Unit 1: Practice EAQ Quiz

Which factor explains why a client who experiences an acute episode of rheumatoid arthritis has swollen finger joints? a. Urate crystals in the synovial tissue b. Inflammation in the joints synovial lining c. Formation of bony spurs on the joint surfaces d. Deterioration and loss of articular cartilage joints

b. Inflammation in the joints synovial lining

In which way would the nurse prepare a factual record when performing client documentation? a. By providing a logical order for the communication b. By using exact measurements for each activity of the client c. By providing complete and appropriate information in each client record d. By recording descriptive and objective information of elements seen, heard, felt, and smelled

d. By recording descriptive and objective information of elements seen, heard, felt, and smelled

Which precaution would the nurse implement for the herpes zoster? Select all that apply. a. Airborne b. Contact c. Droplet d. Standard

a. Airborne

Which action by the nurse is the priority for a client with heat stroke? a. Assess the airway and breathing. b. Administer diazepam to prevent shivering. c. Apply ice packs to the axilla, groin, head, and neck. d. Ask the client to state their name and date of birth.

a. Asses the airway and breathing.

For which physical assessment situation would the nurse use an alcohol-based hand sanitizer for hand hygiene? a. Before and after palpating a pulse b. Assessing a client with norovirus c. If the hand brushed a seeping dressing d. When the hands have contacted sputum

a. Before and after palpating a pulse

Which laboratory test will be elevated in a client with inflammatory arthritis? a. Leukocyte count b. Hemoglobin and hematocrit c. Blood urea nitrogen and creatinine d. Erythrocyte sedimentation rate (ESR)

d. Erythrocyte sedimentation rate (ESR)

Which suggestion would the nurse make to a client with rheumatoid arthritis who asks about ways to decrease morning stiffness? a. Wear loose but warm clothing b. Plan a short rest break periodically c. Avoid excessive physical stress and fatigue d. Take a hot bath or shower in the morning

d. Take a hot bath or shower in the morning

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. Occurred in conjunction with treatment from an illness d. Still has the infection despite completing the prescribed therapy

c. Occurred in conjunction with treatment from an illness

Which function of leukocytes is involved in the inflammation process? Select all that apply. a. Destruction of bacteria and cellular debris b. Selective attack and destruction of non-self cells c. Release of vasoactive amines during allergic reaction's d. Secretion of immunoglobulins in response to a specific antigen e. Enhancement of immune activity through secretion of various factors, cytokines, and lymphokines

a. Destruction of bacteria and cellular debris c. Release of vasoactive amines during allergic reaction's

A hospitalized client newly diagnosed with rheumatoid arthritis complains of bilaterally painful new and wrist joints. Which intervention would the nurse teach the client to do during the acute phase of the disease? a. Avoid movement of the involved joints b. Engage in passive exercises to the involved joints c. Increase isometric exercises to the involved joints slowly d. Participate in progressive, resistive exercises to the involved joints

a. Avoid movement of involved joints

Which example is a one-on-one communication between the nurse and another person? a. Small-group communication b. Intrapersonal communication c. Interpersonal communication d. Transpersonal communication

c. Interpersonal communication

The nurse asses the vital signs of a 50-year old female client and documents the results. Which finding is considered within normal range for this client? Select all that apply. a. Oral temperature of 98.2F (36.8C) b. Apical pulse of 88 bpm and regular c. Respiratory rate of 30 breaths/min d. Blood pressure of 116/78 mmHg while sitting e. Oxygen saturation of 92%

a. Oral temperature of 98.2F (36.8C) b. Apical pulse of 88 bpm and regular d. Blood pressure of 116/78 mmHg while sitting

A parent tells the nurse in the emergency department, "My 3-year-old has had a fever for several days and have been vomiting." After prescribed measure to reduce fever has been instituted, which nursing action is most important? a. Preventing shivering b. Restricting oral fluids c. Measuring output hourly d. Taking vital signs hourly

a. Preventing shivering

Which assessment item needs to be documented on a client with restraints? Select all that apply. a. Pulse near the restrained area b. Temperature of the restrained area c. Convenience of restraining the client d. Skin integrity surrounding the restraint e. Behavior leading to the need for restraint

a. Pulse near the restrained area b. Temperature of the restrained area d. Skin integrity surrounding the restraint e. Behavior leading to the need for restraint

