220L Adaptive Quizzes 1&2

A healthcare provider prescribes aripiprazole 15 mg by mouth once a day for a client with the diagnosis of schizophrenia. The hospital pharmacy sends aripiprazole 5 mg/tablet. How many tablets will the nurse administer? Record your answer as a whole number. ____ tablet(s)

3 tablets

Metformin 2 g by mouth is prescribed for a client with type 2 diabetes. Each tablet contains 500 mg. How many tablets should the nurse administer? Record your answer using a whole number. ____________

4 tablets

The nurse is preparing to administer a nasogastric tube feeding to a client via infusion pump. What is the most important assessment the nurse needs to perform before beginning the pump? a.) Checking for the last bowel movement b.) Checking for residual stomach contents c.) Checking to determine time of last medication for nausea d.) Checking to make sure the head of bed is elevated at least 15 degrees

b.) Checking for residual stomach contents

A client becomes anxious after being scheduled for a colostomy. What is the most effective way for the nurse to help the client? a.) Administer the prescribed as needed (PRN) sedative. b.) Encourage the client to express feelings c.) Explain the postprocedure course of treatment. d.) Reassure the client that there are others with this problem.

b.) Encourage the client to express feelings

An infant with a congenital heart defect is being given gavage feedings. The parents ask the nurse why this is necessary. What is the best response by the nurse? a.) "It limits the chance of vomiting." b.) "It allows the feeding to be administered rapidly." c.) "The energy that would have been expended on suckling is conserved." d.) "The quantity of nutritional liquid can be regulated better than it can with a bottle."

c.) "The energy that would have been expended on suckling is conserved."

A 4-year-old child is brought to the pediatric clinic for a well-child visit. While entering the examination room the child bumps into the door jamb and then tilts his head to one side. The nurse suspects that the child has strabismus. What additional clinical finding supports this conclusion? a.) Bloodshot sclera b.) Excessive blinking c.) Frequent squinting d.) Continuous tearing

c.) Frequent squinting

Which action is the least likely to prevent sleep disturbances? a.) Avoiding reading, writing, and eating in bed b.) Getting out of bed if unable to fall asleep after 20 minutes c.) Performing strenuous exercise within an hour before going to bed d.) Lowering the temperature of the bedroom and keeping it dark and quiet.

c.) Performing strenuous exercise within an hour before going to bed

A nurse is caring for a client who is positive for hepatitis A. Which precautions should the nurse take? a.) Wear a gown when entering the client's room. b.) Use caution when bringing in the client's food. c.) Use gloves when removing the client's bedpan. d.) Wear a protective mask when entering the client's room.

c.) Use gloves when removing the client's bedpan.

Which statement helps the nurse determine that a woman with genital herpes (HSV-2) understands her self-care in regards to this infection? a.) "When I have a baby, I don't want a cesarean." b.) "I can have sex as soon as the herpes sores have healed." c.) "When I finish the acyclovir prescription I will be cured." d.) "I must be careful when I have sex because herpes is a lifelong problem"

d.) "I must be careful when I have sex because herpes is a lifelong problem"

A newborn's total body response to noise or movement is often distressing to the parents. How would the nurse best explain this response to the parents? a.) A reflex that is expected in the healthy newborn b.) A reflex that remains for the newborn's first year c.) An autonomic reflex indicating that the newborn is hungry d.) An autonomic reflex indicating the newborn's basic insecurity

a.) A reflex that is expected in the healthy newborn

What should be used to clean needles and syringes between intravenous drug users (IDUs)? a.) Bleach b.) Hot water c.) Ammonia d.) Rubbing alcohol

a.) Bleach

A multiple motor vehicle crash occurs on a major interstate. Who is responsible for triaging the victims of this crash? a.) Emergency first responders b.) Nurses in the acute care areas c.) Nurses in the emergency room d.) Physicians in the emergency room

a.) Emergency first responders

Three days after birth, a breast-feeding newborn becomes jaundiced. The parents bring the infant to the clinic, and blood is drawn for an indirect serum bilirubin determination, which reveals a concentration of 12 mg/dL (100 mcmol/L). The nurse explains that the infant has physiologic jaundice. What is the cause of this benign condition? a.) Immature liver function b.) An inability to synthesize bile c.) An increased maternal hemoglobin level d.) A high hemoglobin and low hematocrit level

a.) Immature liver function

A nurse is caring for a young, hyperactive child with attention deficit-hyperactivity disorder who engages in self-destructive behavior. What is the most important nursing objective in the planning of care for this child? a.) Keeping the child from inflicting any self-injury b.) Helping the child improve communication skills c.) Helping the child formulate realistic ego boundaries d.) Providing the child with opportunities to discharge energy

a.) Keeping the child from inflicting any self-injury

On a visit to the well-baby clinic the parents are upset because their 9-month-old infant has severe diaper rash; one parent wants to know how to treat it and prevent it from recurring. What cause of diaper dermatitis should the nurse include when answering the parent's question? a.) Use of disposable diapers b.) Prolonged contact with an irritant c.) Decreased pH of the infant's urine d.) Too-early introduction of solid foods.

