CH1 Practice Questions

When reading a patient's tuberculin skin test (TST), the healthcare provider notes 5 mm of redness and 2 mm of induration. The correct reading for this patient is __ mm. -3 -2 -7 -5

2

In patients with OSA who are prescribed to use a PAP device at home. What is the patient education topic that the nurse should prioritize? -daily exercise regimen -nutrition -having a sleep log to count the number of hours to sleep -adherence to the use of PAP machine

adherence to the use of PAP machine

A patient who has a diagnosis of chronic bronchitis is experiencing an acute exacerbation. Assessments include increasing dyspnea and a cough producing thick, purulent mucus. Which class of medications should the healthcare provider to administer first? -leukotriene inhibitor -beta-2 agonist -non-steroidal anti-inflammatory agent -mucolytic

beta-2 agonist

A client newly diagnosed with asthma has infrequent acute episodes. The nurse should teach the client that which medication is most effective for providing quick relief in acute episodes? -corticosteroid via metered dose inhaler as needed -beta-agonist via metered-dose inhaler -anti-inflammatory via metered-dose inhaler -daily use of bronchodilator inhaler

beta-agonist via metered-dose inhaler

A patient with asthma asks the nurse about engaging in exercise. What does the nurse tell this patient? -aerobic exercise is considered too strenuous for people with asthma -strenuous exercise is not recommended for people who have asthma -adjust your exercise routine as needed to avoid asthma triggers -keep a short-acting beta agonist on hand to use as needed while exercising

adjust your exercise routine as needed to avoid asthma triggers

The son of a client diagnosed with ALS asks the nurse, "Is there any chance that I could get this disease?" Which statement by the nurse would be most appropriate? -"ALS does have a genetic factor and runs in families" -"It must be scary to think you might get this disease" -"No, this disease is not genetic or contagious" -"If you are exposed to the same virus, you may get the disease"

ALS does have a genetic factor and runs in families

For patients who are newly diagnosed with OSA, what is a major consideration that the nurse should prioritize in the management of OSA? -increased appetite -depression -patient's ability to adapt to therapy -having a new mattress and pillows

patient's ability to adapt to therapy

A patient with asthma performs a peak flow assessment, which is 60% of normal and in the yellow range, and has an oxygen saturation of 94% on room air. Which initial action should the nurse take? -notify the rapid response team -give the patient oxygen by nasal cannula -request an order for an oral corticosteroid medication -administer the ordered pRN short-acting beta 2 agonist`

administer the ordered PRN short-acting beta 2 agonsit

A patient with a spinal cord injury at the T1 level complains of a severe headache and an "anxious feeling." Which is the most appropriate initial reaction by the nurse? -try to calm the patient and make the environment soothing -assess for a full bladder -notify the healthcare provider -prepare the patient for diagnostic radiography

assess for a full bladder

The client is diagnosed with ALS. As the disease progresses, which intervention should the nurse implement? -discuss the need to be placed in a long-term care facility -explain how to care for a sigmoid colostomy -teach the client how to use a motorized wheelchair -assist the client to prepare an advance directive

assist the client to prepare an advance directive

Which of the following injury locations will result in Tetraplegia -C4 -C6 -T6 -L1

C4

The nurse is assessing a patient's sleep patterns to determine the presence of sleep apnea. What is a specific question that the nurse asks to determine this? -Do you fall asleep easily? -Do you have vivid, lifelike dreams? -Do you snore loudly or experience daytime sleepiness? -Do you ever experience loss of muscle control of falling?

Do you snore loudly or experience daytime sleepiness

A home health nurse is teaching a client who has active tuberculosis. The provider has prescribed the following medication regimen: isoniazid 250 mg PO daily, rifampin 500 mg PO daily, pyrazinamide 750 mg PO daily, and ethambutol 1 mg PO daily. Which of the following client statements indicate the client understands the teaching? (Select all that apply) -"I can substitute one medication for another if I run out because they all fight infection." -"I will wash my hands each time I cough" -"I will wear a mask when I am in a public area" -"I am glad I don't have to have any more sputum specimens" -"I don't need to worry where I go once I start taking my medications"

I will wash my hands each time I cough I will wear a mask when I am in a public area

A patient has been diagnosed with asthma. Which statement below indicates that the patient correctly understands how to use an inhaler with a spacer correctly? -I don't have to wait between the two puffs if I use a spacer -If the spacer makes a whistling sound, I am breathing in too rapidly -I should shake the inhaler only if I want to see whether it is empty -I should rinse my mouth and then swallow the water to get all of the medicine