Which available staff member would be best for the nursing manager to assign to take frequent vital signs for a client with suspected shock? a. Registered nurse b. Nursing student c. Licensed practical nurse d. Unlicensed assistive personnel

a. Registered nurse

Which signs/symptoms are observed in the human body with a decrease in body temp? Select all that apply. a. Shivering b. Profuse sweating c. Flushed appearance d. Dilation of blood vessels e. Contraction of blood vessels

a. Shivering e. Contraction of blood vessels

The nursing supervisor sends an unlicensed health care worker to help relieve the burden of care on a short-staffed medical-surgical unit. Which tasks can be delegated to the unlicensed health care worker? Select all that apply. a. Taking routine vital signs b. Applying a sterile dressing c. Answering clients' call lights d. Administering saline infusions e. Changing linens on an occupied bed f. Assessing client responses to ambulation

a. Taking routine vital signs c. Answering clients' call lights e. Changing linens on an occupied bed

A nurse places a school-aged child with bacterial meningitis in isolation with droplet precautions. What is the purpose of these precautions? a. They keep the child away from uninfected people b. The infectious process is interrupted as quickly as possible c. The child is protected from contacting a secondary infection d. They prevent the development of a hospital-acquired infection

a. They keep the child away from uninfected people

Which statement made by the nurse will be the most significant when teaching strategies to reduce the risk for developing antibiotic resistant infections? a. "Wash your hands frequently with warm soapy water." b. "Do not skip any prescribed doses of your antibiotics." c. "Do not save unfinished antibiotics for later use." d. "Do not stop taking the antibiotics when you feel better."

b. "Do not skip any prescribed doses of your antibiotics."

One week after an above-the-knee amputation, a client refuses to go to physical therapy and tells the nurse, "I'll never be a whole person again!" Which response would the nurse provide? a. "You're still the same person you've always been. Just relax." b. "You've lost part of yourself. That must be difficult for you." c. "You may feel that way, but I'm sure your family considers you a whole person." d. "You must go to physical therapy every day or you will develop muscle contractures."

b. "You've lost part of yourself. That must be difficult for you."

Which client assessment finding would the nurse document as subjective data? a. Blood pressure 120/82 beats/min b. Pain rating of 5 c. Potassium 4.0 mEq d. Pulse oximetry reading of 96%

b. Pain rating of 5

Which action would the nurse take first for a client with pink raised areas that are swollen and itchy after using a new soap? a. Refer the client to an allergist for testing b. Perform a full history and physical examination c. Suggest that the client not use that soap again d. Advise the client to take an antihistamine for itching

b. Perform a full history and physical examination

Upon entering an examination room for assessment of a confused client, which action would the nurse take? a. Perform an assessment quickly. b. Plan a focused physical assessment c. Skip the examination unit the client is reoriented d. Leave the room to find health care provider

b. Plan a focused physical assessment

Which therapeutic communication technique is a coping strategy to help the nurse and client adjust to stress? a. Sharing hope b. Sharing humor c. Sharing empathy d. Sharing observations

b. Sharing humor

The nurse pulls up on the client's skin and releases it to determine whether the skin returns immediately to its original position. Which parameter is the nurse assessing? a. Pain tolerance b. Skin turgor c. Ecchymosis formation d. Tissue mass

b. Skin turgor

The nurse performs a respiratory assessment and auscultates high-pitched, creaking, and accentuated breath sounds on expiration. Which term describes the findings? a. Rhonchi b. Wheezes c. Pleural friction rub d. Bronchovesicular

b. Wheezes

Which nursing process would the nurse undertake when collecting the medical history of a client? a. Diagnosis b. Evaulation c. Assessment d. Implementation

c. Assessment

Which strategy would improve safety when the nurse manager institutes strategies to decrease the omission of important information during communication between staff nurses and health care providers? a. Require health care providers to print prescriptions instead of using cursive writing b. Use the "read back" method when taking phone prescriptions from health care providers c. Employ SBAR (situation, background, assessment, and recommendation) communication d. Devise standing orders for the five most common admitting diagnoses on the client care unit

c. Employ SBAR (situation, background, assessment, and recommendation) communication

When preparing to asses a client with Cdif, which piece of personal protective equipment would the nurse put on before entering the client's room? a. Head covering b. Clear eye mask c. Full plastic gown d. N95 respiratory mask

c. Full plastic gown

Which documentation entry would the nurse chart for a client diagnosed with a mood disorder who says, "I feel rotten. I feel useless. I can't think straight. I feel overwhelmed by everything. I don't know if I can go on."? a. The client said, "I can't think straight," and is not able to cope with current problems. b. The client appears to be very depressed for most of the morning and has little interest in self or the environment. c. The client expressed suicidal thoughts about not being able to go on and exhibits diminished ability to think clearly. d. The client stated, "I feel rotten. I feel useless. I can't think straight. I feel overwhelmed by everything. I don't know if I can go on."

d. The client stated, "I feel rotten. I feel useless. I can't think straight. I feel overwhelmed by everything. I don't know if I can go on."