Trivium Clinical Skills and Procedures 5

Question 1

Which finding during a focused abdominal assessment suggests a possible bowel obstruction?

Accepted Answer

Absent or high-pitched 'tinkling' bowel sounds

Answer

High-pitched, tinkling bowel sounds or complete absence of bowel sounds suggests a bowel obstruction due to trapped gas and fluid.

Question 2

A nurse is performing range-of-motion exercises on a patient's shoulder. Which motion describes moving the arm away from the midline of the body?

Accepted Answer

Abduction

Answer

Abduction refers to moving a limb away from the body's midline, such as raising the arm laterally from the side.

Question 3

A patient with a wound packed with sterile gauze has the packing removed incorrectly by a family member. What is the nurse's priority?

Accepted Answer

Assess the wound, apply a dry sterile dressing, and notify the provider

Answer

The nurse must assess the wound for integrity and bleeding, apply a clean dressing to protect it, and notify the provider for further wound management orders.

Question 4

When caring for a patient with a newly placed colostomy, which stool consistency indicates the stoma is in the ascending colon?

Accepted Answer

Liquid to semisolid stool

Answer

An ascending colostomy produces liquid to semisolid stool because most water absorption occurs in the transverse and descending colon, which is bypassed.

Question 5

A nurse is applying a transdermal medication patch. Which action is correct?

Accepted Answer

Apply to a hairless area and rotate sites, removing the old patch first

Answer

Transdermal patches require site rotation to prevent skin irritation and should be applied to hairless, non-irritated skin after removing the previous patch.

(Trivium) Trivium Health Care Exam Practice Test

(Trivium) Trivium Health Care Exam Practice Test

Trivium Clinical Skills and Procedures 5