If the spacer makes a whistling sound, I am breathing in too rapidly

A patient is scheduled to undergo desensitization therapy during which a very dilute solution of allergen (1:100,000) is injected. This process induces the formation of antibodies against the allergen. Which antibody is produced during this process? -IgE -IgG -IgM -IgA

IgG

The nurse is planning to teach a client with COPD how to cough effectively. Which of the following instructions should be included? -Take three deep abdominal breath, bend forward, and cough while saying the word "who" on exhalation -lie flat on back, splint the thorax, take two deep breaths and cough -take several rapid shallow breaths and then cough forcefully -assume a side-lying position, extend the arm over the head, and alternate deep breathing with coughing

Take three deep abdominal breath, bend forward, and cough while saying the word "who" on exhalation

A nurse is caring for a client who has a new diagnosis of tuberculosis and has been placed on a multimedication regimen. Which of the following instruction should the nurse give the client related to ethambutol? -Your urine can turn a dark orange -Watch for a change in the sclera of your eyes -Watch for any changes in vision -Take vitamin B6 daily

Watch for any changes in vision

A nurse is preparing to administer a new prescription for isoniazid (INH) to a client who has tuberculosis. The nurse should should instruct the client to report which of the following findings as an adverse effect of the medication? -You might notice yellowing of your skin -You might experience pain in your joints -You might notice tingling of your hands -You might experience a loss of appetite

You might notice tingling of your hands

The client with newly diagnosed Parkinson's disease states, "I just don't think I can handle having Parkinson's disease." What is the nurse's best first response? -you sound overwhelmed. Can you tell me more? -I am sure you can. A lot of other people do! -What do you think will be the hardest thing to handle? -The entire health care team will help you manage the disease

You sound overwhelmed. Can you tell me more?

A nurse is teaching a client who has tuberculosis. Which of the following statements should the nurse include in the teaching? -"You will need to continue to take the multimedication regimen for 4 months" -"You will need to provide sputum samples every 4 weeks to monitor the effectiveness of the medication" -"You will need to remain hospitalized for treatment" -"You will need to wear a mask at all times"

You will need to provide sputum samples every 4 weeks to monitor the effectiveness of the medication

The home health nurse concludes that more teaching may be necessary after making which observation during the first home visit to a client discharged after a stroke? Select all that apply. -a commode is observed at the bedside -a fluid restriction chart is on the refrigerator -metamucil is on the kitchen counter -hand weights are next to the couch -there is a small scatter rug at the side of the bed

a fluid restriction chart is on the refrigerator there is a small scatter rug at the side of the bed

Which patient below is MOST as risk for developing a cholinergic crisis? -a patient with myasthenia gravis who is not receiving sufficient amounts of their anticholinesterase medication -a patient with myasthenia gravis who reports not taking the medication Pyridostigmine for 2 weeks -a patient with myasthenia gravis who is experiencing a respiratory infection and recently had left hip surgery -a patient with myasthenia gravis who reports taking too much of their anticholinesterase medication

a patient with myasthenia gravis who reports taking too much of their anticholinesterase medication

A nurse is admitting a patient with TB, where should the patient be admitted in the unit? -a private room with negative pressure and has its own filtration system -a shared room with the same diagnosed patient -a regular private room at the end of the hall -a shared room with a patient who is having exacerbation of asthma

a private room with negative pressure and has its own filtration system

A patient complains of disturbed sleep at night and repeated pauses in breathing. Following a complete physical examination, the nurse expects the patient to be assessed for sleep apnea. Which finding in the physical examination supports the nurse's suspicion? -Body mass index 29kg/m 2 -blood sugar level 85mg/dL -blood pressure 140/90 mmHg -blood carbon dioxide level 24 mEq/L

blood pressure 140/90 mmHg`

Which instruction would the nurse give to a client with multiple sclerosis who has urinary retention? -Run water whenever you experience difficulty initiating urination -decrease your fluid intake to prevent urgency -drink a caffeinated beverage to promote the ability to form urine -catheterize your bladder according to the schedule we discussed

catheterize your bladder according to the schedule we discussed

What strategy would the nurse suggest to the family of the client with Parkinson's disease as the best approach to helping the client maintain as much functional independence as possible? -assist the client to take a warm bath every morning -perform passive ROM three times a day -display an unhurried manner that allows the client sufficient time to respond or act -obtain assistive devices that will make ADL's easier

display an unhurried manner that allows the client sufficient time to respond or act

