Comprehensive Nursing and Medical Knowledge Review
1. What is the first nursing action after a client returns from a segmental lung resection?: Suction excessive
tracheobronchial secretions
2. What is the highest risk for exposure to poison ivy in a child?: Playing with cars on the pavement near burning
leaves
3. What modifiable cardiac risk factor should the nurse focus on first?: Smoking cessation
4. What is an appropriate diversional activity for a 5-year-old in skeletal trac- tion?: Playing hand held
games
5. What finding would the nurse expect in a client with portal hypertension?: As- cites
6. What is the most significant finding for a client with a panic disorder?: Sense of impending doom
7. What should the nurse do when a 16-month-old child clings to their mother and cries?: Explain that this
behavior is expected
8. From which focus should the nurse identify a priority nursing diagnosis for a client with severe
depression?: Safety
9. What cognitive development should a nurse keep in mind when explaining an illness to a 10-year-old?:
They are able to think logically in organizing facts
10. What should the nurse do first when a 3-year-old is having a generalized seizure?: Place the
child on the side
11. What does documentation of anhedonia refer to in a depressed client?: Lack of enjoyment in usual
pleasures
12. How is it determined that a person has AIDS other than a positive HIV test?: CD4
,lymphocyte count is less than 200
13. What is an appropriate action for a nurse caring for a child post-tonsillecto- my?: Observe
swallowing patterns
14. What nursing intervention should be prioritized for a client with throm- bophlebitis of the
left leg?: Elevate leg on 2 pillows
15. Which child is at highest risk for cardiac arrest and least likely to be assigned to a nurse from
the surgical department?: Prolonged hypoxemia
16. To whom should a home health nurse refer a client with diabetes who has difficulty drawing up
insulin?: An occupational therapist from the community center
17. What is a priority goal of involuntary hospitalization for the severely mentally ill client?: Protection
from harm to self or others
18. What type of exercise should a nurse recommend for a client with a long leg cast?: Isometric
19. What should parents of a 2-week-old infant with Tetralogy of Fallot report immediately?: Loss
of consciousness
20. What should the nurse instruct the client to do before the examination?: Ad- minister a laxative to the
client the evening before the examination.
21. What is the priority nursing diagnosis for a woman 2 hours after vaginal delivery with
ruptured membranes for 36 hours?: Risk for infection.
22. Why should circumcision be delayed for a newborn male with hypospadias?-
: Circumcision is delayed so the foreskin can be used for the surgical repair.
23. What finding would the nurse expect in a client with late-stage Amyotrophic Lateral Sclerosis
(A.L.S.)?: Shallow respirations.
24. What is the best explanation for nausea, metallic taste, and fine hand tremors after the first dose
, of lithium carbonate?: These side Effects are common and should subside in a few days.
25. What should the home care nurse ask a client with hemoglobin of 10 mg/dl and hematocrit of
32%?: Ask the client if he has noticed any bleeding or dark stools.
26. What is a percutaneous transluminal coronary angioplasty (PTCA)?: Procedure that compresses plaque
against the wall of the diseased coronary artery to improve blood flow.
27. What finding would the nurse anticipate in an infant with developmental dysplasia of the hip?:
Unequal leg length.
28. What is the likely cause of seizures in a 2-year-old child after corrective surgery for
Tetralogy of Fallot?: A cerebral vascular accident.
29. How is acute glomerulonephritis (AGN) contracted?: It is not 'caught' but is a response to a previous B-hemolytic
strep infection.
30. What is the risk associated with oral contraceptives for smokers?: Oral contracep- tives should not be used
by smokers.
31. What intervention is appropriate for a newborn showing high pitched cry and irritability?:
Reduce the environmental stimuli.
32. What is a priority nursing diagnosis for a child who has just had a seizure?: Risk for aspiration related to
loss of consciousness.
33. What finding is most indicative of digoxin toxicity in a 4-month-old child?: -
Bradycardia.
34. What rationale supports continuing breastfeeding after postpartum hemor- rhage?: Nursing will help
contract the uterus and reduce your risk of bleeding.
