___ urinary incontinence is the involuntary leakage of urine during activities that increase abdominal pressure, such as coughing or sneezing, due to weakened pelvic floor muscles.

Stress

For perineal care of both women and men, always proceed from the _ contaminated area to the __ contaminated area.

Least, most

For the safety of an older adult client, which is the best action that should be taken to prevent falls and accidents?

Instruct the client to call for assistance before getting out of bed.

The nurse is to perform Oral care for a client. Which action is a priority for the nurse to check?

Gag reflex

Which Cranial Nerve is being assessed when the client is asked to shrug their shoulders and turn their head against resistance?

Cranial nerve XI

What is the name for the type of question that allows the client to offer a wide range of possible responses?

Open ended

What step in the nursing process is the nurse using while collecting and organizing client data?

Assessment

The ___ position is a side lying position in which an unconscious, breathing person can be placed to maintain an open airway and promote proper breathing.

Recovery

The nurse is providing perineal care for a female client understands the technique is to wipe from ___ to ___

Front, back

Which is a potential sign of elder abuse?

Unexplained injuries or bruises.

A forward "stooping" with a loss

of height is called _____

Kyphosis

Because their pre-frontal cortex is not fully developed, ____ are more likely than other age groups to engage in risky behavior, which is why guns, vehicle accidents, and toxic substances are the leading cause of injuries for this age group.

Adolescents

A 75-year-old client admitted to the hospital with a diagnosis of pneumonia slips and falls on a wet floor, resulting in a fractured hip. After assessing the client, the nurse notified the health care provider and completed an incident report. The nurse then submits the incident report to the ____ manager.

Risk

A device that alerts a caregiver when a client moves and that is often used with dementia clients, is called an ____- alarm.

Ambulation

Based on the principles of emergency triage, the _____ tag indicates that the patient is deceased or has injuries that are incompatible with life.

Black

A client is experiencing delirium tremens and becomes highly aggressive. The psychiatrist ordered for the client to be retrained with hand-padding restraints. The nurse would also need to place padding on the ____ prominences of the arm.

Bony

Which client scenario would most likely require the use of mechanical restraint?

A client with paranoid schizophrenia who throws solid objects at anyone.

The nurse should have a medical ___ present during the teaching process when explaining therapeutic procedures to a client who doesn't speak the same language as the nurse.

Interpreter

You have a morbidly obese client who weighs around 320 Ibs. He has difficulty in moving and standing. What would be the best assistive device for the client?

Walker

The examination method a nurse uses to listen to the internal sounds of the body with a stethoscope is called _____

Auscultation

Which nursing intervention would be most effective in preventing the spread of infection related to a client's dentures?

Encouraging the patient to rinse their mouth after eating.

A nurse used her hands to assess the client's skin temperature, turgor, and texture. This method of examination is called

Palpation

Which examination method is used when the nurse taps on body parts using the fingertips to determine the size, consistency, and borders of body organs, or the presence or absence of fluid in the body cavities?

Percussion

What is the name of the high-pitched whistling breath sound that can be heard during expiration and is often related to asthma or C.O.P.D.?

Wheezing

A nurse is caring for a postoperative client following a heart bypass operation. Which is a sign of deep vein thrombosis or DVT?

Edema on the left leg

The proper application of cold packs involves placing a _____ between the skin and the cold pack.

Cloth

A client has been diagnosed with cardiomegaly. The nurse interprets the diagnosis as an ___ heart

Enlarged

A client has a blood pressure reading of 160/100 mmHg as reported by an unlicensed assistive personnel (UAP). What should be the nurse's priority action?

Assess the client's cardiovascular status.

In the ABCDE nursing acronym used to prioritize care, the A stands for ___, B for Breathing, C for ____ D for disability , and E for Exposure

Airway, circulation

The stage in the nursing process that involves executing a planned intervention is called

Implementation

The newly licensed nurse is applying wrist restraints to her client. The nurse should secure the restraints to the bed frame with a quick- _____ tie.

Release

A nurse is caring for a client who is anxious about his impending surgery. Which therapeutic communication technique should the nurse use to help the client cope with his anxiety?

