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Basi Skills Final 2024 Flashcards | StudBud
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Basi Skills Final 2024
Basi Skills Final 2024
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1
what concept are you demonstrating if performing b/p screening on client that has family history of HTN?
Health promotion
Holistic health
Disease prevention
Health education
2
Nurse is teaching a class about the skeletal muscle. Identify the function of skeletal muscle.
Skeletal muscles enable a hand to contract and form a list
Skeletal muscles enable the bronchioles to dilate in the lungs.
Skeletal muscles enable the heart to contract with each heartbeat
Skeletal muscles enable the bladder to contract during voiding
3
Nurse is teaching about cell phone use in workplace. Which of the information should be included?
Sen a personal text to a co worker
Call the client''s family per their request
Take a photo of client's incision for learning processs
Request assistance from the client's room
4
Teaching a client who is on a low potassium diet which of the following instructions should the nurse include?
Avoid using salt substitutes when cooking
Replace sugar with molasses when baking
Choose orange juice instead of apple juice
5
Reinforcing information about sentinel events, statements below indicates an understanding?
"Ex: of sentinel event is adm a prescribed sedative for insomnia
"An example of sentinel event is administering client meds 30 min late
"Ex: of sentinel event is administering incompatible blood products to pt.
"an example of a sentinel event is documenting v/s at wrong time on MAR
6
Nurse to administer antihypertensive medication. Using clinical judgement which says to collect further information ?
The client reports having trouble sleeping the previous night
The client ate 60% of their breakfast
The client reports dizziness when ambulating to the bathroom
The client has a urine output of 400 ml for the past 8 hr
7
A nurse is reviewing laboratory values for a client. Which of the following indicates the presence of an infection?
Platelet count 200,000/mm3
Creatine Kinase 75 units/L
Hgb 15 g/dL
WBC count 22,000/mm3
8
What food would be safe choices for a 14-month old child?
Raw carrots
Popcorn
Mashed potatoes
Watermelon with seeds
9
A nurse is evaluating ergonomic practice in the workplace. Which should identify as example of safe ergonomic practices.
Nurses are required to take breaks during a shift
Nurse lifts a client by themselves
Nurse reaches across a client's bed to lift an object
Nurses are required to work frequent overtime
10
Teaching client who has new colostomy, which information should be included?
"you will need to increase your dietary intake of raw vegetables"
"you may experience a small amount of bleeding around the stoma"
"you should expect fecal output within 24 hours"
"you can expect the stoma to be purplish in color for the first week"
11
Preparing to insert indwelling urinary catheter which actions should you plan to take?
Apply an oil-based lubricant to the indwelling urinary catheter
Test the balloon on the indwelling urinary catheter before insertion
Don sterile gloves before inserting the indwelling urinary catheter
Use one cotton swab to clean the client's urinary meatus
12
Discussing types of communication styles which information should the nurse include?
Assertive communicators are confident in their communications
Assertive communicatyors communicate resentment in secretive ways
Passive commincators communicate clearly and honestly
Passive communicators become hostile when they are challenged
13
What physiological changes in the digestive system that occurs with aging?
Decreased intestinal peristalsis
Increased gastric acid production
Increased muscle tone of the bowel
Decreased pH of the stomach
14
Nurse is teaching a class about the effects of bathing in warm water. Which information should the nurse included?
Increases retention of carbon monoxide
Decreases stress
Decreases oxygen supply to tissue
Increases vasoconstriction
15
When teaching client who has constipation, what should be included?
"Try to defecate at different times of the day"
"Reduce your daily activity"
"Increase your daily fluid intake"
"Consume a low-fiber diet"
16
Nurse is admitting client who speaks different language. Which actions should be taken?
Use an electronic translating from internet to interpret the information
Telephone the interpreter for the facility to interpret the information
Ask client's partner to interpret the information
Call a colleague who speaks the language to interpret the information
17
What is the correct abbreviations used by provider that means " to administer medication before meals"?
ac
Tx
DNR
NG
18
Nurse is teaching a class about mucous membranes. The nurse should include where mucous membranes are found.
