RN
Quiz yourself by thinking what should be in
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| show | A. Blood sugar check
B. CT scan
C. Blood cultures
D. Arterial blood gases
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| A mother is inquiring about her child’s ability to potty train. Which of the following factors is the most important aspect of toilet training? | show 🗑
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| show | A. This too shall pass.
B. Take the child immediately to the ER
C. Contact the Poison Control Center quickly
D. Give the child syrup of ipeca
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| A nurse is administering a shot of Vitamin K to a 30 day-old infant. Which of the following target areas is the most appropriate? | show 🗑
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| A nurse has just started her rounds delivering medication. A new patient on her rounds is a 4-year-old boy who is non-verbal. This child does not have any identification on. What should the nurse do? | show 🗑
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| show | A. Elevated serum calcium
B. Low serum parathyroid hormone (PTH)
C. Elevated serum vitamin D
D. Low urine calcium
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| A patient with Addison’s disease asks a nurse for nutrition and diet advice. Which of the following diet modifications is not recommended? | show 🗑
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| A patient with a history of diabetes mellitus is on the second postoperative day following cholecystectomy. She has complained of nausea and isn’t able to eat solid foods. The nurse enters the room to find the patient confused and shaky. Which of the | show 🗑
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| following is the most likely explanation for the patient’s symptoms? | show 🗑
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| show | A. Bowel perforation
B. Viral Gastroenteritis
C. Colon cancer
D. Diverticulitis
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| show | A. Partial thromboplastin time
B. Prothrombin time
C. Platelet count
D. Hemoglobin
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| A nurse is assessing a clinic patient with a diagnosis of hepatitis A. Which of the following is the most likely route of transmission? | show 🗑
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| A leukemia patient has a relative who wants to donate blood for transfusion. Which of the following donor medical conditions would prevent this? | show 🗑
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| show | A. Naproxen sodium (Naprosyn)
B. Calcium carbonate
C. Clarithromycin (Biaxin)
D. Furosemide (Lasix)
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| show | A. The patient must maintain a low-calorie diet
B. The patient must maintain a high protein/low carbohydrate diet.
C. The patient should limit sweets and sugary drinks.
D. The patient should limit fatty foods.
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| show | A. Slow, deep respirations
B. Stridor
C. Bradycardia
D. Air hunger
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| show | A. A patient admitted for myocardial infarction without cardiac muscle damage.
B. A postoperative coronary bypass patient, recovering on schedule.
C. A patient with a history of ventricular tachycardia and syncopal episodes.
D. A patient
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| A patient is scheduled for a magnetic resonance imaging (MRI) scan for suspected lung cancer. Which of the following is a contraindication to the study for this patient? | show 🗑
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| show | A. The patient is somnolent with decreased response to the family.
B. The patient suddenly complains of chest pain and shortness of breath.
C. The patient has developed a wet cough and the nurse hears crackles on auscultation of the lungs.
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| A patient comes to the emergency department with abdominal pain. Work-up reveals the presence of a rapidly enlarging abdominal aortic aneurysm. Which of the following actions should the nurse expect? | show 🗑
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| show | A. Monitor for fever every 4 hours.
B. Require visitors to wear respiratory masks and protective clothing.
C. Consider transfusion of packed red blood cells.
D. Check for signs of bleeding, including examination of urine and stool for blood
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| platelet count of 25,000/microliter. Which of the following actions related specifically to the platelet count should be included in the nursing care plan? | show 🗑
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| A nurse in the emergency department is observing a 4-year-old child for signs of increased intracranial pressure after a fall from a bicycle, resulting in head trauma. Which of the following signs or symptoms would be cause for concern? | show 🗑
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| A nonimmunized child appears at the clinic with a visible rash. Which of the following observations indicates the child may have rubeola (measles)? | show 🗑
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| show | A. Scarlet fever is caused by infection with group A Streptococcus bacteria.
B. “Strawberry tongue” is a characteristic sign.
C. Petechiae occur on the soft palate.
D. The pharynx is red and swollen.
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| show | A. It is the correct dose
B. The dose is too low
C. The dose is too high
D. The dose should be increased or decreased, depending on the symptoms
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| show | A. Normally, the testes are descended by birth.
B. The infant will likely require surgical intervention.
C. The infant probably has only one testis.
D. Normally, the testes descend by one year of age.
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| A child is admitted to the hospital with a diagnosis of Wilms tumor, stage II. Which of the following statements most accurately describes this stage? | show 🗑
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| show | A. Urine specific gravity of 1.040.
