NUR 215 EXAM 3
Study online at https://quizlet.com/_c53nyy
1. A nurse is performing an admission assessment on a client who has hypo-
volemia due to vomiting and diarrhea. The nurse should expect which of the
following findings? (select all that apply): Tachycardia
Syncope
Decreased skin turgor
2. A nurse is caring for a client who is receiving enteral tube feedings due to
dysphagia. Which of the following bed positions should the nurse use for safe
care of this client?: Semi-Fowler's
3. A nurse is caring for a client who is sitting in a chair and asks to return to
bed. Which of the following actions is the nurse's priority at this time?: Deter-
mine the client's ability to help with the transfer
4. A nurse is instructing a client who has COPD about using the orthopneic
position to relieve shortness of breath. Which of the following statements
should the nurse make?: "Have a table beside your bed so you can sit on the
beside and rest your arms on the table"
5. A nurse manager is reviewing guidelines for preventing injury with staff
nurses. Which of the following instructions should the nurse manager in-
clude? (select all that apply): request assistance when repositioning a client.
Avoid twisting your spine or bending at the waist.
Use smooth movements when lifting and moving clients.
6. A nurse educator is reviewing proper body mechanics during employee
orientation. Which of the following statements should the nurse identify as
an indication that an attendee understands the teaching? (select all that
apply): "The wonder my center of gravity, the more stability I have"
"To broaden my base of support, I should spread my feet apart"
"When I left an object, I should hold it as close to my body as possible"
7. A nurse is caring for a client who is at high risk for aspiration. Which of
the following actions should the nurse take?: Instruct the client to tuck their chin
when swallowing.
8. A nurse is preparing a presentation about basic nutrients for a group of
high school athletes. She should explain that which of the following nutrients
provides the body with the most energy?: Carbohydrates
9. A nurse is caring for a client who requires a low-residue diet. The nurse
should expect to see which of the following foods on the client's meal tray?-
: Vanilla custard
1/9
, NUR 215 EXAM 3
Study online at https://quizlet.com/_c53nyy
10. A nurse is caring for a client who weighs 80kg (176lb) and 1.6m (5ft
3in) tall. Calculate the body mass index (BMI) and determine whether this
client's BMI indicates a healthy weight, underweight, overweight, or obese.-
: BMI-weight(kg)/height(m2)
1.6x1.6=2.56m2
80/2.56=31.25
greater than 30=pt is obese
11. A nurse in a senior center is counseling a group of older adults about
their nutritional needs and considerations. Which of the following information
should the nurse include? (select all that apply): Older adults are more prone to
dehydration than younger adults are.
Older adults need the same amount of most vitamins and minerals as younger adults
do.
Many older men and women need calcium supplementation.
12. A nurse is caring for a client who has been sitting in a chair for 1 hr. Which
of the following complications is the greatest risk to the client?: Pressure injury
13. A nurse is caring for a client who is postoperative. Which of the following
interventions should the nurse take to reduce the risk of thrombus develop-
mental? (select all that apply): Apply elastic stockings.
Assist the client to change positions often.
14. A nurse is planning care for a client who is on bed rest. Which of the
following interventions should the nurse plan to implement?: Encourage the
client to perform antiembolic exercises every 2hr.
15. A nurse is evaluating a client's understanding of the use of sequential
compression device. Which of the following client statements indicates client
understanding?: "This device will keep the blood pumping through my leg"
16. A nurse is instructing a client, who has an injury of the left lower extremity,
about the use of a cane. Which of the following instructions should the nurse
include? (select all that apply): Hold the cane on the right side.
Keep two points of support on the floor.
After advancing the cane, move the weaker leg forward.
