Chapter 25: Airway Management
1. A patient with a tracheostomy tube has thick, tenacious mucus that is difficult to remove. The
nurse should choose which technique to suction the airway?
a. Normal saline instillation (NSI) before suctionin
Chapter 13: Safety and Quality Improvement
1. The patient is admitted to the hospital with orders for activity as tolerated. He is
wheelchair-bound at home and has brought his own electric wheelchair and battery charger to
help him maintai
Chapter 26: Closed Chest Drainage Systems
1. The nurse is caring for a patient who is comatose and on a ventilator. When she enters the
room, she notices that the patients trachea has shifted toward the left side of the patients
Chapter 5: Vital Signs
1. The patient is brought to the emergency department complaining of severe shortness of
breath. She is cyanotic and her extremities are cold. In an attempt to quickly assess the
patients respiratory status, the nurs
Chapter 23: Oxygen Therapy
1. A patient diagnosed with chronic obstructive pulmonary disease (COPD) is on oxygen
therapy at 3 L per nasal cannula. Which assessment finding should alert the nurse to a
potential problem with this patient?
Chapter 10: Exercise and Ambulation
1. The patient has been admitted for hypertension. His blood pressure is normally in the 160/90
range. He has been on bed rest for the past few days, and the doctor has started him on a new
Chapter 21: Oral and Topical Medications
1. The nurse is administering a buccal medication. Which instruction should be given to the
a. Hold the medication under the tongue.
b. Swallow the medication after 30 seconds.
c. Chew the
Chapter 14: Disaster Preparedness
1. In addition to the Department of Homeland Security, which of the following agencies has a
mission to ensure that the nation is well prepared to respond to an act of terrorism?
b. Red Cross
Chapter 16: Palliative Care
1. The patient has a history of terminal cancer but is being admitted for treatment of a pressure
ulcer. The patients wife has been caring for him at home and refuses to discuss admission to
a nursing home. The
Chapter 30: Oral Nutrition
1. The nurse is admitting a person to the unit and is assessing the patients nutritional status. In
assessing the patients nutritional status, the nurse realizes that:
a. body mass index (BMI) is the main indicat
Chapter 19: Care of the Eye and Ear
1. The nurse decides that assistive personnel can provide care to a patient with contact lenses
when the assistive personnel states:
a. If I am in a hurry, I will use tap water for rinsing the lenses.
Chapter 2: Admitting, Transfer, and Discharge
1. The patient is scheduled to go home after having coronary angioplasty. What would be the
most effective way to provide discharge teaching to this patient?
a. Provide him with information on
Chapter 43: Specimen Collection
1. How should the nurse identify a patient before obtaining a laboratory specimen from him?
a. Use at least two patient identifiers.
b. Look at the chart before entering the room.
c. Ask the patient his name
Chapter 39: Dressings, Bandages, and Binders
1. The nurse is caring for a patient who is bleeding. To control bleeding, she would apply a
Apply a pressure dressing to contr
Chapter 31: Enteral Nutrition
1. Of the patients listed below, which would be a candidate for nasoenteric feeding tube
a. Postmotor vehicle accident victim with a broken nose and jaw
b. Patient with a bleeding ulcer and possible
Chapter 44: Diagnostic Procedures
1. A nurse should contact the physician to postpone intravenous moderate sedation if the patient:
a. has been NPO for 1 hour.
b. has a history of substance abuse.
c. has no history of latex allergy.
Chapter 33: Urinary Elimination
1. The nurse is assessing a patient whose 24-hour output is 2400 mL. Which finding reflects the
nurses understanding of urine output?
a. Increased output
b. Decreased output
c. Normal output
d. Balanced outp
Chapter 1: Using Evidence in Nursing Practice
1. Evidence-based practice is a problem-solving approach to making decisions about patient care
that is grounded in:
a. the latest information found in textbooks.
b. systematically conducted re
Chapter 8: Sterile Technique
1. When the following concepts are compared, which is most important in maintaining a safe
environment by following aseptic principles?
a. Performing a surgical hand scrub
b. Applying a sterile gown
Chapter 42: Home Care Teaching
1. Of the following types of thermometers available, which is not recommended for home use?
d. Disposable single-use
If a mercury thermometer breaks, and it is not dis
Chapter 35: Ostomy Care
1. The nurse is caring for a patient with an ostomy. The nurse notes that the ostomy is putting
out watery effluent. The nurse recognizes that this is indicative of which location?
a. Descending colon
b. Sigmoid col
Chapter 38: Wound Care and Irrigations
1. When is healing by primary intention expected?
a. When the wound is left open and is allowed to heal
b. When a surgical wound is left open for 3 to 5 days
c. When connective tissue development is e
Chapter 36: Preoperative and Postoperative Care
1. When planning care for a surgical patient, the nurse recognizes that surgical site infections
account for what percentage of hospital-acquired infection?
a. 22% to 40%
b. 5% to 10%
Chapter 41: Home Care Safety
1. Patients who require home care often experience physical alterations that require changes in
their home environment. In the case of older adults, what is the best way to make these
a. Make changes q
Chapter 40: Therapeutic Use of Heat and Cold
1. The nurse is using cryotherapy for a patient with a sprained ankle. She is explaining the
benefits to her patient. Which of the following statements made about the benefits of
Chapter 18: Pressure Ulcer Care
1. The nurse is turning a patient when she notices an area with nonblanchable redness over the
patients coccyx. The patient complains of pain at the site, and the site does feel cooler than
the areas immedia
Chapter 34: Bowel Elimination and Gastric Intubation
1. The nurse is caring for a patient who has been on bed rest for several weeks. The nurse notes
that the patient is continually seeping liquid stool rectally. The nurse should take whic
Chapter 32: Parenteral Nutrition
1. A 72-year-old patient is admitted to the hospital with a medical diagnosis of intestinal failure.
Which intervention should the nurse include in the plan of care to deliver nutritional needs?
Chapter 37: Intraoperative Care
1. The charge nurse is assigning duties in the surgical arena. Which member of the surgical team
should be assigned to the role of circulating nurse?
a. Registered nurse (RN)
b. Licensed practical nurse (LPN
Evidence Based Practice and Quality Improvement in Health Care Systems
EBP/ Clinical Question Paper
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EBP/ Clinical Question Paper