BASIC PHYSICAL CARE EXAM QUESTIONS & ANSWERS

BASIC PHYSICAL CARE EXAM QUESTIONS & ANSWERS Question 1 A client has left-sided paralysis. The nurse should document this condition as left- sided You Selected: • hemiplegia. Correct response: • hemiplegia. Explanation: Remediation: Question 2 A nurse is caring for a client who required chest tube insertion for a pneumothorax. To assess for pneumothorax resolution, the nurse can anticipate that the client will require You Selected: • a chest X-ray. Correct response: • a chest X-ray. Explanation: Remediation: Question 3 18s A client hasn't voided since before surgery, which took place 8 hours ago. When assessing the client, a nurse will You Selected: • palpate the bladder above the symphysis pubis. Correct response: • palpate the bladder above the symphysis pubis. Explanation: Remediation: Question 4 See full question In which circumstance may the nurse legally and ethically disclose confidential information about a client? You Selected: • A taxi driver's diagnosis of an uncontrolled seizure disorder to a state agency Correct response: • A taxi driver's diagnosis of an uncontrolled seizure disorder to a state agency Explanation: Question 5 See full question A client in a long-term care facility refuses to take oral medications. The nurse threatens to apply restraints and inject the medication if the client doesn't take it orally. The nurse's statement constitutes which legal tort? You Selected: • assault Correct response: • assault Explanation: Question 6 See full question A nurse implements a healthcare facility's disaster plan. Which action should be performed first? You Selected: • Identify a command center at which activities are coordinated. Correct response: • Identify a command center at which activities are coordinated. Explanation: Question 7 See full question A physician has ordered a heating pad for an elderly client's lower back pain. Which item would be most important for a nurse to assess before applying the heating pad? You Selected: • Client's level of consciousness Correct response: • Client's level of consciousness Explanation: Remediation: Question 8 See full question The nurse is evaluating the effectiveness of fluid resuscitation during the emergency period of burn management. Which finding indicates that adequate fluid replacement has been achieved? You Selected: • The urine output is greater than 35 mL/h. Correct response: • The urine output is greater than 35 mL/h. Explanation: Remediation: Question 9 See full question The client tells the nurse that he is allergic to shellfish. The nurse should ask the client if he is also allergic to: You Selected: • Iodine skin preparations. Correct response: • Iodine skin preparations. Explanation: Remediation: Question 10 See full question Which nursing intervention is most important in preventing postoperative complications? You Selected: • early ambulation Correct response: • early ambulation Explanation: Remediation: Question 11 See full question On admission to same-day surgery, the nurse reviews the medical record to verify the client’s identification documentation. Which information is most important? You Selected: • admitting record Correct response: • identification bracelet Explanation: Remediation: Question 12 See full question A nurse observes an LPN measuring a client’s urine output from an indwelling catheter drainage bag. Which observation by the nurse ensures that the client’s urine has been measured accurately? You Selected: • The LPN pours the urine into a graduated measuring container. Correct response: • The LPN pours the urine into a graduated measuring container. Explanation: Remediation: Question 13 See full question Four clients injured in an automobile accident enter the emergency department at the same time. The triage nurse evaluates them immediately. The nurse should assign the highest priority to the client with the: You Selected: • maxillofacial injury and gurgling respirations. Correct response: • maxillofacial injury and gurgling respirations. Explanation: Remediation: Question 14 See full question A client with a nasogastric (NG) tube who is 2 days postoperative bowel resection is reporting increased abdominal pain and nausea. Which action by the nurse would be most appropriate? You Selected: • Check the patency and amount of drainage from the NG tube. Correct response: • Check the patency and amount of drainage from the NG tube. Explanation: Remediation: Question 15 See full question A client with a subdural hematoma needs a feeding tube inserted due to inadequate swallowing ability. How would the nurse best explain this to the family? You Selected: • Nutrients are needed; however, eating and drinking without control of the swallowing reflex can result in aspirational pneumonia. Correct response: • Nutrients are needed; however, eating and drinking without control of the swallowing reflex can result in aspirational pneumonia. Explanation: Remediation: Question 16 See full question Which of the following must the nurse consider when positioning a client for tracheal suctioning? You Selected: • Position in low-Fowler’s position. Correct response: • Position in a semi-Fowler’s position. Explanation: Remediation: Question 17 See full question The nurse is caring for a client with a Jackson-Pratt drain. Which action by the nurse would be the most appropriate? You Selected: • Ensure that the drainage receptacles are kept compressed to maintain suction. Correct response: • Ensure that the drainage receptacles are kept compressed to maintain suction. Explanation: Question 18 See full question A nurse enters a client’s room and finds a pillowcase on fire where it was placed over a table lamp. Which action should the nurse perform first? You Selected: • Remove the client from the room. Correct response: • Remove the client from the room. Explanation: Remediation: Question 19 See full question The nurse is reviewing the medical record and finds orders to apply graduated compression stockings on a client. What is the next action by the nurse? You Selected: • Ask the client to use the restroom. Correct response: • Measure the client's legs. Explanation: Question 20 See full question The nurse is managing care for a group of clients on a busy medical-surgical unit. What is the best way for the nurse to prevent errors? You Selected: • identifying incorrect dosages or potential interactions of ordered medications Correct response: • identifying incorrect dosages or potential interactions of ordered medications Question 1 See full question 27s When bandaging a client's ankle, the nurse should use which technique? You Selected: • figure-eight Correct response: • figure-eight Explanation: Remediation: Question 2 See full question Which nursing intervention is appropriate for a client with an arm restraint? You Selected: • monitoring circulatory status every 2 hours Correct response: • monitoring circulatory status every 2 hours Explanation: Remediation: Question 3 See full question A nurse is giving nutritional counseling to the mother of a child with celiac disease. Which statement by the mother indicates understanding?