NSG 203 Exam 1 Review Questions WITH
|\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS |\
What is the proper position to use for an unresponsive patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
during oral care to prevent aspiration? - CORRECT ANSWERS ✔✔-
|\ |\ |\ |\ |\ |\ |\ |\ |\
Sim's position |\
-Semi-Fowler's position with head to side |\ |\ |\ |\ |\
The student nurse is teaching a family member the importance
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of foot care for his or her mother, who has diabetes. Which safety
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
precautions are important for the family member to know to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prevent infection? - CORRECT ANSWERS ✔✔-assess skin for
|\ |\ |\ |\ |\ |\ |\ |\
redness, abrasions, and open areas daily |\ |\ |\ |\ |\
-apply location to feet daily
|\ |\ |\ |\
-clean between toes after bathing
|\ |\ |\ |\
A nurse uses long firm, strokes distal to proximal while bathing
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient's legs because? - CORRECT ANSWERS ✔✔-it prevents
|\ |\ |\ |\ |\ |\ |\ |\
venous circulation |\
Integrity of the oral mucosa depends on salivary secretions.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Which of the following factors impairs salivary secretions? -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔-radiation therapy |\ |\ |\
-dehydration
,A nurse is assigned to care for the following patients. Which of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the patients is most at risk for developing skin problems and thus
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
requiring thorough bathing and skin care? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔-a 70-year-old patient who has diabetes and dementia and
|\ |\ |\ |\ |\ |\ |\ |\ |\
has been incontinent of stool
|\ |\ |\ |\
When you are assigned to a patient who has a reduced level of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
consciousness and requires mouth care, which physical |\ |\ |\ |\ |\ |\ |\
assessment techniques should you perform before the |\ |\ |\ |\ |\ |\ |\
procedure? - CORRECT ANSWERS ✔✔-respirations |\ |\ |\ |\
-gag reflex |\
A nurse is listening to a student provide instruction to a patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
who is having difficulty with activities needed to care for soft
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
contact lenses. Which of the following statements by the nursing
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
student might require some correction by the nurse? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔-use tap water to clean soft lenses |\ |\ |\ |\ |\ |\ |\
The American Dental Association suggests that patients who are
|\ |\ |\ |\ |\ |\ |\ |\ |\
at risk for poor hygiene use the following interventions for oral
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
care: - CORRECT ANSWERS ✔✔-use antimicrobial toothpaste
|\ |\ |\ |\ |\ |\
-use 0.12% chlorhexidine gluconate (CHG) oral rinses
|\ |\ |\ |\ |\ |\
-use a soft toothbrush for oral care
|\ |\ |\ |\ |\ |\
While planning morning care, which of the following patients
|\ |\ |\ |\ |\ |\ |\ |\ |\
would have the highest priority to receive his or her bath first? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔-a patient who is experiencing frequent
|\ |\ |\ |\ |\ |\ |\ |\
incontinent diarrheal stools and urine |\ |\ |\ |\
,An 88-year-old patient comes to the medical clinic regularly.
|\ |\ |\ |\ |\ |\ |\ |\ |\
During a recent visit the nurse noticed that the patient had lost
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
10 lbs in 6 weeks without being on a special diet. The patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tells the nurse that he has had trouble chewing his food. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of the following factors are normal aging changes that can affect
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
an older adult's oral health? - CORRECT ANSWERS ✔✔-dentures
|\ |\ |\ |\ |\ |\ |\ |\ |\
do not always fit properly
|\ |\ |\ |\
-many older adults are edentulous, and remaining teeth are often
|\ |\ |\ |\ |\ |\ |\ |\ |\
decayed
|\
A patient with a malignant brain tumor requires oral care. The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient's level of consciousness has declined, with the patient
|\ |\ |\ |\ |\ |\ |\ |\ |\
only being able to respond to voice commands. Place the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following steps in the correct order for administration of oral
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
care. - CORRECT ANSWERS ✔✔-raise bed, lower side rail, and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
position patient close to side of be with head of bed raised up to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
30 degrees |\
-remove partial plate or dentures if present |\ |\ |\ |\ |\ |\
-if patient is uncooperative or having difficulty keeping mouth
|\ |\ |\ |\ |\ |\ |\ |\ |\
open, insert an oral airway |\ |\ |\ |\
-using a brush moistened with chlorhexidine paste, clean chewing
|\ |\ |\ |\ |\ |\ |\ |\
and inner tooth surfaces first
|\ |\ |\ |\ |\
-gently brush tongue but avoid stimulating gag reflex
|\ |\ |\ |\ |\ |\ |\
-for patients without teeth, use a toothette moistened in
|\ |\ |\ |\ |\ |\ |\ |\ |\
chlorhexidine rinse to clean oral cavity |\ |\ |\ |\ |\
The nurse delegates needed hygiene care for an elderly stroke
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient. Which intervention would be appropriate for the nursing
|\ |\ |\ |\ |\ |\ |\ |\ |\
