Basics Of Nursing Practice – Questions With
Complete Solutions
A nurse is caring for a client on bed rest. How can the nurse help prevent a
pulmonary embolus?
1.Limit the client's fluid intake.
2.Teach the client how to exercise the legs.
3.Encourage use of the incentive spirometer.
4.Maintain the knee gatch position at an angle ✔️Ans - 2.Teach the client
how to exercise the legs.
The nurse is preparing discharge instructions for a client that acquired a
nosocomial infection, Clostridium difficile. What should the nurse include in
the instructions?
1.Anticipate that nausea and vomiting will continue until the infection is no
longer present.
2.The infection causes diarrhea accompanied by flatus and abdominal
discomfort.
3.Consume a diet that is high in fiber and low in fat.
4.Other than routine handwashing, it is not necessary to perform special
disinfection procedures ✔️Ans - 2.The infection causes diarrhea
accompanied by flatus and abdominal discomfort.
A nurse is assisting a client to transfer from the bed to a chair. What should
the nurse do to widen the client's base of support during the transfer?
1.Spread the client's feet away from each other.
2.Move the client on the count of three.
3.Instruct the client to flex the muscles of the internal girdle.
4.Stand close to the client when assisting with the move ✔️Ans - 1.Spread
the client's feet away from each other.
The nurse should place the client in which position to obtain the most
accurate reading of jugular vein distention?
1.Upright at 90 degrees
, 2.Supine position
3.Raised to 45 degrees
4.Raised to 10 degrees ✔️Ans - 3.Raised to 45 degrees
A terminally ill client is furious with one of the staff nurses. The client refuses
the nurse's care and insists on doing self-care. A different nurse is assigned to
care for the client. What should be the newly assigned nurse's initial step in
revising the client's plan of care?
1.Get a full report from the first nurse and adjust the plan accordingly.
2.Ask the health care provider for a report on the client's condition and plan
appropriately.
3.Tell the client about the change in staff responsibilities and assess the
client's reaction.
4.Assess the client's present status and include the client in a discussion of
revisions to the plan of care ✔️Ans - 4.Assess the client's present status
and include the client in a discussion of revisions to the plan of care
During an admission assessment the nurse discovers that a client has a stage 1
pressure ulcer. Which is the priority nursing action?
1.Turn and reposition the client every 2 hours.
2.Cover the ulcer with an occlusive transparent dressing.
3.Clean the ulcer with hydrogen peroxide and leave it open to the air.
4.Provide the client with a diet high in vitamin C, zinc, and protein. ✔️Ans -
1.Turn and reposition the client every 2 hours.
A nurse suspects that a client has poison ivy. Assessment findings reveal
vesicles on the arms and legs. A vesicle can be described as:
1.A lesion filled with purulent drainage.
2.An erosion into the dermis.
3.A solid mass of fibrous tissue.
4.A lesion filled with serous fluid ✔️Ans - 4.A lesion filled with serous
fluid
A home health nurse checks the client's vital signs and completes a follow- up
visit. After completion of these tasks, the client asks the nurse to straighten
the blankets on the bed. What is the nurse's most appropriate response?
Complete Solutions
A nurse is caring for a client on bed rest. How can the nurse help prevent a
pulmonary embolus?
1.Limit the client's fluid intake.
2.Teach the client how to exercise the legs.
3.Encourage use of the incentive spirometer.
4.Maintain the knee gatch position at an angle ✔️Ans - 2.Teach the client
how to exercise the legs.
The nurse is preparing discharge instructions for a client that acquired a
nosocomial infection, Clostridium difficile. What should the nurse include in
the instructions?
1.Anticipate that nausea and vomiting will continue until the infection is no
longer present.
2.The infection causes diarrhea accompanied by flatus and abdominal
discomfort.
3.Consume a diet that is high in fiber and low in fat.
4.Other than routine handwashing, it is not necessary to perform special
disinfection procedures ✔️Ans - 2.The infection causes diarrhea
accompanied by flatus and abdominal discomfort.
A nurse is assisting a client to transfer from the bed to a chair. What should
the nurse do to widen the client's base of support during the transfer?
1.Spread the client's feet away from each other.
2.Move the client on the count of three.
3.Instruct the client to flex the muscles of the internal girdle.
4.Stand close to the client when assisting with the move ✔️Ans - 1.Spread
the client's feet away from each other.
The nurse should place the client in which position to obtain the most
accurate reading of jugular vein distention?
1.Upright at 90 degrees
, 2.Supine position
3.Raised to 45 degrees
4.Raised to 10 degrees ✔️Ans - 3.Raised to 45 degrees
A terminally ill client is furious with one of the staff nurses. The client refuses
the nurse's care and insists on doing self-care. A different nurse is assigned to
care for the client. What should be the newly assigned nurse's initial step in
revising the client's plan of care?
1.Get a full report from the first nurse and adjust the plan accordingly.
2.Ask the health care provider for a report on the client's condition and plan
appropriately.
3.Tell the client about the change in staff responsibilities and assess the
client's reaction.
4.Assess the client's present status and include the client in a discussion of
revisions to the plan of care ✔️Ans - 4.Assess the client's present status
and include the client in a discussion of revisions to the plan of care
During an admission assessment the nurse discovers that a client has a stage 1
pressure ulcer. Which is the priority nursing action?
1.Turn and reposition the client every 2 hours.
2.Cover the ulcer with an occlusive transparent dressing.
3.Clean the ulcer with hydrogen peroxide and leave it open to the air.
4.Provide the client with a diet high in vitamin C, zinc, and protein. ✔️Ans -
1.Turn and reposition the client every 2 hours.
A nurse suspects that a client has poison ivy. Assessment findings reveal
vesicles on the arms and legs. A vesicle can be described as:
1.A lesion filled with purulent drainage.
2.An erosion into the dermis.
3.A solid mass of fibrous tissue.
4.A lesion filled with serous fluid ✔️Ans - 4.A lesion filled with serous
fluid
A home health nurse checks the client's vital signs and completes a follow- up
visit. After completion of these tasks, the client asks the nurse to straighten
the blankets on the bed. What is the nurse's most appropriate response?
