ADULT HEALTH
The nurse helps a patient to cough and deep breathe after surgery. It is desirable for the
patient to assume which of the following positions?
side-lying
prone
supine
high fowlers
High fowlers
Which of the following actions is essential for the nurse to take after administration of a
preoperative medication to a patient?
raise the side rails of the bed
tell the pt what to expect in the operating room
discuss the pt's feelings about surgery
ensure the operative permit is signed
raise the side rails of the bed
the nurse understands the purpose of a drain in a wound is to:
prevent infection as a mean for bacteria to escape
keep the tissues close together so that healing can occur
evaluate the effectiveness of homeostasis
create a space that will facilitate reconstructive surgery at a later date
keep the tissues close together so that healing can occur
,a client returns from abdominal surgery with an order for morphine sulfate IV q 3 hours prn for
pain. During the first 24 hours of surgery, which action by the nurse is BEST?
offer pain medication every 4 hours
offer pain medication every 3 hours
Administer pain meds every 4 hours
Administer pain meds every 3 hours
Administer pain meds every 3 hours
A client is admitted to the hospital with a temperature of 101 and WBC of 3,000mm3 . the nurse
should institute which of the following precautions?
contact precautions
airborne precautions
droplet precautions
Neutropenic precautions
Neutropenic precautions
a client comes to the ER a foot with a dirty, rusty nail. The client states the last TD was 6 years
ago. which of the following actions should the nurse take first?
administer tetanus toxoid
determine how many TD immunizations the client has received
administer tetanus immune globulin
monitor for lockjaw
determine how many TD immunizations the client has received
,a patient requires a dressing change. the LPN nurse assigned to care for the patient reports to the
registered nurse that she had once observed a similar dressing change while in nursing school,
but has never performed the procedure. The RN should take which action?
Ask the LPN to review the hospitals procedure manual regarding dressing changes.
Review the steps of the dressing change with the LPN
complete the dressing change while the LPN observes
assigned a more experienced LPN to the patient
complete the dressing change while the LPN observes
The nurse counsels a patient about how to maintain an adequate intake of protein. The nurse
determines that further teaching is required if the patient chooses which of the following foods?
peanut butter on whole white bread
rice and red beans
orange toast and white toast
spaghetti and meat sauce
orange toast and white toast
the nurse knows which statement is important about warfarin?
it has a prolonged action
it is never given for prolonged periods of time
it must be given several times a day to be effective
it can only be given parenterally
it has a prolonged action
, the nurse observes a staff member prepare to leave the room of a patient on droplet precautions.
The nurse should intervene if which of the following is observed?
the nurse removes the gloves by pulling off inside out
the staff member holds on to the outer surface of the face mask while pulling mask away from
face
the staff member unties the gown and removes it without touching the outside of the gown
the nurse performs hand hygiene for 15 seconds
the staff member holds on to the outer surface of the face mask while pulling mask away from
face
several days post-op a pt states pain, tenderness and redness on her right calf. which signs and
symptoms are critical for the nurse to assess next?
nausea and abdominal distention
back pain and hematuria
chest pain and shortness of breath
similar findings in the right arm
chest pain and shortness of breath
the nurse knows that aspirin, if given in high, prolonged dosages, may precipitate which of the
following physiological changes?
urinary frequency
hypoventilation
GI bleeding
Hemoconcentration
The nurse helps a patient to cough and deep breathe after surgery. It is desirable for the
patient to assume which of the following positions?
side-lying
prone
supine
high fowlers
High fowlers
Which of the following actions is essential for the nurse to take after administration of a
preoperative medication to a patient?
raise the side rails of the bed
tell the pt what to expect in the operating room
discuss the pt's feelings about surgery
ensure the operative permit is signed
raise the side rails of the bed
the nurse understands the purpose of a drain in a wound is to:
prevent infection as a mean for bacteria to escape
keep the tissues close together so that healing can occur
evaluate the effectiveness of homeostasis
create a space that will facilitate reconstructive surgery at a later date
keep the tissues close together so that healing can occur
,a client returns from abdominal surgery with an order for morphine sulfate IV q 3 hours prn for
pain. During the first 24 hours of surgery, which action by the nurse is BEST?
offer pain medication every 4 hours
offer pain medication every 3 hours
Administer pain meds every 4 hours
Administer pain meds every 3 hours
Administer pain meds every 3 hours
A client is admitted to the hospital with a temperature of 101 and WBC of 3,000mm3 . the nurse
should institute which of the following precautions?
contact precautions
airborne precautions
droplet precautions
Neutropenic precautions
Neutropenic precautions
a client comes to the ER a foot with a dirty, rusty nail. The client states the last TD was 6 years
ago. which of the following actions should the nurse take first?
administer tetanus toxoid
determine how many TD immunizations the client has received
administer tetanus immune globulin
monitor for lockjaw
determine how many TD immunizations the client has received
,a patient requires a dressing change. the LPN nurse assigned to care for the patient reports to the
registered nurse that she had once observed a similar dressing change while in nursing school,
but has never performed the procedure. The RN should take which action?
Ask the LPN to review the hospitals procedure manual regarding dressing changes.
Review the steps of the dressing change with the LPN
complete the dressing change while the LPN observes
assigned a more experienced LPN to the patient
complete the dressing change while the LPN observes
The nurse counsels a patient about how to maintain an adequate intake of protein. The nurse
determines that further teaching is required if the patient chooses which of the following foods?
peanut butter on whole white bread
rice and red beans
orange toast and white toast
spaghetti and meat sauce
orange toast and white toast
the nurse knows which statement is important about warfarin?
it has a prolonged action
it is never given for prolonged periods of time
it must be given several times a day to be effective
it can only be given parenterally
it has a prolonged action
, the nurse observes a staff member prepare to leave the room of a patient on droplet precautions.
The nurse should intervene if which of the following is observed?
the nurse removes the gloves by pulling off inside out
the staff member holds on to the outer surface of the face mask while pulling mask away from
face
the staff member unties the gown and removes it without touching the outside of the gown
the nurse performs hand hygiene for 15 seconds
the staff member holds on to the outer surface of the face mask while pulling mask away from
face
several days post-op a pt states pain, tenderness and redness on her right calf. which signs and
symptoms are critical for the nurse to assess next?
nausea and abdominal distention
back pain and hematuria
chest pain and shortness of breath
similar findings in the right arm
chest pain and shortness of breath
the nurse knows that aspirin, if given in high, prolonged dosages, may precipitate which of the
following physiological changes?
urinary frequency
hypoventilation
GI bleeding
Hemoconcentration
