EAQ final

Which intervention would the nurse implement to prevent cross-contamination of herpes genitals from one client to another?

Wear a gown and gloves when providing direct care

The nurse concludes that the teaching about sickle cell anemia has been understood when an adolescent with the disorder makes which statement?

'I'll start have symptoms when I drink less fluid.'

Which sexually transmitted infection (STI) is most commonly reported?

Chlamydia

A child becomes cyanotic during a generalized tonic-clonic seizure. Which is the most appropriate action by the nurse?

Continuing to observe the seizure

To keep the client with Alzheimer disease who has hyperorality safe, which parameter would the nurse have the staff closely monitor?

For attempts at eating inedible objects

Which sexually transmitted infection is caused by a virus?

Genital warts

Which manifestation indicates tertiary syphilis?

Gummas

A primary nurse receives prescriptions for a newly admitted client and has difficulty reading the health care provider's writing. The nurse would seek clarification of the prescription by which individual?

Health care provider who wrote the prescription

Which intervention would the nurse add to the plan of care for a client who engages in ritualistic behavior?

Help the client understand that the behavior is caused by maladaptive coping with increased anxiety

Which term describes the practice of placing clients with the same infection in a semi-private room?

Cohorting

Which health care team member is familiar with all the needs of any individual client?

Charge nurse

When planning for a client's care during the detoxification phase of early alcohol withdrawal, which action would the nurse take?

Check on the client frequently

Which stage of the human immunodeficiency virus (HIV) would a client with a CD4+ T cell count of 325 cells/mm3 be classified?

Stage 2

Which organization assists in establishing policies related to Medicare and medicaid payment for meaningful use of electronic health records (EHRs)?

Center for Medicare and Medicaid Services (CMS)

Which toys would the nurse suggest to the parent of a 4-month-old infant to help promote the child's growth and development?

Soft squeeze toys

Which conditions pose the greatest risk for injury for an adolescent? Select all that apply.

Substance abuse, motor vehicle accidents

Which statement explains the benefit of continuous regional analgesia versus conventional methods?

Systemic side effects are minimal

Which reaction is an example of a type 1 hypersensitivity reaction?

Anaphylaxis

Which is the average optimal blood pressure of an adolescent?

110/65 mm Hg

The client can complete range of motion with gravity eliminated. Which grade would the nurse assign to the client's muscle strength?

2

Which component of delegation is the ability to perform duties in a specific role?

Authority

A 50-year-old client has difficulty communicating because of expressive aphasia after a cerebrovascular accident (CVA, also known as a 'brain attack'). When the nurse inquired about the client's feelings, the spouse responded. Which communication strategy would the nurse use to address this behavior?

Acknowledge the spouse, but look at the client for a response

The spouse of a client with pulmonary tuberculosis (TB) received a tuberculin skin test. The nurse examined the skin test and identified an area of induration greater than 10mm. Which response to this finding would the nurse implement?

Additional tests are necessary to determine infection status

Which sexually transmitted infection causes condylomata acuminate?

Human papilloma virus (HPV)

Which type of joint permits movement in any direction?

Ball-and-socket

Which product would the nurse instruct intravenous drug users (IDUs) to use for cleaning of needles and syringes between uses?

Bleach

Which structures protect a client's internal organs, support blood cell production, and store minerals?

Bones

Which condition would be a contraindication to electroconvulsive therapy (ECT)?

Brain tumor

The objective of a therapy group is to assist the members to change behavior so they are able to participate in life in a more satisfying manner. Which leadership style is best to achieve this objective?

Democratic, guiding

Which diagnostic procedure is used to detect muscle weakness?

Electromyography (EMG)

Which antibody forms first, after exposure to an antigen?

Immunoglobulin M (IgM)

Which statement accurately describes a health care policy as it relates to health care economics?

It provides overarching goals and helps in setting priorities and values for the distribution of health resources

The nurse is caring for a client who is receiving azathioprine, cyclosporine, and prednisone before receiving a kidney transplant. Which medication action would the nurse identify as the purpose of these medications?

Reduce antibody production

Which health care team member is responsible for analyzing the knowledge and work of newly hired unlicensed assistive personnel before delegating a task?

Registered nurse (RN)

Which health care team member supervises unlicensed nursing personnel (UNPs) in providing care to the client?

Registered nurse (RN)

The parents of a 2-year-old child are watching the nurse administer the Denver II Developmental Screening Test to their child. They ask, 'Why did you make our child draw on paper? We don't let our child draw at home.' Which is the best response by the nurse?

'It lets us test the child's ability to perform tasks requiring the hands'

Which surgery will a client undergo if pituitary gland must be removed?

Hypophysectomy

Which critical thinking skill will help a student nurse avoid making assumptions about clients?

Analysis

After the nurse provides education about all-terrain vehicle (ATV) safety for a parent of a 11-year-old child, which statement made by the parent indicates an understanding of the information?

'I will make sure my child does not get on an ATV'

An 8-year-old child has experienced the death of a sister. The child begins to ask many questions about what happens to the body after death. The parents wonder if this is abnormal behavior picked up from playing video games. Which is the best response by the nurse?

'School-aged children are inquisitive and ask a lot of questions about death'

Which accurately describes hospice care?