Cuticle area of the nails
Dermal layer of skin
Respiratory Tract
Enamel of the teeth
19
What actions should the nurse plan to take when preparing to obtain a 24-hour urine specimen?
Include toilet paper with the collected urine
Discard the client's last void
The nurse should discard the first void to obtain an accurate specimen
Save the first void at the collection time period.
20
Discharge teaching for client has intermittent enteral feedings per GT, which statements require further teaching?
"I can crush and mix my medication with my formula"
"I need to flush tube with 15 to 30 ml water before/ after each feeding
" I should have formula at room temperture before instilling down tube"
"I will return all aspirated residual volume before each bolus feeding"
21
Teaching class about minerals -what is needed to transport oxygen?
Potassium
Phosphorus
Magnesium
Iron
22
A nurse is preparing a client for a procedure. What is an acceptable identifier to use identify the client?
Home address
Telephone number
Medical Condition
Room Number
23
Nurse in clinic has client who has psoriasis. What should the nurse expect?
Lesions along the pathways of nerve endings
Serious drainage
Silvery white scales
Intense pain
24
RN and LVN are admitting new client. What steps of the nursing process is when they formulate goals for positive outcome
Planning
Implementaion
Evaluation
Data Collection
25
Discharge teaching to client with GERD should include which list of foods to avoid?
Apples
Oatmeal
Chocolate
Nonfat milk
26
Which is food high in dietary fiber for an older adult who is on bed rest?
Canned pineapple
Pears with skin
Celery
Mashed potatoes
27
A nurse is caring for client who has a Clostridium difficile and is placed on contact precautions. Which actions first?
Shake soiled linens
Use electronic thermometer to take the client's tmperaure
Remove protective gown before gloves
Remove the protective gown before leaving th client' s room
28
What tests should nurse anticipate for a client screening for rectal cancer?
Upper GI series
Colonscopy
Upper GI endoscopy
Endoscopic retrograde cholangiopancreatography (ERCP)
29
Nurse is admitting a client with MRSA. The nurse should place in what isolation?
Protective
Droplet
Contact
Airborne
30
A nurse takes a radial pulses bilaterally & (R) radial pulse is bounding, and (L) is as expected. 80/min. Document this.
Left radial pulse 1+, 80 min, palpated
Left radial pulse 4+, 80/min, palpated
Right radial pulse 4+, 80/min., palpated
Right radial pulse2+, 80/min,palpated
31
Nurse has client reports a new skin lesion. Which action should be priority?
Identify when the client first noticed the lesion
Document the client's history of skin allergies
Photograph the lesion for the client's medical record
Instructing the client on the use of daily sunscreen products.
32
which position should an infant be placed in after feeding if it has GERD?
Prone
Left side
Upright
right side
33
Doing care plan for adult with pneumonia. What interventions should be included?
Encourage independence in completing ADL's
Use an N-95 respirator when providing client care
Assist the client to cough and deep breathe every 4 hours
Encourage fluid intake of 2.5 L per day
34
When nurse is reinforcing teaching about accessing the medical record. Which should be included?
Nurse can access records any client in facility, as long it is not share
Nurse can share information about client with those have similar diagnosis
nurse can only access the records of clients they are actively caring for.
Nurse can only share information from medical record with immediate family
35
Nurse is providing an in-service about unexpected events. Which of the following is an example of sentinel event?
A clkient was almost given another client;'s medication
A client fell out of bed and fractured their hip
A client was prescribed a med they were allergic to, but Rx was canceled
A client had bowel surgery and died from sepsis
36
Staff is caring for client who has MRSA from contaminated . Mode of transmission did the client acquire the infection?
Vector
Droplet
Inderect contact
Airborne
37
Client has mental illness /developed tardive dyskinesia /the anti-psychotic medication. Which effects would be expected?
Nausea and Vomiting
Uncontrolled movements around the mouth
Seizures and tremors
Hallucinations and delusions
38
What type of urinary incontinence is due to nerve damage following a spinal cord injury?
