NMNC Quiz #4

The nurse prepares to enter the room of a child who requires isolation precautions. Which actions will the nurse take to ease the child's fears? Select all that apply. A. Introduces self before donning a mask, if possible B. Encourage the child to play with the equipment C. Visit the client frequently D. Group nursing tasks to decrease contact E. Encourage the child to walk the halls frequently

A. Introduces self before donning a mask, if possible B. Encourage the child to play with the equipment C. Visit the client frequently

Which is the most important question the nurse should ask a client before performing a routine musculoskeletal assessment? A. "Do you exercise every day?" B. "Do you have a history of any sports injuries?" C. "Do you take a hot bath to relax your muscles?" D. "Do you want pain medication before I begin?"

B. "Do you have a history of any sports injuries?"

The nurse reviews the various isolation environments to prevent the spread of disease. What basic preventive practices are implemented with all clients and others to ensure disease transmission does not happen? A. Standard B. Reverse C. Droplet D. Airborne

A. Standard

A nurse is planning care for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? A. Use a transfer device to lift the client up in bed. B. Apply cornstarch to keep sensitive skin areas dry. C. Massage the skin over the client's bony prominences. D. Elevate the head of the bed no more than 45°.

A. Use a transfer device to lift the client up in bed.

A novice nurse is working with a client who is admitted to a medical-surgical unit. The nurse is establishing a therapeutic relationship with the client by conveying empathy. Which statement by the nurse best exemplifies empathy? A. "I wouldn't be afraid if I were you." B. "You shouldn't have done it that way." C. "You seem to be frightened by the procedure. Tell me how you are feeling." D. "I know just how you feel, because my mother has the same illness."

C. "You seem to be frightened by the procedure. Tell me how you are feeling."

The nurse is teaching a group of newly hired UAP's about proper body mechanics and instructs them to use which most important piece of equipment to ensure that proper body mechanics are used? A. Gait belt B. Assistive moving device C. No special equipment is required D. Additional staff

C. No special equipment is required

The nurse is caring for a client in isolation. The nurse needs to remove the isolation gown and gloves after leaving the client's room. Place the steps in correct order for removing PPE. - Remove gloves - Use the nondominant hand to pull sleeve wristlet over the dominant hand - Grasp outside of gown through the sleeves at shoulders - Using the dominant hand and grasping the clean part of the sleeve, pull sleeve wristlet over the nondominant hand - Fold gown inside out and discard - Pull gown down over the arms

1. Remove gloves 2. Using the dominant hand and grasping the clean part of the sleeve, pull sleeve wristlet over the nondominant hand 3. Use the nondominant hand to pull sleeve wristlet over the dominant hand 4. Grasp outside of gown through the sleeves at shoulders 5. Pull gown down over the arms 6. Fold gown inside out and discard

A nurse is removing personal protective equipment (PPE) after giving direct care to a client who requires isolation. Which of the following PPE items should the nurse remove first? A. Gown B. Gloves C. Mask D. Face shield

B. Gloves

A nurse is caring for a client who has active pulmonary tuberculosis (TB). The client requires airborne precautions and is receiving multidrug therapy. Which of the following precautions should the nurse take to transport the client safely to the radiology department for a chest x-ray? A. Ask the X-ray technician to come to the client's room to obtain a portable X-ray. B. Have the client wear a fitted N95 mask C. Notify the X-ray department that the client requires airborne precautions D. Wear a filtration mask and gloves during transport.

B. Have the client wear a fitted N95 mask

A nurse is assisting with transferring a client from the bed to a wheelchair. Which of the following actions should the nurse take? A. Place the wheelchair at a 90° angle to the bed. B. Lock the wheels of the bed and the wheelchair. C. Acquire the help of several people to lift the client D. Elevate the bed to a position of comfort for the nurse.

B. Lock the wheels of the bed and the wheelchair.

A nurse educator is teaching a group of students about therapeutic touch. In which situation is it appropriate to use therapeutic touch as a means of communication? A. When a client's family member is making inappropriate comments to the nurse B. When an upset spouse is alone and the client has just expired C. When speaking to a client with a history of physical abuse D. When a young male client asks a young student nurse for a hug

B. When an upset spouse is alone and the client has just expired

A nurse is developing a plan of care to prevent skin breakdown for a client with a spinal cord injury and paralysis. Which of the following nursing actions are appropriate? (Select all that apply.) A. Massage over erythematous bony prominences. B. Implement turning schedule every 4 hr. C. Use pillows to keep heels off the bed surface. D. Minimize skin exposure to moisture.

C. Use pillows to keep heels off the bed surface. D. Minimize skin exposure to moisture.

The nurse is conducting an admission interview. Which action indicates that the nurse is exhibiting active listening techniques when listening to the client's explanations? A. "I'm sorry, say that again" B. "Can you explain what your symptoms are like?" C. "When was the last time you saw a doctor for this?" D. "Yes, I see" while nodding the head.

D. "Yes, I see" while nodding the head.

During a care conference, the nursing student differentiates between the different theories of caring when discussing client care. Which type of knowledge is the student demonstrating? A. Aesthetic knowing B. Ethical knowing C. Personal knowing D. Empirical knowing

D. Empirical knowing

A nurse is caring for a group of clients in an infectious disease unit. The nurse should wear an OSHA-approved N95 respirator mask when caring for a client with which of the following infectious diseases? A. Petussis B. Methicillin-resistant Staphylococcus aureus C. Mycoplasma pneumonia D. Tuberculosis

D. Tuberculosis