School of Nursing Umulogho Obowu Past Questions And Answers
When caring for a patient with a nasogastric (NG) tube, what is the primary goal of providing tube feedings?
a) To maintain tube patency
b) To assess the patient's pain level
c) To prevent complications and provide nutrition
d) To measure blood pressure
Answer: c) To prevent complications and provide nutrition
A patient is prescribed to receive a subcutaneous (SC) injection. What is the recommended needle gauge for a subcutaneous injection in adults?
a) 16-18 gauge
b) 23-25 gauge
c) 27-30 gauge
d) 21-22 gauge
Answer: b) 23-25 gauge
A patient is receiving a blood transfusion. During the transfusion, the nurse notes the patient developing signs of a transfusion reaction, such as shortness of breath and chest pain. What should be the nurse's immediate action?
a) Document the findings in the patient's chart
b) Continue the transfusion at a slower rate
c) Stop the transfusion, disconnect the tubing, and administer prescribed interventions
d) Administer an antipyretic
Answer: c) Stop the transfusion, disconnect the tubing, and administer prescribed interventions
A patient with a tracheostomy tube is at risk for complications. What nursing intervention is essential to prevent tracheostomy-related complications?
a) Administering sedatives regularly
b) Assessing the patient's sense of taste
c) Suctioning the tracheostomy tube as needed and maintaining airway hygiene
d) Providing frequent oral intake
Answer: c) Suctioning the tracheostomy tube as needed and maintaining airway hygiene
When assessing a patient's level of consciousness, which assessment scale is commonly used to evaluate neurological status?
a) Numeric Pain Rating Scale
b) Faces Pain Scale-Revised (FPS-R)
c) Glasgow Coma Scale (GCS)
d) Visual Analog Scale (VAS)
Answer: c) Glasgow Coma Scale (GCS)
A patient is prescribed to receive a continuous positive airway pressure (CPAP) machine for sleep apnea. What is the primary purpose of CPAP therapy?
a) To promote wound healing
b) To manage blood pressure
c) To stimulate the immune system
d) To maintain an open airway and prevent obstructive sleep apnea
Answer: d) To maintain an open airway and prevent obstructive sleep apnea
What is the primary goal of using the "Surgical Asepsis" technique in nursing practice?
a) To restrict patient access to medications
b) To evaluate vital signs
c) To limit patient participation in decision-making
d) To maintain a sterile environment and prevent the introduction of microorganisms
Answer: d) To maintain a sterile environment and prevent the introduction of microorganisms
A patient is admitted with a potential risk of self-harm. What nursing intervention is crucial for patient safety?
a) Limiting the patient's access to visitors
b) Providing emotional support
c) Implementing a suicide risk assessment and constant monitoring
d) Administering opioids regularly
Answer: c) Implementing a suicide risk assessment and constant monitoring
When caring for a patient with a tracheostomy, what is the primary goal of tracheostomy care?
a) To maintain tube patency
b) To assess the patient's pain level
c) To promote infection
d) To prevent complications, provide airway hygiene, and assess for tube displacement
Answer: d) To prevent complications, provide airway hygiene, and assess for tube displacement
A patient with a history of heart disease is at risk for arrhythmias. What is the primary nursing intervention to monitor for arrhythmias?
a) Administering antipyretics regularly
b) Measuring blood pressure
c) Assessing heart rate and rhythm
d) Providing frequent oral intake
Answer: c) Assessing heart rate and rhythm
What is the primary purpose of using the "Patient-Centered Care" approach in nursing practice?
a) To restrict access to patient information
b) To provide emotional support
c) To promote collaborative and individualized care that addresses the patient's unique needs and preferences
d) To measure blood pressure
Answer: c) To promote collaborative and individualized care that addresses the patient's unique needs and preferences
A patient is prescribed to receive wound irrigation. What is the primary goal of wound irrigation in nursing practice?
a) To evaluate vital signs
b) To provide emotional support
c) To promote wound healing and remove debris and pathogens
d) To restrict information sharing
Answer: c) To promote wound healing and remove debris and pathogens
When caring for a patient with an indwelling urinary catheter, which nursing intervention is crucial to prevent infection?
a) Irrigate the catheter with sterile water daily
b) Administer opioids regularly
c) Empty the catheter bag every hour
d) Use aseptic technique when handling the catheter
Answer: d) Use aseptic technique when handling the catheter
A patient with a history of diabetes is at risk for hyperglycemia. What is a common symptom of hyperglycemia?
a) Excessive thirst
b) Elevated blood pressure
c) Increased urine output
d) Sweating and confusion
Answer: a) Excessive thirst
What is the primary goal of using the "Pain Assessment and Management" approach in nursing practice?
a) To limit patient access to medications
b) To restrict information sharing
c) To evaluate the patient's pain, provide pain relief, and enhance the patient's quality of life
d) To assess the patient's level of consciousness
Answer: c) To evaluate the patient's pain, provide pain relief, and enhance the patient's quality of life
A patient is prescribed oxygen therapy. What should the nurse monitor to assess the effectiveness of oxygen therapy?
a) Respiratory rate and oxygen saturation
b) Blood pressure
c) Heart rate
d) Temperature
Answer: a) Respiratory rate and oxygen saturation
When caring for a patient with a traumatic brain injury, which assessment finding should the nurse prioritize?
a) Elevated blood pressure
b) Decreased level of consciousness
c) Increased urine output
d) Elevated blood sugar levels
Answer: b) Decreased level of consciousness
A patient with a history of falls is at risk for fractures. What is a common fracture associated with falls in elderly patients?
a) Clavicle fracture
b) Hip fracture
c) Foot fracture
d) Rib fracture
Answer: b) Hip fracture
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