General Nursing

Which of the following is defined as failure of a planned event or action to be completed as intended or use of a wrong plan to achieve a goal? a. sentinel event b. error c. adverse event d. incident

B - Error

apraxia

Loss of ability to perform purposeful movements; for example, a person may be unable to shave, dress, or perform other once-familiar and purposeful tasks.

What is the usual cause of cholecystitis?

Obstruction of the biliary ducts by gallstones

Which statement is NOT true concerning latex allergy? a. There is only one type of reaction to latex b. Healthcare workers are at risk of developing latex allergy because they use latex gloves frequently c . Detecting symptoms early and reducing exposure to latex are ways to treat latex allergy d. Latex exposure can occur through skin contact and through inhalation while workers are changing gloves

A - There ARE more than 1 type of reaction to latex

Is a concussion considered a diffuse or a focal head injury?

A concussion is considered a minor diffuse head injury

In the delivery of care, the nurse acts in accordance with nursing standards and the code of ethics and reports a medication error that she has made. The nurse is most clearly demonstrating which of the following professional values? a) Integrity. b) Social justice. c) Altruism. d) Human dignity.

A - The nurse is demonstrating integrity, which is defined as acting in accordance with an appropriate code of ethics and accepted standards of practice. Seeking to remedy errors made by self or others is an example of integrity. Altruism is a concern for the welfare and being of others. Social justice is upholding moral, legal, and humanistic principles. Human dignity is respect for the inherent worth and uniqueness of individuals and populations

When assessing a client during a routine checkup, the nurse reviews the history and notes that the client had aphthous stomatitis at the time of the last visit. Aphthous stomatitis is best described as: a) a canker sore of the oral soft tissues. b) an early sign of peptic ulcer disease. c) acid indigestion. d) an acute stomach infection.

A - Aphthous stomatitis refers to a canker sore of the oral soft tissues, including the lips, tongue, and inside of the cheeks.

Unanticipated death, infant abduction, rape of a patient, major permanent loss of function, and hemolytic transfusion reaction are all examples of a(n): a. Sentinel event b. Error c. Adverse event d. Incident

A - Sentinel event

Which of the following is defined as an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof? a. sentinel event b. error c. adverse event d. incident

A - Sentinel event

The nurse is documenting in the client's health record. Which information is most appropriate for the nurse to record as objective data? Select all that apply. a) Client seems to be very depressed. b) Client's dressing is intact with scant amount of serous drainage. c) Client's blood pressure is 120/80 mm Hg; pulse 76 bpm; respirations 14 breaths/min. d) Client appeared angry and belligerent all shift. e) Client ambulated to end of hallway.

ANSWER = B, C, D C - Client's blood pressure is 120/80 mm Hg; pulse 76 bpm; respirations 14 breaths/min. B - Client's dressing is intact with scant amount of serous drainage. E - Client ambulated to end of hallway. Client vital signs, observation of a dressing, and documentation of the activity of a patient represent objective data. Using words such as "seems" or "appears" implies subjectivity on the part of the nurse.

Illness marked by gradual and progressive failure of the adrenal glands and insufficient production of steroid hormones

Addison's disease

Which of the following is NOT one of the four diseases most likely to occur as a result of bioterrorism? a. Anthrax b. Chickenpox c. Plague d. Botulism

B - Chickenpox Smallpox is the 4th disease most likely to occur as a result of bioterrorism

The color brown is the standard hospital code for which type of emergency?

Bomb threat

When leaving the room of a client in strict isolation, the nurse should remove which protective equipment first? a) Cap b) Gown c) Gloves d) Mask

C When leaving a strict-isolation room, the nurse should remove her gloves first because they're considered the most contaminated protective equipment. Removing other protective equipment before removing her gloves and washing her hands could contaminate her hair and uniform and promote pathogen transmission.

