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* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
General care of patients in therapy Text test questions 1. A child experiencing a sudden shortness of breath, skin is cyanotic, curves extinction pulse at the main vessels and myosis. What pershocher hovi measures? A. Vnutrishnosertseve introduction of adrenaline B. Oksyhenoterapiya C. Intravenous eufilinu D. Autolavage E. * Ventilator closed cardiac massage 2. A child got in a car accident has signs of a damaged perfusion: sy stolichnyy pressure - 60 mm Hg What is the best treatment? A. Appointment of cardiac glycosides. B. Dopamine infusion C. Infusion of protein drugs D. Appointment daturine E. * Infusion salt solutions 3. A client in the face-down position is in which position? A. Sims' B. dorsal recumbent C. lateral D. * prone E. No correct answer 4. A client in the face-down position is in which position? A. Sims' B. dorsal recumbent C. lateral D. * prone E. No correct answer 5. A client is admitted to the emergency room for treatment of a severe laceration. The type of assessment most likely to be performed by the nurse is A. a comprehensive assessment B. * an ongoing assessment C. a focused assessment D. an expansive assessment E. No correct answer 6. A client is admitted to the emergency room for treatment of a severe laceration. The type of assessment most likely to be performed by the nurse is A. a comprehensive assessment B. * an ongoing assessment C. a focused assessment D. an expansive assessment E. No correct answer 7. A coal miner was affected when a gas mine blew up. In the dynamic observation dia hnostovano effects of acute poisoning of mine gas syndrome toksyko-hypoxic encephalopathy. What is the most appropriate treatment? A. Cytochrome C B. Forced diuresis C. Exchange blood transfusion D. * Hyperbaric oxygenation E. Hemosorbtion 8. A comprehensive assessment is usually done A. * upon admission to a health care facility B. upon discharge from a health care facility C. to focus in-depth on a particular health care problem D. to provide systematic monitoring and observation related to specific problems E. No correct answer 9. A comprehensive assessment is usually done A. * upon admission to a health care facility B. upon discharge from a health care facility C. to focus in-depth on a particular health care problem D. to provide systematic monitoring and observation related to specific problems E. No correct answer 10. A decubitus ulcer is caused by A. poor circulation B. pressure on the skin C. poor nutrition D. none of the above E. all of the above 11. A nurse is the leader of a cognitive behavior group. The group helps members learn about and change problematic behaviors. The type of group the nurse is leading is a A. self-help group B. * task group C. therapy group D. therapeutic group E. No correct answer 12. A nurse is the leader of a cognitive behavior group. The group helps members learn about and change problematic behaviors. The type of group the nurse is leading is a A. self-help group B. * task group C. therapy group D. therapeutic group E. No correct answer 13. A nurse must check a client's vital signs. Which personal space or invisible buffer zone will the nurse be entering? A. * intimate distance B. close distance C. personal distance D. social or public distance E. No correct answer 14. A nurse must check a client's vital signs. Which personal space or invisible buffer zone will the nurse be entering? A. * intimate distance B. close distance C. personal distance D. social or public distance E. No correct answer 15. A nurse taking part in therapeutic communication with a client promotes understanding of his client's feelings and condition to enable the nurse and client to relate better. Which element of therapeutic communication is the nurse practicing? A. caring B. empathy C. * sympathy D. validation E. No correct answer 16. A nurse taking part in therapeutic communication with a client promotes understanding of his client's feelings and condition to enable the nurse and client to relate better. Which element of therapeutic communication is the nurse practicing? A. caring B. empathy C. * sympathy D. validation E. No correct answer 17. A temperature of air (°C) and humidity (%) in the rooms of the hospital is: A. 16-18°C, 45-50 %. B. 17-19°C, 45-50 %. C. 18-20°C, 50-55 % D. 19-21°C, 50-55 % E. 18-20°C, 50-55 % 18. Abnormally increased convexity of the curvature of the spine is documented as A. lordosis B. scoliosis C. list D. * kyphosis E. No correct answer 19. Abnormally increased convexity of the curvature of the spine is documented as A. lordosis B. scoliosis C. list D. * kyphosis E. No correct answer 20. Acceptance in a nurse-client relationship means A. tolerating all the client's behaviors B. * not expressing shock at a client's behaviors C. adopting the client's value system D. expecting the client to behave according to acceptable standards E. No correct answer 21. Acceptance in a nurse-client relationship means A. tolerating all the client's behaviors B. * not expressing shock at a client's behaviors C. adopting the client's value system D. expecting the client to behave according to acceptable standards E. No correct answer 22. Active listening A. * focuses on the feelings of the individual who is speaking B. occurs when the nurse is active in performing procedures for the client C. involves responding in an active way to what the client is saying D. means the nurse focuses primarily on the words of the speaker E. No correct answer 23. Active listening A. * focuses on the feelings of the individual who is speaking B. occurs when the nurse is active in performing procedures for the client C. involves responding in an active way to what the client is saying D. means the nurse focuses primarily on the words of the speaker E. No correct answer 24. After you intubate trachea clinic unexpectedly weak hypoxia. Breathing noises are only on the right side. What complications due intubation? A. Tracheal injury B. * one lung intubation C. Unexpected ekstubation D. Left pneumothorax E. Tube obstruction 25. All of the following are benefits of exercise EXCEPT A. * decreased energy B. improved bone density C. lowered cholesterol D. normalized glucose tolerance E. No correct answer 26. All of the following are benefits of exercise EXCEPT A. * decreased energy B. improved bone density C. lowered cholesterol D. normalized glucose tolerance E. No correct answer 27. All of the following are examples of focused questions EXCEPT A. "Explain how the accident happened." B. * "Are you in pain?" C. "What is it about this headache that differs from others you have had?" D. "What did your brother say to you before he passed out?" E. No correct answer 28. All of the following are examples of focused questions EXCEPT A. "Explain how the accident happened." B. * "Are you in pain?" C. "What is it about this headache that differs from others you have had?" D. "What did your brother say to you before he passed out?" E. No correct answer 29. All of the following data are collected from a client. Which is an example of objective data? A. The client reports having a headache. B. * The client's pulse is 88 beats per minute. C. The client states that she is frightened. D. The client states that she is having pain in her abdomen. E. No correct answer 30. All of the following data are collected from a client. Which is an example of objective data? A. The client reports having a headache. B. * The client's pulse is 88 beats per minute. C. The client states that she is frightened. D. The client states that she is having pain in her abdomen. E. No correct answer 31. All of the following statements about functional health patterns are true EXCEPT A. * they are based on a particular theory about nursing B. they focus on 11 functional health patterns C. they allow gathering and clustering of information about the client's patterns D. the coping-stress-tolerance pattern is one of the 11 patterns assessed E. No correct answer 32. All of the following statements about functional health patterns are true EXCEPT A. * they are based on a particular theory about nursing B. they focus on 11 functional health patterns C. they allow gathering and clustering of information about the client's patterns D. the coping-stress-tolerance pattern is one of the 11 patterns assessed E. No correct answer 33. Ambulance deliver Lena patient 52 years. Unconscious, the skin and mucous membranes dry. Breath superficial, often CHSS-136/min., AT-70/30 mm.rt.st., TSVT-0 mm vod.st., N-160 g / l, No-0, 64, glucose - 47, 2 mmol / l, sodium - 168 mmol / L, potassium - 6.3 mmol / l, osmolarity, 382 mOsm / liter. What is the third infusion solutions ba pour first? A. Solution Ringera B. 0.9% NaCl solution C. Polihlyukin D. * 0.45% NaCl solution E. 15% solution of glucose 34. Ambulance ka through several minutes after the call arrived at the scene of accidents. On the sidelines child 14 years of multiple, independent not breathing incorporated stop cardiac activity. Define the right balance between the number of contractions and chest number vdyhuvan air during cardio-pulmonary resuscitation: A. 6:1 B. 7:1 C. 3:1 D. * 5:1 E. 4:1 35. An example of a block to creative thinking is A. * fear of making a mistake B. open mindedness C. self-confidence D. self-evaluation E. No correct answer 36. An example of a block to creative thinking is A. * fear of making a mistake B. open mindedness C. self-confidence D. self-evaluation E. No correct answer 37. An example of communication through the visual channel is A. counting a client's pulse B. noting the client's verbal response to a question C. giving the client a back massage D. * observing that the client looks away from the nurse when discussing a certain subject E. No correct answer 38. An example of communication through the visual channel is A. counting a client's pulse B. noting the client's verbal response to a question C. giving the client a back massage D. * observing that the client looks away from the nurse when discussing a certain subject E. No correct answer 39. An important way to reduce the incidence of decubitus ulcers is to: A. keep the client in bed B. force fluids every 2 hours C. all of the above D. none of the above E. change position every 2 hours 40. An important way to reduce the incidence of decubitus ulcers is to: A. keep the client in bed B. force fluids every 2 hours C. change position every 2 hours D. none of the above E. all of the above 41. An unconscious client who has just been involved in a motor vehicle accident is brought to the emergency department. Which presenting clinical manifestation makes the nurse suspicious of an opioid overdose rather than increased intracranial pressure as a cause of the unconsciousness? A. * Pinpoint pupils B. Respiratory depression C. Hyporeflexive deep tendon reflexes D. Evidence that the client has vomited E. No correct answer 42. As a nurse, you are caring for Mr. J. His is an immigrant from BosniA. Mr. J. speaks no English. You obtain the services of an interpreter. What is the most effective way for you to work with an interpreter? A. Avoid use of pictures or gestures to clarify meaning of words. B. Speak to the client rather than to the interpreter. C. * Use various interpreters for interactions with Mr. J. to allow him to become familiar with many people. D. Direct your conversation to the interpreter who will then translate the information to Mr. J. E. No correct answer 43. As a nurse, you are caring for Mr. J. His is an immigrant from BosniA. Mr. J. speaks no English. You obtain the services of an interpreter. What is the most effective way for you to work with an interpreter? A. Avoid use of pictures or gestures to clarify meaning of words. B. Speak to the client rather than to the interpreter. C. * Use various interpreters for interactions with Mr. J. to allow him to become familiar with many people. D. Direct your conversation to the interpreter who will then translate the information to Mr. J. E. No correct answer 44. Bed linen for patients must be changed: A. Not longer than once every 15-16 days. B. Not longer than once every 10 days. C. Not longer than once every 12 days. D. Not longer than once every 14 days. E. Not longer than once every 7 days. 45. Bedsores may develop in clients who are A. incontinent B. poorly nourished C. all of the above D. none of the above E. paralyzed 46. Before assisting a client into a wheelchair, the FIRST action would be to check if the A. client is adequately covered B. floor is slippery C. door to the room is closed D. wheels of the chair are locked E. none of the above 47. Before assisting a client into a wheelchair, the FIRST action would be to check if the A. client is adequately covered B. floor is slippery C. door to the room is closed D. none of the above E. wheels of the chair are locked 48. Before taking a temperature with a mercury-in-glass thermometer, you should shake the thermometer to move the mercury: A. at the level of normal body temperature B. at the level of 37 ?C C. at the level of 40 ?C D. at the level of 0 ?C E. below normal body temperature 49. Before taking a temperature with a mercury-in-glass thermometer, you should shake the thermometer to move the mercury: A. * below normal body temperature B. at the level of normal body temperature C. at the level of 37 °C D. at the level of 40 °C E. at the level of 0 °C 50. Boy 7 years when bathing in the lake and drowned. After 2 minutes he was pulled out of the water. OBJECTIVE: cyanosis of skin, swelling neck veins, the allocation of the mouth and nose frothy liquid, not breathing. What needs to be implemented in the first place? A. * Resume permeability of respiratory tract B. Perform CPR C. Perform indirect heart massage D. administer Lasix intravenously 1 mg / kg body weight E. Intravenous fluid to enter 5 ml 2.4% solution eophilin 51. Brigade ambulance that arrived at the scene of accident 2 mins after it happend , noted in 5year old child without lung function and blood circulation, so was launched the initial reanimation moves in accordance with accepted around world the "ABC rule”. What is it in essence? A. The need to strictly adhere to a specific sequence of reanimation measures by analogy with the letters of the alphabet B. In a certain primary reanimstion events C. * In the integrated application of three methods, the first letters of names which shortens now look like "ABC" D. Rule ABC is not related