Comprehensive
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1. A home health nurse is caring for a child who has lyme disease. Which of
the following is an appropriate action for the nurse to take
a. Ensure the state health department has been notified
b. Administer antitoxin
c. Educate the family to avoid sharing personal belongings
d. Assess for skin necrosis: a. Ensure the state health department has
been notified
2. A nurse is caring for a client who has been admitted to the hospital. (NGN):
- Provide frequent rest periods
- Restrict client sodium intake
- Advise client to avoid using soap and alcohol based lotions
- Instruct the client to avoid blowing their nose forcefully
- Assess the client's lv of orientation
3. A nurse is caring for a client who has a vented NG tube set to low
intermittent suction and has vomited. Which of the following actions should
the nurse perform first?
a. Administered an antiemetic medication
b. Evaluate functioning of the suction device
c. Provide oral hygrine care
d. Replace the NG tube: b. Evaluate functioning of the suction device
4. While performing a routine assessment, a nurse notices fraying on the
electrical cord of a client's continuous passive motion device. Which of the
following actions should the nurse take first
a. Initiate a requisition for a replacement CPM device
b. Report the defect to the equipment maintenance staff
c. Remove the device from the room
d. Ensure the device inspection sticker is current: c. Remove the device from
the room
5. A nurse is setting up a sterile field to perform would irrigation for a client.
Which of the following actions should the nurse take when pouring the
sterile solution
a. Remove the cap and place it sterile-side up on a clean surface
b. Pace sterile gauze over areas of spilled
c. Hold the bottle in the center of the sterile field when pouring the solution
, Comprehensive
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d. Hold the irrigation solution bottle with the label facing away from the
palm
of the hand: a. Remove the cap and place it sterile-side up on a clean surface
6. A nurse is creating a plan of care for a female client who has recurrent
urinary tract infections. Which of the following interventions should the
nurse include in the plan
a. Wear loose-fitting underwear
b. Take a bubble bath after intercourse
c. Drink four 240 ml (8 oz) glasses of water each day
d. Void every 5-6 hr during the day: a. Wear loose-fitting underwear
7. A nurse is caring for a newborn. Fiil in the blank (NGN)
The client at risk for developing and
a. Hypoglycemia
b. Bronchopulmonary dysplasia
c. Transient tachypnea of the newborn
d. Tachycardia: Tachypnea of the newborn and hypoglycemia.
8. A nurse is caring for an infant who has gastroenteritis. Which of the
follow- ing assessment findings should the nurse report to the provider?
a. Pale and a 24-hr fluid deficit of 30 mL
b. Sunken fontanels and dry mucous membranes
c. Decrease appetite and irritability
d. Temperature 38 C and pulse rate of 124/min: b. Sunken fontanels and
dry mucous membranes
9. A nurse is conducting health promotion education regarding
contraindica- tion to combination oral contraceptive use to a group of
women. Which of the following conditions should the nurse includes in the
teaching?
a. Hypertension
b. Fibromyalgia
c. Renal calculi
d. Fibrocystic breast diseases: a. Hypertension
10. A nurse is providing teaching to a client who has a depressive disorder
and a new prescription for amitriptyline. Which of the following statements
by the client indicates an understanding of the teaching?
, Comprehensive
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a. I can continue to take St. john wort while taking this medication
b. I know it will be a couple of weeks before the medication helps me feel
better
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c. I expect this medication to raise my blood pressure
d. I should take this medication on an empty stomach: b. I know it will be a
couple of weeks before the medication helps me feel better
11. A nurse is caring for a client who is immobile. Which of the
following interventions is appropriate to prevent contracture
a. Position a pillow under the client's knee
b. Place a towel roll under the client's neck
c. Align a trochanter wedge between the client's legs
d. Apply an orthotic to the client's foot: c. Align a trochanter wedge between
the client's legs
12. A nurse is assessing a client who is post-op following abdominal surgery
and has an indwelling urinary catheter that is draining dark yellow urine at
25 ml/h. Which of the following should the nurse anticipate?
a. Initiate continuous bladder irrigation
b. Administer fluid bolus
c. Clamp the catheter tubing for 30 min
d. Obtain a urine specimen for culture and sensitivity: d. Obtain a urine
speci- men for culture and sensitivity
13. A nurse is reporting a client's laboratory tests to the provider to obtain
a prescription for the client's daily warfarin. Which of the following should
the nurse report to obtain the prescription for warfarin
a. Fibrinogen lv
b. aPTT
c. INR
d. Platelet count: c. INR
14. A nurse is assessing a client ho is taking haloperidol and is experiencing
pseudo parkinsonism. Which of the following is the signs of pseudo parkin-
sonism
a. Serpentine limb movement
b. Shuffling gait
c. Nonreactive pupils
d. Smacking lips: b. Shuffling gait
15. A nurse care for client with expressive aphasia and right hemiparesis after
a stroke. What is the best way to promotes communication among staff
Study online at https://quizlet.com/_e8qwrr
1. A home health nurse is caring for a child who has lyme disease. Which of
the following is an appropriate action for the nurse to take
a. Ensure the state health department has been notified
b. Administer antitoxin
c. Educate the family to avoid sharing personal belongings
d. Assess for skin necrosis: a. Ensure the state health department has
been notified
2. A nurse is caring for a client who has been admitted to the hospital. (NGN):
- Provide frequent rest periods
- Restrict client sodium intake
- Advise client to avoid using soap and alcohol based lotions
- Instruct the client to avoid blowing their nose forcefully
- Assess the client's lv of orientation
3. A nurse is caring for a client who has a vented NG tube set to low
intermittent suction and has vomited. Which of the following actions should
the nurse perform first?
