Influenza
A family of five checks into an urgent care center with symptoms of the flu. Which members of the family are at increased risk of significant complications?
A. Newborn baby girl
B. Grandmother with COPD
C. Father with HIV
D. Mother with anemia
E. 8-year-old boy
A. Newborn baby girl
B. Grandmother with COPD
C. Father with HIV
You’re teaching a group of long-term care health givers about the signs and symptoms of tuberculosis. What signs and symptoms will you include in your education?
A. Cough for a minimum of 6 weeks
B. Night sweats
C. Weight gain
D. Hemoptysis
E. Chills
F. Fever
G. Chest pain
B. Night sweats
D. Hemoptysis
E. Chills
F. Fever
G. Chest pain
You're assessing your patients during morning rounding. Which patient below is at MOST risk for developing a urinary tract infection?
A. A 25 year old patient who finished a regimen of antibiotics for strep throat 10 weeks ago.
B. A 55 year old female who is post-opt day 7 from hip surgery & required a foley catheter for 5 days.
C. A 68 year old male who is experiencing nausea and vomiting.
D. An 87 year old female with Alzheimer’s disease who is experiencing bowel incontinence.
D. An 87 year old female with Alzheimer’s disease who is experiencing bowel incontinence.
You’re educating a patient with pneumonia how to deep breathe by using an incentive spirometer. Which of the following is the correct way to use this device?
A. Encourage the patient to use it twice a day.
B. The patient exhales into the device rapidly and then coughs.
C. The patient inhales slowly from the device until no longer able, and then holds breath for 6 seconds and exhales.
D. The patient rapidly inhales 10 times from the device and then exhales for 6 seconds.
C. The patient inhales slowly from the device until no longer able, and then holds breath for 6 seconds and exhales.
In a client admitted with cellulitis of the left foot, which of the following clinical manifestations would the nurse expect to find on assessment of the left foot?
A. cyanosis and coolness
B. pallor and poor turgor
C. redness and swelling
D. edema and brown skin discoloration
C. redness and swelling
The public health nurse is educating social workers working with low-income families about the reasons to encourage their clients to get an annual flu shot. What reasons should the nurse include in the educational session? (SATA.)
A. The predominant flu virus strain changes from year to year.
B. The new vaccine has specific antigens predicted for that year.
C. Infants, young children, and people aged 50 or older are more likely to get the flu.
D. People without health insurance are at higher risk of getting the flu.
E. People living in apartment buildings are at higher risk of getting the flu.
A. The predominant flu virus strain changes from year to year.
B. The new vaccine has specific antigens predicted for that year.
C. Infants, young children, and people aged 50 or older are more likely to get the flu.
Your patient is diagnosed with a latent tuberculosis infection. Select all the correct statements that reflect this condition:
A. “The patient will not need treatment unless it progresses to an active tuberculosis infection.”
B. “The patient is not contagious and will have no signs and symptoms.”
C. “The patient will have a positive tuberculin skin test."
D. “The patient will have an abnormal chest x-ray.”
E. “The patient’s sputum will test positive for mycobacterium tuberculosis.”
B. “The patient is not contagious and will have no signs and symptoms.”
C. “The patient will have a positive tuberculin skin test."
You're caring for a patient with an indwelling catheter. The patient complains of spasm like pain at the catheter insertion site. Which of the following options below are other s/s the patient could experience or the nurse could observe if a urinary tract infection was present? (SATA)
A. Increased WBC
B. Crystalluria
C. Positive McBurney's Sign
D. Feeling the need to void even though a catheter is present
E. Dark and cloudy urine
F. Cramping
A. Increased WBC
D. Feeling the need to void even though a catheter is present
E. Dark and cloudy urine
F. Cramping
You’re caring for a patient with pneumonia. The patient has just started treatment for pneumonia and is still experiencing hypoxemia. You know that respiratory acidosis is very common with patients with pneumonia. Which arterial blood gases below represent respiratory acidosis that is NOT compensated?
A. pH 7.29, PaCO2 55, HCO3 23, PO2 85
B. pH 7.48, PaCO2 35, HCO3 22, PO2 85
C. pH 7.20, PaCO2 20, HCO3 28, PO2 85
D. pH 7.55, PaCO 63, HCO3 19, PO2 85
A. pH 7.29, PaCO2 55, HCO3 23, PO2 85
Risk factors for developing cellulitis include: (SATA)
A. Impetigo
B. Fifths Disease
C. Tinea Pedis
D. Diabetes Mellitus
A. Impetigo
C. Tinea Pedis
D. Diabetes Mellitus
An adolescent client with several flu symptoms calls the advice nurse to ask about using cough suppressants. What suggestion from the nurse would promote better airway clearance?
A. Use cough suppressants during the night.
B. Use cough suppressants in the afternoon.
C. Use cough suppressants in the evening.
D. Use cough suppressants in the morning.
A. Use cough suppressants during the night.
You are assessing your newly admitted patients who are all presenting with atypical signs and symptoms of a possible lung infection. The physician suspects tuberculosis. Select all the risk factors below that increases a patient’s risk for developing tuberculosis:
A. Diabetes
B. Liver failure
C. Long-term care resident
D. Inmate
E. IV drug user
F. HIV+
G. U.S. resident
C. Long-term care resident
D. Inmate
E. IV drug user
F. HIV+
Risk factors for developing a UTI include: (SATA)
A. Sexually active females
B. Using spermicide compounds or diaphragm contraceptive devices
C. ASB (asymptomatic bacteriuria)
D. recurrent viral illnesses
E. voluntarily holding urine
A. Sexually active females
B. Using spermicide compounds or diaphragm contraceptive devices
C. ASB (asymptomatic bacteriuria)
E. voluntarily holding urine
Risk factors for pneumonia include: (SATA)
A. Diminished gag reflex
B. Diminished cough reflex
C. Compromised immune system
D. Working in healthcare
A. Diminished gag reflex
B. Diminished cough reflex
C. Compromised immune system
S/s of celulitis include: (SATA)
A. Inflammation
B. warm, edematous skin
C. cool, edematous skin
D. Increase in WBC's
E. Decrease in WBC's
F. Lymphadenopathy
A. Inflammation
B. warm, edematous skin
D. Increase in WBC's
F. Lymphadenopathy