System of family-centered care that allows clients to remain at home in comfort while easing the pains of terminal illness

Pulse oximetry is prescribed for an adolescent. Which would the nurse do to ensure accuracy of the pulse oximeter reading?

Attach the probe to a finger or earlobe

Which would the nurse identify as a group of hospitalized toddlers' most important need?

Contact with their parents

A 2-year-old toddler is to have intravenous (IV) antibiotic therapy. Which action will the nurse take to prevent the child from pulling out the IV line?

Cover the IV site with a protective device

The parents of an adolescent treated for allergies privately tell the nurse that they suspect that their child is a hypochondriac. Which therapeutic response would the nurse provide?

Discussing developmental behaviors of adolescents

The nurse is teaching a high school student about scoliosis treatment options. On which priority information would the nurse focus?

Effect on body image

When the nurse revises the care plan because the goals have not been met, which phase of the nurse process is being applied?

Evaluation

Which professional standard is important for critical thinking?

Evaluation criteria

Children's patterns of play change as they grow from infancy through school age. Rank the order of appearance of each type of play, starting with infant play.

Solitary, Parallel, Associative, Cooperative

Which is the subset of clinical health care informatics?

Nursing informatics (NI)

Which type of rehabilitation is an essential component to a client's recovery from Guillain-Barre syndrome?

Physical therapy

Which scenario mentioned by the registered nurse is considered secondary acute care?

Prepares a client who has suffered from repeated cerebral attacks for a CT scan

Which is the role of the nurse administrator in a health care setting?

Preparing the budget, staffing, strategic planning of programs and services, employee evaluations, and employee development

The nurse is caring for a child who has an external fixation device on the leg. Which is the nurse's priority goal when providing pin care?

Preventing infection

How are profits used in a for-profit health care organization?

Profits are paid out to shareholders

The nurse at a community health care center focuses on providing primary preventive care. Which is the focus of primary preventive care?

Promoting health in healthy individuals

Which action by the student nurse may inhibit clients from disclosing personal information?

Sharing clients' data with family members

Which reason would the nurse document as 'nonadherence' for the client not adhering to the prescribed antibiotic therapy?

'I left my pills in the bedroom and I forgot to take them with breakfast'

Which is the nurse's most therapeutic response for the child who is about to have an intravenous (IV) line inserted and cries out that he is afraid of IVs?

'Tell me what frightens you.'

A client diagnosed with acquired immunodeficiency syndrome (AIDS) states, 'I'm not worried because they have a cure for AIDS'. Which response would the nurse use?

'There is no cure for AIDS, but there are medications that can slow down the virus'

Which diagnostic test is used for the direct visualization of ligaments, menisci, and articular surfaces of joints?

Arthroscopy

An adolescent girl with a seizure disorder refuses to wear a medical alert bracelet. Which would the nurse tell the girl that may help her wear the bracelet consistently?

Select a bracelet similar to bracelets worn by her peers

Which critical thinking skill is being used when the nurse applies knowledge and experience to client care?

Explanation

During a client's immediate postoperative period after a laryngectomy, which is a nursing priority?

Keep the trachea free of secretions

Which nursing objective would the nurse add to the plan of care for a child with attention-deficit/hyperactivity disorder (ADHD) who engages in self-destructive behavior?

Keeping the child from inflicting any self-injury

Which member of the inter professional team in a palliative care setting serves as the client advocate, evaluating the physical, emotional, and spiritual needs of the client?

Nurse

Which health care team member is the designated delegator?

Nurse manager

Two nurses are counting narcotics at shift change and find the number of hydrocodone pills is incorrect. After several minutes of searching the medication cart and medication records, no explanation is found. Which nursing personnel would be notified of the discrepancy?

Nursing unit manager

A client scheduled for surgery reports a history of methicillin-resistant Staphylococcus aureus (MRSA) in a healed surgical site from 9 months ago. Which action would the nurse implement?

Obtain an order for a polymerase chain reaction (PCR) screen

Which criteria would the nurse consider when determining if an infection is a health care associated infection?

Occurred in conjunction with treatment for an illness

On which body system would the nurse focus when assessing a client with suspected Goodpasture syndrome?

Renal

Three days after a cast is applied to a client's fractured tibia, the client reports burning pain over the ankle that is not relieved by a change of position. The cast over the ankle feels warm to the touch. Which action would the nurse take first?

Report the data to the primary health care provider

A 15-year-old with type 1 diabetes has a history of noncompliance with the therapy regimen. Which would be considered about the teenager's developmental stage before starting a counseling program?

The struggle for identity is typical

How do toddlers learn self-protection?

Through trial-and-error strategies

Which is the most important prerequisite for measuring health care quality delivered in the hospital?

To collect all the medical records of the hospital

Which statement best describes the mission of a community hospital?

To provide general medical and surgical services

Which of these age groups has the highest incidence of lead poisoning?

Toddler

Which is the causative organism for syphillis?

Treponema pallidum

The nurse instructs the parents of an adolescent with asthma on how to reduce the allergens in the child's bedroom. The mother tells the nurse what she plans to do to make the room hypoallergenic. Which idea indicates that further teaching is needed?

Using flat outdoor carpeting to cover hardwood floors

Which joint is an example of a condyloid joint?

Wrist joint