front 1 A previously healthy 35 year-old woman is admitted to your medical unit with fever, cough, and body aches for two days. She tests positive for seasonal influenza. What type of precautions would be appropriate? a) Contact b) Droplet c) Airborne D) Standard Precautions | back 1 B |
front 2 You are assisting in the admissions process for a patient being directly admitted to your hospital. A 75 year-old male patient presents with his daughter who tells you he’s had a large draining wound on his hip that’s difficult to keep covered and draining onto his linens. You confirm this and suggest to the nurse the patient be placed into: a) Contact Precautions b) Standard Precautions c) Droplet Precautions d) Airborne Isolation Precautions | back 2 A |
front 3 You are a nurse working in the triage area of the Emergency Department. A patient reports a cough with blood-streaked sputum for almost two months with night sweats and an unintended 20-lb weight loss. You suspect tuberculosis (TB). What type of precautions would be appropriate? a) Contact b) Droplet c) Airborne d) Contact & Droplet | back 3 C |
front 4 A newly admitted patient was found wandering the hallways for the past two nights. The most appropriate nursing interventions to prevent a fall for this patient would include: A. raise all four side rails when darkness falls. B. use an electronic bed monitoring device. C. place the patient in a room close to the nursing station. D. use a loose-fitting vest-type jacket restraint. | back 4 C |
front 5 While caring for a child, you identify that additional safety teaching is needed when a young and inexperienced mother states that: A. teenagers need to practice safe sex. B. a 3 year old can safely sit in the front seat of the car. C. children need to wear safety equipment when bike riding. D. children need to learn to swim even if they do not have a pool. | back 5 B |
front 6 A nurse floats to a busy surgical unit and administers a wrong medication to a patient. This error can be classified as: A. a poisoning accident. B. an equipment-related accident. C. a procedure-related accident. D. an accident related to time management. | back 6 C |
front 7 Which can be ruled out as a source of a healthcare-associated infection (HAI)? A. The patient with an IV B. The nurse inserted urinary catheter C. The physician performed colonoscopy D. The wife with a cold | back 7 D |
front 8 What is the most important weapon against the spread of infection in the hospital? A. Antibiotics B. Isolation C. Hand washing D. Sterilization of equipment | back 8 C |
front 9 If a client is in respiratory isolation without danger of splash, which is not needed? A. Hand washing B. Wearing a mask C. Wearing protective eye wear D. Private room | back 9 C |
front 10 You are caring for a patient who underwent surgery 48 hours ago. On physical assessment, you notice that the wound looks red and swollen. The patient’s WBCs are elevated. You should: A. start antibiotics B. notify the provider C. document the findings and reassess in 2 hours D. place the patient on isolation precautions | back 10 B |
front 11 Which best describes medical asepsis? A. The purpose of medical asepsis is to eliminate microorganisms. B. The purpose of medical asepsis is to reduce and prevent the spread of microorganisms C. Medical asepsis involves sterilization of equipment D. Contamination occurs whenever something sterile comes into contact with something not sterile | back 11 B |
front 12 A patient is admitted to a medical unit for a home-acquire pressure ulcer. The patient has Alzheimer’s disease and has been incontinent of urine. The nurse inserts a Foley catheter. You will identify a link in the infection chain as: A. restraints. B. poor hygiene. C. Foley catheter bag. D. improper positioning. | back 12 C (could be portal of exit or entry) |
front 13 Healthy People 2020: A. Focuses on health promotion and disease prevention B. Is illness care focused C. Mandates system change D. Applies to adults only | back 13 A |
front 14 According to Maslow’s hierarchy of needs, which of these needs would the patient seek to meet first? A. Self-actualization B. Self-esteem C. Shelter D. Love and belonging | back 14 C |
front 15 A client suffers from seasonal allergies. The physician suggests a prescription antihistamine and a series of sensitization injections. The client would prefer using a nettipot, air conditioning with HEPA filtration and evening showers. The client is subscribing to what model of care? A. Health Belief B. Health Promotion C. Holistic Health D. Maslow’s Basic Human Needs | back 15 C |
front 16 After evaluating a patient’s external variables, the nurse concludes that health beliefs and practices can be influenced by: A. emotional factors. B. intellectual background. C. developmental stage. D. socioeconomic factors. | back 16 D |
front 17 A 65 year old, African-American male is seen for treatment of hypertension. He works in a high powered executive position, gave up smoking 15 years ago, drinks sociably on occasion and has a BMI of 34. Identify his risk factors for cardiovascular disease. Which are modifiable which are not? | back 17 Modifiable: a high powered executive position, smoking 15 years ago, drinks sociably, BMI of 34. Non-modifiable:65 year old, African-American, male |
front 18 Upon graduation, a student would like to seek employment in the neonatal intensive care unit at Nationwide Children’s Hospital. This student prefers what level of nursing care? A. Preventative care and education B. Acute care, high acuity nursing C. Rehabilitative services D. End-of life care | back 18 B |
