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Exam (elaborations)

N1 Exams

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Exam of 21 pages for the course N1 . at N1 . (N1 Exams)

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N1 Exams Q&A
A client has been on prolonged bed rest, and the nurse is observing for signs
associated with immobility. In assessment of the client, the nurse is alert to a(n): -
(correct answer)Decreased peristalsis



A client is prescribed alendronate (Fosamax). Which statement indicates that the client
understands teaching about this drug? - (correct answer)"I should take this drug with a
full glass of water"



A home health nurse is reviewing the medication list of an older adult client who reports
falling a couple of times over the past week. Which of the following medications should
the nurse suspect is contributing to the client's falls? - (correct answer)alprazolam
(Xanax)



A nurse is developing a plan of care for an older adult who is at risk for falls. Which of
the following actions should the nurse plan to include in the plan? (Selected all that
apply) - (correct answer)Teach about balance and strengthening exercises

Providing information about home safety checks
Locking beds and wheelchairs during transfers

Placing a bedside table within the client's reach



The nurse has educated a client on Paget's disease. Which statement by the client
indicates good understanding of causative factors? - (correct answer)"I may have a
genetic predisposition"



The nurse notes that the electrical cord on an IV infusion pump is cracked. Which action
by the nurse is best? - (correct answer)Clearly label the pump and send it for repair



Which factor(s) in the patient's past medical history place(s) him at risk for falling?
(Selected all that apply) - (correct answer)Orthostatic hypotension
Dizziness

,A client is experiencing an acute attack of gout. The nurse should be prepared to
provide which of the following medications as prescribed? - (correct answer)Colchicine



A patient is brought to the emergency department after inhaling mercury. The nurse
should be alert for which acute adverse effects associated with mercury inhalation? -
(correct answer)Chest pain, pneumonitis, and inflammation of the mouth


What would the nurse identify as a safety hazard in an infant? - (correct
answer)Suffocation in the crib



The nurse recognizes that the leading cause of death for the otherwise health 1-year-
old is: - (correct answer)Accidental injury



A client is diagnosed with osteoarthritis. The nurse would *not* expect to find which of
the following during assessment? - (correct answer)Symmetrical joint involvement



Which of the following actions represents proper body mechanics for nurses providing
care as well as teaching patients about safe body movements? (Select all that apply) -
(correct answer)Stand with the body in alignment and erect posture

Use a wide base of support with your feed at shoulder width

Keep objects close to your body when carrying them


An immobilized client is suspected of having atelectasis. This is assessed by the nurse
upon auscultation as: - (correct answer)Diminished breath sounds



A nurse enters a client's room and finds that the wastebasket is on fire. The nurse
immediately assists the client out of the room. What is the next nursing action? -
(correct answer)Activate the fire alarm

, A patient has received a radiation implant. The patient is weak and needs help even to
turn in bed. Which action should the nurse take when caring for this patient? - (correct
answer)Limit the amount of time spent with the patient



Which is the most commonly reported incident in hospitals? - (correct answer)Patient
falls



The Joint Commission's national Speak Up campaign encourages patients to become
active and informed participants on the healthcare team. The goal is to: - (correct
answer)Prevent healthcare errors



A nurse educator is teaching a module on proper body mechanics during employee
orientation. Which of the following statements by a newly hired nurse indicates the need
for *further* teaching? - (correct answer)"My line of gravity should fall outside my base
of support"



A nurse who is teaching a group of adults ages 20-40 years old about safety is going to
ensure that which topic is a priority? - (correct answer)Automobile crashes/MVA



When the nurse walks into the patient's room, she notices fire coming for the patient's
trash can. Rank the following actions in the order they should be performed by the
nurse:

1. Activate the fire alarm
2. Move the patient out of the room

3. Close all doors and windows

4. Put out the fire using the proper extinguisher - (correct answer)2-1-3-4



Which client does the nurse assess first at the start of the nursing shift? - (correct
answer)Client who reports increased pain and swelling after an arthroscopy

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