Exam 3 - Clinical Science II
The nurse who is writing a risk nursing diagnosis will write a part statement.
2
The nurse uses a newly admitted client's armband barcode to identify the client prior to administering medications. The nurse should use at least ___ other means of identifying this client.
2`
A nurse working in the emergency department is told that the smallpox virus was aerosolized at a parade attended by thousands of people. The nurse explains to the student nurse that the vaccine for this virus provides a high level of protection if given within ___ days of exposure.
3
A client asks a nurse why herbal remedies are popular now. What is the nurse best response? A. They are being marketed very aggressively. B. They are more effective for treating bacterial infections. C. Most insurance policies cover them. D. Their popularity is decreasing, not increasing.
a
A nurse is admitting a client to the emergency department who has overdosed on a benzodiazepine. The nurse should anticipate the healthcare provider will prescribe which of the following drugs? A. Romazicon B. Acetylcysteine C. Acetaminophen D. Digibind
a
A nurse is caring for a client being treated for seizures. The nurse would be most concerned if the client is also taking which herbal product? A. Ginkgo B. Feverfew C. Goldenseal D. Ginger
a
A nurse is caring for a client who has been exposed to a nerve agent. Which antidote will the nurse plan to administer? A. Atropine B. Acetate of ammonia C. Hydroxyzine (Vistaril) D. Apomorphine
a
A nurse is teaching a student nurse about the active ingredients of herbal medicines. Which of the following indicates that teaching was effective? A. Can be found in all parts of the herb. B. Are found only in the rhizome. C. Are found only in the root system. D. Are found only in the stems and leaves.
a
A small nuclear weapon has been detonated in a nearby city. Which immediate symptoms of radiation sickness will the nurse assess in clients who have been exposed? A. Nausea, vomiting, and diarrhea. B. Dilated pupils and aggression. C. Weight loss and fatigue. D. Anorexia and fatigue.
a
Clients at a senior citizen center have asked the nurse to do a presentation on herbal preparations. Which statement would be included in the best plan by the nurse? A. "Herbal preparations actually are drugs; you must be careful with them." B. "As long as the herbal preparation has been tested in the clinical setting, it is safe." C. "Herbal preparations can be dangerous if you are allergic to them." D. "Herbal preparations are safe as long as you carefully read the label."
a
The Joint Commission documented that client education was deficient on several medical-surgical units of a local hospital. A nursing committee was formed to address this problem. What is the best intervention to improve client education? A. Discussing medications each time they are administered to clients. B. Providing educational pamphlets about medications to the clients. C. Requesting more frequent pharmacy consults for the clients. D. Asking the healthcare providers to provide medication education to the clients.
a
The client has been exposed to a nerve agent. For which symptoms will the nurse most likely assess? A. Salivation and involuntary urination. B. Rapid Tachypnea and cold, clammy skin. C. Dilated pupils and increased heart rate. D. Pinpoint pupils and decreased blood pressure.
a
The client takes St. John's wort for depression but does not tell the healthcare provider. The provider prescribes an SSRI. The nurse should monitor for which of the following? A. Dizziness B. Serum glucose level of 340 C. Sedation D. Serum potassium of 6.0
a
The nurse administers potassium iodide (KI) tablets to a client who has been exposed to radiation from a nuclear weapon. What is the rationale for administering potassium iodide (KI) to this client? A. Prevent thyroid cancer B. Prevent renal cancer C. Prevent brain cancer D. Prevent liver cancer
a
The nurse has several educational pamphlets for the client about medications the client is receiving. Prior to giving the client these pamphlets, what is the most important assessment by the nurse? A. Assess the client's reading level. B. Assess the client's religious attitudes toward medicine. C. Assess the client's cultural bias toward taking medicine. D. Assess the client's ability to pay for the medication.
a
The nurse in the emergency department administers an adult dose of an antibiotic to a 3-month-old baby. As a result, the baby suffers permanent brain damage. What best describes the effect of this error on the healthcare facility? A. The morale of the staff involved will be decreased. B. The healthcare facility will pay a very large settlement. C. The reputation of the healthcare facility will suffer. D. The professional license of the nurse will be lost.
