Essential Nursing Knowledge Quiz
Essential Nursing Knowledge Quiz
Test your knowledge and competency in essential nursing practices with our comprehensive quiz comprising 70 carefully crafted questions. This quiz covers vital topics including infection control, patient care, and emergency management, ensuring that you can provide the best care to your patients.
Each question is designed to challenge your understanding and apply your nursing knowledge effectively. Prepare yourself for:
- Critical thinking scenarios
- Common clinical practices
- Patient safety protocols
A nurse is teaching a newly licensed nurse about the care of a client who has a methicillin resistant Staphylococcus aureus (MRSA) infection. Which of the following statements by newly licensed nurse indicates an understanding of the teaching?
A. " I will place the client in a Private room."
B. " I will remove my gown before my gloves after providing client care."
C. " I will wear an N95 respirator mask when caring for the client."
D. " I will tell the client's visitors to wear a mask when they are within 3 feet of the client."
A nurse is planning care for a client who reports having a latex allergy. Which of the following interventions should the nurse include in the plan?
A. Cover the blood pressure cuff with a stockinette.
B. Wear powdered gloves when providing care to the client.
C. Apply adhesive tape when securing an IV insertion site.
D. Use plastic syringes for medication administration.
A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing the client's signature, the client states, " I trust my doctor, but I don't understand what is meant by resecting my intestines." Which of the following actions should the nurse take?
A. Describe the surgery to the client.
B. Notify the Provider.
C. Complete an incident report
D. Provide brochures about the procedure.
A nurse is documenting client care. Which of the following abbreviations should the nurse use?
A. " SQ" for subcutaneous
B. "SS" for sliding scale
C. "BRP" for bathroom privileges
D. "OJ" for orange juice
A nurse is preparing to bathe a client who has dementia. Which of the following actions should the nurse take?
A. Give detailed instructions for the client to follow.
B. Complete the bath even if the client is in distress.
C. Use distractions when bathing the client.
D. Allow the client to select the temperature of the bath water.
A hospice nurse is caring for a client who has end stage cancer. Which of the following interventions should the nurse include to promote the client's dignity?
A. Provide guided imagery exercises to the client.
B. Refrain from discussing the client's prognosis
C. Suggest that the client keep a journal.
D. Encourage the client to share their life story.
A nurse is caring for a client who has a closed wound drainage system. Which of the following actions should the nurse take?
A. Wear sterile gloves when emptying the container.
B. Reset the container with the drainage port closed
C. Connect the drain to high pressure suction.
D. Press straight down on the container to create vacuum.
A nurse receives a telephone prescription from a provider for a client who is experiencing pain. Which of the following responses should the nurse make?
A. " Will you please spell the name of that medication for me?"
B. "Let me clarify that you want the medication given qid, correct?"
C. " I will sign my name now and leave a space for you to sign your name."
D. "Let me provide you with the client's medical record number for identification."
During change of shift report, a nurse discovers she overlooked a prescription for a type and cross-match of a client who is to have surgery the next day. Which of the following actions should the nurse take first?
A. Inform the provider of the delay in obtaining the type and cross-match.
B. Obtain the client's type and cross-match.
C. Prepare an incident report for risk management.
D. Document the incident in the client's medical record.
A Nurse is caring for client who has pneumonia. The nurse should recognize which of the following should be discarded in a biohazard bag?
A. An emesis basin filled with blood from severe coughing
B. A bedpan containing diarrhea from a client who was receiving antibiotics
C. A disposable tissue containing expectorated sputum
D. A calibrated toilet insert filled with urine.
A nurse is caring for a client who is receiving enteral feedings via NG tube. Which following actions should the nurse take prior to administering the formula?
A. Check for gastric residual volume
B. Encourage the client to breathe deeply and cough.
C. Flush the tube with sterile 0.9% sodium chloride irrigation
D. Encourage the client to take sips of water.
A nurse is caring for a client immediately following the insertion of an NG tube. Which of the following should indicate to the nurse that the tube is placed incorrectly?
A. The client has a dry mouth
B. The client is coughing
C. The client has active bowel sounds
D. The client is hiccuping
A nurse is inserting an NG tube for a client who requires gastric decompression. Which of the following actions should the nurse take to verify proper placement of the tube?
A. Assess the client for a gag reflex
B. Measure the pH of the gastric
C. Place the end of the NG tube in the water to observe for bubbling
D. Asculatate 2.5 cm above the umbilicus while injecting 15 ml of water
A nurse is caring for a client who reports a pain level of 5 on a scale from 0-10. The client informs the nurse that pain meds are not an option for managing pain. Which of the following is an appropriate response by the nurse?
A. Would you like to get you a back massage?
B. Why do you think pain med is not going to help you?
C. You may take any herbal remedies you bring from home
D. I'm sure it will work if you just give it a chance
A nurse is caring for a client who has an extracellular fluid volume deficit. Which of the following findings should the nurse expect?
