GUIDE STRATEGIES FOR NURSING PRACTICE
• A nurse in a long term care facility notices a patient who has alzheimers
disease standing at the exit doors at the end of the hallway. The patients
appears to be anxious and agitated. Which of the followingactions should
the nurse take?
Escort the patient to a quiet area on the nursing unit
• A nurse is assisting with the plan of care for a patient who has a continent
urinary division. Which of thefollowing interventions should the nurse plan to
implement to facilitate urinary elimination?
Use intermittent urinary catheterization for a patient at regular intervals
• A nurse is assisting with an educational program about car restraint safety
for a group of parents. Whichof the following statements by a parent
indicates an understanding of the instructions?
My 12 year old child should place the shoulder lap belt low across his hips
• A nurse is reinforcing teaching about strategies to promote eating with a
patient who has COPD. Whichof the following instructions should the nurse
include in the teaching?
Drink high protein and high calorie nutritional supplements
• A nurse is supervising an assistive personnel who is preparing to remove her
personal protective equipment after providing direct care to a patient who
requires airborne and contact precautions. The nurse should recognize that
,the AP understands the procedure when she removes which of the
followingPPE first?
Gloves
• A nurse is caring for a patient who is crying and states that his
provider informed him that he has atumor and will need a biopsy.
Which of the
following responses should the nurse make?
What have you done in the past to help yourself get through stressful
situations before?
• A nurse is inspecting the skin of a newborn. Which of the following
findings should the nurse report tothe provider
Generalized petechiae
• A nurse is contributing to a teaching plan for a group of male adolescents
about the adverse effects ofanabolic steroid use. Which of the following
manifestations should the nurse include
Reduced height potential
• A nurse is reinforcing teaching with an older adult patient who has a
severe left sided heart failure.Which of the following statements should
the nurse make
Rest 15 minutes between activities
• A nurse in a long term care facility is documenting the care of an older
patient. Which of the followinginformation should the nurse include in the
weekly nursing care summary
, Hydration status
• A nurse is caring for a patient who has a head injury. Using the Glasgow
coma scale collection data, thenurse should obtain which of the following
information
Motor response
• A home health nurse is reinforcing teaching with a patient about
the use of elastic stockings todecrease peripheral edema. Which of
the following instructions should the nurse include?
Apply stockings in the morning
• A nurse in a providers office is obtaining a health history from a patient
who is scheduled to undergo acardiac catheterization in 2 days. Which of
the following questions is the nurse likely to ask?
Do you know if your allergic to iodine?
• A nurse is planning to administer nystatin oral suspension to a patient
who has oral candiasis. Which ofthe following instructions should the nurse
give to the patient?
Hold the medication in your mouth for several minutes prior to swallowing
• A nurse is preparing to care for the assigned patients on her upcoming
shift. Which of the followingtime management strategies should the
nurse plan to use?
Prepare a priority list of patient needs for the shift
• A nurse is preparing to witness a patient who is scheduled for surgery
sign an informed consent. Whichof the following actions should the nurse
take?