assistive personnel to accomplish during the bath? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
, ANSWERS ✔✔-providing range of motion (ROM) exercises to |\ |\ |\ |\ |\ |\ |\ |\
extremities
The nurse observes an adult Middle Eastern patient attempting to
|\ |\ |\ |\ |\ |\ |\ |\ |\
bathe himself with only his left hand. The nurse recognizes that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
this behavior likely relates to: - CORRECT ANSWERS ✔✔-the
|\ |\ |\ |\ |\ |\ |\ |\ |\
patient's cultural norm |\ |\
When a nurse delegates hygiene care for a male patient to a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nursing assistive personnel, the NAP must use an electric razor to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
shave the patient with the following diagnosis: - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔-thrombocytopenia |\
A patient receiving chemotherapy experiences stomatitis. The
|\ |\ |\ |\ |\ |\ |\
nurse advises the patient to use: - CORRECT ANSWERS ✔✔-
|\ |\ |\ |\ |\ |\ |\ |\ |\
normal saline rinses |\ |\
A 52-year-old woman is admitted with dyspnea and discomfort in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
her left chest with deep breaths. She has smoked for 35 years
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and recently lost over 10 lbs. Her vital signs on admission are:
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
HR 112, BP 138/82, RR 22, tympanic temperature 38.6 C (98.2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
F), and oxygen saturation 94%. She is receiving oxygen at 2 L via
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a nasal cannula. Which vital sign reflects a positive outcome of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the oxygen therapy? - CORRECT ANSWERS ✔✔-oxygen
|\ |\ |\ |\ |\ |\ |\
saturation: 96% |\
The licensed practical nurse (LPN) provides you with the change-
|\ |\ |\ |\ |\ |\ |\ |\ |\
of-shift vital signs on four of your patients. Which patient do you
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
need to assess first? - CORRECT ANSWERS ✔✔-84-year-old man
|\ |\ |\ |\ |\ |\ |\ |\ |\
recently admitted with pneumonia, RR 28, SpO2 89% |\ |\ |\ |\ |\ |\ |\
|\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS |\
What is the proper position to use for an unresponsive patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
during oral care to prevent aspiration? - CORRECT ANSWERS ✔✔-
|\ |\ |\ |\ |\ |\ |\ |\ |\
Sim's position |\
-Semi-Fowler's position with head to side |\ |\ |\ |\ |\
The student nurse is teaching a family member the importance
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of foot care for his or her mother, who has diabetes. Which safety
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
precautions are important for the family member to know to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prevent infection? - CORRECT ANSWERS ✔✔-assess skin for
|\ |\ |\ |\ |\ |\ |\ |\
redness, abrasions, and open areas daily |\ |\ |\ |\ |\
-apply location to feet daily
|\ |\ |\ |\
-clean between toes after bathing
|\ |\ |\ |\
A nurse uses long firm, strokes distal to proximal while bathing
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient's legs because? - CORRECT ANSWERS ✔✔-it prevents
|\ |\ |\ |\ |\ |\ |\ |\
venous circulation |\
Integrity of the oral mucosa depends on salivary secretions.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Which of the following factors impairs salivary secretions? -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔-radiation therapy |\ |\ |\
-dehydration
,A nurse is assigned to care for the following patients. Which of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the patients is most at risk for developing skin problems and thus
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
requiring thorough bathing and skin care? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔-a 70-year-old patient who has diabetes and dementia and
|\ |\ |\ |\ |\ |\ |\ |\ |\
has been incontinent of stool
|\ |\ |\ |\
When you are assigned to a patient who has a reduced level of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
consciousness and requires mouth care, which physical |\ |\ |\ |\ |\ |\ |\
assessment techniques should you perform before the |\ |\ |\ |\ |\ |\ |\
procedure? - CORRECT ANSWERS ✔✔-respirations |\ |\ |\ |\
-gag reflex |\
A nurse is listening to a student provide instruction to a patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
who is having difficulty with activities needed to care for soft
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
contact lenses. Which of the following statements by the nursing
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
student might require some correction by the nurse? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔-use tap water to clean soft lenses |\ |\ |\ |\ |\ |\ |\
The American Dental Association suggests that patients who are
|\ |\ |\ |\ |\ |\ |\ |\ |\
at risk for poor hygiene use the following interventions for oral
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
care: - CORRECT ANSWERS ✔✔-use antimicrobial toothpaste
|\ |\ |\ |\ |\ |\
-use 0.12% chlorhexidine gluconate (CHG) oral rinses
|\ |\ |\ |\ |\ |\
-use a soft toothbrush for oral care
|\ |\ |\ |\ |\ |\
While planning morning care, which of the following patients
|\ |\ |\ |\ |\ |\ |\ |\ |\
would have the highest priority to receive his or her bath first? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔-a patient who is experiencing frequent
|\ |\ |\ |\ |\ |\ |\ |\
incontinent diarrheal stools and urine |\ |\ |\ |\
,An 88-year-old patient comes to the medical clinic regularly.
