NS 119 EXAM QUESTIONS & ANSWERS VERIFIED
100% CORRECT
A nurse is caring for a client who fell at a nursing home. The client is oriented to person,
place, and time and can follow directions. Which of the following actions should the
nurse take to decrease the risk of another fall (Select all)
A) Place a belt restraint on the client when they are sitting on the bedside commode.
B) Keep the bed in its lowest position with all side rails up
C) Make sure that the client's call light is within reach
D) Provide the client with non-skid footwear
E) complete a fall risk assessment. - ANSWER C, D, E
A nurse manager is reviewing with nurses on the unit in the care of a client who has had
a seizure. Which of the following statements by a nurse requires further instruction?
A. I will place client on side
B. I will go to the nurses station for assistance
C. I will note the time that the seizure begins
D. I will prepare to insert an airway - ANSWER B
A nurse observes smoke coming from under the door of the staff's lounge. Which of the
following actions is the nurse's priority?
A. Extinguish the fire.
B. Activate the fire alarm
C. Move clients who are nearby
D. Close all open doors on the unit. - ANSWER C. move clients who are nearby
A nurse is caring for a client who has a history of falls. Which of the following actions is
the nurse's priority?
, A. Complete a fall-risk assessment
B. educate the client and family about fall risks.
C. Eliminate safety hazards from the client's environment
D. Make sure the client uses assistive aids in their possessions. - ANSWER A. complete a
fall risk assessment
A nurse discovers a small paper fire in a trash can in a client's bathroom. The client has
been taken to safety and the alarm has been activated. Which of the following actions
should the nurse take?
A. Open the windows in the client's room to allow smoke to escape
B. Obtain a class C fire extinguisher to extinguish the fire.
C. Remove all electrical equipment from the client's room
D. Place wet towels along the base of the door to the client's room. - ANSWER D. place
wet towels along the base of the door to the clients room.
A nurse is providing discharge instructions to a client who has a prescription for oxygen
use at home. Which of the following information should the nurse include? (select all
that apply)
A. Family members who smoke must be at least 10 ft from the client when oxygen is in
use
B. Nail polish should not be used near a client who is receiving oxygen.
C. A "No Smoking" sign should be placed on the front door.
D. Cotton bedding and clothing should be replaced with items made from wool.
E. A fire extinguisher should be readily available in the home. - ANSWER B, C, E
A nurse educator is presenting a module on basic first aid for newly licensed home
health nurses. The nurse educator evaluates the teaching as effective when the newly
licensed nurse states the client who has heat stroke will have which of the following?
A. Hypotension
100% CORRECT
A nurse is caring for a client who fell at a nursing home. The client is oriented to person,
place, and time and can follow directions. Which of the following actions should the
nurse take to decrease the risk of another fall (Select all)
A) Place a belt restraint on the client when they are sitting on the bedside commode.
B) Keep the bed in its lowest position with all side rails up
C) Make sure that the client's call light is within reach
D) Provide the client with non-skid footwear
E) complete a fall risk assessment. - ANSWER C, D, E
A nurse manager is reviewing with nurses on the unit in the care of a client who has had
a seizure. Which of the following statements by a nurse requires further instruction?
A. I will place client on side
B. I will go to the nurses station for assistance
C. I will note the time that the seizure begins
D. I will prepare to insert an airway - ANSWER B
A nurse observes smoke coming from under the door of the staff's lounge. Which of the
following actions is the nurse's priority?
A. Extinguish the fire.
B. Activate the fire alarm
C. Move clients who are nearby
D. Close all open doors on the unit. - ANSWER C. move clients who are nearby
A nurse is caring for a client who has a history of falls. Which of the following actions is
the nurse's priority?
, A. Complete a fall-risk assessment
B. educate the client and family about fall risks.
C. Eliminate safety hazards from the client's environment
D. Make sure the client uses assistive aids in their possessions. - ANSWER A. complete a
fall risk assessment
A nurse discovers a small paper fire in a trash can in a client's bathroom. The client has
been taken to safety and the alarm has been activated. Which of the following actions
should the nurse take?
A. Open the windows in the client's room to allow smoke to escape
B. Obtain a class C fire extinguisher to extinguish the fire.
C. Remove all electrical equipment from the client's room
D. Place wet towels along the base of the door to the client's room. - ANSWER D. place
wet towels along the base of the door to the clients room.
A nurse is providing discharge instructions to a client who has a prescription for oxygen
use at home. Which of the following information should the nurse include? (select all
that apply)
A. Family members who smoke must be at least 10 ft from the client when oxygen is in
use
B. Nail polish should not be used near a client who is receiving oxygen.
C. A "No Smoking" sign should be placed on the front door.
D. Cotton bedding and clothing should be replaced with items made from wool.
E. A fire extinguisher should be readily available in the home. - ANSWER B, C, E
A nurse educator is presenting a module on basic first aid for newly licensed home
health nurses. The nurse educator evaluates the teaching as effective when the newly
licensed nurse states the client who has heat stroke will have which of the following?
A. Hypotension
