AQ S2

Before administering an intravenous bolus, the primary health care provider instructs the nurse to flush the intravenous lock with normal saline by pushing slowly on the plunger. What could be the reason behind this instruction?

1

Four patients are prescribed medications. Which patient should be offered a glass full of water during medication administration?

1

The incidence of suicidal tendency is highest in which age group?

1

The nurse is assessing a group of patients in the medical surgical unit and ties colored wristbands (as per the American Hospital Association guidelines) to the patients based on the assessment. Which group of patients should receive red wristbands?

1

The nurse is assessing a patient with impaired mobility. The nurse observes poor coordination and muscle weakness. Which risk does the nurse anticipate in the patient?

1

A registered nurse is teaching a group of student nurses about legal guidelines for the effective recording of a patient's data on a handwritten paper document. Which statement by a student nurse needs correction?

4

A registered nurse teaches a group of nursing students about home care considerations for patients with infections. Which statement made by the nursing student indicates the need for further learning?

4

A registered nurse teaches a group of nursing students about home care considerations fora patient who is under continuous intravenous infusion. Which of the nursing students' statements indicates the need for further learning?

4

A registered nurse teaches a group of nursing students about standard precautions to prevent infections. Which statement made by the nursing student needs correction?

4

A registered nurse teaches a nursing student about administering intravenous medication. Which statement made by the nursing student indicates the need for further teaching?

4

According to ISMP (Institution of safe medication practices), which descriptive term is used during the administration of drugs?

4

According to the National Quality Forum, which event is considered a care management event?

4

After performing a prescrub wash, a nurse dries his or her hands and forearms with a paper towel. What is the rationale behind this action?

4

After reviewing the laboratory reports of a patient, the nurse suspects that the patient has an acute suppurative infection. What would be the patient's neutrophil count?

4

During discharge teaching, the nurse gives the patient prescriptions to have filled at the local pharmacy. Which section of the medication prescription should the nurse check before giving the patient the prescription for a controlled substance?

4

Malignant hyperthermia is a potentially lethal condition. Which medicine is helpful in treating malignant hyperthermia?

4

The chest x-ray of a patient shows stiffened lung tissue and enlarged air spaces. For what risk does this put the patient during surgery?

4

The nurse completes bowel preparation for the patient who is scheduled for colon surgery. What is the rationale for this nursing intervention?

4

The nurse extracts medication from multiple dose vials after reconstitution. Which priority nursing action should the nurse perform?

4

The nurse is assessing a patient who complains of back pain. After taking the patient's history, the nurse does not expect the physician to recommend acetaminophen. Which of the patient's statements led the nurse to this conclusion?

4

The nurse is ordered to perform bath and perineal care for a patient. After a bath, the patient reports dizziness. Which nursing intervention during bath and perineal care may be responsible for the patient's condition?

4

The nurse is preparing to clean the neck, back, and buttocks of an unconscious patient. Which type of chlorhexidine gluconate (CHG) cloth should the nurse use?

4

The nurse observes a mild inflammation of the cuticles and surrounding tissues immediately after the patient received foot and nail care. What is the most appropriate nursing intervention for this patient?

4

The nurse performs nasotracheal suctioning of a patient. The nurse finds that the patient gags and becomes nauseated upon inserting the catheter into the trachea. What should be the response of the nurse?

4

The nurse wears disposable gloves while removing and applying transdermal patches for a patient. What is the most appropriate reason behind this nursing intervention?

4

The physician tells the nurse to administer a second drug to a patient already on oxycodone. Which drug would be safe for this patient?

4

The primary health care provider orders the nurse to administer potassium chloride to a patient with 10 episodes of vomiting in two days. Which complication does the nurse anticipate from the potassium chloride?

4

The primary health care provider prescribes lorazepam (Ativan) 1 mg IV to a patient who is about to undergo an MRI scan. Which type of prescription order has been given by the primary health care provider?

4

The registered nurse (RN) is teaching a nursing student about procedure-related accidents. Which statements made by the nursing student indicates a need for further teaching?

4

The registered nurse asks the patient and family to state safety guidelines, emergency precautions, and an emergency plan for the patient who is using home oxygen equipment. What is the rationale behind this?

4

The registered nurse is teaching a nursing student about caring for a patient with postural hypotension. Which statement made by the nursing student indicates effective learning?

