VN Freshman Quiz

A nurse is assessing a client who has been having irregular bowel movements. The client also complains of heaviness and uneasiness in the abdomen. What action should the nurse perform when assessing the abdomen for bowel sounds?

• Listen for 1 minute in each quadrant

• Listen for bowel sounds in one upper and one lower quadrant

• Warm the diaphragm of the stethoscope before the procedure

• Explain the procedure to the client during the assessment

A client is unable to get proper sleep as a result of an increased frequency in urination. Which intervention may help?

• Administer diuretics in the morning

• Reduce the dose of diuretics in the evening

• Get a physician's order for catheterization

• Restrict fluid intake for the client

A nurse is caring for a client with labored breathing. The client has been prescribed supplemental oxygen by the physician. When administering oxygen to the client, the nurse needs to be aware of oxygen toxicity. Which situation could lead to oxygen toxicity in the client?

• Administration of 35% oxygen concentration for 24 hours

• Administration of 50% oxygen concentration for 36 hours

• Administration of 25% oxygen concentration for 36 hours

• Administration of 60% oxygen concentration for 48 hours

A nurse is caring for a client who has been confined to bed for a long time. During an assessment of the client’s skin, the nurse observes redness accompanied by blistering or tearing of skin. How should the nurse document this pressure ulcer?

• Stage I

• Stage II

• Stage III

• Stage IV

A nurse is caring for a client who has an open wound on their leg caused by a cut from a piece of glass. How would the nurse describe the inflammation stage of this wound repair?

• Process by which damaged cells recover and reestablish normal functioning

• The period during which new cells fill and seal the wound

• Physiologic defense immediately after tissue injury

• The period during which the wound undergoes changes and maturation

A nurse is caring for a client with tuberculosis, who is admitted to a private room in the health care facility. Which infection control measures are appropriate for this client? SELECT ALL THAT APPLY

• Close the doors and windows to control air currents

• Ask housekeeping to clean the infectious client's room last

• Allow only one visitor at any given time to meet the client

• Use only disposable linen and medical equipment for the infectious client

• Post an instruction card on the door or nearby at eye level

After taking standard precautions, a nurse starts cleaning the infected wound of a client. Which bodily substances related to this client require this type of precaution? SELECT ALL THAT APPLY

• Blood of the infected client

• Breath of the infected client

• Sweat of the infected client

• Nonintact skin of the infected client

• Mucous membranes of the client

A nurse is caring for a client who has been diagnosed with emphysema. Which breathing technique is most appropriate for this client to improve gas exchange?

• Deep breathing

• Incentive spirometry

• Pursed-lip breathing

• Nasal strips

A nurse is assisting a client with dementia. How can the nurse ensure that the client eats the food that they have been served? SELECT ALL THAT APPLY

• Communicate visually and spatially that the client should eat the food

• Inform the client about the kind of food you are offering with each mouthful

• Ensure that the client is able to see another person eating in the vicinity

• Be firm with the client and insist that the client eats the food

• Provide small, frequent meals if efforts to eat and swallow tire the client

A nurse is planning discharge teaching for a senior client. Which teaching point should the nurse include to prevent falls for this client?

• Wear slippers at home

• Walk with a supporting cane

• Call for assistance to ambulate

• Avoid using area rugs