Chapter 27 Adaptive Quiz

Which nursing activity is performed during the assessment of a patient? 1 Selecting nursing interventions to promote safety 2 Identifying patient perceptions safety needs and risks 3 Consulting with occupational and physical therapists for assistive devices 4 Selecting interventions that will improve the safety of the patient's home environment

2 Identifying patient perceptions safety needs and risks

Which nursing activity is performed during the assessment of a patient? 1 Selecting nursing interventions to promote safety 2 Identifying patient perceptions safety needs and risks 3 Consulting with occupational and physical therapists for assistive devices 4 Selecting interventions that will improve the safety of the patient's home environment

2 Identifying patient perceptions safety needs and risks

A patient was diagnosed with left-sided neglect after suffering a cerebrovascular accident. Which nursing intervention would be most effective to ensure the patient's safety? 1 Teaching the patient to use a walker 2 Reminding the patient to scan the environment while walking 3 Encouraging the patient to see an ophthalmologist for visual assessment 4 Teaching the patient to perform strengthening exercises on the left side of the body

2 Reminding the patient to scan the environment while walking

While caring for an infant, the nurse places the infant on his/her back. What is the reason for this intervention? 1 Reduce the risk of suffocation 2 Reduce the risk of head injury 3 Reduce the risk of choking and aspiration. 4 Reduce the risk of sudden infant death syndrome (SIDS)

4 Reduce the risk of sudden infant death syndrome (SIDS)

In a health care setting, the restraint order for a patient is renewed every hour. What is the likely age of the patient? 1 6 years 2 14 years 3 23 years 4 65 years

1 6 years

Which task is delegated to nursing assistive personnel (NAP)? 1 Checking on a restraint 2 Assessing a patient's behavior 3 Applying restraints appropriately 4 Orientating the patient to the environment

1 Checking on a restraint

Which restraint should the nurse use to prevent nerve injury? 1 Belt 2 Elbow 3 Mitten 4 Extremity

2 Elbow

The nurse is performing fall prevention measures for a patient. During which step of the nursing process does the nurse perform "Timed Get up and Go" (TUG) if a patient is able to ambulate? 1 Planning 2 Evaluation 3 Assessment 4 Implementation

3 Assessment

The nurse is reviewing the manufacturer's instructions for restraint application before entering the patient's room. Which step in the nursing process is the nurse demonstrating? 1 Planning 2 Evaluation 3 Assessment 4 Implementation

3 Assessment

A patient has been having seizures for more than 30 minutes. The nurse looks after the patient and implements the best efforts to keep the patient safe. Which nursing intervention may lead to complications in the patient? 1 Calling a rapid response team 2 Notifying a health care provider 3 Providing restraints... 4 Maintaining the airway and administering oxyge

3 Providing restraints...

While caring for a patient with left-sided weakness, the nurse suspects impaired physical mobility. Which clinical manifestation would further confirm the nurse's suspicion? 1 The patient has difficulty seeing objects at a distance. 2 The patient is concerned about the potential risk of fall and injury. 3 The patient has limited ability to perform fine and gross motor skills on left side. 4 The patient does not move the head to the left side in response to loud noises on the left side

3 The patient has limited ability to perform fine and gross motor skills on left side.

The nurse is training a new mother on the use of the Heimlich maneuver. Which risk does this intervention reduce? 1 Choking 2 Poisoning 3 Suffocation 4 Head injury

1 Choking

Which restraint is banned due to the risk of fatal injuries? 1 Jacket restraint 2 Elbow restraint 3 Mitten restraint 4 Extremity restraint

1 Jacket restraint

The registered nurse is teaching a group of student nurses about various problems faced by older adults and effective interventions to overcome those problems. Which patient information provided by the registered nurse needs correction? 1 Patient 1 2 Patient 2 3 Patient 3 4 Patient 4

1 Patient 1

A patient who has unilateral neglect related to brain injury from a cerebrovascular accident is unable to eat food on the left side of the plate. Which nursing intervention is followed in this situation? 1 Remind the patient to eat food on the left side of the plate. 2 Teach the patient to use a walker and cane around the home. 3 Help the patient identify actions he or she can adapt to the left side. 4 Teach the patient how to perform range-of-motion exercises on the left side

1 Remind the patient to eat food on the left side of the plate.

A patient who was admitted to the hospital receives a red-color wristband for identification purposes. What is the significance of the wristband? A patient who was admitted to the hospital receives a red-color wristband for identification purposes. What is the significance of the wristband? 1 The patient has allergies. 2 The patient is at risk for falling. 3 The patient should be treated immediately. 4 The patient is not indicated for resuscitation

1 The patient has allergies.

A patient has been having seizures for more than 30 minutes. The nurse looks after the patient and implements the best efforts to keep the patient safe. Which nursing intervention may lead to complications in the patient? 1 Calling a rapid response team 2 Notifying a health care provider 3 Restraining the patient to prevent injuries 4 Maintaining the airway and administering oxygen

3 Restraining the patient to prevent injuries

The nurse is caring for an older adult in a health care setting and follows interventions to reduce the risk of tripping. Which intervention does the nurse implement in this situation? 1 Cleaning all spills promptly 2 Ensuring adequate glare-free lighting 3 Keeping the floor free of clutter and obstacles 4 Having assistive devices on the exit side of the bed

3 Keeping the floor free of clutter and obstacles

Which suggestion would be appropriate to prevent unilateral neglect in a patient with hemiparesis? 1 "You should perform range-of-motion exercises." 2 "You should use a walker and cane around the home." 3 "You should consult with an ophthalmologist for visual assessment." 4 "You should touch one side of the body frequently with the other hand."

4 "You should touch one side of the body frequently with the other hand."

A child in the hospital starts to have a grand mal seizure while playing in the playroom. Which is the most important nursing intervention during this situation? 1 Begin cardiopulmonary respiration. 2 Restrain the child to prevent injury. 3 Place a tongue blade over the tongue to prevent aspiration. 4 Clear the area around the child to protect the child from injury.

4 Clear the area around the child to protect the child from injury.

In a pediatric ward, one of the newborns died of sudden infant death syndrome (SIDS). Which nursing measure lowers the risk of death due to SIDS? 1 Massaging the baby's heels 2 Attaching pacifiers with a string around the baby's neck 3 Gently rubbing the baby's back 4 Having the baby sleep on his or her back

4 Having the baby sleep on his or her back