Pregunta 1
Pregunta
The patient is admitted with osteoarthritis. After assessment, the nurse notes that the patient walks with a limp. What is the priority nursing diagnosis?
Pregunta 2
Pregunta
Which of the following would a nurse not consider before performing a bed bath on a patient?
Respuesta
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Patient's level of orientation
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Patient's Cognitive Ability
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If there is an order for the bath
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Muskuloskeletal function of the patient
Pregunta 3
Pregunta
You are ordered to comb the hair of a patient who has head lice. What personal protective equipment will you need to use? (Select all that apply)
Respuesta
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Gown
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Mask
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Goggles
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Gloves
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Hair Cap
Pregunta 4
Pregunta
In many situations, a patient has sufficient strength to walk if he or she can do which of the following?
Pregunta 5
Pregunta
What is the best way to keep patient's safety while helping use bedpan? (Select all that apply)
Respuesta
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Raise the side rail while rolling the patient to one side
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Respond promptly to call light
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Put Call-light and toilet paper within reach
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Close door or curtain for patient's privacy
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Raise head of the bed for comfort position
Pregunta 6
Pregunta
Which of the following is not a problem patient’s may experience when placed in the supine position?
Pregunta 7
Pregunta
Assessment of a patient's mobility can be done by focusing on...( Select all that apply)
Respuesta
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Gait
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Their ability to walk
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ROM
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Body Alignment
Pregunta 8
Pregunta
The neck is a pivotal joint and uses the sternocleidomastoid and trapezius muscles for movement. What are the ROM performed by the neck?
Respuesta
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Supination, Pronation, Rotation, Hyperextension.
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Flexion, Extension, Lateral Flexion, Hyperextension, Rotation.
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Abduction, Adduction
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Opposition, Abduction, Adduction, Lateral Flexion.
Pregunta 9
Pregunta
Assessing a patient’s gait allows for the nurse to draw conclusions about the patient’s balance, posture, and ability to walk without any assistance. What is one way to assess gait?
Respuesta
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Observing the patient while they enter a room, noting speed and stride.
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Asking the patient to perform jumping jacks.
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Observing the patient tie their shoes.
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Asking the patient to flex and extend their elbows.
Pregunta 10
Pregunta
A patient has been admitted due to a fall and has sustained a broken ankle. Which of the following positions poses the greatest risk for developing a pressure ulcer in the now immobile patient?
Pregunta 11
Pregunta
When putting a baby to bed, the parents should not do the following. (Select all that Apply)
Respuesta
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Place infant on back
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Place infant on their belly
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Place only one pillow in crib
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Make sure pacifier is attached to string
Pregunta 12
Pregunta
Which of the following are basic human needs? (Select all that apply)
Respuesta
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Oxygen
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Nutrition
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Happiness
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Temperature
Pregunta 13
Pregunta
Which of the following should you do when a patient is experiencing a seizure? (Select all that apply)
Respuesta
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Stay with the patient
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Try to move the patient to a safer place
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Turn the patient on their side with their head tilted forward
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Protect their head by placing it on padding or in your lap
Pregunta 14
Pregunta
What should a nurse do to prevent a patient from falling that has postural hypertension? (Select all that apply)
Respuesta
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Assess patient range of motion
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Dangle patients feet on the side of the bed
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Have patient stand up immediately
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Have patient sit on the side of their bed
Pregunta 15
Pregunta
The hospital starts on fire what should a nurse to in this situation? (Select all that apply)
Pregunta 16
Pregunta
A patient in the hospital is having trouble sleeping at night. What should the nurse suggest to the patient? (Select all that apply)
Respuesta
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Suggest the patient eat a large meal 1 hour before bed
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Suggest the patient try drinking a glass of warm milk before bed
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Tell the patient to exercise 30 minutes before bed
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Tell the patient to close their door to avoid loud noises in the hallway
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Tell the patient to avoid taking naps during the day so they can sleep better at night
Pregunta 17
Pregunta
Patient presents to the clinic complaining of fatigue, restlessness and feeling overall tired. The client states that she is a light sleeper and has trouble falling asleep. The patient has no past medical history and is cleared of any chronic illnesses. What stage is the patient describing as a period of light sleep?
Respuesta
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Phase 1
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Phase 5
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Phase 3
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Phase 4
Pregunta 18
Pregunta
Patient is awake multiple times a night to urinate and is unable to sleep wakes up the next morning irritated. What is the cause of this?
Respuesta
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Insomnia
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Nocturia
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Resting State
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Narcolepsy
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All of the above
Pregunta 19
Pregunta
While interviewing a patient, the patient states they are having difficulty falling asleep at night. The patient reports waking up at least 2 to 3 times in the middle of the night and is not able to fall back asleep. What questions should the nurse ask to assess the patient? Select all that apply.
Respuesta
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Do you sleep in a quiet environment?
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Have you had any recent lifestyle changes?
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What do you eat for breakfast in the morning?
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Do you drink caffeine at night?
Pregunta 20
Pregunta
Nursing care plan for a client with sleep problems has been implemented. All of the following would be expected outcomes except:
Respuesta
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Client is satisfied with amount of sleep
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Client falls asleep within 1 hour of going to bed
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Client reports no episodes of awakening during the night
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Client rates sleep as an 8 or above on the visual analog scale