Beginning and End of Week 1 quiz

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. -Shave the client's hair in the direction of the hair growth. -Wash the client's extremities from proximal to distal. -Check for personal items when changing the bed linens. -Place a clean gown on the strongest arm first. -Keep the bath water temperature between 43.3° C (110° F) and 46.1° C (115° F).

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

Match the term on the left with the appropriate definition on the right. TO TPR trach tsp Tx

-telephone order -temperature, pulse, and respiration -tracheostomy -teaspoon -treatment

Calculate this conversion. Round the answers to the nearest tenth. 34 cm = ______in

13.4

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? A. "Let me see how you ambulate using your crutches." B. "We need to discontinue the crutches right away and switch to a different option such as a wheelchair." C. "I believe the crutches may be too tall for you, let's re-measure." D. "That is normal and will decrease as your body gets used to using the crutches."

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

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? A. "Rub all surfaces of your hands with an alcohol rub for 20 to 30 seconds." B. "If you wear gloves, you do not have to wash your hands." C. "Use an alcohol rub when your hands are visibly soiled." D. "If you don't have an infection, your hands won't infect others."

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

A nurse is providing nail care for a non-diabetic client. Which of the following actions should the nurse take? A. Clean under the nail with an orange stick B. File the nails in a rounded shape. C. Push the cuticles back with a metal nail file. D. Trim the nails at the lateral corners

A. Clean under the nail with an orange stick

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? A. Nonantimicrobial soap B. Povidone-iodine C. Chlorhexidine D. Alcohol-based hand rub

A. Nonantimicrobial soap

A nurse is observing unlicensed assistive personnel (UAP) change the linens of a client's bed. Which of the following observations requires follow-up? A. The UAP reaches across the bed to straighten the fitted sheet B. The UAP rolls the client back and forth from one side of the bed to the other to make access easier C. The UAP raises the bed to waist level D. The UAP lowers the side rail on the side closest to them

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

The nurse preceptor is observing a new nurse wash their hands. Which of the following, if observed, would require the preceptor to intervene? A. The nurse scrubs in circular motions using lots of friction B. the nurse washes their hands as opposed to using hand gel when they notice blood on their palms C. The nurse washes their hands for 15-20 seconds and sings happy birthday twice to ensure adequate time. D. The nurse allows the water to run off their elbows when washing

A. The nurse scrubs in circular motions using lots of friction

A nurse is educating a new graduate nurse on body mechanics. Which of the following statements indicates a good use of body mechanics? A. The nurse suggests the nurse sleep on a firm mattress as opposed to a soft one B. The nurse suggests that the new grad keep feet close together when preparing to lift the patient C. The nurse suggests the new grad not attempt to lift anything greater than 50lbs without assistance D. The nurse suggests the new grad always twist their back towards the direction of the transfer as opposed to away from it

A. The nurse suggests the nurse sleep on a firm mattress as opposed to a soft one

A client who is ambulating with crutches moves both crutches forward along with the injured leg and then moves the non-injured forward. What type of gait did the client use while ambulating with crutches? A. Three-point gait B. Swing-to-gait C. Two-point gait D. Four-point gait

A. Three-point gait

A nurse is changing a client's bed linens. Which action, if observed, requires follow up by the preceptor? A. the nurse puts all 4 side rails up prior to leaving the room B. the nurse places draw under the client's hips for transfer. C. The nurse puts on gloves and a gown before removing bed sheets. D. The nurse makes sure the call-light is in reach before leaving the room

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

A charge nurse is making room assignments. Which of the following clients should be moved closer to the nursing station to prevent falls? A. A middle-aged adult who is postoperative following a laparoscopic appendectomy. B. An older adult who is postoperative following a left below the knee amputation. C. A young adult who is in a cast for a broken tibia. D. A teenager who is on telemetry for dysrhythmias.

