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

Crackles (rales) are discontinuous crackling or bubbling sounds heard on inspiration, often associated with fluid in the airways or alveoli.

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

Eating, drinking, or smoking can alter oral temperature readings, so the nurse should wait 15–30 minutes after these activities for an accurate result.

Question 3

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

Accepted Answer

Influenza

Answer

Influenza is transmitted via respiratory droplets and therefore requires droplet precautions in addition to standard precautions.

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 urine output is approximately 30 mL/hr; 200 mL over 8 hours (25 mL/hr) is below the minimum threshold and indicates oliguria.

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

Any contact with a sterile field by an unsterile item renders the entire field contaminated; a new sterile setup must be prepared.

Nursing School Practice Test

Nursing School Practice Test

Nursing School Fundamentals of Nursing 2