NursGuru

    Exam Review

    1. The nurse understands a rapid onset of an illness that lasts a relatively short time indicates which of the following type of illness:
      A)
      Chronic illness
      B)
      Acute illness
      C)
      Communicable illness
      D)
      Secondary illness
    2. The alert and oriented x 4 client who is scheduled for surgery tells the nurse, "I am leaving. I am not having the surgery." The client refuses to wait and speak with the healthcare provider. What is an appropriate action by the nurse?
      A)
      Ask for a referral for the client to be declared incompetent
      B)
      Ask the client to sign a form stating that the client is being discharged against medical advice
      C)
      Have security personnel stationed outside the client’s room to prevent the client from leaving
      D)
      Request the health care provider to prescribe a medication that would sedate the client
    3. The nurse cares for a client with Clostridium difficile (C. Diff). Following the removal of appropriate PPE, the nurse performs hand hygiene by doing which of the following?
      A)
      Using soap and water to wash hands only if hands are soiled
      B)
      Using soap and water to wash hands
      C)
      Using hand sanitizer to wash hands
      D)
      Using either hand sanitizer or soap and water to wash hands
    4. The nurse is caring for a 36-month-old brought into the urgent care clinic for a fever of 103.2 and a moist cough. Tylenol, 15mg per kg, has been ordered. The nurse obtains a weight of 26 pounds. What dose (mg) will the nurse prepare for the client?
      A)
      390 mg
      B)
      210 mg
      C)
      120 mg
      D)
      177 mg

    Exam Review

    1. A client with an upper respiratory infection asks the nurse, "Why won't the doctor prescribe me an antibiotic?" What would be the most appropriate response by the nurse?
      A)
      "I know what you mean; you need an antibiotic."
      B)
      "Let me talk to the health care provider and see what we can do."
      C)
      "Antibiotics have no effect on viruses."
      D)
      "Why do you think you need an antibiotic?"
    2. A nurse does not assist with the ambulation of a client post-surgery, and the client falls and fractures a hip. What charge might be brought against the nurse?
      A)
      battery
      B)
      fraud
      C)
      negligence
      D)
      assault
    3. An 87-year-old client is brought to the emergency department by his daughter for an evaluation of increased confusion that is believed to be due to worsening dementia. The client is admitted to the hospital to rule out any other medical causes for the client's worsening dementia. Following discharge from the emergency department, the client is placed in a long-term care facility. This placement would be considered which of the following?
      A)
      Nosocomial
      B)
      Secondary
      C)
      Extended
      D)
      Tertiary
    4. A nurse is explaining the different procedures used to break the chain of infection. In which link in the chain of infection should a nurse provide special attention to the respiratory and gastrointestinal tracts?
      A)
      infectious microorganism
      B)
      vehicle of transmission
      C)
      susceptible host
      D)
      exit route

    Exam Review

    1. The nurse applies an alcohol-based hand rub upon entering the client's room. The client becomes upset, stating. "You did not wash your hands!" Which response by the nurse is appropriate?
      A)
      "We only wash our hands when they are visibly soiled."
      B)
      "Alcohol-based hand rub provides the greatest reduction in microbial counts on the skin."
      C)
      "I will not be touching you, so using the alcohol hand rub is the quickest method to perform hand hygiene."
      D)
      "Washing the hands with soap and water is not necessary."
    2. A nurse is caring for an 82-year-old male dependent on using a walker when ambulating. The nurse notes the client is unsteady when ambulating to the bathroom, and the client states to the nurse, "I feel weak when walking." The client denies other complaints. Based on Maslow's Hierarchy of Needs, which of the following nursing diagnoses has the highest priority for this client?
      A)
      Deficient knowledge
      B)
      Ineffective breathing pattern
      C)
      Risk for Injury
      D)
      Ineffective coping
    3. Which nursing action is a component of medical asepsis?
      A)
      handwashing after removing gloves
      B)
      drawing blood from a central line
      C)
      insertion of an indwelling urinary catheter
      D)
      insertion of an intravenous catheter
    4. Amoxicillin 375mg has been ordered. Available to the nurse is the following: Amoxicillin 500mg/5 ml How many ml will the nurse administer?
      A)
      7.7 mLs
      B)
      5 mLs
      C)
      4.5 mLs
      D)
      3.8 mLs

