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1. Using the principles of standard precautions, the nurse would wear gloves in what
nursing interventions?
A. Providing a back massage
B. Feeding a client
C. Providing hair care
D. Providing oral hygiene
2. The nurse is preparing to take vital sign in an alert client admitted to the hospital with
dehydration secondary to vomiting and diarrhea. What is the best method used to assess
the client’s temperature?
A. Oral
B. Axillary
C. Radial
D. Heat sensitive tape
3. A nurse obtained a client’s pulse and found the rate to be above normal. The nurse
document this findings as:
A. Tachypnea
B. Hyperpyrexia
C. Arrhythmia
D. Tachycardia
4. Which of the following actions should the nurse take to use a wide base support when
assisting a client to get up in a chair?
A. Bend at the waist and place arms under the client’s arms and lift
B. Face the client, bend knees and place hands on client’s forearm and lift
C. Spread his or her feet apart
D. Tighten his or her pelvic muscles
5. A client had oral surgery following a motor vehicle accident. The nurse assessing the
client finds the skin flushed and warm. Which of the following would be the best method
to take the client’s body temperature?
A. Oral
B. Axillary
C. Arterial line
D. Rectal
6. A client who is unconscious needs frequent mouth care. When performing a mouth
care, the best position of a client is:
, A. Fowler’s position
B. Side lying
C. Supine
D. Trendelenburg
7. A client is hospitalized for the first time, which of the following actions ensure the
safety of the client?
A. Keep unnecessary furniture out of the way
B. Keep the lights on at all time
C. Keep side rails up at all time
D. Keep all equipment out of view
8. A walk-in client enters into the clinic with a chief complaint of abdominal pain and
diarrhea. The nurse takes the client’s vital sign hereafter. What phrase of nursing process
is being implemented here by the nurse?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
9. It is best describe as a systematic, rational method of planning and providing nursing
care for individual, families, group and community
A. Assessment
B. Nursing Process
C. Diagnosis
D. Implementation
10. Exchange of gases takes place in which of the following organ?
A. Kidney
B. Lungs
C. Liver
D. Heart
11. The chamber of the heart that receives oxygenated blood from the lungs is the:
A. Left atrium
B. Right atrium
C. Left ventricle
D. Right ventricle
12. A muscular enlarge pouch or sac that lies slightly to the left which is used for
temporary storage of food…
A. Gallbladder
B. Urinary bladder