Question 1

What is an expected outcome after tracheostomy care is successfully performed?

Accepted Answer

A)  A stoma site that is hard to the touch 
B)  An inner cannula that is free of secretions 
C)  Copious secretions obtained from suctioning 
D)  Bloody secretions that have been suctioned 
A)  A stoma site that is hard to the touch 
B)  An inner cannula that is free of secretions 
C)  Copious secretions obtained from suctioning 
D)  Bloody secretions that have been suctioned

Question 2

What instructions should the nurse provide when teaching the patient and the patient's caregiver how to administer parenteral nutrition (PN)?

Accepted Answer

A)  PN solution should be kept refrigerated until time of administration. 
B)  Remixing separated mixture components by shaking the bag is common. 
C)  PN is incompatible with most intravenous (IV)medications. 
D)  Blood glucose monitoring will be necessary. 
A)  PN solution should be kept refrigerated until time of administration. 
B)  Remixing separated mixture components by shaking the bag is common. 
C)  PN is incompatible with most intravenous (IV)medications. 
D)  Blood glucose monitoring will be necessary.

Question 3

In teaching the patient how to take his or her own blood pressure,the nurse instructs the patient to avoid which of the following actions 30 minutes before taking blood pressure (BP)? (Select all that apply.)

Accepted Answer

A)  Exercise 
B)  Caffeine 
C)  Smoking 
D)  Resting 
A)  Exercise 
B)  Caffeine 
C)  Smoking 
D)  Resting

Question 4

The nurse is teaching the patient and caregiver how to perform tracheal suctioning.What does proper technique include?

Accepted Answer

A)  Teaching how to instill normal saline before suctioning 
B)  Suctioning the nasal and oral pharynx before the trachea 
C)  Encouraging daily brushing of the teeth and oral hygiene 
D)  Having the patient take two to three deep breaths after the procedure 
A)  Teaching how to instill normal saline before suctioning 
B)  Suctioning the nasal and oral pharynx before the trachea 
C)  Encouraging daily brushing of the teeth and oral hygiene 
D)  Having the patient take two to three deep breaths after the procedure

Question 5

Expected outcomes for patients who are being taught how to use a thermometer include which of the following outcomes? (Select all that apply.)

Accepted Answer

A)  Ability to correctly measure temperature 
B)  Ability to properly clean and store the thermometer 
C)  Knowledge of normal temperature ranges 
D)  Knowledge of signs and symptoms of fever 
E)  None of the above 
A)  Ability to correctly measure temperature 
B)  Ability to properly clean and store the thermometer 
C)  Knowledge of normal temperature ranges 
D)  Knowledge of signs and symptoms of fever 
E)  None of the above

Question 6

Oxygen-conserving devices (OCDs)reduce the amount of oxygen the patient uses,resulting in an overall cost reduction to the patient.The type of OCD that delivers oxygen only during inspiration is called a _______________.

Accepted Answer

A)  reservoir nasal cannula 
B)  demand pulsing oxygen-delivery system 
C)  transtracheal oxygen catheter 
D)  nonrebreather mask 
A)  reservoir nasal cannula 
B)  demand pulsing oxygen-delivery system 
C)  transtracheal oxygen catheter 
D)  nonrebreather mask

Question 7

When teaching the patient about performing tracheostomy care,which of the following actions is an acceptable technique?

Accepted Answer

A)  Remove the old ties before applying the new. 
B)  Keep two tracheostomy tubes of the same size at the bedside. 
C)  Place the new tracheostomy tie,then remove the old tie. 
D)  Dispose of all old supplies and replace with new. 
A)  Remove the old ties before applying the new. 
B)  Keep two tracheostomy tubes of the same size at the bedside. 
C)  Place the new tracheostomy tie,then remove the old tie. 
D)  Dispose of all old supplies and replace with new.

Question 8

Which of the following clinical findings are signs of hyperthermia? (Select all that apply.)

Accepted Answer

A)  Dry,warm,flushed skin 
B)  Chills and piloerection 
C)  Uncontrolled shivering 
D)  Loss of memory 
A)  Dry,warm,flushed skin 
B)  Chills and piloerection 
C)  Uncontrolled shivering 
D)  Loss of memory

Question 9

The patient's caregiver is checking the patient's nasogastric (NG)tube for gastric residual before proceeding with the patient's next feeding.The patient aspirates 150 mL of residual.What should the caregiver do now?

Accepted Answer

A)  Hold the feeding. 
B)  Contact the health care provider. 
C)  Proceed with the feeding,but do not return the aspirated contents to the stomach. 
D)  Proceed with the feeding after returning the aspirated contents to the stomach. 
A)  Hold the feeding. 
B)  Contact the health care provider. 
C)  Proceed with the feeding,but do not return the aspirated contents to the stomach. 
D)  Proceed with the feeding after returning the aspirated contents to the stomach.