to resuscitation. E. In need of a population, as the alphabet, rules of primary care 52. Child 10 years brought on to shore in 3 minutes after drowning. OBJECTIVE: pulse on peripheral artery not determined pupil moderately developed weakly responsive to light. Skin pale with a cyanotic tint. In the mouth sand, silt, breathing sharply suppressed. What are the urgent and immediate action in providing assistance to the affected? A. * Restoration cross the upper respiratory tract B. Closed cardiac massage C. Calling specialized health care team D. Attach affected on the horizontal surface of well E. Artificial pulmonary ventilation by "mouth to mouth" 53. Child 4 months conducted artificial lung ventilation mode normoventelation on the acute respiratory insuficiency that caused acute bronchiolitis. One of the elements of control performance monitoring CPR is a free cross endotracheal tube. Which of these symptoms showed its obstruction? A. Cyanosis B. Cough C. Tachycardia D. Reducing pressure on inspiratoration E. * Increasing pressure on inspiratoration 54. Child in olihoanurychniy stage of acute renal failure, on the background hlomeru lonefrytu, unconscious. OBJECTIVE: midriaz, no peripheral pulse, surface bradypnoe. Potassium serum 9.0 mmol / l, the ECG signs of ventricular fibrillation. What is urgent for medical walk? A. Peritoneal dialysis B. Furosemide, adrenaline intravenously C. * Defibrillation, the introduction of soda, calcium chloride D. Precardial strike E. Lidocaine intravenous 55. Clients on which type of medications are at highest risk for development of necrosis of the femur head? A. phenothiazines B. corticosteroids C. * amphetamines D. anticoagulants E. No correct answer 56. Clients on which type of medications are at highest risk for development of necrosis of the femur head? A. phenothiazines B. corticosteroids C. * amphetamines D. anticoagulants E. No correct answer 57. Clinical death in conditions normothermia last: A. 7-12 minutes B. 1-3 minutes C. * 4-5 minutes D. 5-7 minutes E. 10 minutes 58. Communication experts estimate that the majority of communication occurs through A. * nonverbal messages B. paralinguistic cues C. paraverbal cues D. verbal messages E. No correct answer 59. Communication experts estimate that the majority of communication occurs through A. * nonverbal messages B. paralinguistic cues C. paraverbal cues D. verbal messages E. No correct answer 60. Conversion of Centigrade to Fahrenheit is A. Degrees F = 9/5 (?C) + 32 B. Degrees F = 7/5 (?C) + 32 C. Degrees F = 7/5 (?C) + 52 D. Degrees F = 9/5 (?C) + 45 E. Degrees F = 9/5 (?C) + 40 61. Conversion of Fahrenheit to Centigrade is A. Degrees C = 8/9 (?C - 40) B. Degrees C = 5/9 (?C - 32) C. Degrees C = 3/5 (?C - 43) D. Degrees C = 9/5 (?C - 52) E. Degrees C = 8/5 (?C - 32) 62. During CPR you must check the presence of breathing and pulse every A. 1 min B. 3 min C. 10 min D. 7 min E. 5 min 63. During the nasoenteral tube insertion you see some changes in patient's respiratory status. What is you action? A. withdraw the tube B. stop insertion for some time C. give some water to the patient D. call the doctor E. continue insertion 64. During the resuscitation solution sodium hydrocarbonate imposed in order to: A. * correction of metabolic acidosis B. Prevention of respiratory acidosis C. eliminate hypoxia D. treatment of metabolic alkalosis E. increase of survival of the brain under conditions of hypoxia 65. E 6 A. 2 B. 3 C. 5 D. 4 66. Equipment used for prevention of the pressure ulcers A. pillows, rolled-up blankets or towels B. egg-crate mattress C. specialty beds, heel and elbow protectors D. lotion or powder, soap and water E. all listed above 67. Female 12 years was pulled out of water in 3 minutes after drowning in the river. Parents proformed CPR on her until the ambulance came. They managed to achieve some rare heart beats, but not breathing resumed. What should the doctor do, immediately: A. "Triple reception” for P. Safaris; B. * Intubate trachea, clear the resparitory tract, and do CPR; C. Indirect heart massage; D. Intercardiac injection of adrenalin; E. Intercardiac injection atropine sulfate. 68. Female 18 years old, while diving into the water, hit head against the bottom of the river. Now has weakness in upper limbs, pain in the cervical spine. Involuntary position - head aligned right. Sharp pain in cervical area. Sensitivity is not changed. What medical personal must provide more assistance? A. * Enter a pain medication, lay collar , transported to special Fixtures "Specialized office hard stretcher B. Put the patient on a soft litter, and the head and neck pillow and put the trans to hospital C. Enter the heart and respiratory analeptic and hold the rigid litter with a pipe under the veins D. Enter the pain and transported to hospital in 69. Female 32 years enjoyed not good appliances. Suddenly fell, unconscious, had convulsions. Affecting heart rate, most likely was dut marked electrocardiographic? A. Asystole B. Paroxysmal tachycardia C. Atrioventricular block D. * Ventricular fibrillation E. Mechanical ventricular 70. Female 64 years old with arrhythmia when suddenly fainted. Another doctor at the review konstatova to faint, the lack of Ripple on a.sarotis and heart tones, narrow pupil and family superficial respiration. What, in this case must begin reanimation measures? A. * As is the introduction of atropine B. Fisticuff on sternum C. Conducting cardiostimulation D. Intubation and holding CPR E. As is the introduction of adrenaline 71. Fever is generally a temperature above A. 38,2 C° B. 38,4 C° C. 38,6 C° D. 38 C° E. 39 C° 72. For an intracardiac injection needle is injected at: A. 5 th intercostal space, at the top of the heart projection B. * 3 rd intercostal space, left from sternum C. on the lower edge of the 4 th rib, left of sternum D. 4 th intercostal space at 1.5 cm left of sternum E. in place of projection beat 73. For the intensive infusion therapy in patients with acute respiratory insufficiency of a catheterization of subclavian veins for Seldinherom. After introducing 600 ml of infusion fluid state of the patient worsened dramatically increased tachiapnoe from 26 to 40 in 1 minute, with auscultation breath right sharply weakened, on percution - dullness. Your diagnosis? A. Wet lung B. Brain edema C. * Hydrothrax D. Pulmonary artery thromboembolism E. Acute heart failure. 74. For the number of measures for providing a protective mode we should perform the following A. Control of adopting medicines B. Regular ventilation of wards. C. Wet cleaning of the departments D. Removal of external irritants and negative emotions. E. Prophylaxis of bedsores 75. How are stress and substance abuse interrelated? A. * The neurotransmitters stimulated by many abused substances enhance the sense of well-being and cause the sensation of stress when the substance wears off. B. Chronic substance abuse leads to destruction of brain cells in the limbic area, causing an increased intensity of the stress response. C. Most abused substances are perceived by the body as physiologic stressors, which result in a heightened “fight-or-flight” response. D. As tolerance or addiction develop, more of the abused substance is needed to achieve the same pleasurable responses. E. No correct answer 76. How can you determine the required length of a nasogastric tube? A. by measuring from bridge of nose to umbilicus B. by measuring from bridge of nose to earlobe and to xiphoid process of sternum C. by measuring from mouth to umbilicus D. by measuring from earlobe to pubis E. by measuring from bridge of nose to xiphoid process of sternum 77. How many minutes can the brain survive without oxygen in normal conditions? A. 3-5 min B. 1-3 min C. 5-8 min D. 7-10 min E. 4-6 min 78. How many rescue breaths per minute do you have to give for the victim if he has a pulse but is not breathing spontaneously? A. 7 B. 15 C. 20 D. 10 E. 5 79. how much should we increase the voltage each discharge during defibrilation? A. 1000 V B. * 500 in C. 250 in D. 20 in 1 kg of body weight E. stress can not boost 80. How often should the ward of the therapeutic department be cleaned up? A. as often as necessary B. every morning C. every evening D. it doesn’t need any cleaning E. twice per day 81. If an assessment of a client takes place "in the field", the nurse must be aware of all of the facts EXCEPT A. * the nurse would not be liable if they did not begin to give care B. the Good Samaritan Law applies C. the nurse must stay with the client until another qualified health care provider arrives D. the Abandonment Law applies E. No correct answer 82. If an assessment of a client takes place "in the field", the nurse must be aware of all of the facts EXCEPT A. * the nurse would not be liable if they did not begin to give care B. the Good Samaritan Law applies C. the nurse must stay with the client until another qualified health care provider arrives D. the Abandonment Law applies E. No correct answer 83. If body temperature is increased 1 ?C, the pulse rate will be: A. The same as in normal temperature B. Decreased 8-10 beats C. Increased 20-25 beats D. Decreased 20 beats E. Increased 8-10 beats 84. If body temperature is increased 1 ?C, the pulse rate will be: A. The same as in normal temperature B. * Increased 8-10 beats C. Decreased 8-10 beats D. Increased 20-25 beats E. Decreased 20 beats 85. In a closed heart massage adults brush bottom hand should be placed on: A. on sternum, fingers toward the chin B. * on the bottom third of sternum, fingers parallel ribs C. on the middle third of sternum D. 4 the intercostals space, left from sternum E. breastfeeding cage - in place of projection top heart 86. In a drowning in sea water in patients has clinical death. Specify the correct sequence reanimation these procedures: A. * Restoration of function of upper respiratory tract, CPR indirect cardiac massage; B. Indirect heart massage, CPR, restoring function upper respiratory ways; C. CPR, indirect heart massage, rehabilitation upper cross-halnyh ways; D. Indirect heart massage, CPR; E. Electric defibrilation, heart CPR. 87. In a respirator «mouth to mouth» need to inject air into volumes? A. 1700-2000 ml B. 500-700 ml C. 1200-1600 ml D. * 800-1100 ml E. make maximum inspiratory 88. In assessing the patient's body temperature, it was found to be 38,5 ?C. This is: A. Normal B. Decreased C. Subfebril D. Elevated E. All are correct 89. In caring for a confused elderly man, it is important to: A. close the door to the room so that he does not disturb other patients B. keep the room dark and quiet at all times to keep the patient from becoming upset C. remind him each morning to shower D. keep the bedrails up except when you are at the bedside E. all of the above 90. In caring for a confused elderly man, it is important to: A. close the door to the room so that he does not disturb other patients B. keep the room dark and quiet at all times to keep the patient from becoming upset C. remind him each morning to shower D. keep the bedrails up except when you are at the bedside E. all of the above 91. In patient A., 47 years diagnosed with clinical death, the ECG - asystolia. In the background pharmacological measures should be first given: A. Atropine B. Lidocain C. Calcium chloride D. Sodium hydrogen E. * Adrenalin 92. In patients 30 years after a road accident complaint appeared to harsh wind. OBJECTIVE: pale skin, cyonotic. Subcutaneously emphyzema in the area of the chest, abdomen, neck on the right side. On auscultation breathing thing does not happen on the right side ; heartrate - 130/min., AP - 80/60 mm RT. art., TSVT -140 mm water. art., CHD - 30/min., Ht - 0,27, Hb - 90 g / liter. Further treatment in the first place should include the following measures: A. Urgent CPR B. Massive infusion therapy KRI staloyidnymy solutions C. Dopamine infusion, 2-5 mg / khhhv D. * Empty pleural puncture on the right E. Oxygenation 100% oxygen 93. In patients 65 years with acute myocardium etc. farktom on 2nd day of ill-tion developed complete atrioventricular block with CHSS-32/min. What drug is shown to provide emergency assistance? A. Eufilin B. * Atropine C. Prednisolone D. Miofedrin E. Nifedypin 94. In patients 85 years of acute pain during electrocardioanalysis observed signs of clinical death those recorded asystole with preserving transport function. Medical measures for 3 minutes ineffective. Which of these measures will be most effective him in this situation? . A. Correction of metabolic acidosis B. Defibrillisation C. Adrene stimulation D. * Electrocardiostimulation E. Precardial strike 95. In patients with symptoms of lack of circulation, have asystole on ECG. The primary therapeutic measure should be: A. Introduction lidocaine B. * Introduction adrenaline C. Introduction daturine D. Introduction of calcium chloride E. Electric defibrillation 96. In the communication process, encoding is defined as A. a stimulus produced by a sender and responded to by a receiver B. the person who intercepts the sender's message C. a person who generates a message D. * the use of language or other signs and symbols for sending messages E. No correct answer 97. In the communication process, encoding is defined as A. a stimulus produced by a sender and responded to by a receiver B. the person who intercepts the sender's message C. a person who generates a message D. * the use of language or other signs and symbols for sending messages E. No correct answer 98. In the patient suddenly came sharp pain behind the sternum with irradiation in the left hand. OBJECTIVE: agitated, pale skin covers, CHDR-38/min, AT-180/110 mm Hg During the review loses consciesness, and fall. Pulse on the main vessels is not determined pupil uniformly expanded. What priority actions? A. Add to / in central analeptic B. Call ambulance station C. Do nothing, because death is the D. * Start a complex cardio-pulmonary and cerebral resuscitation E. administer mezaton 99. In what organ is the thermoregulatory center located? A. liver B. brain C. fat tissue D. intestine E. heart 100. In what organ is the thermoregulatory center located? A. liver B. heart C. * brain D. fat tissue E. intestine 101. In women in 18th week of pregnancy you stop feeble circulation due herbs us. In what position should be held indirect heart massage? A. * With raised feet pregnant B. In napivsydyachomu position C. With sunken feet pregnant D. In pregnant position on the left side E. In pregnant position on the right side 102. Increase of body temperature is called: A. Hypothermia B. Hyperthermia C. Arrhythmia D. Poliuria E. Hypertension 103. Increase of body temperature is called: A. * Hyperthermia B. Hypothermia C. Hypertension D. Arrhythmia E. Poliuria 104. Male 10 years old received by the division of resuscitation and intensive therapy in comatose condition. Breath spontaneous, superficial, involving supporting muscles part take in the act of breathing. CHDR-32/min. perioral cyanosis. What is noticeable is in the artificial tylyatsiyi pulmonary veins in patients in the unconscious state? A. Calculation of ability to be affected B. Respiration rate C. Feeling sick state comfort D. Spirometrychni measuring respiratory volume E. * Arterial blood gas analysis 105. Male 30 years as a result of a accident. Consciousness absent. Pulse on carotid not palpable, no breathing. At waist level in the affected skin a re min. What are the steps you need to start? A. Immediate start holding of pulmonary ventilation and external cardiac massage without losing time B. Turn right on the affected side C. Do not touch affected to at existence of GA D. Conclude the affected back on board E. * Conduct artificial lung ventilation and external heart massage the previous removal belt 106. Male 30 years old at the time when he was eating suddenly grabbed himself by the neck, was cyanosis, inability to make a breath, lack of voice, coughing. What should be done first? A. Tracheotomy; B. Conicotomiyu; C. palpate the inside of the mouth; D. Intubation of trachea; E. * Heimlich maneuver. 