Prep U Questions Exam 1
A client has been prescribed 300 mg of an oral antibiotic. It is available in 200 mg tablets. How many tablets will the nurse administer? Record your answer using one decimal place.
1.5
Which client should the nurse determine to be at the greatest risk for hospital-acquired infection (HAI)? A) Clint with an intravenous catheter B) Client with a diabetic foot ulcer C) Client with a surgical wound D) Client with a urinary catheter
D
A client being treated for an infection is moved from an impaired memory unit to an acute care facility for intravenous antibiotic therapy. What interventions would the nurse perform to assist the client in adjusting to the new environment? Select all that apply. A) Assist the client into a chair for meals and encourage the client to feed himself. B) Ensure the Patient Room Board contains current and correct information. C) Orient and reorient the client frequently to the environment. D) Inform the client of everything that could possibly occur during hospitalization. E) Speak in a calm voice, providing the client time to process what was said.
A, B, C, E
A nurse is helping an older woman undress and notices the woman's knee-high hose have left deep indentations. The woman has diabetes. Does this pose a risk to the client? A) No, knee-high hose are more comfortable. B) Yes, these can obstruct lower extremity circulation. C) Yes, these are a safety hazard and should not be worn. D) No, the indentations will go away.
B
A client age 78 years with diabetes needs to have his toenails trimmed. It is important for the nurse to do what? A) Protect the foot from blisters. B) Cut the nail straight across. C) Remove ingrown toenails. D) Soak the foot in witch hazel.
B
A nurse is administering a hepatitis B immunization injection to an adult client. Which site would the nurse choose for this injection? A) Ventrogluteal site B) Deltoid muscle site C) Dorsogluteal site D) Vastus lateralis site
B
A nurse is administering an antihypertensive drug to a hospitalized client. Which action should the nurse take to identify the client prior to administration? A) Call the client by name. B) Check the client's ID bracelet. C) Check the client's record. D) Check the client's name with family or significant others.
B
A nurse is arrested for possession of illegal drugs. What kind of law is involved with this type of activity? A) Private B) Criminal C) Civil D) Public
B
The nurse is caring for multiple older adults in an assisted care facility. What information about this population should the nurse consider when caring for clients? Select all that apply. A) All older adults experience delirium when hospitalized. B) Older adults often use multiple medications and nurse should monitor for risks. C) Older adults limit their activities because of fear of falling that might result in serious health consequences. D) Clients with delirium experience a permanent state of confusion. E) Some clients with dementia may experience sundowning syndrome and safety is a priority. F) Symptoms of depression many clients go undiagnosed and nurses should observe closely.
B, C, E, F
A client returns to the telemetry unit after an operative procedure. Which diagnostic test will the nurse perform to monitor the effectiveness of the oxygen therapy ordered for the client? A) thoracentesis B) peak expiratory flow rate C) pulse oximetry D) spirometry
C
The nurse is teaching a client about hearing aid care. Which teaching is appropriate? Select all that apply. A) Use a small knife to remove cerumen that becomes embedded in the earpiece. B) Store the hearing aid in a very warm environment so that it will not crack. C) Keep extra batteries on hand. D) Carefully wipe the outer surface of the hearing aid to maintain cleanliness. E) Do not get hair spray or other chemicals on the hearing aid.
C, D, E
The nurse is working in the intensive care unit (ICU) caring for an older adult client who has been in the unit for 2 days that is experiencing auditory and visual hallucinations. What contributing factors related to this problem does the nurse identify? Select all that apply. A) loneliness of environment B) sensory deprivation C) sleep deprivation D) sensory overload E) too much noise
C, D, E
When the client demonstrates a rash 30 minutes after taking a dose of penicillin, the nurse recognizes that the client is likely demonstrating which type of drug reaction? A) Idiosyncratic B) Antagonistic C) Anaphylaxis D) Allergy
D
A client has been prescribed a clear liquid diet. Which food or fluids should the nurse serve the client? A) Hot cereals, ice cream, and chocolate milk B) Milk, frozen dessert, and egg substitutes C) High-calorie, high-protein supplements D) Gelatin desert, carbonated beverages, and apple juice
D
A client is to take Demerol 35 mg IM. You have Demerol 50 mg per ml. How many ml will you administer? A) 1.3 ml B) 0.5 ml C) 0.9 ml D) 0.7 ml
D
A client who utilizes a portable oxygen device reports planning to attend an upcoming bonfire on the beach. What is the appropriate nursing response? A) "Saltwater can increase the potential for oxygen toxicity." B) "Have an enjoyable time." C) "You should not leave the house with portable oxygen." D) "When using portable oxygen, you should avoid any fire."
