Essentials Exam 1 Practice
Questions/Evolve
When entering a client's room to change a surgical dressing, a
nurse notes that the client is coughing and sneezing. When
preparing the sterile field, it is important that the nurse:
a. Keep the sterile field on the far side of the client's room away
from the bedside.
b. Instruct the client to refrain from coughing and sneezing during
the dressing change.
c. Place a mask on the client to limit the spread of microorganisms
into the surgical wound.
✅✅
d. Keep a box of tissues nearby for the client to use during the
dressing change. - -c. Place a mask on the client to limit the
spread of microorganisms into the surgical wound.
A nurse is teaching a group of personal care assistants should
emphasize that the most effective way to decrease the spread of
infection is by:
a. Wearing gloves with all clients.
b. Placing clients with infection in isolation.
c.Wearing gowns and masks at all times when in contact with a
✅✅
client's skin.
d. Performing hand hygiene. - -d. Performing hand hygiene.
A nurse is contributing to the plan of care for a client who is being
admitted to the facility with a diagnosis of pertussis. The nurse
places the client on droplet precautions. Which of the following
should be included in the plan of care?
Select all that apply.
a. Place the client in a negative air pressure room.
b. Wear a mask when providing care within 3 feet of the client.
,c. Place a surgical mask on the client when transporting.
d. Use sterile gloves when handling soiled linen.
✅✅
e. Wear a gown when performing care that may result in
contamination from secretions. - -b. Wear a mask when
providing care within 3 feet of the client.
c. Place a surgical mask on the client when transporting.
e. Wear a gown when performing care that may result in
contamination from secretions.
During his admission assessment, a client has a generalized
tonic-clonic seizure. Which of the following nursing actions is
appropriate?
a. Go to the nurse's station for help.
b. Place a padded tongue blade in the client's mouth.
✅✅-c. Turn the
c. Turn the client onto his side.
d. Keep the client awake after the seizure is over. -
client onto his side.
An older adult was just admitted to the unit after falling at a nursing
home. The client is oriented to person, place, and time and can
follow directions. Which of the following actions are appropriate to
decrease the risk for falls?
Select all that apply.
a. Place a belt restraint on the client when sitting on the commode.
b. Keep the bed in low position with all side rails up.
c. Ensure the client's call light is within reach.
✅✅
d. Provide the client with nonskid foot wear.
e. Complete a fall risk assessment. - -c. Ensure the client's call
light is within reach.
d. Provide the client with nonskid foot wear.
e. Complete a fall risk assessment.
Which of the following positions promotes drainage from the
mouth for clients with throat or oral surgery but inhibits chest
expansion?
, a. Fowler's position
b. Semi-Fowler's position
✅✅-c. Prone position
c. Prone position
d. Reverse Trendelenburg -
A nurse is checking the vital signs of a newly admitted client who
has a fractured femur. The client's BP is 140/94. The client denies
any history of hypertension. The nurse should do which of the
following?
a. Ask the client if he is having pain.
b. Report the elevated BP to the provider.
✅✅
c. Return in 30 minutes to recheck the BP.
d. Check the orthostatic BP. - -a. Ask the client if he is having
pain.
Dorsiflexion of the feet is assessed by instructing the client to:
a. point the toes toward the head.
b. point the toes toward the floor.
✅✅
c. turn the soles of the feet outward.
d. turn the soles of the feet inward. - -a. point the toes toward
the head.
A client experiences dyspnea and reports feeling tired after
completing her morning care. Which of the following should the
nurse include in the client's plan of care for the next day?
a. Plan for several rest periods during the morning care.
b. Perform all of the client's care as quickly as possible.
c. Do not offer morning care.
✅✅
d. Ask a family member to come in to give the client a bath. -
-a. Plan for several rest periods during the morning care.
A nurse is caring for a client who is at high risk for aspiration.
Which of the following is an appropriate nursing intervention?
a. Give the client thin liquids.
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