WorksheetsChapter 38 & 39
Total questions: 119
Worksheet time: 4hrs 58mins
A nurse is caring for a client in a local healthcare facility. What should the nurse do to maintain a noise-free environment in the client's unit?
a) Avoid talking outside the client's unit.
b) Enforce the facility's visiting policy
c) Use screens and curtains in the client's unit.
d) Shut the door of the client's unit.
A client is referred to the radiology department of a healthcare facility. How does the radiology department assist the client?
a) It performs tests to assist providers in diagnosing disorders.
b) It assists clients with cardiac or respiratory diagnostics
c) It helps treat clients with physical disabilities.
d) It performs diagnostic x-ray studies and images.
A female client is experiencing a reproductive disorder. Which department is likely to treat her?
Gynecology
Genitourinary
Oncology
Geriatrics
A nurse is caring for a client who has just undergone surgery and is transferred to the client care unit. The client looks distressed upon seeing the blood pressure (BP) apparatus, oxygen, and hanger for intravenous (IV) infusions. Which is the most appropriate response by the nurse aimed at reducing the client's fear?
"Don't worry; this will be painful and tedious but only in the beginning."
"You should not think about this since the equipment has to be used daily."
"Don't worry, you will slowly get used to this equipment in your room."
"This is standard equipment for this unit...all clients have the same equipment."
A client recovering from surgery is struggling with depression and requests someone to assist her with spiritual counsel. Which support service should the nurse refer the client
to?
a) Chaplaincy
b) Social services
c) Volunteer services
d) Case management
A client is diagnosed with a wound infection with anaerobic organisms. Which specialized department would this patient likely be referred to?
Hospice
Dialysis unit
Hyperbaric chamber
Rehabilitation unit
A client recovering from a stroke needs to rehabilitate his fine motor skills. Which type of therapy does he need?
Music therapy
Physical therapy
Occupational therapy
Respiratory therapy
At what temperature should the nurse keep the client unit?
72-74 degrees
74-80 degrees
64-68 degrees
68-72 degrees
A client has been experiencing epileptic seizures. Which type of diagnostic recording will he likely undergo for the evaluation of the electrical activity in his brain?
Magnetic resonance imaging
Electrocardiogram
Electroencephalogram
Electromyogram
A pregnant client who is in labor has just been admitted to the hospital. Which department is she likely in?
Obstetrics department
Orthopedics department
Pediatric department
Gynecology department
A client is admitted to the mental health unit of a healthcare facility. Which condition must the client be experiencing?
Psychiatric disorders
Migraine
Meningitis
Substance abuse
A nurse is assigned to care for a client with a
cardiopulmonary disorder in an emergency
department (ED). What skills should the
nurse have to provide effective care to this
Client? Select all that apply.
Able to manage traumatic injuries
Able to provide a moderate amount of
skilled nursing care
Able to provide cardiopulmonary resuscitation
Able to provide cardiac care to the client
Able to care for clients in critical conditions
A nurse is responsible for maintaining an ideal room temperature to make the client comfortable. What is the ideal room temperature that must be ensured to maintain balance between heat lost and heat produced?
Temperature between 55° and 60° F
Temperature between 68° and 72° F
Temperature between 80° and 85° F
Temperature between 50° and 55° F
What measure should the nurse take to ensure that the client's room is odor-free to enhance client comfort?
Always keep the windows of the room open.
Use mild cologne, perfume, or an aftershave lotion.
Remove bedpans and urinals immediately after use.
Spray freshener in the room from time to time.
What nursing intervention should the nurse perform when completing early morning care to the client?
Give the client a bath or assist with bathing.
Assist the client to ambulate and move around.
Change the linens according to facility policy.
Adjust the table for the breakfast tray.
What advantages of housekeeping should the nurse remember when caring for a client? Select all that apply.
Good housekeeping makes the client recover faster.
Good housekeeping helps to carry out nursing care efficiently.
Good housekeeping helps prevent accidents and infections.
