EAQ'S

What is the first strategy for burnout prevention that deliberately reflects on the nurse's stress? 1 Focus 2 Choice 3 Balance 4 Awareness

4 Awareness

Which statement about sleep patterns in older adults is correct? 1 Older adults require less sleep than younger people do. 2 The sleep of older adults is deeper than that of younger people. 3 Older adults take fewer daytime naps and get more sleep at night. 4 Inadequate sleep in older adults may lead to memory and personality changes.

4 Inadequate sleep in older adults may lead to memory and personality changes.

A client is receiving dexamethasone to treat acute exacerbation of asthma. For what side effect should the nurse monitor the client? 1 Hyperkalemia 2 Liver dysfunction 3 Orthostatic hypotension 4 Increased blood glucose

4 Increased blood glucose

Which dietary suggestion should the nurse provide while teaching a group of geriatric female clients who have reduced amounts of circulating estrogen? 1 "Include fish in your diet." 2 "Include fruits in your diet." 3 include yogurt in your diet 4 "Include legumes in your diet."

3 include yogurt in your diet

What is a nurse's responsibility when administering prescribed opioid analgesics? Select all that apply. 1 Count the client's respirations. 2 Document the intensity of the client's pain. 3 Withhold the medication if the client reports pruritus. 4 Verify the number of doses in the locked cabinet before administering the prescribed dose. 5 Discard the medication in the client's toilet before leaving the room if the medication is refused

1 Count the client's respirations. 2 Document the intensity of the client's pain. 4 Verify the number of doses in the locked cabinet before administering the prescribed dose.

After treatment for a bladder infection, a client asks whether there is anything she can do to prevent cystitis in the future. What is the best response by the nurse? 1 "Avoid regular use of tampons." 2 "Decrease your intake of prune juice." 3 "Increase your daily fluid consumption." 4 "Cleanse the perineum from back to front."

3 "Increase your daily fluid consumption."

An 80-year-old client is admitted to the hospital because of complications associated with severe dehydration. The client's daughter asks the nurse how her mother could have become dehydrated, because she is alert and able to care for herself. What is the nurse's best response? 1 "The body's fluid needs decrease with age because of tissue changes." 2 "Access to fluid may be insufficient to meet the daily needs of the older adult." 3 "Memory declines with age, and the older adult may forget to ingest adequate amounts of fluid." 4 "The thirst reflex diminishes with age, and therefore the recognition of the need for fluid is decreased."

4 "The thirst reflex diminishes with age, and therefore the recognition of the need for fluid is decreased."

A nurse working in a postoperative ward assists an older client in getting to the washroom in order to prevent the client from falling. Which level of need did the nurse prioritize in the client according to Maslow's hierarchy of needs? 1 Level 1 2 Level 2 3 Level 3 4 Level 4

2 Level 2

A hospice-care facility is providing care to a client in the terminal stage of renal disease. The primary health-care provider is explaining to a client how a hospice facility works. Which statement made by the client's caregiver indicates the need for correction? 1 "A hospice facility provides care to terminally ill clients." 2 "With admission to hospice facility, we should realize that death is a natural part of life." 3 "The objective of hospice facility is to provide care to clients with terminal illness and a poor prognosis." 4 "The goal of hospice-care facility is to maximize the quality of life and keep the client as comfortable as possible.

1 "A hospice facility provides care to terminally ill clients."

The health-care provider is discussing the nursing home facilities with a new member of the staff. Which statement made by the staff member indicates the need for further discussion? 1 "A nursing home setting should resemble a hospital." 2 "The nursing home facility is meant to restore functional abilities to its clients." 3 "The client rooms are designed with ample, non glare lighting." 4 "The facility encourages residents to personalize their rooms."

1 "A nursing home setting should resemble a hospital."

A registered nurse evaluates the statements made by a new nurse about time management while delegating client care. Which statement made by the new nurse indicates a need for further instruction? 1 "I should discuss issues with my colleagues." 2 "I should keep track of the time I utilize while performing activities." 3 "I should establish priorities based upon the scheduled time frames." 4 "I have to attend client-care conferences and give staff reports on time."

1 "I should discuss issues with my colleagues."

