NUR 2115 / NUR 211 Exam 1 Fundamentals of Nursing
- Using the principles of standard precautions, the nurse would wear gloves in
what nursing interventions?
- Providing a back massage
- Feeding a client
- Providing hair care
- providing oral hygiene
- The nurse is preparing to take vital sign in an alert client admitted to the
hospital with dehydration secondary to vomiting and diarrhea. What is the best method used to assess the client’s temperature?
- Oral
- Axillary
- Radial
- Heat sensitive tape
- A nurse obtained a client’s pulse and found the rate to be above normal. The
nurse document this findings as:
- Tachypnea
- Hyper pyrexia
- Arrythmia
- Tachycardia
- Which of the following actions should the nurse take to use a wide base
support when assisting a client to get up in a chair?
- Bend at the waist and place arms under the client’s arms and lift
- Face the client, bend knees and place hands on client’s forearm and lift
- Spread his or her feet apart
- Tighten his or her pelvic muscles
- A client had oral surgery following a motor vehicle accident. The nurse
assessing the client finds the skin flushed and warm. Which of the following would be the best method to take the client’s body temperature?
- Oral
- Axillary
- Arterial line 1 / 2
- Rectal
- A client who is unconscious needs frequent mouth care. When performing a
mouth care, the best position of a client is:
- Fowler’s position
- Side lying
- Supine
- Trendelenburg
- A client is hospitalized for the first time, which of the following actions ensure
the safety of the client?
- Keep unnecessary furniture out of the way
- Keep the lights on at all time
- Keep side rails up at all time
- Keep all equipment out of view
- A walk-in client enters into the clinic with a chief complaint of abdominal
pain and diarrhea. The nurse takes the client’s vital sign hereafter. What phrase of nursing process is being implemented here by the nurse?
- Assessment
- Diagnosis
- Planning
- Implementation
- It is best describe as a systematic, rational method of planning and providing
nursing care for individual, families, group and community
- Assessment
- Nursing Process
- Diagnosis
- Implementation
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