NCLEX Fundamentals Review Test Questions with Answers Rated A
· Know your facility's policies for lifting and safe client
handling.
· Have one or more statt members assist with positioning
clients.
· Plan ahead for activities that require lifting, transfer, and
ambulation of a client, and ask others to be available to
assist.
· Prepare the environment by removing obstacles prior to
the procedure.
· Explain the process to the client and assistants to clarify
their roles.
A bed-bound client needs to be repositioned. What · Rest between heavy activities to decrease muscle fa-
guidelines should the nurse follow to prevent personal tigue.
injury? · Maintain good posture and exercise regularly to increase
the strength of your arms, legs, back, and abdominal
muscles, so these activities will require less energy.
· Keep your head and neck in a straight line with your pelvis
to avoid neck flexion and hunched shoulders, which can
cause impingement of nerves in your neck.
· Use smooth movements when lifting and moving clients
to prevent injury from sudden or jerky muscle movements
· When standing for long periods of time, flex your hips
and knees by using a footrest.
· Avoid twisting your spine or bending at the waist (flexion)
to minimize the risk for injury
· A prescription for physical restraints must include: reason
for restraint, the type of restraint, the location of restraints,
A nurse is receiving an order to restrain a client with acute how long to use the restraints, and the type of behavior
psychosis who is a danger to himself and others. What that warranted the use of restraints.
The prescription is only good for 4 hours for adults, 2
, NCLEX Fundamentals Review Test Questions with Answers Rated A
hours for clients ages 9 to 17 years old, and 1 hour for
clients younger than 9 years old. The prescription may be
must the nurse ensure is included in the prescription for
renewed for a maximum of 24 hours.
the physical restraints?
No PRN restraint prescriptions are allowed.
1. Use medical aseptic technique
2. Have client sit upright or lie supine, tilt their head
slightly, and look up at the ceiling.
3. Rest your dominant hand on the clients' forehead, hold
the dropper above the conjunctival sac about 1 to 2 cm,
drop the medication into the center of the sac, avoid
placing it directly on the cornea, and have them close
the eye gently. If they blink during installation, repeat the
List the steps for safely administering an ophthalmic med-
procedure.
ication.
4. Apply gentle pressure with your finger and a clean facial
tissue on the nasolacrimal duct for 30 to 60 seconds to
prevent systemic absorption of the medication.
Note: If instilling more than one medication in the same
eye, wait at least 5 minutes between them. For eye oint-
ment, apply a thin ribbon to the edge of the lower eyelid
from the inner to the outer canthus.
Identify whether the issue is indeed an ethical dilemma.
ÏGather as much relevant information as possible about the
dilemma.
ÏReflect on your own values as they relate to the dilemma.
Steps to Resolve an Ethical Dilemma
ÏState the ethical dilemma, including all surrounding is-
sues and the individuals it involves.
ÏList and analyze all possible options for resolving the
dilemma, and review the implications of each option.
ÏSelect the option that is in concert with the ethical prin-
· Know your facility's policies for lifting and safe client
handling.
· Have one or more statt members assist with positioning
clients.
· Plan ahead for activities that require lifting, transfer, and
ambulation of a client, and ask others to be available to
assist.
· Prepare the environment by removing obstacles prior to
the procedure.
· Explain the process to the client and assistants to clarify
their roles.
A bed-bound client needs to be repositioned. What · Rest between heavy activities to decrease muscle fa-
guidelines should the nurse follow to prevent personal tigue.
injury? · Maintain good posture and exercise regularly to increase
the strength of your arms, legs, back, and abdominal
muscles, so these activities will require less energy.
· Keep your head and neck in a straight line with your pelvis
to avoid neck flexion and hunched shoulders, which can
cause impingement of nerves in your neck.
· Use smooth movements when lifting and moving clients
to prevent injury from sudden or jerky muscle movements
· When standing for long periods of time, flex your hips
and knees by using a footrest.
· Avoid twisting your spine or bending at the waist (flexion)
to minimize the risk for injury
· A prescription for physical restraints must include: reason
for restraint, the type of restraint, the location of restraints,
A nurse is receiving an order to restrain a client with acute how long to use the restraints, and the type of behavior
psychosis who is a danger to himself and others. What that warranted the use of restraints.
The prescription is only good for 4 hours for adults, 2
, NCLEX Fundamentals Review Test Questions with Answers Rated A
hours for clients ages 9 to 17 years old, and 1 hour for
clients younger than 9 years old. The prescription may be
must the nurse ensure is included in the prescription for
renewed for a maximum of 24 hours.
the physical restraints?
No PRN restraint prescriptions are allowed.
1. Use medical aseptic technique
2. Have client sit upright or lie supine, tilt their head
slightly, and look up at the ceiling.
3. Rest your dominant hand on the clients' forehead, hold
the dropper above the conjunctival sac about 1 to 2 cm,
drop the medication into the center of the sac, avoid
placing it directly on the cornea, and have them close
the eye gently. If they blink during installation, repeat the
List the steps for safely administering an ophthalmic med-
procedure.
ication.
4. Apply gentle pressure with your finger and a clean facial
tissue on the nasolacrimal duct for 30 to 60 seconds to
prevent systemic absorption of the medication.
Note: If instilling more than one medication in the same
eye, wait at least 5 minutes between them. For eye oint-
ment, apply a thin ribbon to the edge of the lower eyelid
from the inner to the outer canthus.
Identify whether the issue is indeed an ethical dilemma.
ÏGather as much relevant information as possible about the
dilemma.
ÏReflect on your own values as they relate to the dilemma.
Steps to Resolve an Ethical Dilemma
ÏState the ethical dilemma, including all surrounding is-
sues and the individuals it involves.
ÏList and analyze all possible options for resolving the
dilemma, and review the implications of each option.
ÏSelect the option that is in concert with the ethical prin-
