Fundamentals of Nursing Exams

Funda(PreBoard4) Part XVII

B. Inject the medication at around 10 minutes per millilitre

C. Pull back the plunger and aspirate for 1 minute t make sure that the needle did not hit a blood vessel

D. Pierce the skin slowly and carefully at a 90 degree angle

9. After injection using the Z track technique, the nurse should know that she needs to wait for few second before withdrawing the needle and this is to allow the medication to disperse into the muscle tissue thus decreasing the client’s discomfort. How many seconds should the nurse wait before withdrawing the needle?

A. 2 second

B. 5 seconds

C. 10 seconds

D. 15 seconds

10. The rationale in using the Z track technique in an intramuscular injection is:

A. It decreases the leakage of discolouring and irritating medication into the subcutaneous tissue.

B. It will allow a faster absorption of the medication

C. The Z track technique prevent irritation of the muscle

D. It is much more convenient for the nurse

Situation 3: A client was rushed to the emergency room and you are his attending nurse. You are performing a vital sign assessment:

11. All of the following are correct methods in assessment of the blood pressure EXCEPT:

A. Take the blood pressure reading on both arms for comparison

B. Listen to and identify the phases of Korotkoff sound

C. Pump the cuff to around 50mmHg above the point where the pulse is obliterated

D. Observe procedures for infection control

12. You attached a pulse oximeter to the client. You know that the purpose id to:

A. Determine if the client’s hemoglobin level is low and if he needs blood transfusion

B. Check level of client’s tissue perfusion

C. Measure the efficacy of the client’s anti-hypertension medications

D. Detect oxygen saturation of arterial blood before symptoms of hypoxemia develops

13. After a few hours in the Emergency Room, the client is admitted to the ward with an order of hourly monitoring of blood pressure. The nurse finds that the cuff is too narrow and this will cause the blood pressure reading to be:

A. Inconsistent

B. Low systolic and high diastolic

C. Higher than what the reading should be

D. Lower than what the reading should be

14. Through the client’s health history, you gather that the patient smokes and drinks coffee. When taking the blood pressure of a client who recently smoked or drank coffee, how long should the nurse wait before taking the client’s blood pressure for accurate reading?

A. 15 minutes

B. 30 minutes

C. 1 hour

D. 5 minutes

15. While the client has pulse oximeter on his fingertip, you notice that the sunlight is shining on the area where the oximeter is. Your action will be to: