ABSN Module 1-3 Quiz Questions

When preparing for a bed bath why should the nurse offer the patient a bedpan, urinal, or the commode prior to performing the procedure?

Warm water and activity can stimulate the need to void

The nurse has just been stuck with a syringe while dropping it into a sharps container that was too full in a patient's room. What action should the nurse take first for this puncture wound

Allow some bleeding.

During an interaction with a newly admitted patient who suddenly becomes silent and stares off into space, what is the most therapeutic response by the nurse?

"I noticed you have become very quiet."

When preparing a patient for discharge the nurse notes that the patient has a temperature of 101.8. Which phrase is most appropriate for the nurse to use when speaking with the healthcare provider?

"I am concerned about the patient's readiness for discharge because his most recent temperature was 101.8."

A patient diagnosed with tuberculosis is scheduled to go to the radiology department for a chest x-ray. Which nursing intervention would be appropriate when preparing to transport the patient?

Apply a mask to the patient

The nurse determines that a patient has active immunity to a microorganism. Which of the following would cause the patient to develop this type of immunity?

Having chickenpox

A patient has entered a smoking cessation program to quit smoking. He tells the nurse he has not smoked a cigarette for 3 weeks, but is afraid he will slip up and smoke because of current job pressures. What would be the most appropriate reply for the nurse to make in response to the patient's comments?

"It is good that you can talk about your concerns. Try calling a friend when you want to smoke"

During the initial interview, a patient with an eating disorder remarks, "I can't stand myself and the way I look." Which of the following statements by the nurse would be most appropriate?

"Tell me more about your feelings"

A patient who expresses anger at a diagnosis by slamming a food tray on the table is using what type of communication?

Non-verbal

Body temperature may be measured in all of the following ways except which of the following?

Radial

A fire is contained to one patient unit on the 7thfloor (7 West). The patients on 7 West should be moved to what location?

7 East

A patient's admission vital signs are: temperature 99.1 degrees F, pulse 75, respirations 16 and unlabored, and blood pressure 185/110. Which of the following vital signs is the most concerning to the nurse?

Blood pressure

The nurse has delegated the making of unoccupied beds to unlicensed assistive personnel. What should the nurse assess regarding patient safety once the beds are completed?

Call light being readily available

Identify the barrier to communication in the following interaction.Patient: "When can I expect to be told about how to take my insulin?"Nurse: "Let's discuss your diet now so that you will know what to eat when you get home. We can discuss insulin some other time."

Changing the subject

A nurse comes across a fire in a patient's room caused by a candle flame and multiple books lying on the bedside table. Which class of fire extinguisher should be used for this type of fire

Class A

What is the root cause for 82% of sentinel events?

Communication breakdown

What is the best defense against any legal malpractice for the nurse?

Complete charting by using the steps of the nursing process as a framework

A sleeping patient has the following vital signs: respiratory rate of 10, temperature 98.5, blood pressure 135/75, heart rate 78, and oxygenation 98%. Which of the following actions should the nurse take?

Continue to monitor the patient

Which of the following is the most crucial goal of therapeutic communication when helping patients deal with personal issues and painful feelings?

Conveying respect and acceptance even if all of the patient's behaviors are not tolerated

An older patient has an oral temperature reading of 97.2 degrees F. The nurse realizes that this patient's low temperature could be due to which observation?

Loss of subcutaneous fat is noted.

Two days after an ileostomy, the patient refuses nursing care and requests to be left alone. What should be the nurse's first action?

Encourage the client to verbalize his feelings

The nurse notices the pulse oximetry of the client is 85% oxygen saturation. What is the first action the nurse should take?

Ensure that the pulse oximeter is working correctly

The nurse understands that redness of the skin associated with a variety of conditions is described as which of the following?

Erythema

While the nurse is performing morning care, a patient begins to have a seizure. What should the nurse do to help this patient?

Loosen any clothing around the neck and chest.

The nurse has asked the unlicensed assistive personnel (UAP) to help with admitting a patient. Which of the following activities can be delegated to the UAP?

Obtain the patient's height and weight

What therapeutic communication technique does this interaction demonstrate? Nurse: "Tell me more about that."

Open ended questions

The nurse needs vital signs assessed for four patients. Which patient should the nurse assess and not assign to the UAP?

Patient returning to the nursing unit after cardiac catherization

The nurse is caring for a patient with Clostridium difficile infection. Which behavior indicates that the nurse needs additional information about this disease?

Performs hand hygiene with an alcohol-based disinfectant

Which determinant of blood pressure would best explain a patient's blood pressure reading of 120/100?

Peripheral vascular resistance

In what phase of the helping relationship does the nurse review patient assessment data and develops a plan of action?

Preinteraction phase

Before discharge from the hospital a patient is taught to exercise by gradually increasing the distance walked. Which vital sign should the nurse teach the patient to monitor to determine whether to increase or decrease the exercise level?

Pulse rate

Which of the following are correct guidelines for charting in the patient record?

Record the time of each entry

A patient states "I am dying." The nurse responds "You believe that you are dying?" which therapeutic approach did the nurse use?

Reflecting

The emergency department (ED) nurse is reporting off via phone call to the intensive care unit (ICU) nurse who is accepting a patient with pneumonia. What information should the ED nurse ensure to provide to the ICU nurse?

Report exact up to date information about the client's condition

Which communication technique is used in this interaction? Patient: "I have been really upset about my blood pressure and having to take these pills."Nurse: "You've been upset about your blood pressure and taking pills."Patient: "I guess I'm worried about what could happen if my blood pressure gets too bad."

Restating

The nurse is shampooing a patient's hair. Which assessment finding should the nurse consider as expected?

Smooth texture and not oily or dry

A nurse employed in a preschool agency is planning a staff education program to prevent the spread of an outbreak of an intestinal parasitic disease. The nurse includes which priority prevention measure in the educational session?

Staff will practice standard precautions when changing diapers and assisting children with toileting

A patient says, "I hate the idea of being an invalid after they cut off my leg." Which of the following would be the most therapeutic response by the nurse

Tell me more about how you are feeling."

Which is the primary reason why the nurse should avoid wearing artificial nails?

They could harbor microorganisms

While assessing the dorsalis pedis pulse of a patient, the nurse determines that the pulse is not palpable. However, the extremity is warm and pink with nail beds blanching at 2 to 3 seconds of capillary refilling time. Which of the following is likely cause of these findings?

Too much pressure was applied over the pulse site

The nurse is setting up a sterile field. Which action by the nurse best exhibits surgical asepsis?

Touching only the inside surface of the first glove while pulling it onto the hand

The nurse is concerned that a break occurred in a sterile field. Which of the following would cause such a break?

Transferring a sterile object to a sterile field with a clean gloved hand

The nurse is educating a patient about proper handwashing techniques. She instructs the patient to use which of the following in order to better protect the skin?

Warm water

Which nursing measure is appropriate to break a link in the chain of infection?

Wash hands before and after caring for a patient

Factors that can affect the body temperature include which of the following? (select all that apply)

environment, exercise, hormones, circadian rhythms

What is the most effective nursing action for preventing and controlling the spread of infection?

thorough handwashing