Deck 1: Basic Care

Question 1

A nurse is performing passive range of motion exercises on a client who had a lacunar cerebrovascular accident nine days ago. While moving the left arm, the affected extremity, the nurse notes muscular spasticity. What is the nurse's next action?

A)Notify the physician
B)Continue with the range of motion exercises
C)Apply gentle pressure on the spastic part
D)Administer PRN pain medication, if there is any

Answer 1

Apply gentle pressure on the spastic part

Question 2

Janis Long, an 88-year-old client, is in an advanced stage of dementia. On a particularly busy day, the nurse decides to fit a bed exit safety monitoring device on the client. The following statements are benefits of this device, except:

A)Safely limits the mobility of the client
B)Decreases the risk of client falls
C)Alerts the nurse if the client is attempting to get out of bed
D)Prevents nighttime wandering

Answer 2

Safely limits the mobility of the client

Question 3

A client with chronic sinusitis suffers from poor ventilation due to the narrowing or obstruction of the nasal passageways. The nurse understands that poor ventilation can lead to poor nasal drainage. The nurse does NOT include which of the following comfort care measures for this client?

A)Encourage increase oral fluid intake.
B)Apply warm wrap or compress over the sinuses.
C)Increase the humidity of the environment.
D)Encourage plenty of rest in the day.

Answer 3

Encourage plenty of rest in the day.

Question 4

A nurse is caring for a client with an enlarged prostate. The client has difficulty voiding. Physical assessment notes a distended bladder with residual urine. When performing intermittent catheterization, which of the following is an inappropriate technique to ease the insertion:

A)Using the smallest available catheter in stock
B)Using liberal amounts of water-based lubricant
C)Assisting the client in semi-Fowler's position with the legs spread apart
D)Instructing the client to cough or bear down while maneuvering the catheter

Question 5

A nurse reviews information about different therapeutic diets. The nurse knows that which of the following statements is inaccurate?

A)"A low-residue diet includes foods high in carbohydrates, but excludes raw fruits, seeds, and whole grains"
B)"A low-purine diet discourages the intake of fish like anchovies, gravies, meat extracts, organ meats, and glandular meats"
C)"A high-calorie diet includes foods high in protein"
D)"A diet for a client with symptomatic diverticular disease includes foods high in fiber, and excludes gas-forming foods"

Question 6

A client with sleep apnea is prone to unexplained fatigue due to poor sleep quality. A female client reports increased daytime sleepiness. During the sleep study, the physician notes that the client's chest movement and airflow cease during apneic episodes. These findings strongly suggest that the client has which type of sleep apnea?

A)Central apnea
B)Obstructive apnea
C)Mixed apnea
D)Peripheral apnea

Question 7

Tony Smith is an elderly client who suffered from a left hemisphere cerebrovascular accident two weeks ago. The nurse is assessing Mr. Smith for complications of prolonged immobility. Which of the following complications is least likely to be responsive to exercise?

A)Contractures
B)Atrophy
C)Pressure ulcer
D)Constipation

Question 8

Which of the following best describes the recommended diet for the client with Meniere's syndrome?

A)High in fiber
B)Low in sodium
C)High in iodine
D)Low in fiber