Nursing Multidimensional Care
I Exam 1 Questions with
Answers
1. A nurse is preparing to initiate a bladder - retraining program for a client
who has incontinence. Which of the following actions should the nurse
take? (Select all that apply.)
A. Restrict the client's intake of fluids during the daytime.
B. Have the client record urination times.
C. Gradually increase the urination intervals.
D. Remind the client to hold urine until the next scheduled urination time.
E. Provide a sterile container for urine.
2. A nurse is reviewing factors that increase the risk of urinary tract
infections (UTIs) with a client who has recurrent UTIs. Which of the
following factors should the nurse include? (Select all that apply.)
A. Frequent sexual intercourse
B. Lowering of testosterone levels
C. Wiping from front to back to clean the perineum
D. Location of the urethra closer to the anus
E. Frequent catheterization
3. A nurse is teaching a client who reports stress urinary incontinence.
Which of the following instructions should the nurse include? (Select all
that apply.)
A. Limit total daily fluid intake.
, B. Decrease or avoid caffeine.
C. Take calcium supplements.
D. Avoid drinking alcohol.
E. Use the Credé maneuver
4. A nurse is teaching a group of newly licensed nurses on complementary
and alternative therapies they can incorporate into their practice without
the need for specialized licensing or certification. Which of the following
should the nurse encourage them to use? (Select all that apply.)
A. Guided imagery
B. Massage therapy
C. Meditation
D. Music therapy
E. Therapeutic touch
5. A nurse is reviewing complementary and alternative therapies with a
group of newly licensed nurses. Which of the following interventions are
mind - body therapies? (Select all that apply.)
A. Art therapy
B. Acupressure
C. Yoga
D. Therapeutic touch
E. Biofeedback
6. A nurse is caring for a client who fell at a nursing home. The client is
oriented to person, place, and time and can follow directions. Which of
the following actions should the nurse take to decrease the risk of
another fall? (Select all that apply.)
, A. Place a belt restraint on the client when they are sitting on the bedside
commode.
B. Keep the bed in its lowest position with all side rails up.
C. Make sure that the client's call light is within reach.
D. Provide the client with nonskid footwear.
E. Complete a fall - risk assessment.
7. A nurse observes smoke coming from under the door of the staff's
lounge. Which of the following actions is the nurse's priority?
A. Extinguish the fire.
B. Activate the fire alarm.
C. Move clients who are nearby.
D. Close all open doors on the unit.
8. A nurse is caring for a client who has a history of falls. Which of the
following actions is the nurse's priority?
A. Complete a fall - risk assessment.
B. Educate the client and family about fall risks. C. Eliminate
safety hazards from the client's environment.
D. Make sure the client uses
assistive aids in their possession.
A. Complete a fall - risk assessment
9. A nurse discovers a small paper fire in a trash can in a client's bathroom.
The client has been taken to safety and the alarm has been activated.
Which of the following actions should the nurse take?
, A. Open the windows in the client's room to allow smoke to escape.
B. Obtain a class C fire extinguisher to extinguish the fire.
C. Remove all electrical equipment from the client's room.
D. Place wet towels along the base of the door to the client's room.
D. Place wet towels along the base of the door to the client's room
10. Fire response follows the RACE sequence, what does each letter stand
for?
- R - Rescue and remove all patients in immediate danger.
- A- Activate the alarm.
- C- Confine the fire by closing doors and windows and turning off oxygen and
electrical equipment; ventilate patients who are on life support with a bag - valve
mask
- E - Extinguish the fire using an appropriate extinguisher
11. To use a fire extinguisher, use the PASS sequence, what does each letter
stand for?
P - pull the pin
A - aim at the base of the fire
S - squeeze the handle
S - sweep the extinguisher from side to side covering the area of the fire
12. Name some nursing interventions of PREVENTING FALLS
1. complete a fall - risk assessment at admission & regular intervals
2. ensure patient has and knows how to use the call light
3. use fall - risk alerts (color - coded wristbands)
4. provide regular toileting and orientation of clients who have cognitive
impairment
5. provide adequate lighting
6. place clients at risk for falls near a nurses station
7. provide hourly rounding
8. make sure personal items are within reach
I Exam 1 Questions with
Answers
1. A nurse is preparing to initiate a bladder - retraining program for a client
who has incontinence. Which of the following actions should the nurse
take? (Select all that apply.)
