NSG 101 Final Questions and Correct
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A nurse identifies a fall risk when assessing a patient upon admission.
The nurse and the patient agree that the goal is for the patient to
remain free from falls. However, the patient fell just before shift
change. Which action is the nurse's priority when evaluating the
patient after the fall?
a. Identifying factors interfering with goal achievement
b. Counseling the nursing assistive personnel on duty when the
patient fell
c. Removing the fall risk sign from the patient's door because the
patient has suffered a fall
d. Requesting that the more experienced charge nurse complete
the documentation about the fall
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Ans: a. Identifying factors interfering with goal achievement
A patient is admitted and is placed on fall precautions. The nurse
teaches the patient and family about fall precautions. Which action
will the nurse take in accordance with hospital policy?
a. Check on the patient once a shift.
b. Encourage visitors in the early evening.
c. Place all four side rails in the ―up‖ position.
d. Keep the patient on fall risk until discharge.
Ans: d. Keep the patient on fall risk until discharge.
A nurse is attempting to minimize the risk of future infection for a
post-surgical patient about to be discharged. Which technique will
the nurse teach the patient to best achieve this goal?
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a. Sanitizing of eating utensils
b. Medical asepsis hand-washing
c. Wound care using surgical asepsis
d. Limiting visitors during flu season
Ans: b. Medical asepsis hand-washing
The nurse is caring for an older adult who presents to the clinic after
a fall. The nurse reviews fall prevention in the home. Which
information will the nurse include in the teaching session? (Select all
that apply.)
a. Water outdoor plants with a nozzle and hose.
b. Walk to the mailbox in the summer.
c. Encourage yearly eye examinations.
d. Use bathtubs without safety strips.
e. Keep pathways clutter free.
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Ans: b. Walk to the mailbox in the summer.
c. Encourage yearly eye examinations.
e. Keep pathways clutter free.
A nurse is using Maslow's hierarchy of needs to prioritize care. Place
the levels in order of basic priority to highest priority that the nurse will
follow.
1. Physiological
2. Self-esteem
3. Self-actualization
4. Safety and security
5. Love and belonging
a. 4, 1, 2, 3, 5
b. 1, 4, 5, 3, 2