4

The registered nurse is teaching correct documentation of medications to a nursing student. Which statement if made by the nursing student indicates a need for further teaching?

4

What is the immediate intervention if a patient on oxycodone 10 mg/mL infusion therapy experiences respiratory depression?

4

Which drug is unsafe for the central nervous system as a supplement to epidural anesthesia?

4

Which effect may be obtained by the action performed in the figure during the process of intravenous infusion?

4

Which factor increases the efficacy of disinfectants during the process of disinfection?

4

Which intervention increases the risk of thrombus formation?

4

Which is a predisposing risk factor for the formation of a blood clot in the lower extremities?

4

Which medications may cause mild respiratory depression if taken within two weeks prior to surgery?

4

Which nursing activity is involved in evaluation to determine patient safety?

4

Which nursing diagnosis is usually present during the intraoperative phase?

4

Which positioning of the patient by the nurse will help prevent flexion contracture of the cervical vertebrae?

4

Which site is at risk for skin breakdown when the patient is in the side-lying position?

4

Which site of injection for vaccines is preferred for infants and toddlers who are not yet walking?

4

Which skill is implemented by the nurse when planning to prevent falls in patients?

4

Which sleep-related side effect is seen with the use of antidepressants and anticonvulsants?

4

Which statement about anaphylactic reaction requires correction?

4

Which statement about medical legislation and standards requires correction?

4

Which statement about medication preparation and administration is correct?

4

Which statement is true regarding donning a sterile gown?

4

Which statement is true regarding restraints?

4

Which task cannot be delegated to nursing assistive personnel?

4

Which type of syringe is used to administer a small and precise amount of medication subcutaneously in infants and newborns?

4

While caring for a patient on fentanyl infusion therapy, the nurse monitors vital signs and pulse oximetry every 1 to 2 hours for the first 24 hours. What is the rationale for this nursing action?

4

While performing a partial bed bath for an elderly patient, the practical nurse offers a bedpan. Why would the nurse offer a bedpan?

4

You are transferring a patient who weighs 320 lb (145.5 kg) from his bed to a chair. The patient has an order for partial weight bearing because of bilateral reconstructive knee surgery. Which is the best technique for transfer?

4

What is the correct order of actions to ensure safe transport using a wheelchair to prevent falls in a health care setting?

Position - Wedge - Lock - Raise - Place

The nurse is explaining and demonstrating the correct use of fire extinguishers at home to a group of adolescents. Which order of steps listed by an adolescent indicates effective learning?

Pull - Aim - Squeeze - Sweep

Which student nurse's assessment sheet is accurate regarding various forms of medication?

2

Which type of transmission-based precaution requires a gown and gloves?

2

While administering home oxygen, which nursing intervention is included under the planning phase of the nursing process?

2

While assessing a patient who is receiving intravenous therapy, the nurse notices circulatory fluid overload. What may be the reason for the patient's condition?

2

While caring for a patient on intravenous therapy, the nurse elevates the patient's extremity. What is the rationale behind this intervention?

2

While caring for a patient with a tracheostomy, the nurse inserts a new, sterile tracheostomy dressing under clean ties. What is the rationale behind the nursing intervention?

2

A registered nurse teaches a nursing student about dressing changes after an intravenous infusion. Which of the nursing student's statements indicates effective learning?

1

A student nurse administers low-molecular weight heparin to a patient via the subcutaneous route. Which action made by the nurse may most likely cause bruising and pain?

1

According to Edelman and Mandle's strategies of health promotion, which is classified as a passive strategy?

1

After assessing a patient with an infection, the nurse follows contact precautions. Which disease condition does the nurse suspect the patient to have?

1

While preparing the vein for venipuncture, the nurse applies a blood pressure cuff 10 to 12 cm above the insertion site. What could be the rationale?

2

A patient is prescribed prednisone. For which side effect should the nurse monitor the patient?

3

A patient suffering from bronchoconstriction wants to use the herb ephedra. What advice should the nurse give the patient concerning the use of ephedra?

3

A patient with blood type O needs platelets. What should the nurse consider when choosing a donor for platelet transfusion?

3

While administering an intravenous push, the nurse occludes the intravenous line by pinching the tubing just above the injection port. What is the reason for this nursing action?

3

While caring for a postoperative patient who has a chest tube, which observation by the nurse indicates hemorrhage and perforation of the lungs?

3

A patient with paraplegia wants to sit in a chair. The patient's right side is stronger than the left. What does the patient do when trying to sit?

