NR 304 WEEK 8 ATI FINAL EXAM 99,99 Q&A / NR304 WEEK 8 ATI FINAL EXAM 99,99 Q&A: LATEST,CHAMBERLAIN COLLEGE OF NURSING

NR 304 WEEK 8 ATI FINAL EXAM 99,99 Q&A / NR304 WEEK 8 ATI FINAL EXAM 99,99 Q&A: LATEST,CHAMBERLAIN COLLEGE OF NURSING NR 304 WEEK 8 ATI FINAL EXAM 75/99 Q&A Questions derived from Fundamentals for Nursing Edition 7. 0, application exercises. Chapter 1 through Chapter 34, pages 1 through 347. For any questions or suggestions, email at arnoldjr2@gmail. Com Questions and Answers • 1. A patient who had mastectomy 6 months ago tells the nurse that she has had not much desire for sexual relations since her surgery. "My body is different now." Which of the following is an appropriate response from the nurse? Discuss o A. "Really, you look just fine to me. There's no need to feel undesirable o B. I'm interested in finding out more about how your body feels to you". o C. "Consider an afternoon at a spa. A facial will make you feel more attractive" o D. "it is still too soon to expect to feel normal. Give it a little more time • 2. Which of the following factors positively affect self-concept? Select all that apply o A. Diabetes mellitus o B. Parental approval o C. Success at school o D. Receiving a promotion at work o E. Excessive use of alcohol • 3. A diabetic patient lost his wife 4 months ago. Tearful, he says, "How could you possible understand what I am going through?" Which of the following would be an appropriate response? o A. "It takes time to get over the loss of a loved one." o B. "You are right; I cannot really understand. Perhaps you'd like to tell me more about what you're feeling." o C. "Why don't you try something to take your mind off your troubles, like watching a funny movie." o D. "I might not share your exact situation, but I do know what people go through when they deal with a loss." • 4. Which of the following types of stress is being experienced by a middle adult client who is stressed by the concerns of caring for young adults still in the home and her aging parents? o A. Situational o B. Developmental o C. Social o D. Cultural • 5. A home health nurse performs a 3-day postpartum visit for a first-time mother. The household includes her husband, her mother, and her father. What type of family form is represented here? o A. Nuclear o B. Extended o C. Blended o D. Alternative • 6. Which of the following is a priority nursing intervention for a family with a history of violence? o A. Educating the family about anger management o B. Refining the family's communication skills o C. Viewing the family in context o D. Using the family's strengths to define them • 7. Which of the following approaches should be used when working with a family using an open structure for coping with crisis? o A. Prescribing tasks unilaterally o B. Convening a family meeting o C. Delegating care to one member o D. Speaking to the primary client privately • 8. Which of the following is a situational role change? o A. A young adult getting married for the first time o B. A toddler learning to control elimination o C. An adolescent experiencing puberty o D. A middle adult experiencing menopause • 9. Once a nurse has counseled a client about her situational role changes and she has accepted them, what is the next step in her recovery? o A. Apprehension o B. Tension o C. Resentment o D. Adaptation • 10. A nurse recognizes that a helping relationship is established with a patient if the communication... Discuss o A. Occurs spontaneously throughout the nurse-client relationship o B. Has no time limits o C. Is equally reciprocal between the nurse and the patient. o D. Encourages the patient to express his thoughts and feelings • 11. When talking to a child who is seated, the nurse should Discuss o A. Touch the child o B. Stand facing the child o C. Stand with a relaxed posture o D. Sit at eye level with the child • 12. Behaviors of active listening. Select all that apply: o A. Responding positively when giving feedback o B. Writing down what the client says so that details are not forgotten o C. Maintaining an open posture o D. Establishing and maintaining an eye contact o E. Nodding in agreement with the client throughout the conversation • 13. Which of the following are normal aging changes of the musculoskeletal system? Select all that apply; Discuss o A. Wider stance resulting in posture changes o B. Loss of height o C. Increased range of motion o D. Increased