a
The nurse is preparing an educational plan for parents about how to protect their children if a bioterrorist attack occurs. What is the best information to include? A. "Follow the Centers for Disease Control and Prevention (CDC) guidelines for immunizations." B. "Don't worry, the Centers for Disease Control and Prevention (CDC) has everything under control." C. "Realistically, there is nothing that can be done." D. "Plan to call the Centers for Disease Control and Prevention (CDC) if an attack occurs."
a
The nurse is reviewing the steps of the nursing process with a student. The nurse is aware that it is most important to be accurate in which portion of the nursing process? A. Assessment B. Planning C. Evaluation D. Diagnosis
a
The nurse is teaching a class on anthrax to a group of emergency response workers. The nurse plans to include which of the following? A. Cutaneous anthrax is the most common form, but inhaled anthrax is the most lethal form. B. Anthrax is a deadly bacterium; the most common and deadly form is gastrointestinal anthrax. C. Anthrax most commonly affects wild rodents such as mice, rats, squirrels, and chipmunks. D. Cutaneous anthrax is serious because it quickly spreads by person-to-person contact.
a
The nursing instructor is teaching student nurses about the use of viruses in a bioterrorism attack. The nurse determines that learning has occurred when the students make which statement? A. "A bioterrorist attack with viruses is a real threat to Americans." B. "The Centers for Disease Control and Prevention (CDC) has a plan to vaccinate Americans against most viruses." C. "Most Americans have already been vaccinated against the lethal viruses." D. "Actually, a bigger concern is a nuclear weapon exploding in a city."
a
Which nursing intervention would take priority following administration of a new medication? A. Monitoring the client's respiratory status B. Administering additional medications if side effects occur C. Evaluate the results of recent labs D. Measuring client's weight daily
a
Which statement about the nursing process is accurate? A. Obtaining the outcomes is essential for goal attainment. B. Goals involve very specific criteria that evaluate interventions. C. Generally, goals are more measurable than outcomes. D. After selecting the nursing diagnosis, interventions are completed.
a
A nurse is planning a presentation regarding anthrax. What should the nurse include? Select all that apply. A. Anthrax can spread easily. B. There are three basic types of anthrax. C. Anthrax is killed by heat. D. The main area affected by inhalation anthrax is the lung periphery. E. Anthrax causes the release of multiple toxins, each affecting a different part of the body.
a,b
A client experiencing occasional minor digestive problems asks the nurse about herbal therapy. What is the best response by the nurse? Select all that apply. A. Wheat grass B. Green tea C. Ginger D. Grape seed E. Stevia
a,b,c
A client who is considering taking a dietary supplement recommended by the nurse asks how to determine if the supplement is safe. The nurse explains that the Dietary Supplement and Nonprescription Drug Consumer Protection Act of 2007 requires that companies marketing herbal and dietary supplements do which of the following? Select all that apply. A. Include their contact information on the label so consumers can report adverse effects. B. Notify the Food and Drug Administration (FDA) within 15 days of receiving a report of an adverse effect. C. Keep records of adverse effects for at least 6 years and make these records available for inspection by the Food and Drug Administration (FDA). D. Demonstrate product effectiveness prior to release of the product to the public. E. State which conditions the product is intended to cure or prevent.
a,b,c
A client with a family history of heart disease asks the nurse to recommend herbs that decrease the risk for heart disease. The nurse suggests the client discuss which herbs with the healthcare provider? Select all that apply. A. Flaxseed B. Green tea C. Soy D. Milk thistle E. Acai
a,b,c
A client with inflammatory arthritis asks about adding an anti-inflammatory herb to the medication regimen to decrease the use of prescription drugs. The nurse suggests the client discuss the efficacy of which herbs with the healthcare provider? Select all that apply. A. Evening primrose B. St. John's wort C. Ginger D. Ginseng E. Bilberry
a,b,c
A nurse is caring for a client that was exposed to radiation. The client asks the nurse what factors increase the amount of radiation that a person is exposed to. What should the nurse include in responding to the client's question? Select all that apply. A. The amount of exposure. B. The long-lasting effects. C. The amount of cellular death. D. The gender of the client exposed. E. The amount of naloxone (Narcan) ingested after exposure.
