NUR 240 EAQ - Safety and Infection Control

Which medication is safe to take during pregnancy? Select all that apply. One, some, or all responses may be correct.

Acetaminophen

The nurse is helping a depressed client cope after a bilateral mastectomy. Which theoretical care focus is the nurse using?

Adaptation

Which intervention would the nurse use to promote the safety of a client experiencing alcohol withdrawal?

Administer chlordiazepoxide

A client who has severe facial scarring from burns tells the nurse, "I've saved some oxycodone, and when I get home, I'm going to take all of them. Don't tell anyone." Which response is best?

"Are you planning to kill yourself?"

The nurse is teaching participants in a prenatal class regarding breast-feeding versus formula feeding. A client asks, "What is the primary advantage of breast-feeding?" Which response is most appropriate?

"Breast-fed infants have fewer infections."

Which would the nurse teach the parent of an infant who is at risk for infections?

"Breast-feeding will provide protection against bacteria."

The registered nurse (RN) is giving home care instructions to a client who was treated for injuries due to a fall. Which statement made by the client indicates a need for additional instruction?

"I should walk on soft scatter rugs at home."

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."

After the home health nurse has taught a client with asthma how to use a peak flow meter, which statement by the client needs correction?

"I will repeat the test in 15 minutes if the reading is in the red zone."

Which statement made by the parent of a child with a physical illness poses a safety risk to the child?

"I will send the prescription to school in an alright container."

The nurse is providing instruction to a parent of a child with influenza. Which statement by the parent indicates the need for further instruction?

"I'll manage the fever with baby aspirin."

A parent calls the school nurse to ask how to check for head lice. Which instruction would the nurse provide?

"Look at your child's head along the scalp line for white dots."

Which parental statement would concern the nurse during a toddler's wellness visit?

"My child loves to eat popcorn."

Which statement made by the nurse requires correction when discussing registered nurse licensure in the United States with peers?

"Passing the NCLEX-RN examination indicates maximal knowledge base for safe nursing practice."

When admitting an older client, the stool specimen confirmed a diagnosis of a methicillin-resistant Staphylococcus aureus (MRSA) infection. The nurse inquires about potentially assigning Room 2010, Bed B, the same isolation room as another client (2010, Bed A) who has MRSA. Which response would the nurse receive?

"Placing clients with the same infection in 1 room is safe."

Which statement would the nurse include in the teaching plan of a client anticipating discharge with acquired immunodeficiency syndrome (AIDS)?

"Wash used dishes in hot, soapy water."

Which statement indicates the patient understands the origin of hepatitis C?

"You can catch it while you're getting a tattoo."

Which assessment finding would the nurse question for a client who is considering oral contraceptives? Select all that apply. One, some, or all responses may be correct.

1.) Blood clots 2.) Heart disease 3.) Breast cancer 4.) Impaired liver function 5.) Undiagnosed vaginal bleeding 6.) Smoking more than 15 cigarettes per day.

Which information about decreasing the risk for complications would the nurse provide to a pregnant adolescent who remains sexually active with other partners? Select all that apply. One, some, or all responses may be correct.

1.) Calcium consumption 2.) Exercise 3.) Folic acid 4.) Condom use 5.) Prenatal care

Which nursing interventions require the nurse to wear gloves? Select all that apply. One, some, or all responses may be correct.

1.) Cleaning a newborn immediately after delivery. 2.) Emptying a portable wound drainage system.

Which action would the nurse perform when preparing to administer medication to a 4-year-old in a day care center? Select all that apply. One, some, or all responses may be correct.

1.) Identifying the child 2.) Verifying the dosage 3.) Reviewing side effects 4.) Obtaining parental consent 5.) Ensure that the medication is taken.

The nurse is discussing suicide risk with the parents of a group of adolescents. Which types of suicide would the nurse discuss when talking about soft methods? Select all that apply. One, some, or all responses may be correct.

1.) Ingesting pills 2.) Cutting one's wrists

Which diseases would the nurse include when teaching parents about viruses? Select all that apply. One, some, or all responses may be correct.

1.) Mumps 2.) Measles 3.) Hepatitis B

Which nursing resource must be available to effectively meet potential needs during a disaster? Select all that apply. One, some, or all responses may be correct.

1.) Staff 2.) Medication 3.) Hospital beds 4.) Mechanical ventilators 5.) Personal protective equipment

Which action would the nurse include in the plan of care for a client who is being treated for a sexually transmitted infection and reports fever and irregular bleeding? Select all that apply. One, some, or all responses may be correct.

1.) The use of analgesics. 2.) Abdominal palpation 3.) Complete blood count 4.) Culture of the cervical canal. 5.) Administration of antibiotics as prescribed. 6.) Teaching about negative effects of douching.

