NURS 100 Assessment 3 Exam Study
Questions with Correct Answers 2026
How to properly use therapeutic communication
Never use the word "why" at the beginning of the sentence
How often do you need to check someone's restraints for skin integrity?
Every 2 hours
How long is an emergency restraint prescription good for, for an adult?
4 hours
How long is an emergency restraint prescription good for, for someone 9 to 17?
2 hours
How long is an emergency restraint prescription good for, for someone younger
than 9 years old?
1 hour
Dementia vs Delirium
- Delirium: acute onset, physical symptoms
- Dementia: insidious onset, defect in short-term memory
Purpose of anti-embolic stockings
Prevents vein distension
Purpose of a gait belt
Maintain safety while pt is ambulating.
Passive range of motion
Motion carried out by someone else
Active range of motion
Motion carried out by pt
Morse Fall Scale ranges
NURS 100
, NURS 100
*Higher the number, the higher the risk
0 to 24: LOW
Implement level I preventive fall precautions
25 to 44: MODERATE
Implement level II preventive fall precautions
Greater than 44: HIGH
Implement level III preventive fall precautions
Safety considerations for risk of fall for older adult pts
- Identify safety hazards in the environment
- Modify the environment as necessary
- Attend defensive driving courses or courses designed for older drivers
- Encourage regular vision and hearing tests
- Ensure hearing aids and eyeglasses are available and functioning
- Have operational smoke detectors in place
- Objective document and report any signs of neglect and abuse
What is death from the use of restraints considered?
Sentinel event
Signs and symptoms of DVT
- Pain
- Edema
- Warmth
- Erythema
Nursing actions for DVT
- Notify the provider immediately.
- Ultrasound order
- Position the client in bed with the leg elevated.
- Avoid any pressure at the site of the inflammation.
- Anticipate giving anticoagulants.
- D-dimer
Client education for DVT
NURS 100