    Exam Review

    1. A client is admitted to the Medical/Surgical unit and diagnosed with a lower respiratory infection (LRI). Based upon the nurse's assessment, the nurse chooses Impaired Gas Exchange as a priority diagnosis. The nurse monitors the client's vital signs, lung sounds, respiratory rate, and pulse oximetry every 2 hours. What step of the nursing process is occurring?
      A)
      Assessment/gathering data
      B)
      Implementation
      C)
      Evaluation
      D)
      Goal setting
    2. A 4-year-old who weighs 34 pounds arrives at the outpatient clinic following a check-up after falling off a bed. The provider orders Motrin. The order reads: Give Motrin (Ibuprofen) 10mg per kg by mouth now. How many MG will the nurse administer?
      A)
      145 mg
      B)
      175 mg
      C)
      155 mg
      D)
      125 mg
    3. A ventricular septal defect is a congenital disorder. The nurse understands that congenital disorders are due to which of the following:
      A)
      genetic causes
      B)
      any primary illness
      C)
      faulty embryonic development
      D)
      unexplained causes
    4. A client is scheduled for tube feedings to begin at 1530. The nurse knows that this is what in standard time?
      A)
      9:30 pm
      B)
      1:00 pm
      C)
      3:30 am
      D)
      3:30 pm

    Exam Review

    1. Which of the following are the correct surgical and N95 mask guidelines? Select all that apply:
      A)
      Perform handwashing or hand antisepsis after removing the mask or respirator.
      B)
      Change the N95 mask every 30 minutes
      C)
      Position the mask or respirator so that it covers the nose and the mouth
      D)
      Fit testing of the healthcare provider is required before using an N-95 mask
      E)
      A surgical mask should be used for protection from Tuberculosis (TB)
      F)
      Wear a mask if there is the risk of airborne infectious disease
    2. A temporarily inactive microbial life form that can resist heat and destructive chemicals and survive without moisture is referred to as which of the following?
      A)
      Virus
      B)
      Fungi
      C)
      Spores
      D)
      Bacteria
    3. The nurse is providing an in-service educational program for the interprofessional health care team to discuss infection-control precautions. What teaching will the nurse include? Select all that apply.
      A)
      Post infection precaution signs outside the client's room as warranted
      B)
      Disinfect all hard surfaces at least once every 4 hours
      C)
      Practice hand hygiene
      D)
      Keep the client's environment clean and uncluttered
      E)
      Use personal protective equipment (PPE) during all client encounters
      F)
      Wear personal protective equipment (PPE) when warranted
    4. A client reports to the health care center complaining of diarrhea and vomiting after eating pizza at a party. The nurse conducts an interview and collects the following assessment data. Which of the following is considered subjective data? Select all that apply:
      A)
      Headache
      B)
      Vomiting
      C)
      Dull pain
      D)
      Temperature of 101
      E)
      Respiratory rate of 24
      F)
      Nausea
      G)
      Elevated heart rate

    Exam Review

    1. Vancomycin 0.75 grams is ordered for a client. The nurse understands this is how many MG:
      A)
      75 mg
      B)
      750 mg
      C)
      Grams can't be converted to mg
      D)
      7.5 mg
    2. In which situation is it most appropriate for the nurse to wear a gown when caring for a client?
      A)
      If blood or body fluids could get onto clothing while caring for the client
      B)
      When a client has a diagnosis of HIV
      C)
      When ambulating a client on standard precautions to the bathroom
      D)
      When administering medications to a client on standard precautions
    3. A teenager with a chronic illness is struggling with feelings of low self-worth and is hesitant to participate in social activities. According to Maslow's hierarchy of needs, which need is most relevant to this situation?
      A)
      Mental health
      B)
      Esteem needs
      C)
      Physiological needs.
      D)
      Safety needs
    4. A client is experiencing vague, non-specific symptoms that include low-grade fever, decreased energy level, and headaches. Based on the above information, the nurse anticipates the patient is in which stage of an infectious disease:
      A)
      Incubation period
      B)
      Acute stage
      C)
      Convalescent stage
      D)
      Prodromal stage