Which behavior is an early sign of an abusive personality? Select all that apply. One, some, or all responses may be correct.

1.) Verbal abusive 2.) Jealous, controlling 3.) Enforces rigid sex roles. 4.) Hypersensitive, easily insulted 5.) Isolates partner from family and friends. 6.) Makes others responsible for their feelings.

Which instruction would the nurse include when teaching the client how to perform peritoneal dialysis and the importance of preventing peritonitis? Select all that apply. One, some, or all responses may be correct.

1.) Wear a mask during the procedure. 2.) Clean the catheter exit site every day. 3.) Maintain meticulous aseptic technique. 4.) Wash your hands before the exchange. 5.) Store supplies in a clean and dry location.

By which age should an infant have had his or her first dental examination?

12 months

At which height is it no longer safe for a toddler to sleep in a crib?

36 inches

The nurse would instruct a client with type I diabetes to dispose of a used syringe in which container?

A plastic liquid detergent bottle with a screw-top lid.

Which would be placed in the medical record before implementing the use of restraints?

A prescriptions from the health care provider.

Which disease is in the top five leading causes of death in American women?

Alzheimer

Which clinical condition is associated with lead poisoning?

Anemia

Which instruction would the nurse provide to an older client using ice and heat to treat pain from back strain? Select all that apply. One, some, or all responses may be correct.

Apply for 30-minute time intervals.

Which noninvasive assessment and management skills certification would the nurse be required to use for airway maintenance and cardiopulmonary resuscitation (CPR)?

Basic Life Support (BLS)

Which nursing action helps reduce the development of health care associated methicillin-resistant Staphylococcus aureus (HA-MRSA)?

Bathing clients with chlorhexidine gluconate (CHG) solution.

Which product would the nurse instruct intravenous drug users (IDUs) to use for cleaning of needles and syringes between uses?

Bleach

The nurse is preparing to administer an intramuscular injection to a newborn. To administer the injection safely, the nurse would be cognizant of which cause of slow absorption in newborns?

Blood flow

Which technique would the nurse employ for an obstetrical client with a foreign body airway obstruction?

Chest thrusts

Which sexually transmitted infection (STI) is most commonly reported?

Chlamydia

Which statement by the nurse is true regarding the disaster triage tag system?

Class II clients are marked with a yellow tag.

To which disaster triage class would the nurse infer a client with a green triage tag belongs?

Class III

Which client would be treated first?

Client A

Which client condition would require the highest priority for treatment among four clients admitted at the same time under mass casualty conditions?

Client C

Which finding during peritoneal dialysis would the nurse act on as a sign of infection?

Cloudy return of dialysate.

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

Cohorting

Which is prevented by providing warm, humidified oxygen to a preterm infant?

Cold stress

Which nursing behavior is essential when working with leadership personnel during the activation of the emergency preparedness plan?

Collaboration

Which intervention would provide the greatest safety for a client admitted to a mental health unit because of suicidal ideation?

Continual one-on-one supervision.

How would the nurse explain the purpose of standard precautions to the nursing assistant on a surgical unit?

Decrease the risk of transmitting unidentified pathogens.

Which is the most effective professional leadership and management strategy nurses implement to improve safety and quality of patient-centered care?

Delegation

Which finding would lead the nurse to contact the state bureau of motor vehicles to obtain a driving evaluation for an older adult?

Dementia

Which emergency medical service agency offers service for a group of clients admitted to the emergency unit with mass fatalities?

Disaster Mortuary Operational Response Teams (DMORT)

Which report by the client post transrectal prostate biopsy needs to be communicated to the health care provider as a possible sign of infection?

Discharge from the penis.

Which is the most common cause of vehicle injuries in children?

Disobeying common traffic safety regulations.

When caring for a client who is receiving enteral feedings, the nurse would take which measure to prevent aspiration?

Elevate the head of the bed between 30 and 45 degrees.

Which hospital department plays a primary role in disaster preparedness?

Emergency department

Which action would the nurse take when caring for an older adult with a history of recent memory loss?

Employ electronic devices that provide alerts.

Which nursing action is appropriate when terminating exposure for a toddler who presents to the emergency department (ED) after eating a lily?

Emptying the mouth.

Which action is the priority when the nurse is establishing a therapeutic environment for a client?

Ensuring the client's safety.

Which would be included in the plan of care for an obstetrical client who has been taking carbamazepine throughout the first trimester of pregnancy?

Evaluation for a neural tube defect.

Which occurs immediately after birth that increases the risk for cardiac decompensation in a client with a compromised cardiac system?

Extravascular fluid is remobilized into the vascular compartment.

