WorksheetsExam #2
Total questions: 50
Worksheet time: 27mins
A nurse is caring for a patient who has been diagnosed with asthma. The patient has labored breathing, nasal flaring, and an oxygen saturation of 89% on RA. The nurse administers oxygen therapy and a nebulizer treatment. Which of the following reassessment findings would have the nurse notify the provider immediately?
Increased RR and worsening wheezing noted
Increased oxygen saturation and decreased nasal flaring
Decreased respiratory rate and labored breathing noted
Increased oxygen saturation and decreased labored breathing noted
The nurse is getting ready to administer the influenza vaccination to a 34-year-old patient. Which of the following is an appropriate place to administer this vaccine for this patient?
Deltoid muscle
Ventrogluteal
Vastus Lateralis
Dorsal gluteal
A nurse is getting ready to administer a medication from an ampule. Which of the following should the nurse perform first?
Ensure that there is not medication sitting in the neck of the ampule
Use a filter needle when drawing up the medication
Break the constricted neck of the vial away from you
Wipe the neck of the ampule before breaking
Which of the following are considered the five rights of medication administration? Select all that apply.
Right Patient
Right Time
Right Route
Right Room Number
Right Medication Number
The nurse is caring for a group of patients. Which of the following patient's would the nurse question the route of the medication administration?
A patient who had a small bowel surgery receiving IV medications
Crushed medications with applesauce for a patient with dysphagia
Oral medications for a patient who is vomiting
Suspension medications for a 18 month old
A patient has a temperature of 101.5 degrees F. The nurse is getting ready to document this in a nursing note. Which of the following terms is appropriate for the nurse to use?
Febrile
Hypoxic
Hypothermic
Hypoxemia
A patient has a high temperature. Which of the following are signs and symptoms of this? Select all that apply.
Diaphoresis
Flushed cheeks
Cool to touch
Shivering
Malaise
The nurse is caring for a patient who is suspected of having hypertension. The nurse is getting ready to take the patient's blood pressure again. Which of the following findings would give the nurse a falsely high reading?
The patient's legs are crossed
The bladder of the cuff is too big
The cuff is too high on the patient's arm
The cuff still has air in it prior to pumping it up
The nurse is performing a physical assessment on a patient. Her stethoscope is currently sitting at the midclavicular 5th intercostal space. What is the nurse listening to?
Apical Pulse
Lung Sounds
Bowel Sounds
Tricuspid valve
The nurse is listening to the lung sounds of a patient with asthma before administering an albuterol treatment. Which of the following describes the wheezing the nurse is hearing?
High-pitched whistling sound during expiration
Low-pitched humming sound during inspiration
A new graduate nurse is preparing to perform an abdominal assessment on a patient. Which of the following is the correct pattern to listen to the patient's abdomen?
RLQ, LLQ, LUQ, RUQ
RLQ, RUQ, LUQ, LLQ
LLQ, LUQ, RUQ, RLQ
LLQ, RLQ, RUQ, LUQ
A nurse is caring for a patient who has been diagnosed with chronic pain. The nurse should specially look for which effect that chronic pain can have on patients?
Depression
Increased outings
Decreased isolation
Better communication with family and friends
A patient came into the ER with acute pain. Which of the following descriptions would indicate to the nurse that the patient is experiencing referral pain?
If the patient describes the pain as starting at one spot and going towards another
A patient has been diagnosed with hypertension. Which statement made by the patient indicates that the patient understands what this disease process is?
"Hypertension is high blood pressure that can lead to serious health issues."
"Hypertension is caused by low blood pressure."
"Hypertension is a temporary condition that does not require treatment."
"Hypertension is a condition that only affects the elderly population."
A nurse is caring for a patient who is taking Labetalol for high blood pressure. Prior to giving the medication, the nurse performs an assessment with these findings:
VS: 98.6 F, RR 18, HR 58, BP 115/76, 98% on room air, clear lung sounds, regular heart rhythm. Which of the following actions is the most appropriate for the nurse to take next?
A patient has been newly diagnosed with hypertension. Which of the following are considered risk factors that are modifiable for this disease process?
Age
Genetics
High cholesterol
Smoking
Excessive alcohol consumption
A patient presents to the ER with shortness of breath. The patient is diagnosed with acute hypoxia. The patient asks what that means. Which of the following is an appropriate response by the nurse?
"Chronic hypoxia leading to improved lung function."
"Hypoxia is gradual increase in oxygen levels causing difficulty breathing."
"Hypoxia is low oxygen in the blood."
"Hypoxia is low oxygen levels to the tissues and cells."
Which of the following are late signs and symptoms of hypoxia? Select all that apply.
Bradycardia
Bradypnea
Central cyanosis
Tachycardia
Tachypnea
A nurse is preparing to document the care provided to a patient. Which of the following is important for the nurse to ensure regarding documentation?
A nurse is receiving shift report from the outgoing nurse. Which of the following should the nurse ensure is provided in the shift change report? Select all that apply
Recent Vital signs
Last assessment data completed
Pertinent past medical history of the patient
Patient's name and DOB
Patient's code status
A nurse is assessing a patient who is prescribed Metoprolol for hypertension. The patient's vital signs are: Temp 98.7°F, RR 16, HR 54, BP 110/70, SpO2 97% on room air. What should the nurse do before administering the medication?
Administer the Metoprolol as ordered
Hold the Metoprolol and notify the healthcare provider
Switch to a different antihypertensive medication
Increase the Metoprolol dose
A patient has a body temperature of 95.2°F. Which term should the nurse use when documenting this finding?
