Basic Nursing Skills

The nurse asks you to take a client's blood pressure stat.

immediately

Edema is the medical term used to report:

swelling

You must use the fire extinguisher to put out a trash fire in the stairwell. You should

aim the extinguisher at the base of the fire and spray from side to side.

You are assigned to weigh Mrs. Long using the wheelchair scale. Her weight is 2 pound less than it was last month. You should

inform the nurse immediately

Before transferring a client from a wheelchair to the bed, the nurse aide should:

position the wheelchair against the wall.

The purpose of using good body mechanics is to:

prevent injury to the nurse aide and client.

A client is using oxygen. You enter the room and notice that he has turned the flow meter up all the way. You should:

notify the nurse in charge.

The best method for moving a dependent client up in bed is to:

use a lift sheet.

The primary purpose of elevating the bed to the proper working height when making the bed is to:

prevent injury to your back.

When moving the client toward the head of the bed, the nurse aide should:

lower the head of the bed before moving the client.

You see a newspaper and a shoe in the middle of the floor of the client's room. You should:

pick them up and place them in the proper location.

Restraints should be tied:

in a quick-release (slip) knot.

Safety is:

everyone's responsibility.

Head lice:

are spread by sharing combs, brushes, and bedding.

An example of the direct contact mode of transmission of infection is:

touching an infected wound.

Each long line on the glass thermometer denotes:

2/10 degree.

The fire and disaster evacuation plan:

is posted on the wall and used in certain emergencies.

To count respirations, the nurse aide should:

count one inhalation and one exhalation as one respiration.

Record 7:20 P.M. in military time:

1920.

T.I.D. means

3 times a day.

When providing postmortem care, the nurse aide should:

always apply the principles of standard precautions.

In addition to handwashing and wearing gloves, the use of standard precautions involves:

understanding how pathogens are spread and using barrier equipment to protect yourself.

You are assigned to measure the height of a bedfast client. You should:

measure the height from head to heel using a tape measure.

Hepatitis B is transmitted through:

blood and body fluid transmission.

A client has fallen to the floor. She complains of severe pain in her left thigh. The nurse aide should:

stay with the client and use the call signal to get help.

A client with cyanosis has:

blue or blue/gray color.

The systolic blood pressure reading is the:

pressure when the heart is working.

The blood vessels that carry oxygen-rich blood to the various parts of the body are the:

arteries.

You are assigned to collect a midstream urine specimen from a male client. You should:

wash the perineum first to prevent specimen contamination.

The elements necessary for a fire to start are:

heat, oxygen, and fuel.

A bedfast client is vomiting. The nurse aide should:

turn the client's head to the side.

Mrs. Kosmacek left 5% of her meat and 75% of her vegetable on her tray before announcing that she was full. She ate all the bread, fruit, and dessert. She drank all her milk. You will record her food consumption as:

75%

A client is voiding frequently in small amounts. Her urine is foul-smelling. The nurse aide should:

notify the nurse of these observations.

An emergency call signal is sounding in Room 108. The nurse aide assigned to that room is on her lunch break. You should:

answer the signal and ask the client how you can help.

When lifting a heavy client or object, the nurse aide should:

maintain a wide base of support, keep the back straight, and use the leg muscles.

When entering and leaving the client's room, the nurse aide must:

check for and correct any safety hazards.

A client is bleeding heavily from an injury. The nurse aide should:

apply pressure with a gloved hand.

A client who is newly diagnosed with head lice or scabies:

is isolated in contact precautions.

You are assigned to take Mr. Brodsky's temperature rectally. Your facility uses color-coded glass thermometers. Which thermometer will you select?

The one with the red dot on the end.

A client is eating lunch when you notice his hands at his throat. The first thing you should do is:

ask the client if he can speak.

You are ambulating Mr. Chang in the hallway with a gait belt when he begins to fall. You should:

pull the belt toward your body and ease the client down your leg to the floor.

The tympanic thermometer is used to measure temperature in the client's:

ear.

Micorobes that cause disease are:

pathogens.

The nurse aide is responsible for cleaning client care supplies and equipment to:

prevent the spread of infection.