4

A postsurgical patient at risk for venous thromboembolism is receiving treatment with low-molecular-weight heparin. Which international normalized ratio (INR) is abnormal?

4

A primary health care provider asks a nurse to continue intravenous therapy for a patient. Which of the nurse's actions can promote the patient's safety?

4

A nurse helps an unsteady patient out of the bathtub. What should the nurse do to ensure the patient's safety?

1

A nurse notes malodor and infection at the insertion site of a patient's tracheostomy tube. Which nursing intervention is appropriate in this patient?

1

A nurse teaches a patient with dehydration about maintaining safe intravenous therapy at home. Which statement made by the patient indicates a need for further learning?

1

A nursing student informs a registered nurse that, "After an intradermal medication administration, the site starts bleeding." What would the registered nurse suspect?

1

A patient develops an anaphylactic reaction following initiation of a blood transfusion. Which primary drug should the nurse use for the patient?

1

A patient has accidently consumed kerosene. Which nursing intervention would further complicate the patient's condition?

1

A patient has acute intravascular hemolysis as an adverse effect of transfusion reaction. Which nursing intervention will be beneficial?

1

A patient is admitted to the postanesthesia care unit (PACU) immediately after undergoing surgery. The nurse finds shallow breathing and the pulse oximetry value is 90%. Which intervention does the nurse perform for effective treatment?

1

A patient is diagnosed with impaired physical mobility related to left-sided weakness. The registered nurse is teaching the patient's family member about the interventions that would be effective for the patient. Which statement made by the family member indicates effective learning?

1

A patient on intravenous infusion therapy complains of shortness of breath. Further diagnosis reveals edema and crackles in parts of the lungs. Which nursing intervention is beneficial for the patient?

1

A patient reports swelling at the incision site during administration of intravenous fluids. What should be the immediate nursing intervention?

1

A patient who works in a factory visits the primary health care provider with a complaint of a frequent cough and discomfort in the chest region. The primary health care provider diagnoses it as pulmonary disease. What could be the reason for this condition in the patient?

1

The nurse is assessing the vital signs for a patient who underwent lung surgery. The nurse observes differences in the vital signs as compared to the values recorded before the surgery. What should be the immediate action of the nurse in this situation?

1

The nurse is caring for a patient in the home and is checking for hazards. Which assessment made by the nurse is priority?

1

The nurse is counseling a patient's caregiver regarding tracheostomy care at home. Which statement if made by the caregiver indicates the need for further teaching?

1

The nurse is giving a patient a bath. While washing the extremities, the nurse uses firm strokes from distal to proximal areas. What is the rationale behind this action?

1

The nurse is selecting venipuncture sites in four patients. Which of the following is a proper venipuncture site?

1

The nurse is trying to minimize the discomfort of a patient while injecting the medication. Which action would be most appropriate?

1

The nurse prepares a sterile field. Which action made by the nurse may cause contamination?

1

The primary health care provider ordered the nurse to administer eardrops to a 2-year-old patient. Which action of the nurse would be effective specifically for this patient?

1

The registered nurse is instructing a nursing student regarding providing safety tips to the parent of a preschooler. Which statement made by the nursing student requires correction?

1

The registered nurse is teaching the spouse of a patient the appropriate use of eye drops. Which statement of the spouse indicates the need for further teaching?

1

The registered staff nurse is evaluating the documentation of four student nurses. Which student nurse's documentation does the registered nurse correct, according to the legal guidelines for recording?

1

What is the reason for the nursing action performed in the given image?

1

Which action may cause the contamination of the solution during an injection?

1

Which action of the nursing assistive person (NAP) should the nurse correct when providing oral care for an unconscious patient?

1

Which action should the nurse perform immediately after finding abnormal vital sign values in a patient who underwent abdominal surgery?

1

Which anesthetic drug is contraindicated in patients with allergy to soy products?

1

Which device helps reestablish normal intrapleural and intrapulmonic pressures while promoting lung reexpansion?

1

Which is a serious reportable event included in the National Quality Forum List?

1

Which nursing action is being depicted in the image?

1

Which nursing intervention requires surgical asepsis?

1

Which part of a pressurized metered-dose inhaler is used to improve drug absorption in a patient's airway?

1

Which patient condition may be caused by poor precautionary measures taken by the nursing student while administering medication through the oral route?

