Study Solutions
1. A patient visits the clinic and complains of wrist pain. To perform Phalen's test for carpal tunnel syndrome,
the nurse should ask the client to:
a. move the hand inward with the wrists straight.
b. place both palms on the examination table.
c. dorsiflex the carpal.
d. place the backs of both hands against each other. ANS d
2. The nurse needs to assess the right middle lobe of the lung. Where should the nurse place the stethoscope?
a. posterior thoracic wall, right of mid-scapular line
b. right tenth intercostal space posteriorly
c. right sixth intercostal space anteriorly at the mid-clavicular line
d. left second intercostal space, right of mid-axillary line ANS c
3. The patient is admitted with right-sided hemiparesis. Which of the following would be the most appropriate
episodic assessment?
a. taking vital signs on the left side
b. testing the strength of hands
c. checking the left patellar reflex
d. asking the patient what year it is ANS b
4. When palpating the pulses in the feet, the nurse notices that his/her fingers leave a lasting depression in the
skin. This is called
a. pitting edema
b. lymphedema
c. orthostatic edema
d. 4 + edema ANS a
5. The pimple like lesions across the chin of an adolescent are called?
a. cysts
,b. papules
c. pustules
d. vesicles ANS C
6. Which data collected by the nurse is documented under objective data?
a. Religion
b. Occupation
c. Appearance
d. Ethnicity ANS c
7. Which action by the nurse correctly applies the principles of standard precautions?
a. washing the hands between examination of each body part
b. discarding a safety pin used to assess sensory perception in the trash can
c. wearing gloves to palpate the tongue and buccal membranes
d. wearing gown, gloves, and mask during the physical exam ANS c
8. The nurse preparing to interview a client knows it is important to do which of the following first:
a. establish rapport.
b. determine client strengths.
c. identify health problems.
d. make inferences. ANS a
9. The nurse can best encourage a patient's verbalization by using which technique?
a. sharing own experiences
b. direct questions
c. open ended questions
d. active listening ANS c
10. Which non-verbal behavior by the nurse facilitates communication?
a. sitting when the patient is in bed
, b. reading the interview questions
c. maintaining physical distance
d. note taking ANS a
11. When using alcohol-based hand rub for hand hygiene, it is important to remember which of the following?
a. It can be used in all situations just like soap and water.
b. You need to apply about 10-20 ml (about a tablespoon) of the product.
c. You need to rub your hands until they are completely dry.
d. Wipe any excess product with a dry paper towel. ANS c
12. According to the Ohio Board of Nursing, a student in an RN program is held to which standard?
a. higher standard than an RN
b. same standard as an RN
c. lower standard than an RN
d. there is no standard for student nurses ANS b
13. The American Nurses Association (ANA) Standards of Care address which of the following?
a. The nursing process
b. Code of ethics
c. Professional behavior
d. Social policy statement ANS a
15. Which of the following is not one of the Ohio Board of Nursing (OBN) Standards for promoting patient
safety?
a. Name tags
b. Communicate and document promptly
c. Maintain personal boundaries
d. Promote a safe environment ANS c
16. The OBN states that 'A registered nurse shall maintain the confidentiality of patient information." This
means which of the following?