NSG 100 Test 1 Sherpath Questions
With Verified Answers
To which other member of a multidisciplinary team would the nurse delegate the
task of moving an immobile patient to maintain skin integrity - ANSWER
Unlicensed assistive personnel
In which area would the nurse place a pillow for a patient in the supine position -
ANSWER Under the calves
Which device would be most appropriate for a patient who has had surgery on a
fractured femur and needs help repositioning in bed - ANSWER Trapeze bar
Which ambulation aid would the nurse suggest for a patient who has a history of
falls, is displaying generalized weakness, and requires some assistance with
ambulation - ANSWER Walker
Which exercise benefit would the nurse likely emphasize to a patient who has
limited mobility to help facilitate normal movement - ANSWER Promotes muscle
strength
In which position would the nurse place the patient to perform coughing and
deep breathing - ANSWER Fowler's
Which action would the nurse take when using a mechanical lift for a patient who
is experiencing limited mobility - ANSWER Obtains two unlicensed assistive
personnel to help
Which action would the nurse take for an immobile patient who is coughing up
thick secretions and has chills - ANSWER Notify the health care provider that the
patient may have pneumonia
Which action would the nurse take for a patient on bed rest who is concerned
about developing constipation - ANSWER Increase the patient's dietary fiber and
fluid intake
Which interventions would the nurse select for a patient who is on bed rest -
ANSWER Have the patient shift weight every 15 minutes while awake
Reduce hallway light at night
Apply a pressure-relief ankle-foot orthotic (PRAFO) boot
,Which actions would the nurse take for a patient who is immobile - ANSWER
Suggest drinking at least 2000 mL during a 24-hour period
Encourage passive range-of-motion exercises
Place high-top tennis shoes on feet
Which instructions about respiratory and range-of-motion measures would the
nurse share with a patient who has limited mobility - ANSWER Use the incentive
spirometer 5 to 12 times every 1 to 2 hours
Deep breathe 10 times every hour
Cough two to three times every 2 hours
Move each joint three to five times during range-of-motion exercises
Which safety measures would the nurse implement for a patient who is a fall risk
- ANSWER Use a low bed
Frequently orient the patient
Place floor mats beside the bed
Which actions by the nurse caring for patient with mobility problems would
require correction by the charge nurse - ANSWER Places a gait belt on a patient
with osteoporosis to assist with ambulation
Allows the patient's elbows to be bent at a 45-degree angle when using a cane
Tells the patient with a four-point crutch gait to move one crutch forward
simultaneously with the opposite leg
Which evaluative cues indicate the patient with a Risk for Deep Vein Thrombosis
is deteriorating - ANSWER Experiences a pulmonary embolus
Has dusky toes
Has coagulation laboratory results that indicate the patient is clotting too fast
Which cues alert the nurse that the patient with Paralysis is declining - ANSWER
Develops disuse osteoporosis
Does not participate in physical therapy
Which cues prompt the nurse to determine the patient with impaired mobility
who needs a one-person assist is improving - ANSWER Needs no assistance to
transfer
Ambulates unassisted down the corridor and back
Ambulates with no slips on the floor
Which actions would the nurse take if the patient falls while ambulating in the
hall - ANSWER Call for help
Assess the patient's physical and neurologic status
Notify charge nurse and primary health care provider
Complete occurrence report
, When providing care to patients, which safety and body mechanic aspects
would the nurse consider to prevent injury to him- or herself and the patient -
ANSWER Leave top side rails up
Bend at the knees
Carry weight close to the body
Use mechanical lift equipment
The nurse would inform unlicensed assistive personnel to turn the patient how
often (in hours) to maintain skin integrity? _______ hour(s) - ANSWER 2
Place the steps in the order the nurse would follow to teach a patient how to use
a cane - ANSWER Place cane on the patient's stronger side
Move the cane
Move the weaker leg
Move the stronger leg
Which patients would receive red wristbands - ANSWER Patients who have
allergies
Which intervention is no longer recommended for routine home treatment of
poisoning cases - ANSWER Administration of ipecac syrup
A patient has ingested poison and is found conscious and alert. Which action by
the nurse is priority - ANSWER Calling the local poison control center or the
national toll-free poison control center number
Which nursing measure lowers the risk of death caused by sudden infant death
syndrome (SIDS) - ANSWER Having the baby sleep on the back
When there is a fire in the hospital, which action by the nurse is priority -
ANSWER Rescuing patient in immediate danger
RACE for fire safety - ANSWER R- rescue/remove all patients in immediate
danger
A- activate fire alarm
C- confine the fire by closing all doors and windows and turning off oxygen and
electrical equipment
E- extinguish the fire
A parent calls the pediatrician's office frantic about a bottle of cleaner that the 2-
year-old son drank. Which instruction is most important for the nurse to give the
parent - ANSWER Call the poison control center
Arrange the steps in the proper order that the nurse would follow during a fire in
a hospital - ANSWER Rescue and remove all patients who are in immediate
