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NSG 101 Final Questions and Correct Answers/ Latest Update / Already Graded

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A nurse identifies a fall risk when assessing a patient upon admission. The nurse and the patient agree that the goal is for the patient to remain free from falls. However, the patient fell just before shift change. Which action is the nurse's priority when evaluating the patient after the fall? a. Identifying factors interfering with goal achievement b. Counseling the nursing assistive personnel on duty when the patient fell c. Removing the fall risk sign from the patient's door because the patient has suffered a fall d. Requesting that the more experienced charge nurse complete the documentation about the fall 2 | Page Ans: a. Identifying factors interfering with goal achievement A patient is admitted and is placed on fall precautions. The nurse teaches the patient and family about fall precautions. Which action will the nurse take in accordance with hospital policy? a. Check on the patient once a shift. b. Encourage visitors in the early evening. c. Place all four side rails in the ―up‖ position. d. Keep the patient on fall risk until discharge. Ans: d. Keep the patient on fall risk until discharge. A nurse is attempting to minimize the risk of future infection for a post-surgical patient about to be discharged. Which technique will the nurse teach the patient to best achieve this goal? 3 | Page a. Sanitizing of eating ute

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NSG 101 Final Questions and Correct
Answers/ Latest Update / Already
Graded
A nurse identifies a fall risk when assessing a patient upon admission.

The nurse and the patient agree that the goal is for the patient to

remain free from falls. However, the patient fell just before shift

change. Which action is the nurse's priority when evaluating the

patient after the fall?




a. Identifying factors interfering with goal achievement


b. Counseling the nursing assistive personnel on duty when the

patient fell


c. Removing the fall risk sign from the patient's door because the

patient has suffered a fall


d. Requesting that the more experienced charge nurse complete

the documentation about the fall

,2 | Page

Ans: a. Identifying factors interfering with goal achievement




A patient is admitted and is placed on fall precautions. The nurse

teaches the patient and family about fall precautions. Which action

will the nurse take in accordance with hospital policy?




a. Check on the patient once a shift.


b. Encourage visitors in the early evening.


c. Place all four side rails in the ―up‖ position.


d. Keep the patient on fall risk until discharge.


Ans: d. Keep the patient on fall risk until discharge.




A nurse is attempting to minimize the risk of future infection for a

post-surgical patient about to be discharged. Which technique will

the nurse teach the patient to best achieve this goal?

,3 | Page

a. Sanitizing of eating utensils


b. Medical asepsis hand-washing


c. Wound care using surgical asepsis


d. Limiting visitors during flu season


Ans: b. Medical asepsis hand-washing




The nurse is caring for an older adult who presents to the clinic after

a fall. The nurse reviews fall prevention in the home. Which

information will the nurse include in the teaching session? (Select all

that apply.)




a. Water outdoor plants with a nozzle and hose.


b. Walk to the mailbox in the summer.


c. Encourage yearly eye examinations.


d. Use bathtubs without safety strips.


e. Keep pathways clutter free.

, 4 | Page

Ans: b. Walk to the mailbox in the summer.


c. Encourage yearly eye examinations.


e. Keep pathways clutter free.




A nurse is using Maslow's hierarchy of needs to prioritize care. Place

the levels in order of basic priority to highest priority that the nurse will

follow.




1. Physiological


2. Self-esteem


3. Self-actualization


4. Safety and security


5. Love and belonging




a. 4, 1, 2, 3, 5


b. 1, 4, 5, 3, 2

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