107. Male 46 years delivered to the department of cardiology care pain angious character, who appeared for the first time in life 2 hours ago. In the office there was a memory pink circulation and respiration. Started cardiopulmonary resuscitation. In monitoring the frequency reductions 212/hz ventricular complex SIK8 deformed and rozshyrenyy, ST segment depression. What you want to start healing the patient? A. Pacemaker implantation B. Intravenous adrenaline C. Intravenous novocayinamide D. * Countershock E. Intravenous lidocaine 108. Male 49 years old complains of chest pain, which appeared first as dynu during fast passages. Objective no: moderate tachycardia, AT-150/90 mm Hg While recording ECG suddenly unconscious, a single tonic convulsion CKE's summer muscles, liquid breathing, irregular, pulse on the carotid arteries is absent. What urgent action to provide assistance hi? A. Off electrocardiograph B. Define the level of blood pressure C. Enter protysudomni intravenous drugs D. * Run precardial strike E. Perform defibrillisation 109. Male 50 years old was injured by the accident. Unconscious. Since the injury took 3 minutes. What is the primary symptom for the diagnosis of stopping blood circulation? A. Lack of spontaneous rhythmic breathing B. Lack of heart tones during AU skultatsiyi C. Advanced pupil, no reaction to light D. * Lack of pulse in a.sarotis E. Lack of pulse in the peripheral arteries 110. Men 57 years on the trolley bus stop suddenly became ill, lost consciesness, the skin became cyonotic. Not Breathing pulse not determined. Started holding indirect heart massage and artificial ventilation of lungs. How should be placed hands of the reanimator? A. In 2 cross finger right of sternum 4 th intercostal space B. In 2 cross finger left sternum 4 th intercostal space C. In the middle third of sternum D. behind the back E. * In 2 cross finger machine-like above sternal articulation 111. Microorganisms can be spread by direct and indirect contact. An example of indirect contact is A. bathing the patient B. using contaminated blood C. breathing dust particles in the air D. touching objects or dirty instruments E. none of them 112. Mild anxiety affects the communication process by A. severely restricting the perceptual field B. blocking perception C. * broadening the perceptual field D. distorting the perceptual field E. No correct answer 113. Mild anxiety affects the communication process by A. severely restricting the perceptual field B. blocking perception C. * broadening the perceptual field D. distorting the perceptual field E. No correct answer 114. Moving the extremity laterally and away from the midline of the body is A. flexion B. adduction C. extension D. * abduction E. No correct answer 115. Moving the extremity laterally and away from the midline of the body is A. flexion B. adduction C. extension D. * abduction E. No correct answer 116. Nasal temperature measuring is: A. safe and accurate B. unsafe and accurate C. safe and not accurate D. * not applicable E. applicable only in patients without teeth 117. Nasal temperature measuring is: A. safe and accurate B. unsafe and accurate C. safe and not accurate D. applicable only in patients without teeth E. not applicable 118. Older man in the street suddenly became unconscious, continuing to breathe independently. What is the event? A. Hold heart massage B. Extract from the mouth of dentures and other foreign body C. Put on the floor, raise the lower limbs D. * Slush precardial strike E. Hold Ventilator 119. On the pavement lay unconscious man 30-35-years. OBJECTIVE: pulse on peripheral arteries are not determined on carotid pulse frequent, weak content, independent of breath 20/min. What will be true? A. * Provide patient position on the side face down and call an ambulance B. To bring the patient closer to the super clinic C. Perform CPR and call an ambulance D. Perform only indirect heart massage E. Not hayuchy time cause rapid assistance can 120. Oral route temperature measuring should be delayed if: A. patient has smoked B. patient has ingested hot meals C. patient has ingested cold meals D. all mentioned reasons E. no reasons for delay 121. Oral route temperature measuring should be delayed if: A. patient has smoked B. patient has ingested hot meals C. patient has ingested cold meals D. * no reasons for delay E. all mentioned reasons 122. Oral temperature is: A. lower than axillary B. the same as axillary C. the same as rectal D. higher than axillary E. all are correct 123. patient 12 years of age you pull out of cold sea water after 15 minutes after drowning without signs of life. What steps need to begin? A. * Exempt airways of water, a drainage provisions, to initiate moves for cardiopulmonary resuscitation (CPR); B. Do not do SLR, due to the large time interval after the drowning; C. Vehicle suffered local medical institution for the SLR; D. Do not waste time on the removal of water to conduct CPR; E. conduct conicotomia. 124. Patient 35 years in the intensive care forth day after hemorrhage and hemorrhagic shock. Daily diuresis - 50 ml. Sick euphoric, not adequately evaluate its condition. The second day marked vomiting, for ECG beat; TSVT - 159 mm water. art., CHD - 32/min. What complications developed in patient? A. Acute heart failure B. Posthypoxic encephalopathy C. Acute respiratory failure D. * Acute renal failure of prerenal genesis E. Acute delay of diureses 125. Patient 57 years delivered to the receiving Office kardialhiyamy and widespread ST segment depression on ECG. Suddenly unconscious, the pulse in the central arteries is not defined with nytsi narrow. Immediately started cardio-pulmonary resuscitation. What it measures begins? A. Setting an artificial driving rhythm B. Sublingual nitroglycerin C. * Heart massage, artificial respiration, mechanical and electrical defibrillation D. Intravenous lidocaine E. Intacardial introduction of adrenaline 126. Patient aged 78 years, during the review in the admissions office, suddenly znepry languishing. Breathing and pulse of the carotid arteries is not defined. When trying for bezpechyty permeability airways for artificial respiration, turn vyy doctor found that the patient's head zakydannya almost impossible due to malformed cervical spine. What additional steps required for these ob stavyn? A. * Raise the lower jaw and open the patient up his mouth, with moderate head deviation B. Rotate patient's head toward him and open mouth C. Put a pillow under the head of the patient D. Make additional efforts to maxi malnoho zakydannya head sick E. Put a pillow or folded towel under the patient shoulders 127. Patient in the house suddenly became unconscious, no breathing, pulse on the carotid arteries is not defined. What should you start doing? A. B. C. D. E. Conducting external cardiac massage Introduction adrenaline Precardial strike Introduction daturine * Restoration of respiratory shlya cross hiv 128. Patients in a state of clinical death. conducted on artificial lung ventilation noise dom from mouth to mouth and indirect heart massage. The doctor pointed out that the prostitute trya not pass in the airways of patients th, and his head and torso are in the same plane. What is the cause of inefficient sti respirator in that situation? A. Small mouth of the patient B. Holding indirect heart massage C. A small amount of air that inspired D. Lack of probe in the stomach E. * Swallowing of tongue 129. Pediculosis evaluation should be done in: A. surgical department B. outpatient department C. ambulance D. * Admission department E. at home 130. Rectal temperature is: A. * higher than axillary B. lower than axillary C. the same as axillary D. the same as oral E. lower than oral 131. Rectal temperature is: A. lower than axillary B. higher than axillary C. the same as oral D. lower than oral E. the same as axillary 132. Reliable sign of stopping cardiac activity: A. * isolines on ECG B. loss of conscisness C. pronounced cyanosis of skin and mucous D. pulse over the artery ray stopped being able to palpated E. lack of blood pressure 133. Rotating the forearm laterally at the elbows so the palm of the hand turns laterally to face upward is called A. * supination B. internal rotation C. pronation D. external rotation E. No correct answer 134. Rotating the forearm laterally at the elbows so the palm of the hand turns laterally to face upward is called A. * supination B. internal rotation C. pronation D. external rotation E. No correct answer 135. Sterilization means A. * Destroying all living organism and bacterial spores B. Destroying all living organism without bacterial spores C. Destroying Gramm-positive organism D. Destroying Gramm-negative organism E. Any from all previous propositions 136. suddenly unconscious, there was a one time convulsion tonic skeletal muscles breathing is irregular, pulse on the carotid arteries is absent. To provide assistance to first: A. Perform defibrillation B. administer anticonvulsant intravenous drugs C. Off electrocardiograph D. Define the level of blood pressure E. * Perform precardial push and begin cardiopulmonary resuscitation. 137. The basis of a person's philosophy of life is her A. culture B. value system C. * ethnicity D. educational level E. No correct answer 138. The basis of a person's philosophy of life is her A. culture B. value system C. * ethnicity D. educational level E. No correct answer 139. The boy 2 years after the consumption of marine food fish, the night suddenly appeared and pronounced swelling of the face and tongue, inspiratory dyspnoe, diffuse cyanosis, which periodically changes apnea. What are initial emergency measures? A. Introduction of glucocorticosteroids B. Autolavage C. Oxygen through nasal catheters D. Dehydration therapy E. * conicotomia 140. The child stops the heart. After intubation and subsequent CPR it porozhevishala, heart rate recovered to 40/min, systolic SC-50 mm Hg What is the optimal future treatment? A. Infusion salt solutions B. Appointment of cardiac glycosides C. Dopamine infusion D. * Appointment daturine E. Synchronized kardioversiya 141. The client has been transferred to the medical-surgical unit from the emergency department. His admitting diagnosis is “barbiturate overdose.” What is the nurse’s priority intervention? A. Performing neurologic checks every 4 hours B. Providing emotional support C. Restricting visitors to immediate family D. * Taking vital signs every 4 hours E. No correct answer 142. The client has narcolepsy. The nurse should be prepared to teach the client about which drug category that has potential for abuse? A. * Amphetamines B. Benzodiazepines C. Barbiturates D. Phencyclidines E. No correct answer 143. The client smokes three packs of cigarettes per day. The nurse should teach this client about his or her increased risk for which chronic health problem as a result of tobacco abuse? A. Chronic pancreatitis B. Rheumatoid arthritis C. * Cardiovascular disease D. Type 2 diabetes mellitus E. No correct answer 144. The fifth hierarchy of needs according to Maslow is A. self-esteem B. need for love and belonging C. safety and security D. * self-actualization E. No correct answer 145. The fifth hierarchy of needs according to Maslow is A. self-esteem B. need for love and belonging C. safety and security D. * self-actualization E. No correct answer 146. The first step in becoming nonjudgmental is to A. learn more about other people B. accept your own feelings C. identify the source of your negative feelings D. * recognize that one's thoughts are biased and prejudicial E. No correct answer 147. The first step in becoming nonjudgmental is to A. learn more about other people B. accept your own feelings C. identify the source of your negative feelings D. * recognize that one's thoughts are biased and prejudicial E. No correct answer 148. The following are data from a client. Which is an example of subjective data? A. * The client reports having nausea. B. The client's blood pressure is 120/82. C. The client has a reddened area on the buttocks. D. The client's blood sugar is 100 g/dl. E. No correct answer 149. The following are data from a client. Which is an example of subjective data? A. * The client reports having nausea. B. The client's blood pressure is 120/82. C. The client has a reddened area on the buttocks. D. The client's blood sugar is 100 g/dl. E. No correct answer 150. The function of feedback in communication is to A. send a clear message B. * provide the sender with information about the receiver's perception of the information C. help the receiver decode the message D. assist the sender in encoding the message E. No correct answer 151. A. B. C. D. E. 152. A. B. C. D. E. 153. A. B. C. D. E. 154. A. B. C. D. E. 155. A. B. C. D. E. 156. A. B. C. D. E. 157. A. B. C. D. E. 158. A. B. C. D. E. 159. A. B. C. The function of feedback in communication is to send a clear message * provide the sender with information about