NUR 412 EAQ Final

Which parental statement would the nurse recognize as indicating the need for further education about bicycle safety for a school-aged client?

My child should be able to safely ride after being supervised for a couple weeks

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 stage of the human immunodeficiency virus (HIV) would a client with a CD+4 T cell count of 325 cells/mm be classified?

Stage 2

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

squeeze toys

Which definition does the world health organization (WHO) use to define 'health'?

A state of complete physical, mental, and social well-being

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 10 mm. Which response to this finding would the nurse implement?

Additional tests are necessary to determine infection status

Why would organizations promote transparency in health care?

Allows continuous feedback for improving client outcomes

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

Analysis

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

Anaphylaxis

an adolescent with terminal cancer tells the home care nurse, I'd really like to get my general education development certificate. Do you think that's possible? Which is the best approach to the adolescent's question?

Arranging a conference with the school and encouraging the adolescent to prepare for the test

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

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 sexually transmitted infection causes condylomata acuminate?

Human papillomavirus (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

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 sexually transmitted infection (STI) is most commonly reported?

Chlamydia

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

Cohorting

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

Contact with their parents

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

Continuing to observe the seizure

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

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

Evaluation

Which professional standard is important for critical thinking?

Evaluation criteria

Which synovial joint movement is described as turning the sole away from the midline of the body?

Eversion

Which of these programs is least likely to focus on medication delivery process modification?

Experimental research

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

Explanation

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

Hypophysectomy

A student in high school asks the school nurse why a classmate has been absent for so long. Which is the best response?

I know you're concerned, but you'll need to ask your classmate for yourself

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 antibody forms first, after exposure to an antigen?

Immunoglobulin M (IgM)

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

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

Keep the trachea free of secretions

The nurse is caring for an adolescent admitted to the hospital after taking an acetaminophen overdose. Which result is most important for the nurse to monitor at this time?

Liver function tests

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

Nurse

A client scheduled for surgery reports a history of methicillin-resistant staphlococcus 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

Which condition is characterized by infection of a client's bone or bone marrow?

Osteomyelitis

Which scenarios 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

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

Registered nurse (RN)

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

An 8-year-old child has experienced the death of 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

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 conditions pose the greatest risk for injury for adolescent?

Substance abuse, motor vehicle accidents

According to Avedis Donabedian, which is the most important validator of quality and effectiveness of health care in a hospital?

The client outcomes achieved by the care provided

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.

How do toddlers learn self-protection?

Through trial-and-error strategies

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

Wear a gown and gloves when providing direct care

Which joint is an example of a condyloid joint?

Wrist joint

Which aspect of total client care needs to be taken into consideration if used on a 24-bed care area?

Cost of nurses

Which action is the nurse's responsibility when administering prescribed opioid analgesics?

Count the client's respirations, document the intensity of the client's pain, verify the number of doses in the locked cabinet before administering the prescribed dose

Which is a component of the primary survey?

Disability

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

Effect on body image

Which diagnostic procedure is used to detect muscle weakness?

Electromyography

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.

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

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

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

In providing effective nursing care to clients from different cultural backgrounds, which strategy would the nurse follow?

Provide care that fits the clients' cultural beliefs

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

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

Systemic side effects are minimal

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 of syphilis?

Treponema pallidum

How often should a health care facility that is joint commission accredited plan to test the emergency preparedness plan?

Twice a year

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 rationale supports the nursing intervention to turn the client with paraplegia every 1 to 2 hours?

To prevent development of pressure injuries

Which is the average optimal blood pressure of an adolescent?

110/65 mm Hg

Which client care activity may the nurse safely delegate to an unlicensed health care worker?

Assisting a client who is recovering from an abdominal hysterectomy to the bathroom

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

Which finding in older adult clients is associated with aging?

Decrease in height