Fund 3 Welcome to your Fund 3 Name Email A nurse is caring for an elderly client (age 75) who is on bed rest with the following vital signs: heart rate 85 bpm, respiratory rate 20 breaths per minute, blood pressure 128/78 mmHg, oxygen saturation 96%, and temperature 36.7°C (98.1°F). Which of the following interventions should the nurse implement to prevent atelectasis? Administer a low dose of heparin. Encourage the use of an incentive spirometer. Perform suctioning on the client every hour. Apply compression stockings (TED hose). None A nurse is assisting a middle-aged client (age 50) with the following vital signs: heart rate 78 bpm, respiratory rate 18 breaths per minute, blood pressure 120/80 mmHg, oxygen saturation 97%, and temperature 36.9°C (98.4°F). The nurse needs to help pull the client up in bed. Which of the following actions should the nurse take? Keep the client’s arms positioned at their sides Ensure the bed is in its lowest position to prevent the client from falling. Attempt to lift the client alone without assistance. Raise the bed to a comfortable working height for the nurse. None A nurse is assisting a young adult client (age 25) with the following vital signs: heart rate 75 bpm, respiratory rate 16 breaths per minute, blood pressure 118/76 mmHg, oxygen saturation 98%, and temperature 37.0°C (98.6°F). The client has received crutches in an urgent care center following a foot injury. Which of the following statements made by the client indicates a need for further teaching? "I will keep spare crutch tips available in case I need them." "I will support my body weight on my hands while using the crutches." "I will check my crutches every day for signs of wear and tear." "I will make sure to put weight on my underarms while using the crutches." A nurse is teaching a middle-aged client (age 45) who is obese and has obstructive sleep apnea. The client’s vital signs are as follows: heart rate 82 bpm, respiratory rate 18 breaths per minute, blood pressure 140/90 mmHg, oxygen saturation 94%, and temperature 36.8°C (98.2°F). Which of the following client statements indicates an understanding of how to decrease the number of nightly apneic episodes? "I think I'll try sleeping only on my back to help improve my breathing." "I’ll take a sleeping pill before bed to help me sleep better." "I’ll get a humidifier to use at night next to my bed." "If I can lose around 50 pounds, I might have fewer apneic episodes." None A nurse is caring for a newborn in the hospital with the following vital signs: heart rate 130 bpm, respiratory rate 40 breaths per minute, blood pressure 60/40 mmHg, oxygen saturation 98%, and temperature 37.2°C (99°F). The nurse notices that the newborn has been averaging 16 hours of sleep per day. What should be the nurse's next intervention? This is a normal finding, continue to monitor. Call the doctor immediately. Wake the newborn up. Give the mother of the newborn a call. None Which of the following describes the primary function of long bones in the human body? Provide storage for minerals and fat Produce blood cells To store fat Contribute to height and length None Which classification describes the bones located in the wrist? Long bones Short bones Flat bones Irregular bones None A nurse stretches out a patient’s leg and moves it in a circle. This is an example of what type of body movement? Abduction Flexion Circumduction Dorsiflexion None Which joint type allows movement in multiple planes and is found in the shoulder and hip? Hinge Pivot Ball and socket Gliding None Which of the following muscles is responsible for voluntary movement and maintaining posture? Cardiac muscle Smooth muscle Skeletal muscle Visceral muscle None Which type of nervous system is responsible for conveying the response from the central nervous system (CNS) to skeletal muscles to facilitate movement? Afferent nervous system Autonomic nervous system Efferent nervous system None What is the primary goal of ergonomics in healthcare settings related to patient handling and mobility? To reduce the number of patient injuries To enhance patient comfort during transfer To design work tasks that align with worker capability and prevent injury To increase the speed of patient transfers None Which of the following is a key variable that increases the risk of injury during patient handling? Coordinated team lifting Manual lifting and transferring Using mechanical lifts for transfers Adequate staffing for patient transfers None Which type of exercise involves muscle contraction with resistance and is commonly used in physical therapy to improve muscle strength? Isotonic Isometric Isokinetic Aerobic None Which of the following is a cardiovascular benefit of regular exercise? Increased heart rate and blood pressure Increased risk of blood clot formation Improved venous return and increased fibrinolysin circulation Decreased efficiency of the heart None Which of the following is a benefit of exercise to the musculoskeletal system? Reduced muscle efficiency and flexibility Increased bone loss Decreased