCPresence of cardiac enzymes 44. 3) In the acute care hospital setting, insert urinary catheters using aseptic technique and sterile equipment 4. Shaving the site on the day before surgery, Having the patient take a tub bath on the morning of surgery, Applying a topical antiseptic to the skin on the evening before surgery, Having the patient shower with an antiseptic soap on the evening v=before and the morning of surgery. All of the following statement are true about donning sterile gloves except: 11. Waist tie in front of the gown A platelet count determines the number of thrombocytes in blood available for promoting hemostasis and assisting with blood coagulation after injury. - concerns of body image Jewelry, metallic objects, and buttons would interfere with the X-ray and thus should not be worn above the waist. All of the following measures are recommended to prevent pressure ulcers except: Because of restricted respiratory movement, a recumbent, immobilize patient is at particular risk for respiratory acidosis from poor gas exchange; atelectasis from reduced surfactant and accumulated mucus in the bronchioles, and hypostatic pneumonia from bacterial growth caused by stasis of mucus secretions. Chest pain and urticaria may be symptoms of impending anaphylaxis. Shaving the site of the intended surgery might cause breaks in the skin, thereby increasing the risk of infection; however, if indicated, shaving, should be done immediately before surgery, not the day before. Effective skin disinfection before a surgical procedure includes which of the following methods? Pouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container - urinary incontinence 13. Wearing gloves is not always necessary when administering an I.M. Which of the following nursing interventions is considered the most effective form or universal precautions? DIF:Understand (comprehension) REF:356-357 OBJ:Identify purposes of a health care record. - obstruction of the airway that sounds like rattling - decreased inspired oxygen concentrations (high altitude) After aerosol therapy Feedings VS. TOP: Communication and Documentation MSC: Management of Care Potential for bleeding The other answers are appropriate nursing interventions for a patient who has undergone femoral arteriography. The American Nurses Association identifies requirements for certification and offers examinations for certification in many areas of nursing., such as medical surgical nursing. 7. The physician orders an IV solution of dextrose 5% in water at 100ml/hour. Brachial and subclavian veins Crackles: Get paid to shop at over 2,500 stores! Failing to wear gloves when administering a bed bath Congratulations - you have completed Fundamentals of Nursing Practice Exam 3 (EM). B. Decrease burning sensations 19. Back muscles AHostBPortal of entry CReservoirDMode of transmissionQuestion 31 Explanation: In the circular chain of infection, pathogens must be able to leave their reservoir and be transmitted to a susceptible host through a portal of entry, such as broken skin.Question 32The physician orders an IV solution of dextrose 5% in water at 100ml/hour. In the circular chain of infection, pathogens must be able to leave their reservoir and be transmitted to a susceptible host through a portal of entry, such as broken skin. - exchange of respiratory gases in the alveoli and capillaries, Cardiac Output: amount of blood ejected from the left ventricle each minute Hemoglobinuria, the abnormal presence of hemoglobin in the urine, indicates a hemolytic reaction (incompatibility of the donors and recipients blood). - place body on back with head/shoulders elevated - anxiety Question Details In the evaluation step of the nursing process, the nurse must decide whether the patient has achieved the expected outcome that was identified in the planning phase. Thus, a count of 25,000/mm3 indicates leukocytosis. She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. - medications (barbiturates, narcotics, benzodiazepines)
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