Basics Of Nursing Practice – Qs And As
A nurse is caring for a newly admitted client in a long-term care facility. The
nurse notes that the client has a decreased attention span and cannot
concentrate. The nurse suspects which effects of sensory deprivation?
1.Cognitive response
2.Emotional response
3.Perceptual response
4.Physical response ✔️Ans - 1.Cognitive response
The nurse is providing information about blood pressure to Unlicensed
Assistive Personnel (UAP) and recalls that the factor that has the greatest
influence on diastolic blood pressure is:
1.Renal function
2.Cardiac output
3.Oxygen saturation
4.Peripheral vascular resistance ✔️Ans - 4.Peripheral vascular resistance
Nurses are held responsible for the commission of a tort. The nurse
understands that a tort is:
1.The application of force to the body of another by a reasonable individual.
2.An illegality committed by one person against the property or person of
another.
3.Doing something that a reasonable person under ordinary circumstances
would not do.
4.An illegality committed against the public and punishable by the law
through the courts. ✔️Ans - 2.An illegality committed by one person against
the property or person of another.
Health promotion efforts within the health care system should include efforts
related to secondary prevention. Which activities reflect secondary
prevention interventions in relation to health promotion? (Select all that
apply.)
1.Encouraging regular dental checkups
, 2.Facilitating smoking cessation programs
3.Administering influenza vaccines to older adults
4.Teaching the procedure for breast self-examination
5.Referring clients with a chronic illness to a support group ✔️Ans -
1.Encouraging regular dental checkups
4.Teaching the procedure for breast self-examination
What is the priority nursing intervention for a client during the immediate
postoperative period?
1.Monitoring vital signs
2.Observing for hemorrhage
3.Maintaining a patent airway
4.Recording the intake and output ✔️Ans - 3.Maintaining a patent airway
As a nurse prepares an older adult client for sleep, actions are taken to help
reduce the likelihood of a fall during the night. What nursing action is most
appropriate when targeting older adults' most frequent cause of falls?
1.Moving the client's bedside table closer to the bed.
2.Encouraging the client to take an available sedative.
3.Instructing the client to call the nurse before going to the bathroom.
4.Assisting the client to telephone home to say goodnight to the spouse.
✔️Ans - 3.Instructing the client to call the nurse before going to the
bathroom.
When providing care for a client with a nasogastric (NG) tube, the nurse
should take measures to prevent what serious complication?
1.Skin breakdown
2.Aspiration pneumonia
3.Retention ileus
4.Profuse diarrhea ✔️Ans - 2.Aspiration pneumonia
Which nursing behavior is an intentional tort?
1.Miscounting gauze pads during a client's surgery.
2.Causing a burn when applying a wet dressing to a client's extremity.
3.Divulging private information about a client's health status to the media.
A nurse is caring for a newly admitted client in a long-term care facility. The
nurse notes that the client has a decreased attention span and cannot
concentrate. The nurse suspects which effects of sensory deprivation?
1.Cognitive response
2.Emotional response
3.Perceptual response
4.Physical response ✔️Ans - 1.Cognitive response
The nurse is providing information about blood pressure to Unlicensed
Assistive Personnel (UAP) and recalls that the factor that has the greatest
influence on diastolic blood pressure is:
1.Renal function
2.Cardiac output
3.Oxygen saturation
4.Peripheral vascular resistance ✔️Ans - 4.Peripheral vascular resistance
Nurses are held responsible for the commission of a tort. The nurse
understands that a tort is:
1.The application of force to the body of another by a reasonable individual.
2.An illegality committed by one person against the property or person of
another.
3.Doing something that a reasonable person under ordinary circumstances
would not do.
4.An illegality committed against the public and punishable by the law
through the courts. ✔️Ans - 2.An illegality committed by one person against
the property or person of another.
Health promotion efforts within the health care system should include efforts
related to secondary prevention. Which activities reflect secondary
prevention interventions in relation to health promotion? (Select all that
apply.)
1.Encouraging regular dental checkups
, 2.Facilitating smoking cessation programs
3.Administering influenza vaccines to older adults
4.Teaching the procedure for breast self-examination
5.Referring clients with a chronic illness to a support group ✔️Ans -
1.Encouraging regular dental checkups
4.Teaching the procedure for breast self-examination
What is the priority nursing intervention for a client during the immediate
postoperative period?
1.Monitoring vital signs
2.Observing for hemorrhage
3.Maintaining a patent airway
4.Recording the intake and output ✔️Ans - 3.Maintaining a patent airway
As a nurse prepares an older adult client for sleep, actions are taken to help
reduce the likelihood of a fall during the night. What nursing action is most
appropriate when targeting older adults' most frequent cause of falls?
1.Moving the client's bedside table closer to the bed.
2.Encouraging the client to take an available sedative.
3.Instructing the client to call the nurse before going to the bathroom.
4.Assisting the client to telephone home to say goodnight to the spouse.
✔️Ans - 3.Instructing the client to call the nurse before going to the
bathroom.
When providing care for a client with a nasogastric (NG) tube, the nurse
should take measures to prevent what serious complication?
1.Skin breakdown
2.Aspiration pneumonia
3.Retention ileus
4.Profuse diarrhea ✔️Ans - 2.Aspiration pneumonia
Which nursing behavior is an intentional tort?
1.Miscounting gauze pads during a client's surgery.
2.Causing a burn when applying a wet dressing to a client's extremity.
3.Divulging private information about a client's health status to the media.