B. 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? A. The lungs are damaged from carbon monoxide inhalation. B. Carbon monoxide binds with the hemoglobin in the body. C. carbon monoxide has a distinct odor, so report any unusual smells immediately D. water heaters should be inspected every 5 years.

B. Carbon monoxide binds with the hemoglobin in the body.

A nurse is caring for a client who is sitting in a chair and asks to return to bed. Which of the following actions is the nurse's priority at this time? A. Use a transfer belt to assist B. Determine the client's ability to help with the transfer C. Obtain a walker for the client to use to transfer back to bed D. Call for additional staff to assist with the transfer

B. Determine the client's ability to help with the transfer

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? A. Time of client's last bath. B. Immediate need of the client. C. Primary healthcare provider's prescription for the client's activity. D. Client preference

B. Immediate need of the client.

A nurse is caring for a patient that is unconscious. The nurse knows that in order to promote drainage of secretions when performing oral care, which position is best to place them in? A. Reverse Trendelenburg's B. Lateral Position C. High Fowlers Position D. Prone Position

B. Lateral Position

A nurse notes that a client's bed has a frayed cord that plugs into the outlet. Which of the following is the best response? A. Ask engineering for electrical tape to cover the areas that are frayed, and then check to see if the bed is still functional. B. Put a sign on the bed that says "do not use", call engineering, and find a different bed C. Be sure it's plugged into a grounded outlet only D. Plug the bed in to see if it's still functional

B. Put a sign on the bed that says "do not use", call engineering, and find a different bed

A nurse is observing unlicensed personnel (UAP) provide care to a client. Which of the following observations requires follow-up? A. The UAP positions the unconscious client laterally prior to providing oral care B. The UAP puts the arms of a client at their side as they prepare them for transfer C. The UAP puts lotion on the feet of a client with diabetes D. The UAP puts on clean gloves prior to brushing teeth

B. The UAP puts the arms of a client at their side as they prepare them for transfer

The nurse on a medical unit is teaching a group of unlicensed assistive personnel (UAP) about handling clients' bed linens safely. Which of the following instructions should the nurse include? A.Return any fresh linen not used for a client to the linen supply area. B. Tie linen bags securely at the top. C. Fill linen bags with as much soiled linen as possible. D. Use double bagging to remove soiled linen from the client's room.

B. Tie linen bags securely at the top.

The nurse is providing oral care for a client who is immobile. Which of the following actions should the nurse take? A.Use a stiff toothbrush to clean the client's teeth. B. Turn the client on his side before starting oral care. C. Apply petroleum jelly to the client's lips after oral care. D. Use the thumb and index finger to keep the client's mouth open.

B. 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? A. Keep artificial nails trimmed. B. Use chlorhexidine to wash hands if the client is immunosuppressed. C. Use alcohol-based hand rubs before administering eye drops for a client. D. Wash hands with alcohol-based hand rubs when caring for a client who has Clostridium difficile.

B. Use chlorhexidine to wash hands if the client is immunosuppressed.

A nurse is assessing a group of clients for those at risk for falls. Which of the following is most at risk? A. the 25 y.o. client who had a spinal fusion who is completely reliant on staff to turn and reposition B. the 80 y.o. client who had a stroke with left sided weakness and urinary frequency. C. the 72 y.o. client taking a beta blocker that is causing orthostatic hypotension. D. the 30 y.o. male client receiving IV narcotics every 2 hrs.

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

A nurse is educating a client who has excessively dry skin. Which of the following recommendation indicates good nursing judgment? A. the nurse encourages the client to apply baby powder daily B. the nurse encourages the client to go on a fluid restriction, so they void less. C. The nurse encourages the client to bathe less frequently, only a few times a week D. The nurse encourages the client to bathe daily

B. the nurse encourages the client to go on a fluid restriction, so they void less.

The nurse is educating a client with diabetes about proper foot care. Which statement indicates the client needs additional teaching? A. "I will inspect my feet carefully each day for signs of redness, swelling, or any breaks in the skin." B."I will not go barefoot and wear shoes that fit correctly" C. "I will cut my nails in a rounded manner so the nail is not sharp." D. "I will be sure to keep my feet warm and change socks daily."

