PNLE 1 Part 4 C.

Draws one line to cross out the incorrect

information
61. Nurse Ron is observing a male client using
a walker. and then initials the change.

The nurse determines that the client is using D. Covers up the incorrect information
the walker completely using

correctly if the client: a black pen and writes in the correct

information
A. Puts all the four points of the walker flat on
the floor, 63.Nurse Ron is assisting with transferring a
client from
puts weight on the hand pieces, and then
walks into the operating room table to a stretcher. To
provide safety
it.
to the client, the nurse should:
B. Puts weight on the hand pieces, moves the
walker A. Moves the client rapidly from the table to
the
forward, and then walks into it.
stretcher.
C. Puts weight on the hand pieces, slides the
walker B. Uncovers the client completely before
transferring to
forward, and then walks into it.
the stretcher.
D. Walks into the walker, puts weight on the
hand C. Secures the client safety belts after
transferring to the
pieces, and then puts all four points of the
walker flat stretcher.

on the floor. D. Instructs the client to move self from the

table to the
62.Nurse Amy has documented an entry
regarding client stretcher.

care in the client’s medical record. When 64.Nurse Myrna is providing instructions to a
checking the nursing

entry, the nurse realizes that incorrect assistant assigned to give a bed bath to a
information was client who is on

documented. How does the nurse correct this contact precautions. Nurse Myrna instructs
error? the nursing

A. Erases the error and writes in the correct assistant to use which of the following
protective items
information.
when giving bed bath?
B. Uses correction fluid to cover up the
incorrect A. Gown and goggles

information and writes in the correct B. Gown and gloves

information.
C. Gloves and shoe protectors
D. Gloves and goggles 67.Nurse John develops methods for data
gathering. Which
65. Nurse Oliver is caring for a client with
impaired of the following criteria of a good instrument
refers to the
mobility that occurred as a result of a stroke.
The client has ability of the instrument to yield the same
results upon its
right sided arm and leg weakness. The nurse
would repeated administration?

suggest that the client use which of the A. Validity

following assistive
B. Specificity
devices that would provide the best stability
C. Sensitivity
for
D. Reliability
ambulating?
68.Harry knows that he has to protect the
A. Crutches
rights of human
B. Single straight-legged cane
research subjects. Which of the following
C. Quad cane actions of Harry

D. Walker ensures anonymity?

66.A male client with a right pleural effusion A. Keep the identities of the subject secret
noted on a
B. Obtain informed consent
chest X-ray is being prepared for
C. Provide equal treatment to all the subjects
thoracentesis. The client
of the
experiences severe dizziness when sitting
study.
upright. To
D. Release findings only to the participants of
provide a safe environment, the nurse assists
the study
the client to
69.Patient’s refusal to divulge information is a
which position for the procedure?
limitation
A. Prone with head turned toward the side
because it is beyond the control of Tifanny”.
supported
What type of
by a pillow.
research is appropriate for this study?
B. Sims’ position with the head of the bed flat.
A. Descriptive- correlational
C. Right side-lying with the head of the bed
B. Experiment
elevated 45
C. Quasi-experiment
degrees.
D. Historical
D. Left side-lying with the head of the bed
elevated 45 70.Nurse Ronald is aware that the best tool
for data
degrees.
gathering is? client after the surgical procedure is complete,
the nurse
A. Interview schedule
should avoid exposure of the client because of
B. Questionnaire
the risk for
C. Use of laboratory data
potential heat loss. Hurried movements and
D. Observation rapid changes

in the position should be avoided because

1. Answer: (A) Puts all the four points of the these predispose
walker flat on the
the client to hypotension. At the time of the
floor, puts weight on the hand pieces, and transfer from
then walks into
the surgery table to the stretcher, the client is
it. When the client uses a walker, the nurse still affected
stands adjacent
by the effects of the anesthesia; therefore, the
to the affected side. The client is instructed to client should
put all four
not move self. Safety belts can prevent the
points of the walker 2 feet forward flat on the client from
floor before
falling off the stretcher.
putting weight on hand pieces. This will
64. Answer: (B) Gown and gloves. Contact
ensure client safety
precautions require
and prevent stress cracks in the walker. The
the use of gloves and a gown if direct client
client is then
contact is
instructed to move the walker forward and
anticipated. Goggles are not necessary unless
walk into it.
the nurse
62. Answer: (C) Draws one line to cross out
anticipates the splashes of blood, body fluids,
the incorrect
secretions, or
information and then initials the change. To
excretions may occur. Shoe protectors are not
correct an
necessary.
error documented in a medical record, the
65. Answer: (C) Quad cane. Crutches and a
nurse draws one
walker can be
line through the incorrect information and
difficult to maneuver for a client with
then initials the
weakness on one
error. An error is never erased and correction
side. A cane is better suited for client with
fluid is never
weakness of the
used in the medical record.
arm and leg on one side. However, the quad
63. Answer: (C) Secures the client safety belts cane would
after
provide the most stability because of the
transferring to the stretcher. During the structure of the
transfer of the
cane and because a quad cane has four legs. infection.

66. Answer: (D) Left side-lying with the head 70. Answer: (C) Use of laboratory data.
of the bed Incidence of

elevated 45 degrees. To facilitate removal of nosocomial infection is best collected through

fluid from the the use of

chest wall, the client is positioned sitting at
the edge of the
bed leaning over the bedside table with the
feet supported
biophysiologic measures, particularly in vitro
measurements, hence laboratory data is
essential.

on a stool. If the client is unable to sit up, the

client is

positioned lying in bed on the unaffected side

with the head

of the bed elevated 30 to 45 degrees.

67. Answer: (D) Reliability Reliability is

consistency of the

research instrument. It refers to the

repeatability of the

instrument in extracting the same responses

upon its

repeated administration.

68. Answer: (A) Keep the identities of the

subject

secret. Keeping the identities of the research

subject secret

will ensure anonymity because this will hinder

providing

link between the information given to

whoever is its

source.

69. Answer: (A) Descriptive- correlational.

Descriptivecorrelational study is the most
appropriate for this study

because it studies the variables that could be

the

antecedents of the increased incidence of

nosocomial