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Exam (elaborations)

NSE111 EXAM STUDY GUIDE QUESTIONS AND ANSWERS 2024

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The nurse walked into the room and noted the client's head of the bed is lowered and the foot of the bed was raised. Which bed position does this represent? a) trendelenburg b) reverse trendelenburg c) semi-flower d) flat - Correct Ans-trendelenburg The professional standards (Revised 2002), developed by the College of Nurses of Ontario include which of the following standards? a) authenticity, continuing competence, knowledge application, therapeutic relationships, and leadership b) accountability, continued competence, ethics, knowledge, knowledge application, professional relationships, and leadership c) accountability, communication, ethics, knowledge application, relationships and self-awareness d) authenticity, continuing competence, diversity, ethics, knowledge, relationships and leadership - Correct Ans-b) accountability, continued competence, ethics, knowledge, knowledge application, professional relationships, and leadership After making an unoccupied bed, what should the nurse do in order to ensure the clients room is safe and comfortable select all that apply: - ensure that the call bell is placed within easy reach - top sheets should be in a closed position - attempt to eliminate any adverse odors - bed linen should be changed on daily basis - return the bed to lowest horizontal position - Correct Ans-- top sheets should be in a closed position - attempt to eliminate any adverse odors - return the bed to lowest horizontal position Which action should the nurse use to support nutritional intake with a client who tires easily during meals? a) withhold water which can fill the client up too quickly b) encourage the client to eat nutrient-rich foods first c) ask the family to bring in the clients fav meal d) encourage the client to a little of everything on the d) encourage the client to a little of everything on the tray tray - Correct Ans-d) encourage the client to a little of everything on the tray tray Why is it necessary to perform hand hygiene with soap and water when the client has been diagnosed with C-diffcile? a) action of drying hands is required as it improves the removal of bacteria b) alcohol based hand rub has poor activity against bacterial spores c) hand hygiene is longer with soap and water vs alcohol based hand rub d) bacterial spore are better eliminated under high flow hot water - Correct Ans-b) alcohol based hand rub has poor activity against bacterial spores which intervention should the nurse perform to prevent complications of immobility associated with the musculoskeletal system? a) apply anti-embolic stocking to precent thrombosis formation b) encourage a minimum of 2000 ml of fluids per day c) support proper body alignment by using positioning device d) promote deep breathing and coughing exercises every 2 hours - Correct Ans-c) support proper body alignment by using positioning device A client is unable to care for their own dentures. What would the nurse do first to prepare to clean the dentures using the sink? a) obtain the toothpaste that the client uses on their natural dentition b) fill the sink with warm water and allow to oak prior to soaking c) place washcloth in the bottom of the sink prior to filling with water d) floss the dentures over sink prior to brushing - Correct Ans-c) place washcloth in the bottom of the sink prior to filling with water What is the nurse's rationale for providing a back massage? select all that apply - promote relaxation - reduces circulation - relieves muscular tension - decreases anxiety - increases range of motion - Correct Ans-- promote relaxation - relieves muscular tension - decreases anxiety The nurse enters the client's room to perform morning care and identifies that the client is holding their left hip and moaning. What element of clinical judgement does this represent? a) taking action b) prioritizing hypothesis c) evaluation d) recognizing cues - Correct Ans-d) recognizing cues

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NSE111 EXAM STUDY GUIDE
QUESTIONS AND ANSWERS 2024
The nurse walked into the room and noted the client's head of the bed is lowered and
the foot of the bed was raised.
Which bed position does this represent?
a) trendelenburg
b) reverse trendelenburg
c) semi-flower
d) flat - Correct Ans-trendelenburg

The professional standards (Revised 2002), developed by the College of Nurses of
Ontario include which of the following standards?
a) authenticity, continuing competence, knowledge application, therapeutic
relationships, and leadership
b) accountability, continued competence, ethics, knowledge, knowledge application,
professional relationships, and leadership
c) accountability, communication, ethics, knowledge application, relationships and self-
awareness
d) authenticity, continuing competence, diversity, ethics, knowledge, relationships and
leadership - Correct Ans-b) accountability, continued competence, ethics, knowledge,
knowledge application, professional relationships, and leadership

After making an unoccupied bed, what should the nurse do in order to ensure the clients
room is safe and comfortable
select all that apply:
- ensure that the call bell is placed within easy reach
- top sheets should be in a closed position
- attempt to eliminate any adverse odors
- bed linen should be changed on daily basis
- return the bed to lowest horizontal position - Correct Ans-- top sheets should be in a
closed position
- attempt to eliminate any adverse odors
- return the bed to lowest horizontal position

Which action should the nurse use to support nutritional intake with a client who tires
easily during meals?
a) withhold water which can fill the client up too quickly
b) encourage the client to eat nutrient-rich foods first
c) ask the family to bring in the clients fav meal
d) encourage the client to a little of everything on the
d) encourage the client to a little of everything on the tray tray - Correct Ans-d)
encourage the client to a little of everything on the tray tray

, Why is it necessary to perform hand hygiene with soap and water when the client has
been diagnosed with C-diffcile?
a) action of drying hands is required as it improves the removal of bacteria
b) alcohol based hand rub has poor activity against bacterial spores
c) hand hygiene is longer with soap and water vs alcohol based hand rub
d) bacterial spore are better eliminated under high flow hot water - Correct Ans-b)
alcohol based hand rub has poor activity against bacterial spores

which intervention should the nurse perform to prevent complications of immobility
associated with the musculoskeletal system?
a) apply anti-embolic stocking to precent thrombosis formation
b) encourage a minimum of 2000 ml of fluids per day
c) support proper body alignment by using positioning device
d) promote deep breathing and coughing exercises every 2 hours - Correct Ans-c)
support proper body alignment by using positioning device

A client is unable to care for their own dentures. What would the nurse do first to
prepare to clean the dentures using the sink?
a) obtain the toothpaste that the client uses on their natural dentition
b) fill the sink with warm water and allow to oak prior to soaking
c) place washcloth in the bottom of the sink prior to filling with water
d) floss the dentures over sink prior to brushing - Correct Ans-c) place washcloth in the
bottom of the sink prior to filling with water

What is the nurse's rationale for providing a back massage?
select all that apply
- promote relaxation
- reduces circulation
- relieves muscular tension
- decreases anxiety
- increases range of motion - Correct Ans-- promote relaxation
- relieves muscular tension
- decreases anxiety

The nurse enters the client's room to perform morning care and identifies that the client
is holding their left hip and moaning. What element of clinical judgement does this
represent?
a) taking action
b) prioritizing hypothesis
c) evaluation
d) recognizing cues - Correct Ans-d) recognizing cues

Which of the following techniques will control or help eliminate reservoirs and break the
chain of infection?
a) place soiled linen in mositure-resistant bag
b) cover mouth or nose when sneezing or coughing

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