Normothermic
Febrile
Hypothermic
Hyperthermic
A nurse is caring for a patient who is experiencing chronic pain. Which of the following should the nurse monitor for as a potential psychological effect of chronic pain?
Enhanced appetite
Improved sleep patterns
Depression and anxiety
Increased socialization
A patient describes pain that is felt in the left shoulder but originates from the spleen. What type of pain is the patient experiencing?
Referred pain
Chronic pain
Radiating pain
Localized pain
A nurse is assessing a patient with suspected hypoxia. Which of the following clinical signs would most likely indicate hypoxia?
Hypertension and flushed skin
Decreased respiratory rate and cyanosis
Tachycardia and restlessness
Bradycardia and pale skin
The nurse hears a high-pitched musical sound during inspiration while auscultating a patient's lungs. What is the most appropriate term to document this finding?
Pleural friction rub
Rhonchi
Crackles
Wheezing
During a physical assessment, the nurse places the stethoscope at the left midclavicular line, 5th intercostal space. Which heart sound is best heard at this location?
Mitral valve closure
Pulmonic valve opening
Aortic valve closure
Tricuspid valve opening
A patient reports pain in the right shoulder after a gallbladder attack. What is this type of pain called?
Radiating pain
Phantom pain
Localized pain
Referred pain
A nurse is assessing a patient with asthma who is receiving oxygen therapy. Which finding would indicate the patient's respiratory status is deteriorating?
Decreased respiratory rate and improved breath sounds
Stable oxygen saturation and regular breathing pattern
Increased use of accessory muscles and decreased oxygen saturation
Decreased nasal flaring and normal skin color
A patient asks the nurse to explain what hypoxia means. Which response by the nurse is most accurate?
"Hypoxia is when there is too much oxygen in the blood."
"Hypoxia is a lack of oxygen reaching the body's tissues."
"Hypoxia is a condition where breathing becomes easier."
"Hypoxia is a temporary increase in oxygen levels."
While auscultating a patient's lungs, the nurse hears low-pitched, coarse sounds during expiration. What is the correct term to document this finding?
Rhonchi
Crackles
Pleural friction rub
Wheezing
A nurse is assessing a patient who is experiencing shortness of breath and confusion. Which of the following findings would most likely support a diagnosis of hypoxia?
Tachypnea and cyanosis
Bradycardia and normal skin color
Hypotension and flushed skin
Decreased respiratory rate and restlessness
Which of the following is a benefit of getting good, quality sleep?
Increased risk of heart disease
Improved concentration and productivity
Higher levels of stress
Weakened immune system
Which of the following is NOT a good sleep habit?
Going to bed at the same time every night
Using electronic devices right before bed
Creating a relaxing bedtime routine
Keeping the bedroom dark and quiet
Which of the following is a potential effect of sleep deprivation?
Enhanced memory
Improved mood
Increased risk of accidents
Better decision-making skills
What hormone is primarily responsible for regulating sleep-wake cycles?
Insulin
Melatonin
Adrenaline
Cortisol
How does good sleep affect the immune system?
It weakens the immune response
It has no effect on the immune system
It strengthens the immune response
It causes allergies
Which of the following is a recommended practice for improving sleep quality?
Drinking caffeine before bed
Exercising right before sleeping
Keeping a consistent sleep schedule
Eating a large meal before bed
A sleep disorder called sleep apnea can prevent a person from getting the rest they need. Sleep apnea also has been linked to which of these serious health risks?
Hypertension
Heart attack
Obesity
All of the above
Which of the following is a common sign of worsening hypoxia in a patient with respiratory distress?
Normal breath sounds and regular pulse
Decreased respiratory rate and pink skin
Increased restlessness and cyanosis
Improved oxygen saturation and calm demeanor
Which statement by a patient best demonstrates understanding of the importance of accurate blood pressure monitoring?
"I should always use the same arm and position when checking my blood pressure."
"It doesn't matter if I talk during the measurement."
"Crossing my legs will not affect the reading."
"I can use any size cuff for my arm."
what physical manifestations would you see in a malnourished person?
dry, brittle hair
quick wound healing
lack of subcutaneous fat
large BMI
enlarged spleen of liver
Which of the following are risk factors for inadequate nutrition?
age
excessive stress
neighborhood and built environment
unstable living situation
economic stability
A nurse is caring for a patient recovering from a surgical wound. Which meal selection indicates the patient understands the importance of protein in healing?
Which action is the nurse’s priority when assessing a patient’s nutritional status?
Obtain a weight and watching trends.
Which patient is at highest risk for malnutrition?
A 25-year-old athlete
A 40-year-old with hypertension
A 30-year-old following a vegetarian diet
An 82-year-old living alone with poor dentition
The nurse is teaching a patient about daily fluid intake. Which statement indicates a need for further teaching?
“Milk counts toward my fluid intake.”
“Soup is included in fluid intake.”
“Only water counts toward daily fluids.”
“Juice contributes to my daily fluid intake.”
Which food choice by a patient on a low-sodium diet indicates understanding of dietary restrictions?
Canned soup
Processed deli turkey
Frozen dinner entrée
Fresh grilled chicken with herbs
Which item is appropriate for a clear liquid diet?
Milk
Orange juice with pulp
Broth and plain gelatin
Cream soup
Which patient would most benefit from a high-protein diet?
Patient with hypertension
Patient recovering from surgery with a large wound
Patient with hyperlipidemia
Patient with lactose intolerance