coordination Increased muscle efficiency and flexibility None The nurse is caring for an older client with the following vital signs: heart rate 78 bpm, respiratory rate 18 breaths per minute, blood pressure 130/85 mmHg, oxygen saturation 96%, and temperature 36.8°C (98.2°F). The client also has a severe hearing impairment. What would be an appropriate nursing intervention? Shout at the client. Encourage the client to learn sign language Reduce environmental noise before you begin speaking. Give the client paper and pencil to write out questions and answers. None A nurse is assessing a client with the following vital signs: heart rate 90 bpm, respiratory rate 22 breaths per minute, blood pressure 100/70 mmHg, oxygen saturation 94%, and temperature 37.1°C (98.8°F). The client is experiencing complications due to immobility. Which of the following findings should the nurse expect? (Select all that apply.) Orthostatic hypotension Polyuria Diarrhea Atelectasis Pressure ulcers Comment QuestionWhen assessing a patient’s health history related to mobility, which of the following should the nurse include? (Select all that apply.) Daily activity level Endurance History of substance use Mobility problems Exercise/fitness goals A nurse is performing a physical assessment of a patient’s mobility. Which of the following should be included in the assessment? Joint structure and function, muscle mass, tone, and strength Coordination and daily nutrition intake Skin turgor and respiratory rate Muscle symmetry and vital signs None A nurse is admitting an older adult client (age 70) with the following vital signs: heart rate 72 bpm, respiratory rate 16 breaths per minute, blood pressure 125/80 mmHg, oxygen saturation 97%, and temperature 36.5°C (97.7°F). The client has partial hearing loss. Which of the following actions should the nurse perform first? A nurse is admitting an older adult client (age 70) with the following vital signs: heart rate 72 bpm, respiratory rate 16 breaths per minute, blood pressure 125/80 mmHg, oxygen saturation 97%, and temperature 36.5°C (97.7°F). The client has partial hearing loss. Which of the following actions should the nurse perform first? Position yourself directly in front of the client when speaking. Rephrase any statements the client does not understand. Ask if the client uses hearing aids and if they are functioning. None A nurse is caring for a newborn in the hospital with the following vital signs: heart rate 130 bpm, respiratory rate 40 breaths per minute, blood pressure 60/40 mmHg, oxygen saturation 98%, and temperature 37.2°C (99°F). The nurse notices that the newborn has been averaging 16 hours of sleep per day. What should be the nurse's next intervention? This is a normal finding, continue to monitor. Call the doctor immediately. Wake the newborn up. Give the mother of the newborn a call. None Which of the following factors increases the risk of back injury in healthcare workers? Using mechanical assistive devices Uncoordinated lifts and manual transfers Stretching before lifting patients Utilizing team-based lifts None A nurse is caring for a patient with impaired mobility who requires frequent repositioning. Which assistive device should the nurse use to minimize friction and shearing forces during repositioning? Gait belt Friction-reducing sheet Powered full-body lift Transfer chair None A nurse is preparing to move a patient up in bed. Which action is most appropriate to reduce the risk of injury to both the patient and the nurse? Ask the patient to bend their knees and push up using their legs while the nurse pulls Use a mechanical lift to move the patient Use a friction-reducing sheet and two caregivers to move the patient up in bed Have the patient grasp the head of the bed and pull themselves up None A nurse is performing passive range-of-motion (ROM) exercises for a patient who is immobile. Which statement best describes passive ROM? The patient actively moves their joints with minimal assistance The patient independently performs exercises to improve mobility The nurse or caregiver moves the patient's joints through the range of motion The patient is encouraged to perform exercises in a seated position None A nurse is preparing a middle-aged client (age 55) for ambulation. The client’s vital signs are as follows: heart rate 76 bpm, respiratory rate 18 breaths per minute, blood pressure 130/85 mmHg, oxygen saturation 98%, and temperature 37.1°C (98.8°F). Which of the following actions should the nurse take to assess the client’s level of strength before ambulation? Ask the client how strong they feel today. Instruct the client to touch their finger to their nose. Check the client’s pedal pulses. Ask the client to press their feet against the nurse’s hands. None A nurse is teaching a patient how to use a cane for walking. Which of the following instructions is most appropriate? Hold the cane on the weak side and move it forward with the weak leg. Hold the cane on the strong side and move it forward with the weak leg. Hold the cane on the strong side