A 40-year-old patient presents to her provider for a yearly physical. The provider notes a family history of
breast cancer in the patient's mother. The provider schedules the patient for a mammogram. The nurse
recognizes this as what level of prevention? a. Tertiary b. Primary c. Secondary d. Holistic
c. Secondary
According to the Health Belief Model, which of the following patients would be most likely to change health
behavior? a. The person who perceives that he is at risk for colon cancer. b. The person who recognizes that
colon cancer is easily cured. c. The person who believes that behavior can change outcomes. d. The patient
who faces multiple social barriers.
d. The patient who faces multiple social barriers
Based on research on aging, the nurse knows that improper nutrition may result in the onset of which specific
diseases? (Select all that apply.)
a. Type 2 diabetes b. Atherosclerosis c. Osteoporosis d. Rheumatoid arthritis e. Chronic asthma
a. Type 2 diabetes b. Atherosclerosis c. Osteoporosis
,The economic stability of individuals or families can determine whether they are willing to seek preventive
care or screening examinations. The nurse knows which statements about screening examinations to be true?
(Select all that apply.) a. Free or low-cost screening ensures patient screening. b. People may not screen due
to fear of testing positive. c. Early screening ensures minimal treatment costs. d. Employment stability is
enhanced by early screening. e. Treatment of disorders often means lost wages.
b. People may not screen due to fear of testing positive e. Treatment of disorders often means lost wages.
A new UAP is measuring a patient's height. Which step of the procedure indicates a need for the registered
nurse to provide further education on this skill?
a. The UAP instructs the patient to remove shoes. b. The UAP measures from the top of the patient's head to
the bottom of the patient's foot arch. c. The UAP positions the head against the headboard or measuring
device. d. The UAP makes sure the patient is standing erect.
b. The UAP measures from the top of the patient's head to the bottom of the patient's foot arch
The nurse caring for a patient with chronic pain uses guided imagery, therapeutic touch, and relaxation
techniques as interventions for pain. The nurse is using what type of approach? a. Holistic b. Eastern holistic c.
Risk factor reduction d. Health protection
c. Risk factor reduction
,The nurse correctly recognizes which one of the following illnesses to trigger the broadest range of
emotional and behavioral responses? a. Ear infection b. Mild concussion c. Rheumatoid arthritis d. Influenza
c. Rheumatoid arthritis
The nurse has delegated the feeding of a patient who has recently had a stroke to the UAP. Which procedure
that the UAP performs would demonstrate a need for further education?
a. Uses thickened liquids b. Puts the bed at 25 degrees c. Encourages slow eating d. Has the patient alternate
between food and sips of fluid
b. Puts the bed at 25 degrees
The nurse has received an order from the health care provider to discontinue the nasogastric tube. Which
action by the nurse indicates a need for further education?
a. The nurse clears the tube with air prior to discontinuing. b. The nurse stops the tube feeding. c. The nurse
instructs the patient to cough while pulling out the tube. d. The nurse clamps the tube while pulling it out.
c. The nurse instructs the patient to cough while pulling out the tube
, The nurse is assessing a patient's environment and its impact on outdoor activity and notes that the child rarely
plays outside. Which is true regarding the indoor environment? a. Indoor environments protect the patient
from toxics chemicals. b. Indoor activity is sometimes a result of unsafe outdoor conditions. c. Indoor activity
decreases the risk of respiratory illness. d. Indoor lifestyles reduce the risk for sedentary behaviors.
b. Indoor activity is sometimes a result of unsafe outdoor conditions
The nurse is attempting to open an occluded PEG tube. Which intervention by the nurse requires re-education
a. Flushes the tube with a small amount of air b. Flushes the tube using a 50- to 60-mL syringe and warm water
c. Reinserts the stylet to break up the clot d. Flushes the tube with a special enzyme solution
c. Reinserts the stylet to break up the clot
The nurse is caring for a hospitalized patient with hyperparathyroidism disease and a serum calcium level of
14.2 mg/dL. What is the priority intervention of the nurse?
a. Instruct the patient to always call for assistance before getting out of bed. b. Assist the patient to change
into dry clothing after episodes of diaphoresis. c. Teach stress-relieving techniques, including progressive
muscle relaxation. d. Notify the provider if urine output is less than 30 mL/hr.