1

Which patient should be assessed for bleeding at the infusion site by pressing the site for 2 to 3 minutes after discontinuation of the infusion?

1

Which position may lead to plantar flexion of the feet?

1

Which route of administration involves inserting a needle at a 5- to 15-degree angle from the surface of the skin without puncturing the patient's subcutaneous tissue?

1

Which safety precaution should be followed by a patient infected with hepatitis A?

1

Which statement about home oxygen storage systems indicates a need for correction?

1

Which statement is true regarding the maintenance of the intravenous system?

1

Which step is no longer recommended for routine home treatment of poisoning cases as a result of intimate partner violence?

1

While administering medications through piggyback infusion, the primary health care provider instructs the nurse to close and cap the end of the infusion tubing after filling it. What is the rationale behind this intervention?

1

While caring for a patient with epilepsy, the nurse recognizes the possibility of tonic-clonic seizure. What is the priority intervention by the nurse?

1

While caring for a patient with respiratory disease, the nurse observes that the oxygen saturation drops from 94% to 85% when the patient ambulates. Which is the most appropriate nursing action?

1

While teaching about Quality and Safety Education for Nurses (QSEN) competencies, the nurse states, "This competency uses tools such as flowcharts and diagrams to make the process of care explicit." Which QSEN competency is the nurse referring to?

1

Why will a nurse hold a syringe tip 2.5 cm above a wound with a wide opening during irrigation?

1

The nurse is helping a 65-year-old postsurgical patient perform exercises. What is the patient's approximate maximum heart rate? Record your answer using a whole number._________ bpm

155 bpm

A nursing student is using an antiseptic soap to perform hand hygiene before caring for a patient who has altered immune functioning. Which hand-washing step indicates a need for further education?

2

A patient has a febrile nonhemolytic transfusion reaction after a blood transfusion. Which drugs would be appropriate for this patient?

2

A patient has ulcerative colitis and wishes to take an oral form of aloe. What precaution should the nurse take to ensure the safety of the patient?

2

Which question would be appropriate for the nurse to ask when assessing the home maintenance and safety for a patient?

2

Which statement about various routes of drug administration requires correction?

2

A patient is prescribed a sublingual nitroglycerin drug. Which instructions should the nurse provide to the patient? Select all that apply.

1-2

The registered nurse teaches a nursing student about postoperative instructions to be given to the patient after abdominal surgery. Which of the nursing student's statements indicate a need for further learning? Select all that apply.

1-2

Which nursing actions are appropriate when obtaining gastrointestinal (GI) aspirate for pH measurement in a patient who is prescribed continuous tube feedings? Select all that apply.

1-2-3

Which principles should a nurse follow when mixing insulin? Select all that apply.

1-2-3

A nurse assists a primary health care provider during the intravenous administration of medication to a patient. Which information would the nurse find in the medication administration record? Select all that apply.

1-2-3-5

Which actions should the nurse implement when feeding a patient who is prescribed aspiration precautions? Select all that apply.

1-2-3-5

As the nurse prepares to provide morning care and treatments, it is important to question a patient about a latex allergy before which intervention? Select all that apply.

1-2-4

The nurse is caring for a patient who has arrived in the postanesthesia care unit. Which nursing actions would be beneficial for the patient? Select all that apply.

1-2-4

The nurse is teaching a group of nursing assistive personnel about the types of fire extinguishers. Which type of fire can be extinguished using a type A fire extinguisher? Select all that apply

1-2-4

The nurse is calculating the fall risk score of an 85-year-old patient using a standard fall assessment tool. Which factors contribute to the patient's overall fall risk? Select all that apply.

1-2-5

Which equipment is used to change continuous intravenous infusion containers and tubing? Select all that apply.

1-2-5

Which interventions should the nurse follow while administering topical medications? Select all that apply.

1-2-5

Which nursing interventions are appropriate for a visually impaired patient? Select all that apply.

1-2-5

Which patients are at an increased risk of prolonged bleeding following venipuncture? Select all that apply.

1-2-5

The nurse is reviewing a medication order for a patient. What are the components of medication orders? Select all that apply.

1-3-4

Which statements are true regarding vaginal suppositories? Select all that apply.

1-3-4

Which statements regarding the guidelines to be followed for telephone and verbal order require correction? Select all that apply

1-3-5

A nurse cares for a patient who is unconscious after surgery. Which positions are used to perform oral care? Select all that apply.