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

The nurse in a long-term care facility is observing an unlicensed assistant personnel (UAP) changing the linen for a client who has fecal incontinence. Which of the following actions indicates that the UAP understands the principles of infection control? A. Places the soiled linen on the floor before bagging it B. Shakes the soiled linen to remove any toilet paper remnants C. Places clean linen that touched the floor in the soiled linen bag D. Holds the soiled linen against her body while carrying it to the linen bag

C. Places clean linen that touched the floor in the soiled linen bag

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? A. "I will not wear artificial nails when providing client care." B. "It is acceptable to use alcohol-based hand products after most client contact." C. "I should wash my hands before I provide client care." D. "As long as I change gloves between clients, it is not necessary to wash my hands."

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

The nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take? A. Rub hands and arms to dry. B. Adjust the water temperature to feel hot. C. Hold the hands higher than the elbows. D. Apply 4 to 5 mL of liquid soap to the hands.

D. Apply 4 to 5 mL of liquid soap to the hands.

The nurse is giving a client a bed bath. Which nursing action is most important? A. Raise the bed to the highest position. B. Fold the washcloth like a mitt on the hand. C. Lower the 2 side rails on the working side of the bed. D. Ensure that the bathwater is at least 110°F.

D. Ensure that the bathwater is at least 110°F.

A nurse is educating a client on the effects of immobility. Which of the following, if stated by the patient, indicates they needs additional teaching? A. I may experience stiff joints or contractures B. I may experience pooling of respiratory secretions C. I may experience more frequent UTI's D. I may develop diarrhea which can lead to skin breakdown

D. I may develop diarrhea which can lead to skin breakdown

The nurse is bathing a client who has a fever. Why should the nurse use tepid bath water for this procedure? A. Removes surface debris B. Reduces surface tension of skin C. Stimulates peripheral circulation D. Increase heat loss

D. Increase heat loss

The nurse is teaching a newly hired group of unlicensed assistive personnel (UAP) about infection-control measures on the unit. It is crucial for the nurse to remind the UAPs that which of the following is the most effective way to prevent the spread of pathogens during client care? A. Properly disposing of contaminated equipment B. Discarding used syringes in appropriate containers C. Changing soiled linens daily for clients who have draining wounds D. Performing hand hygiene frequently and consistently

D. Performing hand hygiene frequently and consistently

A client needs to go up the stairs while using crutches. What finding by the nurse demonstrates the client understands how to ambulate upstairs with crutches? A. The client moves the injured leg forward onto the steps, then moves the crutches, and then moves the non-injured leg. B. The client moves the crutches and non-injured leg forward to the step together, and then the non-injured leg. C. The client moves the crutches forward up the step, then the injured and non-injured leg. D. The client moves the non-injured leg forward onto the step and then the moves the injured leg and crutches up.

D. The client moves the non-injured leg forward onto the step and then the moves the injured leg and crutches up.

A nurse is caring for a client in restraints. When reviewing the order, what should the nurse question? A. The provider states that the staff is to use soft wrist restraints bilaterally B. The provider states the purpose of the restraint is to prevent the client from physically cutting themselves C. The provider states the restraint is good for 12hrs until the patient gets his psychiatric evaluation D. The provider says to only use wrist restraints when the patient shows signs of physical aggression

D. The provider says to only use wrist restraints when the patient shows signs of physical aggression

A nurse is ambulating a client in the hallway that experiences a sudden onset of a tonic clonic seizure. Which of the following is the nurse's priority action? A. Call for assistance B. Lower the patient carefully to the ground C. Turn the patient on their right side D. Grab O2 and place on the patient

Lower the patient carefully to the ground

Match the term on the left with the appropriate definition on the right. qid RBC RLE RN

four times a day red blood cells right lower extremity registered nurse