D
A nurse does not assist with ambulation a postoperative client on the first day after surgery. The client falls and fractures a hip. What charge might be brought against the nurse? A) Fraud B) Assault C) Battery D) Negligence
D
A nurse is assessing a client's nutritional status. Which findings should lead the nurse to suspect poor nutritional status? A) Flaky facial skin, facial edema, and pale skin color B) Firm hair that is resistant to plucking C) Tongue that is a deep red with surface papillae present D) Firm, pink nailbeds
A
Which process evaluates and recognizes educational programs as having met certain standards? A) Accreditation B) Licensure C) Credentialing D) Certification
A
For which conditions would the nurse assess to determine if a client is suffering from sensory deprivation or overload? Select all that apply. A) Decreased sleeping B) Boredom C) Thought disorganization D) Quickness of thought E) Anxiety F) Dreamless sleep
B, C, E
A nurse asks a coworker about the condition of the nurse's next-door neighbor, who has been admitted to the unit. If the coworker shares the neighbor's client information with the nurse, the coworker could be held liable for committing which act? A) Invasion of privacy B) Assault C) Negligence D) Defamation of character
A
A client who is taking an oral narcotic for pain relief tells the nurse he is constipated. What is this common response to narcotics called? A) Adverse effect B) Idiosyncratic effect C) Toxic effect D) Therapeutic effect
A
A client with dysphagia prepares to eat dinner. How does the nurse best help this client? A) Ensure the head of the bed is high-Fowler. B) Prepare the foods on the client's tray. C) Converse with the client during the meal. D) Play the client's favorite music or video.
A
A dietitian is providing an in-service for the nurses on a medical-surgical unit. During the in-service, the dietitian informs the group that there are six classes of nutrients, and three supply the body with energy. What are the three sources of energy? A) carbohydrates, protein, and lipids B) vitamins, minerals, and water C) carbohydrates, protein, and water D) lipids, vitamins, and minerals
A
A nurse is caring for a client with hypertension whose blood pressure has increased from 154/78 mmHg to 196/98 mmHg with a heart rate of 110 beats per minute during the past hour. The nurse goes to lunch without reporting the change to the health care provider, and the client experiences a cardiac arrest. What tort has the nurse likely committed? A) Negligence B) Battery C) Invasion of privacy D) False imprisonment
A
A nurse is educating adolescents on how to prevent infections. The nurse determines which statement(s) by participants indicates more education is needed? A) "It is okay to share glasses and eating utensils with my family and friends because they are all pretty healthy." B) "I do not need a flu shot because I am not considered a high-risk client" C) "Everyone coughs and sneezes during allergy season so it is better to be safe and take precautions." D) "I need to wash my hands before and after going to the bathroom, so I will not contaminate my food."
A
A nurse is teaching a family member how to bathe the female bedbound client. What information should the nurse tell the client about perineal care? A) Clean, using a washcloth, from the pubic area toward the anal area. B) Clean the area surrounding the labia and anal area with washcloth before cleaning the labia and anus. C) Clean the labia with flushing water then proceed to the anal area with a washcloth. D) Clean the perianal region with designated hospital grade disposable wipes.
A
An older adult client informs the nurse that foods don't taste or smell the same and eating is a chore. What suggestion can the nurse provide to the client to address this age-related change? A) Try eating foods that are attractive and at the proper temperature. B) Use spicy condiments to add flavor. C) Try eating foods with the same textures and aromas. D) Try eating 2 to 3 foods at a time.