danger
With Verified Answers
To which other member of a multidisciplinary team would the nurse delegate the
task of moving an immobile patient to maintain skin integrity - ANSWER
Unlicensed assistive personnel
In which area would the nurse place a pillow for a patient in the supine position -
ANSWER Under the calves
Which device would be most appropriate for a patient who has had surgery on a
fractured femur and needs help repositioning in bed - ANSWER Trapeze bar
Which ambulation aid would the nurse suggest for a patient who has a history of
falls, is displaying generalized weakness, and requires some assistance with
ambulation - ANSWER Walker
Which exercise benefit would the nurse likely emphasize to a patient who has
limited mobility to help facilitate normal movement - ANSWER Promotes muscle
strength
In which position would the nurse place the patient to perform coughing and
deep breathing - ANSWER Fowler's
Which action would the nurse take when using a mechanical lift for a patient who
is experiencing limited mobility - ANSWER Obtains two unlicensed assistive
personnel to help
Which action would the nurse take for an immobile patient who is coughing up
thick secretions and has chills - ANSWER Notify the health care provider that the
patient may have pneumonia
Which action would the nurse take for a patient on bed rest who is concerned
about developing constipation - ANSWER Increase the patient's dietary fiber and
fluid intake
Which interventions would the nurse select for a patient who is on bed rest -
ANSWER Have the patient shift weight every 15 minutes while awake
Reduce hallway light at night
Apply a pressure-relief ankle-foot orthotic (PRAFO) boot
,Which actions would the nurse take for a patient who is immobile - ANSWER
Suggest drinking at least 2000 mL during a 24-hour period
Encourage passive range-of-motion exercises
Place high-top tennis shoes on feet
Which instructions about respiratory and range-of-motion measures would the
nurse share with a patient who has limited mobility - ANSWER Use the incentive
spirometer 5 to 12 times every 1 to 2 hours
Deep breathe 10 times every hour
Cough two to three times every 2 hours
Move each joint three to five times during range-of-motion exercises
Which safety measures would the nurse implement for a patient who is a fall risk
- ANSWER Use a low bed
Frequently orient the patient
Place floor mats beside the bed
Which actions by the nurse caring for patient with mobility problems would
require correction by the charge nurse - ANSWER Places a gait belt on a patient
with osteoporosis to assist with ambulation
Allows the patient's elbows to be bent at a 45-degree angle when using a cane
Tells the patient with a four-point crutch gait to move one crutch forward
simultaneously with the opposite leg
Which evaluative cues indicate the patient with a Risk for Deep Vein Thrombosis
is deteriorating - ANSWER Experiences a pulmonary embolus
Has dusky toes
Has coagulation laboratory results that indicate the patient is clotting too fast
Which cues alert the nurse that the patient with Paralysis is declining - ANSWER
Develops disuse osteoporosis
Does not participate in physical therapy
Which cues prompt the nurse to determine the patient with impaired mobility
who needs a one-person assist is improving - ANSWER Needs no assistance to
transfer
Ambulates unassisted down the corridor and back
Ambulates with no slips on the floor
Which actions would the nurse take if the patient falls while ambulating in the
hall - ANSWER Call for help
Assess the patient's physical and neurologic status
Notify charge nurse and primary health care provider
Complete occurrence report
, When providing care to patients, which safety and body mechanic aspects
would the nurse consider to prevent injury to him- or herself and the patient -
ANSWER Leave top side rails up
Bend at the knees
Carry weight close to the body
Use mechanical lift equipment
The nurse would inform unlicensed assistive personnel to turn the patient how
often (in hours) to maintain skin integrity? _______ hour(s) - ANSWER 2
Place the steps in the order the nurse would follow to teach a patient how to use
a cane - ANSWER Place cane on the patient's stronger side
Move the cane
Move the weaker leg
Move the stronger leg
Which patients would receive red wristbands - ANSWER Patients who have
allergies
Which intervention is no longer recommended for routine home treatment of
poisoning cases - ANSWER Administration of ipecac syrup
A patient has ingested poison and is found conscious and alert. Which action by
the nurse is priority - ANSWER Calling the local poison control center or the
national toll-free poison control center number
Which nursing measure lowers the risk of death caused by sudden infant death
syndrome (SIDS) - ANSWER Having the baby sleep on the back
When there is a fire in the hospital, which action by the nurse is priority -
ANSWER Rescuing patient in immediate danger
RACE for fire safety - ANSWER R- rescue/remove all patients in immediate
danger
A- activate fire alarm
C- confine the fire by closing all doors and windows and turning off oxygen and
electrical equipment
E- extinguish the fire
A parent calls the pediatrician's office frantic about a bottle of cleaner that the 2-
year-old son drank. Which instruction is most important for the nurse to give the
parent - ANSWER Call the poison control center
Arrange the steps in the proper order that the nurse would follow during a fire in
a hospital - ANSWER Rescue and remove all patients who are in immediate
danger