the receiver's perception of the information help the receiver decode the message assist the sender in encoding the message No correct answer The highest body temperature is temperature measured in the: axilla oral cavity nose rectum all are equal The highest body temperature is temperature measured in the: axilla * rectum oral cavity nose all are equal The most common location for assessing the pulse is: * Radial artery Brachial artery Femoral artery Over the heart Temporal artery The MOST serious problem that wrinkles in the bedclothes can cause is restlessness sleeplessness decubitus ulcers shock bleeding The MOST serious problem that wrinkles in the bedclothes can cause is restlessness sleeplessness bleeding shock decubitus ulcers The normal temperature of the human body is : 36,0-36,5 C° 36,0-36,6 C° 36,2-36,6 C° 36,2-37,1 C° 36,2-37,0 C° The nurse fits crutches correctly when the crutch pad is one inch below the axilla * the handgrip is adjusted to allow the client to have elbows bent at 30 degrees the crutches force the client to stand upright the handgrip is adjusted to allow the client to have elbows nearly straight No correct answer The nurse fits crutches correctly when the crutch pad is one inch below the axilla * the handgrip is adjusted to allow the client to have elbows bent at 30 degrees the crutches force the client to stand upright D. the handgrip is adjusted to allow the client to have elbows nearly straight E. No correct answer 160. The nurse in an admitting department is going to measure the temperature of the patient with fever. She cleaned the inguinal area with alcohol before manipulation. Explain why this procedure has been done: A. For the purpose of providing a more exact measuring of temperature. B. For the best fixing of thermometer in ingiunal area. C. For the purpose of providing a hygienical regime of procedure. D. There is no right answer E. All answers are correct 161. The nurse is assessing a client who has been immobilized for several weeks. What may occur as a result of prolonged immobility? A. * bone demineralization B. increased respiratory excursion C. decreased cardiac workload D. increased peristalsis E. No correct answer 162. The nurse is assessing a client who has been immobilized for several weeks. What may occur as a result of prolonged immobility? A. * bone demineralization B. increased respiratory excursion C. decreased cardiac workload D. increased peristalsis E. No correct answer 163. The nurse is caring for a client who is living at home. The client's family does everything for the client and does not encourage the client to function independently. This condition is described as A. well-adjusted dependence B. * well-adjusted independence C. maladjusted dependence D. codependence E. No correct answer 164. The nurse is caring for a client who is living at home. The client's family does everything for the client and does not encourage the client to function independently. This condition is described as A. well-adjusted dependence B. * well-adjusted independence C. maladjusted dependence D. codependence E. No correct answer 165. The nurse is lifting a heavy object. Which action, if performed, is incorrect? A. Keep the feet apart. B. Pull the object, do not push. C. * Bend at the knees. D. Lift with the leg muscles. E. No correct answer 166. The nurse is lifting a heavy object. Which action, if performed, is incorrect? A. Keep the feet apart. B. Pull the object, do not push. C. * Bend at the knees. D. Lift with the leg muscles. E. No correct answer 167. The nurse is teaching a client how to walk with crutches using a three-point gait. Which instruction is correct? A. move the right crutch forward, then the left foot, followed by the left crutch, and finally the right foot B. move the right crutch and the left foot forward together and then the left crutch and the right foot forward together C. * move the crutches and weak leg forward together, then move the weight-bearing leg forward D. move the crutches forward, then swing the legs forward together E. No correct answer 168. The nurse is teaching a client how to walk with crutches using a three-point gait. Which instruction is correct? A. move the right crutch forward, then the left foot, followed by the left crutch, and finally the right foot B. move the right crutch and the left foot forward together and then the left crutch and the right foot forward together C. * move the crutches and weak leg forward together, then move the weight-bearing leg forward D. move the crutches forward, then swing the legs forward together E. No correct answer 169. The nurse is to ambulate a client who has an IV in his arm, an indwelling urinary catheter, and a chest tube. What action is appropriate for the nurse to take? A. Hold the IV so it is higher than the client's heart while ambulating. B. * Empty the urinary drainage tube before ambulating. C. Empty the closed chest drainage system before ambulating. D. Hold the closed chest drainage system above the client's chest level while ambulating. E. No correct answer 170. The nurse is to ambulate a client who has an IV in his arm, an indwelling urinary catheter, and a chest tube. What action is appropriate for the nurse to take? A. Hold the IV so it is higher than the client's heart while ambulating. B. * Empty the urinary drainage tube before ambulating. C. Empty the closed chest drainage system before ambulating. D. Hold the closed chest drainage system above the client's chest level while ambulating. E. No correct answer 171. The nurse making a home visit observes all of the following. Which is a safety hazard for the client with difficulty in mobility? A. wall-to-wall carpet in the bedroom B. curio cabinet filled with mementos C. * scatter rugs on the kitchen floor D. night lights in the hall and bathroom E. No correct answer 172. The nurse making a home visit observes all of the following. Which is a safety hazard for the client with difficulty in mobility? A. wall-to-wall carpet in the bedroom B. curio cabinet filled with mementos C. * scatter rugs on the kitchen floor D. night lights in the hall and bathroom E. No correct answer 173. The nurse should measure the patient temperature: A. In the morning B. In the evening C. In the morning and in the evening D. Every 3 hours E. Once per week 174. The nurse should measure the patient temperature: A. * In the morning and in the evening B. In the morning C. In the evening D. Once per week E. Every 3 hours 175. The nurse should write down the patient temperature in the: A. Case history B. Statistic talon C. Ambulatory journal D. Temperature chart E. All are possible 176. The nurse should write down the patient temperature in the: A. * Temperature chart B. Case history C. Statistic talon D. Ambulatory journal E. All are possible 177. The nurse suspects that the client is a substance abuser. Which clinical manifestation causes the nurse to suspect cocaine abuse rather barbiturates? A. Shallow respirations B. Pupillary constriction C. * Tachycardia D. Flushing E. No correct answer 178. ?The nurse understands that communication is a vital component of the human experience. People communicate in order to A. express their wishes B. respond to others C. * define themselves and find meaning in their interactions with the world around them D. voice their opinions E. No correct answer 179. ?The nurse understands that communication is a vital component of the human experience. People communicate in order to A. express their wishes B. respond to others C. * define themselves and find meaning in their interactions with the world around them D. voice their opinions E. No correct answer 180. The patient blood pressure is 180/100 mm Hg. Assess this data: A. Normal B. Arterial hypotension C. * Arterial hypertension D. Hyperthermia E. Bradycardia 181. The patient can't move and rotate in bad. You must change his position to prevent the bedsores. What is the turning schedule in this case? A. every 10 hours B. every 18 hours C. every 6 hours D. every 4 hours E. every 2 hours 182. The patient with pneumonia presents with high temperature of 40,0?C, dyspnea, cough, headache. What should the nurse do the first: A. Give vitamins B. Give the drugs to reduce the cough C. Talk with patient about his condition D. This patient don’t need any help E. Decrease the body temperature 183. The patient with severe pathology has the following injury on his elbows: epidermis is broken, superficial lesion, no measurable depth; partial-thickness skin loss. What stage of pressure ulcers does the patient have? A. 1 B. 3 C. 4 D. 5 E. 2 184. The patient with severe pathology has the following injury on his shoulder blades: fullthickness skin loss extending into supportive structures, such as muscle, tendon, and bone. What stage of pressure ulcers does the patient have? A. 1 B. 2 C. 3 D. 4 E. 5 185. The patients who received treatment with the pozahospitalnoyi bilateral pneumonia remains high fever 39 ° C, AT-90/50 mm Hg, CHDR-40/min., Show lysya anemia, oliguria. Patient transferred to resuscitation department. Priority governmental emergency measure will: A. * Respiratory care B. Adequate antibiotics C. Forced diuresis D. Introduction reopoliglyukinu E. Hemosorbtion 186. The result of temperature measurement of a patient is determined after: A. 3-5-minute after beginning B. 5-7-minute after beginning C. 6-8-minute after beginning D. 12-15 minute after beginning. E. 7-10-minute after beginning 187. The signs of the 1st stage of the pressure ulcer are A. full-thickness skin loss extending into supportive structures, such as muscle, tendon, and bone; may undermine and have various sinus tracts B. full-thickness skin loss down through the dermis; may include subcutaneous tissue; may undermine adjacent skin C. epidermis is broken, superficial lesion, no measurable depth. Partial-thickness skin loss D. no visible signs E. nonblanchable erythema, redness that remains present over an area under pressure 30 minutes after pressure source is removed. Epidermis remains intact 188. The temperature of hot water bottle must be A. 35,5-40 °C B. * 40,5-46 °C C. 46,5-50 °C D. 50,5-55 °C E. 55,5-60 °C 189. The temperature of the cold bag must be A. 5 °C B. 10 °C C. * 15 °C D. 1 °C E. 7 °C 190. The term for letting clients express their feelings is A. * catharsis B. rapport C. empathy D. empowerment E. No correct answer 191. The term for letting clients express their feelings is A. * catharsis B. rapport C. empathy D. empowerment E. No correct answer 192. The traditional sites for measuring the body temperature are: A. rectal, nasal, oral B. rectal, nasal, axillary C. axillary, nasal, oral D. rectal, nasal, intestinal E. rectal, axillary, oral 193. The traditional sites for measuring the body temperature are: A. rectal, nasal, oral B. rectal, nasal, axillary C. axillary, nasal, oral D. rectal, nasal, intestinal E. * higher than axillary 194. The victim with severe trauma combined stated apnea, increased pupil, absence of pulse in the main vessels. What is not Heine measures should apply in asystole? A. * Artificial respiration, closed heart massage B. Intravenous hydrocarbonate sodium C. Introduction of corticosteroids D. Infusion poliglyucine E. Introduction V-adrenoblocker 195. Therapeutic use of self involves what type of skills by the nurse? A. verbal communication B. nonverbal communication C. * both verbal and nonverbal communication D. primarily technical skills E. No correct answer 196. Therapeutic use of self involves what type of skills by the nurse? A. verbal communication B. nonverbal communication C. * both verbal and nonverbal communication D. primarily technical skills E. No correct answer 197. To take a temperature with a mercury-in-glass thermometer, shake the thermometer to move the mercury down below: A. 92 degree F B. 93 degree F C. 94 degree F D. 95 degree F E. 96 degree F 198. To take a temperature with a mercury-in-glass thermometer, shake the thermometer to move the mercury down below: A. 92 degree F B. 93 degree F C. 94 degree F D. 95 degree F E. * 96 degree F 199. ?to the terminal states belong? A. * preagony, terminal pause, agony, Clinical Death B. Agony, clinical and biological death C. commas agony, Clinical Death D. preagony, agony, clinical, social death E. AT decrease to 80 mm Hg, commas, Clinical Death 200. Token effectively artificial ventilation are: A. myosis B. noise and air insufflation during expiration C. * silent chest excursion D. protrusion epigastric area during insufflation E. «Dizziness» of reanimator 201. Truly caring for what happens to another person is called A. acceptance B. * empathy C. compassion D. sympathy E. No correct answer 202. Truly caring for what happens to another person is called A. acceptance B. * empathy C. compassion D. sympathy E. No correct answer 203. Tuberculin skin test is used to identify: A. sudden death B. cancer C. hypertension D. * tuberculosis E. Pneumonia 204. Understanding another person's perception of a situation is called A. * empathy B. acceptance C. empowerment D. advocacy E. No correct answer 205. Understanding another person's perception of a situation is called A. * empathy B. C. D. E. 206. A. B. C. D. E. 207. A. B. C. D. E. 208. A. B. C. D. E. 209. A. B. C. D. E. 210. A. B. C. D. E. 211. A. B. C. D. E. 212. A. B. C. D. E. 213. A. B. C. D. E. acceptance empowerment advocacy No correct answer Vital signs include following: pulse temperature respiratory rate blood pressure * all mentioned What conditions can prolong the time of brain surviving without oxygen? hyperthermia dehydration hypothermia hypoglycemia hyperhydration What equipment is needed for CPR? one-way breathing mask plastic eye-glasses hospital gown intubation tube vinyl gloves What factor(s) can change the body temperature? infection temperature of environment thyroid hormone age * all above What factor(s) can change the body temperature? infection temperature of environment thyroid hormone age all above What is indication for administering cleansing enema: Diarrhea Constipation Preparation for abdominal surgery Poisoning All above What is optimal air temperature for the ward in the therapeutic department? 16-17 ?C 24-25 ?C 18-20 ?C 36,6 ?C 10-15 ?C What is the appropriate depth of chest compressions during CPR (for adults)? 