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WorksheetsNursing Assessment and Interventions Worksheet
Total questions: 20
Worksheet time: 10mins
A nurse is assessing an older adult client. Which of the following gastrointestinal changes is expected with aging?
Increased peristalsis
Increased saliva production
Delayed gastric emptying
Increased absorption of nutrients
What is the primary function of the large intestine?
Nutrient absorption
Fat digestion
Water absorption and formation of feces
Protein breakdown
A nurse is caring for a client with functional urinary incontinence. Which intervention is most appropriate?
Insert an indwelling urinary catheter
Teach the client how to perform Kegel exercises
Provide scheduled toileting
Encourage a low fluid intake
Which of the following findings indicates urinary retention?
Clear yellow urine
Voiding 30 mL/hour
Reports of urgency with little output
A nurse is teaching a client with a new ileostomy. Which of the following should the nurse include in the teaching?
The stool will be formed
You may irrigate your ostomy daily
The output will be liquid and continuous
Odor will be minimal due to location
What should the nurse expect from a client with a sigmoid colostomy?
Frequent liquid stools
Semi-formed output
Formed stool
Continuous drainage
A nurse is collecting a 24-hour urine specimen. Which action is appropriate?
Collect the first void of the day
Store the urine at room temperature
Discard the first void and begin timing
Instruct the client to fast during the collection period
What is the purpose of applying TED hose?
Prevent skin breakdown
Provide warmth
Reduce edema
Promote venous return and prevent DVT
Which of the following is an appropriate fall prevention strategy in a hospital setting?
Keep the bed in high position
Place personal items out of reach
Use nonskid footwear
Limit toileting to every 4 hours
A nurse manager uses a democratic leadership style. Which behavior should the staff expect?
Makes decisions without input
Encourages team participation in decision-making
Delegates tasks without supervision
Delays all decisions to upper management
During a mass casualty event, which client should the nurse tag as red (emergent)?
Client with minor abrasions
Client with open fracture and stable vitals
Client with airway obstruction and stridor
Client with bruising to the chest
Which intervention should a nurse implement first for a client experiencing urge urinary incontinence?
Assist the client to the bathroom at regular intervals
Teach the client to use a bedside commode
Encourage the client to limit fluid intake
Apply an external urinary device
Which assessment finding is most consistent with overflow urinary incontinence?
Inability to reach the toilet in time
Sudden urge to void followed by involuntary leakage
Constant dribbling of urine with a distended bladder
Loss of urine during coughing or sneezing
What is an expected gastrointestinal change in older adults?
Increased hydrochloric acid secretion
Decreased absorption of vitamin B12
Enhanced taste sensation
Accelerated intestinal motility
Which client should the nurse prioritize for immediate intervention during a disaster triage?
Client with a sprained ankle
Client with a minor laceration
Client with severe respiratory distress
Client with mild headache
Which nursing action is most appropriate for a client with stress urinary incontinence?
Restrict all fluids
Advise complete bed rest
Insert a Foley catheter
Encourage pelvic floor muscle exercises
Which leadership style involves the nurse manager making decisions independently with little staff input?
Transformational
Democratic
Laissez-faire
Autocratic
Which of the following is a recommended dietary consideration for a client with a new ileostomy?
Limit salt intake strictly
Avoid all fruits and vegetables
Drink plenty of fluids to prevent dehydration
Increase intake of high-fiber foods immediately
What is the most appropriate nursing intervention to prevent deep vein thrombosis (DVT) in a postoperative client?
Apply cold compresses to the legs
Limit fluid intake
Restrict all movement
Encourage early ambulation
Which of the following is a common urinary change associated with aging?
Frequent urinary tract infections
Decreased ability to concentrate urine
Increased bladder capacity
Improved voluntary control of urination
