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- 1. Multiple Choice
In this phase of the nursing process, the nurse collects data about the client's health status by obtaining information from the client, the chart, the family, and the health professionals caring for the client.
planning
implementation
nursing diagnosis
assessment
- 2. Multiple Choice
The nurse places a warm blanket on a client who is cold. This action occurs in which part of the nursing process?
evaluation
implementation
assessment
planning
- 3. Multiple Choice
The nurse is caring for a client with a blood sugar reading of 390. Is this subjective or objective data?
subjective
objective
- 4. Multiple Choice
When interviewing and assessing the client, the nurse documents a reddened skin lesion that is draining green fluid. This information could be considered a ____________ of infection.
symptom
sign
- 5. Multiple Choice
A client tells the healthcare provider, "My leg itches." The complaint of itching is considered to be __________ data.
subjective
objective
- 6. Multiple Choice
The nurse carries out interventions in which phase of the nursing process?
evaluation
assessment
nursing diagnosis
planning
implementation
- 7. Multiple Choice
The first step of the problem-solving process is to:
choose an alternative with the best chance of success
consider all possible solutions to the problem
clearly define the problem
predict the likelihood of the outcome occurring
- 8. Multiple Choice
A nursing student can work on critical thinking skills by employing the following: Select all that apply
attentive listening
effective communiciating
memorizing information
effective reading
- 9. Multiple Choice
Nursing orders are also known as:
physician's orders
interventions
critical thinking skills
ADPIE
- 10. Multiple Choice
A nursing diagnosis of "risk for" is addressing a potential problem. The outcome or goal should focus on prevention and the interventions should include preventative measures.
true
false
- 11. Multiple Choice
Showing respect for each resident as an individual, respecting the privacy of others, and refusing monetary tips demonstrates which responsibility of the nurse aide?
dutiful
ethical
legal
range of function
- 12. Multiple Choice
Julie, the nurse, checked on Mrs. Smith, a resident who is in restraints. What should Julie ask Mrs. Smith about?
family visitation time
television channel preference
fluid and elimination needs
food preferences for mealtime
- 13. Multiple Choice
An alternative to restraining a resident would be:
doing nothing
placing the resident in the bathtub
providing games, movies or music
sitting the resident in a wheelchair with the brakes locked.
- 14. Multiple Choice
Which of the following is a way to control a resident’s environment?
Prevent noise pollution and odors
Talk at the nurse’s station instead of their room
Ask housekeeping to clean your water spills
Have a central thermostat for the hall
- 15. Multiple Choice
Shaking linens can:
Prevent wrinkles
Cause the spread of microorganisms
Make bed making easier
Cool the resident off
- 16. Multiple Choice
Soiled linen should be:
Changed immediately
Folded inward and held away from your uniform
Placed in a covered linen hamper after being removed
All of the above
- 17. Multiple Choice
Which guideline should be followed when making beds?
Plastic draw sheets should touch the resident’s skin
Make one side of the bed before going to the other side
Take unused clean linen with you to use on the next bed
Loosen linens as necessary for comfort
- 18. Multiple Choice
What type of bed is made after a patient is discharged and the room is cleaned?
Open bed
Closed bed
Occupied bed
Fan-folded bed
- 19. Multiple Choice
Why is it important to remove all the wrinkles in bed sheets?
It is a hospital standard
They can lead to contractures
They can lead to decubitus ulcers
They can trap microbes and cause infection
- 20. Multiple Choice
What is the BEST way to identify a patient, choose 2:
check the identification bracelet
Check the name on the chart
Look for the name tag on the door
Verify the pt.’s name by checking the back of their wheelchair
Ask the patient to state name and DOB
- 21. Multiple Choice
In which position should a resident be placed for eating?
Lying flat on his back
Reclining at a 45 degree angle
Sitting as upright as possible
Lying on his side with his arm propping up his head
- 22. Multiple Choice
Which of the following statements is TRUE of body mechanics?
Body mechanics help save energy and prevent injury
The narrower a person’s base of support, the more stable the person is
Proper alignment of the body means that the two sides of the body don’t line up
Twisting at the waist is the best way to maintain body alignment
- 23. Multiple Choice
Which should you do if you suspects poisoning in a patient in a long-term care facility?
Offer an over-the-counter medicine to induce vomiting
Look for a container that will help determine what the resident took or ate
Feed the resident crackers or bread to soak up the poison
Ask the resident if he is able to induce vomiting by sticking his finger down his throat
- 24. Multiple Choice
To control bleeding, the nurse should:
Lower the wound below the heart
Use a topical antibiotic cream on the wound
Hold a thick pad against the wound and press down hard
Apply light pressure with a bandage
- 25. Multiple Choice
LTC facilities have national patient safety goals which include which of the the following (choose all that apply)
Prevent infection and bed sores
Residents medicines should be checked & used safely
Assist residents to open windows for more Vit D from sunlight
Correctly identify residents
- 26. Multiple Choice
In most cases fainting is caused by:
Temporary reduction of blood to the brain
Temporary reduction of food, causing disorientation
Patient has gotten too cold and tired
Patient has gotten too hot and nauseated
- 27. Multiple Choice
When a resident is using oxygen, you should be careful to note all the following (choose all that apply):
“Oxygen in use” sign posted on door
Don’t let nasal cannula touch floor it will get contaminated
Patients can smoke only in am when air is lighter
Stay away from flammables
- 28. Multiple Choice
Leslie was taking a class on fire safety at Golden Pond nursing center during orientation. She understands that RACE & PASS are very important and that the “P” stands for:
Push the water out of the extinguisher
Pull the extinguisher with you as you move
Press the handle down
Pull the safety pin
- 29. Multiple Choice
Mrs. Smith had abdominal surgery and is in room 402 recuperating nicely. When you come in to bring her lunch you notice her bandages are soaked with blood. You immediately recognize that Mrs. Smith is:
In shock
Loss of consciousness
Hemorrhaging
Having a seizure
- 30. Multiple Choice
Shirley had been working a double shift and hadn’t eaten all day. About 3:00 pm Rachel noticed that Shirley was lying on the floor convulsing. What was wrong with Shirley?
Seizure
Choking
Fainted
Shock
- 31. Multiple Choice
When a resident has fainted, what were some obvious signs you could have noticed beforehand:
Decreased pulse & BP
Dizziness
Numbness & tingling of extremities
Nothing, they will not have s/s before fainting
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