1-4

While preparing intravenous medication, the nurse identified air bubbles in the syringe. Which interventions should the nurse perform? Select all that apply.

1-4

Which complications are associated with conscious sedation? Select all that apply.

1-4-5

A registered nurse is teaching an older adult about safety measures related to the physiological changes associated with aging. Which statements by the patient indicate the need for further teaching? Select all that apply.

1-5

The nurse is evaluating the feet of a patient whose bed is tilted with the head end down. What may be the purpose of this positioning of the bed? Select all that apply.

1-5

Which actions should be carried out to protect the skin of older adults who are on intravenous infusion? Select all that apply.

1-5

In a hospital, a use of restraint is ordered and renewed every two hours. What might be the age of the patient?

15

A patient is brought to the emergency room in an unconscious state. On taking the history the nurse finds that the patient had accidentally consumed agricultural pesticides. Which intervention will prevent the potential of aspiration in this patient?

2

A patient is experiencing left-sided weakness due to a cerebrovascular accident. The nurse observes that the patient fails to notice people approaching from the left side. Which nursing intervention will be most beneficial for the patient in this situation?

2

A patient scheduled for elective surgery had a light meal an hour before surgery. The nurse documents and reports this to the anesthesia provider. Which risk might the nurse anticipate during surgery?

2

A patient undergoing radiation therapy for head and neck cancer reports tooth decay. What is a possible reason for the condition?

2

A registered nurse teaches a nursing student about administering medications in large intravenous infusions. Which statement made by the nursing student indicates the need for further teaching?

2

A registered nurse teaches a nursing student about the instructions to be followed during large volume infusions. Which statement made by the nursing student indicates effective learning?

2

A registered nurse teaches a student nurse about preventing infections during the administration of an injection via the parenteral route. Which statement made by the student nurse shows ineffective learning?

2

A student nurse is caring for a patient with arthritis. Which action by the student nurse indicates the need for further teaching?

2

Advanced age causes an increased risk during surgery for which condition?

2

An individual has undergone accidental poisoning and loses consciousness. Which statement by the caregiver indicates an understanding of emergency care in this situation?

2

Before providing bath care, the nurse asks the patient about his or her bathing preferences. What is the rationale behind this nursing intervention?

2

During a preoperative assessment, a patient reports history of a heart attack and use of anticoagulant medications. If epidural anesthesia is administered to the patient for the surgery, for which possible complication should the nurse look?

2

For a patient who has wrist and ankle restraints, which position will place the patient at risk of aspiration?

2

How often should the nurse check gastric residuals for patients who are prescribed aspiration precautions?

2

The nurse administers different forms of medications to a patient. Which action made by the nurse indicates a need for correction?

2

The nurse is caring for a patient who is on patient-controlled analgesia (PCA). Which action made by the nurse prevents air formation in the intravenous tube?

2

The nurse is mixing two types of insulin in one syringe. Which action is associated with the third accuracy check?

2

The nurse is recording specific demographic information about a patient in a hospital. Which section of the traditional source record does the nurse use to record this information?

2

The nurse plans to pour a sterile solution in a container. Which action made by the nurse may cause contamination?

2

The nurse teaches the parent of an infant about interventions that promote the child's safety. Which statement by the parent does the nurse find effective for the prevention of choking?

2

The primary health care provider suggested intravenous (IV) therapy for a patient with decreased tendon reflexes. Which condition can be observed in this patient?

2

The registered nurse is supervising a nursing student who is using positioning aids with a patient. Which nursing action may lead to skin and tissue damage caused by pressure?

2

The registered nurse is teaching the nursing student about the administration of oral analgesic medications in the pediatric patients. Which of the student's actions indicates the need for further teaching?

2

The skin of a patient taking intravenous fluids appears blanched, cool to the touch, and edematous. Upon touch, the patient reports pain. Which complication does this represent?

2

What is the rationale for leaving space to snugly fit two fingers under the neck strap while placing tracheostomy tube?

2

What measure should a nurse least likely take to prevent self-injuries from lifting patients?

2

What patient preparation is needed on the day of a surgery involving general anesthesia?

2

What would be the immediate nursing intervention when an intravenous (IV) fluid container empties with subsequent loss of vascular access device patency?

2

Which intervention is appropriate if the nurse observes the presence of tension in the pneumothorax?

2

Which nursing action would be beneficial to prevent skin necrosis in a patient who has undergone a tracheostomy?