and move it forward with the strong leg. Hold the cane on either side and move it forward with both legs simultaneously. None Which of the following is the appropriate use of a cane for a patient with right-sided weakness? Hold the cane in the left hand and move it forward simultaneously with the left leg. Hold the cane in the right hand and move it forward with the right leg. Hold the cane in the left hand and move it forward simultaneously with the right leg. Hold the cane in either hand and move it with the strong leg. None The nurse is performing an assessment on an older adult client (age 68) with the following vital signs: heart rate 70 bpm, respiratory rate 16 breaths per minute, blood pressure 128/80 mmHg, oxygen saturation 97%, and temperature 36.6°C (97.9°F). The client reports difficulty sleeping at night. Which statement by the client indicates the need for further teaching regarding measures to improve sleep? "I swim three times a week for exercise." "I quit smoking cigars five years ago." "I drink hot chocolate before bedtime to help keep me warm." "I read for about 40 minutes before bed to relax." None A nurse is assisting a patient with leg braces. Which of the following should be included in the teaching plan? The patient should lock the braces before sitting down. The patient should lock the braces before standing and unlock them before sitting. The patient should unlock the braces before standing up. The patient should not lock the braces at any time. None A patient is being taught how to use crutches with a three-point gait. Which instruction is most appropriate? Move both crutches forward, followed by the stronger leg. Move both crutches forward simultaneously with the weaker leg, followed by the stronger leg. Move one crutch forward, then the opposite leg, followed by the other crutch and the remaining leg. Move the weaker leg and both crutches forward simultaneously, followed by the stronger leg. None A new parent asks the nurse about sleep patterns in their newborn. Which statement by the nurse is most accurate? "Your baby will likely sleep around 10 hours each night with few naps during the day." "Newborns typically sleep around 16 hours per day, with sleep evenly distributed between day and night." "You can expect your newborn to be awake most of the night and sleep more during the day." "Newborns require less sleep as they grow, so expect their sleep time to gradually decrease to around 8 hours a day by 6 months." None A nurse is establishing a relationship with a middle-aged client (age 52) who is severely visually impaired. The client’s vital signs are as follows: heart rate 74 bpm, respiratory rate 18 breaths per minute, blood pressure 122/78 mmHg, oxygen saturation 97%, and temperature 36.8°C (98.2°F). The nurse is teaching the client how to contact the nurse for assistance. Which action should the nurse take? Attach a raised Braille sticker to the call button for easy identification. Inform the client that a staff member will check in once an hour to ask if assistance is needed. Advise the client to ask a family member to notify staff when help is required. Implement a color-coded call light system for the client. None Which sleep recommendation is most appropriate for an adolescent? Adolescents need at least 6 hours of sleep each night to support growth and development. Adolescents may experience a delayed sleep phase, leading them to sleep later in the morning. The sleep needs of adolescents are similar to adults, requiring 7-8 hours per night. Adolescents should avoid naps as they reduce the quality of nighttime sleep. None A nurse is discussing sleep patterns with an older adult patient. Which statement reflects the typical sleep changes in older adults? "Older adults require less sleep, so 5-6 hours per night is sufficient." "It’s common for older adults to spend more time in deep sleep (NREM stages III and IV)." "Older adults may experience a decrease in REM sleep and spend more time in lighter stages of sleep." "As people age, sleep patterns remain relatively stable, with no significant changes in sleep architecture." None A nurse is teaching a group of parents about the sleep needs of school-age children. Which recommendation is correct? School-age children need approximately 6-7 hours of sleep per night. It is important to establish a consistent bedtime routine to promote healthy sleep habits. School-age children experience increased deep sleep (NREM stages III and IV) and should nap during the day. Wakefulness and energy expenditure are lower in school-age children compared to toddlers, so they require less sleep. None A nurse is educating the parents of a school-age child about the importance of sleep for growth and development. Which of the following is an effect of insufficient sleep in children? Enhanced cognitive development Increased risk for obesity Improved emotional regulation Increased physical growth None An older adult patient reports waking up frequently during the night. The nurse explains the typical changes in the sleep cycle associated