Basic Physical care (Part 1)
Settings
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!
- 1.
- A.
Tell the nursing staff they're responsible for the review and revision and welcome their recommendations for improving the materials.
- B.
Ask the two most proficient staff nurses to form a task force to review and revise client-education materials within the next 6 weeks. Have these nurses solicit input from clients and staff members.
- C.
Tell the nursing staff that the client education materials need revision. Ask the staff to select people to review the materials and make suggestions for change.
- D.
Ask the assistant manager to develop a plan for the review and revision of client-education materials.
- 2.
- A.
Serum potassium level
- B.
Lymphocyte count
- C.
Albumin level
- D.
Differential count
- 3.Two days after a right total knee replacement, a client rates his right-knee pain as 9 on a 10-point pain scale. A physician orders hydrocodone/APAP (Vicodin) 1 tablet by mouth every 4 to 6 hours as needed for pain. When a nurse notifies the physician of the client's pain, the physician states that one hydrocodone/APAP tablet should be sufficient and refuses to order anything stronger for pain. Which measure should the nurse select to act as an advocate for the client?
- A.
Follow the chain of command to obtain adequate pain relief for the client.
- B.
Document that the physician was notified of the client's pain and continue to administer hydrocodone/APAP as ordered.
- C.
Give the client 1 hydrocodone/APAP tablet every 3 hours.
- D.
Give the client 2 hydrocodone/APAP tablets every 4 hours.
- 4.
- A.
Assessing a client's pain
- B.
Taking a client's vital signs
- C.
Documenting a client's oral intake
- D.
Performing a blood glucose check
- E.
Evaluating a client's response to a blood pressure medication
- 5.
- A.
Advance directive
- B.
Living will
- C.
Health care power of attorney
- D.
Patient self-determination
- 6.
- A.
Keep instructions simple and brief because the client will have difficulty concentrating.
- B.
Speak clearly and slowly because the client will have difficulty hearing.
- C.
Assist the client with personal grooming because he'll have difficulty verbalizing his preferences.
- D.
Orient the client to time, place, and person as needed because of memory problems.
- E.
Assess vital signs frequently because vital bodily functions are affected.
- 7.
- A.
Failure to act as a client advocate
- B.
Failure to communicate with the client
- C.
Failure to assess, monitor, and communicate
- D.
Failure to protect from harm
- 8.
- 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.
- 9.
- A.
Cap
- B.
Mask
- C.
Gown
- D.
Gloves
- 10.
- A.
Reposition the client every 2 hours.
- B.
Encourage the client to walk in the hall.
- C.
Provide the client dairy products at frequent intervals.
- D.
Provide supplemental feedings between meals.
- 11.
- A.
Immediately remind the night-shift nurses of the daily calibrations.
- B.
Arrange a meeting of the day-shift and night-shift nurses.
- C.
Review the capillary glucose monitoring calibration log book.
- D.
Counsel the night charge nurse about the discrepancy.
- 12.
- A.
½″ (1 cm)
- B.
2″ (5 cm)
- C.
6″ (15 cm)
- D.
8″ (20 cm)
- 13.
- A.
Completes the vacation schedule without staff input
- B.
Delegates responsibility for evaluating the effectiveness of new equipment to the staff members who use that equipment
- C.
Identifies possible solutions to staffing problems and asks staff members for their opinions about each one
- D.
Delegates to staff responsibility for selecting a new nursing care delivery system
- 14.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.
- 15.
- A.
Lumbar spinal cord injury and lower extremity paralysis.
- B.
Maxillofacial injury and gurgling respirations.
- C.
Severe head injury and no blood pressure.
- D.
Second-trimester pregnancy in premature labor.
- 16.
- A.
Conduct performance evaluations in a group setting so input from peers and subordinates influences evaluation of a staff member's effectiveness.
- B.
Provide feedback on strengths as well as areas for improvement and clarify what she expects the staff member to accomplish before the next performance evaluation.
- C.
Provide written documentation of areas for improvement. Areas of strength needn't be documented because these areas are complimentary and don't describe actions the staff member must take to improve.
- D.
Whenever possible, delegate responsibility for conducting performance evaluations to primary nurses to help them achieve professional growth.
- 17.
- A.
Laterally, from the center to the opposite side
- B.
From top to bottom
- C.
In a circle around the drain, outward from the center
- D.
In a circle around the drain, from the outer border to the center
- 18.