A patient who is diagnosed with Parkinson's disease (PD) states, "I can't tie my shoelaces anymore." The healthcare provider recognizes that this patient's problem is due to a deficiency in which these neurotransmitters? -glutamate -norepinephrine -dopamine -seratonin

dopamine

The nurse is caring for a patient who has chronic obstructive pulmonary disease (COPD). Which intervention to facilitate adequate caloric intake for this patient is included in the plan of care? -encourage frequent rest periods, especially before meals -administer bronchodilator medications after meals -recommend a high-calor, high-carbohydrate diet -include high-calorie protein drinks as part of each meal

encourage frequent rest periods, especially before meals

What education will be provided for the family of a patient being treated for tuberculosis convalescing at home? -Use airborne precautions -Place used tissues in a trashcan -cover your mouth and nose when sneezing -everyone must undergo tuberculosis testing

everyone must undergo tuberculosis testing

A nurse is planning care for a client who has dysphagia and new dietary prescription. Which of the following should the nurse include in the plan of care? -have suction equipment available for use -feed the client thickened liquids -place food on the unaffected side of the client's mouth -assign on assistive personnel to feed the client slowly -teach the client to swallow with her neck flexed

feed the client thickened liquids place food on the unaffected side of the client's mouth teach the client to swallow with her neck flexed

A nurse is caring for a client who has Parkinson's disease and is starting to display bradykinesia. Which of the following is an appropriate action by the nurse? -teach the client to walk more quickly when ambulating -complete passive range of motion exercises daily -place the client on a low protein, low calorie diet -give the client extra time to perform activities

give the client extra time to perform activities

A nurse is caring for a client who has experienced a right-hemispheric stroke. Which of the following are expected finding? (Select all that apply) -impulse control difficulty -left hemiplegia -loss of depth perception -aphasia -lack of situational awareness

impulse control difficulty left hemiplegia loss of depth perception lack of situational awareness

A nurse is assessing a client who has experienced a left-hemispheric stroke. Which of the following is an expected finding? -impulse control difficulty -poor judgement -inability to recognize familiar objects -loss of depth perception

inability to recognize familiar objects

The nurse would prevent corneal abrasion in a client when myasthenia gravis by performing which nursing intervention? -doing a saline eye irrigation every shift -instilling artificial tears in the eyes every 1 to 2 hours -ensuring the client's contact lenses are on while awake -providing sunglasses when the client is outside

instilling artificial tears in the eyes every 1 to 2 hours

You're a home health nurse providing care to a patient with myasthenia gravis. Today you plan on helping the patient with bathing and exercising. When would be the best time to visit the patient to help these tasks? -mid-afternoon -morning -evening -before bedtime

morning

When caring for a patient with Parkinson's disease, the nurse understands that progressive difficulty with which factor is a primary expected outcome? -nutrition -elimination -motor ability -effective communication

motor ability

The nurse is assessing a client in the ED. Which among the following will suspect the nurse that the client has TB? Select all that apply. -nonproductive cough that occurs in early morning -fatigue -weight gain -late afternoon low grade fever and night sweats -difficulty breathing

nonproductive cough that occurs in early morning fatigue late afternoon low grade fever and night sweats

What would the nurse do as a priority when caring for the client with myasthenia gravis to minimize the risk for complications of the disease? -inspect for hemorrhage -assess for viral pneumonia -offer to cut the client's food as needed -provide the client with a bedside commode

offer to cut the client's food as needed

A nurse is providing information about tuberculosis to a group of clients at a local community center. Which of the following manifestations should the nurse include in the teaching? (select all that apply) -Persistent cough -weight gain -fatigue -night sweats =purulent sputum

persistent cough fatigue night sweats purulent sputum

A nurse is assessing a client for manifestations of Parkinson's disease. WHich of the following are expected finding? (Select all that apply) -decreased vision -pill-rolling tremor of the fingers -shuffling gait -drooling -bilateral ankle edema -lack of facial expression

pill-rolling tremor of the fingers shuffling gait lack of facial expression drooling

