Physics Practice Test

180 + 60 + 240 + 50 = 530 ml

Stretching the bandage slightly maintains uniform tension on the bandage. Wrapping the bandage loosely wouldn’t secure the bandage on the arm. Using heavy pressure would cause circulatory impairment. Beginning the wrapping at the upper arm would cause uneven application of the bandage. For example, elastic stockings are applied distal to proximal to promote venous return.

Leaving equipment in the room is appropriate to avoid organism transmission by inanimate objects. Disposing of equipment after each use prevents transmission of organisms but isn’t cost-effective. Wearing gloves protects the nursing assistant, not other clients. Using equipment for other clients spreads infectious organisms among clients.

Careful drying is essential to avoid maceration of the penis. To decrease the risk for infection, wash the penis from the tip the base to reduce the risk for introducing microorganisms into the urethral meatus. Effective cleaning requires soap and thorough rinsing. It’s also essential to remove secretions that accumulate under the foreskin because they can lead to inflammation and are associated with the development of penile cancer. The foreskin of uncircumcised men must be retracted for cleaning, then replaced to prevent paraphimosis (capistration).

In helping this client, the nursing aide can provide assistance by providing paper and pen for letter writing to his sons. Based on the scenario, the client has concerns for his love and belonging needs and these should not be neglected. The nursing aide can then give the letters to the nurse for evaluation/screening and proper mailing if appropriate.

By doing this, the nursing assistant is ensuring the safety of the client. The nurse can then refer the client to the healthcare provider for further assessment and planning for proper care. The other choices are not included in your responsibilities as nursing assistant.

The client is experiencing an inability to recognize or name objects (agnosia) and needs single step instructions. Provide verbal connections about using implements.

Clients on suicide precautions need constant observation by a staff member. This means that clients are in direct sight of, and no more than 2 to 3 feet away from, a staff member for all activities, including going to the bathroom. Not allowing him to leave his room and removing sharp and cutting objects are part of providing a safe environment, however the availability of an able staff member is a higher priority. Conversing with the client will come after his safety is established.

Catheter tubing shouldn’t be allowed to develop dependent loops or kinks because this inhibits proper drainage by requiring the urine to travel against gravity to empty into the bag. Permitting the urine to collect in the tubing increases the risk of infection. Observing the catheter and tubing is the responsibility of nursing staff, not the client.

The question does not present a client with hearing impairment. Elderly persons, with no underlying hearing problems, are sensitive to sound and can hear normally. By using a low-pitched voice, you will be able to convey your messages clearly to the client instead of shouting

Food preferences for Hispanic clients often include beans and tortillas. These foods are a staple in the Hispanic diet.

he client is in the stage of denial, the first stage of grieving, when he demonstrates artificial cheerfulness and refuses to believe that loss is happening. This indicates that the client is not ready to deal with the reality of the situation. Bargaining is the third stage wherein the client seeks to bargain to avoid loss. The client may express feeling of guilt or fear of punishment for past sins, real or imagined. Depression is the fourth stage wherein the client grieves over what has happened and what he cannot be. The client may talk freely or may withdraw from the people trying to make contact with him. Acceptance is the last stage of the grieving process wherein the client comes to terms with loss. The client may have decreased interest in surroundings and support persons. In addition, the client may wish to begin making plans.

Major goals for dying clients include maintaining physiologic and psychological comfort and achieving a dignified and peaceful death, which includes maintaining personal control and accepting their declining health status.

Clients and families are unique individuals and define their own systems of daily living, which reflect their values, motives, and lifestyles. Providing care for clients coming from ethnic, cultural, or religious backgrounds deserve to receive appropriate and acceptable health care. You must respect and accept the person’s culture.

A client’s chart is the property of the facility. It is the facility which sets the policy and makes appointments for viewing of the chart. Clients do have the right to read the information in their charts. Nevertheless, they do not have the right to see the chart on demand or remove anything from the chart, or remove the chart from the facility. The chart is not a property of the government. It can be used in court as evidence of the client’s problems, treatments, and care, if proper steps are followed.

Having the conversation directed to the client meets the client’s needs while creating less disturbances. This will help decrease overstimulation, especially for the client who is hearing impaired. Lights in the room should be dimmed to reduce visual overload. Having too many family members with the client will only add to the already sensory-overloaded client.

Clients with depression are often overwhelmed by the intensity of their emotions. Talking about these feelings can be beneficial. Initially, the nursing assistant encourages clients to describe in detail how they are feeling. Sharing the burden with another person can provide some relief. At these times, the nursing assistant can listen attentively, encourage clients, and validate the intensity of their experience. It is important at this point that the nursing assistant does not attempt to “fix” the client’s difficulties or offer clichés. These remarks belittle the client’s feelings or make the client feel more guilty and worthless.

For good communication, the nurse aid should use words that mean the same thing to the sender and the receiver. Avoid words with more than one meaning.

Retraining and a new competency evaluation program are required for nursing assistants who have not worked for 2 consecutive years (24 months). It does not matter how long you worked as a nursing assistant. What matters is how long you did not work.

This is an example of accountability, even when admitting that you did not properly carry out your duties. Flexibility is your ability to adapt to the situation. Dependability is a basic expectation set by your employer, and the nursing assistant demonstrates this by his or her commitment to the job and to the residents. Responsibility is the ability to fulfill duties and expectations in your role as a nursing assistant.

Having an interpreter present during the communication is the best method to be practiced when communicating with clients who speak a different language. This is arranged by the nurse. Speaking to the family is inappropriate because it violates privacy and does not ensure correct translation. The other two choices are inappropriate and are ineffective ways in which to communicate.

The nurse aide should never share computer access passwords with other colleagues, as another person could then use the nurse aide’s personal identifier to compromise a client’s confidentiality. The confidentiality of computerized medical records must be maintained.

The nurse aide should document only the facts of the situation. Based on the scenario, the cause of the fall was not identified. Thus the facts for documentation are that the client was found lying on the floor upon entering the room.

The Kardex is a widely used, concise method of organizing and recording data about a client, making information quickly accessible to all members of the health care team. The Kardex reveals specific data about the client, including therapeutic management done and nursing care. A flow sheet enables nurses to record nursing data quickly and concisely to provide an easy-to-read record of the client’s condition over time. Progress notes provide information about the progress a client is making. Lastly, the nursing discharge summary is completed only when the client is being discharged.

Because the telephone call is an emergency, the nurse aide may need to answer it. The other appropriate action is to ask another nurse aide on staff to accept the call. However, that is not one of the options given on this question. To maintain privacy and safety, the nurse aide covers the client and places the call light within the client’s reach. Additionally, the client’s door should be closed or the room curtains pulled around the bathing area.