NursGuru

    Exam Review

    1. Which of the following interventions can help manage pain associated with impaired skin integrity?
      A)
      Using topical antibiotics on the affected area
      B)
      Performing gentle massage on the affected area
      C)
      Applying a heating pad to the affected area
      D)
      Administering analgesic medications
    2. The nurse is taking care of a patient diagnosed with Methicillin-Resistant Staphylococcus Aureus (MRSA). The nurse knows that this disease is difficult to treat and has a high mortality rate. Which medication would the nurse expect to be ordered to treat this infection?
      A)
      Amoxicillin
      B)
      Vancomycin HCL
      C)
      Fluconazole
      D)
      Abreva
    3. A nurse is collecting data on a client who has an infection. Which of the following findings are signs and symptoms of sepsis? (Select All that Apply.)
      (SATA)
      A)
      Pruritus
      B)
      Altered Mental Status
      C)
      Elevated White Blood Count
      D)
      Hypoglycemic
      E)
      Hypotension
    4. A nurse is assisting in the plan of care for a client showing signs of pneumonia. Which of the following nursing actions should be included?
      A)
      Encourage fluid intake of 1500 mL/day.
      B)
      Obtain a sputum culture.
      C)
      Position the client prone.
      D)
      Cough and deep breathe every 6 hours.

    Exam Review

    1. The nurse is collecting data on an older adult patient with a generalized rash. The patient reports severe itching and the nurse notes open lesions from scratching. Which additional finding causes the nurse the least concern?
      A)
      The patient is wearing soft soled slippers
      B)
      Patient has uncut fingernails
      C)
      The patient has an odor of urine and feces
      D)
      The patient has thin and brittle hair
    2. A nurse is caring for a client who has influenza. Which of the following personal protective equipment (PPE) should the nurse instruct the client to wear?
      A)
      Gown
      B)
      Goggles
      C)
      Mask
      D)
      Gloves
    3. The nurse works in an office with a dermatologist. What equipment is most important to have readily available when a patient is undergoing skin testing for allergies?
      A)
      Flashlight
      B)
      Resuscitation equipment
      C)
      Measuring Guide
      D)
      Alcohol and cotton swabs
    4. Which of the following is an example of a reservoir in the chain of infection?
      A)
      Wearing personal protective equipment (PPE)
      B)
      A contaminated surface
      C)
      Hand hygiene
      D)
      Proper disposal of sharps

    Exam Review

    1. A nurse is collecting data from a client who reports finding a new skin lesion. Which of the following actions is the nurse's priority?
      A)
      Identify when the client first noticed the lesion.
      B)
      Instructing the client on the use of daily sunscreen products.
      C)
      Photograph the lesion for the client's medical record.
      D)
      Document the client's history of skin allergies.
    2. A nurse is caring for a patient admitted with jaundice, a yellow-orange skin discoloration, the nurse knows which of the following is the organ most likely being the cause of the jaundice?
      A)
      Liver
      B)
      Heart
      C)
      Gall Bladder
      D)
      Pancreas
    3. The nurse in a health care provider's (HCP's) office is reassessing a patient's skin and making a comparison with the information from the patient's last visit. For which reason does the nurse focus on any changes noted in the patient's skin?
      A)
      The patient's psychological health is best predicted by the skin.
      B)
      Detection of skin cancer is the only reason to assess the client's skin.
      C)
      The skin is a good communicator regarding the client's overall health.
      D)
      Skin lesions are seen as solid predictors of general health state.
    4. A nurse is educating a class of nursing students about Community Health in order to eliminate another pandemic. What organizations or facilities provide assistance with identifying community health care issues? (Select All that Apply.)
      A)
      World Health Organization (WHO)
      B)
      Local Fire and Ambulance department
      C)
      American Nurses Association (ANA)
      D)
      Centers for Disease Control and Prevention
      E)
      Phlebotomist

    Exam Review

    1. A nurse in a provider's office is collecting data from a client who has skin lesions. The nurse notes that the lesions are 2.5 cm in size, elevated, solid, and deep. The nurse should document the findings as which of the following skin lesions?
      A)
      Macules
      B)
      Nodules
      C)
      Papules
      D)
      Bullae
    2. There are limited amounts of influenza vaccine currently available in the clinic. Which individual should the nurse identify as having the highest priority to receive vaccination at this time?
      A)
      A 26-year-old with three young children
      B)
      A 15-year-old who plays ice hockey
      C)
      A 49-year-old who works in food services
      D)
      An 88-year-old who lives in an apartment for senior citizens
    3. The nurse is transporting a patient with active tuberculosis (TB) to radiology. Which action should the nurse take?
      A)
      Place a N95 mask on the patient.
      B)
      Be sure the patient is wearing a protective gown.
      C)
      Instruct the patient to wear gloves to radiology.
      D)
      Place a surgical mask on the patient.
    4. A nurse is assisting with the admission of a client who has a new diagnosis of Methicillin-Resistant Staphylococcus aureus (MRSA). The nurse should plan to place the client in which of the following types of transmission-based precautions?
      A)
      Protective
      B)
      Airborne
      C)
      Contact
      D)
      Droplet

    Exam Review

    1. Which of the following actions can the nurse take to help prevent a health care-associated infection in an incontinent patient?
      A)
      Restricting Fluids
      B)
      Toileting patient every 4 hours
      C)
      Avoiding use of a urinary catheter
      D)
      Applying absorbent briefs
    2. The nurse is collecting a culture of a wound. During the procedure, the patient asks what is a culture? Which of the following is the best response by the nurse to explain why she is culturing the wound?
      A)
      "A culture determines the appropriate medication dose."
      B)
      "A culture identifies the presence of pathogens."
      C)
      "A culture identifies an antibiotic's peak levels on a pathogen."
      D)
      "A culture measures white blood cell levels."
    3. A nurse is working in a dermatology clinic. The provider orders a skin biopsy and you need to educate the client on the purpose a skin biopsy. Which of the following is indicative of a skin biospy?
      A)
      To remove a suspicious lesion
      B)
      To treat a skin infection
      C)
      To improve the appearance of the skin
      D)
      To relieve itching of discomfort
    4. A patient has been diagnosed recently with an upper respiratory infection. His brother arrives and would like to visit. The patient says he is not feeling strong enough to have visitors. Which symptom would indicate to the nurse that the client is developing a complication?
      A)
      Dry, occasional cough.
      B)
      Temperature or Febrile 103 degrees F (39.4 degrees C)
      C)
      Scratch throat
      D)
      Clear, watery drainage from the nose

    Exam Review

    1. A nurse is preparing to administer amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.)
    2. When performing dressing changes in an older client, what should the nurse assess for?
      A)
      Decreased pain levels
      B)
      Skin color changes
      C)
      Signs of infection
      D)
      Changes in blood pressure
    3. The nurse is taking a health history for a patient who is ill in the emergency room. The patient states that he has not been around anyone that has been sick lately. The nurse suspects the patient likely contracted the illness by indirect transmission. Which is an example of this type of transmission?
      A)
      Standing next to a person with a varicella (chicken pox) infection.
      B)
      Utilizing a friend’s computer keyboard.
      C)
      Talking directly to someone coughing.
      D)
      Walking past a individual coughing and sneezing
    4. A nurse is collecting data from four clients who have wounds. The nurse should recognize that which of the following clients has a manifestation of a wound infection?
      A)
      A client who has serosanguineous drainage from the wound
      B)
      A client who has urticaria and itching around the wound
      C)
      A client who has swelling, tenderness and purulent drainage around the wound
      D)
      A client who has brown crusting over the wound