Answers.
A Body Mass Index (BMI) of greater than 30 - Correct Answer is considered obese
A detail often overlooked when trying to prevent falls - Correct Answer is providing proper
lighting
A focused assessment - Correct Answer examines a specific area of the body that the
patient is voicing a complaint about
A Glycated hemoglobin (HbA1c) test can be ordered - Correct Answer to track glucose
levels of diabetic patients
A Head-to-Toe Assessment - Correct Answer is a systematic method of collecting data on
all body systems that begins with a neurological assessment
A high White Blood Cell Count (>10,000) - Correct Answer may indicate an infection
A home health aide - Correct Answer is a good option to care for someone who just had a
knee replacement
A low (<5,000) White Blood Cell count - Correct Answer makes a patient susceptible to
catching a contagious illness
A low platelet count (<150,000) or a high IN (>3.0) - Correct Answer can cause a risk of
bleeding
A patient with dementia - Correct Answer should not be allowed to take medication without
assistance or supervision
A professional medical interpreter - Correct Answer is always the best choice for a non
English speaking patient
A senior center - Correct Answer is a location that can provide social interaction for
individuals that live alone
, A subacute unit that provides skilled nursing care - Correct Answer is best suited to care for
a patient that requires extensive wound care
A way to confirm that a patient who speaks little English understands a procedure - Correct
Answer is to ask them to repeat back after you demonstrate
Airway and chest pain complaints - Correct Answer always require immediate attention
Always logout of the computer - Correct Answer to protect patient privacy
Always protect the client's head - Correct Answer if they are in danger of falling from a
standing position
Always wash hands or perform hand hygiene - Correct Answer before each patient contact
An apical pulse (listen with stethoscope over the fifth intercostal space, left of the
midclavicular line) - Correct Answer is taken before giving certain BP medications
An elevated white blood cell count - Correct Answer often indicates an infection and is
often accompanied by an elevated temperature
An immobile patient - Correct Answer should have their position changed every 2 hours
An inflammatory response - Correct Answer can be recognized as redness and edema
An objective statement - Correct Answer should include specific goals and a time frame
Anticipatory grieving - Correct Answer involves making statements concerning fears about
the future
As a hospice nurse - Correct Answer you should allow the patient's family to spend as
much time as possible with the patient
As a nurse if you suspect abuse has taken place - Correct Answer it is your responsibility to
notify the physician and protective services