Practice Test 5 1. Gas pains are common postoperative discomfort. Which of the following nursing actions implemented in the plan of care would be most likely to relieve gas pain? a. Coughing and deep breathing every 2 hours c. Encourage frequent ambulation b. Maintain NPO status for 48 hours d. Take vitalsigns every 4 hours 2. Which of the following surgical patient is at greater risk for alterations in body image? a. Female, age 19 years, large facial laceration c. Male, 14 years, fracture clavicle b. Female, age 42 years, gall bladder surgery d. Male, age 52 years, hernia repair 3. The rationale for the use of leg exercises after surgery is that exercises: a. Promote respiratory function c. Provide diversional activities b. Maintain functional ability d. Increase venous return 4. When developing a plan of care for an older patient, the nurse pays special attention to the patient’s skin base on the understanding of which of the following? a. The amount of the subcutaneous fat increases c. The skin becomes increasingly dry b. The sebaceous glands secretes more oil d. The skin thickens 5. Which intervention would be appropriate to include in the plan of care for a patient wearing antiembolism stockings? a. Measuring the legs before applying stockings to ensure proper fit b. Apply stockings while patient is sitting in a chair c. Massage the legs while the stocking are removed d. Leaving stockings in place for 1 week interval 6. During the bath, the nurse observes that the patient has dry skin. Which action would be best? a. Bathe the client more frequently b. Use an emollient on the dry skin c. Massage the skin with alcohol d. Encourage fluid intake 7. Which recommendation by the nurse to an adolescent patient with acne would be most appropriate? a. Wash the skin frequently with soap c. Use emollient on the area b. Use cosmetic liberally to cover blackheadsd. Squeeze blackheads as they appear 8. Which action would be the priority when administering using an oral care to a dependent patient? a. Assisting the patient to the dorsal recumbent position b. Wearing disposable gloves c. Using a firm toothbrush to cleanse the teeth and gums d. Irrigating forcefully with hydrogen peroxide 9. Mr. Castro has an eye infection with a moderate amount of discharge. Which action would be most appropriate for the nurse to use when cleansing his eyes? a. Using hydrogen peroxide b. Wiping from the outer canthus to the inner canthus c. Positioning him on the same side as the eyes to be cleansed d. Using only one cotton ball per eye 10. Which of the following intervention would the nurse include in the plan of care when providing foot care to an older client? a. Using scissor to correct an ingrown toenail c. Using an alcohol rub if the feet are dry b. Trimming toenails as short as possible d. Bathing the feet at least daily 11. Proving perineal care to a patient requires which of the following? a. Using clean portion of washcloth for each stroke b. Moving from most contaminated to least contaminated