NR324 CJE Exam Questions with Correct Answers
NPO - CORRECT ANSWER -no food or fluid at all by mouth
Hearing aids amplify sounds, but do not help clients - CORRECT ANSWER -
interpret what they hear
Amplification of sound in a loud environment can be - CORRECT ANSWER -
distracting and disturbing
Hearing aids: client education - CORRECT ANSWER -use the lowest setting that
allows hearing without feedback
clean the ear mold with mild soap and water while keeping the hearing aid dry
when not in use for an extended period of time, turn it off and remove the battery
keep replacement batteries on hand
Non-Pharmacological Comfort Measures - CORRECT ANSWER -Distraction
Biofeedback
Self hypnosis
Guided Imagery
Heat & Cold applications
Relaxation techniques
Transcutaneous Electrical Nerve Stimulation (TENS)
,Music therapy
Massage
Sleep and rest considerations - CORRECT ANSWER -Follow normal routine
Position
Decrease noise/distraction, lighting, anxiety
Do not wake client up for prn sleep medications
PRN sleep meds (should not be administered routinely--give when other measures
fail)
White noise
No caffeine, alcohol, or tobacco
Clients who have latex allergies: - CORRECT ANSWER -Use silicon or Teflon
products
Coudé catheter "bent tip": - CORRECT ANSWER -most commonly used for male
clients with some kind of blockage or obstruction
A nurse is caring for a client who is sitting in a chair and asks to return to bed.
Which of the following actions is the nurse's priority at this time?
A.Obtain a walker for the client to use to transfer back to bed.
B.Call for additional staff to assist with the transfer.
C.Use a transfer belt and assist the client back into bed.
, D.Determine the client's ability to help with the transfer. - CORRECT ANSWER -D
A nurse is preparing to instill an enteral feeding for a client who has an NG tube in
place. Which of the following actions is the nurse's highest assessment priority
before performing this procedure?
A.Check how long the feeding container has been open.
B.Verify the placement of the NG tube.
C.Confirm that the client does not have diarrhea.
D.Make sure the client is alert and oriented. - CORRECT ANSWER -B
A nurse is talking with a client about ways to help sleep and rest. Which of the
following recommendations should the nurse give to the client to promote sleep
and rest? (Select all that apply.)
A. Practice muscle relaxation techniques.
B. Exercise each morning.
C. Take an afternoon nap.
D. Alter the sleep environment for comfort.
E. Limit fluid intake at least 2 hr before bedtime. - CORRECT ANSWER -A, B, D, and
E.
The nurse needs to evaluate a patient's intake for the last 8 hours. For breakfast,
the patient had two cups of coffee and 4 oz of orange juice; for lunch: 8 oz of iced
tea, a cup of ice chips, and 1 cup chicken broth. The patient also has fluids running
at 20ml/hr of 0.9% normal saline. Urine output for the 8-hour shift was 800ml.
NPO - CORRECT ANSWER -no food or fluid at all by mouth
Hearing aids amplify sounds, but do not help clients - CORRECT ANSWER -
interpret what they hear
Amplification of sound in a loud environment can be - CORRECT ANSWER -
distracting and disturbing
Hearing aids: client education - CORRECT ANSWER -use the lowest setting that
allows hearing without feedback
clean the ear mold with mild soap and water while keeping the hearing aid dry
when not in use for an extended period of time, turn it off and remove the battery
keep replacement batteries on hand
Non-Pharmacological Comfort Measures - CORRECT ANSWER -Distraction
Biofeedback
Self hypnosis
Guided Imagery
Heat & Cold applications
Relaxation techniques
Transcutaneous Electrical Nerve Stimulation (TENS)
,Music therapy
Massage
Sleep and rest considerations - CORRECT ANSWER -Follow normal routine
Position
Decrease noise/distraction, lighting, anxiety
Do not wake client up for prn sleep medications
PRN sleep meds (should not be administered routinely--give when other measures
fail)
White noise
No caffeine, alcohol, or tobacco
Clients who have latex allergies: - CORRECT ANSWER -Use silicon or Teflon
products
Coudé catheter "bent tip": - CORRECT ANSWER -most commonly used for male
clients with some kind of blockage or obstruction
A nurse is caring for a client who is sitting in a chair and asks to return to bed.
Which of the following actions is the nurse's priority at this time?
A.Obtain a walker for the client to use to transfer back to bed.
B.Call for additional staff to assist with the transfer.
C.Use a transfer belt and assist the client back into bed.
, D.Determine the client's ability to help with the transfer. - CORRECT ANSWER -D
A nurse is preparing to instill an enteral feeding for a client who has an NG tube in
place. Which of the following actions is the nurse's highest assessment priority
before performing this procedure?
A.Check how long the feeding container has been open.
B.Verify the placement of the NG tube.
C.Confirm that the client does not have diarrhea.
D.Make sure the client is alert and oriented. - CORRECT ANSWER -B
A nurse is talking with a client about ways to help sleep and rest. Which of the
following recommendations should the nurse give to the client to promote sleep
and rest? (Select all that apply.)
A. Practice muscle relaxation techniques.
B. Exercise each morning.
C. Take an afternoon nap.
D. Alter the sleep environment for comfort.
E. Limit fluid intake at least 2 hr before bedtime. - CORRECT ANSWER -A, B, D, and
E.
The nurse needs to evaluate a patient's intake for the last 8 hours. For breakfast,
the patient had two cups of coffee and 4 oz of orange juice; for lunch: 8 oz of iced
tea, a cup of ice chips, and 1 cup chicken broth. The patient also has fluids running
at 20ml/hr of 0.9% normal saline. Urine output for the 8-hour shift was 800ml.