When assessing a client with Hepatitis A, the nurse is particularly careful with which substance to prevent transmission of the disease?

Fecal matter

Who would the nurse contact to receive training as a Community Emergency Response Team (CERT) member?

Federal Emergency Management Agency (FEMA)

Which type of emergency assessment is being performed when the nurse is inserting a gastric tube and arranging for diagnostic studies for a client who sustained injuries after a bus accident?

Focused adjuncts

Which method of delivering client care works well in disaster situations?

Functional nursing

Which generation of nursing professionals, being exposed to both terrorism and natural disasters, would be key members for disaster planning initiatives?

Generation Y

Which color tag would the nurse use to triage a victim of a train derailment who is able to walk independently to the first aid station?

Green

Which unique adverse effect of pharmacotherapy is the pediatric population most at risk for?

Growth suppression

Which manifestation indicates tertiary syphilis?

Gummas

The nurse is teaching unlicensed assistant personnel about ways to prevent the spread of infection. The nurse decides to emphasize the need to break the cycle of infection. Which teaching would be priority?

Hand washing before and after providing client care.

In which position would the nurse place a client with a spinal cord injury experiencing autonomic dysreflexia?

High Fowler

Which is the facility-level organizational model for disaster management?

Hospital Incident Command System (HCS)

Which sexually transmitted infection causes condylomata acuminate?

Human papillomavirus (HPV)

A full-term infant who is large for gestational age (LGA) should be monitored for which risk?

Hypoglycemia

Which characteristic aligns with prioritizing care into the triage level of "emergent"?

Immediate threat to life or limb.

The nurse is preparing to administer a transdermal medication to an infant. To administer the medication safely, the nurse would recognize which as the reason absorption is more rapid via the transdermal route in infants than in older children?

Increased blood flow

For which condition would an infant born with exstrophy of the bladder be at risk?

Infection

Which infection would the nurse identify as requiring a client to be placed on droplet precautions?

Influenza

The nurse is preparing a child who has undergone a myringotomy for discharge. Which would the parents be taught about their child's care at home?

Insert earplugs whenever a bath is given.

Which assessment is necessary for the nurse to complete in a client with chronic kidney disease receiving loop diuretics?

Intake and output measurement.

The nurse is planning to teach the four-point alternate crutch gait to a 9-year-old child with cerebral palsy. How would the nurse explain this choice to the parents?

It provides for equal but partial weight bearing on each limb.

Which topics will the nurse include when educating the parents of an adolescent on home safety?

Keeping firearms locked away.

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.

Which scenario is an internal disaster that might delay a specialist from providing on-time treatment to a client?

Lack of communication because of a damaged telephone system in the hospital.

The nurse is working with an older adult brought to the emergency department after sustaining multiple falls at home. The nurse suspects alcohol abuse. Which finding places the client at risk for injury?

Lack of insight

Which position increases cardiac output in the obstetrical client with cardiac disease?

Lateral positioning

Which method of swaddling could cause risk for injury?

Legs extended

Which level of trauma center provides a full continuum of care for the trauma client?

Level I

Which plant, if ingested by a toddler, would necessitate further action by the nurse?

Lily

Why should the use of baby powder on an infant be avoided?

Lung irritation

Which statement best describes the goal when the administrator of a skilled nursing facility reviews the organization's internal emergency management plan?

Maintain client, staff, and visitor safety.

Which emergency medical service agency offers service such as first aid stations and special-need shelters during a disaster or pandemic disease outbreak?

Medical Reserve Corps (MRC)

Which medical relief team would the nurse expect to help health care facilities that face personnel shortages during a mass casualty event?

Medical Reserve Corps (MRC)

Which type of asepsis is the nurse using when he or she washes his or her hands before changing a client's postoperative dressing?

Medical asepsis

Which personnel would the nurse state are responsible for deciding the number, acuity, and resources needed for clients during a disaster?

Medical command physician

Which condition in a client with a brain injury is contraindicated for magnetic resonance imaging (MRI) with contrast?

Metal aneurysm clips

Which element would the nurse focus on when teaching crutch-walking to a client who has a casted leg fracture?

Modifying the home environment to prevent accidents.

Which nursing action would be included in the plan of care for a child with acute poststreptococcal glomerulonephritis?

Monitoring for seizures.

The client with which treatment needs belongs to class I according to the disaster triage tag system?

Needs emergency treatment.

Which type of needs would be placed as a high priority in the prioritization of client care?

Needs that affect safety.

Which factor is the strongest predictor of illness in a childcare setting?

Number of unrelated children in a room.

When teaching a health promotion class at a retirement home, which information would the nurse include about ways to decrease infection in older adults?