A
During a general survey, the nurse documents the waist circumference of an overweight female client as 43 in (109 cm). Which teaching should the nurse include about the risks associated with this waist circumference? A) The client is at risk for diabetes. B) The client is as risk for osteoporosis. C) The client is at risk for arthritis. D) The client is at risk for Crohn disease.
A
The family of a client being discharged home has arranged to rent a hospital bed. What should the nurse teach the family about safety when using the bed? A) advisable positions and controls B) how to move the client in bed C) proper maintenance D) how to apply the bed linens
A
The medical chart of a newly admitted client notes a penicillin allergy, yet the physician has just written an order for an antibiotic in the same drug family after reviewing the client's wound culture and sensitivity. How should the nurse respond to this situation? A) Withhold the medication until the potential drug allergy has been addressed by the care team. B) Substitute an antibiotic with similar action, but one that is from a different drug family. C) Discuss the severity, signs, and symptoms of the drug allergy with the client in order to ascertain the risks of administration. D) Administer the medication and increase the frequency of assessments in the hours that follow.
A
The nurse conducting a hand hygiene in-service determines that the participants need additional education when they state that the use of an alcohol-based hand rub is appropriate in which situation? A) When hands are visibly soiled B) After completing a wound dressing C) After direct contact with clients D) Before direct contact with clients
A
The nurse is caring for a client who just returned from the postanesthesia care unit and rates current pain as "9 out of 10." Which prescribed medication would provide the fastest relief from pain? A) Intravenous morphine sulfate B) Oral acetaminophen with codeine C) Intramuscular ketorolac tromethamine D) Oral acetaminophen and oxycodone
A
The nurse working with the hospital's infection control team is attempting to decrease the transmission of healthcare-associated pathogens. Which intervention will be most effective? A) Incentivizing health care workers to utilize hand hygiene B) Limiting visitors to family members over the age of 18 C) Encouraging visitors to adhere to isolation precautions D) Revising the facility's infection control protocols
A
What does pulse oximetry measure? A) arterial oxygen saturation B) cardiac output C) venous oxygen saturation D) peripheral blood flow
A
What is the most common client site for development of healthcare-associated infections (HAI)? A) Urinary tract B) Respiratory tract C) Bloodstream D) Surgical wound
A
Which is the nurse's best legal safeguard? A) Competent practice B) Client education C) Collective bargaining D) Written or implied contracts
A
The nurse is caring for Emily, an 81-year-old client who is struggling to adapt to worsening vision as she ages. The nurse performs which interventions to assist Emily in adapting to this sensory deficit? Choose all that apply. A) Provide large print books. B) Make sure her glasses are available. C) Provide adequate lighting. D) Speak so she can observe lip movements. E) Orient to person, place, and time.
A, B, C
The unit manager at a long-term care facility is concerned with the recent weight loss of several residents. The nurse plans a staff in-service to discuss weight loss in older adults, including identifying what possible causes? Select all that apply. A) alterations in taste B) decline in physical activity C) lack of good food choices D) decreased thirst and smell E) lack of diversional activities
A, B, C, D,
The nurse is caring for a client at risk for sensory deprivation. What interventions should the nurse implement to decrease the client's risk? Select all that apply. A) Speak slowly and clearly to the client. B) Brush the client's hair. C) Keep the television on at all times. D) Encourage the client's family to bring in personal objects. E) Place a clock and calendar in the client's room.
