Fundamentals Nursing Review Quiz 15 Item Answer and Rationale

Fundamentals Nursing Review Quiz 15 Item Answer and Rationale



Fundamentals Nursing Review Quiz
The basic principles and practices of nursing as taught in educational programs for nurses.In a course on fundamentals of nursing traditionally required in the first semester of the program the student attends classes and gives care to selected patients.A fundamentals of nursing course emphasizes the importance of the fundamentals needs of humans as well as competence in basic skills as prerequisites to providing comprehensive nursing care.

Questions from the following chapters include and you have 9 minutes to master the question and the answer and rationale are included:

Chapter 1 Pain, Comfort, rest, and Sleep

Chapeter 2 Gastrointestinal System

Chapter 3 Fluid and Electrolytes

Chapter 4 urinary Elimination

Chapter 5 Oxygenation

Chapter 6 Nutrition

Chapter 7 Mobility

Chapter 8 Hygiene

Chapter 9 pharnacology

Chapter 10 Safety


Question #1: A patient who develops hives after receiving an antibiotic is exhibiting drug:

Fundamentals Nursing Review Quiz 15 Item Answer and Rationale
Answer and Rationale Option 1: A drug-allergy is an adverse reaction resulting from an immunologic response following a previous sensitizing exposure to the drug. The reaction can range from a rash or hives to anaphylactic shock. Option 4: Tolerance to a drug means that the patient experiences a decreasing physiologic response to repeated administration of the drug in the same dosage. Option 3: Idiosyncrasy is an individual’s unique hypersensitivity to a drug, food, or other substance; it appears to be genetically determined. Option 2: Synergism, is a drug interaction in which the sum of the drug’s combined effects is greater than that of their separate effects.

Question #2: When transferring a patient from a bed to a chair, the nurse should use which muscles to avoid back injury?

Fundamentals Nursing Review Quiz 15 Item Answer and Rationale
Answer and Rationale Option 4: The leg muscles are the strongest muscles in the body and should bear the greatest stress when lifting. Muscles of the abdomen, back, and upper arms may be easily injured.

Question #3: All of the following are good sources of vitamin A except:

Fundamentals Nursing Review Quiz 15 Item Answer and Rationale
Answer and Rationale Option 1: The main sources of vitamin A are yellow and green vegetables (such as carrots, sweet potatoes, squash, spinach, collard greens, broccoli, and cabbage) and yellow fruits (such as apricots, and cantaloupe). Animal sources include liver, kidneys, cream, butter, and egg yolks.

Question #4: Which of the following is a primary nursing intervention necessary for all patients with a Foley Catheter in place?

Fundamentals Nursing Review Quiz 15 Item Answer and Rationale
Answer and Rationale Option 4: Maintaining the drainage tubing and collection bag level with the patient’s bladder could result in reflux of urine into the kidney. Irrigating the bladder with Neosporin and clamping the catheter for 1 hour every 4 hours must be prescribed by a physician.

Question #5: All of the following are common signs and symptoms of phlebitis except:

Fundamentals Nursing Review Quiz 15 Item Answer and Rationale
Answer and Rationale Option 4: Phlebitis, the inflammation of a vein, can be caused by chemical irritants (I.V. solutions or medications), mechanical irritants (the needle or catheter used during venipuncture or cannulation), or a localized allergic reaction to the needle or catheter. Options 1, 2, and 3: Signs and symptoms of phlebitis include pain or discomfort, edema and heat at the I.V. insertion site, and a red streak going up the arm or leg from the I.V. insertion site.

Question #6: Clay-colored stools indicate:

Fundamentals Nursing Review Quiz 15 Item Answer and Rationale
Answer and Rationale Option 4: Bile colors the stool brown. Any inflammation or obstruction that impairs bile flow will affect the stool pigment, yielding light, clay-colored stool. Option 1: Upper GI bleeding results in black or tarry stool. Option 2: Constipation is characterized by small, hard masses. Option 3: Many medications and foods will discolor stool – for example, drugs containing iron turn stool black.; beets turn stool red.