2

Which nursing intervention is beneficial while administering a bitter medication to a child?

2

Which nursing student statement regarding nursing roles with victims of sexual abuse indicates a need for further teaching?

2

Which part of the Pleur-Evac drainage system represents the drainage collection chamber?

2

Which precaution should the nurse take while bathing the patient?

2

A patient with weakness of left leg muscles is using a single straight-legged cane. While walking, the patient first advances the cane on the left side followed by moving the left leg past the cane. The patient then moves the right leg past the cane. What instruction should the nurse give the patient?

3

A registered nurse (RN) is teaching a parent about safety measures for a 5-year-old child. Which statement made by the parent indicates the need for further learning?

3

A registered nurse is teaching a student nurse about hormonal contraceptive methods. Which information does the registered nurse give about the intrauterine device (IUD)?

3

A registered nurse teaches a nursing student about changing the intravenous fluid container. Which of the nursing student's statements indicates understanding?

3

A registered nurse teaches a nursing student how to bathe patients with altered cognition. Which statement made by the nursing student indicates the need for further teaching?

3

Which patient needs medical attention?

2 - - 48 36.7

Which statement regarding hand washing with antiseptic soap requires correction?

3

The nurse teaches a group of nursing students about safety guidelines for nursing skills while providing care for patients on intravenous therapy. Which of the nursing student's statements indicates a need for further teaching? Select all that apply.

2-3

Which assessment findings in a patient on intravenous therapy indicate infiltration? Select all that apply.

2-3

The nurse is dressing a wound near the sacrum. Which interventions by the nurse are most beneficial to the patient in this situation? Select all that apply.

2-3-4

The mother of a 4-year-old child is worried about the safety of her child. Which suggestion by the nurse would be helpful in promoting the safety of the child? Select all that apply.

2-3-5

The nurse is educating a patient on how to purchase herbal drugs. Which statements by the patient indicate effective learning? Select all that apply.

2-3-5

Which nursing action is correct while mixing two types of insulin in one syringe? Select all that apply.

2-3-5

A patient with influenza is admitted to a hospital. Which safety precautions should the nurse take to prevent an infection? Select all that apply.

2-4

Which guidelines should be followed while performing a bed bath to prevent contamination of a patient's clean areas? Select all that apply.

2-4

A registered nurse (RN) is teaching a nursing student about the use of physical restraints. Which statements by the nursing student indicate effective learning? Select all that apply.

2-4-5

The community health nurse is educating a group of parents on ways to avoid eye trauma. What instructions should the nurse include in her teachings? Select all that apply

2-4-5

The nurse visits an elderly patient who has sensory alterations due to aging. The patient has impaired vision, impaired proprioception, and impaired sense of touch. The nurse observes the patient's home environment for the presence of hazards that could increase the risk of injury to the patient. Which items might increase the patient's risk of injury and should be changed? Select all that apply.

2-4-5

A registered nurse teaches a nursing student about the prevention of needlestick injuries. Which statements made by the nursing student needs correction? Select all that apply.

2-5

The nurse assists the primary health care provider while administering an intravenous bolus to a patient. Which interventions are beneficial for the patient? Select all that apply.

2-5

Which nursing action can prevent the accidental displacement of the vascular access device (VAD) while changing the peripheral intravenous dressing? Select all that apply.

2-5

A nurse cares for a patient who has impaired circulation to the lower extremities. Which nursing action would help reduce the risk of infection?

3

A nurse cares for a patient with diarrhea. The nurse's hands become visibly soiled while cleaning the patient after a diarrheal episode. Which precaution should the nurse follow to disinfect his or her hands?

3

A nurse is about to bathe a patient with limited upper extremity range of motion (ROM). Which nursing intervention is most appropriate?

3

A nurse is instructed to provide perineal care to a female patient. In which position should the nurse place the patient?

3

A nurse opens the roller clamp on the new tubing to allow the solution to run rapidly for 30 to 60 seconds. Which positive effect can be obtained by this action during continuous infusion?

3

A nurse provides mouth care to an unconscious patient. How would the nurse test the presence of the patient's gag reflex?

3

A nurse reviews the laboratory test reports of a postoperative patient. Which finding indicates the presence of infection?

3

A nursing student cares for a patient who has dentures. Which of the nursing student's interventions requires correction?

3

A patient developed a pressure ulcer that was deep with the presence of exudates. Which type of dressing is provided to the patient?

