DAVIS ADVANTAGE UPDATED EXAM SCRIPT QUESTIONS
AND SOLUTIONS RATED A+
✔✔In which situation would standard precautions be adequate? Select all that apply.
- While talking with a client with a moist, productive cough
- While assisting a client with oral care
- While ambulating a client after a procedure
- While inserting an intravenous catheter
- When changing a dressing for a client with MRSA - ✔✔While assisting a client with
oral care
While ambulating a client after a procedure
While inserting an intravenous catheter
✔✔The nurse notices a blood pressure cuff in the client's room with spots of dried blood
on it. What
should be the nurse next action?
- Clean it with a wet rag.
- Disinfect it with a chemical cleaner.
- Sterilize it with an autoclave.
- Report it to the charge nurse - ✔✔Disinfect it with a chemical cleaner.
✔✔A client with dementia becomes belligerent and combative when the nurse attempts
to give him a
tub bath. How should the nurse proceed?
- Call for assistance to help the patient into the bathtub.
- Wait for the patient to calm down, then give him a towel bath.
- Allow the patient to go without bathing for a day or two.
- Ask another staff member to attempt the tub bath. - ✔✔Wait for the patient to calm
down, then give him a towel bath.
✔✔The nurse asks the unlicensed assistive personnel to complete morning care for an
older adult.
What is included with this request? Select all that apply.
- Back massage
- Hair care
- Bathing
- Toileting
- Oral care - ✔✔Hair care
Bathing
Toileting
Oral care
,✔✔Which statements about bed making are correct? Select all that apply.
- When making an occupied bed, the rails should be up on the side where the nurse is
working.
- Making the bed in a hospital is like making a bed at home.
- A poorly made bed can contribute to the development of pressure ulcers.
- Draw sheets are used to help lift and turn heavier patients.
- The bed linens should be changed before the bath occurs. - ✔✔A poorly made bed
can contribute to the development of pressure ulcers.
Draw sheets are used to help lift and turn heavier patients.
✔✔The nurse is bathing a client with a raised red rash on the shoulders and back. What
should be the
nurse's next actions? Select all that apply.
- Discuss the body image problems created by the presence of the rash.
- Moisturize the skin to prevent drying.
- Assess for further inflammatory reactions.
- Wash the skin thoroughly each day with hot water and soap.
- Ask whether the client has any allergies. - ✔✔Assess for further inflammatory
reactions.
Ask whether the client has any allergies.
✔✔What are the most important considerations when performing oral hygiene for an
unconscious
critical client? Select all that apply.
- Use a padded tongue blade when providing oral care.
- Perform oral hygiene at least twice a day.
- Moisturize lips every 2 hours.
- Avoid the use of mouthwash.
- Use hydrogen peroxide to oral mucosa. - ✔✔Use a padded tongue blade when
providing oral care.
Perform oral hygiene at least twice a day.
Moisturize lips every 2 hours.
✔✔The nurse is preparing to give a bath to an older adult who is unconscious and has
had a fever and
night sweats. Which type of bath would be the best option?
- Complete bed bath
- Assist bath
- Partial bath
, - Tub bath - ✔✔Complete bed bath
✔✔The nurse is caring for a client who has recently migrated to this country. The
interpreter shares that
the client usually bathes once a week. When your assessment is finished, the nurse
plans to have
the client shower. What additional information needs to be gathered?
Explain the importance of showering daily.
Tell the client the shower schedule for patients of the facility.
Ask about hygiene customs in the client's native land.
Find out when the client last bathed. - ✔✔Ask about hygiene customs in the client's
native land.
✔✔The nurse assists unlicensed assistive personnel in providing morning care to a
comatose client who
is bowel and bladder incontinent. The nurse should intervene if which action is
observed?
The UAP answers the telephone while wearing gloves.
The UAP logrolls the client to provide back care.
The UAP places an incontinence pad under the client.
The UAP performs oral care with suction attached. - ✔✔The UAP answers the
telephone while wearing gloves.
✔✔The nurse is directing unlicensed assistive personnel in providing morning care to a
comatose client.
Besides a bed bath, what care should be provided?
Select all that apply.
Moisturizing skin
Cleaning fingernails
Brushing teeth
Irrigating nose
Shaving legs - ✔✔Moisturizing skin
Cleaning fingernails
Brushing teeth
✔✔The nurse is bathing a client with senile dementia. What action will optimize the
chance of
cooperation?
Complete the bath quickly.
Use a quiet, calm manner, allowing for choices.
