PROCTORED FUNDAMENTALS
REMEDIATION.COMPLETE QUESTIONS
WITH REVIEWED ACTUAL ANSWERS
The client must give it voluntarily (no coercion), be competent and of legal age or be an emancipated
minor, and receive enough information to make a decision based on an understanding of what to
expect. - answer ✔✔-Legal Responsibilities: Completing an Informed Consent Document
A nurse must have a physician order to apply restraints to a patient. Failure to have an order before
applying restraints is considered false imprisonment. - answer ✔✔-Legal Responsibilities: Application of
Restraints
When a visitors reports a fall, the nurse should first complete an incident report. - answer ✔✔-
Information Technology: Action When a Visitor Reports a Fall
-Perform bath only if tolerated
-Give pt a simple task to do
-Turn down lights and play soft music to promote a calm environment - answer ✔✔-Hygiene: Bathing a
Client Who Has Dementia
Expected findings: tachycardia, bounding pulse, HTN, tachypnea, increased central venous pressure,
confusion, muscle weakness, weight gain, ascites, dyspnea, orthopnea, crackles, edema, distended neck
veins. - answer ✔✔-Fluid Imbalances: Hyperosmolar Imbalance
Gastric residual exceeding 250 mL for each of two consecutive assessments, diarrhea, nausea and
vomiting, aspiration of formula, and skin irritation around the tubing site. - answer ✔✔-Nasogastric
Intubation and Enteral Feedings: Unexpected Findings
REMEDIATION.COMPLETE QUESTIONS
WITH REVIEWED ACTUAL ANSWERS
The client must give it voluntarily (no coercion), be competent and of legal age or be an emancipated
minor, and receive enough information to make a decision based on an understanding of what to
expect. - answer ✔✔-Legal Responsibilities: Completing an Informed Consent Document
A nurse must have a physician order to apply restraints to a patient. Failure to have an order before
applying restraints is considered false imprisonment. - answer ✔✔-Legal Responsibilities: Application of
Restraints
When a visitors reports a fall, the nurse should first complete an incident report. - answer ✔✔-
Information Technology: Action When a Visitor Reports a Fall
-Perform bath only if tolerated
-Give pt a simple task to do
-Turn down lights and play soft music to promote a calm environment - answer ✔✔-Hygiene: Bathing a
Client Who Has Dementia
Expected findings: tachycardia, bounding pulse, HTN, tachypnea, increased central venous pressure,
confusion, muscle weakness, weight gain, ascites, dyspnea, orthopnea, crackles, edema, distended neck
veins. - answer ✔✔-Fluid Imbalances: Hyperosmolar Imbalance
Gastric residual exceeding 250 mL for each of two consecutive assessments, diarrhea, nausea and
vomiting, aspiration of formula, and skin irritation around the tubing site. - answer ✔✔-Nasogastric
Intubation and Enteral Feedings: Unexpected Findings
