Chapter 20: Selected Nursing Skills

Chapter 20: Selected Nursing Skills

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A nurse should instill eye irrigation from the inner to the outer canthus to:

ANS:   D

The irrigation flow is directed to the outer canthus to protect the nasolacrimal ducts from contaminants.

DIF:    Cognitive Level: Application             REF:    Page 525         OBJ:    1

TOP:    Eye irrigation                                      KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

2. When an order for eye irrigation is received, the nurse can delegate the procedure to:

ANS:   B

Performing eye irrigation requires the skills of a licensed nurse.

DIF:    Cognitive Level: Application             REF:    Page 525         OBJ:    1

TOP:    Delegation      KEY:   Nursing Process Step: Planning

MSC:   NCLEX: Safe, Effective Care Environment

3. The nurse should heat the water for an eye compress to a temperature of no more than:

ANS:   D

Water for an eye compress may be heated to no more than 120° F.

DIF:    Cognitive Level: Application             REF:    Page 527, Skill 20-2

OBJ:    2                      TOP:    Eye compress

KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment

4. When a patient complains of progressive hearing loss, crackling and ringing noises in his ear, and progressive ear pain, the nurse should assess for:

ANS:   B

Symptoms of cerumen impaction are progressive hearing loss, bothersome noises in the ear, and progressive ear pain.

DIF:    Cognitive Level: Application             REF:    Page 529         OBJ:    1

TOP:    Cerumen impaction                            KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity