NSG300 Exam 1 Practice Questions With Complete
Solutions
A nurse is caring for a client who fell in an acute-care facility.
Which actions should the nurse take to decrease the risk of
another fall? (Select all that apply)
A. Place a belt restraint on the client when sitting on a bedside
commode
B. Keep the bed in its lowest position with all side rails up
C. Make sure that the client's call light is within reach
D. Provide the client with nonskid footwear
E. Complete a fall risk assessment daily Correct Answers C.
Make sure that the client's call light is within reach
D. Provide the client with nonskid footwear
E. Complete a fall risk assessment daily
- A is incorrect because a RESTRAINT should never be used
unless the patient is acting up
- B is incorrect because with all side rails being up the patient
may try to climb over them and injure themselves.
A nurse is caring for a client with a history of falls. Which
action is the nurses FIRST priority?
A. Complete a fall risk assessment
B. Educate the client and family about fall risks
C. Eliminate safety hazards from the client's environment
D. Make sure the client uses an assistive aid as ordered Correct
Answers A. Complete a fall risk assessment
-The other 3 are incorrect because they are all something a nurse
would do after assessing
, A nurse is planning care for a client who is on bed rest. Which
intervention should the nurse plan to implement?
A. Encourage the client to perform anti-embolic exercises
hourly
B. Instruct the client to cough and deep breathe every 4 hrs
C. Restrict the client's fluid intake
D. Reposition the client every 4 hrs Correct Answers A.
Encourage the client to perform anti-embolic exercises hourly
-B is incorrect because they should perform respiratory exercises
every 1-2hrs
-C is incorrect because you do not need to decrease fluids with
bed rest
-D is incorrect because you should reposition the patient at least
every 2 hours
A patient discharged a week ago following a stroke is
participating in rehabilitation with nurses and PT. What level of
prevention is the patient participating?
A. Primary
B. Secondary
C. Tertiary Correct Answers C. Tertiary
A patient had surgery on their right hip. What type of ROM
exercises should the nurse perform with the patient?
A. Passive ROM exercises on all extremities
B. Passive ROM exercises on just her right leg
C. Active ROM exercises with the exception of her right leg
D. Active ROM exercises on just her right leg Correct Answers
C. Active ROM exercises with the exception of her right leg
Solutions
A nurse is caring for a client who fell in an acute-care facility.
Which actions should the nurse take to decrease the risk of
another fall? (Select all that apply)
A. Place a belt restraint on the client when sitting on a bedside
commode
B. Keep the bed in its lowest position with all side rails up
C. Make sure that the client's call light is within reach
D. Provide the client with nonskid footwear
E. Complete a fall risk assessment daily Correct Answers C.
Make sure that the client's call light is within reach
D. Provide the client with nonskid footwear
E. Complete a fall risk assessment daily
- A is incorrect because a RESTRAINT should never be used
unless the patient is acting up
- B is incorrect because with all side rails being up the patient
may try to climb over them and injure themselves.
A nurse is caring for a client with a history of falls. Which
action is the nurses FIRST priority?
A. Complete a fall risk assessment
B. Educate the client and family about fall risks
C. Eliminate safety hazards from the client's environment
D. Make sure the client uses an assistive aid as ordered Correct
Answers A. Complete a fall risk assessment
-The other 3 are incorrect because they are all something a nurse
would do after assessing
, A nurse is planning care for a client who is on bed rest. Which
intervention should the nurse plan to implement?
A. Encourage the client to perform anti-embolic exercises
hourly
B. Instruct the client to cough and deep breathe every 4 hrs
C. Restrict the client's fluid intake
D. Reposition the client every 4 hrs Correct Answers A.
Encourage the client to perform anti-embolic exercises hourly
-B is incorrect because they should perform respiratory exercises
every 1-2hrs
-C is incorrect because you do not need to decrease fluids with
bed rest
-D is incorrect because you should reposition the patient at least
every 2 hours
A patient discharged a week ago following a stroke is
participating in rehabilitation with nurses and PT. What level of
prevention is the patient participating?
A. Primary
B. Secondary
C. Tertiary Correct Answers C. Tertiary
A patient had surgery on their right hip. What type of ROM
exercises should the nurse perform with the patient?
A. Passive ROM exercises on all extremities
B. Passive ROM exercises on just her right leg
C. Active ROM exercises with the exception of her right leg
D. Active ROM exercises on just her right leg Correct Answers
C. Active ROM exercises with the exception of her right leg