a,b,c
A postmenopausal client with a history of stroke is told she cannot take female hormones because of the risk for future thromboembolic events. The client asks about nonpharmacologic ways to manage her symptoms. Which herbs does the nurse suggest as alternatives? Select all that apply. A. Soy B. Black cohosh C. Evening primrose D. Saw palmetto E. Acai
a,b,c
The nurse is teaching clients in a senior center about complementary and alternative therapies. Which statement by a client indicates understanding of the information the nurse has presented? Select all that apply. A. "I see now that 'natural' doesn't really mean 'safe,' and I should ask my healthcare provider about any supplements I want to take." B. "I didn't realize some herbal supplements may be just as strong as a prescription drug. I will need to discuss any supplements I want to try with my doctor." C. "I understand now that when I choose to use a natural product over a prescription medication, I could be delaying my recovery." D. "It's good to know that herbs contain ingredients that are as powerful as a prescribed medication and are an option for safe and effective therapy." E. "It's good to know that herbs contain ingredients that are as powerful as a prescribed medication and are an option for safe and effective therapy."
a,b,c
The nurse is working hard to prevent medication errors. What interventions will assist the nurse in preventing most errors? Select all that apply. A. Always check the client's identification band prior to administration of medications. B. Open all of the medications immediately prior to administration. C. Tell healthcare providers that verbal orders will not be accepted. D. Record the medication on the medication administration record (MAR) immediately prior to administration. E. Validate all orders with another nurse prior to administration of medications.
a,b,c
When teaching the client about a new medication, the nurse should include which information? Select all that apply. A. Adverse effects that can be expected B. Which adverse effect to report to the healthcare provider C. The drug's therapeutic action D. Chemical composition of the drug E. Name of the drug manufacturer
a,b,c
A nurse is caring for a client admitted to the emergency department following a drug overdose. The nurse anticipates which of the following prescriptions to enhance removal of the poison from the client? Select all that apply. A. Administering activated charcoal. B. Changing the pH of urine. C. Preparing the client for enemas. D. Inserting a nasogastric tube. E. Preparing corticosteroids for administration.
a,b,c,d
A nurse is preparing care for a newly admitted client with diabetes. Which information would be critical for the nurse to assess? Select all that apply. A. Medical history B. Current lab results C. Medication allergies D. Use of dietary supplements E. Number of previous hospitalizations
a,b,c,d
A student nurse asks a nurse what is included in the Strategic National Stockpile (SNS). The nurse explains that the SNS includes which of the following supplies? Select all that apply. A. Intravenous administration equipment B. Antibiotics C. Life-support medications D. Chemical antidotes E. Hospital beds
a,b,c,d
Which client would be most likely to seek complementary and alternative therapies as a treatment modality? Select all that apply. A. A 48-year-old male who wants to boost his immune system. B. A 22-year-old male athlete who is preparing for the Olympics. C. A 50-year-old female going through menopause. D. A 58-year-old male with prostate problems. E. None of these clients would be wise to seek these therapies.
a,b,c,d
The client says, "I am convinced that the mind-body interventions I am using are improving my health." The nurse would ask additional questions about which complementary and alternative therapies that belong to this category? Select all that apply. A. Yoga B. Massage C. Dance D. Herbal therapies E. Biofeedback
a,b,c,e
A client returns to the clinic for follow-up after taking a newly prescribed medication for a month. The nurse recognizes medication teaching was successful when the client makes which statement? Select all that apply. A. "I've been taking my medication on an empty stomach like the prescription label said to." B. "I take my medication first thing in the morning, just like you said." C. "I have been able to decrease my medication to every other day and that saves me some money." D. "I switched all my medications to one pharmacy like you suggested." E. "Did you say I need to take this medication with water or milk?"
a,b,d
The nurse works for the Centers for Disease Control and Prevention (CDC). In planning for a bioterrorist attack, what will the best plan of the nurse include? Select all that apply. A. Learn the signs and symptoms of chemical and biological agents. B. Obtain a listing of health and law enforcement contacts. C. Assist in the stockpiling of medications. D. Obtain current knowledge of emergency management. E. Assist in triage at local hospitals.
a,b,d
During evaluation, the nurse, client, and healthcare provider determine that the goals of antibiotic therapy have not been met. What actions are indicated? Select all that apply. A. Review the dosage of the medication B. Consider checking serum drug levels C. Discard the idea that the infection is treatable D. Consider prolonging therapy E. Consider using a different antibiotic
a,b,d,e
The nurse assesses the client with diabetes mellitus prior to administering medications. Which questions are important to ask the client? Select all that apply. A. "Are you allergic to any medications?" B. "Are you taking any herbal or over-the-counter (OTC) medications?" C. "How difficult is it for you to maintain your ideal body weight?" D. "Will you please tell me about the kind of diet you follow?" E. "What other medications are you currently taking?"
