Fundamentals of Nursing Exams

Funda(PreBoard1)Part XIV

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Situation 1 – Mr. Ibarra is assigned to the triage area and while on duty, he assesses the condition of Mrs. Simon who came in with asthma. She has difficulty breathing and her respiratory rate is 40 per minute. Mr. Ibarra is asked to inject the client epinephrine 0.3mg subcutaneously

1. The indication for epinephrine injection for Mrs Simon is to:

a. Reduce anaphylaxis

b. Relieve hypersensitivity to allergen

c. Relieve respiratory distress due to bronchospasm

d. Restore client’s cardiac rhythm

2. When preparing the epinephrine injection from an ampule, the nurse initially: 

a. Taps the ampule at the top to allow fluid to flow to the base of the ampule

b. Checks expiration date of the medication ampule

c. Removes needle cap of syringe and pulls plunger to expel air

d. Breaks the neck of the ampule with a gauze wrapped around it

3. Mrs. Simon is obese. When administering a subcutaneous injection to an obese patient, it is best for the nurse to:

a Inject needle at a 15 degree angle’ over the stretched skin of the client

b. Pinch skin at the Injection site and use airlock technique

c. Pull skin of patient down to administer the drug in a Z track

d. Spread skin or pinch at the injection site and inject needle at a 45-90 degree angle

4. When preparing for a subcutaneous injection, the proper size of syringe and needle would be:

a. Syringe 3-5ml and needle gauge 21 to 23

b. Tuberculin syringe 1 ml with needle gauge 26 or 27

c. Syringe 2ml and needle gauge 22

d. Syringe 1-3 ml and needle gauge 25 to 27

5. The rationale for giving medications through the subcutaneous route is:

a. There are many alternative sites for subcutaneous injection

b. Absorption time of the medicine is slower

c. There are less pain receptors in this area

d. The medication can be injected while the client is in any position

Situation 2 – The use of massage and meditation to help decrease stress and pain have been strongly recommended based on documented testimonials.

6. Martha wants to do a study on, this topic. “Effects of massage and meditation on stress and pain.” The type of research that best suits this topic is:

a. applied research

b. qualitative research

c. basic research

d. quantitative research

7. The type of research design that does not manipulate independent variable is:

a. experimental design

b. quasi-experimental design

c. non-experimental design

d. quantitative design

8. This research topic has the potential to contribute to nursing because it seeks to: