Science Medicine Emergency Medicine
100 Item Comprehensive Nursing Exam With Answers and question
Terms in this set (56)
1. The nurse enters the room as a 3 year-old The correct
answer is B: Place the child on the side
is having a generalized seizure. Which Protecting the airway is the top priority in a seizure. If a child
is intervention should the nurse do first? actively convulsing, a patent airway and oxygenation must be
A) Clear the area of any hazards assured.
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant
2. A client has just returned to the medical- The correct
answer is B: Suction excessive tracheobronchial surgical unit following a segmental lung secretions
resection. After assessing the client, the first Suctioning the copious tracheobronchial secretions
present in nursing action would be to post-thoracic surgery clients maintains an open airway which
A) Administer pain medication is always the priority nursing intervention.
B) Suction excessive tracheobronchial
secretions
C) Assist client to turn, deep breath
and cough
D) Monitor oxygen saturation
, 3.A nurse from the surgical department is The correct answer is C: Prolonged hypoxemia Most often,
reassigned to the pediatric unit. The charge the cause of cardiac arrest in the pediatric population
is
nurse should recognize that the child at prolonged hypoxemia. Children usually have both cardiac and
highest risk for cardiac arrest and is the least respiratory arrest.
likely to be assigned to this nurse is
which child?
A) Congenital cardiac defects
B)An acute febrile illness
C) Prolonged hypoxemia
D) Severe multiple trauma
4.Which of the following would be the best The correct answer is D: Observe a return demonstration
strategy for the nurse to use when teaching Since this is a psychomotor skill, this is the best way to know
if insulin injection techniques to a newly the client has learned the proper technique.
diagnosed client with diabetes?
A) Give written pre and posttests
B)Ask questions during practice
C) Allow another diabetic to assist
D) Observe a return demonstration
5.The nurse is assessing a 2-year-old client The correct answer is C: Takes frequent rest periods
while with a possible diagnosis of congenital heart playing.
disease. Which of these is most likely to be Children with heart disease tend to have exercise
intolerance. seen with this diagnosis? The child self-limits activity, which is consistent with
A) Several otitis media episodes in the last manifestations of congenital heart disease in
children. year
B)Weight and height in 10th percentile since
birth
C) Takes frequent rest periods while playing
D) Changing food preferences and dislikes
6. The nurse is reassigned to work at the The
correct answer is A: An 18 month-old who ate an Poison Control Center telephone hotline. In
undetermined amount of crystal drain cleaner.
which of these cases of childhood Drain cleaner is very alkaline. The orange juice is acidic
and poisoning would the nurse suggest that will help to neutralize this substance.
parents have the child drink orange juice?
A) An 18 month-old who ate an
undetermined amount of crystal drain
cleaner
B)A 14 month-old who chewed 2 leaves of a
philodendron plant
C) A 20 month-old who is found sitting
on the bathroom floor beside an empty
bottle of diazepam (Valium)
D) A 30 month-old who has swallowed a
mouthful of charcoal lighter fluid
100 Item Comprehensive Nursing Exam With Answers and question
Terms in this set (56)
1. The nurse enters the room as a 3 year-old The correct
answer is B: Place the child on the side
is having a generalized seizure. Which Protecting the airway is the top priority in a seizure. If a child
is intervention should the nurse do first? actively convulsing, a patent airway and oxygenation must be
A) Clear the area of any hazards assured.
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant
2. A client has just returned to the medical- The correct
answer is B: Suction excessive tracheobronchial surgical unit following a segmental lung secretions
resection. After assessing the client, the first Suctioning the copious tracheobronchial secretions
present in nursing action would be to post-thoracic surgery clients maintains an open airway which
A) Administer pain medication is always the priority nursing intervention.
B) Suction excessive tracheobronchial
secretions
C) Assist client to turn, deep breath
and cough
D) Monitor oxygen saturation
, 3.A nurse from the surgical department is The correct answer is C: Prolonged hypoxemia Most often,
reassigned to the pediatric unit. The charge the cause of cardiac arrest in the pediatric population
is
nurse should recognize that the child at prolonged hypoxemia. Children usually have both cardiac and
highest risk for cardiac arrest and is the least respiratory arrest.
likely to be assigned to this nurse is
which child?
A) Congenital cardiac defects
B)An acute febrile illness
C) Prolonged hypoxemia
D) Severe multiple trauma
4.Which of the following would be the best The correct answer is D: Observe a return demonstration
strategy for the nurse to use when teaching Since this is a psychomotor skill, this is the best way to know
if insulin injection techniques to a newly the client has learned the proper technique.
diagnosed client with diabetes?
A) Give written pre and posttests
B)Ask questions during practice
C) Allow another diabetic to assist
D) Observe a return demonstration
5.The nurse is assessing a 2-year-old client The correct answer is C: Takes frequent rest periods
while with a possible diagnosis of congenital heart playing.
disease. Which of these is most likely to be Children with heart disease tend to have exercise
intolerance. seen with this diagnosis? The child self-limits activity, which is consistent with
A) Several otitis media episodes in the last manifestations of congenital heart disease in
children. year
B)Weight and height in 10th percentile since
birth
C) Takes frequent rest periods while playing
D) Changing food preferences and dislikes
6. The nurse is reassigned to work at the The
correct answer is A: An 18 month-old who ate an Poison Control Center telephone hotline. In
undetermined amount of crystal drain cleaner.
which of these cases of childhood Drain cleaner is very alkaline. The orange juice is acidic
and poisoning would the nurse suggest that will help to neutralize this substance.
parents have the child drink orange juice?
A) An 18 month-old who ate an
undetermined amount of crystal drain
cleaner
B)A 14 month-old who chewed 2 leaves of a
philodendron plant
C) A 20 month-old who is found sitting
on the bathroom floor beside an empty
bottle of diazepam (Valium)
D) A 30 month-old who has swallowed a
mouthful of charcoal lighter fluid
