PN Learning System Fundamentals Practice Quiz 1
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1. 1. A nurse is car- C
ing for an old-
er adult client who The nurse should not tie the restraints to the side rails because this can injure
is violent and at- the client if the rails are lowered.
tempting to discon-
The nurse should ensure that the restraints are removed and range-of-motion
nect her IV lines.
exercises are performed every 2 hr.
The provider pre-
scribes soft wrist re-
The nurse should remove one restraint at a time for a client who is violent or
straints. Which of
noncompliant.
the following ac-
tions should the Restraint prescriptions can only be written for a 24-hr period and cannot be a
nurse take while PRN prescription.
the client is in re-
straints?
Tie the restraints to
the side rails.
Perform
range-of-motion
exercises to the
wrists every 3 hr.
Remove the re-
straints one at a
time.
Obtain a PRN pre-
scription for the re-
straints.
2.
, PN Learning System Fundamentals Practice Quiz 1
Study online at https://quizlet.com/_deovks
2. A nurse is D
planning to obtain
the vital signs of The rectal route obtains a very accurate body temperature in young children,
a 2-year-old child but should not be used for clients who have diarrhea.
who is experienc-
The tympanic route can be used in young children, but should be avoided in a
ing diarrhea and
child who has an active ear infection or who has tympanostomy tubes in place.
who may have a
right ear infection.
The oral route is not appropriate for use with children under the age of 3 years
Which of the follow-
old.
ing routes should
the nurse use to The temporal artery route, while not as accurate as the rectal route for obtaining
obtain the tempera- a precise body temperature, is non-invasive and can be used to obtain a
ture? temperature in a toddler who may have an ear infection and who is having
diarrhea. The nurse should place the probe behind the ear if the client is
Rectal diaphoretic, but should avoid placing it over an area covered with hair.
Tympanic
Oral
Temporal
3. 3. A nurse is caring C
for a client who is in
the terminal stage With this action, the nurse does not respond to the client's immediate needs
of cancer. Which of and shifts the responsibility of helping the client to others.
the following ac-
This response by the nurse uses the nontherapeutic communication block of
tions should the
putting the client's needs on hold and shifts the responsibility of helping the
nurse take when
client to someone else.
she observes the
client crying?
With this action, the nurse uses the therapeutic communication techniques of
silence, touch, and offering of self to the client.
Contact the family
and ask them to This is not an appropriate nursing action because it fails to acknowledge the
stay with the client. client's distress.
, PN Learning System Fundamentals Practice Quiz 1
Study online at https://quizlet.com/_deovks
Offer to call the
client's minister.
Sit and hold the
client's hand.
Leave the room and
allow the client to
cry privately.
4. 4. A nurse is prepar- D
ing a client who is
scheduled for a hys- The client has the right to refuse a procedure after giving consent.
terectomy for trans-
This is not the responsibility of the nurse, but a decision the surgeon and the
port to the oper-
client must make.
ating room when
the client states she
To respect the client's confidentiality, the family can be notified only after the
no longer wants to
client requests that the nurse do so.
have the surgery.
Which of the follow- Acting as the client advocate, the nurse should support the client in her decision
ing actions should and notify the provider.
the nurse take?
Tell the client
it is too late for
her to change her
mind because the
surgery is already
scheduled.
Telephone the op-
erating room and
cancel the surgery.
Inform the client's
family about the sit-
, PN Learning System Fundamentals Practice Quiz 1
Study online at https://quizlet.com/_deovks
uation.
Notify the provider
about the client's
decision.
5. 5. A nurse is re- D
inforcing preopera-
tive teaching with a Epoetin is a hematopoietic growth factor used for the treatment of anemia.
client who is sched- While taking epoetin prior to surgery may boost the client's hematocrit levels,
uled for arthroplas- it is inappropriate if the client already has an adequate hematocrit level. Fur-
ty in the next month thermore, this action may not eliminate the need for a blood transfusion and
and might require its related risks.
a blood transfusion.
While taking an iron supplement prior to surgery may boost the client's
The client express-
hemoglobin levels, it is inappropriate if the client already has an adequate
es concern about
hemoglobin level and intake of iron from dietary sources. Furthermore, this
the risk of acquiring
action may not eliminate the need for a blood transfusion and its related risks.
an infection from
the blood trans-
A directed blood donation from a family member does not eliminate the risk of
fusion. Which of
acquiring an infection.
the following sug-
gestions should theAutologous blood transfusion is the collection and reinfusion of the client's own
nurse make? blood. With preoperative autologous blood donation, the blood is drawn from
the client 3 to 5 weeks before an elective surgical procedure and stored for
"Ask your provider transfusion at the time of the surgery. Autologous blood is the safest form of
to prescribe epo- blood transfusion; exclusive use of a client's own blood eliminates exposure to
etin before the transfusion-transmitted infection.
surgery."
"You should take
iron supplements
prior to the
surgery."