An injury resulting from a medical intervention and not due to the underlying condition of a patient is called a(n): a. Sentinel event b. Error c. Adverse event d. Incident

C - Adverse event

Condition in which the urinary meatus is located on the ventral surface of the penis a) phimosis b) hydrocele c) hypospadias d) epispadias

C - hypospadias

What is the goal of antihypertensive therapy for uncomplicated hypertension? a) 150/90 mmHg b) 120/80 mmHg c) <140/90 mmHg d) 130/80 mmHg

C <140/90 mmHg

otorrhea

CSF leakage from the ear

Rhinorrhea

CSF leakage from the nose

A sudden transient mechanical head injury, such as a blow or explosion, with disruption of neural activity and a change in the level of consciousness

Concussion

Which of the following statements about electrical safety is NOT true? a. A level of electricity that may be safe for a hospital worker may be very dangerous for a patient. b. All electrical patient care equipment should have a dated inspection sticker. c. If extension cords must be used, only heavy-duty approved cords may be used. d. It is okay to use "cheater" plugs or break off the ground on a three-prong plug

D - NEVER use a "cheater" plug and do NOT break off the ground on a three-prong plug.

A nurse is interviewing the mother of a 7-year-old child. Which symptom reported by the mother leads the nurse to suspect that the child has type 1 diabetes? a) Poor appetite b) Weight gain c) Boundless energy d) Recent bed-wetting

D - Polyuria, recognized by parents as bed-wetting in a child recently toilet-trained, is a hallmark of type 1 diabetes mellitus. Polyphagia is also a hallmark of type 1 diabetes mellitus. A parent is also likely to report weight loss despite excessive eating, not weight gain or a poor appetite. The child with type 1 diabetes mellitus may complain of fatigue rather than boundless energy.

16. Which behavior is NOT an example of a standard precaution strategy? a. Good housekeeping b. Proper glove removal c. Having no drinks in work areas d. Wearing artificial fingernails

D - Wearing artificial nails

Which of the following is NOT found on an MSDS? a. manufacturer name b. precautions for safe use c. first aid procedures d. location of the product

D - location of the product

Cushing's triad

Decreased heart and respiratory rates and increased systolic BP

aphasia

Difficulty in the formulation of words, which may progress to the loss of language ability

The color yellow is the standard hospital code for which type of emergency?

Disaster

What kinds of needles can cause needlestick injuries? a. Hypodermic needles b. Blood collection needles c. Suture needles d. Needles used in IV delivery systems e. All of the above

E - ALL OF THEM

After a bone marrow aspiration, how often should the puncture site be monitored for bleeding?

Every 10-15 mins

Symptoms of this disease include diminished appetite, fatigue, abdominal discomfort, enlarged liver, dark urine, yellow skin color, and abnormal liver function tests

Hepatitis

Polydipsia

Increased thirst

enuresis

Nocturnal and/or daytime involuntary discharge of urine

What produces TSH?

The pituitary gland produces TSH to regulate the thyroid gland.

What produces T3 and T4?

The thyroid

S&S of increased ICP vs. Shock

When ICP increases, Cushing's triad may develop, which involves decreased heart and respiratory rates and increased systolic blood pressure. Shock typically causes tachycardia, tachypnea, and hypotension.

An anxious client asks the nurse for the results of recent blood work and wants to know what the results mean. Which of the following responses by the nurse is the most appropriate? a) "I understand your concern. I'll call the physician to review the results with you." b) "Don't worry. If anything were wrong, the physician would have told you." c) "Let me get your chart so that I can give you the results and tell you about them." d) "I can't tell you the exact results, but I have seen them and they are okay."

a - It is not within the nurse's scope of practice to provide clients with diagnoses based on laboratory results. The nurse should advocate for the client to receive the results from the physician and facilitate that discussion. The other options are incorrect because the nurse is providing information that the nurse is not permitted to release. Stating that the client should "not worry" will not address the client's anxiety about receiving the results (and interpretation) of the lab work.

