VNSG 1423 Exam #2 Questions With
Correct Answers
Reminder devices that are used to help prevent falls include: - CORRECT
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ANSWER✔✔-bolsters and over bed table Ch 13 pg 208 & 209 | | | | | | | | | |
The minimum data set (MDS) is used to: - CORRECT ANSWER✔✔-collect
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essential information Ch 5 pg 93-94
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Which of the following assessment findings requires immediate
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intervention? - CORRECT ANSWER✔✔-Non blanchable erythema of | | | | | | |
both heels Ch 21 pg 408- 409 Box 21.5
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A nurse is conducting a neurological assessment on a client. The client
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was unable to remember the date and time, how would the nurse
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document the level of consciousness? - CORRECT ANSWER✔✔-AAOx3
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to person, place and situation Ch 21 pg 397
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When assessing the eyes of a client, which characteristic is commonly
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seen? - CORRECT ANSWER✔✔-Shinning a light in opposite eye both
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pupils will constrict Ch 21 pg. 398
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, The nurse is attempting to locate the pedal pulse on a client who has
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been admitted following injury to the upper right leg. The nurse should
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palpate and document the location of the pulse as: - CORRECT
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ANSWER✔✔-On the dorsal surface of the foot Ch 17 & 21, pg 320 & 411 | | | | | | | | | | | | | |
A nursing assistant reports that a resident has been found lying on the
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floor of the bathroom. Prioritize the actions of the nurse from first
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priority (1) to last priority (4). - CORRECT ANSWER✔✔-ask if the patient
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is okay
| |
assess vital signs | |
notify the supervisor| |
notify the physician | |
An appropriate intervention for a older, frail client who is at risk for falls
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is: - CORRECT ANSWER✔✔-A 2 hours toileting schedule while the client
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is awake Ch 13, pg 207
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Adequate circulation is present if the nail beds: - CORRECT
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ANSWER✔✔-blanch on pressure and color returns in 5 seconds Ch 21, | | | | | | | | | | |
pg 410
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A nurse is assessing a client's thyroid gland as part of a comprehensive
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physical examination. Which of the following findings should the nurse
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expect? Select all that apply. (3/5) - CORRECT ANSWER✔✔-feeling the
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thyroid ascend as the client swallows
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Correct Answers
Reminder devices that are used to help prevent falls include: - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-bolsters and over bed table Ch 13 pg 208 & 209 | | | | | | | | | |
The minimum data set (MDS) is used to: - CORRECT ANSWER✔✔-collect
| | | | | | | | | |
essential information Ch 5 pg 93-94
| | | | | |
Which of the following assessment findings requires immediate
| | | | | | | |
intervention? - CORRECT ANSWER✔✔-Non blanchable erythema of | | | | | | |
both heels Ch 21 pg 408- 409 Box 21.5
| | | | | | | |
A nurse is conducting a neurological assessment on a client. The client
| | | | | | | | | | | |
was unable to remember the date and time, how would the nurse
| | | | | | | | | | | |
document the level of consciousness? - CORRECT ANSWER✔✔-AAOx3
| | | | | | | |
to person, place and situation Ch 21 pg 397
| | | | | | | |
When assessing the eyes of a client, which characteristic is commonly
| | | | | | | | | | |
seen? - CORRECT ANSWER✔✔-Shinning a light in opposite eye both
| | | | | | | | | |
pupils will constrict Ch 21 pg. 398
| | | | | |
, The nurse is attempting to locate the pedal pulse on a client who has
| | | | | | | | | | | | | |
been admitted following injury to the upper right leg. The nurse should
| | | | | | | | | | | |
palpate and document the location of the pulse as: - CORRECT
| | | | | | | | | | |
ANSWER✔✔-On the dorsal surface of the foot Ch 17 & 21, pg 320 & 411 | | | | | | | | | | | | | |
A nursing assistant reports that a resident has been found lying on the
| | | | | | | | | | | | |
floor of the bathroom. Prioritize the actions of the nurse from first
| | | | | | | | | | | |
priority (1) to last priority (4). - CORRECT ANSWER✔✔-ask if the patient
| | | | | | | | | | | |
is okay
| |
assess vital signs | |
notify the supervisor| |
notify the physician | |
An appropriate intervention for a older, frail client who is at risk for falls
| | | | | | | | | | | | | |
is: - CORRECT ANSWER✔✔-A 2 hours toileting schedule while the client
| | | | | | | | | | |
is awake Ch 13, pg 207
| | | | |
Adequate circulation is present if the nail beds: - CORRECT
| | | | | | | | | |
ANSWER✔✔-blanch on pressure and color returns in 5 seconds Ch 21, | | | | | | | | | | |
pg 410
|
A nurse is assessing a client's thyroid gland as part of a comprehensive
| | | | | | | | | | | | |
physical examination. Which of the following findings should the nurse
| | | | | | | | | |
expect? Select all that apply. (3/5) - CORRECT ANSWER✔✔-feeling the
| | | | | | | | | |
thyroid ascend as the client swallows
| | | | |
