NUR 313 Exam 1 Ch. 1, 2, 24, 27, 31, 33, 36, 37, 38, 39
Questions With Complete Solutions
A confused client attempts several times to pull out the
nasogastric tube. An order for wrist restraints is obtained by the
nurse. Which action is most appropriate?
1.Attach the ties of the restraint to the bed frame.
2.Perform range of motion to the restrained extremities once a
shift.
3.Remove the restraints when the client is up in a wheelchair.
4.Explain the need for restraints only to the family. Correct
Answers 1
A fire is discovered in a trash can in a patient's room. Which
action by the nurse should be questioned?
1.Turning off the oxygen sources
2.Getting the patient out of the room
3.Placing a blanket over the trash can
4.Calling for help Correct Answers 3
A health care worker has visible dirt on their hands. Which
method of hand hygiene is mostappropriate?
1. Using an alcohol-based disinfectant
2. Washing with water and then an alcohol-based rub
3. Using an alcohol gel containing an emollient
4. Washing with soap and water Correct Answers 4
,a microorganism invades the host but does not cause infection
causing: Correct Answers colonization
A nurse is providing information to an unlicensed assistive
person regarding a patient who is having frequent seizures.
Which instructions are the mostimportant for the nurse to
include?
1.If a seizure occurs, turn the patient on his side and insert an
oral airway.
2.Hold the patient firmly during the seizure so he does not bump
his head.
3.If a seizure occurs, be sure to lower the bed side rails.
4.If a seizure occurs, stay with him while watching his ability to
breathe. Correct Answers 4
A nurse who has been in the same clinical position for 2 to 3
years. Correct Answers Competent
A nurse who has had some level of experience with the
situation. Correct Answers Advanced Beginner
A nurse with diverse experience who has an intuitive grasp of an
existing or potential clinical problem. Correct Answers Expert
A nurse with more than 2 to 3 years of experience in the same
clinical position. Correct Answers Proficient
A patient requires oral care every 2 hours. Indicate which order
should be followed to safely prepare the patient for oral care.
,1. Assess environment for safety and provide
privacy.
2. Lower side rail.
3.Raise bed to working height.
4.Arrange supplies on over-bed table.
5.Position patient. Correct Answers From first to last:
1, 4, 3, 2, 5
A problem-solving approach to clinical practice that integrates
the conscientious use of best evidence in combination with a
clinician's expertise and patient preferences and values in
making decisions abou Correct Answers Evidence- based
practice
A scientific, clinical reasoning approach to patient care;
assessment, analysis, planning, implementation, evaluation
Correct Answers Nursing process
A serous exudate is best described as: Correct Answers Watery,
colorless exudate.
A young girl with long hair is experiencing a problem with
matting. Which action would be the most appropriate?
1.Cutting the matted hair away.
2.Braiding the hair to reduce tangles.
3.Using a grease-type product to tame the hair.
4.Keeping the hair oil free by applying powder every morning.
Correct Answers 2
, An area free of microorganisms and prepared to receive sterile
items Correct Answers sterile field
An essential element of professional nursing that involves the
initiation of independent nursing interventions without medical
orders is known as: Correct Answers Autonomy
an increase in circulating white blood cells (WBCs) and is the
body's response to WBCs leaving blood vessels Correct
Answers Leukocytosis
Another name for the infectious agent. Correct Answers
Pathogen
As the initial model for nursing, Nightingale's theory
encouraged nurses to:
A. know all about the disease processes affecting their patients.
B. think about their patients and patients' environment.
C. combine nursing knowledge with medicine.
D. focus on medication administration and treatments. Correct
Answers B
Bath administered to totally dependent patient in bed Correct
Answers Complete bed bath
Bathing only body parts that would cause discomfort if left
unbathed Correct Answers Partial bed bath
Before any care is given, what must be done first? Correct
Answers Assessment
Questions With Complete Solutions
A confused client attempts several times to pull out the
nasogastric tube. An order for wrist restraints is obtained by the
nurse. Which action is most appropriate?
1.Attach the ties of the restraint to the bed frame.
2.Perform range of motion to the restrained extremities once a
shift.
3.Remove the restraints when the client is up in a wheelchair.
4.Explain the need for restraints only to the family. Correct
Answers 1
A fire is discovered in a trash can in a patient's room. Which
action by the nurse should be questioned?
1.Turning off the oxygen sources
2.Getting the patient out of the room
3.Placing a blanket over the trash can
4.Calling for help Correct Answers 3
A health care worker has visible dirt on their hands. Which
method of hand hygiene is mostappropriate?
1. Using an alcohol-based disinfectant
2. Washing with water and then an alcohol-based rub
3. Using an alcohol gel containing an emollient
4. Washing with soap and water Correct Answers 4
,a microorganism invades the host but does not cause infection
causing: Correct Answers colonization
A nurse is providing information to an unlicensed assistive
person regarding a patient who is having frequent seizures.
Which instructions are the mostimportant for the nurse to
include?
1.If a seizure occurs, turn the patient on his side and insert an
oral airway.
2.Hold the patient firmly during the seizure so he does not bump
his head.
3.If a seizure occurs, be sure to lower the bed side rails.
4.If a seizure occurs, stay with him while watching his ability to
breathe. Correct Answers 4
A nurse who has been in the same clinical position for 2 to 3
years. Correct Answers Competent
A nurse who has had some level of experience with the
situation. Correct Answers Advanced Beginner
A nurse with diverse experience who has an intuitive grasp of an
existing or potential clinical problem. Correct Answers Expert
A nurse with more than 2 to 3 years of experience in the same
clinical position. Correct Answers Proficient
A patient requires oral care every 2 hours. Indicate which order
should be followed to safely prepare the patient for oral care.
,1. Assess environment for safety and provide
privacy.
2. Lower side rail.
3.Raise bed to working height.
4.Arrange supplies on over-bed table.
5.Position patient. Correct Answers From first to last:
1, 4, 3, 2, 5
A problem-solving approach to clinical practice that integrates
the conscientious use of best evidence in combination with a
clinician's expertise and patient preferences and values in
making decisions abou Correct Answers Evidence- based
practice
A scientific, clinical reasoning approach to patient care;
assessment, analysis, planning, implementation, evaluation
Correct Answers Nursing process
A serous exudate is best described as: Correct Answers Watery,
colorless exudate.
A young girl with long hair is experiencing a problem with
matting. Which action would be the most appropriate?
1.Cutting the matted hair away.
2.Braiding the hair to reduce tangles.
3.Using a grease-type product to tame the hair.
4.Keeping the hair oil free by applying powder every morning.
Correct Answers 2
, An area free of microorganisms and prepared to receive sterile
items Correct Answers sterile field
An essential element of professional nursing that involves the
initiation of independent nursing interventions without medical
orders is known as: Correct Answers Autonomy
an increase in circulating white blood cells (WBCs) and is the
body's response to WBCs leaving blood vessels Correct
Answers Leukocytosis
Another name for the infectious agent. Correct Answers
Pathogen
As the initial model for nursing, Nightingale's theory
encouraged nurses to:
A. know all about the disease processes affecting their patients.
B. think about their patients and patients' environment.
C. combine nursing knowledge with medicine.
D. focus on medication administration and treatments. Correct
Answers B
Bath administered to totally dependent patient in bed Correct
Answers Complete bed bath
Bathing only body parts that would cause discomfort if left
unbathed Correct Answers Partial bed bath
Before any care is given, what must be done first? Correct
Answers Assessment