muscle bulk o E. Thinning intervertebral discs • 14. Assessment of the musculoskeletal system should start with o A. Measuring limb length o B. Testing range of motion o C. Inspecting for symmetry and posture o D. Assessing of muscle strength • 15. During an assessment, the client reports pain on internal rotation of her right shoulder. This will most likely affect which of the following activities?. o A. Brushing the back of her hair o B. Fastening her bra behind her back o C. Reaching for something in a cabinet above the sink o D. Mopping the floor • 16. Unilateral hypertrophy of the arm muscles is most likely seen in an individual who regularly o A. Lifts weights o B. Plays soccer o C. Moves furniture o D. Plays tennis • 17. Dorsiflexion of the feet is assessed by instructing the client to o A. Point the toes toward the head o B. Point the toes toward the floor o C. Turn the soles of the feet outward o D. Turn the soles of the feet inward • 18. Which of the following should be asked to assess a patient's cerebral function during a health history? o A. "Do your fingers feel numb and tingly?" o B. "Do you have difficulty remembering things?" o C. "Do you have any problems keeping your balance?" o D. "Do you have nay difficulties with your sense of taste?" • 19. Match the following cranial nerves with the appropriate assessment technique o A. Olfactory CN I o A. o B. Optic CN II o B. o C. Oculomotor - CN III; Trochlear CN IV; Abducens CN VI o C. o D. Facial CN VII o D. o E. Spinal accessory CN XI o E. o F. Hypoglossal CN XII o F. • 20. When the triceps tendon is hit with a reflex hammer, the expected response is for the elbow to o A. Flex o B. Extend o C. Internally rotate o D. Pronate • 21. To evaluate STEREOGNOSIS, the nurse should ask the client to close his eyes and identify Discuss o A. A number drawn in the palm of his hand o B. A word whispered 30 cm from the ear o C. A familiar object placed in his hand o D. The vibration of a tuning fork placed on his foot • 22. Which of the following is included in the assessment of the client's cognitive processes? Select all that apply o A. Level of consciousness o B. Mood o C. Appearance o D. Knowledge o E. Judgment • 23. Match the type of lesion commonly seen on a skin assessment with its correct assessment terminologyf o A. freckle o A. o B. wart o B. o C. blister o C. o D. acne o D. o E. psoriasis o E. o F. insect bit o F. • 24. When performing a skin assessment, which of the following are normal findings? Select all that apply: Discuss o A. No clubbing noted o B. Capillary refill less than 2 seconds o C. 3+ pitting edema in feet bilaterally o D. Numerous light brown macules, less than 3 mm in size, located on nose and cheeks o E. Shiny and thin skin without hair on shins • 25. When assessing a skin temperature, which side of the hand should be used? o A. Fingertips o B. Dorsal surface o C. Palmar surface o D. Base of the hand • 26. Assessment of an older adult reveals significant skin tenting over the forearm. Why? o A. Loss of adipose tissue and elasticity o B. Parchment-like skin o C. Significant flaking and dryness o D. Skin tags • 27. A patient just had a knee arthroplasty. Which of the following should be examined to assess peripheral vascular system of the affected extremity? Select all that apply Discuss o A. Range of motion o B. Skin color o C. Skin temperature o D. Presence of skin lesions o E. Capillary refill o F. Edema • 28. Which of the following are expected changes of the breast tissue after menopause? Select all that apply Discuss o A. Clear discharge from nipples o B. More pendulous o C. Breast tissue replaced by adipose tissue o D. Firmer o E. Nodular • 29. During palpation of the breast, the client is instructed to extend an arm over her head, and a small pillow or folded towel is placed under her shoulder. What for? Discuss o A. Spread tissue more evenly over the chest wall for easier palpation o B. Keep client from guarding during the exam o C. Expose the tail of Spence for eaisier inspection o D. Determine whether or not a breast mass is consistently irregular when palpating a nodule. • 30. Match the following respiratory sounds with its correct description Discuss o A. Bronchial sounds o A. o B. Bronchovesicular sounds o B. o C. Vesicular sounds o C. o D. Crackles and rales o D. • 31. Match the following lung sounds with its correct description Discuss o A. pleural friction rub o