Good housekeeping helps make the client feel secure.
Good housekeeping ensures customized rooms for clients.
. What type of care occurs in the palliative care unit?
The palliative care unit cares for dying individuals.
The palliative care unit cares for clients after discharge.
The palliative care unit offers psychosocial support and rehabilitative services.
The palliative care unit offers physical medicine and rehabilitation.
What is the role of the occupational therapy department in providing healthcare?
The occupational therapy department assists clients with cardiac or respiratory disorders.
The occupational therapy department assists clients in regaining function.
The occupational therapy department directs its efforts toward preventing physical disability.
The occupational therapy department helps clients rehabilitate.
A nurse is caring for a client with a severe respiratory disorder. The nurse observes that the client's family is distressed about the expense involved in the client's care and also seems to be unsure about the living arrangements that they should provide to the client after discharge. The nurse should refer the client's family to which service in order to help them overcome their distress?
Telecommunications
Social services
Chaplaincy services
Volunteer services
A nurse is taking care of a client in the occupational therapy department of a healthcare facility. What are the functions of the occupational therapy department? Select all that apply.
Help clients move toward rehabilitation with emphasis on gross motor muscle activity.
Help clients move toward rehabilitation with emphasis on fine motor muscle activity.
Help clients to regain use of affected areas through individualized programs of exercise and activity.
Help clients with activities of daily living
The nurse enters a client's hospital room to administer medication. What observation made by the nurse would be of greatest concern?
The overbed table has a telephone on it.
The call light is attached to the bed within the
client's reach.
The head of the bed is elevated to 45 degrees.
The bed is elevated to a high position and the side
rails are down.
The nurse hears a client crying out, "Someone please help!" After meeting the client's immediate needs, what nursing action should be provided?
Instruct and have the client demonstrate use of the call bell.
Inform the client that the call bell must be used in order for someone to come.
Place the client in the chair at the nurse's station.
Sedate the client with medication.
The nurse smells cigarette smoke coming from a client's hospital bathroom. What is the priority action by the nurse?
Inform the client discharge from the hospital is likely.
Inform the client that the hospital has a no smoking policy.
Call the security officer to handle the situation.
Do nothing because the client has the right to smoke.
A client requests that the nurse increase the heat in the room. The temperature is presently 72°F. What is the priority action by the nurse?
Tell the client to put more clothing on.
Inform the client that it is warm in the room.
Tell the client that you cannot comply with that request.
Bring the client a blanket from the warmer.
The CNA informs the nurse that a confused client keeps removing the covers and exposing himself. What can the nurse suggest to the CNA to protect the client's privacy?
Use soft wrist restraints so the client cannot remove the covers.
Use safety pins to fasten the gown to the bed sheets
Obtain pajamas for the client to wear.
Tie the covers to the side rails.
A nurse is caring for an elderly client in a local healthcare facility. What intervention should the nurse perform to prevent the client from falling when getting out of bed?
Use two means to identify each client.
Keep bed in low position with the brakes off.
Allow the client to reorient before standing.
Raise the height of the client's bed
A nurse is caring for a left-handed client. What should the nurse consider when assisting the client out of bed or ambulating?
Provide the client with crutches.
Provide the client with a wheelchair.
Keep in mind that the client is also "left-footed.'
Provide the client with a walking stick.
A nurse is caring for a client who is recovering from surgery. The nurse receives a signal at the central station. Where should the nurse expect to find the client?
Client is in bed
Client is in the bathroom
Client has managed to get out of bed
Client has left the room
One of the floors in the healthcare facility is on fire. The nurses are evacuating clients to safer areas. Which of the following interventions should the nurse take in rescuing the clients? Select all that apply.
Lead clients who can walk to safer areas
Carry clients who cannot walk
Drag immobile clients out of the room on a sheet.
Assist clients in wheelchairs into the elevator
Close all doors to confine the fire after evacuation.
A nurse manager is briefing a newly appointed nurse on the guidelines followed by the healthcare facility for using hazardous substances. Which of the following safety tips should the nurse manager inform the newly appointed nurse about? Select all that apply.