with aging. Which of the following statements is correct regarding the sleep cycle of older adults? Older adults spend more time in REM sleep compared to younger adults. Older adults frequently transition between stage IV and REM sleep. Older adults may experience shorter and less deep sleep, often waking during NREM stages II and III. lder adults experience longer, uninterrupted periods of deep sleep (stages III and IV) during the night. None A nurse is providing education to new parents about factors affecting their infant's sleep. Which statement by the parents indicates an understanding of how lifestyle factors can impact their infant's sleep? "Feeding our baby a large bottle before bed will help them sleep better." "Keeping the lights on in the room at night will promote restful sleep." "Having a consistent bedtime routine will help improve our baby’s sleep pattern." "We should wait until our baby falls asleep in our arms before putting them down." None An adolescent patient reports trouble falling asleep at night. Which of the following factors may be contributing to the patient’s sleep difficulties? Drinking a small amount of water before bed Playing video games and using electronic devices before bedtime Eating a small protein snack with a complex carbohydrate before sleep Engaging in light exercise 2 hours before bedtime None An older adult patient reports difficulty sleeping through the night and waking up frequently. The nurse knows which factor is most likely contributing to this issue? Consuming caffeine late in the afternoon Increased activity and exercise during the day The use of prescribed sleep medications Environmental noise levels being kept low at night None An adolescent patient reports difficulty sleeping due to academic pressures and social stress. The nurse understands that psychological stress affects sleep by causing which of the following? An increase in the duration of REM sleep, leading to better rest Difficulty obtaining the amount of sleep needed, leading to increased anxiety Improved sleep quality due to physical exhaustion from stress Increased time spent in deep sleep (NREM stages III and IV) None A middle-aged patient with gastroesophageal reflux disease (GERD) complains of waking up frequently during the night. Which of the following is the most appropriate response by the nurse? "Sleep disturbances are common with GERD, and elevating the head of the bed may help reduce symptoms." "GERD does not typically affect sleep, so you should be evaluated for other causes of sleep disruption." "You should avoid sleeping in an elevated position, as this can worsen your symptoms." "GERD primarily causes issues during REM sleep, so your deep sleep should remain unaffected." None An older adult patient with end-stage renal disease (ESRD) reports persistent sleep disturbances. The nurse knows that which of the following factors is most likely contributing to the patient's sleep problems? Increased production of melatonin in patients with ESRD Changes in metabolic waste levels affecting sleep patterns Improved sleep architecture due to dialysis treatments Increased REM sleep in patients with chronic illness None A nurse is providing discharge instructions to an adolescent patient who has been prescribed amphetamines for attention deficit hyperactivity disorder (ADHD). The nurse knows that this medication may have which effect on the patient's sleep? Decrease in REM sleep Increased sleep latency and difficulty falling asleep Improvement in the duration of deep sleep (NREM stages III and IV) Increase in the overall quality of sleep None An older adult patient with hypertension is prescribed a diuretic. The nurse knows that this medication may impact sleep in which of the following ways? Improve the quality of deep sleep Increase the likelihood of nocturia, causing frequent nighttime awakenings Decrease the time spent in REM sleep Increase the patient’s total sleep time None A middle-aged patient reports difficulty falling asleep and staying asleep, despite feeling exhausted. The nurse suspects a sleep disorder related to the patient's antidepressant use. Which of the following sleep disorders is most likely associated with this medication? Central disorders of hypersomnolence Insomnia Sleep-related breathing disorders Parasomnias None An adolescent patient reports difficulty falling asleep and staying asleep due to high academic stress. Which of the following statements should the nurse include in the patient education? "It's normal for adolescents to need less sleep due to their active lifestyles." "Your insomnia may be related to the disruptions in your circadian rhythms and stress." "Most adolescents experience insomnia only for a short period and it does not require intervention." "Insomnia in adolescents is typically caused by physical activity before bed." None A middle-aged patient reports excessive daytime sleepiness, fatigue, and frequent snoring. The nurse suspects obstructive sleep apnea (OSA). Which of the following findings would support this diagnosis? A