Exam Review
- When showering a patient, which of the following actions should the nurse take to ensure patient safety?A)Assess the water temperature before allowing the patient to shower.B)Rush through the shower to save time.C)Use hot water to make the shower more comfortable for the patient.D)Leave the patient unattended in the shower room.
- A nurse is caring for a client who reports abdominal pain. The nurse asks the client to describe what the pain feels like. The nurse is using which of the following components of the PQRST mnemonic?A)Precipitating causeB)RegionC)QualityD)Severity
- Which of the following is an essential component of patient safety in healthcare settings?A)Implementing advanced technology without trainingB)Increasing nurse-to-patient ratiosC)Adherence to infection control protocolsD)Promoting patient satisfaction above all else
- A nurse is performing oral care for a client who is unconscious. Which of the following actions should the nurse take?A)Place two fingers in the client's mouth.B)Hold the toothbrush at a 90° angle.C)Vigorously brush the client's teeth.D)Turn the client to the side.
Exam Review
- A charge nurse is teaching a newly licensed nurse about the use of critical pathways. Which of the following should the charge nurse include?A)Critical pathways result in better client outcomes at a reduced cost.B)Critical pathways are developed by individual providers to direct the delivery of care for their clients.C)Critical pathways must be followed in the prescribed order to meet optimal outcomes.D)Critical pathways are utilized to guide health promotion activities.
- What is an important strategy for fall prevention in older adults?A)Encouraging regular exercise and physical activity.B)Removing all rugs and carpets from the home.C)Encouraging the use of medications that cause drowsiness.D)Limiting social activities and outings.
- A nurse is documenting in a client's health record using the problem-intervention-evaluation charting model (PIE). Which of the following information should be included in the intervention component?A)Client is asleep and restingB)Client had 150 mL of emesis in last hourC)Ondansetron 4 mg IV bolus for nausea and vomitingD)Client reports nausea and vomiting 30 minutes following surgery
- A nurse is teaching a client about the benefits of an electronic health record. Which of the following information should the nurse include in the teaching?A)Provides providers client information to track for research studiesB)Allows client access to their medical record electronically at any timeC)Coordinates all healthcare client has received into one platformD)Grants significant other access to client information
Exam Review
- What is the correct way to use a cane while walking?A)Hold the cane on the same side as the affected leg.B)Hold the cane behind the body.C)Hold the cane in the middle of the body.D)Hold the cane on the opposite side of the affected leg.
- What is the purpose of evidence-based practice (EBP) in nursing?A)To ensure that nurses follow standardized protocols and proceduresB)To save time by relying on established nursing practicesC)To provide care based on tradition and personal beliefsD)To improve patient outcomes and quality of care
- A nurse is assisting with evaluating ergonomic practice in the workplace. Which of the following should the nurse identify as an example of safe ergonomic practice?A)A nurse lifts a client by themselves.B)Nurses are required to take breaks during a shift.C)A nurse reaches across a client's bed to lift an object.D)Nurses are required to work frequent overtime.
- A nurse is caring for a client who is postoperative. The nurse should recognize that which of the following methods is the most reliable source when determining the intensity of the client's pain?A)Vital sign measurementB)Nature of invasiveness of the surgical procedureC)Visual observation for nonverbal signs of painD)Client's self-report of pain
Exam Review
- A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye. The nurse should identify that this is a manifestation of which of the following visual impairments?A)Macular degeneration,B)CataractsC)Diabetic retinopathyD)Glaucoma
- A team of community health nurses is considering the implementation of new programs in their community, and they are formulating research questions. Which of the following should represent a T in their PICOT questions? (Select All that Apply.)A)Increased school attendanceB)School-age childrenC)During the summer monthsD)Decreased prevalence of pneumoniaE)Three months after immunizationF)Older adults
- A nurse is assisting with the care of a client. Exhibits A nurse in a provider's office is assisting with the review of fall risk data collected on a client. Which of the following findings places the client at risk for a fall? Select all that apply.A)Uses a cane to ambulateB)Throw rugs in kitchenC)Electrical cord on floor over walkwayD)Grab bar in bathroomE)Macular degeneration
- A nurse is planning to perform foot care for a client. Which of the following actions should the nurse plan to take?A)Use warm water to wash the client's feet.B)Allow the client's feet to air dry.C)Soak the client's feet prior to washing.D)Apply moisturizer between the client's toes.
Exam Review
- A nurse is documenting client care including only unexpected findings related to the client's condition. Which of the following documentation methods is the nurse utilizing?A)Problem-oriented medical record (POMR)B)Focus charting (DAR)C)SOAP documentation stands for subjective, objective, assessment, and evaluation.D)Charting by exception (CBE)
- A nurse is collecting data on an older adult client who is experiencing age related changes. Which of the following findings should the nurse expect?A)Increased balanceB)Increased calcification of bonesC)Increased joint stiffnessD)Increased muscle mass
- A nurse is collecting data on a client who has peripheral neuropathy. Which of the following findings should the nurse expect?A)Increased ability to detect temperatureB)Burning sensation in feetC)Loss of sensation to pressureD)Hyperreflexia
- A nurse is preparing to lift a heavy object. Which of the following actions by the nurse indicates an understanding of body mechanics?A)They bend at the hip when lifting.B)They keep their feet together when lifting an object.C)They stand close to the object being moved.D)They twist their spine when lifting.
Exam Review
- A nurse is assisting with teaching a newly licensed nurse about ethical principles. Which of the following is an example of autonomy?A)A nurse administers a scheduled pain medication for a client who is having pain.B)A nurse provides nonpharmacological pain interventions to each client equally.C)A nurse fulfills a promise to a client that they will return with their pain medication.D)A nurse gives a client the choice of when to take a pain medication.
- A nurse is caring for a client who has impaired speech. Which of the following actions should the nurse take?A)Finish sentences for the client.B)Avoid using visual aids for communication.C)Allow extra time to communicate with the client.D)Ask open-ended questions.
- A nurse is reinforcing teaching with a client who is receiving morphine via a patient-controlled analgesia (PCA) infusion device. Which of the following statements by the client indicates an understanding of the teaching?A)"I'll be careful about pushing the button so I don't get an overdose."B)"I should tell the nurse if I can't control my pain with this device."C)"I will ask my family to push the dose button when I am asleep."D)"I should only use the device when it's absolutely necessary."
- A nurse is caring for a client who reports chronic pain. Which of the following actions by the nurse uses holistic nursing?A)Obtain blood work from the client.B)Request a prescription for an analgesic for the client.C)Check the client's oxygen saturation level.D)Encourage the client to take slow, deep breaths.