NURS 1521 QUIZ 1 QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026

NURS 1521 QUIZ 1 QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026 how often should a nurse fo comfort rounds for a pt at risk for falls? - Answers every 2-3 hrs what are defining characteristics of assessing a pt's gait? - Answers shuffled gait uncoordinated gait pt reports slower walking speed what are defining characteristics of observing a pt task such as easitng, dressing, or recreational activities - Answers - uncoordinated movements -limited fine motor coordination what are defining characteristics assessinng activities in measuring range of joint motion - Answers -reduced joint motion in lower and/or upper extremities -stiffness in joints what are defining characteristics of assessment activity of measuring a pt's strength? - Answers - has difficulty rising to sitting position or exiting bed A nurse is instructing a patient who has decreased leg strength on the left side how to use a cane. Which action indicates proper cane use by the patient? 1. The patient keeps the cane on the left side of the body. 2. The patient slightly leans to one side while walking. 3. The patient keeps two points of support on the floor at all times. 4. After the patient places the cane forward, the patient then moves the right leg forward to the cane. - Answers 3. The patient keeps two points of support on the floor at all times. A patient is experiencing some problems with joint stability. The doctor has prescribed crutches for the patient to use while being allowed to bear weight on both legs. Which of the following gaits should the patient be taught to use? 1. Four-point 2. Three-point 3. Two-point 4. Swing-through - Answers 1. Four-point Which of the following are principles of proper body mechanics when lifting or carrying objects? (Select all that apply.) 1. Keep the knees in a locked position. 2. Bend at the waist to maintain a centre of gravity. 3. Maintain a wide base of support. 4. Hold objects away from the body for improved leverage. 5. Encourage the patient to help as much as possible. - Answers 3. Maintain a wide base of support. 5. Encourage the patient to help as much as possible. The nurse recognizes that the older person's progressive loss of total bone mass and tendency to take smaller steps with feet kept closer together will most likely: 1. Increase the patient's risk for falls and injuries. 2. Result in less stress on the patient's joints. 3. Decrease the amount of work required for patient movement. 4. Allow for mobility, in spite of the aging effects on the patient's joints. 7. A nurse plans to provide education to the parents of school-age children, - Answers 1. Increase the patient's risk for falls and injuries. An unregulated care provider asks for help in transferring a patient who is 56.8 kg (125 lbs) from the bed to a wheelchair. The patient is unable to help. What is the nurse's best response? 1. "As long as we use proper body mechanics, no one will get hurt." 2. "The patient only weighs 56.8 kg. You don't need my assistance." 3. "Call the lift team for additional assistance." 4. "The two of us can lift the patient easily." - Answers 3. "Call the lift team for additional assistance." Which is the correct gait when a patient is ascending stairs on crutches? 1. A modified two-point gait. (The affected leg is advanced between the crutches to the stairs.) 2. A modified three-point gait. (The unaffected leg is advanced between the crutches to the stairs.) 3. A swing-through gait 4. A modified four-point gait. (Both legs advance between the crutches to the stairs.) - Answers 2. A modified three-point gait. (The unaffected leg is advanced between the crutches to the stairs.) Before transferring a patient from the bed to a stretcher, which assessment data does the nurse need to gather? (Select all that apply.) 1. Patient's weight 2. Patient's level of consciousness 3. Patient's ability to assist 4. Presence of medical equipment 5. Nutritional intake - Answers 1. Patient's weight 2. Patient's level of consciousness 3. Patient's ability to assist 4. Presence of medical equipment A patient with a right knee replacement is prescribed no weight bearing on the right leg. The nurse reinforces crutch walking knowing that which of the following crutch gaits is most appropriate for this patient? 1. Two-point gait 2. Three-point gait 3. Four-point gait 4. Swing-through gait - Answers 2. Three-point gait Musculoskeletal disorders are the most prevalent and debilitating occupational hazards for nurses. To reduce the risk for these injuries, the Canadian Institute for Patient Safety advocates which of the following? 