- A.
Place the client in a prone position.
- B.
Approach the client from the left side.
- C.
Encourage deep breathing and coughing.
- D.
Discourage bending down.
- E.
Orient the client to his environment.
- F.
Administer a stool softener.
- 19.
- A.
Liquid or semiliquid stools.
- B.
Hard, brown, formed stools.
- C.
Loss of urge to defecate.
- D.
Increased appetite.
- 20.
- A.
From directly in front of the client
- B.
From the right side of the client
- C.
From the left side of the client
- D.
From directly behind the client
- 21.
- A.
Perform gentle passive range-of-motion exercises.
- B.
Gently massage the painful joints.
- C.
Use a bed cradle to keep linens from pressing on the child's joints.
- D.
Encourage the child to change position in bed every 2 hours.
- 22.
- A.
Duty, breach of duty, damages, and causation
- B.
Duty, damages, and causation
- C.
Duty, breach of duty, and damages
- D.
Breach of duty, damages, and causation
- 23.
- A.
Instructions on when and how to implement the living will
- B.
Who may uphold a living will declaration
- C.
How long the living will remains in effect
- D.
What will happen to the client's valuables after his death
- 24.
- A.
Documenting that the client is resting quietly and denies pain
- B.
Calling a family member to obtain information about the client
- C.
Giving the client the ordered as-needed pain medication
- D.
Checking vital signs and assessing for nonverbal indications of pain
- 25.
- A.
Avoid using cornstarch on the feet.
- B.
Avoid wearing canvas shoes.
- C.
Avoid using a nail clipper to cut toenails.
- D.
Avoid wearing cotton socks.
- 26.A community health nurse is working with disaster relief following a flood. Finding safe housing for survivors, providing support for families, organizing counseling, and securing physical care are examples of which type of prevention?
- A.
Aggregate care prevention
- B.
Primary prevention
- C.
Secondary prevention
- D.
Tertiary prevention
- 27.
- A.
Antidiarrheal medication should be given if the client has more than two loose stools.
- B.
Eating large meals should be encouraged to prevent weight loss.
- C.
The client may require fluid and electrolyte replacement.
- D.
Side rails should be raised at all times.
- 28.
- A.
Take daily weight.
- B.
Restrict fluids.
- C.
Assess urine specific gravity.
- D.
Encourage intake of coffee or tea.
- E.
Monitor intake and output.
- 29.
- A.
State legislature
- B.
Facility policies and procedures
- C.
Standards of care
- D.
Nurse practice act
- 30.
- 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.
- 31.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.
- 32.
- A.
Clear, yellow drainage
- B.
Redness and warmth
- C.
Pallor around sutures
- D.
Brown exudate at incision edges
- 33.
- A.
Withhold all potentially life-prolonging treatments in accordance with the client's living will.
- B.
Increase the oxygen flow rate to 4 L, but avoid initiating other interventions.
- C.
Call the client's family and ask what they think is best.
- D.
Initiate potentially life-prolonging treatment unless the client refuses.
- 34.
- A.
Foot.
- B.
Ankle.
- C.
Lower thigh.
- D.
Knee.
- 35.
- A.
Throw the documents in the trash can.
- B.
Shred the documents or place them in a Health Insurance Portability and Accountability Act (HIPAA) trash container.
- C.
Place the documents in the client's chart.
- D.
Leave the documents at the nurses' station.
- 36.
- A.
By providing a tracheostomy plug to use for verbal communication
- B.
By placing the call button under the client's pillow
- C.
By supplying a magic slate or similar device
- D.
By suctioning the client frequently
- 37.
- A.
After meals
- B.
Before meals
- C.
When the client has time
- D.
When the nurse has time
- 38.
- A.
Administer sleep medication before bedtime.
- B.
Ask the client to describe the quality of the previous night's sleep.
- C.
Teach the client relaxation techniques, such as guided imagery, meditation, and progressive muscle relaxation.
- D.
Provide the client with normal sleep aids, such as pillows, back rubs, and snacks.
- 39.
- A.
Determining that the client has authorized release of the information
- B.
Making sure the client's name and date of birth are displayed on the fax cover sheet
- C.
Reading all information to the client before faxing
- D.
Obtaining a written order from the client's primary physician to fax the information
- 40.
- A.
Unhappiness about the change in leadership.
- B.
Unexpressed feelings and emotions among the staff.