b.) Prolonged contact with an irritant

A postpartum nurse is reviewing principles related to automobile infant restraint systems with the parents of a newborn who is to be discharged in the morning. What information should be included in the teaching session? Select all that apply. a.) Use a forward-facing infant car seat. b.) Secure the infant seat so that it faces the rear. c.) Position the seat between the driver's and passenger's seats in the front seat. d.) Follow the manufacturer's directions to secure the infant seat in the back seat. e.) Be sure to follow weight guidelines set forth in the manufacturer's instructions.

b.) Secure the infant seat so that it faces the rear. d.) Follow the manufacturer's directions to secure the infant seat in the back seat. e.) Be sure to follow weight guidelines set forth in the manufacturer's instructions.

A nurse is caring for a 9-year-old child who is undergoing chemotherapy to treat leukemia. What is the priority nursing action? a.) Promoting optimum growth and development b.) Using techniques to minimize risk of infection c.) Encouraging food that will improve nutritional status d.) Providing emotional support for the child and family members

b.) Using techniques to minimize risk of infection

A nurse who is admitting a newborn to the nursery observes a fetal scalp monitor site on the scalp. Which complication should the nurse monitor this newborn for? a.) injury b.) infection c.) feeding problems d.) respiratory distress

b.) infection

Which hospital department plays a primary role in disaster preparedness? a.) Medical department b.) Surgical department c.) Emergency department d.) Mental health department

c.) Emergency department

What interventions should the nurse perform while caring for an actively dying client? Select all that apply. a.) Admit the client in hospice care. b.) perform aggressive laboratory tests. c.) Provide client and family reassurance. d.) Keep the client undisturbed for long time. e.) Perform symptom management in the client.

c.) Provide client and family reassurance. e.) Perform symptom management in the client.

A preadolescent brings home a note from the school nurse informing the parents that the child should be evaluated for scoliosis. The mother calls the school nurse to ask for a description of scoliosis. Before responding, what does the nurse recall about scoliosis? a.) The concave lumbar curvature is exaggerated. b.) There are pathological changes in the vertebrae. c.) There is a rotary deformity of the lateral curvature of the spine. d.) The curvature of the thoracic spine has an increased convex angulation.

c.) There is a rotary deformity of the lateral curvature of the spine.

A client has been receiving digoxin. The client calls the clinic and complains of "yellow vision." What is the nurse's best response? a.) "This is related to your illness rather than to your medication." b.) "Take the medication because this is not a serious side effect." c.) "This side effect is only temporary. You should continue the medication." d.) "The medication may need to be discontinued. Come to the clinic this afternoon."

d.) "The medication may need to be discontinued. Come to the clinic this afternoon."

Which theory is based on the model of primacy of caring? a.) Roy's Theory b.) Watson's Theory c.) Betty Neuman's Theory d.) Benner and Wrubel's Theory

d.) Benner and Wrubel's Theory

Which is the critical factor among healthcare professionals, state agencies, and federal agencies to determine when and how to evacuate safely during a natural disaster? a.) Cooperation b.) Classification c.) Collaboration d.) Communication

d.) Communication

What is the function of the emergency department nurse leader? a.) Providing care for stable emergency department (ED) clients b.) Assisting in monitored care of the client c.) Transporting the clients to the critical care unit d.) Directing ancillary departments to deliver resources to meet service demands

d.) Directing ancillary departments to deliver resources to meet service demands

A child has unknowingly swallowed a poisonous substance and has fallen unconscious. Which nursing intervention is advisable for the child? a.) Administer ipecac immediately. b.) Run tap water over the child's face for some time. c.) Make a call to the national poison control hotline. d.) Make arrangements so that the child is taken to a hospital.

d.) Make arrangements so that the child is taken to a hospital.

