NU 136 EXAM 5 QUESTIONS WITH COMPLETE
SOLUTIONS
The nurse is caring for a client who reports feeling constipated
and has not had a bowel movement in several
days. Which of the following should the nurse identify as
contributing to the client's problem?
D, being restricted to bedrest.
• a) Taking daily cholinergic medications.
• b) Drinking 4 cups of coffee every day.
• c) Having a high intake of nuts and grains.
• d) Being restricted to bedrest.
that this wil accomplish which benefits from the options below?
• Develops a trusting nurse-client relationship.
• Provides an opportunity for the nurse to assess the client's skin.
• Signals to the client that it is time for them to go to bed.
• Eliminates the need for any prescribed sleeping medications.
• Stimulates blood circulation to the area.
C. 1, 2, 5.
• a) 1, 2, 4.
• b) 2, 3, 4.
• c) 1, 2, 5.
• d) 2,4, 5.
,The nurse is caring for a client who has paralysis of the
dominant side of their body due to a stroke and needs to
have their morning hygiene completed. Which of the following
actions is appropriate for the nurse to take?
C. Perform a complete bed bath, oral care, and a back
massage for the client.
• a) Set up a washbasin with hygiene supplies for the client and
return in 30 minutes.
• b) Remain with the client while they complete as much of their
hygiene care as possible.
• c) Perform a complete bed bath, oral care, and a back massage
for the client.
• d) Reinforce with the family on how to perform a complete
bed bath for the client.
The nurse is caring for a client who has lost a significant amount
of blood. Which changes in vital signs (VS)
should the nurse expect to see in this client?
B. Increased pulse.
• a) Decreased respirations.
• b) Increased pulse.
• c) Increased blood pressure.
• d) Increased oxygen saturation.
The nurse is caring for assigned clients. The nurse should plan to
logroll a client who:
, C. Had surgery to the spine.
• a) Has an abdominal incision.
• b) Has documented pneumonia.
• c) Had surgery to the spine.
• d) Has a vest restraint applied
• The nurse is caring for a client who is paralyzed from the waist
down and has good upper body strength. Which
of the following transfer devices should the nurse use when
transferring the client from the bed to the
C. Transfer board.
• a) Draw sheet.
• b) Trapeze bar.
• c) Transfer board.
• d) Gait belt.
The nurse is reviewing the vital signs (VS) of assigned clients.
Which of the following results requires immediate
follow-up?
D. Apical pulse (P) of 124 bpm.
• a) Blood pressure (BP) of 128/82 mm Hg.
• b) Respiratory rate (RR) of 18 breaths/min.
• c) An oral temperature (T) of 100.2°F.
• d) Apical pulse (P) of 124 bpm.
SOLUTIONS
The nurse is caring for a client who reports feeling constipated
and has not had a bowel movement in several
days. Which of the following should the nurse identify as
contributing to the client's problem?
D, being restricted to bedrest.
• a) Taking daily cholinergic medications.
• b) Drinking 4 cups of coffee every day.
• c) Having a high intake of nuts and grains.
• d) Being restricted to bedrest.
that this wil accomplish which benefits from the options below?
• Develops a trusting nurse-client relationship.
• Provides an opportunity for the nurse to assess the client's skin.
• Signals to the client that it is time for them to go to bed.
• Eliminates the need for any prescribed sleeping medications.
• Stimulates blood circulation to the area.
C. 1, 2, 5.
• a) 1, 2, 4.
• b) 2, 3, 4.
• c) 1, 2, 5.
• d) 2,4, 5.
,The nurse is caring for a client who has paralysis of the
dominant side of their body due to a stroke and needs to
have their morning hygiene completed. Which of the following
actions is appropriate for the nurse to take?
C. Perform a complete bed bath, oral care, and a back
massage for the client.
• a) Set up a washbasin with hygiene supplies for the client and
return in 30 minutes.
• b) Remain with the client while they complete as much of their
hygiene care as possible.
• c) Perform a complete bed bath, oral care, and a back massage
for the client.
• d) Reinforce with the family on how to perform a complete
bed bath for the client.
The nurse is caring for a client who has lost a significant amount
of blood. Which changes in vital signs (VS)
should the nurse expect to see in this client?
B. Increased pulse.
• a) Decreased respirations.
• b) Increased pulse.
• c) Increased blood pressure.
• d) Increased oxygen saturation.
The nurse is caring for assigned clients. The nurse should plan to
logroll a client who:
, C. Had surgery to the spine.
• a) Has an abdominal incision.
• b) Has documented pneumonia.
• c) Had surgery to the spine.
• d) Has a vest restraint applied
• The nurse is caring for a client who is paralyzed from the waist
down and has good upper body strength. Which
of the following transfer devices should the nurse use when
transferring the client from the bed to the
C. Transfer board.
• a) Draw sheet.
• b) Trapeze bar.
• c) Transfer board.
• d) Gait belt.
The nurse is reviewing the vital signs (VS) of assigned clients.
Which of the following results requires immediate
follow-up?
D. Apical pulse (P) of 124 bpm.
• a) Blood pressure (BP) of 128/82 mm Hg.
• b) Respiratory rate (RR) of 18 breaths/min.
• c) An oral temperature (T) of 100.2°F.
• d) Apical pulse (P) of 124 bpm.
