NU 136 exam 1, Health and Illness actual exam ALL 250 QUESTIONS AND CORRECT ANSWERS

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NU 136 exam 1, Health and Illness actual exam ALL
250 QUESTIONS AND CORRECT ANSWERS


QUESTION: in an older adult an elevation of how many degrees fahrenheit will occur if a fever is
present - ANSWER-2 degrees fahrenheit




QUESTION: If the immobile client refuses their morning bed bath which of the following is an
appropriate response by the nurse - ANSWER-Give the client an option to shower later in the
day




QUESTION: A client has sat in their wheelchair, unmoving, for 1 hour, what should the nurse do
next? - ANSWER-shift the position




QUESTION: A complete bed bath would be appropriate for which type of client - ANSWER-A
patient with unsteady gait and poor balance




QUESTION: A written order is needed to trim the nails of a diabetic patient - ANSWER-True




QUESTION: Which position is best to place an unconscious client when performing mouth care -
ANSWER-lateral


ALL THE BEST CHAMP!!
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QUESTION: When assessing respiratory rate, which of the following is the most appropriate
intervention for the nurse to do? - ANSWER-Take the client's pulse and watch for the rise and
fall of the client's chest




QUESTION: Which of these sets of vital signs are abnormal - ANSWER-BP 190/90, Pulse 98,
Respirations 20




QUESTION: The best method for checking a client's pulse would be to do what - ANSWER-
auscultate the apical pulse for 1 full minute




QUESTION: which of these is the best definition of an arrhythmia - ANSWER-period of normal
heart rhythm broken by periods of irregular heartbeats




QUESTION: use of this is the most accurate noninvasive way to measure body temperature -
ANSWER-The temporal artery thermometer




QUESTION: which of these is considered a use of protective devices (restraints) - ANSWER-
raising all 4 side rails (full side rails)




QUESTION: when ambulating a client and they begin to fall, what should you do - ANSWER-
assist them to the floor

ALL THE BEST CHAMP!!
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Secondary illness means - ANSWER-it is an illness that results from or is caused by a primary
ilness




QUESTION: ____ _______ on the part of the nurse is essential in meeting the client's security
needs - ANSWER-Active listening




QUESTION: A student who does not study for a test blames his "F" on the teacher's poor
lecturing ability; this is an example of... - ANSWER-Rationalization




QUESTION: which of these is an example of primary prevention - ANSWER-wearing sunscreen
and sunglasses




QUESTION: if the stage of resistance is prolonged, what happens? - ANSWER-The response
becomes maladaptive




QUESTION: When working 3 feet of the client a regular face mask is required for this type of
precaution - ANSWER-droplet




QUESTION: Medical asepsis must be used during a Foley catheter insertion procedure. -
ANSWER-False




ALL THE BEST CHAMP!!
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QUESTION: How many inches from the edge of the sterile field is considered non-sterile -
ANSWER-1 inch




QUESTION: The best way to break the chain of infection is by - ANSWER-implementing standard
precautions




QUESTION: In an older adult the base temperature is what - ANSWER-97.2 degrees fahrenheit




QUESTION: Proper lifting methods of heavy objects includes jerking or sudden pulling
movements to allow momentum to aid you - ANSWER-false




QUESTION: which of these positions is used for rectal exams, giving enemas, and inserting
suppositories for unconscious client's - ANSWER-sims position




QUESTION: When repositioning a client in bed which of the following would be incorrect (select
all that apply_ - ANSWER-The nurse should drag the patient over their sheets




the nurse should not call for help because it's not manly




QUESTION: an example of a secondary health prevention measure would include which of the
following - ANSWER-a colonoscopy


ALL THE BEST CHAMP!!
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