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Rutgers University, Newark_ Foundations Review Questions and Answers: From Moodle

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Foundations Review Questions: From Moodle 1. When caring for a patient with a UTI, you should educate the patient that their urine will turn orange when taking this medicine: A) Diureti B) Elavil ... C) Anticoagulants D) Levodopa E) Pyridium 2. These all affect the integrity of the respiratory system EXCEPT: A) Pregnancy B) Tinea Pedis C) Weight D) Pneumonia E) Asthma 3) You are a nurse and you see smoke coming from under the door of the staff lounge. What is your priority? A. Put out the fire. B. Pull the fire alarm. C. Evacuate the clients. D. Close all open door on the unit. 4) What is the best position to put a patient who is experiencing shortness of breath? A. Semi- Fowler's position B. Fowler's position C. High- Fowler's position D. TrendelenburgKate L. (PLEASE CONFIRM) 4. An idiosyncratic effect is thought to be the result of... a. two or more drugs acting simultaneously b. the body becoming accustomed to a drug c. genetic enzyme deficiencies leading to an unpredictable response d. the body's interpretation of the drug as a foreign substance 5. All of the following are risk factors for pressure ulcer development EXCEPT: a. IV fluids therapy b. multisystem trauma c. significant obesity d. history of corticosteroid therapy e. fractures 6. Which of the following assessment findings may indicate protein deficiency? a. dehydration b. hyperkalemia c. mental apathy d. headache 7. There are 6 standard rights that a nurse must adhere to before administering medications. Which of the following is not one of those rights? a. Right drug preparation b. right time c. right documentation d. right patient e. right medication 8. An arthritis patient is unable to get to the bathroom in time because getting out of bed is extremely painful for her. Which type of urinary incontinence is this? A. Stress B. Functional C. Reflex D. Urge 9. Which of the following is NOT a nursing implication for vision impaired patients?A. Acknowledge your presence in a patient's room B. Indicate that the conversation has ended when leaving room C. Keep call bell within reach D. Speak very loudly 10. The thermoregulatory center is located in the: A) pituitary gland B) hypothalamus C) pons D) medulla oblongata 11. When administering a controlled substance, which of the following information is not required A) name of the patient receiving narcotic B) time narcotic was ordered C) time narcotic was given D) name of nurse administering narcotic 12. The nurse is assessing a patient's status while in the PACU. Which patient adaptation is of most concern? a. Mental confusion b. Limited airway clearance c. Pain d. Incontinence 13 The nurse is caring for a group of patients with a variety of urinary problems. According to the nurse which of the following will cause the most concern? a. Diuresis b. Enuresis c. Anuria d. Dysuria14. Objective data might include: A) Chest pain B) Complaint of dizziness C) An evaluation of blood pressure D) None of the above 15. Which of the following is known to have the most important role in wound healing? A) Unsaturated fats B) A low calorie diet C) A low fat diet D) Protein 16) All are reactions of Kubler-Ross’s five stages of dying EXCEPT: (A.) Denial (B.) Anger (C.) Happiness (D.)Depression 17. Which nutrient provides energy when carbohydrate intake is inadequate? (A.) Fats (B.) Proteins (C.) Vitamins (D) Minerals 18. You are caring for an 86-year old female patient. Upon inspection of her skin, you notice a pressure ulcer on her right heel. You detect black eschar that is intact and without surrounding erythema. The best course of action is to: A. Remove the eschar on her right heel so you can stage the pressure ulcer B. Stable eschar on the heels serves as the body's natural, biological cover, so you decide it should not be removed C. Put a band-aid on the ulcer and hope it's better your next shift D. Insist that the patient walk around because pressure ulcers always occur in bed-bound patients 19. As a nurse, you understand that urine characteristics tell a lot about a patient's well-being. You are caring for a 30-year old male, who has a history of depression and is taking theantidepressant, amitriptyline. He expresses deep concern, because recently he has been noticing that his urine is a blue-green. What is the appropriate response to this patient? A. "Certain drugs may cause urine to change color. Amitriptyline is known to turn urine green or blue-green." B. "You must be having a bad reaction to your medication. I will tell the doctor and he will prescribe you something else." C. "You must have a urinary tract infection. I need you to give me a urine sample immediately." D. "What have you been eating recently? Only food can change the color of your urine." 