3

A patient has been locked in a poorly ventilated room containing a furnace. Which condition is likely to be observed in the patient after a period of time?

3

A patient has difficulty swallowing a capsule. What is the appropriate nursing intervention?

3

An infant who has recently undergone cardiac surgery is prescribed intravenous medications; however, the nurse finds that the infant has poor intravascular access. Which route of administration may the primary health care provider prescribe in this situation?

3

How is infiltration assessed at the vascular access device (VAD) site?

3

The nurse administers vancomycin to a patient based on a now order of prescription. Which patient condition necessitates this type of prescription?

3

The nurse asks a patient to take six deep breaths over 30 seconds to provide preoxygenation before suctioning the tracheostomy tube. What is the rationale behind this intervention?

3

The nurse curls a loop of intravenous tubing alongside the arm of a patient on intravenous (IV) therapy. Which outcome can be expected with this nursing action?

3

The nurse finds morphine sulfate 2 mg IV Q 4 hours prn in the prescription of a newly admitted patient in the hospital. Which action should the nurse perform based on this finding?

3

The nurse identifies air bubbles in the single-port intravenous (IV) tubing of a patient who is on intravenous maintenance therapy. Which action should be performed immediately?

3

The nurse is caring for a patient who underwent a tracheostomy. Which nursing action would be beneficial to prevent a build-up of mucus that may result in poor oxygenation?

3

The nurse is caring for different patients. Which patient's condition may benefit from logrolling?

3

The nurse is encouraging a patient with hemiparesis to use coping skills that the patient has used previously. What is a possible reason behind this nursing intervention?

3

The nurse is giving a patient a bath. Which nursing intervention is beneficial for the patient while washing the hands and nails?

3

The nurse is positioning a postoperative patient to place the major portion of the body weight on the hip and shoulder. In which position does the nurse place the patient?

3

The nurse is teaching the parent of young child about car safety. Which statement by the parent indicates effective learning?

3

The nurse tells the health care provider that a patient scheduled for surgery is on active radiation therapy. For what is the patient at risk?

3

The nurse withdraws medication from a vial. Which step should the nurse follow to ensure the appropriate withdrawal of the medication?

3

The nursing assistive person asks for help to transfer a patient who is 125 lb (56.8 kg) from the bed to a wheelchair. The patient is unable to assist. What is the nurse's best response?

3

The registered nurse (RN) is teaching a nursing student about safety for equipment-related accidents. Which statement by the nursing student indicates the need for further learning?

3

The registered nurse is overseeing a nursing student providing preoperative care for a patient. Which of the nursing student's actions needs correction?

3

The registered nurse is teaching a group of student nurses about precautions to be taken when using oxygen tanks in a hospital. Which statement made by a student nurse indicates a need for further teaching?

3

The registered nurse is teaching a nursing student about time-critical medications. Which statement if made by the nursing student indicates effective learning?

3

The registered staff nurse provides various instructions to the caregiver of an infant before discharge from the hospital. Which instruction promotes safety for the infant?

3

What is the most appropriate nursing intervention after administering an intravenous medication to a patient?

3

Which action by the mother will place an infant at risk of sudden infant death syndrome (SIDS)?

3

Which action if performed by the nurse would help decrease patient anxiety and promote cooperation when infusion therapy is ordered?

3

Which event is classified as an environmental event on the National Quality Forum list?

3

Which factor does not put a patient at risk for burns during heat therapy?

3

Which is a serious reportable event included in the National Quality Forum list?

3

Which measure would the nurse suggest to the parents of an infant to promote safe sleeping?

3

Which nursing action is appropriate when providing care to a patient who is prescribed intermittent tube feedings?

3

Which nursing action supports safety guidelines that are essential when providing care to a patient who is receiving a tube feeding?

3

Which nursing intervention maintains the patient's supply of oxygen?

3

Which patient can be safely administered oral medication?

3

Which patient needs medical attention?

3

Which route is generally preferred for the administration of anesthetic agents during abdominal surgery?

3

Which route of administration is beneficial for an infant who does not have access to intravascular space in an emergency situation?

3

Which statement is true regarding the insulin pen?

3

While explaining about the home oxygen storage system, the nurse cautions the patient to store the system in cooler temperature, because the oxygen may evaporate in warmer temperature. Which type of system is the nurse explaining to the patient?