Reflect on the clients feeling

What is the first physical assessment technique in the sequence of examining the abdomen of a client?

Inspection

The term for an abnormal sound heard during auscultation that indicates turbulent blood flow through a narrowed vessel, and is often described as a whooshing or swishing sound is

Bruit

A 73-year-old male client with shortness of breath who tires easily is unable to provide care for himself. The nurse instructs an unlicensed assistive personnel that this client needs a complete bed bath. Which UAP's action should the nurse intervene on?

Asking the client to wash his perineal area.

____ is a bluish discoloration of the skin or mucous membranes caused by a lack of oxygen in the blood.

Cyanosis

What is the name of the test where the nurse places a vibrating tuning fork against the client's mastoid process behind the ear and then in front of the external ear?

Rinne

The SBAR communication tool is used to improve the accuracy and completeness of communication between healthcare providers. The acronym stands for ____ - Background- ____ Recommendation.

Situation, assessment

What is the name of a dangerous gas that is clear, colorless, and tasteless, and is a common cause of poisoning from fires, motor vehicle exhaust fumes, and charcoal grills?

Carbon monoxide

Which of the following risks would the nurse include in health teaching of a high school Student?

Drowning, guns, and motor vehicle accidents.

The RACE acronym helps the nurse remember what to do in the case of a fire in a healthcare facility. In the Acronym, R stands For ___, A stands for ___, C stands for contain, and E stands for extinguish.

Rescue, alarm

Health teachings are being given by a community health nurse to a group of home renovators. Which will be included as a health teaching for carbon monoxide poisoning?

Carbon monoxide interferes with oxygen binding.

A client with heart failure is indicated to have murmurs in the aortic valve.The best anatomical area to auscultate and evaluate the aortic valve is in the second intercostal space to the ______ of the sternum.

Right

A health care provider evaluated a client who had violent aggressive outbursts that led to the injury of another client. The client is now calm and restraints are cleared to be removed. What would be your next action?

Remove restraint one at a time

For all children below 5 years old, the ear canal is inverted to the back hence we need to pull the pinna down and ____

Backward

A nurse found a client diagnosed with epilepsy having a tonic-clonic seizure. Which action would be best at this moment?

Place a pillow and support the head.

In caring for an immobile 75-year-old client, what would be the next best action after removing the bedpan?

Provide perineal care

A student nurse asked the registered nurse why would all elderly residents place their dentures in water before sleeping. The registered nurse is correct by answering:

It prevents the warping of plastic material.

Which assessment checks the Cranial Nerve Ill function?

Response of the pupils to light.

The pattern of auscultation of the abdomen is as follows: ____ lower quadrant preceding to listen to the ____ upper quadrant, then the left upper quadrant, and finally the left lower quadrant.

Right, right

You are a nurse in charge of a client that is on bed rest for an extended period of time due to extended COVID symptoms. Which among the following is the best activity to ensure optimal health?

Use of incentive spirometer.

Before beginning the physical examination, make sure you knock on the client's door and identify yourself before entering. Be sure to obtain permission before entering the client's room. This maintains the client's right to ____

Privacy

In teaching clients to prevent injuries due to physical activity, the nurse understands that ___ principles decrease the impact that work has on the body.

Ergonomic

For clients who are immobile, inappropriate hygiene is a factor in developing _____ ulcer.

Pressure

The school nurse noticed a preschool-aged girl scratching her head all the time. When asked, the little girl said "I have a tickling feeling in my scalp". The school nurse should investigate further for suspected case of ____

Pediculosis capitis

The nurse should teach a client that testicular self-examination or T.S.E. should be performed once a ____ and that prior to. the exam, the scrotum should be warm and ____

Month, relaxed

Strategies for helping prevent falls in assisted-living facilities include installing _ bars in toilet and shower areas, encouraging the use of non-____ footwear, and conducting a regular safety assessment to identify and address potential fall hazards.

Grab, slip

The interventions a nurse should prioritize when a client is having a seizure are moving the client into a ____ position, loosening clothing, placing a ____ or rolled blanket under the client's head and guiding the client's movements to prevent injury.

Lateral, pillow