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Nursing and Medical Knowledge Worksheet

Total questions: 68

Worksheet time: 35mins

Name
Class
Date
1.

What is the most effective way to prevent infection?

a)

Hand Hygiene

b)

Wearing a mask

c)

Using sterile gloves

d)

Cleaning the room

2.

The nurse identifies the apical pulse at :

a)

5th left intercostal space, midclavicular line

b)

2nd right intercostal space

c)

Below the sternum

d)

4th intercostal space

3.

The safest way to lift an object is:

a)

Bend at the waist

b)

Keep legs straight

c)

Twist while lifting

d)

Use large leg muscles

4.

Orthostatic hypotension is prevented by:

a)

Rising slowly in stages

b)

Standing up quickly

c)

Drinking less water

d)

Lying flat after meals

5.

The first action when a medication order seems incorrect is to:

a)

Call the provider

b)

Check the MAR

c)

Administer the medication

d)

Ask another nurse

6.

Most accurate NG-tube placement confirmation is:

a)

Air bolus

b)

pH test

c)

Checking residual

d)

X-ray

7.

Most accurate NG-tube placement confirmation is:

a)

Air bolus

b)

pH test

c)

Checking residual

d)

X-ray

8.

Early sign of hypoxia:

a)

Cyanosis

b)

Bradycardia

c)

Warm skin

d)

Restlessness

9.

Which breaks sterile field?

a)

Turning back to the field

b)

Keeping hands above the waist

c)

Opening away from the body

d)

Treating the 1-inch border as contaminated

10.

Droplet precautions are required for:

a)

Influenza

b)

TB

c)

Measles

d)

Chickenpox

11.

Order for donning PPE:

a)

Gown → mask → goggles → gloves

b)

Mask → gown → gloves → goggles

c)

Gloves → gown → mask → goggles

d)

Goggles → gloves → mask → gown

12.

Priority for preventing pressure injuries:

a)

Massage reddened skin

b)

Use heating pads

c)

Limit fluids

d)

Reposition q2h

13.

Wheezing indicates:

a)

Fluid in lungs

b)

Collapsed alveoli

c)

Upper airway blockage

d)

Narrowed airways

14.

First step with incentive spirometer:

a)

Inhale quickly

b)

Exhale fully

c)

Remove mouthpiece

d)

Cough first

15.

Fall risk priority:

a)

Bed in lowest position

b)

Bed in highest position

c)

Remove call light

d)

Raise all side rails

16.

Which pulse site is used for CPR in adults?

a)

Carotid

b)

Radial

c)

Apical

d)

Brachial

17.

Normal respiratory rate for an adult?

a)

8–12

b)

20–28

c)

28–32

d)

12–20

18.

Which finding requires contact precautions?

a)

MRSA

b)

Influenza

c)

Tuberculosis

d)

Measles

19.

A patient with restraints must be assessed at least:

a)

Every hour

b)

Every 15 minutes

c)

Every 30 minutes

d)

Every 4 hours

20.

Best way to position a patient for drinking?

a)

High-Fowler’s position

b)

Supine position

c)

Prone position

d)

Trendelenburg position

21.

A patient with COPD should avoid:

a)

Too much oxygen

b)

Pursed-lip breathing

c)

Rest periods

d)

Small frequent meals

22.

Best site for an infant IM injection:

a)

Vastus lateralis

b)

Deltoid

c)

Dorsogluteal

d)

Abdomen

23.

A nurse must identify a patient using:.

a)

Wristband + another identifier

b)

Wristband + room number only

c)

Patient description

d)

Bed number + patient initials

24.

Normal potassium level:

a)

3.5–5.0 mEq/L

b)

1–2 mEq/L

c)

5–7 mEq/L

d)

7–9 mEq/L

25.

A patient refuses medication. The nurse should:

a)

Document refusal and notify provider

b)

Hide it in the patient's food

c)

Insist the patient takes it

d)

Ask family to give it

26.

Safest bath water temperature:

a)

100°F (38°C)

b)

120°F (49°C)

c)

90°F (32°C)

d)

140°F (60°C)

27.

Stage II pressure injury includes:

a)

Partial-thickness skin loss

b)

Full-thickness skin loss

c)

Non-blanchable erythema

d)

Necrotic tissue exposure

28.

First action after needlestick injury:

a)

Wash area with soap and water

b)

Keep working

c)

Wipe with alcohol

d)

Notify the physician

29.

Normal oxygen saturation for adults:

a)

95–100%

b)

80–89%

c)

70–79%

d)

60–69%

30.

Patient is short of breath. First intervention:

a)

Raise head of bed

b)

Call provider

c)

Start IV

d)

Give fluids

31.

Proper order for removing PPE:

a)

Gloves → goggles → gown → mask

b)

Gloves → goggles → mask → gown

c)

Mask → gown → gloves → goggles

d)

Goggles → gloves → gown → mask

32.

A healthcare associated infection is caused by:

a)

Hospital procedures

b)

Vaccines

c)

Healthy visitors

d)

Community exposure

33.

Before inserting a Foley catheter, the nurse must:

a)

Perform sterile technique

b)

Deflate the balloon

c)

Use clean gloves

d)

Ask family to leave

34.

Best method to assess fluid balance:

a)

I&O monitoring

b)

Temperature

c)

Capillary refill

d)

Lung sounds

35.

Pulse oximeter inaccurate with:

a)

Nail polish

b)

Short nails

c)

Warm hands

d)

Low hemoglobin

36.

Most reliable pain assessment:

a)

Patient self-report

b)

Provider observation

c)

Vital signs

d)

Nurse observation

37.

