TIA Fundamentals of Nursing 2

Question 1

A nurse is preparing to insert a urinary catheter. Which step should be performed first?

Accepted Answer

Explain the procedure to the patient

Answer

Open the sterile catheter kit

Answer

Cleanse the urinary meatus

Answer

Apply sterile gloves

Question 2

Which of the following findings is a classic sign of dehydration in an adult patient?

Accepted Answer

Decreased skin turgor

Answer

Bradycardia

Answer

Bounding peripheral pulses

Answer

Hypertension

Question 3

A nurse is caring for a postoperative client using a PCA pump. Which finding requires immediate intervention?

Accepted Answer

Respiratory rate of 8 breaths/min

Answer

Client rates pain as 3/10

Answer

Client is able to self-administer doses

Answer

Oxygen saturation of 96%

Question 4

Which nursing action best demonstrates the principle of beneficence?

Accepted Answer

Administering analgesics to relieve a client's pain

Answer

Allowing a client to refuse treatment

Answer

Maintaining a client's confidentiality

Answer

Distributing resources fairly among patients

Question 5

A nurse is changing a wound dressing. Which action maintains sterile technique?

Accepted Answer

Keeping the sterile field in view at all times

Answer

Reaching across the sterile field to retrieve supplies

Answer

Placing sterile items 1 inch from the edge of the sterile drape

Answer

Wearing clean (non-sterile) gloves throughout

Question 6

What is the correct needle angle for an intramuscular (IM) injection?

Accepted Answer

90 degrees

Answer

10–15 degrees

Answer

45 degrees

Answer

60 degrees