Bed making 1. The nurse should check

Bed making 1. The nurse should check all soiled bed linen for personal articles prior to discarding. A. True B. False 2. Which principle should the nurse consider when handling linen? A. should be held close to the body B. Should only be held in gloved hands C. Should be held away from the uniform D. should be held below the waist level 3. If the client is alert, he may turn during occupied bed making without the side rail raised. A. True B. False 4. Match the nursing actions with the rationale. Prompts Pull sheets tightly and tuck under mattress. Adjust the bed to a working position and lower the side rail. Assemble and arrange equipment in the order the items will be used. Complete one side of the bed before moving to the other side Secure call bell on the client’s bed Answers Safety of the Client Organization facilitate performance of tasks Reduces strain on the nurse’s back saves time and energy wrinkles can cause discomfort for the client lower side rail 5. Soiled linen may be placed on the client’s over bed table A. True B. False Body Mechanics and ROM 1. The correct use of body mechanics is only necessary in the clinical area. A. True B. False 2. The client has severe edema of the lower legs. Which assistive devises should be utilized? A. bed cradle B. Trapeze bar C. Mattress pad D. Bed board 3. What is one goal of doing passive range of motion exercises for a client? A. build muscle mass B. maintain joint function C. replace the need for ambulation D. prevent skin ulcers. 4. The narrower the base of support, the greater the stability of the object. A. True B. False 5. What the main reason for using the longest and strongest muscles? A. it uses gravity and reduces the strain placed on a group of muscles. B. it overcomes slouching and uses muscles properly to prevent strain and injury to the abdominal wall. C. it provides the greatest strength and potential for performing work D. it provides and enhances the balance pf the body 6. Match the correct term for the positioning or lifting aid illustration Prompts Sims Fowlers Supine Prone Trapeze bar Footboard Answers 7. Match the correct term for the Range of Motion illustrated. Prompts Plantar Flexion Hyperextension Flexion Abduction Dorsiflexion Answers 8. The correct use of body mechanics is only necessary in the clinical area. A. True B. False 9. Body mechanics is an efficient use of the body as a machine and as a means of locomotion. A. True B. False 10. Which statement best defines body mechanics? A. The potential to respond when stimulated to work. B. Coordinated efforts to maintain balance, posture and body alignment. C. The physiology of joints and the nervous system. D. The anatomy of the body used for support and movement 11. Which statement is a principle of body mechanics? A. always have a narrow base of support B. Use of small muscle groups when moving an object C. lift an object rather than push or pull D. work as close to the subject as possible 12. Which rationale is correct for separating the feet in the standing position? A. relieve stress on the arches of the feet B. Provide a wide base of support C. Prevent the train of locked knees. D. distribute the body weight evenly 13. Friction enhances movement. A. True B. False 14. Which component is not related to body mechanics? A. Body size B. Balance C. posture D. body alignment Handwashing and Infection Control 1. Liz is a nurse in a busy walk-in clinic. She is providing care to an elderly client with the flu. A second client arrives to pick up a sample package of birth control pills. What should Liz do? A. Liz doesn’t need to wash her hands because the influenza virus in not spread by contact B. Quickly give the second patient the package while talking to the elderly client. C. Liz should excuse herself from the elderly client and wash hands before dealing with the second client. D. It is only necessary for Liz to wash her hands, if she is providing direct care to the second client. 2. The nurses should not touch the inside of the sink during the hand washing procedure. A. True B. False 3. Water should flow from contaminated area to cleaner area when washing hands. A. True B. False 4. Only specimens from infectious clients required special handling. A. True B. False 5. The nurse does not need to wash his/her hands before going to lunch A. True B. False 6. Hand washing is the most effective way to help prevent the spread of organisms. A. True B. False 7. Which action is consistent with Standards Precautions? A. a new pair of gloves for each client when touching blood, body fluids, mucous membranes and non-intact skin B. a gown, gloves and a mask for all nursing situations involving body secretions. C. a new pair of gloves for each client when feeding client D. a new pair of gloves for each client when touching any body part 8. While changing the dressing, the abdominal wound is draining copious amounts of purulent discharge. What protective equipment should Maureen use? A. Gloves and mask B. Gloves, mask, and gown C. Gloves and gowns D. Glove only 9. Which gloving action(s) are appropriate when in contact with a client? A. use of one pair of gloves for all clients in the same room B. hand washing after discarding gloves C. no hand washing necessary after discarding gloves D. washing gloved hands 10. Which action is the single most important means of preventing the spread of microorganisms? A. Washing your hands between clients. B. Wearing barrier gowns when caring for clients. C. Wearing a mask when caring for clients. D. Wearing gloves when caring for a client. 11. Paul is a nurse in a community setting; he notices that several of his colleagues do not throw used syringes in the puncture-proof sharps disposal container supplied by the employer during home visits. Instead, they are throwing used syringes into wastebaskets of clients’ homes or storing them in the trunks of their cars for future disposal. What should Paul do? A. Paul should inform his clients to use caution when disposing of their garbage, which A contains uncapped needles. B. Paul should intervene to prevent needle stick injuries and transmission of bloodborne pathogens. C. Paul is only accountable for his own practice and should not be concerned with others. D. Paul’s colleagues have already taken adequate measures to dispose of the needles safely and cautiously. 12. Which timeframe is the correct duration for hand washing after routine client care? A. 5-10 seconds B. 10-15 seconds C. 30-60 seconds D. 90-120 seconds 13. Standard Precautions are used only to protect employees. A. true B. false 14. Maureen is an RPN who works in the ER. She just finished caring for a client who was bleeding profusely from a MVC (Motor Vehicle Collision) and was removing her mask, gloves and gown when a physician asks her to prepare a dressing tray for a client who is having an abdominal wound changed? Maureen told the physician that she needed time to wash her hands and put on clean gloves. The physician told her that the client has been waiting a very long time and she should prepare it now. What should Maureen do? A. Maureen should prepare the dressing tray so that the client does not have to wait any longer. B. Maureen should not worry about spread of infection because she was already wearing protective equipment. C. Maureen should tell the physician that she must remove her gown, wash her hands and change her gloves before preparing the tray. D. Instruct the physician to prepare the dressing tray himself. 15. Which statement best describes an infection that the client acquires in the hospital? A. an endogenous infection. B. A nosocomial infection. C. A local infection. D. A secondary infection. 16. Which solution is necessary for effective hand washing? A. disinfectant to increase surface tension B. soap or detergent for mechanical cleansing C. hot water to destroy bacteria D. hand lotion to decrease surface bacteria 17. Hepatitis B immunization is mandatory for all staff in contact with clients and/or patient body fluids. A. True B. False 18. Which situation requires the nurse to wear gloves as a barrier? A. When microorganisms present on the hands grow and multiply rapidly. B. When direct contact with the source of microorganisms will occur. C. When the nurse does not want to have contact with the client. D. To replace the need for hand washing when client care is finished. 19. While doing the abdominal wound change, Maureen asks the RN to help her to reposition the client. Who should document the dressing change? A. Maureen and the RN. B. The RN. C. Maureen only. D. Maureen with the RN co-signing. 20. Standard Precautions are used for contact with all body fluids A. True B. False

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