A, B, D, E
A client is requesting to view all medical record information regarding the care received while hospitalized. What rights does the client have regarding accessing the medical record according to HIPAA regulations? Select all that apply. A) To copy the health record B) To see the health record C) To make additions to the health record D) To cross out sections of the health record E) To restrict certain disclosures of the health record
A, B, E
A nurse explains the informed consent form to a client who is scheduled for heart bypass surgery. Which items are elements of this consent form? Select all that apply. A) Comprehension B) Disclosure C) Organ donation D) Do-Not-Resuscitate (DNR) orders E) Competence
A, B, E
When providing care to a client with dementia, which interventions would be most appropriate? Select all that apply. A) ensuring the use of assistive sensory devices B) using validation therapy C) employing reality orientation D) continually correcting the client for mistakes E) maintain levels of sensory stimulation that are tolerable
A, B, E
A nurse at health care facility uses a mask to prevent spread of microorganisms by droplet or airborne transmission. What action(s) is appropriate by the nurse when using masks? Select all that apply. A) Discard used masks into a regular wastebasket. B) Change the mask every 20 to 30 minutes. C) Avoid touching the mask once it is in place. D) Touch only the strings of the mask during removal. E) Position the mask so that it covers the nose and mouth.
A, C, D, E
The nurse is asked to check the unit's supply of personal protective equipment (PPE) to see if additional equipment needs to be ordered from central supply. The nurse should assess the level of which type of equipment? Select all that apply. A) Nonsterile gloves B) Sterile gloves C) Gowns D) Masks E) Protective eyewear
A, C, D, E
The nurse suspects the older client may have difficulty with vision. What assessments would the nurse include to determine if the client has visual disturbances? Select all that apply. A) Observe the client for squinting of the eyes and rubbing of the eyes. B) Have the client identify an object that is located on the opposite side of the room. C) Question the client about corrective lenses and a history of glaucoma. D) Ask the client to read the hospital menu that is on the bedside table. E) Inspect both eyes for cloudiness in the area of the pupil and iris.
A, C, D, E
The nurse suspects that another staff member may have a substance use disorder. What changes would the nurse observe that would indicate possible substance use? Select all that apply. A) Confusion about clients' plans of care B) Arriving on time to work consistently C) A decrease in personal hygiene and appearance D) Adherence to completing work assignment E) Clients frequently reporting ineffective pain relief following administration of opioids
A, C, E
The nurse is caring for Jim, an 88-year-old nursing home resident who is suffering from sensory deprivation. He lives in a small room, has no visitors, and has few interests. The nurse performs which interventions to assist Jim in adapting to this sensory deficit? Select all that apply. A) Encourage Jim to attend exercise classes. B) Provide large print books and magazines. C) Use low tones when talking to Jim. D) Provide interactions with children and pets. E) Ensure that Jim eats at a table with other residents.
A, D, E
What care should the nurse take when providing foot care for a client with peripheral vascular disease? Select all that apply. A) Cut the nail in one piece. B) Use an emery board to file toe nail edges. C) Cut the nails straight across. D) Cut the toenails short. E) Avoid cutting into calluses.
B, C, E
Which piece of personal protective equipment (PPE) should be removed first? A) Goggles B) Gown C) Gloves D) Respirator
C
A nurse is teaching an older adult about taking newly prescribed medications at home. Which information would be included? A) "Don't worry if the label comes off; just look at the shapes." B) "I have written the names of your drugs with times to take them." C) "You won't forget a medication if you count them every day." D) "You can identify your medications by their color."
B
A severe allergic reaction from a medication requires: A) Dopamine B) Epinephrine C) Atarax D) Aspirin
B
An infection-control nurse is discussing needlestick injuries with a group of newly hired nurses. The infection control nurse informs the group that most needlestick injuries result from: A) needles left in the client's linen. B) recapping a needle. C) full needle boxes. D) faulty needles and syringes.
