Question 1

The nurse is making beds on the medical-surgical unit.What would the nurse do differently when making a surgical bed versus an open unoccupied bed?

Accepted Answer

A) Strip the bed. 
B) Do not tuck,miter,or toe-pleat the top covers. 
C) Fold top sheets into a triangle at the side of the bed. 
D) Place pillows on the chair beside the bed. 
E) Raise the bed to a comfortable working height. 
A) Strip the bed. 
B) Do not tuck,miter,or toe-pleat the top covers. 
C) Fold top sheets into a triangle at the side of the bed. 
D) Place pillows on the chair beside the bed. 
E) Raise the bed to a comfortable working height. B,C,D

Question 2

When delegating bed-making to the unlicensed assistive personnel (UAP),the nurse would instruct the UAP on which items?

Accepted Answer

A) Proper disposal of linens that contain drainage 
B) What tubes or dressings the client might have 
C) How to make hospital corners 
D) Whom to inform if they notice anything unusual 
E) Placing the call bell in a specific location for a client with mobility concerns 
A) Proper disposal of linens that contain drainage 
B) What tubes or dressings the client might have 
C) How to make hospital corners 
D) Whom to inform if they notice anything unusual 
E) Placing the call bell in a specific location for a client with mobility concerns A,B,E

Question 3

The nurse delegates bed making to the unlicensed assistive personnel (UAP).Which client's bed should be made by the nurse and not the UAP?

Accepted Answer

A) The postoperative client diagnosed with dementia on complete bed rest 
B) The client who is diagnosed with myocardial infarction who has bathroom privileges 
C) The client with increased intracranial pressure on complete bed rest 
D) The postoperative client 
A) The postoperative client diagnosed with dementia on complete bed rest 
B) The client who is diagnosed with myocardial infarction who has bathroom privileges 
C) The client with increased intracranial pressure on complete bed rest 
D) The postoperative client C

Question 4

The nurse is providing care to a client who is confused and recently suffered a fall.The family is at the bedside and the nurse is discussing the use of side rails with them.Which statement made by the family indicates the need for additional instruction?

Accepted Answer

A) "We can leave one side rail up." 
B) "We can leave all of the side rails down." 
C) "We should not put all four side rails up." 
D) "We can leave up the bottom two side rails." 
A) "We can leave one side rail up." 
B) "We can leave all of the side rails down." 
C) "We should not put all four side rails up." 
D) "We can leave up the bottom two side rails."

Question 5

The nurse caring for an older adult client diagnosed with dementia bathes the client and changes the wound dressing.Prior to leaving the room,which action by the nurse is the most appropriate?

Accepted Answer

A) Raise the side rails. 
B) Place the head of the bed in the semi-Fowler's position. 
C) Place the bed in the low position. 
D) Remove the footboard from the bed. 
A) Raise the side rails. 
B) Place the head of the bed in the semi-Fowler's position. 
C) Place the bed in the low position. 
D) Remove the footboard from the bed.

Question 6

The nurse is making an occupied bed for a client who is required to maintain complete bed rest.Place the steps of making an occupied bed in the appropriate order to be performed.

Accepted Answer

A) Loosen the bottom soiled linens behind the side-lying client and fan-fold them close to the client.Response 
B) Pull linens from the center of the bed and make that side of the bed.Response 
C) Make the side of the bed behind the client and tuck sheets under the client.Response 
D) Position the client supine and place the clean top linen on the bed.Response 
E) Remove the soiled linen from the bed. 
A) Loosen the bottom soiled linens behind the side-lying client and fan-fold them close to the client.Response 
B) Pull linens from the center of the bed and make that side of the bed.Response 
C) Make the side of the bed behind the client and tuck sheets under the client.Response 
D) Position the client supine and place the clean top linen on the bed.Response 
E) Remove the soiled linen from the bed.

Question 7

Which nursing action is inappropriate when providing the client with a hygienic and comfortable environment?

Accepted Answer

A) Speaking softly in the hall of the facility 
B) Obtaining a bed extender for the client who is very tall 
C) Placing a room deodorizer in the room of the client with asthma who complains of the odor in the room 
D) Maintaining room temperature between 68°F and 74°F 
A) Speaking softly in the hall of the facility 
B) Obtaining a bed extender for the client who is very tall 
C) Placing a room deodorizer in the room of the client with asthma who complains of the odor in the room 
D) Maintaining room temperature between 68°F and 74°F

Question 8

The nurse is caring for a client who is on bed rest with bathroom privileges.While the client is in the bathroom,the nurse changes the client's bed and makes the bed in what way?

Accepted Answer

A) Unoccupied open bed 
B) Occupied open bed 
C) Unoccupied closed bed 
D) Surgical bed 
A) Unoccupied open bed 
B) Occupied open bed 
C) Unoccupied closed bed 
D) Surgical bed

Question 9

The nurse delegates the making of an occupied bed to the unlicensed assistive personnel (UAP).Which statement made by the UAP would indicate the need for further instruction prior to this assignment?

Accepted Answer

A) "I will be sure to inform you of any wound drainage." 
B) "I will inform you if any of the client's tubes are loose." 
C) "I will assess the client's IV tubing." 
D) "I will inform you of any problems." 
A) "I will be sure to inform you of any wound drainage." 
B) "I will inform you if any of the client's tubes are loose." 
C) "I will assess the client's IV tubing." 
D) "I will inform you of any problems."

