Nursing Exam 2 video questions

A client diagnosed with Acquired immunodeficiency syndrome (AIDS) states, "I'm not worried because they have a cure for AIDS." Which response would the nurse use?

"There is no cure for AIDS, but there are medications that can slow down the virus"

Which of the following is a risk factor for decreased oxygen saturation level in a patient? A. Chest wall injury B. Restlessness C. Hypotension D. Prescribed bronchodilators

A. Chest wall injury

A patient is prescribed continuous oxygen saturation monitoring. The nurse would confirm that the alarms have been set to which limits? A. Low of 85% and high of 100% B. Low of 80% and high of 100% C. Low of 75% and high of 90% D. Low of 82% and high of 95%

A. Low of 85% and high of 100%

Which is the causative organism for proctitis?

Campylobacter jejuni

Which is the causative organism for salpingitis?

Chlamydia trachomatis

is an intestinal infection caused by Cryptosporidium organisms, present in clients with AIDS

Cryptosporidiosis

Which vaccine is used to prevent human papilloma virus infection?

Gardasil

Which personal protective equipment (PPE) will the nurse wear if there is a risk of a blood splash when caring for a patient?

Gown, gloves, mask, and eye protection

Which manifestation indicates tertiary syphilis

Gummas

is used to protect against hepatitis A

Hepatitis A vaccine

Which type of hepatitis virus can spread through contaminated food and water?

Hepatitis A virus

Which sexually transmitted infection causes condylomata acuminate?

Human papilloma virus (HPV)

Which finding in a urinalysis indicates a urinary tract infection?

Leukoesterase

are released by white blood cells in response to an infection or inflammation

Leukoesterases

common in a client infected with acquired immunodeficiency syndrome (AIDS) and causes tachypnea and dry cough

Pneumocystis jiroveci pneumonia (PVC)

is used to vaccinate against a rotavirus infection

RotaTeq vaccine

Which organism would the nurse explain was responsible for a client's recent diagnosis of malaria?

Sporozoa

The nurse needs to administer a nebulized medication to an older adult who is too weak hold the nebulizer mouthpiece. Which intervention should the nurse implement?

The nurse should use an aerosol facemask to administer the nebulized medication

When removing a gown worn as personal protective equipment (PPE) while caring for a patient in isolation, why does the nurse avoid touching the outside of the gown?

To prevent touching contaminated material with unprotected hands

Why should the nurse tap the nebulizer medication cup during and near the end of the treatment?

To release droplets that are clinging to the side of the cup

acquired through contact with contaminated cat feces or by ingesting infected undercooked meat

Toxoplasmosis encephalitis

Which is the causative organism for syphilis?

Treponema pallidum

Which is the causative organism for vulvovaginitis?

Trichomonas vaginalis

Which organism would the nurse teach immigrants is the cause of smallpox?

Variola virus

are curved rod shaped bacteria and cause cholera

Vibrio

may be prescribed in a 7 day course for a genital herpes outbreak

acyclovir

The spouse of a client with pulmonary tuberculosis (TB) received a tuberculosis skin test. The nurse examined the skin test and identified an area of induration greater than 10 mm. Which response to this finding would the nurse implement?

additional tests are necessary to determine infection status

The clinic nurse is planning care for a client with chlamydia. Which treatment would the nurse anticipate implementing?

administration of 1 g of azithromycin orally in a single dose

presence of bilirubin in the urine indicates

anorexia nervosa, diabetic ketoacidosis, and prolonged fasting

Bacillus anthraces causes

anthrax

Which prescribed medication will the nurse administer to the client with pertusis?

antibiotics

syphilis, gonorrhea, and chlamydia are caused by

bacteria

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

bleach

Clostridum botulinum causes

botulism

Which sexually transmitted infection is caused by Chlamydia trachomatis

cervivitis

For which client illness would airborne precautions be implemented

chickenpox

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

cohorting

Refers to the development of an infection in the body

colonizing

Hepatitis B, C, and D viruses are spread through

contaminated needles, syringes, and blood products

The presence of ketones in the urine indicate

diabetic ketoacidosis

What should the nurse do first if the patient or family express concerns about the accuracy of a nebulized medication?

do not give the medication

When providing care for a client with quadriplegia, which nursing intervention assists in decreasing the potential occurrence of pressure ulcers?

frequently reposition the client on a scheduled basis

is a quadrivalent vaccine used to prevent genital cancers and warts caused by human papilloma virus

gardasil

Which sexually transmitted infection receives antiviral medication as the treatment of choice?

genital herpes

is caused by the herpes simplex virus

genital herpes

are caused by the human papilloma virus

genital warts

Which criteria would the nurse consider when determining if an infection is a health care associated infection?