Stress incontinencer
Reflex incontinence
Urge incontinence
Overflow incontinence
39
Which of the following is the function of the large intestine?
It produces vitamin D
It secretes enzymes to digest food
It prevents the reflux of food into the esophagus
It absorbs liquid to form stool
40
Nurse checking client's bowel sounds. Which times should she auscultate the abdomen?
Prior to percussing the abdomen
Prior to inspecting the abdomen
After checking for kidney tenderness
After palpating the abdomen
41
Nurse completing routine health evals on school-age children. What sings of possibility of pediculosis capitis?
Blisters on the scalp
Reports of scalp itchiness
Patches of baldness
Dry patches on the scalp
42
nurse is obtaining an oxygen saturation on a client. Which of the following actions should the nurse take?
Wait 10 sec after placing the probe before obtaining the oxygen saturation
Place the sensor on the same extremity as an electric blood pressure cuff
Choose a finger with a capillary refill less than 2 sec
Relocate the sensor every 8 hours
43
A nurse is changing the bed for a client with contact precautions. Which of the following PPE should be used?
N-95 Respirator
Goggles
Face Shield
Gloves
44
Teaching hand hygiene which should be included?
Wash hands with alcohol-based hand sanitizer caring for pt with C-diff
Use hot water when washing hands with soap and water
Wash hands with soap and water if they are visibly soiled
Use alcohol base hand sanitizers on hands for at least 10 seconds
45
Teaching a class about critical thinking, which should include that interpreting data is included?
Analysis
Creativity
Intuition
Questioning
46
Which interventions should the nurse take when inserting a NG tube in a client who has a bowel obstruction?
Measure the tube for insertion from the tip of the nose to the umbilicus
Instruct client to place his chin to his chest and swallow
Place client in a supine position
Withdraw the tube if the client gags during insertion
47
Nurse preparing to insert foley catheter in female client which step comes next after opening kit & preparing supplies?
Lubricate the catheter
Clean meatus
Don sterile gloves
Cleanse labia
48
Teaching plan for a client who has hearing loss, which ations should be included?
Speak quickly during the educational session
Use a loud tone during the educational session
Face the client during the educational session
turn on the TV in client's room during the educational session
49
Nurse is caring for older adult at risk for skin breakdown. Which intervention should nurse use to help skin integrity?
Apply cornstarch to keep the skin dry
Provide the client with a diet high in protein
Massage boy prominences to promote circulation
Reposition the client every 3 hr
50
In-service about motivational interviewing to staff. Nurse should discuss the OARS mnemonic by this statement.
)= Offering one's personal opinions to the client
S= Offering Sympathy based on emotionally identifying with the client
R= Providing reasssurance to the client that everything will be okay
A= Providing affirmations to encourage the client
51
What are complications of diverticulitis?
Dysphagia
Crohn's disease
Peritonitis
Ulcerative colitis
52
When nurse is obtaining informed consent she is demonstrating which role?
Researcher
Case manager
Advocate
Nurse manager
53
which member of the healthcare team should get a referral for a client that has dysphagia?
Respiratory Therapist
Speech therapist
Dentist
Physical therapist
54
A nurse sees smoke coming from the central supply room. Which of the following actions should the nurse take first?
Close all doors
Stay close to the ground
Wrap clients in blankets
Walk to a sfe area
55
Which food on dietary tray can not be on a clear liquid diet for a postoperative client.?
Vanilla pudding
Orange gelatin
Beef broth
Cranberry juice
56
When performing discharge planning which of the following is true?
Communication is essential
Available resources are the same for each client
It should start on the day the client is being discharged
The client is responsible setting up necessary resources to be discharged
57
A nurse can share her password with the following?
No one
Nurse manager
Unit clerk
Facility's information system representative
58
.A nurse is observing performance hand hygiene. Which of the actions indicates an understanding of the procedure?
Washes their hans for 10 seconds
Holds their hands below the elbows while rinsing off soap
Uses hot water to wash their hands
Turns off the faucet with their hands
59
What interventions would you include for a client who has intestinal obstruction and having GI decompression with N/G?
