NUR NCLEX practice questions

When initially preparing to apply elastic stockings, the nurse must first: 1. Measure the patient's legs. 2. Select the appropriate size stockings. 3. Determining the patient's sensitivity to talcum powder. 4. Place ...

When initially preparing to apply elastic stockings, the nurse must first: 1. Measure the patient's legs. 2. Select the appropriate size stockings. 3. Determining the patient's sensitivity to talcum powder. 4. Place the patient in a comfortable sitting position in the bed. Which of the following statements made by the nurse will be most effective in instructing ancillary staff in the most effective means of minimizing patient discomfort when applying elastic stockings? 1. "Please be sure that you smooth out any wrinkles in the stockings." 2. "It's easier to put them on if you turn them inside out up to the heels." 3. "She isn't allergic, so apply a little powder to the legs and feet before you start." 4. "There is a clean pair of stockings in her bedside stand; her family brought them." The nurse is preparing to initiate ambulation for a patient who has been on bedrest for several weeks. To minimize the risk of the patient experiencing dizziness, the nurse first: 1. Raises the head of the patient's bed to 90 degrees. 2. Assists the patient into a sitting position on the side of the bed. 3. Asks the patient if he has felt dizzy when moving in the bed. 4. Assesses the patient's blood pressure before attempting to ambulate. The nurse has applied a gait belt to a post-operative patient to facilitate ambulation. Within a few feet of his bed the patient begins to complain of dizziness and leans heavily on the nurse. The nurse's initial response is to: 1. Use the gait belt to help slowly lower the patient to the floor. 2. Attempt to sit the patient down on a chair just a few steps away. 3. Ask the patient's roommate to use her call bell to alert additional staff. 4. Inform the staff that help is needed by calling out in a loud but calm voice. The nurse is preparing to delegate the ambulation of a patient with the use of a gait belt to assistive personnel. Which of the following statements by the assistive personnel requires follow-up by the nurse? 1. "I will be sure to put non-skid slippers on the patient before getting him up to ambulate." 2. "I use the under-axilla technique to get him up and then use the gait belt to walk him." 3. "Rocking the heavier patient into a standing position seems to work really well for me." 4. "The patient has a weak left side from a stroke. I'll position myself on that side for more support." The nurse is ambulating a patient with a gait belt. Which of the following events warrants returning the patient to bed immediately? 1. She complains of "feeling nauseous." 2. Her son arrives for a much awaited visit. 3. She states, "I don't want to get too tired." 4. The hospital chaplain responds to a referral. When preparing to move or position a patient, the nurse should first: 1. Assemble adequate help to facilitate the change. 2. Assess the patient's ability to assist with the change. 3. Determine the effect of the patient's weight on the change. 4. Decide upon the most effective method to facilitate the change. It has been determined that a patient is capable of assisting with her own repositioning toward the head of the bed. Which of the following statements made by the nurse will be most effective in instructing the patient on how to best facilitate the move? 1. "When I count to 3, please push off with your feet." 2. "Please help by folding your arms across your chest." 3. "Please bend your knees so your feet are flat on the bed." 4. "Please let me know how I can best help you with this move." A comatose patient who weighs 201 pounds requires repositioning in the bed. Which of the following actions is most likely to ensure that the client and staff will be safe during the move? 1. Accomplish the move in two or three small moves instead of one big move. 2. Place a repositioning aid (such as a lift sheet) from his shoulders to his thighs. 3. Enlist the help of two assistants since the patient weighs more than 200 pounds. 4. Assume a wide stance with the foot closest to the head of the bed behind the other. Which of the following statements made by ancillary staff assigned to position an immobile patient reflects the best understanding of the importance of appropriately communicating with the nurse regarding this intervention? 1. "I'll let you know if I need your help with her positioning."