A. o B. wheezes o B. o C. resonance o C. o D. hyperresonance o D. • 32. What is the most appropriate way to auscultate breathe sounds? o A. Listen to the top of the anterior chest and then the top of the posterior chest o B. Compare side to side proceeding from top to bottom o C. Listen only to the posterior chest o D. Complete one side of the chest before proceeding to the other side • 33. Match the action within the heart/peripheral vascular system with the sound it produces. Discuss o A. rapid ventricular filling o A. o B. closure of the mitral and tricuspid valve o B. o C. strong atrial contraction o C. o D. Obstructed blood flow in peripheral circulation o D. o E. impeded blood flow in the heart o E. o F. closure of the aortic and pulmonic valves o F. • 34. The proper placement of a stethoscope for auscultating the aortic valve is the .... o A. Second ICS just left of the sternum o B. Second ICS just right of the sternum o C. Fourth ICS just left of the sternum o D. Fourth ICS just right of the sternum • 35. Which of the following is assessed when performing palpation of the thorax and lung? Select all that apply: Discuss o A. Breath sounds o B. Respiratory effort o C. Tactile fremitus o D. Surface characteristics o E. Chest excursion • 36. What is the right sequence when performing an abdominal assessment? o A. Inspection, palpation, percussion, auscultation o B. Auscultation, inspection, palpation, and percussion o C. Percussion, inspection, auscultation and palpation o D. Inspection, auscultation, percussion and palpation • 37. When performing percussion, which of the following sounds should be heard over most of the abdomen? Discuss o A. Dullness o B. Tympany o C. Grating o D. Gurgling • 38. Match each lymph node of the head and neck with its location for palpation o A. occipital lymph node o A. o B. preauricular lymph node o B. o C. Postauricular lymph node o C. o D. submandibular lymph node o D. o E. tonsillar (retropharyngeal) lymph node o E. o F. Submental lymph node o F. o G. Anterior cervical lymph nodes o G. o H. Posterior cervical lymph nodes o H. • 39. Which of the following should be assessed when examining the face? o A. Lymph nodes o B. Perception of light touch of the face o C. Symmetry of facial features o D. ROM of the neck o E. Presence of involuntary movements • 40. Asking the client to tip her head to one side and slightly forward, palpating either side of the trachea at the lower half of the neck, and then asking the client to swallow is the correct technique for examining what? Discuss o A. Lymph nodes o B. ROM of the neck o C. Symmetry of the skull o D. Thyroid gland • 41. Match the examination technique or tool needed to screen for the following conditions: o A. color blindness o A. o B. myopia o B. o C. nystagmus o C. o D. presbyopia o D. o E. strabismus o E. o F. glaucoma o F. • 42. A patient told you that the results of her Snellen eye test was that the acuity for both of her eyes was 20/30. What does this mean o A. Patient sees at 20 ft what the normal sighted person sees at 30 ft. o B. Patient sees at 30 ft what the normal sighted person sees at 20 ft. o C. Patient sees at 10 ft what the normal sighted person sees at 50 ft. o D. Patient sees at 50 ft what the normal sighted person sees at 20 ft • 43. What part of the eye examination should occur first? o A. Extraocular movements o B. Internal structures o C. Visual acuity o D. Visual fields • 44. Match the appropriate technique for each of the following assessments Discuss o A. A vibrating tuning fork is placed on the mastoid process and then placed near the ear when the sound is no longer heard. o A. o B. A vibrating tuning fork is placed midline on top of the head and the client is asked where the sound is heard best o B. o C. The back of the throat is stimulated with tongue depressor o C. o D. The client occludes one ear while the nurse whispersin the other ear from 30 cm away. o D. • 45. An 85-year old man was admitted in the ER with an oral body temperature of 101 F, a pulse rate of 114 / min and a respiratory rate of 22 / min. He is restless with a warm skin. Which of the following interventions are appropriate for him? Select all that apply: Discuss o A. Obtain culture specimen before initiating prescribed antimicrobials o B. Allow for adequate rest o C. Restrict fluids o D. Provide oral care o E. Only change bed linens when client requests it o F. Apply additional