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A nurse is taking a health history from parents of a child
admitted with possible Reye's syndrome. Which recent
illness should the nurse recognize as being associated
with an increased the risk for the development of Reye's
syndrome?
1. Varicella
2. Meningitis
3. Hepatitis
4. Rubeola - Answer-1. Varicella -
A Native American chief visits his newborn son and
performs a traditional ceremony that involves feathers and
chanting. The nurse comments to a colleague: "I wonder if
he has any idea how ridiculous he looks - he's a grown
man!" The nurse's comment is an example of what type of
attitude?
1. Prejudice
2. Ethnocentrism
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3. Discrimination
4. Stereotyping - Answer-1. Prejudice-
A nursing student asks the licensed practical nurse (LPN)
to explain the forces that drive health care reform. When
responding to the student's question, what information
should the nurse emphasize?
1. Increased competition between health care insurers
2. Increase in health care spending that's growing faster
than the economy
3. Increase in the population who have health insurance
4. Increase in spending for end-of-life treatment - Answer-
2
A child is admitted to the unit with the suspected diagnosis
of pertussis (whooping cough). What is the priority nursing
intervention for this child?
1. Maintain hydration and encourage fluids
2. Implement droplet precautions
3. Monitor respiratory rate and oxygen saturation
4. Anti- infective therapy - Answer-2
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A client has an indwelling catheter with continuous bladder
irrigation after undergoing a transurethral resection of the
prostate (TURP) 12 hours ago. Which finding at this time
should be reported to the registered nurse (RN) charge
nurse?
1Complaints for the feeling of pulling on the urinary
catheter
2Light, pink to clear urine
3Occasional suprapubic cramping
4Minimal drainage into the urinary collection bag - Answer-
4Minimal drainage into the urinary collection bag
A nurse is caring for a woman two hours after a vaginal
delivery. Documentation indicates that the membranes
ruptured 36 hours prior to delivery. Which of these nursing
diagnoses should the nurse expect the charge nurse to list
as a priority at this time?
1Risk for fluid volume deficit
2Risk for excessive bleeding
3Risk for infection -
4Altered tissue perfusion - Answer-3
A LPN complains to the charge nurse that an unlicensed
assistive person (UAP) consistently leaves the work area
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untidy and does not restock supplies. What is the best
initial response by the charge nurse?
1Write down potential solutions to the problems today by
shift's end
2Add this concern to the agenda of the next unit meeting
3Assure the staff nurse that the complaint will be
investigated
4Explore for further identification about the nature of the
problem - Answer-4 Explore for further identification about
the nature of the problem
The nurse assists with the reinforcement of information
about breast self-examination to a group of college
students. A female student asks when to perform the
monthly exam. The appropriate reply by the nurse should
include which statement?
1"Ovulation, or midcycle is the best time to detect
changes."
2"Do the exam at the same time every month."
3"Right after the period, when your breasts are less
tender."
4"The first of every month, because it will be easiest to
remember." - Answer-3