ANSWERS(GRADED A+)
Urinary retention is: - ANSWERThe inability to voluntarily or completely empty the
bladder.
A patient tells the nurse that she is having a hard time bringing her hand to her
mouth
when she eats or tries to brush her teeth. The nurse knows that for her to move her
hand to her mouth, she must perform the following movement - ANSWER• Flexion at
the elbow joint
You are inspecting your client's spinal symmetry and assessing their posture. You
identify that the client has scoliosis. This is: - ANSWERSideways/lateral curvature of
the spine "S shape
The nurse is examining the ROM of a client's shoulder. Which of the following is a
Normal finding? - ANSWER• Full active range of motion with no crepitus, pain, or
restriction.
While taking a health history from your client, a 53-year-old female, she discloses to
you
that she sometimes experiences urinary incontinence when she sneezes and laughs.
What would be the most appropriate response to this information? - ANSWERThis
type of involuntary leakage is called stress incontinence, and it's quite common
The nurse notes that a patient has had a black, tarry stool and recalls that a possible
cause would be - ANSWERA gastrointestinal haemorrhage originating from the
upper gastrointestinal tract, such as the stomach or duodenum.
A patient states that they are worried because they have not had a bowel movement
each day. The nurse's best response concerning defecation patterns would be: -
ANSWERThe number of bowel movement varies greatly between people, what is
your usual pattern?
Which of the following statements regarding the ageing adult and abdominal
assessment is true - ANSWERconstipation is more normal, increase in fatty tissue in
abdomen, becomes more protuberant as muscle tone decreases
What is a normal finding on palpation of the abdomen? - ANSWER• the abdomen is
non-tender and soft with no guarding, no palpable masses felt
During report the student nurse hears that a patient has 'hepatomegaly' and
recognises that the term refers to - ANSWERAn abnormal enlargement of the liver.
When inspecting a client's abdominal contour, the nurse observes the abdomen to
be
, swollen and distended. The nurse describes and documents this as: - ANSWER•
Protuberant abdomen
You are caring for Mr Smith who has been admitted following a mechanical fall. You
are reviewing his nursing care plan. Which component of the care plan indicates that
the patient's problems been appropriately described? - ANSWERnursing diagnosis
When using a mobile hoist with a dependent patient, identify the correct rule: -
ANSWERHow many assist,
Perform LITE assessment
The older person's tendency to take smaller steps with feet close together will mostly
likely result in: - ANSWERFalls risk
The most significant problem with restricted mobility is: - ANSWERPressure injuries /
Deep vein thrombosis / Pressure sores
What is the prime purpose for maintaining a fluid balance chart for a hospitalised
client? - ANSWERWhen a patient is at risk for dehydration or over-hydration
To ensure safe administration of medications the nurse must be aware of the seven
rights of medication administration. These are the right: - ANSWERRight patient,
right medication, right dose, right time, right route, right documentation, and right
reason.
A nurse is assessing a person with Type 1 Diabetes and notices that they are
confused, have cold and clammy skin and are complaining of feeling dizzy. These
are symptoms Of: - ANSWERHypoglycaemia
A woman has just been diagnosed with HPV or genital warts. The nurse should
counsel her to receive regular examinations because this virus makes her at a higher
risk for: - ANSWERCervical Cancer
Which of the following is a bacterial sexually transmitted infection? -
ANSWERChlamydia, gonorrhea, syphilis, and Donovanosis are all bacterial
What is the term given to an unexpected effect of a medication? - ANSWERAn
adverse drug reaction
What should a nurse be familiar with when administering medications to patients? -
ANSWER7 rights of medication administration
Allergies
Identification
Pharmacodynamics/ pharmacokinetics
While the nurse is administering medication, the patient states, "This pill looks
different to what I usually take." What is the correct practice in this situation? -
ANSWER• Withhold the medication until it can be rechecked