A. Restrict the client's intake of fluids during the daytime.
B. Have the client record urination times.
C. Gradually increase the urination intervals.
D. Remind the client to hold urine until the next scheduled urination time.
E. Provide a sterile container for urine.
2. A nurse is reviewing factors that increase the risk of urinary tract
infections (UTIs) with a client who has recurrent UTIs. Which of the
following factors should the nurse include? (Select all that apply.)
A. Frequent sexual intercourse
B. Lowering of testosterone levels
C. Wiping from front to back to clean the perineum
D. Location of the urethra closer to the anus
E. Frequent catheterization
3. A nurse is teaching a client who reports stress urinary incontinence.
Which of the following instructions should the nurse include? (Select all
that apply.)
A. Limit total daily fluid intake.
, B. Decrease or avoid caffeine.
C. Take calcium supplements.
D. Avoid drinking alcohol.
E. Use the Credé maneuver
4. A nurse is teaching a group of newly licensed nurses on complementary
and alternative therapies they can incorporate into their practice without
the need for specialized licensing or certification. Which of the following
should the nurse encourage them to use? (Select all that apply.)
A. Guided imagery
B. Massage therapy
C. Meditation
D. Music therapy
E. Therapeutic touch
5. A nurse is reviewing complementary and alternative therapies with a
group of newly licensed nurses. Which of the following interventions are
mind - body therapies? (Select all that apply.)
A. Art therapy
B. Acupressure
C. Yoga
D. Therapeutic touch
E. Biofeedback
6. A nurse is caring for a client who fell at a nursing home. The client is
oriented to person, place, and time and can follow directions. Which of
the following actions should the nurse take to decrease the risk of
another fall? (Select all that apply.)
, A. Place a belt restraint on the client when they are sitting on the bedside
commode.
B. Keep the bed in its lowest position with all side rails up.
C. Make sure that the client's call light is within reach.
D. Provide the client with nonskid footwear.
E. Complete a fall - risk assessment.
7. A nurse observes smoke coming from under the door of the staff's
lounge. Which of the following actions is the nurse's priority?
A. Extinguish the fire.
B. Activate the fire alarm.
C. Move clients who are nearby.
D. Close all open doors on the unit.
8. A nurse is caring for a client who has a history of falls. Which of the
following actions is the nurse's priority?
A. Complete a fall - risk assessment.
B. Educate the client and family about fall risks. C. Eliminate
safety hazards from the client's environment.
D. Make sure the client uses
assistive aids in their possession.
A. Complete a fall - risk assessment
9. A nurse discovers a small paper fire in a trash can in a client's bathroom.
The client has been taken to safety and the alarm has been activated.
Which of the following actions should the nurse take?
, A. Open the windows in the client's room to allow smoke to escape.
B. Obtain a class C fire extinguisher to extinguish the fire.
C. Remove all electrical equipment from the client's room.
D. Place wet towels along the base of the door to the client's room.
D. Place wet towels along the base of the door to the client's room
10. Fire response follows the RACE sequence, what does each letter stand
for?
- R - Rescue and remove all patients in immediate danger.
- A- Activate the alarm.
- C- Confine the fire by closing doors and windows and turning off oxygen and
electrical equipment; ventilate patients who are on life support with a bag - valve
mask
- E - Extinguish the fire using an appropriate extinguisher
11. To use a fire extinguisher, use the PASS sequence, what does each letter
stand for?
P - pull the pin
A - aim at the base of the fire
S - squeeze the handle
S - sweep the extinguisher from side to side covering the area of the fire
12. Name some nursing interventions of PREVENTING FALLS
1. complete a fall - risk assessment at admission & regular intervals
2. ensure patient has and knows how to use the call light
3. use fall - risk alerts (color - coded wristbands)
4. provide regular toileting and orientation of clients who have cognitive
impairment
5. provide adequate lighting
6. place clients at risk for falls near a nurses station
7. provide hourly rounding
8. make sure personal items are within reach
