FA Davis Exam 3 questions fully solved
& updated
A nurse is planning care for an older adult. When does the frequency of falls
increase for hospitalized older adults, information the nurse must consider when
planning care for this client?
1) At night
2) Before meals
3) After surgery
4) During visiting hours
Hint - ANSWER- 1
A client on contact precautions needs a blood pressure reading taken every shift.
Which practical intervention by the nurse will keep the sphygmomanometer from
spreading microorganisms?
1) Placing it in a protective bag
2) Keeping it in the client's room
3) Soaking it in a germicidal solution
4) Storing it in the dirty utility room - ANSWER- 2
A nurse identifies that the electrical cord on a client's cell phone charger is
frayed. Which should the nurse do?
1) Report the problem to the supervisor
2) Unplug it and put it in the client's closet
3) Remove it from the client's room and send it home with a family member
4) Ask the maintenance department to apply nonconductive tape to the damaged
section - ANSWER- 3
Which is a reason why restraints are used when caring for clients? Select all that
apply.
1) Support joints
,2) Reduce agitation
3) Immobilize clients
4) Prevent client injury
5) Prohibit a client from hurting others - ANSWER- 4, 5
While a preoperative client is being transferred to a stretcher to be taken to the
operating room, the nurse attempts to have the client remove the dentures. The
client states, "I do not want to be seen without my dentures in my mouth." Which
should the nurse do first?
1) Explain the importance of this rule
2) Remove them after anesthesia is initiated
3) Explore the client's feelings regarding this issue
4) Allow the client to keep them in the mouth during surgery - ANSWER- 1
A client asks the nurse, "What fruit should I eat because I have such problems
with constipation?" Which fruit should the nurse include in the teaching plan to
address the client's constipation? Select all that apply.
1) Apples
2) Mangoes
3) Apricots
4) Pineapples
5) Raspberries - ANSWER- 1,2,5
Which temperature should the water be when the nurse gives a client a bed bath?
1) 80°F to 85°F
2) 90°F to 95°F
3) 100°F to 105°F
4) 110°F to 115°F - ANSWER- 4
A nurse is interviewing an older adult client who came to the health clinic
reporting frequent constipation. Which question by the nurse will provide
significant information indicating that the client is experiencing perceived
constipation rather than just constipation? Select all that apply.
1) "Do you exert prolonged straining to expel hard stool?"
2) "Do you use laxatives and cathartics to precipitate daily bowel movements?"
3) "Have you experienced rectal pressure when you have to have a bowel
movement?"
4) "How many servings of vegetables, fruits, and whole-grain foods do you eat
daily?"
5) "Do you have dry stool that requires you to hold your breath and bear down to
defecate?" - ANSWER- 2
, An older adult who received 4 weeks of rehabilitation after a brain attack
(cerebrovascular accident, stroke) and has mild left-sided hemiparesis is
preparing for discharge to a daughter's home. Which recommendation
concerning safety in the home should the nurse discuss with the client and
daughter? Select all that apply.
1) Mount safety bars around the toilet.
2) Position a shower chair in the shower.
3) Install a higher toilet seat in the bathroom.
4) Limit scatter rugs to those with a rubber backing.
5) Use a walker without wheels for support when ambulating. - ANSWER- 1,2,3,5
Which is the most therapeutic exercise that can be done by a client confined to
bed?
1) Isometric exercise
2) Active-assistive exercise
3) Active range-of-motion exercise
4) Passive range-of-motion exercise - ANSWER- 3
Warm, dry heat to be applied via an aquathermia pad to a client's lower back is
prescribed to ease muscle spasms resulting from a fall. Which should the nurse
do? Select all that apply.
1) Set the pad at 110°F to 115°F
2) Apply the pad directly to the client's skin
3) Remove the pad 20 to 30 minutes after it is applied
4) Moisten the liner between the pad and the cover of the pad
5) Put the pad under the client after the client is placed in the supine position -
ANSWER- 3
After a client has a procedure that uses the femoral artery as an access, a
pressure dressing is applied at the catheter insertion site. Which is the primary
purpose of this pressure dressing?
1) Prevents pain
2) Limits infection
3) Decreases drainage
4) Promotes hemostasis - ANSWER- 4
An enema is ordered for a client scheduled for bowel surgery. Which potential
event associated with surgery is the enema primarily designed to prevent?
