EAQ Daily Quiz Questions

Which client is at risk of meningitis, hearing loss, and generalized paresis? Client A: Gummas on the skin, nose, mouth, and bones Client B: Painless, indurated, smooth, weeping lesions on skin Client C: Diffuse reddish-brown macules and papule 3mm in size near the genitalia Client D: Malaise, muscular aches, condylomata lata, and moth-eaten appearance of the scalp

Client A: Gummas on the skin, nose, mouth, and bones Gummas on the skin, nose, mouth and bones are associated with the third stage of syphillis. A client in the third stage of syphilis is at higher risk for neurosyphilis. This may lead to central nervous system problems, making Client A more prone.

The nurse is helping a mother breastfeed her newborn. What is the best indication that the newborn has achieved an effective attachment to the breast? A. The tongue is securely on top of the nipple B. The mouth covers most of the areolar surface C. Loud sucking sounds are heard during the 15 minutes spent at each breast D. Vigorous suckling occurs for the 5 minutes the infant spends at each breast before falling asleep

B. The mouth covers most of the areolar surface

Which nursing intervention is unique to infants with cleft lip? A. Changing the infant's position often B. Using modified techniques for feeding C. Monitoring the infant's daily intake and output D. Keeping the infant's head elevated during feedings

B. Using modified techniques for feeding

Which intervention would the nurse include in the plan of care for a postterm newborn? A. Monitoring for apnea B. Monitoring for hypothermia C. Evaluation of the nutritional status D. Observation for respiratory distress syndrome type 1

C. Evaluation of the nutritional status

The nurse provides medication teaching on diuretic therapy to a client who receives a prescription for potassium supplements. Which statement by the client causes the nurse to conclude that the teaching was effective? A. "I should report any abdominal distress" B. "I should use salt substitutes to season food" C. "I should take the drug on an empty stomach" D. "I should increase the dosage if I have muscle cramps"

A. "I should report any abdominal distress"

A 10-year-old child sustained partial-thickness burns of the anterior surfaces of both arms and hands and the upper hand of the chest. Using the grading system of the American Burn Association, the nurse estimates the total body surface area (TBSA) involves. Which is the approximate TBSA affected?

17% In the calculation of TBSA, 5.25% is assigned for each anterior portion of the arm and hand (10.5% total) and 6.5% is assigned for the upper half of the chest, yielding 17% as the TBSA burned

Which statement by the parent of a 6-month-old, formula-fed infant indicates understanding of nutritional counseling? A. "I'll keep giving him formula instead of regular cow's milk" B. I'll buy plenty of pureed spinach so he gets enough iron" C. "Using a natural sweetener like honey is better than using table sugar" D. "Baby food is sterilized, so it's better to feed directly from the jar then from a bowl"

A. "I'll keep giving him formula instead of regular cow's milk"

Which statement indicates that a client being discharged after a myocardial infarction will require further nutrition education? A. "I should limit my intake of processed red meat" B. "I should use butter because it is more natural than other fats" C. "I should eat fatty fish like salmon or tuna at least twice per week" D. "Walnuts are high in a healthy form of fat and are okay in moderation"

B. "I should use butter because it is more natural than other fats"

A 4-year-old is admitted with burns over the entire right arm and the anterior and posterior aspects of both legs. Using the percentage of total body surface area (TBSA) that was burned, which amount would the nurse estimate is affected? A. 36% B. 41% C. 47% D. 52%

B. 41%

The mother of a healthy 10-month-old infant asks the nurse which type of milk and pureed foods she should give her baby. Which response would the nurse give? A. Pears, green beans, turkey and whole milk B. Peaches, beef, cottage cheese, and 2% milk C. Carrots, chicken, applesauce, and breast milk D. Bananas, sweet potatoes, ham, and skim milk