history of difficulty falling asleep at night Observed periods of gasping for air during sleep An ability to sleep through the night without disturbances Decreased body mass index (BMI) None An older adult patient is diagnosed with idiopathic hypersomnia and reports excessive daytime sleepiness despite getting adequate sleep at night. Which of the following interventions should the nurse recommend? "Take a short nap during the day to reduce sleepiness." "Limit naps and maintain a regular sleep schedule at night." "Increase caffeine intake throughout the day to stay awake." "Engage in physical activity right before bed to improve sleep." None An adolescent patient is diagnosed with narcolepsy. The nurse knows which of the following is a common symptom of narcolepsy? Difficulty falling asleep at night Sudden, overwhelming urges to sleep during the day Frequent waking during the night due to nightmares Sleepwalking episodes that occur several times a week None A middle-aged patient works night shifts and reports difficulty staying awake during work and feeling overly tired during the day. The nurse suspects a circadian rhythm sleep-wake disorder. Which of the following is a characteristic of this disorder? Excessive daytime sleepiness due to the misalignment between internal circadian rhythm and the desired sleep-wake schedule Difficulty falling asleep due to increased physical activity Frequent nightmares and nighttime arousals A temporary disruption of sleep patterns lasting less than a week None A parent reports that their school-age child frequently wakes up terrified in the middle of the night but cannot recall any details the next morning. The nurse suspects the child is experiencing which of the following parasomnias? Nightmare disorder Sleep terrors Somnambulism Sleep-related eating disorder None A middle-aged patient reports difficulty sleeping due to unpleasant sensations in the legs at night. The nurse suspects Restless Legs Syndrome (RLS). Which of the following nonpharmacologic interventions would the nurse suggest? Avoiding physical activity before bedtime Reducing caffeine intake and engaging in leg stretches before bed Increasing caffeine intake to relieve sensations Taking frequent naps during the day to compensate for lost sleep None An older adult patient reports trouble lying still at night due to creeping and tingling sensations in their legs. What additional information should the nurse gather to assess the severity of the patient's Restless Legs Syndrome (RLS)? The patient's daytime exercise routine When the problem began and how often it occurs The patient's dietary habits during the day The patient's temperature at night None An adolescent patient reports frequent difficulty falling asleep due to restless legs. Which question would be most appropriate for the nurse to ask when obtaining a sleep history for this patient? "Do you consume caffeine during the day?" "Have you noticed changes in your skin or hair recently?" "Are you able to sleep through the night without waking up?" "How often do you nap during the day?" None A nurse is assessing an adolescent patient who reports excessive daytime sleepiness. Which tool would be most appropriate to use for assessing the patient’s level of daytime sleepiness? The Pittsburgh Sleep Quality Index (PSQI) The STOP-Bang Questionnaire The Epworth Sleepiness Scale The Stanford Sleepiness Scale None A middle-aged patient reports frequent snoring and daytime fatigue. The nurse decides to assess the patient for obstructive sleep apnea (OSA). Which screening tool would be most appropriate to use? The Pittsburgh Sleep Quality Index (PSQI) The Epworth Sleepiness Scale The STOP-Bang Questionnaire The Stanford Sleepiness Scale None An older adult patient is asked to keep a sleep diary for two weeks. Which of the following is the most important information the nurse should instruct the patient to record in the sleep diary? Time of any daytime naps taken Time patient tries to fall asleep and time of awakening in the morning Time of meals and food intake throughout the day The patient’s exercise routine and physical activity for the day None A parent reports that their infant is restless during sleep, frequently jerking their legs and crying out. The nurse's assessment should include which of the following findings to determine the infant's sleep quality? Number of daytime naps Sleep posture and duration of sleep Feeding schedule before bed Use of a nightlight in the room None A middle-aged patient reports fatigue and difficulty concentrating during the day. The nurse observes dark circles under the patient's eyes and notices they appear drowsy during the interview. Which key finding in the physical assessment suggests the patient has a sleep problem? Elevated blood pressure Drowsy behavior and facial characteristics such as dark circles Elevated temperature Increased energy level None An older adult patient in a long-term care facility reports difficulty falling asleep. Which nursing intervention would be most appropriate to promote sleep