front 19 A senior nursing student in the Community Nursing class participates in a health fair and teaches bike safety to elementary students. What level of prevention is this student practicing?´ A. Primary Prevention B. Secondary Prevention C. Tertiary Prevention D. Preventative medicine | back 19 A |
front 20 A nursing student is oriented to the unit’s new blood pressure, thermometer and accu check machines during hospital orientation. This is an example of which QSEN competency? A. Patient-centered care B. Safety C. Teamwork and collaboration D. Informatics | back 20 B |
front 21 You will use the concept of tertiary prevention when instructing a patient to: A. Get a flu shot every year. B. Take a blood pressure reading every day. C. Explore hiring a patient with a known disability. D. Undergo physical therapy following a cerebrovascular accident. | back 21 D |
front 22 All patients on bed rest have a lowered BMR? True or False | back 22 False |
front 23 Electrolytes •Na 135-145, •K 3.5-5.3 •Cl 97-107 •Mg 1.6-2.6 •BiCarb 22-26 mEq/L •Ca 8.2-9.6 | back 23 Normal lab values |
front 24 Alubumin | back 24 3.4-4.8 g/dL |
front 25 T. Protein | back 25 6-8 g/dL |
front 26 BUN | back 26 10-31 mg/dL |
front 27 Creatine | back 27 .5-1.2 mg/dL |
front 28 A patient has difficulty breathing while lying flat. What should the nurse’s first action be? A. Raise the HOB up to 45 degree angle B. Auscultate for adventitious lung sounds C. Assess the patency of the patient’s nasal sinuses D. Assess the extremities for adequate circulating blood volume | back 28 A |
front 29 The nurse receives 4 patients in report. Which should she see first? A. 84 y.o. with pneumonia, RR 28, Sp02 89% B. 54 y.o. post-surgical patient for fractured arm, BP 160/90, HR 72 C. 63 y.o. with venous ulcers from DM, temp 99.1, HR 84 D. 77 y.o. post-surgical mastectomy patient, RR 22, BP 148/62 | back 29 A |
front 30 Skin turgor is an assessment of: A. Skin tensile strength B. Hydration status C. Underlying support D. Tactile pain sensation | back 30 B |
front 31 A nurse is caring for a patient who states, “I just want to die.” For the nurse to comply with this request, the nurse should discuss: A. living wills. B. assisted suicide. C. passive euthanasia. D. advance directives. | back 31 D |
front 32 A student nurse employed as a nursing assistant may perform care: A. as learned in school. B. expected of a nurse at that level. C. identified in the hospital’s job description. D. requiring technical rather than professional skills. | back 32 C |
front 33 A patient you are assisting has fallen in the shower. You must complete an incident report. The purpose of an incident report is to: A. exchange information among health care members. B. provide information about patients from one unit to another unit. C. ensure proper care for the patient. D. aid in the hospital’s quality improvement program. | back 33 D |
front 34 You are about to administer an oral medication and you question the dosage. You should: A. administer the medication. B. notify the physician. C. withhold the medication. D. document that the dosage appears incorrect. | back 34 B |
front 35 Information regarding a patient’s health status may not be released to non–health care team members because: A. legal and ethical obligations require health care providers to keep information strictly confidential. B. regulations require health care institutions to document evidence of physical and emotional well-being. C. reimbursement issues related to patient care and procedures may be of concern. D.fragmentation of nursing and medical care procedures may be identified. | back 35 A |
front 36 The nursing assistant asks you the difference between a wound that heals by primary or secondary intention. You will reply that a wound heals by primary intention when the skin edges: A. are approximated. B. migrate across the incision. C. appear slightly pink. D. slightly overlap each other. | back 36 A |
front 37 A surgical wound requires a Hydrogel dressing. The primary advantage of this type of dressing is that it provides: A. an absorbent surface to collect wound drainage. B. decreased incidence of skin maceration. C. protection from the external environment. D. moisture needed for wound healing. | back 37 D |
front 38 A postoperative patient arrives at an ambulatory care center and states, “I am not feeling good.” Upon assessment, you note an elevated temperature. An indication that the wound is infected would be: A. it has no odor. B. a culture is negative. C. the edges reveal the presence of fluid. D. it shows purulent drainage coming from the incision site. | back 38 D |
front 39 Which is not part of the Braden Scale Assessment tool? A. Skin integrity B. Moisture C. Mobility D. Sensation | back 39 A |
front 40 The nurse is caring for a surgical client who develops a wound
infection during hospitalization. How is this type of infection
classified? | back 40 4 |
front 41 A hospitalized client develops an infection at a catheter insertion site. The nurse uses the term iatrogenic when describing this infection. Which rationale explains the Nurse's comment? A. Poor personal hygiene B. Inadequate dietary intake is the cause C. The client's developmental level is the cause D. A procedure performed at the hospital is the cause | back 41 D |