1. Mandate that physiotherapists do all patient transfers 2. Require adequate staffing levels in health care organizations 3. Require the use of assistive equipment and devices 4. Require an adequate number of staff to be involved in all patient transfers - Answers 3. Require the use of assistive equipment and devices what factors put a patient at risk for falls? - Answers age history of previous falls gait disturbance balance and mobility postural hypotension sensory impairment urinary/bladder disfunction use of medications what is a common and serious fall related injury? - Answers hip fractures what can nurses do to reduce the risk of falls? - Answers assessment and communication about patient risks staff assignments in close proximity signage improved hand offs nurse toilet and comfort safety rounds involving pt and family what is the purpose of the Hendrich II Fall Risk Model? - Answers - used in acute care settings - considers the pt's ability to move independently, other factors that can increase risk for falls what does a score of 5 or greater mean on the Hendrich II Fall Risk Model? - Answers patient is high risk for falls Accidental injuries are the leading cause of death for which age group? 1. 1 to 12 months 2. 1 to 34 years 3. 45 to 64 years 4. 65 years and over - Answers 2. 1 to 34 years Adolescents are at a greater risk for injury from: 1. Poisoning, drowning, motor vehicle accidents 2. Motor vehicle accidents, suicide, and substance abuse 3. Home accidents, motor vehicle accidents, fire 4. Falls, suicide, drowning - Answers 2. Motor vehicle accidents, suicide, and substance abuse The physiological changes caused by aging increase the older patient's risk for: 1. Falls 2. Suicide 3. Alcoholism 4. Seizures - Answers 1. Falls Medication and fluid administration errors and the improper application of external devices are examples of: 1. Patient-inherent accidents 2. Procedure-related accidents 3. Equipment-related accidents 4. Environmental-related accidents - Answers 2. Procedure-related accidents Which of the following statements about restraints is not true? 1. Restraints are used only after other alternatives have been tried. 2. The least restrictive method of restraint should be used. 3. Restraints are considered a long-term intervention. 4. If a restraint is used, it must be part of the patient's medical treatment. - Answers 3. Restraints are considered a long-term intervention. All of the following are acceptable alternatives to the use of restraints, except: 1. Attending to needs for toileting, food, and liquid 2. Offering diversionary activities, such as music or something to hold 3. Camouflaging IV lines with clothing or a stockinette 4. Ensuring that a family member is with the patient at all times - Answers 4. Ensuring that a family member is with the patient at all times define urticaria - Answers raised, irregularly shaped skin eruptions with varying sizes and shapes; eruptions have reddened margins and pale centre what is rhinitis? - Answers inflammation of mucous membranes lining nose; causes swelling and clear, watery discharge Mr. Huels's temperature is 39.2°C. He complains of nausea and is unable to tolerate oral fluids. The nurse checks Mr. Huels's orders, which read, "Acetaminophen 650 mg orally for temperature above 38.5°C." Based on the nurse's assessment of Mr. Huels's nausea, the nurse determines that he will not be able to tolerate acetaminophen orally what alternative route should the nurse suggest/consult the prescriber to administer the medication? - Answers rectal suppository. won't increase the pt's symptoms of nausea Which of the following rights is the most recent right to be added to the list of rights of medication administration? 1. Right to refuse 2. Right route 3. Right medication 4. Right patient - Answers 1. Right to refuse The nurse is having difficulty reading a physician's order for a medication. She knows the physician is very busy and does not like to be called. What does the nurse do? 1. Call a pharmacist to interpret the order. 2. Call the physician to have the order clarified. 3. Consult the unit manager to help interpret the order. 4. Ask the unit secretary to interpret the physician's handwriting. - Answers 2. Call the physician to have the order clarified. A patient has a gastrointestinal alteration. Which method of medication administration should not be used? 1. Oral 2. Topical 3. Inhalation 4. Injection - Answers 1. Oral