Obtain flu vaccinations.

Which statement describes the purpose of a community emergency response team (CERT)?

Organizes untrained volunteers to help victims after a disaster.

The nurse is preparing to administer pain medication to an older adult. To promote safety, which would the nurse assess before giving the medication?

Other prescribed medications

The nurse is caring for a client with suspected appendicitis. Which assessment finding would the nurse determine would further support the diagnosis?

Pain in right lower quadrant.

Which assessment finding for a 4-hour-old newborn would be most concerning for the nurse?

Paradoxical respiration

Which is a primary contributing factor for the risk-taking behavior for school-aged children?

Peer pressure

Which information would the nurse provide to a client taking dulaglutide?

Perform self-injection weekly.

Which effect has resulted in the avoidance of tetracycline use in children under 8 years old?

Permanent tooth discoloration

Which high-risk nutritional practice must be assessed for when a pregnant client is found to be anemic?

Pica

To ensure client and visitor safety during transport of a client with influenza A (H1N1) for a computed tomography, the nurse would take which precaution?

Place a surgical mask on the client.

Which is a risk factor of necrotizing enterocolitis in the preterm infant?

Polycythemia

Which type of needs would be placed as an intermediate priority in the prioritization of client care?

Potential needs in care.

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

Identify the role of plasma cells in the antigen-antibody response.

Produces antibodies against the sensitizing antigen.

Which is a primary goal for organized athletics for preadolescent children?

Promotion of teamwork.

The nurse is educating a client about managing hypoglycemia unawareness. Which information would the nurse provide?

Refrain from alternative testing sites.

Which condition would the nurse monitor for in the client on aminoglycoside therapy and skeletal muscle relaxants?

Respiratory arrest

Which initial action would the nurse take when a male toddler with autism spectrum disorder suddenly runs to the wall and starts banging his head on it?

Restrain the toddler to prevent head injury.

Which cereal would the nurse recommend to the parent of an infant who plans to introduce solid foods?

Rice

Which primary objective of nursing interventions would the nurse maintain for clients with dementia, delirium, and other neurocognitive disorders?

Safety within the environment.

Which agent of terrorism can cause death within a few minutes?

Sarin gas

Offspring of men of advanced paternal age are at an increased risk for which condition?

Schizophrenia

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 information would the nurse include in the discharge teaching plan for a client who sustained a cerebrovascular accident (CVA, also known as a "brain attack") with residual hemiparesis and hemianopsia?

Significance of a safe environment.

Which action puts a client at risk for low back injury and pain?

Smoking tobacco

Which should the nurse include when teaching a client with Clostridium difficile about decreasing the risk of transmission to family members?

Soap and water for hand washing.

Which stage of the human immunodeficiency virus (HIV) would a client with a CD4+ T cell count of 325 cells/mm3 be classified?

Stage 2

Where is the nurse positioned when performing a Romberg test?

Standing to the side of the client.

Which client/parent education would the nurse include about a potential complication of mumps?

Sterility

Which is the nurse's priority intervention after discovering an infant is apneic?

Stimulate the trunk.

Which object would the nurse teach the client with a newly implanted pacemaker to avoid?

Strong magnet

In light of a nurse hearing a depressed client telling another client, "I'll be feeling better soon," which initial parameter would the nurse assess for in the depressed client?

Suicidal thinking

When is administration of activated charcoal indicated after a poisoning?

The charcoal has to be administered within 1 hour after the poisoning.

A client has been placing used insulin needles in a container sealed with heavy-duty tape. Where would the nurse tell the client to dispose of the container?

The local hazardous waste collection site.

Which risk would the nurse consider when providing care to a client in the acute phase of treatment for a full-thickness burn?

The risk of septicemia and its potential complications from treatment.

Which would the nurse understand to be the role of emergency medical technicians (EMTs) in emergency nursing after a disaster?

To monitor vital signs.

Which issue related to antibiotic use is an increased risk for the older adult?

Toxicity

A child's mother asks the school nurse how her child got head lice. Which would the nurse explain to the mother?

Transmission occurs through contact with contaminated children and objects.

Which is essential for ensuring disaster readiness in a community?

Trauma system

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 minimum number of disaster drills the hospital disaster plan committee must plan and implement each year?

Two

How would the nurse position a client to practice supraglottic swallowing after tracheostomy?

Upright

How would the nurse position a client with epistaxis?

Upright leaning forward.

Which intervention is the best approach to condom use for prevention of sexually transmitted infection?

Use of a condom with oral sex.

Which risky adolescent behavior has increased in occurrence in recent years?

Using electronic vapor products.

A client's sputum smears for acid-fast bacilli (AFB) are positive and requires transmission-based airborne precautions. Which instruction would the nurse teach when orienting the client's visitors?

