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1. Of the following infection control method which would prevent hepatitis B most effectively
a. Hand washing
b. Hepatitis B vaccine
c. Proper personal hygiene
d. Immune globulin
2. A newly RN nurse is about to insert a nasogastric tube to a client with Guillain-Barre Syndrome. To
determine the accurate measurement of the length of the tube be inserted, the nurse should:
a. Place the tube at the tip of the nose, and measure by extending the tube to the earlobe and
then down to the top of the sternum.
b. Place the tube at the tip of the nose, and measure by extending the tube to the earlobe and
then down to the xiphoid process.
c. Place the tube at the tip of the nose, and measure by extending the tube down to the chin
and then down to the top of the xiphoid process.
d. Place the tube at the base of the nose, and measure by extending the tube to the earlobe
and then down to the top of the sternum.
3. A stroke client who was initially on NGT feeding was able to tolerate soft diet so the physician
ordered for the removal of it. The nurse would instruct the client to do which of the following
before he removes the tube?
4. The nurse is preparing to give bolus enteral feedings via a nasogastric tube to a comatose client.
Which of the following actions is an inappropriate practice by the nurse?
a. A. If bowel sounds are absent, hold the feeding and notify the physician.
b. Assess tube placement by aspirating gastric content and check the PH level.
c. Warm the feeding to room temperature to prevent the occurrence of diarrhoea and cramps.
d. Elevate the head of the bed to 45 degrees and maintains for 30 minutes after instillation of
feeding.
5. Before feeding a client via NGT, the nurse checks for residual and obtains a residual amount of
90ml. What is the appropriate action for the nurse to take?
7. While changing the tapes on a tracheotomy tube, the client coughs and the tube is dislodged.
Which is the initial nursing action?
8. The nurse caring for a client with a pneumothorax and who has had a chest tube inserted notes
continuous gentle bubbling in the suction control chamber. What action is most appropriate of the
nurse?
9. A nurse is supervising a student nurse who is performing tracheotomy care for a client. Which of
the following actions by the student should the nurse intervene?
10. The nurse is handling a client with a chest tube. Suddenly, the chest drainage system is accidentally
disconnected, what is the most appropriate action for the nurse to take?
11. Care for an indwelling urinary catheter should include which of the following interventions?
12. The nurse recognizes that urinary elimination changes may occur even in healthy older adults
because of which of the following?
a. The bladder distends and its capacity increase
b. Older adults ignore the need to void
c. Urine becomes more concentrated
d. The amount of urine retained after voiding increase
13. The catheter slips into the vagina during a straight catheterization of a female client. The nurse
does which action?
a. Leaves the catheter in place and gets a new sterile catheter
b. Leaves the catheter in place and asks another nurse to attempt the procedure
c. Removes the catheter and redirects it to the urinary meatus
d. Removes the catheter, wipes it with a sterile gauze, and redirects it to the urinary meatus
14. Which statement indicates a need for further teaching of a home care client with a long term
indwelling catheter?
a. “I will keep the collecting bag below the level of the bladder at all times”
b. “Intake of cranberry juice may help decrease the risk of infection”
c. “Soaking in a warm tub bath may ease the irritation associates with the catheter”
d. I should use clean tech. When emptying the collecting bag
15. A patient’s urine is cloudy, is amber, and has an unpleasant odor. What problem may this
information indicate that requires the nurse to make a focused assessment?
a. Urinary retention
b. Urinary tract infection
c. Ketone bodies in the urine
d. High Urinary calcium level
16. A client who has an indwelling catheter reports I need to urinate. Which of the following
interventions should the nurse perform?
17. A provider prescribes a 24 hour urine collection for a client. Which of the following actions should
the nurse take?
a. Is a procedure during which fluid from the abdomen is removed through aneedle.
b. Is a procedure used to drain the fluid within the chest cavity surrounding the lungs.
c. Is a procedure where fluid is aspirated from the pericardium Contents.
d. None of the above
a. Is a procedure during which fluid from the abdomen is removed through aneedle.
b. Is a procedure used to drain the fluid within the chest cavity surrounding the lungs.
c. Is a procedure where fluid is aspirated from the pericardium Contents.
d. None of the above.
a. It is a treatment, typically using ultrasound shock waves, by which a kidney stone or other
calculus is broken into small particles that can be passed out by the body.
b. It is a surgical procedure to remove kidney stones.
c. Is a procedure during which fluid from the abdomen is removed through a needle.
