Basic Physical care (Part 1)

115 Questions | By Suarezenriquec1 | Last updated: May 16, 2018 | Total Attempts: 316

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A nurse is a person who gives medical and other attention to a sick person. Patient safety is the cornerstone of high-quality health care. Knowledge in basic physical care is an important foundation for a nurse in training. Take the quiz below and measure how much you know so far! All the best of luck!

Questions and Answers

1.

A client has a tumor of the posterior pituitary gland. The nurse planning his care should include which interventions? Select all that apply.
- A.
  
  Take daily weight.
- B.
  
  Restrict fluids.
- C.
  
  Assess urine specific gravity.
- D.
  
  Encourage intake of coffee or tea.
- E.
  
  Monitor intake and output.
2.

A client is admitted to the health care facility with active tuberculosis (TB). The nurse should include which intervention in the care plan?
- A.
  
  Putting on an individually fitted mask when entering the client's room
- B.
  
  Instructing the client to wear a mask at all times
- C.
  
  Wearing a gown and gloves when providing direct care
- D.
  
  Keeping the door to the client's room open to observe the client
3.

A day-shift nurse gives a client an injection of pain medication. The nurse forgets to document the injection on the medication administration record (MAR). The day-shift nurse tells the evening-shift nurse that she gave the client 4 mg of morphine at 2 p.m. for postoperative pain but didn't document the injection. The evening-shift nurse puts the day-shift nurse's initials and the date and time the dose was administered in the appropriate area of the MAR. The evening-shift nurse's action is considered to be which type of documentation error?
- A.
  
  Omission
- B.
  
  Late entry
- C.
  
  Improper correction
- D.
  
  Unauthorized entry
4.

A client suddenly loses consciousness. What should the nurse do first?
- A.
  
  Call for assistance.
- B.
  
  Assess for responsiveness.
- C.
  
  Palpate for a carotid pulse.
- D.
  
  Assess for pupillary response.
5.

A nurse is performing a sterile dressing change. Which action contaminates the sterile field?
- A.
  
  Holding sterile objects above the waist
- B.
  
  Pouring solution onto a sterile field cloth
- C.
  
  Leaving a 1″ (2.5-cm) edge around the sterile field
- D.
  
  Opening the outermost flap of a sterile package away from the body
6.

A nurse is giving nutritional counseling to the mother of a child with celiac disease. Which statement by the mother indicates understanding?
- A.
  
  My son can't eat wheat, rye, oats, or barley.
- B.
  
  My son needs a gluten-rich diet.
- C.
  
  My son must avoid potatoes, rice, and cornstarch.
- D.
  
  My son can safely eat frozen and packaged foods.
7.

Which action should a nurse take when making a surgical bed?
- A.
  
  Leave the bed in the high position when finished.
- B.
  
  Place the pillow at the head of the bed.
- C.
  
  Tuck the top sheet and blanket under the bottom of the bed.
- D.
  
  Roll the client to the far side of the bed.
8.

Nursing licensure and practice are regulated by:
- A.
  
  Nurse practice acts.
- B.
  
  Standards of care.
- C.
  
  Civil law.
- D.
  
  The American Nurses Association.
9.

Which guidelines define and regulate what the nurse may and may not do as a professional?
- A.
  
  State legislature
- B.
  
  Facility policies and procedures
- C.
  
  Standards of care
- D.
  
  Nurse practice act
10.

A nurse has been teaching a client about a high-protein diet. The teaching is successful if the client identifies which meal as high in protein?
- A.
  
  Baked beans, hamburger, and milk
- B.
  
  Spaghetti with cream sauce, broccoli, and tea
- C.
  
  Bouillon, spinach, and soda
- D.
  
  Chicken cutlet, spinach, and soda
11.

A nurse is transferring a client from the bed to a chair. Which action should the nurse take during this client transfer?
- A.
  
  Position the head of the bed flat.
- B.
  
  Help the client dangle his legs.
- C.
  
  Stand behind the client.
- D.
  
  Place the chair facing away from the bed.
12.

In a client who had major surgery 5 days ago, which assessment finding is the best indication of a wound infection?
- A.
  
  Complaints of deep, sharp incisional pain
- B.
  
  Evidence of uneven wound edges
- C.
  
  Thick, yellow wound drainage
- D.
  
  Oral temperature of 100.6° F (38.1° C)
13.

A nurse-manager of an intensive care unit (ICU) can't be held legally responsible in a court of law for which action performed by the unit's staff?
- A.
  
  A nursing assistant administers medications to a client in ICU.
- B.
  