- C.
Fatigue from overwork and understaffing.
- D.
Failure to incorporate staff in decision making.
- 41.A physician orders an intestinal tube to decompress a client's GI tract. When gathering equipment for this procedure, a nurse should obtain a:
- A.
Sengstaken-Blakemore tube.
- B.
Miller-Abbott tube.
- C.
Levin tube.
- D.
Salem sump tube.
- 42.
- 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
- 43.
- 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
- 44.
- A.
Ignore the comment because nursing staffing decisions aren't within the physician's domain.
- B.
Report the nurse-manager to the labor relations board.
- C.
Ensure that the nurse-manager receives counseling about her comment.
- D.
Tell the staff nurse what the manager said about her.
- 45.
- A.
Semi-Fowler's
- B.
Supine
- C.
High-Fowler's
- D.
Side-lying
- 46.
- A.
Monitoring his temperature every 4 hours
- B.
Increasing fluid intake
- C.
Covering the client with a light blanket
- D.
Providing a low-calorie diet
- 47.
- A.
Fresh orange slices.
- B.
Ground beef patties.
- C.
Steamed broccoli.
- D.
Ice cream.
- 48.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
- 49.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
- 50.
- A.
Call for assistance.
- B.
Assess for responsiveness.
- C.
Palpate for a carotid pulse.
- D.
Assess for pupillary response.
- 51.
- 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.
- 52.
- 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.
- 53.
- A.
Nurse practice acts.
- B.
Standards of care.
- C.
Civil law.
- D.
The American Nurses Association.
- 54.
- 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.
- 55.
- 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)
- 56.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.
- 57.
- 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.
- 58.
- 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
- 59.
- A.
Discovery rule
- B.
Statute of limitations
- C.
Grace period
- D.
Alternative dispute resolution
- 60.
- A.
Dorothy Johnson
- B.
Virginia Henderson
- C.
Dorothea Orem
- D.
Martha Rogers
- 61.
- A.
Nasal cannula
- B.
Venturi mask
- C.
Simple mask
- D.
Nonrebreather mask
- 62.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
- 63.
- 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
- 64.
- A.
Alcohol.
- B.
Ammonia.
- C.
Acetone.
- D.
Bleach.
- 65.
- A.
Standing with her feet apart.
- B.
Lifting the client to the proper position.
- C.
Straightening her knees and back.
- D.
Standing several feet from the client.
- 66.
- A.
Avoid constrictive clothing.
- B.
Lie down for 30 minutes after eating.
- C.
Decrease intake of caffeine and spicy foods.
- D.
Eat three meals per day.
- E.
Sleep in semi-Fowler's position.
- F.
Maintain a normal body weight.
- 67.A client with fever and urinary urgency must provide a urine specimen for culture and sensitivity. The nurse should instruct the client to collect the specimen from the:
- A.
First stream of urine from the bladder.
- B.
Middle stream of urine from the bladder.
- C.
Final stream of urine from the bladder.
- D.
Full volume of urine from the bladder.
- 68.
- A.
Planning vacation time for staff
- B.
Directing staff activities if a client experiences a cardiac arrest
- C.
Evaluating a new medication-administration process
- D.
Identifying the strengths and weaknesses of a client-education video
- 69.
- A.
Presence of congestion on X-ray
- B.
Breath sounds clear on auscultation
- C.
Continued use of oxygen when necessary
- D.
Respiratory rate of 28 breaths/minute
- 70.
- A.
Does the pain worsen when you get up in the morning?
- B.
Does the pain increase with activity and lessen with rest?
- C.
Is the pain relieved when you change position?
- D.
Is the pain worse when you point your toes toward your knee?
- 71.
- A.
Notify the nursing supervisor.
- B.
Notify the physician.
- C.
Try to obtain more information from the client about when and how she acquired these bruises.
- D.
Follow the facility's policy and procedures for reporting elder abuse.
- 72.
- A.
Instill isotonic eye drops, as necessary.
- B.
Provide several small, well-balanced meals.
- C.
Provide rest periods.
- D.
Keep the environment warm.
- E.
Encourage frequent visitors and conversation.
- F.
Weigh the client daily.
- 73.
- A.
Manager
- B.
Autocrat
- C.
Leader
- D.
Authority
- 74.
- A.
Functional nursing
- B.
Case management
- C.
Team nursing
- D.
Primary nursing
- 75.