20. The practitioner orders a clear liquid diet for a patient. Which food should the nurse teach the patient to avoid when following this diet? a. Strawberry Jell-O b. Decaf tea c. Strong coffee d. Ice cream 21.The patient has a decreased hemoglobin because of low intake of dietary iron. The nurse should teach the patient that the best source of iron is: a. Eggs b Fruit c. Meat d. Bread Kandy (Please Confirm) 22. A nurse is caring for a client who is at high risk for aspiration. Which of the following is an appropriate nursing intervention? A: Give the client thin liquids B: Instruct the client to tuck her chin when swallowing C: have the client use a straw D: encourage the client to lie down and rest after meals 23. A nurse is caring for a client who is on bed rest. Which of the following interventions should the nurse implement to maintain the patency of the client's airway??A: encourage isometric exercise B: suction every 8 hours C: give low-dose heparin D: promote incentive spirometer use 24. The clinical signs of impending or approaching death include all of the following EXCEPT: A. Loss of movement, sensation and, reflexes B. Decreasing blood pressure C. Increasing body temperature D. Weak, slow, or irregular pulse 25. Based on the circadian cycle, the body prepares for sleep at night by decreasing the body temperature and releasing what? A. Progesterone B. Melatonin C. Cortisol D. Estrogen 26. When bathing a patient’s extremities, the nurse should use long, firm strokes from the distal to the proximal areas. This technique: a. Provides an opportunity for skin assessment b. Avoids undue strain on the nurse c. Increases venous blood return d. Causes vasoconstriction and increases circulation 27. Vivid dreaming occurs in which stage of sleep? a. Stage I non-REM b. Rapid eye movement (REM) stagec. Stage II non-REM d. Delta stage 28. Which of the following values involves the respect for the worth and uniqueness of individuals and populations? A. Altruism B. Autonomy C. Human dignity D. Integrity 29. Which of the following assessments would be performed on a patient to gather more information about her breast cancer? A. Emergency Assessment B. Focused Assessment C. Time-lapsed Assessment D. Initial comprehensive assessment 30. What is not a component of the infection cycle? a. Portal of exit b. Means of transportation c. Susceptible host d. Heat 31. True or false: Cholinergic medications prevent reabsorption of water and certain electrolytes in tubules. False 32.When administering opioids, which one of the following is a primary concern when assessing for adverse effects? A. Constipation B. Nausea C. Respiratory depression D. Sedation 33. Which of the following is not true in performing a fecal occult test? A. The specimen cannot be contaminated with water or urine. B. A blue color change indicates a positive result. C. Only one stool specimen is sufficient for accurate testing.D. The test should be postponed if the patient has a recent throat or nose bleed. 34. Which of the following oxygen delivery systems delivers the highest concentration of oxygen? a. simple face mask b. partial rebreather mask c. nonrebreather mask d. ventri mask 35. Which of the following is NOT a safety consideration for portable oxygen? a. O2 canisters should be kept at least 5 feet away from gas stoves and other sources of open flames b. secure oxygen tank in a holder and away from direct sunlight c. avoid open flames in pt room d. do not use electrical equipment near oxygen set 36. Which of the following is NOT a postoperative respiratory complication to watch for? A. embolus B. pleural effusion C. atelectasis D. pneumonia 37. A patient