a,b,d,e
The nursing instructor teaches the student nurses about how medication errors can occur. What information will the nursing instructor include in the presentation? Select all that apply. A. The nurse miscalculates the medication dose. B. The nurse does not check the client's identification band. C. The nurse does not validate an order with the healthcare provider. D. The nurse misinterprets a healthcare provider's order. E. The nurse administers the incorrect drug.
a,b,d,e
Which information is essential for the nurse to collect when reviewing a client's medication list? Select all that apply. A. Drug names B. Drug manufacturer C. Dosage being taken D. Frequency of administration E. When last refill was obtained
a,c,d
The nurse is teaching the importance of drugs for emergency preparedness to local firemen. The nurse determines that learning has occurred when the firemen make which statements? Select all that apply. A. "The vendor-managed inventory (VMI) package can reach any community within 24 to 36 hours." B. "Our local hospital is supposed to be stockpiling antibiotics." C. "The push package can reach any community within 12 hours of an attack." D. "The Strategic National Stockpile is located at the Centers for Disease Control and Prevention (CDC) in Atlanta." E. "Our country's drug stockpile is managed by the Centers for Disease Control and Prevention (CDC)."
a,c,e
The client asks if there are any supplements that would help improve or preserve his memory. Which supplements would the nurse discuss? Select all that apply. A. Carnitine B. Coenzyme Q10 C. Glucosamine D. DHEA E. Selenium
a,d
A nurse who is presenting community education states, "Drugs are among our most powerful weapons for emergency preparedness." What additional statements, made by the nurse, would support this statement? Select all that apply. A. "Drugs help us treat the diseases that could be caused by bioterrorism." B. "We can use drugs to neutralize our enemies." C. "If we control the manufacture and distribution of drugs, we will control global politics." D. "Without drugs, we might be quickly overwhelmed by a bioterrorist attack." E. "Drugs can be used in chemical or nuclear attacks."
a,d,e
A client is admitted to the emergency department with suspected exposure to anthrax. The nurse anticipates the healthcare provider will prescribe which medication? A. Antiviral agents. B. Ciprofloxacin. C. Anthrax vaccination. D. Atropine.
b
A client was exposed to ionizing radiation. The nurse plans to administer which of the following medications? A. Salt tablets. B. Potassium-iodine tablets. C. Antibiotics. D. Calcium tablets.
b
A client with hypertension is receiving medication to lower his blood pressure. Which nursing action demonstrates the evaluation process related to medication administration? A. Administration of IV antihypertensive agents B. Determining that goals were not met 3 days following medication administration C. Asking the client if they have adhered to the prescribed treatment D. Determination of the client's baseline blood pressure
b
A nurse is assessing a client recently admitted to the unit. The nurse understands that which assessment identifies the collection of objective data? A. The client rates his or her pain a 5 on a 0-10 pain scale. B. The client has a wound measured at 5 cm in length. C. The client informs the nurse that he or she weighs 150 pounds. D. The client states he or she is anxious.
b
A nurse is planning to teach a client about the relationship of complementary and alternative therapies to pharmacology What should the nurse include? A. They have little-to-no value in disease prevention and treatment. B. They can reduce client medication needs. C. They are more effective than medication use. D. They serve as competitors and should not be promoted.
b
A nurse is teaching a student nurse about common treatments for victims of bioterrorism. The nurse tells the student that atropine would be most useful for a victim of bioterrorism exposed to which of the following? A. Ionizing radiation B. Nerve gas C. Bacterial agents D. Viral agents
b
A nursing instructor is planning to discuss the Dietary Supplement Health and Education Act (DSHEA) of 1994 with a group of nursing students. The instructor plans to include which of the following? A. It requires that herbal products undergo the same rigorous testing as drugs do under the FDA. B. It mandates that herbal product labels state that the products are not intended to diagnose, treat, cure, or prevent disease. C. It mandates that herbal product labels contain accurate information. D. It ensures that herbal products provide proof of their intended effects.
