The nurse received an order to administer an enema to a patient. Place the steps for
giving an enema in the correct order. 1. Clamp tubing 2. Withdraw tubing 3. Position
the patient on his or her side 4. Instill solution 5. Separate the buttocks 6. Release
clamp 7. Insert lubricated tip of enema container in the anus
Give this one a try later!
3, 5, 7, 6, 4, 1, 2
,A nurse enters a heated discussion with a colleague over a work schedule change.
The nurse has a patient who asked for a pain medication 20 minutes earlier. Another
patient calls the nurse to request assistance. The nurse feels tension in her neck and
around her eyes, and she takes a 10-second time out. This shows the nurse is aware of
which of the following? (Select all that apply.) 1. Stress affects accuracy of problem
solving. 2. During stressful events, it is easier to communicate concise information. 3.
The level of stress can affect the nurse's ability to speak clearly. 4. Stress improves
recall of information. 5. Managing emotions is difficult during stress.
Give this one a try later!
1, 3, 5
Which actions prevent skin breakdown in a patient who is incontinent of stool and
urine? (Select all that apply.) 1. Check frequently for soiling from stool 2. Wash the
perineal area with soap and warm water, and dry completely 3. Place the nurse call
system within easy reach 4. Place bed pan or urinal next to patient 5. Keep a pad
under the patient
Give this one a try later!
1, 2, 3
A clinical agency is starting to use chlorhexidine gluconate (CHG) 4% in a bath base
basin for certain patients. Which points are important to remember? (Select all that
apply.) 1. Use one wash cloth, only once, for each body part. 2. Patient's skin may feel
sticky after bathing. 3. Wipe off sticky residue from patient's skin. 4. Wash patient's face
with CHG 4%. 5. One bottle of CHG solution is insufficient for a complete bath.
Give this one a try later!
, 1, 2
The nurse is caring for a patient who is 5 feet 9 inches tall and weighs 236 lb. The
patient's BMI is 35 kg/m2 . Which condition does the nurse recognize? 1.
Malnourishment 2. Obesity 3. Underweight 4. Adequately nourished
Give this one a try later!
2
Which assessment data does the nurse gather before transferring a patient from the
bed to a stretcher? (Select all that apply.) 1. Patient's weight 2. Patient's level of
cooperation 3. Patient's ability to assist 4. Presence of medical equipment 5. 24-hour
calorie intake
Give this one a try later!
1, 2, 3, 4
Place in order the following steps when performing perineal care for a female patient.
1. Separate labia minora, and expose urethral meatus and vaginal orifice 2. Cleanse
labia majora skin folds from perineum to rectum 3. Retract labia majora from thigh 4.
Cleanse thoroughly over labia minora, clitoris, and vaginal orifice
Give this one a try later!
3, 2, 1, 4
giving an enema in the correct order. 1. Clamp tubing 2. Withdraw tubing 3. Position
the patient on his or her side 4. Instill solution 5. Separate the buttocks 6. Release
clamp 7. Insert lubricated tip of enema container in the anus
Give this one a try later!
3, 5, 7, 6, 4, 1, 2
,A nurse enters a heated discussion with a colleague over a work schedule change.
The nurse has a patient who asked for a pain medication 20 minutes earlier. Another
patient calls the nurse to request assistance. The nurse feels tension in her neck and
around her eyes, and she takes a 10-second time out. This shows the nurse is aware of
which of the following? (Select all that apply.) 1. Stress affects accuracy of problem
solving. 2. During stressful events, it is easier to communicate concise information. 3.
The level of stress can affect the nurse's ability to speak clearly. 4. Stress improves
recall of information. 5. Managing emotions is difficult during stress.
Give this one a try later!
1, 3, 5
Which actions prevent skin breakdown in a patient who is incontinent of stool and
urine? (Select all that apply.) 1. Check frequently for soiling from stool 2. Wash the
perineal area with soap and warm water, and dry completely 3. Place the nurse call
system within easy reach 4. Place bed pan or urinal next to patient 5. Keep a pad
under the patient
Give this one a try later!
1, 2, 3
A clinical agency is starting to use chlorhexidine gluconate (CHG) 4% in a bath base
basin for certain patients. Which points are important to remember? (Select all that
apply.) 1. Use one wash cloth, only once, for each body part. 2. Patient's skin may feel
sticky after bathing. 3. Wipe off sticky residue from patient's skin. 4. Wash patient's face
with CHG 4%. 5. One bottle of CHG solution is insufficient for a complete bath.
Give this one a try later!
, 1, 2
The nurse is caring for a patient who is 5 feet 9 inches tall and weighs 236 lb. The
patient's BMI is 35 kg/m2 . Which condition does the nurse recognize? 1.
Malnourishment 2. Obesity 3. Underweight 4. Adequately nourished
Give this one a try later!
2
Which assessment data does the nurse gather before transferring a patient from the
bed to a stretcher? (Select all that apply.) 1. Patient's weight 2. Patient's level of
cooperation 3. Patient's ability to assist 4. Presence of medical equipment 5. 24-hour
calorie intake
Give this one a try later!
1, 2, 3, 4
Place in order the following steps when performing perineal care for a female patient.
1. Separate labia minora, and expose urethral meatus and vaginal orifice 2. Cleanse
labia majora skin folds from perineum to rectum 3. Retract labia majora from thigh 4.
Cleanse thoroughly over labia minora, clitoris, and vaginal orifice
Give this one a try later!
3, 2, 1, 4