B
An operating room (OR) nurse on the facility's infection control team notices that a coworker in the OR is wearing artificial nails. What is the appropriate action/response by the nurse? A) No action is needed at this time B) Remind coworker that artificial nails increase infections C) Remind coworker of the need to wear gloves D) Remind coworker to wash hands for 2 minutes
B
The nurse is caring for a client diagnosed with dementia. Which behaviors would the nurse most likely assess? Select all that apply. A) stable mood B) socially inappropriate behavior C) asking questions repeatedly D) wandering E) irritability
B, C, D, E
A nurse is teaching a home care client and the family about using prescribed oxygen. What is a critical factor that must be included in teaching? A) the importance of communicating with the client B) the safety measures necessary to prevent a fire C) the need to provide good skin care D) the cost and source of supply for the oxygen
B
In comparison with licensure, which measures entry-level competence, what does certification validate? A) More than 10 years of nursing practice B) Specialty knowledge and clinical judgment C) Ability to practice in more than one area D) Innocence of any disciplinary violation
B
The alert and oriented client has just been notified of a terminal cancer diagnosis and the need for surgery to extend life. The client tells the nurse, "I am leaving. I am not having the surgery." The client refuses to wait and talk to the primary care provider. What is an appropriate action by the nurse? A) Ask for a referral for the client to be declared incompetent. B) Ask the client to sign a form stating that the client is being discharged against medical advice. C) Have security personnel stationed outside the client's room to prevent the client from leaving. D) Request the primary care provider to prescribe a medication that would sedate the client.
B
The nurse is caring for a client diagnosed with influenza and acute otitis media. Which is the most effective action the nurse can teach the client's family to prevent the spread of infection? A) Airborne precautions B) Hand hygiene C) Contact precautions D) Proper waste disposal
B
The nurse is caring for a client who is diagnosed with Impaired Gas Exchange. While performing a physical assessment of the client, which data is the nurse likely to find, keeping in mind the client's diagnosis? A) high temperature B) high respiratory rate C) low pulse rate D) low blood pressure
B
The nurse is preparing to don a gown to care for a client requiring contact precautions. When should the nurse don the gown? A) After taking the client's pulse B) Before entering the client's room C) Before taking the client's pulse D) After entering the client's room
B
The nurse prepares to administer an antihypertensive medication at 0900 for a client who has problems swallowing and has a blood pressure of 88/50 mm Hg. Which action should the nurse perform when administering the medication? A) Crush the slow-release medication and place in applesauce. B) Do not administer the medication with blood pressure 88/50 mm Hg. C) Leave the medication on the breakfast tray at the bedside. D) Administer the medication between 0830 and 1030.
B
Two nurses are discussing a client's condition in an elevator full of visitors. With what tort might the nurses be charged? A) Unintentional negligence B) Invasion of privacy C) Intentional negligence D) Defamation of character
B
What governing body has the authority to revoke or suspend a nurse's license? A) The Supreme Court B) The State Board of Nurse Examiners C) The National League for Nursing D) The employing health care institution
B
Which is the most frequent reason for revocation or suspension of a nurse's license? A) Criminal acts B) Alcohol or drug use C) Mental impairment D) Fraud
B
Which organization has established safety standards about the use of electrical equipment, isolation techniques, and toxic chemicals? A) Equal Employment Opportunity Commission (EEOC) B) The Occupational Safety and Health Administration (OSHA) C) The Nurse Practitioner Data Bank D) The Centers for Disease Control and Prevention (CDC)
B
Which statement by a client indicates to the nurse that teaching was effective regarding the different parts of a syringe? A) "The plunger is the part of the syringe that holds the medication." B) "The plunger is the part of the syringe that moves back and forth to withdraw and instill medication." C) "The barrel is the part of the syringe that resets the dose window to zero following an injection." D) "The barrel is the part of the syringe to which the needle is attached."
B
While conducting a health assessment with an older adult, the nurse notices it takes the person longer to answer questions than is usual with younger clients. What should the nurse do? A) Ask a family member to answer the questions. B) Slow the pace and allow extra time for answers. C) Stop asking questions so as not to confuse the client. D) Realize that the client has some dementia.
B
The nurse is caring for a client at risk for sensory overload. What interventions should the nurse implement? Select all that apply. A) Assist with all ADLs. B) Implement measures to reduce the client's pain. C) Limit extraneous noise. D) Remove clutter from the client's room. E) Limit interruptions to the client's rest/sleep times.
