1. *FUNDAMENTALS*:
2. A nurse is providing education to a client with a fractured femur who will need
to use crutches for the next 6 weeks. Identify if the following directions provided
by the nurse for walking up stairs using crutches are true or false.
1. Hold to rail with one hand and crutches with the other hand.
2. Push down on the stair rail and the crutches and step up with the 'unaffect- ed'
leg.
3. If not allowed to place weight on the 'affected' leg, hop up with the 'unaffect- ed'
leg.
4. Bring the 'affected' leg and the crutches up beside the 'unaffected' leg.
5. Remember, the 'unaffected' leg goes up first and the crutches move with the
'affected' leg <Ans> TRUE
3. A client is prescribed antibiotic "A" 50 mg IV.The mixed IV solution contains 100
mL. The nurse is to administer the medication over ½ hour. The drip factor of the
available IV tubing is 15gtt/mL. What is the drip rate in drops per minute?: 50 gtt
per minute
4. *Match the development tasks with the correct age group.*:
5. Develop sense of personal identity that family expectations influence. Peer
relationships develop as support system. Concerned with body images that
media portray <Ans> Adolescents 12-20 years
,6. Take on new experiences and when unable to accomplish task may feel
guilty or misbehave. Generally do not exhibit stranger anxiety. Understand
behavior in terms of what is socially acceptable <Ans> Pre-schoolers 3-6
years
7. Develop sense of industry through advances in learning. Strive to develop
healthy self- respect by finding out in what areas they excel. Peer groups play
important role in social development <Ans> School-age children 6-12 years
8. Personalize values and beliefs and base reasoning on ethical fairness prin-
ciples. Establish close relationships. Have influences that help with formation of
healthy self-concept, such family and friends <Ans> Young adults 20-35 years
9. *Match the following isolation precautions to the correct disease process.*:
10. Airborne precautions:
A private room.
, Masks or respiratory protection devices for caregivers and visitors.
An N95 or high-efficiency particulate air (HEPA) respirator is used if the client is
known or suspected to have tuberculosis.
Negative pressure airflow exchange in the room of at least six exchanges per hou
<Ans> Measles
11. Contact precautions:
A private room or a room with other clients with the same infection.
Gloves and gowns worn by the caregivers and visitors <Ans> Vancomycin resistan
enterococcus (VRE)
12. Droplet precautions:
A private room or a room with other clients with the same infectious disease.
Masks for providers and visitors <Ans> Pertussis
13. *Match the description to the correct stage of pressure ulcer.*:
14. Full-thickness tissue loss with damage to or necrosis of subcutaneous tissue
The ulcer may extend down to, but not through, underlying fascia. The ulcer
appears as a deep crater with or without undermining of adjacent tissue and
without exposed muscle or bone. Drainage and infection are common <Ans> -
Stage 3
15. Full-thickness tissue loss with destruction, tissue necrosis, or damage to
muscle, bone, or supporting structures. There may be sinus tracts, deep
pockets of infection, tunneling, undermining, eschar (black scab-like material), or