All Actual Answers.
A student nurse who is documenting progress notes in a client's records should - Answer
Write in blue and black
Not use correcting fluid
Not scribble out errors, a line through instead
Use approved abbreviations
When inspecting a client's abdominal contour, the nurse observes the abdomen to be sunken
with the lower edges of the ribs visible. The nurse describes and documents this as - Answer
Scaphoid
A young adult male who comes to the clinic complaining of diarrhoea and vomiting is suspected
of having gastroenteritis. On auscultation the nurse would identify that the patient's bowel
sounds are - Answer Hyperactive
What is the most effective position to have your patient in when administering a rectal
suppository? - Answer Lying on left side with right leg up
The mechanism of action of the oral laxative senokot is - Answer Stimulates peristalsis
increasing motility of large intestine
Urinary retention is defined as - Answer Difficulty urinating and completely emptying the
bladder.
To help promote normal defecation and prevent discomfort, ideally the nurse should place the
patient on a bedpan in which position? - Answer sitting up
The nurse begins to suspect faecal impaction in a patient who has not passed a stool in 10 days
when the patient - Answer Abdo pain
Liquid stool - overflow
Malaise
Persistent urge
Bleeding
Absent bowel sounds in LLQ
Distended lower abdomen
Tenderness on palpation
, Dull sound on percussion
Ascites is defined as - Answer an abnormal accumulation of serous fluid within the
peritoneal cavity. = abdominal swelling
A nurse asks a patient to turn the palm down with the elbows straight. The specific joint
movement the nurse is testing for is - Answer Pronation of elbow
You are inspecting your client's spinal symmetry and assessing their posture. You identify that
the client has kyphosis. This is - Answer abnormally excessive convex curvature of the spine
as it occurs in the thoracic and sacral regions
The nurse is examining the ROM of a client's shoulder. Which of the following is a normal
finding? - Answer Full active and painless ROM with no crepitus
You are caring for Mr Smith who has been admitted following a mechanical fall. You are
reviewing his nursing care plan. Which component of the care plan indicates that the patient's
problems have been appropriately described? - Answer Nursing diagnosis
The nurse is using a mobile hoist with a dependent patient. Identify the correct rule. - Answer
How many assist
LITE assessment
The older persons tendency to take smaller steps with feet close together will mostly likely
result in - Answer falls risk
tripping hazard
A person with a normal gait should demonstrate all of the below actions, except - Answer
coordinated movements, able to maintain balance, posture and body alignment during moving
To ensure safe administration of medications the nurse must be aware of the seven rights of
medication administration. These are: the right - Answer Medication
Patient
Dose
Time
Reason
Documentation
Route