1. A nurse is caring for a client with Parkinson’s disease who is experiencing difficulty
swallowing. For which major potential problem associated with dysphagia should the
nurse assess the client?
a. Anorexia
b. Aspiration
c. Self-care deficit
d. Inadequate intake
2. A nurse is caring for a confused client. Which should the nurse do to prevent this client
from falling?
a. Encourage the client to use the corridor handrails
b. Place the client in a room near the nurses’ station
c. Reinforce how to use the call bell
d. Maintain close supervision
3. An unconscious client begins vomiting. In which position should the nurse place this
client?
a. Supine
b. Side-lying
c. Orthopneic
d. Low-fowler
4. A nurse is assessing a client who is being admitted to the hospital. Which is the most
important information that indicates whether the client is at risk for physical injury?
a. Weakness experienced during the prior admission
b. Medication that increases intestinal motility
c. Two recent falls that occurred at home
d. The need for corrective eyeglasses
5. Which should the nurse do to best prevent a client from falling?
a. Provide a cane
b. Keep walkaways clear of obstacles
c. Assist the client with ambulation
d. Encourage the client to use hallway handrails
6. Which is the last step in making an occupied bed that a nurse should teach a nursing
assistant?
a. Elevating the head of the bed to a semi-Fowler position
b. Ensuring that the client is in a comfortable position
c. Lowering the height of the bed toward the floor
d. Raising both the upper side rails of the bed
7. A nurse is caring for a cilent with a nasogastric tube for gastric decompression. Which
nursing action takes priority?
a. Discontinuing the wall suction when providing nursing care
b. Positioning the client in the semi-Fowlers position
c. Instilling the tube with 30ml of air every 2 hours
d. Caring for the nares at least every 8 hours