1) Intraoperative peristalsis
2) Postoperative constipation
& updated
A nurse is planning care for an older adult. When does the frequency of falls
increase for hospitalized older adults, information the nurse must consider when
planning care for this client?
1) At night
2) Before meals
3) After surgery
4) During visiting hours
Hint - ANSWER- 1
A client on contact precautions needs a blood pressure reading taken every shift.
Which practical intervention by the nurse will keep the sphygmomanometer from
spreading microorganisms?
1) Placing it in a protective bag
2) Keeping it in the client's room
3) Soaking it in a germicidal solution
4) Storing it in the dirty utility room - ANSWER- 2
A nurse identifies that the electrical cord on a client's cell phone charger is
frayed. Which should the nurse do?
1) Report the problem to the supervisor
2) Unplug it and put it in the client's closet
3) Remove it from the client's room and send it home with a family member
4) Ask the maintenance department to apply nonconductive tape to the damaged
section - ANSWER- 3
Which is a reason why restraints are used when caring for clients? Select all that
apply.
1) Support joints
,2) Reduce agitation
3) Immobilize clients
4) Prevent client injury
5) Prohibit a client from hurting others - ANSWER- 4, 5
While a preoperative client is being transferred to a stretcher to be taken to the
operating room, the nurse attempts to have the client remove the dentures. The
client states, "I do not want to be seen without my dentures in my mouth." Which
should the nurse do first?
1) Explain the importance of this rule
2) Remove them after anesthesia is initiated
3) Explore the client's feelings regarding this issue
4) Allow the client to keep them in the mouth during surgery - ANSWER- 1
A client asks the nurse, "What fruit should I eat because I have such problems
with constipation?" Which fruit should the nurse include in the teaching plan to
address the client's constipation? Select all that apply.
1) Apples
2) Mangoes
3) Apricots
4) Pineapples
5) Raspberries - ANSWER- 1,2,5
Which temperature should the water be when the nurse gives a client a bed bath?
1) 80°F to 85°F
2) 90°F to 95°F
3) 100°F to 105°F
4) 110°F to 115°F - ANSWER- 4
A nurse is interviewing an older adult client who came to the health clinic
reporting frequent constipation. Which question by the nurse will provide
significant information indicating that the client is experiencing perceived
constipation rather than just constipation? Select all that apply.
1) "Do you exert prolonged straining to expel hard stool?"
2) "Do you use laxatives and cathartics to precipitate daily bowel movements?"
3) "Have you experienced rectal pressure when you have to have a bowel
movement?"
4) "How many servings of vegetables, fruits, and whole-grain foods do you eat
daily?"
5) "Do you have dry stool that requires you to hold your breath and bear down to
defecate?" - ANSWER- 2
, An older adult who received 4 weeks of rehabilitation after a brain attack
(cerebrovascular accident, stroke) and has mild left-sided hemiparesis is
preparing for discharge to a daughter's home. Which recommendation
concerning safety in the home should the nurse discuss with the client and
daughter? Select all that apply.
1) Mount safety bars around the toilet.
2) Position a shower chair in the shower.
3) Install a higher toilet seat in the bathroom.
4) Limit scatter rugs to those with a rubber backing.
5) Use a walker without wheels for support when ambulating. - ANSWER- 1,2,3,5
Which is the most therapeutic exercise that can be done by a client confined to
bed?
1) Isometric exercise
2) Active-assistive exercise
3) Active range-of-motion exercise
4) Passive range-of-motion exercise - ANSWER- 3
Warm, dry heat to be applied via an aquathermia pad to a client's lower back is
prescribed to ease muscle spasms resulting from a fall. Which should the nurse
do? Select all that apply.
1) Set the pad at 110°F to 115°F
2) Apply the pad directly to the client's skin
3) Remove the pad 20 to 30 minutes after it is applied
4) Moisten the liner between the pad and the cover of the pad
5) Put the pad under the client after the client is placed in the supine position -
ANSWER- 3
After a client has a procedure that uses the femoral artery as an access, a
pressure dressing is applied at the catheter insertion site. Which is the primary
purpose of this pressure dressing?
1) Prevents pain
2) Limits infection
3) Decreases drainage
4) Promotes hemostasis - ANSWER- 4
An enema is ordered for a client scheduled for bowel surgery. Which potential
event associated with surgery is the enema primarily designed to prevent?
1) Intraoperative peristalsis
2) Postoperative constipation