C. Carrots, chicken, applesauce, and breast milk

After a modified radical mastectomy a client has two portable would drainage systems in place. Which intervention would be initiated for these drainage systems? A. Irrigating the tubes with normal saline to ensure patency B. Attaching the tubes to straight drainage to monitor the output C. Leaving the drains open to the air to ensure maximum drainage D. Compressing the drainage receptacles after emptying the to maintain suction

D. Compressing the drainage receptacles after emptying the to maintain suction

Which feeding instruction would the nurse give the mother of a 2-month-old infant with the diagnosis of heart failure? A. Mix powdered formula to a double-strength consistency to promote growth B. Refrain from using a soft nipple to avoid increased effort with oral intake C. Allow infant to cry before feeding to avoid overfeeding D. Feed slowly while allowing time for adequate periods of rest

D. Feed slowly while allowing time for adequate periods of rest

A mother is concerned that her 1-month-old infant is nursing every 2 hours. How would the nurse respond to the mother's concern? A. "It's common for newborns to nurse this often. Let's talk about how you're adjusting with the new baby" B. "Breast milk is easily digested; giving your infant a little rice cereal will keep him full longer." C. "It sounds as though your baby is used to being held; try to resist feeding more often than every 4 hours" D. You may not be producing enough milk; it'll be important for you to supplement feedings with formula"

A. "It's common for newborns to nurse this often. Let's talk about how you're adjusting with the new baby"

Which would the nurse teach parents about their newborn's diagnosis of phenylketonuria (PKU)? A. A low-phenylalanine diet is required B. Phenylalanine is not necessary for growth C. Phenylalanine can be administered to correct the deficiency D. Oral amino acids can be substitute for phenylalanine

A. A low-phenylalanine diet is required

Which is the nurse's best response to a parent who asks which foods should be introduced first for their 6-month-old infant? A. Baby cereals B. Soft-boiled eggs C. Fruits and puddings D. Meats and vegetables

A. Baby cereals

Which part of a newborn's body is usually affected by the rash erythema toxic neonatorum? Select all. A. Face B. Palms C. Soles D. Trunk E. Buttocks

A. Face D. Trunk E. Buttocks

Which intervention would the nurse provide for a client with thrombocytopenia to decrease the possibility of injury? A. Gently handle body parts B. Slide the client up in bed over the sheets C. Apply pressure bandages over bony prominences D. Test for skin turgor by pinching up the skin over the forearms.

A. Gently handle body parts

Before documenting a LATCH score, which observation would the nurse include during a feeding of a newborn? Select all. A. Hold B. Latch C. Comfort D. Type of nipple E. Audible swallowing

A. Hold B. Latch C. Comfort D. Type of nipple E. Audible swallowing

Which is the appropriate way to introduce infants to pureed foods? A. Introduce one food at a time every 4 to 7 days B. Mix the pureed food with the formula two or three times a day C. Maintain formula intake regardless of solid food intake D. Offer pureed foods by spoon after the bottle of formula is finished

A. Introduce one food at a time every 4 to 7 days

Which characteristic would prompt the nurse to classify a wound as stage 4 instead of stage 3? Select all. A. The client is at risk for osteomyelitis B. Bone, tendon, and muscle are exposed C. Slough obscures the depth of tissue loss D. The injury involves full-thickness tissue loss E. The wound often includes undermining or tunneling

A. The client is at risk for osteomyelitis B. Bone, tendon, and muscle are exposed D. The injury involves full-thickness tissue loss E. The wound often includes undermining or tunneling

Which fact would the nurse consider when monitoring an older adult's vital signs? Select all. A. The older adult with an infection is often afebrile B. The older adult has decreased heart rate at rest C. After 75 years of age, core temperature averages 97.2F D. Pulses can be occluded easily in older adults; gentle pressure would be used E. The respiratory rate often increases to compensate for decreased depth of respiration F. Older adults have increases in systolic blood pressure, while diastolic blood pressure is unchanged