Question 10

The nurse caring for a client with a fractured third cervical vertebrae determines the client is in spinal shock.Which bed position is the most appropriate for this client?

Accepted Answer

A) Flat 
B) Semi-Fowler's 
C) Trendelenburg 
D) Reverse Trendelenburg 
A) Flat 
B) Semi-Fowler's 
C) Trendelenburg 
D) Reverse Trendelenburg

Question 11

The nurse is caring for a client in respiratory distress.Which bed position is the most appropriate for this client?

Accepted Answer

A) Semi-Fowler's position 
B) Trendelenburg position 
C) Flat position 
D) Fowler's position 
A) Semi-Fowler's position 
B) Trendelenburg position 
C) Flat position 
D) Fowler's position

Question 12

The nurse is caring for a client in shock,and places the bed at an angle with the head lower than the feet.Which term will the nurse use when documenting this position in the medical record?

Accepted Answer

A) Reverse Trendelenburg position 
B) Trendelenburg position 
C) Fowler's position 
D) Semi-Fowler's position 
A) Reverse Trendelenburg position 
B) Trendelenburg position 
C) Fowler's position 
D) Semi-Fowler's position

Question 13

The nurse is instructing the unlicensed assistive personnel (UAP)about the different bed positions available.Which statement by the UAP indicates the understanding of the different bed positions?

Accepted Answer

A) "Fowler's is used when assisting clients to bed for sleeping." 
B) "Supine is used when assisting the client with eating." 
C) "Trendelenburg is used to promote decreased gastric emptying." 
D) "Semi-Fowler's is used for clients receiving gastric feedings." 
A) "Fowler's is used when assisting clients to bed for sleeping." 
B) "Supine is used when assisting the client with eating." 
C) "Trendelenburg is used to promote decreased gastric emptying." 
D) "Semi-Fowler's is used for clients receiving gastric feedings."

Question 14

The nurse is instructing the unlicensed assistive personnel (UAP)on positioning the client in the Fowler's position.Which statement by the UAP indicates appropriate understanding of Fowler's position?

Accepted Answer

A) "I will put the client's head completely flat." 
B) "I will elevate the client's head." 
C) "I will only raise the head of the bed 30°." 
D) "I will place the bed in the Trendelenburg position." 
A) "I will put the client's head completely flat." 
B) "I will elevate the client's head." 
C) "I will only raise the head of the bed 30°." 
D) "I will place the bed in the Trendelenburg position."

Exam 6: Bed-Making

The nurse is making beds on the medical-surgical unit.What would the nurse do differently when making a surgical bed versus an open unoccupied bed?

When delegating bed-making to the unlicensed assistive personnel (UAP),the nurse would instruct the UAP on which items?

The nurse delegates bed making to the unlicensed assistive personnel (UAP).Which client's bed should be made by the nurse and not the UAP?

The nurse is providing care to a client who is confused and recently suffered a fall.The family is at the bedside and the nurse is discussing the use of side rails with them.Which statement made by the family indicates the need for additional instruction?

The nurse caring for an older adult client diagnosed with dementia bathes the client and changes the wound dressing.Prior to leaving the room,which action by the nurse is the most appropriate?

The nurse is making an occupied bed for a client who is required to maintain complete bed rest.Place the steps of making an occupied bed in the appropriate order to be performed.

Which nursing action is inappropriate when providing the client with a hygienic and comfortable environment?

The nurse is caring for a client who is on bed rest with bathroom privileges.While the client is in the bathroom,the nurse changes the client's bed and makes the bed in what way?

The nurse delegates the making of an occupied bed to the unlicensed assistive personnel (UAP).Which statement made by the UAP would indicate the need for further instruction prior to this assignment?

The nurse caring for a client with a fractured third cervical vertebrae determines the client is in spinal shock.Which bed position is the most appropriate for this client?

The nurse is caring for a client in respiratory distress.Which bed position is the most appropriate for this client?

The nurse is caring for a client in shock,and places the bed at an angle with the head lower than the feet.Which term will the nurse use when documenting this position in the medical record?

The nurse is instructing the unlicensed assistive personnel (UAP)about the different bed positions available.Which statement by the UAP indicates the understanding of the different bed positions?

The nurse is instructing the unlicensed assistive personnel (UAP)on positioning the client in the Fowler's position.Which statement by the UAP indicates appropriate understanding of Fowler's position?

Foundational Skills

Vital Signs

Health Assessment

Diagnostic Testing

Client Hygiene

Infection Control

Heat and Cold Therapy

Pain Management

Positioning the Client

Mobilizing the Client

Fall Prevention and Restraints

Maintaining Joint Mobility

Drug Calculations

Administering Oral and Enteral Medications

Administering Topical Medications

Administering Parenteral Medications

Administering Intravenous Therapy

Feeding Clients

Assisting With Urinary Elimination

Assisting With Fecal Elimination

Caring for Clients With Peritoneal Dialysis

Promoting Circulation

Breathing Exercises

Oxygen Therapy

Suctioning

Caring for the Client With a Tracheostomy

Assisting With Mechanical Ventilation

Caring for the Client With Chest Tube Drainage

Administering Emergency Measures to the Hospitalized Client

Performing Wound and Pressure Ulcer Care

Orthopedic Care

Performing Perioperative Care

End-Of-Life Care

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