Nur 2356 nur2356 final exam review multidimensional care i mdc 1 final exam review latest rasmussen

MultidimensionalCareIExam 1 c/t c/t c/t c/t




MDC1 Exam 1 c/t c/t c/t




1. A nurse is preparing to initiate a bladder-retraining program for a client who has
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




incontinence. Which of the following actions should the nurse take? (Select all that
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




apply.)
c/t




A. Restrict the client's intake of fluids during the daytime. c/t c/t c/t c/t c/t c/t c/t c/t




B. Have the client record urination times.
c/t c/t c/t c/t c/t




C. Gradually increase the urination intervals. c/t c/t c/t c/t




D. Remind the client to hold urine until the nextscheduled urination time.
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




E. Provide a sterile container for urine. c/t c/t c/t c/t c/t




2. A nurse is reviewing factors that increase the risk of urinary tract infections (UTIs) with a client
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




who has recurrent UTIs. Which of the following factors should the nurse include? (Select all
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




that apply.)
c/t c/t




A. Frequent sexual intercourse c/t c/t




B. Lowering of testosterone levels c/t c/t c/t




C. Wiping from front to back to clean the perineum c/t c/t c/t c/t c/t c/t c/t c/t




D. Location of the urethra closer to the anus c/t c/t c/t c/t c/t c/t c/t




E. Frequent catheterization c/t




3. A nurse isteaching aclient who reports stress urinary incontinence.Which of the
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




following instructions should the nurse include? (Select all that apply.)
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




A. Limit total daily fluid intake.
c/t c/t c/t c/t




B. Decrease or avoid caffeine. c/t c/t c/t

, C. Take calcium supplements. c/t c/t




D. Avoiddrinking alcohol. c/t c/t




E. Use the Credé maneuver c/t c/t c/t




4. A nurse is teaching a group of newly licensed nurses on complementary and alternative
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




therapies they can incorporate into their practice without the need for specialized
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




licensing or certification. Which of the following should the nurse encourage them to use?
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




(Select all that apply.)
c/t c/t c/t c/t




A. Guided imagery c/t




B. Massage therapy c/t




C. Meditation
D. Music therapy c/t




E. Therapeutictouch c/t




5. A nurse is reviewing complementary and alternative therapies with a group of newly
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




licensed nurses. Which ofthe following interventions are mind-bodytherapies? (Select all
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




that apply.)
c/t c/t




A. Art therapy c/t




B. Acupressure
C. Yoga
D. Therapeutictouch c/t




E. Biofeedback


6. A nurse is caring for a client who fell at a nursing home. The client is oriented to person, place,
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




and time and can follow directions. Which of the following actions should the nurse take to
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




decrease the risk of another fall? (Select all that apply.)
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t

, A. Place a belt restraint on the client when they are sitting on the bedside commode.
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




B. Keep the bed in its lowest position with all side rails up.
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




C. Make sure that the client's call light is within reach.c/t c/t c/t c/t c/t c/t c/t c/t c/t




D. Provide the client with nonskid footwear. c/t c/t c/t c/t c/t




E. Complete a fall-risk assessment. c/t c/t c/t




7. A nurse observes smoke coming from under the door of the staff's lounge. Which of the
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




following actions is the nurse's priority?
c/t c/t c/t c/t c/t c/t




A. Extinguish the fire. c/t c/t




B. Activate the fire alarm. c/t c/t c/t




C. Move clients who are nearby. c/t c/t c/t c/t




D. Close all open doors on the unit. c/t c/t c/t c/t c/t c/t




8. A nurse is caring for a client who has a history of falls. Which of the following actions is the
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




nurse's priority?
c/t c/t




A. Complete a fall-risk assessment. c/t c/t c/t




B. Educate the client and family about fall risks. c/t c/t c/t c/t c/t c/t c/t




C. Eliminatesafetyhazardsfrom c/t c/t c/t




c/t the client's environment.
c/t c/t




D. Makesuretheclientusesassistive c/t c/t c/t c/t c/t




c/t aids in their possession.
c/t c/t c/t




A. Complete a fall-risk assessment c/t c/t c/t




9. A nurse discovers a small paper fire in a trash can in a client's bathroom. The client has been
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




taken to safety and the alarm has been activated. Which of the following actions should
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




the nurse take?
c/t c/t c/t

, A. Openthe windows inthe client's room to allow smoke to escape. c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




B. Obtain a class C fire extinguisher to extinguish the fire. c/t c/t c/t c/t c/t c/t c/t c/t c/t




C. Remove all electrical equipment from the client's room. c/t c/t c/t c/t c/t c/t c/t




D. Placewet towels along the base of the door to the client's room. c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




D. Place wet towels along the base of the door to the client's room
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




10. Fire response follows the RACE sequence, what does each letter stand for?
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




-R- Rescue and remove all patients in immediate danger.
c/t c/t c/t c/t c/t c/t c/t c/t




-A- Activate the alarm. c/t c/t c/t




-C- Confine the fire by closing doors and windows and turning off oxygen and electrical
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




equipment; ventilate patients who are on life support with a bag-valve mask
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




-E- Extinguish the fire using anappropriate extinguisher
c/t c/t c/t c/t c/t c/t c/t




11. To use a fire extinguisher, use the PASS sequence, what does each letter stand for?
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




P - pull the pin
c/t c/t c/t c/t




A - aim at thebaseofthefire S -
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




squeeze the handle
c/t c/t c/t




S - sweep the extinguisher from side to side covering the area of the fire
c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




12. Name somenursing interventions of PREVENTING FALLS c/t c/t c/t c/t c/t c/t




1. complete a fall-risk assessment at admission &regular intervals c/t c/t c/t c/t c/t c/t c/t c/t




2. ensure patient has and knows how to use the call light c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




3. use fall-risk alerts (color-coded wristbands) c/t c/t c/t c/t




4. provide regular toileting and orientation of clients whohave cognitive impairment c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




5. provide adequate lighting c/t c/t




6. place clients at risk for falls near a nurses station c/t c/t c/t c/t c/t c/t c/t c/t c/t




7. provide hourly rounding c/t c/t




8. make sure personal items are within reach c/t c/t c/t c/t c/t c/t




9. keep bed low, lock the breaks c/t c/t c/t c/t c/t




10. side rails up (for unconscious patients, sedated, etc.) c/t c/t c/t c/t c/t c/t c/t




11. non-skid footwear c/t




12. usegait belts and other assistive equipment when moving patients c/t c/t c/t c/t c/t c/t c/t c/t c/t




13. keep floor clean (no clutter, cords, scatter rugs, etc.) c/t c/t c/t c/t c/t c/t c/t c/t