Best diet for wound healing:

a)

High protein

b)

Low protein

c)

High sugar

d)

Low calorie

38.

Fall precaution includes:

a)

Non-slip socks

b)

Bed in highest position

c)

Bedside table out of reach

d)

Cluttered room

39.

Proper position for enemas:

a)

Left Sims’

b)

Supine

c)

Right lateral

d)

High Fowler

40.

When should restraints be used?

a)

When less restrictive measures fail

b)

For staff convenience

c)

When patient is using call light frequently

d)

To prevent wandering

41.

Hypoglycemia symptoms include:

a)

Sweating and dizziness

b)

Flushed skin

c)

Bradycardia

d)

Increased hunger only

42.

Clean-catch urine specimen requires:

a)

Midstream collection

b)

Catheterization

c)

Drainage collection

d)

First morning sample

43.

Crackles in lungs indicate:

a)

Fluid in alveoli

b)

Airway narrowing

c)

Collapsed lung

d)

Upper airway obstruction

44.

Before ambulating a patient:

a)

Assess for dizziness

b)

Lower bed

c)

Increase room temperature

d)

Turn off oxygen

45.

Aspiration precautions include avoiding:

a)

Talking while eating

b)

Thickened liquids

c)

Chin-tuck technique

d)

Upright position

46.

Which food should be consumed before occurrence?

a)

Red meat

b)

Rice

c)

Water

d)

Apples

47.

Which is the best time to take medication?

a)

Same time

b)

After meal

c)

Before bed

d)

Random time

48.

Who is the highest-priority patient?

a)

Stable patient

b)

Patient with chest pain and dyspnea

c)

Patient with patient request

d)

Post-op patient that is stable condition

49.

Fill in the blank: The best time to take medication is _______.

a)

Same time every morning

b)

Whenever you remember

c)

Only before sleeping

d)

After you feel sick

50.

Fill in the blank: The highest-priority patient is _______.

a)

Patient with chest pain and dyspnea

b)

Patient with mild headache

c)

Patient with a sprained ankle

d)

Patient with a minor skin rash

51.
BID
a)
each ear
b)
with
c)
by mouth
d)
twice a day
52.

AC

(a)  

53.

When changing the soiled gown of a patient with left-sided paralysis, what will the nurse do first?

a)

Remove the sleeve from the weaker arm

b)

Roll the patient into a prone position

c)

Help the patient assume a side-lying position

d)

Remove the sleeve from the stronger arm

54.

What type of bed SHOULD the patient care technician make for a nursing home client who is up during the day?

a)

An open bed

b)

A closed bed

c)

An occupied bed

d)

A surgical bed

55.

A client who is normally responsive does not answer any of the patient care technician's questions when they enter the room to collect vital signs. The patient care technician SHOULD

a)

report the change in the client's status to the nurse.

b)

gently shake the client to see if they are awake.

c)

tell the client they will be punished if they do not respond to questions.

d)

come back at a later time to collect vital signs.

56.

Where do you administer an epipen?

a)

Between the knee and foot.

b)

Between the hip and knee.

c)

Between the elbow and the hand.

d)

Between the shoulder and the elbow.

57.
Which of these is the MOST accurate way to palpate a pulse
a)
Avoid compressing the artery against a bone or solid structure
b)
Use your thumb to increase surface area of your palpation
c)
Apply firm pressure with your ring and little fingers
d)
Place the tips of your index and middle finger over the pulse point
58.
Andy went to the middle east and came back with the measles.  He doesn't want anyone to know and asks his nurse to not tell anyone.  The nurse notifies public health authorities anyway.  Was HIPAA violated?
a)
Yes, the patient specifically asked her to protect his privacy.
b)
No, measles is a public health concern and trumps the patient's entitlement to privacy
c)
It depends on if the nurse has proper clearance from her boss.
59.

_________________ is a term when a person's freedom is intentionally violated.

a)

slander

b)

false imprisonment

c)

battery

d)

liability

60.

  1. A PCT is measuring a patient's oxygen saturation, but the patient has artificial nails on. Which of the following is an alternative location for the technician to use to obtain the measurement?

a)

finger

b)

thumb

c)

earlobe

d)

nose

61.
Daily weights are done:
a)
in the morning
b)
in the evening
c)
the same time each day
62.
The large intestine is responsible for?
a)
absorption of water
b)
absorption of food
c)
making chyme
63.

How many chambers are there in the Human Heart?

a)

5

b)

7

c)

4

d)

3

64.
The Pancreas is responsible for?
a)
Creating enzymes for digestion
b)
Regulating the sugar levels in your body
c)
Both A & B
d)
Neither A & B
65.
The three classes of nutrients that supply our body with energy are
a)
Glucose, Sucrose, Lactose
b)
Fat, proteins, carbohydrates
c)
Vitamins, minerals, fiber
d)
Protein, water, carbohydrates
66.
WHAT ARE THE 6 NUTRIENTS?
a)
Carbs, Meats, Fibers, Water, Protein, and Dairy
b)
Fruits, Milk, Fibers, Water, Pork, and Vitamins
c)
Carbs, Fats, Minerals, Water, Proteins, and Vitamins
d)
Carbs, Fats, Fibers, Cheese, Protein, and Vegtables
67.
Which one of these is considered the "good fats" that we get from foods?
a)
Unsaturated Fat
b)
Trans Fat
c)
Saturated 
d)
Carbs
68.

Time lapsed assessments compare current status to the ______data

a)

Subjective

b)

Projected

c)

Objective

d)

Baseline

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