What does a nurse consider the most significant influence on many clients' perception of pain when interpreting findings from a pain assessment? a.) Age and sex b.) Physical and physiological status c.) Intelligence and economic status d.) Previous experience and cultural values

d.) Previous experience and cultural values

On a routine visit to the well-child clinic, the parents of a 3-year-old child tell the nurse that their child is a "picky" eater and express concern about their child's nutritional status. What should the nurse suggest to help the parents meet the child's nutritional requirements? a.) Including some of the foods the child prefers in every meal b.) Cooking nutritious meals and staying with the child until the food is eaten c.) Serving a regular diet to the family and a special meal that the child will eat d.) Explaining that there will be no dessert until the child eats the food on the plate

a.) Including some of the foods the child prefers in every meal

While visiting the hospital, the spouse of a client slips and falls on a recently washed floor in the hallway leading to the client's room. To meet the criteria of ethical practice, what action should the nurse who witnessed the occurrence take? a.) Initiate an agency incident report b.) Report the fall to the state (provincial) health department. c.) Write a brief description of the incident to be kept by the nurse manager. d.) Determine that no documentation is needed because the visitor is not a client in the hospital.

a.) Initiate an agency incident report

During follow-up visits, the client's child reports to the nurse, "I tell my parent every day about what may happen if medications aren't taken as prescribed. Despite that, my parent does not take the medication regularly and is depressed." What can be inferred about the client's motivational level? a.) Not motivated b.) Intrinsically motivated c.) Extrinsically motivated with self-determination d.) Extrinsically motivated without self-determination

a.) Not motivated

The nurse providing care for a client with a diagnosis of neutropenia reviews isolation procedures with the client's spouse. The nurse determines that the teaching was effective when the spouse states that protective environment isolation helps prevent the spread of infection in which direction? a.) To the client from outside sources b.) From the client to others c.) From the client by using special techniques to destroy infectious fluids and secretions d.) To the client by using special sterilization techniques for linens and personal items

a.) To the client from outside sources

A nurse is caring for a client with an antisocial personality disorder. What consistent approach should the nurse use with this client? a.) Warm and firm without being punitive b.) Indifferent and detached but nonjudgmental c.) Conditionally acquiescent to client demands d.) Clearly communicative of personal disapproval

a.) Warm and firm without being punitive

After becoming incontinent of urine, an older client is admitted to a nursing home. The client's rheumatoid arthritis contributes to severely painful joints. Which need is the primary consideration in the care of this client? a.) Control of Pain b.) Immobilization of joints c.) Motivation and teaching d.) Bladder training and control

a.) control of pain

A nurse is caring for a client during the early postoperative period after a modified radical mastectomy. What should the nurse teach her regarding limiting edema in the affected arm? a.) "Turn to the unaffected side every 2 hours." b.) "Avoid moving the affected arm for 24 hours." c.) "Use pillows to elevate the affected arm above the level of the heart." d.) "Maintain the positive pressure drainage bag below the level of the arm."

c.) "Use pillows to elevate the affected arm above the level of the heart."

A nurse is planning for the discharge of a child after a sickle cell vaso-occlusive crisis. What is most important for the nurse to emphasize? a.) A high-calorie diet b.) A rigorous exercise regimen c.) An increased intake of fluids d.) An increase in the hours spent sleeping

c.) An increased intake of fluids

When assessing a client with heart failure, the nurse asks what aggravates the problem. Which activity should the nurse expect will cause the client the greatest distress? a.) Getting up from bed in the morning b.) Walking to visit the next-door neighbor c.) Climbing a flight of stairs to the bedroom d.) Leaving the table immediately after a meal

c.) Climbing a flight of stairs to the bedroom

A nurse provides discharge teaching to a client who had a total hip replacement. The client states that the plan is to go swimming at the community pool the day after discharge. How should the nurse respond? a.) Instruct the client to take a friend along for safety b.) Encourage participation in this activity, because it provides excellent range-of-motion exercise. c.) Explain that the incision should not be immersed in water until it has healed. d.) Let the client know that swimming can substitute for the prescribed physical therapy.

c.) Explain that the incision should not be immersed in water until it has healed.

Which entity is responsible for activating the disaster plan during a mass casualty incident (MCI)? a.) Local emergency management system b.) State emergency management system c.) Federal emergency management agency d.) Hospital-level emergency management system

c.) Federal emergency management agency

A nurse educates a group of parents about how to teach their children to safely cross roads and walk in parking lots. Which age group of the children is the nurse referring to? a.) Toddlers b.) Adolescents c.) Preschoolers d.) School-age children

c.) Preschoolers

What information should the nurse include when teaching a client about antacid tablets? a.) Take them at 4-hour intervals. b.) Take them 1 hour before meals. c.) They are as effective as the liquid forms. d.) They interfere with the absorption of other drugs.

d.) They interfere with the absorption of other drugs.