d. None of the above
Post Test
1. Of the following infection control method which would prevent hepatitis B most effectively
e. Hand washing
f. Hepatitis B vaccine
g. Proper personal hygiene
h. Immune globulin
2. A newly RN nurse is about to insert a nasogastric tube to a client with Guillain-Barre Syndrome. To
determine the accurate measurement of the length of the tube be inserted, the nurse should:
e. Place the tube at the tip of the nose, and measure by extending the tube to the earlobe and
then down to the top of the sternum.
f. Place the tube at the tip of the nose, and measure by extending the tube to the earlobe and
then down to the xiphoid process.
g. Place the tube at the tip of the nose, and measure by extending the tube down to the chin
and then down to the top of the xiphoid process.
h. Place the tube at the base of the nose, and measure by extending the tube to the earlobe
and then down to the top of the sternum.
3. A stroke client who was initially on NGT feeding was able to tolerate soft diet so the physician
ordered for the removal of it. The nurse would instruct the client to do which of the following
before he removes the tube?
4. The nurse is preparing to give bolus enteral feedings via a nasogastric tube to a comatose client.
Which of the following actions is an inappropriate practice by the nurse?
e. A. If bowel sounds are absent, hold the feeding and notify the physician.
f. Assess tube placement by aspirating gastric content and check the PH level.
g. Warm the feeding to room temperature to prevent the occurrence of diarrhoea and cramps.
h. Elevate the head of the bed to 45 degrees and maintains for 30 minutes after instillation of
feeding.
5. Before feeding a client via NGT, the nurse checks for residual and obtains a residual amount of
90ml. What is the appropriate action for the nurse to take?
7. While changing the tapes on a tracheotomy tube, the client coughs and the tube is dislodged.
Which is the initial nursing action?
8. The nurse caring for a client with a pneumothorax and who has had a chest tube inserted notes
continuous gentle bubbling in the suction control chamber. What action is most appropriate of the
nurse?
9. A nurse is supervising a student nurse who is performing tracheostomy care for a client. Which of
the following actions by the student should the nurse intervene?
10. The nurse is handling a client with a chest tube. Suddenly, the chest drainage system is accidentally
disconnected, what is the most appropriate action for the nurse to take?
11. Care for an indwelling urinary catheter should include which of the following interventions?
13. The catheter slips into the vagina during a straight catheterization of a female client. The nurse
does which action?
e. Leaves the catheter in place and gets a new sterile catheter
f. Leaves the catheter in place and asks another nurse to attempt the procedure
g. Removes the catheter and redirects it to the urinary meatus
h. Removes the catheter, wipes it with a sterile gauze, and redirects it to the urinary meatus
14. Which statement indicates a need for further teaching of a home care client with a long term
indwelling catheter?
e. “I will keep the collecting bag below the level of the bladder at all times”
f. “Intake of cranberry juice may help decrease the risk of infection”
g. “Soaking in a warm tub bath may ease the irritation associates with the catheter”
h. I should use clean tech. When emptying the collecting bag
15. A patient’s urine is cloudy, is amber, and has an unpleasant odor. What problem may this
information indicate that requires the nurse to make a focused assessment?
e. Urinary retention
f. Urinary tract infection
g. Ketone bodies in the urine
h. High Urinary calcium level
16. A client who has an indwelling catheter reports I need to urinate. Which of the following
interventions should the nurse perform?
17. A provider prescribes a 24 hour urine collection for a client. Which of the following actions should
the nurse take?
e. Is a procedure during which fluid from the abdomen is removed through aneedle.
f. Is a procedure used to drain the fluid within the chest cavity surrounding the lungs.
g. Is a procedure where fluid is aspirated from the pericardium Contents.
h. None of the above
e. Is a procedure during which fluid from the abdomen is removed through aneedle.
f. Is a procedure used to drain the fluid within the chest cavity surrounding the lungs.
g. Is a procedure where fluid is aspirated from the pericardium Contents.
h. None of the above
e. Is a procedure during which fluid from the abdomen is removed through aneedle.
f. Is a procedure used to drain the fluid within the chest cavity surrounding the lungs.
g. Is a procedure where fluid is aspirated from the pericardium Contents.
h. None of the above.
a. It is a treatment, typically using ultrasound shock waves, by which a kidney stone or other
calculus is broken into small particles that can be passed out by the body.
b. It is a surgical procedure to remove kidney stones.
c. Is a procedure during which fluid from the abdomen is removed through a needle.
d. None of the above