Measure abdominal girth daily
Use sterile water to irrigate the nasogastric tube
Maintain the client in Fowler's position
Moisten the client's lips with lemon=glycerin swabs
60
A client who reports sneezing, cough, muscle aches, headache, and fever over 4 days, is in which stage of infection?
Prodromal
Period of Convalescence
Acute Illness
Incubation
61
Which statement should nurse include in teaching a client preoperative for a sigmoid colostomy?
"The end of the stoma will be panful after this procedure"
"Your colostomy will not produce formed stool"
"You will have a stoma in your left lower abdomen"
"You should expect your stoma to be a purple color"
62
Client has order for BIPAP. Which person should nurse contact to educate the client?
Respiratory therapist
Occupational therapist
Case manager
Physical therapist
63
Planning to perform perneal care for female client, which actions should nurse plan to take?
Start at the client's rectum and clean to the client's perineum
Use soap and water to clean the client's perineum
Use the same section of washcloth for each area cleaned
Allow client's perineum to air dry
64
Nurse is collecting data on a client who is a professional athlete. Which findings should the nurse expect?
Decreased osygen saturation
Bradycardia
Hypertention
Hypothermia
65
What are functions of teeth to teach class about?
Protect against pathogens
Assist with speech
Chew food
Secrete mucus
Shape the face
66
What professional standards should we refer to when teaching about client confidentiality?
Principles of Nursing Practice
American Nurses Association Position Statements
Code of Ethics for Nurses
Nursinc scope and standards of practice
67
Nurse has a client with urinary incontinence. How will she prevent development of skin breakdown?
Cleane skin and perineum with hot water after each episode of incontinence
Apply a moisture barrier ointment to the skin.
Request a presciption for the insertion of an indwelling urinary catheter
Check the client's skin every 8 hour for signs of brfeakdown
68
Telephone order for metformin 500 PO BID. Which is element is missing?
Medication
Time/frequency
Dosage
Route
69
When providing skin care for a client who has urinary incontinence, what action should you take?
Use hot water to clean the client's skin
Apply a barrier cream to the client's skin
Apply friction when drying the client's skin
Use soap to clean the client's skin
70
A client's who has an inadequate dietary intake of fiber should have the following findings?
Bleeding gums
Brittle hair
Memory loss
Constipation
71
Which food and beverages that cause diarrhea should be included in teaching client?
Ripe bananas
Caffeinated beverages
Low-fiber cereal
White rice
72
Nurse is teaching about calcium with a client who is at risk for osteoporosis. Where is calcium stored?
Tendons
Bones
Red bone marrow
73
A client is placed on droplet precautions. which of the following actions should the nurse take?
Remove fresh flowers from the client's room
wear a surgical mask when within 0.6 m of the client,
Place a surgical mask on the client when they leave their room
Move the client to a positive airflow room
74
When teaching dietary instructions for client has HTN and is on potassium-wasting diuretic the nurse should tell this?
Consume oranges and bananas
Avoid cow's milk
Limit intake of dried fruits
Increase consumption of canned tuna and salmon
75
When setting up a sterile field , which action indicates and understanding of the procedure?
Opens the first flap of the sterile package towards the nurse's body
Inspects the sterile package for holes before opening
Prepares the sterile field 2 hr before it is needed
Places the sterile field against a wall in the client's room
76
A discharging client has orders for daily dressing change on sacral pressure ulcer. Who should get a referral from dr.?
Assisted living
Home care
Hospice care
Long term care
77
Which of the following findings should you expect for a client with dehyration?
Moist skin
High blood pressure
Distended neck veins
Dark-colored urine
78
A nurse is teaching how reduce the risk of needlestick injuries. Which of the following instructions should be included.
Bend needles without safety devices before disposing of them
Use sharps containers until they are completely full
Dispose of large-bore needles into waterproof wastebackets
Engage the safety device im mediately after using a needle
79
Which of the following pH level should the nurse identify as an indication of correct placement of a NG tube?
