Complete Solutions
A patient reports difficulty seeing objects at a distance after a
cerebrovascular accident. Which result would the nurse
anticipate?
A. Risk of falls
B. Anxiety related to fear of falling
C. Unilateral neglect resulting from brain injury
D. Impaired physical mobility on one side of the body Correct
Answer A. Risk of falls
A patient with postural hypotension is hospitalized. Which
safety measure would the nurse implement during ambulation?
A. Use of gait belt
B. Raising all side rails
C. Use of wheelchair
D. Use of belt restraint Correct Answer A. Use of gait belt
At what age in years does the respiratory system begin to
decline in healthy people?
A. 20
B. 25
C. 45
D. 60 Correct Answer B. 25
Boiling water is a common method of disinfection used in the
home setting for which type of equipment?
A. Endoscope
B. Drainage collection device
C. Respiratory therapy equipment
,D. Heat-tolerant surgical instrument Correct Answer B.
Drainage collection device
During a nurses interaction with a patient who wants a regular
diet that would delay recovery, which attribute is exhibited by
the nurse when both mutually agree upon a full liquid diet?
A.Humility
B. Curiosity
C. Integrity
D. Creativity Correct Answer C. Integrity
How would the nurse ensure the aneroid sphygmomanometer's
accuracy over time?
A. Annual biomedical calibration
B. Bimonthly biomedical calibration
C. Biomedical calibration every 6 months
D. Biomedical calibration on a monthly basis Correct Answer
C. Biomedical calibration every 6 months
In a health care setting, the restraint order for a patient is
renewed every 2 hours. Which is the likely age of the patient?
A. 6 years
B. 14 years
C. 23 years
D. 65 years Correct Answer B. 14 years
The incidence of suicidal tendency is highest in which age
group?
A. Adolescents
B. Older Adults
C. Younger Adults
, D. Middle-aged Adults Correct Answer A. Adolescents
The nurse begins taking a patient's history by first introducing
herself and her role and addresses the patient using the last
name. Later, the nurse reports to the head nurse, "the patient in
room 31 has stable vitals." Which part of the nurses
communication is inappropriate?
A. Giving out the nurses name to the patient
B. Addressing the patient using the last name
C. Referring to the patient by the room number
D. Giving out the nurse's status to the patient Correct Answer
C. Referring to the patient by the room number
The nurse has difficulty hearing the sounds of a patient who is
80 years old. Which factor explains the muffled heart sounds?
A. Increased heart rate
B. Decreased vessel elasticity
C. Increased air space in the lungs
D. Ossification of costal cartilage Correct Answer C.
Increased air space in the lungs
The nurse provides education for a patient's family member
about bathing techniques. The family member asks, "Why do I
need to use long stroked on extremities, moving from distal to
proximal ares?" Which explanation does the nurse give?
A. It decreases the chances of infection
B. It helps remove dry, flaky skin
C. It prevents skin trauma
D. It promotes venous return Correct Answer D. It promotes
venous return