Have other people present to assist.
AND SOLUTIONS RATED A+
✔✔In which situation would standard precautions be adequate? Select all that apply.
- While talking with a client with a moist, productive cough
- While assisting a client with oral care
- While ambulating a client after a procedure
- While inserting an intravenous catheter
- When changing a dressing for a client with MRSA - ✔✔While assisting a client with
oral care
While ambulating a client after a procedure
While inserting an intravenous catheter
✔✔The nurse notices a blood pressure cuff in the client's room with spots of dried blood
on it. What
should be the nurse next action?
- Clean it with a wet rag.
- Disinfect it with a chemical cleaner.
- Sterilize it with an autoclave.
- Report it to the charge nurse - ✔✔Disinfect it with a chemical cleaner.
✔✔A client with dementia becomes belligerent and combative when the nurse attempts
to give him a
tub bath. How should the nurse proceed?
- Call for assistance to help the patient into the bathtub.
- Wait for the patient to calm down, then give him a towel bath.
- Allow the patient to go without bathing for a day or two.
- Ask another staff member to attempt the tub bath. - ✔✔Wait for the patient to calm
down, then give him a towel bath.
✔✔The nurse asks the unlicensed assistive personnel to complete morning care for an
older adult.
What is included with this request? Select all that apply.
- Back massage
- Hair care
- Bathing
- Toileting
- Oral care - ✔✔Hair care
Bathing
Toileting
Oral care
,✔✔Which statements about bed making are correct? Select all that apply.
- When making an occupied bed, the rails should be up on the side where the nurse is
working.
- Making the bed in a hospital is like making a bed at home.
- A poorly made bed can contribute to the development of pressure ulcers.
- Draw sheets are used to help lift and turn heavier patients.
- The bed linens should be changed before the bath occurs. - ✔✔A poorly made bed
can contribute to the development of pressure ulcers.
Draw sheets are used to help lift and turn heavier patients.
✔✔The nurse is bathing a client with a raised red rash on the shoulders and back. What
should be the
nurse's next actions? Select all that apply.
- Discuss the body image problems created by the presence of the rash.
- Moisturize the skin to prevent drying.
- Assess for further inflammatory reactions.
- Wash the skin thoroughly each day with hot water and soap.
- Ask whether the client has any allergies. - ✔✔Assess for further inflammatory
reactions.
Ask whether the client has any allergies.
✔✔What are the most important considerations when performing oral hygiene for an
unconscious
critical client? Select all that apply.
- Use a padded tongue blade when providing oral care.
- Perform oral hygiene at least twice a day.
- Moisturize lips every 2 hours.
- Avoid the use of mouthwash.
- Use hydrogen peroxide to oral mucosa. - ✔✔Use a padded tongue blade when
providing oral care.
Perform oral hygiene at least twice a day.
Moisturize lips every 2 hours.
✔✔The nurse is preparing to give a bath to an older adult who is unconscious and has
had a fever and
night sweats. Which type of bath would be the best option?
- Complete bed bath
- Assist bath
- Partial bath
, - Tub bath - ✔✔Complete bed bath
✔✔The nurse is caring for a client who has recently migrated to this country. The
interpreter shares that
the client usually bathes once a week. When your assessment is finished, the nurse
plans to have
the client shower. What additional information needs to be gathered?
Explain the importance of showering daily.
Tell the client the shower schedule for patients of the facility.
Ask about hygiene customs in the client's native land.
Find out when the client last bathed. - ✔✔Ask about hygiene customs in the client's
native land.
✔✔The nurse assists unlicensed assistive personnel in providing morning care to a
comatose client who
is bowel and bladder incontinent. The nurse should intervene if which action is
observed?
The UAP answers the telephone while wearing gloves.
The UAP logrolls the client to provide back care.
The UAP places an incontinence pad under the client.
The UAP performs oral care with suction attached. - ✔✔The UAP answers the
telephone while wearing gloves.
✔✔The nurse is directing unlicensed assistive personnel in providing morning care to a
comatose client.
Besides a bed bath, what care should be provided?
Select all that apply.
Moisturizing skin
Cleaning fingernails
Brushing teeth
Irrigating nose
Shaving legs - ✔✔Moisturizing skin
Cleaning fingernails
Brushing teeth
✔✔The nurse is bathing a client with senile dementia. What action will optimize the
chance of
cooperation?
Complete the bath quickly.
Use a quiet, calm manner, allowing for choices.
Have other people present to assist.
