Week 4: Fundamentals Practice Questions

The occupational nurse is teaching an employee about maintaining good posture. Which teaching will the nurse include? Select all that apply. - maintain hips at an even level - alternate placing weight on one foot versus the other - keep shoulders even and centered above hips - bend knees slightly to avoid straining joints - push the buttocks out and hold abdomen up to properly align spine

- maintain hips at an even level - keep shoulders even and centered above hips - bend knees slightly to avoid straining joints

A UAP asks the nurse what trochanter rolls are used for when providing care. What is the appropriate nursing response? a. to prevent the legs from rotating outward b. to prevent foot drop c. to avoid contractures d. to preserve the client's functional ability to grasp and pick up objects

A

A client has been admitted to the ED following a motorcycle accident and is experiencing major physiological and psychological stressors during this period. What signs or symptoms may be attributable to the parasympathetic effects of stress? a. increased bronchoconstriction b. increased perspiration c. increased muscle tone d. increased heart rate

A

A client who tends to volunteer to complete major assignments (but forgets to complete his own work) is stressed because of this. The nurse suggests that the client prioritize the work, complete the difficult part of the work first, and delegate the rest of the work to colleagues. In this case, what technique is the nurse asking the client to follow? a. alternative behaviors b. alternative lifestyle c. alternative coping d. negative technique

A

A nurse is caring for a client who is recovering from acute back pain. Which device will allow the bedridden client to maintain as much independence as possible? a. trapeze b. bed cradle c. side rails d. bed board

A

A nurse is trying to calm an upset client who has been involved in an accident. The client escaped with minor bruises from the accident. What should the nurse do in order to calm the client? a. explain that things could have been worse b. ask family members to take the client for a vacation c. advise the client to file a claim on their accident insurance d. prescribe sedatives to calm the nerves

A

A nurse needs to change the soiled linen and body position of a client who is confines to bed and has developed bedores. Which general principles of positioning should the nurse follow? a. raise the bed to the height of the caregivers elbow b. change the clients position every half hour c. tuck in pillows and positioning devices d. fasten drainage tubes from the bed linen

A

A nurse needs to transfer a client who has polio but has strong arms and upper body muscles to the x-ray unit. Which transfer devices will be most suitable for the client? a. transfer board b. transfer handle c. transfer belt d. transfer bed

A

The nurse is teaching a client about good posture when lying down to go to sleep. Which teaching will the nurse include? a. picture yourself with good posture standing; that is how good lying posture works b. sleep with your head tilted to one side to take pressure off your neck c. keep knees and legs very straight d. your feet should be at 45 degree angles from the legs

A

A nurse is assisting a neurologist, who is assessing the norepinephrine (noradrenaline) level of a client who is reporting stress. Which function does norepinephrine (noradrenaline) perform? a. transmits sensation of pain b. stabilizes mood and regulates temperature c. heightens arousal and increases energy d. promotes coordinated movement

C

A nurse is caring for a client with severe burns. The client's bed has a cradle. Which features does a cradle offer? a. it supports the body and equalizes the pressure per square inch over its surface b. its buoyant surface distributes the pressure on the client's underlying tissue c. it forms a shell over the person's lower legs to keep bed linen off the feet d. it creates wavelike redistribution of air, which relieves pressure over bony prominences

C

A client who is a drug addict visits a health care facility for treatment. During counseling, he discloses that he took the drugs because it helped him deal with stressful situations. The nurse explains that he is not using the correct coping strategy to overcome his stress-related problems. What kind of strategy has the client used in this case? a. antidepressant strategy b. nontherapeutic coping strategy c. therapeutic coping strategy d. stress-reduction strategy

B

A nurse is caring for a client who had a stroke. The client is lying in a supine position and is unable to reach the foot board. What should the nurse do to prevent footdrop in the client? a. use an adjustable bed b. use a foot splint c. give a foot massage d. use a water mattress

B

A nurse is caring for a client with impaired mobility. What is the purpose of the trochanter roll? a. to preserve the functional ability to grasp b. to prevent the legs from turning outward c. to prevent unnatural curvature of the spine d. to prevent skin breakdown and wrinkles

B

A nursing student is engaging in a conversation with a nursing instructor that the student intensely dislikes. Which nursing student behavior is consistent with reaction formation? a. intimating the speech of the nursing instructor b. being extremely nice to the nursing instructor c. accusing the nursing instructor of being prejudiced d. developing stomach pain during each conversation with the nursing instructor