A. The older adult with an infection is often afebrile B. The older adult has decreased heart rate at rest C. After 75 years of age, core temperature averages 97.2F D. Pulses can be occluded easily in older adults; gentle pressure would be used E. The respiratory rate often increases to compensate for decreased depth of respiration F. Older adults have increases in systolic blood pressure, while diastolic blood pressure is unchanged

Which lifestyle modification would the nurse recommend for a client with peripheral arterial disease of the legs? Select all. A. Walk more throughout the day B. Maintain a slightly dependent position when resting C. Use a thick moisturizer on your feet, and inspect them daily D. Wear socks or insulated shoes at all times, even around the house E. Eat a low-fat and low-cholesterol diet with a moderate amount of protein and carbohydrate

A. Walk more throughout the day B. Maintain a slightly dependent position when resting C. Use a thick moisturizer on your feet, and inspect them daily D. Wear socks or insulated shoes at all times, even around the house E. Eat a low-fat and low-cholesterol diet with a moderate amount of protein and carbohydrate

Which is the appropriate response when a mother presents with her overweight 10-month-old infant and states that the infant refuses milk and only drinks orange juice? A. "Infants lose weight when they start walking B. "Let's talk about his nutrition" C. "Is he getting an iron supplement?" D. "Why is he only drinking orange juice?"

B. "Let's talk about his nutrition"

Which statement made by the parents indicates further teaching is needed about the care of circumcision for a 3-day-old newborn? Select all. A. "I will avoid using any baby wipes until the penis has healed" B. "My baby should have at least four wet diapers in a 24-hour period" C. "I can expect a yellow exudate to form over the penis after 24 hours" D. "I can wash the circumcised area with soap and water if it becomes soiled E. "I should apply the diaper snugly over the penis to help prevent bleeding"

B. "My baby should have at least four wet diapers in a 24-hour period" D. "I can wash the circumcised area with soap and water if it becomes soiled E. "I should apply the diaper snugly over the penis to help prevent bleeding" Baby wipes should be avoided until the site is healed because they may obtain alcohol. A hello exudate is normal after 24 hours and should not be wipes off. A 3-day-old newborn should have at least six to eight wet diapers within 24 hour period. The circumcised area should be washed with warm water only, and the diaper should be applied loosely over the penis to prevent pressure on the circumcised area

An adolescent child who has sustained full-thickness burns is to undergo skin grafting. Which therapy will the nurse explain as necessary with a permanent graft? A. Steroids B. Autograft C. Homografts D. Immunosuppressants

B. Autograft

Which service fits a client who is independent but homebound after a lengthy hospital stay? A. Physical therapy B. Meals on wheels C. Occupational therapy D. Transfer to assisted living

B. Meals on wheels

Which nutritional problem is associated with Down syndrome? A. Rickets B. Obesity C. Anemia D. Rumination

B. Obesity

The nurse in the pediatric clinic is taking the health history of a toddler with an exacerbation of eczema. Which is the nurse's priority assessment of the child? Select all. A. Increase in appetite B. Wearing cotton clothes C. Tolerance of new foods D. Exposure to a viral infection E. Recent contact with someone with eczema

B. Wearing cotton clothes C. Tolerance of new foods

Which action would the nurse take when administering tetracycline to a client? A. Administer the medication with meals or a snack B. Provide orange or other citrus fruit juice with the medication C. Give the medication 1 hour before milk products are ingested D. Offer antacids 30 minutes after administration if gastrointestinal side effects occur

C. Give the medication 1 hour before milk products are ingested

A 3-month-old infant diagnosed with tetralogy of Fallot has a weight loss resulting in a decline from the 25th percentile to the 5th. Which is the most likely reason for this weight loss? A. Cyanosis resulting in cerebral changes B. Decreased arterial oxygen level resulting in polycythemia C. Pulmonary hypertension resulting in recurrent respiratory infections D. Inadequate oxygen perfusion leading to activity intolerance, resulting in diminished energy to nurse

D. Inadequate oxygen perfusion leading to activity intolerance, resulting in diminished energy to nurse