|\ |\ |\ |\ |\ |\ |\ |\ |\
During a recent visit the nurse noticed that the patient had lost
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
10 lbs in 6 weeks without being on a special diet. The patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tells the nurse that he has had trouble chewing his food. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of the following factors are normal aging changes that can affect
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
an older adult's oral health? - CORRECT ANSWERS ✔✔-dentures
|\ |\ |\ |\ |\ |\ |\ |\ |\
do not always fit properly
|\ |\ |\ |\
-many older adults are edentulous, and remaining teeth are often
|\ |\ |\ |\ |\ |\ |\ |\ |\
decayed
|\
A patient with a malignant brain tumor requires oral care. The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient's level of consciousness has declined, with the patient
|\ |\ |\ |\ |\ |\ |\ |\ |\
only being able to respond to voice commands. Place the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following steps in the correct order for administration of oral
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
care. - CORRECT ANSWERS ✔✔-raise bed, lower side rail, and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
position patient close to side of be with head of bed raised up to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
30 degrees |\
-remove partial plate or dentures if present |\ |\ |\ |\ |\ |\
-if patient is uncooperative or having difficulty keeping mouth
|\ |\ |\ |\ |\ |\ |\ |\ |\
open, insert an oral airway |\ |\ |\ |\
-using a brush moistened with chlorhexidine paste, clean chewing
|\ |\ |\ |\ |\ |\ |\ |\
and inner tooth surfaces first
|\ |\ |\ |\ |\
-gently brush tongue but avoid stimulating gag reflex
|\ |\ |\ |\ |\ |\ |\
-for patients without teeth, use a toothette moistened in
|\ |\ |\ |\ |\ |\ |\ |\ |\
chlorhexidine rinse to clean oral cavity |\ |\ |\ |\ |\
The nurse delegates needed hygiene care for an elderly stroke
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient. Which intervention would be appropriate for the nursing
|\ |\ |\ |\ |\ |\ |\ |\ |\
assistive personnel to accomplish during the bath? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
, ANSWERS ✔✔-providing range of motion (ROM) exercises to |\ |\ |\ |\ |\ |\ |\ |\
extremities
The nurse observes an adult Middle Eastern patient attempting to
|\ |\ |\ |\ |\ |\ |\ |\ |\
bathe himself with only his left hand. The nurse recognizes that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
this behavior likely relates to: - CORRECT ANSWERS ✔✔-the
|\ |\ |\ |\ |\ |\ |\ |\ |\
patient's cultural norm |\ |\
When a nurse delegates hygiene care for a male patient to a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nursing assistive personnel, the NAP must use an electric razor to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
shave the patient with the following diagnosis: - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔-thrombocytopenia |\
A patient receiving chemotherapy experiences stomatitis. The
|\ |\ |\ |\ |\ |\ |\
nurse advises the patient to use: - CORRECT ANSWERS ✔✔-
|\ |\ |\ |\ |\ |\ |\ |\ |\
normal saline rinses |\ |\
A 52-year-old woman is admitted with dyspnea and discomfort in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
her left chest with deep breaths. She has smoked for 35 years
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and recently lost over 10 lbs. Her vital signs on admission are:
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
HR 112, BP 138/82, RR 22, tympanic temperature 38.6 C (98.2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
F), and oxygen saturation 94%. She is receiving oxygen at 2 L via
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a nasal cannula. Which vital sign reflects a positive outcome of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the oxygen therapy? - CORRECT ANSWERS ✔✔-oxygen
|\ |\ |\ |\ |\ |\ |\
saturation: 96% |\
The licensed practical nurse (LPN) provides you with the change-
|\ |\ |\ |\ |\ |\ |\ |\ |\
of-shift vital signs on four of your patients. Which patient do you
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
need to assess first? - CORRECT ANSWERS ✔✔-84-year-old man
|\ |\ |\ |\ |\ |\ |\ |\ |\
recently admitted with pneumonia, RR 28, SpO2 89% |\ |\ |\ |\ |\ |\ |\
