Sir Jonas Fearcast #Nle # Sple

SIR JONAS FORECAST common board exam #NLE #SPLE #2020
1. A nurse wants to present information about influenza immunization to the older

adults in the community. Which type of communication should the nurse use?
A. Public
B. Interpersonal
C. Small group
D. Intrapersonal
Answer: A. Public
2. A nurse is standing beside the patient’s bed. Nurse: “How are you doing?” Patient: “I
don’t feel good.” Which of the following communication ELEMENTS is categorized as
feedback?
A. “How are you doing?”
B. “I don’t feel good.”
C. Nurse is standing
D. Patient in bed
Answer: B. “I don’t feel good.”
3. A smiling patient angrily states, "I will not cough and deep breathe." How will the
nurse interpret this finding?
a. The patient's personal space was violated.

b. The patient's affect is inappropriate.
c. The patient's vocabulary is poor.
d. The patient's denotative meaning is wrong.
Answer: b. The patient's affect is inappropriate.
4. Before meeting the patient, a nurse talks to other caregivers about the patient. The
nurse is in which phase of the helping relationship?
a. Pre-interaction
b. Orientation
c. Working
d. Termination
Answer: a. Pre-interaction
5. During the initial home visit, a home health nurse lets the patient know that the
visits are expected to end in about a month. The nurse is in which phase of the helping
relationship?
a. Pre-interaction
b. Orientation
c. Working
d. Termination
Answer: b. Orientation
6. A nurse and patient take action to meet health-related goals. The nurse is in which
phase of the helping relationship?
a. Pre-interaction
b. Orientation
c. Working
d. Termination
Answer: c. Working
7. The nurse asks a patient where the pain is, and the patient responds by pointing to
the area of pain. Which form of communication did the patient use?
a. Verbal
b. Nonverbal
c. Intonation
d. Vocabulary
Answer: b. Nonverbal
8. Which technique will be most successful in ensuring effective communication? The

nurse uses
a. Interpersonal communication to change negative self-talk to positive self-talk
b. Small group communication to present information to an audience.
c. Intrapersonal communication to build strong teams.
d. Transpersonal communication to enhance meditation.
Answer: d. Transpersonal communication to enhance meditation.
9. Nurses who make the best communicators
a. Develop critical thinking skills.

b. Like different kinds of people.
c. Learn effective psychomotor skills.
d. Maintain perceptual biases.
Answer: a. Develop critical thinking skills.
10. A nurse believes that the nurse-patient relationship is a partnership, and that both
are equal participants. Which term should the nurse use to describe this belief?
a. Critical thinking
b. Authentic
c. Mutuality
d. Attend
Answrer: c. Mutuality
CONCEPT: MUSCULOSKELETAL
1. Pin-site infections are the most common problem associated with external fixation.
The MOST at Risk for infection is
A. Pin site: skin
B. Pin site: bone
C. Pin site: smooth muscles
D. Pin site: connective tissue
Answer: C.
Rationale: Pin Site Infection (PSI) has been described as so common that “it seems
reasonable to consider it unavoidable”. Infection can range from local soft tissue
infection and cellulitis to osteomyelitis, bacterial endocarditis and septic arthritis, in
severe cases this may progress to septicaemia. Sites with greater soft tissue
thickness over bone have been implicated as at higher risk of infection. The infection
rate has been reported to be 2.5-fold greater in patients with external fixators
performing active correction than those which are not
2. Which of the following is the most effective cleansing solution to complete pin site
care?
a) Betadine
b) Chlorhexidine
c) Hydrogen peroxide
d) Alcohol
Answer: b) Chlorhexidine
RATIONALE:
Chlorhexidine solution is recommended as the most effective cleansing solution;
however, water and saline are alternate choices. Hydrogen peroxide and Betadine
solutions have been used, but they are believed to be cytotoxic to osteoblasts and
may actually damage healthy tissue.
3. Which actions by the nurse demonstrate an understanding of caring for a patient in

traction? Select all that apply.
a) Ensuring that the weights are hanging freely

b) Assessing pain level frequently
c) Placing a trapeze on the bed
d) Removing skeletal traction to turn and reposition the patient
e) Assessing patient's alignment in the bed
a) Ensuring that the weights are hanging freely, b) Assessing pain level frequently, c)
Placing a trapeze on the bed, e) Assessing patient's alignment in the bed
Explanation:
The weights must hang freely with the patient in good alignment in the center of the
bed. The nurse should frequently monitor pain, as uncontrolled pain may be a sign of a
complication. The patient will be able to assist with alignment and bed mobility if a
trapeze is placed on the bed. Skeletal traction should never be interrupted.
4. A home care nurse is providing instructions to a client regarding the use of

crutches. The client asks the nurse to demonstrate the method for going down the
stairs with the crutches. How should the nurse accurately demonstrate this
technique?
A. Crutches and the affected leg down, followed by the unaffected leg
B. Crutches and the unaffected leg down, followed by the affected leg
C. Unaffected leg down first, followed by the crutches and the affected leg
D. Affected leg down first, followed by the crutches and the unaffected leg
Answer: A. Crutches and the affected leg down, followed by the unaffected leg
5. A home care nurse has instructed a client how to perform the three-point gait with
the use of crutches. The nurse observes the client using this gait to ensure correct
performance of the maneuvers. Which observation, if made by the nurse, would
indicate that the client understands how to perform this type of gait?
A. The client moves both crutches forward and then swings both feet forward to the
crutches.
B. The client moves both crutches forward, along with the affected leg, and then
moves the unaffected leg forward.
C. The client moves the right crutch forward, along with the left foot, and then brings
the right foot and the left crutch forward.
D. The client moves the left crutch forward, along with the right foot, and then brings
the left foot and the right crutch forward.
Answer: B. The client moves both crutches forward, along with the affected leg, and
then moves the unaffected leg forward.

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SIR JONAS FORECAST common board exam #NLE #SPLE #2020

1. A nurse wants to present information about influenza immunization to the older

Answer: B. “I don’t feel good.”

a. The patient's personal space was violated.

Answer: b. The patient's affect is inappropriate.

8. Which technique will be most successful in ensuring effective communication? The

Answer: d. Transpersonal communication to enhance meditation.

9. Nurses who make the best communicators

a. Develop critical thinking skills.

Answer: a. Develop critical thinking skills.

3. Which actions by the nurse demonstrate an understanding of caring for a patient in

a) Ensuring that the weights are hanging freely

4. A home care nurse is providing instructions to a client regarding the use of

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