BNMN 502 – Management of Nursing Care II, Graduate Nursing Course, Study Guide and
Clinical Management Review
Urinary retention is: - correct answer ✔✔the inability to empty the bladder fully.
While taking a health history from your client, a 53-year-old female, she discloses to you that
she sometimes experiences urinary incontinence when she sneezes and laughs. What would be
the most appropriate response to this information?? - correct answer ✔✔to reassure her that
this is a common issue and discuss possible treatment options, such as pelvic floor exercises or
medications, depending on the cause
The nurse notes that a patient has had a black, tarry stool and recalls that a possible cause
would be: - correct answer ✔✔is gastrointestinal bleeding, such as from a peptic ulcer.
A patient states that they are worried because they have not had a bowel movement each day.
The nurse's best response concerning defecation patterns would be: - correct answer
✔✔explain that bowel movement frequency varies among individuals and that as long as there
are no other concerning symptoms, it's usually not a cause for worry.
Which of the following statements regarding the ageing adult and abdominal assessment is
true: - correct answer ✔✔decreased abdominal muscle tone and subcutaneous fat may lead to
increased visibility of pulsations, especially in thin individuals.
What is a normal finding on palpation of the abdomen? - correct answer ✔✔abdomen is soft,
non-tender, and non-distended.
During report the student nurse hears that a patient has 'hepatomegaly' and recognises that the
term refers to: - correct answer ✔✔Hepatomegaly refers to an enlarged liver.
, When inspecting a client's abdominal contour, the nurse observes the abdomen to be swollen
and distended. The nurse describes and documents this as: - correct answer ✔✔abdominal
distention.
A patient tells the nurse that she is having a hard time bringing her hand to her mouth when
she eats or tries to brush her teeth. The nurse knows that for her to move her hand to her
mouth, she must perform the following movement: - correct answer ✔✔the patient must
perform flexion at the elbow joint.
You are inspecting your client's spinal symmetry and assessing their posture. You identify that
the client has scoliosis. This is: - correct answer ✔✔abnormal lateral curvature of the spine.
The nurse is examining the ROM of a client's shoulder. Which of the following is a normal
finding? - correct answer ✔✔full abduction and adduction without pain or limitation.
You are caring for Mr Smith who has been admitted following a mechanical fall. You are
reviewing his nursing care plan. Which component of the care plan indicates that the patient's
problems have been appropriately described? - correct answer ✔✔nursing diagnosis
When using a mobile hoist with a dependent patient, identify the correct rule: - correct answer
✔✔hoist's base is wide open and locked in place before transferring the patient.
The older person's tendency to take smaller steps with feet close together will mostly likely
result in: - correct answer ✔✔decreased stability and an increased risk of falls.
The most significant problem with restricted mobility is: - correct answer ✔✔increased risk of
complications such as pressure ulcers, muscle weakness, and decreased cardiovascular health.
What is the prime purpose for maintaining a fluid balance chart for a hospitalised client? -
correct answer ✔✔monitor fluid intake and output to assess hydration status and manage fluid
therapy effectively
Clinical Management Review
Urinary retention is: - correct answer ✔✔the inability to empty the bladder fully.
While taking a health history from your client, a 53-year-old female, she discloses to you that
she sometimes experiences urinary incontinence when she sneezes and laughs. What would be
the most appropriate response to this information?? - correct answer ✔✔to reassure her that
this is a common issue and discuss possible treatment options, such as pelvic floor exercises or
medications, depending on the cause
The nurse notes that a patient has had a black, tarry stool and recalls that a possible cause
would be: - correct answer ✔✔is gastrointestinal bleeding, such as from a peptic ulcer.
A patient states that they are worried because they have not had a bowel movement each day.
The nurse's best response concerning defecation patterns would be: - correct answer
✔✔explain that bowel movement frequency varies among individuals and that as long as there
are no other concerning symptoms, it's usually not a cause for worry.
Which of the following statements regarding the ageing adult and abdominal assessment is
true: - correct answer ✔✔decreased abdominal muscle tone and subcutaneous fat may lead to
increased visibility of pulsations, especially in thin individuals.
What is a normal finding on palpation of the abdomen? - correct answer ✔✔abdomen is soft,
non-tender, and non-distended.
During report the student nurse hears that a patient has 'hepatomegaly' and recognises that the
term refers to: - correct answer ✔✔Hepatomegaly refers to an enlarged liver.
, When inspecting a client's abdominal contour, the nurse observes the abdomen to be swollen
and distended. The nurse describes and documents this as: - correct answer ✔✔abdominal
distention.
A patient tells the nurse that she is having a hard time bringing her hand to her mouth when
she eats or tries to brush her teeth. The nurse knows that for her to move her hand to her
mouth, she must perform the following movement: - correct answer ✔✔the patient must
perform flexion at the elbow joint.
You are inspecting your client's spinal symmetry and assessing their posture. You identify that
the client has scoliosis. This is: - correct answer ✔✔abnormal lateral curvature of the spine.
The nurse is examining the ROM of a client's shoulder. Which of the following is a normal
finding? - correct answer ✔✔full abduction and adduction without pain or limitation.
You are caring for Mr Smith who has been admitted following a mechanical fall. You are
reviewing his nursing care plan. Which component of the care plan indicates that the patient's
problems have been appropriately described? - correct answer ✔✔nursing diagnosis
When using a mobile hoist with a dependent patient, identify the correct rule: - correct answer
✔✔hoist's base is wide open and locked in place before transferring the patient.
The older person's tendency to take smaller steps with feet close together will mostly likely
result in: - correct answer ✔✔decreased stability and an increased risk of falls.
The most significant problem with restricted mobility is: - correct answer ✔✔increased risk of
complications such as pressure ulcers, muscle weakness, and decreased cardiovascular health.
What is the prime purpose for maintaining a fluid balance chart for a hospitalised client? -
correct answer ✔✔monitor fluid intake and output to assess hydration status and manage fluid
therapy effectively
