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WorksheetsNusing mod. 2 - Pt. 1
Total questions: 37
Worksheet time: 19mins
When preparing to move a client up in bed, what will the nurse do first?
Assemble adequate help to move the client.
Assess the client's ability to help with moving.
Determine the client's weight.
Decide on the most effective means of moving the client.
When preparing to move a client up in bed with the help of an assistant, both caregivers will ______ to ensure their own safety?
A. stand with their knees locked
B. stand with their feet together
C. flex their hips and knees
D. shift their body weight from the front leg to the back leg
The _______ position places the person's head down and elevates the feet, so their whole body is sloping down with the feet higher than the rest of the body.
reverse Trendelenburg
Trendelenburg
High Fowler
prone
When moving a client up in bed in which position will the nurse place the client?
Supine with the head of the bed at a 30-degree angle.
In reverse Trendelenburg.
Supine with the head of the bed flat.
Prone with the head of the bed flat.
The nurse is delegating ambulating a client with Foley catheter to the nursing assistant (NA). Which statement made by the NA requires the nurse to follow up?
I will be sure to put empty the Foley bag before I walk the client.
I will hang the Foley bag from the client’s gait belt.
I will keep the Foley bag below the level of the client’s bladder.
I will hang the Foley bag on the lowest rung of the walker.
When repositioning a client, what can the nurse do to prevent the client’s hips from rolling outward?
Apply therapeutic socks to the client’s feet.
Place sandbags, wedges, or pillows along the client’s legs.
Place a small pillow at the lumbar region of the client’s back.
Place a pillow under the client’s calves.
Before the nurse moves a client into the prone position, what action to support the client’s spine should the nurse take?
Place a small pillow under the shoulder.
Use the affected arm as a guide during rolling.
Place a pillow on their abdomen.
Place rolled bath blankets along the dependent leg.
The nurse is preparing to logroll a client in bed. Why are two assistants needed on the side toward which the client is being turned?
To position the pillows.
To hold the extra pillows.
To roll the client as a unit.
To ease the client back onto the support pillows.
The nurse is preparing to use a slide board to transfer a client from the bed to a stretcher. The nurse will need at least _____ additional people to help with this transfer.
four
two
one
none
The nurse is preparing to move a client from the bed to a stretcher. What will the nurse do first?
A. Cross the client's arms over his or her chest.
B. Lower the side rails of the bed.
C. Make sure the bed brakes are locked.
D. Fanfold the draw sheet.
The nurse is preparing to delegate the ambulation of a client to a nursing assistive personnel (NAP). Which statement made by the NAP requires the nurse to follow up?
I will be sure to put nonskid slippers on the client before getting him up to ambulate.
I will use the under-axillae technique to help him up to a standing position.
Rocking the heavier client into a standing position seems to work really well for me.
I will grasp the gait belt in the middle of the client’s back.
The nurse and two assistants are using a friction-reducing device to move a client from the bed to a stretcher. The nurse, standing alone on the side of the bed opposite the stretcher, will perform which action during this move?
Hold the friction reducing device.
Pull the draw sheet.
Hold the client’s head stationary.
Lock the brakes on the stretcher.
A client requires only minimal assistance with ambulation. For this client, the assistive device which is most appropriate is a _________.
cane
walker without wheels
wheeled walker
crutch
When preparing to safely transfer a client from a bed to a wheelchair using a transfer belt, the nurse would do what first?
Coordinate extra help.
Assess the client's vital signs.
Assess the client's physiological capacity to transfer.
Determine whether to transfer the client to a wheelchair or chair.
Which of the following instructions should the nurse give the family after assessing that it is safe for a client to use a walker? (Select all that apply.)
A. A walker is useful for clients who have impaired balance.
B. A client uses a walker by lifting the device and moving it forward.
C. Leaning over the walker improves the client’s balance.
D. Walkers should not be used on stairs.
E. If the client has difficulty advancing the walker, a walker with wheels is an option.
The nurse is preparing to initiate ambulation with a client who is recovering from a stroke. How will the nurse determine how far to walk?
Ask the client how far they would like to go.
Review the health care provider’s order.
Review the medical record to see how far the client has walked during the past several therapeutic ambulations.
Review the records of other clients who are at a similar point in their stroke rehabilitation.
While walking in the hallway, the client begins to complain of dizziness and leans heavily on the nurse. What should the nurse do? (Select all that apply.)
Hold the gait belt with both hands.
Slowly lower the client to the floor.
Try to hold the client up until the dizziness passes.
Call for assistance in a loud but calm voice.
Yell for assistance in a loud shrill voice.
The nurse is helping a client who has hemiparesis take a few steps. The client is using a cane. The nurse should stand
on the client’s strong side
on the client’s weak side
behind the client
in front of the client
The nurse is ambulating a client in his room when he says he feels dizzy and nauseous. The nurse would:
return the client to the bed or chair (whichever is closer)
encourage the client to complete the distance of ambulation
help him to the restroom
ease him to the floor.
In the United States, forearm crutches are generally used by clients with ________.
fractures of the lower extremities
fractures of the upper extremities
general weakness or paraplegia
weight-bearing restrictions to the lower extremities.