Question 10

What should the nurse instruct the parents to do when teaching them about temperature monitoring for a child?

Accepted Answer

A)  Use only a glass mercury thermometer. 
B)  Take the temperature after shivering subsides. 
C)  Avoid the use of tepid water sponging for fever. 
D)  Adjust the temperature reading if the child has eaten a popsicle. 
A)  Use only a glass mercury thermometer. 
B)  Take the temperature after shivering subsides. 
C)  Avoid the use of tepid water sponging for fever. 
D)  Adjust the temperature reading if the child has eaten a popsicle.

Question 11

What is an appropriate technique to use when teaching an older patient about self-medication in the home?

Accepted Answer

A)  Speak very loudly. 
B)  Teach the caregiver separately. 
C)  Provide frequent pauses. 
D)  Provide fewer but longer teaching sessions. 
A)  Speak very loudly. 
B)  Teach the caregiver separately. 
C)  Provide frequent pauses. 
D)  Provide fewer but longer teaching sessions.

Question 12

Which of the following is essential in teaching the patient how to use a thermometer?

Accepted Answer

A)  Reading a digital thermometer 
B)  Shaking down the thermometer before use 
C)  Using the axillary thermometer 
D)  Selecting the most appropriate thermometer 
A)  Reading a digital thermometer 
B)  Shaking down the thermometer before use 
C)  Using the axillary thermometer 
D)  Selecting the most appropriate thermometer

Question 13

In teaching the patient how to perform intermittent self-catheterization,the nurse instructs which of the following?

Accepted Answer

A)  Only strict aseptic technique should be used. 
B)  Intermittent self-catheterization should only be done once a day. 
C)  Clean intermittent self-catheterization increases the chance for infection. 
D)  Clean intermittent self-catheterization is a safe and effective method. 
A)  Only strict aseptic technique should be used. 
B)  Intermittent self-catheterization should only be done once a day. 
C)  Clean intermittent self-catheterization increases the chance for infection. 
D)  Clean intermittent self-catheterization is a safe and effective method.

Question 14

In teaching the patient the best sites for assessing blood pressure (BP),which of the following actions should the patient be taught to avoid? (Select all that apply.)

Accepted Answer

A)  Sites with intravenous catheters 
B)  Arms with arteriovenous shunts 
C)  Arms on the side of mastectomy 
D)  The left arm after a heart attack 
A)  Sites with intravenous catheters 
B)  Arms with arteriovenous shunts 
C)  Arms on the side of mastectomy 
D)  The left arm after a heart attack

Exam 43: Self-Care Teaching in the Community

What is an expected outcome after tracheostomy care is successfully performed?

What instructions should the nurse provide when teaching the patient and the patient's caregiver how to administer parenteral nutrition (PN)?

In teaching the patient how to take his or her own blood pressure,the nurse instructs the patient to avoid which of the following actions 30 minutes before taking blood pressure (BP)? (Select all that apply.)

The nurse is teaching the patient and caregiver how to perform tracheal suctioning.What does proper technique include?

Expected outcomes for patients who are being taught how to use a thermometer include which of the following outcomes? (Select all that apply.)

Oxygen-conserving devices (OCDs)reduce the amount of oxygen the patient uses,resulting in an overall cost reduction to the patient.The type of OCD that delivers oxygen only during inspiration is called a _______________.

When teaching the patient about performing tracheostomy care,which of the following actions is an acceptable technique?

Which of the following clinical findings are signs of hyperthermia? (Select all that apply.)

The patient's caregiver is checking the patient's nasogastric (NG)tube for gastric residual before proceeding with the patient's next feeding.The patient aspirates 150 mL of residual.What should the caregiver do now?

What should the nurse instruct the parents to do when teaching them about temperature monitoring for a child?

What is an appropriate technique to use when teaching an older patient about self-medication in the home?

Which of the following is essential in teaching the patient how to use a thermometer?

In teaching the patient how to perform intermittent self-catheterization,the nurse instructs which of the following?

In teaching the patient the best sites for assessing blood pressure (BP),which of the following actions should the patient be taught to avoid? (Select all that apply.)

Evidence-Informed Nursing Practice

Transitions in Care

Communication and Collaboration

Documentation and Informatics

Medical Asepsis

Sterile Technique

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Safe Patient Handling, transfer, and Positioning

Exercise Mobility

Support Surfaces and Special Beds

Patient Safety

Emergency Preparedness and Disaster Management

Pain Assessment and Management

Palliative Care

Personal Hygiene and Bed Making

Care of the Eye and Ear

Safe Medication Preparation

Nonparenteral Medications

Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Cardiac Care

Closed Chest Drainage Systems

Emergency Measure for Life Support

Vascular Access and Infusion Therapy

Blood Therapy

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination and Catheterization

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Prevention and Care of Skin Breakdown

Wound Care Management and Dressings

Therapeutic Use of Heat and Cold

Safety in the Community

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