Wear a particulate respirator mask when in the room.

Which action would the nurse identify as a potential contributor to staff post-traumatic stress disorder (PTSD) during a mass casualty assessment?

Working continuously without any breaks.

Which group has the highest rate of meningococcal infection?

Young adults

The nurse explains to the parents of a 6-year-old child with a pinworm infestation how pinworms are transmitted. Which statement indicates that the teaching has been understood?

"She needs to wash her hands before eating anything."

A client is being initiated on bisphosphonates. Which advice will the nurse provide?

"Take it on an empty stomach."

Which statement by the nursing student indicates understanding of the precautions needed in the provision of care to a child who is human immunodeficiency virus (HIV) positive?

"I'll put on gloves if I'm going to be in contact with body fluids."

A 15-month-old child is hospitalized after ingesting toilet bowl cleaner. The mother confides that she feels guilty about leaving the cleaner where her child could get it. Which is the best response by the nurse?

"It was an accident, but you should consider special locks on your closets."

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 of weeks."

Arrange the events of an examination of a rape victim for a sexually transmitted infection in correct order.

1.) Nucleic acid amplified testing for chlamydia. 2.) Wet mount and culture or point-of-care testing of a vaginal swab specimen for trichomoniasis. 3.) Serum sample for HIV infection, hepatitis B, and syphillis. 4.) Repetition of serological tests for syphillis and HIV infection.

Which medication would the nurse instruct a client to avoid while taking alprazolam? Select all that apply. One, some, or all responses may be correct.

1.) Opioids 2.) Alcohol 3.) Barbiturates

Which foods increase the risk of aspiration or are choking hazards for toddlers? Select all that apply. One, some, or all responses may be correct.

1.) Peas 2.) Nuts 3.) Hot dogs

Which infection control measures would the nurse provide a client regarding blood glucose monitoring? Select all that apply. One, some, or all responses may be correct.

1.) Perform hand washing 2.) Clean site before fingerstick

Which features would the emergency department (ED) nurse use from an automated tracking system for triage during mass casualty incidents (MCIs)? Select all that apply. One, some, or all responses may be correct.

1.) Priority upon arrival. 2.) Interaction with caregivers. 3.) Priority per process of care. 4.) Priority according to location.

The nurse is caring for a client with a bowel obstruction. Which assessment findings indicate the possible onset of peritonitis? Select all that apply. One, some, or all responses may be correct.

1.) Rebound tenderness 2.) Diminished bowel sounds 3.) Rigid, boardlike abdomen

In which order would clients receive care based on triage tag color?

1.) Red 2.) Yellow 3.) Green 4.) Black

Which risk to the fetus is associated with a maternal diagnosis of chorioamnionitis? Select all that apply. One, some, or all responses may be correct.

1.) Sepsis 2.) Bacteremia 3.) Pneumonia 4.) Cerebral palsy (CP) 5.) Respiratory distress syndrome (RDS)

Which actions transmit the human immunodeficiency virus (HIV)? Select all that apply. One, some, or all responses may be correct.

1.) Sharing syringe needles 2.) Breast-feeding a newborn. 3.) Anal intercourse

Which safety information would the nurse instruct parents to review when selecting a daycare? Select all that apply. One, some, or all responses may be correct.

1.) Staff-child ratios 2.) Sanitary conditions 3.) Emergency protocols

Which sexually transmitted infections are caused by bacteria? Select all that apply. One, some, or all responses may be correct.

1.) Syphillis 2.) Gonorrhea

Which information would the nurse provide an older adult and caregivers regarding medication safety? Select all that apply. One, some, or all responses may be correct.

1.) Use a pill organizer. 2.) Read all medication labels. 3.) Review medications with pharmacist.

Which information would the nurse include in a community education session on decreasing the risk for musculoskeletal injuries? Select all that apply. One, some, or all responses may be correct.

1.) Use of seat belts. 2.) Obeying speed limits. 3.) Wearing safety equipment. 4.) Avoiding impaired vehicle use. 5.) Refraining from distracted driving.

The client with which tag color requires immediate treatment in the emergency department according to disaster triage tag system?

B

Which certification course may be an elective for the nurse qualified to care for clients in a disaster-related emergency situation?

Certified Emergency Nurse (CEN)

Which information would the nurse provide a client with a new colostomy about managing the appliance?

Cut opening 1/8- to 1/16-inch larger than stoma.

Which initial nursing intervention would the nurse take for an older adult with delirium who begins acting out while in the dayroom?

Giving the client one simple direction at a time in a firm, low-pitched voice.