6-9 cm 3-4 cm 4-6 cm 2-4 cm 7-10 cm 214. A. B. C. D. E. 215. A. B. C. D. E. 216. A. B. C. D. E. 217. A. B. C. D. E. 218. A. B. C. D. E. 219. A. B. C. D. E. 220. A. B. C. D. E. 221. A. B. C. D. E. 222. A. B. C. ?What is the appropriate order for checking of vital signs before the beginning of CPR? circulation, airways, breathing breathing, circulation, airways airways, breathing, circulation airways, circulation, breathing breathing, airways, circulation What is the appropriate rate of chest compressions during CPR? 40 /min 50 /min 60 /min 70 /min 80 /min What is the contraindication for administering enema: Diarrhea Vomiting High temperature Rectal bleeding All above What is the correct place for the compressions during CPR? upper 1/3 of sternum middle 1/3 of sternum epigastric area umbilical area lower 1/3 of sternum ?What is the main contraindication for enteral tube feeding? diffused peritonitis intestinal obstruction that prohibits normal bowel functioning intractable vomiting; paralytic ileus severe diarrhea all listed above What is the most common risk factor associated with the pressure ulcer development? drugs usage smoking heredity immobility drinking What is the normal body temperature: 97,9 ?F 38,2 ?F 36.6 ?F 68,4 ?F 87,2 ?F What is the normal body temperature: * 36,6 °C 38,2 °C 41,0 °C 35,1 °С 98,6 °C What is the normal body temperature: 87,2 °F 38,2 °F 36,6 °F D. 68,4 °F E. * 97,9 °F 223. What is the normal pulse rate in the adult person: A. * 60-90 per minute B. 40-50 per minute C. 100-120 per minute D. 90-100 per minute E. 30-70 per minute 224. What is the patient position for administering enema: A. Lying on the back B. Lying on the right side C. Lying on the left side D. Staying E. Sitting 225. What is the patient position for using a bedpan: A. Lying face down B. Sitting C. Lying on the left side D. Staying E. Lying on the back 226. What is the primary purpose of putting high-top tennis shoes on the immobilized client who is positioned in Fowler's and supine position? A. * to help prevent foot drop B. to promote comfort C. to prevent decubitus formation on the heels D. to aid in turning the client E. No correct answer 227. What is the primary purpose of putting high-top tennis shoes on the immobilized client who is positioned in Fowler's and supine position? A. * to help prevent foot drop B. to promote comfort C. to prevent decubitus formation on the heels D. to aid in turning the client E. No correct answer 228. What is the pulse deficit? A. * The difference between the rate of heart contractions and distal pulse rate B. The sum of the rate of heart contractions and pulse rate C. The difference between the pulse rate and the rate of heart contractions D. The difference between the pulse rate and the rate of breath E. The sum of the pulse rate and the rate of breath 229. What is the right place for the checking of presence of pulse for assessment of unconscious patient? A. femoral artery B. carotid artery C. clavicular artery D. brachial artery E. radial artery 230. What is the simplest and the most often used route of enteral tube feeding? A. nasoenteral route B. gastrostomy route C. jejunostomy route D. all listed above E. esophagostomy route 231. What is the water temperature for cleansing enema? A. 10 ?C B. 50 ?C C. 100 ?C D. 80 ?C E. 37 ?C 232. What patient position is called “orthopnoe”: A. * Sitting B. Lying on the back C. Lying face down D. Lying on the left side E. Lying on the right side 233. What patient position is used in collapse with loss of consciousness: A. * Lying on the back with elevated legs B. Lying on the back with elevated head C. Sitting D. Lying on the left side E. Standing 234. What recommendation is not used for prevention of pressure ulcers in a patient in coma? A. Change child’s position not less than 1 time per 3 hours B. Keep clothing and linen clean and dry C. Maintain meticulous skin clearness D. Ultraviolet radiation (UVR) on the problem parts of skin E. Help with surgical “cleaning” of affected place, then cover the wound with sterile dressing soaked with 1 % solution of potassium permanganates; change the dressing 2-3 times per day 235. What should the nurse do before giving the bedpan to the patient? A. Rinse it with 10% solution of chloride of lime B. Rinse it with 10% solution of chloramine C. Rinse it with 10% solution of hydrogen peroxide D. Rinse it with warm water E. Rinse it with cold water 236. What should the nurse do before giving the bedpan to the patient? A. Rinse it with 10% % solution of chloride of lime B. Rinse it with 10% % solution of chloramine C. Rinse it with 10% % solution of hydrogen peroxide D. Rinse it with cold water E. * Rinse it with warm water 237. What site can be used for body temperature measuring? A. stomach B. vagina C. oral cavity D. all above E. chest surface 238. What site can be used for body temperature measuring? A. * oral cavity B. stomach C. vagina D. chest surface E. all above 239. What solution should the nurse use for disinfection of thermometer after measuring temperature? A. 5% solution of chloramines B. * 2% solution of chloramine C. 5% solution of chloride of lime D. 10% solution of sodium chloride E. 2% solution of ethyl alcohol 240. What types of thermometers can be used for measuring the body temperature? A. mercury in glass B. disposable single-use chemical strip C. tympanic membrane thermometer D. electronic E. all mentioned 241. What types of thermometers can be used for measuring the body temperature? A. mercury in glass B. disposable single-use chemical strip C. tympanic membrane thermometer D. electronic E. * all mentioned 242. When analyzing components of the communication process, the nurse identifies which as an internal stimuli? A. sight B. sensation C. taste D. * hunger E. No correct answer 243. When analyzing components of the communication process, the nurse identifies which as an internal stimuli? A. sight B. sensation C. taste D. * hunger E. No correct answer 244. When assessing a client's musculoskeletal status, A. * warn the client when there may be discomfort B. stretch all joints to their maximum limit C. know that a 0 rating of muscle tone means weakness D. know that a 0 rating on flexibility means total inflexibility E. No correct answer 245. When assessing a client's musculoskeletal status, A. * warn the client when there may be discomfort B. stretch all joints to their maximum limit C. know that a 0 rating of muscle tone means weakness D. know that a 0 rating on flexibility means total inflexibility E. No correct answer 246. When interviewing a client, there are long pauses of silence. The client does not respond to the nurse's questions. All of the following are appropriate responses by the nurse to the clients silence EXCEPT A. sitting quietly and observing the client's behavior B. controlling one's own discomfort during quiet periods or conversational lulls C. using appropriate eye contact D. * asking the patient to answer the question at hand E. No correct answer 247. When interviewing a client, there are long pauses of silence. The client does not respond to the nurse's questions. All of the following are appropriate responses by the nurse to the clients silence EXCEPT A. sitting quietly and observing the client's behavior B. controlling one's own discomfort during quiet periods or conversational lulls C. using appropriate eye contact D. * asking the patient to answer the question at hand E. No correct answer 248. When transferring a client from a bed to a wheelchair, the nurse should A. raise the height of the bed B. position the wheelchair 2 feet from the side of the bed C. * lock the wheelchair brakes and elevate the foot pedals D. pivot the client so the client is facing the wheelchair E. No correct answer 249. When transferring a client from a bed to a wheelchair, the nurse should A. raise the height of the bed B. position the wheelchair 2 feet from the side of the bed C. * lock the wheelchair brakes and elevate the foot pedals D. pivot the client so the client is facing the wheelchair E. No correct answer 250. When transferring a client from the bed to a chair, the nurse should do all of the following EXCEPT A. remove her stethoscope before transfer B. * ask the client to grab onto her neck C. place the wheelchair parallel to the bed and as close as possible D. place her thumbs downward to prevent potential wrist injury as she lifts E. No correct answer 251. When transferring a client from the bed to a chair, the nurse should do all of the following EXCEPT A. remove her stethoscope before transfer B. * ask the client to grab onto her neck C. place the wheelchair parallel to the bed and as close as possible D. place her thumbs downward to prevent potential wrist injury as she lifts E. No correct answer 252. When working with clients and families under severe or chronic stress, the nurse should A. avoid interaction with the individuals until the stress level is normalized B. provide communication via written form only C. * speak in simple terms repeating information as needed D. obtain medications for these individuals to take to decrease their anxiety before any interaction with them E. No correct answer 253. When working with clients and families under severe or chronic stress, the nurse should A. avoid interaction with the individuals until the stress level is normalized B. provide communication via written form only C. * speak in simple terms repeating information as needed D. obtain medications for these individuals to take to decrease their anxiety before any interaction with them E. No correct answer 254. Which activity is most likely to take place in the space known as social distance? A. checking the client's IV B. * rocking a baby C. leading a group discussion D. assessing the client's pain E. No correct answer 255. Which activity is most likely to take place in the space known as social distance? A. checking the client's IV B. * rocking a baby C. leading a group discussion D. assessing the client's pain E. No correct answer 256. Which characteristic response to stimulant drugs increases their potential for abuse? A. They are not habit-forming. B. They have sedating qualities. C. * They increase general metabolism D. Their use is not controlled by the DEA. E. No correct answer 257. Which characteristic, action, or behavior fails to meet the criteria for the nursing diagnosis of substance abuse? A. * The client uses the substance daily. B. The client's behavior when using the substance is not socially acceptable. C. The client continues to use the substance even though she or he has expressed a desire to stop. D. The client continues to use the substance even though it causes him or her to have chronic hypertension. E. No correct answer 258. Which comment is appropriate for the nurse to make during the introduction stage of the assessment interview? A. "It is almost time for me to leave. Do you have any questions for me?" B. "Describe your pain." C. * "I need to ask you a few questions about your health so we can better plan your care." D. "Describe the number and characteristics of your bowel movements." E. No correct answer 259. Which comment is appropriate for the nurse to make during the introduction stage of the assessment interview? A. "It is almost time for me to leave. Do you have any questions for me?" B. "Describe your pain." C. * "I need to ask you a few questions about your health so we can better plan your care." D. "Describe the number and characteristics of your bowel movements." E. No correct answer 260. Which is an example of a closed question? A. "What is the reason for your visit today?" B. "Tell me about your family." C. * "What is your date of birth?" D. "What type of food do you prefer?" E. No correct answer 261. Which is an example of a closed question? A. "What is the reason for your visit today?" B. "Tell me about your family." C. * "What is your date of birth?" D. "What type of food do you prefer?" E. No correct answer 262. Which is the first step in the guidelines for promoting a caring interview with a patient? A. observe B. C. D. E. 263. A. B. C. D. E. 264. A. B. C. D. E. 265. A. B. C. D. E. 266. A. B. C. D. E. 267. A. B. C. D. E. 268. A. B. C. D. E. 269. A. B. C. D. E. 270. A. B. C. D. E. establish rapport * listen attentively gather information No correct answer Which is the first step in the guidelines for promoting a caring interview with a patient? observe establish rapport * listen attentively gather information No correct answer Which method of temperature measuring is the safest: oral axillary measuring pulmonary artery temperature measuring ear canal temperature rectal Which method of temperature measuring is the safest: oral * axillary rectal measuring pulmonary artery temperature measuring ear canal temperature Which nursing diagnosis is appropriate for a woman who abuses anabolic steroids? Risk for Injury related to decreased muscle coordination Hypothermia related to decreased metabolic rate Chronic Confusion related to sodium and water retention * Disturbed Body Image related to presence of facial hair No correct answer Which of the following helps prevent decubitus ulcers? bed rest liquid diet support hose back rubs none of them Which of the following is an example of subjective data? * nausea cyanosis pulse 62 facial grimace No correct answer Which of the following is an example of subjective data? * nausea cyanosis pulse 62 facial grimace No correct answer Which of the following is considered a primary source of data? results of diagnostic tests family medical records * client No correct answer 271. Which of the following is considered a primary source of data? A. results of diagnostic tests B. family C. medical records D. * client E. No correct answer 272. Which of the following is not an aerobic exercise? A. rowing B. bicep curls C. * walking D. jumping rope E. No correct answer 273. Which of the following is not an aerobic exercise? A. rowing B. bicep curls C. * walking D. jumping rope E. No correct answer 274. ?Which of the following is not included in the assessment step of the nursing process? A. data collection B. data documentation C. data verification D. * data evaluation E. No correct answer 275. ?Which of the following is not included in the assessment step of the nursing process? A. data collection B. data documentation C. data verification D. * data evaluation E. No correct answer 276. Which of the following nursing actions is most likely to take place in the space known as personal distance? A. taking vital signs B. one-on-one teaching C. * teaching a class D. giving an injection E. No correct answer 277. Which of the following nursing actions is most likely to take place in the space known