Avoid using substances that are not labeled.
Read labels carefully and note emergency information.
Label and store hazardous substances in food containers.
Use protective equipment when handling hazardous substances.
Store aerosol products along with oxygen cylinders.
A member of the safety committee is training the nurse on PASS. If a nurse must put out a fire, what would the nurse do first with the fire extinguisher?
Pull the pin
Aim at the base of the fire, near the edge
Squeeze the handles together
Sweep across the base of the fire, with a back and forth motion
The client at risk for falling has been identified with a distinctive wrist band. How often does the nurse need to document a fall risk?
6 hours
12 hours
18 hours
24 hours
What is the purpose of a material safety data sheet (MSDS) in a healthcare facility?
It provides information about the physical properties of products.
It maintains a list of the chemical properties of products.
It provides a list of medications and manufacturers.
It describes the method of disposing of hazardous substances.
A member of the disaster medical assistance team (DMAT) is explaining the functioning of MAT during an emergency. What is the role of a DMAT?
It provides financial support during disaster.
It provides safety equipment in an emergency.
It provides relief when there is a shortage of workers.
It provides ambulating services during emergency.
A member of the safety committee in a healthcare facility is training the nurses on safety measures at the facility. What guidelines should the trainer provide the nurses?
Assist clients in wheelchairs into elevators to escape fire.
Assist clients who can walk into elevators to escape fire.
Tape the frayed ends of wires on any equipment.
Never turn appliances on when in contact with water.
A nurse has been asked to assist in triage in a disaster area. What should the nurse be prepared to do in this situation?
Provide mental support to family members.
Assign victims to proper places for treatment
Provide first aid to the victims.
Assist people with minor injuries.
The nurse reports a small fire in a trashcan located in the break room. After obtaining a fire extinguisher, what is the initial action in using the extinguisher
Sweep across the base of the fire.
Squeeze the handles together.
Aim at the base of the fire, near the edge
Pull the pin of the fire extinguisher.
The smoke alarm sounds on the unit at the long-term care facility. What acronym will guide the nurse actions in the situation?
RACE
PASS
CARE
ACRE
The nurse is working at the acute care facility and has been informed that there IS a bus and multiple-vehicle crash with 75 people seriously injured. What is the first action that should be initiated?
Perform CPR
Initiate the disaster plan
Call everyone in the hospital to help.
Immediately have the provider discharge clients in preparation.
The nurse splashes a chemical used for disinfecting surgical instruments on both hands. Which resource will provide information regarding the contents of the chemical?
Disaster Plan
Physician's Desk Reference
Safety Data Sheet
Poison Control
The nurse observes a large amount of smoke and some flames coming from an unoccupied room in the hospital. After calling in the alarm, what action does the nurse take?
Lock all of the doors so people cannot enter rooms.
Open windows to let the smoke out of the room.
Close all doors to confine smoke and fire.
Take the elevator to the lowest floor in the hospital.
WNL
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W/C
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WBC
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wt
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WHO
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WIC
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ADL
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ART
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ASU
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CCU
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CD
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CDU
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COTA
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COW
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CP
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CQI
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CRU
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CSS
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CSR
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CT
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DSM
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ECF
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ECG/EKG
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ED
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EEG
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EHR
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EMG
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GERI
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GU
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GYN
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HIM
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ICU
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IV
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LTC
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MH, MHU
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MICU
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MIS
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MRI
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NEURO
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NICU
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NMR
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OB
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OPD
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OR
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ORTHO
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OT
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OTR
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PACU
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PARR
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PEDS
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PICU
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PM&R
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PSYCH
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PT
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PTA
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QI
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REHAB
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RPT
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RR
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RRA
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RRT
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RT
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SDSU
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SICU
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TICU
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UAP
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UROL
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US
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AED
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CPR
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DMAT
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JSA
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OSHA
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PASS
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RACE
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SDS
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START
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DERM
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