Basic Care and Comfort: Providing comfort measures and assistance with daily living6–12%
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Question 1 of 20
1. The nurse is describing range-of-motion exercises to a student nurse. Which of the following actions is known as extension?
Decrease angle of joint, e.g., bending elbow
Increase angle of joint, e.g., straightening elbow
Moving bone away from midline of body
Excessively increase angle of joint
Question 2 of 20
2. The nurse is assisting a client with a weaker left side to transfer from the bed to a chair. The nurse should move the client toward which of the following directions?
The weaker (left) side
The side closest to the door
The stronger (right) side
The side closest to the window
Question 3 of 20
3.The nurse is instructing a client on the proper use of crutches. The client should be instructed to support the majority of their weight on which of the following areas?
Axilla (armpit)
Shoulder joint
Handpiece
Elbow
Question 4 of 20
4. The nurse is assessing the posture of a school-aged client. Which of the following conditions is defined as the lateral curvature of a portion of the vertebral column?
Lordosis
Kyphosis
Scoliosis
Spondylitis
Question 5 of 20
5. The nurse is monitoring a client who is receiving total parenteral nutrition . Which of the following complications is critical for the nurse to monitor for?
Hypoglycemia
Hypovolemia
Hyperglycemia
Hypocalcemia
Question 6 of 20
6. The nurse is assisting a client whose knee joint is immobilized in a cast. Which of the following types of therapeutic exercise maintains muscle strength when a joint is unable to move?
Passive range of motion
Active resistive range of motion
Active assistive range of motion
Isometric exercises
Question 7 of 20
7. The nurse is monitoring the fluid balance of an adult client. Which of the following is the expected urine production range in milliliters ?
100 to 400 mL
500 to 900 mL
1,000 to 2,000 mL
Greater than 2,000 ml
Question 8 of 20
8. The nurse is teaching a client about bladder retraining to reduce urinary frequency. Which of the following beverages should the nurse advise the client to avoid?
Water
Cranberry juice
Caffeine
Skim milk
Question 9 of 20
9. The nurse places a client with respiratory distress in Fowler’s position . Which of the following primary physiological goals does this position achieve?
Decreases cardiac workload
Increases arterial pressure
Allows maximal lung expansion
Promotes extension of the hip joint
Question 10 of 20
10. The nurse is preparing for the removal of a urinary catheter in a client post-prostatectomy . The client can be assessed as maintaining urinary elimination if the residual urine volume is less than what amount on two separate occasions?
50 ml
75 ml
100 mL
150 ml
Question 11 of 20
11. The nurse is addressing sleep disturbances in a hospitalized client experiencing moderate pain. Which of the following is the preferred comfort measure for promoting sleep in this client?
Administering hypnotics
Administering pain medication
Giving a warm bath
Providing diversionary activities
Question 12 of 20
12. The nurse is conducting a nutritional assessment on a client. Which of the following is considered a normal physical sign of adequate nutritional status when assessing the hair?
Alopecia
Hair that is dry and brittle
Shiny, firm, intact scalp
Excessive hirsutism
Question 13 of 20
13. The nurse is monitoring a client receiving total parenteral nutrition via a central line. Which of the following is identified as the most common severe complication associated with ?
Hyperosmolar coma
Sepsis/Infection
Fluid overload
Question 14 of 20
14. The nurse finds that a client's parenteral nutrition infusion is running behind schedule. Which of the following is the required nursing action related to the flow rate?
Increase the flow rate immediately
Increase the rate by
Avoid increasing the flow rate
Add dextrose to the current bag
Question 15 of 20
15. The nurse is caring for a client hospitalized with pneumonia. Which of the following positions promotes maximal lung expansion for this client?
Supine
Trendelenburg
Semi-Fowler’s
Prone
Question 16 of 20
16. The nurse is reviewing a client’s urinalysis results. Which of the following is the normal range for urine?
3.0 to 4.0
4.5 to 8.0
8.5 to 9.5
10.0 to 11.0
Question 17 of 20
17. The nurse is preparing a client for a surgical procedure to address a herniated intervertebral disk. Which of the following surgical procedures involves the excision of a portion of the lamina to expose an affected vertebral disk?
Spinal fusion
Diskogam
Laminectomy
Microvascular decompression
Question 18 of 20
18. The nurse is positioning a client following supratentorial cranial surgery. The nurse should elevate the head of the bed to which of the following positions to promote venous drainage?
Flat in bed
15∘ to 30∘
30∘ to 45∘
Question 19 of 20
19. The nurse is reviewing the prevalence of hematological disorders. Which of the following is identified as the most common type of anemia?
Pernicious anemia
Vitamin anemia
Iron deficiency anemia
Sickle Cell disease
Question 20 of 20
20. The nurse is preparing to remove a client's nasogastric tube. The nurse instructs the client to perform which of the following actions during the removal process?
Hold breath during removal
Cough vigorously during removal
Exhale during removal
Inhale deeply during removal