7.0
6.0
4.0
8.0
80
If nurse looks up client's EHR but, is not involved in care, is violating which standards of professional performance?
Code of ethics
Quality of practice
Evidence based practice
Collaboration
81
When calculating a client's body mass index (BMI). Which of the following information does the nurse require?
The client's daily calorie intake
The client's waist circumference
The client's height
The client's skinfold thicknes
82
Client has contact dermitis of the neck and upper chest. What should nurse expect?
Reports of exposure to a skin irritant
Reports of joint discomfort
Elevated temperature
Denial of pruritis
83
In order to improve a long term care client's nutritional status, the following intervention should be recommended?
Limit finger foods
Minimize the ude of seasoning
Provide soft foods
Serve small, frequent meals
84
what findings should the nurse expect on a client who has an inadequate dietary intake of vitamin C?
Bleeding gums
Brittle hair
Constipation
Memory loss
85
Teaching a class on process of digestion. Where does GI start ?
Rectum
Mouth
Stomach
Small intestine
86
A nurse is collecting data on a client who has pneumonia. Which of the following findings should the nurse expect?
Bradycardia
Pulse deficit
Tachypnea
Hypothermia
87
Presentation on improving critical thinking skills should include analysis, synthesis, interpretation, and intuition.
True
False
88
A nurse is performing hand hygiene with an alcohol-based hand sanitizer. What action to take?
Rub hands together for 20 seconds
Dry hands with a reuseable towel
Use hot water to rinse hand sanitizer off
Rub hand sanitizer around rings on fingers
89
A nurse is teaching a class about the stages of infection should include the first stage. Which is?
Prodromal
Acute Illness
Period of Convalescence
Incubation
90
A nurse is caring for a client who has an oxygen saturation of 88%. Which of the actions should the nurse take?
Ask client to cough every 4 hr
Encourage the client to take deep breaths
Request a prescription for an opioid analgesic
Decrease the head of the client;s bed
91
Nurse is completing discharge instructions on client with hearing deficit. Which action should nurse include?
Repeat any phrases that the client misunderstands
Provide a copy of the instructions printed in Braille
Stand next to the client when speaking
Guide the client waay from background noise
92
Client complaining of heartburn, which tests should nurse anticipate?
Colonscopy
Flexible signoidoscopy
Upper GI endoscopy
Lower GI series
93
What role is nurse performing when gathering evidence based practice on catheter UTI associated (CAUTI)?
Educator
Nurse manager
Researcher
Case Manager
94
A nurse is teaching a class about oral hygiene. Nurse should include that which of the following substances coats the t
Enamel
Cilia
Keratin
Langerhans Cells
95
How to reinforce discharge teaching for client who has hearing loss. What actions should nurse take?
Face the client while talking
Answer client's question using medical terminology
Increase the rate of speech when talking with the client
Dim the lights in the client's room
96
What findings should you expect for client has had diarrhea for several days?
Decreased bowl sounds
Dehydration
Hypothermia
Rigid abdomen
97
Teaching client about maintaining skin integrity to decrease risk of infection. Use the following instrucctions.
Allow your skin to air dry after bathing
Wash your skin daily with hot water
Use a moisturize on yur skin after cleaning
Rub skin firmly when cleaning.
98
what should be included in teaching about wearing medial masks?
"Rebove your mask prior to removing your gown"
"position the mask on your face with the flexible metal piece at the bottom
"Touch the front of your mask while wearing it"
"Discard your mask after each use"
99
Assisting discharge planning, nurse indicates understands when to put her input into the dc plan by which statement?
"I will once the provider documents that we may discharge the client"
"i will begin 48 hours before discharge"
"I will begin as soon as the client;s condition is stable"
"I will begin upon the client's admission to the facility"
100
Using the SOAP charting model. Which information should be included in the subjective component?
Client's skin is pale and diaphoretic
Client administered nitroglycerin 0.3mg SL for chest pain.
Client's blood pressure is 182/98 mm Hg
Client reports chest pain after mowing lawn this morning