blanket if client feels chilled • 46. Based on the type of client on the left, match the appropriate site for temperature assessment together with the rationale. o A. a newborn o A. o B. a 6-month old infant o B. o C. a healthy 60-year old woman o C. o D. a confused 82-year old man o D. • 47. Based on the assessment of the client on the left, select the appropriate site for temperature assessment on the right with its corresponding rationale. Discuss o A. a client with hemorrhoids o A. o B. a client with a stuffy nose o B. o C. a client with a low platelet count due to chemotherapy o C. o D. a client immediately following a mandibular surgery o D. • 48. Which of the following increases the pulse rate? Select all that apply: o A. Hyperthyroidism, o B. Walking on treadmill o C. Blood loss o D. Anxiety o E. Acute pain • 49. Which of the following decreases the pulse rate? Select all that apply: o A. Calcium channel blockers o B. Acute pain o C. Anxiety o D. Blood loss o E. Hypothermia • 50. In which of the following scenarios would a simultaneous use of apical and radial sites be used to assess the pulse rate? o A. A 2-month old infant during a routing check-up o B. A 16-year old patient who has been stable for 3 hours following an appendectomy o C. A 76-year old client showing a tachycardia and an irregular rhythm on the cardiac monitor o D. A 56-year old patient with an order to receive a stat dose of Digoxin o E. A 20-yeard patient in the ER with a hand laceration • 51. In which of the following scenarios would the use of the apical site be appropriate to assess the pulse rate? Select all that apply: Discuss o A. A 2-month old infant during a routing check-up o B. A 20-yeard patient in the ER with a hand laceration o C. A 16-year old patient who has been stable for 3 hours following an appendectomy o D. A 56-year old patient with an order to receive a stat dose of Digoxin • 52. In which of the following scenarios would the use of the radial site be appropriate to assess the pulse rate? Select all that apply Discuss o A. A 19-year old patient in the ER with a hand laceration to be sutured. o B. A 56 year old client with an order to receive a stat dose of digoxin o C. A 75-year old patient on a cardiac monitor o D. A 26-yeard old patient who has been stable for 3 hours following an appendectomy • 53. A nurse is checking the vital signs of a 92-year old patient. The patient's radial pulse has an irregular beat about every 5th or 6th beat. The rate is 92/min. The patient is asymptomatic. What should be the first intervention? Discuss o A. Report the findings to the physician immediately. o B. Obtain an electrocardiogram o C. Check an apical pulse for 60 seconds and note any pulse deficits o D. Place the patient on telemetry • 54. Which of the following are appropriate when assessing a client's respiration? Select all that apply: Discuss o A. Count the respiratory rate for 1 minute o B. Place the client on semi-Fowler's position o C. Count the respiratory rate simultaneously with the pulse o D. Position the stethoscope on the anterior chest o E. Observe one full respiratory cycle before counting the rate • 55. Which of the following increases respiratory rate? Select all that apply: o A. Brisk walk on treadmill o B. Sickle cell disease o C. Smoking o D. Acute gall bladder attack o E. Mountain hiking • 56. Which of the following decreases respiratory rate? Select all that apply: o A. Morphine o B. Caffeine o C. Jogging in the park o D. General anesthesia during surgery o E. Smoking • 57. Which of the following increases blood pressure? Select all that apply o A. Cocaine o B. Brisk walk on a treadmill o C. Antihypertensive o D. Acute gallbladder attack o E. Postoperative pain • 58. Which of the following decreases blood pressure? Select all that apply: Discuss o A. Cocaine o B. Brisk walk on a treadmill o C. Antihypertensive o D. Acute gallbladder attack o E. Postoperative pain • 59. Match the following readings on the right with the blood pressure classification on the left according to JNC 7 o A. Normal o A. o B. Prehypertension o B. o C. Stage 1 hypertension o C. o D. Stage 2 hypertension o D. • 60. A nurse is checking the vital signs of a newly admitted patient who has a fracture femur. The patient's blood pressure is 140/94 mm Hg. The client denies any history of hypertension. What should the nurse do next? o A. Ask the patient if she is having pain o B. Report