with Hepatitis C would experience which type of pain? A. somatic B. cutaneous C. referred D. visceral 38. Which laboratory test result would the nurse interpret as indicating that a patient is at risk for poor nutritional status? a. decreased serum albumin level b. decreased lymphocyte count c. decreased blood urea nitrogen level d. increased platelet count 39. A nurse assesses a stage III pressure ulcer manifested as: a. redness that persists when pressure is relieved b. an open lesion with full thickness tissue loss and visible subcutaneous fat c. a necrotic area extending through the fascia to bone d. a reddened area with an abrasion and pain40. A nurse is giving an end-of-shift report about a client admitted earlier that day with pneumonia. Which of the following pieces of information is most essential to provide? A. Admitting diagnosis B. Diagnostic test results C. Body temperature D. Breath sounds 41. A nurse is caring for a client receiving fluid through a peripheral IV catheter. Which of the following findings at the IV site should the nurse recognize as infiltration? A. Purulent exudate B. Warmth C. Skin blanching D. Bleeding 42. Mr Powell, a dehydrated 35 year old has intravenous fluid running at 250 cc/h. for rapid rehydration. He is complaining of burning at the site. You see no redness, swelling, heat, or coolness upon inspection. You suspect Choose one answer. A: Phlebitis B. That the fluid is infusing too rapidly for comfort C: That something is wrong with IV fluid D: Infiltration 43. What is the lab test commonly used in the assessment and treatment of acid-base balance? A: Chemistry 1 B. Urinalysis C: Complete Blood count D: Arterial blood gas 44. Which of the following nursing diagnoses would most likely be considered a high priority? a. Disturbed personal identity b. Impaired gas exchange c. Risk for powerlessness d. Activity intolerance 45.. Which one of the following types of drug preparation is a medication in a clear liquid containing water, alcohol, sweeteners, and flavor? a. Elixir b. Suspension c. Solution d. Syrup46.Which type of catheter may be inserted at home by patients themselves? a. indwelling catheter b. intermittent catheter c. suprapubic catheter d. condom catheter 47. A chest tube is needed for a patient with a. hypoxia b. atelectasis c. dyspnea d. pleural effusion 48. What is the appropriate vascular access device for administering vesicants? A) Peripheral venous catheter B) Peripherally inserted central catheter C) Midline peripheral catheter D) None of the above 49. Which indicates partial compensation for metabolic acidosis? A) High pH, High PaCO2, High HCO3- B) High pH, Low PaCO2, Low HCO3- C) Low pH, Low PaCO2, Low HCO3- D) Low pH, High PaCO2, High HCO3- 50. Which of the following is NOT a site on the body where intramuscular injections can be given. A.VentroglutealB.Vastus lateralis C.Abdomen D.Deltoid 51. A patient is taking Levodopa, an antiparkisnon drug. What color would their urine be? A. Yellow B. Blue C. Green D. Brown/Black 52.In Fowler's position, the head of the bed should be elevated how many degrees? a. 30 to 45 degrees b. 60 to 75 degrees c. 75 to 90 degrees d. 45 to 60 degrees 53.Unless ordered otherwise, how often should a bed patient's position be changed? a. every two hours b. twice per eight hour shift c. every four hours d. once per eight hour shift 54. In adults, the desire to void occurs when the bladder collects about... a. 300-400 cc urine b. 200-300 cc urine c. 400-500 cc urine d. 150-250 cc urine 55. Who is responsible for maintaining the proper flow rate of the iv solution? a. The physician b. The nursing assistant c. The nurse d. The pharmacist 56.Hypoatremia causes cells to: a. Become hyperresponsive b. Remain staticc. Swell d. Shrink 57. The redness, warmth, and swelling around the site of injury in a patient’s arm are considered: a. Systemic signs of infection b. Local signs of infection c. Septicemia d. Chronic infection 58. True or False: Is Dementia considered a mental health disorder that can affect the elderly? True 59. What are considered indicating factors for poor nutrition? A) Dry, brittle hair B) Change in weight C) Pink gums D) Weakness E) Flaccid muscles F) Healthy appetite 60. When the nurse is bathing a young adult patient, the water should