Question #7: The purpose of increasing urine acidity through dietary means is to:

Fundamentals Nursing Review Quiz 15 Item Answer and Rationale
Answer and Rationale Option 4: Microorganisms usually do not grow in an acidic environment.

Question #8: Which of the following types of medications can be administered via gastrostomy tube?

Fundamentals Nursing Review Quiz 15 Item Answer and Rationale
Answer and Rationale Option 4: Most tablets designed for oral use, except for extended-duration compounds can be administered via gastrostomy tube. Options 1, 2, and 3: Capsules, enteric-coated tablets, and most extended duration or sustained release products should not be dissolved for use in a gastrostomy tube. They are pharmaceutically manufactured in these forms for valid reasons, and altering them destroys their purpose. The nurse should seek an alternate physician’s order when an ordered medication is inappropriate for delivery by tube.

Question #9: The nurse explains to a patient that a cough:

Fundamentals Nursing Review Quiz 15 Item Answer and Rationale
Answer and Rationale Option 1: Coughing, a protective response that clears the respiratory tract of irritants, usually is involuntary. Option 2: However, it can be voluntary as when a patient is taught to perform coughing exercises. Option C: An antitussive drug inhibits coughing. Option 4: Splinting the abdomen supports the abdominal muscles when a patient coughs.

Question #10: In a recumbent, immobilized patient, lung ventilation can become altered, leading to such respiratory complications as:

Fundamentals Nursing Review Quiz 15 Item Answer and Rationale
Answer and Rationale Option 1: Because of restricted respiratory movement, a recumbent, immobilize patient is at particular risk for respiratory acidosis from poor gas exchange; atelectasis from reduced surfactant and accumulated mucus in the bronchioles, and hypostatic pneumonia from bacterial growth caused by stasis of mucus secretions.

Question #11: In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his pain?

Fundamentals Nursing Review Quiz 15 Item Answer and Rationale
Answer and Rationale Option 4: In the evaluation step of the nursing process, the nurse must decide whether the patient has achieved the expected outcome that was identified in the planning phase.

Question #12: The physician orders gr 10 of aspirin for a patient. The equivalent dose in milligrams is:

Fundamentals Nursing Review Quiz 15 Item Answer and Rationale
Answer and Rationale Option 4: gr 10 x 60 mg/gr 1 = 600 mg

Question #13: A patient has returned to his room after femoral arteriography. All of the following are appropriate nursing interventions except:

Option 4: A hemoglobin and hematocrit count would be ordered by the physician if bleeding were suspected. Options 1, 2, and 3: The other answers are appropriate nursing interventions for a patient who has undergone femoral arteriography.

Question #14: Thrombophlebitis typically develops in patients with which of the following conditions?

Fundamentals Nursing Review Quiz 15 Item Answer and Rationale
Answer and Rationale Option 3: The factors, known as Virchow’s triad, collectively predispose a patient to thrombophlebitis; impaired venous return to the heart, blood hypercoagulability, and injury to a blood vessel wall. Option 1: Increased partial thromboplastin time indicates a prolonged bleeding time during fibrin clot formation, commonly the result of anticoagulant (heparin) therapy. Options 2 and 4: Arterial blood disorders (such as pulsus paradoxus) and lung diseases (such as COPD) do not necessarily impede venous return of injured vessel walls.

Question #15: Parenteral penicillin can be administered as an:

Fundamentals Nursing Review Quiz 15 Item Answer and Rationale
Option 1: Parenteral penicillin can be administered I.M. or added to a solution and given I.V. It cannot be administered subcutaneously or intradermally.

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11 Comments

  1. Aw, this was a very good post. Spending some time and actual
    effort to create a superb article… but what can I say… I put things off a
    lot and never manage to get nearly anything done.

  2. I have varicose veins. I used to have occasional bouts of phlebitis and had venous insufficiency with stasis eczema. I began taking diosmin, a citrus bioflavonoid, with hesperidin and the herbs mentioned in this article. (Venous Optimizer by Jarrow). I still have varicose veins but they’re about 75% improved. All the other issues are ancient history now.

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