- A.
Figure-eight
- B.
Circular
- C.
Recurrent
- D.
Spiral reverse
- 76.
- A.
Applying the restraint loosely to prevent pressure on the skin
- B.
Tying the restraint to the side rail
- C.
Positioning the restrained arm in full extension
- D.
Monitoring circulatory status every 2 hours
- 77.
- A.
The client takes slow, deep breaths to elevate the spirometer ball.
- B.
The client takes rapid, shallow breaths to elevate the ball.
- C.
The client tilts the spirometer down when using it.
- D.
The client uses the device while lying supine.
- 78.
- A.
Swab the client's lips, teeth, and gums with lemon glycerin.
- B.
Clean the client's tongue with gloved fingers.
- C.
Place the client in semi-Fowler's position.
- D.
Place the client in a side-lying position.
- 79.
- A.
Eupnea
- B.
Bradypnea
- C.
Apnea
- D.
Tachypnea
- 80.
- A.
Diminished or absent breath sounds on the affected side.
- B.
Paradoxical chest wall movement with respirations.
- C.
Tracheal deviation to the unaffected side.
- D.
Muffled or distant heart sounds.
- 81.
- A.
Don't walk.
- B.
Don't cough.
- C.
Don't talk.
- D.
Don't eat.
- 82.
- A.
Always keeping the bed in a low position
- B.
Having the client fold his arms across his chest
- C.
Raising the head of the bed
- D.
Having the client help himself as much as possible
- 83.
- A.
Incision and drainage
- B.
Culture
- C.
Debridement
- D.
Irrigation
- 84.
- A.
Including the client in the discussion
- B.
Using technical terms
- C.
Providing detailed explanations
- D.
Using loosely structured teaching sessions
- 85.
- A.
Clean from the center outward in a circular motion.
- B.
Remove the drain before cleaning the skin.
- C.
Clean briskly around the site with alcohol.
- D.
Wear sterile gloves and a mask.
- 86.
- A.
Drinking eight 8-oz glasses of water each day.
- B.
Limiting the serving sizes of food and water.
- C.
Increasing intake of milk and dairy products to amounts higher than what the Food and Drug Administration (FDA) recommends.
- D.
Ignoring FDA recommendations regarding fats, oils, and sugars.
- 87.
- A.
The primary nurse
- B.
The physician involved with the procedure
- C.
The nurse working with the physician
- D.
The social worker
- 88.
- A.
Primary prevention
- B.
Secondary prevention
- C.
Tertiary prevention
- D.
Passive prevention
- 89.
- A.
Dry sterile dressing
- B.
Sterile petroleum gauze
- C.
Moist sterile saline gauze
- D.
Povidone-iodine–soaked gauze
- 90.
- A.
Rectal
- B.
Oral
- C.
Axillary
- D.
Tympanic
- 91.
- A.
Prevent the client from leaving.
- B.
Notify the physician.
- C.
Have the client sign an AMA form.
- D.
Call a security guard to help detain the client.
- 92.
- A.
The presence of an indwelling urinary catheter
- B.
Rectal temperature of 100° F (37.8° C)
- C.
Red, warm, tender incision
- D.
White blood cell (WBC) count of 8,000/μl
- 93.
- A.
Minors may give informed consent.
- B.
The professional nurse and physician must each obtain informed consent.
- C.
The client must be fully informed regarding treatment, tests, alternative treatments, and the risks and benefits of each.
- D.
Mentally incompetent clients may legally give informed consent.
- 94.
- A.
The client cleans around the incision site, using gauze squares and full-strength hydrogen peroxide.
- B.
The client rinses around the clean incision site, using gauze squares moistened with normal saline.
- C.
The client rinses around the clean incision site, using gauze squares moistened with tap water.
- D.
After cleaning around the incision site, the client applies cotton-filled gauze squares as the sterile dressing.
- 95.
- A.
Use elevators to travel to the location of the fire.
- B.
Make sure all fire doors are open.
- C.
Implement the RACE plan.
- D.
N't notify the fire department if the fire is small enough for the nurse to extinguish.
- 96.
- A.
Recommending warm milk or a warm shower at bedtime
- B.
Gathering more information about the client's sleep problem
- C.
Determining whether the client is worried about something
- D.
Finding out whether the client is taking medication that may impede sleep
- 97.
- A.
Once, to establish a baseline
- B.
Once per year
- C.