as personal distance? A. taking vital signs B. one-on-one teaching C. * teaching a class D. giving an injection E. No correct answer 278. Which of the special equipment devices is not primarily used to prevent skin breakdown? A. air-filled mattress B. sheepskin C. egg crate mattress D. * hand-wrist splints E. No correct answer 279. Which of the special equipment devices is not primarily used to prevent skin breakdown? A. air-filled mattress B. sheepskin C. egg crate mattress D. * hand-wrist splints E. No correct answer 280. Which of these signs are not the major signs of clinical death? A. * lack of blood pressure B. absence of pulsation on the femoral artery C. lack of breathing D. midriaz, pupil not responding to light E. absence of pulsation on the carotid artery 281. Which patients require frequent monitoring of body temperature? A. pregnant women B. newborn C. older adults D. postoperative patients E. all above 282. Which patients require frequent monitoring of body temperature? A. * postoperative patients B. pregnant women C. newborn D. older adults E. all above 283. Which problem or manifestation in a 125-pound, 40-year-old woman, 1-day postoperative for a total abdominal hysterectomy, leads the nurse to suspect possible substance abuse? A. She has vomited nine times during the first 24 hours after surgery. B. * Morphine 15 mg (subcutaneous) has failed to relieve her pain. C. She has been unable to void after removal of the Foley. D. Her wound drainage is greater than expected. E. No correct answer 284. Which solution can be used for bath disinfection after taking a bath at the hospital? A. 0,5% solution of hexachlorane B. 0,5% solution of chloride of lime C. solution of manganese permanganate D. solution of hydrogen peroxide E. 2% solution of chloramines 285. Which solution can be used for bath disinfection after taking a bath at the hospital? A. * 0,5% solution of chloride of lime B. 0,5% solution of hexachlorane C. 2% solution of chloramines D. solution of manganese permanganate E. solution of hydrogen peroxide 286. Which statement is correct about falls? Most falls A. occur during the day B. involve wheelchairs C. * occur in the kitchen or bathroom D. involve clients with poor hearing E. No correct answer 287. Which statement is correct about falls? Most falls A. B. C. D. E. occur during the day involve wheelchairs * occur in the kitchen or bathroom involve clients with poor hearing No correct answer 288. Which statement is not correct regarding performing passive range of motion exercises on a client? A. * The nurse should start at the client's foot and move to the head. B. The head should be rotated 1/4 turn from side to side and then flexed and extended. C. The arms should be flexed and extended and adducted and abducted. D. Do not flex, extend, rotate, abduct, or adduct a joint if the client complains of discomfort. E. No correct answer 289. Which statement is not correct regarding performing passive range of motion exercises on a client? A. * The nurse should start at the client's foot and move to the head. B. The head should be rotated 1/4 turn from side to side and then flexed and extended. C. The arms should be flexed and extended and adducted and abducted. D. Do not flex, extend, rotate, abduct, or adduct a joint if the client complains of discomfort. E. No correct answer 290. Which statement is true about the cognitive part of communication? A. * The receiver interprets and gives meaning to stimuli. B. It is the medium through which a message is transmitted. C. It refers to spoken words and cues. D. It relates to the distance between persons. E. No correct answer 291. Which statement is true about the cognitive part of communication? A. * The receiver interprets and gives meaning to stimuli. B. It is the medium through which a message is transmitted. C. It refers to spoken words and cues. D. It relates to the distance between persons. E. No correct answer 292. Which statement or information obtained from a client during assessment for alcohol abuse alerts the nurse to the possibility of alcohol addiction? A. The client says he or she drinks alcohol to feel less stressed and have a good time. B. The client has been arrested once for driving under the influence of alcohol. C. * The client uses alcohol to stop his or her hands from shaking. D. The client drinks alcohol daily. E. No correct answer 293. Which statement regarding substance abuse is true? A. Substance abuse should not be considered a public health problem because it only affects individuals rather than society as a whole. B. * Even when a person is not “addicted” to a substance, abuse can cause physical, psychological, and social problems. C. Substance abuse is rarely seen among middle-class clients. D. Cocaine is the most commonly abused substance. E. No correct answer 294. While carrying a patient by stretcher to his bed, we should observe such rules: A. The head end of the stretcher must be situated athward to head end of the bad B. The head end of the stretcher must be situated athward to the middle of the bad. C. The stretcher must be parallel to the bed D. Stretchers is placed parallel a bed in the distance 1m from the bed. E. The leg end of stretchers is placed athwart to the leg end of the bed. 295. While putting a patient from stretchers to his bed: A. The medical staff should first insert their hands under the patient head and neck; second - under the back of patient; third - under thighs and shins of patient B. First assistant - insert their hands under the head and shoulder of patient; second assistant - under buttocks; third assistant - under knee bends and shins of patient. C. First assistant - insert their hands under a head and shoulder of patient; second assistant - under a trunk and buttocks; third assistant - under knee bends and shins of patient. D. First - insert their hands under head and shoulder of patient; second - under a trunk and buttocks; third - under shins of patient. E. First assistant - insert their hands under the head and shoulder of patient; second assistant - under a trunk and buttocks; third assistant - under thighs and shins of patient 296. Why is it important to identify a substance abuser in the medical-surgical acute care setting? A. To enable the staff to take appropriate actions to protect themselves and other clients B. * To anticipate additional care needs necessitated by withdrawal C. To avoid being “taken in” by a manipulative client D. To inform local authorities about illegal behavior E. No correct answer 297. Worker was electrocuted a few minutes ago. he lost consciousness. Had seizures. Effects of the electric current was discontinued. patient is laying down, no breathing, no pulse is determined, the skin cyonatic, pupil dilated, do not react to light. What first aid should be provided? A. Introduction anesthetic agents B. Introduction of anticonvulsants C. Intravenous reopoliglyukine D. * Closed heart massage and artificial ventilation of lungs E. Intravenous breathing analeptic 298. You are teaching a client why immobility has so many negative effects on the body. When talking about the effects of immobility on the gastrointestinal system, you would include all of the following EXCEPT A. fecal impaction B. * stress ulcers C. diarrhea D. decreased appetite E. No correct answer 299. You are teaching a client why immobility has so many negative effects on the body. When talking about the effects of immobility on the gastrointestinal system, you would include all of the following EXCEPT A. fecal impaction B. * stress ulcers C. diarrhea D. decreased appetite E. No correct answer 300. You are the charge nurse. You have been asked to meet with the husband of a client being cared for on the unit. The staff tells you he is very angry and wants to talk to someone about the lousy care his wife is receiving. Which of the following communication techniques should you use when interacting with this individual? A. Arrange the setting so the husband is in front of the door with you directly behind him. B. Start the conversation with a handshake or touch to his shoulder to express your care and concern. C. * Do not turn your back on the man. D. Stay above his line of vision. E. No correct answer 301. You are the charge nurse. You have been asked to meet with the husband of a client being cared for on the unit. The staff tells you he is very angry and wants to talk to someone about the lousy care his wife is receiving. Which of the following communication techniques should you use when interacting with this individual? A. Arrange the setting so the husband is in front of the door with you directly behind him. B. Start the conversation with a handshake or touch to his shoulder to express your care and concern. C. * Do not turn your back on the man. D. Stay above his line of vision. E. No correct answer 302. young girl is pulled from a lake in 3 minutes after drowning. Unconscious. Not breathing, gray foam is coming from the mouth. Skin violet-cyonotic color. Pulse of carotid can’t be determined. Specify the procedure for granting reanimation assistance. A. * Clean your mouth and throat finger hold CPR "mouth to mouth, closed cardiac massage; B. Rotate the victim head-down, click on December stand for the withdrawal of water, hold CPR "mouth to mouth; C. Immediately conduct CPR closed covered heart massage; D. clear water from the airways, make CPR by Silvester; E. Immediately call the EMT team, before they arrive make a CPR for Silvester and closed cardiac massage. 303. What is the right place for the checking of presence of pulse for assessment of unconscious patient? A. femoral artery B. radial artery C. *carotid artery D. clavicular artery E. brachial artery 304. How many seconds do you have to check for the presence of a pulse? A. 10-20 sec B. *5-10 sec C. 1-10 sec D. 15-30 sec E. 20-25 sec 305. What is the right place for teh checking of pulse presense for assessment of unconscious patient ? A. radial artery B. *carotid artery C. clavicular artery D. brachial artery E. femoral artery 306. What is the appropriate depth of chest compressions during CPR (for adults)? A. 6-9 cm B. 3-4 cm C. 7-10 cm D. 2-4 cm E. *4-6 cm 307. What is the appropriate rate of chest compressions during CPR? A. 40 /min B. C. D. E. 50 /min 60 /min 70 /min *80 /min 308. What equipment is needed for CPR? A. *one-way breathing mask B. vinyl gloves C. plastic eye-glasses D. hospital gown E. intubation tube 309. How many minutes can the brain survive without oxygen in normal conditions? A. 3-5 min B. * 4-6 min C. 1-3 min D. 5-8 min E. 7-10 min 310. How many rescue breaths per minute do you have to give for the victim if he has a pulse but is not breathing spontaneously? A. 7 B. *10 C. 15 D. 20 E. 1 311. During CPR you must check the presence of breathing and pulse every A. 1 min B. 5 min C. 10 min D. 7 min E. *3 min 312. What conditions can prolong the time of brain surviving without oxygen? A. * hypothermia B. Hyperthermia C. Dehydration D. Hyperhydration E. hypoglycemia 313. How many stages does the pressure ulcer (bed sore) have? A. 2 B. 3 C. *4 D. 5 Situation tasks 1. The signs of the 1st stage of the pressure ulcer are A. full-thickness skin loss extending into supportive structures, such as muscle, tendon, and bone; may undermine and have various sinus tracts B. full-thickness skin loss down through the dermis; may include subcutaneous tissue; may undermine adjacent skin 2. 3. 4. 5. 6. 7. 8. C. *nonblanchable erythema, redness that remains present over an area under pressure 30 minutes after pressure source is removed. Epidermis remains intact D. epidermis is broken, superficial lesion, no measurable depth. Partial-thickness skin loss E. no visible signs The patient with severe pathology has the following injury on his elbows: epidermis is broken, superficial lesion, no measurable depth; partial-thickness skin loss. What stage of pressure ulcers does the patient have? A. 1 B. *2 C. 3 D. 4 E. 5 The signs of the 3rd stage of the pressure ulcer are A. no visible signs B. nonblanchable erythema, redness that remains present over an area under pressure 30 minutes after pressure source is removed. Epidermis remains intact C. epidermis is broken, superficial lesion, no measurable depth. Partial-thickness skin loss D. full-thickness skin loss extending into supportive structures, such as muscle, tendon, and bone; may undermine and have various sinus tracts E. *full-thickness skin loss down through the dermis; may include subcutaneous tissue; may undermine adjacent skin The patient with severe pathology has the following injury on his shoulder blades: fullthickness skin loss extending into supportive structures, such as muscle, tendon, and bone. What stage of pressure ulcers does the patient have? A. 1 B. 2 C. 3 D. *4 E. 5 Equipment used for prevention of the pressure ulcers A. pillows, rolled-up blankets or towels B. egg-crate mattress C. specialty beds, heel and elbow protectors D. lotion or powder, soap and water E. *all listed above What is the most common risk factor associated with the pressure ulcer development? A. drinking B. smoking C. heredity D. immobility E. *drugs usage The patient can't move and rotate in bad. You must change his position to prevent the bedsores. What is the turning schedule in this case? A. every 10 hours B. every 18 hours C. every 6 hours D. every 4 hours E. *every 2 hours What is the main contraindication for enteral tube feeding? A. diffused peritonitis B. intestinal obstruction that prohibits normal bowel functioning C. intractable vomiting; paralytic ileus D. severe diarrhea E. *all listed above 9. What is the simplest and the most often used route of enteral tube feeding? A. esophagostomy route B. gastrostomy route C. *nasoenteral route D. jejunostomy route E. all listed above 10. How can you determine the required length of a nasogastric tube? A. *by measuring from bridge of nose to earlobe and to xiphoid process of sternum B. by measuring from bridge of nose to umbilicus C. by measuring from bridge of nose to xiphoid process of sternum D. by measuring from mouth to umbilicus E. by measuring from earlobe to pubis 11. Decubitus ulcer is caused by: A. poor circulation B. pressure on the scin C. poor nutrition D. *all of the above E. none of the above 12. You have to instruct the patient to keep the hot moist compress not longer than A. 10 min B. 15 min C. 20 min D. 25 min E. *30 min 13. The temperature of hot water bottle must be A. 35,5-40 C B. *40,5-46 C C. 46,5-50 C