D442 Basic Nursing Skills

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Does D442 Basic Nursing Skills test panic hurt your score? Improve your score with our practice Questions

Free D442 Basic Nursing Skills Questions

1.

What is the recommended frequency for performing a range of motion exercises during nurse-assisted ambulation to ensure effectiveness?

  • Every hour throughout the day

  • Once or twice a day, depending on the patient's condition

  • Only when the patient requests it

  • Three to four times a week

Explanation

Explanation:

Range of motion exercises are typically performed once or twice daily, tailored to the patient’s condition, tolerance, and rehabilitation goals. This frequency helps maintain joint flexibility, muscle strength, and circulation without overexerting the patient. Performing exercises too frequently or only on request may be ineffective or unsafe. The schedule should be individualized to ensure maximum benefit while promoting comfort and safety.

Correct Answer:

Once or twice a day, depending on the patient's condition


2.

Which of the following practices is essential for ensuring patient safety and comfort during repositioning?

  • Repositioning quickly to minimize discomfort

  • Using assistive devices and maintaining proper body alignment

  • Encouraging the patient to reposition themselves independently

  • Only using one caregiver for the repositioning process

Explanation

Explanation:

Using assistive devices and maintaining proper body alignment is essential to ensure patient safety and comfort during repositioning. Proper alignment prevents musculoskeletal strain, reduces the risk of injury, and supports patient comfort. Assistive devices, such as draw sheets or transfer boards, help caregivers move patients safely, particularly those who are immobile or have limited strength. Quick repositioning or using only one caregiver can compromise safety and increase the risk of injury.

Correct Answer:

Using assistive devices and maintaining proper body alignment


3.

How does friction contribute to the risk of skin breakdown in patients?

  • It enhances blood circulation to the skin.

  • It can lead to skin irritation and damage.

  • It promotes faster healing of wounds

  • It reduces moisture levels in the skin.

Explanation

Explanation:

Friction occurs when the skin rubs against a surface, such as bedding or clothing. This repeated rubbing can damage the skin’s outer layers, making it more susceptible to irritation, breakdown, and the development of pressure injuries. Friction combined with pressure and moisture significantly increases the risk of skin damage, emphasizing the importance of proper patient positioning and protective measures.

Correct Answer:

It can lead to skin irritation and damage.


4.

A primary healthcare provider writes a prescription of "Restraints PRN" for a client who has a history of violent behavior. What is the nurse's responsibility in regard to this prescription?

  • Asking that the prescription indicate the type of restraint

  • Recognizing that PRN prescriptions for restraints are unacceptable

  • Implementing the restraint prescription when the client begins to act out

  • Ensuring that the entire staff is aware of the prescription for the restraints

Explanation

Explanation:

PRN prescriptions for restraints are considered unacceptable because they do not provide clear guidance on the type of restraint, the criteria for use, or the duration. The nurse’s responsibility is to ensure that any restraint order is specific and appropriate to the patient’s condition, promoting safe and ethical care while complying with legal and institutional policies. Simply following a vague PRN order could lead to misuse and patient harm.

Correct Answer:

Recognizing that PRN prescriptions for restraints are unacceptable


5.

Pressure ulcers usually occur over bony prominences including all of the following EXCEPT:

  • Sacrum

  • Heels

  • Glenohumeral joint

  • Greater trochanter

Explanation

Explanation:

Pressure ulcers typically develop over bony prominences where prolonged pressure restricts blood flow, such as the sacrum, heels, and greater trochanter. The glenohumeral joint (shoulder joint) is not commonly a site for pressure ulcers because it is not a primary weight-bearing area when a patient is lying or sitting. Identifying high-risk areas helps guide preventive measures like repositioning and using pressure-relieving devices.

Correct Answer:

Glenohumeral joint


6.

Which of the following statements is/are true concerning the base of support in body mechanics?

  • you need a broad base of support to provide stability

  • you need to keep the center of gravity nearest the center of the base of support

  • the body is most stable when the line of gravity bisects; the base of support

  • all of the above are true

Explanation

Explanation:

The base of support is fundamental to maintaining stability and proper body mechanics. A broad base provides greater stability, keeping the center of gravity within the base enhances balance, and aligning the line of gravity with the center of the base maximizes stability. All these principles work together to reduce the risk of injury when lifting, transferring, or moving patients.

Correct Answer:

all of the above are true


7.

Which of the following is a primary function of personal protective equipment (PPE) in a clinical setting?

  • To enhance the aesthetic appearance of healthcare workers

  • To prevent the spread of infections between patients and healthcare providers

  • To provide comfort during long shifts

  • To reduce the need for hand hygiene

Explanation

Explanation:

The primary function of personal protective equipment (PPE) is to prevent the transmission of infectious agents between patients and healthcare workers. PPE, including gloves, masks, gowns, and eye protection, creates a barrier that reduces the risk of contamination from blood, bodily fluids, and other potentially infectious materials. While PPE may provide some comfort or be part of uniform protocols, its main purpose is infection control and safety in clinical settings.

Correct Answer:

To prevent the spread of infections between patients and healthcare providers


8.

Which of the following factors is NOT typically associated with mobility issues in elderly patients?

  • Decreased muscle mass

  • Vision impairment

  • Increased flexibility

  • Joint stiffness

Explanation

Explanation:

Increased flexibility is not typically associated with mobility issues in elderly patients. In fact, aging generally leads to decreased flexibility, along with reduced muscle mass, joint stiffness, and sometimes vision impairment, all of which contribute to impaired mobility. Recognizing the common factors affecting mobility helps nurses implement interventions to prevent falls and promote safe movement.

Correct Answer:

Increased flexibility


9.

Another key factor in skin breakdown is moisture, because it exacerbates both friction and shearing, and causes maceration of the skin. Most often, it is a result of ___________.

  • Exposure

  • Urinary or fecal incontinence

  • Heat and humidity in the environment

  • Inadequate hygiene

Explanation

Explanation:

Moisture is a major contributor to skin breakdown because it softens and weakens the skin, making it more susceptible to friction, shearing, and maceration. The most common source of this moisture in patients is urinary or fecal incontinence. Managing incontinence, maintaining dryness, and using protective barriers are essential strategies to prevent pressure injuries and maintain skin integrity. Environmental heat or hygiene issues are secondary contributors.

Correct Answer:

Urinary or fecal incontinence


10.

What role does laboratory assessment play in patient care within nursing practice?

  • To provide a definitive diagnosis without any further testing

  • To evaluate the effectiveness of nursing interventions based solely on patient history

  • To analyze biological samples for insights into health status and treatment efficacy

  • To replace the need for physical examinations in patient assessments

Explanation

Explanation:

Laboratory assessments are critical in nursing practice because they involve analyzing biological samples—such as blood, urine, or tissue—to gain information about a patient’s health status, detect abnormalities, and evaluate the effectiveness of treatments. These assessments complement physical examinations and patient history, providing objective data that guide clinical decisions and care planning. They do not replace physical exams but enhance overall patient evaluation.

Correct Answer:

To analyze biological samples for insights into health status and treatment efficacy


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