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5. Physiological Integrity: Basic Care and Comfort

Basic Care and Comfort: Providing comfort measures and assistance with daily living
6–12%

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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?

A

Decrease angle of joint, e.g., bending elbow

B

Increase angle of joint, e.g., straightening elbow

C

Moving bone away from midline of body

D

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?

A

The weaker (left) side

B

The side closest to the door

C

The stronger (right) side

D

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?

A

Axilla (armpit)

B

Shoulder joint

C

Handpiece

D

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?

A

Lordosis

B

Kyphosis

C

Scoliosis

D

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?

A

Hypoglycemia

B

Hypovolemia

C

Hyperglycemia

D

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?

A

Passive range of motion

B

Active resistive range of motion

C

Active assistive range of motion

D

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 ?

A

100 to 400 mL

B

500 to 900 mL

C

1,000 to 2,000 mL

D

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?

A

Water

B

Cranberry juice

C

Caffeine

D

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? 

A

Decreases cardiac workload

B

Increases arterial pressure

C

Allows maximal lung expansion

D

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?

A

50 ml

B

75 ml

C

100 mL

D

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?

A

Administering hypnotics

B

Administering pain medication

C

Giving a warm bath

D

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?

A

Alopecia

B

Hair that is dry and brittle

C

Shiny, firm, intact scalp

D

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 ?

A

Hypoglycemia

B

Hyperosmolar coma

C

Sepsis/Infection

D

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?

A

Increase the flow rate immediately

B

Increase the rate by

C

Avoid increasing the flow rate

D

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? 

A

Supine

B

Trendelenburg

C

Semi-Fowler’s

D

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?

A

3.0 to 4.0

B

4.5 to 8.0

C

8.5 to 9.5

D

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?

A

Spinal fusion

B

Diskogam

C

Laminectomy

D

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?

A

Flat in bed

B

15∘ to 30∘

C

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?

A

Pernicious anemia

B

Vitamin anemia

C

Iron deficiency anemia

D

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? 

A

Hold breath during removal

B

Cough vigorously during removal

C

Exhale during removal

D

Inhale deeply during removal

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