8/10/2019 bsn 2 ward quiz
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Name: _____________________________________ Score: __________________Date: ______________________________________
1. The nurse in charge is assessing a patients
abdomen. Which examination technique
should the nurse use first?
a. Auscultation
b. Inspection
c. Percussion
d. Palpation
2. Nurse Baoraki is revising a clients care plan.
During which step of the nursing process
does such revision take place?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
3. The nurse in charge measures a patients
temperature at 102 degrees F. what is itsequivalent Centigrade?
a. 39 degrees C
b. 47 degrees C
c. 38.9 degrees C
d. 40.1 degrees C
4. The doctor orders dextrose 5% in water
(D5W) 1L to be infused over 8 hours. The IV
tubing delivers 15 drops per milliliters. The
nurse in charge should run the IV infusion at
a rate of:
a. 15 drops per minuteb. 21 drops per minute
c. 32 drops per minute
d. 125 drops per minute
5. Which pulse should the nurse palpate during
rapid assessment of an unconscious male
adult?
a. Radial
b. Brachial
c. Femoral
d. Carotid
6. Blood pressure measurement is an important
part of the patients data base. It is
considered to be:
a. The basis of the nursing diagnosis
b. Objective data
c. An indicator of the patients well-being
d. Subjective data
7. Jake is complaining of shortness of breath.
The nurse assesses his respiratory rate to be
30 breaths per minute and documents that
Jake is tachypneic. The nurse understands
that tachypnea means:
a. Pulse rate greater than 100 beats pe
minute
b. Blood pressure of 140/90
c. Respiratory rate greater than 20 breaths
per minute
d. Frequent bowel sounds
8. A client is receiving 115 mL/hr o
continuous IVF. The nurse notices that the
venipuncture site is red and swollen. Which
of the following interventions would the
nurse perform first?
a. Stop the infusion
b. Call the attending physician
c. Slow the infusion to 20 mL/hr
d. Place a cold towel on the site
9. Nurse Trina, a school nurse, alwaysperforms physical exam to students who
would want to take up nursing. Her
assessment would always start from head
down to the shoulder and waist. This
approach is called as:
a. System framework
b. Proximo-distal method
c. Cephalocaudal type
d. Mass to specific
10. Student Nurse Basmala is about to examine
the abrasions in the posterior portion of an
abuse 5 year old childs body. She would
begin her assessment by which of the
following sequence:
1. Inspection
2. Percussion
3. Palpation
4. Auscultation
a. 1, 2, 4, 3
b. 1, 2, 3, 4
c. 1, 4, 2, 3
d. 1, 3, 2, 411. Postural drainage to relieve respiratory
congestion should take place:
a. Before meals
b. Early morning
c. At bedtime
d. All of the above
12. Which of the following is most correc
concerning suctioning?
a. Apply suction for 5-10 seconds while
withdrawing the suction catheter
8/10/2019 bsn 2 ward quiz
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b. Hyper-oxygenate for several deep
breaths with the ambubag after each
procedure
c. Maintain a clean technique at all times
while suctioning
d. All of the above
13. To assess correct placement of a
nasogastric tube, the nurse should:
a. Instill 30 mL of saline to assess client
tolerance
b. Instill 10 mL of air into the tube and
listen for gurgling sounds with a
stethoscope over the gastric area
c. Aspirate the stomach content with a
syringe
d. Place the end of the tube in water to
assess for bubbling
14. A 43-year-old client is to have foley urinary
catheter care daily. Which of the following is
the best action to provide for the clients
privacy during the treatment?a. Pull the curtain
b. Cover the penis with a towel while
performing catheter care
c. Close the windows of the clients room
d. Ask the clients roommate to leave until
the treatment is finished
15. A patient has IVF infusing in the right arm.
When taking a blood pressure on this
patient, the nurse would:
a. Take the BP in the right arm
b. Take the BP in the left arm
c. Use the smallest possible cuffd. Report inability to take BP
Calculate the following:
16. D5W 1L to infuse for 8 hours, drop factor: 20
gtts/mL
17. D5LR 500 mL to infuse for 12 hours, drop factor:
15 gtts/mL
Identify the following:
18. pH 7.41
PaCO2 32
HCO3 18
19. pH 7.27
PaCO2 25
HCO3 20
20. pH 7.46
PaCO2 48
HCO3 37
Identify the following data as subjective orobjective:
21. Headache -22. Blood pressure (BP) 170/110 -23. Nausea -24. Diaphoresis -25. Equal pupillary reaction -26. Tingling sensation -27. Dizziness -28. Decreased muscle strength -29. Slurred speech -30. Numbness, left arm -
Elaine Ploransky is a pregnant 29-year-old marriedwoman, gravida 1, para 0. She is having contractions 5minutes apart, which she describes as severe cramps.Her husband states, I think her water broke on the wayto the hospital. Physical examination reveals that MrsPloransky is 6 cm dilated. Fetal monitor reveals a fetaheart rate of 120 beats per minute (BPM). The patientsvital signs include BP 140/80, pulse 90 BPMrespirations 22/min. Prenatal records reveal hemoglobin12.0, hematocrit 45, and blood type AB_.Identify:
Primary data source Secondary data source Subjective data Objective data
Prioritize the problems below, assigning primarysecondary, and tertiary levels of priority. Bleeding Fatigue, pallor, hemoglobin 7.0 Nausea and vomiting Grieving Sleep disturbance, fever, night sweats Knowledge deficit on self-administration of insulin Impaired mobility, fractured hip Irregular heart rate >140 BPM BP 70/40 New parent roleMetabolic Acidosis
Metabolic Alkalosis
Respiratory Acidosis
Respiratory Alkalosis
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