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This Tests Consists Of Questions And Answers
1. A home-health nurse is caring for a child who has Lyme disease. Which of
the following is an appropriate action for the nurse to take?
Choices:
• A. Ensure the state health department has been notified.
, • B. Administer antitoxin.
• C. Educate the family to avoid sharing personal belongings.
• D. Assess for skin necrosis.
CORRECT ANSWER: A. Ensure the state health department has been
notified.
Explanation:
Lyme disease is a vector-borne illness transmitted primarily by infected Ixodes
ticks. Appropriate public-health reporting allows health authorities to monitor
disease occurrence and support surveillance and prevention efforts. Antitoxin is not
used to treat Lyme disease, and avoiding shared personal belongings is not a
primary prevention measure because Lyme disease is not transmitted through
ordinary person-to-person contact. Skin necrosis is not a typical finding requiring
routine assessment for Lyme disease.
2. A nurse is caring for a client who has been admitted to the hospital. Which
intervention should the nurse include in the plan of care?
Choices:
• A. Provide frequent rest periods.
• B. Restrict the client's sodium intake.
• C. Advise the client to avoid using soap and alcohol-based lotions.
, • D. Instruct the client to avoid blowing their nose forcefully.
• E. Assess the client's level of orientation.
CORRECT ANSWER: A. Provide frequent rest periods.
Explanation:
Providing frequent rest periods helps reduce fatigue and promotes recovery in
hospitalized clients. Rest periods should be incorporated into care while
maintaining necessary activity and preventing excessive immobility. The other
interventions may be appropriate for specific conditions, but they are not
universally indicated simply because a client has been admitted to the hospital.
3. A nurse is caring for a client who has a vented NG tube set to low
intermittent suction and has vomited. Which of the following actions should
the nurse perform first?
Choices:
• A. Administer an antiemetic medication.
• B. Evaluate functioning of the suction device.
• C. Provide oral hygiene care.
• D. Replace the NG tube.
CORRECT ANSWER: B. Evaluate functioning of the suction device.
, Explanation:
Vomiting in a client with an NG tube connected to suction can indicate that the
tube or suction system is not functioning properly. The nurse should first assess
whether the suction device is operating correctly and whether the tubing is patent
and appropriately connected. Correcting the source of inadequate gastric
decompression can prevent continued vomiting and reduce the risk of aspiration.
An antiemetic or tube replacement should not be performed before assessing the
existing system.
4. While performing a routine assessment, a nurse notices fraying on the
electrical cord of a client's continuous passive motion device. Which action
should the nurse take first?
Choices:
• A. Initiate a requisition for a replacement CPM device.
• B. Report the defect to the equipment maintenance staff.
• C. Remove the device from the room.
• D. Ensure the device inspection sticker is current.
CORRECT ANSWER: C. Remove the device from the room.
Explanation:
A frayed electrical cord presents an immediate electrical and safety hazard. The