When taking an exam, if the question includes the words severe or acute when referring to something such as pain, choose the answer that _______________.
addresses the physician’s needs
fixes that specific problem for the client
fixes another specific problem for the client
addresses the physician’s needs
The pre-nursing student understands educational objectives are important because _________.
they tell what the student is not expected to be able to do or to know at the end of each class
they tell the student exactly what is going to be on every exam
they tell the student things that are not important for them to know
they tell what the student is expected to be able to do or to know at the end of each class
When planning study sessions, the pre-nursing student realizes the importance of __________. (Select all that apply.)
scheduling time to study
setting alarms for breaks
finding a distraction-free environment
seeking help with confusing material
spending some time every day studying
The pre-nursing student is aware they should begin studying for an exam ___________.
when they want a good grade
the day before the exam
as soon as they start the class
when they think about it
On an exam if asked to answer a prioritizing question the student nurse would choose the option that will help the __________.
client the fastest or will make the most difference for the nurse
client the fastest or will make the most difference for the client
physician the fastest or will make the most difference for the nurse
respiratory therapist the fastest or will make the most difference for the dietician
To reduce test anxiety, the pre-nursing student should __________. (Select all that apply.)
A. be as prepared as possible
B. practice breathing exercises
C. practice relaxation exercises
D. drink energy drinks
E. try meditation
On an exam words like __________ can often indicate the option is incorrect. (Select all that apply.)
all
always
never
some
none
To which client might the nurse apply a physical restraint? A. An 83-year-old client with dementia and a history of wandering whose fall risk assessment indicates a high risk of falling. B. A 42-year-old critical care client with a traumatic brain injury who has repeatedly tried to pull out her shunt. C. A 74-year-old client confined to bed who is at risk of pressure ulcers. D. A 60-year-old client with dementia who seemed increasingly confused shortly after having had restraints applied for one hour that morning.
A. An 83-year-old client with dementia and a history of wandering whose fall risk assessment indicates a high risk of falling.
B. A 42-year-old critical care client with a traumatic brain injury who has repeatedly tried to pull out her shunt.
C. A 74-year-old client confined to bed who is at risk of pressure ulcers.
D. A 60-year-old client with dementia who seemed increasingly confused shortly after having had restraints applied for one hour that morning.
Why does the nurse instruct nursing assistive personnel (NAP) to remove the wrist restraint of a confused client every two hours?
To try a less restrictive type of restraint if a more confining restraint has proved effective.
To double-check the size by inserting one finger between the wrist and the restraint.
To check the skin integrity and range of motion of the wrist.
To comply with The Joint Commission standards.
When caring for a client in a wrist restraint what would the nurse instruct nursing assistive personnel (NAP) to report?
Tell me if the client does not like the restraint.
Tell me if the skin under the restraint becomes abraded.
Let me know if you think she's ready for the restraints to come off.
Let me know if the client needs anything for pain.
The nurse is caring for a client with cognitive impairment. The nurse is discussing the client’s risk of falling with the client’s wife when the client’s wife says, “I don’t like him being tied down in the bed” what is the nurse’s best response?
A. “I’m sure you don’t want him to fall again.”
B. “Can you suggest an alternative?”
C. “What did you do to prevent him from falling when he was at home?”
D. “We will try all other alternatives before using physical restraints.”
When a nurse enters the room of a client in a belt restraint, they find the client has slid down in the bed and the restraint is now on the client’s axilla. The client is asking for help. What would the nurse do first?
Check the client’s blood pressure and pulse.
Untie the restraint.
Reposition the client.
Ask the client why they slid down in the bed.
What is the purpose of using a restraint alternative?
To prevent the person from getting out of bed.
To prevent injuries and falls without the use of restraints.
To punish the person who does not use the signal light.
To prevent the facility from being sued if the person is injured.
A family member approaches the nurse caring for her father. She tells the nurse: “I want Dad in restraints because I do not want him to fall again. I demand you put restraints on my dad.” How should the nurse respond?
Go ahead and put the client in restraints because the family wants it.
Call the physician for an order for restraints because the family wants it.
Explain that you also do not want the client to fall but you cannot put restraints on the client unless absolutely necessary.
Ask the client if they want restraints.
Which restraint alternative could be used to notify the nurse that a person who is at increased risk of falling has gotten out of bed?
A floor cushion next to the bed.
A bed alarm.
A padded hip protector.
A stop sign on the door.
Which of these devices is a restraint alternative?
Roll guards that are attached to the bed frame.
Velcro used to hold clothing tight enough to restrict movement.
Bed rails that prevent the person from getting out of bed.
A tray table that blocks the person’s freedom of movement.
A client who had a total knee replacement the day before is sitting in a chair. The nurse is preparing to return the client to bed. Which of the following pose potential safety risks? (Select all that apply.)
A. A current safety inspection sticker is on the IV fluid pump.
B. The bed is in the lowest position.
C. The hospital bed is in the high position.
D. There is no gait belt at the bedside.
E. The overbed table with the client’s glasses is positioned against the wall out of reach of the client.