be between a. 95 and 100 degrees Farenheit b. 115 and 120 degrees Farenheit c. 90 and 95 degrees Farenheit d.110 and 115 degrees Farenheit Diana L Reyes (PLEASE CONFIRM)61. The nurse is assessing a 6-day postoperative patient. The patient says that it feels like “something has suddenly given way” in the wound. What wound complications does the nurse assess for? a. Fistula formation b. Hemorrhage c. Dehiscence d. Infection 62. Which of the following is not an indicator for Infiltration? A. Pallor and local swelling at the site. B. Decreased temperature of skin around the site. C. Damp dressing. D. Throbbing or burning at the site. 63. True or False. Vascular insufficiency has no affect on the distribution of medication throughout the body. False 64. In what stage does a pressure ulcer have full thickness skin loss without involving the underlying fascia? a) I b) II c) III d) IV 65. Which is not an example of a hypertonic solution? a) D10W b) 0.33 NS c) D5NS d) D5 in 0.45NS 66.True or false: Immovable joints (synarthrosis) have no joint cavity, have cartilage between bones and is an example of a vertebrae. True 67.Which of the following is NOT a joint movement? a) Adduction b) Eversion c) Pivot d) Dorsiflexion68. Which of the following fluid is the liquid constituent of blood? A. Intracellular fluid B. Extracellular fluid C. Interstitial fluid D. Intravascular fluid 69. Pain that is poorly localized and originates in the body organs is known as which of the following? A. Cutaneous Pain B. Somatic Pain C. Visceral Pain D. Perceived pain Emily Clarke (Please Confirm) 70. What is the normal range for Blood glucose? A. 50-100 B. 80-120 C. 100-120 D. 120-160 71. What is the most commonly used O2 delivery system? A. Face mask B. Tent C. Transtracheal catheter D. nasal cannula 72.The belief that everyone should conform to the majority belief system a.cultural blindness b.cultural assimilation c.cultural imposition d.culture conflict 73.Assault is intentional and wrongful physical contact with a patient that involves an injury or offensive contact. True or false 74. Which term would you document wound drainage that is thick, odorous and green?a. serous b. sanguineous c. serosanguineous d. purulent 75. When collecting urine sample for routine urinalysis, which of the following is true? a. a sterile sample is needed b. results may be altered if the sample is left standing in room temperature for a long time c. a clean-catch midstream sample is needed d. the patient's external meatus needs to be cleaned with antiseptic soap and water before collecting the sample 7 76. A nurse has an order to take the core temperature of a patient. At which of the following sites would a core body temperature be measured? a. Tympanic b. Oral c. Skin surface d. Axillary 2. 77. Which body fluid is the fluid within the cells, constituting about 70% of the total body water? a. Extracellular fluid b. Intracellular fluid c. Intravascular fluid d. Interstitial fluid 78. What sound would one expect to hear when percussing the chest wall/lungs of an emphysema patient? a. Tympany b. Resonance c. Dullness d. Hyperresonance 79. Which of the following would not be considered a parasomnia? a. Somnambulism b. Narcolepsy c. Bruxismd. Enuresis 80. Which electrolyte is most abounded in the body and its major component of bones and teeth: a) sodium b) potassium c) calcium d) phosphate 81. pH is regulated by: a) chemical buffer systems b) respiratory mechanisms c) renal mechanisms d) All of the above 82. All People Grieve in the same way. True or false? False 83. The first priority in preventing infections when providing care is hand washing? True or False? True 84. Who is responsible for maintaining the proper flow rate of the iv solution? A. The nursing assistant B. The Pharmacist C. The Nurse D. The Physician 85. The oropharyngeal and nasopharyngeal airway is used for A. Conscious, breathing patients B. Conscious, nonbreathing patients C. Unconscious, breathing patients D. Unconscious, nonbreathing patients 86. The nurse understands that which results in ketosis in a healthy person? A. Increased intake of protein B. Inadequate intake of carbohydrate C. Excessive intake of starch A.D. Decreased intake of fiber 87. The nurse is providing for the nutrition needs of several patients. The