Questions with Verified Answers
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Consist of 100 multichoice Questions with Answers
1. What is a physiological effect of immobility in a geriatric patient?
a. irritability
b. insomnia
c. muscle atrophy
d. depression
Answer
muscle atrophy
2. What is a primary cause of pressure injuries?
a. incontinence
b. skin infection
c. dry skin
d. decreased tissue perfusion
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Answer
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, decreased tissue perfusion
3. Priority nursing intervention for a patient with narcolepsy?
a. encourage the client to stop drinking and eating after 6pm
b. educate client that driving may be dangerous
c. encourage patient to continue their normal activities
d. inform the patient to drink decaf coffee
Answer
educate client that driving may be dangerous
4. According to Maslow's Hierarchy of Needs, what level should be priority?-
: physiological level
5. A client is anxious, restless, having dyspnea, increased RR, and tachycar-
dia. The patient may be experiencing what?
a. thirst
b. hypoxia
c. pain
d. hunger
Answer
hypoxia
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6. Your client begins to fall and you are in close proximity. What do you do?
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,a. quickly find a chair to place behind the client
b. slide the client down your leg while guiding to a seated of lying position
c. tell the client to hold on to the closest item to break their fall
d. bucket catch the client while calling for help
Answer
slide the client down your leg while guiding to a seated of lying position
7. True or False: The nurse should avoid leaving a client unattended to pre-
vent injury during routine hygiene care
Answer
True
8. Why do we count respirations for a full minute in an older adult while
sleeping?
a. they breathe shallow
b. sometimes they stop breathing, its normal
c. they breathe more frequently when they sleep
d. the rhythm and rate can be irregular
Answer
the rhythm and rate can be irregular
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9. True or False: Turning a client at least every 2 hours is the best treatment
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,to protect the clients integument
Answer
True
10. Select a primary health promotion strategy to prevent infection.
a. limit visitors
b. tell the patient they can scratch their surgical site and not wash their hands
c. assess the surgical site every 2 hours
d. use standard precautions
Answer
use standard precautions
11. Which physiological response indicates the patient is experiencing pain?
a. HR of 79
b. RR of 16
c. The patients family member stated the patient was in pain
d. BP of 146/85
Answer
BP of 146/86
12. What is the sound you would hear if a patient has fluid in their lungs?
a. bubbling
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b. wheezing
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, c. crackles
d. ronchi
Answer
crackles
13. True or False: Subjective data is the most reliable indicator of pain
Answer
True
14. True or False: When providing oral care for a client who is immobile, you
should use your thumb and index finger to hold the mouth open
Answer
False; get assistance
15. True or False: Limiting alcohol consumption 2 hours prior to bedtime will
assist to alleviate symptoms of insomnia
Answer
False; 4 hours prior
16. True or False: If a client has 4+ pitting edema in their legs, you should
elevate the lower extremities
Answer
True
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