A mother diagnosed with acquired immunodeficiency syndrome (AIDS) states she has been caring for her baby even though she has not been feeling well. Which important information would the nurse determine regarding the care provided by the mother?

If the mother is breastfeeding her baby.

The nurse in the emergency department is caring for a 9-year-old child with a suspected spinal cord injury sustained while falling off a bicycle. Which is the initial nursing action?

Immobilizing the child's spine to limit additional injury.

Which antibody forms first, after exposure to an antigen?

Immunoglobulin M (IgM)

Which condition is commonly seen following infestation with pediculosis capitis (head lice)?

Impetigo

Which instructions will the home health nurse include when teaching a client with peripheral artery disease? Select all that apply. One, some, or all responses may be correct.

1.) "Avoid crossing your legs." 2.) "Inspect your feet daily." 3.) "Do not use compression stockings."

The nurse is reviewing the procedure for intervention if a fire occurs. Which interventions would the nurse include in the procedure if a fire occurs that relate to the acronym RACE? Select all that apply. One, some, or all responses may be correct.

1.) Activate the alarm. 2.) Remove all clients from the area. 3.) Confine the fire by closing doors and windows.

Which intervention would the nurse include in the plan of care for a client admitted with herpes zoster? Select all that apply. One, some, or all responses may be correct.

1.) Acyclovir 2.) Silvadene 3.) Gabapentin 4.) Wet compresses 5.) Contact isolation

Which population would the nurse include in a community education session on sexually transmitted infections (STIs)? Select all that apply. One, some, or all responses may be correct.

1.) Adolescents 2.) Homosexual men 3.) Transgender clients 4.) Multiple sex partners 5.) Intravenous drug users

The nurse is working with a group of clients in a mental health facility. The nurse would assess risk for suicide in clients with which conditions? Select all that apply. One, some, or all responses may be correct.

1.) Anxiety 2.) Alcohol abuse 3.) Schizophrenia 4.) Bipolar disorder

Which finding during a home health visit would prompt the nurse to provide a client with home safety instructions? Select all that apply. One, some, or all responses may be correct.

1.) Area rugs on the floor. 2.) Clogged, dirty fireplace 3.) Multiple electrical cords 4.) Multiple prescribed medications 5.) Wheeled walker with uneven legs.

Which instruction on infection prevention would the nurse include when providing discharge education to a client who received a cadaveric renal transplant? Select all that apply. One, some, or all responses may be correct.

1.) Avoid eating from buffets. 2.) Obtain annual flu vaccinations. 3.) Perform regular hand hygiene. 4.) Stay away from crowded areas. 5.) Report a temperature greater than 100.5°F.

Which information would the nurse discuss with a group of adolescents wearing orthodontic appliances to prevent infection? Select all that apply. One, some, or all responses may be correct.

1.) Brushing teeth twice a day. 2.) Flossing after each meal. 3.) Visiting the dentist twice a year. 4.) Drinking unsweetened drinks. 5.) Cleaning around orthodontic gear.

The nurse is working with parents in the community to decrease the incidence of poisonings in children younger than 5 years of age. Which information would the nurse include to meet this goal? Select all that apply. One, some, or all responses may be correct.

1.) Clean fruits and vegetables. 2.) Place locks on medicine cabinets. 3.) Use child-resistant medication caps. 4.) Keep the poison control center number near the phone. 5.) Store cleaning products in a locked cabinet.

Which information would the nurse include when educating a group of daycare workers on infection control guidelines? Select all that apply. One, some, or all responses may be correct.

1.) Cleaning toys 2.) Hand hygiene 3.) Food preparation

The nurse is caring for a client with a brain injury who is often disoriented and agitated. Which interventions would the nurse include in the plan of care to decrease the risk for staff injury? Select all that apply. One, some, or all responses may be correct.

1.) Daily routine 2.) Reality orientation 3.) Calendar and clocks 4.) Antipsychotic medication

Which are the leading causes of accidental death in infants under 1 year of age? Select all that apply. One, some, or all responses may be correct.

1.) Drowning 2.) Suffocation 3.) Motor vehicle-related injuries.

Which symptom indicates pelvic inflammatory disease? Select all that apply. One, some, or all responses may be correct.

1.) Fever 2.) Elevated erythrocyte sedimentation rate (ESR) 3.) Chronic pelvic pain 4.) Irregular vaginal bleeding 5.) Abnormal vaginal discharge 6.) Bilateral adnexal tenderness

Which substance can cause life-threatening dysrhythmias when inhaled? Select all that apply. One, some, or all responses may be correct.

1.) Glue 2.) Gasoline 3.) Paint thinner

Which laboratory value would the nurse assess when preparing a client for a renal biopsy? Select all that apply. One, some, or all responses may be correct.

