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    Exam Review

    1. A nurse is preparing to transfer a client who has left-sided weakness from a sitting position in bed to a chair. Which of the following actions should the nurse take?
      A)Raise the height of the client's bed.
      B)Place the chair at a 90° angle to the bed.
      C)Lock the wheels on the client's bed.
      D)Place the chair on the client's left side.
    2. A nurse is instructing a client about postural drainage. The nurse should have the client lie with his head lower than his feet to mobilize secretions and understands this position to be which of the following?
      A)Supine
      B)Trendelenburg
      C)Fowler's
      D)Sims'
    3. A nurse is caring for a client who has an acute ankle sprain. Which of the following actions should the nurse take? (Select All that Apply.)(SATA)
      A)Rest
      B)Heat application
      C)Compression
      D)Movement
    4. A nurse is reinforcing teaching about home safety for a client who has a history of falls. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
      A)"I will place an area rug at the entry of my bathroom."
      B)"I will keep the fluorescent ceiling light on in my room at night."
      C)“I will place a bath seat in my shower to use when I bathe."
      D)“I will keep my walker at the end of my bed."
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    Exam Review

    1. A nurse is performing passive range of motion on a client who had a stroke. The nurse should identify that passive range of motion is performed to increase which of the following?
      A)Muscle mass
      B)Joint flexibility
      C)Muscle strength
      D)Bone density
    2. A nurse in a clinic is collecting data from a client who reports nausea, headache, weakness, and vertigo after turning on his furnace. The client's oral mucous membranes are cherry red. Then nurse should associate the client's manifestations with which of the following conditions?
      A)Carbon monoxide poisoning
      B)Stress
      C)Septic shock
      D)Heat stroke
    3. A nurse is assessing a client who has a wrist restraint in place. Which of the following findings should the nurse identify as an indication of a complication of the restraint?
      A)The client's hand is cool and pale.
      B)The client has a capillary refill of 1 second.
      C)The client has full range of motion in her wrist.
      D)The client is attempting to remove the restraint.
    4. A charge nurse is reinforcing teaching for a newly licensed nurse about how to apply wrist restraints for a client. Which of the following actions should the charge nurse identify as an indication that the nurse understands the instructions?
      A)Inserts one finger between the client's wrist and the restraint
      B)Ties the restraints to the side rails
      C)Places the padding of the restraints against the client's bony prominences
      D)Ties the straps of the restraints in a double knot
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    Exam Review

    1. A nurse is reinforcing teaching with a newly licensed nurse about orthostatic hypotension. Which of the following information should the nurse include?
      A)Orthostatic hypotension is indicated by a decrease in diastolic blood pressure of 5 mm Hg.
      B)Orthostatic hypotension increases a client's risk of a pulmonary emboli.
      C)Orthostatic hypotension increases a client's risk of a fall.
      D)Orthostatic hypotension is indicated by a decrease in systolic blood pressure of 10 mm Hg.
    2. A nurse is assisting a client with range-of-motion exercises of the hip. Which of the following terms should the nurse use when documenting the client moving one leg in the direction of her body's midline?
      A)Hyperextension
      B)Circumduction
      C)internal rotation
      D)Adduction
    3. A nurse is instructing a client who has COPD about using the orthopneic position to relieve shortness of breath. Which of the following statements should the nurse make?
      A)"Have your head turned to the side while you lie on your stomach."
      B)"Lie on your back with your head and shoulders supported by a pillow."
      C)"Have a table beside your bed so you can sit on the side of the bed and rest your arms on the table."
      D)"Lie on your side with your top arm resting on the bed and your weight on your hip."
    4. Which of the following methods of transfer from the bed to a chair is the most appropriate for a patient who weighs 250 pounds and requires maximum assistance with transfers?
      A)Walker
      B)Draw sheet with two caregivers
      C)Sliding Board
      D)Mechanical Lift
    Page 3 of 5

    Exam Review

    1. A nurse in a clinic is reinforcing teaching with a group of new nurses about preventing low back pain and injury. Which of the following statements should the nurse identify as an indication that further instruction is needed?
      A)"I'll carry objects close to my body."
      B)“I'll do exercises that strengthen my abdominal muscles."
      C)"When standing for a long period of time. I should keep my feet flat on the floor."
      D)"I'll wear low-heeled shoes from now on."
    2. A nurse is preparing a client for a procedure. Which of the following is an acceptable identifier to use identify the client?
      A)Alias
      B)Medical condition
      C)Telephone number
      D)Room number
    3. A nurse enters a client's room and sees smoke coming from the client's trash can. Which of the following actions should the nurse take first?
      A)Activate the fire alarm system.
      B)Confine the fire by closing doors and windows.
      C)Rescue the client from immediate danger.
      D)Extinguish the fire if possible.
    4. Which of the following instruction should a nurse provide to promote the safe use of a cane as an assistive device for a client who is recovering from a musculoskeletal injury of the right lower extremity?
      A)Hold the cane on the left side.
      B)Place the cane 46 cm (18 in) in front of her feet before advancing.
      C)Adjust the height of the cane so the arm is straight during use.
      D)Remove the rubber tip from the end of the cane.
    Page 4 of 5

    Exam Review

    1. A nurse is collecting data from a client who requires bed rest and has developed thrombophlebitis. Which of the following findings should the nurse expect when examining the client's leg?
      A)Pallor
      B)Cool skin
      C)Numbness
      D)Edema
    2. A nurse is administering a cold application to a client. Which of the following manifestations indicates the need to discontinue the application due to a systemic response by the client?
      A)Reduced blood viscosity
      B)Numbness
      C)Hypotension
      D)Shivering
    3. A nurse is reinforcing teaching with new parents on the proper way to use an infant car seat. Which of the following statements by the parents should indicate to the nurse a need for further teaching?
      A)"My husband refuses to use a previously owned car seat unless it has the instructions."
      B)"We will need to go by the weight and height of our child when deciding to change to a booster seat."
      C)"I will place the infant safety seat in the middle of the back seat, away from the windows."
      D)"My baby will be comforted in the back seat by being able to watch me while I drive."
    4. A nurse is reinforcing preoperative teaching with a client who will undergo abdominal surgery. The nurse explains that the client will wear antiembolism stockings after the procedure. When the client asks what the stockings do, which of the following responses should the nurse make?
      A)“They'll protect your legs and heels from skin breakdown."
      B)They'll help keep you warm immediately after your surgery."
      C)"They'll make it easier for you to do leg exercises after your surgery."
      D)"They'll improve your circulation to keep blood from pooling in your legs."
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