Adaptive Quizzing

A father requests information on how to care for his child's severe diaper rash. Which statement made by the child's father indicates a need for additional teaching?

"I direct a heat lamp at the buttocks."

Which response would the nurse give a client with herpes simplex who is on viral therapy and asks if they can pass the infection on to others?

"You can still transmit the infection even if you are on antiviral therapy and have no lesions."

A nurse is teaching a class of children about bicycle safety. Which statement by a child indicates additional teaching is needed?

'I will ride with traffic facing me."

Which factor affects infants and children's ability to absorb, metabolize, and excrete medications?

-Age -Weight -Body size -Surface area -Organ maturity

Which action would the nurse implement when caring for a client with pruritus to protect the client from injury?

-Apply topical anesthetics. -Apply lotion after bathing. -Administer corticosteroids. -Add bath oil to the bath water. -Teach the client stress management techniques. -Instruct the client to avoid alcohol, tea, and coffee.

While assisting a laboring client, which finding requires immediate notification to the registered nurse to enhance client safety?

-Contraction interval of 45 seconds -Contraction that last 100 seconds -Contractions that last 120 seconds -Contractions that occur every 30 seconds -Contractions that occur every 90 seconds

Which factor increases the risk for suicide?

-Impulsivity -Panic attacks -Unemployment -Substance abuse

Which adverse reaction would the nurse monitor for in a child prescribed prednisone for exacerbation of asthma?

-Peptic ulcers -Bone thinning -Hyperglycemia -Masked infections -Electrolyte imbalances

Which principle would the nurse use to prevent an error when taking the blood pressure of a client with hypertension?

-Position the arm on the surface at the level of the heart. -Sit the client in a chair with feet resting on the floor. -Determine the systolic pressure first by palpation. -Use a cuff whose bladder encircles at least 80% of the client's arm. -Compare blood pressure readings in both arms while the client is lying down, standing, and sitting.

The health care provider has prescribed meperidine 50 mg intramuscularly to client. The medication is available in 100mg/mL vials. To which mark on the syringe would the nurse draw up the medication?

1/2 mL mark

Which instruction would the nurse give to a client experiencing orthostatic hypotension to reduce the risk of falls?

Avoid hot baths or showers.

Which intervention would the nurse include in a 3-week-old infant's plan of care after surgery to repair a cleft lip?

Cleansing the suture line to prevent infection

Which normal flora of the gastrointestinal tract will a nurse attempt to limit by cleaning an incontinent client as soon after a bowl movement as possible?

Enterobacter species

Which prescription would the nurse clarify with the health care provider?

Erythropoietin 6000 units subcutaneously TIW

Which nursing action is inappropriate while caring for different clients after a disaster?

Evacuating injured and uninjured people from a danger area.

Which information is important for the nurse to share concerning play with parents of a preschooler with a neurodevelopmental disorder?

Introduce objects of various sizes and textures for play.

Which intervention by the nurse would facilitate gastric decompression in a client with a ruptured peptic ulcer?

Nasogastric tube to low suction.

Which assessment would be reported to the RN caring for a client with hemophilia experiencing a bleeding episode?

Pain level

Which action would the nurse take to ensure proper body mechanics when working with another nurse to move a client with one-sided weakness up in bed?

Positioning the nurse on either side of the bed with their feet apart, gathering the pull sheet close to the client, turning toward the head of the bed, and then moving the client.

Which complication would the nurse anticipate when a client who is 36 weeks' pregnant presents with swelling of the face, blurred vision, and epigastric discomfort?

Preeclampsia

Which fetal heart tracing during labor can most likely result in fetal hypoxia and metabolic acidosis?

Recurrent late decelerations

Which approach would the nurse encourage the parents to use for a 3 year old child who has been aggressively trying to to shove a new sibling off the mothers lap?

Separate the child from the new sibling and spend time with the child.

Which role describes the American Red Cross in emergency nursing after a community disaster?

Setting up shelters for clients who have lost their homes

Which position would the nurse encourage the client who has been prescribed bed rest for mild preeclampsia to maintain?

Side-lying

Which action would the nurse advise an older client to take who reports feeling lighted-headed when getting out of bed?

Sit on the edge of the bed while holding the client upright.

Which normal flora of the skin would a nurse suspect as a cause of an infected sacral decubitus ulcer when caring for a paraplegic client?

Staphylococcus aureus

Which normal flora of the vagina and skin will a nurse explain is not a concern to an alarmed female client who is worried by vaginal culture results?

Staphylococcus epidermidis

Which action by the parent of a preschool client indicates a need for a nursing intervention regarding home safety?

Telling the child that medication is "candy for when you are sick"

Which statement describes the incubation period for an infectious disease?

The interval between the entrance of a pathogen into the body and the appearance of first symptoms.

Which intervention is appropriate to teach the client newly diagnosed with tuberculosis that has a productive cough?

Use disposable tissues.

Which action would the nurse complete when caring for a client with a tracheostomy?

Use sterile gloves when suctioning.