the elevated BP to the physician o C. Return within 30 minutes to check the blood pressure o D. Check orthostatic blood pressure • 61. Which of the following is an effective technique to use when interviewing a client? o A. Start interview with nonthreatening topics o B. Use only non-directive questions o C. Have the client fill out a printed history form o D. Ask questions word for word from the history form • 62. A patient is concerned about the confidentiality of the information she is disclosing during a health history interview. The nurse should response by telling the client..... o A. Exactly with whom the information will be shared o B. That it is required for her to give any information that is requested o C. A confidential piece of information about herself o D. Her family members will be informed of necessary information • 63. Which of the following therapeutic techniques is used to provide a comfortable environment for performing a health assessment? Select all that apply: Discuss o A. Provide privacy o B. Examine sensitive areas first o C. Reduce environmental noises o D. Explain various techniques before performing them o E. Use medical terminology for accuracy • 64. Match the location on the right where the following percussion sounds on the left are normally produced in the body. o A. tympany o A. o B. resonance o B. o C. dull o C. o D. flat o D. • 65. When doing an assessment for vibration, which part of the hand should be used? o A. Ulnar surface o B. Finger pads o C. Dorsal surface o D. Palmar surface • 66. Which of the following are expected findings in regard to changes associated with aging? Select all that apply: o A. Increased insulin resistance o B. Increased constipation o C. Increased saliva production o D. Decrease in subcutaneous fat o E. Increase in bladder capacity • 67. Which of the following are expected findings from a 50-year old patient? Select all that apply: o A. Decreased muscle tone in the large intestine o B. Decreased ability to hear high-pitched sounds. o C. Reduced gastric secretions o D. Reduced central vision o E. Decrease in subcutaneous fat • 68. Which of the following is an expected psychosocial assessment from a healthy middle aged adult? Discuss o A. Develop an acceptance of diminished strength and increased dependence on others. o B. Feel frustrated that time is too short for attempting to start another life o C. Accept one's life as creative and productive o D. Find someone to share one's life with • 69. The formal operations stage of development is described by which of the following theorists? o A. Piaget o B. Erikson o C. Freud o D. Kohlberg • 70. A 17-year old male patient was hospitalized because of a fractured femur. Which of the following are age-appropriate interventions? Discuss o A. Suggest that his parents room in with him o B. Provide a television and DVDs for him to watch o C. Restrict visitors o D. Encourage him to get enough rest o E. Allow him to perform his own morning care • 71. Which of the following developmental tasks should adolescents be expected to accomplish? Discuss o A. Identity vs role confusion o B. Autonomy vs shame o C. Initiative vs guilt o D. Industry vs inferiority • 72. Which of the following is an age-appropriate activity for a 7-year old child? Select all that apply: o A. Playing a card game o B. Assuming responsibility for a pet o C. Collecting coins o D. Participating in a soccer team o E. Solving a puzzle • 73. When caring for a school-age child, which of the following cognitive abilities should a nurse expect? Select all that apply: Discuss o A. Will not understand another person's point of view o B. Believes everything is made by humans o C. Understands simple analogies o D. Demonstrates an understanding of days and weeks o E. Identifies inanimate objects as living • 74. Which of the following developmental task should a school-age child be expected to accomplish? Discuss o A. Trust vs mistrust o B. Autonomy vs shame o C. Initiative vs guilt o D. Industry vs inferiority • 75. A school nurse is planning a health promotion and primary prevention class for a group of 4th grade students. Which of the following is appropriate to include for the parents of this age group? Select all that apply: Discuss o A. Obesity o B. Substance abuse o C. Scoliosis o D. Pregnancy prevention o E. Stranger awareness • 76. A 4 year old child was brought to a clinic by her father. According