Pre Quiz Week 1

The nurse is teaching a new group of unlicensed assistive personnel (UAP) about the importance of hand hygiene. Which of the following statements should the nurse include?

Rub all surfaces of your hands with an alcohol rub for 20 to 30 seconds."

A nurse is assessing a group of clients for those at risk for falls. Which of the following clients is most at risk?

The 80 y.o. client who had a stroke with left sided weakness and urinary frequency.

A nurse is observing an unlicensed assistive personnel (UAP) change the linens of a client's bed. Which of the following observations requires follow-up?

The UAP reaches across the bed to straighten the fitted sheet.

A nurse is educating a client who has excessively dry skin. Which of the following recommendations indicates good nursing judgment?

The nurse encourages the client to bathe less frequently, only a few times a week

A nurse is changing a client's bed linens. Which action, if observed, requires follow up by the preceptor?

The nurse puts all 4 side rails up prior to leaving the room.

The nurse preceptor is observing a new nurse wash their hands. Which of the following, if observed, would require the preceptor to intervene?

The nurse rinses from fingertips to wrists, keeping hands with fingers pointing upward, hands slightly together.

The nurse is providing oral care for a client who is immobile. Which of the following actions should the nurse take?

Turn the client on his side before starting oral care.

The charge nurse is teaching a group of health care workers about hand hygiene to prevent infection. Which of the following information should the charge nurse include in the teaching?

Use chlorhexidine to wash hands if the client is immunosuppressed

The nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take?

apply 4 to 5 mL of liquid soap to the hands

The nurse is discussing the plan of care with an older adult client who wears hearing aids. The nurse notes the client leaning forward and asks the nurse to repeat the noise. Which action should the nurse take to assist the client?

decrease background noise

The nurse must make the decision to give a client a full or partial bed bath. Which criterion is most important for the basis of this decision?

immediate need of the client

A nurse is providing teaching to a group of unlicensed assistive personnel (UAP) about hand hygiene. Which of the following statements by one of the UAPs indicates a need for further teaching?

"As long as I change gloves between clients, it is not necessary to wash my hands."

The nurse is assessing the client with a hearing deficit for pre-existing knowledge of hearing aid care. Which of the following statements by the client demonstrates correct care?

"I open the battery door at night."

A nurse is preparing bathing supplies for a client during the morning shift. The client refuses to shower, stating they want to sleep instead. How should the nurse respond to the client's request?

"Is there a time of day when you prefer to bathe?"

A nurse is caring for a client who recently started using crutches for an ankle injury. The client reports tingling and discomfort in the shoulder and armpit area. What is the nurse's best response?

"Let me see how you ambulate using your crutches."

A nurse is performing an intake assessment on a client who is homeless. Which statement by the nurse best assesses the client's hygiene practices?

"Tell me about your bathing habits."

A nurse is observing an unlicensed assistive personnel (UAP) provide care to a client. Which of the following observations requires follow-up?

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A nurse is providing hygiene care for a client who is immobile. Which of the following actions should the nurse take? Select all that apply.

1. Check for personal items when changing the bed linens. 2. Shave the client's hair in the direction of the hair growth. 3. Keep the bath water temperature between 43.3° C (110° F) and 46.1° C (115° F).

A charge nurse is making room assignments. Which of the following clients should be moved closer to the nursing station to prevent falls?

An older adult who is postoperative following a left below the knee amputation

A home health nurse is discussing the dangers of carbon monoxide poisoning with a client. Which of the following information should be included in the teaching?

Carbon monoxide binds with the hemoglobin in the body.

A nurse is providing nail care for a non-diabetic client. Which of the following actions should the nurse take?

Clean under the nail with an orange stick

The nurse is giving a client a bed bath. Which nursing action is most important?

Ensure that the bathwater is at least 110°F.

A nurse is educating a client with diabetes about proper foot care. Which statement indicates the client needs additional teaching?

I will cut my nails in a rounded manner so the nail is not sharp."

The nurse is bathing a client who has a fever. Why should the nurse use tepid bath water for this procedure?

Increase heat loss

The nurse is assisting a client with denture care. Which of the following actions is appropriate? Group of answer choices

Line the sink with a towel when cleaning.

The nurse is caring for a client who has a Clostridium difficile infection. Which of the following cleansing agents should the nurse use for hand hygiene?

Non-antimicrobial soap under running water for at least 15 seconds

The nurse is planning a staff development conference about culturally competent care. Which of the following information should the nurse include?

Nurses should focus on clients' culture rather than their ethnicity when providing care