nurse identifies the need for an increase in caloric intake above average requirements for the patient who has: A. Nausea B. Dysphagia C. Pneumonia D. Depression 88. When assessing a patient’s sensory experience, which of the following would the nurse identify as the major components? a. The kinesthetic and visceral senses b. Reception and perception c. The intensity, size, change, or representation of stimuli d. Vision, hearing, smell, taste, and touch 89)Which patient would the nurse assess as being at greatest risk for sensory deprivation? a. An elderly man confined to bed at home after a stroke b. An adolescent in an oncology unit working on homework supplied by friends c. A woman in labor d. A toddler in a playroom awaiting same-day surgery 90. Potassium functions as which of the following? a) the chief electrolyte of extracellular fluid b) the most abundant electrolyte in the body c) the major cation of intracellular fluid d) the chief extracellular anion 91. Effective use of a metered dose inhaler requires which of the following actions? a) breathe in through the nose b) inhale two sprays with one breath c) hold breath for 5-10 seconds after inspiration d) exhale quickly through an open mouth92. The first two are fairly simple: The process of emptying the bladder is known as: A urination B micturition C voiding D A, B, C 93. A middle aged man visits a plastic surgeon. During the health history the nurse learns he has left his wife, bought a red Ferrari, and is now seeking cosmetic enhancement specifically "something to make me look ten years younger". The nurse understands the chosen surgery will be: A Minor, Diagnostic B Major, Ablative C Major, Elective D Major, Reconstructive But, here is a tougher one: 94. Which of the following can cause glossitis? A vitamin B12 excess B vitamin B12 deficiency C hypokalemia D vitamin B complex deficiency 95. 1. Side rails should be raised for confused and agitated patients. a. True b. False 96. In the case of a fire in the hospital, which step would you preform first? a. Activate the fire code system and notify the appropriate person b. Confine the fire by closing doors and windows c. Rescue anyone in immediate danger d. Evacuate patients and other people to a safe area97. Which are the most effective leg exercises the nurse should encourage a patient to perform to prevent circulatory complications during the postoperative period? a. Flexing the knees b. Isometric exercises c. Dorsiflexion exercises d. Passive range of motion 98. The nurse understands that excess fluid in the interstitial compartment results from increased: a. Oncotic pressure b. Diffusion pressure c. Hydrostatic pressure d. Intraventricular pressure Oluwatosin Akindunbi (Please Confirm) 99. Important patient teaching about medication for long-term ostomy patients includes avoiding a) Pain control medication b) Enteric coated medications c) Sustained release medication d) Opioids 100. What type of catheter has a balloon? a) Intermittent catheter b) Suprapubic catheter c) Condom catheter d) Indwelling catheter 101. When transferring a patient from a bed to a chair, the nurse should use which muscles to avoid back injury? A. Abdominal muscles B. Back muscles C. Leg musclesD. Upper arm muscles 102. Which of the following conditions may require fluid restriction? A. Fever B. Chronic Obstructive Pulmonary Disease C. Renal failure D. Dehydration 103. A post-operative client asks a nurse why they must do deep breathing exercises. The appropriate response from the nurse is: a. "Because the doctor has ordered it" b. "All clients must do deep breathing following surgery" c. "Insurance will only pay if deep breathing exercises are completed" d. "Deep breathing helps prevent pneumonia and atelectasis" 104. Health care consumers expect that nurses provide care that is a. Based on intuitive responses b. Continuing practices of the past c. Based on sound and current evidence d. The product of trial and error 105. A nurse should use the Z track method for the administration of iron to decrease risk of injecting medication into blood vessels. True/ False 106. Washing the hands for 15 seconds is the highest priority when it comes to infection control. True/ False [Show More]

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