What is the maximum amount of time the nurse should allow an older adult with a cerebrovascular accident (also known as "brain attack") to remain in one position? 1 1 to 2 hours 2 3 to 4 hours 3 15 to 20 minutes 4 30 to 40 minutes

1 1 to 2 hours

Which type of temperature measurement is contraindicated in clients with shaking chills? 1 Oral 2 Rectal 3 Axillary 4 Tympanic

1 Oral

While caring for a client with impaired memory and orientation, a nurse notes poor hygiene self-care. The nurse lowers the client's bed and ensures sufficient night lighting. What is the reason for these nursing interventions? 1 To reduce anxiety 2 To reduce the sensory stimuli 3 To reduce the risk of falls and injuries 4 To reduce the incidence of disturbed thought processes

3 To reduce the risk of falls and injuries

Which modifiable risk factors for coronary artery disease (CAD) should the nurse include in a teaching session for a Native American patient? Select all that apply. 1 Age 2 Gender 3 Tobacco 4 Hypertension 5 Diabetes mellitus (DM)

3 Tobacco 4 Hypertension 5 Diabetes mellitus (DM)

Which parameter does the nurse assess first while assessing a client with severe trauma? 1 Airway 2 Disability 3 Breathing 4 Circulation

1 Airway

A nurse is caring for an older adult who is taking acetaminophen for the relief of chronic pain. Which substance is most important for the nurse to determine if the client is taking because it intensifies the most serious adverse effect of acetaminophen? 1 Alcohol 2 Caffeine 3 Saw palmetto 4 St. John's wort

1 Alcohol

A nurse advises a client to use a firm mattress for sleep and to refrain from sleeping on the abdomen. Which condition does the client most likely have? 1 Back sprain 2 Fibromyalgia 3 Rheumatoid arthritis 4 Ankylosing spondylitis

1 Back sprain

A nurse should employ which technique to maintain surgical asepsis? 1 Change the sterile field after sterile water is spilled on it. 2 Put on sterile gloves and then open a container of sterile saline. 3 Place a sterile dressing no more than half an inch from the edge of the sterile field. 4 Clean the surgical area with a circular motion, moving from the outer edge toward the center.

1 Change the sterile field after sterile water is spilled on it.

Which physical finding is most likely to be observed in an abused older adult? 1 Hematomas 2 Human bites 3 Genital injuries 4 Blood on the underclothing

1 Hematomas

Which self-care behavior would benefit a client with gastroesophageal reflux disease? 1 Limiting alcohol intake 2 Avoiding protein-rich foods 3 Eating two small meals a day 4 Consuming small evening snacks

1 Limiting alcohol intake

A nurse observes regular patterns that look like they were made by a belt buckle, wire hanger, and chain on a child's skin. What behavioral change might the nurse also expect from the child? 1 The child expresses fear of going home. 2 The child shows self-stimulatory behavior. 3 The child's intellectual development is lagging. 4 The child displays age-inappropriate sexual play.

1 The child expresses fear of going home.

The nurse is caring for a client undergoing chemotherapy for cancer treatment. The client's laboratory results indicate bone marrow suppression. What should the nurse encourage the client to do? 1 Use an electric razor when shaving 2 Drink citrus juices frequently for nourishment 3 Increase activity level by ambulating frequently 4 Sleep with the head of the bed slightly elevated

1 Use an electric razor when shaving

A client with a coronary occlusion is experiencing chest pain and distress. What is the primary reason that the nurse should administer oxygen to this client? 1 Prevent dyspnea 2 Prevent cyanosis 3 Increase oxygen concentration to heart cells 4 Increase oxygen tension in the circulating blood

3 Increase oxygen concentration to heart cells

While documenting the client's reports, the nurse includes the laboratory findings. Which part of the SOAPIER format does this indicate? 1 Planning 2 Objective 3 Evaluation 4 Assessment

2 Objective

Which type of caregiver is the most frequent abuser of older adults? 1 Adult child 2 Spouse 3 Family friend 4 Non Related professional caregiver

2 Spouse

A client is admitted to the hospital with urinary retention, and an indwelling urinary catheter is prescribed by the primary healthcare provider. What should the nurse do to help prevent the client from developing a urinary tract infection? 1 Assess urine specific gravity 2 Collect a weekly urine specimen 3 Maintain the prescribed hydration 4 Empty the drainage bag once a day

3 Maintain the prescribed hydration

While caring for a child, a nurse finds that the child is often hospitalized with injuries and infections. On further assessment, the nurse notes that the child is malnourished. What could be the reason for the child's condition? 1 Severe illness 2 Improper growth 3 Physical neglect 4 Emotional maltreatment

3 Physical neglect

A nurse is taking the health history of a client who is to have surgery in one week. The nurse identifies that the client is taking ibuprofen for discomfort associated with osteoarthritis and notifies the healthcare provider. Which drug does the nurse expect will most likely be prescribed instead of the ibuprofen? 1 Naproxen 2 Aspirin 3 Ketorolac 4 Acetaminophen

4 Acetaminophen

What should the nurse teach a client who is taking antihypertensives to do to minimize orthostatic hypotension? 1 Wear support hose continuously. 2 Lie down for 30 minutes after taking medication. 3 Avoid tasks that require high-energy expenditure. 4 Sit on the edge of the bed for 5 minutes before standing.