A. Bradycardia
B. Postural hypotension
C. Distended neck vein
D. Dependent edema
A nurse is caring for a client who is immunocompromised which of the following actions should the nurse take?
A. Use sterile gloves to provide perineal care
B. Cleanse hands with an alcohol based hand rub before client contact
C. Have the client apply a mask when children are visiting
D. Place the client in a semi-private room
Which of the following veins should the nurse select when initiating iv therapy?
A. The radial vein on the left arm
B. The cephalic vein in the left distal forearm
C. The cephalic within on the back of the right hand
D. The basilic vein in the right antecubital fossa
Interventions should the nurse take to prevent skin breakdown?
A. Apply powder to the client perineal area
B. Restrict client's fluid intake
C. Request a prescriptions for an indwelling urinary catheter
D. Apply a moisture barrier ointment after perineal hygiene
Client tells the nurse" I am looking forward to seeing my grandchildren grow up." the nurse should identify the client is experiencing which of the following stages of grief?
A. Acceptance
B. Bargaining
C. Anger
D. Denial
A nurse is teaching a client about the care and use of hearing aids. Which of the following instructions should the nurse include in the teaching?
A. Clean the hearing aid by soaking it in warm water
B. Turn the hearing aid off and the volume down before insertion
C. Replace the battery if the hearing aid emits a whistling sound
D. Leave the battery in place when the hearing aid is not in use
A nurse is teaching a client about the care and use of hearing aids. Which of the following should the nurse take?
A. Observe the client's eyes for the six cardinal position of gaze
B. Verify the client's ability to read letters on a snellen eye chart
C. Check the client's pupil reaction when focusing on distant and nearby objects
D. Test the client's eyes for reactions to light response
A nurse is teaching the assistive personnel about upper body mechanics to prevent injury. Which of the following actions by the AP demonstrate an understanding of the teaching?
A. Holding the object close to the body
B. Holding the object away from the body
A nurse is assessing a client who is immobile and notices a red area over the client's coccyx. Which of the following actions should the nurse take?
A. Change the clients position every 4 hours
B. Apply petroleum base ointment in the red area
C. Assess the red area for blanching
D. Use friction when cleansing the client's skin
A nurse is planning care to prevent skin breakdown for a client who is immobile and has urinary incontinence. Which of the following actions should the nurse include in the plan of care.
A. Request a prescription for an indwelling urinary cath
A nurse is teaching a client who had an enucleation about care of an artificial eye. Which of the following information should be included in the teaching? (select all that apply)
A. Store the artificial eye in the label container filled with 0.9% sodium chloride irrigation
B. Remove from the artificial eye by retracting the upper eyelid
C. Apply pressure just below artificial eye to break the suction
D. Clear the artificial eye with hydrogen peroxide before storing
E. Retract the upper and lower lids to reinsert the artificial eye
A nurse is caring for a client who is 2 days postoperative following bowel resection and reports sudden severe abdominal pain. Which of the following actions should the nurse take first?
A. Determine areas of resonance across the abdomen using a systematic approach
B. Expose the client's abdomen to look for changes in appearance
C. Perform abdominal palpation by pressing gently with the finger pads
D. Use the diaphragm of the stethoscope to listen for bowel sounds
A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurses priority?
A. Determine the client's reading ability
B. Review the use of an artificial larynx
C. With the client schedule a support session
D. For the client explain the techniques of esophageal speech
A home care nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (select all that apply)
A. I will use the bars when getting in and out of the bath tub
B. I need to check my medications for expiration dates
C. I need to have a fire escape plan with my family
D. I will apply tape over frayed areas of electrical cords
E. I need to set my hot water heater to 140 degrees Fahrenheit
A nurse in an emergency department is assessing a client who reports a right lower quadrant pain, nausea and vomiting for the past 48 hours? Which of the following actions should the nurse take first?
A. Offer pain medication
B. Palpate the abdomen
C.Auscultate bowel sounds
D.Administer an antiemetic
A nurse is caring for a client who recently received a diagnosis of terminal cancer. Which of the following statement by the client partner indicates maladaptive coping?
A. I don't know of if I will be able to meet his physical needs.
A nurse is planning care for a client who has a stage 1 pressure ulcer on the right heel. The nurse should anticipate application of which of the following dressings?
A. Dry gauge
B. Transparent
C. Calcium alginate
D. Hydrogel
A nurse is caring for a client who has brain cancer and is transferring to hospice care. The client's son tells the nurse "I don't know what to tell my dad if he asks how he is going to die". Which of the following is an appropriate response from the nurse?
A. "lets discuss your concerns about your father," or anything along those lines that is therapeutic.
A nurse is teaching an older adult client who has type 2 diabetes mellitus about how to care for corns and calluses toes. Which of the following statements by the client indicates understanding of the teaching?
