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Funda Quiz Duma

The document contains 15 multiple choice nursing questions covering topics like caring for clients with nasogastric tubes or endotracheal tubes, assessing nutritional status, loosening secretions, proper body mechanics, exercise advice, and safe foods for toddlers. It tests nurses' knowledge on appropriate interventions, safety measures, teaching points, and potential risks for different client situations. The questions cover both acute and long-term care as well as health promotion and teaching roles for nurses.

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Andrew Isiah Bonifacio
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263 views15 pages

Funda Quiz Duma

The document contains 15 multiple choice nursing questions covering topics like caring for clients with nasogastric tubes or endotracheal tubes, assessing nutritional status, loosening secretions, proper body mechanics, exercise advice, and safe foods for toddlers. It tests nurses' knowledge on appropriate interventions, safety measures, teaching points, and potential risks for different client situations. The questions cover both acute and long-term care as well as health promotion and teaching roles for nurses.

Uploaded by

Andrew Isiah Bonifacio
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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1.

A bedridden client has nasogastric tube and an


intravenous line. The client appears disoriented
and attempts to remove both contraptions. What
action of the nurse should be done to protect
client from injuring himself?

A. Ask a family to stay with the client


B. Stay with the patient
C. Apply restraint
D. Ask the physician for an order for wrist restraints
2. The nurse is evaluating the nutritional status
of the client. Which of the following
parameters should be observed by the nurse?

A. Stable weight
B. Extent of nausea and vomiting
C. Improve appetite
D. Amount of food intake
3. Which of the following is the MOST appropriate
nursing intervention to loosen the secretions?

A. Instill Mucomyst into the endotracheal tube and


frequent turning of the client unless
contraindicated.
B. Perform chest physiotherapy and assess the
respiratory status of the client.
C. Administer humidified oxygen and place in side
lying unless contraindicated.
D. Increase fluid intake and frequent turning unless
contraindicated.
4. In performing endotracheal suctioning, the
nurse should apply suction while:

A. Rotating the catheter gently for not more


than 10 seconds
B. Observing the amount and character of the
secretions after each suctioning
C. Observing the client’s tolerance to the
procedure
D. Assessing the client’s respiratory and
circulatory status.
5. The nurse is monitoring the cuff pressure. To
minimize the risk of tracheal tissue necrosis,
the nurse should maintain the pressure to:

A. 40 – 45 mmHg
B. 20 – 25 mmHg
C. 30 – 35 mmHg
D. 10 – 15 mmHg
6. The nurse is providing oral and nasal care
every 2 to 4 hours to the client. As a
precautionary measure for possible biting
down of the oral endotracheal tube, the nurse
should:

A. Have an assistant to hold the client


B. Use an oropharygeal airway
C. Provide humidified air prior to the procedure
D. Position the client to side lying position
7. The head nurse reminds the staff nurse about
measures that must be strictly observed when
suctioning the client with endotracheal tube.
Which of the following is the MOST appropriate
measure during suctioning?

A. Using rubber gloves when doing suctioning


B. Suctioning while inserting the catheter
C. Suctioning 2 to 3 times before withdrawing the
catheter
D. Hyperoxygenating the client before and after the
procedure
8. A client who had a cerebrovascular accident
resulted in right-sided weakness of extremities
and mild slurring of speech. The nurse is assisting
client to ambulate. To prevent the client from
falling, the nurse should stand at the:

A. Left side with one arm around the client’s waist


B. Right side and holding the client arm
C. Right side with one arm around the client’s waist
D. Left side and holding the client’s arm
9. The use of principles of body mechanics is
important when taking care of clients. To prevent
injury to self and others, the nurse teaches the
family members to do which of the following?

A. Move about a foot away from the client if


possible
B. Flex the knees and keep the feet wide apart
C. Use back and arm to support lifting or moving
activities
D. Bend from the waist knees straight and feet
wide apart
10. The clinic nurse in a large factory teaches some
exercise to some office workers. Which of the
following statements is the most appropriate?

A. Exercise can easily burn and expend caloric


intake
B. The best cardiovascular activity is walking on a
treadmill
C. Less intense or not very tiring exercises should
be done frequently to be of value
D. Continuous activity for a long period is useful as
an exercise
11. An elderly client has been taught how to use
crutches in going up and down the stairway. You
observed that the client’s use of crutches is
appropriate when he:

A. Uses the crutch next of the affected leg when


going up or down the stairs
B. Advances the crutches first to go up the stairs
then the affected leg
C. Uses the stair banister for support while going
up or down the stairs
D. Advances the crutches to go down the stairs
then move the affected leg afterwards
12. Part of nursing care for the client on traction
is giving instructions for isometric exercises in
order to:

A. Prevent decubitus ulcers


B. Improve lung capacity
C. Normalize blood pressure
D. Maintain muscle strength
13. You are administering soapsuds enema to a
client. During the procedure, the client
complains of abdominal cramping. Your most
appropriate initial nursing approach would be
to:
a. clamp the enema tubing.
b. push tubing further by 2 inches
c. Ask the client to inhale and exhale slowly
d. lower the height of the enema container.
14. You are taking care of a client with fecal
incontinence. You know that this client has a risk
for injury due to:

• a. falls when trying to go to the bathroom.


• b. dehydration and malnutrition
• c. increased abdominal cramping
• d. perineal and anal skin breakdown.
15. A mother asks that nurse what finger food
is safe for her toddler. Knowing that children can
easily choke on food, the nurse should advice
the mother to feed the toddler which of the
following foods?

a. Popcorn
b. Grilled hotdogs
c. Cereals
d. Salted nuts

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