NR324 CJE Exam
Study online at https://quizlet.com/_hq9pkm
1. NPO: no food or fluid at all by mouth
2. Hearing aids amplify sounds, but do not help clients: interpret what they hear
3. Amplification of sound in a loud environment can be: distracting and disturbing
4. Hearing aids: client education: use the lowest setting that allows hearing without feedback
clean the ear mold with mild soap and water while keeping the hearing aid dry
when not in use for an extended period of time, turn it off and remove the battery
keep replacement batteries on hand
5. Non-Pharmacological Comfort Measures: Distraction
Biofeedback
Self hypnosis
Guided Imagery
Heat & Cold applications
Relaxation techniques
Transcutaneous Electrical Nerve Stimulation (TENS)
Music therapy
Massage
6. Sleep and rest considerations: Follow normal routine
Position
Decrease noise/distraction, lighting, anxiety
Do not wake client up for prn sleep medications
PRN sleep meds (should not be administered routinely--give when other measures fail)
White noise
No caffeine, alcohol, or tobacco
7. Clients who have latex allergies:: Use silicon or Teflon products
8. Coudé catheter "bent tip":: most commonly used for male clients with some kind of blockage or
obstruction
9. A nurse is caring for a client who is sitting in a chair and asks to return to bed.
Which of the following actions is the nurse's priority at this time?
A.Obtain a walker for the client to use to transfer back to bed.
B.Call for additional staff to assist with the transfer.
, NR324 CJE Exam
Study online at https://quizlet.com/_hq9pkm
C.Use a transfer belt and assist the client back into bed.
D.Determine the client's ability to help with the transfer.: D
10. A nurse is preparing to instill an enteral feeding for a client who has an NG
tube in place. Which of the following actions is the nurse's highest assessment
priority before performing this procedure?
A.Check how long the feeding container has been open.
B.Verify the placement of the NG tube.
C.Confirm that the client does not have diarrhea.
D.Make sure the client is alert and oriented.: B
11. A nurse is talking with a client about ways to help sleep and rest. Which of
the following recommendations should the nurse give to the client to promote
sleep and rest? (Select all that apply.)
A. Practice muscle relaxation techniques.
B. Exercise each morning.
C. Take an afternoon nap.
D. Alter the sleep environment for comfort.
E. Limit fluid intake at least 2 hr before bedtime.: A, B, D, and E.
12. The nurse needs to evaluate a patient's intake for the last 8 hours. For
breakfast, the patient had two cups of coffee and 4 oz of orange juice; for lunch:
8 oz of iced tea, a cup of ice chips, and 1 cup chicken broth. The patient also has
fluids running at 20ml/hr of 0.9% normal saline. Urine output for the 8-hour
shift was 800ml. What should the nurse record as the net intake? _____mL: 560m
13. Breast Self Exam (BSE): Feel for lumps using the finger pads
lye down with the arm up by the head
Palpate each breast from the sternum to the posterior axillary line
Compress the nipples carefully to check for discharge (note the color, consistency, and odor of any discharge)
14. GI Assessment: Inspection
Auscultation-bowel sounds
Percussion--tympany/ resonant hollow organs
Palpation- tenderness
, NR324 CJE Exam
Study online at https://quizlet.com/_hq9pkm
15. GI stethoscope order: RLQ>RUQ>LUQ>LLQ
16. It normally takes _____ to _____ minutes to hear bowel sounds: 5-20 min
17. Bowel Elimination Assessment: Usual pattern, frequency, description of stool (Color, Consistency,
Shape, Amount, Odor, Constituents)
Recent changes
Aids to elimination
Problems
Presence of artificial orifices
18. A nurse is assisting a patient who has cognitive deficits with a bed bath.
Which is important for the nurse to do?
A.Explain in detail everything that will be done during the bath before begin-
ning.
