QUESTIONS AND CORRECT ANSWERS.GRADED A
LATEST VERSION
A nurse is evaluating a client's neurosensory system. To evaluate stereognosis, she would ask the
client to close his eyes & identify which of the following items?
A. A word she whispers 30cm from his ear
B. A number she traces on the palm of his hand
C. The vibration of a tuning fork she places on his foot
D. A familiar object she places in his hand
D.
Stereognosis is tactile recognition
A nurse is assessing a client who reports pain when the nurse evaluates the internal rotation of
her right shoulder. Which of the following activities is this problem likely to affect?
A. Mopping her floors
B. Brushing the back of her hair
C. Fastening her bra behind her back
D. Reaching into a cabinet above her sink
C.
Fastening a bra from behind requires internal rotation of the shoulder, so this activity will illicit
pain
A nurse is preforming a neurosensory examination for a client. Which of the following tests
should the nurse preform to test the client's balance? Select all.
A. Romberg test
B. Heel-to-toe walk
C. Snellen test
D. Spinal accessory function
E. Rosenbaum test
A, B
C and E test visual acuity , D tests cranial nerve XI is intact by asking the client to shrug
shoulders without complication.
A nurse is collecting data from an older adult client as part of a neurosensory examination.
Which of the following findings should the nurse expect as changes associated w/aging? Select
all.
,A. Slower light touch sensation
B. Some vision & hearing decline
C. Slower fine finger movement
D. Some short-term memory decline
E. Slower superficial pain sensation
B, C, D
A nurse is providing discharge instructions to a client who has a prescription for the use of
oxygen in his home. Which of the following should the nurse teach the client about using oxygen
safely in his home? Select all.
A. Family members who smoke must be at least 10 ft from the client when the oxygen is in use
B. Nail polish should not be used near a client who is receiving oxygen
C. A "No smoking" sign should be placed on the front door
D. Cotton bedding & clothing should be replaced w/items made from wool
E. A fire extinguisher should be readily available in the home
B, C, E
Family members that smoke should do so outside, and wool creates static electricity so it should
be avoided.
A nurse educator is conducting a parenting class for new parents. Which of the following
statements made by a participant indicates a need for further clarification & instruction?
A. "I will begin swimming lessons as soon as my baby can close her mouth under water."
B. "Once my baby can sit up, he should be safe in the bathtub."
C. "I will test the temp of the water before placing my baby in the bath."
D. "Once my infant starts to push up, I will remove the mobile from over the bed."
B
Although the baby can hold his head above the water by sitting up, this does not make the baby
safe in the tub. Parents should never leave a child unattended in a tub.
A home health nurse is discussing the dangers of carbon monoxide poisoning w/a client. Which
of the following information should the nurse include in her counseling?
A. Carbon monoxide has a distinct odor
B. Water heaters should be inspected every 5 years
C. The lungs are damaged from carbon monoxide inhalation
D. Carbon monoxide binds w/hemoglobin in the body
D.
Carbon monoxide is a very dangerous gas because it binds w/hemoglobin & ultimately reduces
the oxygen supplied to the tissues in the body.
Carbon monoxide is tasteless, has no scent, and cannot be seen.
, The water heaters, gas-burning furnances, and appliances should be inspected annually
The lungs are not damaged in the process of inhalation
A nurse educator is presenting a module on basic first aid for newly licensed home health nurses.
The nurse educator evaluates the teaching as effective when the newly licensed nurse states the
client who has heat stroke will have which of the following?
A. Hypotension
B. Bradycardia
C. Clammy skin
D. Bradypnea
A. Hypotension
Tachycardia, hot dry skin, and tachypnea are other manifestations of heat stroke
A home health nurse is discussing the dangers of food poisoning w/a client. Which of the
following info should the nurse include in her counseling? Select all.
A. Most food poisoning is caused by a virus
B. Immunocompromised individuals are at risk for complications from food poisoning
C. Clients who are especially at risk are instructed to eat or drink only pasteurized milk, yogurt,
cheese, or other dairy products
D. Healthy individuals usually recover from the illness in a few weeks
E. Handling raw & fresh food separately to avoid cross contamination may prevent food
poisoning
B, C, E
Most food poisoning is caused by a bacteria such as E. coli.
Healthy individuals usually recover in a few days.
A nurse is caring for a client diagnosed w/severe acute respiratory syndrome (SARS). The nurse
is aware that health care professionals are required to report communicable & infectious
diseases. Which of the following illustrate the rationale for reporting? Select all.
A. Planning & evaluating control & prevention strategies
B. Determining public health priorities
C. Ensuring proper medical treatment
D. Identifying endemic disease
E. Monitoring for common-source outbreaks
A, B, C, E
Not D because endemic disease is already prevalent within a population, so reporting is not
necessary
A nurse is contributing to the plan of care for a client who is being admitted to the facility w/a
suspected diagnosis of pertussis. Which of the following should the nurse include in the plan of
care? Select all.