b
The client has been exposed to anthrax. The nurse anticipates administering which of the following drugs? A. Ampicillin (Principen) and cefepime (Maxipime). B. Ciprofloxacin (Cipro) and doxycycline (Vibramycin). C. Tetracycline (Sumycin) and erythromycin (Erythrocin). D. Penicillin (Bicillin LA) and vancomycin (Vancocin).
b
The client was exposed to cutaneous anthrax 2 weeks ago. What will the nurse see when assessing the client's skin? A. Ulcerated areas and later, keloids B. Small skin lesions and later, black scabs C. Large pustules and later, reddish scabs D. Small, fluid-filled vesicles, and later, small skin erosions
b
The nurse administers an evening medication to the client in the morning. What is the nurse's best initial course of action at this time? A. Tell the evening nurse to hold the evening dose just for tonight. B. Notify the healthcare provider about the error. C. Document the incident in the client's health record. D. Change the medication administration time to the morning.
b
The nurse commits a medication error. The nurse documents the error in the client's record and completes the incident report. What does the nurse recognize as the primary reason for doing this? A. To protect the healthcare facility from litigation B. To verify that the client's safety was protected C. To protect the nurse from liability D. To protect the client from further harm
b
The nurse is preparing medications for a group of clients. Another nurse begins telling the nurse about her recent engagement. What is the best action by the first nurse? A. Stop preparing medications until the second nurse has finished talking about her engagement. B. Tell the second nurse that the conversation is distracting and she must stop talking while medications are being prepared. C. Continue to prepare the medications for administration and pretend to listen to the first nurse. D. Ask the second nurse to help with administering medications so they can have more time to talk.
b
The nurse is teaching a class on dietary supplements. The nurse determines that learning has occurred when the patients make which statement? A. "Dietary supplements must go through rigorous testing prior to being marketed by the manufacturer." B. "Products can make claims based on body structure and function like 'promotes healthy urinary tract.'" C. "The manufacturer of the dietary supplement has the burden of proof for the safety of the supplement." D. "The Food and Drug Administration (FDA) is not involved with the approval of the dietary supplement and cannot remove it from the market."
b
The nurse plans to teach clients about the difference between herbal preparations and prescription medications. Which statement describes the best plan by the nurse? A. "Herbs are considered to be safer than prescription medications as they are natural." B. "The active ingredients in an herb, unlike prescription drugs, may be present in just one part or many parts." C. "Herbs, like prescription drugs, usually only contain one active ingredient." D. "Most herbs, like prescription drugs, are standardized and regulated by the Food and Drug Administration (FDA)."
b
A nurse is planning a discussion of emergency preparedness with newly hired nurses. Which events would this nurse use as historical examples of terrorism? Select all that apply. A. The death of a client in a Texas hospital was confirmed to be due to the Ebola virus. B. Many people died as a result of sarin gas exposure in a Tokyo subway. C. Twenty-two confirmed or suspected cases of anthrax infection occurred as a result of the bacillus being sent through U.S. mail. D. There is typically a marked increase in overdoses during winter holidays. E. More people are contracting H1N1 avian influenza.
b,c
A series of category E medication errors have occurred on a hospital unit. When discussing this trend with the nursing staff, the risk manager would list which characteristics of a category E error? Select all that apply. A. The error contributed to the death of a client. B. A client was harmed. C. No interventions to sustain life were required as a result of the error. D. Harm to the client was permanent. E. The client's hospitalization was prolonged as a result of the error.
b,c
A client has been admitted to the emergency department for treatment of poison ingestion. Gastric lavage and placement of activated charcoal has been prescribed. The nurse would withhold this treatment and collaborate with the prescriber if which instances occur? Select all that apply. A. The client vomits. B. The client becomes unconscious. C. The client discloses that lithium was the drug taken. D. Paramedics report that it has been 2 hours since the drug was taken. E. The client begins to pass copious amounts of watery diarrhea.
b,c,d
A nurse is caring for a client following a bioterrorism attack. The client has experienced initial nausea and vomiting followed by weight loss and eventual thyroid cancer. What was the most likely causative agent? A. Chemical agent B. Bacterial agent C. Ionizing radiation D. Viral agent
c
A pregnant client asks the nurse about changing from her prescription antidepressant medication to St. John's wort because it is natural. What is the best response by the nurse? A. "It should be okay because your baby has been exposed to an antidepressant." B. "Yes, you can change, but let your doctor know at your next appointment." C. "St. John's wort is a drug, and this should be discussed with your healthcare provider." D. "No, herbal preparations are just not safe to take during pregnancy."
