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CASAL 1 Pre-assessment 1 EXAM 2025 QUESTIONS AND CORRECT ANSWER
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CASAL 1 Pre-assessment 1 EXAM 2025 QUESTIONS AND CORRECT ANSWER
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CASAL 1 Pre-assessment 1 EXAM 2025 QUESTIONS ANDCORRECT ANSWER
The nurse is taking a health history of a newly admitted patient with a diagnosis rule/out bowel
obstruction. Which of the following is the priority question to ask the patient?
A. Describe your bowel movements
B. How often do you have a bowel movement?
C. When was the last time you moved your bowels?
D. Do you routinely use stool softeners, laxatives, or enemas? - answer>>>C
The nurse prepares to conduct a general survey on an adult patient. Which assessment is
performed first while the nurse initiates the nurse-patient relationship?
A. Appearance and behavior
B. Measurement of viral signs
C. Observing specific body systems
D. Conducting a detailed health history - answer>>>A
The nurse is caring for a 78-year-old man with diarrhea. Of the following problems, which is the
most important to consider?
A. Malnutrition
B. Dehydration
C. Skin breakdown
D. Incontinence - answer>>>B
The nurse recognizes which patient needs to use a fracture pan for a bowel movement?
A. The patient who is obese
B. The patient experiencing confusion
C. The patient on bed rest
D. A patient recovering from hip surgery - answer>>>D
,An older adult has limited mobility as a result of a surgical repair of a fracture hip. During
assessment you note that the patient cannot tolerate lying flat. Which of the following
assessment data support a possible pulmonary problem related to impaired mobility? ( Select
all that apply.)
A. B/P = 128/84
B. Respirations 26 per minute on room air
C. HR 114
D. Crackles heard on auscultation
E. Pain reported as 3 on scale of 0 to 10 after medication - answer>>>B, C, D
A patient has her call bell on and looks frightened when you enter the room. She has been on
bed rest for 3 days following a fractured femur. She says, "It hurts when I try to breathe, and I
can't catch my breath." Your first action is to:
A. Call the health care provider to report this change in condition
B. Give the patient a paper bag to breathe into to decrease her anxiety
C. Assess her vital signs, perform a respiratory assessment, and be prepared to start oxygen
D. Explain that this is normal after such trauma and administer the ordered pain medication -
answer>>>C
The nurse puts elastic stockings on a patient following major abdominal surgery. The nurse
teaches the patient that the stockings are used after a surgical procedure to:
A. Prevent varicose veins
B. Prevent muscular atrophy
C. Ensure joint mobility and prevent contractures
D. Promote venous return to the heart - answer>>>D
A nurse is teaching a community group about ways to minimize the risk of developing
osteoporosis. Which of the following statements made by a woman in the audience reflects a
need for further education?
,A. "I usually go swimming with my family at the YMCA 3 times a week."
B. "I need to ask my doctor if I should have a bone mineral density check this year."
C. "If I don't drink milk at dinner, I'll eat broccoli or cabbage to get the calcium that I need in my
diet."
D. "I'll check the label of my multivitamin. If it has calcium, I can save money by not taking
another pill." - answer>>>D
The patient at greatest risk for developing multiple adverse effects of immobility is a:
A. 1-year-old child with a hernia repair
B. 80-year-old woman who has suffered a hemorrhagic cerebrovascular accident (CVA)
C. 51-year-old woman following a thyroidectomy
D. 38-year-old woman undergoing a hysterectomy - answer>>>B
An older adult who was in a car accident and fractured his femur has been immobilized for 5
days. Which nursing diagnosis is related to patient safety when the nurse assists this patient out
of bed for the first time?
A. Chronic pain
B. Impaired skin integrity
C. Risk for ineffective cerebral tissue perfusion
D. Risk for activity intolerance - answer>>>D
A patient had a left-sided cerebrovascular accident 3 days ago and is receiving 5000 units of
heparin subcutaneously every 12 hours to prevent thrombophlebitis. The patient is receiving
enteral feedings through a small-bore nasogastric (NG) tube because of dysphagia. Which of
the following symptoms requires the nurse to call the health care provider immediately?
A. Pale yellow urine
B. Unilateral neglect
C. Slight movement noted on the right side
D. Coffee ground-like aspirate from the feeding tube - answer>>>D
, A home care nurse is preparing the home for a patient who is discharged to home following a
left-sided stroke. The patient is cooperative and can ambulate with a quad-cane. Which of the
following must be corrected or removed for the patient's safety?
A. The rubber mat in the walk-in shower
B. The three-legged stool on wheels in the kitchen
C. The braided throw rugs in the entry hallway and between the bedroom and bathroom
D. The night-lights in the hallways, bedroom, and bathroom
E. The cordless phone next to the patient's bed - answer>>>B, C
The nurse is caring for a patient whose calcium intake must increase because of high risk factors
for osteoporosis. The nurse would recommend which of the following menus?
A. Cream of broccoli soup with whole wheat crackers and tapioca for dessert
B. Hamburger on soft roll with a side salad and an apple for dessert
C. Low-fat turkey chili with sour cream and fresh pears for dessert
D. Chicken salad on toast with tomato and lettuce and honey bun for dessert - answer>>>A
Before transferring a patient from the bed to a stretcher, which assessment data does the
nurse need to gather? (Select all that apply.)
A. Patient's weight
B. Patient's level of cooperation
C. Patient's ability to assist
D. Presence of medical equipment
E. 24-hour calorie intake - answer>>>A, B, C, D
A patient of any age can develop a contracture of a joint when:
A. The adductors muscles are weakened as a result of immobility
B. The muscle fibers become shortened because of disuse
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