Correct Answers.
The patient is an 86-year-old male who is incontinent at night. An appropriate alternative to
catheterization for this patient would be to - Answer uridine
- Less fluid in evening
- Incontinence pad
2. Urinary retention is - Answer The marked accumulation of urine in the bladder
To help promote normal defecation and prevent discomfort, ideally the nurse should
place the patient on a bedpan in which position - Answer Raise the head of the bed to 30
degrees
The nurse begins to suspect faecal impaction in a patient who has not passed a stool in 10 days
when the patient - Answer Abdominal pain
- Tenderness on palpation
- Absent bowel sounds in LLQ
- Dull sounds on percussion
an elderly patient states that she is worried because she has not had a bowel
movement each day. The nurse's best response concerning defecation patterns for
elderly people would be - Answer The number of bowel movements per week varies
between people. What is your usual bowel pattern?
What is a normal finding on palpation of the abdomen? - Answer - The abdomen is non-
tender and soft with no guarding, no palpable masses felt.
7. When inspecting a client's abdominal contour, the nurse observes the abdomen to be swollen
and distended. The nurse describes and documents this as - Answer Protuberant
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
Ascites is defined as - Answer - Abnormal accumulation of fluid within the abdomen
, The nurse is performing a musculoskeletal assessment with a patient. Plantar flexion of the
ankle involves requesting the client to - Answer - Point their toes towards the ground
11. When undertaking a musculoskeletal assessment, you should first - Answer - Inspect and
palpate the joint
You are inspecting your client's spinal symmetry and assessing their posture. You identify that
the client has scoliosis. This is - Answer - lateral curvature of the thoracic region of the spine
13. The nurse is examining the ROM of a client's shoulder. Which of the following is a normal
finding? - Answer - Forward flexion of 180 degrees.
- Full active ROM
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
15. When using a mobile hoist with a dependent patient, identify the correct rule - Answer
Lite assessment
- Breaks on
. The older persons tendency to take smaller steps with feet close together will most
likely result in - Answer Falls risk
17. The most significant hazard of restricted mobility is - Answer DVT (deep vein thrombosis)
18. What is the term given to an unexpected effect of a medication? - Answer Adverse
effects
When administering paracetamol to a patient, it is important to ask the patient about - Answer
Any previous renal or liver problems
- When they last took paracetamol
- Total dose of paracetamol in the past 24 hours
You are at the patient's bedside ready to administer medication. What question must
you always ask the patient? - Answer Identification (name, dob)
- Allergies