The nurse educates the nursing assistant about the importance of locking the wheels of a wheelchair. Which statement indicates that the nursing assistant understands the nurse's teach-ing?
a. The locks supply a stable support for a patient to lift himself.
b. The locks keep patient in position at a table or bedside.
c. The locks help to prevent falls.
d. The locks keep the patient from moving himself.
Question 2The patient with acute myelogenous leukemia (AML) asks why he is making more WBCs when he already has so many. Which statement clarifies the underlying pathophysiology related to the patient's white blood cells (WBCs)?
a. The large number of leukemic white cells that you already have are not as effective as normal white cells.
b. The large number of leukemic white cells that you already have protect against infection.
c. The large number of leukemic white cells that you already have attempt to take over the functions of RBCs.
d. The large number of leukemic white cells that you already have are produced by the lymphatic system.
Question 3The nurse assesses the patient's IV insertion site and observes that the vein is hard, the skin is red and tender, and a blood return in the IV line. After removing the IV catheter, which action should the nurse take next?
a. Obtain an arm board to properly secure the IV.
b. Elevate the arm above the level of the heart.
c. Clean the site with alcohol and apply cool compresses.
d. Apply a warm moist pack.
Question 4The nurse is caring for a patient with flaccid paralysis after sustaining a spinal cord injury 3 days earlier. The family excitedly notifies the nurse that the patient has flexed his arm. Which response is best for the nurse to make?
a. I will give the doctor this wonderful news.
b. Avoid directly touching the arm muscles so that you don't cause more muscle spasms.
c. This movement means that the spinal cord is adjusting to the injury.
d. These muscles spasms are a type of in-voluntary movement that happens fre-quently in patients with spinal cord inju-ries.
Question 5Which statement describes the chief goal of a long-term care facility?
a. To offer restorative services
b. To promote individual independence
c. To facilitate achievement of complete au-tonomy
d. To manage medication protocols
Question 6The nurse is caring for an adolescent who has lower limb paralysis after sustaining a spinal injury yesterday. The patient's anxious mother asks if the paralysis is permanent. Which response is most appropriate for the nurse to make?
a. It is possible that motor function may or may not return after spinal cord swelling has subsided.
b. Motor function may improve, but there will always be a deficit.
c. In all likelihood, the paralysis will be permanent.
d. Have you asked the physician about your concerns?
Question 7The nurse is caring for a patient with metabolic acidosis. Which assessment finding reveals that the compensatory mechanism to correct this imbalance is in effect?
a. Increased urinary output
b. Reduced abdominal distention
c. Kussmaul respirations
d. Decreased blood pressure
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