a. Instruct the patient to always call for assistance before getting out of bed.
breast cancer in the patient's mother. The provider schedules the patient for a mammogram. The nurse
recognizes this as what level of prevention? a. Tertiary b. Primary c. Secondary d. Holistic
c. Secondary
According to the Health Belief Model, which of the following patients would be most likely to change health
behavior? a. The person who perceives that he is at risk for colon cancer. b. The person who recognizes that
colon cancer is easily cured. c. The person who believes that behavior can change outcomes. d. The patient
who faces multiple social barriers.
d. The patient who faces multiple social barriers
Based on research on aging, the nurse knows that improper nutrition may result in the onset of which specific
diseases? (Select all that apply.)
a. Type 2 diabetes b. Atherosclerosis c. Osteoporosis d. Rheumatoid arthritis e. Chronic asthma
a. Type 2 diabetes b. Atherosclerosis c. Osteoporosis
,The economic stability of individuals or families can determine whether they are willing to seek preventive
care or screening examinations. The nurse knows which statements about screening examinations to be true?
(Select all that apply.) a. Free or low-cost screening ensures patient screening. b. People may not screen due
to fear of testing positive. c. Early screening ensures minimal treatment costs. d. Employment stability is
enhanced by early screening. e. Treatment of disorders often means lost wages.
b. People may not screen due to fear of testing positive e. Treatment of disorders often means lost wages.
A new UAP is measuring a patient's height. Which step of the procedure indicates a need for the registered
nurse to provide further education on this skill?
a. The UAP instructs the patient to remove shoes. b. The UAP measures from the top of the patient's head to
the bottom of the patient's foot arch. c. The UAP positions the head against the headboard or measuring
device. d. The UAP makes sure the patient is standing erect.
b. The UAP measures from the top of the patient's head to the bottom of the patient's foot arch
The nurse caring for a patient with chronic pain uses guided imagery, therapeutic touch, and relaxation
techniques as interventions for pain. The nurse is using what type of approach? a. Holistic b. Eastern holistic c.
Risk factor reduction d. Health protection
c. Risk factor reduction
,The nurse correctly recognizes which one of the following illnesses to trigger the broadest range of
emotional and behavioral responses? a. Ear infection b. Mild concussion c. Rheumatoid arthritis d. Influenza
c. Rheumatoid arthritis
The nurse has delegated the feeding of a patient who has recently had a stroke to the UAP. Which procedure
that the UAP performs would demonstrate a need for further education?
a. Uses thickened liquids b. Puts the bed at 25 degrees c. Encourages slow eating d. Has the patient alternate
between food and sips of fluid
b. Puts the bed at 25 degrees
The nurse has received an order from the health care provider to discontinue the nasogastric tube. Which
action by the nurse indicates a need for further education?
a. The nurse clears the tube with air prior to discontinuing. b. The nurse stops the tube feeding. c. The nurse
instructs the patient to cough while pulling out the tube. d. The nurse clamps the tube while pulling it out.
c. The nurse instructs the patient to cough while pulling out the tube
, The nurse is assessing a patient's environment and its impact on outdoor activity and notes that the child rarely
plays outside. Which is true regarding the indoor environment? a. Indoor environments protect the patient
from toxics chemicals. b. Indoor activity is sometimes a result of unsafe outdoor conditions. c. Indoor activity
decreases the risk of respiratory illness. d. Indoor lifestyles reduce the risk for sedentary behaviors.
b. Indoor activity is sometimes a result of unsafe outdoor conditions
The nurse is attempting to open an occluded PEG tube. Which intervention by the nurse requires re-education
a. Flushes the tube with a small amount of air b. Flushes the tube using a 50- to 60-mL syringe and warm water
c. Reinserts the stylet to break up the clot d. Flushes the tube with a special enzyme solution
c. Reinserts the stylet to break up the clot
The nurse is caring for a hospitalized patient with hyperparathyroidism disease and a serum calcium level of
14.2 mg/dL. What is the priority intervention of the nurse?
a. Instruct the patient to always call for assistance before getting out of bed. b. Assist the patient to change
into dry clothing after episodes of diaphoresis. c. Teach stress-relieving techniques, including progressive
muscle relaxation. d. Notify the provider if urine output is less than 30 mL/hr.
a. Instruct the patient to always call for assistance before getting out of bed.
