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Nursing Assessment and Interventions Worksheet

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

A nurse is assessing an older adult client. Which of the following gastrointestinal changes is expected with aging?

a)

Increased peristalsis

b)

Increased saliva production

c)

Delayed gastric emptying

d)

Increased absorption of nutrients

2.

What is the primary function of the large intestine?

a)

Nutrient absorption

b)

Fat digestion

c)

Water absorption and formation of feces

d)

Protein breakdown

3.

A nurse is caring for a client with functional urinary incontinence. Which intervention is most appropriate?

a)

Insert an indwelling urinary catheter

b)

Teach the client how to perform Kegel exercises

c)

Provide scheduled toileting

d)

Encourage a low fluid intake

4.

Which of the following findings indicates urinary retention?

a)

Clear yellow urine

b)

Voiding 30 mL/hour

c)

Reports of urgency with little output

5.

A nurse is teaching a client with a new ileostomy. Which of the following should the nurse include in the teaching?

a)

The stool will be formed

b)

You may irrigate your ostomy daily

c)

The output will be liquid and continuous

d)

Odor will be minimal due to location

6.

What should the nurse expect from a client with a sigmoid colostomy?

a)

Frequent liquid stools

b)

Semi-formed output

c)

Formed stool

d)

Continuous drainage

7.

A nurse is collecting a 24-hour urine specimen. Which action is appropriate?

a)

Collect the first void of the day

b)

Store the urine at room temperature

c)

Discard the first void and begin timing

d)

Instruct the client to fast during the collection period

8.

What is the purpose of applying TED hose?

a)

Prevent skin breakdown

b)

Provide warmth

c)

Reduce edema

d)

Promote venous return and prevent DVT

9.

Which of the following is an appropriate fall prevention strategy in a hospital setting?

a)

Keep the bed in high position

b)

Place personal items out of reach

c)

Use nonskid footwear

d)

Limit toileting to every 4 hours

10.

A nurse manager uses a democratic leadership style. Which behavior should the staff expect?

a)

Makes decisions without input

b)

Encourages team participation in decision-making

c)

Delegates tasks without supervision

d)

Delays all decisions to upper management

11.

During a mass casualty event, which client should the nurse tag as red (emergent)?

a)

Client with minor abrasions

b)

Client with open fracture and stable vitals

c)

Client with airway obstruction and stridor

d)

Client with bruising to the chest

12.

Which intervention should a nurse implement first for a client experiencing urge urinary incontinence?

a)

Assist the client to the bathroom at regular intervals

b)

Teach the client to use a bedside commode

c)

Encourage the client to limit fluid intake

d)

Apply an external urinary device

13.

Which assessment finding is most consistent with overflow urinary incontinence?

a)

Inability to reach the toilet in time

b)

Sudden urge to void followed by involuntary leakage

c)

Constant dribbling of urine with a distended bladder

d)

Loss of urine during coughing or sneezing

14.

What is an expected gastrointestinal change in older adults?

a)

Increased hydrochloric acid secretion

b)

Decreased absorption of vitamin B12

c)

Enhanced taste sensation

d)

Accelerated intestinal motility

15.

Which client should the nurse prioritize for immediate intervention during a disaster triage?

a)

Client with a sprained ankle

b)

Client with a minor laceration

c)

Client with severe respiratory distress

d)

Client with mild headache

16.

Which nursing action is most appropriate for a client with stress urinary incontinence?

a)

Restrict all fluids

b)

Advise complete bed rest

c)

Insert a Foley catheter

d)

Encourage pelvic floor muscle exercises

17.

Which leadership style involves the nurse manager making decisions independently with little staff input?

a)

Transformational

b)

Democratic

c)

Laissez-faire

d)

Autocratic

18.

Which of the following is a recommended dietary consideration for a client with a new ileostomy?

a)

Limit salt intake strictly

b)

Avoid all fruits and vegetables

c)

Drink plenty of fluids to prevent dehydration

d)

Increase intake of high-fiber foods immediately

19.

What is the most appropriate nursing intervention to prevent deep vein thrombosis (DVT) in a postoperative client?

a)

Apply cold compresses to the legs

b)

Limit fluid intake

c)

Restrict all movement

d)

Encourage early ambulation

20.

Which of the following is a common urinary change associated with aging?

a)

Frequent urinary tract infections

b)

Decreased ability to concentrate urine

c)

Increased bladder capacity

d)

Improved voluntary control of urination