B, C, D, E
A client who has bleeding tendencies has a deficiency in which vitamin? A) Vitamin C B) Vitamin B C) Vitamin K D) Vitamin A
C
Which short term goal may be appropriate for a client experiencing sensory overload? A) The client will demonstrate achievement of self-care. B) The client will achieve sensoristasis. C) The client will remain safe at all times. D) The client will maintain the functioning of existing senses.
C
A home care nurse is caring for a client who lost the spouse to cancer 3 years ago. What question would the nurse ask to facilitate a life review? A) "What would you like to do today?" B) "Do you have any hobbies or extracurricular activities you enjoy?" C) "Would you tell me about your life when you first met your spouse?" D) "What would you do differently if you had the chance?"
C
A nurse is planning hygiene for a client with dementia. The nurse understands the need to provide an environment that will aid her in the care of this client. Which action will she perform? A) Ask several staff to be in the room for safety since the client is sometimes agitated. B) Refuse to bathe the client because the nurse and client have not established a rapport. C) Create a calming environment with little stimuli. D) Delegate this task to someone else since it's not the nurse's responsibility to perform hygiene for clients.
C
A nurse is working with a 45-year-old construction worker. The nurse obtains his height and weight and calculates that his BMI is 28. How would the nurse best classify James? A) obese B) underweight C) overweight D) ideal body weight (IBW)
C
An older adult who is newly widowed is not adjusting to this change in her role. She is unable to form new relationships. What is the client at risk for developing? A) Negativism of aging B) Low self-esteem C) Social isolation D) Cognitive deficits
C
An on-duty nurse discovers that a colleague is pilfering medicines. According to the Nurse Practice Acts, what should the nurse do? A) Discuss this incident with a colleague. B) Inform the local police station. C) Report the incident to the supervisor. D) Keep silent and overlook the incident.
C
In which client would the nurse assess for a depressed respiratory system? A) a client taking insulin for diabetes B) a client taking amlodipine for hypertension C) a client taking opioids for cancer pain D) a client taking antibiotics for a urinary tract infection
C
The health care provider writes a prescription for ampicillin 1 gram every 6 hours for a client. What would cause the nurse to question this medication prescription? A) The time is missing. B) The frequency is missing. C) The route is missing. D) The amount is missing.
C
The nurse is caring for a client who has been prescribed an enteric-coated drug. Which should the nurse include when teaching the client proper administration of this drug? A) It is available in liquid form if needed. B) It can be cut into smaller pieces. C) It should not be chewed or crushed. D) It should not be opened.
C
The nurse is caring for a postoperative client who has a prescription for meperidine 75 mg intramuscularly (IM) every 4 hours as needed for pain. Before and after administering meperidine, the nurse would assess which most important sign? A) Apical pulse B) Urinary intake and output C) Respiratory rate and depth D) Orthostatic blood pressure
C
The staff at a long-term care facility have made minimal effort to secure a shared room for a couple in their late 80s, who have been married for several decades. The manager states, "I'm sure that bedroom activity is the last thing on their mind these days." How should the nurse best respond to the manager's characterization of sexuality in older adults? A) "There's no reason that we should assume they're less interested than when they first got married." B) "It's actually a myth that older adults have sex less often than younger adults." C) "They might not be as active as in years past, but sexuality is still important for older people." D) "Their sexual activity has probably stopped by now, but they still need companionship."
C
When the nurse informs a client's employer of the client's autoimmune deficiency disease, the nurse is committing the tort of: A) breach of contract. B) battery. C) invasion of privacy. D) assault.
C
Which client would be at greatest risk for injury to the skin and mucous membranes? A) man 44 years of age with hemorrhoids B) adolescent 17 years of age with asthma C) man 77 years of age with diabetes D) infant 10 days old with no health problems
C
A group of nurses working in a long-term care facility fails to keep the narcotic medications in a secure location. The nurses also fail to count the medications before and after each shift, as indicated by the institution's policies and procedures. These failures may result in disciplinary action against the: A) pharmacist's license. B) facility's state license. C) state regulating body. D) nurses' licenses.
