TIA Fundamentals of Nursing 3

Question 1

A client's urine output over 8 hours is 200 mL. The nurse should recognize this as:

Accepted Answer

Oliguria

Answer

Normal output

Answer

Polyuria

Answer

Anuria

Question 2

Which action should a nurse take when a patient's peripheral IV site shows redness, warmth, and swelling?

Accepted Answer

Discontinue the IV and start a new site

Answer

Slow the infusion rate

Answer

Apply a warm compress and continue infusion

Answer

Document and continue to monitor

Question 3

A nurse must document a medication error. Which entry is most appropriate?

Accepted Answer

'Wrong medication given; incident report filed; physician notified; patient assessed'

Answer

'Error made by night nurse'

Answer

'Patient given wrong drug but appears fine'

Answer

'Charting done per policy'

Question 4

Which type of isolation precaution is required for a patient with active pulmonary tuberculosis?

Accepted Answer

Airborne precautions

Answer

Contact precautions

Answer

Droplet precautions

Answer

Protective environment

Question 5

When assessing a patient's pain, which tool is most appropriate for a non-verbal patient?

Accepted Answer

FLACC Behavioral Scale

Answer

Numeric Rating Scale (NRS 0–10)

Answer

Visual Analog Scale (VAS)

Answer

FACES Pain Scale

Question 6

A nurse is preparing to transfer a patient from bed to wheelchair. Which action is the priority?

Accepted Answer

Lock the wheelchair wheels

Answer

Place the wheelchair parallel to the bed

Answer

Ask a colleague to assist

Answer

Instruct the patient on the transfer technique