Nursing Elites

1. Which of the following procedures always requires surgical asepsis?

• A. Vaginal instillation of conjugated estrogen
• B. Urinary catheterization
• C. Nasogastric tube insertion
• D. Colostomy irrigation

Correct answer: B

Rationale: Surgical asepsis, which involves maintaining a sterile field and preventing contamination in a surgical setting, is required for urinary catheterization as it involves entering a sterile body cavity. Vaginal instillation of conjugated estrogen, nasogastric tube insertion, and colostomy irrigation do not always require surgical asepsis as they involve different levels of sterility and infection control measures.

2. A client is being instructed on how to perform pursed-lip breathing. Which of the following should be included in the plan of care?

• A. Take quick breaths upon inhalation.
• B. Place your hand over your stomach.
• C. Take a deep breath in through your nose.
• D. Puff your cheeks upon exhalation.

Correct answer: C

Rationale: Pursed-lip breathing is a breathing technique that involves inhaling slowly through the nose and exhaling gently through pursed lips. This technique helps improve breathing efficiency and can be beneficial for individuals with respiratory conditions. Instructing the client to take a deep breath in through the nose is essential for proper execution of pursed-lip breathing, making choice C the correct answer.

3. When administering digoxin 0.125 mg PO to an adult client, for which of the following findings should the nurse report to the provider?

• A. Potassium level 4.2 mEq/L.
• B. Apical pulse 58/min
• C. Digoxin level 1 ng/mL
• D. Constipation for 2 days

Correct answer: C

Rationale: Monitoring the digoxin level is crucial as it helps determine the drug's effectiveness and potential toxicity. A digoxin level of 1 ng/mL is within the therapeutic range. However, levels above this range can lead to toxicity, causing adverse effects like nausea, vomiting, visual disturbances, and dysrhythmias. Therefore, the nurse should report a digoxin level of 1 ng/mL to the provider for further evaluation and potential dose adjustment.

4. How many drops are equivalent to 1 tsp?

• A. 15
• B. 60
• C. 10
• D. 30

Correct answer: B

Rationale: 1 teaspoon (tsp) is equivalent to approximately 60 drops. Drops and teaspoons vary in volume and size, affecting the conversion ratio. Choice A (15 drops) is incorrect as it's a common misconception. Choice C (10 drops) and Choice D (30 drops) do not align with the standard conversion of 1 tsp to 60 drops.

5. When applying Nagele's rule, a healthcare professional is estimating a client's expected date of delivery based on their last menstrual period, which began on April 12th. What date should the healthcare professional determine to be the client's expected delivery date? (Use mmdd format.)

• A. 119
• B. 121
• C. 115
• D. 122

Correct answer: A

Rationale: To calculate the expected delivery date using Nagele's rule, begin by subtracting 3 months from the first day of the last menstrual period (April 12th), which results in January 12th. Then, add 7 days. Therefore, the expected delivery date would be January 19th (0119). This calculation method helps healthcare professionals estimate the client's due date.

Similar Questions