NR 224 EXAM PREP
VERIFIED
Fundamentals- Skills
COMPLETED
2023/2024
, The nurse is caring for a client with radial pulse of 48 beats per minute. What is
the nurse’s priority action for this client?
a) Auscultate the apical pulse rate
b) Palpate the brachial pulse
c) Document the radial pulse in the client’s chart
d) Inform the health care provider
A nurse in a clinic is assessing a client who will undergo diagnostic testing with
injection contrast (dye). When should the nurse ask about the client’s potential
allergies to contrast?
a) When the test is complete
b) Before the test begins
c) During the first 5 minutes of the test
d) One hour after the test
A nurse in a health care facility is helping an older client ambulate in the hallway
for the first time since admission. The client has brought a standard walker from
home. The nurse can best ensure proper use of the walker and the safety of the
client by taking which of the following actions?
a) Have the client slide the walker forward while simultaneously moving one
leg forward to take a step
b) Have the client lift the walker and place it in front of her with all four tips on
the ground before taking a step
c) Make sure that the upper bar of the walker is level with the client’s waist
d) Walk in front of the client to assist in moving the walker
,A unlicensed assistive personnel (UAP) reports a client’s vital signs to the nurse:
temperature 37.1oc (98.8 o F), pulse 52/min, respiratory rate 18/min, and BP
118/78mmHg. Which of the following vital signs should the nurse re-measure?
a) Blood pressure
b) Respiratory rate
c) Temperature
d) Heart rate
A nurse is assisting an older adult client who requires minimal support to maintain
balance while ambulating. Which of the following devices should the nurse use
when helping the client ambulate?
a) Jacket harness
b) Gait belt
c) Four- wheel walker
d) Cane
A nurse has provided education to a client who received crutches in an urgent carecenter
following a foot injury. Which of the following statements should the nurse identify as an
indication that the client needs further teaching?
a) I will make sure that I have extra rubber crutch tips
b) Every day I will inspect my crutches for signs of water
c) I will place my body weight and lean on the crutches as needed
d) The crutches should not fit firmly under my axillae
, The nurse is aware that an immobilized client is at risk for thrombus formation.
Which interventions are associated with deep vein thrombosis prevention? Select
all that apply.
a) Have the client wear elastic stocking
b) Administer antipyretic medication, as prescribed
c) Monitor temperature hourly
d) Encourage the client to perform ankle exercises
e) Apply sequential compression devices to the bilateral lower extremities
A nurse is preparing to assist a client who has been on bed rest for several days to
ambulate for the first time. Which action should the nurse instruct the client to
perform first?
a) Apply the gait belt around the client’s hips
b) Assist the client to a standing position slowly
c) Have the client look ahead while walking
d) Advise the client to sit on the side of the bed
A nurse is talking with a client who is beginning a range of motion exercise. The
client asks the nurse why range of motion exercise are necessary. Which of the
following responses should the nurse make?
a) Range of motion exercise increase joint mobility
b) Range of motion exercise reduced joint mobility
c) Range of motion exercise reduces circulation
d) Range of motion exercise causes disability
VERIFIED
Fundamentals- Skills
COMPLETED
2023/2024
, The nurse is caring for a client with radial pulse of 48 beats per minute. What is
the nurse’s priority action for this client?
a) Auscultate the apical pulse rate
b) Palpate the brachial pulse
c) Document the radial pulse in the client’s chart
d) Inform the health care provider
A nurse in a clinic is assessing a client who will undergo diagnostic testing with
injection contrast (dye). When should the nurse ask about the client’s potential
allergies to contrast?
a) When the test is complete
b) Before the test begins
c) During the first 5 minutes of the test
d) One hour after the test
A nurse in a health care facility is helping an older client ambulate in the hallway
for the first time since admission. The client has brought a standard walker from
home. The nurse can best ensure proper use of the walker and the safety of the
client by taking which of the following actions?
a) Have the client slide the walker forward while simultaneously moving one
leg forward to take a step
b) Have the client lift the walker and place it in front of her with all four tips on
the ground before taking a step
c) Make sure that the upper bar of the walker is level with the client’s waist
d) Walk in front of the client to assist in moving the walker
,A unlicensed assistive personnel (UAP) reports a client’s vital signs to the nurse:
temperature 37.1oc (98.8 o F), pulse 52/min, respiratory rate 18/min, and BP
118/78mmHg. Which of the following vital signs should the nurse re-measure?
a) Blood pressure
b) Respiratory rate
c) Temperature
d) Heart rate
A nurse is assisting an older adult client who requires minimal support to maintain
balance while ambulating. Which of the following devices should the nurse use
when helping the client ambulate?
a) Jacket harness
b) Gait belt
c) Four- wheel walker
d) Cane
A nurse has provided education to a client who received crutches in an urgent carecenter
following a foot injury. Which of the following statements should the nurse identify as an
indication that the client needs further teaching?
a) I will make sure that I have extra rubber crutch tips
b) Every day I will inspect my crutches for signs of water
c) I will place my body weight and lean on the crutches as needed
d) The crutches should not fit firmly under my axillae
, The nurse is aware that an immobilized client is at risk for thrombus formation.
Which interventions are associated with deep vein thrombosis prevention? Select
all that apply.
a) Have the client wear elastic stocking
b) Administer antipyretic medication, as prescribed
c) Monitor temperature hourly
d) Encourage the client to perform ankle exercises
e) Apply sequential compression devices to the bilateral lower extremities
A nurse is preparing to assist a client who has been on bed rest for several days to
ambulate for the first time. Which action should the nurse instruct the client to
perform first?
a) Apply the gait belt around the client’s hips
b) Assist the client to a standing position slowly
c) Have the client look ahead while walking
d) Advise the client to sit on the side of the bed
A nurse is talking with a client who is beginning a range of motion exercise. The
client asks the nurse why range of motion exercise are necessary. Which of the
following responses should the nurse make?
a) Range of motion exercise increase joint mobility
b) Range of motion exercise reduced joint mobility
c) Range of motion exercise reduces circulation
d) Range of motion exercise causes disability