You must remove Mrs. Vasquez from her room during a fire emergency. The client cannot walk. She is sitting in a heavy recliner without wheels. No wheelchair is available. The best way to move the client is to:

place her on a sheet or blanket and drag her.

You are assigned to collect I&0 on Mr. Gonsalves. For lunch, he consumed an 8-ounce glass of milk, 2 ounces of water, and 4 ounces of ice cream. How many cc (ml) of fluid did he consume?

420 cc.

You are instructed to collect a regular urine specimen from a female client. You should:

apply the principles of standard precautions when obtaining the specimen.

When cleaning soiled client care items, the nurse aide should:

wear personal protective equipment.

The primary purpose of monitoring and recording urinary output is to:

ensure that the urinary output balances with the intake.

Signs and symptoms of scabies include:

rash and intense itching.

Record 3:40 P.M. in military time.

1540.

After the nurse aide measures the client's urinary output, he or she should:

disinfect the graduate pitcher.

The fire alarm sound. The facility is filling with smoke, but you do not see any flames. You should:

move clients behind a fire door and close the door

A person who can transmit an infection to others is a:

carrier

The following vital signs should be reported to the nurse?

98-120-28-114/66

When weighing the client with a bed scale, the nurse aide should:

ensure that the sling hangs freely and the client's body does not touch the bed.

You are assigned to take Mrs. Mangraviti's temperature by the axillary method. Your facility uses glass thermometers. Which thermometer will you use?

Oral

The nurse aide should wash his or her hands:

before and after caring for each client.

When making an occupied bed, you should:

raise the side rail on the opposite side of the bed.

Restraints must be released every:

2 hours for 10 minutes.

You remove a client's clothes to give her a shower. A dressing falls from her hip onto the floor, revealing a minor wound. The wound is not bleeding, but there is a small amount of old, dried blood on the dressing. You should:

apply gloves and place the dressing in a plastic bag.

The best method of preventing the spread of infection is:

frequent handwashing.

Standard precautions are used:

routinely in the care of all clients.

Q.I.D. means:

4 times a day.

When operating a manual hospital bed, raise the head by:

turning the handle on the left side.

A client vomits a substance that looks like coffee grounds. The nurse aide should:

notify the nurse immediately.

Mr. King's vital signs are: temperature 100.7, taken rectally: pulse 96, respirations 18, blood pressure 128/74. How would the nurse aide document these findings?

100.7 (R)-96-18-128/74.

When positioning supplies in the client's room, the nurse aide should:

keep clean and dirty items separate in the bedside stand.

The primary purpose of the respiratory system is to:

supply oxygen and eliminate carbon dioxide.

The radial pulse is taken at the:

wrist.

Mr. Eliopoulos has an irregular pulse. You should count it for:

one full minute.

Mrs. Mc Closkey's pulse is strong and regular. To measure her pulse accurately, you should count for:

30 seconds, then multiply times 2.

At the beginning of your shift, you notice that a client's restraint is tied too tightly. The client is struggling to free herself from the restraint. You should:

loosen the restraint and tie it correctly.

Mr. Mayo is a dependent client who is 6'2" and weighs 375 pounds. To transfer him from the bed to a chair, the nurse aide should:

use the mechanical lift and at least one more nurse aide.

Of the methods listed for taking a temperature, which is the least accurate?

Axillary.

When making the bed:

hold the soiled linen away from your uniform.

The blood pressure is taken using the:

brachial artery.

Measure the blood pressure by placing the stethoscope over a:

artery.

When making an unoccupied bed, the nurse aide should:

make one side of the bed before moving to the other side.

You are instructed to take an axillary temperature. You know that this is:

taken by placing the thermometer under the arm.

The charge nurse directs you to apply a cool compress to Mr. Long's right ankle. You know that:

the skin under the compress should be checked every 10 minutes.

Before weighing a client on a standing balance scale, the nurse aide should:

balance the scale.

Side rails:

are used only when ordered by the physician or needed by the client.

Waste products that are contaminated with blood or body fluids:

are discarded in leakproof, covered containers.

The use of medical asepsis is important to:

prevent the spread of infection.