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Chapter 27
Chapter 29
Chapter 31
Chapters 31/42
Chapter 42
100
A patient is preparing a patient for surgery. The nurse explains that the reason for writing in indelible ink on the surgical site the word “correct” is to A. Distinguish the correct surgical site. B. Label the correct patient. C. Comply with the surgeon’s preference. D. Adhere to the correct regulatory standard.
What is A. Distinguish the correct surgical site.
100
The nurse is providing an educational session for a group of preschool workers. The nurse reminds the group that the most important thing to do to prevent the spread of infection is to A. Encourage preschool children to eat a nutritious diet. B. Encourage parents to provide a multivitamin to the children. C. Clean the toys every afternoon before putting them away. D. Wash their hands between each interaction with children.
What is D. Wash their hands between each interaction with children.
100
When focusing on temperature regulation of newborns and infants, the nurse understands that A. Temperatures are basically the same for infants and older adults. B. Infants have well-developed temperature-regulating mechanisms. C. The normal temperature range gradually increases as the person ages. D. Newborns need to wear a cap to prevent heat loss.
What is D. Newborns need to wear a cap to prevent heat loss.
100
A febrile preschool-aged child presents to the after-hours clinic. Varicella is diagnosed on the basis of the illness history and the presence of small, circumscribed skin lesions filled with serous fluid. The nurse documents the varicellar lesions as which type of skin lesion? A. Vesicle B. Wheal C. Papule D. Pustule
What is A. Vesicle
100
Which organ system is responsible for compensation of respiratory acidosis? A. Respiratory B. Renal C. Gastrointestinal D. Endocrine
What is B.
200
The nurse identifies that a patient has received Mylanta (simethicone) instead of the prescribed Pepto-Bismol (bismuth subsalicylate) for the problem of indigestion. The nurse’s NEXT intervention is to A. Do nothing, no harm has occurred. B. Assess and monitor the patient. C. Notify the physician, treat and document. D. Complete an incident report.
What is B. Assess and monitor the patient.
200
Which interventions utilized by the nurse would indicate the ability to recognize the inflammatory response? A. Rest, ice, compression, and elevation B. Turn, cough, and deep breathe C. Orient to date, time, and place D. Passive range-of-motion exercises
What is A. Rest, ice, compression, and elevation
200
The nurse is caring for a patient who has an elevated temperature. The nurse understands that A. Fever and hyperthermia are the same thing. B. Hyperthermia occurs when the body cannot reduce heat loss. C. Hyperthermia is an upward shift in the set point. D. Hyperthermia occurs when the body cannot reduce heat production.
What is D. Hyperthermia occurs when the body cannot reduce heat production.
200
A school nurse recognizes a belt buckle–shaped ecchymosis on a 7-year-old student. When privately asked about how the injury occurred, the student described falling on the playground. Upon suspecting abuse, the school nurse’s best next action is which of the following? A. Interviewing the patient in the presence of his/her teacher B. Ignoring the findings because child abuse is a declining problem C. Realizing that abuse victims usually report abusive situations D. Contacting Social Services and reporting suspected abuse
What is D.
200
The nurse receives the patient’s most recent blood work results. Which laboratory value is of greatest concern? A. Sodium of 145 mEq/L B. Calcium of 17.5 mg/dL C. Potassium of 3.5 mEq/L D. Chloride of 100 mEq/L
What is B.
300
The nurse knows that children in late infancy and toddlerhood are at risk for injury owing to A. Learning to walk. B. Trying to pull up on furniture. C. Being dropped by a caregiver. D. Growing ability to explore and oral activity.
What is D. Growing ability to explore and oral activity.
300
The nurse is caring for a group of medical-surgical patients. The patient most at risk for developing an infection is the patient who A. Is in observation for chest pain. B. Is recovering from a right total hip arthroplasty. C. Has been admitted with dehydration. D. Has been admitted for stabilization of atrial fibrillation.
What is B. Is recovering from a right total hip arthroplasty.