B. Urine output of 350 ml in 24 hours.
C. Brown (“tea-colored”) urine.
D. Generalized edema.
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| show | A. A congenital condition leading to renal dysfunction.
B. Prior infection with group A Streptococcus within the past 10-14 days.
C. Viral infection of the glomeruli.
D. Nephrotic syndrome.
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| show | A. Massaging the groin area twice a day until the fluid is gone.
B. Referral to a surgeon for repair.
C. No treatment is necessary; the fluid is reabsorbing normally.
D. Keeping the infant in a flat, supine position until the fluid is gone.
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| A nurse is caring for a patient with peripheral vascular disease (PVD). The patient complains of burning and tingling of the hands and feet and cannot tolerate touch of any kind. Which of the following is the most likely explanation for these symptoms? | show 🗑
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| show | A. Family history of heart disease
B. Overweight.
C. Smoking.
D. Age.
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| show | A. It results when oxygen demand is greater than oxygen supply.
B. It is characterized by pain that often occurs during rest.
C. It is a result of tissue hypoxia.
D. It is characterized by cramping and weakness.
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| A nurse is providing discharge information to a patient with peripheral vascular disease. Which of the following information should be included in instructions? | show 🗑
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| A patient who has been diagnosed with vasospastic disorder (Raynaud’s disease) complains of cold and stiffness in the fingers. Which of the following descriptions is most likely to fit the patient? | show 🗑
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| show | A. Myocardial infarction due to a history of atherosclerosis.
B. Pulmonary embolism due to deep vein thrombosis (DVT).
C. Anxiety attacks due to worries about her baby’s health.
D. Congestive heart failure due to fluid overload.
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| Thrombolytic therapy is frequently used in the treatment of suspected stroke. Which of the following is a significant | show 🗑
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| show | A. Torticollis, with shortening of the sternocleidomastoid muscle.
B. Craniosynostosis, with premature closure of the cranial sutures.
C. Plagiocephaly, with flattening of one side of the head.
D. Hydrocephalus, with increased head size.
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| An adolescent brings a physician’s note to school stating that he is not to participate in sports due to a diagnosis of Osgood-Schlatter disease. Which of the following statements about the disease is correct? | show 🗑
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| show | A. Spinal flexibility
B. Leg length disparity
C. Hypostatic blood pressure
D. Scoliosis
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| A clinic nurse interviews a parent who is suspected of abusing her child. Which of the following characteristics is the nurse least likely to find in an abusing parent? | show 🗑
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| show | A. The child has a poor chance of recovery without joint deformity.
B. Most children progress to adult rheumatoid arthritis.
C. Nonsteroidal anti-inflammatory drugs are the first choice in treatment.
D. Physical activity should be minimized.
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| A child is admitted to the hospital several days after stepping on a sharp object that punctured her athletic shoe and entered the flesh of her foot. The physician is concerned about osteomyelitis and has ordered parenteral antibiotics. | show 🗑
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| Which of the following actions is done immediately before the antibiotic is started? | show 🗑
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| A two-year-old child has sustained an injury to the leg and refuses to walk. The nurse in the emergency department documents swelling of the lower affected leg. Which of the following does the nurse suspect is the cause of the child’s symptoms? | show 🗑
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| show | A. Regular developmental screening is important to avoid secondary developmental delays.
B. Cerebral palsy is caused by injury to the upper motor neurons and results in motor dysfunction, as well as possible ocular and speech difficulties.
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| show | E. Therapies and surgical interventions can cure cerebral palsy.
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| show | A. Duchenne’s is an X-linked recessive disorder, so daughters have a 50% chance of being carriers and sons a 50% chance of developing the disease.
B. Duchenne’s is an X-linked recessive disorder, so both daughters and sons have a 50% chance of d dx
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| show | A. Surgical repair of a diseased coronary artery.
B. Placement of an automatic internal cardiac defibrillator.
C. Procedure that compresses plaque against the wall of the diseased coronary artery to improve blood flow.
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| show | A. They can expect the child will be mentally retarded.
B. Administration of thyroid hormone will prevent problems.
C. This rare problem is always hereditary.
D. Physical growth/development will be delayed.
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| A priority goal of involuntary hospitalization of the severely mentally ill client is | show 🗑
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| show | A. “I don’t remember anything about what happened to me.”
