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NESA Test Questions And Answers With Verified Updates 2025

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Despite all efforts to avoid the use of restraints, the nurse needs to apply a restraint to protect the client. Which principles should the nurse folow to correctly implement the use of a restraint for this client? Select all that apply. A. The restraint chosen must be the least restrictive opti...

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  • August 25, 2024
  • 26
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NESA
  • NESA
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ACADEMICMATERIALS
NESA Test

Despite all efforts to avoid the use of restraints, the nurse needs to apply a restraint to protect the client.
Which principles should the nurse folow to correctly implement the use of a restraint for this client?
Select all that apply.



A. The restraint chosen must be the least restrictive option available.

B. A written physician order must be obtained within 24 hours of applying the restraint.

C. The restraints should be secured to the bedrail to promote easy release and client mobility.

D. Every two hours the staff will need to release the restraints to provide flids, toileting and range of
motion. - A. The restraint chosen must be the least restrictive option available.

B. A written physician order must be obtained within 24 hours of applying the restraint.

D. Every two hours the staff will need to release the restraints to provide flids, toileting and range of
motion.



All of the following statements regarding pain are true EXCEPT:



A. Absence of increased vital signs does not indicate an absence of pain.

B. The patient's inability to communicate pain and discomfort should not inhibit adequate treatment.

C. Addiction to pain medication used in the treatment of acute pain is rare.

D. Because their nervous system is underdeveloped, children under two years of age have a decreased
pain sensitivity and limited memory of painful experiences. - D. Because their nervous system is
underdeveloped, children under two years of age have a decreased pain sensitivity and limited memory

Patients have rights regarding pain management. THese rights include all of the following except:



A. Information about pain and pain relief.

B. Pain relief only when pain can be rated on the 0-10 numeric scale

C. Staff who ask about their pain

D. Staff who care about their pain - B. Pain relief only when pain can be rated on the 0-10
numeric scale

,To help remember what to do in case of a hazardous material spill, what acronym can be used?



A. CLEAN

B. PASS

C. CALM

D. RACE - A. CLEAN



Which of the following statements is INCORRECT regaing FAST stroke identification:



A. If stroke-like symptoms disappear in a few minutes, they can be ignored

B. Stroke is an emergency. Always call 911 as soon as possible if you suspect someone is having a stroke.

C. Stroke is the 4th leading cause of death in the U.S.

D. Stroke can happen to anyone at any time, regardless of race, sex or age - A. If stroke-like
symptoms disappear in a few minutes, they can be ignored



Which of the following is a warning sign of stroke?



A. Loss of speech or trouble talking

B. Sudden numbness on one side of the body

C. Sudden onset of facial weakness

D. All of the above - D. All of the above



What does FAST stand for?



A. Face, Activate 911, Speech, Time

B. Face, Arms, Speech, Time

C. Face, Arms, Strength, Time

D. Face, Arms, Speech, Turgor - B. Face, Arms, Speech, Time

, Which of the following is considered "The 5th Vital Sign"?



A. Temperature

B. Pain

C. Blood pressure

D. Apical pulse - B. Pain



Which of the following are considered non-pharmacological strategies which may be used to assist with
pain management? Select all that apply.



A. Repositioning

B. Guided imagery

C. Opioids

D. Massage - A. Repositioning

B. Guided imagery

D. Massage



The most commonly used tool used to help adult patients rate their pai is the 0-10 numeric scale. Which
of the following statements is not accurate when using this scale?



A. You should determine what level of pain the patient considers acceptable.

B. You should understand the most accurate judge of intensity of the patient's pain is the patient.

C. You should avoid over sedation by withholding pain medication until the patient can accurately rate
his pain.

D. You shyould also have the patient describe their pain. - C. You should avoid over sedation by
withholding pain medication until the patient can accurately rate his pain.



These patients are at higher risk for opioid induced respiratory depression:

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