EXAM STUDY MATERIALS 8/7/2024 11:29 AM
BASIC CARE AND COMFORT Exam
Questions With Correct Answers.
Apply an ice pack to the perineum.
* During the first 24 hr, ice packs and cool water sitz baths should be used. This should reduce
edema and reduce discomfort. - answer✔✔A client is reporting unrelieved episiotomy pain 8hr
after delivery. Which of the following actions should the client's nurse take?
"I will take my bronchodilators after meals."
* Bronchodilator should be taken before meals, not after, in order to reduce SOB. - answer✔✔A
nurse is providing teaching about ways to promote eating to a client with chronic obstructive
pulmonary disease .Which of the following statements by the client indicates a need for further
teaching?
suction PRN.
Perform mouth care every hour.
Administer oxygen 2L/min per NC. - answer✔✔A nurse is providing palliative care to a hospice
client who is unconscious. Which of the following prescriptions should the nurse expect?( Select
all that apply)
A client who was admitted with a d/x of cerebrovascular accident.
A client who is 4hr post-op following a leg amputation with general anesthesia.
A client who is 8 hr following traumatic laryngeal nerve damage.
A client who has a prior shift admission with a recent prolonged coughing episode. -
answer✔✔A client is caring for a group of clients. which of the following clients should the
nurse know has an increased risk of aspiration while eating? (select all that apply)
Bathing a client who had an amputation 2 days ago.
Assisting a client to ambulate using a gait belt.
Feeding a client who had a stroke 3 months ago. - answer✔✔A charge nurse is making client
care assignments. Which of the following tasks should the nurse plan to delegate to assistive
personnel (AP)? (SATA)
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
Allow infant to stand in the crib.
* the infant should not be restricted from normal activities. The infant can be held and allowed to
walk in a cast or orthotic device. Allowing the child to participate in normal developmental
activities will promote growth and development. - answer✔✔A nurse is caring for a 10-month-
old infant who is in a cast for developmental dysplasia of the hip (DDH). which of the following
strategies should the nurse implement to promote the infant's growth and development?
The pacemaker spikes before each QRS complex.
* The pacemaker stimulates the ventricle and the QRS complex appears, indicating that
depolarization has occurred. - answer✔✔A nursing is caring for a client with a ventricular
pacemaker who is on ECG monitoring. The nurse understands that the pacemaker is functioning
properly when which of the following appears on the monitor strip?
Beans.
* an increase in protein is needed to aid in the promotion of tissue healing post-injury. vegan
diets may be lower in protein. Nut and legumes will increase the amount of protein in the diet,
which will aid in tissue repair. - answer✔✔A nurse is reinforcing dietary teaching with a client
who has a burn injury and adheres to a strict vegan diet. Which of the following would be the
best meal choice?
" I will walk briskly for 30minutes before bedtime." - answer✔✔A nurse who is caring for a
client discusses strategies to promote rest and sleep. Which of the following statements indicate a
need for further teaching?
Shivering.
* shivering is a systemic response to cold in order to promote heat production. - answer✔✔A
nurse is administering a cold application to a client. WHich of the following manifestations
indicates the need to discontinue the application due to systemic response by the client?
Soy milk. - answer✔✔A nurse is planning teaching for the parents of a toddler who follow a
vegetarian diet. The nurse should plan to include which of the following foods as the best source
of dietary protein for the child?
"the formula will be kept cold until each use".
* Tube feeding formula should be administered at room temperature. If the formula is cold, it can
cause gastric cramping, nausea, and vomiting. - answer✔✔A nurse provides enteral tube feeding
teaching to a client. WHich of the following statements indicates a need for further teaching?
Certification of death declared by the provider.
Organ/tissue donation status verified by the nurse.
Medical equipment removed from the client.
BASIC CARE AND COMFORT Exam
Questions With Correct Answers.
Apply an ice pack to the perineum.
* During the first 24 hr, ice packs and cool water sitz baths should be used. This should reduce
edema and reduce discomfort. - answer✔✔A client is reporting unrelieved episiotomy pain 8hr
after delivery. Which of the following actions should the client's nurse take?
"I will take my bronchodilators after meals."
* Bronchodilator should be taken before meals, not after, in order to reduce SOB. - answer✔✔A
nurse is providing teaching about ways to promote eating to a client with chronic obstructive
pulmonary disease .Which of the following statements by the client indicates a need for further
teaching?
suction PRN.
Perform mouth care every hour.
Administer oxygen 2L/min per NC. - answer✔✔A nurse is providing palliative care to a hospice
client who is unconscious. Which of the following prescriptions should the nurse expect?( Select
all that apply)
A client who was admitted with a d/x of cerebrovascular accident.
A client who is 4hr post-op following a leg amputation with general anesthesia.
A client who is 8 hr following traumatic laryngeal nerve damage.
A client who has a prior shift admission with a recent prolonged coughing episode. -
answer✔✔A client is caring for a group of clients. which of the following clients should the
nurse know has an increased risk of aspiration while eating? (select all that apply)
Bathing a client who had an amputation 2 days ago.
Assisting a client to ambulate using a gait belt.
Feeding a client who had a stroke 3 months ago. - answer✔✔A charge nurse is making client
care assignments. Which of the following tasks should the nurse plan to delegate to assistive
personnel (AP)? (SATA)
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
Allow infant to stand in the crib.
* the infant should not be restricted from normal activities. The infant can be held and allowed to
walk in a cast or orthotic device. Allowing the child to participate in normal developmental
activities will promote growth and development. - answer✔✔A nurse is caring for a 10-month-
old infant who is in a cast for developmental dysplasia of the hip (DDH). which of the following
strategies should the nurse implement to promote the infant's growth and development?
The pacemaker spikes before each QRS complex.
* The pacemaker stimulates the ventricle and the QRS complex appears, indicating that
depolarization has occurred. - answer✔✔A nursing is caring for a client with a ventricular
pacemaker who is on ECG monitoring. The nurse understands that the pacemaker is functioning
properly when which of the following appears on the monitor strip?
Beans.
* an increase in protein is needed to aid in the promotion of tissue healing post-injury. vegan
diets may be lower in protein. Nut and legumes will increase the amount of protein in the diet,
which will aid in tissue repair. - answer✔✔A nurse is reinforcing dietary teaching with a client
who has a burn injury and adheres to a strict vegan diet. Which of the following would be the
best meal choice?
" I will walk briskly for 30minutes before bedtime." - answer✔✔A nurse who is caring for a
client discusses strategies to promote rest and sleep. Which of the following statements indicate a
need for further teaching?
Shivering.
* shivering is a systemic response to cold in order to promote heat production. - answer✔✔A
nurse is administering a cold application to a client. WHich of the following manifestations
indicates the need to discontinue the application due to systemic response by the client?
Soy milk. - answer✔✔A nurse is planning teaching for the parents of a toddler who follow a
vegetarian diet. The nurse should plan to include which of the following foods as the best source
of dietary protein for the child?
"the formula will be kept cold until each use".
* Tube feeding formula should be administered at room temperature. If the formula is cold, it can
cause gastric cramping, nausea, and vomiting. - answer✔✔A nurse provides enteral tube feeding
teaching to a client. WHich of the following statements indicates a need for further teaching?
Certification of death declared by the provider.
Organ/tissue donation status verified by the nurse.
Medical equipment removed from the client.