B. “I’d rather not talk about it right now.”
C. “It’s the other entire guy’s fault! He was going too fast.”
D. “My mother is heartbroken about this.”
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| The nurse is caring for a woman 2 hours after a vaginal delivery. Documentation indicates that the membranes were ruptured for 36 hours prior to delivery. What are the priority nursing diagnoses at this time? | show 🗑
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| A 3-year-old had a hip spica cast applied 2 hours ago. In order to facilitate drying, the nurse should: | show 🗑
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| show | A. Instruct the client to maintain a regular diet the day prior to the examination.
B. Restrict the client’s fluid intake 4 hours prior to the examination.
C. Administer a laxative to the client the evening before the examination.
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| Following a diagnosis of acute glomerulonephritis (AGN) in their 6-year-old child, the parent’s remark: “We just don’t know how he caught the disease!” The nurse’s response is based on an understanding that: | show 🗑
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| The nurse is caring for a 20 lbs (9 kg) 6 month-old with a 3-day history of diarrhea, occasional vomiting and fever. Peripheral intravenous therapy has been initiated, with 5% dextrose in 0.33% normal saline with 20 mE | show 🗑
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| While caring for the client during the first hour after delivery, the nurse determines that the uterus is boggy and there is vaginal bleeding. What should be the nurse’s first action? | show 🗑
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| The nurse is assessing an infant with developmental dysplasia of the hip. Which finding would the nurse anticipate? | show 🗑
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| show | A. Assist the client to use the bedside commode.
B. Administer stool softeners every day as ordered.
C. Administer antidysrhythmics prn as ordered.
D. Maintain the client on strict bed rest.
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| show | A. Give the client orientation materials and review the unit rules and regulations.
B. Introduce him/her and accompany the client to the client’s room.
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| show | C. Take the client to the day room and introduce her to the other clients.
D. Ask the nursing assistant to get the client’s vital signs and complete the admission search.
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| show | A. “I have constant blurred vision.”
B. “I can’t see on my left side.”
C. “I have to turn my head to see my room.”
D. “I have specks floating in my eyes.”
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| A client with asthma has low pitched wheezes present in the final half of exhalation. One hour later the client has high pitched wheezes extending throughout exhalation. This change in assessment indicates to the nurse that the client: | show 🗑
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| The nurse is caring for a client with a long leg cast. During discharge teaching about appropriate exercises fo affected extremity, the nurse should recommend: | show 🗑
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| show | A. Counsel the woman to consent to HIV screening.
B. Perform tests for sexually transmitted diseases.
C. Discuss her high risk for cervical cancer.
D. Refer the client to a family planning clinic.
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| show | A. Arrange to change client care assignments.
B. Explain that this behavior is expected.
C. Discuss the appropriate use of “time-out”.
D. Explain that the child needs extra attention.
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| While planning care for a 2-year-old hospitalized child, which situation would the nurse expect to most likely affect the behavior? | show 🗑
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| show | A. They are able to make simple associations of ideas.
B. They are able to think logically in organizing facts.
C. Interpretation of events originates from their own perspective.
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| show | D. Conclusions are based on previous experiences.
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| The nurse has just admitted a client with severe depression. From which focus should the nurse identify a priority nursing diagnosis? | show 🗑
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| show | A. Sports and games with rules.
B. Finger paints and water play.
C. “Dress-up” clothes and props.
D. Chess and television programs
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| show | A. High Fowler’s
B. Supine
C. Left lateral
D. Low Fowler’s
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| show | A. Urinary output of 30 ml per hour
B. No complaints of thirst
C. Increased hematocrit
D. Good skin turgor around burn
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| show | A. Acute pain related to biologic and chemical factors
B. Anxiety related to change in or threat to health status
C. Hopelessness related to deteriorating physiological condition
D. Risk for Side effects related to medical therap
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| show | A. Avoid foods that contain tyramine, such as alcohol and aged cheese.
B. Avoid drugs such as Tagamet, nitroglycerin and Nifedipine.
C. Abortive therapy is aimed at eliminating the pain during the aura.
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| The patient with migraine headaches has a seizure. After the seizure, which action can you delegate to the nursing assistant? | show 🗑
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| You are preparing to admit a patient with a seizure disorder. Which of the following actions can you delegate to LPN/LVN? | show 🗑
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| show | A. “You should avoid consumption of all forms of alcohol.”
B. “Wear your medical alert bracelet at all times.”
C. “Protect your loved one’s airway during a seizure.”
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Created by:
Faith111