D
A nurse educates adults in preventive measures to avoid problems of middle adult years. Which of the following are the major health problems during the middle adult years? A) Sexually transmitted infections, drug use B) Upper respiratory infections, fractures C) Communicable diseases, dementia D) Cardiovascular disease, cancer
D
A nurse is caring for a client who has had difficulty sleeping. What nursing intervention may facilitate the client's rest? A) Giving the client something to drink B) Engaging in a therapeutic conversation C) Providing multiple stimuli to make the client tired D) Providing a back rub before bed
D
A nurse is providing client care in a hospital setting. Who has full legal responsibility and accountability for the nurse's actions? A) The physician B) The head nurse C) The hospital D) The nurse
D
A student is walking down the hall carrying soiled linen against her uniform while taking it to the soiled utility room. What instruction should the nursing instructor provide to the student? A) Linens do not spread microorganisms. B) Linen should always be handled with gloves and left in the client's room to prevent spread of microorganisms. C) Linen should be changed weekly to prevent the spread of microorganisms. D) Linen should be held away from the uniform and carried in some type of receptacle to prevent the spread of microorganisms.
D
Before a long-term care resident goes to sleep at night, the client's dentures are placed in a denture cup with clean water. What rationale supports placing dentures in water? A) none; they should be placed in saline B) to ensure the dentures are not thrown away C) to increase comfort when replaced in the mouth D) to prevent drying and warping of plastic
D
For which of the following clients should the nurse anticipate the need for a pureed diet? A) A woman who has required gallbladder surgery B) An obese woman after bariatric surgery C) A man with dementia who is unable to follow instructions D) A man whose stroke has resulted in difficulty swallowing
D
The latest CDC guidelines designate standard precautions for all substances except: A) blood. B) vomitus. C) urine. D) sweat.
D
The nurse has completed an intervention with a client. There is no visible soiling on the nurse's hands. Which technique is recommended by infection control practice standards for hand hygiene? A) Wash hands with soap and hot water. B) Wash hands with soap and water, followed by an alcohol-based hand rub. C) Do not wash hands; apply clean gloves. D) Decontaminate hands using an alcohol-based hand rub.
D
The nurse is caring for a 70-year-old client with a body mass index (BMI) of 34.8. Which risk factor should the nurse discuss with this client? A) Risk of infection B) Risk of osteoporosis C) Risk of low cholesterol D) Risk of heart disease
D
The nurse is educating an adolescent with asthma on how to use a metered-dose inhaler. Which education point follows recommended guidelines? A) Inhale through the nose instead of the mouth. B) Inhale the medication rapidly. C) Inhale two sprays with one breath for faster action. D) Be sure to shake the canister before using it.
D
The nurse is preparing to provide hygiene care to a client with hypoxia. Into what position will the nurse place the client? A) Trendelenburg B) prone C) supine D) high Fowlers
D
The nurse is taking a client's health history. Which question would the nurse ask to collect data about infection control? A) "Do you sleep well and wake up feeling healthy?" B) "What do you eat in each 24-hour period." C) "What were the causes of death for your family members?" D) "When did you complete your immunizations?"
D
Which factor has contributed to resistant microbial strains? A) use of topical antibiotics on skin abrasions B) antibiotic use for bacterial infections C) mutation of common disease-causing viruses D) use of antibiotics in clients with viral infections
D
Which statement about glove use and hand hygiene is true? A) The use of sterile gloves eliminates the need for hand hygiene. B) Use of alcohol-based hand rubs is appropriate after using the restroom. C) Nonsterile gloves can be decontaminated with alcohol-based hand rub, but must be changed between clients. D) Artificial fingernails should not be worn by staff involved in direct client care.
D
Assessment of a client reveals that the client is experiencing sensory deprivation. Which finding would the nurse identify as a perceptual response to this situation? Select all that apply. A) Belligerent behavior B) Difficulty with problem solving C) Decreased attention span D) Daydreaming E) Hallucinations
D, E
