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

Patient education and consent must occur before initiating any invasive procedure.

Question 2

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

Accepted Answer

Decreased skin turgor

Answer

Decreased skin turgor (tenting) is a classic sign of dehydration caused by loss of interstitial fluid.

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

A respiratory rate of 8 breaths/min indicates opioid-induced respiratory depression, which is a life-threatening emergency.

Question 4

Which nursing action best demonstrates the principle of beneficence?

Accepted Answer

Administering analgesics to relieve a client's pain

Answer

Beneficence means acting in the best interest of the patient, such as providing pain relief.

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

The sterile field must remain in constant view to ensure it is not contaminated.

TIA - Assessment Technologies Institute Practice Test