Every 2 years
- D.
Twice per year
- 98.
- A.
Positioning the client
- B.
Assisting with gowning and gloving
- C.
Handing surgical instruments to the surgeon
- D.
Applying surgical drapes
- 99.
- A.
Oxygen saturation.
- B.
Hemoglobin level.
- C.
Partial pressure of carbon dioxide (PaCO2).
- D.
Partial pressure of oxygen (PaO2).
- 100.
- A.
Assessing the client's temperature every 8 hours
- B.
Placing the client in respiratory isolation
- C.
Monitoring the client's fluid intake and output
- D.
Wearing gloves during all client contact
- 101.
- A.
Remove the raised skin because the blister has already broken.
- B.
Wash the area with soap and water to disinfect it.
- C.
Apply a weakened alcohol solution to clean the area.
- D.
Clean the area with normal saline solution and cover it with a protective dressing.
- 102.
- A.
Administering the penicillin G potassium as ordered
- B.
Administering the penicillin G potassium and staying alert for any reaction
- C.
Holding the penicillin G potassium and notifying the physician that the client may have an allergy to penicillin
- D.
Administering the penicillin G potassium but notifying the pharmacist that the client might experience an allergic reaction
- 103.
- A.
Leave the client and get help.
- B.
Obtain a physician's order to restrain the client.
- C.
Read the facility's policy on restraints.
- D.
Order soft restraints from the storeroom.
- 104.
- A.
A single male client's human immunodeficiency virus (HIV) status to his family members
- B.
A diagnosis of pancreatic cancer to a client's significant other
- C.
A taxi driver's diagnosis of an uncontrolled seizure disorder to a state agency
- D.
The fact that a woman is 32 weeks pregnant with twins to the husband from whom she is legally separated
- 105.
- A.
Determine that the procedures currently in place must be followed and direct staff to follow them without question.
- B.
Tell staff members to use whatever procedures they feel are best.
- C.
Ask staff members to quickly meet among themselves and decide what procedures to follow.
- D.
Tell staff members to assemble in the staff lounge, where she will quickly gather opinions about evacuation procedures before deciding what to do.
- 106.
- A.
Orange juice, farina, and coffee.
- B.
Apple juice, cream of chicken soup, and vanilla ice cream.
- C.
Pineapple juice, a bran muffin, and milk.
- D.
Orange juice, custard, and tea.
- 107.
- A.
Place bilateral wrist restraints on the client.
- B.
Ask the physician to order sedation for the client.
- C.
Delay giving the drug until the client's confusion disappears.
- D.
Tell a nursing assistant to stay with the client during the infusion.
- 108.
- A.
Identifying incorrect dosages or potential interactions of ordered medications
- B.
Never questioning a physician's order because the physician is ultimately responsible for the client outcome
- C.
Notifying the Occupational Safety and Health Administration (OSHA) of workplace violations
- D.
Informing the client of the Patient's Bill of Rights
- 109.
- A.
A palpable radial pulse
- B.
A palpable ulnar pulse
- C.
Cool, pale fingers
- D.
Pink nail beds
- 110.A nurse-manager must include which items as part of the personnel budget?
- A.
Anticipated overtime payments for staff
- B.
Computers for staff use
- C.
Office supplies for secretarial use
- D.
Videos for staff education
- 111.
- A.
The nurse makes decisions for clients who can't make decisions for themselves.
- B.
The nurse follows the basic standards of care and hospital policies and procedures for providing client care.
- C.
The nurse promotes and protects the client's interests and rights.
- D.
The nurse adopts a paternalistic approach to client care.
- 112.
- A.
Clients who require frequent pain medication
- B.
Clients who are 15 lb (6.8 kg) overweight
- C.
Clients who ambulate after the first postoperative day
- D.
Clients who are undernourished
- 113.
- A.
Monoplegia.
- B.
Hemiplegia.
- C.
Paraplegia.
- D.
Quadriplegia.
- 114.
- A.
Immediately recapping used needles.
- B.
Disposing of sharp instruments in an impervious container.
- C.
Wearing gloves only for sterile procedures.
- D.
Substituting regular eyeglasses for eye protection.
- 115.
- A.
Wear gloves for all client contact.
- B.
Consider all body substances potentially infectious.
- C.
Place a body substance isolation sign on the client's door.
- D.
Wear gloves and a gown if the client is in respiratory isolation.
Back to top