to the father, she goes to bed at 8:30 pm every night and wakes up at about 7:30 in the morning, but she often lays in bed talking to herself or gets up a couple of times before falling asleep 40 minutes later. In the pre-school where she goes, children take a 2-hour afternoon nap. Which of the following could help improve the child's sleep behavior? Discuss o A. Offer the child a snack of her favorite treat right before bedtime o B. Allow the child to watch an extra 30 min of TV in the evening o C. Change the child's bedtime to 9 pm on days she takes an afternoon nap o D. Request the pre-school to limit her nap to 1 hour. • 77. A father tells a nurse that his child might not be ready for kindergarten yet. What developmental tasks should the child currently be doing to indicate that her growth and development is appropriate for her age (4 years old)? Select all that apply: o A. Demonstrates a good understanding of time o B. Able to skip o C. Able to ride a tricycle o D. Demonstrates good coordination o E. Draws copies of shapes on paper o F. Speaks in sentences • 78. Which of the following developmental tasks is appropriate for a preschool child? o A. Using a knife to cut meat at mealtime o B. Dressing independently o C. Following several directions at once o D. Comprehending satire • 79. Which of the following immunizations should a 4 year old child receive from a health visit if her immunizations are up to date? Select all that apply: o A. Hepatitis A, given in two doses, at least 6 months apart o B. Diphtheria and tetanus toxoids and pertussis (DTaP) o C. Inactivated Poliovirus (IPV) o D. Measles, Mumps and Rubella (MMR) o E. Varicella o F. Trivalent Inactivated Influenza Vaccine (TIV) • 80. Match the appropriate immunizations with the age of administration Discuss o A. Haemophilus influenzae type B (Hib); pneumococcal vaccine (PCV); inactivated poliovirus (IPV) (6 to 18 months); measles, mumps, and rubella (MMR); and varicella o A. o B. Hepatitis A (HepA), given in two doses, at least 6 months apart o B. o C. Diphtheria and tetanus toxoids and pertussis (DTaP) o C. o D. Yearly trivalent inactivated influenza vaccine (TIV) o D. • 81. A nurse is teaching a class on accident prevention to a group of parents with their toddlers. Which of the following should be included in the teaching? Select all that apply: Discuss o A. Keep toxic agents in locked cabinets o B. Keep toilet seats up o C. Turn pot handles toward the back of the stove o D. Place safety gates across stairway o E. Raise the setting on the hot water heater o F. Place fences around swimming pools • 82. Which of the following are appropriate activities for a toddler? Select all that apply: o A. Building simple models o B. Playing with a team o C. Filling and emptying containers o D. Playing with blocks o E. Looking at books • 83. A mother tells a nurse that her 2-year old has temper tantrums. The child says "no" everytime the mother tries to help her get dressed. The nurse explains that, developmentally, the child is .... o A. Trying to increase her independence o B. Developing a sense of trust o C. Manifesting an anger management problem o D. Attempting to finish a project she started • 84. Which of the following should a nurse teach regarding the discipline of toddlers? Discuss o A. Establish consistent boundaries o B. Place the child in a room with the door closed o C. Have the child learn by trial and error o D. Use favorite snacks as reward • 85. A nurse is teaching an infant's mother about gross motor development. Which of the following gross motor skills are expected in the next 3 months? Select all that apply: o A. Rolls from back to front o B. Bears weight on legs o C. Walks holding into furniture o D. Sits unsupported o E. Sits down from a standing postiion • 86. A nurse is teaching a new mother about infant safety. Which of the following statements by the mother indicates an understanding of safety for the infant? o A. "My baby loved to play with his crib gym but I took it away from him o B. "I just bought a soft mattress so my baby will sleep better." o C. "My baby really likes riding in the car now that he can sit facing forward." o D. "I just bought a child-safety gate that folds like an accordion • 87. A nurse is providing postoperative teaching for a client who is scheduled for a mastectomy the next day. Which of the following client statements indicates that the client is