  A staff nurse refuses to follow a physician's order to administer medication because administering the dosage ordered could seriously harm the client.
- C.
  
  A nursing assistant attempts to initiate I.V. therapy.
- D.
  
  A staff nurse fills a client prescription at the hospital pharmacy because the pharmacist on duty is busy.
14.

The American Nurses Association Code for Nurses includes:
- A.
  
  Tips for correctly performing a procedure in the hospital environment.
- B.
  
  Bylaws that state clients' rights.
- C.
  
  A code of ethics that states the nurse's obligation and responsibility to the client.
- D.
  
  Regulations stating criteria for nursing licensure.
15.

A nurse is caring for a client with emphysema. Which nursing interventions are appropriate? Select all that apply.Reduce fluid intake to less than 2,500 ml/day.
- A.
  
  Reduce fluid intake to less than 2,500 ml/day.
- B.
  
  Teach diaphragmatic, pursed-lip breathing.
- C.
  
  Administer low-flow oxygen.
- D.
  
  Keep the client in a supine position as much as possible.
- E.
  
  Encourage alternating activity with rest periods.
- F.
  
  Teach use of postural drainage and chest physiotherapy.
16.

Which one do you like?
- A.
  
  Only low doses of opioids are safe; higher doses may cause respiratory depression.
- B.
  
  Pain medication should be given only when a client requests it.
- C.
  
  A client who can fall asleep isn't in pain.
- D.
  
  Terminal cancer clients may develop tolerance to opioids and require progressively higher doses to control pain.
17.

The selection of a nursing care delivery system (NCDS) is critical to the success of a nursing area. Which factor is essential to the evaluation of a NCDS?
- A.
  
  Determining how planned absences such as vacation time will be scheduled so that all staff are treated fairly
- B.
  
  Identifying who will be responsible for making client care decisions
- C.
  
  Deciding what type of dress code will be implemented
- D.
  
  Identifying salary ranges for various types of staff
18.

A client's attorney may file a lawsuit within which time frame?
- A.
  
  Discovery rule
- B.
  
  Statute of limitations
- C.
  
  Grace period
- D.
  
  Alternative dispute resolution
19.

Which nursing theorist addressed self-care deficits in her nursing theory?
- A.
  
  Dorothy Johnson
- B.
  
  Virginia Henderson
- C.
  
  Dorothea Orem
- D.
  
  Martha Rogers
20.

A physician orders supplemental oxygen for a client with a respiratory problem. Which oxygen delivery device should the nurse use to provide the highest possible oxygen concentration?
- A.
  
  Nasal cannula
- B.
  
  Venturi mask
- C.
  
  Simple mask
- D.
  
  Nonrebreather mask
21.

A nurse assists in writing a community plan for responding to a bioterrorism threat or attack. When reviewing the plan, the director of emergency operations should have the nurse correct which intervention?
- A.
  
  All personnel should wear protective clothing, including a gown, gloves, and respiratory protection.
- B.
  
  Clients exposed to anthrax should immediately remove contaminated clothing and place it in the hamper.
- C.
  
  Clients should be instructed to wash thoroughly with soap and water.
- D.
  
  Access to the area should be restricted.
22.

A nurse says she's forgotten her computer password and asks to use another nurse's password to log on to the computer. Which response by the coworker demonstrates safe computer usage?
- A.
  
  Telling the nurse that she may use the password
- B.
  
  Telling the nurse to ask someone else for her password
- C.
  
  Writing down the password so the nurse won't forget it
- D.
  
  Telling the nurse that she may not use the password
23.

A client is being discharged after abdominal surgery and colostomy formation to treat colon cancer. Which nursing action is most likely to promote continuity of care?
- A.
  
  Notifying the American Cancer Society of the client's diagnosis
- B.
  
  Requesting Meals On Wheels to provide adequate nutritional intake
- C.
  
  Referring the client to a home health nurse for follow-up visits to provide colostomy care
- D.
  
  Asking an occupational therapist to evaluate the client at home
24.

When providing discharge teaching to a client with a fractured toe, the nurse should include which instruction?
- A.
  
  Apply heat to the fracture site.
- B.
  
  Apply ice to the fracture site.
- C.
  
  Perform ankle dorsiflexion three times per day.
- D.
  
  Use crutches for 1 week.
25.

During a meal, a client with hepatitis B dislodges her I.V. line and bleeds onto the surface of the overbed table. It would be most appropriate for the nurse to instruct a housekeeper to clean the table with:
- A.
  
  Alcohol.
- B.
  
  Ammonia.
- C.
  
  Acetone.
- D.
  
  Bleach.