KAPLAN FUNDAMENTALS I, II.

1. Which of the followings actions, if performed by the nurse, would illustrate

breach in basic health care ethics?

o Reporting a colleague who is late to work to the nurse manager.

o Writing a personal nursing story for 3 popular nursing journal.

o Discussing a patient’s history with a friend who works in the lab.

o Asking a nursing assistant to leave her assignment to help you turn a patient.

2. The nurse is planning care for a patient who is to receive total parenteral

nutrition (TPN). Which of the following nursing actions should be included in

the immediate plan?.

o Teach the patient to test the urine for metabolites.

o Stop the infusion rate during periods of patient activity.

o Test the patient blood glucose every 4 to 6 hours.

o Place the patient on high fiber diet.

3. The best way for the nurse to verify the placement of an NG tube in a patient is

to:

o Invert the tube in a cup of sterile saline.

o Check the PH of aspirated stomach contents.

o Inject air and listen for a swoosh.

o Palpate the end of the tube in the patient’s abdomen.

4. The nurse is observing a nursing assistant provide an intermittent tube feeding

to a patient with a large bore NG tube. Which of the following reservations

would require an intervention by the nurse?.

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o The end of the NG tube is plugged while the nursing assistant gathers the

equipment.

o The barrel of the syringe is filled with the formula before the tube is unclamped.

o The plunger of the syringe is pushed to deliver the formula to the stomach.

o The tube is clamped before the barrel of the syringe is removed from the end.

5. The nurse assesses a 24-year-old client’s apical pulse to be 100 and irregular.

What is the NEXT action the nurse should take?

o Ask the physician on call to see the client.

o Wait five minutes and then retake the client’s apical pulse.

o Take the client’s apical-radial pulses and assess the difference in rates.

o Ask the client’s if the pulse is usually regular.

6. To remove a fecal impaction from a 86-year-old patient, it is MOST important

for the nurse to:

o Position the patient prone with his head turned to the left side.

o Remove the entire fecal mass at one time.

o Provide an analgesic before the procedure.

o Periodically assess the patient’s heart rate during the procedure.

7. To administer a soap-suds enema to an adult before abdominal surgery, the

nurse should:

o fill the container with cold water to soother the intestinal mucosa.

o Insert the tip for the rectal tube 1-2 inches into the rectum.

o Raise the fluid container 12-18 inch above the patient’s anus.

o Remove and replace the rectal tube several times during the procedure.

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8. Which of the followings symptoms would indicate to the nurse that a 6-yearold girl needs to be suctioned?

o The patient is drooling(babeando).

o The patient is hoarse(ronco) when she talks.

o The patient complains of a sore throat(dolor de garganta).

o The patient’s lips are chapped(agrietados).

9. A client who has been placed on a low-fat diet asks the nurse for the best choice

among these foods. The nurse should select:

o Chicken noodle and apple juice.

o Macaroni and cheese and iced tea.

o Cooked oatmeal with whole milk and black coffee.

o Whole wheat toast and orange juice.

10. On the way to work. The nurse encounters a school bus that has just hit a tree.

The driver is unhurt but several children are bruised and bleeding. After

calling the emergency number, the nurse’s BEST course of action is to:

o Talk to the children to keep calm until the paramedics arrive to initiate care.

o Administer first aid to the most injured children and direct the driver to

handle the unhurt children.

o Run to the nearest occupied building for help, or stop another car on the road

and ask for volunteers.

o Make sure no one is in immediate danger then drive to work and check on the

accident victims during break.

11. To place a 67-year-old patient who is immobile on a bedpan the nurse should:

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