Basic Care and Comfort

A nurse is taking care of an elderly patient with a significant essential tremor that includes an intentional tremor. Which of these assistive devices would be most beneficial to this patient for his activities of daily living?

An emergency room nurse is giving discharge instructions to a 15-year-old male who has suffered an orthopedic injury during a soccer game. He has been instructed to use crutches and limit weight bearing until further evaluation by a specialist. When instructing this patient, which of these is the correct way to describe the proper use of crutches?

A middle-aged female with Meniere’s Disease is hospitalized for another condition. During her stay, she has a severe attack of Meniere’s. Which of these assistive devices would be least helpful to implement into your care plan?

You are caring for a patient who has suffered a severe traumatic injury. He is currently catheterized. During your shift, you note that the patient has only produced 150 cc of urine. You check his total output in the past 24 hours and it is 350 cc. By definition, this patient has which of these diagnoses?

A 2-year-old presents to the urgent care clinic for cerumen impaction. The nurse is instructed to perform an ear irrigation. Which interventions should the nurse take?

A. Position the child with affected ear facing upward.

B. Cleanse the external ear and external canal to clear any visible debris.

C. Use a cotton-tip applicator to clean the internal canal as much as possible prior to the irrigation.

D. Pull the tragus downward and backward, insert syringe, and direct the solution toward the top of the ear.

E. Pull the pinna downward and backward, and insert the syringe to direct the flow of solution toward the top of the ear.

The nurse is caring for a patient admitted for a severe flare-up of inflammatory bowel disease. The physician has ordered an enema containing betamethasone. The nurse knows that the commonly used type of enema to give a medication is which of these?

A nurse is caring for a patient who needs an enema. Which of these is the best position in which to place the patient followed by the correct description of the position?

A nurse is planning care for an immobile, bedridden patient. Which of the following is not a complication of immobility?

Which of these complications of immobility is correctly paired with the proper nursing intervention?

A nurse is taking care of a 20-year-old male who is post-op for a surgical repair of a right tibia and fibula fracture following a motor vehicle accident. The patient has an external fixation device. Which of these is true concerning the nursing care of this patient?

A client is discussing starting acupuncture to help with smoking cessation. The nurse educates the client that acupuncture is contraindicated with which conditions:

A. pacemaker placement
B. seizure disorder
C. arrhythmias
D. hypertension
E. coumadin (Warfarin) therapy

A nurse is beginning a new position working in a pain management clinic. On her first day, her precepting nurse asks her what the four phases of pain are, in sequential order. Place the four phases in the correct order.

A. modulation
B. perception
C. transmission
D. transduction

A nurse is evaluating a young adult patient who has presented to the emergency department with the chief complaint of abdominal pain. If the nurse is using the PQRST method of pain assessment, which of the following questions should be asked for the “S” portion of the assessment?

A hospice nurse has been caring for a patient with terminal cancer for the past 2 weeks. The nurse has implemented numerous interventions during this time with the patient, primary caregiver, and family. As the nurse assesses the effectiveness of the care plan, which of these should be the highest priority when measuring the actual outcomes with the expected patient-stated goals?

Which of these typically does not factor into a patient’s perception of and response to pain?

A nurse is giving discharge instructions to a 45-year-old male who has been hospitalized for chronic pancreatitis. Which of these statements should be a critical part of the dietary counseling for this patient?

The nurse is performing a nutritional assessment for a patient who is 134 kg and 1.93 meters in height. Which of these would be a correct statement about this patient’s nutritional status?

The nurse is delivering dinner trays to patients under the care of a colleague due to being short-staffed on her medical-surgical floor. She comes across a tray that is not assigned to a patient, but is ordered as a mechanical soft diet. There are four patients who still do not have dinner trays. Which of these patients would likely need this type of diet?

The nurse is working in a pediatrics office and is seeing a 3-yr-old female for a well child visit. During the history, the nurse asks how much the child sleeps at night and during daytime naps. Which of these would be an acceptable answer, given the child’s age and developmental stage?

A nurse is counseling a patient with a chief complaint of excessive daytime fatigue. The treating practitioner has ordered that the patient keep a daily sleep log for a period of 2 weeks. The nurse is educating the patient on what elements are important to include in the log. Which of these is typically not necessary to record?