3

While preparing to do a sterile dressing change, the nurse accidentally sneezes over the sterile field that is on the over-the-bed table. Which principles of surgical asepsis, if any, has the nurse violated?

3

While receiving blood, a patient has a transfusion reaction. Which action if performed by the nurse indicates a need for further teaching?

3

A patient is receiving negative-pressure wound therapy (NPWT). After the primary health care provider places the device, the nurse applies a foam, polyvinyl alcohol (PVA) dressing. What is the purpose of the dressing?

4

A patient took more than the prescribed amount of acetaminophen and is experiencing hepatotoxicity. Which drug might the nurse anticipate the health care provider to use to treat this patient?

4

A patient who has vision and hearing problems has a history of striking out at caregivers. What is the most appropriate nursing intervention?

4

A patient who is on intravenous therapy reports pain at the intravenous insertion site, and the health care team finds phlebitis. Which nursing action should be avoided?

4

The nurse is providing information on prevention of sudden infant death syndrome (SIDS) to the mother of a young infant. Which statements indicate that the mother has a good understanding of SIDS? Select all that apply.

3-4

Which classes of drugs may cause mild metabolic alkalosis? Select all that apply.

3-4

Which interventions should the nurse perform to provide effective foot care for an elderly patient who has diabetes? Select all that apply.

3-4

The nurse works in a hospital. What precautions are necessary to help prevent health care-associated infections? Select all that apply.

3-4-5

Which statements are true regarding rectal suppositories? Select all that apply.

3-4-5

A nurse administers epidural anesthesia to a patient in the terminal stages of cancer for pain relief. Which nursing intervention is then necessary?

4

A nurse auscultates a patient's lung sounds before inserting an endotracheal tube to maintain the artificial airway. What is the rationale behind this nursing intervention?

4

A nurse is caring for a patient who underwent radiation therapy for throat cancer. Which complication should be anticipated when suctioning this patient's endotracheal tube?

4

A nurse reinforces home intravenous therapy education with the family caregiver. Which of the caregiver's statements indicates effective understanding?

4

A nurse turns off a patient's electronic infusion device (EID), removes the tubing from the device, and closes the roller clamp while discontinuing the peripheral access. What is the reason behind this action?

4

A nursing student prepares a medication in liquid form to administer to a patient orally through small-bore feeding tubes. Which action made by the nursing student indicates a need for correction?

4

A patient developed respiratory paralysis due to increased levels of anesthesia. Which anesthesia was most likely administered to the patient?

4

A patient has had arthritic pain for 8 years and has surgery to remove a buildup of septic fluid. Postoperative, the patient received morphine through a patient-controlled analgesia (PCA) device for the management of pain. After a while, the patient starts getting drowsy and symptoms of respiratory depression begin to appear. The nurse is ordered to administer naloxone. What is the rate of administering naloxone?

4

A patient is in a tripod position. Which body part should be in alignment?

4

The nurse is teaching the parent of an infant about interventions to promote safety. Which statements by the parent indicate the need for further teaching? Select all that apply.

4-5

Which materials are used to administer intravenous (IV) medication through piggybacks? Select all that apply.

4-5

The nurse finds an order for 5 teaspoons of magnesium hydroxide and 15 drops of diphenhydramine hydrochloride in a patient's prescription. How much medication (in volume) should the nurse administer in total? Record your answer using a whole number. ____________

5

A patient is prescribed to use one puff of a pressurized metered dose inhaler of asthalin three times daily. The canister consists of 150 puffs. Calculate the number of the days the patient can use the inhaler. Record your answer using a whole number. _____

50

What is the correct order of actions the nurse will follow during a fire in a hospital?

?

In which order should the nurse perform the steps of washing a patient's face?

Ask - Immersing - Moving - Soaking

The nurse is caring for a patient who is suffering from a gastrointestinal infection. The nurse understands that any infection occurs in four stages. Arrange the stages of infection in the correct order.

Incubation - Pro - Ill - Con

The nurse is teaching a group of health care team members in a hospital setting about the interventions and guidelines related to fire. Which order of steps listed by a team member indicates effective learning?

Rescue - Alarm - Confine - Extinguish

Arrange in order the steps to be followed while preparing injections from an ampule.

Tap - Place - Snap - Draw

In which order should the nurse complete the steps of removing the gown of a patient connected to an intravenous line?

Unaffected - Affected - Remove Bag - Check Flow