c
A student nurse asks a nurse what items are found within the Strategic National Stockpile (SNS). What is the nurse's best response? A. Drinking water B. Prepared meals C. Antibiotics D. Two-way radios
c
Following a bioterrorism attack, the nurse finds that the victims are suffering from small, black lesions on their forearms. The nurse collaborates with the healthcare provider to treat exposure to which agent? A. Phosgene gas B. Hydrogen cyanide C. Cutaneous anthrax D. Gastrointestinal anthrax
c
The client confides in the nurse that he or she is drawn to complementary and alternative medicine because it promotes the "whole person." The client would like spirituality and prayer included in his or her plan of care. What is the best response by the nurse? A. "What exactly do you mean by spirituality and prayer?" B. "I think your spiritual concerns are best left up to you and your minister." C. "We will include spirituality in your plan. Would you like to say a prayer?" D. "We usually do not pray with clients; is there something you are worried about?"
c
The client is being treated for a cardiac dysrhythmia with amiodarone (Cordarone). The client has elevated liver function tests (LFTs). Which assessment finding would the nurse suspect as contributing to the elevated LFTs? A. The client was taking Kava-Kava for anxiety. B. The client was taking St. John's wort for depression. C. The client was taking Echinacea to treat cold symptoms. D. The client was taking gingko biloba for memory problems.
c
The client is receiving albuterol (Proventil) for treatment of bronchospasm related to asthma. What is the primary nursing intervention as it relates to this medication? A. Monitor the client's serum drug levels. B. Provide the client with age-appropriate education about albuterol (Proventil). C. Monitor the client for relief of bronchospasms. D. Monitor the client for nausea and headache.
c
The client is receiving an oral antibiotic as treatment for cellulitis of the lower extremity. The client's outcome is "Client will state a key point about antibiotic treatment for cellulitis." Which statement would the nurse evaluate as best indicating this outcome has been met? A. "If the swelling continues, I can apply an ice pack." B. "If the pain gets too bad, I can take my prescribed pain medication." C. "I need to take all the pills even if my leg looks better." D. "I must keep my leg elevated until the swelling goes down."
c
The client takes several prescription medications and asks the nurse about using complementary and alternative medicine (CAM). What is the best reply by the nurse? A. "CAM is a good idea that you should discuss with your healthcare provider." B. "CAM has not been demonstrated to help with your kind of symptoms." C. "CAM is an approach that might reduce your need for medications." D. "CAM might help, but you will still need your medications."
c
The client tells the nurse that he or she has been taking herbal preparations to boost his or her immune system functioning. He or she does not know the names of the preparations. What is the best assessment question for the nurse to ask? A. "Would you please tell your doctor about the herbs during the next visit?" B. "Would you please ask your wife or husband to call the hospital pharmacist with the names?" C. "Would you please have your wife or husband bring the bottles to the hospital?" D. "Would you please ask your wife or husband to discuss this with me during her next visit?"
c
The client uses Ginkgo biloba to enhance memory functioning but has not told the nurse about this herb. The healthcare provider orders warfarin (Coumadin) for this client. Which findings may the nurse find upon assessment? A. An international normalized ratio (INR) of 3.0. B. A blood glucose of 56. C. Petechiae and bleeding from the gums. D. Headache, dizziness, sweating, and agitation.
c
The healthcare provider has prescribed a nitroglycerine (Nitrodur) patch for the client. The nurse understands that which of the following is the best outcome for this client as it relates to use of the medication? A. Client will state the reason for receiving the medication prior to discharge. B. Client will be able to identify the expiration date of the medication prior to discharge. C. Client will demonstrate correct application of the patch prior to discharge. D. Client will verbalize three side effects of the medication prior to discharge.
c
The nurse assesses an adverse effect of a medication that has been administered. Who should the nurse report this adverse effect to? A. Food and Drug Administration's (FDA) Med MARX Website. B. Food and Drug Administration's (FDA) Adverse Event Website. C. Food and Drug Administration's (FDA) MedWatch Website. D. Food and Drug Administration's (FDA) Safe Medicine Website.
