Solutions Rated A+ New Update
What is the most important concept about the patients pain? - Answer - ✔ Pain is
subjective
What is the best definition for professionalism? - Answer - ✔ Mix of nursing skills and
knowledge with dignity and respect
What explanation does the nurse give the nursing assistant regarding contact isolation?
- Answer - ✔ It is needed to break the chain of infection
What precaution will the nurse follow when taking telephone orders from the physician?
- Answer - ✔ Repeat the order back to the physician for clarification
A patient complains of pain at the heat application site. What will the nurse do first? -
Answer - ✔ Remove the heat and reassess the area
What symptom might the nurse notice in a patient with dysphagia? - Answer - ✔
Coughing
The UAP reports vitals to the nurse. Who will the nurse assess first? - Answer - ✔ Temp
98.9, Respiratory rate 26
What factors put a patient at higher risk for cognitive impairment? - Answer - ✔ Alcohol
Abuse, Advance Age, Stroke or Infection.
Why do nurses and other healthcare workers collaborate? - Answer - ✔ Decreases the
patient's risk for injury.
Which wound will the nurse categorize as a stage IV pressure ulcer? - Answer - ✔ Full
thickness tissue loss with muscle and bone exposure.
When is a person most vulnerable to a hospital acquired infection? - Answer - ✔ 80 y/o
admitted from a long term care facility with COPD. (Everything going against him, age,
chronic illness, where he lives)
When preparing to administer the feed via NG the nurse finds a ph of 4. What is the
next step? - Answer - ✔ Administer the tube feed as ordered. (Normal GASTRIC pH is
0-4)
, How will the nurse find the apical heart rate? - Answer - ✔ 5* intercostal space, mid-
clavicular
Which action regarding positioning and body mechanics prevents injury to a nurse? -
Answer - ✔ Adjust bed to comfortable height, arranging for help when needed
What is the primary benefit of electronic documentation in healthcare? - Answer - ✔
Efficiency legibility of orders
What is the correct position for administering a tube feed via NG? - Answer - ✔ High
Fowlers
Which task can the nurse delegate to the nursing assistant? - Answer - ✔ Reposition
the patient every 2 hours.
Order "Lasix 40mg once at 0900". What is the next action the nurse would take? -
Answer - ✔ Call the physician to clarify the route.
When putting patient from bed to wheelchair, the nurse will do the following? - Answer -
✔ Gait belt, non-slip footwear
Ensure wheelchair is locked
Bed in lowest position
Giving meds to patient, which of these answers indicates you understand safe med
guidelines? - Answer - ✔ Handing patient spoon to eat with applesauce
Refusing to give meds another nurse put together
Check meds against drs orders
When checking a patients blood pressure prior to a TWO STEP, what action will you
take? - Answer - ✔ DO NOT SELECT WASH YOUR HANDS AFTER!!!!!!
Place diaphragm over brachial artery
Check radial pulse first and then add 30 before reinflation of the cuff
What are objective signs of pain? - Answer - ✔ Moaning
Crying
Yelling
Grimacing
Give a tuberculin skin test - What type of injection? - Answer - ✔ ID
Pull skin tight
Degree at 45 degree angle
Bevel down
The nurse provides a metered dose inhaler, which answer indicates the patient needs
further teaching? - Answer - ✔ The patient immediately EXHALES after administration