occurred in conjunction with treatment for an illness

Which organism is a common opportunistic infection in a client infected with human immunodeficiency virus (HIV)?

oropharyngeal candidiasis

A condition characterized by the softening of bones due to calcium or vitamin D deficiency?

osteomalacia

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

osteomyelitis

Yersinia pestis causes

plague

Alopecia and condylomata lata occur during

secondary syphilis

Which actions transmit the human immunodeficiency virus (HIV)

sharing syringe needles breastfeeding a newborn anal intercourse

Is the narrowing of the spinal canal

spinal stenosis

are spiral shaped bacteria and may cause leprosy and syphilis

spirochetes

The presence of crystals in the urine indicates

that the specimen has been allowed to stand

is promoted through the continuous wet gauze technique

the dilution of viscous exudates

fungal infection commonly referred to as ringworm

tinea corporis

Which fungal infection does the client refer to as jock itch

tinea cruris

fungal infection commonly referred to as athletes foot

tinea pedis

is manifested as scaliness under the distal nail plate

tinea unguium or onychomycosis

cause a breakdown of denatured protein of the eschar

topical enzyme preparations

is associated with protection from the varicella virus and is sometimes given in combination with the MMR vaccine

varivax

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 teacher's knowledge of hand-washing techniques?

watch the teachers demonstrate infection-control techniques

When removing a gown worn as personal protective equipment (PPE) while caring for a patient in isolation, why does the nurse avoid touching the outside of the gown? A. "When in doubt, I wear gloves." B. "I really dislike wearing a mask, so it's the first thing I take off." C. "I always do hand hygiene when entering and leaving a patient's room." D. "I wear a mask whenever I am caring for a patient who's coughing."

"I really dislike wearing a mask, so it's the first thing I take off"

Which action by the nurse would most effectively reduce the patient's risk for injury when collecting a sputum specimen by means of nasotracheal suctioning? A. Lubricating the catheter with sterile water B. Performing the procedure using aseptic technique C. Positioning the patient in a semi- to high-Fowler's position D. Assessing the patient's degree of anxiety regarding the intervention

A. Lubricating the catheter with sterile water

The nurse is caring for a patient who is recovering from a left partial lobectomy. Which action would be most helpful in reexpanding the affected lung? A. Placing the patient in a right side-lying position B. Encouraging the patient to deep breathe and cough every hour C. Regularly assessing the patient's ability to breathe comfortably D. Providing medication to manage postoperative pain of greater than 3 on a 0-to-10 scale

A. Placing the patient in a right side-lying position

A nurse is preparing to help a patient administer a bronchodilator using a nebulizer. What will the nurse do first in order to evaluate the medication's effectiveness? A. Assess the patient's respiratory status before administration. B. Demonstrate use of the nebulizer. C. Discuss the medication side effects. D. Verify the patient's identification according to agency policy

Assess the patient's respiratory status before administration.

What should the nurse teach nursing assistive personnel (NAP) about selecting the appropriate site for measuring a patient's oxygen saturation level? A. "Do not use the fingers if her nails are polished." B. "I've checked her capillary refill, and it's acceptable in both her hands and feet." C. "Please review the patient's previously documented pulse oximetry readings for the site used." D. "Ask the patient to keep her finger motionless while you are monitoring her oxygen saturation."

B. "I've checked her capillary refill, and it's acceptable in both her hands and feet."

What would the nurse do first to ease breathing for a patient with mild dyspnea? A. Administer oxygen at 2 L/min by nasal cannula. B. Help the patient into an upright sitting position. C. Monitor the patient's pulse oximetry level. D. Determine if the patient has a history of respiratory pathology.

B. Help the patient into an upright sitting position.

What would the nurse do routinely to monitor oxygenation in a patient receiving BiPAP? A. Assess the patient's level of consciousness every 4 hours. B. Monitor the patient's pulse oximetry readings. C. Verify the pressure settings for both inspiratory and expiratory pressure. D. Evaluate daily arterial blood gases (ABGs)

B. Monitor the patient's pulse oximetry readings.

What would the nurse do first when preparing to begin oxygen therapy for a patient? A. Educate the NAP about the oxygen orders. B. Review the medical prescription for delivery method and flow rate. C. Place a "No Smoking" sign outside of the hospital room. D. Ensure that suction equipment is present in the room.

