Practice Questions Flashcards
What are the most effective ways to prevent the spread of COVID-19 (select all that apply)
a. avoid touching the nose, face, and mouth
b. wash your hands regularly with soap and water or alcohol-based handrub
c. cover your sneeze or cough with your elbow or a kleenex that you discard immediately
d. wash surfaces regularly, ideally with approved disinfectant
e. send funny cat videos to your friends
f. follow current health recommendations for social distancing and masking
a,b,c,d,f
COVID-19 and other respiratory viruses, are known to spread from person to person through
a. droplets in the air or on the surface
b. bites of infected bats and misquitos
c. it is unknown
d. by consuming bugs in infected produce
A
The nurse is assessing a patient who says that she is feeling fine. The patient, however, is wrining her hands and is teary eyed. The nurse should respond to the patient in which of the following ways?
a. “you seem anxious today. Is there anything on your mind”
b.
“i’m glad you are feeling better. I’ll be back later to help you with your bath”
c. “ I can see you’re upset. Let me get you some tissues”
d. “ it looks to me like your in pain. I’ll get you some medication”
A
When comparing therapeutic communication versus social communication, the professional nurse realizes that therapeutic communication
a. allows equal opportunity for personal disclosure
b. allows both participants to have personal needs met
c. is goal directed and patient centered
d. provides an opportunity to compare intimate details
C
The nurse is about to go over the patient’s preoperative teaching per hospital protocol. The nurse finds the patient sitting in bed wringing her hands, which are sweaty, and acting slightly agitated. The patient states, “I’m scared that something will go wrong tomorrow.” How should the nurse respond?
a. redirect their focus to dealing with the patient’s axiety
b. tell the patient that everything will be all right and continue teaching
c. tell the patient that they will return later to do the teaching
d. give the patient antianxiety medication
A
The patient is sitting at the bedside. He has nit been eating and is just staring out of the window. The nurse approaches the patient and asks, “Can you tell me what you are thinking about?” What type of communication technique is this?
a. provides an opportunity to compare intimate details
b. clarification
c. broad openings
d. reflection
C
The patient states, “ I don’t know what my family will think about this.” The nurse wiches to use the communication technique of clarification. Which of the following statements would fit that need the best?
a. “you dont know what your family will think?”
b. “I’m not sure that I understand what you mean”
c. “I think it would be helpful if we talk more about your family.”
d. “I sense that you may be anxious about something”
B
In caring for patients of different culture, it is important for nurses to: (select all that apply)
a. speak slowly and loudly, to ensure understanding
b. display empathy and respect
c. use accurate heath history-taking techniques
d. use patent centered communication
a,b,c,d
Offering the patient a back rub before preparing for sleep can promote relaxation and comfort. A effective backrub takes:
a. 1 to 2 minutes
b. 3 to 6 minutes
c. 7 to 10 minutes
d. 11 to 15 minutes
B
If hands are not visably soiled, the nurse may use alcohol-based rub in which of the following situation (select all that apply)
A. before having direct contact with patients
b. after contact with patient intact skin
c. after using the washroom
d. after removing gloves
a,b,d
The nurse understand the priority nursing action when medical asepsis is used includes:
a. hand-washing
b. surgical procedures
c. autoclaving of instruments
d. sterilization of equipment
A
Handwashing with soap and water is:
a. the most effective way to reduce the number of bacteria on the nurse hands
b. more effective than alcohol-based products for washing hands
c. necessary for hand hygiene if hands are visibly soiled
d. not necessary if the nurse wears artificial nails
C
When caring for patients, the nurse understands that the single most important technique to prevent and control the transmission of infection is:
a. hand hygiene
b. the use of disposable gloves
c. the use of isolation precautions
d. sterilization of equipment
A
Which of the following measures is appropriate when a nurse is washing their hands?
a. use very hot water
b. leave rings and watches in place
c. lather for at least 20 secs
d. keep the fingers and hands up and the elbows down
C
The nurse shows an understanding of psychological implications for patient on isolation when planning care to control risk for:
a. denial
d. aggression
c. regression
d. isolation
D
Before entering the room of a patient on isolation where all protective barriers are required, the nurse first puts on the:
a. gown
b. gloves
c. eyewear
d. mask/respirator
A
For patients with which of the following conditions should the nurse implement airborne precaustions?
a. rebella
b. influenza
c. tuberculosis
d. pediculosis
C
Why does a nurse move a patient who has prolonged bedrest for a few days slowly from a sitting to a standing position?
