Nursing School Fundamentals of Nursing 2

Question 1

During assessment, a nurse auscultates the lungs and hears a crackling, bubbling sound on inspiration. This is documented as:

Accepted Answer

Crackles (rales)

Answer

Rhonchi

Answer

Wheezing

Answer

Stridor

Question 2

Which of the following is a correct technique when taking an oral temperature with a glass thermometer?

Accepted Answer

Wait 15 minutes after the patient drinks cold water before measuring

Answer

Place the thermometer under the tongue for 2 minutes

Answer

Place the thermometer between the cheek and gum

Answer

Clean the thermometer before and after use with hot water

Question 3

A nurse applies standard precautions. Which patient condition requires droplet precautions in addition to standard precautions?

Accepted Answer

Influenza

Answer

Tuberculosis

Answer

C. difficile infection

Answer

MRSA wound infection

Question 4

A patient's urine output over 8 hours is 200 mL. How should the nurse interpret this finding?

Accepted Answer

Oliguria — below the expected minimum output

Answer

Normal output for an 8-hour period

Answer

Slightly above average but acceptable

Answer

Anuria — no urine is being produced

Question 5

When performing a sterile dressing change, the nurse accidentally touches the sterile field with an ungloved hand. What should the nurse do?

Accepted Answer

Discard the sterile field and set up a new one

Answer

Proceed if the contact was brief

Answer

Apply hand sanitizer and continue

Answer

Change gloves and continue using the same field

Question 6

Which nursing intervention is the highest priority for a patient experiencing anaphylaxis?

Accepted Answer

Administer epinephrine and maintain airway

Answer

Administer diphenhydramine (Benadryl) IV

Answer

Apply a cold compress to reduce swelling

Answer

Elevate the head of the bed to 90 degrees

Question 7

A nurse is caring for a patient with a nasogastric (NG) tube. Before administering tube feeding, what is the first action?

Accepted Answer

Verify tube placement by checking pH or x-ray confirmation

Answer

Flush the tube with 50 mL of water

Answer

Check residual gastric volume

Answer

Elevate the head of bed to at least 30 degrees