GNUR 238 BOOK QUESTIONS EXAM
(ANSWERED) CORRECTLY TO PASS!!
1 of 51
Term
Identify all nursing interventions that would be required when caring
for a restrained patient:
a. Remove restraints q1h and inspect the skin.
b. Check on the patient every 30 minutes and ensure needs are met.
c. Renew restraint orders every shift.
d. Remove restraints as soon as patient's condition allows.
Give this one a try later!
, 1. "What were you doing c. Rescue the patients. Alarm
when the pain first occurred?" sounded. Contain the fire. Extinguish
fire.
d. Remove restraints as c. use of an alcohol-based
soon as patient's condition antiseptic handrub.
allows.
Don't know?
2 of 51
Term
A patient is brought to the emergency department with
severe respiratory distress. Which method of temperature
measurement would be most appropriate?
1. Oral temperature with an electric thermometer
2. Axillary with an electronic thermometer
3.Temporal artery
4. Rectal temperature
Give this one a try later!
2."What does the pain feel like?" a. Droplet precautions
3.Temporal artery 1. A comprehensive assessment
Don't know?
,3 of 51
Term
The nurse is interviewing an adult Navajo woman. Which
statement demonstrates cultural sensitivity and
acceptance of the patient?
1. "How often do you visit the medicine man for
your health care?"
2."Tell me about your health care beliefs and practices."
3. "Many Navajo people are afraid of hospitals. Are you
afraid?"
4. "Have you ever had a physical examination with a physician or
a nurse practitioner?"
Give this one a try later!
c. 2. "Tell me about your health
Assess the pulse for a full minute.
care beliefs and practices."
2. Take the blood pressure d. Risk for Infection related to
again using the auscultation altered skin integrity.
method.
Don't know?
4 of 51
Term
Which patient appears to be at greatest risk for falls?
, a.66-year-old woman post-op, A&O x 3, continuous IV, and narcotic
pain meds
b.71-year-old man with pneumonia, A&O x 2, on O2, and continuous
IV
c. 76-year-old man with acute confusion, A&O x 1, incontinent,
and continuous IV
d. 80-year-old woman post-op, A&O x 3, narcotic pain meds, and
continuous IV
Give this one a try later!
d. 36-year-old female with HIV
b. Using the same cuff for all patients
c. Wrapping the bottom edge of the cuff over the antecubital space
d. Releasing the valve quickly to prevent patient discomfort
c. 76-year-old man with acute confusion, A&O x 1, incontinent, and
continuous IV
c. three side rails up with bottom rail closest to bathroom down
Don't know?
5 of 51
Term
A nurse is caring for an overweight 60-year old woman with a
reddened area over her coccyx. The priority nursing diagnosis for
(ANSWERED) CORRECTLY TO PASS!!
1 of 51
Term
Identify all nursing interventions that would be required when caring
for a restrained patient:
a. Remove restraints q1h and inspect the skin.
b. Check on the patient every 30 minutes and ensure needs are met.
c. Renew restraint orders every shift.
d. Remove restraints as soon as patient's condition allows.
Give this one a try later!
, 1. "What were you doing c. Rescue the patients. Alarm
when the pain first occurred?" sounded. Contain the fire. Extinguish
fire.
d. Remove restraints as c. use of an alcohol-based
soon as patient's condition antiseptic handrub.
allows.
Don't know?
2 of 51
Term
A patient is brought to the emergency department with
severe respiratory distress. Which method of temperature
measurement would be most appropriate?
1. Oral temperature with an electric thermometer
2. Axillary with an electronic thermometer
3.Temporal artery
4. Rectal temperature
Give this one a try later!
2."What does the pain feel like?" a. Droplet precautions
3.Temporal artery 1. A comprehensive assessment
Don't know?
,3 of 51
Term
The nurse is interviewing an adult Navajo woman. Which
statement demonstrates cultural sensitivity and
acceptance of the patient?
1. "How often do you visit the medicine man for
your health care?"
2."Tell me about your health care beliefs and practices."
3. "Many Navajo people are afraid of hospitals. Are you
afraid?"
4. "Have you ever had a physical examination with a physician or
a nurse practitioner?"
Give this one a try later!
c. 2. "Tell me about your health
Assess the pulse for a full minute.
care beliefs and practices."
2. Take the blood pressure d. Risk for Infection related to
again using the auscultation altered skin integrity.
method.
Don't know?
4 of 51
Term
Which patient appears to be at greatest risk for falls?
, a.66-year-old woman post-op, A&O x 3, continuous IV, and narcotic
pain meds
b.71-year-old man with pneumonia, A&O x 2, on O2, and continuous
IV
c. 76-year-old man with acute confusion, A&O x 1, incontinent,
and continuous IV
d. 80-year-old woman post-op, A&O x 3, narcotic pain meds, and
continuous IV
Give this one a try later!
d. 36-year-old female with HIV
b. Using the same cuff for all patients
c. Wrapping the bottom edge of the cuff over the antecubital space
d. Releasing the valve quickly to prevent patient discomfort
c. 76-year-old man with acute confusion, A&O x 1, incontinent, and
continuous IV
c. three side rails up with bottom rail closest to bathroom down
Don't know?
5 of 51
Term
A nurse is caring for an overweight 60-year old woman with a
reddened area over her coccyx. The priority nursing diagnosis for