c
The nurse follows the nursing process when conducting medication education about insulin. What will the nurse ask the client to evaluate the client's knowledge of insulin? A. "What questions do you have about insulin?" B. "Is your abdomen the best place to inject insulin?" C. "Can you tell me four points you remember about how to take your insulin?" D. "Can you recognize when you are experiencing hypoglycemia?"
c
The nurse has been teaching a client about herbal preparations and determines that additional teaching is required when the client makes which statement? A. "Herbal preparations are available in solid and liquid forms." B. "I need to be careful about where I store my herbal product." C. "Herbal products usually contain only one active ingredient." D. "I should check with you before using an herbal product."
c
The nurse is administering medications to an older adult. Which laboratory tests are most important for the nurse to assess prior to the administration of medication? A. Complete blood count (CBC) and electrolytes B. Arterial blood gases (ABGs) and basic metabolic panel C. Kidney and liver function tests D. Lipid panel and thyroid function tests
c
The nurse is assessing a newly admitted client's current medication. Which of the following is an example of objective data? A. The nurse asks the healthcare provider what medications the client was currently taking. B. The client's wife tells the nurse what medications the client has been receiving. C. The nurse checks the prescription bottles the client has brought to the hospital. D. The client lists the medications that have been prescribed.
c
The nurse is managing care for several clients at a diabetic treatment center. The nurse understands that which of the following is the priority nursing intervention? A. To include any cultural or ethnic preferences in the administration of the medication B. To answer any questions the client may have about the medicine, or any possible side effect of the medication C. To return the client to an optimum level of wellness while limiting adverse effects related to the client's medical diagnosis D. To administer the correct medicine to the correct client at the correct dose and the correct time via the correct route
c
The nurse is preparing for medication administration to a group of clients. What is the best overall outcome for the clients? A. Clients will take the medications after receiving medication instruction. B. Clients will state the reason they are receiving the medications. C. Clients will receive the best therapeutic outcome from the medications. D. Clients will experience minimal side effects after taking the medications.
c
What is the most significant role for nurses as defined by state nurse practice acts and by regulating bodies such as The Joint Commission? A. Ordering lab tests B. Prescribing medication C. Client teaching D. Discharging clients
c
A nurse has admitted a new client to the unit. Which concepts should the nurse use when developing a nursing diagnosis? Select all that apply. A. Base the nursing diagnosis on the medical diagnosis B. Focus on what the nurse needs to help the client return to health C. Include the client in the identification of needs D. Consider the client's response to the current health problem E. Be certain the diagnosis is measureable
c,d
A nurse is developing a care plan for a client. Which client outcome statements are correctly formatted? Select all that apply. A. The client will understand the effects of the medication administered prior to discharge. B. The nurse will administer all medications with ten minutes of their scheduled time. C. The client will identify two adverse effects of enoxaprarin (Lovenox) prior to self-administering the drug. D. The client will verbalize the storage requirements for NPH insulin prior to discharge. E. The healthcare provider will discuss the desired effects of discharge medications with the client the evening before discharge.
c,d
A client asks a nurse what the common complications are due to drug-herbal interactions. How would the nurse respond? A. Vision loss B. Hair growth C. Urine output D. Blood coagulation
d
A student nurse asks a nurse how specialty supplements differ from herbal products. What is the nurse's best response? A. Herbal products are more specific in their actions. B. Specialty supplements are generally targeted for more general conditions. C. Specialty supplements must be prescribed. D. Specialty supplements can come from animal sources.
d
The client comes to the emergency department with an anxiety attack. He or she tells the nurse he heard that there was another anthrax attack in the capitol and is concerned about running out of medications. What is the best response by the nurse? A. "You don't need to worry about another attack at all; I think our government can take care of us." B. "Your health is in danger due to the anxiety; we really need to focus on reducing your anxiety now." C. "I'm sure the Centers for Disease Control and Prevention (CDC) has contingency plans in the event of an anthrax attack." D. "The Centers for Disease Control and Prevention (CDC) maintains a large stockpile of medications for us in case that occurs."
d
The client tells the nurse that she is concerned about terrorist activity and questions if everyone should be immunized against smallpox. What is the best response by the nurse? A. "The vaccine has some serious side effects, but this is probably a good idea." B. "I really do not think our country has enough vaccine to do this." C. "Don't be so concerned; if an attack comes, we will immunize people then." D. "The vaccine has side effects, which are serious and could kill many people."
