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Master your Nursing Unit 1 exam with 50 practice questions and answers. Covers skin integrity, mobility, wound care, and perioperative nursing. Instant download! nursing exam, NCLEX prep, fundamentals of nursing, nursing study guide, wound care, mobility nursing, perioperative nursing, med surg review, nursing school, practice questions, unit 1 exam, nursing student
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Unit 1 Exam Review
You are a nurse attending a conference on skin integrity, client does not meet any of the teaching? a.Client who wears high top shoes presents with foot drop should have pressure areas assessed q2.
Nurse is assessing a client who is Native American who is having difficulty breathing, which of the following assessment finding indicates client has cyanosis? a.Grey tinge to lips and tongue.
You’re assessing an older adult for risk factors associated with falls, which would the nurse identify as a risk factor? A. Pt takes a diuretic twice daily.
The nurse is instructing a client on to use a Cane, what instructions should the nurse give the client? a. Move the cane and the weaker leg together then the stronger leg.
Nurse is helping a client to ambulate, which of the following actions is essential? a. Feet slightly apart to provide a wide base of support.
Nurse is attending a conference on safe PT handling, which statement by the nurse shows understanding? a. I should position my body as close to the client aw possible when providing care.
Nurse is attending a CE conference on the psychological effects of prolonged immobility,
a. The nurse is correct to state that prolonged immobility can cause constipation.
Nurse is caring for a client with limited mobility, which should the nurse recommend to promote good skin care? a. Position the legs to float the heels.
Nurse is caring for a client who has developed a pressure ulcer on the heel of the foot, after performing a neurovascular assessment on the leg and foot which action should she take next? a. Determine the size, color, and extent of tissue involvement.
Nurse is caring for a client who is 48 hrs post op for a debridement of pressure ulcer, the client has developed a low grade fever and drainage from the surgical wound, which of the following should the nurse implement first? a. Cleanse the wound and swab for culture.
Nurse receives hand off report on client one hr ago, temp 99, BP 132/80, WBC 11.2….. based on this info which of the following actions would the nurse priorities? a. Dietary consult.
The nurse is reviewing prescriptions for a client who has a ____ wound and is receiving neg pressure wound therapy, it requires the nurse to follow up if the HCP prescribes what? a. Anticoagulation for venous thrombosis_______
The nurse has instructed on the prevention of skin cancer, which of the client statements indicates understanding of the teachings? a. I will keep a body map of scars to monitor for changes.
Nurse is providing teaching to a client who was recently DX with psoriasis, which statement indicates understanding by the client? a. I will notify my HCP if I develop a fever while taking ________.
Nurse is caring for a client who was admitted 1 week ago and now requires surgery, which of the following actions by the nurse requires follow up by the charge nurse? a. Administering the clients scheduled insulin.
Nurse is caring for a client that is unconscious and requires emergency surgery, the clients medical POA is not available to arrive before surgery, which of the following actions should the nurse take with regards to informed consent? a. Contact POA by phone and obtain verbal consent for the procedure.
Nurse is providing preop teaching for a client scheduled for surgery, which client statement indicates understanding? a. I will be doing frequent ankle flexes after surgery.
Nurse is caring for a client due to have surgery on Monday, it is most important to notify the anesthesia provider if the client reports an immediate family member developed high fever during a surgical procedure. a. No real answer was given, but this pertains to malignant hyperthermia.
The ambulatory surgical nurse is planning postop discharge of client that will require a JP drain at home, which of the following actions is most important to the client discharge? a. Client to demonstrate how to empty the drain.
Nurse is assessing a client admitted to PACU who received general anesthesia the client respirations are____ and breath sounds are decreased in the bases. Which actions should the nurse take first? a. Attempt to arouse the Pt and assess PT O2.
Nurse is caring for a client who is postop for abdominal surgery, it is necessary for the nurse to notify the HCP if which of the following are noted? a. A consistent 20mmhg decrease in systolic BP.
Nurse working in an ambulatory surgery center is admitting a client that has had a surgical repair of a fractured ankle under regional anesthesia, which of the following actions should the nurse take first? a. Assess client’s airway patency.
Nurse is assessing the abdominal incision of a client who had gastric surgery 6 days ago and is at risk of dehiscence, which of the findings from the box below wound indicate possible dehiscence? a. Purulent drainage, increase in drainage amount, change from serous to serosanguinous.
Nurse is conducting a homological assessment on the client, which statement by the client is a priority for follow up by the nurse? a. I am a vegetarian and eat a lot of leafy green vegetables.
Nurse is assessing a client who has iron deficiency anemia , which of the following findings would the nurse expect to observe? a. Fissures at the corners of the mouth. ( B-12 glossy tongue).
Nurse preceptor is observing a newly hired nurse care for a client in sickle cell crisis, …………. a. Instructs the client to maintain fluid restriction of 1000 ml/day.
Nurse is attending a staff education conference on the administration of blood products, which of the following statements indicates a correct understanding of the conference? a. Fresh frozen plasma is administered to the client to (TX TTP ?, IDK dog barked)
Nurse is reviewing hand hygiene practices with new nurse, which of the following should the nurse include in the teaching? a.Rub vigorously during washing to remove oils and soil.
Nurse observes a newly hires nurse___________________________(I have no clue what she said). a.New nurse applies alcohol-based hand rub after handling PT equipment.
Nurse working in a community clinic has instructed a high school aged client DX with MRSA, which of the following statements by client is understanding of teaching? a.I will only use a wash cloth and towel once before I launder it.
Nurse working in a longterm care facility is admitting PT,………… a.It is appropriate to place PTs with pneumonia on droplet precautions.
Nurse is discussing infection control guidelines with a coworker, it is correct for the nurse to state that.. a.To wear a mask when working within 3 feet of someone with meningitis.
Nurse has obtained………………..40 yr old client presents to the ER with low grade fever, general malaise, and abdominal discomfort………… a. The nurse should immediately communicate to the ER provider that the client has just returned from a 14 day trip to Liberia.
Nurse is caring for assigned clients, which of the following clients is at the greatest risk of developing an infection? a. 40 yr malnourished with chronic alcoholism.
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