When performing a respiratory assessment, you auscultate a wet, popping sounds at the inspiratory
phase of each respiratory cycle. These sounds are best identified as
d) friction rub.
A Crackles, which are sometimes c
A nurse is caring for two patients of different cultural backgrounds. Both patients returned from the
same type of surgery 2 hr ago. Which of the following should the nurse expect to be the same for both
a) Patient perception of the intensity of
A nurse is reviewing the results of routine laboratory tests performed as part of a 50-year-old womans
annual physical examination. The nurse notes a blood glucose level of 120 mg/dL. The nurse should
interpret this as an abnormal result for a
a) casual (
The most important factor in measuring blood pressure accurately is
a) obtaining the reading in the early morning.
b) using a cuff of the appropriate size for the patient.
c) making sure the patient is comfortable and relaxed.
d) removing clothing from th
Medication Administration 1
Which of the following demonstrates the correct use of one of the six rights of medication
a) Administering a patients medication by the route the provider has prescribed
b) Adhering as closely as possible to th
A nurse is caring for a patient who is admitted with multiple wounds sustained in a motor-vehicle crash.
Understanding the patients specific needs during this initial stage of wound healing, the nurse should
incorporate which of the following into the pat
A nurse is caring for a patient who has sustained a head injury and whose level of consciousness
fluctuates. The provider prescribes a full liquid diet progressing to a pureed diet as tolerated. Before
initiating feedings, it is essential that this patien
A nurse is caring for a patient who has a tracheostomy. Which of the following must the nurse use when
administering oxygen to this patient?
a) Distilled water for humidification
b) A tracheostomy collar
c) An inner tracheostomy cannula
d) An aerosol mask
Prior to entering the surgical-scrub area, which of the following personal protective equipment (PPE)
items do the team members don? (Select all that apply.)
b) Protective eyewear
c) Hair cover
e) Shoe covers
- Hair cover, mask, shoe cover
Which of the following actions should a nurse take when removing a patients indwelling urinary
a) Pull the catheter out as quickly as possible.
b) Deflate the balloon completely before removal.
c) Make sure the patient has voided within 12 hr po
Which of the following is an advantage of using alcohol-based gel?
a) Its use takes less time than washing with soap and water does.
b) It removes gross contamination better than soap and water does.
c) Its protective nature reduces the need for frequent