B

An 80 year old client has been transferred from the neurological unit to a rehabilitative unit during the client's recovery from a stroke. The client's nursing care plan includes Risk for Disuse syndrome. What intervention should be performed to address this risk? a. provide the client with a low fat, high protein diet b. use a pressure reducing device on the clients bed c. teach the client to limit fluid intake to reduce edema d. encourage the client to limit mobility in order to conserve energy

B

An elderly client is being seen at the clinic after experiencing a fall inside his home. He appears to have suffered no ill effects of the fall but his wife had asked the nurse he might benefit from the use of a cane. The nurse should be aware of what criterion for the safe use of a cane? a. the client should first demonstrate that a walker does not provide sufficient support during ambulation b. the clients weakness must be primarily limited to one side of his body c. the client must be able to support his full body weight on his arms and upper body d. the clients weakness must be bilaterally equal

B

A client who is an intravenous drug user visits a health care facility for treatment. During counseling, the client discloses that he initially took drugs because it helped him deal with stressful situations. The nurse recognizes that he is not using an effective coping strategy to overcome his stress-related problems. What kind of strategy has the client used in this case? a. antidepressant strategy b. stress-reduction strategy c. nontherapeutic coping strategy d. therapeutic coping strategy

C

A nurse is assessing a client with stress-related problems? Which factors influences responses to sressors? A. economic status b. personal hygiene c. social support d. eating habits

C

The nurse is caring for a client who is a doctor in a general hospital. He complains about the stressful conditions of his job. Lately, he has become increasingly susceptible to colds, headaches, muscular tension, excessive tiredness, and many other symptoms. At what stage of stress is the client? a. alarm stage b. secondary stage c. exhaustion stage d. resistance stage

C

The nurse is caring for a client with multiple areas of skin breakdown on the back. In which positions will the nurse choose to place the client to improve arterial oxygenation? a. fowlers b. supine c. prone d. sims

C

A client visits a health care facility reporting work-related stress that alters his mood when he comes home. The nurse suggests that the client makes a change to his home decor to include vibrant colors and bright lighting, and listen to soothing music when he returns home. Which stress reducing technique is the nurse following in this case? a. alternative thinking technique b. nontherapeutic technique c. alternative behavior technique d. sensory manipulation technique

D

A client's plan of care specifies that the client should spend the majority of time in a high fowlers position. When following this guideline, the nurse would elevate the client's head at: a. 55 b. 75 to 105 c. 45 d. 60 to 90

D

A nurse is assessing an obese teenager who is unhappy and stressed out because she has lost weight despite working out at the gym. The physician asks the nurse to try the modeling intervention for stress management for the client. Which action should the nurse perform when adhering to the modeling intervention? a. ask the client to change their exercise regimen b. ask the client to cut down on her food intake c. ask the client to undergo liposuction surgery d. introduce the client to someone with a positive attitude

D

A nurse is working with a client whose quality of life is impacted by the presence of numerous comorbid health problems. The nurse is aware that the client's body is attempting to maintain homeostasis, a process that primarily involves: a. maximizing the serum levels of hormones b. minimizing the body's exposure to external influences c. ensuring a stable level of blood glucose d. responding appropriately to internal and external influences

D

A public health nurse has been asked to participate in an initiative that is aimed at promoting the use of ergonomics. What is the most likely goal of this initiative? a. to increase older adults awareness of the importance of mobility b. to reduce the health consequences of chronic disease c. to promote rehabilitation among post surgical clients d. to promote comfort and health in workplace settings

D

A roller sheet has been placed under an elderly client who is receiving treatment for failure to thrive. When using a roller sheet a client's care, the nurse must: a. keep the siderails raised to prevent the client from rolling off the side of the bed b. first ensure that the client is able to roll side-to-side independently c. insert an indwelling urinary catheter to protect the roller sheet from urine d. ensure that the roller sheet is kept dry and wrinkle free

D

The nurse is caring for a client diagnosed with terminal cancer who wishes to use meditation and prayer to be cured. What is the appropriate nursing action? a. arrange for a chaplain to visit with the client b. prepare to administer chemotherapy as ordered c. explain that meditation and prayer are not curative d. advocate for the client's choise

D

When discussing his concerns with the nurse, the client discloses that when he comes home from work, he plays with his pet dog and this makes him feel relaxed. His friends make fun of him because of this, however. The nurse explains that this is perfectly normal and is not a cause of worry. In this case, how is the client relieving stress? a. by adopting alternative behaviors b. by adopting alternative thinking c. by adopting alternative hobbies d. by adopting an alternative lifestyles

D

A spanish-speaking client is admitted to the ED with a urinary tract infection and is experiencing a stress response from hospitalization. What is the priority nursing intervention? a. administer broad-spectrum antibiotic b. begin taking a client history c. collect a urine specimen d. contact a translator

d