NCO functional ability

Which bursae are between the client's elbow and the skin? 1 Olecranon 2 Prepatellar 3 Subacromial 4 Trochanteric

1 olecranon

Which assessment finding is associated with depression? The client has islands of intact memory. The client has impaired recent and remote memory. The client has impaired recent and immediate memory. The client needs step-by-step instructions for simple tasks.

The client has islands of intact memory

Which structures protect a client's internal organs, support blood cell production, and store minerals? Joints Bones Muscles Cartilages

Bones

3. The nurse is assessing a patient's ability to perform basic activities of daily living (BADLs). Which activities are considered in the BADLs assessment? (Select all that apply.) Brushing teeth or dentures Dressing oneself in the mornings Washing, drying, and folding laundry Counting own pulse and taking heart pill Taking the bus to the park Calling family members

Brushing teeth, dressing self

Which factor is used to assess the quality of health care provided to a client? Fall-prevention measures employed for the client Functional health status of the client after discharge Hand hygiene practiced by the health care personnel Teamwork and coordination among health care personnel

Functional health status

Which would the nurse document for a client with drooping of the eyelid over the pupil? 1 Ptosis 2 Ectropion 3 Entropion 4 Nystagmus

Ptosis

When teaching about aging, the nurse explains that older adults usually have which characteristic? 1 Inflexible attitudes 2 Periods of confusion 3 Slower reaction times 4 Some senile dementia

Slower reaction times

Which developmental milestone would the nurse expect when assessing a preschooler? 1 Copying squares 2 Running with difficulty 3 Difficulty in walking stairs 4 Jumping and hopping with ease

1 copying squares

A client newly diagnosed with myasthenia gravis voiced concerns about fluctuations in physical condition and generalized weakness. When providing care for this client, which nursing intervention would the nurse implement? 1 Preplan the spacing of activities throughout the day. 2 Restrict activities and encourage bed rest. 3 Teach the client about limitations imposed by the disorder. 4 Have a family member stay at the bedside to give the client support.

1 preplan the spacing

Which organ is commonly affected in children with juvenile idiopathic arthritis (JIA)? 1 Ears 2 Eyes 3 Liver 4 Brain

2 eyes

During the neurological assessment of a client with a tentative diagnosis of Guillain-Barré syndrome, which clinical finding would the nurse expect the client to manifest? 1 Diminished visual acuity 2 Increased muscular weakness 3 Pronounced muscular atrophy 4 Impairment in cognitive reasoning

2 increased muscular weakness

Which ethnic group has a greater incidence of osteoporosis due to musculoskeletal differences? 1 Irish Americans 2 African Americans 3 Chinese Americans 4 Egyptian Americans

3 chinese Americans

A client is undergoing diagnostic testing for myasthenia gravis. Which test would the nurse identify as the most specific for this diagnosis? 1 Electromyography 2 Pyridostigmine test 3 Edrophonium chloride test 4 History of physical deterioration

3 edrophonium chloride test

An 80-year-old client is admitted to the hospital with severe dehydration. The client's daughter asks the nurse how her mother could have become dehydrated. Which response by the nurse is correct? 1 "The body's fluid needs decrease with age because of tissue changes." 2 "Access to fluid may be insufficient to meet the daily needs of the older adult." 3 "Memory declines with age, and the older adult may forget to ingest adequate amounts of fluid." 4 "The thirst reflex diminishes with age, and the recognition of the need for fluid is decreased."

4 "The thirst reflex diminishes with age, and the recognition of the need for fluid is decreased."

Which type of joint is present in between the client's tarsal bones? 1 Pivot 2 Hinge 3 Saddle 4 Gliding

4 gliding

Which type of joint is present in the client's shoulders? 1 Pivotal 2 Saddle 3 Condyloid 4 Spheroidal

4 spheroidal; ball and socket

Which muscle-strength rating would the nurse record for a client who can complete range of motion with some resistance? 1 2 3 4

4, According to the common scale for grading muscle strength, a client who can complete range of motion with some resistance is given the rating 4. Rating 1 is given to a client with no joint motion and slight evidence of muscle contractility. Rating 2 is given to a client who can complete range of motion with gravity eliminated. Rating 3 is given to a client who can complete range of motion against gravity.

Which term describes synovial joint movement away from the midline of the body? 1 Inversion 2 Extension 3 Pronation 4 Abduction

4, abduction

Which range of heart rate is acceptable for a preschooler? 60 to 100 80 to 110 75 to 100 90 to 140

80 to 110

Which action would the nurse take for a newly admitted client with schizophrenia who refuses to remove dirty clothing? Allow the client to undress when ready to help maintain identity. Provide two outfits and help the client decide which one to wear. Explain that clean clothes will look more attractive and increase self-esteem. Get assistance to remove the clothing to meet the client's basic hygiene needs.

Allow the client to undress when ready to help maintain identity

Which activities can a child perform at 3 years of age? Select all that apply. One, some, or all responses may be correct. 1 Jumping rope 2 Drawing triangles 3 Turning doorknobs 4 Holding crayons with fingers 5 Eating with a spoon without rotating it 6 Classifying objects based on size and color

Doorknobs, crayons, spoon

5.ID: The nurse is caring for an 85-year-old woman 6 weeks following a hysterectomy secondary to ovarian cancer. The patient will need chemotherapy and irradiation on an outpatient basis. The nurse should identify and address which barriers to healing? (Select all that apply.) Can feed herself and prepare meals but cannot drive to the store Lives on a fixed income and can balance her checkbook Experiences stress incontinence Cannot participate in activities at the senior center Lives alone and has no nearby relatives Has no transportation to the oncology clinic

Experiences stress incontinence, lives alone, no transportation

Which nursing intervention prevents footdrop in a client with osteomyelitis? Elevating the foot with the use of pillows Consistently flexing the affected extremity Encouraging the client to change positions Neutral positioning of the foot with the use of a splint

Neutral positioning of the foot with the use of a splint

Which type of rehabilitation is an essential component to a client's recovery from Guillain-Barré syndrome? 1 Physical therapy 2 Speech exercises 3 Fitting with a vertebral brace 4 Follow-up on cataract progression

Physical therapy

Which interventions are priorities in a plan of care for a patient who had a stroke 30 days ago and is now in home care rehabilitation? (Select all that apply.) Promoting rest and sleep Promoting a diet rich in protein Promoting exercise and ambulation Assisting the patient with ADLs Limiting visitors and social contacts

Promoting rest and sleep, exercise and ambulatory

Which synovial joint movement is involved in turning a client's palm downward? Eversion Inversion Pronation Supination

Pronation, Pronation is the movement involved in turning the palm downward. Eversion involves turning the sole outward away from the midline of the body. Inversion involves turning the sole inward towards the midline of the body. Supination involves turning the palm upward.

Which joint is an example of a condyloid joint? 1 Wrist joint 2 Elbow joint 3 Shoulder joint 4 Sacroiliac joint

Wrist, specific joint above carpals