NU 136 Exam Review With 100%
Correct Answers
Secondary illness means - CORRECT ANSWER✔✔it is an illness that results from or is caused by
a primary ilness
____ _______ on the part of the nurse is essential in meeting the client's security needs -
CORRECT ANSWER✔✔Active listening
A student who does not study for a test blames his "F" on the teacher's poor lecturing ability;
this is an example of... - CORRECT ANSWER✔✔Rationalization
which of these is an example of primary prevention - CORRECT ANSWER✔✔wearing sunscreen
and sunglasses
if the stage of resistance is prolonged, what happens? - CORRECT ANSWER✔✔The response
becomes maladaptive
When working 3 feet of the client a regular face mask is required for this type of precaution -
CORRECT ANSWER✔✔droplet
Medical asepsis must be used during a Foley catheter insertion procedure. - CORRECT
ANSWER✔✔False
How many inches from the edge of the sterile field is considered non-sterile - CORRECT
ANSWER✔✔1 inch
,The best way to break the chain of infection is by - CORRECT ANSWER✔✔implementing
standard precautions
In an older adult the base temperature is what - CORRECT ANSWER✔✔97.2 degrees fahrenheit
in an older adult an elevation of how many degrees fahrenheit will occur if a fever is present -
CORRECT ANSWER✔✔2 degrees fahrenheit
If the immobile client refuses their morning bed bath which of the following is an appropriate
response by the nurse - CORRECT ANSWER✔✔Give the client an option to shower later in the
day
A client has sat in their wheelchair, unmoving, for 1 hour, what should the nurse do next? -
CORRECT ANSWER✔✔shift the position
A complete bed bath would be appropriate for which type of client - CORRECT ANSWER✔✔A
patient with unsteady gait and poor balance
A written order is needed to trim the nails of a diabetic patient - CORRECT ANSWER✔✔True
Which position is best to place an unconscious client when performing mouth care - CORRECT
ANSWER✔✔lateral
When assessing respiratory rate, which of the following is the most appropriate intervention for
the nurse to do? - CORRECT ANSWER✔✔Take the client's pulse and watch for the rise and fall of
the client's chest
Which of these sets of vital signs are abnormal - CORRECT ANSWER✔✔BP 190/90, Pulse 98,
Respirations 20
, The best method for checking a client's pulse would be to do what - CORRECT
ANSWER✔✔auscultate the apical pulse for 1 full minute
which of these is the best definition of an arrhythmia - CORRECT ANSWER✔✔period of normal
heart rhythm broken by periods of irregular heartbeats
use of this is the most accurate noninvasive way to measure body temperature - CORRECT
ANSWER✔✔The temporal artery thermometer
which of these is considered a use of protective devices (restraints) - CORRECT
ANSWER✔✔raising all 4 side rails (full side rails)
when ambulating a client and they begin to fall, what should you do - CORRECT
ANSWER✔✔assist them to the floor
Proper lifting methods of heavy objects includes jerking or sudden pulling movements to allow
momentum to aid you - CORRECT ANSWER✔✔false
which of these positions is used for rectal exams, giving enemas, and inserting suppositories for
unconscious client's - CORRECT ANSWER✔✔sims position
When repositioning a client in bed which of the following would be incorrect (select all that
apply_ - CORRECT ANSWER✔✔The nurse should drag the patient over their sheets
the nurse should not call for help because it's not manly
an example of a secondary health prevention measure would include which of the following -
CORRECT ANSWER✔✔a colonoscopy
Correct Answers
Secondary illness means - CORRECT ANSWER✔✔it is an illness that results from or is caused by
a primary ilness
____ _______ on the part of the nurse is essential in meeting the client's security needs -
CORRECT ANSWER✔✔Active listening
A student who does not study for a test blames his "F" on the teacher's poor lecturing ability;
this is an example of... - CORRECT ANSWER✔✔Rationalization
which of these is an example of primary prevention - CORRECT ANSWER✔✔wearing sunscreen
and sunglasses
if the stage of resistance is prolonged, what happens? - CORRECT ANSWER✔✔The response
becomes maladaptive
When working 3 feet of the client a regular face mask is required for this type of precaution -
CORRECT ANSWER✔✔droplet
Medical asepsis must be used during a Foley catheter insertion procedure. - CORRECT
ANSWER✔✔False
How many inches from the edge of the sterile field is considered non-sterile - CORRECT
ANSWER✔✔1 inch
,The best way to break the chain of infection is by - CORRECT ANSWER✔✔implementing
standard precautions
In an older adult the base temperature is what - CORRECT ANSWER✔✔97.2 degrees fahrenheit
in an older adult an elevation of how many degrees fahrenheit will occur if a fever is present -
CORRECT ANSWER✔✔2 degrees fahrenheit
If the immobile client refuses their morning bed bath which of the following is an appropriate
response by the nurse - CORRECT ANSWER✔✔Give the client an option to shower later in the
day
A client has sat in their wheelchair, unmoving, for 1 hour, what should the nurse do next? -
CORRECT ANSWER✔✔shift the position
A complete bed bath would be appropriate for which type of client - CORRECT ANSWER✔✔A
patient with unsteady gait and poor balance
A written order is needed to trim the nails of a diabetic patient - CORRECT ANSWER✔✔True
Which position is best to place an unconscious client when performing mouth care - CORRECT
ANSWER✔✔lateral
When assessing respiratory rate, which of the following is the most appropriate intervention for
the nurse to do? - CORRECT ANSWER✔✔Take the client's pulse and watch for the rise and fall of
the client's chest
Which of these sets of vital signs are abnormal - CORRECT ANSWER✔✔BP 190/90, Pulse 98,
Respirations 20
, The best method for checking a client's pulse would be to do what - CORRECT
ANSWER✔✔auscultate the apical pulse for 1 full minute
which of these is the best definition of an arrhythmia - CORRECT ANSWER✔✔period of normal
heart rhythm broken by periods of irregular heartbeats
use of this is the most accurate noninvasive way to measure body temperature - CORRECT
ANSWER✔✔The temporal artery thermometer
which of these is considered a use of protective devices (restraints) - CORRECT
ANSWER✔✔raising all 4 side rails (full side rails)
when ambulating a client and they begin to fall, what should you do - CORRECT
ANSWER✔✔assist them to the floor
Proper lifting methods of heavy objects includes jerking or sudden pulling movements to allow
momentum to aid you - CORRECT ANSWER✔✔false
which of these positions is used for rectal exams, giving enemas, and inserting suppositories for
unconscious client's - CORRECT ANSWER✔✔sims position
When repositioning a client in bed which of the following would be incorrect (select all that
apply_ - CORRECT ANSWER✔✔The nurse should drag the patient over their sheets
the nurse should not call for help because it's not manly
an example of a secondary health prevention measure would include which of the following -
CORRECT ANSWER✔✔a colonoscopy