B. Review the medical prescription for delivery method and flow rate.

Why might the collection of a sputum specimen be delayed up to 2 hours? A. The patient is taking an afternoon nap. B. The patient has just finished eating lunch. C. Pain medication has just been administered. D. The family is visiting

B. The patient has just finished eating lunch

Which statement by the patient would indicate that he or she understands the safe use of oxygen? A. "The nurse told me that my oxygen saturation must be maintained at 85% or above." B. "I know that oxygen is a medication I can adjust whenever I need to." C. "I'll alert the nurse immediately if I have any increased difficulty breathing." D. "I often experience difficulty breathing for no apparent reason, but that is expected.

C. "I'll alert the nurse immediately if I have any increased difficulty breathing."

When caring for a patient receiving oxygen by nasal cannula, which of the following is a priority to help maintain good skin integrity? A. Frequently applying moisturizing lotion to facial areas that come into contact with the cannula. B. Removing the cannula every 2 hours for no longer than 10 minutes. C. Assessing the patient's external ears, nares, and nasal mucosa for breakdown at least once per shift. D. Instructing the patient to inform staff of any problems with facial dryness or cracking.

C. Assessing the patient's external ears, nares, and nasal mucosa for breakdown at least once per shift

When caring for a patient who is receiving supplemental oxygen by face tent, which action ensures that the oxygen is flowing? A. Testing the closing capacity of the mask's valves B. Routinely monitoring the seal over the patient's mouth and nose C. Ensuring that a mist is always present D. Regularly verifying that the mask is positioned loosely

C. Ensuring that a mist is always present

When preparing the patient's environment for safe oxygen therapy, which intervention is a priority to minimize the patient's risk for injury? A. Place appropriate signage to alert staff and visitors to the presence of oxygen in the patient's room. B. Instruct nursing assistive personnel (NAP) to immediately correct or report safety hazards. C. Inspect all electrical equipment in the patient's room for the presence of safety-check tags. D. Ensure that the patient receives the prescribed amount of oxygen via the appropriate method.

C. Inspect all electrical equipment in the patient's room for the presence of safety-check tags.

When a patient is receiving oxygen at home, which instruction to the family would help them understand how to use the oxygen safely? A. Increase the oxygen level as needed for the patient's comfort. B. Store extra oxygen cylinders horizontally. C. Place a "No Smoking" sign at the entrance to the house. D. Keep oxygen 5 feet (about 1.5 meters) away from anything that could generate a spark.

C. Place a "No Smoking" sign at the entrance to the house.

Which criterion makes it appropriate for the nurse to delegate to nursing assistive personnel (NAP) the skill of collecting a sputum specimen? A. The skill takes little time to complete. B. The likelihood of infection is minimal. C. The patient can produce the specimen by coughing. D. The agency offers training in this skill for NAP

C. The patient can produce the specimen by coughing.

What is the purpose of splinting the abdomen with a small pillow during controlled coughing? A. To minimize chest discomfort caused by the coughing B. To expand lung capacity during the inspiratory phase of the cough C. To maximize transdiaphragmatic pressure during the expiratory phase of the cough D. To focus the patient's attention on the abdominal muscles used during the cough

C. To maximize transdiaphragmatic pressure during the expiratory phase of the cough

What would the nurse do when receiving an order to increase the delivery rate of a patient's oxygen per nasal cannula from 1 L/min to 3 L/min? A. Encourage the patient to take deeper breaths in order to get more oxygen B. Change the device from nasal cannula to simple face mask C. Ensure that humidification is present D. Adjust the float ball on the flow meter to 3 L/min

D. Adjust the float ball on the flow meter to 3 L/min

The nurse measures a patient's oxygen saturation level as being 83%. What would the nurse do first? A. Reassess the oxygen saturation in a different location. B. Promptly report the assessment data to the charge nurse. C. Encourage the patient to rest quietly in bed for 30 minutes. D. Ask the patient whether he or she is having trouble breathing.

D. Ask the patient whether he or she is having trouble breathing.

What would the nurse do first when preparing to educate the patient about safe administration of oxygen therapy at home? A. Evaluate the patient's understanding of the combustible nature of oxygen. B. Arrange for a capable family member to be present during the initial discussion. C. Collect written information to present to the patient as supplemental instructional materials. D. Assess the patient's emotional readiness and physical ability to provide autonomous care.

D. Assess the patient's emotional readiness and physical ability to provide autonomous care.

When caring for a patient who is receiving oxygen by simple face mask, which action ensures that the rate of oxygen being delivered is appropriate? A. Frequently asking the patient how he or she is breathing. B. Ensuring that the oxygen tubing is pulled tight, with little or no slack. C. Securing the oxygen tubing to the patient's clothing to prevent tugging. D. Assessing for proper placement of the mask on the patient's face.

