QUESTIONS & ANSWERS 1005
CORRECT!!
Urinary incontinence is: - ANSWERLoss of bladder control
The patient is an 86-year-old male who is incontinent at night. An appropriate
alternative to catheterisation for this patient would be: - ANSWERUridome
To help promote normal defecation and prevent discomfort, ideally the nurse should
place the patient on a bedpan in which position? - ANSWERLeaning forward, raise
head of bed
The nurse begins to suspect faecal impaction in a patient who has not passed a
stool in 10 days when the patient - ANSWERCramping, bloating, difficulty eating,
rectal bleeding, absent bowel sounds in LLQ, Malaise, Distended lower abdomen,
tenderness on palpation, Dull sound on percussion
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
Ascites is defined as: - ANSWERan abnormal accumulation of serous fluid within the
peritoneal cavity.
What is a normal finding on palpation of the abdomen? - ANSWERSoft to touch, no
tenderness
When inspecting a client's abdominal contour, the nurse observes the abdomen to
be swollen and distended. The nurse describes and documents this as: -
ANSWERscaphoid
The nurse is performing a musculoskeletal assessment with a patient. Plantar flexion
of the ankle involves requesting the client to: - ANSWERPoint their toes toward the
flood
When administering paracetamol to a patient, it is important to ask the patient about:
- ANSWERDOB, name, pain scale, where the pain is
A nurse administering medications has many responsibilities including knowledge of
pharmacokinetics. Pharmacokinetics is best described as: - ANSWERThe effect the
body has on the drug
A nurse needs to document that a medication has been administered under the
tongue. What term would they use? - ANSWERSublingual
, The prescription for a patient instructs the nurse to administer flucloxacillin 250mg po
QID. How and when is the medication administered? - ANSWERPer oral, 4 times a
day
A client who presents in the medical centre with lower limb pain following a motor
vehicle accident requires a musculoskeletal assessment. When completing the
assessment, the nurse should apply all of the following principles except: -
ANSWERDo not move the joint quickly while applying pressure
You are inspecting your client's spinal symmetry and assessing their posture. You
identify that the client has scoliosis This is: - ANSWERAbnormal lateral curvature of
the spinal cord
The nurse is examining the ROM of a client's shoulder. Which of the following is a
normal finding? - ANSWERfull ROM with no crepitus.
shoulder flexion is 180 degrees, extension of 45 and 60 degrees, abduction and
adduction, rotation, circumduction
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 have been appropriately described? - ANSWERNursing
diagnosis
When using a mobile hoist with a dependent patient, identify the correct rule: -
ANSWERLITE assessment
Load, individual, task, environment
The older person's tendency to take smaller steps with feet close together will mostly
likely result in: - ANSWERFalls risk, tripping hazard
The most significant problem with restricted mobility is: - ANSWERmuscle atrophy,
joint problems, consipation
To ensure safe administration of medications the nurse must be aware of the seven
rights of medication administration. These are the right: - ANSWERTime
Patient
Medication
Dose Documentation Route
Reason
What is the term given to an unexpected effect of a medication? - ANSWERAdverse
effects
A nurse administers medication to a patient. Who has the ultimate responsibility for
the medication to be administered correctly? - ANSWERRegistered nurse