Multidimensional Care I Exam 1 MDC 1 Exam 1 questions with solutions

Multidimensional Care I Exam 1
MDC 1 Exam 1

1. A nurse is preparing to initiate a bladder-retraining program for a client who has
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incontinence. Which of the followingactions shouldthe nursetake? (Select all that
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apply.)
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A. Restrictthe client's intake of fluids duringthe daytime. s.t s.t s.t s.t s.t s.t s.t s.t




B. Have the client record urination times.
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C. Graduallyincrease theurination intervals. s.t s.t s.t s.t




D. Remindtheclientto hold urineuntilthe nextscheduled urination time. s.t s.t s.t s.t s.t s.t s.t s. t s.t s.t s.t




E. Providea sterile containerfor urine. s.t s.t s.t s.t s.t




2. A nurse is reviewingfactors that increase the risk ofurinarytract infections (UTIs) with a client
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who has recurrent UTIs. Which of the following factors should the nurse include? (Select all
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that apply.)
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A. Frequentsexual intercourse s.t s.t




B. Loweringoftestosterone levels s.t s.t s.t




C. Wipingfrom front to back to clean the perineum s.t s.t s.t s.t s.t s.t s.t s.t




D. Locationof the urethra closer to the anus s.t s.t s.t s.t s.t s.t s.t




E. Frequent catheterization s.t




3. A nurseisteaching aclient whoreports stressurinary incontinence.Which of the
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following instructions should the nurse include? (Select all that apply.)
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A. Limit total daily fluid intake. s.t s.t s.t s.t




B. Decrease or avoid caffeine. s.t s.t s.t

, C. Take calcium supplements. s.t s.t




D. Avoiddrinkingalcohol. s.t s.t




E. Use the Credé maneuver s.t s.t s.t




4. A nurse is teaching a groupofnewly licensed nurses on complementary and alternative
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therapies they can incorporate into their practice without the need for specialized
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licensing or certification. Which of the following should the nurse encourage them to use?
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(Select all that apply.)
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A. Guidedimagery s.t




B. Massage therapy s.t




C. Meditation
D. Musictherapy s.t




E. Therapeutictouch s.t




5. A nurse is reviewing complementary and alternative therapies with a group of newly
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licensed nurses.Whichofthe followinginterventions are mind-bodytherapies?(Select all
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that apply.)
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A. Art therapy s.t




B. Acupressure
C. Yoga
D. Therapeutictouch s.t




E. Biofeedback


6. A nurse is caring for a client who fell at a nursing home. The client isoriented to person, place,
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and time and can follow directions. Which of the following actions should the nurse take to
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decrease the risk of another fall? (Select all that apply.)
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, A. Place a belt restraint on the client when they are sittingon the bedside commode.
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B. Keep thebed in its lowestposition withall side railsup.
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C. Make sure that the client'scall light is within reach. s.t s.t s.t s.t s.t s.t s.t s.t s.t




D. Providethe client with nonskid footwear. s.t s.t s.t s.t s.t




E. Complete a fall-risk assessment. s.t s.t s.t




7. A nurse observes smoke coming from under the door of the staff's lounge. Which of the
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following actions is the nurse's priority?
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A. Extinguishthefire. s.t s.t




B. Activate the fire alarm. s.t s.t s.t




C. Move clients who are nearby. s.t s.t s.t s.t




D. Close allopendoors on the unit. s.t s.t s.t s.t s.t s.t




8. A nurse is caring for a client who has a history offalls. Which of thefollowing actions is the
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nurse's priority?
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A. Complete a fall-risk assessment. s.t s.t s.t




B. Educate the client and family about fall risks. s.t s.t s.t s.t s.t s.t s.t




C. Eliminatesafetyhazardsfrom s.t s.t s.t




s.t the client's environment.
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D. Makesuretheclientusesassistive s.t s.t s.t s.t s.t




s.t aids in their possession.
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A. Complete a fall-risk assessment s.t s.t s.t




9. A nurse discovers a small paper fire in a trash can in a client's bathroom. The client has been
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taken to safety and the alarm has been activated. Which of the following actions should
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the nurse take?
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, A. Openthe windows inthe client's room to allow smoke to escape. s.t s.t s.t s.t s.t s.t s.t s.t s.t s.t s.t




B. Obtain a classC fire extinguisher toextinguish the fire. s.t s.t s.t s.t s.t s.t s.t s.t s.t




C. Removeall electrical equipment fromthe client's room. s.t s.t s.t s.t s.t s.t s.t




D. Placewet towels along the base of the doorto the client's room. s.t s.t s.t s.t s.t s.t s .t s.t s.t s.t s.t s.t




D. Place wet towels along the base ofthe door to the client's room
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10. Fire response follows the RACE sequence,what does each letter stand for?
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-R- Rescue andremove all patientsin immediate danger.
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-A- Activate the alarm. s.t s.t s.t




-C- Confinethefire by closing doors and windowsand turning offoxygen andelectrical
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equipment; ventilate patients who are on life support with a bag-valve mask
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-E- Extinguishthefire usinganappropriate extinguisher
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11. To use afire extinguisher, usethe PASS sequence, what does each letter stand for?
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P -pull the pin
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A -aimat thebaseofthefire S -
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squeeze the handle
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S - sweep theextinguisher from sideto side covering the area ofthe fire
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12. Namesomenursinginterventions ofPREVENTING FALLS s.t s.t s.t s.t s.t s.t




1. completea fall-risk assessmentat admission &regular intervals s.t s.t s.t s.t s.t s.t s.t s.t




2. ensure patient has and knows how to use the call light s.t s.t s.t s.t s.t s.t s.t s.t s.t s.t




3. usefall-riskalerts (color-codedwristbands) s.t s.t s.t s.t




4. provideregulartoileting and orientation ofclients whohavecognitive impairment s.t s.t s.t s.t s.t s.t s.t s.t s.t s.t




5. provideadequate lighting s.t s.t




6. place clients at risk for falls near a nurses station s.t s.t s.t s.t s.t s.t s.t s.t s.t




7. provide hourlyrounding s.t s.t




8. makesure personalitems are within reach s.t s.t s.t s.t s.t s.t




9. keep bed low, lock the breaks s.t s.t s.t s.t s.t




10. siderailsup(for unconsciouspatients,sedated, etc.) s.t s.t s.t s.t s.t s.t s.t




11. non-skidfootwear s.t




12. usegait belts and other assistiveequipment whenmoving patients s.t s.t s.t s.t s.t s.t s.t s.t s.t




13. keepfloor clean (no clutter, cords, scatter rugs, etc.) s.t s.t s.t s.t s.t s.t s.t s.t