ready to learn? o A. "I don't want my spouse to see my incision." o B. "Will you be able to give me pain medicine after surgery?" o C. "Can you tell me about how long the surgery will take?" o D. "My room mate listens to everything I say." • 88. Match the activities on the left to the appropriate level of health care prevention on the right. o A. Driver's education. Newborn immunization o A. o B. Blood pressure screening at a senior center. Community cholesterol screening o B. o C. Monitored exercise therapy at a cardiac rehabilitation center. Teaching self-catherization to a client with a spinal cord injury o C. • 89. A 19-year old female client has come to the college health clinic for a Pap test. It is her first visit. Which of the following interventions should the nurse perform first to determine the client's need for health promotion and disease prevention? o A. Measure the client's vital signs o B. Encourage the client to be screened for HIV o C. Determine the client's risk factors o D. Instruct the client to use condoms for birth control • 90. A 21-year old male client comes to a health clinic with a sore throat. The client tells the nurse he has not seen a doctor more than 4 years ago. which of the following health screenings should the nurse anticipate will be performed for this client? Discuss o A. Testicular cancer o B. Blood glucose o C. Fecal occult blood o D. Prostate specific antigen (PSA) • 91. A nurse employed by a large hospital is serving on a committee updating its disaster plan. In case of a mass casualty event, which of the following clients will receive the highest priority? Discuss o A. A client who received crush injuries to the chest and abdomen and is expected to die o B. A client who has a 4-in laceration to the head o C. A client who has partial thickness and full thickness burns to his face, neck and chest. o D. A client who has a fractured fibula and tibia. • 92. Place the following steps of mobility assessments in the correct sequence by matching the assessment with its numbered order Discuss o A. exercise tolerance o A. o B. moving from supine to sitting on the side of the bed o B. o C. gait o C. o D. range of motion o D. • 93. Which of the following positions promotes drainage from the mouth for clients with throat or oral surgery but inhibits chest expansion? Discuss o A. Fowler's position o B. Semi-Fowler's position o C. Prone position o D. Reverse Trendelenburg • 94. Identify the order of priority for completion of each of the following interventions for a newly admitted client who has a history of falls. Discuss o A. survey the client's belongings o A. o B. complete a fall risk assessment o B. o C. complete a physical assessment o C. o D. make arrangements for a home safety survey o D. o E. educate the client and family on the falls risk o E. • 95. A nurse is contributing to the plan of care for a client who is being admitted to the facility with a suspected diagnosis of pertussis. Which of the following should be included in the plan of care? Discuss o A. Place the client in a room that has negative pressure of at least six exchanges per hour o B. Wear a mask when providing care within 3 feet of the client o C. Place a surgical mask on the client if transportation to another department is unavoidable o D. Use sterile gloves when handling soiled linen o E. Wear a gown when performing care that may result in contamination from secretions • 96. Match each of the following practices to the best example. Discuss o A. medical asepsis o A. o B. standard precuation o B. o C. sterile field mainenance o C. o D. contamination o D. • 97. Which of the following should be included in a transfer report? Discuss o A. The client is alert and oriented o B. The client does not like Spinach o C. The client has an allergy to shellfish o D. The client needs morphine every 4 hours o E. The client has two cats at home • 98. Match the critical thinking attitude with the appropriate example o A. confidence o A. o B. discipline o B. o C. perseverance o C. o D. integrity o D. o E. humility o E. • 99. A nurse witnesses an assistive personnel (AP) under her supervision reprimanding a client for not using the urinal properly. The AP threatens to put a diaper on the client if he does not use the urinal more carefully next time. Which of the following torts is the AP committing? o A. Assault o B. Battery o C. False imprisonment o D. Invasion of privacy