300
The patient is found to be unresponsive and not breathing. To determine the presence of central blood circulation and circulation of blood to the brain, the nurse checks the patient’s _____ pulse. A. Radial B. Brachial C. Posterior tibial D. Carotid
What is D. Carotid
300
During a routine pediatric history and physical, the parents report that their child was a premature infant and was so small that he had to stay in the neonatal intensive care unit longer than usual. They state that the infant was yellow when born, and that he developed an infection that required “every antibiotic under the sun” to cure him. Considering the neonatal history, the nurse determines that it is especially important to perform a focused _____ examination. A. Cardiac B. Respiratory C. Ophthalmic D. Hearing acuity
What is D. Hearing acuity
300
Approximately two thirds of the body’s total water volume exists in the _____ fluid. A. Intracellular B. Interstitial C. Intravascular D. Transcellular
What is A.
400
The nurse is presenting an educational session on safety for parents of adolescents. The nurse should include which of the following teaching points? A. Adolescents need unsupervised time with friends two to three times a week. B. Parents and friends should teach adolescents how to drive. C. Adolescents need information about the effects of beer on the liver. D. Adolescents need to be reminded to use seatbelts on long trips.
What is C. Adolescents need information about the effects of beer on the liver.
400
Which of these interventions would take priority and should be included in a plan of care for a patient who presents with pneumonia? A. Observe the patient for decreased activity tolerance. B. Assume that the patient is in pain and treat accordingly. C. Maintain the temperature at 65° F. D. Provide the patient ice chips as requested.
What is A. Observe the patient for decreased activity tolerance.
400
The nurse is urgently called to the gymnasium regarding an injured student. The student is crying in severe pain with a malformed fractured lower leg. The proper sequence for the nurse’s initial assessment is A. Deep palpation, light palpation, inspection. B. Light palpation, deep palpation, inspection. C. Inspection, light palpation. D. Auscultation, deep palpation, light palpation.
What is C. Inspection, light palpation.
400
Select the correct interpretation for the given arterial blood gas set. pH 7.51, pCO2 40, HCO3- 31: A. Normal B. Uncompensated metabolic alkalosis C. Partially compensated respiratory acidosis D. Uncompensated respiratory alkalosis
What is B.
400
The process of passively moving water from an area of lower particle concentration to an area of higher particle concentration is known as A. Hydrolysis. B. Osmosis. C. Filtration. D. Active transport.
What is B. Osmosis.
500
The nurse is caring for a patient who suddenly becomes confused and tries to remove an intravenous infusion. The nurse begins to develop a plan to care for the patient. Which nursing intervention should take priority? A. Gather restraint supplies. B. Try alternatives to restraint. C. Assess the patient. D. Call the physician for a restraint order.
What is C. Assess the patient.
500
The nurse is caring for a patient in Contact Precautions. The nurse includes hand hygiene as part of the plan of care to (Select all that apply). A. Provide an uninterrupted chain of infection. B. Decrease the incidence of health care–associated infection. C. Protect the nurse from transmission of the microbes. Correct D. Decrease the transmission of microbes to other patients. E. Prevent contamination of clean supplies. F. Decrease the drying effects of soap.
What is B. Decrease the incidence of health care–associated infection. C. Protect the nurse from transmission of the microbes. D. Decrease the transmission of microbes to other patients. E. Prevent contamination of clean supplies.
500
During a routine physical examination of a 70-year-old patient, a blowing sound is auscultated over the carotid artery. The nurse notifies the medical provider of the unexpected physical finding known as A. Clubbing. B. Bruit. C. Right-sided heart failure. D. Phlebitis.
What is B. Bruit.
500
A patient presents to the emergency department with the complaint of vomiting and diarrhea for the past 48 hours. The nurse anticipates which fluid therapy initially? A. 0.9% sodium chloride B. Dextrose 10% in water C. Dextrose 5% in water D. 0.45% sodium chloride
What is A.
500
The nurse would expect a patient with respiratory acidosis to have an excessive amount of A. Carbon dioxide. B. Bicarbonate. C. Oxygen. D. Phosphate.
What is A. Carbon dioxide.