D. Assessing for proper placement of the mask on the patient's face.

When caring for a patient for whom oxygen by nonrebreathing mask has been ordered, which action ensures appropriate oxygen delivery? A. Looping the oxygen tubing around the side rail of the bed B. Assessing breath sounds every shift C. Securing the tubing snugly to the patient's gown D. Assessing that the reservoir bag stays inflated

D. Assessing that the reservoir bag stays inflated

During an admission interview, a patient who is required to stay in the supine position reports, "I can't breathe well while I'm lying down." What would the nurse do first to help this patient? A. Notify the health care provider of the patient's complaint. B. Request that the health care provider prescribe oxygen therapy. C. Interview the patient concerning the onset of this problem. D. Instruct the patient to use two bed pillows when lying supine.

D. Instruct the patient to use two bed pillows when lying supine.

Which action would help to ensure that the results of a suctioned sputum specimen culture are reliable? A. Placing the specimen in a biohazard bag B. Obtaining the specimen when the patient coughs without prompting C. Wearing sterile gloves to suction the patient D. Refrigerating the specimen until it can be taken to the lab

D. Refrigerating the specimen until it can be taken to the lab

What is the role of nursing assistive personnel (NAP) when a sputum specimen is collected by means of nasotracheal suctioning? A. Manipulating the suction catheter B. Setting up the sterile field C. Applying sterile gloves D. Transporting the specimen to the lab

D. Transporting the specimen to the lab

The nurse is preparing to measure the oxygen saturation level of a patient with obesity. Which action would help ensure an adequate measurement? A. Place the sensor on the ear. B. Place the sensor on the bridge of the nose. C. Place the sensor on a finger. D. Use a disposable tape-on sensor.

D. Use a disposable tape-on sensor.

which stage of the human immunodeficiency virus (HIV) describes a client with a CD4+ T cell count of greater than 500 cells/mm^3

Stage 1

Which stage of the human immunodeficiency virus (HIV) would a client with a CD4+ T cell count of 325 cells/mm^3 be classified?

Stage 2

which stage of the human immunodeficiency virus (HIV) describes a client with a CD4+ T cell count between 200 and 499 cells/mm^3

Stage 2

which stage of the human immunodeficiency virus (HIV) describes a client with a CD4+ T cell count of less than 200 cells/mm^3

Stage 3

which stage of the human immunodeficiency virus (HIV) describes a client with a confirmed HIV infection but no information regarding CD4+ T cell count is available

Stage 4

Severe bronchospasm occurs during nebulizer treatment. What action should the nurse take? A. The nurse continues to deliver the needed treatment so the patient will not be deprived of a necessary therapy. B. The nurse discontinues the medication and notifies the practitioner immediately. C. The nurse discontinues the medication for 15 to 20 minutes and then restarts the treatment if bronchospasm resolves. D. The nurse switches to an aerosol facemask to administer the nebulized medication.

The nurse discontinues the medication for 15 to 20 minutes and then restarts the treatment if bronchospasm resolves.

which sexually transmitted infection is caused by a virus

genital warts

condylomata acuminate are

genital warts caused by HPV

administering 250 mg of ceftriaxone intramuscularly in a single dose is the medication therapy recommended for

gonorrhea

is a sexually transmitted infection caused by Neisseria gonorrhoeae

gonorrhea

are chronic, destructive lesions affecting the skin, bone, liver, and mucous membranes that occur during tertiary syphilis

gummas

What is caused by structural damage of the intervertebral discs in which the nucleus pulposus seeps through a torn or stretched annulus?

herniated disc

Diseases that are known or suspected to be transmitted by droplet include

influenza and pneumonia

limiting the exposure of individuals with an infection

isolation

Sporozoa such as Plasmodium malarie cause

malaria

promote the spontaneous separation of necrotic tissue through autolysis

moisture retentive dressings

Wet to damp saline moistened gauze removes

necrotic tissue

What will the nurse do first when preparing to apply personal protective equipment (PPE) before caring for a patient in isolation? A. Perform hand hygiene B. Put on the gown C. Put on clean gloves D. Apply eyewear

perform hand hygiene

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

A chancre appears during

primary syphilis

Benzathine penicillin G given intramuscularly as a single 2.4 million unit dose is the treatment for

primary, secondary, and early latent syphilis

Which mechanism of action for wet to damp saline moistened gauze for wound debridement is correct?

removing the necrotic tissue mechanically

a disease that is known or suspected to be transmitted by direct contact is

respiratory syncytial virus

When delegating patient care that requires nursing assistive personnel (NAP) to use personal protective equipment (PPE), it is necessary for the nurse to do what first? A. Discuss what equipment and supplies to bring to the patient's room B. Document that the care was delegated to the NAP C. Review the patient's need for a specific isolation precaution D. Observe the NAP donning the appropriate PPE

review the patient's need for a specific isolation precaution