Solutions
The ____________ has the responsibility to act as the
patient’s primary advocate.
a) Social worker
b) Nurse
c) Physician
d) Patient’s family
B
Each resident admitted must have a fall risk assessment
performed so that appropriate actions to prevent falls can be
included in the nursing care plan. The items are considered
when doing a fall risk assessment on a newly admitted
resident include: (Select all that apply.)
a) Age.
b) Medications.
c) Balance.
d) Gender.
e) Food preferences
ABC
Which of the following correctly lists the flow of blood
through the heart?
,a) Aorta-> right atrium-> right ventricle-> pulmonary artery->
lungs_right atium-> left ventricle-> inferior vena cava
b) Superior / inferior vena cava-> right atrium-> right ventricle-
> pulmonary artery-> lungs-> pulmonary vein-> left atrium->
left ventricle-> aorta
c) Inferior / superior vena cava-> left atrium-> left ventricle->
pulmonary artery-> lumgs-> pulmonary vein-> right atrium->
right ventricle_ aorta
d) Superior vena cava-> right atrium-> right ventricle-> Lungs-
>left atrium-> pulmonary vein-> left ventricle-> aorta
B
The nurse uses the Standard Precautions, as outlined by the
Centers for Disease Control and Prevention (CDC), when:
a) Preventing transmission of respiratory and wound infections.
b) There is a suspicion of or risk of infection.
c) Caring for patients who have wounds draining body fluids.
d) Caring for all patients.
D
What is the name of the tool that is used to assess for visual
acuity?
a) PERRLA
b) Cardinal fields of gaze
c) The Snellen chart
,d) Rohmberg
C
Electrical conduction of the pacemaker will always result in
a palpable pulse, true or false?
a) True
b) False
B
According to Maslow’s hierarchy, physiological needs are
those that:
a) Encourage social interaction.
b) Foster independence.
c) Nurture intimacy.
d) Are essential to human life.
D
The nurse would refrain from applying a blood pressure cuff
on the affected arm of a patient who has a: (Select all that
apply.)
a) Previous mastectomy.
b) History of 2-year-old wrist surgery.
c) Injured finger.
d) Dialysis shunt.
e) Active IV line.
, ADE
Which of the following objective assessments would indicate
the Sinoatrial node is working appropriately?
a) Temperature 99.6
b) Pulse of 80
c) Pulse of 50
d) Blood pressure 125/70
B
A nurse will arrive at a nursing diagnosis after completing
the nursing process step of:
a) Evaluation.
b) Assessment.
c) Planning.
d) Research.
B
Which of the following are nursing interventions? (Select all
that apply)
a) Referring the patient to a therapist
b) Supporting the patient and providing beneficial resources for
them
c) Elevating a swollen leg
d) Turning the immobilized patient every 2 hours