a. Administered an antiemetic medication
b. Evaluate functioning of the suction device
c. Provide oral hygrine care
d. Replace the NG tube: b. Evaluate functioning of the suction device
4. While performing a routine assessment, a nurse notices fraying on the
electrical cord of a client's continuous passive motion device. Which of the
following actions should the nurse take first
a. Initiate a requisition for a replacement CPM device
b. Report the defect to the equipment maintenance staff
c. Remove the device from the room
d. Ensure the device inspection sticker is current: c. Remove the device from
the room
5. A nurse is setting up a sterile field to perform would irrigation for a client.
Which of the following actions should the nurse take when pouring the
sterile solution
a. Remove the cap and place it sterile-side up on a clean surface
b. Pace sterile gauze over areas of spilled
c. Hold the bottle in the center of the sterile field when pouring the solution
, Comprehensive
Study online at https://quizlet.com/_e8qwrr
d. Hold the irrigation solution bottle with the label facing away from the
palm
of the hand: a. Remove the cap and place it sterile-side up on a clean surface
6. A nurse is creating a plan of care for a female client who has recurrent
urinary tract infections. Which of the following interventions should the
nurse include in the plan
a. Wear loose-fitting underwear
b. Take a bubble bath after intercourse
c. Drink four 240 ml (8 oz) glasses of water each day
d. Void every 5-6 hr during the day: a. Wear loose-fitting underwear
7. A nurse is caring for a newborn. Fiil in the blank (NGN)
The client at risk for developing and
a. Hypoglycemia
b. Bronchopulmonary dysplasia
c. Transient tachypnea of the newborn
d. Tachycardia: Tachypnea of the newborn and hypoglycemia.
8. A nurse is caring for an infant who has gastroenteritis. Which of the
follow- ing assessment findings should the nurse report to the provider?
a. Pale and a 24-hr fluid deficit of 30 mL
b. Sunken fontanels and dry mucous membranes
c. Decrease appetite and irritability
d. Temperature 38 C and pulse rate of 124/min: b. Sunken fontanels and
dry mucous membranes
9. A nurse is conducting health promotion education regarding
contraindica- tion to combination oral contraceptive use to a group of
women. Which of the following conditions should the nurse includes in the
teaching?
a. Hypertension
b. Fibromyalgia
c. Renal calculi
d. Fibrocystic breast diseases: a. Hypertension
10. A nurse is providing teaching to a client who has a depressive disorder
and a new prescription for amitriptyline. Which of the following statements
by the client indicates an understanding of the teaching?
, Comprehensive
Study online at https://quizlet.com/_e8qwrr
a. I can continue to take St. john wort while taking this medication
b. I know it will be a couple of weeks before the medication helps me feel
better
, Comprehensive
Study online at https://quizlet.com/_e8qwrr
c. I expect this medication to raise my blood pressure
d. I should take this medication on an empty stomach: b. I know it will be a
couple of weeks before the medication helps me feel better
11. A nurse is caring for a client who is immobile. Which of the
following interventions is appropriate to prevent contracture
a. Position a pillow under the client's knee
b. Place a towel roll under the client's neck
c. Align a trochanter wedge between the client's legs
d. Apply an orthotic to the client's foot: c. Align a trochanter wedge between
the client's legs
12. A nurse is assessing a client who is post-op following abdominal surgery
and has an indwelling urinary catheter that is draining dark yellow urine at
25 ml/h. Which of the following should the nurse anticipate?
a. Initiate continuous bladder irrigation
b. Administer fluid bolus
c. Clamp the catheter tubing for 30 min
d. Obtain a urine specimen for culture and sensitivity: d. Obtain a urine
speci- men for culture and sensitivity
13. A nurse is reporting a client's laboratory tests to the provider to obtain
a prescription for the client's daily warfarin. Which of the following should
the nurse report to obtain the prescription for warfarin
a. Fibrinogen lv
b. aPTT
c. INR
d. Platelet count: c. INR
14. A nurse is assessing a client ho is taking haloperidol and is experiencing
pseudo parkinsonism. Which of the following is the signs of pseudo parkin-
sonism
a. Serpentine limb movement
b. Shuffling gait
c. Nonreactive pupils
d. Smacking lips: b. Shuffling gait
15. A nurse care for client with expressive aphasia and right hemiparesis after
a stroke. What is the best way to promotes communication among staff