D. 50,5-55 C E. 55,5-60 C 14. Cold therapy is used to A. increase blood flow in place B. provide vasodilatation C. *provide vasoconstriction D. decrease the muscle spasms E. all listed above 15. The patient has a hepatic colic. What will you prescribe to the patient? A. morphine B. cold bag on right hypochondrium C. hot bag on left hypochondrium D. cold bag on left hypochondrium E. *hot bag on right hypochondrium 16. During the assessment of the patient you discover the symptoms of gastric bleeding. The best action would be to use A. hot water bottle on the epigastric area B. cold bag on umbilical area C. hot water bottle on the chest D. *cold bag on the epigastric area E. cold bag on the chest 17. The temperature of the cold bag must be A. 5 C B. 10 C C. *15 C D. 1 C E. 7 C 18. The duration of the cold treatment is not longer than A. 10 min B. 15 min C. 20 min D. 25 min E. *30 min 19. Vital signs include following: A. pulse B. temperature C. respiratory rate D. blood pressure E. *all mentioned 20. What factor(s) can change the body temperature? A. infection B. temperature of environment C. thyroid hormone D. age E. *all above 21. What condition can prolong the time of brain surviving without oxygen? A. hyperthermia B. dehydration C. *hypothermia D. hypoglycemia E. hyperhydration 22. What site can be used for body temperature measuring? A. *oral cavity B. stomach C. vagina D. chest surface E. all above 23. The traditional sites for measuring the body temperature are: A. rectal, nasal, oral B. *rectal, axillary, oral C. rectal, nasal, axillary D. axillary, nasal, oral E. rectal, nasal, intestinal 24. Oral temperature is: A. *higher than axillary B. lower than axillary C. the same as axillary D. the same as rectal E. all are correct 25. Rectal temperature is: A. *higher than axillary B. lower than axillary C. the same as axillary D. the same as oral E. lower than oral 26. Nasal temperature measuring is: A. safe and accurate B. unsafe and accurate C. safe and not accurate D. *not applicable E. applicable only in patients without teeth 27. Which method of temperature measuring is the safest: A. oral B. *axillary C. rectal D. measuring pulmonary artery temperature E. measuring ear canal temperature 28. The highest body temperature is temperature measured in the: A. axilla B. *rectum C. oral cavity D. ear E. all are equal 29. Oral route temperature measuring should be delayed if: A. patient has smoked B. patient has ingested hot meals C. patient has ingested cold meals D. *no reasons for delay E. all mentioned reasons 30. Before taking a temperature with a mercury-in-glass thermometer, you should shake the thermometer to move the mercury: A. *below normal body temperature B. at the level of normal body temperature C. at the level of 37 °C D. at the level of 40 °C E. at the level of 0 °C 31. To take a temperature with a mercury-in-glass thermometer, shake the thermometer to move the mercury down below: A. 92 degree F B. 93 degree F C. 94 degree F D. 95 degree F E. *96 degree F 32. Conversion of Centigrade to Fahrenheit is A. Degrees F = 9/5 (°C) + 40 B. Degrees F = 7/5 (°C) + 32 C. *Degrees F = 9/5 (°C) + 32 D. Degrees F = 7/5 (°C) + 52 E. Degrees F = 9/5 (°C) + 45 33. Conversion of Fahrenheit to Celsium is A. Degrees C = 8/9 (°C - 40) B. *Degrees C = 5/9 (°C - 32) C. Degrees C = 8/5 (°C - 32) D. Degrees C = 3/5 (°C - 43) E. Degrees C = 9/5 (°C - 52) 34. Which patients require frequent monitoring of body temperature? A. *postoperative patients B. pregnant women C. newborn D. older adults E. all above 35. What types of thermometers can be used for measuring the body temperature? A. mercury in glass B. disposable single-use chemical strip C. tympanic membrane thermometer D. electronic E. *all mentioned 36. What is the normal body temperature: A. *36,6 ° C B. 38,2 °C C. 41,0 ° C D. 35,1 ° C E. 98,6 ° F 37. What is the normal body temperature: A. 87,2 °F B. 38,2 °F C. 36.6 °F D. 68,4 °F E. *97,9 °F 38. What solution should the nurse use for disinfection of thermometer after measuring temperature? A. *5% solution of chloramines 39. How often should the ward of the therapeutic department be cleaned up? A. as often as necessary B. *twice per day C. every morning D. every evening E. it doesn’t need any cleaning 40. What amount of chloramine powder is necessary to prepare 3 liters of 3% chloramine? A. *90 g B. 30 g C. 3 g D. 60 g E. 9 g 41. What disinfective solution is used for cleaning? A. *0,5% solution of chloride of lime B. 10% solution of chloride of lime C. 1% solution of chloramines D. solution of manganese permanganate E. solution of hydrogen peroxide 42. The patient with a history tuberculosis in the past was taking to the admission department. What solution can nurse use to disinfect medical instruments, used for this patient examination? A. *5 % solution of chloramine for 240 min B. 3 % solution of chloramine for 60 min C. 5 % solution of sulfochlorantine for 240 min D. 1 % solution of chloramine for 60 min E. 5 % solution of chlorane for 240 min 43. The patient with suspected gastric bleeding was taken to the admission department. He’s feeling well and can walk. How should this patient be transferred to the surgical department? A. walking with the nurse to accompany B. walking with the doctor C. *on the stretcher D. walking without any other person to accompany E. all are possible 44. What is optimal air temperature for the ward in the therapeutic department? A. 16-17 °C B. *18-20 °C C. 24-25 °C D. 10-15 °C E. 36,6 °C 45. Which solution can be used for bath disinfection after taking a bath at the hospital? A. *0,5% solution of chloride of lime B. 0,5% solution of hexachlorane C. 2% solution of chloramines D. solution of manganese permanganate E. solution of hydrogen peroxide 46. What should the nurse do before giving the bedpan to the patient? A. Rinse it with 10% % solution of chloride of lime B. Rinse it with 10% % solution of chloramine C. Rinse it with 10% % solution of hydrogen peroxide D. Rinse it with cold water E. *Rinse it with warm water 47. Increase of body temperature is called: A. *Hyperthermia B. Hypothermia C. Hypertension D. Arrhythmia E. Poliuria 48. If body temperature is increased 1 °C, the pulse rate will be: A. The same as in normal temperature B. *Increased 8-10 beats C. Decreased 8-10 beats D. Increased 20-25 beats E. Decreased 20 beats 49. What is the pulse deficit? A. *The difference between the rate of heart contractions and distal pulse rate B. The sum of the rate of heart contractions and pulse rate C. The difference between the pulse rate and the rate of heart contractions D. The difference between the pulse rate and the rate of breath E. The sum of the pulse rate and the rate of breath 50. The most common location for assessing the pulse is: A. *Radial artery B. Brachial artery C. Femoral artery D. Over the heart E. Temporal artery 51. You have to take the blood pressure of the patient. What is the most common location for the placement of the cuff? A. On the right forearm B. On the left forearm C. *On the middle third of the upper arm D. On the upper third of upper arm E. On the hip 52. In assessing the patient's body temperature, it was found to be 38,5 °C. This is: A. Normal B. *Elevated C. Decreased D. Subfebril E. All are correct 53. The patient with pneumonia presents with high temperature of 40,0°C, dyspnea, cough, headache. What should the nurse do the first: A. *Decrease the body temperature B. Give vitamins C. Give the drugs to reduce the cough D. Talk with patient about his condition E. This patient don’t need any help 54. The patient blood pressure is 180/100 mm Hg. Assess this data: A. Normal B. Arterial hypotension C. *Arterial hypertension D. Hyperthermia E. Bradycardia 55. The nurse should measure the patient temperature: A. *In the morning and in the evening B. In the morning C. In the evening D. Once per week E. Every 3 hours 56. The nurse should write down the patient temperature in the: A. *Temperature chart B. Case history C. Statistic talon D. Ambulatory journal E. All are possible 57. What patient position is called “orthopnoe”: A. *Sitting B. Lying on the back C. Lying face down D. Lying on the left side E. Lying on the right side 58. What patient position is used in asthma A. *Sitting B. Lying on the back C. Lying on the left side D. Standing E. Lying on the back with elevated head 59. How many minutes can the brain survive without oxygen in normal conditions? A. *4-6 minutes B. 3-5 minutes C. 1-3 minutes D. 5-8 minutes E. 7-10 minutes 60. Which of the following helps prevent decubitus ulcer? A. *back rubs B. bed rest C. liquid diet D. support hose E. none of them 61. What is the water temperature for cleansing enema? A. 10 °C B. *37 °C C. 50 °C D. 100 °C E. 80 °C 62. What is the patient position for using a bedpan: A. *Lying on the back B. Lying face down C. Sitting D. Lying on the left side E. Staying 63. What is the patient position for administering enema: A. Lying on the back B. Lying on the right side C. Sitting D. *Lying on the left side E. Staying 64. What is the contraindication for administering enema: A. *Rectal bleeding B. Diarrhea C. Vomiting D. High temperature E. All above 65. What is indication for administering cleansing enema: A. Diarrhea B. Constipation C. Preparation for abdominal surgery D. Poisoning E. *All above 66. Which patients require daily measuring of the weight? A. *Patient with edema receiving diuretics B. Pregnant women C. Child with a fever D. Patient with hypertension E. Patient after surgery 67. Which types of scales can be used for measuring weight: A. Standing scale B. Stretcher scale C. Chair scale D. Bed scale E. *All above 68. Pulse rate less than 60 beats per minute in an adult is called: A. *Bradycardia B. Tachycardia C. Arrhythmia D. Normal pulse rate E. Hyperthermia 69. Pulse rate more than 100 beats per minute in an adult is called: A. Bradycardia B. *Tachycardia C. Arrhythmia D. Normal pulse rate E. Hyperthermia 70. What is pulse rhythm? A. *The regularity of the heartbeat B. The pulse rate per minute C. The pulse rate determined by auscultation D. The pulse rate per second E. No correct answer 71. How can you determine the apical pulse? A. By palpation of carotid artery B. By palpation of radial artery C. *By palpation of the point of maximal impulse D. By auscultation the femoral artery E. By percussion 72. What equipment is necessary to measure the blood pressure? A. *the sphygmomanometer and stethoscope B. the sphygmomanometer, thermometer and stethoscope C. the syringe and stethoscope D. stethoscope E. thermometer 73. What sounds can you hear during measuring the blood pressure? A. *Korotkoff’s sounds B. Bowel sounds C. Pulsation D. You can’t hear any sounds E. You can hear all sounds listed above 74. What level of blood pressure is normal for healthy adult? A. *125/80 mm Hg B. 80/50 mm Hg C. 170/100 mm Hg D. 170/120 mm Hg E. 200/100 mm Hg 75. Blood pressure screening provides data on risks of: A. sudden death B. cancer C. *hypertension D. coronary heart disease E. arrhythmia 76. Tuberculin skin test is used to identify: A. sudden death B. cancer C. hypertension D. *tuberculosis E. pneumonia 77. Pediculosis evaluation should be done in: A. surgical department B. outpatient dept C. ambulance D. *Admission dept E. at home 78. A word «deontology» in a translation from Greek means: A. Handicraft, needlework B. Science is about illnesses and complications of diseases C. *Science dealing with duty, moral obligation, and right action D. Science is about medical errors E. Science about the care of patients 79. Conducting of subjective inspection of a patient, the doctor begins from: A. Determination receipt of the patient. B. Review the patient C. *Determination of complaints of the patient. D. Conducting of anthropometric researches. E. Establishment of previous diagnosis 80. Conducting of objective inspection of a patient, the doctor begins from: A. Conducting of anthropometric researches. B. Research of pulse. C. Measuring of arterial pressure D. To the review of place of disease. E. *Observing the patient 81. A patient with loss of consiousness due to low blood pressure is delivered to the hospital. How should you position the patient during his inspection and transporting? A. Horizontal on the back with lifted on 10-15° a main end of the bad. B. Horizontal on the back position. C. Position on stretchers with a head inclined ahead (a chin touched to a pectoral wall). D. *Supine with the leg of the bed lifted 10-15°. E. Position is not important. 82. Hygienic- preventive treatment in the hospital is not conducted, if: A. A patient renounces to conduct treatment B. a patient with the trophic ulcers of the skin. C. *a patient in an extremely difficult condition. D. a patient enters only for conducting of common inspection E. a patient infected by AIDS. 83. A temperature of water of hygienic bath in the diagnostic department during admission is: A. 33-34° C B. *35-36° C. C. 36-37° C. D. 38° C E. 38-39° C 84. A temperature of air (°C) and humidity (%) in the rooms of the hospital is: A. 16-18°C, 45-50 %. B. 17-19°C, 45-50 %. C. 23-24°C, 60-65% D. 19-21°C, 50-55 % E. *18-20°C, 50-55 % 85. Bed linen for patients must be changed: A. Not longer than once every 7 days. B. Not longer than once every 10 days. C. *Not longer than once every 12 days. D. Not longer than once every 14 days. E. Not longer than once every 15-16 days. 86. Hygienical care of a patient in an admitting department contains such maintenance list of measures: A. The special treatment of patient depending on his state and features of disease; hygienical bath or shower; changing clothes of the patient. B. Hygienical bath or shower; the special treatment of patient depending on his state and features of disease; changing clothes of the patient. C. *Hygienical bath or shower; changing clothes of the patient; the special treatment of patient depending on his state and features of disease D. Hygienical bath; changing clothes of the patient E. The special treatment of the patient depending on his state and features of disease; changing clothes of the patient 87. There is a patient with the trauma of hand in an admitting department. After hygienic care the patient should be dressed. What is the first stage of dressing the patient in a shirt? A. To dress through head. B. To dress through the healthy hand. C. *To dress through hand with the trawma D. To dress through both hands simultaneously. E. All answers are correct 88. While carrying a patient by stretcher to his bed, we should observe such rules: A. *The stretcher must be parallel to the bed B. The head end of the stretcher must be situated athward to head end of the bad C. The head end of the stretcher must be situated athward to the middle of the bad. D. The leg end of stretchers is placed athwart to the leg end of the bed. E. Stretchers is placed parallel a bed in the distance 1m from the bed. 89. While putting a patient from stretchers to his bed: A. The medical staff should first insert their hands under the patient head and neck; second - under the back of patient; third - under thighs and shins of patient B. First assistant - insert their hands under the head and shoulder of patient; second assistant - under buttocks; third assistant - under knee bends and shins of patient. C. *First assistant - insert their hands under the head and shoulder of patient; second assistant - under a trunk and buttocks; third assistant - under thighs and shins of patient D. First assistant - insert their hands under a head and shoulder of patient; second assistant - under a trunk and buttocks; third assistant - under knee bends and shins of patient. E. First - insert their hands under head and shoulder of patient; second - under a trunk and buttocks; third - under shins of patient. 