4 Sit on the edge of the bed for 5 minutes before standing.

While educating a client about the stages of non-rapid eye movement (NREM) sleep, a nurse says, "Sleepwalking and bedwetting are possible during this stage." To which stage is the nurse referring? 1 Stage 1 2 Stage 2 3 Stage 3 4 Stage 4

4 Stage 4

A nurse is completing the health history of a client admitted to the hospital with osteoarthritis. The nurse expects the client to report that which joints were involved initially? Select all that apply. 1 Hips 2 Knees 3 Ankles 4 Shoulders 5 Metacarpals

1 Hips 2 Knees

A client's diet is modified to eliminate foods that act as cardiac stimulants. Which foods will the nurse instruct the client to avoid? Select all that apply. 1 Iced tea 2 Red meat 3 Club soda 4 Hot cocoa 5 Chocolate pudding

1 Iced tea 4 Hot cocoa 5 Chocolate pudding

A nurse is caring for a hospitalized older adult. On assessment, the nurse suspects that the client is experiencing abuse. Which behavioral findings might have led the nurse to this suspicion? 1 Verbal aggression 2 Profound and rapid personality changes 3 Regressed behavior 4 Low self-esteem

1 Verbal aggression

When caring for a client with pneumonia, which nursing intervention is the highest priority? 1 Increase fluid intake. 2 Employ breathing exercises and controlled coughing. 3 Ambulate as much as possible. 4 Maintain a nothing-by-mouth (NPO) status.

2 Employ breathing exercises and controlled coughing.

Which is a clinical manifestation of osteoarthritis? 1 Inflammation of the joints 2 Pain and stiffness of the joints 3 Tophi around the rim of the ear 4 Generalized achiness in the lower back

2 Pain and stiffness of the joints

The practical nurse is discussing the basic rules of documentation with a group of nursing students. Which statements made by a nursing student indicate a need for further discussion? Select all that apply. 1 "I should chart only what I hear, see, and smell." 2 "I should include all my opinions in the document." 3 "I should not indent left margin while documenting." 4 "I should chart before and after I care for the client." 5 "I should use only approved abbreviations while documenting."

2 "I should include all my opinions in the document." 4 "I should chart before and after I care for the client."

A registered nurse is teaching a nursing student about interventions for a client with nocturia who complains of fatigue. Which statement indicates the nursing student needs further learning? 1 "I'll advise the client to limit fluids at night." 2 "I'll advise the client to perform pelvic floor exercises." 3 "I'll advise the client to take diuretic medications in the morning." 4 "I'll advise the client to remove rugs and furniture from walkways."

2 "I'll advise the client to perform pelvic floor exercises."

A client is diagnosed with pancytopenia caused by chemotherapy. What should a nurse teach the client about this complication? 1 Begin a program of meticulous mouth care. 2 Avoid traumatic injury and exposure to infection. 3 Increase oral fluid intake to at least 3 L/day. 4 Report unusual muscle cramps or tingling sensations in the extremities.

2 Avoid traumatic injury and exposure to infection.

The licensed practical nurse is supervising the nursing student while charting. Which action of the nursing student may indicate a need for correction? Select all that apply. 1 Charting the care plan with black ink 2 Charting the nursing care in advance 3 Charting the time of an event occurrence 4 Charting retaliatory comments about the client 5 Charting the client's response using generalized phrases

2 Charting the nursing care in advance 4 Charting retaliatory comments about the client 5 Charting the client's response using generalized phrases

After teaching a client about a low-fat diet, what is most important for the nurse to document? 1 Client's weight loss goals 2 Client's ability to plan a low-fat meal 3 Client's receptiveness to the education 4 Education of family members/significant others as well as the client

2 Client's ability to plan a low-fat meal

A client with an acute exacerbation of rheumatoid arthritis is in severe pain and tells the nurse, "The only time I am pain free is when I lie perfectly still." What complication should the nurse explain can be prevented by exercising every day? 1 Paresthesias of the feet 2 Shortening of the muscles 3 Development of osteoblasts 4 Loss of muscular coordination

2 Shortening of the muscles

A client with dementia is admitted with a fractured hip after a fall at home. The client's family member witnessed the fall. Four hours after admission, the client's blood pressure increases to a moderately severe hypertensive level. The client pulls on the bedclothes continuously. The client's family member asks for pain medication for the client. What does the nurse conclude? 1 The client needs to go to the bathroom. 2 The client may be in pain and unable to respond appropriately. 3 The family member may be trying to keep the client overmedicated. 4 The family member feels guilty about the fall and wants to keep the client pain free.

