Capstone: Fundamentals 2
(COPY) The nurse can use antimicrobial sanitizer for hand hygiene when being concerned for a
customer with TB - ANS-The nurse can use antimicrobial sanitizer for hand hygiene when caring
for a client with TB
(COPY) When starting up an IV putting the catheter as much as the hub reduces the hazard of
contamination alongside the length of the catheter - ANS-When initiating an IV placing the
catheter up to the hub reduces the danger of contamination alongside the duration of the
catheter
A 30-60 ml syringe need to be used when irrigating a wound (COPY) - ANS-A 30-60 ml syringe
ought to be used whilst irrigating a wound
A price nurse is discussing the obligation of nurses being concerned for customers who have
clostridium difficult. Which of the subsequent statistics should the nurse include in teaching?
A) assign the purchaser to a room with a poor air go with the flow gadget
B) use alcohol-based totally hand sanitizer when leaving the customers room
C) easy contaminated surfaces in the clients room with phenol answer
D) have circle of relatives members put on a robe and gloves whilst journeying - ANS-D
A price nurse is observing a newly hired nurse prepare a sterile field. Which of the following
shows to the rate nurse that the sterile discipline is contaminated?
A) outer edge of the sterile discipline is touching a bottle
B) first fold is opened faraway from the frame
C) sterile gadgets are held above the waist
D) sterile field is opened on a moist floor - ANS-D
A patron is scheduled for surgical operation. The intraoperative nurse finds a necklace on a
customer after anesthesia has been administered. Which of the following interventions must be
initiated
A) leave the necklace on the customer
B) deliver the necklace to a member of the family
C) vicinity the necklace inside the clients chart
D) notify protection for placement of the necklace - ANS-D
A purchaser who's nonambulatory notices the nurse that there may be a hearth within the
garbage can. After confirming the primary which of the following actions need to the nurse take
subsequent?
A) name the emergency hearth code
B) extinguish the hearth
C) confine the fire
D) evaculate the affected person
*appearance up acronym RACE - ANS-D
, A nurse contacts the power interpreter to explain a healing technique for a purchaser who does
no longer talk English. Which of the subsequent tips need to the nurse follow whilst operating
with the interpreter
A) talk slowly to allow the interpreter to interpret every word
B) explain the purpose of the communication to the interpreter
C) address the interpreter when explaining the manner data
D) supplement phrases with gestures and nonverbal reinforcement - ANS-B
A nurse in a long term care facility is planning to perform hygiene care for a brand new resident.
Which of the subsequent assessment questions is the nurses priority before begging this
process?
A) whilst do you generally bathe, inside the morning or evening?
B) do you choose a tub or bathe?
C) at what temperature do you decide on your tub water
D) are you able to help along with your hygiene care/ - ANS-D
A nurse in a long term care facility notes customer coughing often in the course of food and
suspects dysphagia. The nurse have to assess the pt for which of the subsequent behavioral
symptoms of dysphagia
A) storing meals within the mouth
B) sipping heat drinks
C) chewing excessively
D) refusing smooth ingredients - ANS-A
A nurse is assessing a consumer who reviews expanded ache following PT. Which of the
subsequent questions must the nurse ask whilst assessing the fine of the customers pain
A) is your ache constant or intermittent
B) what might you price your ache on a scale of 0-10
C) does the pain radiate
D) is the pain sharp or dull - ANS-D
A nurse is assisting a client with ROM of the neck. Which of the following ought to the nurse
advocate to sell neck rotation
A) flow her head backward
B) touch her chin to her chest
C) touch her ear to shoulder
D) circulate her head from side to side - ANS-D
A nurse is worrying for a patron receiving IV fluids. During a recurring test, the nurse determines
that the patron has evolved phlebitis and eliminates the IV catheter. Which of the following
actions need to the nurse take?
A) place a warm compress over the IV site
B) record the findings inside the clients chart
C) notify the clients PCP
D) put together to insert a brand new IV catheter - ANS-A
A nurse is caring for a consumer who has dementia. Which of the subsequent interventions
ought to the nurse take to minimize the hazard of inure to this consumer?
