Basic Physical care (Part 1)

115 Questions | Total Attempts: 316

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Basic Physical care (Part 1)

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.

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