17. A nurse is delivering an enteral feeding to a client who has an NG tube in
place for intermittent feedings. When the nurse pours water into the syringe
after the formula drains from the syringe, the client asks the nurse why
the water is necessary. Which of the following responses should the nurse
make?: "Water help clear the tube so it doesn't get clogged"
2/9
Study online at https://quizlet.com/_c53nyy
1. A nurse is performing an admission assessment on a client who has hypo-
volemia due to vomiting and diarrhea. The nurse should expect which of the
following findings? (select all that apply): Tachycardia
Syncope
Decreased skin turgor
2. A nurse is caring for a client who is receiving enteral tube feedings due to
dysphagia. Which of the following bed positions should the nurse use for safe
care of this client?: Semi-Fowler's
3. A nurse is caring for a client who is sitting in a chair and asks to return to
bed. Which of the following actions is the nurse's priority at this time?: Deter-
mine the client's ability to help with the transfer
4. A nurse is instructing a client who has COPD about using the orthopneic
position to relieve shortness of breath. Which of the following statements
should the nurse make?: "Have a table beside your bed so you can sit on the
beside and rest your arms on the table"
5. A nurse manager is reviewing guidelines for preventing injury with staff
nurses. Which of the following instructions should the nurse manager in-
clude? (select all that apply): request assistance when repositioning a client.
Avoid twisting your spine or bending at the waist.
Use smooth movements when lifting and moving clients.
6. A nurse educator is reviewing proper body mechanics during employee
orientation. Which of the following statements should the nurse identify as
an indication that an attendee understands the teaching? (select all that
apply): "The wonder my center of gravity, the more stability I have"
"To broaden my base of support, I should spread my feet apart"
"When I left an object, I should hold it as close to my body as possible"
7. A nurse is caring for a client who is at high risk for aspiration. Which of
the following actions should the nurse take?: Instruct the client to tuck their chin
when swallowing.
8. A nurse is preparing a presentation about basic nutrients for a group of
high school athletes. She should explain that which of the following nutrients
provides the body with the most energy?: Carbohydrates
9. A nurse is caring for a client who requires a low-residue diet. The nurse
should expect to see which of the following foods on the client's meal tray?-
: Vanilla custard
1/9
, NUR 215 EXAM 3
Study online at https://quizlet.com/_c53nyy
10. A nurse is caring for a client who weighs 80kg (176lb) and 1.6m (5ft
3in) tall. Calculate the body mass index (BMI) and determine whether this
client's BMI indicates a healthy weight, underweight, overweight, or obese.-
: BMI-weight(kg)/height(m2)
1.6x1.6=2.56m2
80/2.56=31.25
greater than 30=pt is obese
11. A nurse in a senior center is counseling a group of older adults about
their nutritional needs and considerations. Which of the following information
should the nurse include? (select all that apply): Older adults are more prone to
dehydration than younger adults are.
Older adults need the same amount of most vitamins and minerals as younger adults
do.
Many older men and women need calcium supplementation.
12. A nurse is caring for a client who has been sitting in a chair for 1 hr. Which
of the following complications is the greatest risk to the client?: Pressure injury
13. A nurse is caring for a client who is postoperative. Which of the following
interventions should the nurse take to reduce the risk of thrombus develop-
mental? (select all that apply): Apply elastic stockings.
Assist the client to change positions often.
14. A nurse is planning care for a client who is on bed rest. Which of the
following interventions should the nurse plan to implement?: Encourage the
client to perform antiembolic exercises every 2hr.
15. A nurse is evaluating a client's understanding of the use of sequential
compression device. Which of the following client statements indicates client
understanding?: "This device will keep the blood pumping through my leg"
16. A nurse is instructing a client, who has an injury of the left lower extremity,
about the use of a cane. Which of the following instructions should the nurse
include? (select all that apply): Hold the cane on the right side.
Keep two points of support on the floor.
After advancing the cane, move the weaker leg forward.
17. A nurse is delivering an enteral feeding to a client who has an NG tube in
place for intermittent feedings. When the nurse pours water into the syringe
after the formula drains from the syringe, the client asks the nurse why
the water is necessary. Which of the following responses should the nurse
make?: "Water help clear the tube so it doesn't get clogged"
2/9