35. What is an effective preventive measure for deep vein thrombosis in a post-surgical client?:
1. What is the first nursing action after a client returns from a segmental lung resection?: Suction excessive
tracheobronchial secretions
2. What is the highest risk for exposure to poison ivy in a child?: Playing with cars on the pavement near burning
leaves
3. What modifiable cardiac risk factor should the nurse focus on first?: Smoking cessation
4. What is an appropriate diversional activity for a 5-year-old in skeletal trac- tion?: Playing hand held
games
5. What finding would the nurse expect in a client with portal hypertension?: As- cites
6. What is the most significant finding for a client with a panic disorder?: Sense of impending doom
7. What should the nurse do when a 16-month-old child clings to their mother and cries?: Explain that this
behavior is expected
8. From which focus should the nurse identify a priority nursing diagnosis for a client with severe
depression?: Safety
9. What cognitive development should a nurse keep in mind when explaining an illness to a 10-year-old?:
They are able to think logically in organizing facts
10. What should the nurse do first when a 3-year-old is having a generalized seizure?: Place the
child on the side
11. What does documentation of anhedonia refer to in a depressed client?: Lack of enjoyment in usual
pleasures
12. How is it determined that a person has AIDS other than a positive HIV test?: CD4
,lymphocyte count is less than 200
13. What is an appropriate action for a nurse caring for a child post-tonsillecto- my?: Observe
swallowing patterns
14. What nursing intervention should be prioritized for a client with throm- bophlebitis of the
left leg?: Elevate leg on 2 pillows
15. Which child is at highest risk for cardiac arrest and least likely to be assigned to a nurse from
the surgical department?: Prolonged hypoxemia
16. To whom should a home health nurse refer a client with diabetes who has difficulty drawing up
insulin?: An occupational therapist from the community center
17. What is a priority goal of involuntary hospitalization for the severely mentally ill client?: Protection
from harm to self or others
18. What type of exercise should a nurse recommend for a client with a long leg cast?: Isometric
19. What should parents of a 2-week-old infant with Tetralogy of Fallot report immediately?: Loss
of consciousness
20. What should the nurse instruct the client to do before the examination?: Ad- minister a laxative to the
client the evening before the examination.
21. What is the priority nursing diagnosis for a woman 2 hours after vaginal delivery with
ruptured membranes for 36 hours?: Risk for infection.
22. Why should circumcision be delayed for a newborn male with hypospadias?-
: Circumcision is delayed so the foreskin can be used for the surgical repair.
23. What finding would the nurse expect in a client with late-stage Amyotrophic Lateral Sclerosis
(A.L.S.)?: Shallow respirations.
24. What is the best explanation for nausea, metallic taste, and fine hand tremors after the first dose
, of lithium carbonate?: These side Effects are common and should subside in a few days.
25. What should the home care nurse ask a client with hemoglobin of 10 mg/dl and hematocrit of
32%?: Ask the client if he has noticed any bleeding or dark stools.
26. What is a percutaneous transluminal coronary angioplasty (PTCA)?: Procedure that compresses plaque
against the wall of the diseased coronary artery to improve blood flow.
27. What finding would the nurse anticipate in an infant with developmental dysplasia of the hip?:
Unequal leg length.
28. What is the likely cause of seizures in a 2-year-old child after corrective surgery for
Tetralogy of Fallot?: A cerebral vascular accident.
29. How is acute glomerulonephritis (AGN) contracted?: It is not 'caught' but is a response to a previous B-hemolytic
strep infection.
30. What is the risk associated with oral contraceptives for smokers?: Oral contracep- tives should not be used
by smokers.
31. What intervention is appropriate for a newborn showing high pitched cry and irritability?:
Reduce the environmental stimuli.
32. What is a priority nursing diagnosis for a child who has just had a seizure?: Risk for aspiration related to
loss of consciousness.
33. What finding is most indicative of digoxin toxicity in a 4-month-old child?: -
Bradycardia.
34. What rationale supports continuing breastfeeding after postpartum hemor- rhage?: Nursing will help
contract the uterus and reduce your risk of bleeding.
35. What is an effective preventive measure for deep vein thrombosis in a post-surgical client?:
