NursGuru

    Exam Review

    1. A nurse who was present at the time of the death of a patient should document:
      A)
      time of death.
      B)
      which family members were notified.
      C)
      notification of the mortuary.
      D)
      time at which life signs ceased.
    2. A patient in the outpatient clinic has provided a urine sample. To perform a urine dipstick test accurately, the nurse wets the dipstick and starts timing:
      A)
      after 30 seconds.
      B)
      immediately.
      C)
      after 10 seconds.
      D)
      after 5 seconds
    3. A patient dies after suffering a severe cerebrovascular accident (CVA). The family members are informed of his demise and are at the bedside. What documentation should be noted in the patient's medical record? (Select all that apply.)
      (SATA)
      A)
      Time vital signs ceased
      B)
      Results of the autopsy
      C)
      Why the patient died
      D)
      Official time of death
      E)
      Who pronounced the patient
    4. The nurse preparing a patient for a magnetic resonance imaging (MRI) should determine if the patient has:
      A)
      respiratory allergies
      B)
      dizziness.
      C)
      Fear of the dark.
      D)
      Claustrophobia

    Exam Review

    1. Prior to the nurse transporting the patient to have a magnetic resonance imaging (MRI), it is essential that the nurse confirms that the patient:
      A)
      has a Foley catheter in place.
      B)
      has drunk a litre of fluid.
      C)
      has eaten a meal
      D)
      is not wearing anything with metal.
    2. While admitting a patient from home to the skilled nursing facility, the nurse notes that the patient has brought medications that are not included on the primary care provider's medication order sheet. The nurse's best initial action is to:
      A)
      Send the medications home with a family member.
      B)
      Notify the physician about the medications the patient has been taking
      C)
      Administer the medications with the ordered medications.
      D)
      Seal the medications in an envelope and lock it in the medicine cart.
    3. The nurse instructs an outpatient female patient preparing for an abdominal ultrasonography that prior to the procedure, she should:
      A)
      Eat or drink nothing after midnight.
      B)
      Empty the bladder fully.
      C)
      Drink a liter of water.
      D)
      Use enemas at home to clear the bowel fully.
    4. A patient is scheduled to have a diagnostic procedure performed on an outpatient basis at 9:00 AM. The nurse will advise the patient to:
      A)
      Arrive 2 hours before the scheduled procedure.
      B)
      Wear comfortable clothing.
      C)
      Read printed materials about the procedure.
      D)
      Be prepared to pay at least 10% of the predicted cost of the hospitalization.

    Exam Review

    1. For the patient who just had a liver biopsy performed, the nurse should position him:
      A)
      On his right side lying for 2 hours.
      B)
      Supine for 3 hours.
      C)
      Prone for 1 hour.
      D)
      On his left side lying for 4 hours.
    2. When collecting a blood sample with a Vacutainer system, it is important to:
      A)
      Stabilize the holder when changing tubes.
      B)
      Withdraw the holder and tube at the same time.
      C)
      Replace the tube stopper firmly for each sample.
      D)
      Release the tourniquet after successful venipuncture.
    3. The correct technique for obtaining a stool specimen for ova and parasites is to use a wooden stick and:
      A)
      Obtain the specimen from two parts of the stool
      B)
      Obtain the specimen from the middle of the stool.
      C)
      Place the whole stool specimen in the specimen container.
      D)
      Include any liquid stool
    4. For the nurse to provide support to families of patients who have died, it is most important to:
      A)
      have a personal experience of a similar nature.
      B)
      read a number of articles about death and dying.
      C)
      have an understanding that all people deal with death in due time.
      D)
      deal with personal feelings about death and dying.

    Exam Review

    1. A patient's condition warrants a transfer from intensive care to a regular nursing unit in the same acute care facility. Before assisting with the patient's move. the nurse notes that the transfer has been authorized by the:
      A)
      primary care provider.
      B)
      charge nurse.
      C)
      family.
      D)
      patient.
    2. . State medical care coverage for low-income individuals called _______________.
      A)
      Medicaid
      B)
      Medicare
      C)
      Social security
      D)
      Private insurance
    3. An older adult patient has had a series of enemas in preparation for a gastrointestinal diagnostic procedure. Which electrolytes should be monitored following the enemas?
      A)
      Sodium and potassium
      B)
      Selenium and zinc
      C)
      Magnesium and phosphorus
      D)
      Calcium and chloride
    4. Pressure must be placed over the site of insertion of the catheter used for an angiogram, or a(n) ______________ may form.

    Exam Review

    1. The technique of _______________ is used to obtain a sample of bone marrow for diagnostic testing.
    2. A patient has an acute care facility discharge order for later that day. The LPN/LVN understands that part of the discharge process to be performed by the registered nurse is:
      A)
      assisting the patient to get dressed.
      B)
      accompanying the patient to the acute care facility entrance.
      C)
      writing the discharge instructions.
      D)
      packing the patient's personal belongings.
    3. The nurse is aware that patients who are not candidates for magnetic resonance imaging (MRI) include patients with: (Select all that apply)
      A)
      cardiac pacemakers.
      B)
      allergy to iodine.
      C)
      automatic implantable cardiac defibrillators
      D)
      metal hip prosthesis.
      E)
      bleeding tendencies.
    4. New orders have been written by the primary care provider for a patient admitted to a skilled nursing facility. After transcription, the orders will be verified by the:
      A)
      unit secretary.
      B)
      director of nurses.
      C)
      LPN/LVN in charge.
      D)
      administrative RN.

    Exam Review

    1. The nurse is performing an initial assessment on a patient with respiratory difficulty. The nurse would anticipate documenting signs and symptoms such as:
      A)
      excessive dryness.
      B)
      regular respiratory pattern.
      C)
      use of accessory muscles.
      D)
      alteration in sensation.
    2. The primary care provider has ordered the collection of a 24-hour urine specimen. The nurse's instructions to the patient for proper collection of the urine specimen include: (Select all that apply.)
      A)
      Void a small amount of urine after external genitalia are cleansed.
      B)
      Empty the bladder into the toilet and begin timing the collection.
      C)
      Keep the container on ice if instructed to do so.
      D)
      Keep the container refrigerated as needed.
      E)
      Save only the first voiding in the morning.
    3. A(n) ____________ is usually flexible, contains a fiber optic light, and is used to view the interior of body structures.
    4. A breast ______________ is often performed to determine whether a lump in the breast needs to be removed.