NURS100 - W2 - Ch.14, 26, 27, 31 NCLEX
Questions With Complete Solutions
Ch. 27: A school nurse is preparing a teaching session on safety for parents of
school-aged children. What would be an appropriate topic for this age group?
a. Selecting toys for the developmental level.
b. Providing drug, alcohol, and sexuality education.
c. Teaching stress reduction techniques.
d. Providing close supervision to prevent injuries. - ANSWER b. Providing drug,
alcohol, and sexuality education.
Ch. 27: A nurse follows the universal patient compact principles for partnership
when providing care for patients. Which nursing action does not reflect this
philosophy?
a. The nurse includes the patient as a member of the health care team.
b. The nurse asks for family input from the assigned advocate of the patient.
c. The nurse makes health care decisions for a patient who is uncooperative.
d. The nurse allows the patient to review his own medical information. - ANSWER
c. The nurse makes health care decisions for a patient who is uncooperative.
Ch. 27: A nurse is filing a safety event report for an older adult patient who
tripped and fell when getting out of bed. Which action exemplifies an accurate
step of this process?
a. The nurse adds the information in the safety event report to the patient
medical record.
b. The nurse calls the primary health care provider to fill out and sign the safety
event report.
c. The nurse provides an opinion of the physical and mental condition of the
patient that may have precipitated the incident.
d. The nurse details the patient's response and the examination and treatment of
the patient after the incident. - ANSWER d. The nurse details the patient's
response and the examination and treatment of the patient after the incident.
Ch. 27: The nurse is performing a safety belt fit test for a young patient at a well-
child checkup. What criteria confirm that the child may sit in the back seat of a
vehicle with a lap and shoulder belt in place?
, a. The knees do not bend at the edge of the seat when back is against vehicle's
seat back.
b. The seat belt stays low on the hips and is not resting on the soft part of the
stomach.
c. The shoulder belt does not lay on the collarbone or shoulder when fastened.
d. The child's feet touch the floor of the car when belted in with the lap and
shoulder belt. - ANSWER b. The seat belt stays low on the hips and is not resting
on the soft part of the stomach.
Ch. 27: A nurse is assessing a patient who was exposed to botulism from
contaminated food supplies. Which symptom would the nurse expect to find in
this patient?
a. Skeletal muscle paralysis that progresses symmetrically and in a descending
manner.
b. Flu-like symptoms.
c. Skin lesion with local edema that progresses, enlarges, ulcerates, and
becomes necrotic.
d. Petechial hemorrhages - ANSWER a. Skeletal muscle paralysis that
progresses symmetrically and in a descending manner.
Ch. 27: The nurse is caring for an 80-year-old patient who was admitted to the
hospital in a confused and dehydrated state. After the patient got out of bed and
fell, restraints were applied. She began to fight and was rapidly becoming
exhausted. She has black-and-blue marks on her wrists from the restraints.
What would be the most appropriate nursing intervention for this patient?
a. Sedate her with sleeping pills and leave the restraints on.
b. Take the restraints off, stay with her, and talk gently to her.
c. Leave the restraints on and talk with her, explaining that she must calm down.
d. Talk with the patient's family about taking her home because she is out of
control. - ANSWER b. Take the restraints off, stay with her, and talk gently to
her.
Ch. 27: A nurse working in a long-term care facility institutes interventions to
prevent falls in the older adult population. Which intervention would be an
appropriate alternative to the use of restraints for ensuring patient safety and
preventing falls?
a. Involve family members in the patient's care.
b. Allow the patient to use the bathroom independently.
c. Keep the patient sedated with tranquilizers.
d. Maintain a high bed position so the patient will not attempt to get out
unassisted. - ANSWER a. Involve family members in the patient's care.
Questions With Complete Solutions
Ch. 27: A school nurse is preparing a teaching session on safety for parents of
school-aged children. What would be an appropriate topic for this age group?
a. Selecting toys for the developmental level.
b. Providing drug, alcohol, and sexuality education.
c. Teaching stress reduction techniques.
d. Providing close supervision to prevent injuries. - ANSWER b. Providing drug,
alcohol, and sexuality education.
Ch. 27: A nurse follows the universal patient compact principles for partnership
when providing care for patients. Which nursing action does not reflect this
philosophy?
a. The nurse includes the patient as a member of the health care team.
b. The nurse asks for family input from the assigned advocate of the patient.
c. The nurse makes health care decisions for a patient who is uncooperative.
d. The nurse allows the patient to review his own medical information. - ANSWER
c. The nurse makes health care decisions for a patient who is uncooperative.
Ch. 27: A nurse is filing a safety event report for an older adult patient who
tripped and fell when getting out of bed. Which action exemplifies an accurate
step of this process?
a. The nurse adds the information in the safety event report to the patient
medical record.
b. The nurse calls the primary health care provider to fill out and sign the safety
event report.
c. The nurse provides an opinion of the physical and mental condition of the
patient that may have precipitated the incident.
d. The nurse details the patient's response and the examination and treatment of
the patient after the incident. - ANSWER d. The nurse details the patient's
response and the examination and treatment of the patient after the incident.
Ch. 27: The nurse is performing a safety belt fit test for a young patient at a well-
child checkup. What criteria confirm that the child may sit in the back seat of a
vehicle with a lap and shoulder belt in place?
, a. The knees do not bend at the edge of the seat when back is against vehicle's
seat back.
b. The seat belt stays low on the hips and is not resting on the soft part of the
stomach.
c. The shoulder belt does not lay on the collarbone or shoulder when fastened.
d. The child's feet touch the floor of the car when belted in with the lap and
shoulder belt. - ANSWER b. The seat belt stays low on the hips and is not resting
on the soft part of the stomach.
Ch. 27: A nurse is assessing a patient who was exposed to botulism from
contaminated food supplies. Which symptom would the nurse expect to find in
this patient?
a. Skeletal muscle paralysis that progresses symmetrically and in a descending
manner.
b. Flu-like symptoms.
c. Skin lesion with local edema that progresses, enlarges, ulcerates, and
becomes necrotic.
d. Petechial hemorrhages - ANSWER a. Skeletal muscle paralysis that
progresses symmetrically and in a descending manner.
Ch. 27: The nurse is caring for an 80-year-old patient who was admitted to the
hospital in a confused and dehydrated state. After the patient got out of bed and
fell, restraints were applied. She began to fight and was rapidly becoming
exhausted. She has black-and-blue marks on her wrists from the restraints.
What would be the most appropriate nursing intervention for this patient?
a. Sedate her with sleeping pills and leave the restraints on.
b. Take the restraints off, stay with her, and talk gently to her.
c. Leave the restraints on and talk with her, explaining that she must calm down.
d. Talk with the patient's family about taking her home because she is out of
control. - ANSWER b. Take the restraints off, stay with her, and talk gently to
her.
Ch. 27: A nurse working in a long-term care facility institutes interventions to
prevent falls in the older adult population. Which intervention would be an
appropriate alternative to the use of restraints for ensuring patient safety and
preventing falls?
a. Involve family members in the patient's care.
b. Allow the patient to use the bathroom independently.
c. Keep the patient sedated with tranquilizers.
d. Maintain a high bed position so the patient will not attempt to get out
unassisted. - ANSWER a. Involve family members in the patient's care.