a. fatigue
b. risk for muscle injury
c. sensory disorientation
d. risk for orthostatic hypotension
D
To assist the patient to a sitting position on the side of the bed, what should the nurse do first?
a. raise the height of the bed
b. raise the head of the bed 30-45 degrees
c. turn the patient onto the side facing away from the nurse
d. move the patients legs over the side to the bed
B
To transfer a patient who is able to weight bear and has upper body strength out of bed to chair, what should the nurse do?
a. grab the patient under the axilla to lift
b. have the patient move forward with the weak side
c. have the patient put on shoes with nonskid soles
d. place the chair in a postion 90 degrees opposite the bed
C
When preparing to move a patient in bed, the nurse should:
a. expect the patients comfort level will decrease
b. make sure that all pillows used in previous position stay in position
c. raise the bed to a comfortable working height
d. plan on moving the patient herself becasue other nurses are busy
C
The nurse needs to transfer the patient from bed to a stretcher. The patient is unable to assist. Of the following, which would be the best technique for transferring the patient?
a. using three nurses and a slide board
b. using the three-person lift technique
c. raising the head 30 degrees
c. having the patient keep arms to the side
A
An appropriate procedure to use when moving a patient up in bed is for the nurse to:
a. raise the head of the bed
b. start by flexing the patients knees and hips
c. place a pillow under the patients shoulders
d. instruct the patient to inhale and hold still
B
The patient is a n elderly male with serve kyphosis who is immobile from a stroke several years earlier. He has been admitted for severe dehydration. The nurse must turn the patient frequently to prevent complications of immobility. What is a reasonable conclusion for the nurse to draw?
a. this patient should be turned onto his back for meals
b. this patient may be turned more frequently than every 2 hours
c. this patient may be allowed to remain in his favorite position as long as he doesn’t complain of discomfort.
d. skin breakdown is not an issue for this patient
B
The msot prevalent and debilitating occupational health hazard to nurses is:
a. footdrop
b. pressure ulcers
c. musculoskeletal disorders
d. contractures
C
The nurse realizes that her patient needs to improve his or her mobility as quickly as possible. This is because the nurse realizes that mobilization (select all that apply):
a. improves joint function
b. decreases circulation
c. increases social activity
d. enhances mental stimulation
a, c, d
If a patient on an air-suspension bed requires CPR, what should the nurse do first?
a. place a backboard underneath the mattress
b. transfer the patient to the floor or other hard surface
c. deflate the bed to provide a hard surface
d. immediately start chest compressions
C
The nurse prevents self-injury by using which of the following when transferring a patient? (select all that apply)
a. correct posture
b. maximal muscle strenght
c. effective body mechanics
d. effective lifting techniques
a, c, d
Patients at risk for complications and/or injury from improper positioning include patient of which of the following? (select all that apply)
a. proper nutrition
b. loss of sensation
c. impaired muscle development
c. poor circulation
a, b, c, d,
When is it necessary to use brakes when operating a mechanical sit-to-stand lift or medi-lift?
a.. when lowering the patient onto the wheelchair, bed, chair, or commode
b. when storing the lift in the appropriate storage space
c. when lifting the patient from a sitting or lying position to transfer
d. when transferring a patient who is uncooperative or unable to follow directions
B
A patient is recovering from a bilateral knee replacements and is prescribed partial weight bearing. You are asked to reinforce crutch walking and know that the following crutch gait would be the most appropriate for this patient.
a. two point gait
b. three point gait
c. four point gait
d, swing through gait
A
When repositioning a client in bed, how can you use the It’s Your Move philosophy to make the move safer (select all that apply)
a. use friction reducing material under the client
b. generate force with your legs by doing a weight transfer
c. ask the client to cross their arms and push with their legs
d. position the bed between the hips and the shoulders of the shortest person to keep the transfer in their comfort zone and limit physical effort
a, b, c
When preparing to transfer a patient using a transfer belt you must prepare the environment by: (select all that apply)
a. apply the brakes to the bed, wheelchair, and or commode chair.
c. position the bed in the highest possible position to prevent back strain
c. remove the arm and leg rest of the wheelchair where appropriate
d. ensure the floor is dry and clear of tripping hazards
a, b, c, d
When preparing to complete a safe patient transfer, ensure you asses the following (select all that apply):
a. the environment
b. the client
c. the equipment, including yourself
a, b, c
When preparing to do a one or two person patient transfer, you must make sure that you asses and use (select all that apply):
a. all your strength to do as mush as you can for the patient
b. a transfer belt
c. appropriate identified mobility devices
d. non-skid footwear for the patient
b,c,d
