Fundamentals of Nursing MCQ Quiz - Multiple Choice Questions & Answers Page 2

11. Independent nursing intervention commonly used for immobilized patients include all of the following except:

1. Active or passive ROM exercises, body repositioning, and activities of daily living (ADLs) as tolerated
2. Deep-breathing and coughing exercises with change of position every 2 hours
3. Diaphragmatic and abdominal breathing exercises and increased hydration
4. Weight bearing on a tilt table, total parenteral nutrition, and vitamin therapy

12. Non verbal massage is a mode of communication that include the following except

1. Tone & pitch of voice
2. Facial expression
3. Gesture
4. Touch

13. Objective data might include

1. Chest pain.
2. Complaint of dizziness.
3. An evaluation of blood pressure.
4. None of the above

14. The following is the most important purpose of documentation?except

1. To Communication
2. To Reimbursement
3. To Quality assurance
4. To provide comfort

15. The nurse is orienting a new nurse to the unit and reviews source-oriented charting. Which statement by the nurse best describes source-oriented charting?

1. Separates the health record according to discipline
2. Organizes documentation around the patients problems
3. Highlights the patients concerns, problems, and strengths
4. Is designed to streamline documentation

16. The nurse is preparing to take vital sign in an alert client admitted to the hospital with dehydration secondary to vomiting and diarrhea. What is the best method used to assess the clients temperature?

1. Oral
2. Axillary
3. Radial
4. Heat sensitive tape

17. The nurse is to administer an iron injection to an adult. How should this be administered?

1. Subcutaneous in the arm
2. Intradermal in the forearm
3. Intramuscular in the deltoid
4. Z track intramuscular in the gluteal

18. The nurse is working on a unit that uses nursing assessment flow sheets. Which statement best describes this form of charting?

1. Are comprehensive ch arting forms that integrate assessments and nursing actions
2. Contain only graphic information, such as I&O, vital signs, and medication administration
3. Are used to record routine aspects of care; they do not contain assessment data
4. Contain vital data collected upon admission, which can be compared with newly collected data

19. The nurse prepares IM injection that is irritating to the subcutaneous tissue. Which of the following is the best action in order to prevent tracking of the medication

1. Use a small gauge needle
2. Apply ice on the injection site
3. Administer at a 45 degree angle
4. Use the Z-track technique

20. The nursing process is utilized to

1. Provide a systemic, organized and comprehensive approach to meeting the needs of clients.
2. Encourage the family to make decisions regarding patients care.
3. Increase involvement of allied healthcare professionals in decision-making
4. None of the above