d
The healthcare provider has prescribed quetiapine (Seroquel) for the client with chronic auditory hallucinations. The client has stopped taking the medication. The nurse incorrectly uses the diagnosis of "noncompliance." In which situation would this diagnosis be appropriate? A. The client was unsure about how to order a refill for the prescription. B. The client reported a physical change as the reason for stopping the medication. C. The client did not understand why the medication was prescribed. D. The client made an informed decision not to take the medication.
d
The nurse conducts a seminar in a local community center on how citizens can be affected by radiation from a nuclear attack. The nurse determines that the education is effective when the clients make which statement? A. "I need to stay inside my house for at least 2 days after the attack to be safe." B. "I need to take at least four showers every day or I will develop skin ulcers." C. "I can protect myself from cancers by taking potassium iodide (KI)." D. "I am at risk to develop leukemia as a result of radiation exposure."
d
The nurse is on a committee to reduce medication errors in a large healthcare facility. What is a recommendation the nurse proposes that will most likely help to reduce medication errors? A. Use robots to prepare all medications for administration by the nurse. B. Train medication technicians to administer medications. C. Designate nurses whose only function is to administer medication. D. Use automated, computerized cabinets on all nursing units.
d
The nurse is reviewing the steps of the nursing process with a student. The nurse knows that the student understands the teaching when the student correctly lists which of the following as the correct order of the nursing process? A. Establish goals, assessment, intervention, planning, communication B. Establish nursing diagnosis, assessment, intervene, collaborate, evaluation C. Assessment, planning, establish objectives, communication, evaluation D. Assessment, establish nursing diagnosis, planning, interventions, evaluation
d
The nurse makes a medication error and a client dies. In court, the attorney for the family of the deceased client asks the nurse if she followed standards of care in administering the medication. How would the attorney phrase this question? A. "Did you follow the healthcare provider's orders and double-check them before administration?" B. "Did you follow agency guidelines as in previous circumstances?" C. "Did you do the three checks and follow the five rights as taught in school?" D. "Did you do what another nurse would have done under similar circumstances?"
d
The nurse prepares to teach clients about the safety and efficacy of herbal preparations. Which statement would be included in the best plan by the nurse? A. "The label on the herbal preparation is required by the Dietary Supplement Health and Education Act (DSHEA) to be accurate." B. "Herbal preparations have to meet the same safety and efficacy standards as prescription and over-the-counter (OTC) drugs." C. "Herbal preparations must be tested for safety and efficacy prior to marketing." D. "The manufacturer does not have to prove the safety or efficacy of the herbal preparation."
d
The nurse recognizes that agency system checks are in place to decrease medication errors. Who commonly collaborates with the nurse on checking the accuracy of the medication prior to administration? A. The nursing supervisor B. The nursing unit manager C. The healthcare provider D. The pharmacist
d
The nurse teaches a class to clients about how to help prevent medication errors when in the hospital. What is the most important question for the nurse to ask the clients? A. "Do you know what your illness is, and if you will need surgery?" B. "Do you trust your healthcare provider to order the correct medication?" C. "Do you have a friend to verify that you are receiving the correct medication?" D. "Do you know the names of all the medications you take?"
d
The nurse was very busy and unfamiliar with a new medication, but administered it anyway. Later the nurse looked up the medication. How does the nurse manager evaluate this behavior? A. An error did occur because the nurse could have administered the medication via the incorrect route. B. This was acceptable as long as the nurse looked up the action and side effects of the drug later. C. The nurse manager was partially at fault because the nursing unit was understaffed and the nurse was too busy. D. An error could have occurred because the nurse was unfamiliar with the medication.
d
The older adult asks the nurse how dietary supplements will help support health. What is the best response by the nurse? A. "Soy isoflavone will help prevent Alzheimer's disease." B. "Chromium will help you achieve and maintain optimum weight." C. "Dietary supplements will help support and maintain hydration." D. "Fish oil will help to enhance your brain function."
d
The client tells the nurse that he or she plans to take St. John's wort to treat his or her depression. What is the best response by the nurse? Select all that apply. A. "That should be fine as long as you are not suicidal." B. "St. John's wort is successfully used in Europe for minor depression." C. "It would be a good idea to try this before paying for a prescription medication." D. "It would be better to have a psychiatric assessment first." E. "Herbal preparations can interact with many other medications."
d,e