1.) Hematocrit 2.) Hemoglobin 3.) Platelet count 4.) Prothrombin time (PT) with international normalized ratio (INR) 5.) Partial thromboplastin time (PTT)

Which cause may produce abnormal uterine bleeding? Select all that apply. One, some, or all responses may be correct.

1.) Hypothyroidism 2.) Failure to ovulate 3.) Bleeding disorders 4.) Unidentified pregnancy 5.) Use of oral contraceptives. 6.) Benign lesions of the uterus.

Which actions by the staff of a mental health unit can lead to client violence? Select all that apply. One, some, or all responses may be correct.

1.) Inconsistent limit setting 2.) Controlling staff members 3.) Randomly taking away privileges

Which action would the school nurse perform after observing lice in an 8-year-old? Select all that apply. One, some, or all responses may be correct.

1.) Inspecting other children's scalps. 2.) Washing clothing and fabric items. 3.) Notifying other parents of outbreak. 4.) Sending the child home from school. 5.) Providing treatment instructions for the parents.

Which disease process places a client at increased risk for infection? Select all that apply. One, some, or all responses may be correct.

1.) Leukemia 2.) Lymphoma 3.) Emphysema

Which risk factor increases a client's risk for infection in the community? Select all that apply. One, some, or all responses may be correct.

1.) Lifestyle 2.) Occupation 3.) Frequent traveling

Which threats included in the term "NBC" lead to the implementation of improved emergency medical services (EMS) and hospital safety programs? Select all that apply. One, some, or all responses may be correct.

1.) Nuclear 2.) Biological 3.) Chemical

A child with type 1 diabetes has difficulty measuring the required insulin dose. The child frequently draws up 42 units of insulin instead of the prescribed 24 units. Which is the most appropriate intervention to ensure dosage safety?

Providing the child with a preset syringe that was developed for the visually impaired.

Which team member acts as a liaison between the health care facility and the media?

Public information officer

Which activity would the nurse manager complete during an emergency event when acting as the triage officer according to the Hospital Incident Command System (HICS)? Select all that apply. One, some, or all responses may be correct.

Rapidly evaluating each person who comes to the hospital.

To ensure accuracy when assessing a client's blood pressure, how would the nurse prevent a parallax error?

Read the manometer at eye level.

The client with which color tag would be treated first, according to the disaster triage tagging system?

Red

Which action by the nurse would decrease the risk of injury for a child with oppositional defiant disorder?

Redirect anger in other ways.

Which goal would be priority for the child with autism spectrum disorder who has frequent episodes of self-biting and head-banging and needs help with feeding and toileting?

Remaining safe from self-inflicted injury.

Which intervention is most important in preventing hospital-acquired catheter-associated urinary tract infections (CAUTIs)?

Removing the catheter.

Which would the registered nurse say is the priority action of first responders after a community disaster?

Removing the victims from danger.

Which information would the nurse consider when planning care for a client with scabies?

Scabies is highly contagious.

Which role does the federal government play in emergency preparedness?

Stockpiles critical equipment

Which strategy would the nurse include in a plan of care for a client with Alzheimer disease?

Structure the environment for safety.

Which client assessment is triaged to nonurgent status by the emergency department nurse?

Teenager with ecchymosis and edema to the ankle.

The nurse creates a plan of care for a client with a risk of infection. Which is the desirable expected outcome for the client?

The client will be free of signs and symptoms of infection by discharge.

Which substance will the home care nurse instruct a client to use after laryngectomy to cleanse the stoma site?

Mild soap and water.

Which medication for treatment of gastroesophageal reflux disease would be contraindicated in the pregnant client?

Misoprostol

Which action would the nurse take to decrease the risk of transmission of vancomycin-resistant enterococci (VRE)?

Move the client to a private room.

Which cardiac disease has the lowest risk for maternal mortality?

Patent ductus arteriosus

Two nurses are planning to help a client with one-sided weakness move up in bed. Which principle of body mechanics would the nurses observe?

Position the nurses on either side of the bed with their feet apart, gather the pull sheet close to the client, turn toward the head of the bed, and then move the client.

Which phase of disaster management occurs when the community health nurse in a community that is geographically vulnerable to storms teaches the community about safety measures to be taken during a storm?

Preparedness

Which initial action would the nurse take for a newly admitted client who reports memory loss, nervousness, insomnia, and fear of leaving the house?

Provide the client with a sense of security and safety.

The nurse is preparing to initiate antibiotic therapy for a client who developed an incisional infection. Which task would the nurse ensure has been completed before starting the first dose of intravenous antibiotics?

