MCQ Flashcards
(50 cards)
1Urinary incontinence is:
This is the unintentional passing of urine (unable to control bladder/ loss of control)
2 The patient is an 86-year-old male who is incontinent at night. An appropriate alternative to catheterisation for this patient would be:
- Using a uridome
- Give less fluid during the nights
- Ensure regular toileting
- Incontinence pad
- Antidiuretics possibly?
3 To help promote normal defecation and prevent discomfort, ideally the nurse should place the patient on a bedpan in which position?
Have patient in bed lying down with knees bent, bed pan underneath, and bed raised 30% at the head
4 The nurse begins to suspect faecal impaction in a patient who has not passed a stool in 10 days when the patient
Faecal impaction is unrelieved constipation despite the urge to pass stool and has been unable to for several days
Symptoms:
- Continuous oozing of diarrhoeal stool develops (liquid stool -overflow)
- In severe cases, the mass can expand from the rectum up to the sigmoid colon
- Loss of appetite
- Abdominal distension
- Cramping and pain
- Malaise
- Persistent urge
- Possible bleeding
- Tenderness on palpation
- Dullness on percussion and absent bowel sounds on auscultation
5 A patient states that they are worried because they have not had a bowel movement each day. The nurse’s best response concerning defecation patterns would be:
Ask what the patient’s normal bowel movement patterns are like
- And ask what her food, fluid and exercise patterns have been like
6 Ascites is defined as:
Abnormal accumulation of serous fluid in the peritoneal cavity, causing swelling or fluid in the abdomen
7 What is a normal finding on palpation of the abdomen?
- No large or superficial masses
- No tenderness on palpation or guarding
- Abdomen should be soft
8 When inspecting a client’s abdominal contour, the nurse observes the abdomen to be swollen and distended. The nurse describes and documents this as:
Protuberant abdomen
9 The nurse is performing a musculoskeletal assessment with a patient. Plantar flexion of the ankle involves requesting the client to:
Flex/ bend the foot downwards (movement of foot in a downward motion away from the body)
10 A client who presents in the medical centre with lower limb pain following a motor vehicle accident requires a musculoskeletal assessment. When completing the assessment, the nurse should apply all of the following principles except:
Asking the client to move the joint quickly while applying pressure
11 You are inspecting your client’s spinal symmetry and assessing their posture. You identify that the client has scoliosis. This is:
Abnormal lateral curvature of the thoracic region
12 The nurse is examining the ROM of a client’s shoulder. Which of the following is a normal finding?
Full active and painless ROM with no crepitus
13 You are caring for Mr Smith who has been admitted following a mechanical fall. You are reviewing his nursing care plan. Which component of the care plan indicates that the patient’s problems have been appropriately described?
Nursing diagnosis
14 When using a mobile hoist with a dependent patient, identify the correct rule:
- Lite assessment (load, individual, task and environment)
- How many people will assist
15 The older person’s tendency to take smaller steps with feet close together will mostly likely result in:
- Falls risk
- Tripping hazard
16 The most significant problem with restricted mobility is
- Pressure injuries can occur (skin integrity at risk)
- Muscle atrophy
- Or deep vein thrombosis/blood clots
17 To ensure safe administration of medications the nurse must be aware of the seven rights of medication administration. These are the right:
Medication
Client
Dose
Time
Reason
Route
Documentation
18 What is the term given to an unexpected effect of a medication
Adverse effect
19 A nurse administers medication to a patient. Who has the ultimate responsibility for the medication to be administered correctly?
The registered nurse
20 When administering paracetamol to a patient, it is important to ask the patient about:
How much have they taken in the last 24 hrs?
Any liver problems?
21 A nurse administering medications has many responsibilities including knowledge of pharmacokinetics. Pharmacokinetics is best described as:
How the body effects the drug (absorption, distribution, metabolism and elimination)
22 A nurse needs to document that a medication has been administered under the tongue. What term would they use?
Sublingual
23 The prescription for a patient instructs the nurse to administer flucloxacillin 250mg po QID. How and when is the medication administered?
This is administered orally 4 times a day
24 Mary Brown is 17 years old and presents with a diagnosis of Type 1 Diabetes Mellitus. Clinical manifestations associated with T1D include all the following except:
Obesity as it is linked to type 2 diabetes not type 1