What degree of blood pressure is treated with an antihypertensive? a) >= 140/90 b) >12080 c) >130/80 d) >150/90

a >=140/90 Antihypertensive meds should generally be begun if the systolic pressure is persistently >=140 mmHg and/or the diastolic pressure is persistently >90 mmHg despite nonpharmacologic therapy. Starting with 2 drugs may be considered in patients with a baseline BP>160/100 mmHg.

collapsing pulse

a bounding pulse; a pulse that reaches a higher intensity than normal, then disappears quickly

productive cough

a cough in which mucus or an exudate is expectorated

chronic cough

a cough that occurs daily for at least 3 weeks

Pavlik harness

a device used to stabilize the hip in neonates with congenital hip dislocation

hacking cough

a series of repeated efforts, as in many respiratory infections

Which professional value is defined as a concern for the welfare and being of others?

altruism

a radiograph of an artery after injection of a radiopaque contrast medium, usually directly into the artery or near its origin

arteriogram

involves injecting a radiopaque contrast agent directly into the vascular system to visualize the vessels

arteriogram

a malignant epithelial cell tumor arising from epidermal basal cells that begins as a papule and enlarges peripherally, developing a central crater that erodes, crusts, and bleeds

basal cell carcinoma

The harmful or offensive touching of another person

battery

a pulse that reaches a higher intensity than normal, then disappears quickly

bounding pulse

The usual treatment of cholecystitis

cholecystectomy (removal of the gallbladder)

This disease is marked by colicky pain developing shortly after a meal in the right upper quadrant of the abdomen

cholecystitis

A brief disruption in LOC, retrograde amnesia, and a headache are typical signs of what?

concussion

a procedure used to evaluate placental sufficiency by assessing fetal response to the physiologic stress of artificially induced contractions

contraction stress test

an abnormal, usually permanent condition of a joint, characterized by flexion and fixation

contracture

fibrosis of connective tissue in skin, fascia, muscle, or a joint capsule that prevents normal mobility of the related tissue or joint

contracture

the bruising of the brain tissue within a focal area without altering the integrity of the pia mater and arachnoid layers

contusion

an instrument for interior examination of bladder & ureter

cystoscope

The term for a generalized brain injury

diffuse

a cough unaccompanied by sputum production

dry cough

cystoscopy

examination of the bladder with a cystoscope

The term for a localized brain injury

focal

a metallic cough occurring in laryngitis

harsh cough

Respect for the inherent worth and uniqueness of individuals and populations

human dignity

Exophthalmos; conjunctival redness; flushed, warm, moist skin; and a systolic murmur at the left sternal border are S&S of what?

hyperthyroidism

An abnormal congenital opening of the male urethra upon the undersurface of the penis

hypospadias

Decreased body temperature, cold intolerance, dyspnea, hypoventilation, bradycardia, hypotension, anorexia, constipation, decreased intellectual function, and depression are S&S of what?

hypothyroidism

cholecystitis

inflammation of the gallbladder

Seeking to remedy errors made by self or others is an example of which professional value?

integrity

Which professional value is defined as acting in accordance with an appropriate code of ethics and accepted standards of practice?

integrity

Which statement is true about Hepatitis B vaccines now used in the United States? Hepatitis B vaccines: is made from yeast and cannot be infected with HIV or other bloodborne pathogens.

is made from yeast and cannot be infected with HIV or other bloodborne pathogens.

a loose cough accompanied by production of mucus or exudate

moist cough

a pulse recorded in the arteries (radial or pedal) in the distal portion of the limbs

peripheral pulse

whooping cough

pertussis

a pulse felt when the force and frequency are the same

regular pulse

Upholding moral, legal, and humanistic principles

social justice

a slow-growing malignant tumor of squamous epithelium; found in the lungs and skin and occurring also in the anus, cervix, larynx, nose, and bladder

squamous cell carcinoma

infection of organs and tissues of the body by Treponema pallidum

syphilis

a systemic inflammatory response to a variety of insults, including infection, ischemia, infarct, and injury

systemic inflammatory response syndrome (SIRS)

a fine, scarcely perceptible pulse

thready pulse