90. For the cleaning of manipulations rooms and hygienic rooms you should apply: A. 0,5 % solution of desaktine. B. *0,2 % solution of desaktine or 0,25% solution of lizoformine-3000. C. Triple solution D. 0,25 % solution of chlorhexidine E. 1% water solution of chloramine. 91. For the number of measures for providing a protective mode we should perform the following A. Control of adopting medicines B. Regular ventilation of wards. C. *Removal of external irritants and negative emotions. D. Wet cleaning of the departments E. Prophylaxis of bedsores 92. The simplest manipulations are: A. Compress, intracutaneous injection B. Compress, jars, subcutaneous injection C. *Mustard plasters, ice-bag, hot-water bottle. D. Mustard plasters, jars, intramuscular injection. E. All the previous procedures 93. Implication for mustard plasters is: A. Postinjection infiltration. B. Low blood pressure crisis C. High fever. D. *Sharp and chronic inflammatory processes of upper respiratory tract, pneumonia E. Arthritis, myosities 94. While application of mustard plasters, the average duration of the procedure is: A. 5-7 minutes B. 7-10 minutes C. *10-15 minutes D. 15-19 minutes E. 20-22 minutes 95. Warm compress is used for the purpose of: A. To diminish the edema in patient with commotion of soft fabrics. B. To diminish the pain syndrome (sharp inflammatory process). C. *Of resolution of posinjuctive infiltrate D. To stop the bleeding. E. To diminish abscess intensity 96. Induction of medications through the respiratory tracts of patient belongs to : A. Internal method of inducing B. *External method of inducing C. Parenteral inducing D. Peroral inducing (through a mouth). E. Enteral inducing 97. A cold compress is used for treatment: A. Ischemias of soft tissue in the place of application of compress B. Arthritises, myosities C. *Of the initial stage of infiltrate of soft tissue D. Neuritises E. To the stomach-ache of uncertain character. 98. The duration of application of a warm compress is: A. 30-40 minutes B. 40-60 minutes C. 1-2 hours D. 4-6 hours E. *8-10 hours 99. We use the ice-bag at the case of: A. Ulcer of stomach B. Kidney colic C. *A prophylaxis of edema of soft tissue in the postoperative wound. D. Acute radiculitis E. Stomach-ache 100. Duration of procedure of ice-bag application is: A. *1 hour 101. The normal temperature of the human body is : A. 36,0-36,5 C° B. 36,0-36,6 C° C. 36,2-36,6 C° D. *36,2-37,0 C° E. 36,2-37,1 C° 102. The nurse in an admitting department is going to measure the temperature of the patient with fever. She cleaned the inguinal area with alcohol before manipulation. Explain why this procedure has been done: A. *For the purpose of providing a hygienical regime of procedure. B. For the purpose of providing a more exact measuring of temperature. C. For the best fixing of thermometer in ingiunal area. D. All answers are correct E. There is no right answer 103. The result of temperature measurement of a patient is determined after: A. 3-5-minute after beginning B. 5-7-minute after beginning C. 6-8-minute after beginning D. *7-10-minute after beginning E. 12-15 minute after beginning. 104. Fever is generally a temperature above A. *38 C° B. 38,2 C° C. 38,4 C° D. 38,6 C° E. 39 C° 105. Infections can be controlled in A. Hand hygiene B. Disinfection. C. Sterilization D. Barriers ( e.g. gloves ) E. *All previous manipulations 106. Diseases that are suspected to be transmitted by direct contact are A. Clostridium dificile B. Colonisation of infection caused by multidrug-resistant organism C. Respiratory syncytial virus D. *Each from all previous agents E. Any from all previous agents 107. Obligative intervention for the client with infection is A. Monitor temperature as frequently ass is appropriate B. Monitor blood pressure, pulse, respiration. C. Monitor skin color D. Monitor for intake and output E. *All previous interventions 108. Diseases that are known or suspected to be transmitted by air are A. M. tuberculosis B. Varicella C. *All previous bacteria D. Any from all previous bacteria 109. What data are not included in hereditary history? A. Diseases of members of the family B. *Age of the patient C. The ultimate cause of the deaths of the family members D. Inherited diseases in family E. Cases of early childhood deaths in the family 110. What does “anamnesis morbi” mean? A. History of life B. C. D. E. 111. A. B. C. D. E. 112. A. B. C. D. E. 113. A. B. C. D. E. 114. A. B. C. D. E. 115. A. B. C. D. E. 116. A. B. C. D. E. 117. A. B. C. D. E. 118. A. B. C. *History of present illness Family history Past history Chief complaints What does “anamnesis vitae” mean? Family history History of present illness *History of life Past history Chief complaints What data are not included in family history? *What infectious diseases did the child have Age of the parents Diseases of the members of family Information about hereditary diseases in the family Diseases of patient’s siblings What data are not including in allergological history? Allergic diseases of the members of family What allergic diseases are the parents suffering from? *The occupation of the patient Has the patient ever had allergic reaction for any drug? Has the patient ever had allergic reaction for any food (e.g. oranges, strawberry)? What parts does anamnesis vitae consist of? Obstetric history; family medical history; history of present illness; social history Nutritional anamnesis; previous illnesses history; allergological history. *Obstetric history; growth and development; previous illnesses, operations, or injuries; allergological history; epidemiologic history; habits; social history General/identifying information; chief complaints; present illness; past history; review of systems; nutrition history; social history. systems rewiew, general complaints, history of present illness What data are not included in epidemiologic history? Contact with children who had infectious diseases during previous 21 days. Diarrhea during previous 7 days What infectious diseases did the child have? Immunizations *The occupation of the patient What method of examination is useful for determining the texture of the skin? *Palpation Auscultation Inspection Percussion Interviewing What method of examination is useful for determining the murmurs in the heart? *Auscultation Palpation Inspection Percussion Interviewing What method of examination is useful for determining the rales in the lungs? *Auscultation Palpation Inspection D. Percussion E. Interviewing 119. What method of examination is useful for determining the color of the skin? A. Palpation B. *Inspection C. Auscultation D. Percussion E. Interviewing 120. The most serious problem that wrinkles in the bedclothes is: A. restkessness B. sleeplessness C. *decubitus ulcer D. bleeding E. shock 121. Scabies is caused by: A. Pediculus humanus capitis B. *Sarcoptes scabiei subspecies hominis C. Candida albicans D. Candida lusitaniae E. Streptococcus pyogenes 122. What are bedsores (pressure ulcers)? A. *All answers are right 123. Prescribe substance to eradicate lice and nits A. *0.15 % carbophos-water emulsion B. shampoo “Head@shoulders” C. “Soframycin” D. “Levomycol” E. All answers are right 124. In admissions office during examination of patient’s scalp the nurse found whitish oval specks adhering to hair shaft. Prescribe treatment A. antidandruff shampoo B. 0.15 % carbophos water-emulsion C. “Soframycin” D. “Levomycol” E. *shampoo “NITTIFOR” for 20 min and rinse with 6 % solution of table vinegar 125. Prescribe substance to eradicate lice and nits. A. *shampoo “NITTIFOR” B. antidandruff shampoo C. “Soframycin” D. “Levomycol” E. All answers are right 126. What recommendation is not used for prevention of pressure ulcers in a patient in coma? A. Change child’s position not less than 1 time per 3 hours B. *Help with surgical “cleaning” of affected place, then cover the wound with sterile dressing soaked with 1 % solution of potassium permanganates; change the dressing 2-3 times per day C. Keep clothing and linen clean and dry D. Maintain meticulous skin clearness E. Ultraviolet radiation (UVR) on the problem parts of skin 127. During inspection of scalp for infestation by Pediculus humanis capitis observe for: A. empty nit cases B. C. D. E. whitish oval specks adhering to hair shaft erythema and excoriations clusters of small erythematic papules on the scalp skin *any movement that can indicate a louse, whitish oval specks adhering to hair shaft, and empty nit cases 128. How many specimens should be obtained for adhesive tape test for enterobiosis? A. Three specimens per day B. One specimen C. *Three consecutive specimens D. Three specimens, one per week E. Four consecutive specimens 129. What is the preferred diagnostic screening test for ascaridosis? A. *Throat culture B. Stool culture 130. When should adhesive tape test specimens be obtained? A. After defecation B. Before going to sleep C. After breakfast D. When the patient first awakens in the morning, after washing E. *When the patient first awakens in the morning, before washing. 131. To measure the nasogastric tube for the exact distance it is necessary to measure the distance: A. *from midway between the belly button and the highest point of the lower rib cage to the child’s ear lobe then out to his nose (his head turned to the side) B. from the belly button to the child’s ear lobe. C. from the belly button to the child’s nose (his head turned to the side). D. from midway between the belly button and the highest point of the lower rib cage to the child’s nose (his head turned to the side) E. from midway between the belly button and the highest point of the lower rib cage to the child’s lower incisors 132. What is the correct place for the compressions during CPR? A. upper 1/3 of sternum B. *middle 1/3 of sternum C. epigastric area D. lower 1/3 of sternum E. umbilical area 133. The basic patient’s rights are: A. Right to be treated B. Right to refuse treatment C. Right to be informed D. *All of them E. Right to be treated and informed 134. The MOST serious problem that wrinkles in the bedclothes can cause is A. restlessness B. sleeplessness C. *decubitus ulcers D. bleeding E. shock 135. An important way to reduce the incidence of decubitus ulcers is to: A. keep the client in bed B. force fluids every 2 hours C. *change position every 2 hours 136. 137. 138. 139. 140. 141. 142. 143. 144. D. all of the above E. none of the above In caring for a confused elderly man, it is important to: A. *keep the bedrails up except when you are at the bedside B. close the door to the room so that he does not disturb other patients C. keep the room dark and quiet at all times to keep the patient from becoming upset D. remind him each morning to shower E. all of the above Before assisting a client into a wheelchair, the FIRST action would be to check if the A. client is adequately covered B. floor is slippery C. door to the room is closed D. *wheels of the chair are locked E. none of the above The hot water bottle is an example of A. *local dry heat application B. generalized dry heat application C. local moist heat application D. generalized moist heat application E. none of the above Clients receiving an enema are usually placed A. *on the left side B. flat on the back C. in a semi sitting position D. none of the above E. supine position The most common site for counting the pulse is A. carotid artery B. femoral artery C. brachial artery D. *radial artery E. none of the above Bedsores may develop in clients who are A. incontinent B. paralyzed C. poorly nourished D. *all of them E. none of the above The FIRST step in performing any procedure is to: A. *wash your hands B. gather needed equipment C. explain the procedure D. provide privacy E. none of the above A decubitus ulcer is caused by A. poor circulation B. pressure on the skin C. poor nutrition D. *all of the above E. none of the above The MAIN safety factor in transferring a client is to A. always transfer slowly B. C. D. E. *raise the side rails secure adequate assistance make sure the client is not tired none of them 145. The MOST accurate method of measuring body temperature is A. *oral B. axial C. feeling the forehead D. none of them 146. Microorganisms can be spread by direct and indirect contact. An example of indirect contact is A. bathing the patient B. using contaminated blood C. *touching objects or dirty instruments D. breathing dust particles in the air E. none of them 147. Which of the following helps prevent decubitus ulcers? A. bed rest B. liquid diet C. *back rubs D. support hose E. none of them 148. A cane, walker, and crutches are all used to help a client walk. What else do they have in common? A. Clients must know how to use them correctly B. They all must have rubber tips to prevent slipping C. They all must be fitted to the client D. *all of the above E. none of the above 149. An example of contamination through indirect contact is A. bathing the resident B. *touching instruments or linens the resident has used C. the resident sneezing or coughing on you D. all of the above E. none of the above 150. Another name for urination is A. defecation B. *voiding C. wetting the bed D. flatus E. none of them