Mental Health
Mobility
Inflammation
Stress/Coping
Elimination
100
When the patient looks around the room and mumbles to himself, how should the nurse respond? A. "tell me what you are thinking" B. "are you hearing voices?" C. "have you been here before" D. "how are you feeling?"
What is B. "are you hearing voices?"
100
Which symptoms could the nurse expect to find in a patient with a new stroke? (select all that apply) A. elevated blood pressure B. Difficultly swallowing C. hyperreflexic deep tendon reflexes D. Difficulty with speech
What is A. elevated blood pressure B Difficultly swallowing D. Difficulty with speech
100
Which lab value confirms the infection has resolved? A. Red blood cell count 4.5 million/mm3 B. White blood cell count (WBC) 6,000/mm3 C. Oxygen Sat. 95% D. Hemoglobin 12g/dl
What is B. White blood cell count (WBC) 6,000/mm3
100
After surgery Joan beings to cry and states "I just knew something would go wrong". How should the nurse respond. A. " We will have you better soon" B. "You have to expect that after surgery problems will occur" C. "tell me what is making you feel upset" D. "You should not let this upset you"
What is C. "tell me what is making you feel upset"
100
Which physiological change commonly occurs in elderly males that may affect insertion of a foley catheter? A. Urethral stricture B. Prostate gland enlargement C. Weakened detrusor muscle
What is B. Prostate gland enlargement
200
Chad remarks that sometimes he doesn't think life is worth living anymore, and that he has thought about killing himself. What should the nurse's immediate response to Chad's suicidal ideation be? A. "Please don't talk like that. You will have a long, happy life" B. "Do you have plan on how you would kill yourself?" C. "I think you might want to consider getting psychiatric help" D. Act like you did not hear the comment and ignore it.
What is B. "Do you have plan on how you would kill yourself?"
200
The nurse instructs the patient to increase his intake of which food to prevent a decrease in bone density? A. any food high in calories B. foods that are rich in vitamin c C. calcium-rich foods D. high-fiber foods
What is C. calcium-rich foods
200
Which assessment finding would support the diagnosis of pneumonia? A. Pulse rate 115 B. BP 120/80 C. Increased AP diameter of the chest D. Fingernail clubbing
What is A. Pulse rate 115
200
You walk past the waiting room, where you see the mother of your 22-year old patient crying. What is the best action from the nurse. A. Allow the mother to cry and do not disturb her B. Ask the chaplain to come and see the mother C. Sit down next to her D. Discuss the situation with the patient when you get back on the unit.
What is C. Sit down next to her
200
What postoperative medication is most likely to contribute to constipation? A. morphine B. Ibuprofen(Advil) C. Promethazine (Phenergan) D. Cefazolin (Ancef)
What is A. morphine
300
A patient diagnosed with Schizophrenia believes that the healthcare providers are FBI agents and that there are cameras in his apartment to monitor him. What is the most accurate assessment? A. Hallucinations B. Delusions C. Confabulation D. Thought broadcasting
What is B. Delusions
300
Which assessment finding reflects signs of possible DVT that should be reported to the healthcare provider? A. Negative for paresthesia B. Bounding pedal pulses C. Negative for pallor D. Unilateral calf edema
What is D. Unilateral calf edema
300
Chad is diagnosed with Hepatitis C. Chad states "I can't have hepatitis. I had all 3 vaccinations before I started work as a paramedic." What information about the vaccination series for Hepatitis received by healthcare workers will the nurse provide? A. All 3 injections are given to protect against Hepatitis A. B. All 3 injections are given to protect against Hepatitis B. C. Each injection is specially formulated to protect against Hep. A, B, or C.
What is B. All 3 injections are given to protect against Hepatitis B.
300
During an admission interview the nurse notices that Mr. Smith appears anxious. What action should the nurse implement to help reduce Mr. Smith's anxiety? A. Ask Mr. Smith if he would like his wife to wait in the waiting room. B. Explain the room & hospital environment to Mr. & Mrs. Smith C. Ask Mr. Smith if he would like an antianxiety medication D. Reassure Mr. & Mrs. Smith that everything will be ok.
What is B. Explain the room & hospital environment to Mr. & Mrs. Smith
300
A nurse is providing care for an older client with food poisoning. The patients vital signs are heart rate 102, blood pressure 98/55, respiratory rate 22 and O2 92%. Which action should the nurse complete first? A. Apply oxygen via nasal cannula B. Administer intravenous fluids C. Provide perineal care with a premedicated wipe D. Teach proper food preparation to prevent contamination.
