The first glove should be picked up by grasping the inside of the cuff.
The second glove should be picked up by inserting the gloved fingers under the cuff outside the glove.
The gloves should be adjusted by sliding the gloved fingers under the sterile cuff and pulling the glove over the wrist
The inside of the glove is considered sterile
When removing a contaminated gown, the nurse should be careful that the first thing she touches is the:
Waist tie and neck tie at the back of the gown
Waist tie in front of the gown
Cuffs of the gown
Inside of the gown
Which of the following nursing interventions is considered the most effective form or universal precautions?
Cap all used needles before removing them from their syringes
Discard all used uncapped needles and syringes in an impenetrable protective container
Wear gloves when administering IM injections
Follow enteric precautions
All of the following measures are recommended to prevent pressure ulcers except:
Massaging the reddened are with lotion
Using a water or air mattress
Adhering to a schedule for positioning and turning
Providing meticulous skin care
Which of the following blood tests should be performed before a blood transfusion?
Prothrombin and coagulation time
Blood typing and cross-matching
Bleeding and clotting time
Complete blood count (CBC) and electrolyte levels.
The primary purpose of a platelet count is to evaluate the:
Potential for clot formation
Potential for bleeding
Presence of an antigen-antibody response
Presence of cardiac enzymes
Which of the following white blood cell (WBC) counts clearly indicates leukocytosis?
After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping and muscle weakness. These symptoms probably indicate that the patient is experiencing:
Which of the following statements about chest X-ray is false?
No contradictions exist for this test
Before the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waist
A signed consent is not required
Eating, drinking, and medications are allowed before this test
The most appropriate time for the nurse to obtain a sputum specimen for culture is:
Early in the morning
After the patient eats a light breakfast
After aerosol therapy
After chest physiotherapy
A patient with no known allergies is to receive penicillin every 6 hours. When administering the medication, the nurse observes a fine rash on the patient’s skin. The most appropriate nursing action would be to:
Withhold the moderation and notify the physician
Administer the medication and notify the physician
Administer the medication with an antihistamine
Apply corn starch soaks to the rash
All of the following nursing interventions are correct when using the Z-track method of drug injection except:
Prepare the injection site with alcohol
Use a needle that’s a least 1” long
Aspirate for blood before injection
Rub the site vigorously after the injection to promote absorption
The correct method for determining the vastus lateralis site for I.M. injection is to:
Locate the upper aspect of the upper outer quadrant of the buttock about 5 to 8 cm below the iliac crest
Palpate the lower edge of the acromion process and the midpoint lateral aspect of the arm
Palpate a 1” circular area anterior to the umbilicus
Divide the area between the greater femoral trochanter and the lateral femoral condyle into thirds, and select the middle third on the anterior of the thigh
The mid-deltoid injection site is seldom used for I.M. injections because it:
Can accommodate only 1 ml or less of medication
Bruises too easily
Can be used only when the patient is lying down
Does not readily parenteral medication
The appropriate needle size for insulin injection is:
18G, 1 ½” long
22G, 1” long
22G, 1 ½” long
25G, 5/8” long
The appropriate needle gauge for intradermal injection is:
Parenteral penicillin can be administered as an:
IM injection or an IV solution
IV or an intradermal injection
Intradermal or subcutaneous injection
IM or a subcutaneous injection
The physician orders gr 10 of aspirin for a patient. The equivalent dose in milligrams is:
The physician orders an IV solution of dextrose 5% in water at 100ml/hour. What would the flow rate be if the drop factor is 15 gtt = 1 ml?
Which of the following is a sign or symptom of a hemolytic reaction to blood transfusion?
Distended neck veins
Which of the following conditions may require fluid restriction?
Chronic Obstructive Pulmonary Disease
All of the following are common signs and symptoms of phlebitis except:
Pain or discomfort at the IV insertion site
Edema and warmth at the IV insertion site
A red streak exiting the IV insertion site
Frank bleeding at the insertion site
The best way of determining whether a patient has learned to instill ear medication properly is for the nurse to:
Ask the patient if he/she has used ear drops before
Have the patient repeat the nurse’s instructions using her own words
Demonstrate the procedure to the patient and encourage to ask questions
Ask the patient to demonstrate the procedure
Which of the following types of medications can be administered via gastrostomy tube?
Any oral medications
Capsules whole contents are dissolve in water
Enteric-coated tablets that are thoroughly dissolved in water
Most tablets designed for oral use, except for extended-duration compounds
A patient who develops hives after receiving an antibiotic is exhibiting drug:
A patient has returned to his room after femoral arteriography. All of the following are appropriate nursing interventions except:
Assess femoral, popliteal, and pedal pulses every 15 minutes for 2 hours
Check the pressure dressing for sanguineous drainage
Assess a vital signs every 15 minutes for 2 hours
Order a hemoglobin and hematocrit count 1 hour after the arteriography
The nurse explains to a patient that a cough:
Is a protective response to clear the respiratory tract of irritants
Is primarily a voluntary action
Is induced by the administration of an antitussive drug
Can be inhibited by “splinting” the abdomen
An infected patient has chills and begins shivering. The best nursing intervention is to:
Apply iced alcohol sponges
Provide increased cool liquids
Provide additional bedclothes
Provide increased ventilation
A clinical nurse specialist is a nurse who has:
Been certified by the National League for Nursing
Received credentials from the Philippine Nurses’ Association
Graduated from an associate degree program and is a registered professional nurse
Completed a master’s degree in the prescribed clinical area and is a registered professional nurse.
The purpose of increasing urine acidity through dietary means is to:
Decrease burning sensations
Change the urine’s color
Change the urine’s concentration
Inhibit the growth of microorganisms
Clay colored stools indicate:
Upper GI bleeding
An effect of medication
In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his pain?
Foundation of Nursing – Comprehensive Test Part 1 Using the principles of standard precautions, the nurse would wear gloves in what nursing interventions? Providing a back massage Feeding a client Providing hair care Providing oral hygiene The nurse......
Currently a Nursing Local Board Examination Reviewer. Subjects handled are Pediatric, Obstetric and Psychiatric Nursing.
Previous work experiences include: Clinical instructor/lecturer, clinical coordinator (Level II), caregiver instructor/lecturer, NC2 examination reviewer and staff/clinic nurse.
Areas of specialization: Emergency room, Orthopedic Ward and Delivery Room. Also an IELTS passer.