front 42 how would the nurse explain the purpose of standard precautions to the nursing assistant on a surgical unit? A. Decrease the risk of transmitting unidentified pathogens B. Used by staff when clients are suspected of having a communicable disease C. Ensure clients perform hand hygiene practices in a universal way D. Create categories requiring the client to follow additional precautions | back 42 A |
front 43 Which category of isolation would the nurse implement for a client who is positive for Clostridium difficile? A. Airborne precautions B. Droplet precautions C. Contact precautions D. Protective Environment | back 43 C |
front 44 The nurse is reviewing discharge plans with a client who is hospitalized with hepatitis A. The nurse concludes that the client understands preventive measures to reduce the risk of spreading the disease when the client makes which statement? A. "I should wash my hands frequently." | back 44 A |
front 45 A nurse is teaching Unlicensed Assistive Personnel (UAP) about ways
to prevent the spread of infection. It would be appropriate for the
nurse to emphasize that the cycle of the infectious process must be
broken, which is accomplished primarily through: | back 45 1 |
front 46 Arrange the order of donning personal protective equipment (PPE) while caring for a client with isolation precautions. | back 46 1. Apply the cover gown, pull the sleeves down to the wrists, and tie the gown securely at the neck and waist. 2.Apply either a surgical mask or a respirator around the mouth and the nose. 3. Apply eyewear or goggles snugly around the face and eyes 4. Apply clean gloves within the gown 5. Bring the glove cuffs over the edge of the gown sleeves |
front 47 Arrange in the order the items of personal protective equipment (PPE) removed after seeing a client in droplet precautions. | back 47 1. Gloves 2. Face shield 3. Gown 4. Mask |
front 48 The school nurse presented a program for teachers about infection-control and hand-washing techniques. Which evaluation method is the most effective way for nurse to evaluate the teachers' knowledge of hand-washing techniques? A. Observe the teachers lecture the children about hand hygiene B. Administer an objectively written final examination to the teachers c. Have the teachers share their knowledge of hand washing D. Watch the teachers demonstrate infection-control techniques | back 48 D |
front 49 A client with active tuberculosis is walking down the hall to obtain a glass of juice from the kitchen, even after having received education regarding airborne precautions. Which nursing intervention would the nurse implement at this time? A. Ensure regular visits by staff members to meet the clients needs B. Explore what airborne precautions mean to the client C. Report the situation to the infection control nurse immediately D. Reteach the concepts of airborne precautions to client | back 49 B |
front 50 Which action would the nurse take first after learning that sputum cultures for a client with a chronic cough were positive for tuberculosis? A. Place the client on airborne precautions B. Notify the client's provider C. Auscultate the client's breath sounds D. Notify the public health department | back 50 A |
front 51 The nurse changed a dressing on a client's wound with vancomycin-resistant enterococci (VRE). Which step would the nurse take to ensure proper disposal of the soiled dressing? A. Place the dressing in the bedside trash can B. PLace the dressing in a red/hazardous materials bag C. Contact environmental services personnel to pick up the dressing D. Transport the dressing to the laboratory to be placed in the incinerator | back 51 B |
front 52 A nurse caring for a client prioritizes nursing actions on the basis of Maslow's hierarchy of needs. Which activities should the nurse perform to meet the client's safety and security needs? A. Providing a cold bath to reduce the client's body temperature | back 52 B, C, D |
front 53 Which should the nurse include when teaching a client with Clostridium difficile about decreasing the risk of transmission to family members? A. Increase fluid intake B. A high-fiber diet C. Soap and water for hand washing D. Wash hands with an alcohol based sanitizer | back 53 C |
front 54 To ensure client and visitor safety during transport of a client with influenza A (H1N1) for a computed tomography, the nurse would take which precautions? A. Place a surgical mask on the patient B. Other than the standard precautions, no additional precautions are needed C. Minimize close physical contact D. Cover the client's legs with a blanket | back 54 A |
front 55 Which strategy is the most effective for preventing the transmission of infection? A. wearing gloves and a gown B. Applying a face mask and a gown C. Applying a face mask and gloves D. Gloves and hand hygiene | back 55 D |
front 56 Identify an example of microorganisms transmitted via indirect contact A. Kissing B. Deer tick C. Dirty hands D. Contaminated water | back 56 C |
front 57 Which criteria would the nurse consider when determining if an infection is a health-care associated infection? A. originated primarily from an exogenous source B. is associated with a medication-resistant microorganism C. Occured in conjunction with treatment for an illness D. Still has the infection despite completing the prescribed therapy | back 57 C |
front 58 Under which type of health care services would the nursing student include subacute care? 1. tertiary care 2. continuing care 3. restorative care 4. secondary acute care | back 58 A |