A) use a bed exit alarm gadget
B) raise 4 side rails while client is in mattress
(COPY) The nurse can use antimicrobial sanitizer for hand hygiene when being concerned for a
customer with TB - ANS-The nurse can use antimicrobial sanitizer for hand hygiene when caring
for a client with TB
(COPY) When starting up an IV putting the catheter as much as the hub reduces the hazard of
contamination alongside the length of the catheter - ANS-When initiating an IV placing the
catheter up to the hub reduces the danger of contamination alongside the duration of the
catheter
A 30-60 ml syringe need to be used when irrigating a wound (COPY) - ANS-A 30-60 ml syringe
ought to be used whilst irrigating a wound
A price nurse is discussing the obligation of nurses being concerned for customers who have
clostridium difficult. Which of the subsequent statistics should the nurse include in teaching?
A) assign the purchaser to a room with a poor air go with the flow gadget
B) use alcohol-based totally hand sanitizer when leaving the customers room
C) easy contaminated surfaces in the clients room with phenol answer
D) have circle of relatives members put on a robe and gloves whilst journeying - ANS-D
A price nurse is observing a newly hired nurse prepare a sterile field. Which of the following
shows to the rate nurse that the sterile discipline is contaminated?
A) outer edge of the sterile discipline is touching a bottle
B) first fold is opened faraway from the frame
C) sterile gadgets are held above the waist
D) sterile field is opened on a moist floor - ANS-D
A patron is scheduled for surgical operation. The intraoperative nurse finds a necklace on a
customer after anesthesia has been administered. Which of the following interventions must be
initiated
A) leave the necklace on the customer
B) deliver the necklace to a member of the family
C) vicinity the necklace inside the clients chart
D) notify protection for placement of the necklace - ANS-D
A purchaser who's nonambulatory notices the nurse that there may be a hearth within the
garbage can. After confirming the primary which of the following actions need to the nurse take
subsequent?
A) name the emergency hearth code
B) extinguish the hearth
C) confine the fire
D) evaculate the affected person
*appearance up acronym RACE - ANS-D
, A nurse contacts the power interpreter to explain a healing technique for a purchaser who does
no longer talk English. Which of the subsequent tips need to the nurse follow whilst operating
with the interpreter
A) talk slowly to allow the interpreter to interpret every word
B) explain the purpose of the communication to the interpreter
C) address the interpreter when explaining the manner data
D) supplement phrases with gestures and nonverbal reinforcement - ANS-B
A nurse in a long term care facility is planning to perform hygiene care for a brand new resident.
Which of the subsequent assessment questions is the nurses priority before begging this
process?
A) whilst do you generally bathe, inside the morning or evening?
B) do you choose a tub or bathe?
C) at what temperature do you decide on your tub water
D) are you able to help along with your hygiene care/ - ANS-D
A nurse in a long term care facility notes customer coughing often in the course of food and
suspects dysphagia. The nurse have to assess the pt for which of the subsequent behavioral
symptoms of dysphagia
A) storing meals within the mouth
B) sipping heat drinks
C) chewing excessively
D) refusing smooth ingredients - ANS-A
A nurse is assessing a consumer who reviews expanded ache following PT. Which of the
subsequent questions must the nurse ask whilst assessing the fine of the customers pain
A) is your ache constant or intermittent
B) what might you price your ache on a scale of 0-10
C) does the pain radiate
D) is the pain sharp or dull - ANS-D
A nurse is assisting a client with ROM of the neck. Which of the following ought to the nurse
advocate to sell neck rotation
A) flow her head backward
B) touch her chin to her chest
C) touch her ear to shoulder
D) circulate her head from side to side - ANS-D
A nurse is worrying for a patron receiving IV fluids. During a recurring test, the nurse determines
that the patron has evolved phlebitis and eliminates the IV catheter. Which of the following
actions need to the nurse take?
A) place a warm compress over the IV site
B) record the findings inside the clients chart
C) notify the clients PCP
D) put together to insert a brand new IV catheter - ANS-A
A nurse is caring for a consumer who has dementia. Which of the subsequent interventions
ought to the nurse take to minimize the hazard of inure to this consumer?
A) use a bed exit alarm gadget
B) raise 4 side rails while client is in mattress