for this patient? Encourage the patient to take a sedative before bed Schedule nursing care to avoid disturbances during the night Offer a large meal and a caffeinated beverage before bedtime Encourage the patient to sleep during the day to make up for lost sleep None A school-age child is brought to the clinic because the parents are concerned that the child frequently does not respond when spoken to. The nurse knows that which of the following conditions must be met for the child to properly receive auditory sensory data? Stimulus, receptor, and functioning brain Stimulus, receptor, and visual pathway Receptor, gustatory stimulus, and functioning brain Visual and olfactory sensory stimuli None An older adult patient reports difficulty with balance and frequently bumping into objects when walking. The nurse knows this is related to which sensory system? Kinesthetic and tactile sensory function Proprioception and kinesthetic function Auditory and gustatory function Visual and olfactory function None An adolescent patient presents with signs of sensory overload due to excessive use of electronic devices and constant noise. The nurse understands that the Reticular Activating System (RAS) plays which role in sensory regulation? It mediates arousal by enhancing or inhibiting sensory stimuli It processes auditory information to increase awareness It is responsible for the sleep-wake cycle exclusively It enhances vision by regulating light input None An older adult patient in a long-term care facility is showing signs of confusion and lethargy. The nurse suspects sensory deprivation. Which of the following factors may contribute to sensory deprivation in this patient? The patient frequently watches television and interacts with staff The patient has hearing loss and is in a room with minimal stimuli The patient is frequently engaged in physical activities with other residents The patient spends most of the day in the common room with other residents None A school-age child is admitted to the hospital after experiencing a head injury and is displaying confusion and lethargy. The nurse knows that these symptoms indicate which state of awareness? Vegetative state Normal consciousness Somnolence and confusion Locked-in syndrome None An infant is admitted to the neonatal intensive care unit (NICU) due to premature birth. The nurse understands that this infant is at risk for sensory deprivation. Which factor contributes to sensory deprivation in this population? Frequent handling by healthcare providers Exposure to bright lights in the NICU Minimal physical contact with caregivers and lack of stimulation Constant noise from medical equipment None A middle-aged patient in the intensive care unit (ICU) complains of feeling overwhelmed by the constant noise and activity around them. The nurse suspects sensory overload. What nursing intervention is most appropriate for this patient? Increase the frequency of nursing assessments to monitor the patient's condition Provide earplugs or noise-canceling headphones and reduce unnecessary stimuli Encourage the patient to watch television to distract them from the stimuli Increase the number of visitors to provide more familiar interaction None An older adult in a long-term care facility has impaired hearing and vision. The nurse knows this patient is at risk for sensory deprivation. Which of the following signs and symptoms might the patient exhibit due to sensory deprivation? Increased social interaction and engagement Perceptual disturbances such as hallucinations Increased cognitive functioning Ability to process environmental stimuli without difficulty None A school-age child is diagnosed with hearing impairment. Which intervention should the nurse prioritize to promote effective communication and prevent sensory deprivation in this child? Speak loudly and use exaggerated facial expressions Use visual aids and encourage the use of hearing aids if prescribed Limit interaction to prevent overstimulation Encourage the child to read lips without additional assistance None An adolescent with a sensory processing disorder reports feeling overwhelmed by certain textures and noises in the school environment. Which nursing intervention would help this adolescent manage sensory overload? Encourage exposure to multiple stimuli to build tolerance Suggest the use of sensory tools, such as noise-canceling headphones and fidget toys Recommend medication to sedate the adolescent during overwhelming situations Discourage the adolescent from expressing discomfort about stimuli None An older adult patient reports numbness in their hands and difficulty feeling temperature changes. What should the nurse teach the patient to prevent injury related to their sensory deficit? Always test water temperature with the back of the hand before bathing Use extra layers of clothing to prevent feeling cold Perform daily skin checks for signs of injury or breakdown Avoid using heating pads or cold packs None None Time's up Post navigation Previous Previous post: Fund 2Next Next post: Fund 4