The healthcare provider is assessing a patient with a diagnosis of Parkinson's disease. Which of the following assessments will the healthcare provider anticipate? -pill-rolling tremor when the hand is at rest -an absence of stereognosis -deep tendon reflexes graded as 1 -twisting and protruding movements of the tongue

pill-rolling tremor when the hand is at rest

A nurse is caring for a client who has left homonymous hemianopsia. Which of the following is an appropriate nursing intervention? -teach the client to scan to the right to see objects on the right side of her body -place the bedside table on the right side of the bed -orient the client to the food on her plate using the clock method -place the wheelchair on the client's left side

place the bedside table on the right side of the bed

A nurse is caring for a patient who displays signs of stage III Parkinson's disease. Which of the following actions should the nurse include in the plan of care? -Recommend a community support group -Integrate a daily exercise routine -Provide a walker for ambulation -Perform ADLs for the client

provide a walker for ambulation

A nurse is developing a plan of care for the nutritional needs of a client who has stage IV Parkinson's disease. Which actions should the nurse include in the plan of care? (Select all that apply.) -provide three large balanced meals daily -record diet and fluid intake daily -document weight every other week -place the client in Fowler's position to eat -Offer nutritional supplements between meals

record diet and fluid intake daily offer nutritional supplements between meals

The nurse teaches a mother how to attach a spacer to the metered-dose inhaler for a young child. How should the nurse explain the purpose of the spacer? -makes the device look less intimidating to a small child -makes it unnecessary to shake the inhaler before administering the drug -concentrated the medication in the upper respiratory tract -reduces the risk for oral yeast by depositing medication more deeply into the airways

reduces the risk for oral yeast by depositing medication more deeply into the airways

A nurse is reinforcing teaching with a client who has Parkinson's disease and has a new prescription for bromocriptine. Which of the following instructions should the nurse include in the teaching? -rise slowly when standing -expect urine to become dark-colored -avoid food containing tyramine -report any skin discoloraiton

rise slowly when standing

The nurse is assessing a patient with allergic rhinitis. What assessment finding does the nurse anticipate? -the presence of fever -glowing skin over the sinuses -yellow drainage from the nose -runny nose with itchy, watery eyes

runny nose with itchy, watery eyes

During an interview with a patient with a diagnosis of Parkinson's disease, which of the following speech patterns will the healthcare provider anticipate? -pressure and hurried -clear and rhythmic -bubbly and spirites -slow, slurred, and monotone

slow, slurred, and monotone

A nurse is caring for a client who has global aphasia (both receptive and expressive). Which of the following should the nurse include in the client's plan of care? (Select all that apply) -speak to the client at a slower rate -assist the client to use flash cards with pictures -speak to the client in a loud voice -complete sentences that the client cannot finish -give instructions one step at a time

speak to the client at a slower rate assist the client to use flash cards with pictures give instructions one step at a time

The neurologist is conducting a Tensilon test (edrophonium) at the bedside of a patient who is experiencing unexplained muscle weakness, double vision, difficulty, breathing, and ptosis . Which findings after the administration of Edrophonium would represent the patient has myasthenia gravis? -the patient experiences worsening of the muscle weakness -the patient experiences wheezing along with facial flushing -the patient reports a tingling sensation in the eyelids and sudden ringing in the ears -the patient experiences improved muscle strength

the patient experiences improved muscle strength

A 78-year-old patient with Huntington's disease has developed contractures from muscle atrophy. The nurse is reviewing his information after he has been admitted to the long-term care facility. Which best describes an appropriate outcome for this patient? -the patient will monitor for signs and symptoms of skin breakdown as a result of contractures -the patient will learn to reposition himself in bed and in his chair without help -the patient will participate in range of motion exercises to reduce the effects of contractures -the patient will verbalize the effects of his contractures on his activities of daily living

the patient will participate in range of motion exercises to reduce the effects of contractures

The healthcare provider is assessing a patient with a diagnosis of chronic bronchitis. Which of these physical findings represents the effects of air trapping in this patient? -the sternum is prominently protruding from the chest -there are indentations in the intercostal spaces during inspiration -asymmetrical expansion of the thorax is noted during inspiration -the width of the chest is equal to the depth of the chest

the width of the chest is equal to the depth of the chest

When planning care for a patient diagnosed with Parkinson's disease, which of these patient outcomes should receive priority in the patient's place of care? -taking a vitamin supplement each day -taking a daily walk around the neighborhood -toileting and bathing independently -working on a favorite hobby

toileting and bathing independently

Aside from the strong urge to smoke, having trouble sleeping, difficulty concentrating, and anxiety. What other side effect should you tell a client in a smoking cessation program? -weight gain -bankruptcy -skin irritations -hair loss

weight gain

What should the nurse include when teaching health maintenance strategies to the client with COPD? Select all that apply. -yearly influenza immunization -immunization against pneumonia -limitation of physical activity -oral fluid restriction -adequate caloric intake

yearly influenza immunization immunization against pneumonia adequate caloric intake