Patient Safety
Skin Wound Care
Nutrition,Hydration & Hygiene
Bowel Elimination
Urinary Elimination
200

What is the correct order of actions when discovering a fire in a hospital setting?

What is Rescue, Alarm, Contain, Extinguish (RACE)?

200

Which type of dressing promotes autolytic debridement?

What is a hydrocolloid dressing?

200

What is the normal daily urine output for a healthy adult?

What is 1,000–2,000 mL per 24 hours? About 30ml/hr

200

What is the normal frequency of bowel elimination for a healthy adult?

What is from three times a day to three times a week?

400

A nurse enters a patient’s room and discovers an electrical fire starting in the outlet. What should the nurse do first?

What is remove the patient from the area?

400

A stage III pressure ulcer has formed on a patient’s sacrum. What structures are involved?

What is full-thickness skin loss involving subcutaneous tissue?

400

Which patients are at highest risk for aspiration during feeding?

What is patients with dysphagia, stroke, or impaired gag reflex?

400

What is the correct technique for obtaining a sterile urine specimen from an indwelling catheter?

What is clamp tubing below the port, clean port with antiseptic, and aspirate with sterile syringe?

400

Which foods promote regular bowel elimination?

What are high-fiber foods like fruits, vegetables, and whole grains?

600

When using restraints, which nursing action is most important for safety and legal compliance?

What is obtaining a provider’s order and assessing the patient at least every 2 hours?

600

What lab test is most helpful in determining delayed wound healing due to poor nutrition?

What is serum albumin or prealbumin?

600

Before performing oral care for a patient on oxygen via nasal cannula, what should the nurse do?

What is remove oxygen briefly and use water-soluble lubricant (not petroleum)?

600

What is the most common cause of urinary retention in older men?

What is an enlarged prostate (benign prostatic hyperplasia)?

600

What is the most important nursing action before administering a cleansing enema?




What is assess the patient’s bowel sounds and last bowel movement?

800

A confused elderly patient keeps trying to get out of bed. What is the safest initial nursing intervention?

What is implementing a bed or chair alarm and frequent rounding?

800

A wound culture is ordered for a draining wound. How should the nurse collect the specimen?

What is cleanse the wound first, then swab from the center of the wound bed?

800

What is the most effective nursing intervention for maintaining adequate hydration in older adults?

What is offering small, frequent amounts of preferred fluids throughout the day?

800

A patient has cloudy, foul-smelling urine and dysuria. What condition should the nurse suspect?

What is a urinary tract infection (UTI)?

800

A postoperative patient has not passed flatus or stool for 3 days. What condition might the nurse suspect?

What is paralytic ileus?

1000

Which safety principle should guide all nursing practice and delegation decisions?

What is do no harm (nonmaleficence)?

1000

What is the primary goal of negative-pressure wound therapy (VAC dressing)?

What is to promote granulation tissue and remove exudate?

1000

A patient with severe protein-calorie malnutrition develops edema. What physiological change explains this?

What is low serum albumin decreases oncotic pressure, causing fluid to shift into tissues?

1000

What nursing action prevents urinary infection in catheterized patients?

What is maintaining a closed drainage system and keeping the bag below bladder level?

1000

What nursing intervention promotes normal bowel function in an immobile patient?

What is encouraging fluids, high-fiber diet, and assisting with ambulation as tolerated?

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