What is B. Administer intravenous fluids
400
A patient has been started on Fluxetine (Prozac), an SSRI. When should the nurse tell the patient they will begin to expect therapeutic effects by: A. 8 weeks B. 3-4 days C. 1-3 weeks D. 6 weeks
What is C. 1-3 weeks
400
What is the nurses best response to a patient regarding osteoporosis? A. Excessive wear and tear during the growth years can weaken your bones as an adult. B. Being active in sports increasing your risk for osteoporosis C. Brittle bones is primarily inherited D. Participating in sports activities often helps the bones become stronger and denser.
What is D. Participating in sports activities often helps the bones become stronger and denser.
400
The student nurse learns that the most important function of the inflammation and immunity response is which purpose? A. Destroying bacteria before damage occurs B. Preventing any entry of foreign material C. Providing protection against invading organisms D. Regulating the process of self-tolerance
What is C. Providing protection against invading organisms
400
Mr. John states "it seems like I've been sick so much. It's all the fault of those cigarette companies. I wouldn't be so sick if they had warned us about the dangers of smoking. I'll probably end up with cancer, and then I'll sue them." What is the best response to maintain effective communication: A. "You won't get cancer" B. "I know what you mean. I smoke, too" C. " You should try not to worry about that now" D. Remain Silent
What is D. Remain Silent
400
After delegating care to an unlicensed assistive personnel for a patient who is prescribed habit training to manage incontinence, a nurse evaluates the UAP understanding. Which action indicates the need for additional teaching? A. Toileting the client after breakfast B. Changing the client's incontinence brief when wet C. Encouraging the patient to drink fluids D. Recording the client's incontinence episodes.
What is B. Changing the client's incontinence brief when wet
500
The parents of a 20-year old female client diagnosed with paranoid schizophrenia admitted 4 days ago are attending a family psychoeducation group in the hospital. Which of the following statements by the mother indicates that she understands her daughter's illness and management? A. "I know that I will have to do everything for my daughter when she comes home" B. "Tasks as simple as getting out of bed and showering in the morning may by difficult for her." C. "I know that visits from her friends at home should be discouraged for a while." D. "She wont experience a relapse as long as she takes her medication"
What is B. "Tasks as simple as getting out of bed and showering in the morning may by difficult for her."
500
Which instruction should the nurse provide to the patient to decrease the risk of developing a blood clot? A. Encourage coughing and deep breathing exercises every 2 hours. B. Teach patient to dorsal & plantar flex their foot while in bed and in the chair C. Instruct patient to change positions every 2 hours. D. Advise patient to eat a well balanced meal E. Explain that enoxaparin(Lovenox) injections will be administered routinely.
What is B. Teach patient to dorsal & plantar flex their foot while in bed and in the chair E. Explain that enoxaparin(Lovenox) injections will be administered routinely.
500
You are caring for Mr. Jack who is in the ED for SOB r/t COPD exacerbation. Mr. Jack's oxygen saturation goes from 97% on 2L NC to 80%. What should be your immediate action(s): (Select all that apply): A. Reposition the finger clip and obtain another reading B. Assess Mr. Jack for s/s of respiratory distress C. Encourage deep breathing D. Increase oxygen for 4L NC E. Notify the health provider immediately.
What is A. Reposition the finger clip and obtain another reading B. Assess Mr. Jack for s/s of respiratory distress C. Encourage deep breathing
500
Terry has a diagnosis of RA. She states "I'm having more bad days than good days lately. My pain and swollen knees make it hard to walk and I am spending a lot of time in my wheelchair. What is the point of trying anymore" What is the best response? A. "You seem very overwhelmed right now" B. "We will discuss this when you are not so depressed" C. "If I were in your situation, I'd be depressed too. " D. "I will call the chaplain to talk with you"
What is A. "You seem very overwhelmed right now"
500
A client newly diagnosed with ulcerative colitis who has been placed on steroids asks the nurse why steroids are prescribed? The nurse should tell the patient: A. "Ulcerative colitis can be cured by the use of steroids" B. "steroids are used in flare ups to decrease the risk of bleeding" C. "Long term steroids will prolong periods of remission". D. "The side effects of steroids outweigh their benefits to patients with ulcerative colitis."
What is B. "steroids are used in flare ups to decrease the risk of bleeding"
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