2 The client may be in pain and unable to respond appropriately.

A nurse experiencing burnout feels despair and tries to conform to the expectations of other people. Which strategy helps to combat this nurse's behavior? 1 Balance 2 integrity 3 Awareness 4 Compartmentalizing

2 integrity

Which type of movement results in the palm facing upward or forward? 1 Abduction 2 Supination 3 Dorsiflexion 4 plantar flexion

2 supination

A nurse is hired to work in a health care facility that has a complete computer-based client information system. What statement by the newly hired nurse indicates that this nurse is knowledgeable about this system? 1 "More medication errors are made when this system is used." 2 "It is disappointing that nurses are not allowed to use this system." 3 "Client information is immediately available when this system is used." 4 "I will have less time to provide direct care to my clients with this system."

3 "Client information is immediately available when this system is used."

A client's chest tube has accidentally dislodged. What is the nursing action of highest priority? 1 Place the client in a left side-lying position. 2 Apply oxygen via nonrebreather mask. 3 Apply a petroleum gauze dressing over the site. 4 Prepare to reinsert a new chest tube.

3 Apply a petroleum gauze dressing over the site.

Which part of the nursing process is documented in discharge and transfer forms? 1 Planning 2 Diagnosis 3 Assessment 4 Implementation

3 Assessment

A client reports frequent awakening at night, insomnia, and excessive daytime sleepiness. The client adds that his bed partner also complains about his loud snoring. What does the nurse anticipate including in the patient's teaching plan? 1 "Take a warm shower before bedtime." 2 "Take a sedative three or four hours before bedtime." 3 "Avoid alcoholic beverages for five to six hours before bedtime." 4 "Get fitted for an oral appliance that will bring the lower jaw and tongue forward."

4 "Get fitted for an oral appliance that will bring the lower jaw and tongue forward."

The licensed practical nurse is discussing with a nursing student the instructions to be followed while documenting. Which statement made by the nursing student indicates the need for further discussion? Select all that apply. 1 "I should avoid charting for someone else." 2 "I should use black ink when using handwritten records." 3 "I should avoid rushing to complete the charting of information." 4 "I should leave blank spaces between each line of documentation." 5 "I should apply correction fluid to correct errors while documenting."

4 "I should leave blank spaces between each line of documentation." 5 "I should apply correction fluid to correct errors while documenting."

While educating a group of nursing students about the various effects of commonly abused substances, a nurse explains delirium tremens (DTs). Which statement made by a student nurse indicates effective understanding? 1 "It may cause damage in the temporal lobes to the client's brain." 2 "It can be treated by supporting ventilation and administering naloxone as prescribed." 3 "It is characterized by short-term memory loss, disorientation, muttering and delirium." 4 "It often occurs one to four days after cessation of alcohol use and lasts from two days to a week."

4 "It often occurs one to four days after cessation of alcohol use and lasts from two days to a week."

A nurse tells the family member of an alcoholic client, "This condition occurs in individuals who have developed physiologic dependence on alcohol and then quit drinking abruptly." To which condition is the nurse referring? 1 Korsakoff psychosis 2 Fetal alcohol syndrome 3 Wernicke encephalopathy 4 Alcohol withdrawal syndrome

4 Alcohol withdrawal syndrome

A child with acute poststreptococcal glomerulonephritis requests a snack. Which is the most therapeutic selection of food the nurse can provide? 1 Peanuts 2 Pretzels 3 Bananas 4 Applesauce

4 Applesauce

A nurse is applying a dressing to a client's surgical wound using sterile technique. While engaging in this activity, the nurse accidentally places a moist sterile gauze pad on the cloth sterile field. What physical principle is applicable for causing the sterile field to become contaminated? 1 Dialysis 2 Osmosis 3 Diffusion 4 Capillarity

4 Capillarity

What is the priority nursing intervention for a forgetful, disoriented client with the diagnosis of dementia of the Alzheimer type? 1 Restricting gross motor activity 2 Preventing further deterioration 3 Keeping the client oriented to time 4 Managing the client's unsafe behaviors

4 Managing the client's unsafe behaviors