1. A confused client with carbon monoxide poisoning experiences dizziness when

ambulating to the bathroom. The nurse should:

A. Put all four side rails up on the bed

B. Ask the unlicensed assistive personnel to place restraints on the client’s upper

extremities

C. Request that the client’s roommate put the call light on when the client is

attempting to get out of bed

D. Check on the client at regular intervals to ascertain the need to use the bathrooms

2. The nurse should use which type of precautions for a client being admitted to the hospital

with suspected tuberculosis?

A. Hand hygiene

B. Contact precautions

C. Droplet precautions

D. Airborne precautions

3. The nurse is teaching a client with stomatitis about mouth care. Which instruction is most

appropriate?

A. Drink hot tea at frequent intervals

B. Gargle with antiseptic mouthwash

C. Use an electric toothbrush

D. Eat a soft, bland diet

4. A client with cancer of the stomach had a total gastrectomy 2 days earlier. Which

indicates the client is ready to try a liquid diet? The client:

A. Is hungry

B. Has not requested pain medication for 8 hours

C. Has frequent bowel sounds

D. Has had a bowel movement

5. A client has returned from surgery during which the jaws were wired as treatment for a

fractured mandible. The client is in stable condition. The nurse in instructing the

unlicensed assistive personnel (UAP) on how to properly position the client. Which

instructions about positioning would be appropriate for the nurse to give to the UAP?

A. Keep the client in a side-lying position with the head slightly elevated

B. Do not reposition the client without the assistance of a registered nurse

C. The client can assume any position that is comfortable

D. Keep the client’s head elevated on two pillows at all times