A. I can apply lotion to soften the calluses as long as I don't put lotion between my toes
B. I can place an oval corn pad over toes that have corns as longs as a remove the pad weekly
C. I should soak my feet in warm water daily to soften corns and calluses
D. I should use an over the counter liquid medication to remove corns
A nurse is caring for a client who has wrists restraints after an episode of violent behavior. Which of the following actions should the nurse take?
A. Tie the restraints to the side rail
B. Secure restraints with a square knot
C. Remove one restraint at a time
D. Remove the restraints every 3 hours
A nurse is admitting a client who has a clostridium difficile infection. Which of the following actions should the nurse take? Select all that apply
A. Use an N95 respirator while providing client care
B. Wear a gown and gloves when providing client care
C. Assign the client to a private room with positive air flow
D. Wash hands with soap and water after contact with the client
E. Ensure the client does not receive fresh fruits
A nurse is planning care for a client who has latex allergy and is scheduled for surgery. Which of the following actions is appropriate to include in the clients plan of care?
A. Schedule the client as the first surgical procedure of the day
B. Cleanse the stoppers with primidone iodine for withdrawing medication
C. Remove the stop stocks from iv tubing
D.Ensure the gloves in the surgical suite are powdered gloves
A nurse is providing discharge teaching to a client who does not speak the same language as the nurse. Which of the following action should the nurse take?
A. Direct verbal discharge instruction to the interpreter
A nurse is teaching a client how to self-administer daily low dose heparin injections. Which of the following factors is most likely to increase the clients motivation to learn?
A. The client's belief that his needs will be met through education
B. The nurse explaining the need for education to the client
C. The client seeking family approval by agreeing to a teaching plan
D. The nurse's empathy about the client having to self-inject
A nurse is providing discharge teaching to a client who does not speak the same language as the nurse. Which of the following action should the nurse take?
A. Direct verbal discharge instruction to the interpreter
A nurse is teaching a client how to self-administer daily low dose heparin injections. Which of the following factors is most likely to increase the clients motivation to learn?
A. The client's belief that his needs will be met through education
B. The nurse explaining the need for education to the client
C. The client seeking family approval by agreeing to a teaching plan
D. The nurse's empathy about the client having to self-inject
A nurse is caring for a client who is receiving continuous enteral feedings through gastrostomy tubes. Which of the following actions should the nurse take?
A. Heat the formula to 105 degrees Fahrenheit
B. Flush the tubing with 10 ml of water every 2 hours
C. Change the tubing every 72 hours
D. Aspirate residual volume every 4 hours (Every 4-8 hours is correct)
A nurse is caring for a client who has an incisional wound and a prescription for wound care. Which of the following answers indicates the proper method of cleaning a wound site?
A. Use a different sterile swab for each stroke
A nurse is teaching a client who requires maximum support about how to use a two wheeled walker. Which of the following actions by the client indicates an understanding of teaching?
A. The client picks up the walker with each step
B. The client stoops slightly forward when moving the walker
C. The client stands with her elbows slightly flexed while holding the walker
D. The client moves the walker ahead 10 inches with each step (Incorrect b/c 6 inches max)
A nurse is caring for a client who refuses to follow the providers prescription for bed rest. The nurse over hears the assistive personnel tell the client that if she does not remain in bed he will place her in restraints. The nurse should identify that the AP is committing which of the following torts?
A. Libel
B. Defamation of character
C. Assault
D. Battery
A nurse is preparing to insert an IV catheter for an older adult client who has fragile skin. Which of the following actions should the nurse take?
A. Stabilize the vein by applying traction above the insertion site
B. Engorge the vein by placing the arm in the dependent position
C. Use friction at the insertion site to increase venous distention
D.Leave the tourniquet on for 30 to 60 seconds after initial insertion
A nurse is planning care for a client who has a new prescription for parental nutrition in 20% dextrose and fat emulsion. Which of the following is the appropriate action to indicate in the plan of care?
A. Prepare the client for a central venous line
B. Change the PN infusion bag every 48 hours
C. Administer the PN and fat emulsion separately
D.Obtain a random blood glucose daily
A nurse is caring for a client who is schedule for surgery while witnessing the client signature. While the client is saying I trust my doctor, but I don't understand what he meant when he said he'll reset my intestines. Which of the following actions should the nurse take?
A. Provide brochures about the procedure
B. Notify the provider
C. Complete an incident report
D. Describe the surgery to the client
A nurse is caring for a client who is agitated and threatening to harm others. The nurse places the client in restraints but does not notify the provider or obtain a prescription for the restraints. The situation respects which of the following torts?
A. False imprisonment
B. Invasion of privacy
C. Assault
D. Negligence
A nurse is conducting a Webber test on a client. Which of the following is an appropriate action for the nurse to take?