Wound culture

Which information regarding risks that may result from an untreated chlamydia infection would the nurse include when providing education for a female client? Select all that apply. One, some, or all responses may be correct.

1.) Sterility 2.) Ectopic pregnancy 3.) Blocked Fallopian tubes 4.) Pelvic inflammatory disease 5.) Increased likelihood of HIV infection.

Which conditions are given a green tag according to triage disaster tag system? Select all that apply. One, some, or all responses may be correct.

1.) Strains 2.) Abrasions

Which factor(s) increase(s) the risk of nurses making medication errors in the health care setting? Select all that apply. One, some, or all responses may be correct.

1.) Stress 2.) Fatigue 3.) Overwork

Which adolescent behavior increases the risk of injury? Select all that apply. One, some, or all responses may be correct.

1.) Substance abuse 2.) Unprotected sex

Which information would the nurse's teaching plan include for a client scheduled for an elective vacuum aspiration abortion in the first trimester of pregnancy?

A temperature of 100.4°F (38°C) or higher should be reported immediately.

Which unit in the hospital would be the priority for implementation and evaluation of a workplace violence protection plan as one component of a hospital disaster plan?

Emergency department

Who is responsible for triaging the victims of a multiple motor vehicle crash on a major interstate?

Emergency first responders

Which factor increases an adolescent's risk for injury in the community?

Distracted driving

Which action provides support for the fetal head as it is being delivered?

Distributing the fingers evenly around the head.

The nurse should take which infection control measures when caring for a client admitted with a tentative diagnosis of infectious pulmonary tuberculosis (TB)?

Don an N95 respirator mask before entering the room.

Which training measure is most effective to adequately familiarize health care providers with emergency response procedures?

Drills

The nurse is caring for a client who has an implanted port. How often would the nurse change the noncoring needle?

Every 7 days

Which example of indirect bullying would the nurse use when teaching a parent about bullying?

Exclusion

Which new triage level would the emergency department (ED) nurse training to be a member of a direct response team to respond to community emergencies be required to learn?

Expectant

Which is the purpose of critical incident stress debriefing (CISD) after a disaster?

Prevent post-traumatic stress disorder (PTSD).

Which training will help nurses identify signs of biological terrorism?

Hazardous materials (HAZMAT)

Which suicide method would indicate a low threat of lethality?

Ingesting pills

To meet the criteria of ethical practice, which action would the nurse who witnessed the spouse of a client fall take?

Initiate an agency incident report.

Which would the nurse do first if an allergic reaction to a blood transfusion occurs?

Shut off the infusion.

A child with meningitis suddenly assumes an opisthotonic position. In which position would the nurse position the child?

Side-lying

Which precaution would the nurse identify as a prevention for transmission of human immunodeficiency virus (HIV) and other bloodborne illnesses?

Standard

The nurse is providing restraint education to a group of nursing students. Which reason to use restraints is incorrect to teach?

To prevent an adult client from getting up at night when there is insufficient staffing on the unit.

The school nurse presented a program for teachers about infection-control and hand-washing techniques. Which evaluation method is the most effective way for the nurse to evaluate the teachers' knowledge of hand-washing techniques?

Watch the teachers demonstrate infection-control techniques.

Which public health risk became a major focus for hospitals after the September 11, 2001, terrorist attacks?

Weapons of mass destruction (WMD)

The parent of a toddler who is being treated for iron toxicity asks the nurse why induced vomiting is being used instead of activated charcoal. Which rationale would the nurse provide?

"Activated charcoal does not absorb iron."

The parents of a child diagnosed with hepatitis A express concern that other family members may contract hepatitis because they only have one bathroom. Which response would the nurse reply?

"All family members, including your child, need to wash their hands after using the bathroom."

Which client statement indicates the need for further teaching regarding safe sexual practices related to their diagnosis of acquired immunodeficiency syndrome (AIDS)?

"I can participate in anal intercourse safely without using condoms."

Which parental statement would the nurse recognize as placing an infant at risk for injury?

"I heat the formula in the microwave for 30 seconds."

The new nurse is approached by a surveyor from the department of health. The surveyor asks the nurse about the best way to prevent the spread of infection. Which answer by the nurse is correct?

"Wash your hands before and after any client care."

Which intervention would the nurse encourage the parents of a child with plumbism (lead poisoning) to do?

Assess the family's home environment for lead sources and have them removed.

Which diagnostic test result indicates if a client will develop acquired immunodeficiency syndrome (AIDS) from the human immunodeficiency virus (HIV)?

The number of CD4+ T cells available.

The client is on neutropenic precautions. From which direction does the protective environment isolation help prevent the spread of infection?

To the client from outside sources.

Which of these age groups has the highest incidence of lead poisoning?

Toddler