"Request a fami-
Study online at https://quizlet.com/_deovks
1. 1. A nurse is car- C
ing for an old-
er adult client who The nurse should not tie the restraints to the side rails because this can injure
is violent and at- the client if the rails are lowered.
tempting to discon-
The nurse should ensure that the restraints are removed and range-of-motion
nect her IV lines.
exercises are performed every 2 hr.
The provider pre-
scribes soft wrist re-
The nurse should remove one restraint at a time for a client who is violent or
straints. Which of
noncompliant.
the following ac-
tions should the Restraint prescriptions can only be written for a 24-hr period and cannot be a
nurse take while PRN prescription.
the client is in re-
straints?
Tie the restraints to
the side rails.
Perform
range-of-motion
exercises to the
wrists every 3 hr.
Remove the re-
straints one at a
time.
Obtain a PRN pre-
scription for the re-
straints.
2.
, PN Learning System Fundamentals Practice Quiz 1
Study online at https://quizlet.com/_deovks
2. A nurse is D
planning to obtain
the vital signs of The rectal route obtains a very accurate body temperature in young children,
a 2-year-old child but should not be used for clients who have diarrhea.
who is experienc-
The tympanic route can be used in young children, but should be avoided in a
ing diarrhea and
child who has an active ear infection or who has tympanostomy tubes in place.
who may have a
right ear infection.
The oral route is not appropriate for use with children under the age of 3 years
Which of the follow-
old.
ing routes should
the nurse use to The temporal artery route, while not as accurate as the rectal route for obtaining
obtain the tempera- a precise body temperature, is non-invasive and can be used to obtain a
ture? temperature in a toddler who may have an ear infection and who is having
diarrhea. The nurse should place the probe behind the ear if the client is
Rectal diaphoretic, but should avoid placing it over an area covered with hair.
Tympanic
Oral
Temporal
3. 3. A nurse is caring C
for a client who is in
the terminal stage With this action, the nurse does not respond to the client's immediate needs
of cancer. Which of and shifts the responsibility of helping the client to others.
the following ac-
This response by the nurse uses the nontherapeutic communication block of
tions should the
putting the client's needs on hold and shifts the responsibility of helping the
nurse take when
client to someone else.
she observes the
client crying?
With this action, the nurse uses the therapeutic communication techniques of
silence, touch, and offering of self to the client.
Contact the family
and ask them to This is not an appropriate nursing action because it fails to acknowledge the
stay with the client. client's distress.
, PN Learning System Fundamentals Practice Quiz 1
Study online at https://quizlet.com/_deovks
Offer to call the
client's minister.
Sit and hold the
client's hand.
Leave the room and
allow the client to
cry privately.
4. 4. A nurse is prepar- D
ing a client who is
scheduled for a hys- The client has the right to refuse a procedure after giving consent.
terectomy for trans-
This is not the responsibility of the nurse, but a decision the surgeon and the
port to the oper-
client must make.
ating room when
the client states she
To respect the client's confidentiality, the family can be notified only after the
no longer wants to
client requests that the nurse do so.
have the surgery.
Which of the follow- Acting as the client advocate, the nurse should support the client in her decision
ing actions should and notify the provider.
the nurse take?
Tell the client
it is too late for
her to change her
mind because the
surgery is already
scheduled.
Telephone the op-
erating room and
cancel the surgery.
Inform the client's
family about the sit-
, PN Learning System Fundamentals Practice Quiz 1
Study online at https://quizlet.com/_deovks
uation.
Notify the provider
about the client's
decision.
5. 5. A nurse is re- D
inforcing preopera-
tive teaching with a Epoetin is a hematopoietic growth factor used for the treatment of anemia.
client who is sched- While taking epoetin prior to surgery may boost the client's hematocrit levels,
uled for arthroplas- it is inappropriate if the client already has an adequate hematocrit level. Fur-
ty in the next month thermore, this action may not eliminate the need for a blood transfusion and
and might require its related risks.
a blood transfusion.
While taking an iron supplement prior to surgery may boost the client's
The client express-
hemoglobin levels, it is inappropriate if the client already has an adequate
es concern about
hemoglobin level and intake of iron from dietary sources. Furthermore, this
the risk of acquiring
action may not eliminate the need for a blood transfusion and its related risks.
an infection from
the blood trans-
A directed blood donation from a family member does not eliminate the risk of
fusion. Which of
acquiring an infection.
the following sug-
gestions should theAutologous blood transfusion is the collection and reinfusion of the client's own
nurse make? blood. With preoperative autologous blood donation, the blood is drawn from
the client 3 to 5 weeks before an elective surgical procedure and stored for
"Ask your provider transfusion at the time of the surgery. Autologous blood is the safest form of
to prescribe epo- blood transfusion; exclusive use of a client's own blood eliminates exposure to
etin before the transfusion-transmitted infection.
surgery."
"You should take
iron supplements
prior to the
surgery."
"Request a fami-