A.Place an activated tuning fork in the middle of the client's head
A nurse on a medical unit is caring for a group of clients. For which of the following tasks should the nurse wear a face shield.
A. Changing the brief of an older client who has Clostridium difficile
An adult client tells a nurse about recent lack of sleep due to changing to a night shift job. Which of the following interventions should the nurse suggest?
A. Use the television to mask external noises
B. Listen to soft music before lying down
C. Exercise just prior to bedtime
D.Keep the sleeping environment warm
A nurse is caring for a client who has a new diagnosis of fibromyalgia. The client tells the nurse that she wants to use traditional Chinese medicine for treatment instead of the medication prescribed by her provider. Which of the following is an appropriate response by the nurse?
A. You should ask the provider if she recommend traditional Chinese medicine.
A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend?
A. Eat a light carbohydrate snack before bedtime
B. Exercise 1 hour before bedtime
C. Drink a cup of hot cocoa before bedtime
D.Take a 30 min nap daily
A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates understanding in the teaching?
A. Each element has a range 1 to 5 points
B. The higher the score the higher the pressure ulcer risk
C. The clients age is part of the measurement
D. The scale measures six elements
A nurse is planning care for client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to include?
A. Ensure the client is free of metal objects
B. Administer 240 ml (8oz) oral contrast before the procedure
C. Monitor the client for pain in the suprapubic region
D. Assist the client with a bowel cleansing
A staff nurse is teaching a newly hired nurse about alternatives to the use of restraints on clients who are confused. Which of the following instructions should the staff nurse include
A. I don't know of if I will be able to meet his physical needs.
A nurse is planning to obtain a blood sample from a client for capillary blood glucose posttest. Which of the following should the nurse take to obtain the sample?
A. The pad of the finger tip
B. The lateral aspect of the finger
c. The pinna of the ear
D. The side of the wrist b A nurse is planning to discharge a client who has diabetes and a new prescription for insulin which of the following actions should the nurse plan to complete first? a. Provide the client with a contact number for a diabetes education specialist b. Make a copy of the medication record of the reconciliation for the client c. Determine whether the client can afford the insulin administration supplies d. Obtain printed information about self-administration c 104/177 Previous ↝ Next → Flip Space Profile Picture Created by Manuel_Acosta49
A nurse is planning to discharge a client who has diabetes and a new prescription for insulin which of the following actions should the nurse plan to complete first?
A. Provide the client with a contact number for a diabetes education specialist
B. Make a copy of the medication record of the reconciliation for the client
C. Determine whether the client can afford the insulin administration supplies
D. Obtain printed information about self-administration
A nurse is caring for a client who has influenza and isolation precautions in place. Which of the following actions should the nurse take to prevent the spread of infection?
A. Wear a mask when working within 3 feet of the client
A nurse is delegating client's care to the assistive personnel. Which of the following tasks should the nurse delegate to the AP?
A. Obtain input & output for the patient that was stable, ADLs, specimen collection, I&O, vital signs if stable
A nurse is teaching about home safety with. Which of the following instructions should the nurse include?
A. Use electrical tape to secure extension cords next to base boards on the floor
B. Replace carpet floors with tiles
C. Unplug electronics by grasping the cord
D. To use a fire extinguisher, aim high at the top of the flames
A nurse is caring for a client who has restraints to each extremity. Which of the following assessment should the nurse perform first?
A. Elimination needs
B. Comfort level
C. Peripheral pulses
D. Skin integrity
A nurse in a long-term care facility is assessing a client. Which of the following findings should the nurse recognize as an indication a fecal impaction?
A. Seepage of liquid stool
A nurse is caring for a client who has a tracheostomy which of the following actions should the nurse take?
A. Cotton tip applicator to clean the inside of the cannula
B. Soak the outer cannula in warm soapy tap water
C. Cleanse the skin around the stoma with normal saline
D. Secure the tracheostomy ties to allow one finger to fit snuggly underneath
A nurse is caring for a client who has a drainage evacuator. Which of the following is an appropriate action by the nurse?
A. I don't know of if I will be able to meet his physical needs.
A nurse is preparing to transfer a client who is partially weight bearing from the bed to a chair. Which of the following action should the nurse
A. Have the client bear weight on her stronger leg
A nurse in an acute care facility is preparing to transfer a client to a long-term facility. Which of the following information should be nurse include in the hand off report?
A. Effectiveness of the last dose of pain medication
A nurse is providing teaching to a client who is self-administer an ophthalmic solution. Which of the following statements by the client indicates understanding of the teaching?
A. I will keep my eyes closed for 5 mins after inserting drops
B. I will insert the drops in the center of the eye
C. I will press the inner corner of my eye after insert drops
D. I will raise my eye lid up while looking down and insert drops
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