B.Arrange the basin within the center of the patient's visual field
C.Encourage attention to each task of bathing
D.Check the patient every few minutes: C
19. A nurse is collecting history and physical examination data from a middle
adult. The nurse should expect to find decreases in which of the following
physiologic functions? (Select all that apply)
A. Metabolism
B. Ability to hear low‑pitched sounds
C. Gastric secretions
D. Far vision
E. Glomerular filtration: A, C, and E.
20. Client Identifiers: Patient name
DOB
ID number
Telephone number
21. Purpose of Identifiers: Reliably ID the client & match the service to that client
22. Verbal and telephone orders must be countersigned within: 24 hours
Study online at https://quizlet.com/_hq9pkm
1. NPO: no food or fluid at all by mouth
2. Hearing aids amplify sounds, but do not help clients: interpret what they hear
3. Amplification of sound in a loud environment can be: distracting and disturbing
4. Hearing aids: client education: use the lowest setting that allows hearing without feedback
clean the ear mold with mild soap and water while keeping the hearing aid dry
when not in use for an extended period of time, turn it off and remove the battery
keep replacement batteries on hand
5. Non-Pharmacological Comfort Measures: Distraction
Biofeedback
Self hypnosis
Guided Imagery
Heat & Cold applications
Relaxation techniques
Transcutaneous Electrical Nerve Stimulation (TENS)
Music therapy
Massage
6. Sleep and rest considerations: Follow normal routine
Position
Decrease noise/distraction, lighting, anxiety
Do not wake client up for prn sleep medications
PRN sleep meds (should not be administered routinely--give when other measures fail)
White noise
No caffeine, alcohol, or tobacco
7. Clients who have latex allergies:: Use silicon or Teflon products
8. Coudé catheter "bent tip":: most commonly used for male clients with some kind of blockage or
obstruction
9. A nurse is caring for a client who is sitting in a chair and asks to return to bed.
Which of the following actions is the nurse's priority at this time?
A.Obtain a walker for the client to use to transfer back to bed.
B.Call for additional staff to assist with the transfer.
, NR324 CJE Exam
Study online at https://quizlet.com/_hq9pkm
C.Use a transfer belt and assist the client back into bed.
D.Determine the client's ability to help with the transfer.: D
10. A nurse is preparing to instill an enteral feeding for a client who has an NG
tube in place. Which of the following actions is the nurse's highest assessment
priority before performing this procedure?
A.Check how long the feeding container has been open.
B.Verify the placement of the NG tube.
C.Confirm that the client does not have diarrhea.
D.Make sure the client is alert and oriented.: B
11. A nurse is talking with a client about ways to help sleep and rest. Which of
the following recommendations should the nurse give to the client to promote
sleep and rest? (Select all that apply.)
A. Practice muscle relaxation techniques.
B. Exercise each morning.
C. Take an afternoon nap.
D. Alter the sleep environment for comfort.
E. Limit fluid intake at least 2 hr before bedtime.: A, B, D, and E.
12. The nurse needs to evaluate a patient's intake for the last 8 hours. For
breakfast, the patient had two cups of coffee and 4 oz of orange juice; for lunch:
8 oz of iced tea, a cup of ice chips, and 1 cup chicken broth. The patient also has
fluids running at 20ml/hr of 0.9% normal saline. Urine output for the 8-hour
shift was 800ml. What should the nurse record as the net intake? _____mL: 560m
13. Breast Self Exam (BSE): Feel for lumps using the finger pads
lye down with the arm up by the head
Palpate each breast from the sternum to the posterior axillary line
Compress the nipples carefully to check for discharge (note the color, consistency, and odor of any discharge)
14. GI Assessment: Inspection
Auscultation-bowel sounds
Percussion--tympany/ resonant hollow organs
Palpation- tenderness
, NR324 CJE Exam
Study online at https://quizlet.com/_hq9pkm
15. GI stethoscope order: RLQ>RUQ>LUQ>LLQ
16. It normally takes _____ to _____ minutes to hear bowel sounds: 5-20 min
17. Bowel Elimination Assessment: Usual pattern, frequency, description of stool (Color, Consistency,
Shape, Amount, Odor, Constituents)
Recent changes
Aids to elimination
Problems
Presence of artificial orifices
18. A nurse is assisting a patient who has cognitive deficits with a bed bath.
Which is important for the nurse to do?
A.Explain in detail everything that will be done during the bath before begin-
ning.
B.Arrange the basin within the center of the patient's visual field
C.Encourage attention to each task of bathing
D.Check the patient every few minutes: C
19. A nurse is collecting history and physical examination data from a middle
adult. The nurse should expect to find decreases in which of the following
physiologic functions? (Select all that apply)
A. Metabolism
B. Ability to hear low‑pitched sounds
C. Gastric secretions
D. Far vision
E. Glomerular filtration: A, C, and E.
20. Client Identifiers: Patient name
DOB
ID number
Telephone number
21. Purpose of Identifiers: Reliably ID the client & match the service to that client
22. Verbal and telephone orders must be countersigned within: 24 hours
